Sunday, October 16, 2011

World Food Day 2011 - Starved for Attention

Click the video below for an introduction to Medicines Sans Frontiers (MSF)'s brilliant campaign for World Food Day 2011. To view more photos and videos and to help rewrite the story of malnutrition, click here





Thursday, October 13, 2011

Norway brings the conditions of everyday life to the heart of health policy

Norway has just released its new Public Health Act, which aims to bring the social determinants of health to the heart of health policy at the national, regional, and local level. From the Norwegian Ministry of Health and Care Services:

"Minister of Health and Care Services Anne-Grete Strøm-Erichsen will attend the World Conference on Social Determinants of Health on 19-21 October 2011 in Rio de Janeiro, Brazil. The conference will bring together Member States and stakeholders to share experiences on policies and strategies aiming to reduce health inequities. As of 11 October 103 Member States have confirmed their attendance, including 60 ministers.

In the Norwegian context an important step in implementing Report No. 20 to the Storting (2006-2007) National strategy to reduce social inequalities in health is the newly launched Public Health Act which places reducing health inequalities through action on social determinants of health at the heart of Public Health nationally, regionally and locally."

Norwegian Public Health Act (pdf)
Norwegian Public Health Act short introduction (pdf)

To learn more about public health policies across Europe, download or order a copy of Health for all? A Critical Analysis of Public Health Policies in Eight European Countries, a brilliant book published by the Swedish National Institute of Public Health, featured here in 2009.




Monday, October 3, 2011

Marmot's "evidence-based optimism" on global action for health equity

Sir Michael Marmot, Bulletin of the World Health Organization, October 2011:

“Closing the gap in a generation is a rousing call. Did the World Health Organization’s Commission on Social Determinants of Health (CSDH) really believe it to be possible? Technically, certainly. Yes, there is a greater than 40-year spread in life expectancy among countries and dramatic social gradients in health within countries. But the evidence suggests that we can make great progress towards closing the health gap by improving, as the CSDH put it, the conditions in which people are born, grow, live, work and age.

...In the three years since Closing the gap in a generation was published, there is no question that there is much to make us gloomy...On the positive side, however, much has happened to support my claim that I am an evidence-based optimist...

...The ambition of the CSDH was to create a global movement for social determinants and health equity. As the global community gathers in Rio de Janeiro in October for the conference on social determinants of health, we are at a crucial juncture. Will the call for social justice and the need to formulate all policies to benefit health equity remain something, at best, honoured in speech alone? Or will the global community recognize that action on social determinants of health is not only vital for health equity but has other highly desirable societal outcomes including social cohesion, reduction of crime and civil unrest, a more educated workforce and the freedom for people to lead lives they have reason to value."

Read Sir Michael Marmot's full piece in the WHO Bulletin
Follow PAHO/WHO Equidad on Twitter: http://twitter.com/eqpaho

WHO: Action on social determinants of health is essential to tackle noncommunicable diseases


Bulletin of the World Health Organization, October 2011: 

“…..Noncommunicable diseases cannot be effectively addressed without action on social determinants of health. Without addressing social inequalities and the conditions in which people are born, grow, live, work and age, along with the reasons that health systems work better for some population groups than for others – that is, adopting a social determinants approach – prospects for reversing the noncommunicable diseases epidemics are poor.

This year’s United Nations General Assembly High-Level Meeting on Prevention and Control of Noncommunicable Diseases (in New York) and the World Conference on Social Determinants of Health (in Rio de Janeiro) provide a unique opportunity for progress.

There may never be a better global platform for countries, civil society and international organizations to commit to a coherent social determinants approach to tackling noncommunicable diseases and other global priorities at local, national and global levels. In this context, we explain why a social determinants approach is essential for combating noncommunicable diseases, discuss what such an approach entails, and identify priority actions for the global community…”

Read more from the WHO Bulletin



Sunday, October 2, 2011

Partners In Health publishes Program Management Guide

Congratulations to Partners In Health (PIH) for publishing this important resource, and thanks to the PIH Institute for Health and Social Justice for publishing their excellent reader (see below).

