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Aleuy OA, Anholt M, Orsel K, Mavrot F, Gagnon CA, Beckmen K, Côté SD, Cuyler C, Dobson A, Elkin B, Leclerc LM, Taillon J, Kutz S. Association of Environmental Factors with Seasonal Intensity of Erysipelothrix rhusiopathiae Seropositivity among Arctic Caribou. Emerg Infect Dis 2022; 28:1650-1658. [PMID: 35876625 PMCID: PMC9328914 DOI: 10.3201/eid2808.212144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Several caribou (Rangifer tarandus) populations have been declining concurrently with increases in infectious diseases in the Arctic. Erysipelothrix rhusiopathiae, a zoonotic bacterium, was first described in 2015 as a notable cause of illness and death among several Arctic wildlife species. We investigated epidemiologic and environmental factors associated with the seroprevalence of E. rhusiopathiae in the Arctic and found that seropositivity was highest during warmer months, peaking in September, and was highest among adult males. Summer seroprevalence increases tracked with the oestrid index from the previous year, icing and snowing events, and precipitation from the same year but decreased with growing degree days in the same year. Seroprevalence of E. rhusiopathiae varied more during the later years of the study. Our findings provide key insights into the influence of environmental factors on disease prevalence that can be instrumental for anticipating and mitigating diseases associated with climate change among Arctic wildlife and human populations.
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Sipari S, Khalil H, Magnusson M, Evander M, Hörnfeldt B, Ecke F. Climate change accelerates winter transmission of a zoonotic pathogen. AMBIO 2022; 51:508-517. [PMID: 34228253 PMCID: PMC8800963 DOI: 10.1007/s13280-021-01594-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Revised: 05/25/2021] [Accepted: 06/15/2021] [Indexed: 05/30/2023]
Abstract
Many zoonotic diseases are weather sensitive, raising concern how their distribution and outbreaks will be affected by climate change. At northern high latitudes, the effect of global warming on especially winter conditions is strong. By using long term monitoring data (1980-1986 and 2003-2013) from Northern Europe on temperature, precipitation, an endemic zoonotic pathogen (Puumala orthohantavirus, PUUV) and its reservoir host (the bank vole, Myodes glareolus), we show that early winters have become increasingly wet, with a knock-on effect on pathogen transmission in its reservoir host population. Further, our study is the first to show a climate change effect on an endemic northern zoonosis, that is not induced by increased host abundance or distribution, demonstrating that climate change can also alter transmission intensity within host populations. Our results suggest that rainy early winters accelerate PUUV transmission in bank voles in winter, likely increasing the human zoonotic risk in the North.
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Affiliation(s)
- Saana Sipari
- Swedish University of Agricultural Sciences, Skogsmarksgränd, 901 83 Umeå, Sweden
| | - Hussein Khalil
- Swedish University of Agricultural Sciences, Skogsmarksgränd, 901 83 Umeå, Sweden
| | - Magnus Magnusson
- Swedish University of Agricultural Sciences, Skogsmarksgränd, 901 83 Umeå, Sweden
| | - Magnus Evander
- Umeå University, Department of Clinical Microbiology, 901 85 Umeå, Sweden
| | - Birger Hörnfeldt
- Swedish University of Agricultural Sciences, Skogsmarksgränd, 901 83 Umeå, Sweden
| | - Frauke Ecke
- Swedish University of Agricultural Sciences, Skogsmarksgränd, 901 83 Umeå, Sweden
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Climate Change and Enteric Infections in the Canadian Arctic: Do We Know What’s on the Horizon? GASTROINTESTINAL DISORDERS 2021. [DOI: 10.3390/gidisord3030012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The Canadian Arctic has a long history with diarrheal disease, including outbreaks of campylobacteriosis, giardiasis, and salmonellosis. Due to climate change, the Canadian Arctic is experiencing rapid environmental transformation, which not only threatens the livelihood of local Indigenous Peoples, but also supports the spread, frequency, and intensity of enteric pathogen outbreaks. Advances in diagnostic testing and detection have brought to attention the current burden of disease due to Cryptosporidium, Campylobacter, and Helicobacter pylori. As climate change is known to influence pathogen transmission (e.g., food and water), Arctic communities need support in developing prevention and surveillance strategies that are culturally appropriate. This review aims to provide an overview of how climate change is currently and is expected to impact enteric pathogens in the Canadian Arctic.
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Baecklund TM, Morrison J, Donaldson ME, Hueffer K, Kyle CJ. The role of a mechanistic host in maintaining arctic rabies variant distributions: Assessment of functional genetic diversity in Alaskan red fox (Vulpes vulpes). PLoS One 2021; 16:e0249176. [PMID: 33831031 PMCID: PMC8031376 DOI: 10.1371/journal.pone.0249176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 03/12/2021] [Indexed: 11/18/2022] Open
Abstract
Populations are exposed to different types and strains of pathogens across heterogeneous landscapes, where local interactions between host and pathogen may present reciprocal selective forces leading to correlated patterns of spatial genetic structure. Understanding these coevolutionary patterns provides insight into mechanisms of disease spread and maintenance. Arctic rabies (AR) is a lethal disease with viral variants that occupy distinct geographic distributions across North America and Europe. Red fox (Vulpes vulpes) are a highly susceptible AR host, whose range overlaps both geographically distinct AR strains and regions where AR is absent. It is unclear if genetic structure exists among red fox populations relative to the presence/absence of AR or the spatial distribution of AR variants. Acquiring these data may enhance our understanding of the role of red fox in AR maintenance/spread and inform disease control strategies. Using a genotyping-by-sequencing assay targeting 116 genomic regions of immunogenetic relevance, we screened for sequence variation among red fox populations from Alaska and an outgroup from Ontario, including areas with different AR variants, and regions where the disease was absent. Presumed neutral SNP data from the assay found negligible levels of neutral genetic structure among Alaskan populations. The immunogenetically-associated data identified 30 outlier SNPs supporting weak to moderate genetic structure between regions with and without AR in Alaska. The outliers included SNPs with the potential to cause missense mutations within several toll-like receptor genes that have been associated with AR outcome. In contrast, there was a lack of genetic structure between regions with different AR variants. Combined, we interpret these data to suggest red fox populations respond differently to the presence of AR, but not AR variants. This research increases our understanding of AR dynamics in the Arctic, where host/disease patterns are undergoing flux in a rapidly changing Arctic landscape, including the continued northward expansion of red fox into regions previously predominated by the arctic fox (Vulpes lagopus).
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Affiliation(s)
- Tristan M. Baecklund
- Environmental and Life Sciences Graduate Program, Trent University, Peterborough, Ontario, Canada
- * E-mail:
| | - Jaycee Morrison
- Forensic Science Undergraduate Program, Trent University, Peterborough, Ontario, Canada
| | - Michael E. Donaldson
- Environmental and Life Sciences Graduate Program, Trent University, Peterborough, Ontario, Canada
| | - Karsten Hueffer
- Department of Veterinary Medicine, University of Alaska Fairbanks, Fairbanks, Alaska, United States of America
| | - Christopher J. Kyle
- Environmental and Life Sciences Graduate Program, Trent University, Peterborough, Ontario, Canada
- Forensic Science Department, Trent University, Peterborough, Ontario, Canada
- Natural Resources DNA Profiling & Forensic Centre, Trent University, Peterborough, Ontario, Canada
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Nadin-Davis SA, Falardeau E, Flynn A, Whitney H, Marshall HD. Relationships between fox populations and rabies virus spread in northern Canada. PLoS One 2021; 16:e0246508. [PMID: 33592018 PMCID: PMC7886166 DOI: 10.1371/journal.pone.0246508] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 01/20/2021] [Indexed: 01/02/2023] Open
Abstract
Rabies spreads in both Arctic (Vulpes lagopus) and red foxes (Vulpes vulpes) throughout the Canadian Arctic but limited wildlife disease surveillance, due to the extensive landmass of the Canadian north and its small widely scattered human population, undermines our knowledge of disease transmission patterns. This study has explored genetic population structure in both the rabies virus and its fox hosts to better understand factors that impact rabies spread. Phylogenetic analysis of 278 samples of the Arctic lineage of rabies virus recovered over 40 years identified four sub-lineages, A1 to A4. The A1 lineage has been restricted to southern regions of the Canadian province of Ontario. The A2 lineage, which predominates in Siberia, has also spread to northern Alaska while the A4 lineage was recovered from southern Alaska only. The A3 sub-lineage, which was also found in northern Alaska, has been responsible for virtually all cases across northern Canada and Greenland, where it further differentiated into 18 groups which have systematically evolved from a common predecessor since 1975. In areas of Arctic and red fox sympatry, viral groups appear to circulate in both hosts, but both mitochondrial DNA control region sequences and 9-locus microsatellite genotypes revealed contrasting phylogeographic patterns for the two fox species. Among 157 Arctic foxes, 33 mitochondrial control region haplotypes were identified but little genetic structure differentiating localities was detected. Among 162 red foxes, 18 control region haplotypes delineated three groups which discriminated among the Churchill region of Manitoba, northern Quebec and Labrador populations, and the coastal Labrador locality of Cartwright. Microsatellite analyses demonstrated some genetic heterogeneity among sampling localities of Arctic foxes but no obvious pattern, while two or three clusters of red foxes suggested some admixture between the Churchill and Quebec-Labrador regions but uniqueness of the Cartwright group. The limited population structure of Arctic foxes is consistent with the rapid spread of rabies virus subtypes throughout the north, while red fox population substructure suggests that disease spread in this host moves most readily down certain independent corridors such as the northeastern coast of Canada and the central interior. Interestingly the evidence suggests that these red fox populations have limited capacity to maintain the virus over the long term, but they may contribute to viral persistence in areas of red and Arctic fox sympatry.
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Affiliation(s)
- Susan A. Nadin-Davis
- National Reference Centre for Rabies, Canadian Food Inspection Agency, Ottawa Laboratory Fallowfield, Ottawa, Ontario, Canada
| | - Emilie Falardeau
- National Reference Centre for Rabies, Canadian Food Inspection Agency, Ottawa Laboratory Fallowfield, Ottawa, Ontario, Canada
| | - Alex Flynn
- Biology Department, Memorial University of Newfoundland, St. John’s, Newfoundland & Labrador, Canada
| | - Hugh Whitney
- Biology Department, Memorial University of Newfoundland, St. John’s, Newfoundland & Labrador, Canada
| | - H. Dawn Marshall
- Biology Department, Memorial University of Newfoundland, St. John’s, Newfoundland & Labrador, Canada
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Drivers and health implications of the dietary transition among Inuit in the Canadian Arctic: a scoping review. Public Health Nutr 2020; 24:2650-2668. [PMID: 32914743 DOI: 10.1017/s1368980020002402] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
OBJECTIVE The current study undertook a systematic scoping review on the drivers and implications of dietary changes among Inuit in the Canadian Arctic. DESIGN A keyword search of peer-reviewed articles was performed using PubMed, Web of Science, CINAHL, Academic Search Premier, Circumpolar Health Bibliographic Database and High North Research Documents. Eligibility criteria included all full-text articles of any design reporting on research on food consumption, nutrient intake, dietary adequacy, dietary change, food security, nutrition-related chronic diseases or traditional food harvesting and consumption among Inuit populations residing in Canada. Articles reporting on in vivo and in vitro experiments or on health impacts of environmental contaminants were excluded. RESULTS A total of 162 studies were included. Studies indicated declining country food (CF) consumption in favour of market food (MF). Drivers of this transition include colonial processes, poverty and socio-economic factors, changing food preferences and knowledge, and climate change. Health implications of the dietary transition are complex. Micro-nutrient deficiencies and dietary inadequacy are serious concerns and likely exacerbated by increased consumption of non-nutrient dense MF. Food insecurity, overweight, obesity and related cardiometabolic health outcomes are growing public health concerns. Meanwhile, declining CF consumption is entangled with shifting culture and traditional knowledge, with potential implications for psychological, spiritual, social and cultural health and well-being. CONCLUSIONS By exploring and synthesising published literature, this review provides insight into the complex factors influencing Inuit diet and health. Findings may be informative for future research, decision-making and intersectoral actions around risk assessment, food policy and innovative community programmes.
