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Adaptation to climate change in the Ontario public health sector.

https://arctichealth.org/en/permalink/ahliterature123280
Source
BMC Public Health. 2012;12:452
Publication Type
Article
Date
2012
Author
Jaclyn A Paterson
James D Ford
Lea Berrang Ford
Alexandra Lesnikowski
Peter Berry
Jim Henderson
Jody Heymann
Author Affiliation
Department of Geography, McGill University, Burnside Hall, Montreal, QC, Canada. jpater10@gmail.com
Source
BMC Public Health. 2012;12:452
Date
2012
Language
English
Publication Type
Article
Keywords
Climate change
Geography, Medical
Humans
Local Government
Ontario
Public Health
Qualitative Research
Risk Management - organization & administration
Abstract
Climate change is among the major challenges for health this century, and adaptation to manage adverse health outcomes will be unavoidable. The risks in Ontario - Canada's most populous province - include increasing temperatures, more frequent and intense extreme weather events, and alterations to precipitation regimes. Socio-economic-demographic patterns could magnify the implications climate change has for Ontario, including the presence of rapidly growing vulnerable populations, exacerbation of warming trends by heat-islands in large urban areas, and connectedness to global transportation networks. This study examines climate change adaptation in the public health sector in Ontario using information from interviews with government officials.
Fifty-three semi-structured interviews were conducted, four with provincial and federal health officials and 49 with actors in public health and health relevant sectors at the municipal level. We identify adaptation efforts, barriers and opportunities for current and future intervention.
Results indicate recognition that climate change will affect the health of Ontarians. Health officials are concerned about how a changing climate could exacerbate existing health issues or create new health burdens, specifically extreme heat (71%), severe weather (68%) and poor air-quality (57%). Adaptation is currently taking the form of mainstreaming climate change into existing public health programs. While adaptive progress has relied on local leadership, federal support, political will, and inter-agency efforts, a lack of resources constrains the sustainability of long-term adaptation programs and the acquisition of data necessary to support effective policies.
This study provides a snapshot of climate change adaptation and needs in the public health sector in Ontario. Public health departments will need to capitalize on opportunities to integrate climate change into policies and programs, while higher levels of government must improve efforts to support local adaptation and provide the capacity through which local adaptation can succeed.
Notes
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PubMed ID
22712716 View in PubMed
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Adapting to the effects of climate change on Inuit health.

https://arctichealth.org/en/permalink/ahliterature104452
Source
Am J Public Health. 2014 Jun;104 Suppl 3:e9-17
Publication Type
Article
Date
Jun-2014
Adapting to the Effects of Climate Change on Inuit Health Climate change will have far-reaching implications for Inuit health. Focusing on adaptation offers a pro- active approach for manag- ing climate-related health risks—one that views Inuit populationsasactiveagents in planning and
  1 document  
Author
James D Ford
Ashlee Cunsolo Willox
Susan Chatwood
Christopher Furgal
Sherilee Harper
Ian Mauro
Tristan Pearce
Author Affiliation
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.
Source
Am J Public Health. 2014 Jun;104 Suppl 3:e9-17
Date
Jun-2014
Language
English
Geographic Location
Canada
Publication Type
Article
File Size
924997
Keywords
Adaptation, Psychological
Arctic Regions
Canada
Climate change
Food Supply
Health status
Humans
Inuits
Vulnerable Populations
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.
Notes
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PubMed ID
24754615 View in PubMed
Documents
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Canadian federal support for climate change and health research compared with the risks posed.

https://arctichealth.org/en/permalink/ahliterature135310
Source
Am J Public Health. 2011 May;101(5):814-21
Publication Type
Article
Date
May-2011
Author
James D Ford
Tanya R Smith
Lea Berrang-Ford
Author Affiliation
Department of Geography, McGill University, Montreal, Quebec, Canada. james.ford@mcgill.ca
Source
Am J Public Health. 2011 May;101(5):814-21
Date
May-2011
Language
English
Publication Type
Article
Keywords
Canada
Climate Change - economics
Financing, Government - economics - statistics & numerical data
Health Priorities
Health Services Research - economics
Humans
Inuits
Politics
Risk factors
Abstract
For emerging public health risks such as climate change, the Canadian federal government has a mandate to provide information and resources to protect citizens' health. Research is a key component of this mandate and is essential if Canada is to moderate the health effects of a changing climate. We assessed whether federal support for climate change and health research is consistent with the risks posed. We audited projects receiving federal support between 1999 and 2009, representing an investment of Can$16 million in 105 projects. Although funding has increased in recent years, it remains inadequate, with negligible focus on vulnerable populations, limited research on adaptation, and volatility in funding allocations. A federal strategy to guide research support is overdue.
Notes
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PubMed ID
21490335 View in PubMed
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Community-based adaptation research in the Canadian Arctic.

