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THE CIRCUMPOLAR WORLD
North Pacific Ocean
Kodiak Gulf of Alaska Valdez Juneau Whitehorse Dawson Bethel 60
DS 150 AN SL L I RI K U administered by Russia, claimed by Japan.
Sea of Okhotsk
lym Ko a
Pe ac e
Prudhoe Bay Inuvik
Barrow average minimum
extent of sea ice
(as of 1975)
East Siberian Sea
y lyu Vi
Hay River Yellowknife
Great Bear Lake
NEW SIBERIAN ISLANDS
Great Slave Lake Victoria Island
Rankin Inlet Repulse Bay Resolute
QUEEN ELIZABETH ISLANDS
Ellesmere Island Alert
Baffin Island Iqaluit
Qaanaaq (Thule) Nord
Kalaallit Nunaat Greenland
Kangerlussuaq (Søndre Strømfjord)
Barents Sea Greenland Sea
Vy ch eg
FRANZ JOSEF LAND
Denmark Strait Reykjavík
Lake Onega Lake Ladoga
Sukh ona 60
ev er n aya Dvina
Kazan' Samara Nizhniy Novgorod
North Atlantic Ocean
Azimuthal Equal-Area Projection
0 0 500 Kilometers 500 Miles
Oslo North Sea Stockholm
LITH. Baltic Sea RUS.
Table of ConTenTs
Preface Overview People Fiscal Update
The Institute for Circumpolar Health Research [ICHR] is an independent research organization located in the Canadian North devoted to health research relevant to the circumpolar regions and their people.
4 5 7 13
Tri-Territorial Health Access Fund Public Health Agency of Canada Social Economy Research Network of Northern Canada Affiliations 14 15 16 17
Institute for Circumpolar Health Research P.O. Box 11050 Yellowknife, NT X1A 3X7 Canada Tel: 867.873.9337 Fax: 867.873.9338
International Congress on Circumpolar Health International Polar Year Time Capsule Workshops & Retreats Northern Governance Summer Institute Dechinta Health Course
18 20 21 22 23 24 25
Dietary Choices Climate Change & Health HPV Prevalence Study Perinatal Database Waterborne Diseases Research using Photovoice Remote Care Access HIV/AIDS in Northern Canada 26 27 28 29 30 31 32 33
Correspondence can be submitted to: Rajiv Rawat firstname.lastname@example.org — www.ichr.ca — Edited and composed at the Institute for Circumpolar Health Research Yellowknife, NT © 2005-2010
Front Cover: Tuktoyaktuk Akpik (Cloudberry) photo courtesy of Stephanie MacDonald Back Cover: Beadwork by Janet Grandjambe of Fort Good Hope
Health Research Ethics Initiatives Program Evaluation & Support Research Tools Supported Groups Physical Space Circumpolar Health Observatory 34 35 36 37 38 39
Special Publications Web Hosting & Design Conferences Presentations 40 41 42 43
InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010) 3
mEssAgE FROm THE BOARD CHAIR (2005 - 2010)
t has been an honour to have served as the board chair of the Institute for Circumpolar Health Research — from its founding as a tiny organization with lots of good ideas and boundless enthusiasm for northern health research, to its immensely proud fifth year of consecutive achievement that this report celebrates.
at its heart remained dedicated to community partnerships, stretching limited resources to support others, especially youth throughout the NWT who would otherwise go wanting for educational experiences or mentorship. In many occasions, ICHR has stepped in to support innovative ideas and local groups working in the area of health research, rendering invaluable service to the community as a whole. I am certain that in the coming years, ICHR will continue striving strongly on its unique path of combining academic research with community-based methodologies. 2011 looks to be particularly exciting with the opening of a newly renovated office site and research centre. Lastly, I would like to thank all past and present board members and staff — as well as colleagues and friends from all over Canada and the circumpolar world — who we have had the pleasure to work with on this exciting adventure. Sandra Lockhart November 1, 2010 Yellowknife, NT
Needless to say, ICHR has been far more successful than any of us at its founding anticipated. The depth and variety of work highlighted in this report is a testament to the dedication of its staff who have moved forward to surpass significant milestones on a regular basis. And despite developing global linkages and growing in size and stature, ICHR has
mEssAgE FROm THE ExECuTIVE & sCIEnTIFIC DIRECTOR
t is my pleasure to present the five year report for the Institute for Circumpolar Health Research. It has been an exciting period as numerous individuals have come together to build capacity for health research in northern Canada.
the Northwest Territories had access to the Tri-Territorial Health Access Fund. These combined resources and support of colleagues provided opportunities for the board and staff to develop a strong vision and mandate as well as consult on priorities for health research programs and activities at ICHR. Strategic plans were put in place to support capacity building including infrastructure development, policies for ethical practice and research integrity, training opportunities, and knowledge centres with resources including libraries and databases. In some cases, ICHR has taken a leadership role and developed research projects. In other cases, we have supported northern organizations that take on activities in health research. The details of these activities and the partnerships that made them possible are highlighted in the report. It has been a privilege to work with the board, staff and numerous partners and organizations these past five years. I would like to take this opportunity to thank everyone for your contributions, which have created this northern Institute for Circumpolar Health Research. Susan Chatwood November 1, 2010 Yellowknife, NT
This initiative was started by a group of individuals who shared an interest in health research and were committed to support the growth and development of ICHR. It was fortuitous that the beginnings of ICHR were in sync with a number of circumpolar initiatives such as International Polar Year (IPY) and the 14th International Congress on Circumpolar Health. In addition, the Canadian Institutes of Health Research Team in Circumpolar Health Research had just convened and the Government of
4 InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010)
he Institute for Circumpolar Health Research (ICHR) is a northern-based health research institute with a central office located in Yellowknife and a regional office in Inuvik, Northwest Territories, Canada. Historically, health research activities in the Canadian North have tended to be coordinated from outside the region. Centres with northern health research initiatives, infrastructure, and core operations have likewise been largely based in southern locations, often at university centres. As such, the health research infrastructure that emerged has been scattered and dependent upon grant-to-grant funding and in-kind support of northern organizations who serve as partners. Recognizing the virtual absence of northern-based health research capacity, ICHR was established in 2005 under the Northwest Territories Societies Act. The creation of ICHR was the culmination of consultations conducted in our northern regions over the past 20 years.
an annual budget of over one million dollars. In 2009, ICHR was awarded 1.6 million dollars from INAC’s Arctic Infrastructure Research Fund, the only grant for human health research. These funds will go towards a one-time renovation of a central office site in Yellowknife. By 2010, ICHR was managing over fifteen contracts and contribution agreements which span a variety of health research projects. Project funds acquired since inception total over five million dollars and the network site has worked with over fifteen partners including indigenous organizations, territorial governments, health authorities, community-based organizations, international research institutes, and universities. Current partners include the Aklavik Health Committee, Government of the Northwest Territories, Department of Health and Social Services, Regional Health Authorities, the Public Health Agency of Canada, Dene Nation, Inuvialuit Regional Corporation, University of Toronto, McGill University, University of Manitoba, and the Canadian Society for Circumpolar Health. The list of partners continues to grow as people recognize the benefits of northern-based research capacity and infrastructure. In 2009, the Institute became affiliated with the University of Toronto as a well as a sister organization in Greenland, the Greenland Institute for Circumpolar Health Research. ICHR is currently governed by community-based board of directors with representation from both indigenous and health services sectors.
InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010) 5
Founding vision: “Building on the strengths and knowledge of all cultures to achieve health”
Since 2005, ICHR has made targeted efforts to increase health research functions in the north. To this end, it has grown into an institute with a complement of eight staff and
Research program development in the north has resulted from northern-based expertise, leadership, community, governmental partnerships, and university support. Common themes for a health research program arose out of a common vision and goals held by contributing partners. The research themes respond to northern priorities for health research, existing capacity to lead programs, and the advantages obtained through positioning at a northern base for research. The themes require various methods and approaches to explore the health and wellness of our northern residents. Studies on climate change, dietary choices, maternal child health and mental health that employ diverse participatory research methods cross cut these themes. A significant contributing factor to developing successful research programs is northern-based research expertise and leadership in theme areas. Currently ICHR has staff, student affiliates, and advisors who support research program development and have a commitment to this goal. Moreover, from its regional office in Inuvik, ICHR has sustained the development of a community-based participatory research training program geared towards youth.
In lieu of having core funding, ICHR has built on the talents of its staff and partners to the fullest, building in just five years a research institute which will meet the highest standards for health research.
Despite the lack of core funding, ICHR has supported ongoing research and training at ICHR’s northern sites as well as sponsored summer institutes, post-doctoral fellowships, visiting scholars and exchanges, scholarships for northern residents, and local initiatives by health care professionals in the Northwest Territories. It is an exciting time for health research in northern Canada and ICHR is proud to have already played an important role in developing the foundations for internationally-recognized programs in circumpolar health.
ICHR also plays a comprehensive role in supporting communities as they facilitate research projects through activities related to steering committee development, participatory roles in research implementation, and dissemination and uptake of research findings. Some activities of ICHR related to research facilitation are noted below as well as documented throughout this report:
» Knowledge Translation – supervises and coordinates knowledge translation activities including operation of Northern Cochrane network site, serves as a liaison with Canadian Association for Drugs Technology and Health, and supports initiatives of the Executive Training for Research Application. » Research Facilitation – supports research groups in logistics, proposal development, licensure applications, community consultations, and organization of project steering committees. and assists community organizations in research planning (Public Health Agency of Canada, Inuvialuit Regional Corporation, University of Toronto, McGill University, Dene Nation, Aklavik Health Committee). » Research Training – oversees student support services, practicum placement, award competitions, scholarships, curriculum development, design of on-line courses, and sponsorship of summer institutes (supervision students from Queen’s University, University of Toronto, and for Public Health Agency of Canada programs). » Data Repository – host site for the Circumpolar Health Observatory and branch of Statistics Canada Regional Data center. Designs, supervises and maintains data systems, negotiates data acquisition and access, provides analytic support to researchers, and generates statistical profiles and reports. » International Liaison – coordinates and promotes Institute participation and leadership in international research projects; hosts Canadian branches of circumpolar health organizations (member of the International Association of Circumpolar Health Publishers, International Network for Circumpolar Health Research, Canadian Society for Circumpolar Health, coordinating body for the 14th International Congress on Circumpolar Health, and hosts projects proposed by the Arctic Human Health Expert Group/ SDWG and endorsed by the Arctic Council ). » Resource Centre – on site resource library and online support from the University of Manitoba Aboriginal Health Librarian at the Neil John Maclean Health Sciences Library.