“Based on PIH’s experiences over the last 25 years, this guide offers an approach to starting, revamping, or expanding a healthcare program in resource-poor settings. PIH has received many inquiries from nascent organizations and established practitioners who are working to promote a rights-based approach to care. This guide discusses complex challenges that implementers commonly face, and shares lessons we have learned and the strategies that have helped us implement programs in collaboration with a wide range of partners.” -Jill Hackett, PIH Training Director

UNICEF - Austerity measures threaten children and poor households

UNICEF, Isabel Ortiz et. al, September 2011

"A new UNICEF study warns of the "irreversible impacts" of International Monetary Fund (IMF) austerity measures on children and poor households. The authors argue that excessively restrictive policies undermine IMF pledges to build social safety nets to protect the vulnerable. Instead of increasing investments in life-saving health, education and other social programs, in 2010, more than a quarter of developing nations were struggling to reduce spending to pre-2007 levels IMF-imposed fiscal policies must be carefully reviewed and replaced with alternative policies aimed at strengthening the social safety net for the most vulnerable." - IHSJ

Read more via the Institute for Health and Social Justice (IHSJ) reader.
Read the full article at the UNICEF website.

Sunday, September 11, 2011

Grappling with the tensions around non-communicable diseases (NCDs)

From the Institute for Health and Social Justice (IHSJ) Reader:

"By 2030, the burden of disease from noncommunicable diseases (NCDs) will be three times greater than that of communicable disease and maternal, perinatal, and nutritional conditions combined. The upcoming United Nations High-Level Meeting on NCDs has stirred tensions around global health funding. However, these conflicts could be allayed by redirecting focus to strengthening health systems so they deliver comprehensive, integrated care rather than debating whether communicable or noncommunicable diseases should receive more funding." - Sir George Allyne, Alafia Samu els, Karen Sealey, Global Health Magazine.

Read more: full article at Global Health Magazine.
Learn more with updates from the Institute for Health and Social Justice.

Informing the 2011 UN Session on Noncommunicable Diseases: Applying Lessons from the AIDS Response

From the Institute for Health and Social Justice (IHSJ) Reader:

"In two weeks, the United Nations (UN) High-Level Meeting on Noncommunicable Diseases will begin, providing the first formal UN opportunity for the international community to raise awareness of the burden of noncommunicable diseases (NCDs). Global advocates are hoping to apply the lessons learned in the global response to HIV to inform the structure of the NCD response. In order to prevent, diagnose, and treat the dual burden of communicable and noncommunicable diseases that are disproportionately felt among the poorest billion people in the world, plans must focus on strengthening health care from the community to the tertiary care centers."

Read more: link to full article on PLoS Medicine
Learn more with updates from the Institute for Health and Social Justice.


Friday, August 26, 2011

Compulsory licensing of generic drugs remains in quagmires

From the Institute for Health and Social Justice (IHSJ) Reader:

"Nearly a decade after the Doha Declaration determined that countries facing public health emergencies have the right to import generic drugs from developed countries, there has only been one instance in which a drug was successfully delivered to a developing country. Though several countries have enacted compulsory licensing legislation, the complicated application process deters low- and middle-income countries from turning to the EU or Canada to access cheaper treatment. Meanwhile, India, which has long served as the “pharmacy to the developing world,” is being forced to comply with international trade law by halting the production of generics patented after 1995."

Visit the IHSJ, the advocacy arm of Partners In Health.

Thursday, August 25, 2011

Action: Tell the UN to Focus on Poverty-Related Diseases

From Partners In Health: "In September 2011 the United Nations will hold a High-Level Meeting (HLM) on the prevention and control of Non-Communicable Diseases (NCDs). Much of the attention leading up to the conference has been focused on preventing NCDs by addressing lifestyle factors including diet, tobacco use, etc.

At Partners In Health we are particularly concerned with NCDs which are highly prevalent among the world’s poorest billion but are more often caused by poverty-related factors including indoor cooking stoves, malnutrition, etc.

Please add your name to the statement below to highlight and request attention to these causes of NCDs. We will share the statement and total numbers of signatories with the official delegations attending the HLM from the countries where PIH works and request that they also focus on solutions to the poverty-related causes in the outcomes document and programs developing from the HLM."

Download the full statement here.

Tuesday, August 16, 2011

DRC: Fighting A Cholera Epidemic

A cholera epidemic is sweeping down the Congo River in the Democratic Republic of Congo. Originating in the distant centre of the vast central African country it has now reached the capital, Kinshasa, more than 1,000 miles southwest. People are sick and dying and desperate for help. Robin Meldrum went to the town of Mbandaka, where an MSF emergency team is responding to the crisis.



