This project aims to improve bone health and reduce the risk of serious fractures for people living in northern British Columbia, with an initial focus on First Nations communities and patients receiving rheumatology care. This is a population at high risk of osteoporotic fracture, due to the higher prevalence of inflammatory arthritis in First Nations individuals and the association between inflammatory conditions and osteoporosis. Many people in remote communities face major barriers to bone density testing, which can delay diagnosis and treatment for osteoporosis and other conditions that increase fracture risk. To address this gap, the project will use the FRAX fracture risk assessment tool, an internationally recognized method that estimates a person’s 10-year risk of major osteoporotic fracture and hip fracture using clinical information such as age, medical history, prior fractures, and other risk factors. Because FRAX can be used even when bone density testing is not immediately available, it can help care providers make earlier decisions about prevention, education, and treatment. The project is being led by Dr. David Kendler, Dr. Leo Lai, and Carrier Sekani Family Services in partnership with rheumatologists, primary care providers, allied health professionals, patient partners, cultural advisors, and health authority representatives. The project commenced in the Spring of 2026. Over a two-year period, the team will provide fracture risk assessments, train providers and clinic staff, develop culturally informed educational materials, and evaluate how the approach supports patient care. The overall goal is to make fracture prevention more accessible, improve awareness of bone health, support earlier intervention, and help reduce avoidable fractures that can seriously affect mobility, independence, and quality of life. Project updates and materials will be posted here, as they become available.