https://arctichealth.org/en/permalink/ahliterature276482
Source
Wiley Interdiscip Rev Clim Change. 2016 Mar-Apr;7(2):175-191
Publication Type
Article
Date
2016
emerged over the last decade as an approach to empowering communities to plan for and cope with the impacts of climate change. While such approaches have been widely advocated, few have critically examined the tensions and challenges that CBA brings. Responding to this gap, this article critically
  1 document  
Author
James D Ford
Ellie Stephenson
Ashlee Cunsolo Willox
Victoria Edge
Khosrow Farahbakhsh
Christopher Furgal
Sherilee Harper
Susan Chatwood
Ian Mauro
Tristan Pearce
Stephanie Austin
Anna Bunce
Alejandra Bussalleu
Jahir Diaz
Kaitlyn Finner
Allan Gordon
Catherine Huet
Knut Kitching
Marie-Pierre Lardeau
Graham McDowell
Ellen McDonald
Lesya Nakoneczny
Mya Sherman
Source
Wiley Interdiscip Rev Clim Change. 2016 Mar-Apr;7(2):175-191
Date
2016
Language
English
Geographic Location
Canada
Publication Type
Article
File Size
191611
Keywords
Arctic Regions
Climate change
Adaptation
Communities
Traditional knowledge
Abstract
Community-based adaptation (CBA) has emerged over the last decade as an approach to empowering communities to plan for and cope with the impacts of climate change. While such approaches have been widely advocated, few have critically examined the tensions and challenges that CBA brings. Responding to this gap, this article critically examines the use of CBA approaches with Inuit communities in Canada. We suggest that CBA holds significant promise to make adaptation research more democratic and responsive to local needs, providing a basis for developing locally appropriate adaptations based on local/indigenous and Western knowledge. Yet, we argue that CBA is not a panacea, and its common portrayal as such obscures its limitations, nuances, and challenges. Indeed, if uncritically adopted, CBA can potentially lead to maladaptation, may be inappropriate in some instances, can legitimize outside intervention and control, and may further marginalize communities. We identify responsibilities for researchers engaging in CBA work to manage these challenges, emphasizing the centrality of how knowledge is generated, the need for project flexibility and openness to change, and the importance of ensuring partnerships between researchers and communities are transparent. Researchers also need to be realistic about what CBA can achieve, and should not assume that research has a positive role to play in community adaptation just because it utilizes participatory approaches. WIREs Clim Change 2016, 7:175-191. doi: 10.1002/wcc.376 For further resources related to this article, please visit the WIREs website.
PubMed ID
27668014 View in PubMed
Documents
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Feeding the family during times of stress: experience and determinants of food insecurity in an Inuit community.

https://arctichealth.org/en/permalink/ahliterature100389
Source
Geogr J. 2010;:000
Publication Type
Article
Date
2010
Author
James D Ford
Maude Beaumier
Author Affiliation
Department of Geography, McGill University, Montreal, Quebec, Canada.
Source
Geogr J. 2010;:000
Date
2010
Language
English
Publication Type
Article
Keywords
Arctic regions - ethnology
Climate Change - economics - history
Community Networks - economics - history
Ethnic Groups - education - ethnology - history - legislation & jurisprudence - psychology
Family Characteristics - ethnology
Family Health - ethnology
Food Supply - economics - history - legislation & jurisprudence
History, 20th Century
History, 21st Century
Humans
Inuits - education - ethnology - history - legislation & jurisprudence - psychology
Residence Characteristics
Social Conditions - economics - history - legislation & jurisprudence
Socioeconomic Factors
Starvation - economics - ethnology - history - psychology
Abstract
This paper uses a mixed methods approach to characterise the experience of food insecurity among Inuit community members in Igloolik, Nunavut, and examine the conditions and processes that constrain access, availability, and quality of food. We conducted semi-structured interviews (n= 66) and focus groups (n= 10) with community members, and key informant interviews with local and territorial health professionals and policymakers (n= 19). The study indicates widespread experience of food insecurity. Even individuals and households who were food secure at the time of the research had experienced food insecurity in the recent past, with food insecurity largely transitory in nature. Multiple determinants of food insecurity operating over different spatial-temporal scales are identified, including food affordability and budgeting, food knowledge and preferences, food quality and availability, environmental stress, declining hunting activity, and the cost of harvesting. These determinants are operating in the context of changing livelihoods and climate change, which in many cases are exacerbating food insecurity, although high-order manifestations of food insecurity (that is, starvation) are no longer experienced.
PubMed ID
20860093 View in PubMed
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Food insecurity among Inuit women exacerbated by socioeconomic stresses and climate change.