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Executive & Scientific Director
Director of Research Development
Susan received a Bachelor of Science in Nursing from the University of British Columbia in 1987 and a Masters in Epidemiology from McGill in 1996. She has also recently been appointed as assistant professor at the University of Toronto’s Dalla Lana School of Public Health. She has spent most of her career in remote and northern communities, working in the clinical setting, public health, and research. She has an interest in building sustainable health research capacity in northern regions. She helped establish the Northern Cochrane Network Site, and currently serves as territorial Co-Rep. Current projects within ICHR include the applications of ethical guidelines in the NWT, knowledge synthesis and dissemination of evidence for northern populations, participatory projects with a focus on community wellness and the facilitation of a number of research projects and related activities in the circumpolar regions that are listed in this report. She is President of the Canadian Society for Circumpolar Health. » email@example.com
Denise is Gwich’in, born and raised in the Mackenzie Delta. She has lived in NWT all her life and is a mother of two, and grandmother of two. She received a bachelor of education degree from the University of Saskatchewan in 1994, and a master of education degree from the University of Alberta in 2000. She worked in the education field in the South Slave region and later at Inuvik High School for several years. She has recently worked with the Gwich’in Tribal Council in Inuvik as Wellness Director and has developed a keen interest in Indigenous health-related issues. She believes that education and research development directed by Indigenous peoples with a northern perspective is essential to community wellness. She also enjoys spending time with her partner on the land at her camp – beading, fishing, hunting, berry picking, and learning the art of moose hide tanning. » firstname.lastname@example.org
Director of Communications & Technology
Director of Finance & Administration
Virginia joined the ICHR team in November 2007 from the Yamózha Kúé Society (Dene Cultural Institute). Through her role at ICHR, Virginia brings with her experience of working closely with Dene Elders in order to maintain, preserve, and strengthen Dene Culture within Denendeh. Virginia currently holds a Practical Nursing Diploma from Norquest College and an Accounting Diploma from the Northern Alberta Institute of Technology and is a student of the C.G.A. Program. » email@example.com
Rajiv earned his B.A. in Biological Sciences from Cornell University, Ithaca, NY in 1996 before working at the Harvard School of Public Health in the HIV/AIDS field as a research assistant, internet communications specialist, and scientific editor. Upon returning to Canada, he earned a Masters in Environmental Studies from York University in 2004. His thesis focused on historical and contemporary forest movements, women’s empowerment, and peoples’ institutions in the Indian Himalayas and marked the culmination of his lifelong ancestral interest in the region. Rajiv is currently a PhD Candidate in Geography at York University where he serves as the web coordinator for the Institute for Research and Innovation in Sustainability and the IPY GAPS initiative as well as various other sundry projects. Upon arriving in the NWT, he completed a term of service as a coordinator for the Northwest Territories Protected Areas Strategy as well as three semesters as a course instructor at Aurora College. » firstname.lastname@example.org
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Public Health Officer (PHAC)
Bree graduated with honours from Queen’s University in 2006 and moved to Yellowknife in May 2008 where she completed her Master’s degree in epidemiology, under the joint supervision of Queen’s University and ICHR. Her graduate research involved place of birth and health outcomes for childbirth in the Northwest Territories and was funded by PHAC and the CIHR Team in Circumpolar Health. Since November 2009, Bree has served as a Public Health Officer of the Public Health Agency of Canada. She is based out of the ICHR office. » email@example.com
Stephanie received a PhD from Cambridge University, England, where her research focused on the relationship between Canadian Aboriginal policy, self government negotiations and the social suffering experienced by indigenous peoples. She currently lives in Yellowknife where she works as a political advisor and consultant to indigenous governments. In 2009, she organized the Northern Governance Policy Research Conference with the assistance of ICHR’s staff. » firstname.lastname@example.org
A Fort Smith native, Candice is pursuing a PhD in Public Health Sciences at the University of Toronto while she continues to lead on several projects for ICHR. In 2009, she completed her MA in Health Promotion from Dalhousie University. Her research spotlighted youth sexual health in Northwest Territories. Earlier, she earned a BA (Honours) in sociology from the University of Alberta and traveled the world on the Ship for World Youth to Japan and various points in the South Pacific. She is also the only staff member with her own trading card as part of the NAHO’s Aboriginal Role Models Program. » email@example.com
Julia Christensen is currently a Trudeau Scholar and PhD Candidate in Geography at McGill University. Her thesis research focuses on homelessness and housing insecurity in the Northwest Territories. She is also a co-investigator in the IPY Gas, Arctic Peoples, and Securities (GAPS) Project, sits as the student representative on the Social Economy of the North (SERRNoCa) steering committee, and is co-director of the IPY Time Capsule Project as well as the Northern Students/Northern Research initiative which ICHR has supported through its foundation. » firstname.lastname@example.org
PhD Student (Alberta) 2010
Stephanie IrlbacherFox, PhD
A political anthropologist, Stephanie has spent the last decade working for Dene, Métis, and Inuvialuit people in the Northwest Territories on self government negotiations, and related processes. In 2005,
8 InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010)
Originally from Germany and a woodwind instrument maker by trade, Thea has travelled extensively in Scandinavia, Siberia, and northern Canada. In 2006, she conducted her MA research on discourse, knowledge, and legitimacy during the public hearings for the Mackenzie Gas Project. She is currently pursuing her doctorate at the University of Alberta on psychological health in northern Dene communities and working in Yellowknife on evaluating the pilot semester of land-based university-accredited courses offered by the Dechinta Centre for Research and Learning. » email@example.com
MPH Student (Toronto) 2010
Hilary Blackett is a graduate student pursuing her MPH in Community Health and Epidemiology at the Dalla Lana School of Public Health, University of Toronto. Hilary worked on several projects including community health reports and a research methodology photovoice course with youth in Inuvik. Her efforts were funded by PHAC and the CIHR Team in Circumpolar Health. » firstname.lastname@example.org
MHSc Student (Toronto) 2007
MA Student (Toronto) 2009
While with ICHR, Andrew Bresnahan was a graduate student in medical anthropology at the University of Toronto, Canada. Rooted in a commitment to health equity, his research interests include social epidemiology, northern medicine, participatory research design, and inter-cultural perspectives on human rights and development. Born in Labrador, he worked from the health clinic in Aklavik through winter of 2009/2010. He now pursuing an MPH at Memorial University in St. John’s, Newfoundland and Labrador. His efforts were funded by PHAC and the CIHR Team in Circumpolar Health. » email@example.com
Amanda was a MHSc student at the University of Toronto during her time at ICHR. She lived and worked in Aklavik through the summer of 2007, helping community members identify health research priorities. Her extensive survey work would later the lay groundwork for future research programs in the region. She also worked on a variety of projects including proposal writing and learned about northern research methodologies at a moose hide tanning camp in the Beaufort Delta. Her efforts were funded by the CIHR Team in Circumpolar Health.
MPH Student (Toronto) 2008
Karolina pursued her MPH at the Dalla Lana School of Public Health, University of Toronto. Her work with ICHR focused on the development of a perinatal surveillance system for the NWT. Through the summer and fall of 2008, she coordinated a series of multi-stakeholder discussions with the Fort Smith Health and Social Services Authority Midwifery Program around the optimal database design for such a system. Her efforts were funded by PHAC and the CIHR Team in Circumpolar Health. » firstname.lastname@example.org
MHSc Student (Toronto) 2007
Stephanie is a registered dietician and earned a MHSc in Community Nutrition at the University of Toronto in 2008. She worked with the community of Aklavik on the Youth and Elders Dietary Project through the summer of 2007 as well as assisted with activities within the Northern Cochrane Network Site during her term in the Northwest Territories. Her efforts were funded by the CIHR Team in Circumpolar Health.
InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010) 9
sCholars & sCholarshiPs
The Masters and/or PhD Scholarship is aimed to encourage northerners to undertake research that will contribute to knowledge and understanding of health and wellness, broadly conceived to include the health, natural, physical, and social sciences and humanities. The scholarship is supported by the CIHR team in Circumpolar Health. Award winners include:
Lois Edge (Alberta)
Circumpolar Health Research Student Award Recipient 2009
Rhonda Johnson, DrPH, MPH, FNP
ICHR hosted the Fall 2010 sabbatical for Dr. Rhonda M. Johnson, who serves as Chair of the Department of Health Sciences, Associate Professor of Public Health at the University of Alaska Anchorage (UAA) and director of the statewide graduate program in public health. The distance-delivered Alaska MPH program focuses on northern and circumpolar health issues, and this was the focus of Dr. Johnson’s sabbatical as well. Primary objectives of the sabbatical included:
» strengthening of circumpolar health research and academic partnerships in our region; » development of several collaborative proposals with ICHR for future projects, with particular emphasis on effective participatory methods, shared health concerns and improved public health practice; and » increased understanding of northern Canadian context and resources to inform ongoing new and existing graduate course development, focused on circumpolar health issues, participatory research methods, health communication strategies and public health ethics.
Lois is a PhD Candidate in Educational Policy Studies with a specialization in Indigenous Peoples Education at the University of Alberta where she received a Master of Arts degree in Social and Cultural Anthropology in 2001. She is also the Academic Coordinator of the Centre for World Indigenous Knowledge and Research at Athabasca University.
Susan Hopkins (Phoenix)
Circumpolar Health Research Student Award Recipient 2009
Susan is a doctoral candidate in the University of Phoenix’s educational leadership program (Ed.D) with a focus on curriculum and instruction. Her dissertation exploress educational resilience in the Tłįcho population through the eyes of young adults who have overcome adversity and graduated from high school.
Erin Freeland-Ballantyne (Oxford)
Northern Health & Wellness Research Award Recipient 2008
Erin is a PhD student in geography and environment at Oxford University. Her research focus is on the interactions between youth and elders with respect to understanding environmental and community health. She is the NWT’s first recipient of the prestigious Rhodes Scholarship. She is also the founder of the Dechinta Bush University Initiative.
Alana Kronstal (Victoria)
Northern Health & Wellness Research Award Recipient 2007
In addition, the telecommunications capacity and support of ICHR allowed Dr. Johnson to continue her leadership role from a distance in the NIH-funded Alaska Center for Addressing Health Disparities through Research and Education (CAHDRE), several ongoing MPH faculty and student projects, and planning for the next Summer Institute in Circumpolar Health Research to be held in Oulu, Finland in June 2011.
Alana has completed her Masters degree in the Studies in Policy and Practice in Health and Social Services at the University of Victoria. Her IPY research looked at the impacts of rapid industrial development on population health in the Mackenzie-Delta region of the NWT.
10 InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010)
We would like the acknowledge those who have provided strategic direction to ICHR:
André Corriveau, MD (McGill), MBA (Laval), FRCPC
André was the Chief Medical Officer for the Northwest Territories from 1998 to 2009, and is currently Chief Medical Officer for Alberta. He received his degree in medicine from McGill University in 1981 and completed a Master’s degree in Health Services Administration at Laval University in 1986. Dr. Corriveau worked 7 years in Nunavik (Northern Québec) before moving to the Northwest Territories in 1994 where he was appointed Director of Population Health for the Department of Health and Social Services in 1996.
Kue Young and André Corriveau at ICCH14
Christopher M. Fletcher, PhD (Montréal)
Chris is an associate professor of Anthropology at the University of Alberta and adjunct Professor at the Canadian Circumpolar Institute. He has worked with the people of Deline on a project that looks at Dene concepts and practices in health and their relationship to economic and environmental change. One part of this project involves finding innovative ways to document and transmit knowledge of medical plants within the community. He has also worked extensively in Nunavik and Nitassinan.
Kue Young, MD, CM (McGill), MSc (Toronto), D.Phil
Joanne Barnaby (Hay River)
Joanne has over 25 years experience working with northern communities, including 12 as the executive director of the Dene Cultural Institute. More recently, Joanne has provided facilitation and cross-cultural training services to industry, public boards, agencies, Aboriginal communities, and governments in the north, with a focus on building economic, cultural, social, and environmental sustainability using western and indigenous traditional knowledge systems, and developing management models that are fully accountable and meaningfully engage Aboriginal people.
Kue is the TransCanada Pipelines Chair in Aboriginal Health and Professor of Public Health Sciences, University of Toronto. His research interests are in the prevention of control of chronic diseases in indigenous peoples of the Arctic and subarctic. Among many activities, he is the principal investigator for the CIHR team in circumpolar disease prevention which includes a series of projects which are building capacity for health research in the NWT and enhancing northern evidence in chronic disease prevention in circumpolar regions. In 2010, he was named to the Order of Canada for his lifetime work in the area of Aboriginal health.
Tine Pars, PhD (Copenhagen)
Tine is the President / Rector of Ilisimatusarfik / University of Greenland. She earned a PhD in epidemiology from Copenhagen University, studying the contemporary use of traditional Greenlandic foods in West Greenland.
Peter Bjerregaard, MD (Copenhagen)
Peter is Professor of Arctic Medicine at the National Institute of Public Health, Copenhagen, Denmark (since 1996) and Advisor to the Home Rule Government of Greenland. He graduated in medicine from University of Copenhagen in 1972 and served as District Medical Officer in Upernavik, Greenland during 1978-80. He has been actively engaged in epidemiological research in Greenland and was principal investigator of several large population surveys and other research projects.
François Paulette (Smith’s Landing Treaty 8 First Nation)
François is a respected Dënesųłiné Elder and was the youngest chief elected in the Northwest Territories. In 1972, along with other chiefs, he challenged the crown to recognize treaty and aboriginal rights. He served on the National Indian Brotherhood Treaty Implementation Committee, the Assembly of First Nations Renewal Commission, and the Parks Canada Aboriginal Consultative Committee and has spoken internationally on Dene history and rights. He currently chairs the Stanton Territorial Health Authority Elders’ Advisory Council.
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board of direCTors
resource person for the HTC and Fisheries Joint Management committee.
Helen Gruben is an Inuvialuk and Gwich’in from the Beaufort Delta area. She was born in the bush and raised on the land in a subsistence hunting and trapping lifestyle. Introduction of medical services in her community of Tuktoyaktuk came later in her life. She worked in this system as a translator and later went back to school and became a Community Health Representative in the community. Currently she is ‘retired’ and is actively involved in the NWT Seniors’ Society and still advocates for the health of her community.
Members of the 2009 ICHR Board with Susan
Chair 2010 -
Julie Lys is Métis and was born and raised in Fort Smith. She has been working as a nurse with the GNWT for 20 years. In August 2007 she completed her Masters in Nursing through Athabasca University. Julie’s interests are in Aboriginal health and education issues. She is currently a board member of the Fort Smith Métis Council, the Chairperson of the Fort Smith District Education Authority ((DEA) and the NWT Director for the Aboriginal Nurses Association of Canada (ANAC). She has been actively involved in the Aboriginal Health Human Resources working group with the National Aboriginal Health Organization (NAHO).
Maria Santos received a Masters in Health Science from the University of Toronto Community Health and Epidemiology program in 1999. She worked at the Hospital for Sick Children as a research assistant, developing databases and performing analyses for various studies. As a Senior Health Analyst at the Canadian Institute for Health Information, she was part of a team that published the annual report Health Care in Canada. Since 2002, she has worked in the Northwest Territories as the Territorial Epidemiologist and is largely responsible for disease registries and surveillance.
