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Subject: RE: [SDOH] good news also available here...
Date: Mon, 6 Jul 2009 13:02:24 -0400
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Thread-Topic: [SDOH] good news also available here...
Thread-Index: Acn7VYF8cOqFDku0TrKajRyixkkQNQAEr7+AALyTinA=
References:  <[log in to unmask]> A<06c901c9fb69$2081dfd0$61859f70$@com>
From: "Stephanie Lefebvre" <[log in to unmask]>
To: "Social Determinants of Health" <[log in to unmask]>
Cc: "Isabelle Michel" <[log in to unmask]>,
	"Claire Warren" <[log in to unmask]>,
	"David Groulx" <[log in to unmask]>

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A bit of a different view on timing...

=20

First off, huge kudos to Hamilton for formalizing - through this SDOH
position statement - much of the good work that I'm sure has been going
on in Hamilton for years.

=20

From our local public health unit perspective, rather than viewing this
recent momentum as sudden - "Why suddenly now are these issues seemingly
more palatable" - I tend to see it more as support to shift towards
making current/existing actions more explicit through formalized
structures (position statements, planning processes, internal equity
audits etc.)

=20

Our experience in Sudbury, ON has connected us with many public health
practitioners, community agencies and others from across the province
and beyond who have been committed to advancing action on SDOH and
health inequities for years/decades.  For example, after much advocacy
from public health practitioners, Ontario's Public Health Standards
(OPHS) now explicitly recognize that, "Addressing determinants of health
and reducing health inequities are fundamental to the work of public
health in Ontario.  Effective public health programs and services
consider the impact of the determinants of health on the achievement of
intended health outcomes." =20

=20

"Reducing inequities in health through a population approach", has also
been included in the strategic framework of Ontario's newly formed
Agency for Health Protection and Promotion.

=20

Supported by these mandates, I believe (and am hopeful) that we will now
see this type of formalized commitment to action from health units
across the province.  However, in the absence of statements such as
Hamilton's (and Sudbury & District Health Unit's 2005 statement) it is
important that we recognize that much "good news" is still being made
through less structured and less publicized advocacy, action and
partnerships across the province and beyond.

=20

It is great to see this momentum continue to build.  As we see and
continue to spread the word about examples such as Hamilton's, we might
just get to our "tipping point".

=20

Stephanie Lefebvre, MSW

Policy & Planning Specialist

Resources, Research, Evaluation & Development Division

Sudbury & District Health Unit

1300 Paris Street

Sudbury, ON  P3E 3A3

(705) 522-9200, ext. 277

From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of
Sivan Bomze
Sent: July 2, 2009 7:02 PM
To: [log in to unmask]
Subject: Re: [SDOH] good news also available here...

=20

Just wondering, from the perspective of the SDOH listers, why do you
think this is happening now??? Why the focus on affordable housing
across Ontario....why this report from Hamilton???

=20

What has changed??? Why suddenly now are these issues seemingly more
palatable??

=20

Is it all to do with the recession?? The hope and assumed promised from
the Obama presidential election seeping in North of the border???=20

=20

How do we keep this momentum going and make it more encompassing??

=20

=20

Sivan Bomze, BSc., DHMS, BHSc.

MHSc/MPH Health Promotion (2010)

(Women's Health)

(OTC-Health Services and Policy Research)

Dalla Lana School of Public Health

University of Toronto

[log in to unmask]

=20

From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of
Dennis Raphael
Sent: Thursday, July 02, 2009 4:39 PM
To: [log in to unmask]
Subject: [SDOH] good news also available here...

=20


http://www.myhamilton.ca/NR/rdonlyres/B9A5AD7E-CB58-4BA3-8F5D-1F5D51A542
33/0/Apr27BOH09008SocialDeterminantsofHealthPositionStatement.pdf=20


Dennis Raphael, PhD
Professor of Health Policy and Management
York University
4700 Keele Street
Room 418, HNES Building
Toronto, Ontario M3J 1P3
416-736-2100, ext. 22134
email: [log in to unmask]
<http://www.myhamilton.ca/NR/rdonlyres/B9A5AD7E-CB58-4BA3-8F5D-1F5D51A54
233/0/Apr27BOH09008SocialDeterminantsofHealthPositionStatement.pdf>
http://www.atkinson.yorku.ca/draphael

Of interest:

*NEW*  Social Determinants of Health: Canadian Perspectives, 2nd
edition, edited by Dennis Raphael
Forewords by Carolyn Bennett and Roy Romanow
<http://www.atkinson.yorku.ca/draphael> http://tinyurl.com/5l6yh9

Poverty and Policy in Canada: Implications for Health and Quality of
Life by Dennis Raphael
Foreword by Jack Layton
<http://tinyurl.com/5l6yh9> http://tinyurl.com/2hg2df

Staying Alive: Critical Perspectives on Health, Illness, and Health
Care, edited by Dennis Raphael, Toba Bryant, and Marcia Rioux
Foreword by Gary Teeple
<http://tinyurl.com/2hg2df> http://tinyurl.com/2zqrox

See a lecture!  The Politics of Population Health
<http://tinyurl.com/2zqrox>
http://msl.stream.yorku.ca/mediasite/viewer/?peid=3Dac604170-9ccc-4268-a1=
a
f-9a9e04b28e1d

Also, presentation on Politics and Health at the Centre for Health
Disparities in Cleveland Ohio
<http://msl.stream.yorku.ca/mediasite/viewer/?peid=3Dac604170-9ccc-4268-a=
1
af-9a9e04b28e1d>
http://video.google.com/videoplay?docid=3D-4129139685624192201&hl=3Den

<http://video.google.com/videoplay?docid=3D-4129139685624192201&hl=3Den> =
To
leave, manage or join list:
https://listserv.yorku.ca/cgi-bin/wa?SUBED1=3Dsdoh&A=3D1=20

To leave, manage or join list:
https://listserv.yorku.ca/cgi-bin/wa?SUBED1=3Dsdoh&A=3D1=20


To leave, manage or join list: https://listserv.yorku.ca/cgi-bin/wa?SUBED1=3Dsdoh&A=3D1


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<body=20lang=3DEN-US=20link=3Dblue=20vlink=3Dpurple>

<div=20class=3DSection1>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'>A=20bit=20of=20a=20different=20view=20on=20timing&#8230;<o:p>=
</o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'><o:p>&nbsp;</o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'>First=20off,=20huge=20kudos=20to=20Hamilton=20for=20formalizi=
ng=20-=20through=20this
SDOH=20position=20statement=20-=20much=20of=20the=20good=20work=20that=20=
I&#8217;m=20sure=20has=20been
going=20on=20in=20Hamilton=20for=20years.<o:p></o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'><o:p>&nbsp;</o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'>From=20our=20local=20public=20health=20unit=20perspective,=20=
rather=20than=20viewing
this=20recent=20momentum=20as=20sudden=20&#8211;=20</span><span=20style=
=3D'font-size:11.0pt;
font-family:"Calibri","sans-serif";color:#1F497D'>&#8220;Why=20suddenly=
=20now=20are
these=20issues=20seemingly=20more=20palatable&#8221;=20&#8211;=20</span><=
span
style=3D'font-family:"Trebuchet=20MS","sans-serif";color:blue'>I=20tend=
=20to=20see=20it
more=20as=20support=20to=20shift=20towards=20making=20current/existing=20=
actions=20more=20explicit
through=20formalized=20structures=20(position=20statements,=20planning=20=
processes,
internal=20equity=20audits=20etc.)<o:p></o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'><o:p>&nbsp;</o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'>Our=20experience=20in=20Sudbury,=20ON=20has=20connected=20us=
=20with=20many=20public
health=20practitioners,=20community=20agencies=20and=20others=20from=20ac=
ross=20the=20province
and=20beyond=20who=20have=20been=20committed=20to=20advancing=20action=20=
on=20SDOH=20and=20health
inequities=20for=20years/decades.=20&nbsp;For=20example,=20after=20much=
=20advocacy=20from
public=20health=20practitioners,=20Ontario&#8217;s=20Public=20Health=20St=
andards=20(OPHS)=20now
explicitly=20recognize=20that,=20&#8220;Addressing=20determinants=20of=20=
health=20and
reducing=20health=20inequities=20are=20fundamental=20to=20the=20work=20of=
=20public=20health=20in
Ontario.&nbsp;=20Effective=20public=20health=20programs=20and=20services=
=20consider=20the
impact=20of=20the=20determinants=20of=20health=20on=20the=20achievement=
=20of=20intended=20health
outcomes.&#8221;&nbsp;=20<o:p></o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'><o:p>&nbsp;</o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'>&#8220;Reducing=20inequities=20in=20health=20through=20a=20po=
pulation=20approach&#8221;,
has=20also=20been=20included=20in=20the=20strategic=20framework=20of=20On=
tario&#8217;s=20newly
formed=20Agency=20for=20Health=20Protection=20and=20Promotion.<o:p></o:p>=
</span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'><o:p>&nbsp;</o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'>Supported=20by=20these=20mandates,=20I=20believe=20(and=20am=
=20hopeful)=20that=20we
will=20now=20see=20this=20type=20of=20formalized=20commitment=20to=20acti=
on=20from=20health=20units
across=20the=20province.&nbsp;=20However,=20in=20the=20absence=20of=20sta=
tements=20such=20as
Hamilton&#8217;s=20(and=20Sudbury=20&amp;=20District=20Health=20Unit&#821=
7;s=202005
statement)=20it=20is=20important=20that=20we=20recognize=20that=20much=20=
&#8220;good=20news&#8221;
is=20still=20being=20made=20through=20less=20structured=20and=20less=20pu=
blicized=20advocacy,
action=20and=20partnerships=20across=20the=20province=20and=20beyond.<o:p=
></o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'><o:p>&nbsp;</o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'>It=20is=20great=20to=20see=20this=20momentum=20continue=20to=
=20build.=20&nbsp;As=20we=20see
and=20continue=20to=20spread=20the=20word=20about=20examples=20such=20as=
=20Hamilton&#8217;s,=20we
might=20just=20get=20to=20our=20&#8220;tipping=20point&#8221;.<o:p></o:p>=
</span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-family:"Trebuchet=20MS","san=
s-serif";
color:blue'><o:p>&nbsp;</o:p></span></p>

