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The Silent Killer – New Heart & Stroke survey reveals more needs to be done to tackle “silent killer”

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BY SIMONE J. SMITH

As you read this today, I want you to take a moment to reflect on some questions; how much has your life changed since the start of the pandemic? How have your views on health changed? Is catching COVID-19 one of your top health concerns? Have you taken the time to make an appointment with your doctor? Have you noticed any other health declines?

What the pandemic has done is push to the backseat many of the serious health concerns that currently plague Canadians, and more specifically African-Caribbeans. The danger of this is that a serious health concern continues to be ignored, and it is the cause of mass hospitalization, and even more detrimental, death.

In an article titled, “Disparities in hypertension among black Caribbean populations: a scoping review by the U.S. Caribbean Alliance for Health Disparities Research Group (USCAHDR),”, a total of 455 hypertension related records, published between 1972 and 2012, were identified and screened. Overall, studies reported a higher prevalence of hypertension among Caribbean Blacks compared to West African Blacks and Caucasians. Hypertension and its related complications were highest in persons with low socioeconomic status.

Last week I received a media advisory from the Heart & Stroke Foundation reporting an increase in rates of high blood pressure (hypertension) and associated risks. These risks are a significant concern according to a new national Heart & Stroke survey of almost 1,000 health experts across the country. The health community identified lack of awareness, prevention, detection and treatment –made worse by the pandemic – as essential areas for improvement to address hypertension.

Almost eight million adults in Canada are affected by high blood pressure (about one in four). This number rises as the population ages, but at the same time, more people are being diagnosed at an earlier age. It also comes with a hefty price tag, as the annual cost associated with high blood pressure is $13.9 billion.

According to the survey, 8 in 10 health professionals are worried about high blood pressure in Canada as it is the number one risk factor for stroke and a major risk factor for heart disease. More than 7 in 10 health professionals worry that people do not understand what the condition is, or the risks associated with it. Additionally, more than 7 in 10 health professionals expressed concern that people do not realize when they develop high blood pressure because there are usually no warning signs – in fact it is often referred to as the “silent killer.”

“Hypertension is like an on-ramp to stroke and heart disease, so we have a tremendous opportunity here to catch people before they are too far down that road by raising awareness, supporting prevention, and improving access to screening and management,” says Dr. Patrice Lindsay (Director Health Systems, Heart & Stroke). “If we can prevent high blood pressure or manage it through changes to lifestyle and medication, we can dramatically reduce stroke and heart disease.”

Canada used to be a leader in hypertension awareness, treatment and control, but unfortunately there has been a decline in these statistics over the last 10 years, especially for women.

The respondents to their survey acknowledged this trend: 7 in 10 identified a lack of high blood pressure screening practices and 6 in 10 noted inadequate treatment and control as areas of concern. Further, 7  in 10 health professionals are worried that the people at highest risk for high blood pressure are often those who face inequities, including barriers to treatment and support.

More than 7  in 10 health professionals are worried that people do not realize when they develop high blood pressure because there are usually no warning signs, and that they do not understand what it is or the risks associated with it. Disturbingly, this awareness is lowest among younger adults.

The survey revealed that disruptions to people’s lives, including their ability to access health care during the pandemic, impacted their blood pressure, and put them at an even higher risk.

More than 8  in 10 health professionals believe lifestyle risk factors (eg, lack of physical activity, unhealthy diet, not managing stress) that negatively affect blood pressure increased due to the pandemic, and more than 6  in 10 believe equity-deserving (marginalized) groups are facing an even greater increase.

Eight in 10 health professionals are afraid there has been an increase in undiagnosed new cases and that more people with existing high blood pressure have not been adequately managing and controlling their condition due to the pandemic; this is not surprising due to the documented decrease in doctor visits.

Over half of health professionals are concerned that more people have developed high blood pressure than would have normally been the case during the pandemic due to: increased lifestyle risk factors, lack of regular in-person check-ups, increase in stress and inability to prioritize existing health conditions due to other challenges and concerns.

What needs to be understood here is that high blood pressure can be better prevented, detected and controlled in Canada, yet not enough is being done. The improvements that can be made include: better awareness and education, ensuring access to regular care and follow up with health professionals, more routine blood pressure screening in the community, better prevention, and addressing the social determinants of health.

I learned that there are not enough services and supports in place to detect, monitor and manage blood pressure in Canada. Seven in 10 health professionals are worried about the lack of high blood pressure screening practices, and 6 in 10 health professionals are worried that high blood pressure is not being adequately treated and controlled.

The Heart & Stroke Foundation is working actively: funding research, raising awareness, providing information and resources to support people to know and control their blood pressure, advocating for and supporting change across health systems, and working in partnerships across the country with key stakeholders such as Hypertension Canada.