Robert Buckle is a member of the Aklavik art community who annually attends the Great Northern Arts Festival in Inuvik. Robert is a skilled carver who has recently began focusing his artistic flare on the production of northern jewelry. He won the Emerging Artist Award the year after completing his jewelry program at Aurora College in 2001. Robert was also the recipient of a NWT Arts Council grant that will aid in his purchase of equipment to further extend his range of artwork.
Founding Chair 2005 - 2010
Sandra Lockhart is a band member of Lutsel K’e First Nation and is a Registered Nurse and is the Manager for the Stanton Territorial Health Authority Aboriginal Wellness Program. She has worked in a variety of settings in roles related to the delivery of health care services, including health authorities and the Dene Nation. Her interests lie in exploring ways in which Indigenous Knowledge can co-exist and be applied in contemporary health care settings to promote well being and patient cultural safety for Aboriginal populations.
2010 Incoming Members
In late 2010, Karen LeGresley Hamre and Sharon Firth joined the ICHR Board. Sharon is a former world class champion skier, member of the Gwich’in First Nation, and Youth Program Advisor to the Government of the Northwest Territories. She has been the subject of a number of documentaries. Karen is a Landscape Architect at Avens Associated, Managing Director of the Northwest Territories Protected Areas Strategy, and a member of many social and community organizations in Yellowknife. Incidentally, both Sharon and Karen are former Olympians.
Vice-Chair 2005 - 2010
Billy Archie is Inuvialuit and is an independent contractor in the community of Aklavik. His past roles include Mayor or Aklavik, Director of the District Education Authority, Councillor, Chair Hunter & Trappers Committee. He has worked as Regional Contaminants Coordinator for the IRC and as a
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he Institute For Circumpolar Health Research (formerly Arctic Health Research Network) was audited in accordance with generally accepted Canadian auditing standards for the years ended March 31, 2007, 2008, 2009, and 2010. The following figures and financial overview are prepared from the unqualified financial statements.
REVENUE Grants Universities Other Funders Fees, Sponsorships & Donations Administrative revenues 1,070,163 248,878 366,495 284,848 52,400
811,008 101,555 0 366,909 56,006
766,106 167,376 0 1,350 19,280
326,402 116,000 0 1,500 1,272
Total Revenue EXPENSES Wages & Benefits Consultants & Contractors Travel & Meeting Expenses* Project Expenses General & Administrative Total Expenses SURPLUS
579,052 57,625 935,680 121,320 319,875 2,013,552 9,232
425,917 376,675 202,207 0 216,961 1,221,760 113,718
308,363 379,800 133,670 0 113,542 935,375 18,737
124,122 115,220 128,792 0 54,164 422,298 22,876
* includes International Congress on Circumpolar Health - 14 expenses ICHR would like to acknowledge past employees, community partners and casual workers who have worked or partnered with us on projects: Kaitlin Cayen, Morris Charney, Leland Chinna, Wilbert Cook, Lance Elton, Diane Essery, Jaimie Forsey, Tamlin Gilbert, Michel Granjambe, Sue Heron-Herbert, Rhonda John, Jeanette Kakfwi, Bradley Kelly, Bonnie Koe, Samuel McLeod, Cara Manuel, Mary Masuzumi, Ryan Mazan, Jody Nuyaviak, Gerald Pierrot, Debbie Russell, Corrie Siemens, Patrizia Thagard, Tuqani Ugyuk, Shelly Widow, Judy Wilson.
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Tri-TerriTory healTh aCCess fund
2006 - 2009
he support of the Government of the Northwest Territories via the Tri Territory Health Access Fund (THAF 2006-2009) has been a pivotal in the development of the health research capacity across the northern territories. The objectives of the THAF project were to support capacity building, identify priorities for health research, develop tools for health research ethics and promote knowledge sharing. Not only did these funds allow for northern based and driven activities in these thematic areas, but the THAF support allowed for further proposal development and subsequent funding for projects which are highlighted throughout this report. The funding also provided seed funds and support for the development of health research Institutes in Yukon, Northwest Territories and Nunavut. For a variety of reasons a pan northern structure was not formalized. Instead, individual institutes and governance structures emerged — the Arctic Health Research Network - Yukon, the Institute for Circumpolar Health Research in the Northwest Territories, and the Qaujigiartiit Health Research Centre in Nunavut. However, a pan-territorial vision inspired the promotion and revitalization of northern interest and awareness in health research and has created models where northerners can drive the research process and create new knowledge that promotes health and wellness.
A key component of development of arctic research capacity has been infrastructure support via the Arctic Research Infrastructure Fund and institutional partnerships. Many partners are highlighted throughout this report and recognize the broad base of partners required to advance research projects in our regions. These formal partnerships will provide important supports as ICHR advances its research agenda and supports graduate students in the north. The support for the development of a health research ethics board allowed for pan-northern meetings to discuss needs and best practices for the ethics review of health research projects in the three territories. The work has provided an important foundation and identified next steps for the development of research ethics policies within the institute and recommendations for best practices for the review of health research projects conducted by the institute. The research agenda in the north is advancing as a result of the established research capacity and priorities of the institutes. This includes projects involving youth driven, community-based, participatory methods, health service delivery research, health monitoring, determinants of health and health research impacts. Exciting prospects lie ahead for developing northern solutions as the foundations are established for northern-based health research.
The pan-territorial project has inspired the promotion and revitalization of northern interest and awareness in health research and has created models where northerners can drive the research process and create new knowledge which promotes health and wellness.
The THAF funds enabled the network sites to further develop priorities in program areas and enhance the strategic direction of each site. Not only do funds allow for northern based and driven activities in thematic areas, but the THAF support allowed for important ground work leading to further proposal development and funding for projects and health research network growth. Examples of projects that the funds have leveraged are highlighted in throughout this five year report. An article on the development of research capacity in the north was published in the Canadian Journal of Public Health in January 2010 issue1.
1) Chatwood, S, Young K. “A New Approach to Health Research in Canada’s North.” Canadian Journal of Public Health 2010;101(1):25-27.
14 InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010)
PubliC healTh agenCy of Canada
Bryany Denning, MSc, Public Health Officer
Andrew Bresnahan with Dr. David Butler-Jones, Canada’s first Chief Public Health Officer
PuBlIC HEAlTH OFFICER PROgRAm
he Canadian Public Health Service was created as a response to one of the key recommendations made in the Naylor Report produced after the SARS crisis in 2003. This program places Public Health Agency of Canada staff, known as public health officers (PHOs) within provincial, territorial, and local health authorities and public healthoriented non-governmental organizations in order to build public health capacity in these regions. The PHOs also serve as support in the event of an outbreak of disease and can be mobilized to assist with special event health surveillance. This allows PHOs to receive field experience and training for a future in Canada’s public health workforce while building the capacity of the host organization. Moreover, a companion EC Development Program was designed by the Public Health Agency of Canada to address the increasing need to build their workforce in the specialized areas of epidemiology, biostatistics, and policy analysis, due to projected high levels of retirement in the near future. It is a competency-based training program that prepares participants for public health service and permits career advancement within the Public Health Agency of Canada. After completing her MSc through the Queen’s University and ICHR in 2009, Bryany Denning returned to the Institute as the regional Public Health Officer. She is also part
of the EC Development Program. Her research projects are designed to address the core competencies of public health, and currently include secondary data analysis on the Canadian Incidence Study of Child Abuse and Neglect and the First Nations Regional Health Survey in partnership with Dene Nation, analysis of data housed in the Circumpolar Observatory, and a health promotion project designed to engage men in addressing the issue of male violence.
REsEARCH AFFIlIATE PROgRAm (RAP)
he Research Affiliate Program (RAP) is a Public Service Commission (PSC) Program designed to give postsecondary students experience in applied research (design, execution, evaluation), to attain such knowledge and skills required to graduate. It is also designed to help the Government of Canada conduct research while retaining possession of existing intellectual property when promoting the release of scientific findings. Students are normally placed with ongoing research operations in federal government facilities. ICHR has hosted four research affiliates — Bryany Denning, Karolina Machalek, Andrew Bresnahan, and Hilary Blackett — through the Public Health Agency of Canada. These students also received supplementary funding from the CIHR Team in Circumpolar Health.
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2008 - 2011
Steering Committee Meeting, Iqaluit, Nunavut, November 2009
Social Economy Research Network of Northern Canada
» Rajiv Rawat (NWT Coordinator), Diane Essery (Research Assistant)
» Chris Southcott (Lakehead University - P.I.), Valoree Walker (Yukon College - Coordinator), Social Sciences and Humanities Research Council of Canada, Carleton University, University of Saskatchewan, University of Alberta, Memorial University, Northern Research Institute, Aurora Research Institute, Nunavut Research Institute, Canadian Social Economy Hub
public and private, has long played a prominent role and offered tools to help these communities face these challenges as seen by the region’s rich variety of both Aboriginal and non-Aboriginal third sector organizations. Northern governments, both indigenous and public, can use research on this sector to evolve realistic program and community economic development policies that build on this rich experience while tapping into the emerging scholarship in the field.
ince 2008, ICHR has served as the NWT coordination node of the Social Economy Research Network of Northern Canada (SERNNoCA), a coalition of university-based researchers and community representatives conducting research relevant to the social economy in Canada’s North. While this northern focus has been important in arriving at a regional understanding of how the social economy functions and the variety of social conditions it faces, the research also aims to survey the full diversity of social economy actors, systems, and practices found in the North. In particular, the research examines the nature and relationship of the social economy to the collectivist traditions of Northern indigenous societies. Arctic and sub-arctic communities are currently undergoing rapid social, cultural, economic, and environmental change, adding to the already formidable challenges posed by the history, climate, and geography of the Canadian North. However, the social economy as a third sector beyond both
“Social economy refers to the grassroots voluntary or non-profit sector outside both the government (public) and private for-profit sectors. In addition to non-governmental organizations, cooperatives, and charitable foundations, the social economy of the North may also embrace many of the traditional economic activities of aboriginal societies given its focus on democratic values that enhance community life.”
In addition to assisting SERNNoCA’s activities in the NWT, ICHR hosts the network’s comprehensive NWT website that highlights SERNNoCA funded research in the NWT, provides information on the local social economy and links to institutes, agencies, organizations, and other social economy resources. For more information, please visit: » sernnoca.circumpolarhealth.org
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n a landmark agreement for northern health research, ICHR signed a Memorandum of Understanding (MoU) with the University of Toronto in January 2010. Susan Chatwood and Stephanie Fox have been recognized as Assistant Professors of the Dalla Lana School of Public Health and Associate Members of the School of Graduate Studies. These affiliations recognize ICHR’s role in advising and supervising graduate students and conducting research which conforms to high standards of research integrity. This partnership could not have been possible without the sustained efforts and support of ICHR’s mentor, advisor, and friend, Dr. Kue Young.
Crystal Lennie of the Inuvialuit Regional Corporation with graduate students affiliated with the Greenland Institute
long with various societies, university departments, and institutes, ICHR is a member of the International Association of Circumpolar Health Publishers that produces the International Journal of Circumpolar Health and Circumpolar Health Supplements. From 2009 and 2010, ICHR worked closely with IACHP on the Proceedings for the 14th International Congress on Circumpolar Health and will be publishing a regular series of data briefs for the journal.
n November 2009 in Nuuk, Greenland, the Institute for Circumpolar Health Research (ICHR) in Canada and the Greenland Institute for Circumpolar Health Research (GIHR) signed a MoU that formally launched sister ICHR organizations for Canada and Greenland. This new voluntary, non-monetary association brings together allied research interests from two circumpolar regions, and expands their respective roles in advancing health research in circumpolar regions. The MoU builds on shared perspectives and common interests in the study of circumpolar populations and will enhance opportunities for knowledge translation and study logistics in circumpolar health research due to proximity to stakeholders and partners. The Institutes look forward to working together in this mutually enriching partnership.
he Canada Northwest Fetal Alcohol Spectrum Disorder Partnership is an alliance of seven jurisdictions that works towards the development and promotion of an interprovincial/territorial approach to prevention, intervention, care and support of individuals affected by Fetal Alcohol Spectrum Disorder. Susan Chatwood and ICHR represented the Northwest Territories on the Research Network Board of Directors from 2007 to 2010.
