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H1N1 The Swine Flu - Pandemic Planning

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H1N1 The Swine Flu - Pandemic Planning

Postby admin » Sat May 09, 2009 10:20 am

What's New on the H1N1
Image
http://www.cdc.gov/h1n1flu/whatsnew.htm
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First Nations experience with the Pandemic H1N1
January 2010 . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10923#p10923
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January 13th, 2010

The number of First Nations residents tackling the H1N1 flu by getting vaccinated, has surpassed the rate of the general population, according to an Information Bulletin from the Tripartite First Nations H1N1 Working Group in British Columbia.

"Dear First Nations Community Members, As we start a new year, the incidence of H1N1 influenza is decreasing in First Nations communities in British Columbia and across Canada. The Tripartite First Nations H1N1 Working Group is very pleased to report that the H1N1 vaccination coverage for the First Nations on-reserve population is over 75%. This is an impressive achievement - and is approximately three times higher than the vaccination coverage for the general provincial population. This achievement would not have been possible without the hard work, cooperation and commitment from community leaders, health staff and volunteers who ensured that the H1N1 vaccine and important information about H1N1 and its prevention and treatment reached people in the communities. You all deserve our thanks and congratulations. We also wanted to let you know that in an effort to continually improve our processes and functions, we will be reviewing our management of H1N1 in First Nations communities in the coming months and may be seeking your input and guidance. For those who have not received the H1N1 vaccine, we are still advising you to discuss this with your local health care provider - particularly because there is still the possibility of a resurgence of the H1N1 virus over the course of this winter and into 2010. Many thanks again for your continued support and commitment.

Questions?
Please contact your local Community Health Nurse or your local health care worker with any questions you have related to H1N1 or Seasonal Influenza. For more information about accessing H1N1 or Seasonal influenza vaccine, clinic locations and time of clinics, visit: http://www.immunizebc.ca For more information on the H1N1 Influenza virus, visit: http://www.gov.bc.ca/h1n1. "
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American Indians and Alaska Natives represent a disproportionate number of deaths from the H1N1 virus.
December 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10874#p10874
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Influenza Self-Assessment Tool
http://www.health.gov.on.ca/en/ccom/flu/h1n1/public/tools/assessment
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On November 10, 2009
Health Minister Leona Aglukkaq and National Chief of the Assembly of First Nations (AFN) Shawn Atleo
co-hosted a Virtual Summit on H1N1 preparedness for First Nations communities.
For more information . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10667#p10667
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Health Canada has approved vaccine to fight H1N1 flu virus
October 21st, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10596#p10596
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BC unveils vaccine plans to fight H1N1 outbreak . . .
October 21, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10599#p10599
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Saskatchewan Pandemic Influenza Co-ordination Plan
http://www.gov.sk.ca/saskatchewan_pandemic_influenza_plan
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http://www.phac-aspc.gc.ca/alert-alerte/h1n1/guide/index-eng.php
Image
http://www.phac-aspc.gc.ca/alert-alerte/h1n1/guide/index-eng.php
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Public Service Announcement . . .
http://www.youtube.com/user/H1N1BC
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Swine flu medical news . . .
http://www.medicalnewstoday.com/sections/swine-flu/
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Assembly of First Nations and Canadian Government sign Communications Protocol to affirm their commitment to work together on pandemic planning efforts.. .
http://www.turtleisland.org/discussion/viewtopic.php?p=10482#p10482
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Canadian Government guidelines for who should be first in line to get flu shots
http://www.turtleisland.org/discussion/viewtopic.php?p=10475#p10475
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October 6, 2009
BC
Tripartite First Nations Health Plan
An Information Bulletin from the Tripartite First Nations H1N1
Working Group
Dear First Nations Community Members . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10548#p10548
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H1N1 Community Checklist
BC
Dear First Nations Chiefs and Health Directors,

As you are all aware, cases of the H1N1 flu virus have occurred in people throughout BC and Canada, including in First Nations communities. The vast majority of these people have had mild to moderate illness and most of those affected have recovered successfully at home.

It’s important to ensure your community is in a state of readiness - primarily through a pandemic plan - and is using preventative measures.
http://www.fnhc.ca/index.php/news/article/h1n1_checklist_for_leadership/
Image
http://www.fnhc.ca
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The Pandemic H1N1 Virus and Your Community
B.C. First Nations H1N1 action plan
http://www.turtleisland.org/discussion/viewtopic.php?p=10428#p10428
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Reducing the risk of pandemic influenza in
Aboriginal communities
http://www.turtleisland.org/healing/abh1n1.pdf
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Plan For The Best Through Preparedness
http://www.turtleisland.org/digest/ithaflu09.gif
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Image
http://www.intertribalhealth.ca/PandemicPreparedness.htm
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Image
http://www.pandemic.knet.ca/

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* *FIRST NATIONS and the FLU PANDEMIC* *
Click on the link for DETAILS . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10229#p10229

Pandemic Influenza
Preparing Communities; Preparing You
courtesy of the Assembly of Manitoba Chiefs and
the Southern Chiefs Organization of Manitoba

"I was at the point where everything hurt . . ." - a First Nation survivor of a 20th Century pandemic influenza attack.

View video here . . .
http://www.manitobachiefs.com/pandemic/video.html

alternate links for this video . . .
http://www.manitobachiefs.com/pandemic/video.fla

http://www.manitobachiefs.com/pandemic/pandemic.swf

http://www.manitobachiefs.com/pandemic/video.swf
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Pandemic Influenza and Wellness . . .
Video presentation . . .
http://www.cha-bc.org/index.php/Influenza-Training.html

First Nations Community Preparedness
Family Health Care Before and During a Pandemic
Video presentation
http://www.jelprotection.com/chabc/fhc/player.html
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PERSPECTIVES

The Pandemic H1N1 Virus and Your Community
B.C. First Nations H1N1 action plan
http://www.turtleisland.org/discussion/viewtopic.php?p=10428#p10428
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Flu outbreak on Vancouver Island claims the life of First Nation woman
September 17th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10478#p10478
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H1N1 Pandemic and Aboriginal Women in Canada
August 5th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10372#p10372
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August 1st, 2009
Plan For The Best Through Preparedness
Inter Tribal Health Authority
http://www.turtleisland.org/digest/ithaflu09.gif
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Exclusive Report!
Preparing ourselves and our communities . . .
July 31st, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10361#p10362
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Swine Flu - Serious Business - Nothing to Sneeze at . . .
July 30th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10361#p10361
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First Nations are in the grip of a flu outbreak on Southern Vancouver Island. . .
July 29th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10359#p10359
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Six Nations leaders issue statement to calm fears of flu, following family targeted by act of violence
July 18th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10329#p10329
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Prioritize First Nations for H1N1 vaccines, says AFN
July 17th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10325#p10325
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Aboriginal Nurses concerned about impact of H1N1 flu virus on people at high health risk
July 16th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10322#p10322
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July 16th, 2009

In Manitoba, the government has appointed an Aboriginal health advisor on H1N1 flu issues.

Health Minister Theresa Oswald announced, "I'm pleased to appoint Dr. Catherine Cook to this new role, in which she will build on her work with First Nations communities to listen and address the H1N1 concerns of chiefs, councils and community members. . . This information will help direct the provincial response to H1N1 and support our work with First Nation and federal governments." A news release explained that Cook will work with First Nations organizations to strengthen H1N1 surveillance and communication structures to help communities monitor and respond to the disease. "

Dr. Cook brings a wealth of experience and knowledge to the table. First Nations have been relying on her help since the beginning of the outbreak and we're glad to hear the province is making her role official," said Assembly of Manitoba Chiefs Grand Chief Ron Evans.

"This is a disease that in Manitoba appears to have disproportionately affected First Nations communities," Cook said. "And like the disease itself, the issues surrounding the provision of treatment and resources, both medical and human, are more complex in remote communities. "This position will help ensure that we are aware of all the issues and work in a more co-ordinated way to address them." Cook is currently executive director of the Winnipeg Regional Health Authority's Aboriginal Health Programs.
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PERSPECTIVE
The nasty H1N1 - Coming to a lung or intestine near you!
What are your personal plans for PROTECTION?
July 12, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10310#p10310


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http://www.google.ca/search?q=symptoms+of+swine+flu
Image
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H1N1 Flu Virus
Public Health Agency of Canada
http://www.phac-aspc.gc.ca/alert-alerte/swine_200904-eng.php
Image
http://www.phac-aspc.gc.ca/alert-alerte/swine_200904-eng.php
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U.S. Government H1N1 pandemic flu information
http://pandemicflu.gov/
Image
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Swine Flu - News and Information . . .
CANADA UPDATES!
http://news.google.com/news?=en&q=swine+flu+canada

U.S.A. UPDATES!
http://news.google.com/news?=en&q=swine+flu+united+states

WORLD-WIDE UPDATES!
http://news.google.com/news?=en&q=swine+flu+world-wide

ABORIGINAL UPDATES!
http://news.google.com/news?=en&q=swine+flu+aboriginals
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* * * * * FIRST NATIONS and the FLU PANDEMIC * * * * *

* * * * * DETAILS * * * * *
http://www.turtleisland.org/discussion/viewtopic.php?p=10229#p10229
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Tools and Resources
http://www.fightflu.ca/tools-outils-eng.html
Image
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First Nations Health Council of BC
UPDATES
http://www.fnhc.ca/
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Ontario First Nations Pandemic UPDATES . . .
http://www.pandemic.knet.ca/
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Assembly of Manitoba Chiefs and the Southern Chiefs Organization of Manitoba
View video here . . . http://www.manitobachiefs.com/pandemic/video.html
Image

"I was at the point where everything hurt . . ." - a First Nation survivor of a 20th Century pandemic influenza attack.

alternate links for this video . . .
http://www.manitobachiefs.com/pandemic/video.fla

http://www.manitobachiefs.com/pandemic/pandemic.swf

http://www.manitobachiefs.com/pandemic/video.swf

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Video presentation . . . http://www.cha-bc.org/index.php/Influenza-Training.html
Image


Video presentation . . . http://www.jelprotection.com/chabc/fhc/player.html
Image
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Flu guidelines for summer camps
BC . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10328#p10328
ONTARIO
http://www.turtleisland.org/healing/camps-h1n1.pdf

CANADA
http://www.phac-aspc.gc.ca/alert-alerte/swine-porcine/guidance-orientation-06-30-eng.php
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http://www.health.gov.bc.ca/pandemic/
Image
http://www.health.gov.bc.ca/pho/influenza.html
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Pandemic Preparedness

The Canadian Pandemic Influenza Plan for the Health Sector
NOTE: Influenza Pandemic Planning Considerations in
On Reserve First Nations Communities
http://www.phac-aspc.gc.ca/cpip-pclcpi/pdf-e/annex_b-eng.pdf

Also available here . . .
http://www.turtleisland.org/healing/flujune09.pdf
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Here is an example of a Pandemic Plan template for First Nations communities
(it is in powerpoint format) . . . http://www.turtleisland.org/healing/pandplan09.ppt
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Here Are Additional Authoritative Information Sources

Public Health Agency of Canada
http://www.phac-aspc.gc.ca/influenza/pandemic-eng.php

CANADA HOTLINE: 1-800-454-8302
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U.S. Centers for Disease Control and Prevention
H1N1 Flu (Swine Flu)
http://www.cdc.gov/h1n1flu/
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U.S. Department of Health & Human Services
http://pandemicflu.gov/

UNITED STATES HOTLINE: 1-800-232-4636
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How To Protect Yourself . . .
http://www.fightflu.ca
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General Instructions for Disposable Respirators
http://www.youtube.com/watch?v=0d_RaKdqeck&feature=channel

NOTE: There really is not any one-fits-all disposable respirator.
Respirator technicians are available to assist you.
For example - Mid Island Safety Services
http://www.midislandsafety.com

There are legal requirements that health workers must meet while wearing protective equipment (for example there is specific training, fitting and testing in the proper use of masks and respirators) to ensure they are protecting themselves and the patients they are assisting.
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Swine Flu information . . .
http://www.phac-aspc.gc.ca/alert-alerte/swine-porcine/faq_rg_swine-eng.php
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First Nations - The Flu - Pandemic Planning
June 2009 . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10229#p10229

Pandemic planning - The need for First nations to control public health
http://www.turtleisland.org/discussion/viewtopic.php?p=10232#p10232

FIRST NATIONS Pandemic Planning . . .
http://www.turtleisland.org/digest/ithaflu09.gif

http://www.turtleisland.org/digest/pandemic09.gif
Inter Tribal Health Authority on Vancouver Island
http://www.intertribalhealth.ca/PandemicPreparedness.htm
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http://www.healthlinkbc.ca/healthalerts.stm
Image
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First Nations Emergency Services
British Columbia . . .
http://www.fness.bc.ca/
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British Columbia . . .
First Nations Health Council
http://www.fnhc.ca
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BC Ministry of Health
http://www.gov.bc.ca/govt/swine_flu.html

Questions?
In BC you can dial 811
It is a 24 hour a day, seven days a week BC Government service
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Vancouver Island Health Authority
http://www.viha.ca/mho/public_health_alerts/

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http://www.health.gov.on.ca/english/pub ... e_flu.html
Image
Ontario Ministry of Health
http://www.health.gov.on.ca/english/pub ... e_flu.html
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Preparing for Pandemic Influenza in Manitoba . . .
http://www.gov.mb.ca/health/publichealth/pandemic.html
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PERSPECTIVES on PREPAREDNESS . . .

