Small Steps, Big Impact: How Primary Care Can Drive Hepatitis C Elimination in Ontario

This webinar is presented by the Alliance and the Hepatitis C Elimination Roadmap Ontario

Hepatitis C is the first curable chronic viral infection, yet many people remain undiagnosed or disconnected from care. This webinar, delivered by the Hepatitis C Elimination Roadmap Ontario, explores how integrating hepatitis C testing and treatment into everyday primary care can strengthen patient attachment, reduce health inequities, and drive hepatitis C elimination at the micro level. During this session, participants will learn how:

  • Hepatitis C care advances health equity in priority populations.
  • Screening can connect patients to providers and strengthen primary care relationships.
  • Liver health is an important part of primary care and the health impacts associated with hepatitis C cure.
  • Advances in hepatitis C testing, as well as clinical tools and practice resources can support providers from testing to cure.

# Presenters

  • Bernadette Lettner, RN, Lead, Hepatitis C Elimination: Clinical Training, Guidance and Monitoring
  • Kate Palbom, Lead, Hepatitis C Elimination: Engagement and Secretariat 
Détails
le Mercredi 26 Novembre 2025 - 12:00
12-1 pm
Coût : 
Free
Internal/External: 
Type d’événement : 
Emplacement

FASD & Dental Issues

This webinar is presented by Fetal Alcohol Spectrum Disorder Ontario

Did you know that dental issues are very common among people with FASD? This can include higher rates of tooth decay, gum inflammation, differences in how anesthetic / freezing work, high or low pain thresholds, and sensory issues that can interfere with good oral hygiene. People with FASD often benefit from accommodations and specialized care during dental treatment. On October 15, 2025 from 1:00 to 2:15 p.m. ET we are hosting a live webinar on FASD and Dental Issues featuring Dr. Keith Da Silva, pediatric dentist and researcher in dental public health.

Détails
le Mercredi 15 Octobre 2025 - 13:00
1:00 - 2:15 pm
Coût : 
Free
Internal/External: 
Type d’événement : 
Emplacement
Webinar

Health for All: Practical strategies and advocacy opportunities for improving access to health care and public health services for uninsured migrants in Ontario

This webinar is presented by the National Collaborating Centre for Determinants of Health

Join the NCCDH and partners for a timely webinar addressing the urgent need to recognize precarious immigration status as a critical determinant of health. Featuring an intersectoral panel of speakers, this webinar will explore practical strategies, tools, and opportunities to improve access to health services for uninsured migrants in Ontario. Don’t miss this important conversation on advancing health equity and the right to health for all, regardless of immigration status. 

 

Détails
le Lundi 20 Octobre 2025 - 12:00
12:00-1:15pm
Coût : 
Free
Internal/External: 
Type d’événement : 
Emplacement
Webinar

Dr. Peter Centre's Community of Practice: Amplified Voices, Leading from Lived Experience, A Conversation with the RECLAIM Collective

This Community of Practice Call is presented by the Dr. Peter Centre

Event poster listing date, time, and webinar descriptionJoin us for an engaging and thought-provoking conversation with the founding members of the RECLAIM Collective, a group of changemakers who have drawn on their lived experiences to build a dynamic, grassroots organization dedicated to harm reduction and social justice.

During this sessionRECLAIM Collective members will:

  • Share their personal and collective journey in founding the organization
  • Offer insights into their ongoing work, values, and impact
  • Reflect on the power of lived experience in shaping equitable, community-driven approaches to care

For further information or to be added to the Dr. Peter Center's Community of Practice call distribution list, please email kt@drpeter.org

# About the Dr. Peter Centre

The Dr. Peter Centre provides wraparound care to the sidelines 2% of the population that need complex health and social support. Their mission is to transform lives and communities by bringing humanity and healthcare to those sidelined by society. The Dr. Peter Centre is funded by the Public Health Agency of Canada. 

 

Détails
le Mercredi 29 Octobre 2025 - 15:00
3 - 4 pm
Coût : 
Free
Internal/External: 
Type d’événement : 
Emplacement

Sickle Cell Disease Community of Practice October Webinar

This webinar is presented by Ontario Health.