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Capturing a Complexity of Nutritional, Environmental, and Economic Impacts on Selected Health Parameters in the Russian High North. SUSTAINABILITY 2020. [DOI: 10.3390/su12052151] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
The rapid pace of economic exploration of the Arctic against the backdrop of progressing environmental change put a high priority on improving understanding of health impacts in the northern communities. Deficiencies in the capability to capture the complexity of health-influencing parameters along with a lack of observations in circumpolar territories present major challenges to establishing credible projections of disease incidence across varying northern environments. It is thus crucial to reveal the relative contributions of coacting factors to provide a basis for sustainable solutions in the sphere of public health. In order to better understand the adverse effects associated with public health, this study employed six-stage multiple regression analysis of incidence rates of fourteen diseases (International Classification of Diseases (ICD-11) codes most widespread in the Russian Arctic) against a set of environmental, nutritional, and economic variables. Variance inflationary factor and best-subsets regression methods were used to eliminate collinearity between the parameters of regression models. To address the diversity of health impacts across northern environments, territories of the Arctic zone of Russia were categorized as (1) industrial sites, (2) urban agglomerations, (3) rural inland, and (4) coastline territories. It was suggested that, in Type 1 territories, public health parameters were most negatively affected by air and water pollution, in Type 2 territories—by low-nutrient diets, in Type 3 and Type 4 territories—by economic factors. It was found that in the Western parts of the Russian Arctic, poor quality of running water along with low access to the quality-assured sources of water might increase the exposure to infectious and parasitic diseases and diseases of the circulatory, respiratory, and genitourinary systems. Low living standards across the Russian Arctic challenged the economic accessibility of adequate diets. In the cities, the nutritional transition to low-quality cheap market food correlated with a higher incidence of digestive system disorders, immune diseases, and neoplasms. In indigenous communities, the prevalence of low diversified diets based on traditional food correlated with the increase in the incidence rates of nutritional and metabolic diseases.
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Miernyk KM, Bruden D, Parkinson AJ, Hurlburt D, Klejka J, Berner J, Stoddard RA, Handali S, Wilkins PP, Kersh GJ, Fitzpatrick K, Drebot MA, Priest JW, Pappert R, Petersen JM, Teshale E, Hennessy TW, Bruce MG. Human Seroprevalence to 11 Zoonotic Pathogens in the U.S. Arctic, Alaska. Vector Borne Zoonotic Dis 2019; 19:563-575. [PMID: 30789314 PMCID: PMC10874833 DOI: 10.1089/vbz.2018.2390] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Background: Due to their close relationship with the environment, Alaskans are at risk for zoonotic pathogen infection. One way to assess a population's disease burden is to determine the seroprevalence of pathogens of interest. The objective of this study was to determine the seroprevalence of 11 zoonotic pathogens in people living in Alaska. Methods: In a 2007 avian influenza exposure study, we recruited persons with varying wild bird exposures. Using sera from this study, we tested for antibodies to Cryptosporidium spp., Echinococcus spp., Giardia intestinalis, Toxoplasma gondii, Trichinella spp., Brucella spp., Coxiella burnetii, Francisella tularensis, California serogroup bunyaviruses, and hepatitis E virus (HEV). Results: Eight hundred eighty-seven persons had sera tested, including 454 subsistence bird hunters and family members, 160 sport bird hunters, 77 avian wildlife biologists, and 196 persons with no wild bird exposure. A subset (n = 481) of sera was tested for California serogroup bunyaviruses. We detected antibodies to 10/11 pathogens. Seropositivity to Cryptosporidium spp. (29%), California serotype bunyaviruses (27%), and G. intestinalis (19%) was the most common; 63% (301/481) of sera had antibodies to at least one pathogen. Using a multivariable logistic regression model, Cryptosporidium spp. seropositivity was higher in females (35.7% vs. 25.0%; p = 0.01) and G. intestinalis seropositivity was higher in males (21.8% vs. 15.5%; p = 0.02). Alaska Native persons were more likely than non-Native persons to be seropositive to C. burnetii (11.7% vs. 3.8%; p = 0.005) and less likely to be seropositive to HEV (0.4% vs. 4.1%; p = 0.01). Seropositivity to Cryptosporidium spp., C. burnetii, HEV, and Echinococcus granulosus was associated with increasing age (p ≤ 0.01 for all) as was seropositivity to ≥1 pathogen (p < 0.0001). Conclusion: Seropositivity to zoonotic pathogens is common among Alaskans with the highest to Cryptosporidium spp., California serogroup bunyaviruses, and G. intestinalis. This study provides a baseline for use in assessing seroprevalence changes over time.
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Affiliation(s)
- Karen M. Miernyk
- Arctic Investigations Program, Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Anchorage, Alaska
| | - Dana Bruden
- Arctic Investigations Program, Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Anchorage, Alaska
| | - Alan J. Parkinson
- Arctic Investigations Program, Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Anchorage, Alaska
| | - Debby Hurlburt
- Arctic Investigations Program, Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Anchorage, Alaska
| | | | - James Berner
- Alaska Native Tribal Health Consortium, Anchorage, Alaska
| | - Robyn A. Stoddard
- Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Sukwan Handali
- Parasitic Diseases Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Patricia P. Wilkins
- Parasitic Diseases Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Gilbert J. Kersh
- Rickettsial Zoonoses Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Kelly Fitzpatrick
- Rickettsial Zoonoses Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Mike A. Drebot
- Zoonotic Diseases and Special Pathogens, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Canada
| | - Jeffrey W. Priest
- Waterborne Diseases Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Ryan Pappert
- Bacterial Diseases Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Ft. Collins, Colorado
| | - Jeannine M. Petersen
- Bacterial Diseases Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Ft. Collins, Colorado
| | - Eyasu Teshale
- Epidemiology and Surveillance Branch, Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Thomas W. Hennessy
- Arctic Investigations Program, Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Anchorage, Alaska
| | - Michael G. Bruce
- Arctic Investigations Program, Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Anchorage, Alaska
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Carlsson AM, Curry P, Elkin B, Russell D, Veitch A, Branigan M, Campbell M, Croft B, Cuyler C, Côté SD, Leclerc LM, Tryland M, Nymo IH, Kutz SJ. Multi-pathogen serological survey of migratory caribou herds: A snapshot in time. PLoS One 2019; 14:e0219838. [PMID: 31365561 PMCID: PMC6668789 DOI: 10.1371/journal.pone.0219838] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Accepted: 07/02/2019] [Indexed: 11/19/2022] Open
Abstract
Pathogens can impact host survival, fecundity, and population dynamics even when no obvious disease is observed. Few baseline data on pathogen prevalence and diversity of caribou are available, which hampers our ability to track changes over time and evaluate impacts on caribou health. Archived blood samples collected from ten migratory caribou herds in Canada and two in Greenland were used to test for exposure to pathogens that have the potential to effect population productivity, are zoonotic or are emerging. Relationships between seroprevalence and individual, population, and other health parameters were also examined. For adult caribou, the highest overall seroprevalence was for alphaherpesvirus (49%, n = 722), pestivirus (49%, n = 572) and Neospora caninum (27%, n = 452). Lower seroprevalence was found for parainfluenza virus type 3 (9%, n = 708), Brucella suis (2%, n = 758), and Toxoplasma gondii (2%, n = 706). No animal tested positive for antibodies against West Nile virus (n = 418) or bovine respiratory syncytial virus (n = 417). This extensive multi-pathogen survey of migratory caribou herds provides evidence that caribou are exposed to pathogens that may have impacts on herd health and revealed potential interactions between pathogens as well as geographical differences in pathogen exposure that could be linked to the bio-geographical history of caribou. Caribou are a keystone species and the socio-economic cornerstone of many indigenous cultures across the North. The results from this study highlight the urgent need for a better understanding of pathogen diversity and the impact of pathogens on caribou health.
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Affiliation(s)
- A. M. Carlsson
- Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada
- * E-mail:
| | - P. Curry
- Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada
| | - B. Elkin
- Environment and Natural Resources, Government of the Northwest Territories, Yellowknife, Alberta, Canada
| | - D. Russell
- CircumArctic Rangifer Monitoring and Assessment Network, Whitehorse, Yukon, Canada
| | - A. Veitch
- Environment and Natural Resources, Government of the Northwest Territories, Yellowknife, Alberta, Canada
| | - M. Branigan
- Environment and Natural Resources, Government of the Northwest Territories, Yellowknife, Alberta, Canada
| | - M. Campbell
- Department of Environment, Government of Nunavut, Iqaluit, Nunavut, Canada
| | - B. Croft
- Environment and Natural Resources, Government of the Northwest Territories, Yellowknife, Alberta, Canada
| | - C. Cuyler
- Greenland Institute of Natural Resources, Nuuk, Greenland
| | - S. D. Côté
- Caribou Ungava, Département de Biologie and Centre d’études nordiques, Université Laval, Québec, Québec, Canada
| | - L-M Leclerc
- Department of Environment, Government of Nunavut, Iqaluit, Nunavut, Canada
| | - M. Tryland
- Department of Arctic and Marine Biology, UiT - The Arctic University of Norway, Tromso, Norway
| | - I. H. Nymo
- Department of Arctic and Marine Biology, UiT - The Arctic University of Norway, Tromso, Norway
| | - S. J. Kutz
- Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta, Canada
- Canadian Wildlife Health Cooperative, Calgary, Alberta, Canada
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11
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Khan JS, Provencher JF, Forbes MR, Mallory ML, Lebarbenchon C, McCoy KD. Parasites of seabirds: A survey of effects and ecological implications. ADVANCES IN MARINE BIOLOGY 2019; 82:1-50. [PMID: 31229148 PMCID: PMC7172769 DOI: 10.1016/bs.amb.2019.02.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Parasites are ubiquitous in the environment, and can cause negative effects in their host species. Importantly, seabirds can be long-lived and cross multiple continents within a single annual cycle, thus their exposure to parasites may be greater than other taxa. With changing climatic conditions expected to influence parasite distribution and abundance, understanding current level of infection, transmission pathways and population-level impacts are integral aspects for predicting ecosystem changes, and how climate change will affect seabird species. In particular, a range of micro- and macro-parasites can affect seabird species, including ticks, mites, helminths, viruses and bacteria in gulls, terns, skimmers, skuas, auks and selected phalaropes (Charadriiformes), tropicbirds (Phaethontiformes), penguins (Sphenisciformes), tubenoses (Procellariiformes), cormorants, frigatebirds, boobies, gannets (Suliformes), and pelicans (Pelecaniformes) and marine seaducks and loons (Anseriformes and Gaviiformes). We found that the seabird orders of Charadriiformes and Procellariiformes were most represented in the parasite-seabird literature. While negative effects were reported in seabirds associated with all the parasite groups, most effects have been studied in adults with less information known about how parasites may affect chicks and fledglings. We found studies most often reported on negative effects in seabird hosts during the breeding season, although this is also the time when most seabird research occurs. Many studies report that external factors such as condition of the host, pollution, and environmental conditions can influence the effects of parasites, thus cumulative effects likely play a large role in how parasites influence seabirds at both the individual and population level. With an increased understanding of parasite-host dynamics it is clear that major environmental changes, often those associated with human activities, can directly or indirectly affect the distribution, abundance, or virulence of parasites and pathogens.