Susan and GIHR director Peter Bjerregaard in Greenland
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2007 - 2009
munities have focused their attention on health and wellbeing and environmental issues in the circumpolar world. The Congress recognized the end of the Polar Year through its theme, Securing the IPY Legacy: From Research to Action. The Congress programme contained a broad cross section of Pat Thagard, presenters and sessions. The sesCongress Coordinator sions allowed for complimentary perspectives of researchers, clinicians, community representatives and governments on numerous topics, which impact public health, health services delivery, the research process and Indigenous wellness in our circumpolar regions. The presentations demonstrated examples where research findings are applied in numerous settings, with uptake by clinicians, communities, and governments. Presentations also recognized the contributions of stakeholders through the research process with a particular focus on community engagement and participatory methods. In addition to the scientific programme, meetings, cultural events and social gatherings provided opportunities for networking and development of partnerships to support the ongoing enhancement of evidence for health and wellbeing in circumpolar regions. It is these partnerships which will contribute significantly to securing the IPY legacy and turn research into practical, applicable, and sustainable health care approaches and practices.
InTERnATIOnAl COngREss On CIRCumPOlAR HEAlTH
» International Union for Circumpolar Health, Canadian Society for Circumpolar Health
ver 650 health professionals, researchers, indigenous representatives, and government officials from Canada, Greenland, Denmark, USA, Russia, Norway, Sweden, Iceland, Finland and other countries interested in circumpolar health gathered in Yellowknife, NT, Canada on July 11-16, 2009 to share health related research findings and program successes that improve the quality of life for those living in circumpolar regions. The week-long event featured thought-provoking keynote addresses, workshops, information sessions, social activities, and networking activities that provided many opportunities for scientific, artistic, cultural, and social exchanges. ICHR was instrumental in organizing this historic conference, held in Yellowknife for the first time in 35 years. Led by Congress Coordinator Pat Thagard, ICHR coordinated both the scientific and organizing committees, as well as the logistics of the entire meeting through its role as Congress Secretariat.
On a local level, the Congress connected participants with the people, places, and experiences that make northern Canada spectacular and showcased the cultural richness and diversity of Yellowknife, the Northwest Territories, and the Canadian North. At the Weledeh Feast, the Northern Cultural Gala, and the community Teepee, local and regional Aboriginal voices were front and centre, sharing knowledge, practices, and culture amongst the participants from the entire circumpolar world. The congress website www.icch2009.com is being maintained by ICHR in perpetuity as a living repository of congress-related information. The proceedings book was prepared for publication by ICHR in conjunction with the staff of the International Journal on Circumpolar Health.
The International Congress, came at a special time as it closely followed the conclusion of the International Polar Year (IPY), a research initiative that takes place once every fifty years. From 2007 to 2010, countries and com-
18 InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010)
Upper Left: Modeling fashions at the Northern Cultural Gala. Upper Right: Participants from Chukotka, Russia performing their traditional songs. Lower Left: John B. Zoe of the Tłįcho gifts the national flag to Dr. Larissa Abrutina of the Northern Russian Indigenous Peoples’ Organization. Lower Right: Members of the ICHR Board with Aboriginal leaders and the territorial and federal health ministers.
CAnADIAn sOCIETY FOR CIRCumPOlAR HEAlTH
he Canadian Society for Circumpolar Health (CSCH) is a charitable membership-based organization dedicated to promoting research, exchanging knowledge and fostering greater awareness and responsiveness to the health issues of circumpolar people. The CSCH also promotes and supports efforts of all circumpolar peoples in the attainment of better health. Established in 1984, CSCH became a charter member of the International Union for Circumpolar Health (IUCH) in 1986. Other members of the IUCH include the American Society for Circumpolar Health; the Nordic Society for Arctic Medicine; the Siberian Branch of the Russian Academy of Medical Sciences; and the Danish/Greenlandic Society for Circumpolar Health. As one of the core adhering bodies of the IUCH, the CSCH is actively involved with the planning and organizing of the International Congress for Circumpolar Health held every three years.
In recognition of the leadership role played by ICHR in organizing the 2009 Congress in Yellowknife, Susan Chatwood was elected president of the society with ICHR assuming its core administrative and membership duties. Since then, ICHR staff have actively maintained the CSCH membership list, implemented an online registration gateway, updated the website (csch.ca), and prepared and published the semi-annual “Gazeteer” newsletter. In February 2011, ICHR has arranged for CSCH to hold a general meeting in Ottawa. A newly revamped website will be produced for this gathering.
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inTernaTional Polar year
2007 - 2010
ICHR was involved in the International Polar Year in a variety of activities which supported northern engagement, best practices in health research, and the dissemination of findings. We had opportunities to share experiences and perspectives on circumpolar health and research as an invited keynote at the International Polar Year Oslo Science Conference in Oslo, Norway and through a Plenary Address at the IPY Early Results Workshop. Contributions were also made to the health chapter of the Joint Council International Polar Year Report. ICHR also supported proposal writing workshops in Yellowknife and Inuvik in partnership with the NWT International Polar Year Coordinator. These workshops provided an overview of funding program objectives and introductory skills in proposal writing.
The CCGS Admundsen moored off Ulukhaktok as part of the Inuit Health Survey
he International Polar Year (IPY) 2007-2008 marked the largest-ever international program of scientific research focused on the Arctic and Antarctic regions. Thousands of scientists and researchers from more than 60 nations around the globe participated. While health research is not new to international collaborations, this International Polar Year (IPY) 2007-2008, was the first to include human dimensions as a thematic area of study.
Theme for the human dimension: “to investigate the cultural, historical, and social processes that shape the sustainability of circumpolar human societies, and to identify their unique contributions to global cultural diversity and citizenship.”
In Canada we were fortunate to have a well supported research program which supported activities over the years. While the Institute for Circumpolar Health Research was just starting during the planning phases of IPY, the increased support for Arctic Health Research was timely and provided many opportunities to engage northern health scientists and for a northern Institute to provide perspectives and contribute to the activities. This was particularly true for the 14th International Congress on Circumpolar Health, which served to highlight IPY research projects that focused on the health and wellness of Arctic peoples. While the polar years have come and gone, opportunities and collaborations in international health research continue and ICHR is pleased to be part of ongoing initiatives which will contribute to the health and sustainability of northern populations and communities.
» IPY Project Review Committee » Steering Committee, Inuit Health Survey (Inuvialuit Settlement Region) » Steering Committee, HPV Prevalence Study
» “Human Health and Wellbeing of Northern Communities.” Plenary Address at the IPY Early Results Workshop, Ottawa, Ontario, February 16-18, 2010. » “The International Polar Year: Building Health Research Capacity in Canada and Greenland.” Keynote presented at the International Polar Year Science Conference, Oslo, Norway, June 8-12, 2010.
Web and Print Publications
» Designed website for IPY Gas, Arctic Peoples, and Security (GAPS) Initiative (www.ipygaps.org) and hosted researchers traveling through NWT (2008). » Designed, published, and distributed Inuit Health Survey Report for Inuvialuit Settlement Region (2010). » Coordinated selection and editing process for the Proceedings for the 14th International Congress on Circumpolar Health: Securing the IPY Legacy: From Research to Action, Yellowknife, NT, July 11-16, 2009.
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2008 - 2010
Seals by Zander Affleck
“The Time Capsule initiative developed from the realization that little hard information exists on the legacy of previous IPYs, especially among youth which proved surprising. The Time Capsule initiative aims to address this significant gap by not only bringing youth together in its creation, but by building a visual, physical display that promotes the legacy of the IPY among youth today and tomorrow.” – Youth Committee
creative writing, and photography. The resulting collection of photographs, poems, stories, and artwork were then stored at the Prince of Wales Northern Heritage Centre until the next IPY. Before storing the time capsule, an interactive exhibit was launched in Spring 2010 at the Prince of Wales Northern Heritage Centre. Youth were able to view their own submissions either in person or through the website. They were also encouraged to create a piece on-site to contribute to the time capsule. The exhibit likewise featured the submissions of the IPY Time Capsule Project Photo Contest participants. Winners were announced in September 2009. All participants’ photos were featured in exhibit. » www.ipytimecapsule.com
hree of our affiliated students, Bryany Denning, Julia Christensen, and Alana Kronstal chaired the International Polar Year (IPY) Time Capsule Initiative of the IPY Canadian Youth Committee from 2008 to 2010. The initiative aimed to give northern youth a voice through art,
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workshoPs & reTreaTs
2006 - 2007
Students at Shingle Point
TAkE PulsE wORksHOP
n the community of Aklavik, partnerships between ICHR, the Moose Kerr School, Aklavik Health Committee, Health Centre, Aklavik Recreation Committee, leadership council and the Northern Cochrane Network site facilitated a dynamic community workshop in 2006 which celebrated wellness in the community and explored research priorities and access to health research findings. The workshop featured keynote speakers Shirley and Sharon Firth, who are world class cross-county skiers. They attribute being raised on the land and learning traditional skills to their discipline, perseverance and courage to achieve. They encouraged people to rely on their inner strength, make health a priority, set goals to make good choices by getting into a regular exercise program to stay fit for life to achieve dreams. Yellowknife physician Cindy Orlaw who comes from Aklavik roots met with youth and shared her story and encouraged them to pursue the sciences and careers in health. The youth were also involved in a workshop with Sean Muir and Steven Keewatin of the Healthy Aboriginal Network in Vancouver. They explored the use of animation and art to express issues around health and wellness. A “train the trainer” session was held and led by Animaction out of Los Angeles to introduce animation as a tool for knowledge translation of health information. This session gave the tools and training to teachers and community members to help youth create animated shorts. This has led to the creation of an animation club at the school. Funding from the health promotion branch of the GNWT supported this endeavour.
A workshop session was held for researchers and community members. The workshop explored community priorities for health information and research. Knowledge translation was explored as a method to help communities and specifically youth access health information.
sHInglE POInT REsEARCH RETREAT
n the summer of 2007, ICHR organized a health research retreat in the beautiful surroundings of Shingle Point, a traditional whaling camp on the Beaufort Sea. Representatives from Aklavik, the Inuvialuit Regional Corporation, Moose Kerr School, Aklavik Health Centre, and Yellowknife Health and Social Services, as well as NWTbased graduate students, ICHR and AHRN NU staff were in attendance. Participants networked and shared current health research projects. Time was taken to discuss health research priorities and plan projects for the NWT around the fire of the outdoor boardroom. Two Aklavik youth from Moose Kerr School, Bonnie Koe and Autumn Semple talked to Elders about traditional foods. The students were creating a video to highlight the successes and challenges of making healthy dietary choices in Aklavik. Even with all the work, there was still time to play, the 2007 Shingle Point Summer Games proved to be an entertaining time for all with such memorable games as the dizzy stick and serious rounds of ring toss. AHRN Nunavut took the prestigious prize of the crying towel.
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2009 Northern Governance Policy Research Conference
ICHR FACIlITATOR: PARTnERs:
» Stephanie Irlbacher-Fox
» Gwich’in Social and Cultural Institute, Dene Nation, Inuvialuit Regional Corporation, Tłicho Community Services Agency, University of Alberta, Canadian Circumpolar Institute
» Social Sciences and Humanities Research Council, Indian and Northern Affairs Canada, Walter and Duncan Gordon Foundation, Canadian Institutes for Health Research, BHP Billiton, Canadian North, Wek’èezhìi Land and Water Board
Walter Bayha of Délįnę addressing the gathering
he first meeting of its kind, the landmark Northern Governance Policy Research Conference took place in Yellowknife from November 3 to 5, 2009. Hosted at the Explorer Hotel, the conference brought together 150 northern researchers, community leaders, and government officials to discuss how to connect effective research in the service of policy for aboriginal and community organizations. Conference topics ranged from self-government, service delivery, and the impacts of mining, oil, and gas exploration, to social healing, wellness, and knowledge development. An Elders’ knowledge workshop also took place concurrently to the conference.
“We are here to figure out one of the most powerful tools to develop more effective policy in the north, the efforts of our research community, can actually inform decision making.” – John B. Zoe
A critical issue at the conference was how to address the daunting economic, social, cultural, and environmental challenges of the North with its resource‐driven economy, legacy of colonization, young population, and vast land mass, is a crucial question that researchers and officials attempted to answer in this conference. The dialogue generated by the conference highlighted the importance of both university and community-based policy research, especially as governments attempt to set policies that are reflexive to changing conditions and responsive to the needs and priorities of communities rather than external institutions or funding bodies. That research likewise contributed to capacity building and knowledge sharing, especially in regards to negotiating or implementing land claims and self‐government. While ICHR researchers and student affiliates made presentations at the conference, ICHR staff also developed the NGPRC website (ngprc.circumpolarhealth.org) and provided registration, logistical, and administrative support.
“In our conference, we aim to empower researchers who work for indigenous governments to identify the policy research skills they use every day and share them widely. We also, of course, have to identify the gaps and figure out how to tackle these.” – Stephanie Irlbacher-Fox
The conference was particularly timely as it provided an opportunity for researchers from across the Canadian Arctic to take stock of the enormous transformations in governance that have taken place in the North over the last three decades. From the 1984 Inuvialuit Agreement and the 1999 creation of Nunavut, to the 2003 Tłįcho and 2005 Nunatsiavut self-government agreements, the north has seen a patchwork of jurisdictions, local bodies, and land use plans emerge through the generalized processes of land claims settlement and federal devolution.
