BROC

K April-June2013

The Newsletter of Brock Community Health Centre

HEALTHHEALTHCONNECTIONSCONNECTIONS

Inside This Issue

Brock CHC Highlights 2

Cancer Screening:Call to Action 3

New Diabetes Guidelines 5

Diabetes: Just the Basics 6

Antibiotic Resistance 9

Local VolunteerGovernance Matters 11

and more ...

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Drumming for Health at Brock CHC's AGM: Beaverton, Cannington and Sunderland members of the Drumming for Health facilitator team and community program provided an energetic performance at Brock CHC’s Annual General Meeting on June 19th. Drummers pictured from left to right are: Katie Probst, Judy Yake, Heather Oswald, Theresa Como, Debbie Robinson and Paul Gormley.

Durham North Zone Partnership Agreement SignedThe four organizations involved in Agreement to focus on the future signed by the partners by May 1, the Durham North Zone – VON for development of community health 2013 and by the Boards/governing Canada (Ontario), Community services in north Durham Region bodies of the four organizations by Care Durham (CCD), the Regional (Brock, Scugog and Uxbridge June 7th, 2013.Municipality of Durham (Seniors Townships) for those with the Services), and Brock Community highest needs. The “Durham The Durham North Zone was Health Centre (Brock CHC) – have North Zone Partnership created following the decisions of entered into a Partnership Agreement” was developed and the Central East Local Health

Integration Network (Central East LHIN) Board of Directors in February and March 2013 pertaining to the Community Health Services Integration Plan

Brock CHC HighlightsBrock CHC’s Annual General Appreciation Awards ceremony agreement. The “Durham North Meeting (AGM) was held on June held in Peterborough. MPP Jeff Zone Partnership Agreement” was 19th, 2013 at the Cannington Leal presented awards to: Ted developed and signed by the Baptist Church with approximately Foster, Shirley Wheatley, Nancy partners by May 1st, 2013 and by 60 members of the public, Parliament, Anne Kewley and Larry the Boards/governing bodies of the employees and invited guests in O’Connor in recognition of ten four organizations by June 7th, attendance. Board of Directors years of service to Brock 2013. Chair, Ted Foster, presided over Community Health Centre.the business portion of the meeting The four partners involved in the and invited brief presentations by As noted in the last issue of Health Durham North Zone are now representatives of each of Brock Connections, the Central East developing a “strategic and CHC’s programs and projects. LHIN released “Integration Plan for operational plan” to be finalized by Each presentation was Community Health Services August 2nd, 2013. It is anticipated accompanied by an information (Durham Cluster)” on February that Brock CHC will then develop a display. 12th, 2013. The key report to the Central East LHIN

recommendation contained in the Board in August 2013 focusing on At the Brock CHC AGM the “Integration Plan” that focused on the key elements of the partnership following new Brock CHC Board Brock Community Health Centre agreement, the strategic plan and members were elected for a term pertained to the formation of the how the plan will be implemented.of three years: Logan Dykstra, “Durham North Zone”. This is Penny Contreras Judge, Shirley defined as a strategic and Other integrations contained in the Manchester and Andrea D'Souza. operational partnership for the Central East LHIN’s “Integration

Durham North Zone (Brock, Plan for Community Health Scugog and Uxbridge) that Special thanks and appreciation Services (Durham Cluster)” are concentrates on the priority health was conveyed by all present at the proceeding. Most notable, The needs of residents and targeting Brock CHC AGM to retiring Board Youth Centre and Oshawa investments on these needs. The of Directors members Ted Foster, Community Health Centre were organizations involved in the Nancy Parliament, and Elizabeth encouraged by the Central East “Durham North Zone” are: Brock van der Loo who have served so LHIN to proceed with discussions CHC, Community Care Durham, effectively and responsibly on pertaining to the possible VON and Durham Region’s Adult behalf of their community for many integration of the two Day Programs.years. All three individuals had key organizations.

roles in the formation of Brock Community Health Centre. Also as noted in the last issue of Brock CHC’s “Drumming For

Health Connections, the Central Health” project, supported by East LHIN Board of Directors Following the Brock CHC AGM, the funding from New Horizons for passed a motion on March 27th, following officers were elected for Seniors, was officially completed at 2013 supporting the voluntary the organization for the next year: the end of June 2013. However, integration pertaining to the the initiative has been very formation of the Durham North successful and will continue in a Shirley Wheatley ChairZone, and Brock CHC was modified format led by volunteers Peter Elliott Vice-Chairdesignated as the lead and supported by Brock CHC’s Erin Lambert Secretaryorganization for this initiative. Community Development and Peter Prust Treasurer

