Make Green Your Favourite Colour! Start Your “Bran” New Day Get your greens with this easy recipe. Try this delicious and fibre-rich recipe. By Jennifer Schneider, RD, MPH Beans and greens bruschetta By Katie (Kit Ting) Lam, RD he markets and grocery stores are once again bursting with beautiful dark leafy green vegetables such as kale, spinach, arugula, bok choy, collard greens, dandelion greens, mustard greens, rapini, Swiss chard and turnip greens. Makes 4 servings he bran is the outermost layer of the grain. It contains a lot of “great stuff” including fibre, B vitamins, minerals and a small amount of protein. On average, adults need about 25–38 g of fibre a day and crushing bran cereals to add to muffins, breads, waffles and pancakes can help you add fibre to your diet. Each muffin in this recipe contains about 5 g of fibre. Why not make the muffins in advance and heat them up for breakfast to kick-start your day? They’re easy to take to work and pack for children’s snacks. This recipe was featured in the From Theory to the Kitchen cooking workshop that took place in January 2015. Everyone loved them! T T Ingredients: 2 Tbsp olive oil 2 cloves garlic, thinly sliced ½ tsp crushed red pepper flakes 2 canswhite kidney beans, drained and rinsed 1 bunch kale (or other dark leafy green), ribs removed, leaves torn into bite-size pieces ½ cup low-sodium vegetable or chicken broth 1 Tbsp fresh lemon juice to taste salt and pepper Canada’s Food Guide recommends that you eat one dark green vegetable every day. Greens are nutrient-dense with folate, vitamin A, vitamin K, vitamin C and calcium. They are also high in fibre. Greens are quick and easy to prepare. Try adding them to sauces, salads, stir-fries, soups, stews, eggs and sandwiches. To make it easier to use your green leafy Directions: vegetables, rinse them in a colander, drain (or use a salad spinner) and pat dry with 1. Heat a large skillet to medium-high and heat oil in skillet. Add garlic and a paper towel or clean tea towel as soon red pepper flakes and cook, stirring, as you bring them home. Store in clean until fragrant, about 30 seconds. paper towels or a tea towel in a sealed plastic bag in the fridge. 2. Add beans and cook, stirring occasionally, until beginning to blister, about The following recipe is tasty, inexpensive three minutes. Using a spoon, lightly and nutritious and works with any type mash about half of the beans. Add of dark leafy green. The white kidney kale and broth and cook, tossing often, beans (also called cannellini beans) add until kale is wilted and bright in colour, cholesterol-lowering fibre plus protein, about two minutes. Add lemon juice; folate, potassium and iron. Overall, season with salt and pepper. this easy meal or snack is good 3. Serve beans and greens for your heart, bones and eyes. mixture over toast. Enjoy! Our Locations Steeles Ave W Dufferin St Lawrence Heights 12 Flemington Road Toronto, ON M6A 2N4 Phone: 416-787-1661 Finch Ave W Keele-Rogers Sheppard Ave W Bathurst St Keele St 1651 Keele Street Toronto, ON M6M 3W2 Phone: 416-653-5400 400 Bathurst-Finch Wilson Ave Jane St 401 540 Finch Avenue West Toronto, ON M2R 1N7 Phone: 647-436-0385 Jane-Trethewey JT PE LH Lawrence Ave W Hum ber Allen Rd Dufferin St Eglinton Ave W r KR Dund Caledonia Rd y Dr Pathways to Education TM e Riv the we Keele St Tre d nR sto We 1541 Jane Street Toronto, ON M9N 2R3 Phone: 416-645-7575 Rogers Rd St Clair Ave W as St Runnymede Rd Lawrence Square 700 Lawrence Avenue West, Suite 440B Toronto, ON M6A 3B4 Phone: 416-787-6800 BF W Annette St Bloor St W Unison VOICE is a publication of Unison Health and Community Services, 12 Flemington Road, Toronto, ON M6A 2N4, 416-787-1661 © 2015 by Unison Health and Community Services. Editor: Ana Garcia, [email protected] Layout: Pass It On Communications Inc., www.passiton.ca Unison VOICE FALL 2015/WINTER 2016 Health & Community Services ....................................... Engage. Empower. Enhance. Carrot bran muffins Makes 12 servings. Preparation time: 40 minutes. Ingredients: 2 eggs 1 cup carrots, grated 1 ¼ cup whole wheat flour 1 ¼ cup high-fibre bran cereal ⅓ cupbrown sugar or brown Splenda ¾ cup buttermilk ¼ cup vegetable oil ½ cup raisins or dried cranberries 1 tsp baking powder 1 tsp baking soda 1 tsp ground cinnamon ½ tsp ground nutmeg ½ tsp salt Directions: 1. Preheat oven to 400°F (200°C). 2. Place cereal in a resalable sandwich bag and slightly crush it up. 3. In a large bowl, combine flour, crushed cereal, baking powder, baking soda, cinnamon, nutmeg and salt. 4. In a separate bowl, beat eggs thoroughly. Blend in carrots, buttermilk, brown sugar and vegetable oil. Add to dry ingredients, stirring just until moistened. Stir in raisins. 5. Spoon batter into greased or paper-lined muffin cups, filling about three-quarters full. Bake in preheated oven for about 20 mins. 6. Insert a toothpick into the centre of the muffin and muffin is ready when the toothpick comes out clean. Adapted from: Rose, R. (2001). Dietitians of Canada Cook Great Food (p. 25). Toronto: Robert Rose. On the Road and Going Strong! A successful initiative between community partners brings mobile health clinics to our neighbourhoods. By Ayesha Adhami and Anna Cioffi he Immigrant Women’s Health Centre (IWHC) is an independent sexual health clinic funded by the City of Toronto through Toronto Public Health. For 40 years, IWHC has been providing confidential, culturally sensitive and language-accessible sexual health clinical services, counselling and support services to women across the City of Toronto. We serve our clients in multiples languages and cultural communities with all female Centre staff and medical service providers. IWHC encourages and empowers clients to be well-informed about their sexual healthcare needs and choices, and supports them by providing a variety of clinical services, counselling, information, education and outreach. IWHC’s services include: STI testing and treatment • family planning such as pregnancy tests, birth control counselling, contraceptive prescriptions and sales, and IUD-related services • birth control and IUDs sold at lower cost • Pap testing, hepatitis B testing and vaccinations • Mobile Health Clinic (MHC) Unison Health and Community Services will be closed: In the 1980s, IWHC partnered with Toronto Public Health on a pilot project to bring sexual health services to women where they work – at the time, it was primarily garment factory workers in the clothing factories around Spadina Avenue. Stay in touch with Unison! • Check our website at www.unisonhcs.org. • Get on our mailing list. Email Ana Garcia, Executive Assistant, at [email protected]. • Follow us on Twitter @UnisonHCS • Become our fan on Facebook at www.facebook.com/UnisonHCS. • Call us or drop by one of our locations. Engage. Empower. Enhance. ........................................ www.unisonhcs.org Mobile Health Clinic (MHC) services include: Are You Looking to Sponsor Your Spouse? New Members Wanted! ABOVE: The Mobile Health Clinic. LEFT: From left to right: Ana Sanchez, Community Health Promoter; Anna Cioffi, Mobile Clinic Coordinator; Dr. Erin Johnston, MHC doctor; Cam Tran, Chinese Counsellor and member of IWHC’s Management Team. Three key reasons why this partnership is successful: 1. Mobility: Both programs are mobile! In order to make the services accessible and available both program travel to where the community congregates. 2. Target populations: The MHC targets immigrant women and provides services in different languages. The DPP targets immigrant populations (men and women alike), particularly those from the East African, Caribbean and Latin America. 3. Outreach strategies: Both agencies have a wealth of contacts that they share to better serve their communities. The partnership between Unison’s DPP and IWHC may be new and exciting, but the MHC has been serving clients in the Lawrence Heights area for over a decade through partner organizations such as North York Community House and Voces Latinas. IWHC has always found a strong connection to this diverse and Partnership: Unison and MHC welcoming community and looks forward to an ongoing In the past two years, MHC has develop a strong part- and dynamic partnership with Unison to provide even nership with Unison’s Diabetes Prevention Program more services to clients in the Lawrence Heights area. (DPP). You may be wondering: How do a diabetes prevention program and a sexual health program come For more information, contact the Mobile Health together to serve an immigrant community? Easy! Clinic Coordinator, Anna Cioffi, 416-323-9986 ext 27, Together they provide accessible services to see a doctor or the Diabetes Prevention Program, 416-787-1676 ext and a registered dietitian on the spot. In addition, the 235. Learn more about the MHC at immigranthealth. DPP refers participants to family doctors, community info/?page_id=12. IWHC is located at 489 College programs (such as diabetes education programs) and Street, Suite 200 (Bathurst and College) in downtown Toronto. Services are free; IWHC serves OHIP and other Unison services. non-OHIP clients. STI testing and treatment • family planning such as pregnancy tests, birth control counselling, contraceptive prescriptions • Pap testing • The Diabetes Exercise Education Program Unison Snapshot: Legal Clinic T DATES TO REMEMBER Monday, October 12, 2015 Thanksgiving Friday, December 25, 2015 Christmas Day Friday, January 1, 2016 New Year’s Day Monday, February 15, 2016 Family Day Friday, March 25, 2016 Good Friday ALSO IN THIS ISSUE: Flu Season is Coming: Will You Get Your Flu Shot? Introducing the Urban Health Team The Tick-Tock Group Thriving on Interdisciplinary Work Healthy Recipe: Make Green Your Favourite Colour! Healthy Recipe: Start Your “Bran” New Day Dates to Remember Check our most recent program calendar, or www.unisonhcs.org for information on all our current programs and services. The Diabetes Exercise Education Program Improve your quality of life! Coming soon to two more Unison locations. By Pallavi Kashyap and Cheryl Bamford hysical activity is necessary for health, prevention of disease and reduction of disease burden. Specifically for individuals with diabetes there are multiple benefits, such as: increased fitness, decreased body fat, regulated blood glucose, decreased blood pressure and improved quality of life. The current science is clear about the benefits of exercise and Health Canada recommends a minimum of 30 minutes of moderate physical activity during most days of the week. P Cheryl Bamford, our registered kinesiologist, is an expert in exercise and the body’s motion, and can help you move better, live longer and be healthier. She will be applying the latest evidenced-based research to help people living with diabetes and those with pre-diabetes enhance their quality of life through the promotion of physical activity. Cheryl hopes to be able to provide better care and services to clients who are pre-diabetic or are living with type 2 diabetes through the provision of an individual physical assessment and group exercise programs at all four Unison locations. We have completed two sessions of the 12-week program at the Bathurst-Finch and Keele-Rogers sites, and are in the process of conducting kinesiology diabetes exercise education program intakes and are taking on Jane-Trethewey and Lawrence Heights clients that meet the following criteria: 1. must have diagnosis of pre-diabetes or diabetes 2. are not meeting the current exercise guidelines and want to start exercising For further information on the upcoming Diabetes Exercise Program please call Cheryl Bamford at 416-653-5400 ext 1398 or connect with her via email at [email protected]. Unison Snapshot: Legal Clinic A successful resolution to a landlord-tenant issue. By Vinay Jain client was being taken to the Landlord and Tenant Board for eviction for arrears, despite the fact that the tenant stated that he had given proper notice to the landlord. At the hearing, the landlord did not show up and the eviction