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Back to May, 2002 Archive Index
Columns
SEX ED: WHAT YOU NEED TO KNOW
May 24, 2002 - The ABCs of Hepatitis
May 31, 2002 - Trichomoniasis and the seven-year itch
Nunani
May 3, 2002 - The last great polar bear hunt: part two
May 10, 2002 - In my grandmothers house
May 17, 2002 - Duck pancake: Part one
May 24, 2002 - Duck pancake: Part two
May 31, 2002 - In the bones of the world: Part one
SEX ED: WHAT YOU NEED TO
KNOW
May
24, 2002
The ABCs of Hepatitis
Hepatitis is a fancy medical
word that means inflammation of the liver.
With this inflammation,
or swelling, people with Hepatitis can get very sick. This column focuses on
Hepatitis B, because its the virus that is most easily spread through
sex. In northern Canada, we have higher rates of Hepatitis B than in the South.
Other parts of the world such as Asia, South America, and Eastern Europe also
have high rates.
How do you get it? Hepatitis
B is extremely infectious even more so than HIV and it spreads
in the same way. It can be passed from one person to the next in blood, semen,
vaginal fluids and saliva. It can also pass from an infected woman to her baby
during pregnancy or childbirth.
So there are lots of risky
activities when it comes to Hepatitis: tattoos and piercing, sharing street
drugs (straws for snorting and the more obvious risk of sharing needles for
intravenous drugs or steroids) or sex with an infected person.
What happens if you get
it? People infected with Hepatitis B may become jaundiced (turn yellow). This
is most noticeable in the whites of the eyes, and skin may get yellow as well.
The changes in the liver can affect output too urine can turn dark like
Coca-Cola, while poops start looking pale.
Appetite is often decreased,
and there can be belly pain, barfing, fever, and fatigue. A very small number
of people (less than one in a hundred) can get a severe initial infection and
even die.
Unlike HIV, most peoples
bodies manage to fight off the Hepatitis B virus when they are infected. They
are still very infectious while their body fights the virus off. About one in
10 people with Hepatitis B wont be able to get rid of it and will have
it for life they are called chronic carriers. Although they may live
long lives, some will get liver cancer and cirrhosis (a shrivelled up, broken-down
liver). Chronic carriers should see a doctor regularly.
Hepatitis C is another
virus that affects the liver and is an enormous problem in Canada. Unlike Hepatitis
B, there is no vaccine to decrease its spread. Although Hepatitis C can be spread
through sex, it usually spreads from person to person through blood contact.
Anyone infected with Hepatitis B or C should avoid Tylenol or alcohol. This
is because both of these can do serious damage to a liver that is infected with
a Hepatitis virus.
As with many STDs, a healthy-looking
person can be infected and pass it on. So contact with blood, spit or sex secretions
is always risky. Safer sex decisions make intimate relationships less risky
always use condoms and limit your number of partners. And do not share
needles. Better yet, dont use them at all!
The other prevention strategy
is immunization. All children in Canada are immunized against Hepatitis B. In
Nunavut, we do it soon after birth and this is the best time to do it.
The vaccine is given as
a series of three shots and is 90 per cent effective in preventing infection.
Many adults have not been immunized. If you are unsure if you have been immunized,
or have questions about Hepatitis, check with your public health office or health
center staff. Other sources of information include the Canadian Liver Foundation
(1-800-563-5483, www.liver.ca) and www.hepnet.com.
Confidential questions
or comments? Send an e-mail to nunatsiaqsexed@hotmail.com
or drop a note by the news office.
Want to read past Sex Ed
columns? Go to www.nunatsiaq.com and
click on columns. Next week: Trichomoniasis.
Madeleine Cole is a physician
at the Baffin Regional Hospital.
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May 31, 2002
Trichomoniasis and the
seven-year itch
Trich (pronounced "trick")
and scabies are two non-dangerous infections that are usually transmitted during
sexual activity. But just because something does not cause major damage doesnt
mean it cannot be uncomfortable and drive you completely bonkers!