Influenza Research

Facemasks and Hand Hygiene to Prevent Influenza Transmission in Households
Annals of Internal Medicine
http://www.annals.org/cgi/content/full/0000605-200910060-00142v1

Canadian Medical Association Journal
August 2009

Infectious disease experts expect the unexpected with respect to swine flu
Paul Webster
http://www.cmaj.ca/cgi/content/full/181/3-4/E38?etoc

H1N1 influenza vaccine: Global access for a global problem
Noni MacDonald, MD MSc
http://www.cmaj.ca/cgi/content/full/181/3-4/123?etoc
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Because of the increased risk for severe complications, the public health response to outbreaks of novel influenza A (H1N1) virus should include considerations specific to pregnant women.
http://jama.ama-assn.org/cgi/content/full/302/1/23?etoc
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Swine flu outbreak tests Canadian preparedness
Ann Silversides
CMAJ 2009
http://www.cmaj.ca/cgi/content/full/180/12/E93?etoc
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Canada's ability to respond to a national health crisis hampered by jurisdictional issues, untested emergency plans
Ann Silversides
CMAJ 2009
http://www.cmaj.ca/cgi/content/full/180/12/1193?etoc
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NW Tribal Emergency Management Council
Washington State . . .
Information for H1N1 Flu Virus "Swine Flu"
http://www.nwtemc.org/H1N1.aspx
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H1N1 Influenza Virus (Human Swine Influenza)
http://www.healthlinkbc.ca/healthfiles/hfile108.stm

Provincial Infection Control Network of British Columbia.
http://www.picnetbc.ca/page229.htm
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H1N1 in Indian Country . . .
May 2009
http://www.indiancountrytoday.com/national/44590197.html
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April 29, 2009
TO: ALL FIRST NATIONS CHIEFS AND COUNCILS, AND HEALTH
MANAGERS/DIRECTORS
RE: SEVERE RESPIRATORY ILLNESS (SRI) IN MEXICO
(SWINE FLU)
___________________________________________________________________
BACKGROUND
The Public Health Agency of Canada (PHAC) has been alerted to clusters of a
severe respiratory illness confirmed to be from a new strain of influenza (H1N1),
more commonly called the Swine Flu. Outbreaks originated in Mexico and similar
outbreaks have occurred in the US. There are an increasing number of cases in
Canada. Individuals who have recently travelled to Mexico and who are experiencing
flu-like symptoms are currently at risk.
So far, there are no reported cases involving First Nations.
The virus includes influenza-like symptoms which are usually felt all over the body in the
form of fever, muscle aches, head ache, chills, nausea, vomiting, tiredness, and a dry
cough. The current cases in Canada have exhibited mild symptoms while those in
Mexico have been more severe.
The World Health Organization is monitoring the spread of the virus and will adjust
the pandemic alert level as needed. This in turn will guide the decisions of the
Public Health Agency of Canada who have the lead on Pandemic Emergencies in
Canada.
How do people get it?
Influenza and other (severe) respiratory infections are transmitted from person to
person via the respiratory route. Coughs and sneezes release the germs into the air
where they can be breathed in by others. Germs can also rest on hard surfaces like
counters and doorknobs, where they can be picked up on hands and transmitted to
the respiratory system when someone touches their mouth and/or nose.
First Nations
While there have been no reported cases among First Nations, these events
demonstrate the need for pandemic planning. Some First Nations communities have
already developed and tested comprehensive pandemic plans and are doing regular
surveillance activities. Others are at the beginning stages of developing plans and
are not adequately prepared in the event of an outbreak.
First Nations and Inuit Health Branch (FNIHB) work closely with PHAC in developing
approaches to on reserve preparedness. FNIHB has supported many Regional
activities by assisting communities with the development of pandemic plans and
have initiated testing exercises in many Regions. More work is needed to ensure
adequate preparedness in all FN communities.
What can be done to prevent the spread of the flu?
The Public Health Agency advises Canadians to:
• Wash hands thoroughly with soap and warm water, or use hand sanitizer
• Cough and sneeze in your arm or sleeve
• Get your annual flu shot
• Keep doing what you normally do, but stay home if sick
• Check http://www.fightflu.ca for more information
• Check http://www.voyage.gc.ca for travel notices and advisories
• Talk to a health professional if you experience severe flu-like symptoms
The AFN is recommending that community leaders work with their emergency
preparedness coordinators to support increased pandemic planning activities
as needed. This should also be done in collaboration with FNIH Medical
Officers of Health.
For more information, visit:
Public Health Agency of Canada: (Hotline 1-800-454-8302)
• http://www.phac-aspc.gc.ca/index-eng.php
US Centre for Disease Control
• http://www.cdc.gov/
World Health Organization
• http://www.who.int/en/
http://www.afn.ca or please contact:
Karyn Pugliese, AFN Health Communications Officer: 1-866-869-6789, ext 210,
kpugliese@afn.ca
Jonathon Thompson, AFN Health Director: 1-866-869-6789, ext 235,
jthompson@afn.ca
Kim Barker, AFN Public Health Advisor: kbarker@afn.ca

- - - - -

A Holistic Approach to Pandemic Readiness
http://www.afn.ca/misc/HPR.ppt


An AFN Pilot Project Presented by Sucker Creek First Nation Health Team
Sucker Creek First Nation Assembly of First Nations Pilot Project: A Holistic Approach to Pandemic Readiness
http://www.afn.ca/misc/PP.pdf

Katzie First Nation Influenza Pandemic Planning Project
http://www.afn.ca/misc/KP.pdf

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Also of interest . . .

Communiqué to First Nations Communities April 29, 2009
TO: ALL FIRST NATIONS CHIEFS AND COUNCILS, AND HEALTHMANAGERS/DIRECTORS

RE: SEVERE RESPIRATORY ILLNESS (SRI) IN MEXICO(SWINE FLU) BACKGROUND The Public Health Agency of Canada (PHAC) has been alerted to clusters of asevere respiratory illness confirmed to be from a new strain of influenza (H1N1),more commonly called the Swine Flu. Outbreaks originated in Mexico and similaroutbreaks have occurred in the US. There are an increasing number of cases inCanada. Individuals who have recently travelled to Mexico and who are experiencingflu-like symptoms are currently at risk. So far, there are no reported cases involving First Nations.

The virus includes influenza-like symptoms which are usually felt all over the body in theform of fever, muscle aches, head ache, chills, nausea, vomiting, tiredness, and a drycough. The current cases in Canada have exhibited mild symptoms while those inMexico have been more severe. The World Health Organization is monitoring the spread of the virus and will adjustthe pandemic alert level as needed. This in turn will guide the decisions of thePublic Health Agency of Canada who have the lead on Pandemic Emergencies inCanada. How do people get it? Influenza and other (severe) respiratory infections are transmitted from person toperson via the respiratory route. Coughs and sneezes release the germs into the airwhere they can be breathed in by others. Germs can also rest on hard surfaces likecounters and doorknobs, where they can be picked up on hands and transmitted tothe respiratory system when someone touches their mouth and/or nose. First Nations While there have been no reported cases among First Nations, these eventsdemonstrate the need for pandemic planning. Some First Nations communities have already developed and tested comprehensive pandemic plans and are doing regularsurveillance activities.

Others are at the beginning stages of developing plans andare not adequately prepared in the event of an outbreak.

First Nations and Inuit Health Branch (FNIHB) work closely with PHAC in developingapproaches to on reserve preparedness. FNIHB has supported many Regionalactivities by assisting communities with the development of pandemic plans andhave initiated testing exercises in many Regions. More work is needed to ensure adequate preparedness in all FN communities. What can be done to prevent the spread of the flu?

The Public Health Agency advises Canadians to: Wash hands thoroughly with soap and warm water, or use hand sanitizer Cough and sneeze in your arm or sleeve Get your annual flu shot Keep doing what you normally do, but stay home if sick Check http://www.fightflu.ca for more information Check http://www.voyage.gc.ca for travel notices and advisories Talk to a health professional if you experience severe flu-like symptoms

The AFN is recommending that community leaders work with their emergencypreparedness coordinators to support increased pandemic planning activitiesas needed. This should also be done in collaboration with FNIH MedicalOfficers of Health.

For more information, visit: Public Health Agency of Canada: (Hotline 1-800-454-8302)
http://www.phac-aspc.gc.ca/index-eng.php

US Centre for Disease Control
http://www.cdc.gov

http://www.who.int/en/ http://www.afn.ca or please contact:
Karyn Pugliese, AFN Health Communications Officer: 1-866-869-6789, ext 210, kpuglieseOjafn.ca
Jonathon Thompson, AFN Health Director: 1-866-869-6789, ext 235, ¡thorn pson(5)afn.ca
Kim Barker, AFN Public Health Advisor: kbarker@afn.ca
- - -

1862 epidemic decimated native population
Government, police handling of smallpox outbreak among native peoples in Victoria was shameful
By Andrei Bondoreff, Times Colonist
May 24, 2009
http://www.timescolonist.com/Health/186 ... story.html
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UPDATES . . .
viewtopic.php?p=10233#p10233
admin
Site Admin
 
Posts: 6540
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Top

First Nations-The Flu-Pandemic Planning and Response

Postby admin » Tue Jun 09, 2009 9:06 am

On November 10, 2009 at 12:00 noon EST
Health Minister Leona Aglukkaq and National Chief of the Assembly of First Nations (AFN) Shawn Atleo
will co-host a Virtual Summit on H1N1 preparedness for First Nations communities.

For more information . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10667#p10667
- - -

Assembly of First Nations and Canadian Government sign Communications Protocol to affirm their commitment to work together on pandemic planning efforts.. .
viewtopic.php?p=10482#p10482
- - -

Canadian Government guidelines for who should be first in line to get flu shots
viewtopic.php?p=10475#p10475
The Pandemic H1N1 Virus and Your Community
B.C. First Nations H1N1 action plan
http://www.turtleisland.org/discussion/viewtopic.php?p=10428#p10428
- - -

Pandemic Influenza
Preparing Communities; Preparing You
courtesy of the Assembly of Manitoba Chiefs and
the Southern Chiefs Organization of Manitoba

"I was at the point where everything hurt . . ." - a First Nation survivor of a 20th Century pandemic influenza attack.

View video here . . .
http://www.manitobachiefs.com/pandemic/video.html

alternate links for this video . . .
http://www.manitobachiefs.com/pandemic/video.fla

http://www.manitobachiefs.com/pandemic/pandemic.swf

http://www.manitobachiefs.com/pandemic/video.swf
- - -

Pandemic Influenza and Wellness . . .
Video presentation . . .
http://www.cha-bc.org/index.php/Influenza-Training.html

First Nations Community Preparedness
Family Health Care Before and During a Pandemic
Video presentation
http://www.jelprotection.com/chabc/fhc/player.html
- - -

PERSPECTIVES

October 6, 2009
BC
Tripartite First Nations Health Plan
An Information Bulletin from the Tripartite First Nations H1N1
Working Group
Dear First Nations Community Members . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10548#p10548
- - -

H1N1 Community Checklist
Dear First Nations Chiefs and Health Directors,

As you are all aware, cases of the H1N1 flu virus have occurred in people throughout BC and Canada, including in First Nations communities. The vast majority of these people have had mild to moderate illness and most of those affected have recovered successfully at home.

It’s important to ensure your community is in a state of readiness - primarily through a pandemic plan - and is using preventative measures.
http://www.fnhc.ca/index.php/news/article/h1n1_checklist_for_leadership/
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http://www.fnhc.ca
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The Pandemic H1N1 Virus and Your Community
B.C. First Nations H1N1 action plan
http://www.turtleisland.org/discussion/viewtopic.php?p=10428#p10428
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Flu outbreak on Vancouver Island claims the life of First Nation woman
September 17th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10478#p10478
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H1N1 Pandemic and Aboriginal Women in Canada
August 5th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10372#p10372
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August 1st, 2009
Plan For The Best Through Preparedness
Inter Tribal Health Authority
http://www.turtleisland.org/digest/ithaflu09.gif
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Exclusive Report!
Preparing ourselves and our communities . . .
July 31st, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10361#p10362
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Swine Flu - Serious Business - Nothing to Sneeze at . . .
July 30th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10361#p10361
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First Nations are in the grip of a flu outbreak on Southern Vancouver Island. . .
July 29th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10359#p10359
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Six Nations leaders issue statement to calm fears of flu, following family targeted by act of violence
July 18th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10329#p10329
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Prioritize First Nations for H1N1 vaccines, says AFN
July 17th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10325#p10325
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Aboriginal Nurses concerned about impact of H1N1 flu virus on people at high health risk
July 16th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10322#p10322
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July 16th, 2009

In Manitoba, the government has appointed an Aboriginal health advisor on H1N1 flu issues.

Health Minister Theresa Oswald announced, "I'm pleased to appoint Dr. Catherine Cook to this new role, in which she will build on her work with First Nations communities to listen and address the H1N1 concerns of chiefs, councils and community members. . . This information will help direct the provincial response to H1N1 and support our work with First Nation and federal governments." A news release explained that Cook will work with First Nations organizations to strengthen H1N1 surveillance and communication structures to help communities monitor and respond to the disease. "

Dr. Cook brings a wealth of experience and knowledge to the table. First Nations have been relying on her help since the beginning of the outbreak and we're glad to hear the province is making her role official," said Assembly of Manitoba Chiefs Grand Chief Ron Evans.

"This is a disease that in Manitoba appears to have disproportionately affected First Nations communities," Cook said. "And like the disease itself, the issues surrounding the provision of treatment and resources, both medical and human, are more complex in remote communities. "This position will help ensure that we are aware of all the issues and work in a more co-ordinated way to address them." Cook is currently executive director of the Winnipeg Regional Health Authority's Aboriginal Health Programs.
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PERSPECTIVE
The nasty H1N1 - Coming to a lung or intestine near you!
What are your personal plans for PROTECTION?
July 12, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10310#p10310
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July 15th, 2009

Niki Ashton, MP for the Churchill riding in Manitoba has visited First Nations hit hard by the Swine Flu and she continues to challenge Canadian officials to do more. Here is her latest perspective, written following the government's assurances that it is doing all it can to plan and prepare for the effects of H1N1.

"Aboriginal people are affected in a disproportionate way by H1N1. Measures to be taken in the fall to fight H1N1, as outlined by officials, are hardly applicable to First Nations. There is a shocking lack of medical professionals working on reserve who could help apply any rules to distributing a vaccine. Most First Nations in the North do not have hospitals where patients could access equipment such as ventilators, and must be urgently flown to urban centres. How will contributing factors such as overcrowded housing or lack of water and sewer infrastructure be addressed? The memory of the 1918 Spanish flu still haunts many aboriginal communities. Let the government of Canada learn from the past and urgently work with aboriginal communities to not repeat it."

Niki Ashton, MP for Churchill's visit to Garden River First Nation . . .
http://www.flickr.com/photos/nikiashton ... 752250791/
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Swine Flu injects a note of caution at summer camps
July 8th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10301#p10301
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What do we know so far about this H1N1 Swine Flu?
July 5th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10293#p10293
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Report on Aboriginal children's health - more proof of vulnerability to H1N1 flu virus, says AFN National Chief
June 24th, 2009 . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10267#p10267
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PERSPECTIVES

Thu 25 Jun 2009

Niki Ashton joined with First Nations leaders demanding that the Federal government recognise that H1N1 on reserves is a national emergency, and that immediate action must take place.

Ashton has been repeatedly raising the issue of the lack of support and pandemic planning for First Nations in the House. She also personally visited two of the hardest-hit communities.

“When I raised the need for an urgent Federal response to the fact that this virus was disproportionately impacting First Nations, the Federal Minister said she was insulted”, said Ashton.

While Manitoba’s Provincial Government has been proactive and moved into incident command status since April, the Federal Government has yet to accept that First Nations are facing a more dangerous situation.

"The Federal government's response is unacceptable."

The Northern MP said that the fact that First Nations have been hard hit the first round of the H1N1 is a wake up call for the Federal Government.

"All predictions are that if this becomes a sustained flu outbreak far more people will be affected, " she warned. "We also have to recognize that we can not only respond to the flu, we can act to prevent the type of living conditions that are a part of the reason why First Nations have been the most affected by this pandemic."