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Instructors and participants of the Health Disparities Course
he Summer Institute in Circumpolar Health Research met with great success in its first outing as an annual site for international research training. Hosted by the National Institute of Public Health of Denmark and co-organized by the University of Alaska (Anchorage), University of Oulu, ICHR and its Greenlandic counterpart, the summer course offering was organized at the same time as the Annual Meeting of the International Network for Circumpolar Health Research (INCHR) in Copenhagen, May 2010. This took full advantage of the gathering of professionals and scholars for a memorable week of activities. The first of the two-day graduate courses focused on dietary assessment methods used in primary epidemiological studies of Arctic populations including nutritional anthropometry and methods of measuring physical activity. The second day reviewed the theoretical and methodological perspectives on health disparities as well as basic epidemiological concepts for measuring disparities and causes of disparities.
An international team of eminent scholars led both courses, sharing their extensive experience with up-and-coming researchers from across the circumpolar world.
The Summer Institute laid a strong foundation for international graduate training and a vibrant circumpolar health community.
The Institute was so successful that plans are now afoot for organizing new course offerings at the next Annual Meeting of INCHR in Oulu, Finland, 2011. In addition, ICHR will continue providing administrative and logistical support in the form of the Summer Institute website and registration portal at sichr.circumpolarhealth.org.
24 InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010)
deChinTa healTh Course
Dechinta’s Pilot Semester, June 2010
“Dechinta: Bush University. Blachford Lake Lodge, Denendeh. The float plane brought us safely back to Yk-town, the sky is still heavy with smoke. Am so blessed to have had this experience… mahsi” – Melaw Nakehk’o
The pilot semester of Dechinta took place in June 2010. The first group of students learned about Creative Writing and Communications, and Northern Governance with Richard Van Camp, Stephanie Fox, and Glen Coulthard and featured guests François Paulette, Stephen Kakfwi, and Fort Good Hope elders Mary Barnaby and Judy Lafferty. ICHR in partnership with the Universities of Alberta and Toronto delivered a Health Promotion Planning course coordinated by Denise Kurszewski as part of the pilot semester. The students also participated in traditional cultural events throughout the week. Featured guests and presenters included Tłįcho community member John B. Zoe, Elder Jane Dragon of Fort Smith, Olympian Sharon Firth, health promoters from the Government of the NWT, and University of Toronto Professor Suzanne Jackson. Throughout the course, there were also Elders present from the Yellowknife Dene. Funding for the health component was provided by the University of Toronto Aboriginal Initiatives.
echinta Bush University and Centre for Research and Learning is a northern-led initiative to deliver landbased, university-accredited educational experiences. Led by Erin Freeland-Ballantyne and Kyla Kakfwi Scott, the program seeks to engage northern and southern youth in transformative curricula based on the needs of Canada’s north. ICHR has been aiding this novel community-based initiative with teaching, the development of a health curriculum and by hosting and maintaining its website dechinta.ca as in-kind support.
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2006 - 2007
Autumn Semple and Bonnie Koe at their film screening in Aklavik
Youth & Elders Dietary Choices Pilot Project
PROjECT FACIlITATORs: FunDERs:
» Aklavik Health Committee (Billy Archie & Velma Illasiak)
» University of Ottawa ACADRE, CIHR Team in Circumpolar Health
n 2006, the Aklavik Health Committee partnered with ICHR and the local Moose Kerr School in to launch a Youth & Elders Dietary Choices Pilot Project, which was designed to engage Aklavik youth in examining dietary choices and diet-disease relationships at the community-level. The first phase of the pilot project was based out of Moose Kerr School in the summer of 2007. As a community-driven participatory project, research facilitators worked in collaboration with the health committee, school, hamlet, local band office, and other interested stakeholders to design the project and determine outcomes. The project also took the form of an elective health class for senior students. Completion of dietary recalls along with daily classroom discussions provided the students with a better understanding of their own eating habits and the opportunity to think critically about the implications and realities of dietary choices in their community. These activities motivated the students to create a video to capture other community members perceptions about dietary choices and health. Two students from the class, Bonnie Koe and Autumn Semple, continued filming and produced a 60-minute video documenting food and nutrition trends and challenges in Aklavik. ICHR later supported the students in representing the project at the Indigenous Network for Indigenous Health Knowledge and Development Conference in Roturua, New Zealand, October 2007.
26 InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010)
ClimaTe Change & healTh
2008 - 2009
Youth and Elders sharing knowledge about the land — past, present, and future
Climate Change as a Health Determinant in Aklavik, Northwest Territories
ICHR FACIlITATORs: PARTnERs:
» Denise Kurszewski, Susan Chatwood
events to current understanding and adaptations to climate change. The research was integrated into the science curriculum at the high school. The project was conducted in three phases. The first encompassed the collection of information related to climate change and health determinants as well as an on-the-land retreat to collect information. The second phase included synthesis of the information with video methodologies. The third phase included dissemination of findings.
» Health Canada (FNIHB), Aklavik Health Committee, Moose Kerr School, Institute for Circumpolar Health Research, People of Aklavik and Surrounding Communities
his federally-funded climate oriented project was a youth-driven, community based project that complemented the 2006-07 Dietary Pilot Project, which was designed to engage Aklavik youth in examining dietary choices and diet-diseases relationships at the community level. The community of Aklavik was engaged in the Climate Change project from many aspects — the Aklavik Health Committee guided the project and community members concerned about community health issues and staff and students of Moose Kerr School were involved through specific curriculum, the on-the-land retreat, as well as the video production. Elders of Aklavik and surrounding area participated by sharing traditional knowledge and applying past
“Warmer weather affects the food chain, also the snow that turns into ice and freezes…that gives animals a hard time to get their food underneath the hardened snow.” – Inuvik Elder
A major outcome of the project was a heightened awareness of the research process within the community and region. The project brought together the Elders and youth, and connected western science through the science curriculum and the traditional knowledge of the Inuvialuit and Gwich’in region. The information has been synthesized and discussed on several levels within the classroom. A thirty minute video was produced and premiered in Aklavik on Aboriginal Day (June 21, 2009).
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hPv PrevalenCe sTudy
2008 - 2009
HPV Prevalence Study Data Collection Sites
Purpose of this study
The purpose of this HPV study was to find out the prevalence of the HPV infections in NWT women. The investigators also wanted to understand whether there are some life habits that increase the chance of acquiring the infection. NWT public health professionals will use this information to develop effective cancer screening and prevention programs for women in the North.
Data Collection Sites Sachs Harbour Tuktoyaktuk Ulukhaktok Inuvik Fort McPherson Tsiigehtchic 1 Paulatuk 2 Colville Lake Fort Good Hope Norman Wells Tulita Délįnę GREAT BEAR LAKE 1 2 3 4 5 6 7 Beaufort-Delta HSS Authority Sahtu HSS Authority Dehcho HSS Authority Tłįchǫ Community Services Agency Yellowknife HSS Authority Hay River HSS Authority Fort Smith HSS Authority
How was the study done?
Nurses, midwives, and doctors asked women aged 18-69 years old to participate in the study by signing a consent form, completing a short questionnaire, and having a regular Pap test. No additional medical procedures were done other than the regular Pap test. There are no additional risks to participants, as the Pap smear is a safe examination. All information is strictly confidential as this study uses identification numbers for the data collected instead of participants’ names.
The Prevalence of Human Papillomavirus (HPV) and Its Impact on Cervical Dysplasia in the Northwest Territories
ICHR FACIlITATORs: PROjECT TEAm:
» Candice Lys (Project Coordinator), Susan Chatwood
» Dr. Yang Mao (P.I., Public Health Agency of Canada) Dr. Paul Brassard (co-P.I., McGill University) Government of the Northwest Territories Department of Health and Social Services, HPV Steering Committee
ie nz cke Ma
4 Wrigley Gametì Whatì Behchokǫ̀ Wekweètì
City of Yellowknife
• Family Medical Clinic • Frame Lake Community Health Centre • Gibson Medical Clinic • Great Slave Community Health Clinic
Detah Jean Marie River GREAT SLAVE Łutselk’e Fort Nahanni Butte Providence LAKE Fort Trout Kakisa Liard Lake Fort Resolution Enterprise Hay River 7 6 Fort Smith
NWT public health professionals will use this information to develop effective cancer screening and prevention programs for women in the North.
Phase I data collection started on April 1, 2008 and ended on March 31, 2009. During the study period, over 6,000 Pap test samples were collected and tested. Phase II began in March 2009 in all regions of the NWT and ran until December 31, 2009. Over 15 clinics around the NWT (including 4 in Yellowknife) participated. This phase involved a 5-minute self-administered questionnaire completed during a regular pap test visit and no additional medical procedures. A portion of the Pap test sample was sent to Winnipeg for further DNA testing once the Alberta DynaLife laboratory in Edmonton finished regular pap testing. This study followed proper clinical guidelines for HPV management and healthcare providers received the usual Pap test results for study participants. Over 1000 questionnaires and samples were collected through mid-August 2009 for Phase II.
» IPY Canada
uman Papillomavirus (HPV) is a sexually transmitted infection that causes genital warts and cancer of the cervix in some women. During regular Pap tests, samples can be also tested for presence of HPV virus. A positive HPV test only means that you have HPV in your cervix and it does not mean that you have or will develop cervical cancer.
A special thanks to all nurses, nurse practitioners, midwives, physicians, and staff for their active participation in this study! Also, thank you to the study steering committee members for your time and expertise.
28 InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010)
2008 - 2009
Map of birthing and midwifery services offered throughout the three territories
Development of a Perinatal Database for the Northwest Territories, Canada
ICHR FACIlITATORs: PROjECT TEAm:
» Susan Chatwood, Karolina Machalek, Bryany Denning
Karolina with midwives Gisela Becker and Lesley Paulette in Ft. Smith
epidemiology and health systems informatics, obstetricians and pediatricians at Stanton Territorial Hospital, midwives at the FSHSSA Midwifery Program, the Institute for Circumpolar Health Research, and other researchers.
» Lesley Paulette and Gisela Becker (Fort Smith Health and Social Services Authority Midwifery Program), Andrew Kotaska (Stanton Territorial Health Authority)
Accurate and reliable data on perinatal outcomes is vital to improving both population health and the delivery of care.
Objectives that would meet the identified needs of the perinatal surveillance system were elucidated and recommendations for development were explored. Perinatal database development was based on a number of regional, national and international background sources. The purpose of the perinatal surveillance system was to collect perinatal data that would meet the needs for program evaluation and quality assurance; surveillance, and research. Results indicated that data collection should be dynamic and prospective in order to fulfill the objectives and cater to a variety of stakeholders. Approximately 400 variables related to maternal and infant health were identified for data collection. To date, approximately 120 variables and their definitions have been reviewed and added to the Northwest Territories Perinatal Database Manual. Special considerations for northern and indigenous populations included documenting variables such as transfers for birth, type and number of caregivers, ethnicity, and risk factors such as smoking and alcohol consumption during pregnancy. Discussions related to the development of the database and priorities for maternal child health research are ongoing.
» Public Health Agency of Canada, CIHR Team in Circumpolar Health Research
erinatal data in the NWT is currently collected by the Ft. Smith Midwifery program and serves as a valuable tool to understand the scope of services in the region. However perinatal data is not collected in other jurisdictions in the NWT, thus broader understanding of maternal and child health in the NWT or comparisons between service delivery models are not possible. Stakeholder consultations to identify the needs for a perinatal surveillance system and database in the Northwest Territories were undertaken in 2007. These consultations involved individual and group meetings where objectives of perinatal surveillance systems were introduced, territorial priorities in response to the objectives were set and resources and capacity for perinatal surveillance were identified. Stakeholders involved in the project included the various Northwest Territories Governmental staff in public health,
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waTer borne diseases
2009 - 2010
“If the climate changes, everything changes. There will be changes in the water, the land, the animals and everything else.” – Aklavik Elder
Tests for basic water characteristics, metals, hydrocarbons, PCBs, parasites and bacteria were conducted in the three communities. Advanced chemical testing was completed based on concerns in the community of Aklavik about barrels that were left buried in the 1950s. There were difficulties encountered during the testing when collection bottles broke in extreme temperatures and pumping equipment froze. The final report is currently being prepared.