WHO Bulletin: Health inequalities in Bangladesh

Bangladesh is one of the most densely populated and disaster-prone countries in the world. Although absolute poverty has declined in the country in recent years, the gap between the rich and poor has further widened.

A new report in the Bulletin of the World Health Organization (WHO) highlights this widening gap, concluding that "progress towards achieving national and international health goals will only be accelerated by mainstreaming equity in health policies and programmes. In short, Bangladesh needs concerted, integrated and holistic efforts based on the fundamental principle of equity to bridge the gaps between the rich and the poor and usher in an era of more progressive, equitable and sustainable socioeconomic development."

To read more from the report, click here.

Monday, August 15, 2011

MSF rapidly scaling up in Somalia

"This week, Médecins Sans Frontières (MSF) has sent medical teams and four charter planes carrying 55 tonnes of medical equipment, medicines and therapeutic food to Mogadishu in response to the crisis in Somalia. In the past weeks, an estimated 100,000 people have fled from south and central Somalia to the capital to seek assistance. They are settling in numerous camps in and around Mogadishu, with little or no access to healthcare.

"MSF has started measles vaccination campaigns in dozens of makeshift camps where thousands of people have gathered after fleeing the exceptional drought and the violence in other parts of the country. Almost 3,000 children have been vaccinated so far. Around 1,000 children have been screened for malnutrition. More than half of them were indeed malnourished.

"MSF is extremely worried about the situation of the displaced. The situation is critical. MSF has begun reinforcing its operations in Mogadishu and is assessing areas around the capital in order to adequately respond to this crisis,” says Unni Karunakara, a doctor and MSF’s international president."

Read more: click here.

Monday, August 8, 2011

"Partners in Help: Assisting the Poor Over the Long-Term"

Summary: Paul Farmer reflects on aid, his theory of accompaniment, and Haiti after the earthquake. From Foreign Affairs, July 29th, 2011.

"In 1848, Rudolf Virchow, one of public health's heroes, contended that "medicine is a social science, and politics is nothing other than medicine writ large." It would please me greatly to think that Virchow's point has been taken. Although I'm a physician, these past two years have been an object lesson about the difficulties of scaling up and of moving from caring for individual patients to building health systems in settings of privation and disarray.

A few years ago, building health systems was precisely what I thought I knew most about. But the January 2010 earthquake that ended so many Haitian lives and destroyed so much of its infrastructure was a grim reminder that we still lack the ability to translate goodwill and resources into robust responses. Reflect, for a minute, on the limits and the potential of the activity that used to be called "charity" or "foreign aid" but that I prefer to call "accompaniment."

"Accompaniment" is an elastic term. It has a basic, everyday meaning. To accompany someone is to go somewhere with him or her, to break bread together, to be present on a journey with a beginning and an end. There's an element of mystery, of openness, of trust, in accompaniment. The companion, the accompagnateur, says: "I'll go with you and support you on your journey wherever it leads; I'll share your fate for a while. And by 'a while,' I don't mean a little while." Accompaniment is about sticking with a task until it's deemed completed, not by the accompagnateur but by the person being accompanied...."

To continue reading the complete article, click here.

Friday, July 15, 2011

Malnutrition crisis in East Africa

Médecins Sans Frontières (MSF): "As prolonged drought grips Somalia, people are losing their livestock, homes and lives. Poor harvests, rising food prices, continuing violence and chronic poverty have further contributed to a sudden rise in malnutrition rates. Almost one in three children is suffering from severe malnutrition with extremely low weight, signs of wasting and nutritional oedema. Until now the crisis has been underreported in the press, however malnutrition rates amongst Somalia’s children are now double the threshold for a full-scale emergency and the problem is worsening daily. The security situation in Somalia is complicated, but because we are an impartial medical organisation and rely on charitable donations instead of government funding, we continue to be the only medical charity working in many areas. There are hundreds of children and adults arriving at our clinics every day. Many of them need expert medical care for malnutrition, often whilst battling other severe conditions such as malaria and pneumonia."

To donate to MSF's Somalia Appeal, click here. To hear from frontline healthcare providers about current conditions in Somalia, click here. To visit MSF Somalia, click here.


First, do no harm: MSF criticizes CIA's alleged fake immunization programme

Médecins Sans Frontières is challenging the CIA for allegedly using a fake vaccination programme for counter-terrorism purposes, saying it constitutes "a grave manipulation of the medical act". "The risk is that vulnerable communities – anywhere – needing access to essential health services will understandably question the true motivation of medical workers and humanitarian aid," said Unni Karunakara, MSF's international president. "The potential consequence is that even basic healthcare, including vaccination, does not reach those who need it most."

