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PubMed2004

Winter survival of nuisance fly parasitoids (Hymenoptera: Pteromalidae) in Canada and Denmark.

Independent studies were performed in Canada and in Denmark to assess the survival of parasitic wasps (Hymenoptera: Pteromalidae) wintering in puparia of house fly, Musca domestica Linnaeus (Diptera: Muscidae). Data in Canada were collected for Muscidifurax raptorGirault & Saunders, M. raptorellus Kogan & Legner, M. zaraptor Kogan & Legner, Nasonia vitripennis(Walker), Spalangia cameroni Perkins, Trichomalopsis sarcophagae (Gahan) and Urolepis rufipes (Ashmead) in three microsites at an outdoor cattle facility in southern Alberta. Survival was highest for N. vitripennis, T. sarcophagae and U. rufipes, ranging from near zero to c. 7%. No survival was observed for S. cameroni. Daily mean values for ambient air temperature (DMAT) averaged about -3.5 degrees C during exposure periods. Data for Denmark were collected for M. raptor, S. cameroni and U. rufipes in a dairy barn and in a swine barn. Survival of M. raptor and U. rufipes was higher than that of S. cameroni in the dairy barn (DMAT = 8.6 degrees C), with the three species having similar survival in the swine barn (DMAT = 15.4 degrees C). In both studies, parasitoids in egg stages were least likely to survive. These results identify the potential for T. sarcophagae and U. rufipes to be commercialized for use in northern climates as biocontrol agents for nuisance flies, compare directly the cold-hardiness of commercialized species (i.e. all of the above species excluding T. sarcophagae and U. rufipes), and document the importance of microsite on winter survival.

Animals↗
PubMed2003

The relationship between low income and household food expenditure patterns in Canada.

OBJECTIVES: To compare food expenditure patterns between low-income households and higher- income households in the Canadian population, and to examine the relationship between food expenditure patterns and the presence or absence of housing payments among low-income households. DESIGN: Secondary data analysis of the 1996 Family Food Expenditure Survey conducted by Statistics Canada. SETTING: Sociodemographic data and 1-week food expenditure data for 9793 households were analysed. SUBJECTS: Data were collected from a nationally representative sample drawn through stratified multistage sampling. Low-income households were identified using Statistics Canada's Low Income Measures. RESULTS: Total food expenditures, expenditures at stores and expenditures in restaurants were lower among low-income households compared with other households. Despite allocating a slightly greater proportion of their food dollars to milk products, low-income households purchased significantly fewer servings of these foods. They also purchased fewer servings of fruits and vegetables than did higher-income households. The effect of low income on milk product purchases persisted when the sample was stratified by education and expenditure patterns were examined in relation to income within strata. Among low-income households, the purchase of milk products and meat and alternatives was significantly lower for households that had to pay rents or mortgages than for those without housing payments. CONCLUSIONS: Our findings indicate that, among Canadian households, access to milk products and fruits and vegetables may be constrained in the context of low incomes. This study highlights the need for greater attention to the affordability of nutritious foods for low-income groups.

Canada↗
PubMed1994

Look what happened to us in Canada!

A Canadian physician reflects on the evolution of medical care in Canada, commenting along the way on the pitfalls and strengths of the system. His hope? That the US Congress will consider the deficiencies of healthcare delivery in Canada as it overhauls medical practice in the United States.

Canada↗
PubMed2001

Social work and health restructuring in Canada and Finland.

The health care systems in Canada and Finland are currently in the process of restructuring. Responsibility for care has increasingly shifted to ill persons themselves and to their families and friends. Reduced hospital stays, service privatization and user fees have been implemented to some degree in both countries. These changes are reverberating throughout Finnish and Canadian societies, affecting not only users of health care but also the labour force in health workplaces. Health social workers, at the front line with clients, have experienced new issues which have impacted on their practice with ill persons and their families. In an environment of health care restructuring, they have needed to draw upon their repertoires of knowledge, skills and community networks in order to respond. At the same time, social workers noted that there is a leaner package of health and social service benefits to support patients and families. Social workers have tried to adapt and find new opportunities to practice social work in the changed environment. This small study, initially conducted as a pilot for a larger study, compared the experiences of social workers in Canada and Finland and the perceived impacts of health restructuring on their clients. The findings, seen within the context of changing societal and institutional environments, can help us to better understand some of the impacts of health restructuring on social work and social workers in hospitals and local health centres. Indirectly and directly, these changes also affect clients in the health care system, those whose needs remain uppermost in the delivery of social work services.