Monitoring and Surveillance of Water Borne Diseases in the Inuvialuit Settlement Region: Adapting to a Changing Climate in the North
ICHR FACIlITATORs: PARTnERs:
» Susan Chatwood, Denise Kurszewski
» Crystal Lennie (Project Lead, Inuvialuit Regional Corporation), Janis Huntington (University of Alberta), Robert Buckle (Aklavik Health Committee)
» Climate Change and Health Adaptation in Northern First Nation Communities Program - First Nations and Inuit Health Branch of Health Canada
his IRC-led project had two goals. The first goal was to collect samples from water sources in three communities in the ISR (Aklavik, Tuktoyaktuk and Ulukhaktok) and to identify microbes and contaminants which may be present. Within these communities, short interviews were also conducted with elders to identify concerns around water quality and to determine their views on how climate change may be affecting the waters of their homelands. The second goal includes an educational component. In addition to community briefings and discussions, a resource manual for teachers on water in the north was developed for grades 3-6. The manual will compliment the existing NWT science curriculum as well as the Inuuquatiguit curriculum. A primary focus for the educational component is to introduce youth to the concept of stewardship and their future responsibilities.
A Youth Town Hall Forum in Inuvik was held for youth from the Inuvialuit Settlement Region. After a general presentation on Water Education in the Beaufort Delta region, the students broke into groups and addressed several issues. They discussed concerns around water, global warming, pollutants and recommended several ways they could become more locally and regionally involved, such as having a youth representative on the water board. They learned about doing research and testing water quality so that they can eventually take responsibility for these efforts. The Elders from the various communities had several common concerns regarding the taste of tap water, contamination and how climate change was impacting their traditional lifestyles. Increased winds, rapid temperature changes and warmer temperatures impacted travel on-the-land, and often the ability to hunt. Later freeze-up dates of water and earlier melts also had an impact on their lifestyles.
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researCh using PhoTovoiCe
2010 - 2011
The main research component of the course explored the participatory research methodology of “Photovoice” to study health issues in Inuvik. Photovoice allows participants to act as co-researchers, developing research questions while conceptualizing their community and perpectives using photographs and expressing their opinions through collective discussion and photograph appraisal. As a group the students developed two research questions to investigate:
» What contributes to good health in Inuvik? » What are the challenges to achieving good health?
Climate Change and Food Security Among At-Risk Populations in Regional Inuit Centres
» Denise Kurszewski, Hilary Blackett (University of Toronto)
Throughout the week, students were able to go out into their community and take pictures depicting circumstances that promote and challenge health in Inuvik.
“I was completely taken aback by the youth participants’ discussions. This form of qualitative research is extremely valuable for understanding the many complex issues affecting northern communities.” – Graduate Instructor
Following their photography fieldwork, each student chose their top three photos representing community issues affecting health in Inuvik and discussed the meaning of each photo to the individual participants. Common themes were highlighted throughout this process including nutrition, poverty and homelessness, as well as mental, spiritual, physical and emotional health. The success of this project and the advantages of using participatory research when conducting research in Northern communities was presented at the Healing Our Spirit Worldwide Conference held in Hawaii in September 2010.
PARTnERs AnD suPPORTERs:
» James Ford (McGill, ArcticNet), Aurora Research Institute, Inuvialuit Regional Corporation, Yellowknife Photo Club, University of Toronto, PHAC, CIHR
» Climate Change and Health Adaptation in Northern First Nation Communities Program - First Nations and Inuit Health Branch of Health Canada
“Photovoice gives us the confidence to speak up about our ideas. The program teaches us about critical thinking, analysis and reflection.” – Student Participant
Pan-Northern Photovoice Project
The Youth Photovoice project was a pilot study for a larger pan-Northern Photovoice Project that is being conducted in Inuvik, Iqaluit, Arviat, and Kuujjuaq to characterize the nature of the food system for at-risk people (e.g., role of traditional foods, sharing networks, food banks, etc), examine determinants of food insecurity, document and describe adaptive strategies, and characterize the role of climatic stresses in affecting food security. With training in Photovoice methods completed, data collection commenced in October 2010.
even Inuvik students participated in the Introduction to Research course in Inuvik in July 2010. The course was facilitated by ICHR’s Denise Kurszewski and University of Toronto graduate student Hilary Blackett and offered a hands-on experience where students were able to learn and practice various research skills including literature searches and critical appraisal of articles, project development and assessment, questionnaire design and interviewing, and the creation of a research poster.
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remoTe Care aCCess
2010 - 2012
Territorial Remote Care Access Study
» Susan Chatwood, Ewan Affleck, Ruth Robertson, Alex Hoechsmann (Yellowknife Health and Social Services Authority), Kue Young, Alex Jadad, Andrea Courtinois (University of Toronto), Kay Lewis (Stanton Territorial Health Authority)
of effective delivery of emergent and acute health service to the remote communities drives health care costs up by: a) increased transportation, b) increased cost of furnishing a transient workforce, and c) causing delays in the delivery of appropriate care which increase the burden of disease. In short, the current model of acute and emergent remote care can be deleterious from both a health care perspective, and in terms of system cost. The Territorial Remote Care Access Study will explore state of the art health information technology solutions, broadband technology, and a new model of acute care service delivery to furnish emergent and acute care to remote communities in the Northwest Territories. It is hypothesized that this enhanced service delivery model will reduce transfer rates and hospitalizations for ambulatory care sensitive conditions thus contributing to reduced costs and increased patient and clinician satisfaction. Tackling these three issues will have far reaching implications for the standardization of remote and rural acute care service delivery. The project engages decision-makers who are well positioned to enlist the results produced by this study to effect real and pragmatic health care service delivery change in the Northwest Territories. Policies and standard operating procedures developed as a consequence of this study will have wide application to other northern and remote health care services.
» Canadian Health Services Research Foundation
he provision of healthcare in the Northwest Territories is challenging given the unique geographic, cultural and climatologic obstacles presented. There is one territorial hospital located in Yellowknife, which provides service to all 33 communities as well as 5 communities in the adjacent Kitikmeot region of Nunavut. Outside of Yellowknife most communities have a limited scope of emergent and acute health services. The principle means of providing advanced emergent and acute care to remote communities is by telephone consultation or air transport to the regional hospital. This model is problematic because the transfer of patients to the territorial emergency service can cause a delay in appropriate care, and is exceedingly costly. In addition, the professional isolation of remote health staff has a negative impact on staff recruitment and retention, and the lack of consistent staffing impairs continuity and quality of care. Thus the lack
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hiv/aids in norThern Canada
2010 - 2012
Team Development and Community Partnerships to Examine HIV/AIDS in Northern Canada
ICHR lEADs: PARTnERs:
» Susan Chatwood, Candice Lys
While epidemiologic methods and qualitative perspectives will provide a foundation to explore the potential impacts of HIV/AIDS in the north, the project will include complementary participatory methods which engage youth and allow for northern interpretations, enhancements and applications of evidence as it applies to HIV/AIDS. It will also provide direction for best practices for service provision and prevention for youth. To date no research in Canada has focused on HIV/AIDS in northern populations. Distributions related to HIV/AIDS found in Aboriginal groups in Canada tend to be generalized to the north. However baseline incidence rates for HIV/ AIDS in the north indicate disease patterns are different in northern populations and to date little has been done to explore or understand these differences. It is hoped that a project which develops epidemiologic methods to improve assessment of existing risk factors and determinants and prediction of the evolving patterns of HIV/AIDS in relation to STI rates will provide a better understanding of HIV/ AIDS in the north. This understanding, coupled with youth-driven community based participatory methods, will promote modification of risk factors and create a foundation to avert future outbreaks of HIV/AIDS in the northern territories. This project will be the first step in assembling the required expertise and community partners to develop a research plan to address this important public health concern.
» Crystal Lennie (Inuvialuit Regional Corporation); Gwen Healey (Qaujigiartiit Health Research Centre); Dionne Gesink, Robert Remis, Kue Young (University of Toronto), Mary Carothers (Ft. Smith Health and Social Services), Madeleine Cole (Quikiqtani General Hospital), Melanie Dostie, (Makkuttukkuvik Youth Centre), Sean Muir (The Healthy Aboriginal Network), David Pontin (Yellowknife Health and Social Services Authority), Wanda White (Government of the Northwest Territories), Laakkuluk Williamson Bathory (Nunavut Tunngavik)
» Canadian Institutes for Health Research
his project will focus on building a team and research program able to conduct preliminary work to describe the basic epidemiology of HIV and AIDS in the north, including rates and risk factor burden, and to identify methods to predict and prevent HIV/AIDS trends in future.
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healTh researCh eThiCs iniTiaTives
2006 ICHR FACIlITATORs: PARTnERs:
» Susan Chatwood, Denise Kurszewski, Bryany Denning
» Gwen Healey (Qaujigiartiit/Arctic Health Research Network - Nunavut), Jody Butler Walker, Norma Kassi (Arctic Health Research Network - Yukon)
» Tri-territorial Health Access Fund
n 2006, ICHR, Qaujigiartiit/Arctic Health Research Network - Nunavut, and Arctic Health Research Network Yukon, undertook a project to examine health research ethics and ethical review in the North. Upon the publication of the CIHR guidelines for research involving Aboriginal people, it was recognized that a comprehensive review of territorial practices was required so appropriate structures could be put in place to uphold, build on, and consider these guidelines. The goal was to bring together existing capacity in the regions to collaborate to address the lack of frameworks, expertise and resources for ethical review of health research projects in territorial jurisdictions.
Meeting in Yellowknife, February 2010
important role in ethical review of health research projects. An Ethics Checklist Tool for Community Proposal Reviewers was developed as an aid to help prompt questions about ethical issues.
Pan-northern meeting of stakeholders
In January 2009 and again in February 2010, pan northern stakeholders and organizations currently involved in ethical review of health research or with mandates to conduct ethical review met. This included representation from the 5 northern regions (Yukon, Northwest Territories, Nunavut, Nunavik and Labrador). This provided an opportunity to discuss the cross-cutting issues related to ethical review of health research, and what next steps could be taken to address capacity issues for the northern regions.
Consultations and review
Information on existing perceptions and practices for ethical review of health research in the northern territories was gathered using mixed methods. This included a review of the published and grey literature on ethics in aboriginal populations. Community consultations were held and gathered information on the nature of informed consent, the meaning of being ethical from an indigenous perspective, and the ethical concerns of communities. There was a synthesis of findings between consultations and the literature review.
Northern Health Research Ethics Board
The group decided to move forward on the formation of a Northern Health Research Ethics Review Board/Council to address immediate needs for proposal review of health research by some participating stakeholders.
Cross-cutting issues across the North
The following regional findings were identified and crosscutting issues were identified:
» licensing processes; » principles of respect, trust and relationship building (particularly with respect to community conflict, the nature of informed consent, and the handling of sensitive/protected information/knowledge); » meaningful engagement with communities; » the use of appropriate research methods; » and the sharing of knowledge and communicating results.
A steering committee comprised of representatives from organizations that wish to make use of the board is being formed. The steering committee members will represent their organizations and will be in a position to identify their REB needs and ability to share resources. Specifically, the committee will explore issues related to location and framework for the REB, representation on the board and methods to select members, the scope of practice for the REB, and the relationship of the REB to related institutes and organizations working in health research activities in the regions served. A business plan will be created with a framework which ensures long term sustainability and capacity requirements and training for the board.
Tool development for community-based reviewers
In the northern regions, community based reviewers play an
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Program evaluaTion & suPPorT
CHR assists northern partners with project evaluation. Information gained from evaluations assists northern organizations and funders as they explore impacts and evaluate their program’s activities, resources, processes, outputs, and outcomes. Evaluation frameworks are developed and set out to guide the measurement of factors which contribute to program development and implementation. A specific focus may be directed to relevancy of programs in northern jurisdictions and ability to meet the needs of culturally diverse populations.
CAnCER sCREEnIng AnD mEnTAl HEAlTH PROgRAm EVAluATIOn
» Susan Chatwood, Hilary Blackett
» Inuvialuit Regional Corporation
ICHR assisted the InuviGiant colon in Inuvik, NT aluit Regional Corporation with the evaluation of the activities of two of its health programs:
sExuAl HEAlTH COmIC BOOk EVAluATIOn
» Candice Lys
Cancer Screening Report
This was a strategic initiative developed to convene key partners in the Northwest Territories and Newfoundland and Labrador to form an Inuit Cancer Screening Committee and Program. Additionally, the Cancer Screening Project aimed to monitor, integrate, and adapt current services to the diverse health needs of the Inuit people living in Northern Canada.
» Government of the Northwest Territories, Healthy Aboriginal Network
The Government of the Northwest Territories in collaboration with the Healthy Aboriginal Network (www.thehealthyaboriginal.net) are currently developing a culturally appropriate sexual health comic book for NWT youth. The comic is undergoing revision in response to focus group testing that occurred in March 2010 with youth in communities around the NWT and will be printed in the fall of 2010. The ICHR will complete the evaluation component of this project.