application was dismissed. At a later point, the client was applying for a job for which he required a clean credit record. The client applied and was turned down solely because the landlord had reported the “unpaid” rent as a debt to Equifax. At this point the client contacted us. On his behalf, we attempted to resolve the matter with Equifax through their dispute resolution process — to no avail. We then filed a claim at Small Claims Court against both the landlord and Equifax. We were then able to come to a settlement which amounted to a cash award and removal of the “unpaid” debt from Equifax. A Are You Looking to Sponsor Your Spouse? any of our clients come to us for advice or assistance with matters related to sponsorship. They want to sponsor their spouses, children or parents. There are many laws and rules related to sponsorship of family members. In this article we will deal with the issue of sponsoring spouses who are living overseas, and provide basic information about the application and process. M You can apply to sponsor your spouse who is living overseas if you are 18 years old or older and are a permanent resident or Canadian citizen. Your spouse can be someone you are legally married to, are in a common-law relationship with, or in a conjugal relationship with. There are different ways to show that you meet one of these categories; if you are uncertain if your relationship would be considered common law or conjugal it is a good idea to get legal advice. Citizenship and Immigration Canada will review your completed application in two steps. The first step will be to check that you and your spouse are eligible to be sponsored. They want to see that the marriage is genuine and has not been entered into for the purpose of coming to Canada. If you meet all of the criteria to be a sponsor and your spouse is eligible to be sponsored, your application will move into the second stage. At the second stage, Citizenship and Immigration Canada will be checking to see that your spouse is admissible to come to Canada and you are admissible to sponsor. They will look at your spouse’s health and criminal history. They will look at your financial circumstances. If you meet these criteria then you will be informed that your spouse can come to Canada and become a permanent resident. You can look online at cic.gc.ca for information about processing times for applications from your spouse’s country of origin. When you complete your application you will be required to sign an undertaking to financially support your spouse for three years. This means you must ensure your spouse has housing, clothing, food and money to pay for necessary items. If you are unable to support your spouse during this period of time, and your spouse applies for Ontario Works or Ontario Disability Support Program benefits, the government may take steps to have you pay them back. In the past, when a spouse arrived in Canada he or she automatically became a permanent resident. In 2012, the government introduced conditional permanent resident status. If your spouse has been in a relationship with you for two years or fewer, and you have no children together at the time of submitting the application, your spouse will be given conditional permanent resident status. This means that you and your spouse must live together for two years from the date of your spouse becoming a permanent resident. If you do not live together as spouses, your spouse’s status in Canada can be revoked. There are exceptions to this rule in cases where the sponsor dies, or if a sponsored spouse is being abused or neglected. Please get legal advice if you need help due to domestic violence. I hope this information is helpful. Please contact us at 416-653-5400 ext 1244 for more information or advice. The influenza vaccine is the best way to protect yourself and others from getting this flu. By Barbara Lupu I nfluenza (the flu) is a respiratory infection caused by the Influenza A and B Viruses. Influenza is easily spread by direct contact or air borne droplets during breathing, talking, sneezing, or coughing. Most people will recover within a week to 10 days. Each year in Canada approximately 12,200 people are hospitalized and 3,500 die due to influenza and its complications. Getting a flu shot is the best way to protect yourself and others from getting influenza. Each year the vaccine is updated to include the current type (strains) of influenza virus. That is why you need a flu vaccine each year. For healthy adults and children flu shots are about 60% effective in preventing you from getting the flu. In the elderly, the vaccine is less effective but will still decrease the symptoms of the flu. Children from six months to nine years old who get the flu shot for the first time need two doses given four weeks apart. The flu vaccine is safe, and well tolerated. You may have soreness at the injection site that can last up to two days. Children may get a fever after vaccination. Severe side effects and allergic reactions are rare. Detailed information is available from your health-care provider. You cannot get influenza from the vaccine as it contains no live virus. Other ways to prevent influenza is regular hand washing, and covering your mouth when you cough and sneeze. It is best to stay home and rest when you are not well. New Members Wanted! You are invited to become a member of Unison Health and Community Services. Here are some of the benefits and privileges of membership: • Members have the right to vote at our annual general meeting. • Members receive regular updates about our programs and services. • Membership is a great way to help strengthen your community. • I t’s a great way to connect with others in your community. • Bonus: New members receive a free Unison t-shirt! Sign up or renew your membership today! Get a membership form from the front desk at any Unison site, download it from our website at unisonhcs.org or call Ana Garcia at 416-787-1676 ext 257. ick-Tock, our resident-led group, is a safe