Canada↗
PubMed2001

The desi ways: traditional health practices of South Asian women in Canada.

Although many South Asian immigrants have made their homes in Canada, little research has examined health behaviors in this population and fewer studies have examined the use of traditional health practices. As part of a larger study on health-seeking patterns of South Asian women living in Western Canada, an analysis was done on the use of traditional health practices. Using critical ethnographic methods, data were collected through face-to-face individual interviews (n = 50), focus group discussions (n = 12), and community meetings with a cross section of women in the South Asian community. Interviews were conducted in the language of each participant's choice. Thematic analysis was done on the transcribed interviews. Women's descriptions of traditional health practices varied and consisted of home remedies, dietary regimens, prayers, rituals, and consultation with hakims, veds, babajis, pundits, homeopaths, and jyotshis. Choosing to use traditional health practices was influenced by family members, the nature and severity of problems, beliefs and prior experiences, and the feasibility of using these practices. Traditional health practices were used on a daily or episodic basis. Women rarely used traditional health practices exclusively. Traditional health practices were used for small problems or when conventional medicines did not work. For women to meet their health needs, health care providers must be culturally sensitive and respect women's choices to use traditional health practices.

Attitude↗
PubMedDate not supplied

The impact of gun control (Bill C-51) on suicide in Canada.

Suicide is a multiply determined behavior, calling for diverse prevention efforts. Gun control has been proposed as an important component of society's response, and an opportunity for studying the effects of legislative gun control laws on suicide rates was provided by Canada's Criminal Law Amendment Act of 1977 (Bill C-51). This article reviews previous studies of the impact of this act on the total population of Canada and subpopulations by age and gender and, in addition, presents the results of 2 new studies: a different method of analysis, an interrupted time-series analysis, and the results of a multiple regression analysis that controls for some social variables. It appears that Bill C-51 may have had an impact on suicide rates, even after controls for social variables.

Age Factors↗
PubMed2006

A role of high impact weather events in waterborne disease outbreaks in Canada, 1975 - 2001.

Recent outbreaks of Escherichia coli O157:H7, Campylobacter, and Cryptosporidium have heightened awareness of risks associated with contaminated water supply. The objectives of this research were to describe the incidence and distribution of waterborne disease outbreaks in Canada in relation to preceding weather conditions and to test the association between high impact weather events and waterborne disease outbreaks. We examined extreme rainfall and spring snowmelt in association with 92 Canadian waterborne disease outbreaks between 1975 and 2001, using case-crossover methodology. Explanatory variables including accumulated rainfall, air temperature, and peak stream flow were used to determine the relationship between high impact weather events and the occurrence of waterborne disease outbreaks. Total maximum degree-days above 0 degrees C and accumulated rainfall percentile were associated with outbreak risk. For each degree-day above 0 degrees C the relative odds of an outbreak increased by a factor of 1.007 (95% confidence interval [CI] = 1.002 - 1.012). Accumulated rainfall percentile was dichotomized at the 93rd percentile. For rainfall events greater than the 93rd percentile the relative odds of an outbreak increased by a factor of 2.283 (95% [CI] = 1.216 - 4.285). These results suggest that warmer temperatures and extreme rainfall are contributing factors to waterborne disease outbreaks in Canada. This could have implications for water management and public health initiatives.

Animals↗
PubMed2002

Regional transport and urban contributions to fine particle concentrations in southeastern Canada.

