VOLUME 98AUGUST 2001Secretariat UpdateHeather Praughtjoined the staff ofthe Secretariat asCoordinator onJuly 16, 2001. Thisposition will meanthat we can increaseour consultations,communicationsand collaborativeefforts with allsectors. Heatherhas worked with theseniors’ populationfor fourteen years and during the last ten yearshas worked with senior officials in the healthsector and the Department of Health, in areasthat have included policy, planning andorganizational development.Since our last newsletter activities with theSecretariat have increased and many excitingchanges have taken place.Jane Phillips,Librarian, joined thestaff April 9th andsince that time hasbeen developing ourInformationResource Centre.This is no small tasksince there has beena vast accumulationof materials over theyears and on a dailybasis we receive andsolicit new materialsand information that is useful to seniors andprofessionals in the field of aging. In addition,Jane will be updating our website and will be theSecretariat contact for the Seniors Policy andPlanning Database (SPPD). We hope to have theResource Centre functioning as a lending libraryby the Fall 2001. A wide range of articles, books,videos and electronic documents will be availableto government, the private and corporate sectors.We warmly welcome Jane and Heather to theSecretariat.Seniors organizations have an increasing need forup-to-date statistics and information and our goalis to have this material readily available.Three projects the Secretariat is currentlyinvolved in are: the Seniors for Literacy Projectwhich will be completed in early fall. This phaseof the project was to meet directly with seniorsand others concerned with literacy issues, todetermine the literacy challenges older personsface and solutions to overcome these challengesin local communities.Jane Phillips brings with her a wealth ofexperience in the human services field havingbeen the Librarian for the Department ofCommunity Services from January 1980 toApril 2001.The second project, Aging Well in Rural Places,relates to rural seniors and the concerns they facewhen dealing with mental health issues and inparticular, depression. It is hoped that throughthis project some of the myths and stereotypes1

will be demystified and that all citizens will havea better understanding of services available tothem and gain increased knowledge about whatthey can do to help themselves or whom tocontact when needing support or interventionwith a mental health issue.Secretariat NewsletterThe third project is about Oral Health Careand the dentistry needs of an aging population.This project will see focus groups of seniors andservice providers participate in a user survey.A “best practices” scan will also be undertakennationally and internationally and a review ofwhich oral health care programs are financedprivately or by other means. An oral healthpolicy forum will be organized and strategiesdeveloped for the future. Wrapping up theproject will be a communication and disseminationof models and strategies to all stakeholder groups.The Secretariat Newsletter is publishedfour times a year by the Senior Citizens’Secretariat and distributed free of charge.We welcome letters, articles and items ofinterest from you. Please include yourname, address and telephone number onall correspondence.These projects are all being carried out inpartnership with other agencies and organizations.We will keep readers updated on the progress ofprojects in future issues of this newsletter.The Senior Citizens’ Secretariat wasValerie WhiteExecutive Directorand programs for seniors by coordinatingestablished in 1980 to facilitate theplanning and development of servicesplans, policies and programs presentedby the departments of the provincialNew President of theGerontology Associationof Nova Scotiagovernment. The Secretariat serves as aone door entry to government for seniors,seniors’ groups and other provincialDr. Colin Powellbrings a wealth ofexperience to hisnew role aspresident of theGerontologyAssociation ofNova Scotia.bodies concerned with aging issues.His research andwritings on theproblems of elderlypeople, particularlydealing with seniors’disabilities and thedelivery of health care to frail seniors arerequired reading for students of gerontology.1740 Granville Street, 4th floor,The Secretariat develops plans, policiesand programs in partnership with otherlevels of government and agenciesresponsible for seniors.The Secretariat’s office is located atP.O. Box 2065, Halifax, NS B3J 2Z1.Tel (902) 424-0065; fax (902) 424-0561;toll-free 1-800-670-0065.2

