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Practices and Procedures


Preventing harm through emergency preparedness, surveillance, health impact assessments and risk management and communication.

Project

Oil Spills and Health

The transportation of oil and gas products by land and sea create opportunities for unexpected mass exposures in communities that may or may not be prepared for such an event. Oil spills are also very complex events, in that they may have minimal or very serious human health and environmental impacts. The resources here are intended to assist public health practitioners in: Understanding the...

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Carbon Monoxide in Long-Term Care Facilities

Carbon monoxide (CO) is an odourless, colourless, and non-irritating gas that is harmful to humans. As a by-product of incomplete combustion, CO is produced by fuel-burning appliances including boilers, furnaces, fireplaces, kitchen stoves, and laundry dryers. Cigarette smoke and vehicle exhaust also contribute to indoor CO levels. At low levels of exposure, symptoms can include headache, nausea...

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Document

Programs and Services - Who Does What?

Environmental health programs and services are delivered by various agencies across Canada. In an effort to make this information readily available, we have compiled it into a two-part, comprehensive resource. The initial directory of this information was created in 2010 through a pilot project with the Canadian Institute of Public Health Inspectors (CIPHI) and was last updated in 2013. The...

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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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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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Evaluating the Carbon Monoxide Monitoring and Response Framework in Long-term Care Facilities: A Brief Guide

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.) when they: have implemented a carbon monoxide (CO) policy in long-term care facilities (LTCFs) consistent...

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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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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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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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Adverse Cardiovascular Health Effects of Exposure to Short-Term Air Pollution

Based on appraisals of recent systematic reviews and patient information, this report provides an overview of: 1) evidence available to generate health protection measures; 2) health protection advice currently recommended to persons with/at risk of cardio-vascular diseases through public health, medical, patient information, environmental, and meteorological websites; and 3) a general framework...

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Systematic Review of Surveillance Systems for Emerging Zoonotic Diseases

The purpose of this review is to synthesize available evidence for public health practitioners, making decisions in the event of emerging zoonosis, by finding public health surveillance initiatives for emerging zoonosis and seeing what criteria have been used to evaluate these systems. Emerging infectious diseases (EIDs) can be broadly defined as having newly appeared in a population or rapidly...

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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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Residential Pesticides and Childhood Leukemia: A Systematic Review and Meta-Analysis

Many Canadian municipalities or provinces have banned or restricted cosmetic pesticide use and other jurisdictions are considering similar bans or facing continuous public pressure for such action. Major public and scientific concerns about pesticides include their potential adverse effects on child health and development. Of the 15 most intensely used pesticides in the U.S. during 2001, five...

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A Systematic Review and Meta-analysis of Childhood Leukemia and Parental Occupational Pesticide Exposure

Many Canadian municipalities or provinces have banned or restricted cosmetic pesticide use and other jurisdictions are considering similar bans or facing continuous public pressure for such action. Major public and scientific concerns about pesticides include their potential adverse effects on child health and development. Of the 15 most intensely used pesticides in the U.S. during 2001, five...

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Radon Testing and Remediation Programs: What Works?

Local, regional, and national health authorities have used a number of approaches to encourage homeowners to test for radon and to implement remediation measures where warranted. Given Health Canada’s new 200 Bq/m3 radon guideline, the time is right to review lessons learned in implementing testing and remediation strategies. While public information does change knowledge and awareness of the...

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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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Epidemiologic Evidence of Relationships Between Reproductive and Child Health Outcomes and Environmental Chemical Contaminants

This review summarizes the level of epidemiologic evidence for relationships between prenatal and early life exposure to environmental chemical contaminants and fetal, child, and adult health. Discussion focuses on: fetal loss, intrauterine growth restriction, preterm birth, birth defects, respiratory and other childhood diseases, neuropsychological deficits, premature or delayed sexual...

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Workshops Presentations

Conducting a Literature Search and Semi-Systematic Review: The NCCEH Approach

Evidence-informed decision-making seeks to incorporate both scientific or academic knowledge, as well as the practical knowledge of public health professionals. However, the use of scientific evidence is hindered by a number of factors, particularly the lack of an easy-to-use protocol to search, appraise and synthesize academic sources in a timely manner. In this document, we provide an overview...

