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Food Issues: Notes from the Field

Topics: Food General, Canada 

Food Issues: Notes from the Field is a collection of food safety assessments the British Columbia Centre for Disease Control (BCCDC) has provided in response to inquiries made by Environmental Health Officers. Example assessments include safety concerns associated with kombucha tea, raw carob powder in raw foods, and unwashed bakery couche (linens). These opinions, created by food safety...

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Cleanup Instructions for Small Mercury Spills - revised

Exposure to the small amount of mercury found in common household devices, such as fever thermometers, thermostats, or fluorescent light bulbs, is not likely to cause serious health problems. Humans are frequently exposed to greater quantities of mercury, much of it methylmercury, through diet. Nevertheless, all mercury spills, regardless of quantity, should be treated seriously and cleaned up ...

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Summary: Animals as Sentinels for Public Health Risks from Oil and Gas Development

This document was based on a contracted review: Animals as Sentinels for Public Health Risks Associated with Oil and Gas Development by Craig Stephen and Tyler Stitt, March 2014.

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Fact Sheet: Non-pharmaceutical measures to prevent the transmission of influenza

This fact sheet is for public health professionals. It provides a brief overview on specific non-pharmaceutical measures to be used in community settings. Such measures can prevent the spread of influenza by interrupting the transfer of viruses from objects or people through the use of personal protective equipment or changes to behaviour. The content is primarily based on the NCCID article “Non...

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Environmental Risk Factors for Community-Acquired MRSA

Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is endemic in North America. In contrast to MRSA acquired in hospital settings, CA-MRSA is present in a wide variety of environments including health care settings outside of hospitals and animal care settings, beaches and recreational waters, athletic facilities, spas and saunas. The risk of infection from environmental...

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Request for Input: Evaluation of NCCEH Knowledge Products

The NCCEH is conducting an evaluation on how our knowledge products are used and on ways to improve them. Your opinions and suggestions will help us produce work that is relevant and useful to environmental public health policy making and practice. The survey is made up of a short list of questions that should take no more than 15 minutes to complete. You can find it here: http://fluidsurveys....

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NCCEH Mould Investigation Toolkit

Public Health Inspectors (PHIs) and Environmental Health Officers (EHOs) across Canada have different responsibilities, policies, and guidelines when it comes to investigating public inquiries about mould in indoor environments. Some PHIs/EHOs conduct initial walkthroughs only, some conduct comprehensive investigations, and others educate the public about next steps without conducting any field...

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Health Effects of Oil Spills and Implications for Public Health Planning and Research

Two major pipeline projects have been proposed to transport petroleum products from Alberta to the British Columbian coast. Despite potential economic benefits, these proposals have roused widespread public concern regarding the health and ecological consequences of a major marine or terrestrial spill. In Metro Vancouver, the Trans-Mountain pipeline expansion will triple the volume of petroleum...

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Effectiveness of Alternative Antimicrobial Agents for Disinfection of Hard Surfaces - revised

A review of alternative antimicrobial agents reveals the need for standardized methodology for efficacy testing as well as considerations of toxicity, safety, cost, ease of use, availability, storage, and application-specific testing. The appropriateness of alternative antimicrobial agents, such as vinegar, lemon juice, and baking soda appear to be limited for commercial disinfection or...

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Risk Factors and Surveillance Systems for Foodborne Illness Outbreaks in Canada (University of Guelph Master of Public Health Program)

Topics: Food General, Canada 

Risk factors for foodborne illness in Canada span along the “farm-to-fork continuum.” Human risk factors include personal hygiene, cross-contamination, temperature control and unsafe food sources. Surveillance and food safety systems at the regional (or local), provincial/territorial, and federal levels are designed to functioncollaboratively. The efficiency of surveillance systems to produce...

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Exposure to Traffic-Related Air Pollution and Perinatal Health (UBC Bridge Program)

The period between conception and early childhood when vital organs are forming and rapidly developing is the most vulnerable of life stages to the effects of toxic environment exposures, including traffic-related air pollution (TRAP). Epidemiologic studies on preterm birth have consistently shown elevated risks with a number of measures of TRAP, including distance of residence from traffic...

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Mould Assessment Recommendations - revised

Excessive dampness and mould growth on building material surfaces and contents can pose health risks and should not be tolerated in indoor environments. A mould assessment determines if mould is present, but does not determine or estimate mould exposure. Health-based exposure limits for indoor mould in residential environments have not been established; inspecting for visible and hidden mould,...

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Mould Remediation Recommendations - revised

Excessive dampness and mould growth on building material surfaces and contents can pose health risks and should not be tolerated in indoor environments. The main goal of remediation is to reduce the risk of exposure to mould and to prevent structural damage; the underlying cause of dampness must be identified and eliminated or mould will reappear. Effective mould remediation requires the ...