place for the women of our neighborhood to come together to share experiences and activities. Our members are women from different countries and cultures with a wonderful spirit for life. Through their generosity, Unison’s Bathurst-Finch Hub affords us an opportunity to explore the different dimensions affecting our lives as women, both within the neighborhood, and within the City of Toronto. At the same time, we are interested in examining our roots and the traditions which have helped to make us into the people we are. T Representatives have kindly accepted to come and inform us on various topics and we are always open to new presenters. A few examples of people who have shared with us are: Constable Howard Clements of 32 Division, who taught us about protection against different types of fraud; Professor Emeritus Russell Brown, retired from the University of Toronto, who revealed insights into the visionary aspect of Canadian literature; Dedicated to responding to community needs. By Amy Cheng eing situated within the northwest area of the GTA, Unison recognizes that our neighborhoods experience very similar health equity challenges as those of the downtown core. We recognize that what we face today will continue to be an increasing threat to our community health: cancer and diabetes, unemployment and food insecurity, HIV infection, substance use and addictions, mental illness, and violence. B At Unison, we are committed to work towards achieving our vision — Healthy Communities. In the fall of 2015, the Urban Health Team was formed as one strategy to better respond to community needs in a more collaborative, coordinated way. The team is made up a number of smaller sub-teams: health promotion, diabetes prevention, harm reduction, prenatal health, mental health and community safety. Although each of these teams has its distinct strategies and approaches to respond to its sub-population health issues, collectively we form a strong outreach network. Through our collaborative efforts in reaching out to the communities and engaging with community members and partner agencies, and with support from other teams at Unison, we can better leverage resources and respond to neighborhood issues in a more timely fashion. We also see ourselves as a team working primarily in the communities. We go to where people are gathering and residing. The team’s mission is to increase access and to facilitate referral for those who would otherwise have difficulties navigating the health-care system and challenges accessing health services and programs. For further information about the Urban Health Team, please contact Amy Cheng, Urban Health Programs Manager, at 416-787-1661 ext 252 or [email protected]. Reference: Toronto Public Health 2014. A multi-dimensional women’s group in Bathurst-Finch. By Lidja Dhimitri and Debbie Hackett Introducing the Urban Health Team The free vaccine is available starting in October. Please check with your heath-care provider about getting the flu shot. The Tick-Tock Group General information about the sponsorship application and process. By Joanna Mullen Flu Season is Coming: Will You Get Your Flu Shot? and Lidja Dhimitri, a member of our group and former linguistics professor in Albania, who presented how important it is to share our histories in our relationships with our children and grandchildren. In this way, they may give value to all the good aspects of what they inherit from us and thereby carry their culture forward with them. Next, Samer Kolta from Northview Pharmacy will be coming in to discuss health care as it relates to diabetes. Usually we begin our meetings with gentle exercise to center ourselves. In addition to the other activities, we dance, do art, knit and enjoy our time talking together. We have a wonderful snack at the end of each meeting. One of our members, of whom we are very proud, began working within the political and social agencies upon her arrival in this neighbourhood many years ago, to lobby for a place like the Bathurst-Finch Hub to be created. We are so glad that she and others did, and so grateful to the Hub for making it possible for us to meet and grow into the people we want to be! Thriving on Interdisciplinary Work Coordination between many Unison teams is a big help to clients – here is just one success story. By Jakir Chowdhury s. Cohen came to Unison’s Housing Department at the KeeleRogers site early in August 2014, to request assistance transferring from her current Toronto Community Housing Corporation (TCHC) unit. She indicated she was having a hard time dealing with building management and other tenants; she was stressed out and didn’t want to live in the building anymore. After further inquiry the housing team determined this was a complex case and required additional support. M The client was referred to a Case Coordinator, Liliana Pieres, who assigned her to a Social Worker, Laura Notton, for regular therapy sessions to deal with her day-to-day stress and anxiety. Ms. Cohen was also given priority access to Primary Care Services because of her previous medical history and medication mismanagement. During this time, Ms. Cohen received several eviction notices, which led to her trying to commit suicide. Several case conferences were scheduled to coordinate her housing and medical needs. Unison’s Legal Team swiftly intervened and represented the client at the Landlord and Tenant Board. In July 2015, a mediation agreement was reached where the landlord promised to continue its effort in actively looking to find another TCHC unit suitable for Ms. Cohen’s needs. Ms. Cohen would like to sincerely thank all Unison staff, particularly Jakir Chowdhury, Rosalinda Paredes, Dr. Jayla Chen and Laura Notton. She says she believes these individuals played a vital role in “saving my life.” Ms. Cohen regularly participates in the Streets to Home Community Kitchen Program and is truly gratefully for the programs, services, support and guidance she continues to receive from Unison. The Diabetes Exercise