<div>

<p=20class=3DMsoNormal><span=20style=3D'font-size:10.0pt;font-family:"Luc=
ida=20Handwriting";
color:teal'>Stephanie=20Lefebvre,=20MSW</span><span=20style=3D'color:blue=
'><o:p></o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:10.0pt;font-family:"Tre=
buchet=20MS","sans-serif";
color:blue'>Policy=20&amp;=20Planning=20Specialist</span><span=20style=3D=
'color:blue'><o:p></o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:10.0pt;font-family:"Tre=
buchet=20MS","sans-serif";
color:blue'>Resources,=20Research,=20Evaluation=20&amp;=20Development=20D=
ivision</span><span
style=3D'color:blue'><o:p></o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:10.0pt;font-family:"Tre=
buchet=20MS","sans-serif";
color:blue'>Sudbury=20&amp;=20District=20Health=20Unit</span><span=20styl=
e=3D'color:blue'><o:p></o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:10.0pt;font-family:"Tre=
buchet=20MS","sans-serif";
color:blue'>1300=20Paris=20Street</span><span=20style=3D'color:blue'><o:p=
></o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:10.0pt;font-family:"Tre=
buchet=20MS","sans-serif";
color:blue'>Sudbury,=20ON&nbsp;=20P3E=203A3</span><span=20style=3D'color:=
blue'><o:p></o:p></span></p>

</div>

<p=20class=3DMsoNormal><span=20style=3D'font-size:10.0pt;font-family:"Tre=
buchet=20MS","sans-serif";
color:blue'>(705)=20522-9200,=20ext.=20277</span><span=20style=3D'font-fa=
mily:"Trebuchet=20MS","sans-serif";
color:blue'><o:p></o:p></span></p>

<div>

<div=20style=3D'border:none;border-top:solid=20#B5C4DF=201.0pt;padding:3.=
0pt=200cm=200cm=200cm'>

<p=20class=3DMsoNormal><b><span=20style=3D'font-size:10.0pt;font-family:"=
Tahoma","sans-serif"'>From:</span></b><span
style=3D'font-size:10.0pt;font-family:"Tahoma","sans-serif"'>=20Social=20=
Determinants
of=20Health=20[mailto:[log in to unmask]]=20<b>On=20Behalf=20Of=20</b>Sivan=20=
Bomze<br>
<b>Sent:</b>=20July=202,=202009=207:02=20PM<br>
<b>To:</b>[log in to unmask]<br>
<b>Subject:</b>=20Re:=20[SDOH]=20good=20news=20also=20available=20here...=
<o:p></o:p></span></p>