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Affiliation(s)
- Junaid S Khan
- Canadian Wildlife Service, Environment and Climate Change Canada, Gatineau, QC, Canada
| | - Jennifer F Provencher
- Canadian Wildlife Service, Environment and Climate Change Canada, Gatineau, QC, Canada.
| | - Mark R Forbes
- Department of Biology, Carleton University, Ottawa, ON, Canada
| | - Mark L Mallory
- Department of Biology, Acadia University, Wolfville, NS, Canada
| | - Camille Lebarbenchon
- Université de La Réunion, UMR Processus Infectieux en Milieu Insulaire Tropical, INSERM 1187, CNRS 9192, IRD 249, GIP CYROI, Saint Denis, La Réunion, France
| | - Karen D McCoy
- MIVEGEC, UMR 5290 CNRS-IRD-University of Montpellier, Centre IRD, Montpellier, France
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12
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Masina S, Shirley J, Allen J, Sargeant JM, Guy RA, Wallis PM, Scott Weese J, Cunsolo A, Bunce A, Harper SL. Weather, environmental conditions, and waterborne Giardia and Cryptosporidium in Iqaluit, Nunavut. JOURNAL OF WATER AND HEALTH 2019; 17:84-97. [PMID: 30758306 DOI: 10.2166/wh.2018.323] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Indigenous communities in the Arctic often face unique drinking water quality challenges related to inadequate infrastructure and environmental contamination; however, limited research exists on waterborne parasites in these communities. This study examined Giardia and Cryptosporidium in untreated surface water used for drinking in Iqaluit, Canada. Water samples (n = 55) were collected weekly from June to September 2016 and tested for the presence of Giardia and Cryptosporidium using microscopy and polymerase chain reaction (PCR). Exact logistic regressions were used to examine associations between parasite presence and environmental exposure variables. Using microscopy, 20.0% of samples tested positive for Giardia (n = 11) and 1.8% of samples tested positive for Cryptosporidium (n = 1). Low water temperatures (1.1 to 6.7 °C) and low air temperatures (-0.1 to 4.5 °C) were significantly associated with an increased odds of parasite presence (p = 0.047, p = 0.041, respectively). These results suggest that surface water contamination with Giardia and Cryptosporidium may be lower in Iqaluit than in other Canadian regions; however, further research should examine the molecular characterization of waterborne parasites to evaluate the potential human health implications in Northern Canada.
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Affiliation(s)
- Stephanie Masina
- Department of Population Medicine, University of Guelph, 50 Stone Road East, Guelph, Ontario, CanadaN1G 2W1 E-mail:
| | - Jamal Shirley
- Nunavut Research Institute, P.O. Box 1720, Iqaluit, Nunavut, CanadaX0A 0H0
| | - Jean Allen
- Nunavut Research Institute, P.O. Box 1720, Iqaluit, Nunavut, CanadaX0A 0H0; Indigenous and Northern Affairs Canada, P.O. Box 2200, Iqaluit, Nunavut, CanadaX0A 0H0
| | - Jan M Sargeant
- Department of Population Medicine, University of Guelph, 50 Stone Road East, Guelph, Ontario, CanadaN1G 2W1 E-mail: ; Centre for Public Health and Zoonoses, University of Guelph, 50 Stone Road East, Guelph, Ontario, CanadaN1G 2W1
| | - Rebecca A Guy
- National Microbiology Laboratory, Public Health Agency of Canada, 110 Stone Road West, Guelph, Ontario, CanadaN1G 3W4
| | - Peter M Wallis
- Hyperion Research Ltd, 1008 Allowance Avenue SE, Medicine Hat, Alberta, CanadaT1A 3G8
| | - J Scott Weese
- Department of Pathobiology, University of Guelph, 50 Stone Road East, Guelph, Ontario, CanadaN1G 2W1
| | - Ashlee Cunsolo
- Labrador Institute, Memorial University, 219 Hamilton River Road, Happy Valley-Goose Bay, Labrador, CanadaA0P 1E0
| | - Anna Bunce
- Department of Population Medicine, University of Guelph, 50 Stone Road East, Guelph, Ontario, CanadaN1G 2W1 E-mail:
| | - Sherilee L Harper
- Department of Population Medicine, University of Guelph, 50 Stone Road East, Guelph, Ontario, CanadaN1G 2W1 E-mail: ; School of Public Health, University of Alberta, 3-300 Edmonton Clinic Health Academy, 11405 - 87 Ave, Edmonton, Alberta, CanadaT6G 1C9
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O'Malley KG, Vaux F, Black AN. Characterizing neutral and adaptive genomic differentiation in a changing climate: The most northerly freshwater fish as a model. Ecol Evol 2019; 9:2004-2017. [PMID: 30847088 PMCID: PMC6392408 DOI: 10.1002/ece3.4891] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Revised: 12/03/2018] [Accepted: 12/04/2018] [Indexed: 01/01/2023] Open
Abstract
Arctic freshwater ecosystems have been profoundly affected by climate change. Given that the Arctic charr (Salvelinus alpinus) is often the only fish species inhabiting these ecosystems, it represents a valuable model for studying the impacts of climate change on species life-history diversity and adaptability. Using a genotyping-by-sequencing approach, we identified 5,976 neutral single nucleotide polymorphisms and found evidence for reduced gene flow between allopatric morphs from two high Arctic lakes, Linne'vatn (Anadromous, Normal, and Dwarf) and Ellasjøen (Littoral and Pelagic). Within each lake, the degree of genetic differentiation ranged from low (Pelagic vs. Littoral) to moderate (Anadromous and Normal vs. Dwarf). We identified 17 highly diagnostic, putatively adaptive SNPs that differentiated the allopatric morphs. Although we found no evidence for adaptive differences between morphs within Ellasjøen, we found evidence for moderate (Anadromous vs. Normal) to high genetic differentiation (Anadromous and Normal vs. Dwarf) among morphs within Linne'vatn based on two adaptive loci. As these freshwater ecosystems become more productive, the frequency of sympatric morphs in Ellasjøen will likely shift based on foraging opportunities, whereas the propensity to migrate may decrease in Linne'vatn, increasing the frequency of the Normal morph. The Dwarf charr was the most genetically distinct group. Identifying the biological basis for small body size should elucidate the potential for increased growth and subsequent interbreeding with sympatric morphs. Overall, neutral and adaptive genomic differentiation between allopatric and some sympatric morphs suggests that the response of Arctic charr to climate change will be variable across freshwater ecosystems.
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Affiliation(s)
- Kathleen G. O'Malley
- Coastal Oregon Marine Experiment Station, Hatfield Marine Science Center, Department of Fisheries and WildlifeOregon State UniversityNewportOregon
| | - Felix Vaux
- Coastal Oregon Marine Experiment Station, Hatfield Marine Science Center, Department of Fisheries and WildlifeOregon State UniversityNewportOregon
| | - Andrew N. Black
- Coastal Oregon Marine Experiment Station, Hatfield Marine Science Center, Department of Fisheries and WildlifeOregon State UniversityNewportOregon
- Present address:
Center for Genome Research and BiocomputingOregon State UniversityCorvallisOregon
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Kipp A, Cunsolo A, Gillis D, Sawatzky A, Harper SL. The need for community-led, integrated and innovative monitoring programmes when responding to the health impacts of climate change. Int J Circumpolar Health 2019; 78:1517581. [PMID: 31066653 PMCID: PMC6508048 DOI: 10.1080/22423982.2018.1517581] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2018] [Revised: 08/10/2018] [Accepted: 08/20/2018] [Indexed: 11/07/2022] Open
Abstract
In Northern Canada, climate change has led to many acute and interrelated health and environmental impacts experienced among Inuit populations. Community-based monitoring, in which community members participate in monitoring initiatives using various forms of technology, is a key strategy increasingly used to detect, monitor and respond to climate change impacts. To better understand the landscape of existing environmental and health monitoring programmes mobilising different technologies and operating in the North we conducted a review that used environmental scan methodologies to explore and contextualise these programmes. We consulted with academic researchers with experience in community-led monitoring, conducted systematic searches of grey and peer-reviewed literature, and conducted a secondary search for environment-health mobile-phone applications. Following specific criteria, we identified 18 monitoring programmes using information and communication technologies in the North, and three global monitoring mobile-phone applications, which cumulatively monitored 74 environment and health indicators. Several themes emerged, including the need for: (1) community leadership, (2) indicators of environment and/or human health and (3) innovative technology. This synthesis supports the development of community-led, environment-health monitoring programmes that use innovative technology to monitor and share information related to the health implications of climate change in and around Indigenous communities throughout the Circumpolar North.
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Affiliation(s)
- Amy Kipp
- Department of Population Medicine, University of Guelph, Guelph, ON, Canada
| | - Ashlee Cunsolo
- Labrador Institute, Memorial University, Happy Valley-Goose Bay, NL, Canada
| | - Daniel Gillis
- School of Computer Science, University of Guelph, Guelph, ON, Canada
| | - Alexandra Sawatzky
- Department of Population Medicine, University of Guelph, Guelph, ON, Canada
| | - Sherilee L. Harper
- Department of Population Medicine, University of Guelph, Guelph, ON, Canada
- School of Public Health, University of Alberta, Edmonton, AB, Canada
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15
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Sawatzky A, Cunsolo A, Jones-Bitton A, Middleton J, Harper SL. Responding to Climate and Environmental Change Impacts on Human Health via Integrated Surveillance in the Circumpolar North: A Systematic Realist Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E2706. [PMID: 30513697 PMCID: PMC6313572 DOI: 10.3390/ijerph15122706] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2018] [Revised: 11/14/2018] [Accepted: 11/22/2018] [Indexed: 01/19/2023]
Abstract
Environments are shifting rapidly in the Circumpolar Arctic and Subarctic regions as a result of climate change and other external stressors, and this has a substantial impact on the health of northern populations. Thus, there is a need for integrated surveillance systems designed to monitor the impacts of climate change on human health outcomes as part of broader adaptation strategies in these regions. This review aimed to identify, describe, and synthesize literature on integrated surveillance systems in Circumpolar Arctic and Subarctic regions, that are used for research or practice. Following a systematic realist review approach, relevant articles were identified using search strings developed for MEDLINE® and Web of Science™ databases, and screened by two independent reviewers. Articles that met the inclusion criteria were retained for descriptive quantitative analysis, as well as thematic qualitative analysis, using a realist lens. Of the 3431 articles retrieved in the database searches, 85 met the inclusion criteria and were analyzed. Thematic analysis identified components of integrated surveillance systems that were categorized into three main groups: structural, processual, and relational components. These components were linked to surveillance attributes and activities that supported the operations and management of integrated surveillance. This review advances understandings of the distinct contributions of integrated surveillance systems and data to discerning the nature of changes in climate and environmental conditions that affect population health outcomes and determinants in the Circumpolar North. Findings from this review can be used to inform the planning, design, and evaluation of integrated surveillance systems that support evidence-based public health research and practice in the context of increasing climate change and the need for adaptation.