Health Promotion Program.Kim Bouwmeester Member AtSince the Central East LHIN Board Largedecision, Brock CHC has been

Ron Ballantyneworking in partnership with On June 10th, 2013, five current Executive DirectorCommunity Care Durham, VON and former members of the Brock and Durham Region’s Adult Day CHC Board of Directors were Programs to develop a partnership honoured at the Volunteer

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Health Connections

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April-June 2013

Cancer Screening: Call to ActionCancer Care Ontario has issued a Screening for cancer is proven to cured. Studies show that regular call to action to encourage save lives by detecting pre- mammograms for women 50 to 74 Ontarians to screen for breast, cancerous changes or cancer at an years of age reduce the risk of cervical and colorectal cancer early stage. Creative e-cards have dying from breast cancer.using the slogan “Time to Screen”. been crafted to help Ontarians The goal of this initiative is to spread the word about the How Effective is Screening?encourage an additional 100,000 importance of screening with their Ontarians to screen within the next loved ones, and conversations with ·Breast screening finds breast six months. friends, families and communities cancer earlier, when there are

are encouraged. more treatment options and an Cancer Care Ontario encourages improved chance of survival. average risk men and women 50 to Cancer screening helps detect the Breast cancer death rates for 74 years of age to screen for: changes that lead to cancer, or Ontario women have decreased

cancer at an early stage before by 37% between 1990 and 2008 ·colorectal cancer every two symptoms develop. Research for women 50 to 74 years of age.

years using the fecal occult shows that regularly screening for This reduction may be the result blood test, breast, cervical and colorectal of better treatments and

·women, 50 to 74 years of age, cancer saves lives. For example, increased screening with to screen for breast cancer cervical cancer is almost entirely mammography and a recent every two years with preventable with regular screening, decline in breast cancer mammography and appropriate and timely follow-up of incidence.

·women, 21 to 70 years of age, abnormal Pap test results and HPV to screen for cervical cancer immunization. When caught early, ·Cervical cancer is almost entirely every three years using a Pap people with colorectal cancer have preventable with regular test. a 90 per cent chance of being screening, appropriate and

Living a Healthy Life with Chronic Pain Workshop: Pictured are graduates of the Living a Healthy Life with Chronic Pain workshop held at the Cannington Seniors Room during spring 2013. The workshop provided local residents with the confidence to become active self-managers of the chronic pain associated with their health conditions. They acquired tools to help manage stress and anxiety, depression and difficult emotions, fatigue and restricted movements – all symptoms of living with chronic pain.

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Brock CHC’s

Health Connections

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Durham North Zone Partnershipcontinued from page 1

(Durham Cluster). The plan 5. Analyze available health followed several months of information sources and service assessment of integration profile information to identify opportunities of ten Community community health service priorities Health Services organizations in and gaps in service and to identify Durham Region. individuals with the highest needs,

highest risks and complexity. As a result of the partnership, the four organizations, within the 6. Identify common clients and scope of their mandates, will opportunities for coordinated and endeavour to build on existing complementary approaches to service partnerships and develop serving those clients, as allowed innovative approaches to serving by applicable legislation.clients in their local community. This will be achieved in a 7. Explore efficient ways to liaise coordinated and cost effective with other health service providers manner with priority on high involved in the care of clients needs, high risk and complex served by the organizations clients. named in the partnership

agreement. The Durham North Zone Partnership Agreement states the 8. Develop metrics and an four organizations will collaborate evaluation protocol consistent with to: the purpose of the Durham North

Zone to assess progress and the 1. Enhance the level of client experience.coordination of community health services currently provided by the 9. Define best practices for rural partners in north Durham Region; community health services in the

Durham North Zone. 2. Achieve service improvements, coordinated assessment and 10. Recommend health system referral, and better client improvements to more effectively experiences, where possible, serve clients with the highest investing any savings in enhanced needs, highest risks and service capacities; complexity in the Durham North

Zone.3. Quantify projected in-year surpluses, if any, by September The Durham North Zone 1st, or earlier, of each fiscal year; Partnership Agreement, which

takes effect immediately, will be 4. Identify options for spending accompanied by a strategic and any projected surpluses each year operational plan developed by the amongst the named partners in four organizations by the the Durham North Zone within the beginning of August 2013.scope of their CE LHIN funding mandate;

Cancer Screeningcont’d from page 3

·timely follow-up of abnormal Pap test results and, recently, human papillomavirus (HPV) immunization. Regular cervical cancer screening, which is currently done with a Pap test, can show cell changes that can be treated before they become cancer. In the past 30 years, incidence and mortality rates for cervical cancer in Ontario have declined by more than 60% in all age groups due to widespread cervical cancer screening and improved treatment.

