Dispelling nutrition myths, ranting, and occasionally, raving


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Help me tell the government that we need @EatRightOntario

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Last week I received some upsetting news: EatRight Ontario is shutting down at the end of March due to a loss of government funding. This is sad news for the dietitians who currently work there who will be losing their jobs, for dietitians across the country who use their resources, and not least of all, for Ontarians who will lose free remote access to the services of Registered Dietitians.

I was still mulling over how to approach this on the blog when I attended a webinar today. It was hosted by Food Secure Canada and was about effective lobbying for food system transformation. As the Members of Parliament were talking about how important it is to copy your local representatives on letters to Minsters I realized that this was just what I needed to do about ERO. I didn’t want to have a big pointless bitchfest on here. I wanted to do something with the potential to make a real difference. My solution: I decided to write a letter to Eric Hoskins, the Minister of Health and Long-Term Care (the department responsible for the now withdrawn funding for ERO) and to cc my local MPP so they’re aware of the huge loss that the termination of this service is going to have on Ontarians and Canadians. I thought that I would share my letter with you so that you can copy and paste it, make it your own if you want, and send it to your MPP and Dr Hoskins. After all, if we don’t let our representatives know what our concerns are, how can be expect them to effectively represent us?

Dear Dr. Hoskins,

It has recently come to my attention that the Ministry of Health and Long-Term Care will no longer be providing funding for EatRight Ontario. As you are aware, ERO is a provider of evidence-based nutrition resources and tools which are used across the country, and beyond. ERO also enables Ontarians who might not otherwise have access to a Registered Dietitian to call or email a RD for free. The loss of these services as of the end of March is going to be a huge blow to these individuals as well as to healthcare professionals, particularly Registered Dietitians, who use these resources and who refer people to their services.

ERO had 22,198 contacts between January 2017 and December 2017. These consisted of 11,562 telephone calls and 10,636 emails. This does not include the millions of visits to the website every year. ERO was also the recent recipient of an internationally recognized eHealthcare Leadership gold medal for Best Overall Internet Site. At a time when other provinces, such as Newfoundland and Saskatchewan are just starting telehealth dietetic services it is a step backward for Ontario to be terminating an established service.

Chronic diseases are the leading causes of preventable death and disability in Canada. Poor diet is a major contributor to risk of chronic disease and is a modifiable risk factor. RDs are the only regulated source of credible nutrition information in Canada. Unfortunately, many Canadians who would benefit from nutrition counselling do not have access to a RD as a result of limited services available in their area and/or a lack of coverage for RD services. A telehealth service such as ERO enables Ontarians, regardless of location or financial means, to access the services of a RD, thus promoting health equity across Ontario. Teledietetics is proven to provide positive outcomes in a number of areas. Such a service saves healthcare dollars by relieving some of the burden on emergency and local healthcare providers by reducing the need for these services. It also allows RDs, particularly those in public health, to focus their efforts on population health interventions as they can direct the public to a central credible source of nutrition information rather than spending time duplicating efforts by all creating similar factsheets and resources.

The loss of ERO will mean a loss of access to credible nutrition information for Ontarians, and Canadians, at a time when it is vital to combat the misinformation widely available on the Internet and peddled by self-styled nutrition “experts”. I urge you to reconsider the decision to terminate the funding for EatRight Ontario. If this is not an option, I ask that you continue to keep the ERO website live until an alternative site can be arranged to house and maintain the resources. I also ask that you include access to Registered Dietitians as part of your consolidated telehealth services.

Respectfully,


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Follow Friday: Dietitians of Canada

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It makes me so happy to see that Dietitians of Canada are taking a more active advocacy role. With the (eventually) upcoming federal election in the fall they’ve called on all federal party leaders to commit to a national strategy to reduce food insecurity and increased access to dietitian services.

If you’re interested in supporting their efforts or want to see the party responses, just click on the link above.


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Where are all the dietitians?

I was walking home from work the other day thinking about how great it is to see organizations like Doctors Nova Scotia and the Ontario Medical Association calling for action against energy drinks and obesity, respectfully. That got me to thinking about the fact that these are both very much issues pertaining to food. So where are the dietitians in all of this? Oh sure, you have a number of us mouthing off as individuals about these issues but where are the orchestrated efforts by our governing bodies?

As far as I can tell, from my time as a registered dietitian in both Ontario and in Nova Scotia, our provincial professional organizations don’t do much for us, let alone for the betterment of all provincial residents. They take our money, investigate if complaints are filed against us, and send out the occasional newsletter (at least they’re not promoting the food industry like Dietitians of Canada, but membership with DC is optional). I know we don’t have the same numbers as doctors do but surely to goodness we could be doing more.

I’d like to see the Nova Scotia Dietetic Association pushing for legislation regarding food security, the built environment, obesity, support of local agriculture, to name a few. And while I’m at it, I’d like to see them advocate for us dietitians. Why is it that many health plans cover scientifically unproven therapies such as naturopaths and acupuncture yet they won’t cover dietitian services which so many people could benefit from?

If anyone has a suggestion on how we can get our provincial professional organizations working for us I’d love to hear it!

Update on March 8, 2013: I was in contact with the NSDA and was asked to removed my comments pertaining to the NSDA from my blog. I was going to revise this post but I have decided to add this note instead. Unfortunately, the role of the NSDA is mandated by the government. As such, they are unable to engage in activities beyond those for which they are mandated. Apparently, advocacy is not one of their mandated activities. I apologise to the NSDA for suggesting they act in an area outside of their jurisdiction. Clearly, there is a gap in provincial dietitian organizations. With the formation of the Dietitian’s Network of Nova Scotia I hope that we will see this change.