The health professionals surveyed identified several key areas to best support people who have, or are at risk of developing high blood pressure:

  • Ensure access to regular care and follow-up with health professionals
  • Ensure access to routine blood pressure screening in the community and/or by primary care including pharmacists and community para-medicine
  • Address the social determinants of health (e.g., education, literacy, income, shelter, social supports, access to nutritious foods and physical activity)
  • Increase public awareness of the importance of monitoring blood pressure
  • Ensure access to culturally safe and appropriate lifestyle modification programs and supports
  • Ensure universal access to medication, including high blood pressure medications

I want to note here before we close that the responsibility does not only lie on our health professionals; YOU have to start to actively take care of your health. Here are actions everyone can take to prevent and manage high blood pressure:

  • Know your numbers – check or get your blood pressure checked regularly
  • If you are diagnosed with high blood pressure and prescribed medication, take them as prescribed
  • Be active for at least 150 minutes per week
  • Eat as healthy as possible including lots of vegetables and fruit, whole grains and protein foods
  • Limit highly processed foods and avoid sugary drinks
  • Be smoke-free.
  • If you drink alcohol, limit yourself to small amounts
  • Manage your stress (This last one is of the most importance)

We are not out of the woods yet community; yes, COVID-19 might be under control, but a silent killer lurks, and we need to stay aware, stay active, and stay alive!

We, as humans are guaranteed certain things in life: stressors, taxes, bills and death are the first thoughts that pop to mind. It is not uncommon that many people find a hard time dealing with these daily life stressors, and at times will find themselves losing control over their lives. Simone Jennifer Smith’s great passion is using the gifts that have been given to her, to help educate her clients on how to live meaningful lives. The Hear to Help Team consists of powerfully motivated individuals, who like Simone, see that there is a need in this world; a need for real connection. As the founder and Director of Hear 2 Help, Simone leads a team that goes out into the community day to day, servicing families with their educational, legal and mental health needs.Her dedication shows in her Toronto Caribbean newspaper articles, and in her role as a host on the TCN TV Network.

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Urban Alliance on Race Relations celebrates and highlights Racial Justice Award recipients

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BY PAUL JUNOR

It has been almost 40 years since the Urban Alliance on Race Relations (UARR) has been at the forefront of: promoting tolerance, social justice, racial equity and fairness. Since it was formed in 1975, they have celebrated and recognized changemakers in the fight for racial justice in diverse sectors such as: health, labour, government, education, arts, media, environment, and justice.

On Saturday, December 7th, 2024, there was a great turnout at the 2024 Racial Justice Awards Night held at The Estate Banquet & Event Centre in Scarborough. In attendance were many community supporters, civic officials, long-time racial justice warriors, and individuals from diverse ethnic groups.

UARR is grateful for all the sponsors of the Racial Justice Awards Night Celebration. It notes in its email to its supporters on Tuesday, December 3rd, 2024, the importance of its sponsors including:

  • United Food and Commercial Workers (UFCW) of Canada, UFCW, Local 175
  • The International Brotherhood of Electrical Workers (IBEW) Local 353
  • Unite Here! Local 75
  • Toronto & York Region Labour Council
  • Canadian Labour Congress
  • The Coalitions of Black Trade Union (CBTUL)

“Your sponsorship plays a vital role in shining a light on individuals and organizations driving equity, justice, and change in our communities. This celebration is more than an event, it’s a movement. Thanks to your support, we’re: honoring changemakers, amplifying unheard voices, and funding initiatives that break down systemic barriers.”

The categories and names of the awards and recipients were:

Racial Justice in Arts: Hannia Cheng

She is an artist and cultural worker who co-founded Unit 270, a DIY gallery and multi-purpose grassroots community hub in Chinatown Centre.

Racial Justice in Labour: Vanessa Story

She is the founder of the Black Youth York Region and co-founder of the York Communities for Public Education coalition.

Racial Justice in Education: Shannon Simpson

She is Senior Director of Indigenous Initiatives at the University of Toronto.

Racial Justice in Environment: Dr. Ingrid Waldron

She is a Professor and HOPE Chair in Peace and Health in the Global and Peace and Social Justice Program in the Faculty of Humanities at McMaster University.

Urban Alliance of Race Relations Agent of Change Award: Kirk Mark

He is the Equity, Diversity and Inclusive Consultant at KIRK Mark & Associates.

Racial Justice in Media: Amanda Parris

She is an award-winning writer, tv host and producer, and former host of CBC Arts Exhibitionist.

Racial Justice in Health: Camille Orridge

She is former CEO of the Toronto Central Local Health Integration Network (TCLHIN).