·Colorectal cancer develops in the large intestine and rectum and the exact cause is difficult to pinpoint. Tiny growths, called polyps, sometimes form on the inner surface of the colon or rectum. Polyps are not cancerous but, over time, a slow growing polyp may become colorectal cancer. Often there are no symptoms in the early stages of colorectal cancer, but screening can detect this disease at its earliest stages when treatment is most effective. A person with colorectal cancer has a 90% chance of being cured if the cancer is caught early through regular screening.

For more information on screening, visit www.ontario.ca/screenforlife

Source: adapted from “Time to Screen”, Cancer Care Ontario, 2013

April-June 2013

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The Canadian Diabetes -Use of A1C for the diagnosis should receive Association (CDA) has recently diagnosis of prediabetes immediate released new “Diabetes Clinical (A1C 6.0% to 6.4%). pharmacological therapy Practice Guidelines (CPGs)”. and consideration for use Every five years, the CDA ·Glycemic Targets of ≥2 antihyperglycemic publishes new comprehensive -Individualization of therapies and/or insulin.guidelines. glycemic targets with the -Inclusion of cost table for

vast majority of people with antihyperglycemic The guidelines were developed diabetes continuing to therapies.by a committee of professional target an A1C ≤7.0%.volunteer experts who reviewed -Better definition of ·Vascular Protectionand assessed all relevant scenarios in which one -New, simplified definitions evidence published since 2008 may consider a target of of who should receive regarding the prevention and statins, angiotensin A1C ≤6.5% or less management of diabetes. The converting enzyme (ACE), stringent target of A1C data were then used to update angiotensin II receptor 7.1% to 8.5%.the Guidelines’ chapters and blocker (ARB), or aspirin.revise recommendations to aid -No need to assess for high ·Self-monitoring of Blood physicians in caring for the more risk as suggested in 2008.Glucose (SMBG)than nine million Canadians

-Recommendations for currently living with diabetes or ·Chronic Kidney Disease frequency of SMBG for prediabetes. -New definition of those with type 2 diabetes

microalbuminuria of not receiving insulin The 2013 Guidelines utilize the albumin-to-creatinine ratio therapy.same methodology and grading (ACR) ≥2.0 for both men system as in previous guidelines.

·Nutrition Therapy and women.It is important to note that the

-Continued emphasis on -New “Sick Day glycated hemoglobin (A1C) in balanced, individualized Management” document Canada is still reported in nutritional therapy with the for acute illness.National Glycohemoglobin inclusion of alternative Standardization Program (NGSP) dietary patterns as options. ·Diabetes Pregnancyunits (%) and not International

-New criteria for the Federation of Clinical Chemistry

·Pharmacological Management screening and diagnosis of and Laboratory Medicine (IFCC) of Type 2 Diabetes gestational diabetes.SI units (mmol/mol). To convert to

-Achieve target A1C within the IFCC units, the following 3 to 6 months of the ·Diabetes in the Elderly formula can be used: IFCC = diagnosis of diabetes. -New recommendation for 10.93(NGSP) - 23.50

-New algorithm for the glycemic targets among pharmacological the frail elderly A1C ≤8.5%-

The following summarizes some management of type 2 fasting and preprandial BG of the highlights from the new diabetes with emphasis on of 5 to 12 mmol/L.2013 Guidelines: individualization of agent Source: Canadian Diabetes Association choice.

·Diagnosis 2013 Clinical Practice Guidelines for the -Metformin may be used at -Use of A1C for the Prevention and Management of the time of diagnosis.

Diabetes in Canada. Can J Diabetes diagnosis of diabetes (A1C -A1C ≥8.5% at the time of 2013; 37(suppl. 1).

≥6.5%).

New Diabetes Guidelines

Brock CHC’s

Health Connections

Diabetes is a condition in which your body cannot properly use and store food for energy. The fuel that your body needs is called glucose, a form of sugar. Glucose comes from foods such as fruit, milk, some vegetables, starchy foods and sugar.

To control your blood glucose you will need to eat healthy foods, be active and you may need to take pills and/or insulin.

Diabetes: Just the Basics

TIPS

Eat three meals per day at regular times and space meals no more than six hours apart. You may benefit from a healthy snack.

