Healthier You Summer
2016
Reflections on fatherhood Making your own baby food
foundat
Rethinking children’s play io
updaten
Page 30
Risky play: keeping kids as safe as necessary vs. as safe as possible
ventures
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th, a d inn logy grow nology an o h care.” n c h e c t e t e v r “I lo quality of ity fo e n h u t t r n o o p t p to n impac significan nd make a a e v lo I t do wha
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“I originally grew up in Prince George, moved away, but then moved back because it offered a unique blend of the outdoors with the amenities of a larger community. I stay and work in the North because it offers great opportunities for continuous learning, growth and advancement, leading edge innovation, strong benefits, and good job security. “I love that my team is working together towards a common cause of using technology to improve people’s jobs and the quality of care. Leadership is very open-minded and the team is very open and is not afraid to suggest new, innovative ideas and challenge status quo.”
Northern Health Recruitment: careers.northernhealth.ca the northern way of caring
HRAD079HY
northernhealth.ca
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Toll Free: 1-877-905-1155 • hr@northernhealth.ca
Summer
Volume 5, Issue 2
2016
featurestory
22
Fatherhood, community and culture
{regular features}
Duane Jackson is a proud Gitanmaax father and Early Childhood Educator who has worn many hats serving children and families in Prince Rupert. He shares his thoughts on healthy children, healthy families, and healthy communities.
staff profile
4 CEO welcome
20
26 FEATURED INDIGENOUS LANGUAGE
30 foundation update
p.
inside Bonding with your baby ������������������������������ Page 6 Emotional attachment is one of the keys to raising a happy, confident child. Ensure a close connection with your baby!
Making your own baby food ������������������� Page 8 Is your baby ready for solid foods? Dietitian Rebecca answers the when, what, and how of baby food prep.
Quitting smoking during pregnancy ������������������������������������������������������������� Page 10 Improve your own health and protect your developing baby – tips to help new and expectant parents quit smoking and stay quit.
10 tips for a happy and healthy first five years ��������������������������������������������� Page 14
From wearing the gear to finding quality care, ten ways to support healthy kids.
A lifetime of healthy smiles �������������� Page 19 Tooth decay is very common but also preventable! Learn what you can do to prevent cavities in your child. Children’s risky play ������������������������������� Page 27 New research suggests keeping kids as safe as necessary versus as safe as possible.
summer 2016
Healthier You
3
welcomemessage
Healthy children in northern B.C. The arrival of the summer issue of Healthier You magazine means that long, sunny days are upon us in northern B.C. I hope that you have the chance to enjoy the many great outdoor opportunities across our region at this time of year.
Cathy Ulrich President and Chief Executive Officer, Northern Health
Where can you find Healthier You?
“In doctors’ offices, walk-in clinics, pharmacies and other community settings, we will be waiting there too – keeping you company, and sharing stories and insight into health-related issues that matter to you.”
This issue of Healthier You is all about child health. One of the key messages is that we all have a role to play when it comes to raising healthy children. Child health isn’t just the absence of illness or disease. Instead, it’s a state of physical, mental, intellectual, social, and emotional well-being. It’s created by families, environments, and communities that provide children with the opportunity to reach their fullest potential. What do those healthy families, environments, communities look like? This issue of Healthier You has a few ideas to get you started. We’ve collected ten tips from various Northern Health professionals [page 14], feature a story about a father who’s passionate about healthy children and healthy communities [page 22], and share insights from a leading researcher about “risky play,” a new way to think about physical activity and preventing injury [page 27]. Children’s health happens in communities. Together, we can create the best environments for healthy, happy, and thriving children. Thank you for reading Healthier You magazine. As always, we want to hear your thoughts on the magazine. Please send your feedback to our editorial team at healthpromotions@northernhealth.ca.
4 Healthier You
summer 2016
Healthier You Volume 5, Issue 2 – Summer 2016
Published by:
the northern way of caring
www.glaciermedia.ca
PUBLISHED BY northern HEALTH & GLACIER MEDIA
Copyright ©2015. All rights reserved. Reproduction of articles permitted with credit.
Northern Health
Contributors / Healthier You is produced by the Northern Health health promotions team with contributions from Northern Health staff and partner organizations, in partnership with Glacier Media.
Glacier Media Group
Sales & Marketing Kevin Dergez Director of Special Projects kdergez@glaciermedia.ca Ellyn Schriber Newsmedia Features Manager BC eschriber@glaciermedia.ca Keshav Sharma Manager Specialty Publications ksharma@glaciermedia.ca
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Creative Director / Eric Pinfold eric@phitted.com | www.phitted.com
Advertisements in this magazine are coordinated by Glacier Media. Northern Health does not endorse products or services. Any errors, omissions or opinions found in this magazine should not be attributed to the publisher. The authors, the publisher and the collaborating organizations will not assume any responsibility for commercial loss due to business decisions made based on the information contained in this magazine. Speak with your doctor before acting on any health information contained in this magazine. No part of this publication may be reproduced or transmitted without crediting Northern Health and Glacier Media. Printed in Canada. Please recycle.
