February 2019                                    View this email in your browser

Community Health Centre: Healthy People, Vibrant Communities

February 2019 Newsletter

Program Highlights & Upcoming Events

  • 30 Minute Fitness: Interested in  a high intensity 30 minute workout?  Join us every Friday in the Well from 12:15-12:45pm for “30 minute fit” to get your sweat on.  Please note this class is fast past and is not low impact in nature!
  • New Zumba Hours: Tuesdays from 5:30-6:15pm
  • Southgate Community Celebration: We are pleased to announce that South East Grey Community Health Centre has been the recipient of an Ontario Trillium Foundation seed grant for $75,000 that will establish and deliver community-based programs for isolated seniors in the Township of Southgate.  Please join us on Tuesday, March 12th at 1:00pm for a community celebration at the Erskine Community Health Centre
Hospital versus Urgent Care - What's the Difference?
By Penny Pedlar, Clinical Director and Nurse Practitioner

Emergency Care at the Hospital
An emergency is when you need immediate, live-saving care.  The fastest way to get help for a medical emergency is to call 911.  

Examples of an emergency or when to visit the hospital include:
Heart attack/ chest pain, stroke, major trauma, severe head injury, seizure, the loss of a limb, broken bones, severe difficulty breathing (due to allergic reaction or other cause), sexual assault, domestic violence, unconsciousness, major burns, severe bleeding, a high fever in infants or small children, worst ever headache, unable to urinate for more than 12 hours or if you have a cut that won’t stop bleeding or you think may need stitches.

Urgent Care at your Regular Family Doctor or Nurse Practitioner
Urgent care is when you need same-day treatment for a serious, unexpected health issue that is not life-threatening

Every day in Markdale, there are urgent care spots available at the SEGCHC, however, you are not likely to see your own provider at this time.  In Dundalk and Chatsworth there are urgent care spots built in to the schedule.  Only the presenting problems will be dealt with at this appointment.

Some examples of urgent health issues include:
  • Rashes- accompanied by a high fever
  • A  high fever in a toddler or an infant over two months
  • Shortness of breath or worsening asthma due to cold, flu, COPD or minor asthma attacks
  • Dental Pain
  • Sprains/strains
  • New Rashes, infected cuts or minor sores
  • Sore Throat, earache, colds and flu, cough, hay fever, nose bleeds
  • Sore eyes with redness or infection
  • New Stomach pain, Diarrhea, Vomiting or Dehydration
  • Bladder infection
  • Minor burns, blisters, burning, itching
Regular appointments
Examples of regular appointments:
  • Immunizations
  • Medication renewals- if you are out of medication call your pharmacy, they will send a request over to your provider.  Narcotics will not be renewed per pharmacy, you must attend an appointment.  Antibiotics will not usually be renewed this way, if you have not improved, you should be seen for follow up.
SHINGLES: What you need to know
Submitted by Penny Pedlar, Clinical Director and Nurse Practitioner

Shingles is a reactivation of a virus that you likely had when you were a child and is caused by the same virus that causes Chicken Pox.  

Anyone who has recovered from chickenpox can develop shingles. 1 in 3 people will develop shingles during their lifetime. It is not possible to have shingles if you have never been exposed to chickenpox or the varicella virus that causes it. Once exposed, the virus can lay dormant for years. Most adults with the dormant virus never experience an outbreak of shingles or any further problems.  However, in some individuals, it may appear in people of all ages who have previously had chickenpox

Pain is the most common symptom of shingles. This can be a constant dull, burning, or gnawing pain, or sharp, stabbing pain that comes and goes. There may also be a blistering skin rash.  This usually appears in one or more distinct bands, called dermatomes. It may also appear on the face in a band, or break out on a quarter of the face.  These dermatomes correspond to a single sensory nerve. This is why infection causes isolated skin lesions, rather than a body-wide rash, and nerve pain.  Multiple nerves or dermatomes may be involved.