Trichomoniasis (or trich
for short) is an infection caused by a very tiny parasite. A parasite is a little
critter that can actually be seen using a microscope.
Trich is usually sexually
transmitted from one body to the next but it can also survive for 24 hours on
wet surfaces such as saunas, towels and bathing suits.
How do you know if you
have it? In women, there is often a greenish, sometimes frothy, unpleasant smelling
discharge from the vagina. There can be intense vaginal itch, pain when peeing
or with intercourse and swelling or redness in the area.
In men, there can be discharge
from the penis, irritation at the tip and pain when peeing.
Treatment involves a medication
called metronidazole and can be taken as pills, or women can also use it as
a vaginal cream. Both partners need to be treated at the same time to prevent
reinfecting each other. Once youve both finished all the pills, and the
symptoms have disappeared, you can have sex again.
Sarcoptes scabiei (scabies)
are tiny mites. They are larger critters than trichomonas at about 0.3 mm with
four wee pairs of legs. Scabies usually spread by skin-to-skin contact although
the mites can live for two days on clothing or bedding. For this reason it is
not always sexually transmitted, and in communities faced with crowding and
poverty there are higher rates of scabies.
How do you know if youve
got this one? Scabies cause intense itching most often in the groin,
armpits and hands and feet. For some reason, the itch is often worse at night.
The rashes caused by scratching can get infected and cause even more problems.
Because they are tiny and
hard to see, scabies should be considered in anyone with a generalized itch
that doesnt go away. In the past, it was colloquially called the "seven-year
itch" (if it wasnt diagnosed properly).
How do you get rid of it?
A special medicated shampoo is applied from the neck down and left on for about
10 hours before rinsing. A medication to help with the itch can be prescribed
as well. But the work is not done yet clothing and bedding needs to be
thoroughly washed. All family members and close friends, even if they arent
itchy, need to be treated too.
Although condoms will not
prevent scabies, they do decrease the risk of getting trich along with all the
other dangerous STDs like HIV and chlamydia. Limiting the number of sexual partners
is the other tried and true advice when it comes to preventing any sexually
transmitted infections. Trich and scabies can be more than an inconvenience,
and the itch is something you can do without play safe!
Confidential questions
or comments? Send an e-mail to nunatsiaqsexed@hotmail.com
or drop a note by the news office.
Want to read past Sex Ed
columns? Go to www.nunatsiaq.com and
click on columns. Next week: STD wrap up.
Madeleine Cole is a physician
at Baffin Regional Hospital.
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Nunani
May
3, 2002
The last great polar bear
hunt: part two
RACHEL
ATTITUQ QITSUALIK
As an adult, I was glued
to that old Inummariks bear story. But hearing his tale, seeing those
scars, re-asserted all my childhood fears.
And something else.
As a pre-adolescent girl,
I clutched at the qamutik, muscles taught. Why, I cursed under my breath, did
my father favour hunting these animals? They tasted terrible (at least to me).
Their skin was not worth the danger to life and limb especially my life,
my limbs. Didnt my father realize it might maim him, leaving me to try
shooting it with a .303 that, frankly, I didnt feel confident with? How
would I get back to camp with his body and whatever dogs had been injured? Would
the dogs even obey me? Kusik would, maybe. She was the mother of them all
the best of them, at that. I started counting dogs I thought might obey me,
ultimately depressed with the results. Fine, I would take Kusik, leaving the
rest on the sea ice. I felt bad at the thought of them starving, but worse at
the thought of doing the same myself.
And every time I looked
down at those dread prints, those dinner-plates with toes, panic gripped me.
What if my dad missed and
hit one of the dogs instead? What if the bear got away? What was to keep it
from turning and hunting us? What if bears actually liked to eat people?
Would it kill us like a
seal ripping our faces off?
My mind was jolted back
to reality as the sled hit jagged ice. I had never heard of a bear chasing a
dog-team, but I still noted where to find the extra shells for the .222 rifle,
which I was confident with. If there was trouble, I could at least help out.