Racial Justice in Government: Amira Elghawaby

She is a journalist and human rights advocate who was appointed in January 2023 as Canada’s Special Representative on Combating Islamophobia.

Racial Justice in Justice: South Asian Legal Clinic of Ontario (SALC0)

This legal clinic supports low-income South Asian people in Canada.

The funds raised from the Awards night will be going toward the work of the Diversity Youth Fellowship Program. This innovative and creative program is directly involved in enabling racialized youth to get paid experience working in municipal governments and at various public policy making organizations across Canada.

The performers at the event included: Katheen Zaragosa (a Filipino music performer), Rithika Jeristus & Maya Jeristus (Bharatanatyam dancers) and Yasmin Said (spoken word artist)

UARR is looking forward to its 50th anniversary celebrations in 2025 and shared five of its strategic priorities for the next 10 years including:

  • Employment and economic opportunity: The goal is to foster inclusive workspaces and economic opportunities.
  • Education: The goal is to promote racial equity in education and research.
  • Communication: The goal is to expand public awareness and reach to amplify our stories.
  • Community engagement and outreach: The goal is building community capacity and convening towards change.
  • Truth and reconciliation-relationship building and supporting calls to action. The goal is to strengthen our solidarity and action towards truth and reconciliation.

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What is it about those short videos that keep us captivated? Oh! Yes! Our short attention span

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BY KAHA GEDI

As our attention spans decrease, short form videos are becoming more popular. From TikTok, to YouTube Shorts, to Instagram Reels, these “snack sized” videos have positive qualities alongside the bad. Mainly we want to know what makes them so effective, and why are they becoming the go-to choice for both viewers and marketers? In this article, I will be discussing how these videos have received such popularity worldwide.

First, we need to understand what counts as and what is short-form content. According to blog.hubspot.com, “Short-form videos are videos that are less than 60 seconds long.” However, some marketers and content creators agree that short-form videos can be up to 3 minutes. “They are videos that deliver information in a ‘digestible’ format so that viewers can quickly watch and save content if they’re in a hurry or enjoy it.” Now, I’ll talk about the main reasons why these videos are so popular.

First, our attention spans have gone down exponentially. Dr Gloria Mark has written a book called “Attention Span,” and she says her research indicates people’s attention spans have been shrinking over the last 20 years. According to the same article Dr. Mark said that “Back in 2004, we found the average attention span on any screen to be two and a half minutes on average. Throughout the years, it became shorter. So, around 2012, we found it to be 75 seconds. Then in the last five, six years, we found it to average about 47 seconds.” So, it’s notable that our attention spans started out longer but then decreased over time.

Secondly, these videos have become cheaper and easier to make. Unlike long-form videos, which require extensive: planning, editing, and storytelling, short-form videos are simpler. To the point where they can even be shot on a smartphone. For example, DuoLingo, the app that helps learn new languages, went viral on TikTok a long time ago by posting funny, low-budget videos that resonate with millions. Like a video of a DuoLingo plus being: tossed down the stairs, sitting outside on a rainy day, or being soaked by the shower with the title “When you ignore my notifications.”

Lastly, they provide valuable information in a short amount of time, and they are easily accessible. According to a recent Adobe Survey, two in five Americans use TikTok as a search engine, and nearly one in 10 Gen Zeers are more likely to rely on TikTok than Google as a search engine. This isn’t always reliable for real news because anyone can claim to be an expert, and you wouldn’t know if they’re telling the truth. So, even though they give valuable information in a short time, they can also give misinformation or mislead you.

Short-form videos have changed how we watch and learn things. They fit our short attention spans, are easy to make, and share information quickly. Even though they’re fun and helpful, they can also spread false information or leave out important details. Even with these problems, short-form videos are here to stay, so we should use them in proportion, but also enjoy the benefits.

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Dr. Edward McInnis on the Importance of Preventive Care in Family Medicine

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Photo by National Cancer Institute on Unsplash

Preventive care is a cornerstone of modern healthcare, emphasizing the importance of addressing potential health concerns before they escalate into severe conditions. By focusing on proactive measures such as regular screenings, vaccinations, and lifestyle counseling, preventive care offers individuals and communities the opportunity to achieve long-term wellness.

Below, Edward McInnis highlights the transformative potential of prevention in reducing healthcare disparities, alleviating systemic challenges, and ensuring that every individual has the tools and access needed to lead a healthier life.

Understanding Preventive Care in Family Medicine

Preventive care in family medicine focuses on proactive measures to maintain health and prevent illness before it occurs. This approach emphasizes regular health evaluations, screenings, and interventions that identify potential issues early, reducing the likelihood of severe complications. Preventive care fosters long-term well-being by addressing risk factors and promoting healthier lifestyles while minimizing the burden of chronic diseases.