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Review of Guidelines for Shock Chlorination in Private Wells (UBC Bridge Program)

Microbial contamination of groundwater from private wells can pose a significant health risk to rural Canadians. To mitigate risk, Health Canada currently recommends shock chlorination along with microbial well testing, voluntary measures most often performed by the homeowner. However, infrequent testing and paucity of research assessing the effectiveness of shock chlorination guidance as...

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Review of Food Safety Interventions and Evaluation in Food Service Establishments

Topics: Food General, Canada 

The public health and economic implications for foodborne illness in industrialized nations can be costly. Food service establishments (FSEs) are major settings for foodborne pathogen exposure in developed countries due to high consumption of food prepared outside homes. To reduce foodborne illness risks, many health authorities implement food safety interventions in FSEs in order to modify food...

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Reducing cardiovascular health impacts from traffic-related noise and air pollution: intervention strategies

Recent studies suggest that exposure to both traffic-related air pollution (TrAP) and to road traffic noise (RTN) are independent risk factors for cardiovascular disease (CVD). While the exact pathophysiologic mechanisms are not known, plausible biological models exist for both associations. This paper describes interventions and mitigating measures aimed at reducing both air and noise pollution...

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Understanding microbial indicators for drinking water assessment - revised

Boil water advisories are issued when water testing detects higher than accepted amounts of microbial indicators or when there are deficiencies with water treatment. The fear of not issuing a boil water advisory when there is truly a health risk associated with water consumption can lead water operators to call for boil water advisories as a precautionary measure. Yet, issuance of boil water...

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Health Effects from Mould Exposure in Indoor Environments - revised

Moulds are naturally occurring and widespread in the environment; therefore, it is not possible to eliminate exposure. Sufficient evidence exists to conclude that exposure to mould in indoor environments is associated with asthma and asthma-like symptoms (in asthmatic people), upper respiratory tract symptoms, cough and wheeze, and hypersensitivity pneumonitis in susceptible people. There is...

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Perceived and Potential Human Health Risks Associated with Consumption of Genetically Modified Animals (University of Guelph Master of Public Health Program)

Topics: Food General, Canada 

Numerous varieties of genetically modified (GM) crops have been approved in Canada, and processed foods containing GM ingredients can be found on grocery store shelves. In contrast, there are currently no GM animals or products derived from GM animals approved for human consumption in Canada. According to the principle of substantial equivalence, which is used to evaluate the safety of GM foods...

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Cleaning, disinfection, and sterilization at PSEs - revised*

Health concerns regarding the transmission of infections at personal service establishments (PSEs) are often mitigated by public health inspectors (environmental health officers). Inspection of PSEs are carried out to ensure that premises have adequate cleaning, disinfection, and sterilization protocols to reduce the risk of transmitting pathogens such as human immunodeficiency virus (HIV),...

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Infections Associated with Personal Service Establishments: Piercing and Tattooing

Piercing and tattooing are associated with bacterial and viral infections, typically localized to the pierced or tattooed site. Individuals with pre-existing heart conditions are at risk of developing infective endocarditis, a systemic infection involving the outer lining of the heart, when obtaining invasive procedures, such as piercing and tattooing. There is a lack of published literature on...

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Surveillance for Emerging Infectious Diseases: A Canadian Perspective (UBC Bridge Program)

Surveillance approaches for emerging zoonotic infectious diseases is less well developed than for traditional clearly-defined diseases. Zoonotic diseases with recent implications in Canada include: influenza, West Nile Virus (WNV), Lyme Disease (LD), Hantavirus Pulmonary Disease (HPS), and food-borne zoonoses, with influenza having the greatest human impact. Emerging zoonotic disease (EZD)...

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Infections Associated with Personal Service Establishments: Aesthetics

Bacterial infections, particularly mycobacterium infections, are most commonly reported for aesthetic services while viral infections are less reported. No studies associating fungal infections with personal service establishments (PSE) services were found. Limited evidence is available for some infection risks services, including manicures, hair styling, and barbering. Studies related to...

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Household Pets and Zoonoses (University of Guelph Master of Public Health Program)

In addition to dogs and cats, the popularity of exotic animals, such as geckos, bearded dragons, and African Dwarf Frogs is increasing; the greatest increase is ownership among children. It is estimated that approximately 75% of emerging infectious diseases are zoonotic. The implications of these two trends are of concern to the public health community. A review was conducted of household pet...

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One Health: A Primer (University of Guelph Master of Public Health Program)

Public health events are best dealt with in an interdisciplinary manner with many actors and agencies involved, each lending their expertise to solve the complex problem. Many examples exist of agencies working across boundaries to solve significant public health issues, but the examples are less frequent of agencies that work cross-disciplines. It is not a matter of desire, but one of tradition...