Typically, shingles takes the following course:
  • Acute pain, tingling, numbness, and itching on a specific part of the skin, on a single side of the body.
  • Between 1 and 5 days after the pain begins, a rash appears.
  • Red blotches emerge that develop into itchy fluid-filled blisters.
  • The rash looks like chickenpox but only on the band of skin supplied by the affected nerve.
  • The rash may involve the face, eyes, mouth, and ears in some cases.
  • Sometimes, the blisters merge, forming a solid red band that looks like a severe burn.
  • In rare cases (among people with weakened immune systems) the rash may be more extensive and look similar to a chicken pox rash. 
  • If shingles affects the eye, this is called optical shingles. The virus invades an ophthalmic nerve and causes painful eye inflammation and temporary or permanent loss of vision.
  • New blisters may appear for up to a week.
  • Inflammation might be noted in the soft tissue under and around the rash.
  • People with lesions on the torso may feel spasms of pain at the gentlest touch.
  • The blisters will gradually dry up and form scabs or crusts within 7-10 days. At this point, the rash is no longer considered infectious.
  • Minor scarring may occur where the blisters have been.
  • A shingles episode normally lasts 2-4 weeks.In some cases, there is a rash but no pain, or no visible rash but a band of pain.  It is important to see your Primary Care Provider within 72 hours if you think that you may have shingles.  The sooner an Antiviral is prescribed within that 72 hour window; you may shorten the duration and severity of the infection.  The antiviral medication will be covered by your Ontario Drug Benefits. 
Vaccines work to boost your body’s protection against shingles. Your immune system declines as you age, and that puts you at an increased risk for shingles. For those who are 50 years and older, the vaccines help your immune system defend against shingles regardless of age.Vaccines for Shingles are recommended for people age 50 and older.  It will not protect against Chicken Pox.

Vaccines for Protection Against Shingles
  1.  Zostavax: one dose and it does not protect everyone, so some people who get the vaccine may still get the shingles.  It is believed to have a prevention of about 49-51%.  However, if you develop shingles despite being vaccinated, it can help reduce the intensity and duration of the pain.  It has not been studied in individuals who have had Shingles in the past and is not used to treat Shingles actively. Side effects include pain, redness, swelling, hard lump, itching warmth, and bruising, at the injection site. It should not be used if you have a blood disorder or any type of cancer that weakens your immune system, a weakened immune system as a result of a disease, mediation or other treatment , active or untreated tuberculosis or if you are pregnant. Free of Charge for those aged 65-70, the cost outside that age group is $244 + dispensing fees and usually covered by 3rd party insurance plan.
  2. Shingrix: is a two dose vaccine and is the only vaccine proven to be up to 90% effective in clinical trials.  You should not receive Shingrix if you are allergic to any of its ingredients or had an allergic reaction to a previous dose of Shingrix.  The most common side effects are pain, redness, and swelling at the injection site, muscle pain, tiredness, headache, shivering, fever, and upset stomach.  Shingrix was not studied in pregnant or nursing women. May not protect all individuals. Shingrix is given as a 2-dose series, with the second shot administered 2 to 6 months after the first shot. To ensure you get the protection against shingles offered by this vaccination, it's important to get both shots. If you’ve already received your first dose. Shingrix costs about $300 for the two injections + dispensing fees ($150 per injection) and usually covered by 3rd party insurance plans. If you have had Zostavax in the past, you may still get the Shingrix Vaccine, speak to your health care provider.
Volunteer Corner
By Madison Wickens, Recreation and Volunteer Coordinator
Welcome, to our Volunteer Corner! South East Grey Community Health Centre thanks all our dedicated volunteers for the hours they have spent helping out with our programs and services. You can read about our available volunteer opportunities and fun facts about volunteering. We will also showcase our 'Volunteer of the Month' right here! 
Volunteer of the Month 
South East Grey Community Health Centre would like to recognize our volunteer Dakota Broderick. Dakota started volunteering at the CHC in September, 2018 as an After School Program Volunteer and Fall Fair Support. She is always willing to help prepare snack, play games and support with homework. The CHC and After School Program Kids want to thank you for all you have done Dakota!
Don’t forget to follow our Instagram page @segchcvolunteers for updates on volunteer opportunities, pictures of our volunteers in action, and our #thoughtfultuesday quotes!
For more information regarding volunteer opportunities contact Madison at 519 986 2222 ext 6349 or