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parenting
Bonding with Your Baby By Vanessa Salmons
Regional Nursing Lead, Maternal, Child, and Youth Health Northern Health
Take simple steps to ensure a close connection with your baby.
6 Healthier You
summer 2016
Have you ever been told that carrying or holding your baby too much will spoil them? This is a common myth held by many parents and caregivers. In fact, the opposite is true! Research has shown that well-loved babies do better in every way. The first six months are an important time for you and your baby. Take time to give love, hugs, smiles and lots of reassurance. Emotional attachment is one of the keys to raising a happy, confident child. The BC Healthy Child Development Alliance (childhealthbc.ca/bchcda) has some simple steps you can take to help ensure a good, close connection with your baby:
1. Spend time face-to-face with your baby. • Take time each day to cuddle and play with your baby up close. • Spend time watching what your baby does and responding to facial expressions and sounds by imitating them. • Talk to your baby. Research shows that the more words a baby hears each day, the better they learn. 2. Observe your baby. • Watch and listen to your baby to learn what your baby wants or needs. Here are some cues to what your baby is “saying” to you:
– Turns away, does not want eye contact: “I need rest.”
– Frowns, starts to cry, pulls away: “I am upset, lonely, sick or hurt.”
– Cries, has wide open eyes, stiffens body, arches spine or turns away from you: “I am in distress, upset or afraid.”
– Reaches for you, follows you (if a walking toddler), face has a sad look – maybe a trembling lip: “I need you.”
– Smiles, giggles, gazes at you, reaches for you, makes cooing sounds: “I like that.”
3. Notice the cues that say “distress.” • Babies who are in distress and whose parents respond promptly (within 1-2 minutes) cry less after the first year. • Babies beyond four months old can handle short periods of mild distress; giving them a chance to calm themselves helps them to learn new skills and to sleep longer periods at night. 4. Delight in your baby. • Help your baby explore and play by finding ways to play together (e.g., stacking cups or playing with blocks or stuffed toys). • Welcome your baby when he or she needs to cuddle or comes to you for comfort. 5. Get down on the floor with your baby. • Every baby needs “tummy time” on a mat or blanket set on the floor. This is a time when your baby will exercise muscles or discover new ways to move.
more information For more information and to learn more ways to build attachment and help your child adjust to their emotions, check out: • HealthyFamiliesBC.ca/parenting • Baby’s Best Chance and Toddler’s First Steps handbooks (available from HealthyFamiliesBC.ca) • Building a Healthy Relationship with your Baby and Toddler (available from childhealthbc.ca/bchcda)
• Spend time watching what your baby does and respond to your baby’s cues.
summer 2016
Healthier You
7
healthyeating
Making your own baby food Trying new foods with your baby is a time of exploration and fun! By Rebecca Larson Population Health Dietitian Northern Health
Many parents are interested in making their own baby food. Why? Primarily, it’s cheaper than buying prepared baby foods and is easy to do. You also have full control over what your baby is eating and you can introduce them to the foods your family eats. At about six months old, your baby may be ready for solid foods.
Baby food prep
When offering your baby food
Wash and peel your vegetables, removing any seeds. Chop the vegetable into small pieces and steam over boiling water until soft. Put the cooked vegetable in a bowl with a little water and mash with a fork.
• Start by offering food a couple times a day. By the time your baby is close to nine months, they should be eating 2-3 meals a day with 1-2 snacks. • To begin, your baby will only eat about a teaspoon of food at a time, so don’t make too much baby food at once. • Offer your baby a variety of textures including ground, mashed, soft foods and finger foods. • Offer an iron rich food (meat and alternatives or infant cereal) daily. • Whenever possible, eat with your baby. They learn from modelling your behaviour.
Some foods like yogurt, rice and pasta require very little or no prep to make them into baby food. You can cut bread into strips and grate cheese to make them the right size for your baby to hold or pick up. Vegetables:
Fruit: Pick soft, ripe fruit. Wash and peel the fruit; remove any pits or large seeds. Cut into pieces. Soft fruits like banana and peaches can be mashed with a fork. For firm fruit, before mashing, take the pieces and boil in a small amount of water until soft. Meat & Alternatives: Meats like beef, turkey, wild game, and others should be well cooked and then ground, finely minced, or shredded. Fish can be baked or poached; skin and bones must be removed before mashing with a fork. Soft beans, lentils and eggs can be mashed with a fork after cooking. A little water might need to be added to moisten. Trying new foods with your baby is a time of exploration and fun. Enjoy the experience! For more information, visit HealthLinkBC.ca and search for baby food.