</div>

</div>

<p=20class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:11.0pt;font-family:"Cal=
ibri","sans-serif";
color:#1F497D'>Just=20wondering,=20from=20the=20perspective=20of=20the=20=
SDOH=20listers,=20why=20do
you=20think=20this=20is=20happening=20now???=20Why=20the=20focus=20on=20a=
ffordable=20housing=20across
Ontario&#8230;.why=20this=20report=20from=20Hamilton???<o:p></o:p></span>=
</p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:11.0pt;font-family:"Cal=
ibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:11.0pt;font-family:"Cal=
ibri","sans-serif";
color:#1F497D'>What=20has=20changed???=20Why=20suddenly=20now=20are=20the=
se=20issues=20seemingly
more=20palatable??<o:p></o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:11.0pt;font-family:"Cal=
ibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:11.0pt;font-family:"Cal=
ibri","sans-serif";
color:#1F497D'>Is=20it=20all=20to=20do=20with=20the=20recession??=20The=
=20hope=20and=20assumed
promised=20from=20the=20Obama=20presidential=20election=20seeping=20in=20=
North=20of=20the=20border???
<o:p></o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:11.0pt;font-family:"Cal=
ibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:11.0pt;font-family:"Cal=
ibri","sans-serif";
color:#1F497D'>How=20do=20we=20keep=20this=20momentum=20going=20and=20mak=
e=20it=20more
encompassing??<o:p></o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:11.0pt;font-family:"Cal=
ibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:11.0pt;font-family:"Cal=
ibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p=20class=3DMsoNormal><span=20lang=3DEN-CA=20style=3D'font-size:11.0pt;f=
ont-family:"Calibri","sans-serif";
color:#1F497D'>Sivan=20Bomze,=20BSc.,=20DHMS,=20BHSc.<o:p></o:p></span></=
p>

<p=20class=3DMsoNormal><span=20lang=3DEN-CA=20style=3D'font-size:11.0pt;f=
ont-family:"Calibri","sans-serif";
color:#1F497D'>MHSc/MPH=20Health=20Promotion=20(2010)<o:p></o:p></span></=
p>

<p=20class=3DMsoNormal><span=20lang=3DEN-CA=20style=3D'font-size:11.0pt;f=
ont-family:"Calibri","sans-serif";
color:#1F497D'>(Women&#8217;s=20Health)<o:p></o:p></span></p>

<p=20class=3DMsoNormal><span=20lang=3DEN-CA=20style=3D'font-size:11.0pt;f=
ont-family:"Calibri","sans-serif";
color:#1F497D'>(OTC-Health=20Services=20and=20Policy=20Research)<o:p></o:=
p></span></p>

<p=20class=3DMsoNormal><span=20lang=3DEN-CA=20style=3D'font-size:11.0pt;f=
ont-family:"Calibri","sans-serif";
color:#1F497D'>Dalla=20Lana=20School=20of=20Public=20Health<o:p></o:p></s=
pan></p>

<p=20class=3DMsoNormal><span=20lang=3DEN-CA=20style=3D'font-size:11.0pt;f=
ont-family:"Calibri","sans-serif";
color:#1F497D'>University=20of=20Toronto<o:p></o:p></span></p>

<p=20class=3DMsoNormal><span=20lang=3DEN-CA=20style=3D'font-size:11.0pt;f=
ont-family:"Calibri","sans-serif";
color:#1F497D'><a=20href=3D"mailto:[log in to unmask]">[log in to unmask]
ca</a><o:p></o:p></span></p>

<p=20class=3DMsoNormal><span=20style=3D'font-size:11.0pt;font-family:"Cal=
ibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<div=20style=3D'border:none;border-top:solid=20#B5C4DF=201.0pt;padding:3.=
0pt=200cm=200cm=200cm'>

<p=20class=3DMsoNormal><b><span=20style=3D'font-size:10.0pt;font-family:"=
Tahoma","sans-serif"'>From:</span></b><span
style=3D'font-size:10.0pt;font-family:"Tahoma","sans-serif"'>=20Social=20=
Determinants
of=20Health=20[mailto:[log in to unmask]]=20<b>On=20Behalf=20Of=20</b>Dennis=
=20Raphael<br>
<b>Sent:</b>=20Thursday,=20July=2002,=202009=204:39=20PM<br>
<b>To:</b>[log in to unmask]<br>
<b>Subject:</b>=20[SDOH]=20good=20news=20also=20available=20here...<o:p><=
/o:p></span></p>

