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At least 469 records · Page 26Linked to original sources
PubMed1994

Exposure of remote maritime populations to coplanar PCBs.

Two remote maritime populations were evaluated for their biological exposure to organochlorines in 1989-1990. Because of their high intake of seafood, these two populations have high biological levels. One hundred nine breast milk samples from Inuit women from Arctic Québec were analyzed to determine levels of polychlorodibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), and coplanar polychlorinated biphenyls (PCBs) including non-ortho, mono-ortho, and di-ortho congeners. Total 2,3,7,8-tetrachlorodibenzo-p-dioxin equivalents (TEqs) for PCBs were 3.5 times higher in Inuit milk samples than in 96 Caucasian milk samples. Among the 185 fishermen from the Lower North Shore of the Gulf of the St. Lawrence River, we evaluated 10 highly exposed fishermen for their coplanar PCB blood levels. Total TEqs were 900 ng/kg for highly exposed individuals with 36 ng/kg for controls. In these two nonoccupationally exposed populations, coplanar PCBs make a larger contribution to the TEq than PCDDs and PCDFs. However, the mono-ortho penta CB No. 118 is the major contributor for the total toxicity.

Animals↗
PubMed2002

Apolipoprotein E and H polymorphisms in Mongolian Buryat: allele frequencies and relationship with plasma lipid levels.

A Buryat population consisting of seven tribal groups in eastern Mongolia has been screened to determine the frequency distribution of different apolipoprotein E and H alleles (APOE and APOH, genes) coding for common isoforms and their association with quantitative plasma lipid levels. Allele frequencies at the APOE locus in 125 healthy Buryat aged 17 to 73 years were highest for APOE*3 (0.804), followed by APOE*4 (0.164) and APOE*2 (0.032). The APOH locus had high frequencies of APOH*2 (0.912) and APOH*3 (0.088). APOH*1 was not detected. No significant differences were observed in the overall APOE allele frequencies between the Buryat and the Siberian Evenki, Inuits, and Indians in Asia, or with some European whites. The frequency distribution of the overall APOH alleles of the Buryat was similar to that of the Japanese in Asia. Overall plasma lipid levels of the Buryat (males aged 20 to 73 years, females aged 21 to 64 years) were considerably lower, comparable to those of the Evenki. The APOE*4/E*3 males had significantly high total- and LDL-cholesterol levels compared with the APOE*3/E*3 males (p < 0.025 and p < 0.01, respectively). No significant effects of the APOH genotypes on any of the plasma lipid levels were observed. In particular, our data regarding APOE suggest that the Buryat are genetically close in allele frequencies to the Evenki and Inuits, but differ from them in the association of genotype APOE*4/E*3 with cholesterol levels.

Adolescent↗
PubMed2000

Association between PON1 L/M55 polymorphism and plasma lipoproteins in two Canadian aboriginal populations.

Serum paraoxonase circulates on a subfraction of high density lipoproteins and appears to use phospholipids on both low and high density lipoprotein particles as a physiological substrate. This functional relationship could explain the reported associations between common variation in the PON1 gene--at codons 55 and 192--and phenotypes related to atherosclerosis and lipoprotein metabolism. We evaluated associations between plasma lipoproteins and PON1 L/M55, PON1 Q/R192 and PON2 A/G148 polymorphisms in samples from two Canadian aboriginal populations, namely the Oji-Cree and the Inuit. In diabetic Oji-Cree, we found that carriers of PON1 M55 had a higher mean plasma triglyceride concentration than non-carriers. In non-diabetic Oji-Cree, we found that carriers of PON1 M55 had higher mean plasma concentrations of total and low density lipoporetein cholesterol and apo B than non-carriers. In Inuit, we found that carriers of PON1 M55 had higher mean plasma concentrations of total and low density lipoprotein cholesterol than non-carriers. The other polymorphic markers were not associated with variation in any plasma lipoprotein trait. Thus, the PON1 M55 allele appeared to be associated with deleterious changes in the plasma lipoprotein profile from two independent Canadian aboriginal samples. These results suggest that common variation in PON1 codon 55 is associated with variation of intermediate traits in plasma lipoprotein metabolism in aboriginal Canadians.