Health care teams who provide care to people with sickle cell disease (SCD) are invited to join our next Sickle Cell Disease Community of Practice webinar focused on Sickle Cell Disease E2P Implementation Achievements Across all 2024/25 Participating Sites. Attendees will review current E2P achievements, analyse key data and metrics, and learn from highlighted site experiences, including effective tools, priority enablers, and key outcomes that have improved care delivery for people with SCD. 

# Presenters

Rosa Spataro | Manager, Emergency Department, Humber River Hospital Elizabeth A. Tayler | Registered Nurse, Humber River Hospital Benish Qaiser | Registered Nurse, Humber River Hospital Jennifer Page | Clinical Nurse Educator, Emergency Services Program, North York General Hospital  

# Target audience 

Primary care and specialist clinicians; community care clinicians; clinicians and administrators from dedicated SCD centres; emergency department clinicians; hospital leaders and administrators; quality improvement and equity specialists; and clinical educators involved in providing care to people with SCD (and their families and care partners).

Primary care and specialist physicians can receive continuing medical education (CME) credits for attending the webinar.

# About the Sickle Cell Disease Community of Practice

On May 15, 2024, Ontario Health launched a Sickle Cell Disease Community of Practice. Its goal is to create a group that will champion improvements to the quality of care that people with SCD receive across all care settings in Ontario, by implementing the Sickle Cell Disease quality standard.

The community of practice is hosted in an online space on Quorum. This space includes a discussion forum, a document library with tools and resources, and a member directory for networking with other health care teams doing work related to SCD. The community of practice holds regular interactive webinars focusing on topics and content streams that are relevant to the entire community, or to subgroups.  

Détails
le Mercredi 22 Octobre 2025 - 12:00
12-1 pm
Coût : 
Free
Internal/External: 
Type d’événement : 
Emplacement

Social Prescribing Research and Health Equity

This webinar is presented by the Alliance for Healthier Communities

Join the Alliance for Healthier Communities and a panel of healthcare researchers as they discuss their work and how it intersects with Social Prescribing and Health Equity.

Our panel will feature:

  • Dr. Kiffer G. Card – Assistant Professor, Faculty of Health Sciences, Simon Fraser University
  • Dr. Rosanra Yoon – Assistant Professor, Lawrence Bloomberg Faculty of Nursing, University of Toronto
  • Dr. Caitlin Muhl – Quality and Patient Safety Specialist, Niagara Health

 

Dr. Kiffer G. Card is an Assistant Professor with the Faculty of Health Sciences at Simon Fraser University and Blanche and Charlie Beckerman Scholar in Public Health Innovation. Dr. Card is a social health researcher studying how to help Canadian leaders build happier and healthier communities through community, public, and personal investment in social connection and related interventions.

Dr. Rosanra (Rosie) Yoon's (she/her) research area focuses on health services evaluation with a particular focus in integrated care for people experiencing structural vulnerabilities, substance use and mental health challenges. Dr. Yoon employs participatory and collaborative evaluation methods for system improvement through her Better Together Research Hub. As a nurse practitioner, her clinical area of expertise is in the areas of substance use, concurrent mental health conditions, trauma and gender-informed care. Bridging between community-based grassroots programs and larger systems – to collaboratively meet the needs of people and communities – is a core value that guides her clinical and research work. Her firm belief is that health is achieved through our communities where we all work, live, play and belong.

Dr. Caitlin Muhl is a recent graduate of Queen's University's PhD in Health Quality program. Her doctoral thesis focused on establishing an internationally accepted definition of social prescribing and exploring the impact on children and youth. Alongside her doctoral work, Caitlin worked as a consultant to support the implementation and evaluation of an equity-focused child and youth social prescribing program based in an underserved community in Ottawa. Caitlin works as a Quality and Patient Safety Specialist at Niagara Health.

Détails
le Jeudi 27 Novembre 2025 - 12:00
12-1 pm
Coût : 
Free
Internal/External: 
Type d’événement : 
Emplacement
Webinar

Social Prescribing to Support Primary Care Attachment

This webinar is presented by the Alliance for Healthier Communities. 

Join the Alliance for Healthier Communities and a panel of people working in various healthcare settings as they discuss how they use social prescribing in their practice and how social prescribing can support primary care attachment.