New President ofRegroupement des aîné-e-sde la Nouvelle-ÉcosseAnother of his interests is Alzheimer Diseaseand it is interesting to note that Dr. Powell is amember of the Board of the Alzheimer Societyof Nova Scotia.Dr. Colin Powell is Professor and Head of theDivision of Geriatric Medicine, Department ofMedicine, Dalhousie University and Directorof the Centre for Health Care of the Elderly atQueen Elizabeth II Health Sciences Centre,Halifax, Nova Scotia.Regroupement: Voice of Acadian SeniorsOmer Blinn, asPresident of theFrench-speakingseniors who aremembers ofRegroupement desaîné-e-s de laNouvelle-Écosse,represents some400 members fromYarmouth to Sydney.He received his medical education at theUniversity of London and then in InternalMedicine at Oxford and Glasgow. He trained inGeriatric Medicine in Glasgow with Sir FergusonAnderson and Dr. Bernard Isaacs. He was SeniorLecturer in Geriatric Medicine, University ofLiverpool from 1973 to 1981 when he emigratedto become Head of the Department of GeriatricMedicine at St. Boniface General Hospital,Winnipeg, Manitoba until 1993. He was formerlya magistrate in the City of Liverpool and amember of the General Synod of the Church ofEngland.The concerns heplaces beforegovernments onbehalf of his membership, he said in a recentinterview, are not unlike those occupying theattention of English-speaking compatriots in theGroup of IX or other seniors’ advocacy groups.Except, he believes, health issues tend to take ona more critical meaning in rural areas. Many ofthe members of Regroupement reside in Argyle,Clare, Halifax, Pomquet, Cheticamp and IsleMadame and, he explained, for them gainingaccess to a doctor or medical emergency care issometimes difficult. Added to that, there is thesometimes prohibitive expense of traveling andliving accommodation in hospital centres because“so many seniors today rely solely on Old AgeSecurity and the Guaranteed Income Supplement.”His published research interests have includedthe detection of unreported disability in old age,aspects of aphasia, depression and chemicaldependency in old people, removal of physicalrestraints, and the delivery of health care to frailseniors. He was twice President of the AlzheimerSociety of Manitoba and is on the Board ofAlzheimer Society of Nova Scotia. He is a memberof the Board of the Canadian Centre for activityand Aging and a member of the InternationalAdvisory Board of Age and Aging. He was Chairof the Health and Biological Sciences Divisionof the Canadian Association on Gerontology(1997–99). He was recently Acting Head of theDepartment of Medicine, Dalhousie University.He became a member of Gerontology Associationof Nova Scotia in 1993. He is currently Presidentof the Nova Scotia Society of Internal Medicineand a senator of Dalhousie University.Mr. Blinn, now 65, retired as vice-president(administration) of St. Anne’s University.In business, he was an accountant.Mr. Blinn and his wife Bernadette, both nativesof Belliveau’s Cove, went to New Brunswick andQuebec for their academic education because, hesaid, “in those days if you wished to be educatedfor a profession in French, one had to go toanother province to undertake that. He studiedaccounting and business; she chose studies innursing. Today Mr. and Mrs. Blinn work togetheron concerns of seniors within the Regroupement.3

New PublicationsRetention of language has long been a concernamong seniors. As he explained, young peoplehad been losing touch with their own language.“the problem of assimilation,” but with Frenchlanguage schools built around the province, thereis new hope.Seniors Bridging the MedicationAwareness Gap in Atlantic CanadaThis project has strengthened the idea thatthe best model is a wellness model. It has alsoraised the awareness of the need for medicationawareness programs, and the importance ofintegrating them into the health system.The project has sown some seeds in governmentdepartments/agencies through the variousrepresentatives on the provincial teams about theimportance of developing an integrated medicationawareness program. This is a positive first step.Two major themes have emerged in this project.One is the importance of intersectoralcollaboration in building support for developingand delivering medication awareness programs.The second is that medication awarenessprograms need funding to operate successfullyand that the preferable option is public funding.For further information contact:PEI Senior Citizens’ Federation Inc.Box 152Charlottetown, PEI C1A 7K4(902) 368-9008“One of our tasks in our seniors’ organization isto encourage and guide people in governmentand public life generally to help preserve ourlanguage and culture. I find that our governmentshave become more responsive to our requests,and we are encouraged by that development.”Harold SheaSenior’s WeekSeniors’ Week was held from June 17–20, 2001.The theme this year was “Seniors’—ValuedVolunteers.” The Week was celebrated in manydifferent ways, and in many differentcommunities within Nova Scotia, with specialattention being focused on the valuablecontributions seniors make through theirvolunteer activities throughout the year.In Support of Shifting SandsChallenges Facing Atlantic CanadaIn Support of Shifting Sands is a project sponsoredby the Seniors Resource Centre, with the supportof the Atlantic Seniors Health Promotion Network,(ASHPN), The Atlantic Seniors’ Liaison Committeeand the Community Health Promotion NetworkAtlantic, (CHPNA). It was funded by HealthCanada through its Health Promotion andPrograms Branch, Halifax, Nova Scotia. Projectintent is to enhance public awareness of thechanging economic and demographic trends inAtlantic Canada, to show how those changes areaffecting seniors and what changes need to bemade in the system to deal with these trends.Its major intent is to alert those who influencepolicy development about those changes, andhow they can be instrumental in shaping policieswhich take into consideration the changingneeds of the Region’s aging population.Representatives from various seniors groupsfrom throughout the province met in theCeremonial Office of Province House where theOfficial Proclamations were signed by PremierJohn Hamm and the Honourable Jamie Muir,Chairperson of the Senior Citizens’ Secretariat.4