8 Healthier You
summer 2016
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Do you have a passion for caring for others?
tobaccocessation
The challenge of quitting smoking during pregnancy and staying quit after delivery Avoiding tobacco use will improve the health of your whole family before, during and after pregnancy. By Nancy Viney Tobacco Reduction Northern Health
Want to improve your own health and protect your developing baby from the harmful effects of tobacco and tobacco smoke? Women and their partners who use tobacco during pregnancy are encouraged to quit! Why quit? Maternal smoking and exposure to second-hand smoke during pregnancy may increase the risk of miscarriage, preterm birth and early detachment of the placenta. Smoking is also linked to growth restriction during pregnancy
and low birth weight. Although a smaller baby may mean an easier labour and delivery, low birth weight is a predictor of decreased newborn health and survival. After a child is born, infants of women who smoke are three times more likely to die from sudden infant death syndrome. Children who are exposed to second-hand smoke have an increased risk of respiratory problems and increased severity of asthma. continued on page 12
10 Healthier You
summer 2016
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Diabetes affects the circulation and immune system, which in turn impairs the body’s ability to heal itself. Over time, diabetes can damage sensory nerves (this is known as “neuropathy”), especially in the hands and feet. As a result, people with diabetes are less likely to feel a foot injury, such as a blister or cut. Unnoticed and untreated, even small foot injuries can quickly become infected, potentially leading to serious complications.
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continued from page 10
Did you know? Tobacco & minors
–Dale Girling, tobacco enforcement officer Northern Health “Tobacco enforcement officers enforce the provincial Tobacco Control Act and Tobacco Control Regulations. One of our main duties is to ensure businesses are not selling cigarettes to minors (under 19 years). We do this by hiring test shoppers between the ages of 15 and 17 years. We take them to businesses and send them in to attempt to buy cigarettes. If asked for ID, they show their real ID, which clearly shows they are not old enough. If they are able to purchase cigarettes, we contact store managers and advise them so that they can deal with the employee who sold the cigarettes. We are able to warn businesses, issue fines, and take steps to revoke tobacco licences. Our goal is not to write tickets or issue fines, but rather to reduce the sale of tobacco products to minors. To do this, we work with management to support their employees’ learning, like by providing training and visual reminders for businesses to display.”
MUST BE 19 OR OLDER TO BUY TOBACCO
CHECK PHOTO I.D. BIRTH YEAR
1999 1998 1997 1996 1995
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CAUTION 19 IF BORN ON OR BEFORE TODAY’S DATE; CHECK BIRTH MONTH AND DAY
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When to quit? Ideally, women and their partners should quit using tobacco prior to pregnancy but if not, then it is important to quit anytime during pregnancy. Every day is a good day to quit smoking! Support to help you quit smoking and protect your family Although tobacco dependence is a complex addiction with many factors that make it difficult to quit, many women have been able to quit during their pregnancy. Women are aware that smoking is not good for their health or the health of their babies and so many are very motivated to quit. It’s sometimes difficult to quit during pregnancy because: • Pregnancy speeds up a woman’s metabolism and she may find that she is smoking even more to relieve her cravings. • Pregnancy is sometimes a stressful time. • A woman’s social network may use tobacco and she may feel left out. Understanding these factors may help in the development of a plan to quit smoking. Many women wonder if they can use nicotine replacement therapy such as the nicotine patch, gum, lozenge or inhalers when they are pregnant. Opinions vary on the use of these products in pregnancy so women should discuss the use of these products with their physician or pharmacist. Intermittent dosing of nicotine replacement therapies such as lozenges, gum or inhaler are preferred over continuous dosing of the patch. It is likely that nicotine replacement therapy is safer than cigarette smoking as the mother and baby are only exposed to nicotine and none of the other 8,000+ chemicals in cigarette smoke. If you use nicotine replacement therapy instead of smoking cigarettes, the mother and baby are not exposed to the carbon monoxide that reduces oxygen uptake and flow to the developing baby. Many women are able to quit during their pregnancy and enjoy the positive health effects that come with quitting. It’s important to plan how to stay quit once the baby is delivered as relapse is common after the baby is born. For information and free support to help you quit, visit QuitNow.ca, call 1-877-455-2233, or ask your pharmacist about the BC Smoking Cessation Program. Let’s raise children in tobacco free families!
12 Healthier You
summer 2016
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healthychildren
tips for a happy and healthy first five years How can we ensure that our children, families, and communities are as healthy as possible? Consider these 10 tips from Northern Health experts.
1
#
2
Get outside and play Children who play outside tend to have better health, spend more time playing, have better social interactions, are more creative, and have greater resiliency. Studies show that children who explore and take risks in supportive environments have the chance to figure out their own limits and do not see an increase in injuries.
