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Aboriginal Health

Aboriginal Health. Shelly Crack, Registered Dietitian. Outline. Do you know and understand Canadian History? Colonization and its impacts Nutrition Concerns in Aboriginal Communities Prenatal; infants; chronic disease; seniors Where does traditional food fit?

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Aboriginal Health

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  1. Aboriginal Health Shelly Crack, Registered Dietitian

  2. Outline • Do you know and understand Canadian History? • Colonization and its impacts • Nutrition Concerns in Aboriginal Communities • Prenatal; infants; chronic disease; seniors • Where does traditional food fit? • My top 5 tips for working with First Nation clients, colleges and friends

  3. Question #1 How many different Aboriginal settlements do we have in BC? A) 24 B) 59 C) 109 D) 122

  4. Residential School Facts • All provinces and territories in Canada • 130 residential schools in Canada • Began in 1892-1970 (80 years and more) • 150,000 Aboriginal students attended schools • 80,000 school survivor alive today

  5. Residential School Experiences • Most experienced physical, sexual, mental, spiritual and emotional abuse by the hands of those who entrusted to educate, care and protect • No contact with family; so far away • “Aggressive assimilation” “kill the Indian in the child” • “Civilize” savage Indians /Fix the “Indian problem” • Stripped away identity, language and culture of Aboriginal people • Lost their language and culture; unable to talk to parents

  6. Residential School Consequences • Intergenerational impacts • Physical, sexual, emotional & substance abuse in Aboriginal communities today is a direct result of residential schools • Abuse has been denied until very recently

  7. Alert Bay Mission School

  8. Health Disparities • Poorest minority in Canada; 50% average income • Social support networks • Education 48% high school; 37% post secondary (58) • Unemployment 22% vs. 7% • Housing: overcrowding, water, sanitation, air, water • Personal health & coping tools • Breastfeeding, food insecurity in children • Chronic disease rates 3-4 times higher

  9. Cultural Competency Course http://www.culturalcompetency.ca/

  10. What do I see in my community? • Tooth decay; bottle feeding, childhood obesity • Ellyn Satter eating dynamic issues • Chronic disease; diabetes; HTN; obesity • Addiction; smoking and alcohol • Domestic abuse; unhealthy relationships • Parenting issues, attachment disorders • Anxiety, depression

  11. How do I address these issues? • Cooking classes • Food security projects • Pregnancy outreach programs • Parenting groups • Schools food programs • Chronic disease groups; pain groups • Grocery store tours; food demos • One to one counseling • Collaborate-getting invited

  12. Traditional Food • Salmon, halibut, Turbot • Spring, pink, chum, coho, sockey, steelhead • Lincod, red snapper, black cod, • Herring, Roe on kelp (K’aaw) • Crab, Scallops, Sea erchants (Stew) • Clams (Razor, butter, cockles, horseshoe, goeyduck) • Muscles, prawns, shrimp, barnacles • Venison, Elk • Seaweed (Sew), Kelp, Sea asparagus • Berries (salmonberry, strawberry, salalberry, huckleberry, wild cranberry, cloudberry) • Haida potato

  13. Satter Hierarchy of Food Needs

  14. Shelly’s top 5 tips • Relationships • Drop your nutrition agenda • Humor • Be curious; don’t judge • Listen & learn

  15. Relationships are key

  16. Drop your nutrition agenda

  17. Have fun; be funny; laugh

  18. Be curious; don’t judge

  19. Get to know your community/culture

  20. Words from our colleagues • Respectful curiosity • Patience • Respect and learning • Multidisciplinary approach • Passion of youth and elders • Funding opportunities • Listen, open, quiet • Relationships

  21. Resilience "Only to the extent that we expose ourselves over and over to annihilation can that which is indestructible in us be found." --Pema Chodron

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