"In order to do that the Federal Government needs to change course."
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Native Communities hit by H1N1 flu feel abandoned by the Harper Conservatives
June 24th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10272#p10272
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AFN calls for urgent action to address First Nations issues in flu fight
June 23rd, 2009 . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10260#p10260
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A fearful warning from AFN's Public Health advisor of potential dire consequences
June 23rd, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10261#p10261
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Here's a look at what we know so far about the H1N1 influenza virus.

News and Comment
by Tehaliwaskenhas - Bob Kennedy ( Onyota'a:ka / Oneida )
Copyright
Turtle Island Native Network
http://www.turtleisland.org

July 6th, 2009

Unlike the normal flu, this illness continues its attack during the summer, with experts predicting a much heavier attack coming this fall. The World Health Organization calls it a pandemic (Pandemic influenza is defined as a new influenza virus that spreads easily between humans and affects a wide geographic area).

Updating and refining of plans for preparedness and response are well underway in communities, provinces and at the federal level. In First Nations communities planning has been funded in recent years by Health Canada, in anticipation of this pandemic. These plans must be tested to make sure they are up-to-date, practical, and are most likely to be workable when implemented.

Yes, this is a serious outbreak of influenza. However, the majority of cases have been mild and people who became ill have recovered without getting medical attention or being hospitalized.

Fortunately no-one is panicking! Panic will not help anyone, nor will fear-mongering, so we need balanced reporting. We cannot shout out that the sky is falling, but we also cannot bury our heads in the sand. Keeping our guard up, will serve us well.

There have been some severe outbreaks in Manitoba (several First Nations communities experienced the Swine Flu firsthand) and northern Ontario (six First Nations communities are recovering from an outbreak), and some First Nations leaders especially in the remote communities are very concerned, and some have declared their own local states of emergency. The benefit of that strategy is that it gets the attention of governments to ensure medical and human resources are made available, but more importantly it heightens community awareness. After all, this is a fight that will be won by involving the whole community.

The First Nations communities that have been severely affected in Manitoba and Ontario provide proof of how poor living conditions can influence the outcome of the fight against this flu. Researchers report significant impacts of this flu on young people, and pregnant women. We also know that the illness can be very severe in people who already have major health problems. Chronic conditions such as diabetes, heart disease, breathing conditions, and weak immune systems can contribute to complications if you catch this Swine Flu.

Aboriginal people have been identified by medical researchers as at higher risk of worse flu conditions and complications because of their living conditions, and poorer health and underlying medical conditions. Overcrowded housing means there is likelihood of more exposure, if someone we live with catches it.

However, there are things we can do to help prevent the spread, and prevent matters from getting worse. Remember to put into action the healthy habits of sneezing and coughing into a tissue or our elbows, for example. Washing our hands with soap and water, not quickly but while counting to 20. This is effective hygiene. As for those anti-bacterial hand sanitizers. They don't kill the flu virus, but using them creates an unfriendly environment for the flu bug. Taking responsibility for fighting the flu is up to us as individuals.

Let's not believe we can rely solely on governments or health workers to save us from this flu - although governments and health agencies will help get supplies to communities and work closely with communities so that if there is a local outbreak, then important information is gathered and managed so that the spread of the disease can be limited. Vaccine and anti-viral information will be shared with communities. Emergencies will be managed by a collaboration of community health staff, regional and provincial authorities and Health Canada's resources. Individual and community awareness, and knowledge are powerful weapons! What else do we know so far about the Swine Flu situation? A vaccine is being manufactured and is expected to be available by the fall. The Public Health Agency in Ottawa has promised that the vaccine will be available to all Canadians. Anti-virals, such as Tami-Flu and Relenza are already stockpiled and available, and they will be used based on what your doctor recommends after you are diagnosed, and how he or she thinks you should be treated.

How will you know if you have this illness? The symptoms are similar to seasonal flu. They include fever, cough, runny nose, sore throat, body aches, fatigue and lack of appetite. If you are ill, do not go to work because you do not want to spread it. This is the advice health experts recommend - Take precautions to limit the spread - self-isolate at home until 7 days after the onset of the symptoms. This will be a challenge depending on your circumstances at home - but do your very best to prevent spreading it to others. Do not share personal items such as utensils, becerage containers, towels, wash clothes etc. (no smooching please, and adhere to other common sense prevention while you are ill).

If someone you know is sick with the Swine Flu symptoms you should only visit them if necessary. If someone in your home is ill and you want to make sure the flu doesn't spread, make sure to use a disinfectant to clean surfaces around the sick person.

If you have symptoms of a more severe or serious illness such as shortness of breath, dehydration or severe weakness, then you should seek immediate medical care. If other symptoms such as coughs or fever get worse, you should also see your health-care provider. Keep in mind that if serious symptoms appear, get worse or you do not get better as you normally would (within two to three days) you should promptly see your health-care provider even if you have already visited them about your illness.

As of July 3rd, a total of 8,883 laboratory-confirmed cases of Pandemic H1N1 2009 virus, including 663 hospitalizations and 29 deaths, have been reported in Canada from all provinces and territories. 29 people have died - but keep that in perspective - four thousand to eight thousand Canadians can die annually from the seasonal flu, depending on how bad it is in any year.
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June 26th, 2009 - Native communities hit by the H1N1 flu feel abandoned by the Harper Conservatives, says Liberal Health Critic Dr. Carolyn Bennett who visited the First Nations. "What we saw was so sad and an embarrassment to all the people of Canada. Over half of the residents in Garden Hill and eighty per cent of the people of Wasagamack are living without running water or sewers, many without adequate housing. These conditions make it almost impossible to control an outbreak of infection."

Dr. Bennett and Liberal Winnipeg MP Anita Neville and Manitoba Liberal leader Dr. Jon Gerrard visited Garden Hill First Nation, Wasagmack, and St. Theresa Point, 500 kilometers northwest of Winnipeg. The Island Lake community recently suffered its first death from H1N1 out of 76 current cases in the province. "What we saw was outrageous and unacceptable," said Ms. Neville. "The residents of Garden Hill have been abandoned by the Conservative government. Meanwhile, there are predictions that a second phase of the H1N1 flu outbreak is on its way in the fall - we can't let our guard down for a moment."

Liberal MP Dr. Kirsty Duncan was in Winnipeg to attend part of a four-day training session to prepare First Nations bands for the next outbreak expected in the fall. "The fact that chiefs from Manitoba are just getting pandemic management training this week shows you just how far behind the reserves are in coping with this outbreak," said Dr. Duncan. "Patients have waited up to 12 hours for a medivac to take them out to Winnipeg - far too long when we're talking about life and death," added Dr. Duncan.
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June 23rd, 2009 - Urgent action is needed to prevent tragic consequences of the pandemic flu virus H1N1 in First Nations communities. AFN Regional Chief Angus Toulouse who holds the portfolio for health called for three urgent measures to improve the response to pandemic outbreaks of H1N1 in First Nations communities.

These include: striking an independent taskforce to study the recent outbreaks in Ontario and Manitoba and make recommendations to ensure more seamless service; developing and instituting national guidelines for service to First Nations; and providing investments that will allow every First Nation to develop a pandemic plan, as well as investing in Annex B which is the portion of the Canadian Pandemic Influenza Plan that addresses outbreaks in First Nations. "So far the majority of H1N1 cases have been mild, but if this outbreak had been more virulent our communities would have been devastated," said Regional Chief Toulouse. He reminds us that the World Health Organization (WHO) has warned that H1N1 could reappear in the fall and cause more severe illness.
http://www.turtleisland.org/discussion/viewtopic.php?p=10260#p10260

"There is an urgent need to ensure every First Nations community across Canada can equally access emergency health services before the fall." Dr. Kim Barker, Senior Public Health Advisor to the Assembly of First Nations appeared before the Standing Senate Committee on Aboriginal Peoples. She warned, "If there is no improvement in planning and services, we fear that any worsening of this virus could have a tragic impact on First Nations communities". viewtopic.php?p=10261#p10261

"It is certainly fortunate that H1N1 was not more virulent, because if it had been, the impact on First Nations communities would have been devastating." The World Health Organization (WHO) has been very clear that there is a link between the severity of influenza cases in First Nations communities and pre-existing chronic diseases, living in poor and overcrowded housing, poor-quality drinking water and sub-standard healthcare. "We know that conditions akin to those of the developing world exist in many First Nation communities. This has placed our communities at the highest level of risk in Canada."
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June 19, 2009 - H1N1 and First Nations! This week Norman Lewsey, Executive Director of Inter Tribal Health Authority in Nanaimo sent the following correspondence to Chiefs and Councils, and Health Directors of Inter Tribal Health Authority Member Nations on or near Vancouver Island. RE: Inter Tribal Health Authority's Pandemic Preparedness and Response - http://www.turtleisland.org/digest/ithapandemic.pdf
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"The Manitoba government is working with the Assembly of Manitoba Chiefs, Manitoba Keewatinowi Okimakanak, and the federal government to provide training sessions to First Nations emergency managers to support ongoing preparedness and responses at the community level," stated a provincial news release issued on June 19th.
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June 18th, 2009

There is a shocking revelation regarding a First Nations flu victim. The family of 45 year old Lorraine Wilson who had the H1N1 virus and died this week of complications, says she was twice turned away from hospital in the Pas, Manitoba, and that they sent her home saying she just had a cold.

Two weeks ago Lorraine Wilson, a resident of the Opaskwayak Cree Nation in northern Manitoba suffered chest pains and had difficulty breathing. The first time she went to the hospital, according to her family - she was sent home by hospital staff who told her she had a cold. She went to the hospital again two days later but once again was sent home, and told to take Tylenol. Her brother is quoted as saying, "They didn't check her, they didn't test her, they didn't do anything." His sister returned to the hospital a third time, and they finally acknowledged she had the flu and finally they treated her - put her on a respirator. But it was too late. She developed pneumonia, her kidneys began to fail and she became "catatonic" according to her family.
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Residents of the 64 First Nations communities in Manitoba are now going to receive information on the H1N1 Flu Pandemic.

The Assembly of Manitoba Chiefs is sending out thousands of posters with important messages on cough etiquette, self-care, and self-help measures to prevent spreading the virus.

In Winnipeg, starting June 22nd there will be a three-day training program for local health officials from Manitoba Keewatinowi Okimakanak First Nations in the north to learn about a First Nations critical incident management system. They will be trained in measures to set up -incident command- centres. A similar training session for southern Manitoba First Nations will start the week of July 6th.
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Also of interest on the subject of First Nations and the flu . . .

Ontario First Nations Pandemic . . .
http://www.pandemic.knet.ca/
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Oneida Indian Nation receives Pandemic response training
Story Published: Jun 17, 2009
http://www.indiancountrytoday.com/national/northeast/48255122.html
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June 17th, 2009 - With the recent outbreak of H1N1 in many First Nations communities, the need for improving infrastructure, such as the delivery of clean drinking water and housing has made it clear that the government needs to make a priority of First Nations applications and start the money flowing immediately. That's the message delivered in the house of Commons by Carol Hughes, Member of Parliament for Algoma-Manitoulin-Kapuskasing. Prime Minister Harper has been claiming that 80 percent of the federal infrastructure money is getting out the door. But Hughes says First Nations communities are still waiting for approval on applications. "First Nations communities are at the back of the line as infrastructure projects are approved," said Hughes in question period. "These are time-sensitive projects and tenders may expire before answers from this government are heard."
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June 16th, 2009 - Following a meeting with Chief David McDougall of St. Theresa Point and Chief David Harper of the Garden Hill First Nation, New Democrat leader Jack Layton declared, "This is a disaster. If it was happening anywhere else in the world, Canada would be the first to step in and help. I'm very proud that we offer that international support, and we need to do the same thing here at home for our First Nations." New Democrat MP Niki Ashton (Churchill) held a press conference Tuesday to discuss her recent visit to First Nations affected by an outbreak of the H1N1 flu. "What I saw yesterday was appalling. Living conditions like these in a country like Canada are frankly embarrassing. The 'Pandemic Plan' that has been sent to these First Nations is all paper, no resources, no action." A week after the first confirmed case of H1N1 on Manitoba's First Nations, there are now over 100 cases on seven reserves. The amount of people infected is climbing quickly and steadily. In Manitoba, over half of the people in intensive care with this virus are Aboriginal. "The numbers are even higher than we think," said Chief McDougall. "Many men are walking into the nursing stations and leaving before they are treated because of the numbers of children, women, and elders waiting for care. They feel they should let those groups get help first." In Ottawa to try to gain political support for the plight of his people, Chief Harper said he has lost all faith in the Harper government. In contrast to what government officials have said publicly, Chief Harper has stated again and again that supplies to help stop the spread of H1N1 still have not arrived. "Our community had hoped to provide all of our high school graduates with laptops this year," said Chief Harper. "Instead, we had to use that money to buy masks, gloves, and hand sanitizer." Both Garden Hill and St. Theresa Point lack basic infrastructure like running water, housing, roads, and health care facilities. Neither community has a doctor.
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June 15th, 2009 - H1N1 has arrived in Nishnawbe Aski Nation (NAN) territory. There are 13 confirmed cases of H1N1 in six NAN First Nations communities. That information from Health Canada today prompted Grand Chief Stan Beardy, and Deputy Grand Chief Alvin Fiddler, to call on the federal and provincial governments "to react immediately to mobilize health supports for NAN First Nations". During a teleconference, Health Canada said existing staff could be re-deployed to communities if needed, and that it was looking at entering into a formal agreement with Ontario to bring additional medical staff and pandemic-related health supplies to First Nations that have reported cases of H1N1 outbreaks. Grand Chief Beardy said, "We are seeing clusters of outbreaks that have potential to move quickly through the population. We need to ensure that our people will have adequate medical attention as well as adequate medical supplies to address their health concerns if the need arises." "Our situation is very much like Mexico, where you have people living in poor and cramped conditions that needs to be taken into consideration as the governments roll out their responses to our medical health needs." "Even though the World Health Organization has declared a pandemic, neither Canada nor Ontario have followed suit and yet, in our communities, H1N1 is spreading and has reached outbreak status in one First Nation. That is compelling evidence that the situation is an emerging pandemic," said Deputy Grand Chief Fiddler. "Any attempts to contain an emerging pandemic in remote First Nations is a community-wide, resource and labour-intensive operation and both levels of government must guarantee additional support such as personnel, supplies and other logistical needs are met."


