Indigenous Health

New publication! Climate change and Inuit mental health

Congratulations to Dr. Jacqueline Middleton for a new publication about climate change and Inuit mental health in Nunatsiavut, Canada.

Jacquie’s article was published in Social Science and Medicine and is (free) open-access.

Middleton, J., Cunsolo, A., Jones-Bitton, A., Shiwak, I., Wood, M., Pollock, N., Flowers, C., Harper, S.L., 2020. “We’re people of the snow:” Weather, climate change, and Inuit mental wellness. Soc. Sci. Med. 262, 113137. https://doi.org/https://doi.org/10.1016/j.socscimed.2020.113137

New Publication! Characterizing climate change impacts on Indigenous peoples' mental health

Congratulations to Jacqueline Middleton for her recent publication, entitled “Indigenous mental health in a changing climate: a systematic scoping review of the global literature”, published in Environmental Research Letters.

Indigenous Peoples globally are among those who are most acutely experiencing the mental health impacts of climate change; however, little is known about the ways in which Indigenous Peoples globally experience climate-sensitive mental health impacts and outcomes, and how these experiences may vary depending on local socio-cultural contexts, geographical location, and regional variations in climate change. Thus, in this article, Jacqueline examined the extent, range, and nature of published research investigating the ways in which global Indigenous mental health is impacted by meteorological, seasonal, and climatic changes.

What did we find?

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Citation:

Middleton, J., Cunsolo, A., Jones-Bitton, A., Wright, C.J., Harper, S.L., 2020. Indigenous mental health in a changing climate: a systematic scoping review of the global literature. Environ. Res. Lett. 15, 053001.https://doi.org/10.1088/1748-9326/ab68a9

Inuit are the best scientists to monitor Arctic climate change

New Publication!

“The best scientists are the people that’s out there”: Inuit-led integrated environment and health monitoring to respond to climate change in the Circumpolar North

What was the article about?

An article led by Dr. Alexandra Sawatzky, Rigolet Inuit, and others characterized how Inuit have monitored the environment for centuries, and how this extends to climate change monitoring and response today.

What were the Key Messages from the Article?

Why is Inuit-led monitoring important amidst unprecedented climate change in the North? This article documented, that for Inuit in Rigolet:

A summary of the key messages:

Here is a visual summary of why Inuit-led monitoring is important for Rigolet Inuit to adapt to climate change:

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Want to access the article?

You can view the PDF of our article on Inuit-led environment-health monitoring to adapt to climate change in Rigolet here: https://rdcu.be/b0H8w

Citation: Sawatzky, A., Cunsolo, A., Jones-Bitton, A., Gillis, D., Wood, M., Flowers, C., Shiwak, I. and Harper, S.L., (2020). “The best scientists are the people that’s out there”: Inuit-led integrated environment and health monitoring to respond to climate change in the Circumpolar North. Climatic Change, https://doi.org/10.1007/s10584-019-02647-8

Award Winning Poster: Steven Lam

The next poster highlighted in our Award Winning Poster Series, is a poster that was presented by Steven Lam at the Canadian Evaluation Society’s 40th annual conference in Halifax, Canada.

Steven’s poster won the "People's choice poster award”.

Congratulations Steven!

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Award Winning Poster

Canadian Evaluation Society 2019

Award Winning Poster: Carlee Wright

Next in our Award Winning Poster Series, is a poster presented by Carlee Wright at the 2015 ArcticNet Annual Scientific Meeting in Vancouver. Carlee won a poster prize for her work that was conducted in partnership with the community of Rigolet on drinking water and Inuit health.

Congratulations Carlee!

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Award Winning Poster

2015 ArcticNet ASM

Award Winning Poster: Rebecca Wolff

Next in our series of Award Winning Poster profiles is a poster by Rebecca Wolff. In 2015, Rebecca Wolff presented a poster at the Canadian Conference on Global Health. She won the top poster prize for Best Contribution to Global Health for her work entitled, “Its spirit is strong”: Shawi spirits, healers and diarrhea in the Peruvian Amazon.

Congratulations Rebecca!

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Award Winning Poster

2015 Canadian Conference on Global Health

Award Winning Poster: David Borish

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This summer, we are profiling award winning posters presented at research conferences. At the 2016 ArcticNet Annual Scientific Meeting, David Borish won the poster presentation competition, for his work on using participatory film to examine the relationships between caribou and Inuit in Labrador.

Award Winning Poster

2016 ArcticNet ASM

Award Winning Poster: Alexandra Sawatzky's Literature Review

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As part of our series on award winning poster presentations, it is pleasure to share a poster presented by Alex. At the 2017 ArcticNet Annual Scientific Meeting, Dr. Alex Sawatzky presented the results of her literature review about integrated environment and health surveillance in the Circumpolar North. Her poster won a poster prize at the conference, and this work has been published since then (click here to access the free article).

Congratulations Alex!