An electric current passed
through the entire dog-team, even though my father had not signalled to begin
any chase. They quivered with some primal instinct, focussed, sniffing the air.
Bear.
No! Now what? It was bad
for the dogs to bolt too soon. They needed to save their energy for surrounding
the bear, containing it for the hunters shot.
One or two of the experienced
dogs were accelerating, a sure sign that their instincts were kicking in. Kusik,
as usual, kept a steady, mature gait, attentive but not foolishly overeager.
She knew the score. My father was the hunt leader, and it wasnt a hunt
until he signalled.
He glanced over at me,
ordered me to take the .303 out of its case. I passed it to him butt-first,
keeping the muzzle well away from both of us, as per firearms protocol. I was
prepared to jump at his signal. My job was to carry the extra shells, keeping
well behind him and the dogs.
I could already see a distant,
yellowed form, contrasted against grey clouds and glare. He was walking in his
pigeon-toed, bear way, seemingly oblivious to our presence or perhaps
only to our importance.
"Qu-qu-qu-quq!"
My fathers shrill
call had only one meaning. The dogs shot forward as one, domestication set aside,
exulting in their wolfish ancestry. Aside from pulling, this was their purpose:
to aid their ally, man, against another predator. The hair along their backs
stood straight like spines, teeth flashing ivory in the crisp air. But their
attack was disciplined, sustained, heedless of individual concern.
A burst of fire, and it
was over almost before it had registered with me. Fears dispelled, I simply
stared at the body of that majestic creature. It was a moment before I realized
that I had been admiring it the entire time its irreplaceable beauty,
its power and grace.
This time, we had been
the predators, stacking the deck in our favour. Next time, who knew? It was
impossible to keep the deck stacked, and this playing field tended to level
itself.
My father thanked the bears
spirit for allowing us to capture it that day, saying that we hoped we would
be as brave if, one day, we stood in its stead. Speak for yourself, I thought,
looking upon that great frame, speaking toward it in my mind.
It will take a lifetime
of summoning up my courage to face you. And perhaps I will never be as brave
as you have been today, defending your life. I can only hope to try.
Pijariiqpunga.
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May
10, 2002
In my grandmothers
house
RACHEL
ATTITUQ QITSUALIK
If you could see a picture
of my grandmother, you would know that she was a true Northern Beauty
raven hair, strong features, toned arms.
You would be able to see
that she was not only sure and beautiful, but solid, emotionally and spiritually.
She had to be, in order to raise a family of half a dozen (or so) boys, fulfill
the role of a hunters wife, and co-lead a camp of 30 extended family members.
Not only did she have to provide enough direction and stability to survive in
her unforgiving environment, but she had to see that her family actually thrived
within it.
In photographs of her,
she seems just under 40 years old, always running a busy Inuit household, a
model of her time. She oversaw the making of an endless stream of hand-designed
clothing, able to withstand the needs of the seasons, the wear and tear of a
hunting lifestyle.
That would mean, among
other things, successions of duffel socks, outer socks, sealskin boots, mitts,
pants, parkas, woven belts, boys wear often specialized for alternating
wet or dry environments. She also possessed the often-times secret Inuit sewing
skills to construct mens hunting wear for different seasons and weather
conditions. To top it off, everything had to be made according to her own regions
idea of style.
To run a household of her
size, and deal with the many game animals my grandfather provided for the camp,
she would have had to process several hundred sealskins and countless char.
She would have had to scrape and dry caribou-skin bedding for three households
(her own, my great-grandmothers, and those of various aunts and uncles
in the camps). She was also responsible for the gifts to myriad cousins, nieces,
nephews, and us grandchildren (on both sides, of course).
As the wife of the camp
leader, there were celebrations and meetings to organize and oversee. These
would include Sunday services, requiring of each person a clean face and new
set of clothing. Im not even sure how she managed all of this along with
the everyday stuff, like cooking, cleaning, and maintaining the home.
There was no electricity
or running water, and therefore no dishwasher or vacuum cleaner to speed things
along. And, of course, there was no TV to keep all the kids occupied
which was probably healthier for them, anyway.