</div>

<p=20class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p=20class=3DMsoNormal><br>
<a
href=3D"http://www.myhamilton.ca/NR/rdonlyres/B9A5AD7E-CB58-4BA3-8F5D-1F5=
D51A54233/0/Apr27BOH09008SocialDeterminantsofHealthPositionStatement.pdf"=
><span
style=3D'font-size:10.0pt;font-family:"Arial","sans-serif"'>http://www.my=
hamilton.ca/NR/rdonlyres/B9A5AD7E-CB58-4BA3-8F5D-1F5D51A54233/0/Apr27BOH0=
9008SocialDeterminantsofHealthPositionStatement.pdf</span>
<br>
<br>
<br>
<span=20style=3D'font-size:10.0pt;font-family:"Arial","sans-serif"'>Denni=
s=20Raphael,
PhD<br>
Professor=20of=20Health=20Policy=20and=20Management<br>
York=20University<br>
4700=20Keele=20Street<br>
Room=20418,=20HNES=20Building<br>
Toronto,=20Ontario=20M3J=201P3<br>
416-736-2100,=20ext.=2022134<br>
email:[log in to unmask]<br>
</span></a><a=20href=3D"http://www.atkinson.yorku.ca/draphael"><span
style=3D'font-size:10.0pt;font-family:"Arial","sans-serif"'>http://www.at=
kinson.yorku.ca/draphael<br>
<br>
Of=20interest:<br>
<br>
*NEW*=20&nbsp;Social=20Determinants=20of=20Health:=20Canadian=20Perspecti=
ves,=202nd=20edition,
edited=20by=20Dennis=20Raphael<br>
Forewords=20by=20Carolyn=20Bennett=20and=20Roy=20Romanow<br>
</span></a><a=20href=3D"http://tinyurl.com/5l6yh9"><span=20style=3D'font-=
size:10.0pt;
font-family:"Arial","sans-serif"'>http://tinyurl.com/5l6yh9<br>
<br>
Poverty=20and=20Policy=20in=20Canada:=20Implications=20for=20Health=20and=
=20Quality=20of=20Life=20by
Dennis=20Raphael<br>
Foreword=20by=20Jack=20Layton<br>
</span></a><a=20href=3D"http://tinyurl.com/2hg2df"><span=20style=3D'font-=
size:10.0pt;
font-family:"Arial","sans-serif"'>http://tinyurl.com/2hg2df<br>
<br>
Staying=20Alive:=20Critical=20Perspectives=20on=20Health,=20Illness,=20an=
d=20Health=20Care,
edited=20by=20Dennis=20Raphael,=20Toba=20Bryant,=20and=20Marcia=20Rioux<b=
r>
Foreword=20by=20Gary=20Teeple<br>
</span></a><a=20href=3D"http://tinyurl.com/2zqrox"><span=20style=3D'font-=
size:10.0pt;
font-family:"Arial","sans-serif"'>http://tinyurl.com/2zqrox<br>
<br>
See=20a=20lecture!=20&nbsp;The=20Politics=20of=20Population=20Health<br>
</span></a><a
href=3D"http://msl.stream.yorku.ca/mediasite/viewer/?peid=3Dac604170-9ccc=
-4268-a1af-9a9e04b28e1d"><span
style=3D'font-size:10.0pt;font-family:"Arial","sans-serif"'>http://msl.st=
ream.yorku.ca/mediasite/viewer/?peid=3Dac604170-9ccc-4268-a1af-9a9e04b28e=
1d<br>
<br>
Also,=20presentation=20on=20Politics=20and=20Health=20at=20the=20Centre=
=20for=20Health=20Disparities
in=20Cleveland=20Ohio<br>
</span></a><a
href=3D"http://video.google.com/videoplay?docid=3D-4129139685624192201&am=
p;hl=3Den"><span
style=3D'font-size:10.0pt;font-family:"Arial","sans-serif"'>http://video.=
google.com/videoplay?docid=3D-4129139685624192201&amp;hl=3Den<br>
<br>
</span></a>To=20leave,=20manage=20or=20join=20list:
https://listserv.yorku.ca/cgi-bin/wa?SUBED1=3Dsdoh&amp;A=3D1=20<o:p></o:p=
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Ce=20message=20n'est=20destin=C3=A9=20qu'=C3=A0=20la=20personne=20ou=20l'=
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