Our panel will feature:

  • Dr. Jennifer Rayner – Director of Research and Policy, Alliance for Healthier Communities
  • Dr. Ritika Goel – Family Physician, St. Micheal’s Hospital
  • Allison Hewitt – Registered Nurse, specializing in Geriatrics at Centretown CHC
  • Margo Reilly – Executive Director, Windsor FHT

 

Jennifer Rayner is the Director of Research and Policy at the Alliance for Healthier Communities and supports 100+ community based primary care organizations in Ontario. She is an applied health services researcher with interests in primary healthcare, interprofessional teams, health equity and learning health systems. She is a research professor at Western University within the Centre for Studies in Family Medicine and an associate professor at University of Toronto in the Department of Community and Family Medicine, and the Institute of Health Policy Management and Evaluation. Jennifer works in collaboration with researchers, evaluators and policy makers to improve care for people with barriers. Her community based primary care experience includes leadership roles in research, policy, planning, performance, accountability and quality improvement. She received her PhD of epidemiology and biostatistics at Western and completed post-doctoral training at Ryerson University.

Dr. Ritika Goel is a Toronto-based family physician, writer, activist, and professor dedicated to advancing equity in medicine and medical education. She currently practices at St. Michael’s Hospital in downtown Toronto. Throughout her career, Dr. Goel has served as a family physician with Sistering, a multi-service agency supporting at-risk, socially isolated women and gender-diverse people, and at the FCJ Refugee Centre, as well as being part of the Inner City Health Associates team for over a decade.

She earned her Doctor of Medicine (MD) from McMaster University and a Master of Public Health (MPH) from Johns Hopkins University. Beyond her clinical work, Dr. Goel is deeply committed to social justice, using her writing, teaching, and social media presence to address issues such as poverty, racism, and health inequity. Her dual identity as a physician and activist allows her to bridge clinical practice with advocacy, ensuring her work remains both compassionate and transformative, driven by the belief that health care must be equitable for all.

Allison Hewitt is a geriatric certified RN who on the Senior’s Outreach team at Centretown Community Health Centre in inner city Ottawa. This program promotes the safety, independence and dignity of high risk seniors whose preference it is to age in place. She also works some weekends as a geriatric emergency nurse, in the emergency department at the Ottawa Hospital. She is part of a committee representing the needs of palliative, vulnerably housed clients and also has worked closely with the Alliance for healthier communities promoting the benefits of social prescribing.  Previous geriatric roles include working at the Pinecrest Queensway CHC, as the RN on their West End Integrated Falls Prevention Program. Throughout her nursing career of 16 years, she has been a solid organ transplant RN, a pediatric PACU RN, and a pediatric orthopedic RN, and a nurse in the emergency department. Outside of working hours, she has 2 wonderful, energetic kids; and 2 goofy dogs. For fun, she enjoys yoga and being outdoors 

Margo Reilly has spent more than 20 years working in and around community health and has over 10 years of experience in executive roles for team based primary care organizations. She is currently based in Windsor as an Executive Director of the Windsor Family Health Team and boasts a diverse portfolio including work in business, health education and research, and alternative medicine. She has published several works on primary care and social prescribing in Ontario, reflecting her breadth of knowledge and expertise. Reilly was also recently noted as one of the Top 50 Women Leaders in Healthcare for 2025 by Women We Admire. Outside of work, she enjoys empowering women through volunteering as an Advisory Council Member at the Women’s Enterprise Skills Training of Windsor Inc. (WEST), among other advocacy-based volunteering roles.

Détails
le Mardi 28 Octobre 2025 - 12:00
12-1 pm
Coût : 
Free
Internal/External: 
Type d’événement : 
Emplacement
Webinar

Practical Guidance for IPCT Expansion EOI: Applying the Neighbourhood Health Home Model

This event is presented by the Alliance for Healthier Communities

The time has come to transform the way we deliver primary health care. In April, the Alliance for Healthier Communities shared our vision for a Neighbourhood Health Home model of Primary Health Care, which enables regions to attach people to primary health care while addressing health inequities and improving primary care provider experiences. The model offers a path toward connected, equitable, and integrated care for people and communities.

Now, as primary care teams, providers, OHTs and PCNs prepare their IPCT Expansion Expressions of Interest (EOIs), we are offering a follow up webinar focused on how organizations will put this vision to action. 

We will provide practical steps on how to include the Neighbourhood Health Home in your EOI applications. Through a panel discussion and using real-world examples, we will explore how one community has implemented this model and we will equip organizations with the tools needed to align their upcoming EOI submissions with the model. 