Trauma Among Older People:Issues and TreatmentBy Leon Albert Hyer, PhD andSteven James Sohnle, PsyDThis book focuses on the unique considerationsof trauma within the older population. Theauthors explore both aging and trauma-relatedfacts and the relationship between them. Thebook provides a much-needed wealth ofinformation on the dynamics of trauma amongthe aged for gerontologists and all otherprofessional mental health practitioners.To order, contact:Brunner-Routledge325 Chestnut StreetPhiladelphia, Pennsylvania, USATel: 1-215-625-8900Fax: 1-215-625-2940www.brunner-routledge.comFor further information contact:Ms. Irene RoseHealth Canada1505 Barrington Street, Suite 1802Halifax, NS B3J 3Y6Phone: (902) 426-1536Fax: (902) 426-5361Social Care of the Elderly:The Effects of Ethnicity, Class and CultureBy Marjorie H. Cantor, Professor andMark Brennan, PhDThe authors describe the ways in which thecomplimentary roles of informal systems andformal systems change as a function of the healthstatus of older people, and emphasize the criticalimportance of the preferences of older people.The book illustrates the ways in which ethnicity,class and culture affect these systems by focusingon specific case studies.To order, contact:The Springer Publishing Company536 Broadway New York, New York 10012 USATel: 1-212- 431-4370 Fax: 1-212-841-7842Intergenerational Programming Quarterly:An International Journal of ProgramDevelopment, Research and Public PolicyEdited by Sally Newman, PhDOffering program evaluations and suggestions,new training and practice techniques, reviews ofarticles, and editorials from readers, the journalreflects a variety of disciplines. It is the forumwhere gerontologists, educators, medicalprofessionals and urban studies researchers canstay abreast of the latest practice methods andpublic policy initiatives.To order, contact:The Haworth Press, Inc.10 Alice Street BinghamtonNew York 13904-1580 USA(US/Canada)Tel: 1-800-429-6784Fax: 1-800-895-0582(Outside US/Canada)Tel: 1-607-722-5857Fax: 1-607-771-00125

Lawn BowlingI still remember the day 15 years ago when mylate father called to tell me about the fabulous newsport he had began playing. The consummatejock, my dad had spent a lifetime excelling inthe macho pastimes of this province—baseball,basketball, football and hockey.The object of the game is to get your bowl(s)nearer to the jack than your opponent. The jackis a spherical white ‘target’ object, less than onepound in weight and about two-and-half inchesin diameter.The jack is delivered first up to a maximumdistance of 40 yards and a minimum of 25 yards.The first jack is delivered by the player(s) whowins the toss; thereafter the winner of each gameor ‘end’ bowls the jack first.Despite the enjoyment and excitement he derivedfrom all of these activities, he emphatically toldme that none rivalled the pleasure of his latestpursuit—lawn bowling.Being a typical young Nova Scotian athlete, Iopenly scoffed at any suggestion I give up someof my leisure time to try this sport thought bymost skeptics as solely an exercise for the elderlyand athletically challenged.In local circles, there are four different types ofmatch: 1) singles, 2) pairs, 3) triples and 4) fours.The scoring in each match is the same; thenearest bowl(s) to the jack takes the point.Games are generally played to 21 points (singles)or a set number of ends, usually 18 in pairs,triples or fours.To make a long story short, it took three moreyears for my dad to convince me to finally try itand 12 years later I still wish I had heeded hisoriginal phone call.The only equipment required is flat-soled shoes,casual clothes and a set of bowls, which caneither be purchased or borrowed from the club.Not only is lawn bowling anything but boring,it is a sport that offers a myriad of challengesand opportunities.There are eight different sizes of bowl, varying indiameter from four and five-eighths inches to fiveand one-eighth inches, and varying in weight to amaximum of three pounds, eight ounces each.Each bowl of the set of four is identical, and all‘turn’ the same amount on the same green. Thatis to say that the ‘bias’ of the four bowls has beenprecicely matched in manufacture.Besides the obvious benefits of exercising outdoors,it is a sport that is open to all genders and ages,is easy to learn, is low cost, develops friendshipsthat last a lifetime and allows every individualthe capacity to compete at his or her desired level.In fact, competitive bowlers interested in takingtheir game to the elite levels, can participate intournaments in such interesting locales asAustralia, New Zealand, Malaysia, Japan, GreatBritain, Scotland, Ireland and any number of islands in the south seas.The bias of different sets can vary. The rule isthat every bowl must ‘bend’ more than a masterbowl kept in each country. Instructors adviseeach beginner not to buy a set of bowls until theylearn how to play, and have found out whichmake, weight and size suits them best.Locally, there are five active clubs—Bedford,Bridgetown, Dartmouth, Wolfville and Wanderersin Halifax. All are equipped with lights for nightbowling and Dartmouth has an artificial surfacethat allows for bowling even during the wintermonths.A set of bowls will last a bowling lifetime.Costs vary, but the average cost is approximately 225 for the set, representing the major part ofthe total cost of preparing to play game, sociallyor competitively.In Nova Scotia, the bowling season usually runsfrom mid-May until early October.Anyway, for the uninitiated, lawn bowling isessentially a simple game. New learners areinvariably pleased and surprised that within acouple of hours of beginning their instruction,they can take part in a competitive game of bowls.Those wishing further information on the sportcan contact Allister MacPherson, Director of PublicRelations for Bowls Nova Scotia at 445-3016.6

