Smudging and Sutures: Indigenous care in the city

Winnie Czulinski –

The sacred medicines of tobac­co, sage, cedar and sweetgrass are a vital part of the Indigenous approach to wellness. In the Downtown East, Toronto has a warm spot for healthcare that combines this traditional ap­proach with modern medicine.

According to the Anishnaw­be Health Foundation, Toronto has approximately 90,000 In­digenous residents, 87 per cent of them living below Canada’s low-income cut-off. Many of these people do not feel safe or welcome in mainstream medi­cal facilities.

The Anishnawbe Health To­ronto centre at 425 Cherry Street, part of the new Indige­nous hub in the West Don Lands, supports clients experiencing trauma, addiction, homeless­ness and mental illness. Staffed by both physicians and full-time traditional healers and sport­ing a shawl and fringe design, the centre celebrated its grand opening in June. The ceremony culminated more than 35 years of care at several Toronto loca­tions, including establishing the city’s first sweat lodge 17 years ago.

The new centre also responds to the Truth and Reconciliation Commission’s call to action #22, which urges recognition and use of Indigenous healing practices in Canada’s care system.

“This is more than a health centre – it’s a powerful act of reclamation, restoring space for Indigenous presence, knowl­edge, and healing in the heart of the city,” said Michael Milward, special projects and interim ex­ecutive director of Anishnawbe Health in a news release.

Milward, from Beardy’s & Okemasis’ Cree Nation, near Duck Lake, Saskatchewan, has supported innovative initiatives for First Nations, Inuit and Mé­tis in post-secondary education as well as healthcare.

At Anishnawbe Health Toron­to, he worked closely with exec­utive director Joe Hester, who died on January 31, on a train­ing program for traditional heal­ers, ceremonialists and teachers. The Anishnawbe Health Centre was the long-held vision of Hes­ter, a respected elder known also as Ayimuu Macheshuu (Talking Fox),

A Toronto City Council con­dolence said Hester “dedicated his life to advocating for and supporting Indigenous commu­nities by creating the foundation of urban Indigenous health in Toronto. Through his work, he ensured Indigenous people in and around Toronto had proper access to both traditional and western medicine delivered in a culturally appropriate way.”

Ontario’s Health Ministry, headed by Deputy Premier Sylvia Jones, invested over $31 million in the new health centre. A major donation also came from the Krawczyk Fam­ily Foundation founded by Alex Krawczyk, daughter of the late philanthropic couple Honey and Barry Sherman.

Krawczyk also recently made an $11 million gift to St. Mi­chael’s and Providence Founda­tion. The new 650-square-foot Indigenous wellness space at St. Michael’s Hospital, at Queen and Bond Streets, has a large ceremonial circle, special ex­haust ventilation for smudging ceremonies, and Indigenous art and symbols. The donation also funds Indigenous wellness worker positions to help support an existing busy health pro­gram.

“True healing and recon­ciliation begin with listening, by being brave enough to ac­knowledge the harm that’s been done, making a commitment to change, and actively supporting the creation of spaces, programs and services where Indigenous voices lead the way,” Rober­ta Pike, director of Indigenous Wellness, Reconciliation and Partnerships at Unity Health To­ronto, said in a statement.

Pike, who is Anishinaabekwe from Henvey Inlet First Nation, says, “Our team understands what kind of experiences people may have when they’re coming to the hospital, and they’re able to assist and get to the heart of the matter of what people truly need, which is oftentimes a lot more complex than what they’re presenting with.”

Many Indigenous people may experience being misun­derstood or denigrated. In an extreme example, Atikamekw patient Joyce Echaquan, 37, livestreamed her agony and the racist taunts of hospital staff as she died in a Quebec hospital in 2020.

At Call Auntie’s low-barrier medical clinic at 525 Dundas Street East, an Indigenous-led interprofessional healthcare team serves Indigenous com­munity members and people who have challenges accessing mainstream healthcare.

Call Auntie, a federally reg­istered non-profit, acknowl­edges the Indigenous honoured wise woman, the auntie, as an elder. The clinic – which has a Wednesday drop-in with lunch from 1-4 p.m. – also helps with safer housing options, nourish­ing meals, grocery supports, transportation, practical skills and self-care.

The clinic team knows that those forced to live outside have difficulties with sleeping safely, or accessing food and protec­tion. Many such people feel they cannot leave their tents or tarps, and few possessions, to seek medical help.

“But at Call Auntie we believe that everyone deserves good health care,” says its website. “So if you can’t get to medical care, the Street Medicine team can come to you.”