She had a tremendous store
of traditional knowledge to pass on to her children: how to light and maintain
a qulliq, both summer and winter; how to make specialty Inuit "treats"
like aluk, igunaq and ujjaq.
There were a lot of details
about that lifestyle that I hadnt noticed until adulthood, until it was
all gone. When I study old photographs, for example, I note that everyone wore
woven belts. And then there was the complex beadwork, and the inlaid designs
on their clothing all time-consuming and intricate work; not at all for
the faint of heart. It is a curse of adulthood that it is only by the time we
are grown that we can understand the things we should have appreciated as children.
It is somehow tragic and
unfair that her image exists now only in photographs, images that fill me with
wonder and amazement at this incredible woman. Mostly, I wonder: Where did she
find the time?
All of this work, and yet
unlike modern people her face doesnt show a trace of stress
or regret. She radiates life, fulfillment. Her children look healthy, lacking
for nothing. The camp looks well cared for. It thrives.
Several of my aunts and
uncles, in those photos, proudly display pets. Pets! Think about the resources
required for such a luxury but there they are, whether geese, seagulls,
jaegers, ducks, or even a seal pup.
Where would my formidable
grandmother, Qillaq, have acquired the sort of education necessary to run such
an environment? What core of strength and discipline did she access in order
to do so?
Perhaps simply from her
own heritage, from my equally amazing great-grandmother, Arnoujaq. Her very
name means, "Like a Woman," as though it were a tribute to the strength
of women and mothers everywhere.
With this in mind, and
as Mothers Day approaches, do I entreat each of us to regard the special
power of the feminine, to regard our matrons, whose nature produces and preserves.
Pijariiqpunga.
TOP
May
17, 2002
Duck pancake: Part one
RACHEL
ATTITUQ QITSUALIK
It was my first year back
from residential school the first year that I actually got to live with
my family after being away for so long. There were new experiences, such as
learning how to deal with siblings who had sprung up in my absence, creating
new family dynamics. It was all very exciting, but often-times confusing.
In residential school,
I had lived with a couple of hundred children roughly my age. At home, I got
to have a little sister. She was two years younger than me and cute as a button.
While I often thought she didnt "get it" regarding a lot of
things, you could tell she was working hard at it. Every year, she grew taller
and smarter.
My father was a terrific
hunter, but he was also a minister at that time. We lived in a little wooden
house that he had built as an Anglican mission house, and all three of us sisters
slept on a bed-platform. We were close to the coal-burning stove, so it was
quite warm and cozy. My pet lemming had his nest behind the cooking stove, and
would come out to greet me every morning. It was a very civil lemming.
As children, we were always
bringing home animals. When we werent, my father was bringing them to
us, as in the case of my pet snowy owl (which wasnt as much fun as you
might think it just stared, rotated its neck, and demanded food). There
were always boxes for various living creatures tucked away in odd corners.
And there was my sisters
pet duckling. It was a loveable ball of fluffy down, which "peep-peep"-ed
day and night. It would only eat bread soaked in milk, and never grew very big.
I think it was missing something in its diet, something we were not providing.
But it seemed happy enough, following us around everywhere we went.
One autumn day, we brought
in some much more robust, well-grown ducklings that we had found near a lake.
Being wild, they pooped all over the house, quickly becoming unpopular
especially when they peeped louder than the still-tiny original duckling.
My little sister was greatly
alarmed, concerned that the bigger ducklings would conspire to eat her duckling
in the middle of the night. We tried explaining to her that they wouldnt,
even if they could. But she would not be swayed in her opinion, and one night
insisted on taking her little duckling to bed with her, to keep it safe.
Im not quite sure
how to best describe what happened, so Ill state it plainly: The duckling
was as flat as a pancake the next morning. She had rolled over her pet in the
night, sleeping on top of it.
Now, I know its evil,
but I have to admit that, between the expression of horror on my sisters
face, and the look of that utterly flattened duck, the comedy of it all just
got to me. I forced myself to turn away, to pretend to be coughing or sneezing.