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Heat Advice

Topics: Climate General, Canada 

Our HeatAdvice project was about the advice provided to the public for protection against heat-related illness. The potential impact of elevated temperatures on mortality and morbidity are severe. Every year, hospitalizations and deaths in numbers well above average, occur during and just after days of extreme heat, particularly in vulnerable populations. HeatAdvice was developed by the NCCEH...

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Systematic Review of Environmental Burden of Disease in Canada

Few studies have estimated the environmental burden of disease (EBD) in Canada. Available data suggest that the total EBD for high-income, developed countries, like Canada, may range from as low as 1 – 5% to as high as 15 – 22%, depending on how EBD is calculated and defined. Potentially preventable illnesses and deaths resulting from exposure to environmental contaminants have been estimated to...

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Tanning and Skin Cancer: A Brief Review (UBC Bridge Program)

The prevalence of intentional solar tanning in Canada ranges from 4 to 49% depending on age and sex. The prevalence of tanning using artificial tanning devices in Canada ranges from 4 to 27% depending on age and sex. Both solar and artificial tanning are much more frequent in younger persons and in females. Although both solar and artificial ultraviolet radiation is categorized as a human...

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Potential Human Health Effects of Perfluorinated Chemicals (PFCs) (UBC Bridge Program)

Perfluorinated chemicals (PFCs), including perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA), are stain, water and grease repellent chemicals found in a wide range of consumer products. Almost everyone has detectable levels of PFOS, PFOA, and other PFCs in their blood. Although levels of PFOS and PFOA in human serum have declined in the US and Europe over the past decade, levels...

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Residential Use of Wood-Burning Appliances in Canada

This report summarizes information on woodsmoke emissions and health effects associated with woodsmoke exposures from residential wood-burning (RWB) in Canada and provides a qualitative indication of the potential effectiveness of different intervention strategies based on a review of the available literature and interviews with Canadian health authorities. The purpose of this report is to...

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Introduction to air quality advisories

Air quality advisories are a mechanism by which provincial and regional governments actively provide the public with information on hourly or daily periods of poor outdoor air quality. Advisories are issued for specific geographical locations when one or more pollutants approach or exceed (or are forecasted to approach/exceed) a relevant air quality trigger. Advisories inform the public about...

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Waxing Promising Practices Fact Sheet

Waxing can draw blood and body fluid from the skin. If this occurs, there is a potential to transmit viral, bacterial, and fungal infectionsbetween the technician and the client, as well as between clients. Folliculitis (infection of the hair follicle), irritant dermatitis, contact dermatitis, and general skin irritation can also occur. These health risks can be minimized by using proper...

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Hog Farms and Their Impact on the Quality of Life of People Living in Rural Areas

Public health professionals are increasingly concerned about hog farms and their impacts on the quality of life in rural areas. The potential impacts of hog farms are raising questions about environmental health. On the one hand, their potential impacts are being put forward by citizens during public debates on hog production.On the other hand, the presence of these controversies raises concerns...

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Effective Interventions to Reduce Indoor Radon Levels

Radon represents one of the environmental exposures that can be reduced with effective and practical solutions, reducing an individual’s risk of developing lung cancer. There is extensive literature supporting the cost-effectiveness of radon abatement compared with other healthcare and environmental interventions. Of the remediation measures evaluated to reduce indoor radon levels in already...

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Residential Indoor Radon Testing

Radon is a known carcinogen, and is estimated to cause up to 10% of all lung cancers in Canada. It is a radioactive gas that is produced by the decay of uranium. Radon is naturally occurring, and emanates from soil and rocks. It percolates up through soil into buildings, and if it is not evacuated there can be much higher exposure levels indoors than outdoors. Fortunately, high radon levels can...

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Current Evidence on the Effectiveness of Interventions During Heat Episodes

Topics: Climate General, Canada 

This summary provides current evidence on the effect iveness of a variety of described heat interventions by highlighting the strengths and weaknesses of each. The authors argue that in the absence of a formal evaluation of effectiveness, and given the limited evaluations of interventions so far accomplished, it is difficult to present a complete review on this topic. The authors also caution...

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Polybrominated Diphenyl Ethers (PBDEs) - revised

A Public Health Inspector (PHI) has raised a concern about a local middle school with a small, poorly ventilated computer room containing computers over 10 years old. The PHI has read that brominated flame retardants used in computers can affect reproductive health and is concerned about many students and teachers who spend 20-50% of their school week in this room. What is the issue?What are...

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Paralytic Shellfish Poisoning

Trigger for Investigation On June 18, 2010 a commercial harvester advised an inspection specialist at CFIA of four cases of suspect PSP-related illness that occurred June 17, 2010. CFIA began an investigation and trace-back and advised relevant public health authorities of illnesses to ensure follow-up of cases. You are the epidemiologist working at the local health authority where the cases...