The impact of various atmospheric transport directions on ambient fine particle (PM2.5) concentrations at several sites in southeastern Canada was estimated (for May-September) using back-trajectory analysis. Three-day back trajectories (four per day) were paired with 6-hr average PM2.5 mass concentrations measured using tapered element oscillating microbalances (TEOM). PM2.5 concentrations at rural locations in the region were affected by nonlocal sources originating in both Canada and the United States. Comparison of sites revealed that, on average, the local contribution to total PM2.5 in the greater Toronto area (GTA) is approximately 30-35%. At each location, average PM2.5 concentrations under south/southwesterly flow conditions were 2-4 times higher than under the corresponding northerly flow conditions. The chemical composition of both urban and rural PM2.5 was determined during two separate 2-week spring/summer measurement campaigns. Components identified included SO4(2-) NO3-, NH4+, black carbon and organic carbon (OC), and trace elements. Higher particle mass at the urban Toronto site was composed of a higher proportion of all components. However, black carbon, NO3-, NaCl, and trace elements were found to be the most enriched over the rural/regional background levels.

Air Movements↗
PubMed2004

Characterization of visibility impacts related to fine particulate matter in Canada.

Canada has recently established standards for the management of particulate matter (PM) air quality. National networks currently measure PM mass concentrations and chemical speciation. Methods used in the U.S. IMPROVE network are applied to the 1994--2000 Canadian fine PM data to obtain a regional reconstruction of the visibility based on particle composition. Nationally, the greatest light extinction occurs in the Windsor-Quebec City corridor. Variations in the dominant chemical species responsible for the reduction in visibility are presented for regions across the country. In most regions, sulfate and nitrate contribute most greatly to reduced visibility. The visibility implications of achieving the Canada-Wide Standard (CWS) across the country are evaluated, with the greatest improvement in visibility associated with achieving the CWS in southern Ontario. Elsewhere in the country, achieving the CWS will actually result in deteriorating air quality. Improving current estimates of visibility requires higher spatially and temporally resolved measurements of organic and elemental carbon fractions and particulate nitrate.

Air Pollutants↗
PubMed2005

Improving research transfer in the addictions field: a perspective from Canada.

This paper discusses how to enhance the research-to-practice exchange in the addictions field, while maintaining a balance with the demands and complexities of program delivery and policy development. It outlines the evolution of the concept of evidence-based practice, discusses the practical limitations and ways to improve transferring research to practice, and provides examples of research transfer activities in Canada. Practical limitations to research transfer include individual, organizational, and community factors. A strategic approach to research transfer includes addressing these limitations by combining dissemination activities with interventions such as individual instruction and incentives; building relationships among researchers, practitioners, and populations served; and obtaining commitments at a systemic level from funding bodies and research organizations to support research transfer. The potential is noted for the concept of workforce development to facilitate research transfer at organizational levels. The conclusion shown in this paper is that the tools and concept of evidence-based practice can lead the way to strengthening addictions programs and policies, and the development of a conceptual model for addiction research transfer in Canada would be a useful next step.

Behavior, Addictive↗
PubMed2005

Models of interprofessional learning in Canada.

This article provides an overview of interprofessional education in Canada, with a view to defining programs at all levels in terms of what models have been employed. The available information implies that the lack of convincing evidence of the effectiveness of existing programs is probably the most serious problem for the expansion of interprofessional education. The objectives of the programs are both to increase the knowledge about the other professions and their scope of practice, and to improve team function, and there are a number of well-established interprofessional programs in Canada that are designed to achieve these objectives, and many other examples of programs that are partial or planned. Despite this, the present interprofessional education initiatives tend to involve only a small proportion of the total health work trainees. There is a need for programs that are more widespread. The most frequent model involves a mandatory experience, which is case-based, involves all the students registered in Health Faculties, and where the students form interprofessional student teams. In addition to examining believable cases, the students also learn some specific information about interacting with the other professions and gain knowledge about the roles, knowledge and contributions that can be made by professions other than their own.