The philosophy behind preventive care aligns with the idea that staying healthy is more effective and less costly than treating illnesses after they arise. Early detection of conditions such as hypertension or high cholesterol allows patients and physicians to manage these issues effectively, preventing them from escalating into more severe health problems. Beyond individual benefits, this care model contributes to healthier communities by reducing the overall demand for healthcare systems.

Benefits of Preventive Care for Individuals and Communities

Preventive care profoundly impacts individuals and the broader community by addressing potential health concerns before they evolve into severe conditions. Early detection through routine screenings can significantly lower the risk of chronic illnesses such as diabetes, heart disease, and certain cancers. This improves individual health outcomes and reduces the emotional and financial toll of managing advanced diseases.

Communities prioritizing preventive care experience a ripple effect of healthier populations and reduced strain on healthcare resources. When more people engage in regular check-ups and adopt healthier habits, the prevalence of preventable conditions drops, creating a collective benefit. Individuals who invest in their health through preventive measures often enjoy longer, more active lives, positively influencing families, workplaces, and society.

The economic advantages of preventive care are undeniable, as early intervention typically costs far less than treating advanced illnesses. Vaccination programs, such as those targeting seasonal flu or childhood diseases, can drastically curb outbreaks, saving lives and reducing medical expenses. These benefits demonstrate how preventive care is a cornerstone of sustainable and effective healthcare systems.

Core Preventive Services in Family Medicine

Family medicine emphasizes various preventive services designed to address health needs across all stages of life. Regular health screenings, such as blood pressure and cholesterol checks, are critical in identifying silent health risks. These assessments provide actionable insights that allow individuals to make timely adjustments to their lifestyles or begin treatment when necessary.

Vaccinations are another cornerstone of preventive care, protecting individuals and communities from infectious diseases. From childhood immunizations to seasonal flu shots, these interventions safeguard personal health and prevent the spread of illnesses within larger populations. Counseling services, including guidance on nutrition, exercise, and stress management, empower patients to take an active role in their long-term well-being.

The Role of Family Physicians in Prevention

Family physicians play a pivotal role in fostering preventive care through their ability to build lasting, trust-based relationships with patients. These relationships enable them to understand not just medical histories but also lifestyle factors, family dynamics, and social determinants of health. This comprehensive knowledge allows physicians to craft personalized preventive strategies that resonate with each patient’s unique circumstances, ensuring a more practical approach to maintaining health.

Beyond individual care, family physicians act as educators, equipping patients with the knowledge to make informed health decisions. Whether discussing the significance of regular screenings or addressing misconceptions about vaccines, their guidance helps patients take ownership of their health.

The continuity of care provided by family physicians also ensures that preventive measures are consistently monitored and adjusted as needed, fostering long-term well-being. Their ability to provide holistic and deeply personalized care sets the foundation for healthier patients and communities.

Challenges in Accessing Preventive Care

Despite its proven benefits, accessing preventive care remains challenging for many individuals and communities. Financial barriers, such as lack of insurance coverage or high out-of-pocket costs, often deter people from seeking preventive services. Additionally, limited awareness about the importance of early detection and health promotion means that some individuals may only prioritize preventive care once a health issue becomes severe.

Geographical disparities also play a significant role in limiting access. Rural and underserved areas frequently face shortages of healthcare providers, making it difficult for residents to receive consistent preventive services. In such regions, innovative approaches like mobile health clinics and telemedicine have emerged as solutions to bridge the gap. Expanding these efforts could help overcome logistical obstacles and ensure that preventive care reaches those most in need.

Cultural factors and mistrust of the healthcare system can further complicate access to preventive services. Addressing these challenges requires a multifaceted approach that includes community engagement, culturally sensitive care, and efforts to build trust between healthcare providers and patients. Strengthening health literacy and facilitating dialogue between healthcare institutions and the communities they serve are also critical steps in overcoming these barriers.

Promoting and Advancing Preventive Care

Advancing preventive care depends on raising awareness and fostering a culture that values proactive health management. Educational campaigns, workplace wellness programs, and school-based health initiatives encourage people to adopt preventive practices. These efforts create an environment where individuals feel empowered to prioritize their well-being, leading to healthier lifestyles and earlier intervention.

The integration of technology is revolutionizing how preventive care is delivered. Wearable devices that track physical activity, heart rate, and sleep patterns provide individuals with real-time data about their health, prompting timely action when irregularities arise. Similarly, data analytics and predictive tools enable healthcare providers to identify at-risk populations and deliver targeted interventions, improving outcomes on a broader scale.

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