Adolescent↗
PubMedDate not supplied

Organic mercury: an environmental threat to the health of dietary-exposed societies?

As a natural element, mercury is ubiquitous in the environment. The largest amount of mercury, amounting to approximately 100,000 tons per year, originates from the degassing of the earth's crust. To this amount, such anthropogenic activities as combustion of fossil fuels and releases from industrial activities add approximately 20,000 tons of mercury every year. The emitted mercury, both natural and anthropogenic, is in an inorganic form, predominantly as the metallic vapor (Hgzero). In aquatic environments, however, inorganic mercury is microbiologically transformed into the lipophilic organic compound, methylmercury. The transformation from the hydrophilic to the lipophilic state makes mercury more prone to biomagnification in aquatic food chains. Consequently, populations with a traditionally high dietary intake of food originating from either fresh-water or marine environments have the highest exposure to methylmercury. Because of their traditional pursuit of marine mammals, the Inuits belong to the highest dietary exposure group /1/. This situation is particularly true for the Polar Eskimos in North West Greenland. This population has the most traditional lifestyle among the Inuits and hunts predatory species of whales, such as beluga and narwhal, a combination that results in a high level of exposure to methylmercury. Polar Eskimos in North West Greenland, living in areas with no 'accidental' mercury pollution, but with a high dietary access to methylmercury thus exemplify a population group with a current potential environmental health problem.

Carcinogens, Environmental↗
PubMed2005

The last frontier: isolation and Aboriginal health.

Using the evidence of articles on Native and Inuit health in Canadian medical and public health periodicals, this paper will show that medical professionals defined Aboriginal health in terms of isolation. Notions of isolation influenced how Aboriginal bodies were depicted as "primitive" and "susceptible," while images of empty, isolated territory inspired a vision for expanded federal services. These services were provided in part in the hopes that health programs would assist national goals to integrate "isolated" Aboriginal people as citizens. Last, a discourse on isolation served to sanctify those medical professionals who worked with native and Inuit people.

Acculturation↗
PubMed2003

Smoking as a determinant of high organochlorine levels in Greenland.

The authors investigated the accumulation of organochlorines among smoking and nonsmoking Inuit hunters (n = 48) in Uummanaq, Greenland, a population with high dietary exposure to persistent organic pollutants (POPs). Human plasma organochlorine levels were positively correlated with age, marine diet, and smoking or plasma cotinine in multiple linear-regression models (p < 0.001). Body mass index was inversely correlated with organochlorine accumulation, independent of smoking status. These findings confirm that the source of POPs among the Inuit in Greenland is diet, but smoking is an important determinant of POP bioaccumulation. Smoking cessation may provide a means to lower the body burden of POPs.

Adult↗
PubMed2002

Population-based study of acute respiratory infections in children, Greenland.

Acute respiratory infections (ARI) are frequent in Inuit children, in terms of incidence and severity. A cohort of 294 children <2 years of age was formed in Sisimiut, a community on the west coast of Greenland, and followed from 1996 to 1998. Data on ARI were collected during weekly visits at home and child-care centers; visits to the community health center were also recorded. The cohort had respiratory symptoms on 41.6% and fever on 4.9% of surveyed days. The incidence of upper and lower respiratory tract infections was 1.6 episodes and 0.9 episodes per 100 days at risk, respectively. Up to 65% of the episodes of ARI caused activity restriction; 40% led to contact with the health center. Compared with studies from other parts of the world, the incidence of ARI appears to be high in Inuit children.

Acute Disease↗
PubMed2002

Violence, sexual abuse and health in Greenland.

The purposes of the study were to analyse the lifetime prevalence of violence and sexual abuse among the Inuit in Greenland and to study the associations between health and having been the victim of violence or sexual abuse. Associations were studied with specific attention to possible differences between women and men. Further, response rates were analysed specifically in order to understand consequences of including questions on violence and sexual abuse in the questionnaire survey. The analyses were based on material from a cross-sectional health interview survey conducted during 1993-94 with participation from a random sample of the Inuit population in Greenland (N = 1393). The prevalence of ever having been a victim of violence was 47% among women and 48% among men. Women had more often than men been sexually abused (25% and 6%) (p < 0,001) and had more often been sexually abused in childhood (8% and 3%) (p = 0.001). Having been the victim of violence or sexual abuse was significantly associated with a number of health problems: chronic disease, recent illness, poor self-rated health, and mental health problems. The associations between having been the victim of violence or sexual abuse and health was stronger for women than for men. It is possible to secure a reasonably high response rate in a general health survey that includes questions on violence and sexual abuse.