Canada↗
PubMed1994

Evaluation of professional competency in occupational hygiene in Canada--the CRBOH program. Canadian Registration Board of Occupational Hygienists.

The Canadian Registration Board of Occupational Hygienists (CRBOH) was established in 1986 to provide a registration system for professional occupational hygienists in Canada. It was decided that registration would be based on a competency examination following an appropriate combination of academic qualification and relevant professional experience. While the examination was being developed hygienists who met certain educational and experience requirements and who held other certifications by examination (such as those of the American Board of Industrial Hygiene, the British Examining and Board in Occupational Hygiene, or the Conseil d'Accrediation en Hygiene Industrielle du Quebec) were registered. In 1989 CRBOH, after much deliberation and review of other existing certification examinations, selected a two-part scheme consisting of both written and oral examinations. The written examination includes both multiple choice and essay style questions. Only those candidates successfully completing the written examination are eligible for the oral examination. The first group of candidates was examined in the fall of 1990. The authors outline the strengths and weaknesses of various forms of evaluation of professional competency. The rationale for the selection of the CRBOH examination format is discussed in relation to forms of evaluation currently being used in the United States and the United Kingdom. The implication of CRBOH registration on the training and education of occupational hygienists in Canada is highlighted.

Canada↗
PubMedDate not supplied

Violent and accidental mortality among four immigrant groups in Canada, 1970-1972.

For most people immigration to a new country such as Canada entails a positive move and an improvement in life. The many challenges associated with resettlement may, however, lead to insurmountable difficulties, stresses and conflict for a significant number of newcomers. The mortality experience of immigrants, as reflected in cause-of-death statistics, may provide indication of the extent of stress and conflict in their migration experience. This situation is most clearly exhibited in mortality from suicide, homicide, and motor vehicle accidents. In this study, hypotheses concerning immigrant mortality in Canada are developed and tested with a log-linear model for rates pertaining to rare events. Overall, the results give support for the importance of country-of-origin effects in explaining suicide propensities, but not for homicide and motor vehicle accidents mortality. Income discrepancies are a significant determinant of variability in death rates overall, but discrepancies between the immigrants in this study and the Canadian-born are not of much significance. The strongest net effect on the cause-specific death rate is associated with group membership. This effect likely reflects a number of residual unmeasured sources of variation including the influence of the immigrant ethnic community as a source of social support, and the potential confounding effects of migration selectivity.

Accidents↗
PubMedDate not supplied

Discrimination and Chinese fertility in Canada.

The study examines Chinese fertility in Canada in the context of minority-status and fertility. Chinese-Canadians are compared with British-Canadians, who are considered in this analysis as the majority group. The study is unique in three ways. First, we argue that discrimination brings a minority group not only psychological insecurity but also social-economic insecurity, which can be measured by Chinese husbands' economic status relative to the British. Second, we analyze the relationship between discrimination against the Chinese at the social class level and Chinese fertility behavior at the individual level, which has been ignored by most previous studies. Third, we describe "insecurities" effects to explain the fertility behavior of the Chinese across social classes, including the lower classes to which many researchers believe the minority status hypothesis is not applicable. We conclude that discrimination variations over social classes combined with normative influence are a major factor in causing class fertility differentials between the Chinese and the British in Canada.

Adolescent↗
PubMed2003

A pharmacoeconomic evaluation of 7-valent pneumococcal conjugate vaccine in Canada.

The objective of this study was to evaluate the projected health benefits, costs, and cost-effectiveness of pneumococcal conjugate vaccination for infants and children aged <5 years in Canada. A health state model incorporating incidence, vaccine efficacy, costs, and transitional probabilities for the health states (well, meningitis, bacteremia, otitis media, pneumonia, and death) was constructed for a 10-year time horizon. Implementation of a pneumococcal conjugate vaccine program in Canada for each annual birth cohort of 340,000 persons observed over 10 years would be expected to save approximately 12 lives and 100,000 cases of pneumococcal disease over 10 years, resulting in total savings of $67 million (Canadian dollars [Can$]). Vaccination of healthy infants would result in net savings for society if the vaccine costs less than Can$50 per dose. Moreover, for a vaccine purchase price of Can$67.50, infant vaccination would cost society Can$79,000 per life-year gained. Pneumococcal conjugate vaccination is a potentially cost-effective means of pneumococcal disease prevention.

