Aklavik Health Committee Aklavik H-Pylori Study Aklaviks Motto - - PowerPoint PPT Presentation

Aklavik H-Pylori Research and the Aklavik Health Committee Aklavik Health Committee Aklavik H-Pylori Study Aklavik’s Motto “NEVER SAY DIE”

History: Aklavik will be celebrating it 100 year Anniversary in 2010

Introduction

Health Committee Hamlet of Aklavik Aklavik Indian Band Aklavik Community Corporation

Re-established 2004 To address health concerns To build communications between Health Centre Staff and Community

CANHelp Working Group

• Canadian North Helicobacter pylori Working Group

– Est. 2006

• 3 goals

– Address community concerns – Recommend clinical management strategies – Reduce health risks

CANHelp Working Group

Aklavik Community Organizations Rachel Munday Nurse in Charge, Aklavik Health Centre Aklavik Health Committee Billy Archie, Arctic Health Research Network, Aklavik Chapter NWT Agencies Andre Corriveau Chief Medical Officer, Health and Social Services, NWT John Morse Medical Director, Stanton Territorial Health Authority Leah Seaman Beaufort-Delta Regional Health and Social Services Authority Susan Chatwood Director, Arctic Health Research Network Alberta Health Services Robert Bailey Director, Northern Health Services Network University of Alberta Principal Investigator: Karen Goodman Epidemiology Gastroenterology: Sander van Zanten, Justin Cheung Amy Morse, Richard Fedorak Microbiology: Monika Keelan, Joanne-Simala Grant Pathology: Safwat Girgis Anthropology: Christopher Fletcher Health Policy: Carl Phillips

Aklavik H. pylori Project

Participation

• Participants recruited: 368
• Clinical surveys completed: 339
• Individuals with breath test results: 313
• Aklavik residents appearing for endoscopy: 200
• Individuals from whom biopsies were obtained: 194
• Epidemiology surveys completed to date:

– Household: 94 – Individual: 167

Aklavik H. pylori Project

• H. pylori Prevalence
• Proportion positive on breath test
• 58% (182/313)

Disseminating updates on the number tested and community-wide prevalence during the testing period motivated others to participate

April/July 2008

Chronic Disorders

Aklavik-Population 634

• Recent number from Nurse-In-Charge
• these are the best figures I can come up with at the moment.
• We seem to have 90 people on our "constant monitoring" list. This is less than I previously said, because

we tried very hard to take off any "young people" and educate them to be responsible for their own health care without constant reminders of need to attend for blood pressure checks etc. Some children were also taken off as they are monitored through well-child clinic.

• Of course most chronic disorder clients have more than one disorder. For example all diabetics are

monitored for diabetes, heart disease, high blood pressure and high cholesterol, so the numbers below don't add up to 90

• Diabetics 22 - adding to this list about 2-3 a year since I have been here
• High blood pressure 16 (plus the 22 diabetics)
• Heart disease 10 (plus the 22 diabetics)
• Chest complaints 3 (but a lot more who are "self-monitoring" with chronic obstructive lung disease due to

smoking)

• High cholesterol 8 (plus 22 diabetics)
• Cancer survivors 13
• Other conditions include osteoarthritis, thyroid disorders, rheumatoid arthritis, systemic lupus

erythematosus, psoriasis, Parkinson's, seizure disorders, fetal alcohol syndrome.

Aklavik’s October 2009 Recycling depot summary

• Glass

279

• Aluminum

36,229 -90% pop cans approx.

• Plastic

2,885<1 litre - approx.5% water bottles

• Tetra Pak and Drink Pouch

652

• Gable Top

2,062

• Bi-Metal
• Glass
• *Aluminum*
• Plastic

756> 1litre

• Tetra Pak and Drink Pouch

106> 1 litre

• Gable Top

74> 1 litre

• Bi-Metal
• Bag-in-a-Box
• Glass - Refillable Bottle
• Glass - Non Refillable Bottle
• Aluminum
• Other Material
• Glass - Other Than Wine or Spirits
• Other Material - Other Than Wine or Spirits
• Any Material - Wine or Spirits

929

• Total units collected

43,972

Where do we go now?

• Surviallience?
• How do we monitor trends?
• Who will lead?
• How do we reduce cost for quality foods?

• Pinpoint Source-water quality
• Monitor Treatment/trends
• Education
• Relocate water treatment plant

Future Plans

Aklavik Community Economic Sustainable Development Plan Draft October 30, 2009 “Never Say Die”

Research Questions

• To address project goals, the following information is

needed for targeted communities:

– How widespread is the infection? – What environmental factors are associated with it? – What health problems result from it? – Who requires medical care related to it? – What are the best ways to treat it? – How can it be assessed in remote communities? – How can communities be protected from it? – How can communities understand the obstacles to finding and implementing effective solutions? – How can communities recognize benefits from research on community health problems that may be difficult to solve?