Abstract:
BACKGROUND:Kivalina is a northwest Alaska barrier island village of 400 people vulnerable to storm surges exacerbated recently by delayed winter sea and shore ice formation. The village has no in-home piped water or sewage; the "washeteria" is the only structure providing public showers, laundry facilities and flush toilets. In October 2004, a storm damaged the washeteria septic system resulting in prolonged facility closures. We assessed rates of gastrointestinal, respiratory and skin infections potentially impacted by prolonged washeteria closures. METHODS:We obtained washeteria closure dates from 2003 to July 2009 and defined >7 day closure as prolonged. We received de-identified data on all Kivalina clinic visits from 2003 to 2009 and selected visits with ICD-9 diagnosis codes for respiratory, skin, or gastrointestinal infection; subsequent same patient/same illness-category visits within 14 days were excluded. We compared annual visit rates, for all ages combined, before (2003-2004) and after (2005-2009) the "2004" storm. RESULTS:The washeteria had prolonged closures for 34 days (4.7%) in the 2 years 2003-2004 and 864 days (51.7%) between January 2005 and July 2009. Closures ranged from 8 to 248 days. Respiratory infection rates declined significantly from 1.32 visits/person/year in the 2003-2004 period to 0.99 visits/person/year in the 2005-2009 period. There was a significant increase in skin infection rates after 2004, peaking at 0.28 visits/person/year in 2007 and then declining significantly to 0.15 visits/person/year in 2009. Gastrointestinal infection rates remained stable and low throughout (average: 0.05 visits/person/year). No temporal association was observed between respiratory, gastrointestinal or skin infection rates and prolonged washeteria closures. CONCLUSION:The Kivalina washeteria was closed frequently and for extended periods between 2005 and 2009. Initial closures possibly resulted in increased skin infection rates. No increase in respiratory or gastrointestinal infections was noted. Evaluation of community adaptations to closures and other factors (e.g. childhood pneumococcal vaccination) would expand understanding of these findings.
journal_name
Int J Circumpolar Healthjournal_title
International journal of circumpolar healthauthors
Thomas TK,Bell J,Bruden D,Hawley M,Brubaker Mdoi
10.3402/ijch.v72i0.21233subject
Has Abstractpub_date
2013-08-05 00:00:00eissn
1239-9736issn
2242-3982pii
21233journal_volume
72pub_type
杂志文章abstract:OBJECTIVES:To review the current status of health care access and utilization among Indigenous people in the North America, Australia and New Zealand. STUDY DESIGN:Literature review. METHODS:A systematic search and critical review of relevant studies using online searches of electronic databases (PubMed, PsychINFO, M...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
doi:10.3402/ijch.v66i3.18254
更新日期:2007-06-01 00:00:00
abstract::Various types of system reactions of men's organism to industrial migrations (Tyumen--in latitude 57 degrees north and Kharasavey in latitude 71 degrees north) and the influence of climate stress are determined. Type I reaction is characterised by a moderate increase of the watch and its subsequent normalisation. Thus...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2001-11-01 00:00:00
abstract:OBJECTIVES:We set out to find out in which way seasonal changes of environmental luminosity could affect melatonin secretion in humans. STUDY DESIGN:For an entire year we collected every two months nocturnal urine samples from 20 male outdoor workers who lived and worked in an area of the circumpolar region from which...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v63i0.17888
更新日期:2004-01-01 00:00:00
abstract::The goal of the Norwegian Ministry of Health and Care Services is to offer an equal health-care service with the same outcomes wherever people are living within the country. The aim of this study was to evaluate whether this was true for patients diagnosed with metastatic prostate cancer (mPC) and living in Nordland C...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2019.1620086
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:The medical internship as a way of exposing young doctors to training in a rural context is regarded as a useful tool to recruit and retain doctors in rural areas. Norwegian health authorities tested an arrangement of early sign-up for medical internships in the Finnmark County in Norway. OBJECTIVE:To repor...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2017.1314415
更新日期:2017-01-01 00:00:00
abstract::The most important risk factors and findings of acute accidental hypothermia and concomitant local frostbites are reviewed. Both external and internal risk factors are usually present when exposure to cold is leading to death. The external factors are alcohol and psychic drugs, too light a clothing for the circumstanc...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
