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February 24, 1988
Rubber gloves are routinely worn in
dental offices and hospitals during
procedures involving bodily fluids.
By Yvonne Reynolds
AIDS -is a four-letter word that is
acquiring as fearsome a reputation
as tha( hated - six -letter word
"cancer".
AIDS has already come to this
county. Of the four known cases,
three have died. All belonged to
one of the high-risk groups. - he-
mophiliacs, homosexuals or intra-
venous drug users. As far as is
known, all contracted the disease
outside this area. -
Education the only weapon
Dr. Maarten Bokhout, . Huron
County medical officer, is mar-
shalling the many resources availa-
ble to attack the problem with the
only effective weapon at hand
prevention through education. The
battle is two-pronged, aimed at in-
forming children still in school
about this fatal disease, and dis-
seminating information that will
persuade sexually active adults to
reduce the possibility of contract-
ing AIDS by changing at -risk life-
styles.
Bokhout has been meeting on a
regular basis for a number of
months with Huron .County Health
Unit personnel, primarily senior
public health inspector Jack
McKinnon, public health nurse
Marlene Price, family planner
Ruth. Linton and health education
counsellor Sheryl Feagan, to plan
-strategy.
One recent topic was how to
spend the S8,800 received from the
province's AIDS education fund.
Part will go for audio-visual equip-
ment. Videos and tapes arc being
developed in partnership with TV
Ontario to assist the teachers who
will be delivering the school pro-
grams -the ministry of education
has stipulated must be introduced
to all grade eight classes in the
province during the 1987-88
school year. .
Bokhout; McKinnon, Linton and
Feagan can be booked for speaking.
engagements to community
Education and prevention are the only weapons
AIDS in Huron
groups. The public health nurses
will be taking the message to the
classrooms.
The Health Unit offers expertise
in presenting training workshops
for teachers in conjunction with
board of education and separate
school board programs. AIDS in-
formation binders are being com-
piled for each of the five largest li-
braries ih the county. A series of
articles is also being prepared for
local newspapers.
The Health Unit will co-sponsor
an AIDS workshop on May 4 in
the Godcrich township hall. The
public is invited.
The county Health Units arc
working closely with the public and
separate school boards.
H -P RC schools
The AIDS education program re-
quired by the province will be intro -
(laced -next month in all schools un-
der the jurisdiction of the Huron-
Pcrth Roman Catholic Separate
School board. Dr. Susan Tamblyn
from the Perth Health Unit and Fa-
ther Sharpe from the Huron Deanery
took part in a preparatory workshop
at the board office in Dublin recent-
ly.
The program will be integrated
into the religion and family life pro-
gram in grade seven -eight and grade
eight classes. It is divided into
three parts: present the facts on the
disease and how it is transmitted,
examine the moral issues as related
to church teaching on sexuality, and
discuss thc social issue, including
compassionate treatment of those
already ill with AIDS.
Parents have also been kept in-
formed. The Mt. Carmel CWL in-
vited Father Michael Prieur from
St. Peters Seminary in London and
Eugene Dufours, who works with
AiDS patients in St. Joseph's Hos-
pital, to a meeting in early. Febru-
ary.
A snowstorm cancelled Dr. Linda
Steele's address to the Precious
Blood PTA on February 11; the
INFORMATION MEETING - Dr. Linda Steele gave a noonhour presen-
tation on the physical facts about AIDS to the staff of South Huron Hospi-
tat.
meeting has been rescheduled for
so:netime after the March break.
The whole idea is to let parents
know what is going on, according
to Dennis Mackcy, religion and
education into Man in Society and
Farnily Studies courses.
Exeter Public School
The program will start at Exeter
Public School after the March
Ac uired - not hereditary
Immune - body's defense against disease
Deficiency - having a lack of
group -
S y ndrome rou of conditions
family life consultant with the Hu-
ron -Perth board. Macke jr said some
parents feel the sexual terms are too
explicit, while others are in favour
of the course material.
"We recognize the concerns, but
this is so serious we can't hide it
from the children. Parents should
be talking to their children. The
classroom is a good place to receive
this information, as it is taught
with respect", Mackey said.