Education Program Improve your quality of life! Coming soon to two more Unison locations. By Pallavi Kashyap and Cheryl Bamford hysical activity is necessary for health, prevention of disease and reduction of disease burden. Specifically for individuals with diabetes there are multiple benefits, such as: increased fitness, decreased body fat, regulated blood glucose, decreased blood pressure and improved quality of life. The current science is clear about the benefits of exercise and Health Canada recommends a minimum of 30 minutes of moderate physical activity during most days of the week. P Cheryl Bamford, our registered kinesiologist, is an expert in exercise and the body’s motion, and can help you move better, live longer and be healthier. She will be applying the latest evidenced-based research to help people living with diabetes and those with pre-diabetes enhance their quality of life through the promotion of physical activity. Cheryl hopes to be able to provide better care and services to clients who are pre-diabetic or are living with type 2 diabetes through the provision of an individual physical assessment and group exercise programs at all four Unison locations. We have completed two sessions of the 12-week program at the Bathurst-Finch and Keele-Rogers sites, and are in the process of conducting kinesiology diabetes exercise education program intakes and are taking on Jane-Trethewey and Lawrence Heights clients that meet the following criteria: 1. must have diagnosis of pre-diabetes or diabetes 2. are not meeting the current exercise guidelines and want to start exercising For further information on the upcoming Diabetes Exercise Program please call Cheryl Bamford at 416-653-5400 ext 1398 or connect with her via email at [email protected]. Unison Snapshot: Legal Clinic A successful resolution to a landlord-tenant issue. By Vinay Jain client was being taken to the Landlord and Tenant Board for eviction for arrears, despite the fact that the tenant stated that he had given proper notice to the landlord. At the hearing, the landlord did not show up and the eviction application was dismissed. At a later point, the client was applying for a job for which he required a clean credit record. The client applied and was turned down solely because the landlord had reported the “unpaid” rent as a debt to Equifax. At this point the client contacted us. On his behalf, we attempted to resolve the matter with Equifax through their dispute resolution process — to no avail. We then filed a claim at Small Claims Court against both the landlord and Equifax. We were then able to come to a settlement which amounted to a cash award and removal of the “unpaid” debt from Equifax. A Are You Looking to Sponsor Your Spouse? any of our clients come to us for advice or assistance with matters related to sponsorship. They want to sponsor their spouses, children or parents. There are many laws and rules related to sponsorship of family members. In this article we will deal with the issue of sponsoring spouses who are living overseas, and provide basic information about the application and process. M You can apply to sponsor your spouse who is living overseas if you are 18 years old or older and are a permanent resident or Canadian citizen. Your spouse can be someone you are legally married to, are in a common-law relationship with, or in a conjugal relationship with. There are different ways to show that you meet one of these categories; if you are uncertain if your relationship would be considered common law or conjugal it is a good idea to get legal advice. Citizenship and Immigration Canada will review your completed application in two steps. The first step will be to check that you and your spouse are eligible to be sponsored. They want to see that the marriage is genuine and has not been entered into for the purpose of coming to Canada. If you meet all of the criteria to be a sponsor and your spouse is eligible to be sponsored, your application will move into the second stage. At the second stage, Citizenship and Immigration Canada will be checking to see that your spouse is admissible to come to Canada and you are admissible to sponsor. They will look at your spouse’s health and criminal history. They will look at your financial circumstances. If you meet these criteria then you will be informed that your spouse can come to Canada and become a permanent resident. You can look online at cic.gc.ca for information about processing times for applications from your spouse’s country of origin. When you complete your application you will be required to sign an undertaking to financially support your spouse for three years. This means you must ensure your spouse has housing, clothing, food and money to pay for necessary items. If you are unable to support your spouse during this period of time, and your spouse applies for Ontario Works or Ontario Disability Support Program benefits, the government may take steps to have you pay them back. In the past, when a spouse arrived in Canada he or she automatically became a permanent resident. In 2012, the government introduced conditional permanent resident status. If your spouse has been in a relationship with you for two years or fewer, and you have no children together at the time of submitting the application, your spouse will be given conditional permanent resident status. This means that you and your spouse must live together for two years from the date of your spouse becoming a permanent resident. If you do not live together as spouses, your spouse’s status in Canada can be revoked. There are exceptions to this rule in cases where the sponsor dies, or if a sponsored spouse is being abused or neglected. Please get legal advice if you need help due to domestic violence. I hope this information is helpful. Please contact us at 416-653-5400 ext 1244 for more information or advice. The influenza vaccine is the best way to protect yourself and others from getting this flu. By Barbara Lupu I nfluenza (the flu) is a respiratory