On the weekend, an outbreak of the influenza H1N1 virus was confirmed in Sandy Lake First Nation in northern Ontario (a remote First Nation community of 2,700 people). In fact, at least ten cases have been confirmed by Sandy Lake Chief Adam Fiddler, Council members and representatives from the Sandy Lake Health Authority. Nursing Station staff are treating anyone with Influenza-Like Illnesses (I.L.I) and flu-like symptoms with the anti-viral drug TamiFlu. Nurse-in-Charge Marie Elaine Delvin said 120 cases were treated with TamiFlu on Saturday. TamiFlu is not a cure for H1N1 or I.L.I. but rather provides a boost to a person's immune system to fight flu symptoms and decrease the length of sickness in an individual. A community news release stated, "Sandy Lake will not be under quarantine but Chief and Council continue to strongly advise against any unnecessary travel. If you are experiencing a cough, fever, or other I.L.I. symptoms you are asked to stay at home and refrain from traveling. We are also asking that any visiting business affairs into Sandy Lake be rescheduled. All five education centres in Sandy Lake including the elementary school, high school, Nishtum Head Start, Christian school, and Adult Learning Centre will be closed for the week of June 15-19th." The annual Treaty Days festivities that were scheduled last week were postponed.
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The Canadian Pandemic Influenza Plan for the Health Sector.
Influenza Pandemic Planning Considerations in
On Reserve First Nations Communities
2009
http://www.turtleisland.org/healing/flujune09.pdf
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Ontario Health Plan for an Influenza Pandemic
Chapter #20: Guidelines for First Nations . . .
http://www.turtleisland.org/healing/flufnsont08.pdf
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Guidance for Primary Health Care Workers
Providing Care to Indigenous Australians
http://www.turtleisland.org/resources/auspandemic.pdf
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June 11th, 2009 - Pregnant women are being urged to seek treatment as soon as possible if they have the flu symptoms. This follows a report that a woman in St. Theresa Point First Nation in Manitoba miscarried after contracting swine flu. Meanwhile, Garden Hill First Nation Chief David Harper said medical services and supplies are inadeqaute to cope with the crisis. He is quoted in the Winnipeg Free Press as saying, "We're in a war zone, we have to protect (our community). Especially our children and our elderly." Chief Harper and Chief David McDougall of St. Theresa Point both called for a field hospital to deal with the situation. John Beaucage, candidate for the office of National Chief of the Assembly of First Nations (AFN) is concerned over the lack of public health infrastructure in First Nations communities. Beaucage called for the consolidation of First Nations health services. "First Nations need to take a stronger role in the future of health care in their communities. We can no longer be dependant on the Crown for our well-being," said Beaucage. "Health Canada is failing First Nations people." "The situation in Manitoba is indicative of a greater issue. This outbreak could have been prevented if there was proper support to the leadership of this community, and if the public health system was managed by First Nations themselves," said Beaucage.
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June 9th, 2009

Here is a key message we want to keep at the forefront as we watch the spread of the H1N1 virus - People who have health problems like diabetes and other chronic diseases, are at greater risk during a pandemic flu outbreak. This of course means Aboriginal communities where we know there is a high incidence of chronic diseases.

There also are major concerns that First Nations could bear the brunt of a pandemic flu outbreak in Canada because of familiar jurisdictional squabbles - the inability of governments to coordinate their efforts. This surfaced again last week with public bickering in Manitoba when that province's health minister pointed an accusing finger at federal health authorities for lack of response. This was played out in the media after health officials confirmed four H1N1 (Swine Flu) cases in the First Nation community of St. Theresa Point in Manitoba. More than twenty people from St. Theresa Point were hospitalized in Winnipeg with influenza. The provincial and federal ministers promise to work together to coordinate pandemic preparedness and avoid jurisdictional disputes.

In British Columbia, on Vancouver Island there is a coordinated approach to addressing First Nations concerns. Inter Tribal Health Authority which represents 29 First Nations is working closely with the Vancouver Island Health Authority, and Health Canada. Sandra Kioke, ITHA's Nursing Practice Coordinator explained that a Pandemic Preparedness and Communications Team has been established, "to support the needs of communities" and "to coordinate communications between the member Nations and ITHA". "We are all working together to ensure that all communities are receiving the most up to date information".

First Nations communities had been preparing for emergencies long before the H1N1 virus surfaced."Prepare yourself. The better prepared you are, the better you can help your people," explained Byron Loucks, an emergency planner hired by ITHA to assist communities with their planning. For example, one of the sessions earlier this year at Lake Cowichan First Nation included a discussion of the history of First Nations people and the flu, how it is easily spread from coughing and sneezing, and how you can protect yourself.

"We have to rely on ourselves, on our own abilities". That includes simple things Byron said, "Proper handwashing prevents flu by 50%". It was the second time Byron had visited there, and he encouraged follow-up, assuring them that ongoing help is available to communities.Emergency plans are being updated, including making sure a main contact is known to all. "Without good communications lives could be lost," warned Byron Loucks who has worked on nearly 200 First Nations emergency plans in BC. ITHA is working with communities with use of a "table top exercise" to review their plans to see how they would perform during an emergency and if help is needed to make improvements. ITHA is making sure adequate hand sanitizer is available and more masks have been ordered. Emphasis is placed on individual community needs and details of emergency planning vary locally. There is no "cookie cutter" approach, especially important because of the significant traditions and the cultural nature of First Nations communities.

But no matter who you are, the goal is the same - make sure everyone in your community survives. Recalling how small pox devastated the First Nations people in BC, Georgina Livingstone said, "I know I want to survive. In order to survive I need to learn. What happened previously you don't want to see happen to your own people. We have a chance to survive". After she heard Byron's basics, Charlene Livingstone who also attended the February training session said, "There's a lot of common sense involved".

There's also a simple message - you are not alone. ITHA and other organizations are available to support community efforts. If ITHA member nations have any concerns or questions, they are urged to contact
Stephanie Harris at 250-753 -3990 ext 246 or 1-877-777-4842 or by e-mail at Stephanie@intertribalhealth.ca

The good news is that First Nations are well on their way to being ready to respond, if and when it does strike in their own communities. In fact, Byron Loucks says First Nations are far ahead of mainstream communities in preparing pandemic plans.

Basic tips to protect yourself and others from spreading the flu - Wash your hands often and thoroughly in warm, soapy water or use hand sanitizer. Sneeze and cough into your arm or sleeve or use a tissue. After wiping or blowing your nose with a tissue, throw it away and wash your hands. Keep your fingers away from your eyes, nose and mouth. If you are sick, avoid going to work and being in large crowds as you can spread influenza easily to others. You should visit those who are sick only if necessary. Keep personal items separate if a family member is sick. Use a disinfectant to clean surfaces around a person who is sick with the influenza. Do not share personal items or drinks.

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NOTE: ITHA and VIHA have been collaborating on panedmic planning since 2006 . . .
http://www.turtleisland.org/itha/fluitha-viha06.html
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PERSPECTIVE
Swine flu outbreak tests Canadian preparedness
Ann Silversides
CMAJ 2009
http://www.cmaj.ca/cgi/content/full/180/12/E93?etoc
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Canada's ability to respond to a national health crisis hampered by jurisdictional issues, untested emergency plans
Ann Silversides
CMAJ 2009
http://www.cmaj.ca/cgi/content/full/180/12/1193?etoc
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Revised WHO pandemic scale requires higher incidence of disease for most
alert levels
Roger Collier
CMAJ 2009
http://www.cmaj.ca/cgi/content/full/180/12/E95?etoc
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More . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10153#p10153

A global pandemic was declared by the World Health Organization because of the H1N1 outbreak.
June 2009
World Health Organization - Pandemic Influenza
H1N1 . . . http://www.who.int/csr/disease/swineflu/en/index.html
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Swine Flu - News and Information UPDATES! . . . http://www.google.com/search?hl=en&q=swine+flu+first+nation
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FIRST NATIONS and the FLU PANDEMIC
* * * * * DETAILS * * * * ** *
http://www.turtleisland.org/discussion/viewtopic.php?p=10229#p10229
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H1N1 Frequently Asked Questions
First Nations Health Council of BC
June 2009 . . .
http://www.turtleisland.org/healing/h1n1-fnhc09.html
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Pandemic Preparedness

H1N1 Flu Virus (sometimes called Human Swine Flu) is a strain of the influenza virus that usually affects pigs, but which may also make people sick. H1N1 flu virus is a respiratory illness that causes symptoms similar to those of the regular human seasonal flu.
Frequently Asked Questions . . .
http://www.phac-aspc.gc.ca/alert-alerte/swine_200904-eng.php
- - -

The Canadian Pandemic Influenza Plan for the Health Sector
NOTE: Influenza Pandemic Planning Considerations in
On Reserve First Nations Communities
http://www.phac-aspc.gc.ca/cpip-pclcpi/ ... _b-eng.pdf
June 2009
Also available here . . .
http://www.turtleisland.org/healing/flujune09.pdf
- - -

Here is an example of a Pandemic Plan template for First Nations communities
(it is in powerpoint format) . . . http://www.turtleisland.org/healing/pandplan09.ppt
- - -

Here Are Additional Authoritative Information Sources

Government of Canada
http://www.influenza.gc.ca/index_e.html

Public Health Agency of Canada
http://www.phac-aspc.gc.ca/influenza/pandemic-eng.php

CANADA HOTLINE: 1-800-454-8302
- - -

U.S. Centers for Disease Control and Prevention
H1N1 Flu (Swine Flu)
http://www.cdc.gov/h1n1flu/
- - -

U.S. Department of Health & Human Services
http://pandemicflu.gov/

UNITED STATES HOTLINE: 1-800-232-4636
- - -

How To Protect Yourself . . .
http://www.fightflu.ca
- - -

General Instructions for Disposable Respirators
http://www.youtube.com/watch?v=0d_RaKdq ... re=channel

NOTE: There really is not any one-fits-all disposable respirator.
Respirator technicians are available to assist you.
For example - Mid Island Safety Services
http://www.midislandsafety.com

There are legal requirements that health workers must meet while wearing protective equipment (for example there is specific training, fitting and testing in the proper use of masks and respirators) to ensure they are protecting themselves and the patients they are assisting.
- - -

General information . . .
http://www.phac-aspc.gc.ca/alert-alerte ... ne-eng.php
- - -

Ontario First Nations Pandemic . . .
http://www.pandemic.knet.ca/

First Nations - The Flu - Pandemic Planning
June 2009 . . .
viewtopic.php?p=10229#p10229

Pandemic planning - The need for First nations to control public health
viewtopic.php?p=10232#p10232

FIRST NATIONS Pandemic Planning . . .
http://www.turtleisland.org/digest/pandemic09.gif
Inter Tribal Health Authority on Vancouver Island
http://www.intertribalhealth.ca/Pandemi ... edness.htm
- - -

First Nations Emergency Services
British Columbia . . .
http://www.fness.bc.ca/
- - -

British Columbia . . .
First Nations Health Council
http://www.fnhc.ca
- - -

BC Ministry of Health
http://www.gov.bc.ca/govt/swine_flu.html

Questions?
In BC you can dial 811
It is a 24 hour a day, seven days a week BC Government service
- - -

Vancouver Island Health Authority
http://www.viha.ca/mho/public_health_alerts/

- - -

Ontario Ministry of Health
http://www.health.gov.on.ca/english/pub ... e_flu.html
- - -

Preparing for Pandemic Influenza in Manitoba . . .
http://www.gov.mb.ca/health/publichealth/pandemic.html
- - -

PERSPECTIVES on PREPAREDNESS . . .

Swine flu outbreak tests Canadian preparedness
Ann Silversides
CMAJ 2009
http://www.cmaj.ca/cgi/content/full/180/12/E93?etoc
- - -
Canada's ability to respond to a national health crisis hampered by jurisdictional issues, untested emergency plans
Ann Silversides
CMAJ 2009
http://www.cmaj.ca/cgi/content/full/180/12/1193?etoc
- - -

NW Tribal Emergency Management Council
Washington State . . .
Information for H1N1 Flu Virus "Swine Flu"
http://www.nwtemc.org/H1N1.aspx
- - -


British Columbia . . .
First Nations Health Council
http://www.fnhc.ca/index.php/news/press_releases/

Tripartite Partners Respond to H1N1 influenza
The Tripartite Partners to the First Nations Health Plan are working collaboratively to mitigate the affect of H1N1 Influenza on BC First Nations communities.

The First Nations Health Council senior management team has been in daily communication with our Tripartite Partners to monitor, assess, and respond to the recent outbreak of Swine Influenza. Clinical support is being provided by Dr. Marcus Lem, Director, Health Protection, First Nations and Inuit Health and Dr. Evan Adams Aboriginal Physician Advisor, Ministry of Healthy Living & Sport.

It is important for communities to be prepared by developing, testing, and refining pandemic plans, as well as increasing surveillance efforts.
H1N1 INFLUENZA

TRIPARTITE ROLES, RESPONSIBILITIES & ACTIVITIES

BACKGROUND:
Health Canada, First Nations Inuit Health Branch (FNIH), Ministries of Health Services
(MoHS) and Healthy Living and Sport (MHLS), and health authorities, have a shared
responsibility for ensuring the provision of health services for First Nations living on and
off‐reserve. FNIH provides funding for First Nations pandemic planning on‐reserve.
Indian and Northern Affairs Canada (INAC) is responsible for emergency management.
Out of 200 First Nations communities in BC, 195 have community pandemic influenza
plans. The plans have not been formally reviewed by the Province of British Columbia.
In addition to establishing community specific pandemic plans, FNIHB has been working
with health authorities on communicable disease integration plans which include
pandemic planning and response.

ROLES, RESPONSIBILITIES & ACTIVITIES:
Federal funding to provinces for stockpiles of anti‐virals include supplies for
First Nations. FNIHB Regional Medical Health Officer (MHO), Dr. Marcus Lem, states
that FNIHB will work in partnership with health authorities to ensure that First Nations
receive the same medical treatment as is provided to non‐First Nations citizens.

First Nations Inuit Health, Health Canada
Fiduciary responsibility for First Nations health care on reserve.
Key contact: Dr. Marcus Lem, Regional Medical Health Officer.
To provide notifications and continuing updates to FNIH Nurses, Transfer Nurses,
and Health Directors within First Nations communities.
Dr. Lem attends daily teleconferences for provincial MHOs and participates in
ongoing discussions with health authorities, Public Health Agency of Canada (PHAC),
and INAC regarding coordination and integration of emergency planning and
pandemic preparedness activities.

Ministry of Healthy Living and Sport
Responsible for health care for all British Columbians.
Key contact: Dr. Evan Adams, Aboriginal Physician Advisor, Office of the Provincial
Health Officer.
Dr. Adams is in daily contact with Dr. Eric Young, Deputy Provincial Health Officer,
Dr. Marcus Lem, FNIHB; and Deborah Schwartz, Executive Director, Aboriginal
Healthy Living Secretariat (AHLS).
Dr. Adams is also in daily contact with the First Nations Health Council (FNHC)
through Joe Gallagher, Chief Executive Officer of the First Nations Health Society.
A Tripartite letter has been issued by Dr. Adams, Dr. Lem, and Joe Gallagher,
identifying symptoms and contacts for more information.
Regular teleconferences are in process between MHLS, Dr. Adams, all Aboriginal
Health Leads, Dr. Lem, and Mary Guimont, FNHC, to ensure consistent updates.
2009-05-08. Prepared by the First Nations Health Council, with files from Ministry of

First Nations Health Council
Advocate for and support First Nations communities
Communications link: For many communities and individuals First Nations Health
Council is the first point of contact.
Clinical inquiries to FNHC are referred to the appropriate personnel within federal
and provincial governments.
FNHC website serves as repository for tripartite information as related to H1N1.
Policy support is being led by Mary Knox‐Guimont with support from Derina Peters.
Provincial Emergency Program (PEP)
Through a Letter of Agreement with the province, PEP will, when requested,
coordinate the non‐health response and recovery on First Nations lands.
Kirsten Brown, Manager, Provincial Emergency Program, is coordinating with MHLS,
the FNHS, Aboriginal Health Leads, and Dr. Adams, to include First Nations in
teleconferences from their Regional Emergency Operations Centres with each health
authority.