Child & Youth Zone
By Brianne MacDowell RSSW, Youth Outreach Worker
Here you will find updates and information on the South East Grey Community Health Centre’s involvement with children and youth! Whether it’s programs and events, or maybe health articles! It’ll all be found here.

After School Programs
After school, kids stay for a healthy snack. Then, we play games inside and/or outside like Dodgeball, Capture the Flag, and Just Dance! Homework help is also provided at some of our after school programs. Please call 519-986-2222 for more info on each school. 
Tuesdays— Holland Chatsworth
Thursdays—High Point AND Osprey
Youth Drop In – Dundalk
Did you know that youth can be defined between the ages of 12-24? Come hang out with in the dundalk arena! See poster below for more details.
PD Day Programs
On the April 12th PD Day from 9AM-3PM the Community Health Centre is offering full day of activities for girls in grades 6-8! There will be fun games and activities inside and outside as well as cooking and eating tacos. Call 519-379-2413 or email to register!
Adulting 101 Series
Click on the poster below for info on the upcoming Adulting 101 Series offered by the South East Grey Community Health Centre in partnership with the Southgate Public Library.
**PLEASE NOTE the Cooking Class has been moved to April 24th!
Canada’s New Food Guide
Submitted by Allison Whitten, Registered Dietitian
On January 22nd 2019, Health Canada released the updated version of Canada’s Food Guide. The new Food Guide gives evidence-based suggestions on how to maintain a healthful diet, but also focuses on eating behaviours.  For a full description visit or ask your health provider about meeting with one of our Registered Dietitians!

There were a large amount of changes made to the previous Canada’s Food Guide. The new Food Guide no longer includes the four food groups anymore, but instead groups food into vegetables/fruit, whole grains and proteins (including milk, cheese and yogurt). It recommends eating plenty of vegetables and fruits, and then having sides of protein and whole grains, and choosing water as your beverage!
The new Food Guide puts an emphasis on healthy eating patterns that allow us to realize it is not just WHAT we eat that is important, but HOW we eat too!
Here is a brief summary of the new recommendations (adapted from 2019 Canada’s Food Guide, Health Canada):
  • Eat a variety of healthy foods
    • Eat plenty of fruits and vegetables
    • Eat whole grain foods
    • Eat protein foods - choosing plant based foods, such as beans and legumes, more often. Choose foods with healthy fats – choose unsaturated fats more often than saturated fats. Unsaturated fats include nuts, seeds, avocado, soft margarine, vegetable oils and fatty fish.
  • Limit highly processed foods. If you choose these foods, choose them in small amounts
    • Limit foods high in added sugars and sodium (salt)
  • Make water your drink of choice
  • Use food labels
    • Did you know if the nutrition facts says 5% or less =a little of something and 15% of more = a lot of something.
  • Beware of food marketing
  • Cook more often
  • Be mindful of your eating habits
    • Take time to eat
    • Notice your hunger cues
  • Enjoy your food
  • Eat with others
There are a lot of changes to the Canada’s Food Guide. We are here to help answer questions or guide you to a healthier lifestyle!  The South East Grey Community Health Centre has Registered Dietitians on staff to help answer any questions. We also offer multiple cooking programs and nutrition education sessions to help you meet your nutritional goals.

Health Canada. (2019). Canada’s Food Guide. Retrieved from
Reminder Regarding Inclement Weather
Please note, if school busses are cancelled, programs will NOT be running that day.

If highway 10 in Markdale in closed, the CHC will also be closed. All daily programs will be cancelled.

If you are unsure of the status of the clinic or programming, please call 519-986-2222.
CHC Newsletter
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