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Award Winning Poster

2017 ArcticNet ASM

Award Winning Poster: Kate Bishop-Williams

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As a part of our Award Winning Poster series, we are pleased to share Kate Bishop-Williams’ poster from 2014. Winning the poster prize at the 2014 ArcticNet Annual Scientific Meeting, Kate shared her research on the seasonal prevalence of acute gastrointestinal illness in Rigolet, Nunatsiavut. This work was conducted in partnership with the Rigolet Inuit Community Government.

Congratulations Kate!

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Award Winning Poster

2014 ArcticNet ASM

Award Winning Poster about Inuit Health by Alexandra Sawatzky

Contributing to our series on award winning poster presentations, this beautifully designed poster was presented by Dr. Alex Sawatzky at the 2016 Labrador Research Forum and the 2016 ArcticNet Annual Scientific Meeting. At both of these conferences, Alex won awards in the poster competition.

Through this poster, Alex presents work that she conducted in collaboration with Nunatsiavut Inuit to identify pathways for achieving and sustaining good wellbeing.

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Award Winning Poster

2016 Labrador Research Forum & 2016 ArcticNet ASM

New Publication! Using Whiteboard Videos for Health Promotion

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Citation

Saini, M., Roche, S., Papadopoulos, A., Markwick, N., Shiwak, I., Flowers, C., Wood, M., Edge, V., Ford, J., Rigolet Inuit Community Government, Nunatsiavut Government, IHACC Research Team, Wright, C., Harper, S. (2019). Promoting Inuit health through a participatory whiteboard video. Can J Public Health. doi: 10.17269/s41997-019-00189-1

Abstract

Setting: The Inuit community of Rigolet experiences greater rates of self-reported acute gastrointestinal illness (AGI) compared to southern Canada.

Intervention: A whiteboard video tool was collaboratively developed by Rigolet youth, community members, the research team and key regional stakeholders to share public health recommendations for reducing the risk of AGI. The video debuted in Rigolet at a community event in August 2016 and was later provided online for community members and local and regional health departments. Interviews and focus group discussions were used to evaluate the ability of the video to communicate public health information to community members in Rigolet.

Outcomes: Community and government viewers reported that the whiteboard video was novel and engaging. Evaluation participants believed the video was suitable for promoting Inuit health because of the use of locally relevant visuals and narrative, which reflect Inuit art and storytelling traditions. Furthermore, participants indicated that the video co-development process was critical to ensuring community relevance of the video. Short-term outcome results suggest the video can reinforce health knowledge and potentially encourage behavioural change.

Implications: The results suggest this whiteboard video was an effective tool to share information and could increase intention to change behaviours to reduce the risk of AGI in Rigolet. While tools like the whiteboard video are gaining popularity, the participatory approach was used to develop the video, and its use in an Inuit context illustrates its innovation and novelty. This tool may be a useful health promotion tool among Indigenous communities in Canada.

Award Winning Poster: Manpreet Saini

As a part of our “Award Winning Poster” series, this post celebrates Manpreet's presentation success at the ArcticNet Annual Scientific Meeting in 2015. At this meeting, Manpreet won one of the poster prizes for her work in collaboration with the Rigolet Inuit Community Government and the Nunatsiavut Government that evaluated the collaborative development of a whiteboard video for health promotion.

Congratulations Manpreet!

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Award Winning Poster

ArcticNet Annual Scientific Meeting 2015

Award Winning Poster: Jacqueline Middleton

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Congratulations to Jacqueline Middleton for winning the poster prize at the Labrador Research Forum in Happy Valley - Goose Bay in May 2019!

In Jacquie’s poster, she explores the role of community-identified metrics and modifiers that matter in a changing climate.

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Award Winning Poster

Labrador Research Forum 2019

How can integrated health & environmental monitoring support climate change adaptation? Check out our new publication to find out!

Congratulations to Alexandra Sawatzy on her recent publication. Alex reviewed integrated surveillance used for responding to climate and environmental change impacts on human health in the Circumpolar North. The article can be accessed, for free, at: https://www.mdpi.com/1660-4601/15/12/2706

Key Messages:

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Key Message 1:

The wide range and diversity of integrated surveillance systems described in the literature can help guide and target evidence-based public health responses in support of climate change adaptation in the North.

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Key Message 2:

2: Findings offer insight into how these systems can be designed to be more responsive to public health concerns within rapidly shifting Northern environments.

What are key components of integrated surveillance?

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Recommendations & Next Steps:

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Article citation:

Sawatzky, A., Cunsolo, A., Jones-Bitton, A., Middleton, J., Harper, S.L. (2018). Responding to Climate and Environmental Change Impacts on Human Health via Integrated Surveillance in the Circumpolar North: A Systematic Realist Review. Int. J. Environ. Res. Public Health.15(12), 2706. Click here to access the article (free open-access)

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.