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Health Impact Assessment in Environmental Health: Methods, Tools and Policy Change

Abstract: Health impact assessment (HIA) is usually defined as a combination of procedures, methods and tools by which a policy, a program or a project can be judged or evaluated on the basis of its potential effects on the health of a population. This session will cover various aspects of HIA, including theoretical basis, HIA tools and use of HIA to influence policy. At the end of this session...

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Guidance for the Characterization and Management of Public Health Risks from the Acute Release of Chemicals of Concern: Crude Oil

The BCCDC/NCCEH Environmental Health Seminar Series provides an opportunity for learning and knowledge exchange on a variety of environmental health topics. The seminars can be attended in-person or online. Speaker: Marc Lafontaine, Science Advisor, Health Canada Abstract: The Chemical Emergency Preparedness and Response Unit (CEPRU) of Health Canada is developing guidance documents to assist...

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Community Impacts of Fuel Spills: a Case Study from BC’s Northern Coast

The BCCDC/NCCEH Environmental Health Seminar Series provides an opportunity for learning and knowledge exchange on a variety of environmental health topics. The seminars can be attended in-person or online. Speakers:Chief Councillor Marilyn Slett, Heiltsuk NationLinda Pillsworth, Manager of Environmental Public Health Services, FNHAAngela Eykelbosh, Environmental Health & Knowledge...

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The 2013 Lac-Mégantic tragedy: The public health response then and now

The BCCDC/NCCEH Environmental Health Seminar Series provides an opportunity for learning and knowledge exchange on a variety of environmental health topics. The seminars can be attended in-person or online. Speaker: Dr. Mélissa Généreux, Director, Estrie Public Health Abstract: As the head of Estrie Public Health, Dr Mélissa Généreux led the public health response during and after the Lac...

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Knowledge Translation and the Public Health Inspector: Turning Evidence into Practice / Sous Vide Salmon Pasteurization Temperature

The BCCDC/NCCEH Environmental Health Seminar Series provides an opportunity for learning and knowledge exchange on a variety of environmental health topics. The seminars can be attended in-person or online.   Title 1: Knowledge Translation and the Public Health Inspector: Turning Evidence into Practice Speaker: Charlene Tang, British Columbia Institute of Technology  Abstract: This study focuses...

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Addressing health inequities and the social determinants of health in environmental health practice: Findings of a pilot study

Canadian Public Health Association Public Health 2015 Presenters: Karen Rideout, Dianne Oickle

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Environmental health equity: From the molecular to the global

The BCCDC/NCCEH Environmental Health Seminar Series provides an opportunity for learning and knowledge exchange on a variety of environmental health topics. The seminars can be attended in-person or online. Speaker: Dr. Trevor Hancock, Professor and Senior Scholar, University of Victoria Abstract: As is the case with the social determinants of health, the environmental determinants of health are...

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Communicating Health Risk Uncertainty: Busting the myths

Quantitative Risk Assessment: An Overview and Discussion of Emerging Issues

Ethics in Action: A workshop for practicing environmental public health professionals

Presentations: Public Health Ethics: Theory, practice, and policy implications for environmental public health professionalsChristopher McDougall, National Collaborating Centre for Healthy Public Policy Evolving Environmental Public Health: An overly ambitious ideal or an achievable realityPhi Phan, Canadian Institute of Public Health Inspectors Continuing Education Credits: 6.0 PDHs

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Health Promotion in the Context of Health Protection

Environmental Health & Safety and the Law: Understanding the legal framework for regulators

Presentations: An overview of private law conceptsDawn House Overviews of constitutional law and administrative lawAngela Westmacott, Lovett Westmacott Barristers and Solicitors Continuing Education Credits: 6.0 PDHs

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Determinants of health and environmental health practice: Opportunities for Action

CIPHI Manitoba Branch Continuing Professional Competencies (CPC) Fall 2015 Workshop The National Collaborating Centres for Environmental Health and Determinants of Health (NCCEH and NCCDH) co-hosted a workshop at the Canadian Institute of Public Health Inspectors (CIPHI) Manitoba Branch Workshop in Winnipeg, MB. This interactive workshop provided an overview of how health equity and the social...