https://arctichealth.org/en/permalink/ahliterature141282
Source
Can J Public Health. 2010 May-Jun;101(3):196-201
Publication Type
Article
Author
Maude C Beaumier
James D Ford
Author Affiliation
Department of Geography, McGill University, Room 308C Burnside Hall, 805 Sherbrooke St. W., Montreal, QC H3A 2K6.
Source
Can J Public Health. 2010 May-Jun;101(3):196-201
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adult
Aged
Climate change
Cultural Characteristics
Female
Financing, Personal
Focus Groups
Food Supply - statistics & numerical data
Humans
Hunger
Interviews as Topic
Inuits - psychology
Middle Aged
Nunavut - ethnology
Socioeconomic Factors
Women's health
Abstract
To identify and characterize the determinants of food insecurity among Inuit women.
A community-based study in Igloolik, Nunavut, using semi-structured interviews (n = 36) and focus groups (n = 5) with Inuit women, and key informants interviews with health professionals (n = 13).
There is a high prevalence of food insecurity among Inuit females in Igloolik, with women in the study reporting skipping meals and reducing food intake on a regular basis. Food insecurity is largely transitory in nature and influenced by food affordability and budgeting; food knowledge; education and preferences; food quality and availability; absence of a full-time hunter in the household; cost of harvesting; poverty; and addiction. These determinants are operating in the context of changing livelihoods and climate-related stresses.
Inuit women's food insecurity in Igloolik is the outcome of multiple determinants operating at different spatial-temporal scales. Climate change and external socio-economic stresses are exacerbating difficulties in obtaining sufficient food. Coping strategies currently utilized to manage food insecurity are largely reactive and short-term in nature, and could increase food system vulnerability to future stresses. Intervention by local, territorial and federal governments is required to implement, coordinate and monitor strategies to enhance women's food security, strengthen the food system, and reduce vulnerability to future stressors.
PubMed ID
20737808 View in PubMed
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"From this place and of this place:" climate change, sense of place, and health in Nunatsiavut, Canada.

https://arctichealth.org/en/permalink/ahliterature124293
Source
Soc Sci Med. 2012 Aug;75(3):538-47
Publication Type
Article
Date
Aug-2012
Author
Ashlee Cunsolo Willox
Sherilee L Harper
James D Ford
Karen Landman
Karen Houle
Victoria L Edge
Author Affiliation
School of Environmental Design & Rural Development, University of Guelph, Guelph, Ontario, Canada N1G 2W1. ashlee@uoguelph.ca
Source
Soc Sci Med. 2012 Aug;75(3):538-47
Date
Aug-2012
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Climate change
Emotions
Food Supply
Health status
Humans
Inuits - psychology
Male
Mental Health - ethnology
Middle Aged
Newfoundland and Labrador - epidemiology
Nunavut - epidemiology
Qualitative Research
Young Adult
Abstract
As climate change impacts are felt around the globe, people are increasingly exposed to changes in weather patterns, wildlife and vegetation, and water and food quality, access and availability in their local regions. These changes can impact human health and well-being in a variety of ways: increased risk of foodborne and waterborne diseases; increased frequency and distribution of vector-borne disease; increased mortality and injury due to extreme weather events and heat waves; increased respiratory and cardiovascular disease due to changes in air quality and increased allergens in the air; and increased susceptibility to mental and emotional health challenges. While climate change is a global phenomenon, the impacts are experienced most acutely in place; as such, a sense of place, place-attachment, and place-based identities are important indicators for climate-related health and adaptation. Representing one of the first qualitative case studies to examine the connections among climate change, a changing sense of place, and health in an Inuit context, this research draws data from a multi-year community-driven case study situated in the Inuit community of Rigolet, Nunatsiavut, Canada. Data informing this paper were drawn from the narrative analysis of 72 in-depth interviews conducted from November 2009 to October 2010, as well as from the descriptive analysis of 112 questionnaires from a survey in October 2010 (95% response rate). The findings illustrated that climate change is negatively affecting feelings of place attachment by disrupting hunting, fishing, foraging, trapping, and traveling, and changing local landscapes-changes which subsequently impact physical, mental, and emotional health and well-being. These results also highlight the need to develop context-specific climate-health planning and adaptation programs, and call for an understanding of place-attachment as a vital indicator of health and well-being and for climate change to be framed as an important determinant of health.
PubMed ID
22595069 View in PubMed
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Source
Am J Public Health. 2012 Jul;102(7):1260-6
Publication Type
Article
Date
Jul-2012
Author
James D Ford
Author Affiliation
Department of Geography, McGill University, Montreal, Quebec, Canada. james.ford@mcgill.ca
Source
Am J Public Health. 2012 Jul;102(7):1260-6
Date
Jul-2012
Language
English
Publication Type
Article
Keywords
Climate change
Developing Countries
Health status
Humans
Population Groups
Vulnerable Populations
World Health
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.
Notes
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PubMed ID
22594718 View in PubMed
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Mapping human dimensions of climate change research in the Canadian Arctic.