The article can be accessed, for free, at: https://www.mdpi.com/1660-4601/15/12/2706

New Publication: Wastewater treatment and enteric illness in the Arctic

The article is freely available for 50 days: Anyone clicking on this link before February 03, 2019 will be taken directly to the final version of this article: https://authors.elsevier.com/c/1YE0uB8ccghTq

Citation:

Daley, K., Jamieson, R., Rainham, D., Hansen, L. T., Harper, S. L. (2018). Screening-level microbial risk assessment of acute gastrointestinal illness attributable to wastewater treatment systems in Nunavut, Canada. Science of the Total Environment. 657(20): 1253-1264.

Abstract:

Most arctic communities use primary wastewater treatment systems that are capable of only low levels of pathogen removal. Effluent potentially containing fecally derived microorganisms is released into wetlands and marine waters that may simultaneously serve as recreation or food harvesting locations for local populations. The purpose of this study is to provide the first estimates of acute gastrointestinal illness (AGI) attributable to wastewater treatment systems in Arctic Canada. A screening-level, point estimate quantitative microbial risk assessment model was developed to evaluate worst-case scenarios across an array of exposure pathways in five case study locations. A high annual AGI incidence rate of 5.0 cases per person is estimated in Pangnirtung, where a mechanical treatment plant discharges directly to marine waters, with all cases occurring during low tide conditions. The probability of AGI per person per single exposure during this period ranges between 1.0 × 10−1 (shore recreation) and 6.0 × 10−1 (shellfish consumption). A moderate incidence rate of 1.2 episodes of AGI per person is estimated in Naujaat, where a treatment system consisting of a pond and tundra wetland is used, with the majority of cases occurring during spring. The pathway with the highest individual probability of AGI per single exposure event is wetland travel at 6.0 × 10−1. All other risk probabilities per single exposure are <1.0 × 10−1. The AGI incidence rates estimated for the other three case study locations are <0.1. These findings suggest that wastewater treatment sites may be contributing to elevated rates of AGI in some arctic Canadian communities. Absolute risk values, however, should be weighed with caution based on the exploratory nature of this study design. These results can be used to inform future risk assessment and epidemiological research as well as support public health and sanitation decisions in the region.

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How can understanding hospital admission patterns inform climate change adaptation for the healthcare sector in Uganda? Read more to find out!

Kate Bishop-Williams and co-authors recently published an article in the International Journal of Environmental Research and Public Health. The article explored how understanding hospital admission patterns can promote climate change adaptation. Through this article, we illustrate how analyzing hospital data alongside meteorological parameters may inform climate-health planning in low-resource contexts.

How do non-climatic factors reinforce maladaptation trajectories? Check out this new publication to find out.

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Congratulations to Dr. Carol Zaveleta for her recent publication in PLoS One.  Her participatory, community-based study was conducted in collaboration with Shawi communities. Together, they worked to characterize the food system of the Shawi in the Peruvian Amazon, climatic and non-climatic drivers of their food security vulnerability to climate change, and identify potential maladaptation trajectories. They found that transformational food security adaptation should include consideration of Indigenous perceptions and priorities, and should be part of Peruvian food and socioeconomic development policies.  Click here for free article (open access).

Citation:

Zavaleta, C., Berrang-Ford, L., Ford, J., Llanos-Cuentas, A., Carcamo, C., Ross, N., Lancha, G., Sherman, M., Harper, S.L., IHACC Research Team. (2018) Multiple non-climatic drivers of food insecurity reinforce climate change maladaptation trajectories among Peruvian Indigenous Shawi in the Amazon. PLoS ONE 13(10): e0205714. Click here for free article (open access).

Abstract:

Background: Climate change is affecting food systems globally, with implications for food security, nutrition, and the health of human populations. There are limited data characterizing the current and future consequences of climate change on local food security for populations already experiencing poor nutritional indicators. Indigenous Amazonian populations have a high reported prevalence of nutritional deficiencies. This paper characterizes the food system of the Shawi of the Peruvian Amazon, climatic and non-climatic drivers of their food security vulnerability to climate change, and identifies potential maladaptation trajectories.

Methods and findings: Semi-structured interviews with key informants (n = 24), three photovoice workshops (n = 17 individuals), transect walks (n = 2), a food calendar exercise, and two community dissemination meetings (n = 30 individuals), were conducted within two Shawi communities in Balsapuerto District in the Peruvian Loreto region between June and September of 2014. The Shawi food system was based on three main food sub-systems (forest, farming and externally-sourced). Shawi reported collective, gendered, and emotional notions related to their food system activities. Climatic and non-climatic drivers of food security vulnerability among Shawi participants acted at proximal and distal levels, and mutually reinforced key maladaptation trajectories, including: 1) a growing population and natural resource degradation coupled with limited opportunities to increase incomes, and 2) a desire for education and deforestation reinforced by governmental social and food interventions.

Conclusion: A series of maladaptive trajectories have the potential to increase social and nutritional inequities for the Shawi. Transformational food security adaptation should include consideration of Indigenous perceptions and priorities, and should be part of Peruvian food and socioeconomic development policies.