Limit sugars and sweets such as sugar, regular pop, desserts, candies, jam and honey.

Limit the amount of high-fat food you eat such as fried foods, chips and pastries.

Eat more high-fibre foods such as whole grain breads and cereals, lentils, dried beans and peas, brown rice, vegetables and fruits.

If you are thirsty, drink water.

Add physical activity to your life.

REASONS

Eating at regular times helps your body control blood glucose levels.

The more sugar you eat, the higher your blood glucose will be. Artificial sweeteners can be useful.

High-fat foods may cause you to gain weight. A healthy weight helps with blood glucose control and is healthier for your heart.

Foods high in fibre may help you feel full and may lower blood glucose and cholesterol levels.

Drinking regular pop and fruit juice will raise your blood glucose.

Regular physical activity will improve your blood glucose control.

Plan for healthy eating

·Have a glass of milk and a piece of fruit to complete your meal.

·Alcohol can affect blood glucose levels and cause you to gain weight. Talk to your healthcare professional about whether you can include alcohol in your meal plan and how much is safe.

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·Eat more vegetables. These are very high in nutrients and low in calories.

·Choose starchy foods such as whole grain breads and cereals, rice noodles, or potatoes at every meal. Starchy foods are broken down into glucose, which your body needs for energy.

·Include fish, lean meats, low-fat cheeses, eggs or vegetarian protein choices as part of your meal.

Increase your physical activity·Build time for physical activity

into your daily routine.

·Try to be active most days of the week.

·Walk whenever you can, instead of taking the car.

·Start slowly and gradually increase the amount of effort; for instance, progress from strolling to brisk walking.

·Make family activities active; try swimming or skating instead of watching TV or a movie.

·Try new activities; learn to dance, play basketball, or ride a bike.

·Enjoy your improved sense of health and wellbeing.

Follow a healthy lifestyle

Diabetes: The FactsHere are some facts about diabetes in Canada that may be of interest to you:

·More than 9 million Canadians live with diabetes or prediabetes (a condition that, if left unchecked, puts you at risk of developing type 2 diabetes);

·Therefore, nearly 1 in 4 Canadians has diabetes or prediabetes;

·The number of people with type 2 diabetes is rising dramatically due to a number of factors:

-An aging population (the risk of developing type 2 diabetes rises with age);

-Rising obesity rates (obesity dramatically increases the likelihood of developing type 2 diabetes);

-Increasingly sedentary lifestyles are contributing to rising obesity rates, particularly in younger Canadians, which can lead to type 2 diabetes;

-People of Aboriginal descent are 3 to 5 times more likely than the general population to develop type 2 diabetes; and

April-June 2013

·Have at least 3 out of the 4 key food groups at each meal from Eating Well with Canada’s Food Guide:-vegetables and fruit-grain products-milk and alternatives-meat and alternatives

·Have portion sizes that will help you reach or maintain a healthy body weight.

·Include high-fibre foods such as whole grain breads, cereals, and pastas, fresh fruits, vegetables and legumes.

·Make lower fat choices (e.g. use skim milk and lean ground beef, trim fat on meat, chicken, etc., and use small amounts of added fat such as oil and salad dressings).

·Healthy eating habits should be built around a healthy lifestyle – keep active every day.

Adapted from: Canadian Diabetes Association: Just the Basics, 2010.

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Diabetes: The Factscontinued from page 7

-Almost 80% of new Canadians are from populations that have a higher risk for type 2 diabetes. These include people of Hispanic, Asian, South Asian, or African descent.

·There are very serious complications associated with diabetes. For example:

-80% of Canadians with diabetes die from a heart attack or a stroke;-42% of new kidney dialysis patients in 2004 had diabetes.-Diabetes is the single leading cause of blindness in Canada;-7 of 10 non-traumatic limb amputations are the result of diabetes complications;-25% of people with diabetes suffer from depression;-The life expectancy for people with type 1 diabetes may be shortened by as much as 15 years;

and-The life expectancy for people with type 2 diabetes may be shortened by 5 to 10 years.

·Diabetes not only results in a personal crisis for individuals and their families, it is also a significant financial burden for the Canadian health care system. Diabetes currently costs our health care system $12 billion annually and will grow to close to $17 billion annually by 2020.

Source: Canadian Diabetes Association, 2013.