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Using a Hierarchy of Evidence to Assess Chemical Health Risks of Artificial Turf

Over the past 40 years, artificial turf has become common in public and private settings. Compared to natural turf, artificial turf is easier to maintain, requires less water and no fertilizer, and provides a year-round access to playing surfaces. This is presumed to have important public health benefits by promoting physical activity and access to recreational space, although detailed research...

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Guide for Implementing the Carbon Monoxide Monitoring and Response Framework in Long-term Care Facilities

This guide is intended for public health practitioners, facility/property maintenance managers, risk managers, occupational hygienists, clinicians, or other persons working at long-term care facilities (residential care facilities, nursing homes, seniors’ residences, care occupancies, etc.) who would like to implement a program to reduce the risk of indoor carbon monoxide (CO) exposure to...

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Ready-to-Eat Meat Online Course: Assessing the Food Safety Risks

Topics: Food General, Canada 

Introduction Developed specifically for public health inspectors (PHIs), this online, self-directed course focuses on micro-, small-, and medium-sized ready-to-eat (RTE) meat production operations. In general, smaller RTE meat production facilities are not federally registered with the Canadian Food Inspection Agency but are inspected by PHIs from a provincial agency or local health department....

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Key resources for environmental public health practitioners to address health equity: A curated list

Public health organizations across Canada have highlighted health inequities as a priority area for action.  Environmental public health practitioners may be unclear of how to approach health inequities within their scope of practice because they have often not been included in discussions about how public health can do this work. This list contains resources specific to environmental public...

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Toward health equity: Practical actions for Public Health Inspectors

NCCEH, the NCC for Determinants of Health, and the BC Centre for Disease Control have collaborated to produce a Framework and accompanying User Guide to help environmental public health practitioners identify potential actions on the social determinants of health and health equity. Environmental health practitioners can play a role to address the social determinants of health (SDH) and work...

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Float Tanks: Review of Current Guidance and Considerations for Public Health Inspectors

The growing popularity of “floatation” and the ways in which this practice differs from the use of pools and spas have raised interesting questions in environmental public health. Public health agencies in the US and Canada have taken very different approaches to the classification and regulation (or non-regulation) of these facilities. Continuing engagement amongst environmental health...

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Float Tanks: Considerations for Environmental Public Health

Floatation refers to a meditative activity in which users float in a high-density Epsom salt solution in a dark, quiet environment. Because float tanks are distinct from swimming pools and other recreational water, questions have been raised regarding the need for and efficacy of various disinfection methods. Although direct evidence is lacking, pathogen kill assays and field studies from...

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Summary: Radiofrequency and Health

This summary is based on the "Radiofrequency Toolkit for Environmental Health Practitioners" (2013) available on the BCCDC website.

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Understanding the Public Health Implications Concerning Shale Gas Production and Hydraulic Fracturing

The intent of this document is to synthesize scientific information related to public health concerns of relevance to Canada about shale gas production (including the pre-production stages of drilling, hydraulic fracturing, and well completion, as well as abandonment). Current policy and regulations are not considered. For the most part, the environmental and public health implications relating...

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Food Environments: An Introduction for Public Health Practice

Topics: Food General, Canada 

This document was written for environmental public health practitioners (environmental health officers and public health inspectors), as well as other public health professionals whose work relates to healthy environments (e.g., medical health officers, public health dietitians, health promotion professionals). It introduces the concept of food environments, highlights some key evidence for the...

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Green Space and Mental Health: Pathways, Impacts and Gaps

Around the globe, mental health disorders are a significant and growing cause of ill health and early death, with the burden of such diseases increasing by more than a third between 1990 and 2010. Almost a third of all Canadians have experienced a mental illness at some point during their lifetimes. A Statistics Canada survey reported the most commonly reported illnesses to be mood disorders,...

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Equity in Environmental Health Practice: Findings of a Pilot Study

Public health inspectors (PHIs) are environmental health professionals who carry out inspections, enforce health protection regulations, and provide environmental health education and training. This qualitative study explored the role of environmental public health practitioners in addressing the social determinants of health (SDH) and health equity related issues that may present as barriers to...

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Case Study of a Persistent Landfill Fire and Community Health Impacts

This case study explores the issue of health impacts in the community from persistent landfill fires and covers a number of topics including: outdoor air pollution; waste management; health equity; health surveillance; environmental surveillance; and occupational health. Although written from a broad public health and medical health officers’ point of view, this case study may be helpful to...

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Review of Field Tests on Bed Bug Control Technologies

Economic, environmental, and health concerns with bed bug control technologies and management options are of interest to public health and pest management agencies, who often receive and need to respond to inquiries regarding bed bugs (Hemiptera: Cimex). However, control technologies are constantly changing as evidence emerges for evaluating their efficacy/feasibility and acceptance by...