As much as I hated myself,
I couldnt stop laughing. And I know I wasnt alone, because even
my older sister was turning away you could see her shoulders shuddering
with her giggles. My little sister only stood there, emitting a plaintive, "Wahhhh!"
We gave it a burial in
a shoe box lined with facial tissue, and a few flowers. To this day, I dont
know the fate of the other ducks. I heard that my pet owl was caught by a hunter
shortly after I released it to the wild, so it probably ended up as dog food.
In many ways, having a
lot of animals as pets is a good learning experience. Pets teach us, and continually
remind us, of the differences and similarities between other species and ourselves.
Such an experience helps us to understand our own nature. Witnessing their various
needs, various lives, various deaths, we learn to contemplate our own.
Ironically, while surrounded
by dogs, Inuit have not traditionally regarded dogs as pets, since dogs have
been reserved for work. It seems Inuit have always loved having pets, but these
are generally "non-useful" animals, stumbled upon out while on the
land.
(Continued next week.)
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May
24, 2002
Duck pancake: Part two
RACHEL
ATTITUQ QITSUALIK
One could easily argue
that keeping wild pets is a tradition among Inuit. A few years back, when I
acquired several photographs of my grandparents, I noted an odd photo in the
collection.
My grandparents were both
concentrating on something in a bucket lashed to a qamutik. I examined it more
closely, and realized that they were feeding a seal pup they were carrying with
them.
This, I concluded, was
probably the pet seal my father had been known to keep. It would come when he
called it. He raised it to adulthood, but was later pressured into killing it
so that a photographer could get a shot of "traditional" Inuit hunting.
Regrettably, this seems
to be the all-too-common fate of wild pets. Those taken in like my sisters
squashed duck never seem to last long. At best, they are raised until
the age of release, but are later handicapped in the wild. They have no survival
skills and no natural fear of humans, so they are easily bagged by a hunter
as was the fate of my owl. Inuit seem to have always recognized this
problem, since folklore abounds with cautionary tales of pets that get out of
control or leave forever after being taken for granted.
In Inuktitut, the word
for pet is "tiguaq" the taken one. The word is similar in flavour
to "adopted." Not all animals make good pets, of course, but Inuit
have never failed to experiment, raising anything they find. Wolves and foxes
are known as the worst pet material, since they consistently resist domestication.
Loons, and some species
of tern, are just too fragile to survive among humans, generally requiring some
specialized diet. On the other hand, seagulls, jaegers, ravens, seals and polar
bears by all accounts make excellent, highly intelligent pets. Ive often
heard stories of camps that raised polar bear cubs to adulthood sort
of "communal" pets. And I have several black-and-whites of people
with their pet bear cub running around on a long tether.
It is hard to know what
kind of balance to strike when wanting pets. We have a responsibility to other
species to see that we dont screw them up by taking them out of their
natural environment. But then again, we are part of their natural environment.
And we have a responsibility to ourselves as a human animal in the keeping
of our own psyche to maintain our psychological health through contact
with the other creatures we evolved alongside of.
Felines used to commonly
be accused of cruelty, of toying with their prey, but now we know that this
is how they learn to hunt. Killer whales have been observed playing with live
seals, tossing them back and forth for a while before eating them. A predator
must understand its prey before it can catch it, and interaction with a prey
animal in a "safe" environment is vital to such understanding.
We, too, are predators,
but we have developed the ability to channel our tendencies into alternate behaviours.
To some degree, our own interest in animals derives from this predatorial heritage.
We use pets to practice our socialization instead of our killing. We learn to
empathize with them, and therefore each other.
Yet as the potential destroyers
of our environment, we have now become the stewards of it, bringing into question
whether or not it is a good idea to keep wild pets anymore. Ironically, we can
ill-afford our old learning tools.
Some overpopulated cultures
have legislated against having pets at all. But it seems to me that the lack
of them somehow makes humans more icy, stiff and neurotic. I dont want
to see this happen to Inuit. Similarly, I dont want traditional skills
to suffer for lack of interaction with the land and its inhabitants.