infection caused by the Influenza A and B Viruses. Influenza is easily spread by direct contact or air borne droplets during breathing, talking, sneezing, or coughing. Most people will recover within a week to 10 days. Each year in Canada approximately 12,200 people are hospitalized and 3,500 die due to influenza and its complications. Getting a flu shot is the best way to protect yourself and others from getting influenza. Each year the vaccine is updated to include the current type (strains) of influenza virus. That is why you need a flu vaccine each year. For healthy adults and children flu shots are about 60% effective in preventing you from getting the flu. In the elderly, the vaccine is less effective but will still decrease the symptoms of the flu. Children from six months to nine years old who get the flu shot for the first time need two doses given four weeks apart. The flu vaccine is safe, and well tolerated. You may have soreness at the injection site that can last up to two days. Children may get a fever after vaccination. Severe side effects and allergic reactions are rare. Detailed information is available from your health-care provider. You cannot get influenza from the vaccine as it contains no live virus. Other ways to prevent influenza is regular hand washing, and covering your mouth when you cough and sneeze. It is best to stay home and rest when you are not well. New Members Wanted! You are invited to become a member of Unison Health and Community Services. Here are some of the benefits and privileges of membership: • Members have the right to vote at our annual general meeting. • Members receive regular updates about our programs and services. • Membership is a great way to help strengthen your community. • I t’s a great way to connect with others in your community. • Bonus: New members receive a free Unison t-shirt! Sign up or renew your membership today! Get a membership form from the front desk at any Unison site, download it from our website at unisonhcs.org or call Ana Garcia at 416-787-1676 ext 257. ick-Tock, our resident-led group, is a safe place for the women of our neighborhood to come together to share experiences and activities. Our members are women from different countries and cultures with a wonderful spirit for life. Through their generosity, Unison’s Bathurst-Finch Hub affords us an opportunity to explore the different dimensions affecting our lives as women, both within the neighborhood, and within the City of Toronto. At the same time, we are interested in examining our roots and the traditions which have helped to make us into the people we are. T Representatives have kindly accepted to come and inform us on various topics and we are always open to new presenters. A few examples of people who have shared with us are: Constable Howard Clements of 32 Division, who taught us about protection against different types of fraud; Professor Emeritus Russell Brown, retired from the University of Toronto, who revealed insights into the visionary aspect of Canadian literature; Dedicated to responding to community needs. By Amy Cheng eing situated within the northwest area of the GTA, Unison recognizes that our neighborhoods experience very similar health equity challenges as those of the downtown core. We recognize that what we face today will continue to be an increasing threat to our community health: cancer and diabetes, unemployment and food insecurity, HIV infection, substance use and addictions, mental illness, and violence. B At Unison, we are committed to work towards achieving our vision — Healthy Communities. In the fall of 2015, the Urban Health Team was formed as one strategy to better respond to community needs in a more collaborative, coordinated way. The team is made up a number of smaller sub-teams: health promotion, diabetes prevention, harm reduction, prenatal health, mental health and community safety. Although each of these teams has its distinct strategies and approaches to respond to its sub-population health issues, collectively we form a strong outreach network. Through our collaborative efforts in reaching out to the communities and engaging with community members and partner agencies, and with support from other teams at Unison, we can better leverage resources and respond to neighborhood issues in a more timely fashion. We also see ourselves as a team working primarily in the communities. We go to where people are gathering and residing. The team’s mission is to increase access and to facilitate referral for those who would otherwise have difficulties navigating the health-care system and challenges accessing health services and programs. For further information about the Urban Health Team, please contact Amy Cheng, Urban Health Programs Manager, at 416-787-1661 ext 252 or [email protected]. Reference: Toronto Public Health 2014. A multi-dimensional women’s group in Bathurst-Finch. By Lidja Dhimitri and Debbie Hackett Introducing the Urban Health Team The free vaccine is available starting in October. Please check with your heath-care provider about getting the flu shot. The Tick-Tock Group General information about the sponsorship application and process. By Joanna Mullen Flu Season is Coming: Will You Get Your Flu Shot? and Lidja Dhimitri, a member of our group and former linguistics professor in Albania, who presented how important it is to share our histories in our relationships with our children and grandchildren. In this way, they may give value to all the good aspects of what they inherit from us and thereby carry their culture forward with them. Next, Samer Kolta from Northview Pharmacy will be coming in to discuss health care as it relates to diabetes. Usually we begin our meetings with gentle exercise to center ourselves. In addition to the other activities, we dance, do art, knit and enjoy our time talking together. We have a wonderful snack at the end of each meeting. One of our members, of whom we are very proud, began working within the political and social agencies upon her