#
Wear the gear Teach your child to keep their head safe. Put a fitted helmet on every time they tricycle, toboggan, bike, skate, or ski. Out on the water? Have your child in the right sized, fitted lifejacket for all water activities. Model safe behaviour yourself!
3
#
Follow the routine immunization schedule
Immunization is one of the best ways to ensure your children stay healthy and are protected from certain vaccine preventable diseases. The routine immunization schedule ensures your child is protected as soon as they can be and is based on the best science of today. Learn more at ImmunizeBC.ca.
4
# 14 Healthier You
summer 2016
Be aware of hazards
Scrapes and bruises won’t slow a child down for long, but serious injury can change their life forever. Identify and move anything that could burn, choke or poison your child. Move furniture away from windows. Lock up poisonous items like medicines, vitamins, alcohol, tobacco, and cleaning supplies. Keep hot liquids out of reach. Lower your tap water temperature to prevent scalds.
5
#
Take time to give love, hugs, smiles and lots of reassurance Emotional attachment is one of the keys to raising a happy, confident child. Ensure a close connection by spending time face-to-face with your baby each day, observing your baby, and getting down on the floor with your baby. Check out page 6 for more tips.
7
#
9
#
Find quality care Looking for child care? Look for licensed child care providers who are warm, caring, respectful, and attentive to children’s individual needs. Daycare activities should recognize the value of play and happen in safe, well-planned environments that invite children to learn and grow. Learn more about licensing on page 21.
6
#
Raise children in tobacco-free families Children who are exposed to second-hand smoke have increased health risks including respiratory problems and sudden infant death syndrome. They are also more likely to become smokers themselves. Reduce these risks in your family! Visit QuitNow.ca for resources to help you quit and access free nicotine replacement therapy products or medications through the BC Smoking Cessation Program.
8
#
Crawl, dance, and play your way to 180 minutes! According to the Canadian Physical Activity Guidelines, children aged 1-4 should accumulate at least 180 minutes of physical activity at any intensity spread throughout the day. Try various activities – crawling, walking, playing outdoors, and exploring – that develop movement skills in different environments. As children age, play can get more energetic – progress toward at least 60 minutes of energetic play per day by age 5.
10
#
Stop cavities and smile brightly Brush children’s teeth daily with a rice-sized amount of fluoride toothpaste. Limit drinks and food to scheduled meal and snack times and use a lidless cup to drink water for thirst. Start regular dental visits at age one or after teeth start appearing. Learn more on page 19.
Model healthy eating Eat with your child whenever possible, as this helps them learn from you. Provide regular meals and snacks. Offer a variety of nutritious foods from all four food groups. Allow your child to decide if and how much they want to eat.
Learn more from trusted resources: - HealthyFamiliesBC.ca
- BurnFund.org (Too Hot for Tots!)
- CATTonline.com
- HealthLinkBC.ca
-B C Drug and Poison Information
- DontChoke.ubc.ca
- ParachuteCanada.org - BCAA.com/road-safety
Centre (dpic.org) - QuitNow.ca
- ParticipACTION.com - ImmunizeBC.ca
summer 2016
Healthier You
15
NortherN
sPort CeNtre memBeRSHiP SeRViCeS all 12 moNth aNd CoNtiNual memBershiPs iNClude: • Free parking while you workout • Free squash court bookings (up to 7 days in advance) • Access to over 35 hours of free fitness programming each week • Reserve your drop-in class space up to 30 minutes in advance • Discounted rates on registered programs droP-iN Classes (Free for NSC Members) • Yoga Flow • Yin Yoga • Core FIT • GROOVE • FIT Camp • CycleFIT
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For more information contact Kevin nowottnick at 250-960-5335 or kevin.nowottnick@unbc.ca
Join team nSC today!
