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Practices and Procedures


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

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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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April 2018 Environmental Health Research Scan

Full Scan The attached PDF version of the Research Scan has over 100 references and is broken into over 30 categories. Editor’s Picks After searching through the dozens of articles referenced in the scan, our librarian picks the ones she feels may be especially interesting to our stakeholders.  Her “Editor Picks” for April 2018 include: The built environment: Understanding how physical...

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February 2018 Environmental Health Research Scan

Full Scan The attached PDF version of the Research Scan has over 100 references and is broken into over 30 categories. Editor’s Picks After searching through the dozens of articles referenced in the scan, our librarian picks the ones she feels may be especially interesting to our stakeholders.  Her “Editor Picks” for February 2018 include: A review of the experimental evidence on the...

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January 2018 Environmental Health Research Scan

Full Scan The attached PDF version of the Research Scan has over 100 references and is broken into over 30 categories. Editor’s Picks After searching through the dozens of articles referenced in the scan, our librarian picks the ones she feels may be especially interesting to our stakeholders.  Her “Editor Picks” for January 2018 include: Adverse effects after medical, commercial, or self-...

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Growing at Home: Health and Safety Concerns for Personal Cannabis Cultivation

Personal cultivation as described by the proposed Cannabis Act (2017) will permit adults to cultivate up to four cannabis plants per household. This provision is intended to both promote equity by facilitating access to legal cannabis, particularly when retail outlets are difficult to access, and to undercut the black market. However, indoor cultivation and processing of cannabis may also...

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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 other...

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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 are...

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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 are...

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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 and...

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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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