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Affiliation(s)
- Alexandra Sawatzky
- Department of Population Medicine, University of Guelph, 50 Stone Road E, Guelph, ON N1G 2W1, Canada.
| | - Ashlee Cunsolo
- Labrador Institute of Memorial University, 219 Hamilton River Road, P.O. Box 490, Stn. B, Happy Valley-Goose Bay, NL A0P 1E0, Canada.
| | - Andria Jones-Bitton
- Department of Population Medicine, University of Guelph, 50 Stone Road E, Guelph, ON N1G 2W1, Canada.
| | - Jacqueline Middleton
- Department of Population Medicine, University of Guelph, 50 Stone Road E, Guelph, ON N1G 2W1, Canada.
| | - Sherilee L Harper
- Department of Population Medicine, University of Guelph, 50 Stone Road E, Guelph, ON N1G 2W1, Canada.
- School of Public Health, University of Alberta, 116 St. and 85 Ave., Edmonton, AB T6G 2R3, Canada.
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Sonne C, Andersen-Ranberg E, Rajala EL, Agerholm JS, Bonefeld-Jørgensen E, Desforges JP, Eulaers I, Jenssen BM, Koch A, Rosing-Asvid A, Siebert U, Tryland M, Mulvad G, Härkönen T, Acquarone M, Nordøy ES, Dietz R, Magnusson U. Seroprevalence for Brucella spp. in Baltic ringed seals ( Phoca hispida ) and East Greenland harp ( Pagophilus groenlandicus ) and hooded ( Cystophora cristata ) seals. Vet Immunol Immunopathol 2018; 198:14-18. [DOI: 10.1016/j.vetimm.2018.02.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Revised: 01/28/2018] [Accepted: 02/12/2018] [Indexed: 01/22/2023]
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Sonne C, Letcher RJ, Jenssen BM, Desforges JP, Eulaers I, Andersen-Ranberg E, Gustavson K, Styrishave B, Dietz R. A veterinary perspective on One Health in the Arctic. Acta Vet Scand 2017; 59:84. [PMID: 29246165 PMCID: PMC5732494 DOI: 10.1186/s13028-017-0353-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Accepted: 12/08/2017] [Indexed: 11/22/2022] Open
Abstract
Exposure to long-range transported industrial chemicals, climate change and diseases is posing a risk to the overall health and populations of Arctic wildlife. Since local communities are relying on the same marine food web as marine mammals in the Arctic, it requires a One Health approach to understand the holistic ecosystem health including that of humans. Here we collect and identify gaps in the current knowledge of health in the Arctic and present the veterinary perspective of One Health and ecosystem dynamics. The review shows that exposure to persistent organic pollutants (POPs) is having multiple organ-system effects across taxa, including impacts on neuroendocrine disruption, immune suppression and decreased bone density among others. Furthermore, the warming Arctic climate is suspected to influence abiotic and biotic long-range transport and exposure pathways of contaminants to the Arctic resulting in increases in POP exposure of both wildlife and human populations. Exposure to vector-borne diseases and zoonoses may increase as well through range expansion and introduction of invasive species. It will be important in the future to investigate the effects of these multiple stressors on wildlife and local people to better predict the individual-level health risks. It is within this framework that One Health approaches offer promising opportunities to survey and pinpoint environmental changes that have effects on wildlife and human health.
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Affiliation(s)
- Christian Sonne
- Department of Bioscience, Arctic Research Centre (ARC), Aarhus University, Faculty of Science and Technology, Frederiksborgvej 399, PO Box 358, 4000 Roskilde, Denmark
| | - Robert James Letcher
- Ecotoxicology and Wildlife Health Division, Environment and Climate Change Canada, National Wildlife Research Centre, Carleton University, Ottawa, ON K1A 0H3 Canada
| | - Bjørn Munro Jenssen
- Department of Bioscience, Arctic Research Centre (ARC), Aarhus University, Faculty of Science and Technology, Frederiksborgvej 399, PO Box 358, 4000 Roskilde, Denmark
- Department of Biology, Norwegian University of Science and Technology, 7491 Trondheim, Norway
- Department of Arctic Technology, The University Centre in Svalbard, PO Box 156, 9171 Longyearbyen, Norway
| | - Jean-Pierre Desforges
- Department of Bioscience, Arctic Research Centre (ARC), Aarhus University, Faculty of Science and Technology, Frederiksborgvej 399, PO Box 358, 4000 Roskilde, Denmark
| | - Igor Eulaers
- Department of Bioscience, Arctic Research Centre (ARC), Aarhus University, Faculty of Science and Technology, Frederiksborgvej 399, PO Box 358, 4000 Roskilde, Denmark
| | - Emilie Andersen-Ranberg
- Department of Bioscience, Arctic Research Centre (ARC), Aarhus University, Faculty of Science and Technology, Frederiksborgvej 399, PO Box 358, 4000 Roskilde, Denmark
| | - Kim Gustavson
- Department of Bioscience, Arctic Research Centre (ARC), Aarhus University, Faculty of Science and Technology, Frederiksborgvej 399, PO Box 358, 4000 Roskilde, Denmark
| | - Bjarne Styrishave
- Toxicology Laboratory, Department of Pharmacy, Faculty of Health and Medical Sciences, University of Copenhagen, Universitetsparken 2, 2100 Copenhagen, Denmark
| | - Rune Dietz
- Department of Bioscience, Arctic Research Centre (ARC), Aarhus University, Faculty of Science and Technology, Frederiksborgvej 399, PO Box 358, 4000 Roskilde, Denmark
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18
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Koch A, Bruce MG, Ladefoged K. Arctic and Antarctica. Infect Dis (Lond) 2017. [DOI: 10.1002/9781119085751.ch27] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Affiliation(s)
- Anders Koch
- Department of Epidemiology Research, Statens Serum Institut and Department of Infectious Diseases; Rigshospitalet University Hospital; Copenhagen Denmark
| | - Michael G. Bruce
- Arctic Investigations Program; DPEI, NCEZID, CDC, Anchorage; Alaska USA
| | - Karin Ladefoged
- Department of Internal Medicine; Queen Ingrid's Hospital; Nuuk Greenland
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Foodborne and waterborne illness among Canadian Indigenous populations: A scoping review. ACTA ACUST UNITED AC 2017; 43:7-13. [PMID: 29770041 DOI: 10.14745/ccdr.v43i01a02] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Background Indigenous populations are often at higher risk for foodborne illness than the general Canadian population. Objective To investigate the extent of the literature on the link between food safety and the occurrence of foodborne and waterborne illness in Canadian Indigenous populations. Methods A scoping review was conducted using search strings in five databases and grey literature to identify all papers that studied a Canadian Indigenous population and referred to any potential associations between food safety (including consumption and preparation of traditional foods and retail foods) or water safety practices and food or waterborne illness. Two authors screened papers based on inclusion and exclusion criteria. Included documents were analyzed for emergent themes. Results From 1,718 unique records identified, 21 documents were selected. Foodborne illness was most common in children up to 14 years old. Walrus, seal, caribou and whale were the most common traditional foods tied to foodborne illness and were primarily associated with botulism and trichinosis. Aside from consuming the food raw, fermentation was the most common traditional preparation method linked to foodborne illness. There was concern about the safety of retail food but no clear link was identified with foodborne illness. Lastly, although there was concern about tap water, the use of alternate water sources, such as untreated brook water, and hygiene and cleaning practices in communities with boil water advisories were the most common risk behaviours associated with waterborne illness. Conclusion Consumption of certain game meats, as well as the use of traditional fermentation practices may lead to an increased risk of foodborne illness among Indigenous populations. Concern about tap water may lead to use of unsafe alternate water sources. Further research is needed to examine potential culturally appropriate food and water safety opportunities.
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21
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Furgal CM. Monitoring as a community response for climate change and health. Int J Circumpolar Health 2016; 64:440-1. [PMID: 16440605 DOI: 10.3402/ijch.v64i5.18024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Harper SL, Edge VL, Ford J, Willox AC, Wood M, McEwen SA. Climate-sensitive health priorities in Nunatsiavut, Canada. BMC Public Health 2015; 15:605. [PMID: 26135309 PMCID: PMC4489362 DOI: 10.1186/s12889-015-1874-3] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2014] [Accepted: 05/26/2015] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND This exploratory study used participatory methods to identify, characterize, and rank climate-sensitive health priorities in Nunatsiavut, Labrador, Canada. METHODS A mixed method study design was used and involved collecting both qualitative and quantitative data at regional, community, and individual levels. In-depth interviews with regional health representatives were conducted throughout Nunatsiavut (n = 11). In addition, three PhotoVoice workshops were held with Rigolet community members (n = 11), where participants took photos of areas, items, or concepts that expressed how climate change is impacting their health. The workshop groups shared their photographs, discussed the stories and messages behind them, and then grouped photos into re-occurring themes. Two community surveys were administered in Rigolet to capture data on observed climatic and environmental changes in the area, and perceived impacts on health, wellbeing, and lifestyles (n = 187). RESULTS Climate-sensitive health pathways were described in terms of inter-relationships between environmental and social determinants of Inuit health. The climate-sensitive health priorities for the region included food security, water security, mental health and wellbeing, new hazards and safety concerns, and health services and delivery. CONCLUSIONS The results highlight several climate-sensitive health priorities that are specific to the Nunatsiavut region, and suggest approaching health research and adaptation planning from an EcoHealth perspective.
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Affiliation(s)
- Sherilee L Harper
- Department of Population Medicine, University of Guelph, Guelph, ON, Canada.
- Indigenous Health Adaptation to Climate Change Research Team: Lea Berrang-Ford, Cesar Carcamo, Alejandro Llanos, Shuaib Lwasa, Didacus Bambaiha Namanya, Montreal, Canada.
| | - Victoria L Edge
- Department of Population Medicine, University of Guelph, Guelph, ON, Canada.