To read MSF’s full press release, click here.
For commentary from the Centre for Global Development, click here.
For background from the Guardian, click here.

Monday, June 13, 2011

How structural violence impacts maternal health

'“When unjust systems or structures prevent people from achieving good health, and from achieving good lives, this is structural violence in action,” says Donna Barry, Director of Policy and Advocacy for Partners In Health (PIH).

In an article entitled “Structural Violence: A Barrier to Achieving the MDGs for Women,” published recently in the Journal of Women’s Health (JWH), PIH Medical Director Joia Mukherjee, Barry, and several other co-authors argue that maternal mortality continues to plague poor women in poor communities because public health interventions have not addressed the impact of structural violence. Drawing on examples from PIH’s work in Haiti and Lesotho, the authors also clearly demonstrate how women’s lives can be saved and transformed by programs that combine quality health care with determined efforts to uproot structural violence and the social determinants of disease, especially poverty, sexism, and gender-based violence.

In the late 1980s, 99 percent of the half million maternal deaths occurring each year took place in poor countries. Nearly a quarter century later, 350,000 women still die every year from pregnancy-related causes, the vast majority in the poor world. In a 2010 report on maternal mortality, the United Nations Population Fund (UNFPA) found that complications from pregnancy and childbirth are the leading causes of death for 15-19 year old women and adolescent girls in developing countries.'

Read the complete article from Partners In Health

Watch the PIH video below on maternal global health delivery


Watch live streaming video from global_health_equity at livestream.com

Thursday, June 9, 2011

Target of 15 million people on HIV treatment by 2015 secured at AIDS summit


MSF: Funds and affordable drugs needed to turn target into treatment NEW YORK, 9 June 2011 – On the heels of new evidence that shows HIV treatment is also HIV prevention, governments meeting at a UN Summit on AIDS have taken a critical step by committing to reach 15 million people with HIV treatment by 2015 – but they must take immediate concrete action to make this treatment target a reality, the international medical humanitarian organization Médecins Sans Frontières (MSF) / Doctors Without Borders said today. “By agreeing to expand HIV treatment to 15 million people in four years, governments are committing to take the latest science that treatment is prevention and turn it into policies that save lives and can stop the virus,” said Sharonann Lynch, HIV/AIDS Policy Advisor for MSF’s Campaign for Access to Essential Medicines. “The clock starts now – everyday, we need to get more people on treatment than the day before.”

Fresh scientific evidence shows that treatment is also a form of prevention, as it reduces the risk of transmission of HIV from one person to another by 96 percent. By ambitiously expanding treatment, according to new research by UNAIDS, twelve million infections and more than seven million deaths can be averted by 2020. It could also reduce by more than half the number of new infections by 2015. This will require an additional $6 billion top up each year until 2015. However, funding for AIDS declined in both 2009 and 2010, leaving the Global Fund to Fight AIDS, TB and Malaria, the US-government’s PEPFAR and other programs short of resources.

“There are nine million people waiting for HIV treatment today,” said Dr Tido von Schoen-Angerer, Executive Director of MSF’s Access Campaign. “This whole AIDS Summit will have been a farce if we don’t see real plans to ramp up treatment so we can get ahead of the wave of new infections.”

Countries also need to ensure that the medicines needed to break the back of the epidemic remain affordable. This means not just supporting policies that drive down prices, but refraining from pushing policies that drive up prices by imposing ever tighter intellectual property protection. In particular, free trade agreements negotiated by the US, the EU and others with developing countries are creating further barriers to price-busting generic competition, and threaten access to affordable newer medicines.

“Without affordable medicines, access to treatment cannot become a reality,” said Michelle Childs, policy/advocacy director of MSF’s Access Campaign. “Over six million people are on treatment today, largely because generic production drove the price of the first generation of AIDS medicines down by 99% since 2000. This success can only be repeated with newer and more potent medicines if barriers to low-cost drug production are removed. But countries are making promises to treat AIDS in one meeting and working hard to keep prices out of reach behind closed doors in other meetings. This double-speak has to stop.” The final declaration ending the UN General Assembly High-Level Meeting on HIV/AIDS is expected to be formally endorsed by countries on 10 June. MSF currently provides antiretroviral treatment to 170,000 people living with HIV/AIDS in 19 countries and sources more than 80 percent of the antiretroviral medicines it uses in its projects from generic manufacturers in India.