# Learning Objectives

In this webinar, you will:

  • Gain an understanding of the Neighborhood Health Home model, how it will help to reach attachment goals and address inequities
  • Hear from a team actively implementing the Neighbourhood Health Home
  • Learn tactical steps for incorporating the model into your EOI proposal

# Who should attend?

This webinar is open to everyone, but it will be of particular value to:

  • Primary Care Network Leads/Members
  • OHT Leads
  • Solo Practice, FHO, FHG, FHN Primary Care Physicians
  • IPCTs: FHTs, cFHTs, NPLCs, CHCs, IPHCOs
  • Anyone supporting IPCT expansion

# Panelists

  • Kimberley Floyd, Chief Executive Officer, Wellfort Community Health Services
  • Dr. Jennifer Rayner, Director, Research and Policy, Alliance for Healthier Communities
  • Sarah Hobbs, Chief Executive Officer, Alliance for Healthier Communities
Détails
le Jeudi 9 Octobre 2025 - 08:00
8:00 - 9:00 am
Coût : 
Free
Internal/External: 
Emplacement
Online

Journée nationale de la vérité et de la réconciliation : Déclaration de l’Alliance pour des communautés en santé

Date: 
le Mardi 30 Septembre 2025

En cette Journée nationale de la vérité et de la réconciliation, nous rendons hommage aux survivantes et survivants des pensionnats indiens et de la rafle des années 60, à leurs familles et à tous les enfants qui ne sont jamais rentrés chez eux. Nous reconnaissons la vérité sur les traumatismes intergénérationnels que les peuples et les communautés autochtones ont subis et continuent de subir en raison de centaines d’années de racisme systémique et de violence coloniale. Nous reconnaissons que cette journée est dédiée non seulement à la commémoration, mais aussi à l’action et au changement, qui sont animés par la vérité, l’humilité et le respect.

Un élément essentiel de la réconciliation en matière de santé et de bien-être est l’appel à l’action lancé par les dirigeants autochtones : « La santé autochtone entre les mains des Autochtones ».

Que signifie et en quoi consiste « la santé autochtone entre les mains des Autochtones »?

Ce principe affirme le droit des Premières Nations, des Inuits et des Métis de concevoir, fournir et évaluer leurs propres services de santé. Il incarne l’autodétermination, les savoirs et les modes de vie autochtones, ainsi que la responsabilité envers les communautés autochtones. Il privilégie les besoins, les voix et le leadership autochtones. Il représente une réponse systémique au colonialisme systémique auquel font face les peuples autochtones au Canada.

Sur l’île de la Tortue, les organisations de santé autochtones vivent cette réalité au quotidien. Le Conseil autochtone des soins de santé primaires (Indigenous Primary Health Care Council, IPHCC) regroupe des organisations gérées par des Autochtones. Il milite en faveur de l’équité en santé dans l’ensemble de la province. L’Alliance pour des communautés en santé et ses membres se tiennent aux côtés de l’IPHCC et de ses membres pour que la santé autochtone soit gérée par les Autochtones et pour un plaidoyer conjoint dans tous les domaines touchant la santé et le bien-être des Autochtones.

Les vérités immuables

Alors que nous militons pour confier la santé des Autochtones aux Autochtones, nous ne pouvons faire l’impasse sur l’histoire endurée par les peuples et communautés autochtones, marquée par des traumatismes et par la violence coloniale, ainsi que sur les inégalités et le racisme systémique qui persistent encore aujourd’hui :

 