StoRm tHe Hill NsC triathloN CluB starts aPril 25th! Join the newly founded NSC Triathlon Club and work with certified triathlon coaches to help you achieve success in the sports of triathlon and duathlon. Coached sessions for swim, bike, run and brick training are scheduled. Pre-race preparation, tapering, race day strategies and season planning are all provided as part of the program. Coaches will be on deck with you on race day at the PG Triathlon and the Storm the Hill duathlon, to help you make the most out of your race experience. Whether you are new to the sport of triathlon, seeking a new and unique challenge or looking to improve your performance in multisport racing, we have the program and coaching team help you reach your goals! For more information visit our website at www.northernsportcentre.ca or contact the Programming Development Officer and Head Coach – Kevin Nowottnick - kevin.nowottnick@unbc.ca
NortherN Sport CeNtre priNCe GeorGe triathloN
July 17th at WeSt lake
NortherN sPort CeNtre PriNCe george triathloN – July 17th at west lake • The Northern Sport Centre is excited to come on board as the title sponsor and new race coordinator for this historic Prince George multisport event. Register today for the Sprint Triathlon, Standard (Olympic) Triathlon or Duathlon. Race as an individual or participate as a team. Swim, Bike and Run your way through an amazing course and join us for the post-race barbeque and our prizes and awards ceremony. Not sure if you want to race yet? Join us as a volunteer and help create the perfect experience for the athletes on race day. • Register online with Stride n’Glide at http://www.strideandglide.ca/component/dtregister/ • In person registration is available at the front desk of the Northern Sport Centre • Inquiries can be directed to our reception desk 250-960-6366 or pgtriathlon@unbc.ca • Race Director Kevin Nowottnick – kevin.nowottnick@unbc.ca
NortherN sPort CeNtre storm the hill multisPort eveNt – 5th aNNiversary, sePtemBer 11th at the NsC • Storm the Hill is 5 years old this year. Join us for our biggest race ever! Take part in our 5km or 10km road races or take on the Duathlon! Teams can join the Duathlon as well. Race with us in the morning and then enjoy our catered post- race banquet and prizes and awards ceremony. We are looking for volunteers to help create the perfect race experience for those competing. If you are interested in volunteering please contact us. • Register online with Stride n’Glide at http://www.strideandglide.ca/component/dtregister/ • In person registration is available at the front desk of the Northern Sport Centre • For more information visit our website at www.northernsportcentre.ca • Inquiries can be directed to our reception desk 250-960-6366 or stormthehill@unbc.ca • Race Director Kevin Nowottnick – kevin.nowottnick@unbc.ca
the 6th aNNual miNd/Body retreat – July 9th aNd 10th at the NsC • Join us for another mindful and restorative weekend of yoga, pilates, martial arts, Gravity training, education sessions and catered meals. Our 6th annual retreat promises to provide the best sessions we have offered to date. • For more information visit our website at www.northernsportcentre.ca • Inquiries can be directed to our reception desk 250-960-6366 or stormthehill@unbc.ca
Join team nSC today! R0011219068
@NorthernSport
Facebook.com/NorthernSportCentre
northernsportcentre.ca 250-960-6366 nsc-info@unbc.ca
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Healthier You R0011218708
Book your ad now for our next issue! fall 2016 {july}
White Goose Bistro
Family owned and operated by the Cyre family since 2007
Corner of 3rd & Dominion
250.561.1002
find us on
Healthier You Summer
2016
Reflections on fatheRhood Making youR own baby food
founda tion
update
Page 30
Rethinking childRen’s play Risky play: keeping kids as safe as necessary vs. as safe as possible
ad booking: June 22, 2016 contact: Ellyn Schriber 604.861.1665
eschriber@glaciermedia.ca
www.glaciermedia.ca
Healthy Kids Day 2016 SUNDAY, MAY 1 • 10am-4pm CANADA GAMES PLAZA
YMCA Canadian Tire Road Race Sunday, June 5th
Join us on June 5th and take part in either the half marathon, 10km or 5km routes. Learn more at www.nbcy.org
R0011217995
dentalhealth
a lifetime of
smiles Simple changes can lead to a healthy mouth and a bright smile! By Shirley Gray Dental Health Northern Health
Did you know that tooth decay is the third most common disease in Canada? And that four in 1000 children require dental treatment in hospital operating rooms? Not only that, but dental caries (cavities) interferes with a child’s ability to eat, sleep and thrive. The good news is that dental caries is a preventable disease! Simple changes to you and your child’s diet and dental health behaviour can have a great impact on the development of a healthy mouth and a bright smile. What can you do? • Take care of your own dental needs. Decay-causing bacteria can be spread from person to person so brush and floss daily and have the dentist remove active decay. Limit passing bacteria to infants by not sharing toothbrushes or cutlery and by not licking soothers to clean them. • Once teeth appear, brush your child’s teeth twice daily with a rice-sized amount of fluoride toothpaste. Don’t rush your brush! Starting at one point, slowly work your way around the entire mouth until the fronts, backs, and chewing surfaces of both the upper and lower teeth are done – this will take you three to five minutes.
Photo used with permission from Canadian Dental Association (CDA).