Time to act: Save a million lives by 2015 - Prevent and treat tuberculosis among people living with HIV


'A new epidemiological model shows it is possible to sharply reduce AIDS deaths worldwide by preventing and treating tuberculosis (TB). At present one in four AIDS-related deaths is precipitated by TB; the vast majority of these could be averted, since TB is curable.

The model, which provides a clear blueprint for saving lives, was produced through a joint effort by the Stop TB Partnership, World Health Organization (WHO) and the Joint United Nations Programme on HIV/AIDS (UNAIDS). Building on well-established methods for preventing and treating HIV-associated TB that are recommended by WHO and UNAIDS, the model shows that by scaling up these approaches worldwide a million lives could be saved by the end of 2015.

"There has been a surge in awareness about the deadly TB epidemic among people living with HIV, but insufficient action. Now new scientific work has shown that we can prevent a million deaths among people living with HIV by end 2015 by providing integrated HIV and TB care," said Dr Jorge Sampaio, the UN Secretary-General's Special Envoy to Stop TB and former President of Portugal. "I call on the world's leaders to take up this challenge. It is time to take bold action. Not to do so would be an outrage."'

To learn more, visit the Stop TB Partnership
Download the document
Download the fact sheet

Wednesday, June 8, 2011

HIV treatment is also HIV prevention

"This week in New York, heads of state and health ministers from the around the world will make decisions that will impact the lives of millions of people. At the UN General Assembly High-Level Meeting on HIV/AIDS beginning June 8, officials are expected to hammer out a blueprint for the next decade of the global response to the epidemic. The meeting takes place exactly 30 years since the discovery of HIV/AIDS and ten years after HIV/AIDS treatment started in developing countries..."

To learn more, visit:
Médecins Sans Frontières - Frontline Reports Podcast
Dignitas International - HIV/AIDS and Human Rights



Monday, June 6, 2011

PIH proposes Cholera vaccination campaign in Haiti


"As Haiti’s cholera epidemic enters its ninth month, the country’s rainy season has begun, further stressing and disrupting the country’s woefully inadequate water and sewage systems. According to the World Health Organization (WHO) and Haiti’s Ministry of Health, increasing numbers of people are falling ill and dying from the illness.

Debate about the public health response to the crisis has also been underway, with some experts arguing that a vaccination campaign in Haiti would be neither feasible, nor cost-effective. But a coalition of medical and public health researchers, policymakers, and practitioners, led by PIH co-founder Paul Farmer, argue that a universal vaccination campaign is essential to ending the crisis in an article published in the May 31st issue of the open-access journal PLoS Neglected Tropical Diseases."

Read more:

Cholera vaccination an essential strategy for Haiti

Meeting cholera's challenge to Haiti and the world: A joint statement on cholera prevention and care

Friday, June 3, 2011

Institute for Health and Social Justice

Partners In Health was founded in 1987 to provide a preferential option for the poor in health care, and has since become a global leader in the struggle for health and social justice. As PIH explains, "[our] conviction that health care is a human right stems from our service to vulnerable communities and their daily struggle with the grim realities of poverty. The Institute for Health and Social Justice (IHSJ) is the advocacy and policy arm of Partners In Health. The mission of the IHSJ is to analyze the impact of poverty and inequality on health, and to use these findings to educate and train students, academics, donors, policy makers, and lay people."

The IHSJ Reader offers a great summary of global health news and events, and can be accessed by clicking here. To learn more about the IHSJ, visit their website by clicking here.

Stay connected with the PIH Blog, Facebook, Twitter, and YouTube pages

Monday, April 25, 2011

April 25th - World Malaria Day

April 25th is World Malaria Day. Take a moment to learn a bit more about this deadly but preventable disease, about ongoing efforts to make progress towards zero malaria deaths by 2015, and about the obstacles to meeting this important goal. In 2008, there were 247 million cases of Malaria and over 1 million deaths, mostly among children living in African countries, where the disease accounts for about 20% of all childhood deaths. The WHO offers a good introduction to the disease:

"Malaria is caused by a parasite called Plasmodium, which is transmitted via the bites of infected mosquitoes. In the human body, the parasites multiply in the liver, and then infect red blood cells. Symptoms of malaria include fever, headache, and vomiting, and usually appear between 10 and 15 days after the mosquito bite. If not treated, malaria can quickly become life-threatening by disrupting the blood supply to vital organs. In many parts of the world, the parasites have developed resistance to a number of malaria medicines. Key interventions to control malaria include: prompt and effective treatment with artemisinin-based combination therapies; use of insecticidal nets by people at risk; and indoor residual spraying with insecticide to control the vector mosquitoes."