arrival in this neighbourhood many years ago, to lobby for a place like the Bathurst-Finch Hub to be created. We are so glad that she and others did, and so grateful to the Hub for making it possible for us to meet and grow into the people we want to be! Thriving on Interdisciplinary Work Coordination between many Unison teams is a big help to clients – here is just one success story. By Jakir Chowdhury s. Cohen came to Unison’s Housing Department at the KeeleRogers site early in August 2014, to request assistance transferring from her current Toronto Community Housing Corporation (TCHC) unit. She indicated she was having a hard time dealing with building management and other tenants; she was stressed out and didn’t want to live in the building anymore. After further inquiry the housing team determined this was a complex case and required additional support. M The client was referred to a Case Coordinator, Liliana Pieres, who assigned her to a Social Worker, Laura Notton, for regular therapy sessions to deal with her day-to-day stress and anxiety. Ms. Cohen was also given priority access to Primary Care Services because of her previous medical history and medication mismanagement. During this time, Ms. Cohen received several eviction notices, which led to her trying to commit suicide. Several case conferences were scheduled to coordinate her housing and medical needs. Unison’s Legal Team swiftly intervened and represented the client at the Landlord and Tenant Board. In July 2015, a mediation agreement was reached where the landlord promised to continue its effort in actively looking to find another TCHC unit suitable for Ms. Cohen’s needs. Ms. Cohen would like to sincerely thank all Unison staff, particularly Jakir Chowdhury, Rosalinda Paredes, Dr. Jayla Chen and Laura Notton. She says she believes these individuals played a vital role in “saving my life.” Ms. Cohen regularly participates in the Streets to Home Community Kitchen Program and is truly gratefully for the programs, services, support and guidance she continues to receive from Unison. Make Green Your Favourite Colour! Start Your “Bran” New Day Get your greens with this easy recipe. Try this delicious and fibre-rich recipe. By Jennifer Schneider, RD, MPH Beans and greens bruschetta By Katie (Kit Ting) Lam, RD he markets and grocery stores are once again bursting with beautiful dark leafy green vegetables such as kale, spinach, arugula, bok choy, collard greens, dandelion greens, mustard greens, rapini, Swiss chard and turnip greens. Makes 4 servings he bran is the outermost layer of the grain. It contains a lot of “great stuff” including fibre, B vitamins, minerals and a small amount of protein. On average, adults need about 25–38 g of fibre a day and crushing bran cereals to add to muffins, breads, waffles and pancakes can help you add fibre to your diet. Each muffin in this recipe contains about 5 g of fibre. Why not make the muffins in advance and heat them up for breakfast to kick-start your day? They’re easy to take to work and pack for children’s snacks. This recipe was featured in the From Theory to the Kitchen cooking workshop that took place in January 2015. Everyone loved them! T T Ingredients: 2 Tbsp olive oil 2 cloves garlic, thinly sliced ½ tsp crushed red pepper flakes 2 canswhite kidney beans, drained and rinsed 1 bunch kale (or other dark leafy green), ribs removed, leaves torn into bite-size pieces ½ cup low-sodium vegetable or chicken broth 1 Tbsp fresh lemon juice to taste salt and pepper Canada’s Food Guide recommends that you eat one dark green vegetable every day. Greens are nutrient-dense with folate, vitamin A, vitamin K, vitamin C and calcium. They are also high in fibre. Greens are quick and easy to prepare. Try adding them to sauces, salads, stir-fries, soups, stews, eggs and sandwiches. To make it easier to use your green leafy Directions: vegetables, rinse them in a colander, drain (or use a salad spinner) and pat dry with 1. Heat a large skillet to medium-high and heat oil in skillet. Add garlic and a paper towel or clean tea towel as soon red pepper flakes and cook, stirring, as you bring them home. Store in clean until fragrant, about 30 seconds. paper towels or a tea towel in a sealed plastic bag in the fridge. 2. Add beans and cook, stirring occasionally, until beginning to blister, about The following recipe is tasty, inexpensive three minutes. Using a spoon, lightly and nutritious and works with any type mash about half of the beans. Add of dark leafy green. The white kidney kale and broth and cook, tossing often, beans (also called cannellini beans) add until kale is wilted and bright in colour, cholesterol-lowering fibre plus protein, about two minutes. Add lemon juice; folate, potassium and iron. Overall, season with salt and pepper. this easy meal or snack is good 3. Serve beans and greens for your heart, bones and eyes. mixture over toast. Enjoy! Our Locations Steeles Ave W Dufferin St Lawrence Heights 12 Flemington Road Toronto, ON M6A 2N4 Phone: 416-787-1661 Finch Ave W Keele-Rogers Sheppard Ave W Bathurst St Keele St 1651 Keele Street Toronto, ON M6M 3W2 Phone: 416-653-5400 400 Bathurst-Finch Wilson Ave Jane St 401 540 Finch Avenue West Toronto, ON M2R 1N7 Phone: 647-436-0385 Jane-Trethewey JT PE LH Lawrence Ave W Hum ber Allen Rd Dufferin St Eglinton Ave W r KR Dund Caledonia Rd y Dr Pathways to Education TM e Riv the we Keele St Tre d nR sto We 1541 Jane Street Toronto, ON M9N 2R3 Phone: 416-645-7575 Rogers Rd St Clair Ave W as St Runnymede Rd Lawrence Square 700 Lawrence Avenue West, Suite 440B Toronto, ON M6A 3B4 Phone: 416-787-6800 BF W Annette St Bloor St W Unison VOICE is a publication of Unison Health and Community Services, 12 Flemington Road, Toronto, ON M6A 2N4, 416-787-1661 © 2015 by Unison Health and Community Services. Editor: Ana Garcia, [email protected] Layout: Pass It On Communications Inc., www.passiton.ca Unison VOICE FALL 2015/WINTER 2016 Health & Community Services ....................................... Engage. Empower. Enhance. Carrot bran muffins Makes 12 servings. Preparation time: 40 minutes. Ingredients: 2 eggs 1 cup carrots, grated 1 ¼ cup whole wheat flour 1 ¼ cup high-fibre bran cereal ⅓ cupbrown sugar or brown Splenda ¾ cup buttermilk ¼ cup vegetable oil ½ cup raisins or dried cranberries 1 tsp baking powder 1 tsp baking soda 1 tsp ground cinnamon ½ tsp ground nutmeg ½ tsp salt Directions: 1. Preheat oven to 400°F (200°C). 