- Indigenous Health Adaptation to Climate Change Research Team: Lea Berrang-Ford, Cesar Carcamo, Alejandro Llanos, Shuaib Lwasa, Didacus Bambaiha Namanya, Montreal, Canada.
| | - James Ford
- Indigenous Health Adaptation to Climate Change Research Team: Lea Berrang-Ford, Cesar Carcamo, Alejandro Llanos, Shuaib Lwasa, Didacus Bambaiha Namanya, Montreal, Canada.
- Department of Geography, McGill University, Montreal, QC, Canada.
| | - Ashlee Cunsolo Willox
- Department of Nursing, Cross-Appointed with Indigenous Studies, Cape Breton University, Sydney, NS, Canada.
| | - Michele Wood
- Department of Health and Social Development, Nunatsiavut Government, Goose Bay, Labrador, Canada.
| | - Scott A McEwen
- Department of Population Medicine, University of Guelph, Guelph, ON, Canada.
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Acute gastrointestinal illness in two Inuit communities: burden of illness in Rigolet and Iqaluit, Canada. Epidemiol Infect 2015; 143:3048-63. [PMID: 25697261 DOI: 10.1017/s0950268814003744] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Food- and waterborne disease is thought to be high in some Canadian Indigenous communities; however, the burden of acute gastrointestinal illness (AGI) is not well understood due to limited availability and quality of surveillance data. This study estimated the burden of community-level self-reported AGI in the Inuit communities of Rigolet, Nunatsiavut, and Iqaluit, Nunavut, Canada. Cross-sectional retrospective surveys captured information on AGI and potential environmental risk factors. Multivariable logistic regression models identified potential AGI risk factors. The annual incidence of AGI ranged from 2·9-3·9 cases/person per year in Rigolet and Iqaluit. In Rigolet, increased spending on obtaining country foods, a homeless person in the house, not visiting a cabin recently, exposure to puppies, and alternative sources of drinking water were associated with increased odds of AGI. In Iqaluit, eating country fish often, exposure to cats, employment status of the person responsible for food preparation, not washing the countertop with soap after preparing meat, a homeless person in the house, and overcrowding were associated with increased odds of AGI. The results highlight the need for systematic data collection to better understand and support previously anecdotal indications of high AGI incidence, as well as insights into unique AGI environmental risk factors in Indigenous populations.
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24
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Selstad Utaaker K, Robertson LJ. Climate change and foodborne transmission of parasites: A consideration of possible interactions and impacts for selected parasites. Food Res Int 2015. [DOI: 10.1016/j.foodres.2014.06.051] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Harper SL, Edge VL, Ford J, Thomas MK, McEwen SA. Lived experience of acute gastrointestinal illness in Rigolet, Nunatsiavut: "just suffer through it". Soc Sci Med 2014; 126:86-98. [PMID: 25528558 DOI: 10.1016/j.socscimed.2014.12.011] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Enteric illness associated with foodborne and waterborne disease is thought to be common in some Canadian Indigenous communities. This study aimed to understand the lived experience of acute gastrointestinal illness (AGI), including symptoms and severity, perceived causes, and healthcare seeking behaviors of AGI in the small Inuit community of Rigolet, Canada. A concurrent mixed quantitative and qualitative methods design was used. Two cross-sectional retrospective surveys provided quantitative data to examine self-reported AGI symptoms and the distribution of potential risk factors in the community. Qualitative data from in-depth interviews with one-third of AGI cases were analyzed using a constant-comparative method to describe symptoms and severity, identify perceived risk factors, and explore health seeking behavior of AGI in Rigolet. Of the survey respondents reporting AGI, most reported symptoms of diarrhea without vomiting, followed by diarrhea with vomiting, and vomiting without diarrhea. The most common secondary symptoms included stomach cramps and abdominal pain, nausea, and extreme tiredness. Community members identified potential risk factors for AGI that reflect the epidemiology triad (host, agent, and environmental factors), including hygiene, retail food, tap water, boil water advisories, and personal stress. Risk aversion and healthcare seeking behaviors reflected the core constructs of the Health Belief Model (perceived susceptibility, severity, and benefits and barriers to action). Understanding community experience, perspectives, and beliefs related to AGI is useful for public health practitioners and health care providers. This information is important especially considering the relatively high estimated burden of AGI and the relatively low healthcare seeking behaviors in some Indigenous communities compared to national estimates. Moreover, the mixed-methods approach used to understand the burden of AGI could be extended to other health research in Indigenous contexts.
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Affiliation(s)
- Sherilee L Harper
- Department of Population Medicine, University of Guelph, Guelph, Ontario, Canada.
| | - Victoria L Edge
- Department of Population Medicine, University of Guelph, Guelph, Ontario, Canada; Public Health Agency of Canada, Guelph, Ontario, Canada
| | - James Ford
- Department of Geography, McGill University, Montreal, Quebec, Canada
| | - M Kate Thomas
- Centre for Food-borne, Environmental & Zoonotic Infectious Diseases, Public Health Agency of Canada, Guelph, Ontario, Canada
| | | | | | - Scott A McEwen
- Department of Population Medicine, University of Guelph, Guelph, Ontario, Canada
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Van Hemert C, Pearce JM, Handel CM. Wildlife health in a rapidly changing North: focus on avian disease. FRONTIERS IN ECOLOGY AND THE ENVIRONMENT 2014; 12:548-556. [PMID: 32313510 PMCID: PMC7164092 DOI: 10.1890/130291] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
Climate-related environmental changes have increasingly been linked to emerging infectious diseases in wildlife. The Arctic is facing a major ecological transition that is expected to substantially affect animal and human health. Changes in phenology or environmental conditions that result from climate warming may promote novel species assemblages as host and pathogen ranges expand to previously unoccupied areas. Recent evidence from the Arctic and subarctic suggests an increase in the spread and prevalence of some wildlife diseases, but baseline data necessary to detect and verify such changes are still lacking. Wild birds are undergoing rapid shifts in distribution and have been implicated in the spread of wildlife and zoonotic diseases. Here, we review evidence of current and projected changes in the abundance and distribution of avian diseases and outline strategies for future research. We discuss relevant climatic and environmental factors, emerging host-pathogen contact zones, the relationship between host condition and immune function, and potential wildlife and human health outcomes in northern regions.
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Affiliation(s)
| | - John M Pearce
- US Geological Survey Alaska Science Center, Anchorage, AK
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27
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Fryxell RTT, Lewis TT, Peace H, Hendricks BBM, Paulsen D. Identification of Avian Malaria (PlasmodiumSp.) and Canine Heartworm (Dirofilaria immitis) in the Mosquitoes of Tennessee. J Parasitol 2014; 100:455-62. [DOI: 10.1645/13-443.1] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Abstract
Climate change is increasingly recognized as one of the greatest threats to human health of the 21st century, with consequences that mental health professionals are also likely to face. While physical health impacts have been increasingly emphasized in literature and practice, recent scholarly literature indicates that climate change and related weather events and environmental changes can profoundly impact psychological well-being and mental health through both direct and indirect pathways, particularly among those with pre-existing vulnerabilities or those living in ecologically sensitive areas. Although knowledge is still limited about the connections between climate change and mental health, evidence is indicating that impacts may be felt at both the individual and community levels, with mental health outcomes ranging from psychological distress, depression and anxiety, to increased addictions and suicide rates. Drawing on examples from diverse geographical areas, this article highlights some climate-sensitive impacts that may be encountered by mental health professionals. We then suggest potential avenues for public mental health in light of current and projected changes, in order to stimulate thought, debate, and action.
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Ramey A, Reed J, Schmutz J, Fondell T, Meixell B, Hupp J, Ward D, Terenzi J, Ely C. Prevalence, transmission, and genetic diversity of blood parasites infecting tundra-nesting geese in Alaska. CAN J ZOOL 2014. [DOI: 10.1139/cjz-2014-0041] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
A total of 842 blood samples collected from five species of tundra-nesting geese in Alaska was screened for haemosporidian parasites using molecular techniques. Parasites of the genera Leucocytozoon Danilewsky, 1890, Haemoproteus Kruse, 1890, and Plasmodium Marchiafava and Celli, 1885 were detected in 169 (20%), 3 (<1%), and 0 (0%) samples, respectively. Occupancy modeling was used to estimate prevalence of Leucocytozoon parasites and assess variation relative to species, age, sex, geographic area, year, and decade. Species, age, and decade were identified as important in explaining differences in prevalence of Leucocytozoon parasites. Leucocytozoon parasites were detected in goslings sampled along the Arctic Coastal Plain using both historic and contemporary samples, which provided support for transmission in the North American Arctic. In contrast, lack of detection of Haemoproteus and Plasmodium parasites in goslings (n = 238) provided evidence to suggest that the transmission of parasites of these genera may not occur among waterfowl using tundra habitats in Alaska, or alternatively, may only occur at low levels. Five haemosporidian genetic lineages shared among different species of geese sampled from two geographic areas were indicative of interspecies parasite transmission and supported broad parasite or vector distributions. However, identical Leucocytozoon and Haemoproteus lineages on public databases were limited to waterfowl hosts suggesting constraints in the range of parasite hosts.
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Affiliation(s)
- A.M. Ramey
- US Geological Survey, Alaska Science Center, 4210 University Drive, Anchorage, AK 99508, USA
| | - J.A. Reed
- US Geological Survey, Alaska Science Center, 4210 University Drive, Anchorage, AK 99508, USA
| | - J.A. Schmutz
- US Geological Survey, Alaska Science Center, 4210 University Drive, Anchorage, AK 99508, USA
| | - T.F. Fondell
- US Geological Survey, Alaska Science Center, 4210 University Drive, Anchorage, AK 99508, USA
| | - B.W. Meixell
- US Geological Survey, Alaska Science Center, 4210 University Drive, Anchorage, AK 99508, USA
| | - J.W. Hupp
- US Geological Survey, Alaska Science Center, 4210 University Drive, Anchorage, AK 99508, USA
| | - D.H. Ward
- US Geological Survey, Alaska Science Center, 4210 University Drive, Anchorage, AK 99508, USA
| | - J. Terenzi
- US Geological Survey, Alaska Science Center, 4210 University Drive, Anchorage, AK 99508, USA
| | - C.R. Ely
- US Geological Survey, Alaska Science Center, 4210 University Drive, Anchorage, AK 99508, USA
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Hedlund C, Blomstedt Y, Schumann B. Association of climatic factors with infectious diseases in the Arctic and subarctic region--a systematic review. Glob Health Action 2014; 7:24161. [PMID: 24990685 PMCID: PMC4079933 DOI: 10.3402/gha.v7.24161] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2014] [Revised: 03/03/2014] [Accepted: 06/03/2014] [Indexed: 11/23/2022] Open
Abstract
Background The Arctic and subarctic area are likely to be highly affected by climate change, with possible impacts on human health due to effects on food security and infectious diseases. Objectives To investigate the evidence for an association between climatic factors and infectious diseases, and to identify the most climate-sensitive diseases and vulnerable populations in the Arctic and subarctic region. Methods A systematic review was conducted. A search was made in PubMed, with the last update in May 2013. Inclusion criteria included human cases of infectious disease as outcome, climate or weather factor as exposure, and Arctic or subarctic areas as study origin. Narrative reviews, case reports, and projection studies were excluded. Abstracts and selected full texts were read and evaluated by two independent readers. A data collection sheet and an adjusted version of the SIGN methodology checklist were used to assess the quality grade of each article. Results In total, 1953 abstracts were initially found, of which finally 29 articles were included. Almost half of the studies were carried out in Canada (n=14), the rest from Sweden (n=6), Finland (n=4), Norway (n=2), Russia (n=2), and Alaska, US (n=1). Articles were analyzed by disease group: food- and waterborne diseases, vector-borne diseases, airborne viral- and airborne bacterial diseases. Strong evidence was found in our review for an association between climatic factors and food- and waterborne diseases. The scientific evidence for a link between climate and specific vector- and rodent-borne diseases was weak due to that only a few diseases being addressed in more than one publication, although several articles were of very high quality. Air temperature and humidity seem to be important climatic factors to investigate further for viral- and bacterial airborne diseases, but from our results no conclusion about a causal relationship could be drawn. Conclusions More studies of high quality are needed to investigate the adverse health impacts of weather and climatic factors in the Arctic and subarctic region. No studies from Greenland or Iceland were found, and only a few from Siberia and Alaska. Disease and syndromic surveillance should be part of climate change adaptation measures in the Arctic and subarctic regions, with monitoring of extreme weather events known to pose a risk for certain infectious diseases implemented at the community level.