To learn more about Malaria and efforts to promote health for all, visit:

Sunday, March 27, 2011

Thursday, March 24, 2011

World TB Day (March 24th, 2011)


Tuberculosis (TB) is a preventable and treatable disease caused by Mycobacterium tuberculosis. TB is spread by person-to-person contact via droplets from the lungs and throat of people with active respiratory TB disease.

Two billion people, fully one-third of humanity, are infected with latent TB. While healthy immune systems are often able to contain the bacteria, people with latent TB remain susceptible to developing active TB disease, with symptoms including productive coughing, chills, night sweats, fever, easy fatigue, loss of appetite, and weight loss. Each year there are 9.4 million new case of active TB cases, resulting in 1 million deaths.

TB closely follows social gradients in income, housing, and other social determinants of health. It is at once a completely curable disease, and a leading cause of death worldwide. While effective antibiotic treatment has existed for over 50 years, poor and inconsistent access to care has facilitated the rise of multi-drug resistant TB (MDR-TB). TB and MDR-TB remain preventable and treatable.

Preventing and treating TB involves the practice of social medicine, and a commitment to pragmatic solidarity - "a commitment to struggle alongside the destitute sick and against the economic and political structures that cause and perpetuate poverty and ill health" (PIH 2003).

Sunday, March 13, 2011

Addressing Non-communicable Diseases of the ‘Bottom Billion’


From Global Health Delivery Online

"Non-communicable diseases (NCDs) like coronary disease, adult-onset diabetes, and some cancers have attracted a great deal of attention and resources in wealthy and middle-income countries, where they have emerged as leading causes of death and disability among populations who eat too much, exercise too little, and are heavy consumers of tobacco and alcohol. “The NCDs that afflict people living on less than a dollar a day in countries like Rwanda or Haiti have received far less attention and have very different causes,” says Partners In Health physician Gene Bukhman. “For this ‘bottom billion,’ NCDs like rheumatic heart disease, type 1 diabetes, mental illnesses, epilepsy, and cervical cancer are often the result of lack of access to food, shelter, education, and health care interventions readily available in developed countries.”

When looking at a graph plotting out the diseases that most affect a population, communicable diseases like HIV and malaria are at the top of the curve, causing more deaths, but NCDs like epilepsy or heart disease are on the ‘long tail.’ No single condition has a dramatic prevalence but together they impose a heavy burden that is not effectively addressed by disease-specific strategies that have been used for communicable diseases.

Read More

Tuesday, March 8, 2011

100 Years of International Women's Day: Time to Make the Promise of Equality a Reality

"This year marks the 100th anniversary of International Women’s Day. The day was commemorated for the first time on 19 March 1911 in Austria, Denmark, Germany and Switzerland, following its establishment during the Socialist International meeting the prior year. More than one million women and men attended rallies on that first commemoration. read more »

The United Nations observes International Women’s Day this year on 8 March 2011. The theme is “Equal Access to Education, Training and Science and Technology: Pathway to Decent Work for Women.” UN Women is organizing or cosponsoring a number of events around the world to commemorate the day."

Friday, March 4, 2011

Indigenous health promotion in Canada

While much of the Canadian population enjoys good health, health status in Canada still follows steep social gradients of inequality. From obesity and cardiovascular disease, to sexually transmitted infections, tuberculosis, and suicide, Indigenous people in Canada face a disproportionate burden of disease. It doesn't have to be this way, and Indigenous peoples across Canada are pouring energy into creative calls for action.

This video by Anishinaabe hip hop artist and CBC producer Wab Kinew video translates data from youth participants in the First Nations Regional Longitudinal Health Survey into hip hop lyrics for a youth audience. Congrats to Wab Kinew and the FNIGC for their great work! For more info, visit the the First Nations Information Governance Centre.

The living history of colonialism in Canada is a reminder that public health involves a commitment to pragmatic solidarity - a commitment to struggle alongside Indigenous peoples to address the political and economic conditions that cause and perpetuate poverty and poor health.