  • Eau potable : Des communautés comme la Première Nation Pikangikum, une communauté ojibwée située à plus de 500 kilomètres au nord-ouest de Thunder Bay, et plus d’une vingtaine d’autres sur le territoire ontarien, ne bénéficient pas d’un accès à l’eau potable. Ce problème constitue un enjeu de santé fondamental; les gouvernements doivent travailler ensemble pour mettre fin aux avis relatifs à l’eau dans les communautés autochtones.
  • Racisme institutionnel : Des incidents récents, comme l’expérience de Justin Flett au Manitoba, où il a attendu pendant 30 heures pour obtenir un traitement pour une appendicite aiguë, démontrent que le racisme systémique envers les populations autochtones persiste dans le domaine des soins de santé, menaçant gravement la vie des Autochtones. Bien que le gouvernement canadien ait établi un plan pour lutter contre le racisme envers les Autochtones dans les soins de santé, et que l’Association médicale canadienne ait récemment révisé son code d’éthique pour sensibiliser les médecins à cette question, il reste encore beaucoup à accomplir.
  • Santé mentale : Les taux de suicide chez les jeunes Autochtones demeurent bien plus élevés que la moyenne nationale. Les communautés ont clairement exprimé que ce sont les mesures de soutien ancrées dans la culture et liées au territoire qui sont efficaces, de même que les services et les programmes adaptés à la culture autochtone et dirigés par les Autochtones, comme l’accès à des programmes linguistiques, qui améliorent manifestement les résultats en matière de santé, y compris la santé mentale, des Autochtones.
  • Coûts des changements climatiques : Ces impacts, qui évoluent rapidement, ont des répercussions disproportionnées sur la santé des Autochtones, que ce soit en raison notamment des vagues de chaleur et des feux de forêt. La Charte pour l’équité en santé de l’Alliance est en cours de mise à jour par ses membres pour qu’elle reflète la nécessité urgente d’agir contre les effets des changements climatiques sur la santé.

Telles sont les vérités que nous devons porter aujourd’hui, et chaque jour, pour motiver l’action.

Les appels à l’action

Les appels à l’action 18 à 24 de la Commission de vérité et réconciliation (CVR) clarifient les responsabilités : le Canada doit combler les écarts en matière de santé, s’attaquer aux obstacles et au racisme systémique, reconnaître les droits des peuples autochtones en matière de santé et renforcer le leadership autochtone dans les systèmes de santé. Des progrès ont été accomplis, mais il reste encore beaucoup à faire.

Notre rôle dans ces efforts

La volonté d’agir de l’Alliance et de ses membres est fondée sur l’écoute, l’action et l’imputabilité :

  1. Gouvernance et autodétermination des Autochtones : nous plaiderons en faveur d’un financement durable et équitable pour les organismes de santé autochtones, en respectant leur autonomie à définir la santé et le bien-être selon leurs propres termes.
  2. Sécurité culturelle : nous continuerons d’appuyer et d’apprendre des éducateurs et des gardiens du savoir autochtones, et nous poursuivrons notre propre formation en matière de sécurité culturelle et de lutte contre le racisme dans notre secteur, en gardant à l’esprit que ce travail n’est jamais terminé. Nous continuerons à inciter les autres dirigeants et partenaires non autochtones à participer à la formation sur la sécurité culturelle autochtone, dans le but de transformer leurs organisations.
  3. Appels à l’action de la CVR :  nous évaluerons nos efforts par rapport aux appels à l’action 18 à 24, et mettrons la réconciliation au cœur de notre travail.
  4. Déterminants de la santé :  nous nous joindrons à nos partenaires autochtones pour exiger des mesures concernant l’approvisionnement en eau potable, le logement, la sécurité alimentaire et les programmes et services de soutien en santé mentale, qui sont des déterminants clés de la santé dans les communautés.
  5. Imputabilité : nous écouterons, rendrons compte ouvertement et agirons avec humilité, en gardant à l’esprit que l’imputabilité doit revenir aux communautés et aux dirigeants autochtones.

 

Marcher ensemble

La réconciliation doit être une pratique quotidienne : refaçonner les relations, prendre et respecter des engagements, écouter et suivre les dirigeants autochtones.

En cette Journée nationale de la vérité et de la réconciliation, nous réfléchissons, nous écoutons et nous nous engageons à nouveau à faire preuve de solidarité par l’action. Nous sommes conscients que la réconciliation en matière de santé ne sera pas atteinte tant que la santé des Autochtones n’est pas véritablement entre leurs mains. Aujourd’hui, nous nous remémorons. Et demain, nous continuerons à travailler et à être solidaires.

National Day for Truth and Reconciliation: Alliance statement

Graphic with multi-coloured border that reads: Standing in solidarity for Truth and Reconciliation
Date: 
le Mardi 30 Septembre 2025

As we mark National Day for Truth and Reconciliation, we honour all survivors of residential schools and the sixties scoop, their families, and all the children who never came home. We hold and acknowledge the truths of the intergenerational trauma that Indigenous people and communities have endured and continue to live through because of hundreds of years of systemic racism and colonial violence. We recognize this day is not only about remembrance, but about action and change — guided by truth, humility, and respect.