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Affiliation(s)
- Christina Hedlund
- Department of Public Health and Clinical Medicine, Centre for Global Health Research, Umeå University, Umeå, Sweden;
| | - Yulia Blomstedt
- Department of Public Health and Clinical Medicine, Centre for Global Health Research, Umeå University, Umeå, Sweden
| | - Barbara Schumann
- Department of Public Health and Clinical Medicine, Centre for Global Health Research, Umeå University, Umeå, Sweden
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Ford JD, Willox AC, Chatwood S, Furgal C, Harper S, Mauro I, Pearce T. Adapting to the effects of climate change on Inuit health. Am J Public Health 2014; 104 Suppl 3:e9-17. [PMID: 24754615 PMCID: PMC4035894 DOI: 10.2105/ajph.2013.301724] [Citation(s) in RCA: 58] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2013] [Indexed: 01/14/2023]
Abstract
Climate change will have far-reaching implications for Inuit health. Focusing on adaptation offers a proactive approach for managing climate-related health risks-one that views Inuit populations as active agents in planning and responding at household, community, and regional levels. Adaptation can direct attention to the root causes of climate vulnerability and emphasize the importance of traditional knowledge regarding environmental change and adaptive strategies. An evidence base on adaptation options and processes for Inuit regions is currently lacking, however, thus constraining climate policy development. In this article, we tackled this deficit, drawing upon our understanding of the determinants of health vulnerability to climate change in Canada to propose key considerations for adaptation decision-making in an Inuit context.
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Affiliation(s)
- James D Ford
- James D. Ford is with the Department of Geography, McGill University, Montreal, Quebec. Ashlee Cunsolo Willox is with the Department of Community Health, Cape Breton University, Sydney, Nova Scotia. Susan Chatwood is with the Institute for Circumpolar Health Research, Yellowknife, Northwest Territories. Christopher Furgal is with the Department of Indigenous Environmental Studies, Trent University, Peterborough, Ontario. Sherilee Harper is with the Department of Population Medicine, University of Guelph, Ontario. Ian Mauro is with the Department of Geography, University of Winnipeg, Manitoba. Tristan Pearce is with the University of the Sunshine Coast, Maroochydor, Queensland, Australia
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Correlating Remote Sensing Data with the Abundance of Pupae of the Dengue Virus Mosquito Vector, Aedes aegypti, in Central Mexico. ISPRS INTERNATIONAL JOURNAL OF GEO-INFORMATION 2014. [DOI: 10.3390/ijgi3020732] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Kim BI, Blanton JD, Gilbert A, Castrodale L, Hueffer K, Slate D, Rupprecht CE. A conceptual model for the impact of climate change on fox rabies in Alaska, 1980-2010. Zoonoses Public Health 2014; 61:72-80. [PMID: 23452510 PMCID: PMC3701727 DOI: 10.1111/zph.12044] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2012] [Indexed: 11/30/2022]
Abstract
The direct and interactive effects of climate change on host species and infectious disease dynamics are likely to initially manifest\ at latitudinal extremes. As such, Alaska represents a region in the United States for introspection on climate change and disease. Rabies is enzootic among arctic foxes (Vulpes lagopus) throughout the northern polar region. In Alaska, arctic and red foxes (Vulpes vulpes) are reservoirs for rabies, with most domestic animal and wildlife cases reported from northern and western coastal Alaska. Based on passive surveillance, a pronounced seasonal trend in rabid foxes occurs in Alaska, with a peak in winter and spring. This study describes climatic factors that may be associated with reported cyclic rabies occurrence. Based upon probabilistic modelling, a stronger seasonal effect in reported fox rabies cases appears at higher latitudes in Alaska, and rabies in arctic foxes appear disproportionately affected by climatic factors in comparison with red foxes. As temperatures continue a warming trend, a decrease in reported rabid arctic foxes may be expected. The overall epidemiology of rabies in Alaska is likely to shift to increased viral transmission among red foxes as the primary reservoir in the region. Information on fox and lemming demographics, in addition to enhanced rabies surveillance among foxes at finer geographic scales, will be critical to develop more comprehensive models for rabies virus transmission in the region.
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Affiliation(s)
- B I Kim
- Rollins School of Public Health, Emory University, Atlanta, GA, USA; National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA
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Nilsson LM, Berner J, Dudarev AA, Mulvad G, Odland JØ, Parkinson A, Rautio A, Tikhonov C, Evengård B. Indicators of food and water security in an Arctic Health context--results from an international workshop discussion. Int J Circumpolar Health 2013; 72:21530. [PMID: 23940840 PMCID: PMC3739967 DOI: 10.3402/ijch.v72i0.21530] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2013] [Revised: 07/11/2013] [Accepted: 07/11/2013] [Indexed: 11/14/2022] Open
Abstract
In August 2012, a literature search with the aim of describing indicators on food and water security in an Arctic health context was initialized in collaboration between the Arctic Human Health Expert Group, SDWG/AHHEG and the AMAP (Arctic Monitoring and Assessment Programme within the Arctic Council) Human Health Assessment Group, AMAP/HHAG. In December 2012, workshop discussions were performed with representatives from both of these organizations, including 7 Arctic countries. The aim of this article is to describe the workshop discussions and the rational for the 12 indicators selected and the 9 rejected and to discuss the potential feasibility of these. Advantages and disadvantages of candidate indicators were listed. Informative value and costs for collecting were estimated separately on a 3-level scale: low, medium and high. Based on these reviews, the final selection of promoted and rejected indicators was performed and summarized in tables. Among 10 suggested indicators of food security, 6 were promoted: healthy weight, traditional food proportion in diet, monetary food costs, non-monetary food accessibility, food-borne diseases and food-related contaminants. Four were rejected: per-person dietary energy supply, food security modules, self-estimated food safety and healthy eating. Among 10 suggested indicators of water security, 6 were promoted: per-capita renewable water, accessibility of running water, waterborne diseases, drinking-water-related contaminants, authorized water quality assurance and water safety plans. Four were rejected: water consumption, types of water sources, periodic water shortages and household water costs.
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Keim ME. Preventing Disasters: Public Health Vulnerability Reduction as a Sustainable Adaptation to Climate Change. Disaster Med Public Health Prep 2013; 5:140-8. [DOI: 10.1001/dmp.2011.30] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
ABSTRACTGlobal warming could increase the number and severity of extreme weather events. These events are often known to result in public health disasters, but we can lessen the effects of these disasters. By addressing the factors that cause changes in climate, we can mitigate the effects of climate change. By addressing the factors that make society vulnerable to the effects of climate, we can adapt to climate change. To adapt to climate change, a comprehensive approach to disaster risk reduction has been proposed. By reducing human vulnerability to disasters, we can lessen—and at times even prevent—their impact.Human vulnerability is a complex phenomenon that comprises social, economic, health, and cultural factors. Because public health is uniquely placed at the community level, it has the opportunity to lessen human vulnerability to climate-related disasters. At the national and international level, a supportive policy environment can enable local adaptation to disaster events. The purpose of this article is to introduce the basic concept of disaster risk reduction so that it can be applied to preventing and mitigating the negative effects of climate change and to examine the role of community-focused public health as a means for lessening human vulnerability and, as a result, the overall risk of climate-related disasters.(Disaster Med Public Health Preparedness. 2011;5:140–148)
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Pardhan-Ali A, Wilson J, Edge VL, Furgal C, Reid-Smith R, Santos M, McEwen SA. Community-level risk factors for notifiable gastrointestinal illness in the Northwest Territories, Canada, 1991-2008. BMC Public Health 2013; 13:63. [PMID: 23339723 PMCID: PMC3582459 DOI: 10.1186/1471-2458-13-63] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2012] [Accepted: 01/14/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Enteric pathogens are an important cause of illness, however, little is known about their community-level risk factors (e.g., socioeconomic, cultural and physical environmental conditions) in the Northwest Territories (NWT) of Canada. The objective of this study was to undertake ecological (group-level) analyses by combining two existing data sources to examine potential community-level risk factors for campylobacteriosis, giardiasis and salmonellosis, which are three notifiable (mandatory reporting to public health authorities at the time of diagnosis) enteric infections. METHODS The rate of campylobacteriosis was modeled using a Poisson distribution while rates of giardiasis and salmonellosis were modeled using a Negative Binomial distribution. Rate ratios (the ratio of the incidence of disease in the exposed group to the incidence of disease in the non-exposed group) were estimated for infections by the three major pathogens with potential community-level risk factors. RESULTS Significant (p≤0.05) associations varied by etiology. There was increased risk of infection with Salmonella for communities with higher proportions of 'households in core need' (unsuitable, inadequate, and/or unaffordable housing) up to 42% after which the rate started to decrease with increasing core need. The risk of giardiasis was significantly higher both with increased 'internal mobility' (population moving between communities), and also where the community's primary health facility was a health center rather than a full-service hospital. Communities with higher health expenditures had a significantly decreased risk of giardiasis. Results of modeling that focused on each of Giardia and Salmonella infections separately supported and expanded upon previous research outcomes that suggested health disparities are often associated with socioeconomic status, geographical and social mobility, as well as access to health care (e.g. facilities, services and professionals). In the campylobacteriosis model, a negative association was found between food prices in communities and risk of infection. There was also a significant interaction between trapping and consumption of traditional foods in communities. Higher rates of community participation in both activities appeared to have a protective effect against campylobacteriosis. CONCLUSIONS These results raise very interesting questions about the role that traditional activities might play in infectious enteric disease incidence in the NWT, but should be interpreted with caution, recognizing database limitations in collection of case data and risk factor information (e.g. missing data). Given the cultural, socioeconomic, and nutritional benefits associated with traditional food practices, targeted community-based collaborative research is necessary to more fully investigate the statistical correlations identified in this exploratory research. This study demonstrates the value of examining the role of social determinants in the transmission and risk of infectious diseases.