Health Authorities
Information and support is being provided to First Nations communities through
email communications and links to health authority websites, through either the
MHO or the Aboriginal Health Lead.
Aboriginal Health Leads are working closely with health authority Pandemic
Coordinators and MHOs as required.
Identify and establish connections with First Nations Communities

First Nations Communities
To review pandemic plans, and assess and revise as necessary.
Identify key communication links, including establishing contact with Aboriginal
Health Leads through regional health authorities.
Work with community health worker or community health nurse to ensure you have
up to date information.
Ensure that your band schools and band offices have adequate hand washing
equipment.
- - -

H1N1 Influenza Virus (Human Swine Influenza)
http://www.healthlinkbc.ca/healthfiles/hfile108.stm

Provincial Infection Control Network of British Columbia.
http://www.picnetbc.ca/page229.htm
- - -

April 30, 2009
Dear First Nations community members,
Re: Swine Influenza Outbreak
The Tripartite Partners to the First Nations Health Plan are working closely to monitor, assess and respond to the recent Swine Influenza Outbreak, and to ensure that First Nations communities are supported during this time. Collectively, many agencies are working together in British Columbia – health authorities, the British Columbia Centre for Disease Control, the Public Health Agency of Canada, First Nations & Inuit Health, British Columbia Region, and the Office of the Provincial Health Officer, among other partners – to investigate and respond to the recent spread of swine flu. A small number of human cases of swine flu have been confirmed in British Columbia – none in First Nations on-reserve communities.

Swine flu is a respiratory disease of pigs caused by type A influenza viruses that regularly cause outbreaks of flu in pigs. Natural changes to this particular swine flu virus have allowed it to infect humans.
The symptoms of swine flu in people can be similar to the symptoms of a regular seasonal flu infection, which may include fever, cough, headache, general aches, fatigue and other symptoms. Some people with swine flu have also reported runny nose, sore throat, nausea, vomiting and diarrhoea.

In response to the recent spread of swine flu, we are making the following precautionary recommendations:

Continue all school, community and day-to-day activities as per normal procedures;
Allow travelers arriving from Mexico, or other swine flu affected areas, to participate in regular activities if they are feeling well. Travelers should monitor themselves for symptoms and, if experiencing flu-like illness, should follow the prevention tips below to avoid spreading illness to others;
Encourage the following flu prevention tips within your communities’ population:
Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it. If you do not have a tissue, cough or sneeze into your sleeve;
Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand gels are also effective. Clinics, schools, band offices and other office buildings may wish to consider keeping these readily available;
Try to avoid close contact with sick people;
Avoid touching your eyes, nose or mouth; Germs spread that way;
If you get sick with mild illness, stay home and limit contact with others to keep from infecting them;
There is no need to rush to emergency rooms or local clinics. A good place to start if you have questions or concerns is HealthLink BC 811 any time day or night. If your symptoms become more severe, contact your health care provider.

Furthermore, we recognize that in some areas of the province, the health authorities’ medical health officers are well connected with the First Nations in their region. In the remaining regions, the federal FNIH Regional Medical Health Officer, Dr. Marcus Lem, is the direct link into the First Nations communities.
Dr. Lem states FNIH will ensure that First Nations receive the same medical treatment as is provided to non-First Nations citizens in the province.

Federal funding to provinces for anti-virals and vaccines includes supplies for First Nations and the needs of First Nations’ citizens are accounted for in the provincial plans and stockpiles. Health Canada will be working with the British Columbia Centre for Disease Control and the Local Health Authorities to work out the logistics for the delivery of these supplies to your communities, should the need arise.

Virtually all British Columbia FN communities have developed a Pandemic Influenza Community Plan and it is a good time for your community to review and revise your plans. Over the coming months, Health Canada and its contractor, JEL Protection Ltd., will be engaging many of your communities in table top exercises, mass immunization exercises and other activities to strengthening your linkages to local public health and the level of community preparedness. Further information can be found on JEL’s learning website (http://www.jelearning.com).

The power of any preparedness plan is in the community. We encourage you to talk to the members of your community who have been directly involved with Pandemic Influenza Community Plan, such as the Health Directors, CHRs, Nurses and leadership to discuss your concerns and to see how you can be involved to make sure that your Pandemic Influenza Community Plan reflects the strength and resilience of your community.

The First Nations Health Council is in daily communication with British Columbia and Health Canada to ensure that our communities have accurate and pertinent information. If require any assistance in reaching appropriate federal or provincial supports please do not hesitate to contact the Health Council office.
For more information on swine flu in British Columbia and links to national and international sites, please visit:
http://www.gov.bc.ca/govt/swine_flu.html

Sincerely,

Evan Adams, MD, Aboriginal Health Physician Advisor Office of the Provincial Health Officer Ministry of Healthy Living & Sport 1515 Blanshard St., 4th Floor Victoria, BC
V8W-3C8 Ph: 250-952-1349 evan.adams@gov.bc.ca

Joe Gallagher
Chief Executive Officer
First Nations Health Council
#1205-100 Park Royal South
West Vancouver, BC
V7T 1A2
Ph : 604-913-2080

Marcus Lem, MD, MHSc, FRCPC Director, Health Protection First Nations and Inuit Health British Columbia Region, Health Canada 406 - 1138 Melville Street Vancouver, BC
V6C 4S3
Ph; 604-666-9092
- - -

A Message from the First Nations Health Council
Re: Postponement of Gathering Wisdom

The well‐being of our children speaks to our accountability, the protection of our families speaks to our
integrity, and the weight of the memory of our Ancestors speaks to our collective desire to ensure the
resiliency of our communities. Our Ancestors define all of who we are and where we come from, and we
pray that our children carry forward all that we work for and aspire to. We are nations of people always
praying for the wellbeing of our children and families.

In our not too distant past, the spread of disease claimed many of our Ancestors. The impact of
this history is still felt today in many of our communities. Our retelling of the past serves as
proof that the destruction left behind of new diseases had a great and profound effect on how
we protected our children and families.

Our Ancestors understood the need to react to threats. Many of our people enacted timehonored
institutions to defend their communities against outbreaks. These included isolation
sites, where affected families and communities would gather. Our communities also relied on
complex kinship ties for support. Our Ancestral leaders’ collective efforts to shield their
communities from disease provided us the opportunity to recover, grieve and thrive.

In a time of change in health services, we recognize the constant struggle for expertise,
resources, community planning, and the capacity to affect policy that allows First Nations in
British Columbia to protect their children and families. There is a need for all of us in this time
of uncertainty to consult with each other and to be brave enough to assign social responsibility
and an opportunity for transformative change. We have formed partnerships with the
government of British Columbia and Canada, under the Transformative Change Accord: First
Nations Health Plan and the Tripartite First Nations Health Plan, to confront the difference in
health outcomes between First Nations and other British Columbians.

As we work collaboratively to address the critical developments of the Influenza A (H1N1) virus
‐ also referred to as the Swine Flu virus ‐ in our First Nations communities, an important step
will be to ensure that hearing the needs of our people is linked to a coordinated process of
engagement, dialogue and response to this disease. Both governments have reacted with
concern to support First Nations and the First Nations Health Council. The Tripartite Partners
have pledged to work with First Nations communities in the areas of planning, coordination and
emergency response, and ensure that the safety of our communities is underpinned with
security and resiliency.

The First Nations Health Council acknowledges the work and dedication of BC First Nations
leadership, their health workers, and the management of health services within each of your
communities. We know that the work that all of you do is in direct concern for your children,
families and communities. And it is for this reason that measures were taken to suspend the
annual Gathering Wisdom for a Shared Journey Forum 2009 and help support you at your posts.

The First Nations Health Council and the Tripartite Partners sincerely apologize for any
inconvenience the rescheduling of Gathering Wisdom for a Shared Journey Forum 2009 to later
in the fall may cause. We anticipate a Gathering in the fall of 2009 in which all of us can reflect
on current decisions made in the interest of the health and well‐being of our people.

Sincerely,
Debbie Abbott
Co‐Chair

Joe Gallagher
Chief Executive Officer
First Nations Health Council First Nations Health Council
1205‐100 Park Royal South 1205‐100 Park Royal South
Vancouver, BC Vancouver, BC
V7T 1A2 V7T 1A2
- - -

H1N1 in Indian Country . . .
May 2009
http://www.indiancountrytoday.com/natio ... 90197.html
- - -

April 29, 2009
TO: ALL FIRST NATIONS CHIEFS AND COUNCILS, AND HEALTH
MANAGERS/DIRECTORS
RE: SEVERE RESPIRATORY ILLNESS (SRI) IN MEXICO
(SWINE FLU)
___________________________________________________________________
BACKGROUND
The Public Health Agency of Canada (PHAC) has been alerted to clusters of a
severe respiratory illness confirmed to be from a new strain of influenza (H1N1),
more commonly called the Swine Flu. Outbreaks originated in Mexico and similar
outbreaks have occurred in the US. There are an increasing number of cases in
Canada. Individuals who have recently travelled to Mexico and who are experiencing
flu-like symptoms are currently at risk.
So far, there are no reported cases involving First Nations.
The virus includes influenza-like symptoms which are usually felt all over the body in the
form of fever, muscle aches, head ache, chills, nausea, vomiting, tiredness, and a dry
cough. The current cases in Canada have exhibited mild symptoms while those in
Mexico have been more severe.
The World Health Organization is monitoring the spread of the virus and will adjust
the pandemic alert level as needed. This in turn will guide the decisions of the
Public Health Agency of Canada who have the lead on Pandemic Emergencies in
Canada.
How do people get it?
Influenza and other (severe) respiratory infections are transmitted from person to
person via the respiratory route. Coughs and sneezes release the germs into the air
where they can be breathed in by others. Germs can also rest on hard surfaces like
counters and doorknobs, where they can be picked up on hands and transmitted to
the respiratory system when someone touches their mouth and/or nose.
First Nations
While there have been no reported cases among First Nations, these events
demonstrate the need for pandemic planning. Some First Nations communities have
already developed and tested comprehensive pandemic plans and are doing regular
surveillance activities. Others are at the beginning stages of developing plans and
are not adequately prepared in the event of an outbreak.
First Nations and Inuit Health Branch (FNIHB) work closely with PHAC in developing
approaches to on reserve preparedness. FNIHB has supported many Regional
activities by assisting communities with the development of pandemic plans and
have initiated testing exercises in many Regions. More work is needed to ensure
adequate preparedness in all FN communities.
What can be done to prevent the spread of the flu?
The Public Health Agency advises Canadians to:
• Wash hands thoroughly with soap and warm water, or use hand sanitizer
• Cough and sneeze in your arm or sleeve
• Get your annual flu shot
• Keep doing what you normally do, but stay home if sick
• Check http://www.fightflu.ca for more information
• Check http://www.voyage.gc.ca for travel notices and advisories
• Talk to a health professional if you experience severe flu-like symptoms
The AFN is recommending that community leaders work with their emergency
preparedness coordinators to support increased pandemic planning activities
as needed. This should also be done in collaboration with FNIH Medical
Officers of Health.
For more information, visit:
Public Health Agency of Canada: (Hotline 1-800-454-8302)
• http://www.phac-aspc.gc.ca/index-eng.php
US Centre for Disease Control
• http://www.cdc.gov/
World Health Organization
• http://www.who.int/en/
http://www.afn.ca or please contact:
Karyn Pugliese, AFN Health Communications Officer: 1-866-869-6789, ext 210,
kpugliese@afn.ca
Jonathon Thompson, AFN Health Director: 1-866-869-6789, ext 235,
jthompson@afn.ca
Kim Barker, AFN Public Health Advisor: kbarker@afn.ca

- - - - -

A Holistic Approach to Pandemic Readiness
http://www.afn.ca/misc/HPR.ppt


An AFN Pilot Project Presented by Sucker Creek First Nation Health Team
Sucker Creek First Nation Assembly of First Nations Pilot Project: A Holistic Approach to Pandemic Readiness
http://www.afn.ca/misc/PP.pdf

Katzie First Nation Influenza Pandemic Planning Project
http://www.afn.ca/misc/KP.pdf

- - -

Also of interest . . .

Communiqué to First Nations Communities April 29, 2009
TO: ALL FIRST NATIONS CHIEFS AND COUNCILS, AND HEALTHMANAGERS/DIRECTORS

RE: SEVERE RESPIRATORY ILLNESS (SRI) IN MEXICO(SWINE FLU) BACKGROUND The Public Health Agency of Canada (PHAC) has been alerted to clusters of asevere respiratory illness confirmed to be from a new strain of influenza (H1N1),more commonly called the Swine Flu. Outbreaks originated in Mexico and similaroutbreaks have occurred in the US. There are an increasing number of cases inCanada. Individuals who have recently travelled to Mexico and who are experiencingflu-like symptoms are currently at risk. So far, there are no reported cases involving First Nations.

The virus includes influenza-like symptoms which are usually felt all over the body in theform of fever, muscle aches, head ache, chills, nausea, vomiting, tiredness, and a drycough. The current cases in Canada have exhibited mild symptoms while those inMexico have been more severe. The World Health Organization is monitoring the spread of the virus and will adjustthe pandemic alert level as needed. This in turn will guide the decisions of thePublic Health Agency of Canada who have the lead on Pandemic Emergencies inCanada. How do people get it? Influenza and other (severe) respiratory infections are transmitted from person toperson via the respiratory route. Coughs and sneezes release the germs into the airwhere they can be breathed in by others. Germs can also rest on hard surfaces likecounters and doorknobs, where they can be picked up on hands and transmitted tothe respiratory system when someone touches their mouth and/or nose. First Nations While there have been no reported cases among First Nations, these eventsdemonstrate the need for pandemic planning. Some First Nations communities have already developed and tested comprehensive pandemic plans and are doing regularsurveillance activities.

Others are at the beginning stages of developing plans andare not adequately prepared in the event of an outbreak.

First Nations and Inuit Health Branch (FNIHB) work closely with PHAC in developingapproaches to on reserve preparedness. FNIHB has supported many Regionalactivities by assisting communities with the development of pandemic plans andhave initiated testing exercises in many Regions. More work is needed to ensure adequate preparedness in all FN communities. What can be done to prevent the spread of the flu?