Mental Health & Addictions Model Development Project
This project’s activities and research methodologies were evaluated. The project aimed to conduct a gap analysis and design conduct an integrated program model for culturally appropriate regional alcohol and drug recovery support services and programs in the Inuvialuit Settlement Region in the Western Arctic. The evaluation of these programs and the abilities of funders to meet strategic needs in the north are important for the growth and development of northern developed and implemented health programs. climate change and oil and gas development in Fort Good Hope. From the summer of 2007, community roundtables and focus groups have guided this research project towards creating a video series that shares the stories of the K’asho Gotine community and how their culture, health and identity are impacted by the rapid and on-going changes in their region. ICHR was able to assist with identifying sources of funding, proposal development, grant administration and project logistics.
FORT gOOD HOPE YOuTH VIDEO PROjECT
CHR provides logistical and administrative support for northern based researchers. The Fort Good Hope Youth Video Research Team partnered with the Oxford University Centre for the Environment Project “Sustainability’s Paradox,” to investigate the community health impacts of
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» Rajiv Rawat
he Northwest Territories recognizes 11 official languages, the only jurisdiction in Canada with such an evolved official languages policy. According to the 2001 Census, about 20% of the NWT population retain aboriginal languages as their mother tongues, while 44% total can understand Aboriginal languages.
Alongside aggregating dictionary and other online resources, ICHR developed several typography tools for Dene and Inuit languages to assist with the correct typesetting of text in its print and electronic documents. These have included a Unicode/HTML Lookup Table for Dene Languages, a graphical Inuktitut Syllabics Chart, and Unicode-Compliant Dene Keyboard Layouts for PCs and Macs. In addition, ICHR has established a language section on its website to give researchers an introduction to the linguistic landscape of the NWT and the current efforts by the territorial government and community advocates to promote and regenerate Aboriginal languages. Future projects may include the compilation of a medical, health, and wellness terminology glossary and the creation of various web and mobile phone-based applications to assist with real time translation. Further direction will be sought from the Elders’ Advisory Council of Stanton Territorial Hospital. » ichr.ca/dissemination/language-tools/overview/
While these numbers are declining as with indigenous languages throughout the world, the retention, promotion, and empowerment of indigenous languages and dialects have been regularly highlighted as vital to protecting the knowledge and “promoting and supporting the social, spiritual, cultural, physical and economic wellbeing” of Aboriginal peoples (Arctic Indigenous Languages Symposium, Tromsø, Norway, 2008).
» CIHR Team in Circumpolar Health, Tri-Territorial Health Access Fund
n 2009, the Cochrane Database of Systematic Reviews (CDSR) achieved a high ranking in terms of impact factor as calculated for more traditional journals and information sources. Since 2006, ICHR has served as the Northern network site for the Cochrane Collaboration, an international not-forprofit organization that seeks to improve healthcare decision-making globally through systematic reviews of the effects of healthcare interventions, published in The Cochrane Library. The Northern Cochrane Site is committed to finding ways to promote the uptake and application of health evidence in northern regions. Within the CIHR team in Circumpolar Health, the network site is funded to conduct reviews with adaptations for northern regions. A review of obesity interventions for youth is currently underway. ICHR supports a pan-northern subscription to the Cochrane Library. Dr. Kami Kandola, Chief Public Health Officer of the NWT and Susan Chatwood, Director of ICHR are the co-representatives for the northern site.
“Language is not only a means of communication, but a link which connects people with their past and grounds their social, emotional and spiritual vitality.” – Royal Commission on Aboriginal Peoples
As such, Rajiv Rawat, Director of Communications and Technology has led ICHR in prioritizing the development of Aboriginal language interpretation and translation tools to assist researchers, health care professionals, and community members to gain greater self-knowledge and cultural awareness. In 2009, ICHR began focusing attention on language tools as part of its growing web and social media presence.
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ounded in 2009, the Work in Progress: Idea to Implementation Team (WIP I2T) is a working group of medical practitioners and scholars whose goal is the mentorship and fostering of medical research in Canada’s North. With broad interests that span health care delivery, medical education, and cross cultural health care, this group endeavors to publish research reflecting the unique medical needs of Northerners. The WIP I2T group is based in Yellowknife and is part of the ICHR.
Dr. Pertice Moffitt (Centre) coordinates NICE and the BSN program at Aurora College. Next to her are third-year nursing students Stephanie Gilbert Rose (Left) and Leanne Niziol (Right).
nICE: nuRsEs InTERnATIOnAl COllEgE ExPERIEnCE
NICE is a new Aurora College-led initiative aimed at creating a standing forum for nursing students from throughout the circumpolar world. In conjunction with Finnmark University in northern Norway, NICE’s first project included a nursing student and faculty exchange for Spring and Fall 2010. Four nursing students from the NWT traveled to Hammerfest, Norway to complete their Consolidated Practice Experience Course (CPE3) at the local hospital from May 11 to June 4, 2010. Along with gaining credit in CPE 3, the exchange facilitated:
» an exchange of information about professional nursing practice, education, and research in the circumpolar regions; » enhanced the quality of care provided in the countries of the participants by learning about cultural diversity; » fostered an awareness of each other’s culture through nursing practice experience and local socio-cultural events in each country; » and, broadened personal development, perspectives on nursing practice and critical appraisal of health care systems.
Alex Hoechsmann and David Pontin, Yellowknife doctors and members of the WIP I2T Team.
Circumpolar Rounds Podcasts
CHR and the WIP I2T Team have also begun recording, producing, and featuring a series of podcasts of regularly scheduled rounds at Stanton Territorial Hospital in Yellowknife as part of new initiative to broaden access to health information, extend the reach of existing medical education efforts, and engage diverse health care actors in the research process. Drawing on ICHR’s technical expertise and capacity, this initiative will combine audio recordings with slideshows for broadcast to the broader circumpolar community. The podcast feed has been made available through the iTunes Store. In addition to the circumpolar rounds, keynote presentations from the 14th International Congress on Circumpolar Health as well as community health presentations at the Northern Governance Policy Research Conference are available through the feed.
Discussions are being held with colleagues in Finland for a similar exchange in 2011. ICHR is assisting NICE by hosting its webpage, arranging travel fellowships through the CIHR Team in Circumpolar Health, and enabling international networking.
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Contrasting winter and summer views from Pilot’s Monument near our new research facility in Old Town
ARCTIC REsEARCH InFRAsTRuCTuRE FunD
n Spring 2009, Indian and Northern Affairs Canada announced the recipients of the $85 million Arctic Research Infrastructure Fund. This new investment in the north’s research infrastructure network will build or renovate key research facilities from Labrador to the Yukon as part of the federal government’s integrated Northern Strategy. The investment will also promote energy efficient upgrades and contribute to the local economy by employing Northern suppliers and firms. ICHR responded to the Call for Proposals with a plan to increase public health research facility space in NWT focusing on community-based methods, data collection, and analysis for public health research. The Infrastructure Fund granted up to $1,605,670 for this endeavour, the only award issued to an organization or research initiative working in the area of human health. Slated to open in the summer of 2011, ICHR’s renovated facility will house expanded office and meeting space, a Statistics Canada Research Data Centre, and a Health Research Library. needs.
RDCs are located throughout the country, so researchers do not need to travel to Ottawa to access Statistics Canada microdata. The centre in Yellowknife will operate as a branch of the University of Manitoba Health Sciences Data Centre and will serve northern researchers with their data Consultations related to data needs are ongoing and numerous workshops have already been held with governments, indigenous groups, public health stakeholders, and researchers. Topics to date include surveillance, data management, and storage in northern jurisdictions.
n 2009, ICHR began the development of a circumpolar health research library through an in-kind donation by Dr. Kue Young as part of its commitment to developing and sustaining research resources in the North. The library will include published titles and periodicals as well as grey literature including government reports, northern reflections, etc. We are also working to aggregate health research done in the north by and for northerners. Many publications documenting northern health research and programs over the past several decades are difficult to locate or are not found in the North. We would like to change this. The emphasis of the collection is circumpolar health research – past and present – and we are particularly interested in ‘hard-to-find’ reports, dissertations, books, and community-based or regional studies done in English throughout the international circumpolar health community. We are also establishing a historical circumpolar collection to gather works related to all circumpolar research, science and exploration. These and other publications documenting the establishment of research institutes and policies in circumpolar regions are welcome.
REsEARCH DATA CEnTRE
he Statistics Canada Research Data Centre will be a key component of the newly renovated public health facility in Yellowknife. The Research Data Centres (RDC) Program is operated through a partnership with the Social Sciences and Humanities Research Council (SSHRC), the Canadian Foundation for Innovation (CFI), the Canadian Institutes of Health Research (CIHR), and university consortia to help strengthen Canada’s social research capacity and to support the policy research community.
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CirCumPolar healTh observaTory
ICHR FACIlITATORs: PROjECT lEAD: FunDERs:
» Susan Chatwood, Rajiv Rawat
CircHOB visualization of circumpolar population data via the open source StatPlanet software produced by UNESCO
» Kue Young, University of Toronto
CircHOB extracts relevant data from existing data sources managed by different groups and agencies in different countries. Topics covered include population, mortality, fertility, reproductive outcomes, disease incidence, socioeconomic conditions, and health-related behaviours.
» CIHR Team in Circumpolar Health, Health Canada
he Circumpolar Health Observatory (CircHOB) is an international collaborative health information system, involved in systematic, standardized, and consistent data collection and analysis. In addition to aggregating online and print resources, CircHOB is population-based and produces data for all northern regions in all circumpolar countries. CircHOB’s purpose is to monitor trends and patterns in health status, health determinants, and health care, provides qualitative and quantitative evidence for planning and evaluation of health programs and services. It is on-going and sustainable with periodic updates. The Observatory is based at ICHR and will constitute a central activity of the Research Data Centre when it officially opens in 2011. CircHOB will in addition expand the capacity of the centre by helping build and sustain a databank of both print and electronic resources drawn from across the circumpolar world. CircHOB produces periodic Data Briefs highlighting specific aspects of the data collection which are published by the International Journal of Circumpolar Health. The first brief was published in October 2010.
The Observatory website (circhob.circumpolarhealth.org) offers several resources for researchers including complete datasets, a searchable catalogue of print and electronic materials, and interactive thematic mapping tools that allows for sophisticated visualization of selected datasets.
CircHOB is a project proposed by the Arctic Human Health Expert Group and authorized by the Arctic Council at its Senior Arctic Officials meeting in May 2010. CircHOB has its origins in the 2008 Circumpolar Health Supplement entitled, “Circumpolar Health Indicators: Sources, Data and Maps.” The monograph is available from the International Journal of Circumpolar Health website @ www.ijch.fi.
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ince 2008, ICHR has developed the capacity to edit and design professional reports and monographs. By offering such expertise to affiliated organizations likewise conducting health research in the North, ICHR has been able to significantly reduce publications costs for these organizations while leveraging its capacity to help build and sustain the greater circumpolar health community. Some of the larger undertakings and collaborations are highlighted below.
As part of its mandate as the CSCH secretariat, ICHR published the society’s first newsletter highlighting research taking place across Canada.
This first in a series of Inuit Health Survey summaries was composed and published by ICHR on behalf of the IHS steering committee.
This 580 page volume was edited and prepared by ICHR and IJCH staff.
ICHR has often edited and published reports on behalf of partner organizations in any given research project.
ICHR took responsibility for all publications produced for ICCH14 including the programme and abstract books as well as posters, banners, and pamphlets.
ICHR has also produced promotional materials such as postcards for affiliated organizations and projects.
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web hosTing & design
n keeping with its research synthesis and dissemination mandate, ICHR has begun specializing in designing and hosting websites both for its core projects such as the Health Observatory and commissioned works including conference portals and data repositories. The ICHR website has also explored emerging social media platforms such as Facebook, Twitter, YouTube, and Picasa where it has developed a significant presence. Some of the most recent sites are highlighted below.
In addition to profiling the Institute and its many projects, the ICHR website provides a regularly updated circumpolar health news feed.
The Circumpolar Health Portal provides links to various ICHR-affiliated initiatives and organizations.
The Circumpolar Health Observatory site uses a different content management system to drive its databases.
The Dechinta site was provided as inkind support to the initiative.
The SERNNoCA NWT nodal site provides NWTspecific news and information in regards to the Social Economy as a whole, and the network in particular.
In addition to providing venue and course information, the Summer Institute site was used as a registration and evaluation platform.
The Oral Health and the Aboriginal Child, also provided as in-kind support, was profiled in the Journal of the Canadian Dental Association.
The Circumpolar FASD Research Repository collates both general and scholarly articles on FASD specific to the North.
The Northern Governance Policy Research Conference was supported comprehensively by ICHR with both logistics and a registration portal.
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» Canadian Conference on HIV/AIDS Research, Saskatoon, Saskatchewan, May 13-16, 2010. » Western Canadian Conference on Sexual Health, Calgary, Alberta, May 5-8, 2010. » International Polar Year Early Results Workshop, Ottawa, Ontario, February 16-18, 2010.