Eventually AIDS education will
be woven into the religion and fam-
ily - life program for all grades. The
Catholic board has arranged a meet-
ing on March 1 -with teachers in
other subjects to provide them with
. information on AIDS,_and on how
to answer questions from students
in the lower grades.
Huron County Board
"Wc':c 'in the same business as
the Catholics. We want -to teach
our s'udents to live responsible;
compassionate lives and to avoid
the behaviour causing AIDS", re-
ported Arnold Mathers, superinten-
dent of program for the .Huron
County Board of Education.
Information sessions have been
held with all public school princi-
pals in the county to review the
ministry directive -and materials. In-
-formation mcctings have been orga-
nized for the teachers who will be
including the AIDS education pro-
gram in their health courses.
An AIDS Advisory Committee to
the Huron Board comprised of edu-
cation -and health officials is devel-
oping a policy statement, compil
ing an inventory of resources and
resource personnel. Teachers on the
tcam.who will be attending parent
meetings will be given a one-week
training course in April.
The AIDS course is already in use
in some Huron schools, and will be
introduced into others after the
March break.
S1flfD11S
The program has begun at South
Huron District High School, for all
grade nine students taking physical
education. In April classes in AiDS
education will be set up for those
grade nincrs not taking phys ed.
SIIDIIS principal Bruce Shaw
said the program will continue
throughout the year. It follows the
ministry of education guidelines:
how the disease is transmitted, how
to react to it, and prevention as the
kcy. Shaw foresees blending AiDS
break. Ruth Linton from the Huron
Health Unit will initiate the grade
eight health class with a talk on hu-
man sexuality. The school nurse
will be part of the eight to 10 week-
ly sessions from the beginning.
Principal Al Taylor will invite
members of the county team to par-
ticipate in later classes.
Taylor pointed out that all pro-
grams have a proviso whereby par-
- ents can exclude their children. The
ministry directive states that "on the
written request of a parent, or guar-
dian, or a student who has reached
the age of majority, the right to
withdraw from any component of
the physical education.or health edu-
cation components shall be granted
where such component is in conflict
with a religious belief held by the
student, guardian or parent". •
Hospital procedures
Dr. Bokhoutsaid hospitals in the
county arc examining and imple-
nricnting guidelines from the Centre
for Disease Control. Gloves are
worn for any procedure involving
contact or exposure to body fluids
. or blood.
"We are acting as if everybody
who enters hospital may have been
exposed, and taking precautions ac-
cordingly, especially with blood and
body fluids, which are treated as po-
tentially infected substances in .eve-
ry case", Bokhout said.
There is increased use of masks,
scrupulous cleaning of equipment,
and medical personnel are appropri-
ately gowned whcn treating patients
who have been in auto accidents.
South Huron Hospital
Dr. Debbie Waters, chief of staff
of South Huron Hospital, knows of
no AIDS patients who have been
admitted to the Exeter_ institution.
"We are following ministry guide-
lines for mutual protection of all
patients and staff. People are wear-
ing gloves more in the emergency
room, but (increased awareness of
AiDS) hasn't made much difference
in practice", Waters said.
Dr.. Linda Steele spoke about
AIDS to an informal gathering of
hospital staff last week. She pre-
sented the medical facts about the
disease. AiDS is an acquired dis-
ease. It is not transmitted by casual
contact, but must get into a per-
son's blood by the bodily fluids of
an infected person through a sexual
act or the needle of a drug user,
through blood products, or from a
mother with AIDS to fetus through
the placenta.
The disease suppresses the im-
mune system, making the patient
susceptible to a wide range of infec-
tions. At present there is no cure.
An -AIDS patient admitted to
South Huron would be treated like
any patient with a serious infection. -
He or she would be placed in nor-
mal isolation.' The diagnosis on the
chart, like all diagnoses, would be
confidential. Nurses and doctors in
contact with bodily fluids or blood
would wear gloves.