• At least once a month, lift your child’s lip to check for newly erupted teeth and white or brown spots on the teeth. • Teach your child to drink from a regular, lidless cup. Offer plain water instead of other liquids for thirst between meals. Limit acidic drinks like pop and fruit beverages. • A balanced diet is crucial to the development and maintenance of healthy teeth and gums. Choose a variety of healthy foods that do not stick to teeth. There are some foods that seem to protect against tooth decay, including hard cheeses like cheddar and mozzarella, nuts, meats, fish, poultry, and eggs. • Start regular dental visits at age one or after teeth start appearing. Refer children with signs of dental decay to dental staff at your local health unit. Public health dental staff offer free counseling and fluoride varnish treatments.
more information For more information, visit bcdental.org or HealthLinkBC.ca and search for dental health.
summer 2016
Healthier You
19
profile
Lisa Rice
profile
Lisa Rice
Lisa Rice is a licensing officer, early childhood educator, and former child care provider. She has seen all sides of the child care world. A bit about you: I’m a Newfoundlander who moved to British Columbia in 1991. We lived in Bella Coola and Smithers prior to coming to Prince George in 1998. I’m an early childhood educator and have been working in different child care roles since graduating with a diploma in Early Childhood Education in 1988. I became a licensing officer in 2004. I’m married and am the mother of two sons and the grandmother of an 18-month-old granddaughter. Favourite activities: Biking, snowshoeing, and eating healthy. Favourite food: My green smoothies – blend banana, orange, spinach (or anything green), and peanut butter! Favourite part of your job: Seeing the work we do pay off. We support child care settings to become structured, rich, happy, and healthy environments. I recently saw a child care space where 3-4 year olds were taking part in an election activity – it’s great to see creative and inspiring things like that! Who is your role model? If I had to choose one person, it would be my sister, who is bravely battling cancer. Beyond her, I feel like all people who are trying to live a healthy, positive lifestyle are important role models. What is your motto? Don’t sweat the small stuff.
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summer 2016
profile
Lisa Rice (continued)
What is community care licensing? Northern Health’s Community Care Licensing program provides regulatory oversight for any facility that provides care to three or more people who aren’t related to the caregiver. This includes child care spaces. Providing oversight means ensuring that care providers are meeting minimum standards to protect the health, safety, and wellbeing of children. Standards cover everything from staffing to hygiene, physical requirements, nutrition, playtime, and more.
hat does a healthy community look like to a W licensing officer? For me, a healthy community models healthy behaviours. A healthy community has families that are well-versed in healthy practices like hand hygiene, healthy eating, and the importance of outdoor play. Licensed child care spaces model these behaviours and the families take these lessons out into the community.
Why is licensing important for safe child care? By establishing and monitoring minimum standards, licensing lowers the risk of negative health and safety outcomes for children. As licensing officers, we represent families so that they can be assured that the care providers looking after their loved ones are following health and safety principles. hat does a day in the life of a licensing W officer look like? It can be varied! My day might include an unannounced inspection, following up on an incident or complaint, processing a licensing application, or supporting care providers through education and outreach. A lot of what I do on a daily basis is taking upstream health principles and applying them downstream, where kids and families are seeking care. What does quality child care look like? I look for environments that are safe, wellorganized, free of hazards, and that invite children to learn and grow. Caregivers should also have open, positive relationships with a child’s family. What’s interesting is to see how quality child care can be a role model for families. When kids are exposed to healthy behaviours in child care, they take this home to their families. One facility, for example, started their day with all of the kids washing their hands. They later shared that many of their families had adopted this practice at home. When kids came home from daycare, the whole family would wash their hands before doing anything else!
more information Want more information about licensing and providing safe, quality child care? Visit northernhealth.ca and search for “Community Care Licensing.”
summer 2016
Healthier You
21
parenting
Fatherhood, community, and culture: Reflections on parenting in Prince Rupert with Duane Jackson Between his professional and personal life, Duane Jackson has had the opportunity to glean a great deal of wisdom with a child-centred focus. By Andrea Palmer Health Promotions Northern Health
D
uane Jackson has worn many hats in his years serving children and families on the Northwest Coast. His many positions held include former Aboriginal Coordinator for Success by Six and Regional Coordinator for Children First. He now works with the Hecate Strait Employment Development Society as a Trainer/Facilitator and Employment Counsellor. Jackson is also co-chair on the Aboriginal Steering Committee with the Human Early Learning Partnership. Most importantly, Jackson is a family man – he and his wife are the proud parents of three children. Between his professional and personal life, Duane Jackson has had the opportunity to glean a great deal of wisdom with a child-centred focus.
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summer 2016
Can you tell me a bit about yourself? I grew up on the Northwest Coast, but I’m Gitanmaax from Old Hazelton. I actually lived at one of the fishing canneries, North Pacific Cannery on Inverness Passage, when it was an operating cannery – now it’s a museum! I’ve been in Prince Rupert the majority of my life, grade 3 on, and went to high school here. When I was 26, I met my wife, Christine, and we’ve been together for 23 years now. We have three children, a 17-year-old, a 14-year-old and an 8-year-old.