The Public Health Agency advises Canadians to: Wash hands thoroughly with soap and warm water, or use hand sanitizer Cough and sneeze in your arm or sleeve Get your annual flu shot Keep doing what you normally do, but stay home if sick Check http://www.fightflu.ca for more information Check http://www.voyage.gc.ca for travel notices and advisories Talk to a health professional if you experience severe flu-like symptoms

The AFN is recommending that community leaders work with their emergencypreparedness coordinators to support increased pandemic planning activitiesas needed. This should also be done in collaboration with FNIH MedicalOfficers of Health.

For more information, visit: Public Health Agency of Canada: (Hotline 1-800-454-8302)
http://www.phac-aspc.gc.ca/index-eng.php

US Centre for Disease Control
http://www.cdc.gov/World Health Organization

http://www.who.int/en/ http://www.afn.ca or please contact:
Karyn Pugliese, AFN Health Communications Officer: 1-866-869-6789, ext 210, kpuglieseOjafn.ca
Jonathon Thompson, AFN Health Director: 1-866-869-6789, ext 235, ¡thorn pson(5)afn.ca
Kim Barker, AFN Public Health Advisor: kbarker@afn.ca
- - -

1862 epidemic decimated native population
Government, police handling of smallpox outbreak among native peoples in Victoria was shameful
By Andrei Bondoreff, Times Colonist
May 24, 2009
http://www.timescolonist.com/Health/186 ... story.html
- - -

UPDATES . . .
viewtopic.php?p=10233#p10233
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Re: First Nations - The Flu - Pandemic Planning

Postby admin » Fri Jun 26, 2009 6:25 am

June 24, 2009

Native Communities hit by H1N1 flu feel abandoned by the Harper Conservatives

"What we saw was so sad and an embarrassment to all the people of Canada," said Liberal Health Critic Dr. Carolyn Bennett. "Over half of the residents in Garden Hill and eighty per cent of the people of Wasagamack are living without running water or sewers, many without adequate housing. These conditions make it almost impossible to control an outbreak of infection"

Dr. Bennett and Liberal Winnipeg MP Anita Neville visited Garden Hill First Nation, Wasagmack, and St. Theresa Point, 500 kilometers northwest of Winnipeg on Tuesday with Manitoba Liberal leader Dr. Jon Gerrard. The Island Lake community recently suffered its first death from H1N1 out of 76 current cases in the province.

"What we saw was outrageous and unacceptable," said Ms. Neville. "The residents of Garden Hill have been abandoned by the Conservative government. Meanwhile, there are predictions that a second phase of the H1N1 flu outbreak is on its way in the fall - we can't let our guard down for a moment."

Liberal MP Dr. Kirsty Duncan was in Winnipeg at the same time to visit the Intensive Care doctors of the Health Sciences Centre, the National Microbiology Laboratory, and to attend part of a four-day training session to prepare First Nations bands for the next outbreak expected in the fall.

"At the hospital, I heard concerns about the lack of respiratory equipment. The hospital's budget, like most hospitals in this country, is already squeezed to its limit. The government needs to provide them with more respirators in preparation for the fall."

"The fact that chiefs from Manitoba are just getting pandemic management training this week shows you just how far behind the reserves are in coping with this outbreak," said Dr. Duncan. "They've had absolutely no help from their federal government. They planned this training initiative on their own."

The MPs visits coincided with a Senate standing committee meeting to examine the situation on the reserves. Senators heard how Health Canada officials had to withhold hand sanitizers from the affected reserves for weeks because of concerns that they contain alcohol.

"We learned that Northern Manitoba's First Nations asked the federal government for pandemic help in late May, and discussed with the government their need for non-alcoholic hand sanitizers. After First Nations communities decided to purchase alternative non-alcoholic products on their own, the government, without consultation, sent alcoholic sanitizers to the reserves, only to have them locked away - a waste of money we can't afford when faced with a life-threatening flu".

"We were also told that Northern Affairs Minister Chuck Strahl promised the community last October that his department was working to complete the community water and sewer project, yet no one at Garden Hill has been contacted by his officials since," added Ms. Neville. "Minister Strahl and the Conservative government must immediately act to get these communities what they need to stay well and access to care when they get sick."

"Patients have waited up to 12 hours for a medivac to take them out to Winnipeg - far too long when we're talking about life and death," added Dr. Duncan.
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Pregnant women should get special considerations

Postby admin » Tue Jun 30, 2009 2:54 pm

Guidelines for caring for pregnant women with the H1N1 flu virus
July 10th, 2009
viewtopic.php?p=10305#p10305
- - -

Because of the increased risk for severe complications,
the public health response to outbreaks of novel influenza A (H1N1) virus
should include considerations specific to pregnant women.
June 30th, 2009
http://jama.ama-assn.org/cgi/content/full/302/1/23?etoc
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FLU - Canada works with First Nations leadership?

Postby admin » Wed Jul 01, 2009 11:59 am

Pandemic Preparedness . . .

"We are working with provincial health officials and First Nation leadership to implement our pandemic plan."

June 30th, 2009

The Public Health Agency of Canada is still collecting information on the hospitalized cases of H1N1, but early data for a third of the reported cases shows that about 30 per cent involve either pregnant women or people with underlying conditions like lung disease, heart disease, immunodeficiency, and diabetes.

The Government of Canada continues to work with all partners to address H1N1 throughout Canada. While the majority of cases are mild, there are some pockets of severe illness in Canada, including in some remote First Nations communities. The Government of Canada continues to implement its pandemic plan across the country with the partnership of the provinces, territories and First Nation communities.

Some actions that have been taken in remote First Nations communities include the dispatching of additional doctors and nurses and ensuring that nursing stations in remote First Nations communities have necessary supplies for health care workers caring for suspected cases of H1N1. Antivirals have been shipped to affected communities and Health Canada is working to ensure that additional requirements are met as needed. Epidemiologists are also studying the virus and how it is spreading in First Nation communities. Finally, those First Nations patients living in remote communities who show signs of serious illness continue to be transported to hospitals, as they have from the beginning of the outbreak.

"As with any plan, we have to adapt to the situation at hand, and the unique characteristics of individual communities," said Dr. David Butler-Jones, Canada's Chief Public Health Officer. "We are working with provincial health officials and First Nation leadership to implement our pandemic plan."
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First Nations - Swine Flu - Pandemic Planning

Postby admin » Sun Jul 05, 2009 5:06 pm

Here's a look at what we know so far about the H1N1 influenza virus.

News and Comment
by Tehaliwaskenhas - Bob Kennedy ( Onyota'a:ka / Oneida )
Copyright
Turtle Island Native Network
http://www.turtleisland.org

July 6th, 2009

Unlike the normal flu, this illness continues its attack during the summer, with experts predicting a much heavier attack coming this fall. The World Health Organization calls it a pandemic (Pandemic influenza is defined as a new influenza virus that spreads easily between humans and affects a wide geographic area).

Updating and refining of plans for preparedness and response are well underway in communities, provinces and at the federal level. In First Nations communities planning has been funded in recent years by Health Canada, in anticipation of this pandemic. These plans must be tested to make sure they are up-to-date, practical, and are most likely to be workable when implemented.

Yes, this is a serious outbreak of influenza. However, the majority of cases have been mild and people who became ill have recovered without getting medical attention or being hospitalized.

Fortunately no-one is panicking! Panic will not help anyone, nor will fear-mongering, so we need balanced reporting. We cannot shout out that the sky is falling, but we also cannot bury our heads in the sand. Keeping our guard up, will serve us well.

There have been some severe outbreaks in Manitoba (several First Nations communities experienced the Swine Flu firsthand) and northern Ontario (six First Nations communities are recovering from an outbreak), and some First Nations leaders especially in the remote communities are very concerned, and some have declared their own local states of emergency. The benefit of that strategy is that it gets the attention of governments to ensure medical and human resources are made available, but more importantly it heightens community awareness. After all, this is a fight that will be won by involving the whole community.

The First Nations communities that have been severely affected in Manitoba and Ontario provide proof of how poor living conditions can influence the outcome of the fight against this flu. Researchers report significant impacts of this flu on young people, and pregnant women. We also know that the illness can be very severe in people who already have major health problems. Chronic conditions such as diabetes, heart disease, breathing conditions, and weak immune systems can contribute to complications if you catch this Swine Flu.

Aboriginal people have been identified by medical researchers as at higher risk of worse flu conditions and complications because of their living conditions, and poorer health and underlying medical conditions. Overcrowded housing means there is likelihood of more exposure, if someone we live with catches it.

However, there are things we can do to help prevent the spread, and prevent matters from getting worse. Remember to put into action the healthy habits of sneezing and coughing into a tissue or our elbows, for example. Washing our hands with soap and water, not quickly but while counting to 20. This is effective hygiene. As for those anti-bacterial hand sanitizers. They don't kill the flu virus, but using them creates an unfriendly environment for the flu bug. Taking responsibility for fighting the flu is up to us as individuals.

Let's not believe we can rely solely on governments or health workers to save us from this flu - although governments and health agencies will help get supplies to communities and work closely with communities so that if there is a local outbreak, then important information is gathered and managed so that the spread of the disease can be limited. Vaccine and anti-viral information will be shared with communities. Emergencies will be managed by a collaboration of community health staff, regional and provincial authorities and Health Canada's resources. Individual and community awareness, and knowledge are powerful weapons! What else do we know so far about the Swine Flu situation? A vaccine is being manufactured and is expected to be available by the fall. The Public Health Agency in Ottawa has promised that the vaccine will be available to all Canadians. Anti-virals, such as Tami-Flu and Relenza are already stockpiled and available, and they will be used based on what your doctor recommends after you are diagnosed, and how he or she thinks you should be treated.

How will you know if you have this illness? The symptoms are similar to seasonal flu. They include fever, cough, runny nose, sore throat, body aches, fatigue and lack of appetite. If you are ill, do not go to work because you do not want to spread it. This is the advice health experts recommend - Take precautions to limit the spread - self-isolate at home until 7 days after the onset of the symptoms. This will be a challenge depending on your circumstances at home - but do your very best to prevent spreading it to others. Do not share personal items such as utensils, becerage containers, towels, wash clothes etc. (no smooching please, and adhere to other common sense prevention while you are ill).

If someone you know is sick with the Swine Flu symptoms you should only visit them if necessary. If someone in your home is ill and you want to make sure the flu doesn't spread, make sure to use a disinfectant to clean surfaces around the sick person.

If you have symptoms of a more severe or serious illness such as shortness of breath, dehydration or severe weakness, then you should seek immediate medical care. If other symptoms such as coughs or fever get worse, you should also see your health-care provider. Keep in mind that if serious symptoms appear, get worse or you do not get better as you normally would (within two to three days) you should promptly see your health-care provider even if you have already visited them about your illness.

As of July 3rd, a total of 8,883 laboratory-confirmed cases of Pandemic H1N1 2009 virus, including 663 hospitalizations and 29 deaths, have been reported in Canada from all provinces and territories. 29 people have died - but keep that in perspective - four thousand to eight thousand Canadians can die annually from the seasonal flu, depending on how bad it is in any year.
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The Flu - Caution at Summer Camps

Postby admin » Wed Jul 08, 2009 12:35 pm

Flu guidelines for summer camps
BC . . .
viewtopic.php?p=10328#p10328

ONTARIO
http://www.turtleisland.org/healing/camps-h1n1.pdf

CANADA
http://www.phac-aspc.gc.ca/alert-alerte ... 30-eng.php
- - -

Swine Flu concerns cause for caution at summer camps . . .

News and Comment
by Tehaliwaskenhas
Bob Kennedy,
Copyright Turtle Island Native Network
http://www.turtleisland.org

July 8th, 2009

Summer camp is a time for fun - right? It is true, even at those education camps the universities host during the summer months.

However, this year there is a very sombre subject for all to consider.

I have learned that some places are very much on alert to guard against the spread of the H1N1 swine flu, and taking the threat seriously.

At the University of Victoria on Vancouver Island a special process in place this week to help protect Aboriginal youth from the spread of the Swine Flu.

Indigenous youth from across British Columbia are sampling university life this week during UVic's sixth annual Indigenous Student Mini University Summer Camp. Forty students in Grades 8 to 12 are on campus until July 10th. They are meeting Indigenous faculty and students and attending workshops on a variety of subjects including robotics, chemistry, theatre and law.

Turtle Island Native Network contacted several universities in British Columbia where camps are being held this summer.

UVIC has implemented special health safety measures. Ruth Young, Projects Manager, Office of Indigenous Affairs provided me with the following explanation, "In response to your query regarding the H1N1 Influenza virus, I did want to assure you that our camp staff will be on the lookout for any campers who check in with any flu symptoms, and will be sending them home immediately with their parent or guardian if any symptoms are exhibited. All of our camp chaperones are aware of the symptoms and will promptly remove any of the campers who may begin to exhibit flu symptoms throughout the camp as well, contact their parent/guardian immediately, and make arrangements to stay in a single residence room while their transportation home is arranged. On a larger scale, we also have given all our camp staff the contact information for Daphne Donaldson, our emergency response coordinator, about this as she is our contact for issues of a public health nature. Housing was going to be handing out info about H1N1 to people checking in and that additional staff were going to be monitoring the main dining room and have hand sanitizer available. Continuing Studies was going to ensure its staff who work in the residences were aware of flu symptoms and what to do when a resident complained of them. UVic also has information about the H1N1 virus at http://web.uvic.ca/flu-update/

In August, North Vancouver will be a place for fun and higher learning at free summer camps for youth (grade 10-12) and Capilano University is encouraging all Aboriginal students to apply (Drum Up Some Culture camp). Clay Little, First Nation Liasion Officer, Capilano University explained the precautions they have in place, "Since its reported outbreak, Capilano University has been closely monitoring the H1N1 (human swine flu) virus threat. We would like to stress that although there have not been any reported cases of the H1N1 flu virus in North Vancouver to date (where the summer camps are taking place), we understand the concerns people may have. That is why we have taken several measures to ensure the safety and wellness of our students and the people in the communities we serve. Our University has a very active Health and Wellness Committee, which has posted in-depth information on our website about the flu virus. This includes several tips and resources on the outbreak. We also have a health clinic onsite that provides general health care, as well as influenza shots by request to our students and our employees. Certainly the well being of all our students and our employees is a prime concern and we will continue to monitor the situation very closely and provide updates to the members of our communities if and when necessary." Capilano University's Manager, Public Affairs added, "We are following the proper protocol as outlined by the provincial government of British Columbia. That includes providing our students and employees with information and resources that they can use to educate themselves. With a student body of 14,000, it is important that they and their parents/guardians (should that be the case) be responsible for the care and administration of their own and their children's personal wellness."

In Ontario, the health authorities have issued new guidelines that have been sent to summer camp operators. Here are excerpts from those guidelines, "Camp operators should educate staff and campers on good hygiene practices, which includes hand hygiene, coughing/sneezing etiquette, and limiting personal close contact with other campers (i.e.,sharing personal items or eating utensils). Camp operators should provide health care staff and other camp staff with training on how to monitor campers for flu-like symptoms (fever, sore throat, or cough) and protocols on how to manage a camper/staff with flu-like symptoms. Clean and disinfect objects and surfaces that are commonly touched by multiple campers/staff such as doorknobs, faucet handles, toys and shared flash lights to prevent the transmission of viruses from person to person through contaminated hands. Regular disinfectants are sufficient for this purpose."