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Effective Indoor Air Interventions

Canadians typically spend about 90% of their time indoors. Poor indoor air quality (IAQ) resulting from biological and chemical exposures is associated with the development of acute and chronic cardio-respiratory disease. Biological agents commonly found in indoor environments include mould, house dust mites (HDM), pests, and pet dander. Chemical agents can include environmental tobacco smoke (...

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Phosphine Poisoning as an Unintended Consequence of Bed Bug Treatment

Recent news on Canadian fatalities linked to the inappropriate use of phosphine for bed bug control underlines the need for public health practitioners to be aware of the issue.

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Community Water Fluoridation in Canada – Trends, Benefits, and Risks (University of Guelph Master of Public Health Program)

Fluoride has been added to public drinking water in Canadian communities since the 1940s as a means of preventing tooth decay. Dental fluorosis is a known adverse effect of excessive fluoride exposure during tooth formation. Fluorosis ranges from barely noticeable whitish striations in the enamel to severe pitting and brownish staining. In general, the prevalence of dental fluorosis in...

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Cardiovascular Health, Traffic-related Air Pollution and Noise: Are associations mutually confounded? A systematic review

This review assessed the confounding effect of one traffic-related exposure (noise or air pollutants) on the association between the other exposure and cardiovascular outcomes. A systematic review was conducted with the databases Medline and Embase. The confounding effects in studies were assessed by using change in the estimate with a 10 % cutoff point. The influence on the change in the...

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Wind Turbines and Health - revised

Noise and Low Frequency SoundThe sound level associated with wind turbines at common residential setbacks is not sufficient to damage hearing, but may lead to annoyance and sleep disturbance. Electromagnetic Fields (EMF)Wind turbines are not significant sources of EMF exposure. Shadow FlickerShadows caused by wind turbine rotors can be annoying, but are not likely to cause epileptic seizures at...

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Prevention, identification, and treatment options for the management of bed bug infestations

In the past decade, bed bug infestations have been increasing worldwide. Historically, studies have failed to provide evidence for the transmission of human diseases through bed bugs, but recent evidence is lacking. Although physical reactions to bed bug bites continue to be documented, evidence regarding the mental health effects arising from bed bug infestations is limited to anecdotes and...

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Bed Bugs and Public Health: New Approaches for an Old Scourge

The objective of this paper is to share four Canadian cities’ experiences with bed bug infestations and to explore public health roles in managing them. We summarize presentations from a workshop at the 2010 Canadian Public Health Association Conference which examined the re-emergence of bed bugs in Canada and compared management approaches of municipal and public health authorities in four...

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Intersection between the Built and Social Environments and Older Adults’ Mobility

Inevitably, an aging population will demand significant health and economic costs at personal and societal levels. Emerging evidence highlights that built and social environments both play a role in older adults’ mobility, community engagement and health. It may be the interaction between the person, the built environment, and elements of the social environment that encourage or dissuade an...

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Forest Residues to Energy: Is this a pathway towards healthier communities? (UBC Bridge Program)

Forest residues are non-merchantable woody biomass found in forests and wood waste from logging practices and industrial operations, such as sawmills. Forest residues are a convenient fuel for open-burning and conventional biomass burning systems (e.g., fireplaces and wood stoves), but more recently have been considered as a fuel for advanced wood combustion (AWC) integrated energy systems, used...

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Air Quality Assessment Tools: A Guide for Public Health Practitioners

Several tools exist to assess local air quality, including the impact of specific sources, emissions, and meteorological conditions. Information generated from the use of air quality assessment tools can inform decisions on permitting of emissions, industrial siting, and land use; all can impact local air quality, which in turn can influence air pollution related health effects of a population....

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Reducing Residential Indoor Exposure to Pesticides: a Toolkit for Practitioners

The scientific literature indicates that avoidance of pesticide use and alternative practices, such as Integrated Pest Management (IPM), may be effective methods for reducing indoor residential pesticide exposure. Safe use of pesticides, indoors and outdoors, involves following label directions and taking precautionary measures, such as wearing gloves and protective clothing. Track-in and take-...

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Air Quality and Community Health Impact of Animal Manure Management (UBC Bridge Program)

Nearly 200 million tonnes of livestock manure are generated in Canada each year.1 Manure storage and land application tends to produce odour, greenhouse gases, microbes, and particulate matter, which can negatively impact the environment and human health. Occupational exposures of manure management have been linked to psychological stress and adverse effects on the respiratory system and heart...

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Community Planning with a Health Equity Lens: Promising Directions and Strategies (UBC Bridge Program)

Community planning has the potential to reduce health inequities. Applying an equity lens to community health planning can encourage greater focus on the process, the implications, and suggested outcomes. Health inequalities are unavoidable; health inequities are differences in health outcomes that are avoidable. Efforts to create vibrant and healthy communities, cities, and neighbourhoods are...