Brock CHC’s

Health Connections

Diabetes: The ChallengeDiabetes is a serious health people. This represents a 230% times more likely to be condition with potentially increase since 1998. hospitalized for non-traumatic devastating effects. The growth lower limb amputation compared of diabetes in all ages across the Diabetes is the leading cause of to the general population.globe is significant and blindness, end stage renal continuous. In 1985, an disease and non-traumatic Diabetes and its complications estimated 30 million people in the amputation in Canadian adults. result in significant costs on world were diagnosed with Cardiovascular disease is the Canada’s publicly funded health diabetes. In 2000, the number leading cause of death in care system. In 2010, a grew to over 150 million. The individuals with diabetes and Canadian Diabetes Association International Diabetes Federation occurs two to four times more report estimated the annual estimated that 371 million people often than in people without economic burden of diabetes to had diabetes in 2012 and diabetes. be $12.2 billion and projected projects that this number will that this burden will increase to increase to 552 million, one in ten People with diabetes are three $16.9 billion by 2020. people, by 2030. times more likely to be

hospitalized with cardiovascular Sources: Canadian Diabetes In Canada, the estimated disease, twelve times more likely Association, 2013; Canadian Journal of

prevalence of diabetes is 6.8% of to be hospitalized with end stage Diabetes, April 2013,Volume 37.the population or 2.4 million renal disease, and over twenty

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April-June 2013

Antibiotic Resistance: Is It A Threat to Public Health?The Ontario Medical Association develop into more serious be most effective.(OMA) has released a report, consequences, like scarlet fever.” entitled “When Antibiotics Stop To counter this trend, many But it is not just use of antibiotics Working”, suggesting that “one of physicians are compelled to in humans that is seen as a the most fundamental and life- prescribe new antibiotics with problem. Of equal concern is the saving tools in medicine is more side effects. use of antibiotics in farming endangered” and is calling on where, for example, antibiotics government “to address the The report states that antibiotic are included in animal feed to growing crisis of antibiotic use should be handled more promote growth.resistance while there is still responsibly and prudently. One time”. important step is to maintain Some of the key

better records of antibiotic use in recommendations are: The OMA report states that patients so that physicians can infections with antibiotic-resistant prescribe medication that would bacteria are becoming more frequent and difficult to treat, resulting in serious illness and even death, and issues a warning that the over-use of these crucial medicines weakens their ability to save human lives. To address the problem, the OMA advocates the federal and provincial governments immediately enact regulatory changes that will help to reverse this threat by reducing the growth of antibiotic resistant bacteria.

Ontario’s physicians are finding that antibiotics are “not as effective as they once were because bacteria are adapting to them. These resistant bacteria are germs that can cause infections like pneumonia, urinary tract infections, or skin infections. For example, ten years ago one dose of antibiotics could have effectively treated a child suffering from strep throat, but it is now becoming more common for a child to have repeated strep throat infections, and for these to

St. Andrews Green Team in Action: Two members of the St. Andrews United Church Green Team in Beaverton, Jan Grosvenor and Sheila Fairburn, middle and right, are pictured at the newly constructed garden beds in mid-June after soil had been added. On the left is Bill Fairburn. Brock CHC is a co-sponsor of the garden project. A portion of the food grown will be donated to Andy’s Crock Pot and Brock Community Food Bank.

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Antibiotic Resistance: Is It A Threatto Public Health?continued from page 9

·Establish an independent importing antibiotics for any institution to develop and reason should all be held to the maintain optimal antibiotic use same standards, and guidelines that Ontario surveillance should be physicians can use to guide established to allow the their practice, particularly when collection of data about which dealing with resistant bacteria drugs are entering our country and less familiar antibiotics; and what their intended use is.

·A veterinary prescription-only Source: When Antibiotics Stop Working, standard of access to OMA Policy Paper, 2013.

antibiotics for animals must be instituted;

·Amend the Food and Drugs Act and its Regulations to close the loophole allowing farmers to import antibiotics for their own use.

·The Government of Ontario must develop a system for farm industry surveillance to keep track of the identities and quantities of antibiotics being purchased, and those being moved into or out of Ontario.

·Ontario should ban the prophylactic or growth-promoting use of antibiotics, whether extra-label or indicated, in animal husbandry. This step is fundamental to preserving the effectiveness of antibiotic; and

·The federal government must engage in antibiotic conservation and amend the Food and Drugs Act and its Regulations to close the “own use” loophole. People

Volunteers Recognized: Longstanding volunteers for Brock Community Health Centre were honoured for their valuable contributions to our community at the Ontario Volunteer Service Awards ceremony held on June 10th, 2013 in Peterborough. Receiving the awards (from the left) were: Ted Foster, Shirley Wheatley, Larry O'Connor, Anne Kewley and Nancy Parliament. Presenting the awards was Jeff Leal, MPP for Peterborough (third from the left).