Turtle Island Native Network obtained a copy of those guidelines . . . http://www.turtleisland.org/healing/camps-h1n1.pdf

(in Spain and the U.S. there are reports this week of camps being cancelled, and some closed early sending the kids home because the Swine Flu has arrived there)
- - -

BACKGROUND INFORMATION . . .
Swine Flu - viewtopic.php?p=10153#p10153
- - -

Capilano University information . . .

If you have any further questions, please feel free to contact Continuing Education (604) 984-4901 and refer to the Drum Up Some Culture camp. Below is a list of the upcoming camps in August 2009.

1. Rock Stars-The Astronomy Camp (20229) Aug 4-7 9 am-4 pm
Explore the mysteries of the universe and learn to observe the night sky through ancestral eyes. Through slide shows, animation, and the tradition of Aboriginal storytelling you will learn about our solar system, the stars in the Milky Way, and the most recent ideas about the history of the universe. Hands on activities include use of the planetarium computer software, building your own small telescope, a star-finding planisphere, and a sundial. A field trip to the HR MacMillan Space Centre is also included.

2. Bark, Baskets and Back Nine! (20230) Aug 10-14 9 am- 3 pm
Baskets and bark in the morning....Golf in the afternoon (see below)
Learn the ancient Aboriginal art of the Coast Salish cedar weaving. Respect Musqueam Elder Doris Fox will direct participants on how cedar gathered and prepared. Some of the teachings may include cedar baskets, face masks, coasters, headbands and beading.

3. Log On and Tee Off (20231) Aug 10-14 9am- 3 pm
Flash Animation in the morning......
Golf in the afternoon (see below)
Animate traditional storytelling with Flash! Learn how to design characters and backgrounds, storyboard your animation, and add interactivity. All you need is basic computer knowledge an your imagination.

Golf Info
Then, with the emphasis on fun, learn the correct swing, stance and posture for golf. You will also practise driving, chipping and putting. There is a competition for prizes on the last day. Club rentals and all the balls you can hit are supplied.

To register please contact Capilano University Continuing Education at 604. 984.4901
Office Hours
Mon-Wed: 9 am-4:30pm
Thur: 10:30 am -4:30 pm
Fri: 9 am- 4:30 pm
- - -

July 02, 2009
INDIGENOUS YOUTH GET A TASTE OF UVIC LIFE
Indigenous youth from across British Columbia will sample university
life this week during the University of Victoria's sixth annual
Indigenous Student Mini University Summer Camp. Forty students in
Grades 8 to 12 will be on campus from July 6 to 10 to explore the
range of opportunities available to them at UVic. They will meet
Indigenous faculty and students and attend workshops on a variety of
subjects including robotics, chemistry, theatre and law.

"This promises to be an exciting week filled with activity. We're
looking forward to this group of young and diverse individuals
getting the chance to experience UVic and have a taste of university
life," says Fran Hunt-Jinnouchi, director of UVic's Office of
Indigenous Affairs. "We hope that this camp will foster a connection
to the UVic community and inspire these students to return to UVic in
the future as post-secondary students."

This year the campers will be divided into two groups: one group of
students in Grades 8 to 10 and another in Grades 11 and 12. In
addition to attending academic workshops, the students will take a
trip to the Centre of the Universe, an interpretive astronomy centre
in Victoria, for an evening celebrating the international year of
astronomy. They will also visit Tod Inlet, an area of ecological
importance in Central Saanich, for an afternoon of traditional
learning with community members.

One of UVic's goals is to build on its commitment to Canada's First
Peoples by increasing the number of Indigenous students graduating
from all faculties at UVic. In addition to the annual camp, the
university's new First Peoples House will be open in September. The
house will create a welcoming and supportive space on campus for
Indigenous students and the broader community, while recognizing and
honouring the diversity of values and beliefs among Indigenous
people. The number of Indigenous students at UVic continues to
increase every year, with over 600 Indigenous students currently
attending classes.

--30--
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Caring for Pregnant women with H1N1 Flu Virus

Postby admin » Sat Jul 11, 2009 6:31 pm

Guidelines for caring for pregnant women with the H1N1 flu virus
July 10th, 2009
viewtopic.php?p=10305#p10305
- - -

Because of the increased risk for severe complications,
the public health response to outbreaks of novel influenza A (H1N1) virus
should include considerations specific to pregnant women.
June 30th, 2009
http://jama.ama-assn.org/cgi/content/full/302/1/23?etoc
- - -

July 10, 2009
For Immediate Release

Government of Canada Releases Guidelines for Health Professionals on Caring for Pregnant Women with the H1N1 Flu Virus
(OTTAWA) – Health Minister Leona Aglukkaq and Chief Public Health Officer Dr. David Butler-Jones today released guidelines for health professionals on caring for pregnant women with H1N1 flu virus.

"Thankfully the majority of H1N1 illness in Canada is mild, but we are seeing that some people, including pregnant women, are more susceptible to serious illness and complications," said Minister Aglukkaq. "To help protect mothers and their babies, experts at the Public Health Agency of Canada have worked with their provincial and territorial partners to develop clinical care guidelines that will help healthcare professionals treat pregnant women more effectively."

The H1N1 flu virus has now been reported in every province and territory in Canada and appears to be spreading similarly to seasonal flu. While pregnant women are at no greater risk of becoming infected with H1N1 virus, preliminary research shows that they are more likely to suffer severe illness and complications if they catch the virus.

In addition to the guidelines for health care professionals, the Public Health Agency of Canada (PHAC) has also developed a factsheet for expectant mothers. This factsheet offers advice on how to prevent infection, and when to seek medical care. This factsheet will be available online and distributed through community and health organizations used by pregnant women.

"We understand that pregnant women might be nervous about how H1N1 flu virus might affect their health and the health of their babies," said Dr. Butler-Jones, "That’s why we want to help inform them of the precautions they should take to help maintain their health, like practising basic infection control, avoiding large crowds, and seeking medical attention if they begin to exhibit symptoms."

Canada has a National Antiviral Stockpile which includes 55 million doses of both oseltamivir (Tamiflu) and zanamivir (Relenza). Both drugs are effective in treating H1N1 virus, and both are safe for pregnant women. Recent scientific evidence suggests Tamiflu may be more effective. The Government of Canada also maintains the National Emergency Stockpile System, which provides a surge capacity of medical equipment and supplies to support provinces and territories during public health crises. PHAC is currently negotiating the purchase of 370 additional ventilators and has secured the purchase of 1.9 million N-95 masks to bolster the existing stockpile and to increase the Government of Canada’s capacity to support provinces and territories.

PHAC is also focusing on how to prevent complications from the flu by learning more about how and why the virus rapidly escalates to severe illness in some individuals. PHAC’s National Microbiology Laboratory (NML) is involved in organizing and coordinating a national study of severe cases of H1N1 flu virus. The NML will partner with intensive care units across the country to try and answer the important questions of how and why severe illness affects some patients with H1N1 flu virus. Samples are already being collected for the study. Results will be published in medical journals when research is completed.
- - -

July 2009

As an expectant mother, it’s natural to be concerned about how the flu pandemic might affect your pregnancy and your unborn child. The Public Health Agency of Canada wants to provide pregnant women, their families and communities with the information they need to make decisions that will help protect the health of both mother and child.

Pregnant women are not more likely to get the flu, but if they do catch the H1N1 flu virus, they are more likely to suffer complications, like pneumonia and severe respiratory distress, which can put both mother and baby’s health at risk. Severe complications from the flu could lead to early delivery or miscarriage.

This is why it’s important for mothers-to-be to take the following steps to help protect their health:

Practice basic infection control
PHAC advises all Canadians to

Wash hands thoroughly with soap and warm water, or use hand sanitizer ( i.e. an alcohol-based hand-rub)
Cough and sneeze in your arm or sleeve, not your hand
Keep common surfaces and items clean and disinfected
Keep doing what you normally do, but stay home if sick.
Seek medical care if symptoms worsen
Check the www.fightflu.ca for more information.
It’s important for pregnant women and the people around them to follow these guidelines to help reduce the risk of H1N1 exposure, which decreases the chance that moms-to-be will pick up the virus.

Consider avoiding crowds
It’s important that we continue to go about our daily lives during the H1N1 flu pandemic. PHAC recommends that pregnant women continue normal activities like going to work, community events or worship services. Caution should be taken; however, when entering situations where there are many people in close quarters with little control over personal contact.

It’s recommended that pregnant women be even more vigilant with handwashing and carrying a hand sanitizer, as well as other infection control measures. This will help to reduce the risk that pregnant women will pick up the virus in these types of settings.

Know what to look for
Symptoms of the H1N1 flu virus may include but are not limited to: rapid onset of fever, cough, sore throat, wheezing, and fatigue. Nausea, vomiting and diarrhea may also occur. Fever may not be prominent.

Talk to a medical professional if you have flu-like symptoms, and seek care if symptoms worsen
As stated, pregnant women are not more likely to get the flu, but they are more likely to suffer complications that could put their health and the health of their babies at risk if they get the virus. The risk of complications is greater in the second and third trimesters of pregnancy. Early treatment can help to reduce the risk of complications, so it’s important that pregnant women speak to a medical professional if they develop flu symptoms, and seek medical care if the symptoms worsen.

The H1N1 flu virus can be treated with drugs called antivirals. Canada has enough doses of two kinds of antivirals, Tamiflu and Relenza, for Canadians who need them. Both Relenza and Tamiflu can be used for the treatment of influenza in pregnant women. Recent scientific evidence suggests Tamiflu may be more effective.

Your medical professional will decide if antivirals are necessary for you, but in order to be effective, they must be administered within 48 hours of the onset of symptoms, so it’s important to contact a health professional as soon as you start to feel sick.
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Prioritize First Nations for H1N1 vaccines, says AFN

Postby admin » Fri Jul 17, 2009 7:50 am

AFN calls for the need to prioritize First Nations for H1N1 vaccines

OTTAWA, July 17 , 2009

Today, Assembly of First Nations Regional Chief Angus Toulouse, who holds the health portfolio at the AFN, called on the
federal, provincial and territorial governments to ensure that First Nations are identified as a priority for the new H1N1 vaccine.

"This is justified when you consider that H1N1 infection rates are 20
times higher among First Nations in Manitoba than the general population. We
are seeing an alarming trend of a greater severity of disease among First
Nations, especially in remote communities, largely because of pre-existing
health conditions and poor living conditions. Some doctors suspect biological
factors may also play a role," said Regional Chief Angus Toulouse. "Canada is
in the process of prioritizing high-risk groups to receive the vaccine and we
strongly believe that a number of our communities should be prioritized."

The Regional Chief's comments came after the World Health Organization
(WHO) warned that an H1N1 vaccine could be delayed or in short supply this
fall, when H1N1 is expected to return in a more virulent form.

"It is very important to have a transparent process for prioritizing
vaccines. Otherwise, people will lose trust in the system. First Nations
organizations, both nationally and regionally, are working with federal,
provincial and territorial governments to understand how the factors
contributing to the severity of H1N1 among First Nations are being considered
as governments prioritizes groups for the vaccine," the Regional Chief stated.

Regional Chief Angus Toulouse noted the critical importance of
communities reviewing and testing their pandemic plans. He is also calling for
the sharing of data and evidence that can assist communities in informing
their response to a possible H1N1 pandemic.

He added that in Ontario, First Nations are equal partners in the
Provincial Pandemic Plan that outlines roles and responsibilities for federal,
provincial and First Nations governments. Chapter 20 of this Plan calls for
the daily sharing of information among all parties to promptly respond to the
urgent needs of First Nations communities.

"This is a model to which all First Nations regions should have access,"
he said. "Part of the overall work here is to establish a more public and
transparent process for sharing data that protects both individual and
community privacy while getting First Nations the information they need in a
timely and effective manner."

Information that has been made public about the rates of H1N1 among
Manitoba First Nations show that the rates of infection among Manitoba First
Nations are 20 times higher than the general population or 135 per 100,000
compared to 6.1 per 100,000 for the general population in Manitoba.

The Assembly of First Nations is the national organization representing
First Nations citizens in Canada.

For further information: Karyn Pugliese, Health Communications at (613)
292-1877 or kpugliese@afn.ca
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Flu Guidelines for Summer Camps

Postby admin » Fri Jul 17, 2009 3:55 pm

NEWS RELEASE
For Immediate Release

July 17, 2009

Ministry of Healthy Living and Sport

BC Centre for Disease Control

H1N1 FLU VIRUS GUIDELINES FOR SUMMER CAMPS

VICTORIA - As younger people between the ages of five and 24 make up a larger
proportion of H1N1 influenza cases, the Province has developed a set of
guidelines to help prevent and manage the H1N1 virus in day camps, overnight
camps and special needs camps.

"While this particular virus normally doesn't make children more ill than the
usual seasonal flu virus, we are taking extra precautions to ensure everyone is
well-informed to help lessen the spread amongst summer campers," said Dr. Perry
Kendall, B.C.'s provincial health officer.

The H1N1 flu virus spreads from person to person in the same way that any
seasonal influenza does - through coughing, sneezing and contact with surfaces
and objects, including peoples' hands that are contaminated with the virus.

"Summer camp is a terrific time for young people and we don't want to discourage
parents from sending their children to camp," said Ida Chong, Minister of
Healthy Living and Sport. "We want to encourage everyone to get involved in
showing due diligence in the basics; wash your hands, cover your mouth with a
tissue or your sleeve when you cough, and stay home if you are sick. As in any
other situation, parents are asked to keep their child home if he or she is
ill."

It is normal for children and youth to be in close contact with one another in
summer camp settings, which are similar to school settings. Younger children
should be reminded of basic hand washing and appropriate sneezing and coughing
etiquette.

To help prevent and manage outbreaks of the H1N1 flu virus, the guidelines
recommend that parents be given a health and safety information sheet in their
camp orientation package, which describes symptoms of H1N1 and camp protocols
should a child develop symptoms.