A key enabler of reconciliation in health and wellbeing is the call to action from Indigenous leaders: “Indigenous health in Indigenous hands.”

What ‘Indigenous Health in Indigenous Hands’ Means and Looks Like

This principle affirms the right of First Nations, Inuit, and Métis peoples to govern, design, deliver, and evaluate their own health services. It reflects self-determination, Indigenous knowledge and ways to being, and accountability back to Indigenous communities. It prioritizes Indigenous needs, voices, and leadership. It reflects a systemic response to the systemic colonialism Indigenous people in Canada face.

Across Turtle Island, Indigenous health organizations live this reality every day. The Indigenous Primary Health Care Council (IPHCC) brings together Indigenous-governed health organizations, advocating for health equity across the province. The Alliance for Healthier Communities and its members stand today and every day in solidarity with IPHCC and its members, for Indigenous health in Indigenous hands, and shared advocacy across all areas impacting Indigenous health and wellbeing.

The Ongoing Truths

As we advocate for Indigenous health in Indigenous hands, we cannot look away from the ongoing history of colonial trauma and violence against Indigenous people and communities, or from the inequities and systemic racism that continue today:

  • Clean water: Communities such as Pikangikum First Nation, an Ojibway community more than 500 kilometres northwest of Thunder Bay, and in more than two dozen others across Ontario, cannot access clean water. This is a fundamental issue of health, and governments must work together to end all water advisories in Indigenous communities.
  • Systemic racism: Recent incidents, such as that of Justin Flett in Manitoba, who spent 30 hours trying to get treatment for acute appendicitis, show that systemic anti-Indigenous racism continues in health care, putting Indigenous lives at risk. While the Government of Canada has a plan that it’s committed to for addressing anti-Indigenous racism in health care, and the Canadian Medical Association recently updated its code of ethics to focus attention on the issue for physicians, much more needs to be done.
  • Mental health: Suicide rates among Indigenous youth remain far higher than the national average. Communities have been clear that culturally grounded, land-based supports are what works, along with culturally-safe, Indigenous-led services and supports, including access to language programs, which are shown to improve health outcomes, including mental health outcomes, for Indigenous people.
  • Costs of climate change: These fast-changing impacts on health -- from heatwaves to wildfires and more -- are disproportionately impacting Indigenous health. The Alliance’s Health Equity Charter is currently being updated by members to highlight the urgent need for action to address impacts of climate change on health. 

These are the truths we must carry on this day, and every day, to motivate action.

The Calls to Action

The Truth and Reconciliation Commission’s Calls to Action 18-24 make responsibilities clear: Canada must close health gaps, address barriers and systemic racism, recognize Indigenous health rights, and increase Indigenous leadership in health systems. Some progress has been made, but much remains to be done.

Our Place in This Work

At the Alliance, our commitments and our members’ commitments are grounded in listening, action, and accountability:

  1. Support Indigenous governance and self-determination: We will use our voice to advocate for sustained, equitable funding for Indigenous-governed health organizations, while respecting their autonomy to define health and wellness on their own terms.
  2. Cultural safety: We will continue to support and learn from Indigenous educators and knowledge-keepers, and continue our own cultural safety and anti-racism training across our sector -- knowing this work is never complete. We will continue to encourage other non-Indigenous leaders and partners to take part in Indigenous Cultural Safety Training to transform their organizations.
  3. Uphold the TRC Calls to Action: We will measure our efforts against Calls to Action 18 to 24, keeping reconciliation at the centre of how we work.
  4. Address determinants of health: We will stand alongside Indigenous partners in calling for action on clean water, housing, food security, and programs and services to support mental health — determinants that shape health in communities.
  5. Stay accountable: We will listen, report openly, and act with humility, knowing accountability must flow to Indigenous communities and leadership.

Walking Together

Reconciliation must be a daily practice: reshaping relationships, making and keeping commitments, and listening to and following Indigenous leadership.

On this National Day for Truth and Reconciliation, we reflect, we listen, and we recommit ourselves to solidarity through action. We know that reconciliation in health is not possible until Indigenous health is truly in Indigenous hands. Today, we remember. And tomorrow, we keep working and standing together.