2. Place cereal in a resalable sandwich bag and slightly crush it up. 3. In a large bowl, combine flour, crushed cereal, baking powder, baking soda, cinnamon, nutmeg and salt. 4. In a separate bowl, beat eggs thoroughly. Blend in carrots, buttermilk, brown sugar and vegetable oil. Add to dry ingredients, stirring just until moistened. Stir in raisins. 5. Spoon batter into greased or paper-lined muffin cups, filling about three-quarters full. Bake in preheated oven for about 20 mins. 6. Insert a toothpick into the centre of the muffin and muffin is ready when the toothpick comes out clean. Adapted from: Rose, R. (2001). Dietitians of Canada Cook Great Food (p. 25). Toronto: Robert Rose. On the Road and Going Strong! A successful initiative between community partners brings mobile health clinics to our neighbourhoods. By Ayesha Adhami and Anna Cioffi he Immigrant Women’s Health Centre (IWHC) is an independent sexual health clinic funded by the City of Toronto through Toronto Public Health. For 40 years, IWHC has been providing confidential, culturally sensitive and language-accessible sexual health clinical services, counselling and support services to women across the City of Toronto. We serve our clients in multiples languages and cultural communities with all female Centre staff and medical service providers. IWHC encourages and empowers clients to be well-informed about their sexual healthcare needs and choices, and supports them by providing a variety of clinical services, counselling, information, education and outreach. IWHC’s services include: STI testing and treatment • family planning such as pregnancy tests, birth control counselling, contraceptive prescriptions and sales, and IUD-related services • birth control and IUDs sold at lower cost • Pap testing, hepatitis B testing and vaccinations • Mobile Health Clinic (MHC) Unison Health and Community Services will be closed: In the 1980s, IWHC partnered with Toronto Public Health on a pilot project to bring sexual health services to women where they work – at the time, it was primarily garment factory workers in the clothing factories around Spadina Avenue. Stay in touch with Unison! • Check our website at www.unisonhcs.org. • Get on our mailing list. Email Ana Garcia, Executive Assistant, at [email protected]. • Follow us on Twitter @UnisonHCS • Become our fan on Facebook at www.facebook.com/UnisonHCS. • Call us or drop by one of our locations. Engage. Empower. Enhance. ........................................ www.unisonhcs.org Mobile Health Clinic (MHC) services include: Are You Looking to Sponsor Your Spouse? New Members Wanted! ABOVE: The Mobile Health Clinic. LEFT: From left to right: Ana Sanchez, Community Health Promoter; Anna Cioffi, Mobile Clinic Coordinator; Dr. Erin Johnston, MHC doctor; Cam Tran, Chinese Counsellor and member of IWHC’s Management Team. Three key reasons why this partnership is successful: 1. Mobility: Both programs are mobile! In order to make the services accessible and available both program travel to where the community congregates. 2. Target populations: The MHC targets immigrant women and provides services in different languages. The DPP targets immigrant populations (men and women alike), particularly those from the East African, Caribbean and Latin America. 3. Outreach strategies: Both agencies have a wealth of contacts that they share to better serve their communities. The partnership between Unison’s DPP and IWHC may be new and exciting, but the MHC has been serving clients in the Lawrence Heights area for over a decade through partner organizations such as North York Community House and Voces Latinas. IWHC has always found a strong connection to this diverse and Partnership: Unison and MHC welcoming community and looks forward to an ongoing In the past two years, MHC has develop a strong part- and dynamic partnership with Unison to provide even nership with Unison’s Diabetes Prevention Program more services to clients in the Lawrence Heights area. (DPP). You may be wondering: How do a diabetes prevention program and a sexual health program come For more information, contact the Mobile Health together to serve an immigrant community? Easy! Clinic Coordinator, Anna Cioffi, 416-323-9986 ext 27, Together they provide accessible services to see a doctor or the Diabetes Prevention Program, 416-787-1676 ext and a registered dietitian on the spot. In addition, the 235. Learn more about the MHC at immigranthealth. DPP refers participants to family doctors, community info/?page_id=12. IWHC is located at 489 College programs (such as diabetes education programs) and Street, Suite 200 (Bathurst and College) in downtown Toronto. Services are free; IWHC serves OHIP and other Unison services. non-OHIP clients. STI testing and treatment • family planning such as pregnancy tests, birth control counselling, contraceptive prescriptions • Pap testing • The Diabetes Exercise Education Program Unison Snapshot: Legal Clinic T DATES TO REMEMBER Monday, October 12, 2015 Thanksgiving Friday, December 25, 2015 Christmas Day Friday, January 1, 2016 New Year’s Day Monday, February 15, 2016 Family Day Friday, March 25, 2016 Good Friday ALSO IN THIS ISSUE: Flu Season is Coming: Will You Get Your Flu Shot? Introducing the Urban Health Team The Tick-Tock Group Thriving on Interdisciplinary Work Healthy Recipe: Make Green Your Favourite Colour! Healthy Recipe: Start Your “Bran” New Day Dates to Remember Check our most recent program calendar, or www.unisonhcs.org for information on all our current programs and services.
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