MedicAlert offers asense of security“MedicAlert provides instant access to criticalhealth care information when seconds count,”says Debbie Cotton, President of the Nova ScotiaEmergency Nurses Association. “MedicAlertidentification lets nurses and other health careprofessionals fast track diagnosisand treatment And we all knowthat time is the critical factor insecuring the most positiveoutcome possible in a medicalemergency.”Today MedicAlert bracelets and necklets are acommon sight in schoolyards, playgrounds,beaches—wherever young people gather. It didn’tused to be that way. Forty-one years ago, whenLloyd MacKenzie was diagnosed with diabetes,he was the only kid on theblock wearing MedicAlert.“I had the necklet first, “recallsMr. MacKenzie, an accountantin Halifax. “It was the thing towear when you were young.Then I got a bracelet, which Istill wear. In all these years, Ihave never left the house withoutit The bracelet is a part of me: itgives me a sense of security.”Based on Health Canadastatistics, at least one in fiveNova Scotians have a medicalcondition that should be knownin an emergency. At presentthere are over 40,000 MedicAlertmembers in Nova Scotia. Of this,nearly 21,000 joined because ofan allergy, including 16,000 Nova Scotians whoenrolled because of drug allergies. The fastestgrowing group of members with food allergies is10–14 year olds. In addition, there are near1y10,000 members in Nova Scotia who havediabetes, approximately 7,000 who have heartdisease or high blood pressure and roughly 3500members with asthma.The Canadian MedicAlertFoundation, which iscelebrating its 4Oth anniversarythis year, had not yet been established whenLloyd MacKenzie was diagnosed with diabetes.Looking back, he believes it was his mother, anurse, who sent away to the U.S. for his firstMedicAlert protection.Was it embarrassing to wear, back in those earlyyears when most people hadn’t even heard of thenational charity? Mr. MacKenzie shakes his headand laughs. “I had a lot of friends who wereRoman Catholic,” he says, “and they all worecrosses. So they had their crosses, and I hadsomething too.”MedicAlert has become something of a familytradition in Lloyd MacKenzie’s household. Hisdaughter Allison, now 31, was diagnosed withdiabetes at age 4, and has worn MedicAlertprotection ever since. “We have both been verylucky,” he says, “that we have never had thecause to have someone call that number, but thesense of security is there.”Today, the Canadian MedicAlert Foundation hasmore than one million members. It provideshealth professionals and emergency responderswith vital medical information when it’s neededmost—in an emergency. The bracelet or neckletis engraved with pertinent medical informationand with a number that responders can call toget the members full medical record—24 hoursa-day, in 140 languages, anywhere in the world.For additional protection, members also receivea wallet card that lists medications and the namesand phone numbers of their physicians andemergency contacts.For more information or photos,please contact:Donalee MoultonRegional Coordinator, Atlanticphone: 902-443-9600fax: 902-445-4364e-mail: [email protected]