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Fact Sheets for Promoting Healthy Built Environments

This set of fact sheets provides an overview of Healthy Built Environment issues for Environmental Health professionals (EHPs include public health inspectors, environmental health officers, and medical health officers). The aim is to help EHPs collaborate with other stakeholders to promote a Healthy Built Environment (HBE).

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Minimizing Children’s Non-residential Exposure to Traffic-related Pollution (UBC Bridge Program)

A significant portion of children’s exposure to traffic-related pollution occurs in and around schools and daycares and in transit to these locations. New schools and daycare facilities should be located at least 150 m from major roads (15,000 or more vehicles/day) and should incorporate appropriate ventilation systems to reduce infiltration of outdoor pollutants. Interventions for existing...

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Are Naturally Ventilated LEED Buildings Healthier? (UBC Bridge Program)

Green building rating systems such as Leadership in Energy and Environmental Design (LEED) employ a variety of design solutions to reduce energy and minimize environmental damage. These solutions, such as the use of passive ventilation, do not necessarily lead to improvements in occupant health Passive ventilation strategies employed to reduce energy can lead to uneven airflow distribution and...

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Active Transportation in Urban Areas: Exploring Health Benefits and Risks (UBC Bridge Program)

Active transportation refers mainly to walking and cycling for transportation. Health Benefits:  People who use active transportation are, on average, more physically fit, less obese, and have a reduced risk of cardiovascular disease compared to people who use only motorized transportation. A shift from motorized transportation to active transportation has the potential for societal benefits...

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Systematic Review of Human Biomonitoring Studies of Environmental Contaminants

This review synthesizes information on biological markers of exposure to environmental contaminants in Canada through a systematic search of the published and grey literature from January 1990 to January 2007, evaluates the studies, and summarizes the information in an easy access format. This review will make the Canadian work on biomonitoring for environmental contaminants more accessible to...

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Comparison of Guidelines and Regulatory Frameworks for Personal Services Establishments

Personal services establishments (PSEs) have been identified as a priority area by public health inspectors (PHIs) and provincial ministry staff in several provinces, as well as by people within the industry. There are a lot of gaps and conflicting information regarding public health issues associated with PSEs. Guidelines and regulations are often vague or impractical. In general, there is a...

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Built Environment Readiness Assessment

How ready is your organization to work in this area? We've developed resource materials to be used as a package or separately. The package includes the following:  Dialogue between a public health physician and a planner (DVD, available on request) 

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Cellular/Mobile Phone Use and Intracranial Tumours

Cell phone use is increasingly prevalent in Canada. Public concerns of a potential associated risk with intracranial tumours have been raised. Further, recent media attention has focused on disparate precautionary policies implemented across jurisdictions in Canada and world-wide. In light of this and emerging epidemiological evidence, we review what is known about cell phone use and...

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How the New Analytical Geomatics Technologies can help Environmental Health Professionals and Decision-makers to make Further use of Mapping than what is offered traditionally by Geographic Information Systems (GIS) and Web Mapping

This review presents an analysis of geospatial applications in the health field. In this report we focus on the following technologies: spatial dashboard, spatial on line analytical processing (SOLAP), spatial data mining, and spatial data warehouse. Consequently, the report does not include a systematic review of traditional GIS of health practitioners. For environmental health professionals...

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Health Effects of Large LED Screens on Local Residents

In 2011, three high-definition outdoor LED video billboards were erected around a city sports stadium. The residents of the surrounding community are exposed to the lighted images of these screens when they are illuminated. A representative of a community organization advocating to remove the video screens has asked the Chief Medical Health Officer of the local health department whether the...

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Nematodes for Pest Control

A provincial Health Ministry has been asked by the Ministry of the Environment to advise on the health risks associated with use of nematodes to control the cranberry girdler, an insect that has been affecting the economic viability of provincial cranberry production. You are assigned the development of a response as part of your practicum with the Ministry of Health. Here is an outline of...

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Pool Chlorination and Closure Guidelines

As an EH director at a local health authority, helping to review provincial guidelines on swimming pools, you want to know if scientific evidence supports pool closure orders when free available chlorine (FAC) is found to be at or above 10 ppm. Should the level be different and are there other factors to be considered for closure, instead of or in addition to FAC? What is Free Available Chlorine...

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Workshops Presentations

Retrospective Investigation of Drinking Water-related Illnesses in Canada

Infiltration of air pollutants and effectiveness of cleaners

L'Institut national de santé publique (INSPQ) 8e Atelier de santé environnementale

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Heat-Related Mortality in BC: Surprising Numbers

Raising Chickens in City Backyards: The Public Health Role

Canadian Public Health Assocation Centennial Conference (2010)

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Warmer Day Mortality in Yellowknife and Whitehorse: Are There Already Demonstrable Climate Change Impacts?