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Using Comparative Analysis as a Tool for Evidence-based Policy

Agenda Presentation: Using Comparative Analysis as a Tool for Evidence-Based PolicyKaren Rideout, NCCEHChristina Chociolko, NCCEHMona Shum, NCCEHTim Lambert, BC Ministry of Healthy Living and Sport

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Risk Communication (2011)

Agenda Presentations: Risk Communication FundamentalsHelen Mersereau, Cape Breton University Media PerspectivesPauline Dakin, CBC Risk Communication in PracticeNelson Fok, Alberta Health Services Case studies Additional resources: Agency for Toxic Substances and Disease Registry. A primer on health risk communication: Principles and practices. Atlanta, GA: ATSDR; 2004. Presenting Information at...

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NCCEH: Linking Research with Practice

Poster presentation from the Canadian Institute of Public Health Inspectors (Ontario Branch) 2016 Annual Conference.

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Putting Health in Environmental Assessment

Canadian Institute of Public Health Inspectors National Conference 2015 This panel was designed to provide public health inspectors with a basic understanding of the inclusion of health in environmental assessments and to share experiences of working on environmental assessment across Canada.  After a brief overview of environmental assessment, three panel members from the local (Toronto Public...

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Risk Communication (2009)

Presentations: Risk Communication Theories and Principles, with Examples*Timothy Sly, Ryerson University Risk Communication in Practice from One Health Department's PerspectiveNelson Fok, Alberta Health Services Handout:      * The Perception and Communication of Risk: A Guide for the Local Health Agency  

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Evidence-Informed Decision-Making in Environmental Health

Presentation: Evidence-Informed Decision-Making in Environmental HealthDonna Ciliska, National Collaborating Centre for Methods and ToolsChristina Chociolko, NCCEH

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Environmental Health Surveillance Workshop

Presentations: IntroductionTom Kosatsky, BCCDC Environmental Health Surveillance in Canada NowEric Lavigne, PHAC National Environmental Public Health Tracking: Environmental Health Surveillance in the U.S.Heather Strosnider, US CDC Environmental Public Health Tracking In New York StateNeil Muscatiello, New York State Department of Health Environmental Public Health Surveillance in EnglandMike...

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Regulatory Performance Measurement and Evaluation

Presentation: Telling the Regulatory Performance StorySteve Montague, Performance Management Network Inc.

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Talking about ticks: Communicating into a challenging and changing environment

One of three presentations delivered as a webinar in collaboration with the National Collaborating Centre for Infectious Diseases (NCCID). The two other presentations from this event (titles below) and the full webinar recording are available upon request from NCCID: Lessons learned from previous outbreaks: West Nile virus Communicating climate change: A whole Earth perspective

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Public Health Ethics: A Case in Environmental Health

In this webinar, co-presented by NCCHPP and NCCEH, participants discussed the evidence and ethics of a case involving radon. Presenters: Anne-Marie Nicol, Environmental Health Scientist at the NCCEH Michael Keeling and Olivier Bellefleur, Research Officers at the NCCHPP  The webinar, co-presented by NCCHPP and NCCEH on November 29, 2016, featured a case involving radon testing at daycares and...

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Creating Space: Enabling Organizational Capacity for Action on Health Equity

In September 2016, the National Collaborating Centre for Environmental Health (NCCEH) and the National Collaborating Centre for Determinants of Health (NCCDH), in collaboration with the BC Centre for Disease Control (BCCDC) hosted two sessions about health equity and environmental public health (EPH) practice at the Annual Educational Conference of the Canadian Institute of Public Health...

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Evaluating a Novel Carbon Monoxide Monitoring Framework in Long-Term Care Facilities

The Ontario Public Health Convention (TOPHC) 2016 This poster highlights the findings from our evaluation of Saskatoon Health Region’s carbon monoxide (CO) monitoring policy in 10 long-term care facilities (LTCFs). Presenter: Daniel Fong

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Flint Water Crisis: Can It Happen in Canada?