Adolescent↗
PubMed1998

Suicide in the Northwest Territories: A descriptive review.

The incidence of suicide among the populations of the Northwest Territories (NWT) is notably higher than in the rest of Canada. A comparison of three five-year time periods between 1982 and 1996 reveals an increasing incidence rate, particularly for Nunavat, the eastern half of the NWT, occupied primarily by Inuit people. This is largely attributable to a rising use of hanging as opposed to other methods of suicide. A coroner's record review of suicides occurring between 1994 and 1996 demonstrates the preponderance of young males and of Inuit among those who committed suicide, the majority of whom committed suicide in familiar settings, usually their own homes, and often while others were on the premises. Thirty-six percent of those who committed suicide had experienced a recent family or relationship breakup, and twenty-one percent were facing criminal proceedings. Understanding the impact of these and other reported circumstances on the imminent risk of suicide requires further investigation.

Adolescent↗
PubMed1998

Northern exposure: further analysis of the results of the Canadian aboriginal methylmercury program.

An initial overall analysis of the Canadian First Nations and Inuit data on methylmercury (MeHg) levels in 38,571 Canadian Aboriginal people has been completed. Patterns of exposure and their relationship to socio-cultural issues and traditional lifestyles are now being further analyzed, especially in the light of the continuing concern regarding the significance of exposure among northern and arctic populations. A mean of 29.8 micrograms/l mercury in blood or blood equivalent, with a range of 1-225.7 micrograms/l, was found among Inuit in the Northwest Territories (NWT). Significant differences in South-North exposure and West-East exposure in NWT are discussed, as are the relationships between exposure of northern residents and development activities further south, and problems of risk management in the context of traditional arctic lifestyles. It is suggested that many of the differences are due to the greater consumption of traditional food in the North. However, with the levels found and current state of knowledge, this should not be seen as a reason to change lifestyles--a change which carries its own negative consequences.

Canada↗
PubMed1991

Relationship between tuberculin reactivity and hepatitis B virus infection in the Northwest Territories.

Of 370 NWT Inuit or Dene who were HBsAg-positive, only 31 had HBeAg. Persons who were PPD negative were 6.2 times more likely to be HBeAg-positive than those who were PPD positive, but this inverse association applied only to those 30 years of age. We further analyzed a group of 3,378 Inuit whose status was known for HBV serologic markers and PPD reactivity. Overall, a significantly greater proportion (76.2%) of HBsAg positives were PPD reactive in comparison to those positive for anti-HBs (67.2%) or who had no HBV markers (43.2%). For persons 30 years of age who were positive for HBsAg or anti-HBs there was no significant difference between the proportions with PPD reactivity but a significantly smaller proportion of PPD reactivity was found in the no marker group. Among persons 30 years of age, the proportions of those who were PPD reactive were statistically equivalent across all three HBV marker groups. We conclude that patterns of HBV infection in NWT are random with respect to tuberculin reactivity resulting from either exposure to M. tuberculosis or administration of BCG vaccine.

Adolescent↗
PubMedDate not supplied

Vitamin A concentration in umbilical cord blood of infants from three separate regions of the province of Québec (Canada).