https://arctichealth.org/en/permalink/ahliterature122320
Source
Ambio. 2012 Dec;41(8):808-22
Publication Type
Article
Date
Dec-2012
REVIEW PAPER Mapping Human Dimensions of Climate Change Research in the Canadian Arctic James D. Ford, Kenyon Bolton, Jamal Shirley, Tristan Pearce, Martin Tremblay, Michael Westlake Received: 16 September 2011 / Revised: 8 May 2012 / Accepted: 20 June 2012 / Published online: 25 July 2012
  1 document  
Author
James D Ford
Kenyon Bolton
Jamal Shirley
Tristan Pearce
Martin Tremblay
Michael Westlake
Author Affiliation
Department of Geography, McGill University, Montreal, QC, Canada. James.ford@mcgill.ca
Source
Ambio. 2012 Dec;41(8):808-22
Date
Dec-2012
Language
English
Geographic Location
Canada
Publication Type
Article
File Size
622729
Keywords
Arctic Regions
Canada
Climate change
Humans
Inuits
Abstract
This study maps current understanding and research trends on the human dimensions of climate change (HDCC) in the eastern and central Canadian Arctic. Developing a systematic literature review methodology, 117 peer reviewed articles are identified and examined using quantitative and qualitative methods. The research highlights the rapid expansion of HDCC studies over the last decade. Early scholarship was dominated by work documenting Inuit observations of climate change, with research employing vulnerability concepts and terminology now common. Adaptation studies which seek to identify and evaluate opportunities to reduce vulnerability to climate change and take advantage of new opportunities remain in their infancy. Over the last 5 years there has been an increase social science-led research, with many studies employing key principles of community-based research. We currently have baseline understanding of climate change impacts, adaptation, and vulnerability in the region, but key gaps are evident. Future research needs to target significant geographic disparities in understanding, consider risks and opportunities posed by climate change outside of the subsistence hunting sector, complement case study research with regional analyses, and focus on identifying and characterizing sustainable and feasible adaptation interventions.
Notes
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PubMed ID
22829324 View in PubMed
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What role can unmanned aerial vehicles play in emergency response in the Arctic: A case study from Canada.

https://arctichealth.org/en/permalink/ahliterature299596
Source
PLoS One. 2018; 13(12):e0205299
Publication Type
Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't
Date
2018
Author
Dylan G Clark
James D Ford
Taha Tabish
Author Affiliation
Department of Geography, McGill University, Montreal, Canada.
Source
PLoS One. 2018; 13(12):e0205299
Date
2018
Language
English
Publication Type
Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Air Ambulances
Arctic Regions
Canada
Climate change
Emergency Medical Services - methods
Female
Humans
Male
Middle Aged
Weather
Abstract
This paper examines search and rescue and backcountry medical response constraints in the Canadian Arctic and potential for unmanned aerial vehicles (UAV) to aid in response and preparedness. Semi-structured interviews (n = 18) were conducted with search and rescue responders, Elders, and emergency management officials to collect data on current emergency response and potential for UAV use. UAV test flights (n = 17) were undertaken with community members. We analyzed five years of weather data to examine UAV flight suitability. Numerous challenges face Arctic search and rescue and backcountry emergency response. Changing social and environmental conditions were described as increasing vulnerability to backcountry emergencies. Responders desired additional first aid and emergency training. Legal and weather restrictions were found to limit where, when and who could fly UAVs. UAVs were demonstrated to have potential benefits for hazard monitoring but not for SAR or medical response due to legal restrictions, weather margins, and local capacity. We find that communities are ill-prepared for ongoing SAR demands, let alone a larger disaster. There are numerous limitations to the use of consumer UAVs by Arctic communities. Prevention of backcountry medical emergencies, building resilience to disasters, and first responder training should be prioritized over introducing UAVs to the response system.
PubMed ID
30562340 View in PubMed
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