doi:
更新日期:2000-04-01 00:00:00
abstract::Mortality was compared in two major towns in northern Finland (Kemi and Oulu), which according to previous studies have high and low mortalities, respectively. In 1991-1995 life expectancy at birth in Oulu exceeded the national average by 0.7 years in males and 0.4 years in females but in Kemi it fell short of the nat...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVES:To analyze the prevalence of poor oral health and selected determinants in First Nations (FN) and Caucasian samples in Manitoba, Canada. STUDY DESIGN:Cross-sectional survey, nested in a cohort study. METHODS:FN and Caucasian participants completed a questionnaire on socio-demographic variables, oral health...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.17394
更新日期:2012-03-19 00:00:00
abstract:BACKGROUND:This study was part of the international research project "Circumpolar Indigenous Pathways to Adulthood" (CIPA). OBJECTIVES:To explore ethnic identity negotiation, an unexplored theme, among indigenous North Sami youth living in a majority Sami community context in Arctic Norway. METHODS:A qualitative desi...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2017.1316939
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:This study was conducted to learn from snow crab plants workers and others involved in the industry their knowledge and beliefs of health issues and potential solutions. STUDY DESIGN:This is a survey in four communities with different crab plant designs in Newfoundland and Labrador, Canada. METHODS:At the ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v63i0.17931
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to describe adherence to health regimens and the factors associated with it among adult frequent attenders (FAs). DESIGN:This was a cross-sectional study. The study sample consisted of 462 healthcare FAs in 7 municipal health centres in northern Finland. An FA is a person who has ha...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.30726
更新日期:2016-03-18 00:00:00
abstract:BACKGROUND:Serum thyroid hormones, plasma catecholamines and mood were examined in 10 male members of the 16th Chinese Antarctic Expedition who spent the 2000 austral winter at Great Wall Station. STUDY DESIGN:Samples were taken prior to deployment to Antarctica (December, 1999) and upon return to China 54 weeks later...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v62i3.17562
更新日期:2003-09-01 00:00:00
abstract::Anglican Church of Canada burial records from 1851-1964 for the Moose Factory First Nation are analysed for mortality seasonality. The 113-year study period is subdivided into three death cohorts (1851-1906, 1914-1945 and 1946-1964) that broadly reflect the late 19th century, early 20th century, and the post-WWII peri...
journal_title:International journal of circumpolar health
pub_type: 历史文章,杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVES:To describe the background, approach and general results of the Center for Alaska Native Health Research (CANHR) study. STUDY DESIGN:This was a cross-sectional Community-Based Participatory Research (CBPR) study with one tribal group to assess risk and protection for obesity and the risk factors related to ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v66i1.18219
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVES:To describe the attitudes about and experiences with cervical cancer, Pap smear screenings and the HPV vaccine among a sample of Inuit women from Nunavik, Quebec, Canada. We also evaluated demographic and social predictors of maternal interest in HPV vaccination. STUDY DESIGN:A mixed method design was used ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.17996
更新日期:2012-03-19 00:00:00
abstract::In this article we review the thirty-year-old person from the viewpoint of the development psychology, life span, physical health and family life. In his psychological development a person has at this stage become adult, but he still uses some psychic mechanisms and coping strategies which are typical for the adolesce...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
doi:
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVES:To estimate the age- and gender-specific consultation rates of patients who availed primary health care service in Greenland and to analyse contact patterns among patients in Nuuk. DESIGN:Observational and cross-sectional register study using data captured from the medical records. MATERIALS AND METHODS:Th...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.18431
更新日期:2012-07-24 00:00:00