Canadian Institute of Public Health Inspectors (CIPHI) 82nd Annual National Educational Conference In January 2016 a US federal state of emergency was declared in Flint Michigan due to elevated lead concentration in the city’s drinking water. This presentation gives an overview of the Flint lead crisis and how regulation was insufficient to protect public health given human error and omission....

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NCCEH Resources for Environmental Health Professionals

Canadian Institute of Public Health Inspectors Saskatchewan 8th annual Professional Education and Development Seminar The National Collaborating Centre for Environmental Health (NCCEH) and the BC Centre for Disease Control (BCCDC) presented two sessions at the CIPHI Saskatchewan 8th annual Professional Education and Development Seminar held on September 29-30, 2015 in Regina, SK. See the...

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Public Health Inspectors Taking Action on Health Equity and the Social Determinants of Health

Canadian Institute of Public Health Inspectors (CIPHI) 81st Annual National Educational Conference The National Collaborating Centres for Environmental Health and Determinants of Health (NCCEH and NCCDH) teamed up to present at the CIPHI 81st Annual National Educational Conference in Ottawa, ON. This session, titled “Looking Back, Moving Forward,” focussed on how the social determinants of...

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Event

NCCEH Environmental Health Seminar Series - Policy options for healthier retail food environments in city-regions: The case for a solid measurement foundation

Title: Policy options for healthier retail food environments in city-regions: The case for a solid measurement foundation Speaker: Leia Minaker, Assistant Professor, University of Waterloo Abstract: Measurement of the food environment can be complex and depends on community context. In deciding which retail food environment measure to implement, three important criteria are worth considering:...

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BC Healthy Living Alliance - Hashing it Out: Can We Learn About Cannabis From What We Know About Alcohol?

In recent years, there has been a dramatic shift in policy approaches to substance use in Canada and BC. The introduction of Happy Hours and expansion of booze sales to new places such as farmers markets, grocery stores and hair salons are a few examples of the loosening of alcohol regulations that happened when elements of the 2013 Liquor Policy Review promoting consumer convenience and...

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Public Health Ontario - PHO Talks

New ideas and creative minds help drive innovation in public health. Hear some of the brightest minds at Public Health Ontario share their ideas in this unique event on October 26th. This brand new series of short, compelling talks by our diverse experts are appropriate for all audiences. In one hour, you’ll hear three short talks from PHO experts Dr. Natasha Crowcroft, Rhonda Pollard and Stacie...

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Public Health Ontario (PHO) Grand Rounds - Building Evaluation Capacity in Public Health Units Using an Action Research Methodology

This presentation will share the findings of 10 Action Research projects that demonstrate effective strategies to strengthen evaluation capacity building (ECB) in Ontario Public Health Units (PHUs).  As part of an ongoing Locally Driven Collaborative Project (LDCP), 10 PHUs were recruited by the research team to test promising evaluation capacity building strategies within their units.  This...

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NCC for Determinants of Health (NCCDH) - Collective impact, health equity and public health

Join us for a discussion of how participating in a collective impact initiative can deepen public health’s commitment to community engagement and health equity. This webinar will be of interest to anyone looking to learn more about working with community to make change; however, we recommend you read Collective Impact 3.0 from the Tamarack Institute before attending, or watch the video in which...

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Public Health Association of BC (PHABC) Annual Conference - Facing a Changing World: Transformative Leadership & Practice

Please consider joining us for our annual conference, happening this year from November 16th to 17th at The Sutton Place Hotel in downtown Vancouver. Drawing practitioners of public health from all over the province, PHABC’s annual conference is BC’s leading forum for inspiration, sharing, and learning on public health and health equity at the individual, health care system, and community levels...

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The ENRICH Project & Healthy Populations Institute (HPI) - Over the Line: A Conversation on Race, Place & the Environment

What would a different conversation about the relationship between race, place, and the environment in Aboriginal and African Nova Scotian communities look like? How can we engage in a more inclusive conversation about the social justice dimensions of the environment? How can we best acknowledge the links between environmental racism, climate change, climate justice, justice-based transition to...

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