Topics: Climate General, Canada 

International Union for Circumpolar Health (IUCH) 14th International Congress on Circumpolar Health

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Public health interventions related to risks associated with exposure to local air pollution sources: control measures and health protection and public education approaches

Foundations of Health and the Built Environment

Forest Fires: Impacts on Air Quality and Health

Canadian Institute of Public Health Inspectors (New Brunswick Branch) 2010 Annual Conference

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Preventing Heat-Related Deaths: What We Know, What We Can Do

Topics: Climate General, Canada 

Health Canada - Heat Health Community Sharing Network Webinar

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Indoor Air Quality Issues in First Nations and Inuit Communities in Canada

International Union for Circumpolar Health (IUCH) 14th International Congress on Circumpolar Health

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Indoor Air and Air Cleaners: An Inside Look

An Introduction to Healthy Built Environments

Urban Agriculture: Issues for Public and Environmental Health

Power Lines and Health: The Evidence and Public Policy

Canadian Institute of Public Health Inspectors (New Brunswick Branch) 2009 Annual Educational Conference; previous version presented at American Industrial Hygiene Conference and Expo "09

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Food Security 101: What is Food Security and What Does It Have To Do With Food Protection?

Raw Milk: Clarifying the Debate and Moving Towards Healthier Public Policy

Intervention Strategies to Reduce Residential Pesticide Exposures

Wind Turbines and Environmental Assessment

Western Medical Officers of Health Meeting June 2009; previous versions presented at Atlantic Medical Officers of Health Meeting May 2009 and CIPHI (NS/PE Branch) 2009 Annual Educational Session

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Update on the NCCPH Small Drinking Water Systems Project

Update on the NCCPH Small Drinking Water Systems Project

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Indoor Air Quality: Interpreting Assessment Results

Canadian Institute of Public Health Inspectors (CIPHI) 79th Annual National Educational Conference Presentations General indoor air quality parameters: CO, CO2, relative humidity, temperatureDru Sahai, Public Health Ontario Volatile organic compoundsPrabjit Barn, NCCEH MouldDaniel Fong, NCCEH RadonPam Warkentin, Radonmatters Additional indoor pollutantsDru Sahai, Public Health Ontario

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Event

Ontario Public Health Association (OPHA) - Housing Affordability: Why are new policy directions important for public health?

We are hearing much about a national housing strategy, Ontario’s long-term strategy, more funding for affordable housing, supportive housing, and homelessness, and new municipal and LHIN initiatives. Ontario communities face ongoing pressures of homelessness, poverty, and housing-related health inequalities. What’s changing, what’s constant, and where do recent announcements fit? This webinar...

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Ontario Public Health Association (OPHA) - The Power of Social Media: Promoting your personal brand in public health

The field of public health is vast and spans multiple boundaries in research, policy and practice While this presents exciting opportunities, it can also be challenging for professionals to identify their unique interests and strengths within the larger public health sphere. Many public health professionals have recognized the promise of social media as a way to develop connections with others...

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Canadian Institute of Public Health Inspectors (CIPHI) BC Branch - Fresh and Always in Season: The MarketSafe Food Safety Training Program

Topics: Food General, Canada 

The MarketSafe food safety training program is a food safety training program for farmers and producers who make, bake, or grow products to sell at local farmers’ markets. It was developed by BC FOODSAFE, in partnership with the BC Association of Farmers’ Markets. The association identified an urgent need for food safety education and training that was easy to understand and relevant to those...

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Canadian Institute of Public Health Inspectors (CIPHI) BC Branch - Why are Good Agriculture and Collection Practices important to public health?

The presentation will include a brief background of the Herb, Spice, Specialty Agriculture Association (HSSA), its associated programs, and mandate. The national Good Agriculture and Collection Practices (GACP) program will be outlined in detail from development and collaborations to benchmarking and delivery. It will outline how HACCP plays a role and what that means to those using the program....

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Canadian Institute of Public Health Inspectors (CIPHI) BC Branch - Emergency Management in BC: A Provincial Government Perspective on Multi-Stakeholder Engagement

This presentation will provide an overview of the emergency management domain in British Columbia with a focus on the role of the provincial government agency Emergency Management BC (EMBC) as it relates to the many (non) government organizations. This will come together in a short review of existing legislation and higher level government plans that establish the roles of many agencies and how...

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National Collaborating Centre for Healthy Public Policy (NCCHPP) - Priority-setting in Public Health: Evidence and Ethics in Decision-making

The webinar, co-presented by the National Collaborating Centre for Healthy Public Policy and the National Collaborating Centre for Methods and Tools (NCCMT), will feature a case involving a program that a public health unit is expected to support but whose effectiveness is not supported by evidence. Our goal will be to explore the issues related to program-level decision making in situations...

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National Collaborating Centre for Healthy Public Policy (NCCHPP) et al. - Public Health Ethics: A Case in Infectious Disease Prevention and Control

The webinar, co-presented by the National Collaborating Centre for Healthy Public Policy and the National Collaborating Centre for Infectious Diseases, will feature a case involving point-of-care testing in remote or northern communities and will highlight evidence, implementation challenges and ethics. This webinar is intended to be of interest for public health specialists (including medical...

