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Inuit Health Drive
Inuit Health Drive

According to Bhullar 2017, certain supplements are needed to restore Inuit back to health.
" Currently, the Nunavut’s Inuit population suffers from the severe deficiency of vitamins, minerals and dietary antioxidants including vitamins A, folic acid, C, D, E, riboflavin magnesium, fibre n-6 fatty acids, and calcium [6,7]."

"A randomized, double-blind, placebo-controlled trial of micronutrients (vitamins A, B-complex, C, E, and selenium) in TB-HIV co-infected Tanzanian patients showed that these micronutrients decreased the risk of TB recurrence by 45% overall" [1] (Bhullar 2017)

Conclusion: The lack of nutrition among Inuit leads to primary and recurrent TB infections. This commentary recognizes malnutrition and compromised nutritional status as a cardinal feature of TB epidemiology and strongly advocates the initiation of a program targeting this risk of TB.

In Canada, some of these supplements are available free-of-charge for residents. Usually an insurance card is needed (such as NIHB) and a doctor, who will send in the paperwork, and supplements are picked up at the pharmacy. A simple process.

What if more Inuit were able to take advantage of this system?

NIHB Drug Benefit List PDF published Oct 9, 2018:

CALCIUM, VITAMIN D p. 113
MAGNESIUM p 114
SELENIUM SULFIDE p 147 -cream
VITAMIN A p 150
ZINC OXIDE p 150 - cream

p 155 - Vitamins - Section 88
VITAMIN A 10,000IU CAPSULE - st
-VITAMIN B12 -tablet/inject
FOLIC ACID
NIACIN
PYRIDOXINE HYDROCHLORIDE (VITAMIN B6 )
THIAMINE HYDROCHLORIDE ( VITAMIN B1 )
ASCORBIC ACID (VITAMIN C)
VITAMIN D p 156
VITAMIN E p 157
VITAMIN K -emulsion
p 157 Multivitams, Prenancy, Postpartum
MULTIVITAMINS (PEDIATRIC) Limited use benefit (prior approval is not required). Pediatric multivitamins are benefits for children up to 11 years of age. ENFAMIL POLYVISOL MJO 450MG & 10MG & 30MG LIQUID ST JAMP VITAMIN A, D AND C JMP 2,500IU & 666.67IU & 50MG/ML LIQUID ST ENFAMIL TRIVISOL MJO PEDIAVIT EUR JUNIOR COMPLETE CENTRUM JUNIOR COMPLETE FLINTSTONES MULTIPLE VITAMINS PLUS IRON FLINTSTONES MULTIPLE VITAMINS WITH EXTRA C

MULTIVITAMINS (PRENATAL)
CENTRUM DHA
CENTRUM PRENATAL
NESTLÉ MATERNA
PRENATAL AND POSTPARTUM VITAMINS AND MINERALS
WAMPOLE COMPLETE MULT-PRE AND POST NATAL WITH FOLIC ACID

FOLIC ACID p 159
MULTIVITAMINS (PRENATAL)
MATERNA p 159
VITAMIN D p 159
VITAMIN E p 261
MULTIVITAMINS p 262, 263

ABIRATERONE ACETATE - p 286
ABIRATERONE ACETATE
Limited use benefit (prior approval required). Initial coverage criteria (Initial approval for 12 months) For the treatment of metastatic castration resistant prostate cancer patients (mCRPC) who are asymptomatic or mildly symptomatic after failure of androgen deprivation therapy (ADT) and who have not received prior chemotherapy if they meet the following criteria:
• Used in combination with prednisone; AND • Patient has an ECOG performance status of 0 or 1. For the treatment of metastatic castration resistant prostate cancer patients (mCRPC) who progressed on docetaxelbased chemotherapy if they meet the following criteria:
• Used in combination with prednisone; AND • Patient has an ECOG performance status ≤ 2; AND • Abiraterone is not used as an add-on therapy to enzalutamide (Xtandi); AND • Abiraterone has not been used in the pre-docetaxel setting.
Renewal coverage criteria (Renewal for 12 months)
There is no objective evidence of disease progression
250MG TABLET 02371065 ZYTIGA JSO
500MG TABLET 02457113 ZYTIGA JSO
More on Abiraterone Acetate

Related cancer treatment information:Salvestrol

donations

What to donate?

Donating the resources named above are an option - they are commonly found on the shelf in pharmacies and grocery stores. Doing this can help people who are still recovering from malnutrition and find it hard to make it to doctor's appointments until they get back on their feet and become healthy enough.

It can take several appointments to get all the nutrients prescribed as listed above. As well, there can be waiting periods because of paper work.

These are all barriers to getting nutrients to Inuit, and direct donations of these nutrients can sustain people until they defeat these barriers.

Here, nutritionally dense food options and their impact are also discussed.

left behind

People left behind in healthcare

Nunavut Health Care Plan
Eligible:
Permanent residents of Nunavut. A “permanent resident” of Nunavut is a person who has Nunavut as their primary place of residence
People holding an employment or student visa valid for one year or more. The visa must have a Nunavut address

Doctor Services Not Covered:
Prescription drugs

Hospital Services Covered
Drugs prescribed by a physician and administered in the hospital
Numbering 27,360, 2% of the Aboriginal identity population in Canada lived in Nunavut in 2011. They made up 86% of the total population of the territory. - Inuit: Fact Sheet for Nunavut

Non-status First Nation and Métis people do not receive any health care benefits from the federal government. -alberta healthcare

AFN update- healthcare

sponsors

Volunteers who provide when no one else does

care packages

Groups such as Feeding our Northern Neighbors on Facebook send care packages to people living in Northern Canada (Nunavut, Yukon, Northwest Territories).

The problem: shipping can take a long time and is expensive. food must be non-perishable, which usually means processed food with less nutrition than fresh food.

The solution: Include high-nutrition foods with little added ingredients. non-perishables that are healthy include:
-canned pumpkin
-boxes/cans of coconut cream
-canned oily fish: salmon, mackerel, sardines
-nori sea weed
-almond butter
-ghee


Canned pumpkin is one of the few foods that doesn't lose nutrition during the canning process. It has more vitamin A than almost any other vegetable, often 8,000 - 10,000 IU. to get more than that, you would have to eat a Polar Bear liver, or a seal's eye, which contain 40,000 IU and 10,000 IU respectively. (see healthy food list)

coconut cream is a natural and healthy sweetener. often used to make ketogenic desserts. high in healthy fats, and increases thermogenesis, the optimal rate at which the human body burns calories.
The other thing that promotes healthy weightloss is chilis, which is optimal when eaten with coconut oil. nori is a vegetable. and goes well with muktuk and soy sauce.

the considerations for trans shipment of food to the arctic are simply: W = weight of the shipment C = cost per mile, N = number of miles and we propose that nutrition density (ND) be included in this formula. on a scale of nutritionally dense , or 1, (superfoods ) - to 10 (junk food), not nutritionally dense. so instead of the shipment cost being C x M instead it would be C x M x ND. we defein superfood as any food that contains in a normal serving size, a nutrient equal to the RDA amount or greater. brazil nuts, blueberries, liver.

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