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Local Volunteer Governance MattersVolunteer run non-profit introduced in Ontario by able to meet the many challenges organizations in Ontario have had legislation. Although similar in of Ontario’s health care system. a long and distinguished history many ways to regional health Health care organizations have of being led by local volunteer authorities established in other successfully shown that they can boards. Volunteer led boards provinces, there is a major tap into their community’s human contribute to a wide variety of difference. Rather than capital by attracting volunteers organizations focusing on eliminating the voluntary boards who generously give of their time, community needs such as: governing local health insight, experiences, skill and community health, community organizations, as occurred in talent. They bring these care, community living, provinces where regional health attributes to the discussions and community mental health, authorities were created, in decisions made at the board addictions, hospitals, and many Ontario, the provincial tables of their communities. Their more. government decided to maintain diversity of experiences and

voluntary, independent perspectives are so vital to Volunteers on boards of directors governance for health enriching and contributing to the give freely of their time and organizations, both community decisions about the often expertise in the interests of their and hospital based. This was a complex issues facing health care community. One way to honour significant and strong vote of organizations. This is the formula volunteers for their contributions confidence in the value of local that is so essential to the success is through National Volunteer voluntary board governance. of local board governance and Week, held this year in Canada the formula that results in better from April 21st to 27th, 2013. It How Ontario’s health care system care to clients, improved quality was set aside to celebrate and is planned, organized and of service and better responses honour those representatives in delivered is changing constantly. to the health care needs of our our community who have For example, before LHINs there community.dedicated so many hours of were District Health Councils. service in the governance of their Most recently, Health Links, Celebrate volunteer governance. chosen organization. focusing on high users of the It matters.

health system, have been Being on a board provides a initiated by the Ontario unique opportunity to view an government and are organization in a context that being implemented by brings together the internal LHINs. In this changing activities of the organization with environment volunteer the external experiences and Board governors are influences, such as the economy, constantly learning how technology, accountability, to stay informed about community values and quality. new developments and to This assists organizations to stay how to fulfill their in step with the expectations of responsibilities their communities and funders, accountably and skillfully. and to respond to their own local, regional and provincial High functioning boards challenges. of health care

organizations have In 2006, Local Health Integration demonstrated time and Networks (LHINs) were time again that they are

Contact UsPrimary Health Care Program:

64 Cameron Street EastCannington, Ontario L0E 1E0

Telephone: 705-432-3388Fax: 705-432-3389

Community Development and Health Promotion/Administration:

720 Simcoe StreetBeaverton, OntarioL0K 1A0

Telephone: 705-432-3322Fax: 705-426-4215

Website:

www.brockchc.ca

Upcoming Events

Diabetes Education Program:

20 Cameron Street WestCannington, Ontario L0E 1E0

Telephone: 705-432-2446Fax: 705-432-3039

Brock Geriatric Assessment Clinic:

720 Simcoe StreetBeaverton, Ontario L0K 1A0

Telephone: 705-426-2175Fax: 705-426-4215

Beach YogaTuesdays at 8 amBeaverton Harbour

Cannington Running and Walking ClubMondays at 7 pmMacLeod Park, Cannington

Cardio KickThursdays at 7:30 pmSunderland Park at Basketball Court

Diabetes Education GroupRotating throughout Brock. Please call705-432-2446 for dates and locations.

Drumming for Health Community ProgramRotating throughout Brock. Please call705-432-3322 for dates and locations.

Fall Fitness RunSeptember 28, 2013 in Sunderland

Guided MeditationFridays from 10-11 am (August 2 - October 4)Beaverton Town Hall

Line Dancing - OngoingMondays at Cannington Legion from 10 am - noonThursdays at Beaverton Legion from 10 am - noonPlease call 705-432-3322 to confirm dates.

Liver Health and Hepatitis C ClinicsHosted by Oshawa Community Health CentreThird Tuesday of each MonthClinic from 10 am - 2 pm; Drop in lunch 11:30 a.m - 12:30 pm; Peer Support 12:30 - 1 pmBeaverton Town HallPlease call 1-855-808-6242 for more information.

Rejuvenating YogaWednesdays, July 31 - October 2 from 10-11 amSt. Andrew’s United Church, SunderlandPlease call 705-432-3322 to register.

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Brock CHC’s

Health Connections