abstract::Our research in high latitudes has allowed the identification of a special class of deadaptive disorders, northern cardiometeopathies, which integrates cardiovascular functional violations connected to biologically significant modifications of meteorological, geomagnetic, electrical, gravitational, rhythmological and ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVES:To trace the historical development of the Rankin Inlet Birthing Centre since its inception in 1993 in the context of plans to make it the nucleus of a system of community birthing centres throughout Nunavut. STUDY DESIGN:This is an analytical historical study using a combination of oral history interviews,...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v70i2.17803
更新日期:2011-04-01 00:00:00
abstract::Traditional food systems research with Canadian Indigenous Peoples has revealed many aspects of benefits and risks of the use of this food. Traditions based in hunting, fishing and gathering contain a great variety of species of wildlife plants and animals that provide rich cultural and nutritional benefits. Dietary c...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract::Infertility is an increasing problem for both individuals and societies. The number of couples seeking treatment for infertility is increasing each year, and public interest seems to be rising along with the new treatment methods and the improving results. Male infertility is also of great interest now that several st...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
doi:
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVES:The first aim was to study how oral health care delivery was organized in member countries and to determine whether there were differences across the Barents region. The second aim was to assess the performance of the care provision systems. The Barents region is one of the largest hinterlands in northern Eu...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v69i5.17693
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Tobacco reduction is a major priority in Canadian Inuit communities. However, many Inuit frontline health workers lacked the knowledge, confidence and support to address the tobacco epidemic. Given vast distances, high costs of face-to-face training and previous successful pilots using distance education, th...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21078
更新日期:2013-08-05 00:00:00
abstract::Despite extensive investigations, some patients have no identifiable cause for their cholestatic liver enzyme abnormalities. The aim of this study was to document the clinical, laboratory, radiologic and histologic features of adult patients with idiopathic cholestasis (AIC). A computerised database of referred patien...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2017.1388104
更新日期:2017-01-01 00:00:00
abstract::Thyroid hormones are important for metabolic regulation. A number of studies have dealt with the effect of arctic living on thyroid hormone secretion and metabolism in healthy animals and humans. Little is however known of the effect of arctic living on the occurrence of thyroid diseases. In a study from Upernavik, Gr...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract::The article describes national, regional and community-level activities that contributed to the Manitoba First Nation partnership in maternal and child health programming. The activities reveal a potential for health change that is possible through working together across jurisdictional boundaries. Although we are onl...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v70i4.17837
更新日期:2011-09-01 00:00:00
abstract::We compared rates of unintentional injury (UI) deaths (total and by injury category) among Alaska Native (AN) people to rates of U.S. White (USW) and Alaska White (AKW) populations during 2006-2015. The mortality data for AN and AKW populations were obtained from Alaska Bureau of Vital Statistics and USW mortality dat...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2017.1422671
更新日期:2018-12-01 00:00:00
abstract::Climate change could cause changes in the incidence of infectious diseases in Arctic regions. Higher ambient temperatures in the Arctic may result in an increase in some temperature sensitive foodborne diseases such as gastroenteritis, paralytic shellfish poisoning and botulism. An increase in mean temperature may als...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v64i5.18029
更新日期:2005-12-01 00:00:00
abstract::Subsistence food preparations may lead to human illnesses caused by pathogenic bacteria and viruses. Little is known about the incidence of food-borne illnesses other than botulism in circumpolar indigenous populations. Lack of documentation for other pathogens may be related to the sparsely populated communities invo...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
doi:
更新日期:1998-01-01 00:00:00
abstract::Two different possible behaviors at -5 degrees C after cold water immersion were studied. A test subject wearing winter clothing walked (5 km/h) on a treadmill for 45 minutes at -5 degrees C and at a wind velocity of 3 m/s with dry clothing, immediately after a thorough immersion in 5 degrees C water, or after immersi...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00