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Affiliation(s)
- Aliya Pardhan-Ali
- Department of Population Medicine, University of Guelph, Guelph, ON, Canada.
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37
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Jenkins EJ, Castrodale LJ, de Rosemond SJ, Dixon BR, Elmore SA, Gesy KM, Hoberg EP, Polley L, Schurer JM, Simard M, Thompson RCA. Tradition and transition: parasitic zoonoses of people and animals in Alaska, northern Canada, and Greenland. ADVANCES IN PARASITOLOGY 2013; 82:33-204. [PMID: 23548085 DOI: 10.1016/b978-0-12-407706-5.00002-2] [Citation(s) in RCA: 105] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Zoonotic parasites are important causes of endemic and emerging human disease in northern North America and Greenland (the North), where prevalence of some parasites is higher than in the general North American population. The North today is in transition, facing increased resource extraction, globalisation of trade and travel, and rapid and accelerating environmental change. This comprehensive review addresses the diversity, distribution, ecology, epidemiology, and significance of nine zoonotic parasites in animal and human populations in the North. Based on a qualitative risk assessment with criteria heavily weighted for human health, these zoonotic parasites are ranked, in the order of decreasing importance, as follows: Echinococcus multilocularis, Toxoplasma gondii, Trichinella and Giardia, Echinococcus granulosus/canadensis and Cryptosporidium, Toxocara, anisakid nematodes, and diphyllobothriid cestodes. Recent and future trends in the importance of these parasites for human health in the North are explored. For example, the incidence of human exposure to endemic helminth zoonoses (e.g. Diphyllobothrium, Trichinella, and Echinococcus) appears to be declining, while water-borne protozoans such as Giardia, Cryptosporidium, and Toxoplasma may be emerging causes of human disease in a warming North. Parasites that undergo temperature-dependent development in the environment (such as Toxoplasma, ascarid and anisakid nematodes, and diphyllobothriid cestodes) will likely undergo accelerated development in endemic areas and temperate-adapted strains/species will move north, resulting in faunal shifts. Food-borne pathogens (e.g. Trichinella, Toxoplasma, anisakid nematodes, and diphyllobothriid cestodes) may be increasingly important as animal products are exported from the North and tourists, workers, and domestic animals enter the North. Finally, key needs are identified to better assess and mitigate risks associated with zoonotic parasites, including enhanced surveillance in animals and people, detection methods, and delivery and evaluation of veterinary and public health services.
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Sonne C, Letcher RJ, Leifsson PS, Rigét FF, Bechshøft TØ, Bossi R, Asmund G, Dietz R. Temporal monitoring of liver and kidney lesions in contaminated East Greenland polar bears (Ursus maritimus) during 1999-2010. ENVIRONMENT INTERNATIONAL 2012; 48:143-149. [PMID: 22922222 DOI: 10.1016/j.envint.2012.07.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2012] [Revised: 07/02/2012] [Accepted: 07/08/2012] [Indexed: 06/01/2023]
Abstract
Organohalogen contaminants bioaccumulate to high concentrations in tissues of polar bears (Ursus maritimus). The exposure levels are in the order to be toxic to inner organs like liver and kidney. We therefore investigated the temporal development of lesions in liver (n=115) and kidney (n=122) samples from East Greenland polar bears taken over the 12 year period from 1999 to 2010. Seven liver and seven kidney lesions were observed of which six were age-related. Controlling for this, the analyses showed that hepatic steatosis and renal cell infiltrations, glomerular sclerosis and tubular hyperplasia decreased over the investigated time period (all p<0.05). Similarly, hypertrophy of hepatic Ito cells, renal glomerular capillary wall thickening and interstitial fibrosis increased over the study period (all p<0.05). Regarding contaminant, concentrations of polybrominated diphenyl ethers in adipose tissue were negatively associated with hepatic mononuclear cell infiltrations (p=0.05) and a similar trend was found for Hg (p=0.09). Hexachlorobenzene was positively associated with portal cell infiltrations and hepatic lipid granulomas, while polychlorinated biphenyls were negatively associated with the prevalence of steatosis (both p<0.05) and a similar trend was found for hexachlorocyclohexanes (p=0.08). Mercury was positively correlated with the frequencies of hypertrophic Ito cells (p=0.002) and a similar trend was found for perfluorooctanesulfonic acid (p=0.07). In renal tissue, hexachlorocyclohexanes were positively associated with medullar hyaline casts (p=0.03) and a similar trend was found for cell infiltrations (p=0.08). There was a trend of trans-nonachlor being positively associated with glomerular sclerosis (p=0.06) while dichlorodiphenyltrichloroethanes were negatively associated with tubular hyperplasia (p=0.02). These results suggest that specific liver and renal lesions have decreased or increased over time and that long-range transported organohalogen contaminants and mercury may be among the co-factors responsible for these observations. These relationships are important to take into account when biomonitoring health and pollution in wildlife species such as polar bears.
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Affiliation(s)
- Christian Sonne
- Aarhus University, Faculty of Science and Technology, Department of Bioscience, Frederiksborgvej 399, PO Box 358, DK-4000 Roskilde, Denmark.
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Cox R, Revie CW, Sanchez J. The use of expert opinion to assess the risk of emergence or re-emergence of infectious diseases in Canada associated with climate change. PLoS One 2012; 7:e41590. [PMID: 22848536 PMCID: PMC3407223 DOI: 10.1371/journal.pone.0041590] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2012] [Accepted: 06/25/2012] [Indexed: 11/21/2022] Open
Abstract
Global climate change is predicted to lead to an increase in infectious disease outbreaks. Reliable surveillance for diseases that are most likely to emerge is required, and given limited resources, policy decision makers need rational methods with which to prioritise pathogen threats. Here expert opinion was collected to determine what criteria could be used to prioritise diseases according to the likelihood of emergence in response to climate change and according to their impact. We identified a total of 40 criteria that might be used for this purpose in the Canadian context. The opinion of 64 experts from academic, government and independent backgrounds was collected to determine the importance of the criteria. A weight was calculated for each criterion based on the expert opinion. The five that were considered most influential on disease emergence or impact were: potential economic impact, severity of disease in the general human population, human case fatality rate, the type of climate that the pathogen can tolerate and the current climatic conditions in Canada. There was effective consensus about the influence of some criteria among participants, while for others there was considerable variation. The specific climate criteria that were most likely to influence disease emergence were: an annual increase in temperature, an increase in summer temperature, an increase in summer precipitation and to a lesser extent an increase in winter temperature. These climate variables were considered to be most influential on vector-borne diseases and on food and water-borne diseases. Opinion about the influence of climate on air-borne diseases and diseases spread by direct/indirect contact were more variable. The impact of emerging diseases on the human population was deemed more important than the impact on animal populations.
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Affiliation(s)
- Ruth Cox
- Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.
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Abstract
Indigenous populations have been identified as vulnerable to climate change. This framing, however, is detached from the diverse geographies of how people experience, understand, and respond to climate-related health outcomes, and overlooks nonclimatic determinants. I reviewed research on indigenous health and climate change to capture place-based dimensions of vulnerability and broader determining factors. Studies focused primarily on Australia and the Arctic, and indicated significant adaptive capacity, with active responses to climate-related health risks. However, nonclimatic stresses including poverty, land dispossession, globalization, and associated sociocultural transitions challenge this adaptability. Addressing geographic gaps in existing studies alongside greater focus on indigenous conceptualizations on and approaches to health, examination of global-local interactions shaping local vulnerability, enhanced surveillance, and an evaluation of policy support opportunities are key foci for future research.
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Affiliation(s)
- James D Ford
- Department of Geography, McGill University, Montreal, Quebec, Canada.
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Callaghan TV, Johansson M, Brown RD, Groisman PY, Labba N, Radionov V, Bradley RS, Blangy S, Bulygina ON, Christensen TR, Colman JE, Essery RLH, Forbes BC, Forchhammer MC, Golubev VN, Honrath RE, Juday GP, Meshcherskaya AV, Phoenix GK, Pomeroy J, Rautio A, Robinson DA, Schmidt NM, Serreze MC, Shevchenko VP, Shiklomanov AI, Shmakin AB, Sköld P, Sturm M, Woo MK, Wood EF. Multiple Effects of Changes in Arctic Snow Cover. AMBIO 2011; 40. [PMCID: PMC3357776 DOI: 10.1007/s13280-011-0213-x] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
Snow cover plays a major role in the climate, hydrological and ecological systems of the Arctic and other regions through its influence on the surface energy balance (e.g. reflectivity), water balance (e.g. water storage and release), thermal regimes (e.g. insulation), vegetation and trace gas fluxes. Feedbacks to the climate system have global consequences. The livelihoods and well-being of Arctic residents and many services for the wider population depend on snow conditions so changes have important consequences. Already, changing snow conditions, particularly reduced summer soil moisture, winter thaw events and rain-on-snow conditions have negatively affected commercial forestry, reindeer herding, some wild animal populations and vegetation. Reductions in snow cover are also adversely impacting indigenous peoples’ access to traditional foods with negative impacts on human health and well-being. However, there are likely to be some benefits from a changing Arctic snow regime such as more even run-off from melting snow that favours hydropower operations.