Steele gave statistics showing
that 82 percent -of AIDS cases are
Masks are being worn more often to
hospitals since AIDS began to .
spread.
plastic suction tips, polishing cups
and brushes are disposed of after
each patient. Controls have either
check valves to eliminate "suck -
back" after usage or even clear the
lines with a puff of air when the
control is released. .
Like the doctors and nurses, den-
tists and dental. assistants protect
them.sclves and their patients by
wearing gloves and protective eye-
wear. - -
Conclusion
"We have not dealt with the un-.
derlying cause", Bokhout claimed.
• "We have not learned to parent our
childr:n well. -We will have to
BATTLING AIDS - D. Maarten Bokhout, MOH for Huron
the forefront of a campaign to educate people about AIDS.
homosexuals; 3.4. percent got the
disease from blood products; 1.9
percent arc children; 2.2 percent are
heterosexual partners of those al-
ready infected, and .3 percent are in-
travenous drug users.
Speaking earlier as both a doctor
and as a Catholic parent, Steele
stressed the importance of teaching
a moral lifestyle.
"We have to educate the students
who will be adults", she said.
Siecle is satisfied with the AIDS
program being prepared for the sep-
arate schools in Huron -Perth. She.
agrees that parents must be involved
from the beginning. Anothcr im-
portant factor is training the teach-
ers for the job of teaching yaung
children about this sexually -
transmitted disease, which is more
difficult for those not brought up to
talk about sex.
Dental offices
Dentists, too, have taken meas-
ures to protect their patients from
infectious diseases. All needles,
County, is in
team better ways of raising our
children." As adults we can all set •
examples."
Speaking -as a physician and as a
scientist, he noted that "regardless
of religions, humans have certain
limitations, and suffer physical and
psychological consequences. from
behavior and practices that are not
good for human .beings...Wc have
chosen to turn a blind eye to sexual
practices which have proved to he
lethal. AIDS would never- have
gained a foothold if no-one had sex
multiple partners"
At present, about 1,5110 people in
Canada have AIDS. Bokhout pre-
dicts that die disease will likely af-
fect five or six- times as many over
the next five years. -
"1Vhat happens then will reflect
on what we arc doing today. In Hu-
ron, -we have a reasonable chance of
keeping cxposurc.at a lbw Ievcl..:it
depends on people making con-
scious decisions", he concluded.
m►.
Manure run-off contaminating Ausable watershed
By Adrian Harte
The Ausablc river basin still has
serious water quality problems; not
because of chemical contamination,
but from excess manure runoff.
That was the conclusion of a Friday
afternoon "seminar in the South Hu-
ron Recreation Centre dealing with
watershed issues.
The water quality. information
day, co-ordinated by the Ausable-
Bayfield Conservation Authority,
drew several speakers from both
government and business to address
theenvironmentalproblems of the
river basin.
Minister of Agriculture and
M.P.P for Huron County Jack Rid-
dell delivered a keynote address to
begin the afternoon. He spoke of
deteriorating water quality and ero-
sion problems as pressing concerns
to Ontario farmers.
"If the attitude on our farms was
oncc, 'we can't afford to make a
change', it is now 'we can't afford
not to make a change'," said Rid-
dell: He -claimed his ministry is en-
couraging the reduction of pesticide
use and the better handling of waste
products in ordcr to reduce water
pollution. •
Riddell pointed t government
programs such as Food Systems
2002, the Ontario Soil Conserva-
tion and Envronmental Protection
Assistance Program, and Tillage
2000 as leaders in agricultural prac-
tice improvement. •
"Our soil and water improvement
programs focus on the long-term,
because that is where we can do the
1
most good. Clearly, land and water
degradation has evolved over time,
and we arc not going to wipe away
its effects with a few quick fixes,'
Riddell said.
Murray Blackie, an agricultural
impact specialist from the ministry
of the environment, explained recent
trends in water quality that have
been documented in the regibn.
Blackie noted that tradtional ex-
pectations of better water quality in
headwaters in more northern regions
have fallen away as point -source
pollution problems have been iden-
tified and corrected.- Southern,
downstream waters equal the quality
of their sources.