» Into the Light: Transforming Mental Health in Canada, Vancouver, British Columbia, November 29 - December 1, 2009. » Nunavut Summit on the Social Economy, Iqaluit, Nunavut, November 25-27, 2009. * » Northern Governance Policy Research Conference, Yellowknife, Northwest Territories, November 3-5, 2009. *
ICHR with newly elected AFN Grand Chief Shawn Atleo at Healing Our Spirit Worldwide 2010
» Mental Health Stakeholders Workshop, Yellowknife, Northwest Territories, October 6-7, 2009. * » 9th ACUNS International Student Conference on Northern Studies and Polar Regions, Whitehorse, Yukon, October 2-5, 2009. » Statistics Canada Data Users Conference, Ottawa, Ontario, September 21-22, 2009. » Medicine 2.0, Toronto, Ontario, September 17-18, 2009. » 14th International Congress on Circumpolar Health, Yellowknife, Northwest Territories, July 11-16, 2009. * » National Gathering of Graduate Students in Aboriginal Health, Halifax, Nova Scotia, June 25-28, 2009. » 25th International Papillomavirus Conference, Malmo, Sweden, May 18-24, 2009. » Arctic Borderlands Ecological Knowledge Co-op, Aklavik, Northwest Territories, March 2009. » Aboriginal Policy Research Conference, Ottawa, Ontario, March 9-12, 2009.
onferences provide opportunities for learning, networking, and the sharing of ideas. ICHR staff and affiliates have actively participated in numerous conferences and workshops over the years. The following list includes meetings with Institute representation.
» 7th ArcticNet Annual Scientific Meeting, Ottawa, Ontario, December 14-17, 2010. » The Northern Summit on the Social Economy, Whitehorse, Yukon, November 2-4, 2010. * » Art of Public Health, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, October 1, 2010. » Healing our Spirits Worldwide 6th Gathering, Honolulu, Hawaii, September 3-10, 2010. » International Union for Health Promotion and Education World Conference on Health Promotion, Geneva, Switzerland, July 11-16, 2010. » 26th International Papillomavirus Conference, Montreal, Quebec, July 3-8, 2010. » National Gathering of Graduate Students in Aboriginal Health, Vancouver, British Columbia, June 24-25, 2010. » International Polar Year Science Conference, Oslo, Norway, June 8-12, 2010. » International Network of Indigenous Health Knowledge and Development, Poulsbo, Washington, May 24-28, 2010. » Annual General Meeting of the International Network for Circumpolar Health Research, Copenhagen, Denmark, May 18-19, 2010. * » Summer Institute in Circumpolar Health Research, Copenhagen, Denmark, May 17-21, 2010. * 42 InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010)
» Arctic Change 2008, Québec City, Québec, December 9-12, 2008. » 5th ArcticNet Annual Scientific Meeting, Quebec City, Québec, December 9-12, 2008. » 5th Northern Research Forum Open Assembly. Anchorage, Alaska, September 24-27, 2008.
» International Network of Indigenous Health Knowledge and Development, Rotorua, New Zealand, October 2007.
* Conferences or workshops facilitated in part by ICHR.
CHR staff and affiliates have also given oral and poster presentations at numerous conferences as listed below:
» Blackett H, Kurszewski D, Chatwood S. “Introduction to research: using ‘Photovoice’.” Poster presented at the Art of Public Health Conference, Dalla Lana School of Public Health, University of Toronto, October 1, 2010. » Moran T, Blackett H, Kurszewski D, Chatwood S. “Introduction to research: using ‘Photovoice’.” Poster presented at the Healing our Spirits Worldwide 6th Gathering, Honolulu, Hawaii, September 3-10, 2010. » Kurszewski D, Blackett H, Moran T. “Youth Driven Participatory Research in the North.” Session presented at the Healing our Spirits Worldwide 6th Gathering, Honolulu, Hawaii, September 3-10, 2010. » Lys, C. “Coming of Age: Understanding the Barriers and Facilitators to Positive, Empowered, and Safer Sexual Health among Female Youth in the NWT.” Poster presented at the International Union for Health Promotion and Education World Conference on Health Promotion, Geneva, Switzerland, July 11-16, 2010. » Lys, C. “Coming of Age: Understanding the Barriers and Facilitators to Positive, Empowered, and Safer Sexual Health among Female Youth in the NWT.” Paper presented at the National Gathering of Graduate Students in Aboriginal Health, Vancouver, British Columbia, June 24-25, 2010. » Denning B, Chatwood C, Hunter D. “Place of Residence, Prenatal Care and Neonatal Outcome in Northern Canada.” Poster presented at the International Polar Year Science Conference, Oslo, Norway, June 8-12, 2010. » Chatwood, S. “The International Polar Year: Building Health Research Capacity in Canada and Greenland.” Keynote presented at the International Polar Year Science Conference, Oslo, Norway, June 8-12, 2010.
Susan Chatwood presenting at the FASD Symposium in Yellowknife
» Rawat, R. “Web and social media development workshop.” Workshop presented at the Annual General Meeting of the International Network for Circumpolar Health Research, Copenhagen, Denmark, May 18-19, 2010. » Denning B, Chatwood C, Butler Walker J, Healey G. “The Development of a Research Ethics Board for Northern Jurisdictions.” Poster presented at the National Council on Ethics in Human Research Conference, Ottawa, Ontario, February 20-21, 2010. » Chatwood, S. “Human Health and Wellbeing of Northern Communities.” Plenary Address at the IPY Early Results Workshop, Ottawa, Ontario, February 16-18, 2010.
» Chatwood, S. “Research and evidence, what has been learned and how this can be applied in the Northwest Territories.” Keynote presented at the 2009 FASD Symposium, Yellowknife, Northwest Territories, November 24-25, 2009. » Archie, B. “Aklavik H-Pylori Research and the Aklavik Health Committee.” Paper presented at the Northern Governance Policy Research Conference, Yellowknife, Northwest Territories, November 3-5, 2009. » Freeland-Ballantyne, E. “Listening to Our Youth Listen to Our Elders: Can Participatory Video Research Create Space for Youth Participation in a Sustainable Future?” Paper presented at the Northern Governance Policy Research Conference, Yellowknife, Northwest Territories, November 3-5, 2009. » Kurszewski, D. “Dene Moose Hide Tanning and Wellness.” Paper presented at the Northern Governance Policy Research Conference, Yellowknife, Northwest Territories, November 3-5, 2009. » Bresnahan, A. “Health Promotion and Knowledge Translation in the Canadian Arctic: Community-driven Health Research as a Basis for Primary Health Care in the Inuvialuit Settlement Region.” 9th ACUNS International Student Conference, Whitehorse, Yukon, October 2-5, 2009. InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010) 43
Inuvik High School student Tiara Moran presenting her research in Honolulu
» Machalek, K, Chatwood, S, Paulette, L, Becker, G. “Development of a Perinatal Surveillance System for the Northwest Territories, Canada.” Paper presented at the 14th International Congress on Circumpolar Health, Yellowknife, Northwest Territories, July 11-16, 2009. » Rawat, R. “Introducing Internet Communications Technologies to a Northern Health Context: Best Practices and Potential Implications.” Paper presented at the 14th International Congress on Circumpolar Health, Yellowknife, Northwest Territories, July 11-16, 2009. » Saudny-Unterberger, H, Angootealuk, H, Onalik, P, Elias, E, Chatwood, S, Nicholson, A. Young, K., Inuvialuit Settlement Region, Nunatsiavut, and Nunavut Steering Committees. “A day in the life of the IPY Inuit Health Survey Ship Team: Participants visiting the CCGS Amundsen.” Poster presented at the 14th International Congress on Circumpolar Health, Yellowknife, Northwest Territories, July 11-16, 2009. » Denning, B, Chatwood, C, Hunter, D. “Place of Residence and Prenatal Care.” Paper presented at the National Gathering of Graduate Students in Aboriginal Health, Halifax, Nova Scotia, June 25-28, 2009. » Lys, C. “Coming of Age: Understanding the Barriers and Facilitators to Positive, Empowered, and Safer Sexual Health among Female Youth in the NWT.” Paper presented at the National Gathering of Graduate Students in Aboriginal Health, Halifax, Nova Scotia, June 25-28, 2009. » Denning, B, Chatwood, C, Hunter, D. “Place of Residence and Neonatal Outcome.” Poster presented at the Canadian Society for Epidemiology and Biostatistics Student Conference, Ottawa, Ontario, May 23-28, 2009. » Kurszewski, D. “Youth Driven Participatory Research in Northern Canada.” Aboriginal Policy Research Conference, Ottawa, Ontario, March 9-12, 2009. » Machalek , K. “Development of a Perinatal Surveillance System for the Northwest Territories, Canada.” Poster presented at the 3rd International Meeting on Indigenous Child Health: Many Voices Into One Song, Albuquerque, New Mexico, March 6-8, 2009.
Velma Illasiak, Principal of Moose Kerr School (Aklavik), Bonnie Koe, student researcher, Denise Kurszewski, ICHR Director of Research Development
» Chatwood, S. “Sustaining Health Research Activities in Canada’s Northern Territories.” Paper presented at the 14th International Congress on Circumpolar Health, Yellowknife, Northwest Territories, July 11-16, 2009. » Chatwood, S, Law, S, Young, K, Affleck, E, Cortinois, A, & Kirby, C. “Improving Access and Outcomes in Canada’s Northern Territories.” Paper presented at the 14th International Congress on Circumpolar Health, Yellowknife, Northwest Territories, July 11-16, 2009. » Denning, B, Chatwood, C, Hunter, D. “Place of Residence and Prenatal Care.” Poster presented at the 14th International Congress on Circumpolar Health, Yellowknife, Northwest Territories, July 11-16, 2009. » Healey, GK, Butler Walker, J, Chatwood, S. “Exploring Processes in Health Research Ethics in Canada’s North.” Poster presented at the 14th International Congress on Circumpolar Health, Yellowknife, Northwest Territories, July 11-16, 2009. » Kurszewski, D, Chatwood, S, Illasiak, V. “Youth Driven Participatory Research in Aklavik, NWT.” Paper presented at the 14th International Congress on Circumpolar Health, Yellowknife, Northwest Territories, July 11-16, 2009. » Li, YA, Brassard, P, Wong, T, Severini, A, Corriveau, A, Chatwood, S, Johnson, G, Sobol, I, Hanley, B, & Mao, Y. “The Prevalence of Human Papillomavirus and Its Impact on Cervical Dysplasia in Northern Canada.” Paper presented at the 14th International Congress on Circumpolar Health, Yellowknife, Northwest Territories, July 11-16, 2009. » Lys, C. “Listening to the Youth: Understanding the Barriers and Facilitators to Positive, Empowered, and Safer Sexual Health among Female Youth in the NWT.” Paper presented at the 14th International Congress on Circumpolar Health, Yellowknife, Northwest Territories, July 11-16, 2009. 44 InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010)
» Denning, B, Chatwood, C, Hunter, D. “Place of Residence and Neonatal Outcome in Northern Canada.” Poster presented at Arctic Change 2008, Quebec City, Quebec, December 9-12, 2008. » Illasiak, V., Chatwood, S. “Dietary choices in Aklavik, youth and elders promoting change.” Paper presented at Arctic Change 2008, Québec City, Québec, December 9-12, 2008. » Machalek, K. “Development of a Perinatal Surveillance System for the Northwest Territories, Canada.” Poster presented at Arctic Change 2008, Quebec City, Quebec, December 9-12, 2008.
Sharing on the land
» Chatwood, S. “Building partnerships for a health research network in northern Canada.” Paper presented at the Fifth Northern Research Forum Open Assembly. Anchorage, Alaska, September 24-27, 2008. » Northwest FASD Partnership. “Preventing FASD: Collaborating on a health determinants approach.” Co-presented at the International Conference on FASD: Building on our Strengths, Stone by Stone. Banff, Alberta, May 2008. » Northwest FASD Partnership. “Using a virtual community of practice to support community-academic research partnerships on FASD prevention from a women’s health determinants perspective.” Co-presented at the Community University Expo, Victoria, British Columbia, May 4-7, 2008.
» Chatwood, S. “The Arctic Health Research Network.” Canadian Rural Partnership, Data Sources and Access for Rural Communities. Yellowknife, Northwest Territories, January 2008.
2007 and Earlier
» Chatwood, S, Healey, G, Butler Walker, J, Kassi, N. “Arctic Health Research Network – A Pan Northern Initiative.” CIHR Team in Circumpolar Chronic Disease Prevention Annual Meeting. Banff, Alberta, April 2007. » Chatwood, S. “Development of the Arctic Health Research Network.” Community Health Research in Labrador: Listening, Learning and Working Together. Newfoundland and Labrador, May 2006.
InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010) 45
In 2009, ICHR commissioned John Rombough, a Łutselk’e-based Dene artist to create an original logo to better symbolize our hopes and aspirations.
46 InsTITuTE FOR CIRCumPOlAR HEAlTH REsEARCH FIVE YEAR REPORT (2005 - 2010)
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