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Affiliation(s)
| | - Margareta Johansson
- Department of Earth and Ecosystem Sciences, Division of Physical Geography and Ecosystem Analyses, Lund University, Sölvegatan 12, 223 62 Lund, Sweden
| | - Ross D. Brown
- Ouranos, 550 Sherbrooke St. West, 19th Floor, Montréal, QC H3A 1B9 Canada
| | | | - Niklas Labba
- Gáisi Sámi Centre, Lakselvbukt, 9042 Laksvatn, Norway
| | | | - Raymond S. Bradley
- Department of Geosciences, 233 Morrill Science Center, University of Massachusetts, 611 North Pleasant Street, Amherst, MA 01003-9297 USA
| | - Sylvie Blangy
- Université du Québec à Montréal, Case postale 8888, Succursale Centre-ville, Montréal, QC H3C 3P8 Canada
| | - Olga N. Bulygina
- All-Russian Research Institute of Hydrometeorological Information - World Data Centre (RIHMI-WDC), 6 Koroleva Street, Obninsk, Kaluga Region 249035 The Russian Federation
| | - Torben R. Christensen
- Department of Earth and Ecosystem Sciences, Division of Physical Geography and Ecosystem Analyses, Lund University, Sölvegatan 12, 223 62 Lund, Sweden
| | - Jonathan E. Colman
- Department of Biology, UiO, Pb. 1066 Blindern, 0316 Oslo, Norway
- Department of Ecology and Natural Resource Management, UMB, P.O. Box 5003, 1432 Ås, Norway
| | | | | | - Mads C. Forchhammer
- Department of Bioscience, Aarhus University, Denmark and Greenland Climate Research Center, Nuuk, Greenland
| | - Vladimir N. Golubev
- Laboratory of Snow Avalanches and Mudflows, Faculty of Geography, Moscow State University, Leninskie Gory, 1, 119991 Moscow, The Russian Federation
| | - Richard E. Honrath
- Departments of Geological and Mining Engineering and Sciences, and Civil and Environmental Engineering, Michigan Technological University, Houghton, USA
| | - Glenn P. Juday
- School of Natural Resources and Agricultural Sciences, P.O. Box 757200, Fairbanks, AK 99775-7200 USA
| | | | - Gareth K. Phoenix
- Department of Animal and Plant Sciences, University of Sheffield, Western Bank, Sheffield, S10 2TN UK
| | - John Pomeroy
- Centre for Hydrology, University of Saskatchewan, 117 Science Place, Saskatoon, SASK S7N 5C8 Canada
| | - Arja Rautio
- Centre for Arctic Medicine, Thule Institute, University of Oulu, P.O. Box 7300, 90014 Oulu, Finland
| | - David A. Robinson
- Department of Geography, Rutgers University, 54 Joyce Kilmer Avenue, Piscataway, 08854 NJ USA
| | - Niels M. Schmidt
- Department of Bioscience, Aarhus University, Frederiksborgvej 399, 4000 Roskilde, Denmark
| | - Mark C. Serreze
- CIRES/NSIDC, University of Colorado, Campus Box 449, Boulder, CO 80309-0449 USA
| | - Vladimir P. Shevchenko
- P.P. Shirshov Institute of Oceanology RAS, 36 Nakhimovsky Prospect, 117997 Moscow, Russia
| | - Alexander I. Shiklomanov
- Institute for the Study of Earth, Oceans and Space, University of New Hampshire, Durham, NH 03824-3525 USA
| | | | - Peter Sköld
- Centre for Sami Research, Umeå University, SE-901 87 Umeå, Sweden
| | - Matthew Sturm
- USA-CRREL-Alaska, P.O. Box 35170, Ft. Wainwright, AK 99703-0170 USA
| | - Ming-ko Woo
- School of Geography & Earth Sciences, Building 206 McMaster University 1280 Main Street, West Hamilton, ON L8S 4K1 Canada
| | - Eric F. Wood
- Department of Civil and Environmental Engineering, Princeton University, Princeton, NJ 08544 USA
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Natalia K. Climate change effects on human health in a gender perspective: some trends in Arctic research. Glob Health Action 2011; 4:7913. [PMID: 21949499 PMCID: PMC3179263 DOI: 10.3402/gha.v4i0.7913] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2011] [Revised: 08/19/2011] [Accepted: 08/21/2011] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Climate change and environmental pollution have become pressing concerns for the peoples in the Arctic region. Some researchers link climate change, transformations of living conditions and human health. A number of studies have also provided data on differentiating effects of climate change on women's and men's well-being and health. OBJECTIVE To show how the issues of climate and environment change, human health and gender are addressed in current research in the Arctic. The main purpose of this article is not to give a full review but to draw attention to the gaps in knowledge and challenges in the Arctic research trends on climate change, human health and gender. METHODS A broad literature search was undertaken using a variety of sources from natural, medical, social science and humanities. The focus was on the keywords. RESULTS Despite the evidence provided by many researchers on differentiating effects of climate change on well-being and health of women and men, gender perspective remains of marginal interest in climate change, environmental and health studies. At the same time, social sciences and humanities, and gender studies in particular, show little interest towards climate change impacts on human health in the Arctic. As a result, we still observe the division of labour between disciplines, the disciplinary-bound pictures of human development in the Arctic and terminology confusion. CONCLUSION Efforts to bring in a gender perspective in the Arctic research will be successful only when different disciplines would work together. Multidisciplinary research is a way to challenge academic/disciplinary homogeneity and their boundaries, to take advantage of the diversity of approaches and methods in production of new integrated knowledge. Cooperation and dialogue across disciplines will help to develop adequate indicators for monitoring human health and elaborating efficient policies and strategies to the benefit of both women and men in the Arctic.
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Affiliation(s)
- Kukarenko Natalia
- Department of Social Sciences, Northern Research Institute (NORUT), Tromsø, Norway.
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Hospitalization for trichinellosis and echinococcosis in Canada, 2001-2005: the tip of the iceberg? Canadian Journal of Public Health 2010. [PMID: 21033550 DOI: 10.1007/bf03405298] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
OBJECTIVES This study was undertaken to measure the incidence of echinococcosis and trichinellosis hospitalization in Canada, and to compare these incidence rates between residents of northern regions and the rest of the Canadian population. METHODS Cases hospitalized in 2001-2005 for either echinococcosis or trichinellosis were retrieved from the hospital morbidity database (HMDB) held by the Canadian Institute for Health Information. Crude and standardized incidence rates were calculated by province and by latitude range. RESULTS A total of 108 echinococcosis and 14 trichinellosis hospitalizations were found, yielding incidence rates of 0.72 and 0.09 per million per year, respectively. There was a clear south-north gradient in the incidence of echinococcosis hospitalization, the highest incidence (2.9 per million per year) being found north of the 55th parallel. The risk of echinococcosis hospitalization was also significantly higher in women than in men (RR 1.92, 95% CI 1.29-2.87). For trichinellosis, the highest incidence (42 per million per year) was found in Nunavut and Northern Quebec. CONCLUSION Incidence of hospitalization for echinococcosis and trichinellosis is low at the national level. However, significantly higher rates have been measured in northern regions of Canada despite the fact that both diseases are theoretically preventable and that a Trichinella control program is in place in Nunavik. Further efforts, probably educational in nature, will be required to reduce the incidence of these infections in high-risk areas.
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Affiliation(s)
- Susan J. Kutz
- Faculty of Veterinary Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada
| | - Andy P. Dobson
- Department of Ecology and Evolutionary Biology, Princeton University, Princeton, NJ 08544, USA
| | - Eric P. Hoberg
- U.S. National Parasite Collection, U.S. Department of Agriculture, Agricultural Research Service, Beltsville, MD 20705, USA
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Parkinson AJ, Evengård B. Climate change, its impact on human health in the Arctic and the public health response to threats of emerging infectious diseases. Glob Health Action 2009; 2. [PMID: 20052420 PMCID: PMC2799221 DOI: 10.3402/gha.v2i0.2075] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2009] [Revised: 09/11/2009] [Accepted: 09/13/2009] [Indexed: 11/14/2022] Open
Affiliation(s)
- Alan J Parkinson
- Arctic Investigations Program, Centers for Disease Control & Prevention, Anchorage, AK, USA
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Evengård B, Sauerborn R. Climate change influences infectious diseases both in the Arctic and the tropics: joining the dots. Glob Health Action 2009; 2. [PMID: 20052431 PMCID: PMC2799306 DOI: 10.3402/gha.v2i0.2106] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2009] [Revised: 10/09/2009] [Accepted: 10/09/2009] [Indexed: 11/14/2022] Open
Affiliation(s)
- Birgitta Evengård
- Department of Clinical Microbiology, Division of Infectious Diseases, Umeå University, Umeå, Sweden
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Guan P, Huang D, He M, Shen T, Guo J, Zhou B. Investigating the effects of climatic variables and reservoir on the incidence of hemorrhagic fever with renal syndrome in Huludao City, China: a 17-year data analysis based on structure equation model. BMC Infect Dis 2009; 9:109. [PMID: 19583875 PMCID: PMC2720978 DOI: 10.1186/1471-2334-9-109] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2008] [Accepted: 07/08/2009] [Indexed: 11/10/2022] Open
Abstract
Background HFRS is a serious public health problem in China and the study on HFRS is important in China for its large population. The present study aimed to explore the impact of climatic variables and reservoir on the incidence of HFRS in Huludao City, an epidemic focus of the disease in northeastern China. Methods Structure Equation Model (SEM), a statistical technique for testing and estimating causal relationships, was conducted based on climatic variables, virus-carrying index among rodents, and incidence of HFRS in the city during the period 1990 to 2006. The linear structural relationships (LISREL) software (Scientific Software International, Lincolnwood, IL) was used to fit SEMs. Results Temperature, precipitation, relative humidity and virus-carrying index among rodents have shown positive correlations with the monthly incidence of HFRS, while air pressure had a negative correlation with the incidence. The best-fit SEM model fitted well with the data-based correlation matrix, P value was more than 0.56, root mean square error of approximation (RMSEA) equaled to 0, goodness-of-fit index (GFI) was more than 0.99. Conclusion Climate and reservoirs have affected the incidence of HFRS in Huludao City, located in northeastern China. Climate affects HFRS incidence mainly through the effect on reservoir in the study area. HFRS prevention and control should give more consideration to rodent control and climate variations.
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Affiliation(s)
- Peng Guan
- Department of Epidemiology, School of Public Health, China Medical University, Shenyang, PR China.
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Parkinson AJ, Berner J. Climate change and impacts on human health in the Arctic: an international workshop on emerging threats and the response of Arctic communities to climate change. Int J Circumpolar Health 2009; 68:84-91. [PMID: 19331244 DOI: 10.3402/ijch.v68i1.18295] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Alan J Parkinson
- US Centers for Disease Control & Prevention, Arctic Investigations Program, Anchorage, Alaska, USA.
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Building human resilience: the role of public health preparedness and response as an adaptation to climate change. Am J Prev Med 2008; 35:508-16. [PMID: 18929977 DOI: 10.1016/j.amepre.2008.08.022] [Citation(s) in RCA: 140] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2008] [Revised: 07/01/2008] [Accepted: 08/08/2008] [Indexed: 11/20/2022]
Abstract
Global climate change will increase the probability of extreme weather events, including heatwaves, drought, wildfire, cyclones, and heavy precipitation that could cause floods and landslides. Such events create significant public health needs that can exceed local capacity to respond, resulting in excess morbidity or mortality and in the declaration of disasters. Human vulnerability to any disaster is a complex phenomenon with social, economic, health, and cultural dimensions. Vulnerability to natural disasters has two sides: the degree of exposure to dangerous hazards (susceptibility) and the capacity to cope with or recover from disaster consequences (resilience). Vulnerability reduction programs reduce susceptibility and increase resilience. Susceptibility to disasters is reduced largely by prevention and mitigation of emergencies. Emergency preparedness and response and recovery activities--including those that address climate change--increase disaster resilience. Because adaptation must occur at the community level, local public health agencies are uniquely placed to build human resilience to climate-related disasters. This article discusses the role of public health in reducing human vulnerability to climate change within the context of select examples for emergency preparedness and response.
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Abstract
Climate change could significantly affect vectorborne disease in humans. Temperature, precipitation, humidity, and other climatic factors are known to affect the reproduction, development, behavior, and population dynamics of the arthropod vectors of these diseases. Climate also can affect the development of pathogens in vectors, as well as the population dynamics and ranges of the nonhuman vertebrate reservoirs of many vectorborne diseases. Whether climate changes increase or decrease the incidence of vectorborne diseases in humans will depend not only on the actual climatic conditions but also on local nonclimatic epidemiologic and ecologic factors. Predicting the relative impact of sustained climate change on vectorborne diseases is difficult and will require long-term studies that look not only at the effects of climate change but also at the contributions of other agents of global change such as increased trade and travel, demographic shifts, civil unrest, changes in land use, water availability, and other issues. Adapting to the effects of climate change will require the development of adequate response plans, enhancement of surveillance systems, and development of effective and locally appropriate strategies to control and prevent vectorborne diseases.
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