“I didn’t expect [fatherhood] to be the humbling experience that it was.” – Duane Jackson
As a father of three, what have you found most unexpected in fatherhood? I didn’t expect it to be the humbling experience that it was. I realized right from the birth of my first child that the importance of this job was so completely over and above anything that I understood in my life at that point. This small individual was going to encompass me so completely. With my first boy, with Caleb – I actually never put him down once! I carried him everywhere. I never put him in a buggy or a stroller; I carried him. He was in my arms all the time. The biggest thing was the level of humility that was required, and the beauty of that was how much growth was involved in that process because of the fact that if you don’t embrace that humility, it will totally uproot you. You graduated from college at age 40 and immediately began your work in serving children and families. How do your life experiences and education combine in your approach to your life and work? Throughout my Early Childhood Education learning, the one thing that really got me was advocacy. But then of course, according to my culture, as a Gitanmaax person, I must advocate for children. Every child within my society is my responsibility. Not every Gitanmaax child, every child. My culture speaks
to it, and as an Early Childhood Educator, my code of conduct speaks to it as well, that every child is my responsibility. What makes Prince Rupert a healthy community for children? We have many activities for children, from minor league soccer and basketball, to the recreation centre for more activities. But we must remember that Prince Rupert is leading the province in unemployment. There is a huge societal barrier to accessing some of these activities. It’s not just Indigenous people who believe these programs just aren’t for them. It’s societal. In Canada we have the lowest percentage, globally, of children and families who access community programming. We see a lot of families out at some great community events here: the Halloween Fest, the Winter Fest, the Children’s Festival … you see all generations of families out together, from the elders down to the smallest children. One of the things I am always excited to see is children from diverse backgrounds who speak their language. Not just Indigenous languages, but all cultural groups. When they speak the language of their parents, I think that’s really exciting. You see that a lot here in Prince Rupert because there are many ethnicities represented here. continued on next page
summer 2016
Healthier You
23
“Play, play, play. Hold onto them as much as possible, which is what I do now.” – Duane Jackson
In your opinion, what small things do you do, that others can do, that may have big impacts in supporting healthy childhoods? I think it’s in doing things together – doing activities together – and getting kids off of the computer. Getting kids off of screens! We’re steadily raising a generation of young people that will not have the ability to communicate effectively and positively. There’s just no amount of emoticons that you are going to attach to a text message that are actually going to tell me how you feel. This is starting younger and younger. You can go to a restaurant and see a family of four where all four people are on screens, no one is having a conversation. At our table here at home, where we have dinner together every night, there are no phones. My phone goes away. I have that deal with my family – and we talk. At the table – no one is watching TV! These are the pieces – do things together, be involved, be supportive. And not just going out and watching your children do their activities. One of the most exciting things for me this year was having my daughter come and watch me coach basketball. She would come and watch my team play, and watch me coach.
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summer 2016
Bring your children with you into a social setting so that they can see how you are in that setting. All of us are different in our own homes than in a social setting. I think the secret is to get your children out with you in social events. Knowing what you know now – if you were to go back to those early years with your children – what would you try to do more of with them? Play, play, play. Hold onto them as much as possible, which is what I do now – even with the older boy and my 14-year-old. Squash ‘em, squash ‘em, squash ‘em as much as I can! And never show them anger. I can show them disappointment, I tell my children I can be disappointed with your decisions, but at no time, ever, are you a disappointment. If I were to go back, punishment would go out the door. I would go with restorative justice. I would walk, and talk, and teach and do nothing else but that. If I was to talk to a parent, or talk to myself when I was a new parent, I’d tell them just to love and give and respect your children unconditionally. To give them these three things throughout our lives together and expect nothing in return. That’s what I would do … and advise.
British Columbia
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aboriginalhealth
Featured Indigenous Language CULTURAL WELL-BEING IS FOUNDATIONAL TO HEALTHY WELL-BEING. Did you know... • Aboriginal peoples include three distinct populations: First Nations, Métis, and Inuit. • 30 per cent of the Aboriginal people in B.C. live within the Northern Health region. • Of the 300,000 people served by Northern Health, over 17 per cent are Aboriginal. • In the northwest, over 30 per cent of the population is Aboriginal. Celebrating culture, language, and traditional activities are key to healthy communities. Incorporating culture and language into activities and relationships leads to healthier, more resilient communities. In northern B.C., there is a great diversity of Aboriginal peoples, territories, languages, and cultures. This issue, we’re highlighting one of these languages – Nisga’a – spoken by the Nisga’a people who have four main villages along the Nass River: Gingolx, Laxgalts’ap, Gitlaxt’aamiks, and Gitwinksihlkw.