BACKGROUND: Inuit women from Northern Québec have been shown to consume inadequate quantities of vitamin A. This study was conducted to evaluate the prevalence of blood vitamin A deficiency in newborns from 3 distinct populations of the province of Québec. METHODS: 594 newborns were included in this study (375 Inuit newborns from northern Québec (Nunavik), 107 Caucasian and Native newborns from the Lower Northern Shore of the Saint-Lawrence River (LNS) and 112 newborns from Southern Québec where clinical vitamin A deficiency is uncommon). Mothers were recruited at delivery and vitamin A (retinol) was analyzed from umbilical cord blood samples by reversed-phase high-pressure liquid chromatography. RESULTS: Nunavik and LNS newborns had significantly lower mean vitamin A concentrations in cord blood compared to Southern Québec participants (15.7 microg/dL, 16.8 microg/dL and 20.4 microg/dL respectively). The differences observed were similar when adjusted for sex and birthweight. Results also showed that 8.5% of Nunavik newborns and 12.2% of LNS newborns were below 10.0 microg/dL, a level thought to be indicative of blood vitamin A deficiency in neonates. CONCLUSION: These data suggest that a carefully planned vitamin A supplementation program during pregnancy in Nunavik and LNS might be indicated to promote healthy infant development.

Adult↗
PubMed1992

Smoking and caffeine and alcohol intake during pregnancy in a northern population: effect on fetal growth.

OBJECTIVES: To assess the prevalence of smoking and of caffeine and alcohol intake during pregnancy in a northern population and to determine the relation of these factors to birth weight, length and head circumference. DESIGN: Questionnaire survey and collection of maternal and newborn measurements. SETTING: Ten communities in the Inuvik Zone, NWT. PATIENTS: A total of 162 women (56 Inuit, 38 Indian, 37 white and 31 mixed race) who presented for prenatal care in their community and gave birth in Inuvik between September 1987 and January 1990 and their newborns. RESULTS: In all, 64% (101/159) of the women smoked, 57% (88/154) ingested more than 300 mg of caffeine daily, and 34% (50/145) drank alcohol during their pregnancy. Smoking, caffeine intake and binge drinking were most frequent among the Inuit and Indian mothers. Smoking was significantly associated with decreased birth weight (p less than 0.001) and length (p less than 0.05). Alcohol intake, especially binge drinking, was significantly associated with decreased head circumference (p less than 0.05). Caffeine was found not to be related to any of the outcome variables after smoking was controlled for through stepwise multiple regression. CONCLUSIONS: The marked prevalence of smoking and alcohol intake during pregnancy and their effects on the newborn are public health concerns in the Northwest Territories and warrant intensive countermeasures.

Adolescent↗
PubMed1981

Meningitis in the central Arctic: a 4-year experience.

There were 37 cases of meningitis during a 4-year period among the native and white populations served by the Churchill Health Centre in northern Manitoba, an annual incidence of 128 per 100 000 in the overall population and of 202 per 100 000 among the Inuit. Bacterial meningitis predominated; Neisseria meningitidis and Haemophilus influenzae each accounted for one third of the cases. There were five deaths, and 14 of the survivors had severe sequelae. Therefore, although the doctors and nurses involved in the study had improved access to telecommunication and air transportation services in caring for patients in isolated northern settlements, and despite their efforts to be vigilant for possible cases of meningitis and to begin vigorous treatment early, the incidence, morbidity and mortality of this disease remained relatively high, particularly among the Inuit.

Arctic Regions↗
PubMed1995

The population survey as a tool for assessing family health in the Keewatin region, NWT, Canada.

The population survey is an important tool in community health assessment, including the physical and psychological aspects of family health. It provides data on health status and health determinants not available from vital statistics and health service utilization. The Keewatin Health Assessment Study (KHAS), which was designed in collaboration with the Keewatin Regional Health Board (KRHB), surveyed a representative sample of the predominantly Inuit population in 8 communities in the central Canadian Arctic. The entire survey included 874 individuals in all age groups, of whom 440 were children and adolescents under 18 years of age, and consisted of questionnaires, clinical examination and laboratory tests. Of the large number of variables on which data were collected, some were of particular relevance to the health of children and the well-being of the family, including: (1) Child growth and development; (2) Nutrition and diet; (3) Social pathologies: suicide attempts and sexual abuse; (4) Oral health; and (5) Audiologic health. In addition to providing cross-sectional data, survey participants constitute a cohort which, if followed up longitudinally, can be used to determine the incidence of specific conditions and identify risk factors which promote or prevent their occurrence. An example of such a cohort study is one on acute respiratory infection. Surveys serve many functions--providing data for planning and evaluation, promoting community awareness of health issues, and addressing basic research questions. The KHAS is one of several surveys launched over the past several years which jointly will begin to provide a circumpolar perspective on the health of Inuit people.

