Talk about health

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Consultation has concluded

From October 2015 to April 2016, we asked Nova Scotians what we need to do to create a healthier future. Talk about health included 42 face-to-face conversations with almost 1,000 people in communities across the province, asking big questions about how we can change our health status. Our Community Health Boards and many other community partners and stakeholders collaborated to make these events a huge success.

The feedback we’ve received from community participants has painted a picture of where Nova Scotians see the challenges for achieving good health and also the opportunities we have to make change. There was a lot of hope expressed and the people who attended these conversations were very engaged.

What we heard

It’s time to report back on what we heard. We have in these five key themes:

·Live well

·Cooperate, coordinate, collaborate

·Encourage a healthy population

·Build supportive systems

·Build a healthy society

Read about each of the themes in the Talk about health Phase I report here. Please take some time to read over each of the themes while you think about these questions:

1. Can we afford to stand back and see what happens if we do nothing and let the conversation end here?

2. How can we better support our own health, our community and our province?

3. How can we move forward from here to create a better culture of health in Nova Scotia?

For a quick snapshot of Phase 1, take a look at the infographic.

What’s next?

Phase II of Talk about health is still in the planning stages. We will be posting regular updates here as we continue to consult and plan with our partners.

In the meantime, please let us know what you think of anything you read in the Talk about health report or elsewhere by participating on the site or by email. For other opportunities to engage with the Nova Scotia Health Authority, please visit us online.


From October 2015 to April 2016, we asked Nova Scotians what we need to do to create a healthier future. Talk about health included 42 face-to-face conversations with almost 1,000 people in communities across the province, asking big questions about how we can change our health status. Our Community Health Boards and many other community partners and stakeholders collaborated to make these events a huge success.

The feedback we’ve received from community participants has painted a picture of where Nova Scotians see the challenges for achieving good health and also the opportunities we have to make change. There was a lot of hope expressed and the people who attended these conversations were very engaged.

What we heard

It’s time to report back on what we heard. We have in these five key themes:

·Live well

·Cooperate, coordinate, collaborate

·Encourage a healthy population

·Build supportive systems

·Build a healthy society

Read about each of the themes in the Talk about health Phase I report here. Please take some time to read over each of the themes while you think about these questions:

1. Can we afford to stand back and see what happens if we do nothing and let the conversation end here?

2. How can we better support our own health, our community and our province?

3. How can we move forward from here to create a better culture of health in Nova Scotia?

For a quick snapshot of Phase 1, take a look at the infographic.

What’s next?

Phase II of Talk about health is still in the planning stages. We will be posting regular updates here as we continue to consult and plan with our partners.

In the meantime, please let us know what you think of anything you read in the Talk about health report or elsewhere by participating on the site or by email. For other opportunities to engage with the Nova Scotia Health Authority, please visit us online.


Consultation has concluded
  • Talking about health = talking about prevention

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    Talking about health = talking about prevention


    By Dr. Gaynor Watson-Creed, Medical Officer of Health

    When we think of health, we often think of doctors, nurses, and other health professionals. It is associated with symbols like white coats, uniforms, stethoscopes, big buildings, beds and ambulances.

    By comparison, preventive medicine, care provided by primary and public health to help prevent us from getting sick or effectively managing conditions, has no symbol. As a result, preventive work is often not included when we talk about health. Prevention includes:

    • Taking action to prevent risk factors from becoming disease (e.g. “Are you smoking? We can help you to stop.”)
    • Dealing with risk factors that may have already caused disease (e.g. screening programs that allow us to detect disease and take action to cure it or prevent it from worsening).
    • Treating disease and risk factors to prevent the worst possible outcomes (e.g. managing diabetes to prevent limb loss or death).

    Most forgotten is the “far upstream” prevention, done by public health, also known as primordial prevention.

    It is about preventing risk factors from existing in the first place and tackling them where they are created – in our society.

    Example: Unhealthy eating is a risk factor for cardiovascular disease. In primary prevention, we address this by counselling people to choose healthy foods over unhealthy ones.

    Nutritionists, nurses, physicians and many other health professionals regularly make this recommendation. And while patients understand the advice, many people still struggle to eat healthy – often because healthy foods simply aren’t available, affordable and accessible.

    To understand why this happens, we have to ask several more questions: Where does unhealthy food come from? Why is there so much of it? Why is there less healthy food? Are there ways we can increase the availability of healthy food? And who are the players who can make a difference?