However, he still investigates 20-
30 major "fish kills" each year, 80-
90 percent of:which are not caused
by industry but by agriculture (usu=
:ally pig manure). Blackie also
mentioned one fish kill heinvesti-
gated when a small bottle of delous-
ing agent had been spilled in a barn.
The agent made its way into the
drainage system and killed every liv-
ing thing in a creek for seven miles.
Blackie did identify a trend in
funding programs that will focus at-
tention on improving water quality
from non -point sources, such as
drainage from the average farmer's
field. •
"As time goes on there will be.
more funding available for non -
point sources,' he said. .
Doug Hocking from the ABCA
spoke of his work with the -authori-
ty .on the 1987 beaches program
which aimed at identifying and cor-
• .
reeling sources of bacterial contami;
nation in Lake Huron. .
"We have attempted to reduce, fur-
ther, bacterial contamination in the
watershed, not only by lending tech-
nical advice, but also encouraging
modification of agricultural practic-
es. We try to get people not to
spread manure on the snow and to
reduce livestock access to water-
courses," said Hocking.
Tests Hocking has conducted have
revealed problems with manure stor-
age. Some domestic septic systems
arc also at fault and are in need of
repair. Government fundir.gis
available to improve manure storage
facilities for farmers.
Hocking hopes that such meas-
ures have made their mark on local
water quality. In 1986 tests on the
Ausable watershed discovered sal-
monella bacteria in two-thirds of the
samples, but in 1987 the bacteria
was found only twice. The exact
reason for this fluctuation is not yet
known.
Nevertheless, tests for all bacteria
show the watershed to frequentlyez-
ceed the•ministry guidelines. Phos-
phorous, which causes excoss algae
growth is also cited as a problem.
Richard Brunkefrom the ministry
of agriculture and food presented his
findings on a study of 15 drainage
tiles in the Parkhill watershed area.
These tiles were sampled once a
week to determine exactly where
contamination in the form of bacte-
ria and chemicals comes from.
"There is still a lot to learn about
bacteria• and how they get in the
tile," concluded Brunke. He pointed
out that some cash crop fields with
no manure spread on them still pro-
:. dace high levels of bacteria in drain-
age water without apparent reason.
Theo Beukeboom from the mini-
stry of the environment discussed
agricultural problems associated
with the availability of ground wa-
ter.
"The largest cause for ground wa-
ter fluctuation is rainwater," said
Beukeboom, noting other geograph-
ical factors also influence a healthy
supply of well water:
"The farther away, in general, you
go from an open water point the
stronger seasonal fluctuations you
will see," said Beukeboom, adding
that close proximity to a major user
of ground water is also a source of
potential water shortages.
Ron Hopper from W.D. Hopper
and Sons, a Seaforth well -drilling
company, offered his observations
on the protection of ground wale( as
an essential resource..
,When the tap runs dry, generally
that's when we get concerned," Hop-
per said, adding that we must take
cart of this water source on a day to
day basis. He pointed out that 97
.percent of the world's usable water
supply lies beneath the grounli.
Farmers are often drilling new
wells to meet the depads of their
that
property; but Hoppercautioned
the old well must be properly put
out of service.
"Make sure that it is abandoned
according to the ministry specifica-
tions. It is not a costly procedure,
but it secures your new well from
becoming polluted. Every year we
have an increasing number of cases
where this happens. A new well is
drilled up at the house and within a
month or so someone in the family
becomes sick. And it is just be-
cause the old well has been forgot-
ten and not properly abandoned,"
!hipper explained. .
"We all rcali'ze that we do have
some serious water quality prob-
lems," said thc ABCA's Alec Scott
in concluding the afternoon's pro-
gram. Ile hoped this realization
would spur programs and co. •
operative efforts to eventually find
solutions to the area's watershed dif-
ficulties.
WATER QUALITY CONCERJ+IS - The. Honorable Minister of Agricul-
ture M.P.P. Jack Riddelkdelivet'e a keynote address tokick off an after-
noon of water quality information co-ordinated by the Ausable-Bayfield
Conservation Authority.