Adolescent↗
PubMed1977

Epiblepharon in Labrador.

We describe the characteristic configuration of normal Inuit (Eskimo) eyelids. Exaggeration of some normal features of the lower lid can result in epiblepharon inferior. We have seen in Labrador seven patients with epiblepharon of a degree sufficient to require surgical intervention. All were Inuit or had distant Eskimo ancestry. We outline their clinical features and the technique of operation which has been evolved. The results were good. We stress the importance of making the distinction between entropion and epiblepharn because the operative treatments of the two conditions are different. The recommended surgical methods include, for some cases, excision of bulky orbicularis muscle as well as skin.

Adult↗
PubMed1996

Dietary inferences through buccal microwear analysis of middle and upper Pleistocene human fossils.

Buccal microwear has been studied in a sample of 153 molar teeth from different modern hunter-gatherer, pastoralist, and agriculturalist groups, with different diets (Inuit, Fueguians, Bushmen, Australian aborigines, Andamanese, Indians from Vancouver, Veddahs, Tasmanians, Lapps, and Hindus), preserved at museum collections. Molds of an area of the buccal surface have been obtained and observed at 100x magnification in a scanning electron microscope (SEM). The length and orientation of each striation have been determined with a semiautomatic program of an image analyzer system (IBAS). Results show that intergroup variability is significantly higher than the intragroup variability. There exists a tendency toward fewer striations and a higher proportion of vertical striations in the carnivorous groups than in the vegetarian ones. This microwear pattern is concordant with biomechanics (predominantly vertical mandible movements in meat eaters) and phytolith content in plants (more abrasive particles in vegetarian diets). The variability found has been used in a multivariate analysis as a base to compare the microwear pattern of a sample of 20 Middle and Upper Pleistocene fossils, mainly from Europe, analyzed with the same methodology. The sample includes specimens usually classified as archaic H. sapiens (Broken Hill, Banyoles, Montmaurin, La Chaise-Suard, La Chaise-Bourgeios et Delaunay), Neanderthal (La Quina V, Gibraltar 2, Tabun 1 and 2, Amud 1, Malarnaud, St. Cesaire, Marillac), and anatomically modern H. sapiens (Skhül 4, Qafzeh 9, Cro-Magnon 4, Abri-Pataud, Veyrier, La Madelaine, Rond-du-Barry). Results indicate that some of the Neanderthal specimens have a microwear pattern close to that of the carnivorous groups (such as Inuit and Fueguians), suggesting that these individuals follow a hunter strategy. In contrast, archaic H. sapiens and H. sapiens sapiens seem to have a more abrasive diet, probably more depending on vegetable materials, than the Neanderthals.

Analysis of Variance↗
PubMed1997

Neandertal incisor beveling.

In discussions of the Neandertals, there has been repeated emphasis on the accelerated rate of attrition and the frequent presence of labial beveling of their incisors. Interpretations of this dental attrition have related it to paramasticatory and dietary uses of their anterior teeth as well as to aspects of their facial morphology. In light of this, we examined the rate of beveling (the angle between the labial and incisal surfaces) of central incisors relative to tooth wear in samples of Neandertals, Inuits and Puebloan Amerindians. I1s show little change in the beveling angle with wear and no significant differences between the samples. I1s, however, exhibit a consistent pattern of increased beveling with dental attrition, progressing rapidly until the crown height approximates its labiolinguinal cervical diameter, and then proceeding at a slower rate. All three samples exhibit a similar pattern. However, the Neandertals have significantly greater beveling in more worn teeth than either recent human sample, and the Inuits have nonsignificantly increased beveling relative to the Puebloans in these more worn I1s. In this, it is the degree of development of beveling, not the pattern of beveling, which differentiates the Neandertals. It is hypothesized that the differences between the Neandertals and recent samples could be the product of: (1) contrast in initial incisor procumbency, (2) a labial separation of the maxillary and mandibular incisal occlusal surfaces during edge-to-edge bite, and/or (3) a greater degree of interproximal wear promoting increased "posterior tipping" of the maxillary incisors. The last appears most likely.

Animals↗