    The great news is there are many important players who can help make a difference: growers; vendors; municipal planners and engineers who decide on regulations that impact where grocery stores are in our communities; and developers who design and build communities. They each have some responsibility for ensuring that healthy food exists in our communities – and public health regularly takes this conversation to these tables.

    The even better news is that many of these groups already understand the importance of healthy eating and the role they play – they were talking about health long before we joined them in their conversations and, with our ongoing support and encouragement, they tell us they are keen to continue.

    While prevention (in all forms) may look and sound different from what we traditionally deem as health symbols, it’s crucial that prevention start and continue to be a part of our health conversations. Making changes in our society can make a positive difference for our health. What’s important to you?



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  • Finding Well-Being in the Great Outdoors: Doctors Nova Scotia

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    Keppoch Mountain rises on the horizon just outside of the town of Antigonish, N.S. Once a popular ski hill, Keppoch’s chair lifts and downhill skiers are long gone now. In their place, a series of hiking and biking trails wind their way up, down and around the mountain.

    Every day, people of all ages arrive to hit the trails, on foot or by bike in the warmer months, on snow shoes and cross-country skis once the snow falls. A cozy stone lodge with a large stone fireplace welcomes hundreds of visitors a year, from the local community and from as far away Scotland, England, Germany, Thailand and even New Zealand.

    It’s all part of the plan, says Dr. John Chiasson, a family physician in Antigonish.

    In addition to working full time caring for his patients, he’s also the president of the Positive Action for Keppoch (PAK) Society. The non-profit organization was founded in 2010 to breathe new life into the defunct ski hill, offering people in the Antigonish area a place to commune with nature – and improve their health and well-being.


  • The Obesity Crisis: Nova Scotia’s Growing Waistline: Doctor's Nova Scotia

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    Daily we hear about the fact that obesity rates are growing, but by how much and how does it relate to the average Nova Scotian?

    Since 1985, obesity rates have tripled. Today, one in three adult Nova Scotians falls into the overweight or obese category with a body mass index of more than 30.

    And guess what? It’s expected to get much worse.

    By 2019, it’s predicted there will be more overweight and obese people in Nova Scotia than there are average or normal weighted people. This means more than 50 per cent of Nova Scotians will be overweight or obese in less than four years.

    In particular, the categories of obesity at the upper end of the scales are growing dramatically.

    These are the findings of a study published in the March 2014 Canadian Medical Association Journal called “Current and predicted prevalence of obesity in Canada: a trend analysis.”

    Now that we know more definitively how obesity rates are growing, here’s what else you should know.

  • Talk about health Antigonish

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    On November 10th, we hosted a Talk about health conversation with Municipality of the County of Antigonish.

    Overall, we had a great turnout and were heard about lots of concerns from citizens about the future of health in Nova Scotia.

    Take a look at some of the things that were said during the discussion

  • Talk about health public opinion research: What we heard

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    Over October, the Nova Scotia Health Authority commissioned a research firm to carry out baseline public opinion research for Talk about health. This survey aimed to raise awareness about the need for change, as well as understand attitudes, beliefs and values related to population health and health status.

    Below is a snapshot of what we heard from Nova Scotians.

    To everyone who participated in the survey - Thank you!


  • Nova Scotia Health Authority seeks input on a healthier future for the province

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    Read about the Antigonish Talk about health session here!

  • FARRIES: Improved health in Nova Scotia more than a piece of cake

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    Nova Scotia spends $1.9 billion each year on doctors, nurses and hospitals — the second-highest per capita amount in the country — but we’re not getting healthier.

    Just the opposite. We’re the second-lowest in Canada in terms of health status.

    Read Anne Farries' article here


  • Healthy discussions in Liverpool

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    Twenty-three people, including members of the Queens Community Health Board, the Region of Queens Municipality and the Queens Care Society, met at the Queens Place Emera Centre in Livepool on November the 4th to take part in a Talk about health conversation.

    Read more about the event! (registration required)


  • STRANG: Nova Scotia in bad shape, needs lifestyle shift

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    Dr. Robert Strang, the Chief Public Health Officer, outlines Nova Scotia's poor health status and lays out a case for change. Read the full article.

  • What really impacts your health?

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    Being healthy is more than not being sick. Many things, the social determinants of health, impact our health. Understanding the social determinants of health isn't always easy. Learn about the importance of the social determinants of health and what they really mean.