It is a dilemma, and one
that I am not wise enough to solve at the moment. How do we nourish our love
of animals without harming them? Too far to one side, and we end up lonely and
neurotic. Too far to the other, and we end up with a duck pancake.
Although I often lie awake
at night, thinking about the time my father offered to get me a gyrfalcon. It
would have been beautiful, and I would have fed it lemmings, and taught it to
hunt, and
Pijariiqpunga.
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May
31, 2002
In the bones of the world: Part one
If you hear enough Inuit
stories, something may strike you as odd, perhaps even a bit eerie. Strangely,
it is not the magical, imaginative occurrences such as animal transformations
and shamanic feats that are so peculiar. Instead, it is that you may
recognize things that existed in the ancient past, things that have somehow
wormed their way into myth and legend.
Taitsumaniguuq:
A hunter was having the
poorest sort of luck. He was paddling along in his kayak, despondent. He hadnt
sighted any prey, and had pretty much given up. He was half-heartedly swishing
his paddle through the water, watching the ripples trail away from it, when
he thought he heard a grunt.
He looked up to see a distant
figure standing on an ice-cake, and wondered why he hadnt spotted him
earlier. It was obviously someone who had become stranded.
He paddled over. As he
approached, he could see that it was a very short, heavy-set man. The stranded
man looked quite dour, but even from this distance the hunter could see that
his clothes were very finely made perhaps the finest he had ever seen.
Saying nothing, the hunter
brought his kayak up to the ice-cake, stepped out of it, and secured it firmly.
While he did this, he periodically looked over his shoulder at the stranded
man, and noted that the man seemed fascinated at the way the hunter secured
his kayak. It was as though the stranded figure had never seen anyone secure
a kayak along the ice edge before.
The hunter then stepped
closer to the stranded man, hands up in greeting. The man simply glared sullenly,
stepping back a pace. At this, the hunter stopped and asked:
"How come youre
out here with no kayak?"
The man squinted distrustfully,
before answering,
"My kayak drifted
away. Thats the third time this season, and its beginning to upset
me."
The hunter was more than
a bit taken aback by this confession, and unsure of what to say, when the stranded
man asked,
"I noticed you had
a way of keeping your kayak from drifting off. Do you mind showing me how you
did that?"
The hunter agreed, and
walked the stranded man over to his kayak, showing him how to secure it. While
he did so, his eyes kept glancing over to the strangers bow, slung over
his shoulder. The bow was so long (or perhaps it was simply that the man was
so short) that its lower end trailed along the ground as he walked.
But that wasnt what
the hunter found so remarkable. Instead, it was the workmanship of the weapon.
Unlike the bows the hunter was used to, the stranded mans bow was constructed
almost entirely from a single piece, perhaps whalebone. The cordage was perfectly
lashed and wound, such that the whole bow seemed as much a work of art as a
tool. The hunter had never seen its like.
He drew out his explanation
of how to secure the kayak, giving himself time to think. Now, he was more puzzled
than ever. He couldnt figure out how it was that this stranger possessed
such fantastic clothes and tools, and at once was so incompetent that he could
not secure a kayak, as a child might be able to do.
For a brief instant, the
hunter entertained the idea that perhaps the short man simply had a very competent
wife. But he quickly dismissed this notion, since it could not explain the bow
which the man himself would have had to make.
Somewhat disturbed, he
smiled nervously at the stranded man, who smiled back.
"Thanks," he
said, "Ill try to remember that trick. Now, can you give me a lift
back home?"
The hunters smile
faded.
"I cant,"
he said. "This is just a one-person kayak. Youll be too heavy."
The stranded man began
to laugh at this. For a moment, he was doubled up with laughter, and the hunter
stepped away from him, wondering if he was crazy.
At the sight of the hunters
alarm, the stranded man curbed his laughter a bit, but still couldnt entirely
quit chuckling. He beamed at the hunter and said,
"You Inuit
hilarious!
I can make myself light or heavy at will!"
(Continued next week.)
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