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Health Canada - Residential Attached Garage Intervention Study

The Air Quality Health Index (AQHI) and Indoor Air Contaminants Assessment Sections at Health Canada are inviting their stakeholders, including public health officials, urban planners, policy decision-makers, and health and emergency management Non-Governmental Organizations to participate in our next Air-Health webinar. This webinar series has been designed to provide a forum for communities to...

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NCCEH Environmental Health Seminar Series - Guidance for the Characterization and Management of Public Health Risks from the Acute Release of Chemicals of Concern: Crude Oil

Title: Guidance for the Characterization and Management of Public Health Risks from the Acute Release of Chemicals of Concern: Crude Oil Speaker: Marc Lafontaine, Science Advisor, Chemical Emergency Preparedness and Response Unit, Health Canada Abstract: The Chemical Emergency Preparedness and Response Unit (CEPRU) of Health Canada is developing guidance documents to assist public health and...

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National Collaborating Centre for Infectious Diseases (NCCID) - Communicating the Risk of Infectious Diseases in a Changing Climate

What are effective means available to public health practitioners in communicating risk of infectious diseases to the public? When a new outbreak emerges, how can public health convey facts and risks accurately to the public and to policy makers? How are risks interpreted by various audiences? These are examples of some of the questions that public health professionals may grapple with during a...

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NCCEH eJournal Club - The Role of Public Health Inspectors in Maintaining Housing in Northern and Rural Communities: Recommendations to Support Public Health Practice

The NCCEH eJournal Club is a series of informal hour-long sessions discussing and appraising articles relating to environmental health. Active participation is encouraged. Although these sessions are directed at public health inspectors, anyone interested in a given topic is more than welcome to take part. Remote viewing instructions are available on the Eventbrite registration page. Title of...

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American Public Health Association (APHA) - Plan4Health: Coalition Building

The Plan4Health project is a collaboration between the American Planning Association and APHA. It represents significant cross-sector support for policy, systems and environment changes, as well as an opportunity to build leadership among our members. Join us for the first webinar of a three part series for APHA and its Affiliate members about the Plan4Health Initiative, and the importance of...

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Legislation

Canada Grain Regulations, CRC, c 889

Canada Shipping Act, 2001, SC 2001, c 26

2- Butoxyethanol Regulations, SOR/2006-347

Canada Agricultural Products Act, RSC 1985, c 20 (4th Supp)

Dairy Products Regulations, SOR/79-840

Egg Regulations, CRC, c 284

Fresh Fruit and Vegetable Regulations, CRC, c 285

Honey Regulations, CRC, c 287

Livestock and Poultry Carcass Grading Regulations, SOR/92-541

Maple Products Regulations, CRC, c 289

Organic Products Regulations, 2009, SOR/2009-176

Processed Egg Regulations, CRC, c 290

Processed Products Regulations, CRC, c 291

Canada Grain Act, RSC 1985, c G-10

Canadian Food Inspection Agency Act, SC 1997, c 6

Potable Water Regulations for Common Carriers, CRC, c 1105

Feeds Act, RSC 1985, c F-9

Feeds Regulations, 1983, SOR/83-593

Fish Inspection Act, RSC 1985, c F-12

Fish Inspection Regulations, CRC, c 802

Fisheries Act, RSC 1985, c F-14

Hazardous Products Act, RSC 1985, c H-3

Health of Animals Act, SC 1990, c 21

Reportable Diseases Regulations, SOR/91-2

Meat Inspection Act, RSC 1985, c 25 (1st Supp)

Meat Inspection Regulations, 1990, SOR/90-288

Radiation Emitting Devices Act, RSC 1985, c R-1

Radiation Emitting Devices Regulations, CRC, c 1370

Seeds Act, RSC 1985, c S-8

Seeds Regulations, CRC, c 1400

Food and Drugs Act, RSC 1985, c F-27

Food and Drug Regulations, CRC, c 870

Cigarette Ignition Propensity Regulations, SOR/2005-178

Tobacco (Access) Regulations, SOR/99-93

Tobacco Products Information Regulations, SOR/2000-272

Tobacco Reporting Regulations, SOR/2000-273

General Sanitation Regulations, RRNWT 1990, c P-16

General Sanitation Regulations, RRNWT (Nu) 1990 c P-16

Shoreland Pollution Control Regulations, 1976, Sask Reg 54/76

Pest Control Products Act, SC 2002, c 28

Pest Control Products Regulations, SOR/2006-124

Canada Health Act, RSC 1985, c C-6

Canadian Environmental Protection Act, 1999, SC 1999, c 33

Public Health Agency of Canada Act, SC 2006, c 5