To learn more about Indigenous languages and to hear recordings of words, phrases, stories, and songs, visit: • FirstVoices.com • First Peoples’ Language Map of B.C. maps.fphlcc.ca • LearnMichif.com • Inuktitut Tusaalanga tusaalanga.ca/aboutinuktitut
NISGA’A Aam wilaa wilina? How are you doing? Naahl wanis? What is your name? T’ooyaḵsiy̓ n̓ iin! Thank you! N̓iiy̓hl silgidit. I am the oldest child. Ts’inin ii t’aan. Come in and sit down. Sim lip hugax̱as Danny wilaa jabihl nigwoott. Danny looks just like his father. Nits’iits’iy̓ t an siwilaay̓iniy̓. My grandmother was the one who taught me.
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summer 2016
physicalactivity
children’s
risky
Play As safe as necessary versus as safe as possible. Leading researchers are rethinking play. By Morgan Yates, RN and Dr. Mariana Brussoni UBC
There has been a lot of discussion recently about whether children are “bubble wrapped.” Some people talk about the idea of being as safe as possible, which tries to limit all the risks children may be exposed to. Yet there is increasing evidence that this can have negative impacts on children’s health and development. New recommendations suggest that children instead be kept as safe as necessary and that some risky play be allowed. What is risky play? Risky play can include activities like climbing trees, going exploring, or building a fort. Risky play is related to increased time spent playing with friends, better problem solving and physical development. Risky play can also allow children to challenge their own limits and learn skills by doing. Their play experiences can build their self-confidence, which encourages them to try other activities. Learning how to manage risk in childhood may also help develop risk management skills that children can use in many other lifelong situations. continued on next page
summer 2016
Healthier You
27
While risky play can sound dangerous, serious injuries are rare, and risky play is typically a safe activity. It’s been calculated that a child would have to play outside for three hours every day for about 10 years to play for enough hours to have one medically-treated injury. Even then, this injury would likely be minor with only short-term impacts. When preparing for risky play, it can be helpful to make a distinction between risk and hazard. Risk is a situation where children see and evaluate the challenge, such as riding a bike down a hill. Hazards are things that children may not identify, such as broken play equipment; or situations where children may not be able to manage the dangers, such as a strong current in a fast-moving river. In general, children are much more capable than we often give them credit for. Give your children the freedom to play and let them amaze you!
more information • ParticipACTION Report Cards have information on the importance of risk and outdoor play (participaction.com/report-card-2015) • “Playing, with fire: How much risk should we expose our kids to?” Interview with Dr. Brussoni in Maclean’s magazine (June 21, 2015)
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28 Healthier You
summer 2016
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Somewhere near Burnaby, Kim is wondering how Mom might adjust! Mom says she’s not slowing down any time soon. That’s why mom – and daughter – think RiverBend is a perfect choice. Mom likes that her new suite has two bedrooms. Kim likes the optional support services. Kim sleeps better knowing mom’s decided to live at RiverBend. And mom expects to sleep better too – after a night of salsa dancing in the RiverBend Room.
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foundationupdate
Maternity Modernization Project in Smithers By: Laurel Menzel Bulkley Valley Health Care & Hospital Foundation
Update from the Bulkley Valley Health Care & Hospital Foundation The Bulkley Valley District Hospital sees approximately 300 births per year. Through the Maternity Modernization Project, the Bulkley Valley Health Care & Hospital Foundation has ensured that these new moms and babies will benefit from private labourdelivery-recovery-postpartum rooms. When the Maternity Modernization Project was first suggested to the Foundation, it was an enormous undertaking for our small charity, which hadn’t even been fundraising in the Valley for three years at that point. But with a board of directors full of strong-minded professionals unlikely to turn down a challenge, we signed on and got to work! The foundation was extremely lucky to be selected as the recipient of proceeds from a wildly successful tournament hosted by the Smithers Celebrity Golf Committee. The proceeds from this event alone covered more than one third of the sticker price for the massive maternity renovation. A strong partnership exists between the hospital auxiliary and the foundation and, as such, the auxiliary offered to take on the cost of equipment for the new maternity rooms, donating $58,000
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to the project. It still boggles my mind that the full amount of the Maternity Modernization Project, $266,000, was raised in under one year! This project was clearly one that people were passionate about. With hospitals spread out in northern B.C., there will be a lot of babies who are going to get their start in this hospital – and we found a lot of generous people who care about giving them a good start! The previous maternity ward had one recovery room with four beds. If all four beds were occupied by new moms accompanied by a partner, a new baby, and potentially visiting family, getting some sleep and privacy to bond with their new little bundle could be tough. The Maternity Modernization Project boasts four private rooms which allow for labour, delivery, recovery and postpartum care all in the same place. One room even has a birthing tub! The drive and tenacity of the Bulkley Valley Health Care & Hospital Foundation, along with the passionate support of community partners, made this project a whopping success. I’m pleased to report that at the time of writing, work is one quarter finished, with completion expected this summer.
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