Family Caregiver SupportGroups in Nova ScotiaRecreation Nova ScotiaProviding caring, sharing, education & supportRecreation Nova Scotia (RNS) is pleased toannounce the release of the Older Adults—Get Active video. This educational tool depictsrecreation and active living among older adultsof all abilities. Camille Vokey, Recreation NovaScotia Accessibility Officer says, “The purposeof the video is to train, inform, and encouragecommunity leaders, recreation practitioners, andvolunteers to support and include older adultsin their local recreation community activities.In addition, the video will certainly motivate andencourage older adults, their friends and familyto enjoy the benefits of active living.”“Older Adults—Get Active” VideoPictou CountyMeetings held every 3rd Thursday of the monthat 7:30 pm in Carmichael Room (former nursesresidence), Aberdeen HospitalSponsored by Seniors Outreach, Valley View Villain connection with the Family CaregiversAssociation of Nova ScotiaContacts: Mary MacLellan 755-1123 andNan Mackenzie 755-3113Annapolis & Digby CountiesMeetings 2nd Tuesday of the month at 2 pmat the Homestead Restaurant on Highway 1,GranvilleContact: Maxine Barrett 532-7624Chester, Hubbards, Western Shore AreaMeetings usually once a month at the ShorehamVillage (training room) in ChesterContact: Adrienne Burke-Purdy 275-5169New Ross AreaMeetings once a month, usually at 7:30 pm inthe New Ross Family Resource Centre, for actualmeeting date, please check with PennyContact: Penny Seck 689-2801The video was produced by RNS with thefinancial support from the Active Living Alliancefor Canadians with a Disability, Halifax RegionalMunicipality—Parks and Recreation Services,Senior Citizens’ Secretariat, and the Nova ScotiaSport and Recreation Commission. Furthermore,the production of this video was made possiblethrough the involvement of many older adultorganizations and recreation community groups.Richmond CountyMeetings 2nd last Thursday of each month at2 pm, Tranquility Cafe, St. PetersThere are also meetings at the Strait of RichmondHospital every two weeks, for actual meetingdate, please contact ElizabethContact: Elizabeth Henri 345-2231The video is now available for purchase from RNSat the price of 18.00 (plus HST) for RNS membersand 24.00 (plus HST) non-RNS members.A facilitator guide to accompany the OlderAdults—Get Active video will be available in2002. The purpose of the guide will be to deepenand broaden the understanding of inclusion, itsbenefits, overcoming barriers, and active livingresources available related to older adults.8

The Importance of UsingMedication ProperlyRNS is a non for profit province wide organizationestablished to promote the values and benefits ofrecreation and leisure. As the provincial partnerfor The Active Living Alliance for Canadianswith a Disability as well as the Canadian Parksand Recreation Association, RNS is dedicatedto ensure that all Nova Scotians have the rightto enjoy accessible, high quality recreationalactivities. Through the role of an advocate,educator, networker, and resource broker, RNSwill contribute to increasing leisure opportunitiesthat are inclusive and accessible to all.John Ryan, PhC (retired)To address this subject I have selected thequestion and answer approach.Q What is one of the most important concernsrelating to using medication properly?A To answer this question I would like torefer to the report released in the UnitedStates in 1993 by a Task Force forCompliance as well as some commentsfrom some research findings of a studydone in Canada and reported on in 1995.The report of the U.S. Task Force clearlyidentified non-compliance as a majorconcern. This means that many people werenot following some or all of the instructionsfor using their medication. In his researchDr. Robert Coambs, Centre for HealthPromotion, University of Toronto foundalso that non-compliance is a major problem.The 1995 Canadian research claimed thatnon-compliance costs Canadians between7 and 9 billion dollars each year. Someprogress has been made since 1995 but theproblem still remains. Non-compliance isconsidered by some health researchers to beone of Canada’s largest and most expensivedisease categories. The cost of noncompliance has been reported as equivalentto the total cost of coronary heart disease.To order video or for more information contact:Recreation Nova Scotia5516 Spring Garden RoadSuite 312, P.O. Box 3010 Park Lane CentreHalifax, NS B3J 306Phone: (902) 425-1128; Fax: (902) 422-8201;E-Mail: [email protected] available to borrow from:Senior Citizens’ Secretariat—Information Resource Centre1-800-670-0065 or 424-4710Community TransportationAssistance Program (CTAP)Building on the success of th two year InclusiveTransportation Pilot Project, the CommunityTransportation Assistance Program (CTAP)provides operating support and promotes costeffective and sustainable inclusive transportationin low population communities in Nova Scotia.Q What were the specific issues related to heartdisease identified by the Task Force?A Not having prescriptions filled or refilled.This is particularly applicable to lowerincome families or those with no drugbenefit programs. Some studies also claimthat increased co-payments play a role;Taking an incorrect dosage;Taking medication at the wrong time;Forgetting to take one or more doses;Stopping the medication too soon. This isparticularly true with Antibiotics. Patientsshould never discontinue medicationwithout consulting with their physician orApplications are available for download at thefollowing web additional information and inquiries contact:Rene Frigault, Service Nova Scotia andMunicipal RelationsE-mail: [email protected]: (902) 424-2088Fax: (902) 424-08219