Canada↗
PubMed2004

Measles elimination in Canada.

To describe the progress and challenges in achieving measles elimination in Canada, we analyzed national data on measles cases for 1998-2001. To assess the status of measles elimination in Canada, we estimated the effective reproductive number, R. Measles elimination was defined as the interruption of endemic transmission and failure to reestablish endemic transmission after importation. Twelve isolated cases, 29 cases (72.4% were linked to 2 outbreaks), 199 cases (96.9% were linked to 4 outbreaks of 2, 6, 30, and 155 cases), and 34 cases (73.5% were linked to 8 outbreaks of 2, 2, 2, 2, 3, 3, 3, and 8 cases) were reported in 1998, 1999, 2000, and 2001, respectively. R ranged from 0.58 to 0.95. Multiple chains of transmission occurred in religious communities that actively oppose or resist immunization efforts. Epidemiological and virological evidence suggests that endemic transmission of measles has been mostly interrupted since 1998.

Adolescent↗
PubMed1999

Epidemiological features of pertussis in hospitalized patients in Canada, 1991-1997: report of the Immunization Monitoring Program--Active (IMPACT).

To assess the morbidity associated with the continued high levels of pertussis, we studied all children <2 years of age who were admitted to the 11 Immunization Monitoring Program--Active (IMPACT) centers, which constitute 85% of Canada's tertiary care pediatric beds. In the 7 years preceding implementation of acellular pertussis vaccine, a total of 1,082 pertussis cases were reported, of which 49.1% were culture-confirmed. The median age of the patients was 12.4 weeks; 78.9% of cases were in children <6 months of age. Complications of pertussis were common: pneumonia was reported in 9.4% of cases, new seizures in 2.3%, and encephalopathy in 0.5%. There were 10 deaths (0.9%), all in children < or =6 months of age. Duration of hospitalization was longer (9.3 days vs. 4.9 days; P = .001) and intensive care was required more frequently (19.2% vs. 4.9%; P = .001) in infants under <6 months of age than in those > or =6 months. Pertussis continues to cause significant morbidity and occasional mortality in Canada, particularly in young infants.

Canada↗
PubMed1999

Survey of bloodstream infections due to gram-negative bacilli: frequency of occurrence and antimicrobial susceptibility of isolates collected in the United States, Canada, and Latin America for the SENTRY Antimicrobial Surveillance Program, 1997.

During 1997, a total of 4,267 nosocomial and community-acquired bloodstream infections due to gram-negative organisms were reported from SENTRY hospitals in Canada (8 sites), the United States (30 sites), and Latin America (10 sites). Escherichia coli was the most common isolate (41% of all gram-negative isolates), followed by Klebsiella species (17.9%), Pseudomonas aeruginosa (10.6%), and Enterobacter species (9.4%). For all gram-negative isolates combined, the most active antimicrobials tested were meropenem, imipenem, and cefepime. The quinolones levofloxacin (MIC90, 2 microg/mL), ciprofloxacin (MIC90, 1 microg/mL), gatifloxacin (MIC90, 2 microg/mL), sparfloxacin (MIC90, 2 microg/mL), and trovafloxacin (MIC90, 2 microg/mL) were also active against most isolates. Bloodstream infection isolates from Latin America were uniformly more resistant to all classes of antimicrobial agents tested than were isolates from Canada or the United States. Resistance phenotypes consistent with extended-spectrum beta-lactamase production were also most common among E. coli and Klebsiella species from Latin America. Further investigation of the reasons for regional differences in resistance patterns is needed, as is ongoing surveillance to detect resistance trends and to guide antimicrobial use.

Bacteremia↗