Camp operators should promote good hygiene practices as well as environmental
cleaning and have health-care advice available for campers or staff who
experience symptoms. In addition, camp operators can consult with their local
public health unit for guidance on best practices and the latest information on
the H1N1 virus. For further information, please go to:
http://www.health.gov.bc.ca/socsec/

For a complete set of guidelines and recommendations, please go to:
www.gov.bc.ca/swineflu

-30-
- - -

MORE about this topic . . .
Swine Flu injects a note of caution at summer camps
viewtopic.php?p=10301#p10301
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H1N1 News You Can Use - Info to Protect Yourself

Postby admin » Sat Jul 25, 2009 7:44 am

Turtle Island Native Network
News Briefs
http://www.turtleisland.org/news/newsbriefs.htm#newsandcomment
- - -

Frequently Asked H1N1 Questions
Public Health Agency of Canada . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10786#p10786
- - -

On November 10, 2009
Health Minister Leona Aglukkaq and National Chief of the Assembly of First Nations (AFN) Shawn Atleo
co-hosted a Virtual Summit on H1N1 preparedness for First Nations communities.
http://www.fnh1n1summit.ca
For more information . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10667#p10667
- - -

Health Canada has approved vaccine to fight H1N1 flu virus
October 21st, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10596#p10596
- - -

BC unveils vaccine plans to fight H1N1 outbreak . . .
October 21, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10599#p10599
- - -

http://www.phac-aspc.gc.ca/alert-alerte/h1n1/guide/index-eng.php
Image
http://www.phac-aspc.gc.ca/alert-alerte/h1n1/guide/index-eng.php

- - -

Assembly of First Nations and Canadian Government sign Communications Protocol to affirm their commitment to work together on pandemic planning efforts.. .
http://www.turtleisland.org/discussion/viewtopic.php?p=10482#p10482
- - -

Canadian Government guidelines for who should be first in line to get flu shots
http://www.turtleisland.org/discussion/viewtopic.php?p=10475#p10475
- - -

The Pandemic H1N1 Virus and Your Community
B.C. First Nations H1N1 action plan
http://www.turtleisland.org/discussion/viewtopic.php?p=10428#p10428
- - -

First Nations pandemic planning, preparedness
and response resources, news and information updates
Turtle Island Native Network
http://www.turtleisland.org/discussion/viewtopic.php?p=10229#p10229
- - -

The Pandemic H1N1 Virus and Your Community
B.C. First Nations H1N1 action plan
http://www.turtleisland.org/discussion/viewtopic.php?p=10428#p10428
- - -

World Health Organization
http://www.who.int/csr/disease/swineflu
- - -

Watch a Public Service Announcement . . .
http://www.youtube.com/user/H1N1BC
- - -

Public Health Agency of Canada
http://www.phac-aspc.gc.ca/alert-alerte/swine_200904-eng.php
Image
http://www.phac-aspc.gc.ca/alert-alerte/swine_200904-eng.php

CANADA HOTLINE: 1-800-454-8302


H1N1
Canadian Medical Association Journal
http://www.cmaj.ca
- - -

U.S. Centers for Disease Control and Prevention
H1N1 Flu (Swine Flu)
http://www.cdc.gov/h1n1flu/

U.S. Department of Health & Human Services
http://pandemicflu.gov/

UNITED STATES HOTLINE: 1-800-232-4636


H1N1
Journal of the American Medical Association
http://jama.ama-assn.org/cgi/search?fulltext=h1n1
- - -

The Lancet, one of the world's leading medical journals
H1N1 Resource Centre - medical researchers and science experts
http://www.thelancet.com/H1N1-flu
- - -

PERSPECTIVES

H1N1 Pandemic and Aboriginal Women in Canada
August 5th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10372#p10372
- - -

August 1st, 2009
Plan For The Best Through Preparedness
Inter Tribal Health Authority
http://www.turtleisland.org/digest/ithaflu09.gif
- - -

Exclusive Report!
Preparing ourselves and our communities . . .
July 31st, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10361#p10362
- - -

Swine Flu - Serious Business - Nothing to Sneeze at . . .
July 30th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10361#p10361
- - -

First Nations are in the grip of a flu outbreak on Southern Vancouver Island. . .
July 29th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10359#p10359
- - -

Six Nations leaders issue statement to calm fears of flu, following family targeted by act of violence
July 18th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10329#p10329
- - -

Prioritize First Nations for H1N1 vaccines, says AFN
July 17th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10325#p10325
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Aboriginal Nurses concerned about impact of H1N1 flu virus on people at high health risk
July 16th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10322#p10322
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Swine Flu injects a note of caution at summer camps
July 8th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10301#p10301
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What do we know so far about this H1N1 Swine Flu?
July 5th, 2009
http://www.turtleisland.org/discussion/viewtopic.php?p=10293#p10293
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Report on Aboriginal children's health - more proof of vulnerability to H1N1 flu virus, says AFN National Chief
June 24th, 2009 . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10267#p10267

More pandemic flu virus news and information resources
http://www.turtleisland.org/discussion/viewtopic.php?p=10153#p10153
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H1N1 The Swine Flu - Pandemic Planning

Postby admin » Wed Jul 29, 2009 1:15 pm

Exclusive Report!

First Nations are in the grip of a flu outbreak on Southern Vancouver Island

"It is not a magical, mystical bug. This Swine flu is transmitted like all our influenzas."

News and Comment
by Tehaliwaskenhas
Bob Kennedy,
Copyright
Turtle Island Native Network
http://www.turtleisland.org


July 29th, 2009

Spread Information and Not The Flu!

We now know there are "lots" of confirmed cases of the H1N1 influenza virus in communities on Southern Vancouver Island. The flu outbreaks in First Nations communities here involve only "mild" examples of the illness caused by this Swine Flu bug. By the way, when it is called mild, it just means you manage it at home and you are not admitted to hospital.

It's no secret that Pauquachin First Nation for example has many mild cases. This month letters were sent to community members advising them of the outbreak, and the Chief and Council acting in the best interests of their members quickly chose to close the Band administration office and restricted community gatherings, to try to prevent further spread of the illness.

According to the Vancouver Island Health Authority, Pauquachin is by no means the only First Nation community on Southern Vancouver Island experiencing an outbreak. Other First Nation and non-aboriginal communities have "lots" of residents reporting flu-like symptoms too.

One of the challenges we face is that we have many summer gatherings scheduled (Pow Wow season is in full swing, as well as Tribal Journeys) and it's going to be a delight for this bug (H1N1) as it tries to get around even more.

The good news is that we are not seeing a repeat of what occured earlier on, in northern Manitoba or Northwestern Ontario where outbreaks were severe. However, this is no time to be complacent and in fact this milder version is a gift, an opportunity - we can use the experience, to learn now and become well prepared for the real menace (a more severe pandemic scenario) that most likely will arrive this fall.

As far as our events are concerned, it is not business as usual. We must make sure we have plenty of ways available to wash our hands and keep the things we touch most often at our gatherings, cleaned with disinfectant etc. With a long weekend just around the corner, it says the bug and opportunity are knock knock knocking at our door. In fact, these normal occasions of friendship can bring conversation and the sharing of good information, to empower us in the fight against this flu. In my opinion, it also means we cannot afford to be as generous with our hand shakes, hugs and kisses.

How do we know if we have Swine Flu, or our family or friends have it? Watch for influenza-like illness - rapid onset of cough, fever, and you may or may not have sore throat, achy joints or muscles, can't get out of bed - you feel lousy. It probably is Swine flu.

"We're going to manage that the same as we manage all our other flus," Vancouver Island Health Authority Medical Health Officer, Dr Charmaine Enns told Turtle Island Native Network. What does that mean exactly? "Stay home when you are sick. Keep yourself isolated from other people while you have the symptoms. Wash your hands frequently." Doctor Enns also has some good medical advice for you. "If you have those flu-like symptoms, and you get sick really fast, and it is within 48 hours of when the symptoms started, and especially if you have an underlying chronic condition - if you are a pregnant woman or - if it is a child under the age of age of 2 - you are entitled to see the doctor to consider early treatment with Tami-Flu". Using this anti-viral will not cure the illness, but will decrease its severity and decrease the length of time you are sick. This is important advice, because Aboriginal people have a disproportionate amount of chronic disease. We have large numbers of pregnant women, and large numbers of children under the age of 2. You noticed I used the word "lots" and no specific number related to this Swine flu outbreak on Southern Vancouver Island. That's because health authorities are no longer "swabbing" to keep track of the numbers. The reality is, Swine Flu is here and there is no need for them to keep taking swabs and testing and counting, when they can better use their time and energy to work on prevention and response. "The virus is spread by droplets," explained Dr. Enns. That means coughing or sneezing it onto people or things - surfaces that people come in contact with, and then you end up putting it in your eyes, your mouth or you breathe it in. So it goes without saying we have a responsibility to not knowingly spread it, if we've got it. "The closer you are to people - and if there's more people, the higher the likelihood of transmisson," added Dr. Enns.

"It is not a magical, mystical bug. This Swine flu is transmitted like all our influenzas."

As for limiting our gatherings? Community leaders must decide. "The community needs to have the information to make the decision. Do we really want to have the gathering, or postpone it or are we going to put something in place to manage it - have information for people, have hand sanitizers . . ."
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Pandemic Planning

Postby admin » Wed Aug 05, 2009 7:47 am

The Native Women’s Association of Canada
August 2009

H1N1 Pandemic and Aboriginal Women in Canada

The Issue
The H1N1 influenza virus has the potential to devastate the Aboriginal population in Canada due to reduced immunity, complex health needs, lack of access to health services and higher sensitivity to infectious disease. Aboriginal women are key determinants of the health of a community because they are the primary caregivers of children, families, the elderly, and most often deliver health care services.

Backgrounder

Since the announcement by the World Health Organization (WHO) of the H1N1 pandemic in June 2009, a number of concerns have been raised about the health of the Aboriginal population in Canada and the ability of the health system to respond to communities in crisis. However, to date, there has been little discussion of how Aboriginal women are impacted by the disease, or the role they play in preventing the spread of infection.

Aboriginal peoples across Canada have already been disproportionately impacted by the spread of the H1N1 virus. As of July 2009, First Nations communities in Manitoba and northern Ontario made up one-third of the 685 swine flu cases in the region, despite being only 10 per cent of the population. Other communities, whether on reserve, in rural and remote areas and in urban centres are trying to prepare for the worst; however, complex issues related to population health outcomes for the Aboriginal population include many factors related to access to care, as well as risk of infectious disease.

What we know The median age for those infected with the H1N1 virus is 18 years of age. The Aboriginal population is much younger than the overall Canadian population. In 2006, the median age of the total Aboriginal population was 27 years, compared to 40 years for the non-Aboriginal population. Aboriginal people have complex underlying health concerns such as asthma, diabetes, obesity, poor nutrition, depression and increased risk of drug and alcohol abuse. Underlying health risks for the Aboriginal population also include disproportionate levels of poverty, inadequate housing, unemployment, experiences of violence, lack of access to health services, lack of cultural awareness or sensitivity within the health system, unemployment and low wage or precarious work.

Aboriginal Women and H1N1
While we know that Aboriginal people are at increased risk for all communicable diseases, not enough is known about H1N1 and the impact on Aboriginal women. However based on the precautionary principle, pandemic planning must focus on the health of women as Aboriginal women make up the majority of caregivers, not only as formal health services workers within the health system, but as informal or unpaid caregivers of children, Elders, other family members and people in the community.

Opportunities for Planning and Action
While there is no clear cut or easy solution, based on what is known about H1N1, pandemic planning and risk aversion, NWAC proposes action in the following three areas: Pandemic planning must recognize the important role of Aboriginal women in the family and communities and their role in minimizing the threat of the virus. The precautionary principle, or the principle to instate the highest levels of precaution or prevention of harm, must be used in all decisions made to prevent the spread of H1N1. This principle should be used in the health services response to communities at risk, as well as developing treatments for H1N1. A multilateral action plan to address access to health services for Aboriginal peoples. This must be based on Jordan’s Principle, a child first principle to resolving jurisdictional disputes within and between federal and provincial/territorial governments.

One final note is NWAC voices some concern over the H1N1 vaccination. Expedited reviews and clinical trials for the vaccine have led to inconsistent approvals in different countries, particularly for children and youth. Based on the precautionary principle we remain cautious as the H1N1 virus continues to evolve and change and continues to disproportionately affect young people. Not enough is known about the effect on young women, reproductive health or women who are pregnant, children, or people with complex health conditions. For this reason, we call on Health Canada and the Public Health Agency of Canada to explore the risks to Aboriginal women, children and communities and develop informed policy decisions for vaccination on clear scientific evidence.

With this in mind, precautions and prevention must take into consideration the mode of transmission of the virus, as well as opportunities to protect individuals from infection. While the plans for action should include representatives from all sectors of the Aboriginal population, Aboriginal women MUST be at the centre of any engagement with community. We are the holders of knowledge and can offer the greatest impact on successful pandemic planning.
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H1N1 The Swine Flu - Pandemic Planning

Postby admin » Sat Aug 22, 2009 5:58 pm

Vaccinations and the Swine Flu?
Research says school kids first!

Yale University and Clemson University study disagrees with the popular notion of vaccinating at-risk groups first.

DETAILS . . .
http://www.turtleisland.org/discussion/viewtopic.php?p=10407#p10407
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H1N1 The Swine Flu - Pandemic Planning

Postby admin » Thu Aug 27, 2009 9:05 am

Health Canada says there will be no special access for First Nations to flu vaccine

News and Comment
by Tehaliwaskenhas
Bob Kennedy ( Onyota'a:ka / Oneida )
Copyright
Turtle Island Native Network
http://www.turtleisland.org

August 27th, 2009

Despite concerns by Aboriginal leaders and health care workers, First Nations communities will not be at the top of the list to get vaccines this fall.

During her update on the H1N1 flu virus, Leona Aglukkaq, federal Minister of Health stated today, "The H1N1 influenza vaccine will be available to on-reserve First Nations through the provinces on the same basis as they are provided to other Canadians. Health Canada will ensure that the vaccine, once produced and made available to provinces is sent to the First Nations communities through existing delivery mechanisms already in place for annual vaccinations".

Recently the Assembly of First Nations Regional Chief who holds the health portfolio at the AFN, called on the federal, provincial and territorial governments to ensure that First Nations are identified as a priority for the new H1N1 vaccine. In July Chief Angus Toulouse said, "We are seeing an alarming trend of a greater severity of disease among First Nations, especially in remote communities, largely because of pre-existing health conditions and poor living conditions. Some doctors suspect biological factors may also play a role. Canada is in the process of prioritizing high-risk groups to receive the vaccine and we strongly believe that a number of our communities should be prioritized." The Aboriginal Nurses Association of Canada (A.N.A.C.) also has highlighted "the critical need" for ensuring the priority of First Nations, Inuit and Metis in receiving the H1N1 flu vaccine.

During today's H1N1 update, the Minister of Health acknowledged that there are still many questions being asked about the government's preparations because of some severe outbreaks in First Nations communities earlier this year. She stated, "I want to assure you that First Nations are receiving the care they need, based on provincial guidelines for appropriate care related to H1N1. Health Canada has worked with the provinces to ensure First Nations have access to anti-virals medications as required, and anti-virals have been stockpiled in a number of First Nations communities to ensure rapid access if and when needed."

Minister Aglukkaq said the Government of Canada is actively working with and engaging with Aboriginal partners, the provinces and the territories "to support our collective response to H1N1 influenza". She also said a national print advertising campaign has been implemented on infection prevention, including placements in Aboriginal newspapers.

The Minister added, "We also provided public service announcements and posters to First Nations band council offices, chiefs, hamlets, co-op northern stores, Inuit organizations and also 1,400 Aboriginal health-related organizations."
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