pharmacist. A study by a major drugcompany claimed that 17% of patients failedto have their prescriptions filled and 32%of patients told by their physician to havetheir prescriptions refilled failed to do so.Q What are some strategies which can beimplemented to improve compliance?A The use of reminders by mail, telephone orby personal contact would be helpful;Provision of training sessions, particularlyfor products used in the treatment ofconditions such as asthma;Compliance Packaging would be helpful,e.g. some cholesterol lowering drugs likePravachol or oral contraceptives;Specially designed dispensing packages andmedication organizers like Dosettes ;The use of medication calendars on whichpatients can record doses taken;Patient Education programs includingsupport group sessions;Doctor patient interaction;The use of printed patient informationmaterial combined with verbal counsellingby the pharmacist.Q Are any of these problems encountered locally?A Yes, all of them. With the ever increasingcosts of medication the problems increase.Some patients reduce their doses ofmedication to help control their costs andthis can lead to serious consequences.Q Is non-compliance specific to anyidentifiable group?A The Task Force observed that noncompliance is common to all ages. Thereis generally no correlation with age, sex,socioeconomic status or level of education.Dr. Coambs stresses that in the elderlycompliance is especially important becauseseniors often take more than one medication.Q What are some of the consequences ofnon-compliance?A Physician misjudgment of theeffectiveness of treatment;Patient’s loss of confidence in theeffectiveness of medication andperhaps in the physician;Repeated episodes of illness;Loss of patient productivity andreduced quality of life;Increased use of expensive services suchas hospital and emergency room visits;Economic losses associated withreduced worker productivity;Admissions to hospitals andnursing homes;Increased costs of private andgovernment drug benefit programs.Q What final comments can you offer withrespect to non-compliance?A The U.S. Task Force correctly concludedthat physicians, pharmacists and patientsall have a responsibility to enhancecompliance. Authors of a book“Facilitating Treatment Adherence”Donald Meichenbaum and Dennis Turkstate, “Health care providers can share theresponsibility for treatment adherence withpatients and significant others in their lives.The teaching of self-management skills topatients represents a major challenge forhealth care professionals.”Ask yourself, am I a compliant person withrespect to my use of my medication?10

BooksDeterminants of HealthHeartHealthy CookingDelicious Everyday RecipesThis “heart healthy” cookbook was produced bythe Becel Heart Health Information Bureau.The recipes come with complete nutrientinformation, preparation and cooking times andnumber of servings. The book also pumps youwith information about your heart, health risks,good and bad fats, the value of fibre and why youshould limit your grains of salt. A quiz on howwell you shop, along with menu planning, mayprovide new insights into healthy cooking.HeartHealthy Cooking, edited by BarbaraLederman, MSc, RD, and Bridget Wilson, PHEc.Published by Key Porter Books, 2000. Soft cover,160 pages. 24.95Factors that influence the health of individualsand communities are called the determinants ofhealth. Several Canadian and Nova Scotianhealth care reports identify these determinants,beginning with the LaLonde Report in 1974.The Ottawa Charter for Health Promotion(1986), the Nova Scotia Royal Commission(1989), Nova Scotia’s Blueprint for Health CareReform (1994), and the Health Authorities Act(2000) are other reports that recognize thesignificance of the determinants.300 Incredible Things ForSeniors On The InternetEducationHigher educational levels lead to better health.Income and Social StatusGreater income and higher social statusgenerally equals better health.Social Support NetworksIf you have the support of family and friendsyou are generally healthier.Employment and Working ConditionsThe more control you have over workingconditions and employment, the healthieryou will be.Let your mou

1 VOLUME 98 AUGUST 2001 Secretariat Update Since our last newsletter activities with the Secretariat have increased and many exciting changes have taken place.