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Community MATTERS
Community April 2013 No. 46 MATTERS From the Department Head Dr. Stephen Moses MD, MPH Department Head T Faculty of Medicine, University of Manitoba Department of Community Health Sciences here has been a flurry of activity over the past several weeks with respect to the University of Manitoba’s Academic Structure Initiative (ASI), and how we would like Community Health Sciences to be positioned in this regard. This culminated with a well-attended department-wide forum with the Dean of Medicine on the 1st of April and a special Department Council meeting on the 4th, wherein votes were taken on different models for moving forward. The results of the vote indicated that a small majority of CHS members were in favour of the formation of a new College of Population and Public Health Sciences in a merger with all or part of the Faculty of Human Ecology; but that there were significant numbers of dissenting views. Strong opinions were expressed by several council members on both sides of the issue. A document on the ASI was ultimately approved by the Faculty of Medicine Council on the 10 of April and will be submitted for approval to other health faculties this month (Dentistry, Pharmacy, Nursing, and Human Ecology). The document provides for the establishment of a new Faculty of Health Sciences with five constituent Colleges: Medicine, Dentistry, Pharmacy, Nursing, and Medical Rehabilitation. The document does not make a specific recommendation regarding the creation of a new College of Population and Public Health Sciences. The potential for the development of such a College is noted but its development will require further deliberation. The desire of Contents Announcements.............................2 Awards and Appointments............4 Circumpolar Health Research Network.........................................5 Community Engagement..............5 BioMedical Youth Program..........8 Graduate Program.........................8 J.A. Hildes Northern Medical Unit..............................10 Undergraduate Medical Education.....................12 Research Platforms on the Dynamic Link between the Environment and Health..........................................13 New Research Grants..................14 New Publications........................15 Presentations, Invited Lectures, Consultations..............................17 Upcoming Events You are invited...... 134nd Spring Convocation Faculty of Medicine Brodie Atrium Thursday 16 May 2013 10:30 am Community April 2013 M AT T E R S From the Department Head, cont'd No. 46 Another exciting recent development is the creation by Dean Postl of the Alan Klass Memorial Program for Health Equity. This Program is situated within Community Health Sciences and builds on the concepts of social justice, health equity, and addressing racial discrimination as major determinants of health. Values and principles that were deeply held by Dr. Alan Klass. to the Program. Funding for the Program is expected to come to a large extent from the Tolkien Trust, in addition to CHS, the Faculty of Medicine, and other sources. The Health Equity Program will bring together under one unit a number of activity centres and individuals within the department. This team includes: Community Engagement (Karen Cook, Dennis Bayomi); the Biomedical Youth Program, soon to be renamed the Youth Sciences Program (Francis Amara, Jan Middleton, Julie Daet); the Wish Clinic (Bre Woligroski, Paulette Collins); and the Alan Klass Local to Global Student Expression program (Anne Durcan, Robbie Chase). In addition, the Program will provide support in incorporating health equity and social responsibility considerations into undergraduate medical education; this will require close collaboration with the UGME program in the Faculty of Medicine and with several Associate Deans. We all extend our support and encouragement to Dr. Macdonald and her team as the Alan Klass Memorial Program for Health Equity evolves. The Dean has appointed Dr. Sharon Macdonald as the first Director of the Program and we are very grateful that Dr. Macdonald has accepted this responsibility. She also has a direct reporting line to the Dean of Medicine in regard At the time of writing for this Spring edition of the Newsletter we are still struggling to break zero degrees Celsius. I hope that by the time you read this we will be in double digits and that we will be contemplating a fine summer. s the Department of Family Social Sciences, one of the three departments within the Faculty of Human Ecology, to join Community Health Sciences is also noted in the document. So further consultations will need to take place in relation to these issues over the coming months. I would like to thank all department members who have been engaged in this process. It has been an interesting and constructive experience and we will continue to be closely engaged in the evolution of the ASI. O Announcements WOMEN distinction of Dr. Judy Bartlett Page 2 Dr. Juliette Cooper Dr. Verena Menec n Wednesday, 1 May 2013, the YMCAYWCA of Winnipeg will honour and recognise the contributions of women to our community at its' 37th annual Women of Distinction Awards Gala. The YMCA/ YWCA received a total of 78 nominations. Congratulations to nominees Drs. Judith Bartlett, Juliette Cooper, and Verena Menec of the Department of Community Health Sciences. Manitoba Health is pleased to announce the appointment of Dr. Lawrence Elliott to the position of Medical Officer Dr. Lawrence Elliott of Health and Program Medical Director of Population and Public Health with the Winnipeg Faculty of Medicine, University of Manitoba Department of Community Health Sciences April 2013 Community No. 46 Announcements, cont'd Regional Health Authority, effective 11 February 2013. Dr. Elliott has been a Medical Officer of Health for the Northern Health Region, in the former Nor-Man RHA since 2008. He is also an Associate Professor and Associate Head of the Department of Community Health Sciences, Faculty of Medicine. He will continue with his University of Manitoba roles. Dr. Joel Kettner was recently elected as the President of the PHPC (Public Health Physicians of Canada), June 2013-June 2015. Congratulations, Joel! Dr. Kettner is also the Scientific Director of the Dr. Joel Kettner M AT T E R S National Collaborating Centre for Infectious Diseases. Dr. Joel Kettner was recently promoted to Associate Professor, Faculty of Medicine. Dr. Brenda Elias was recently elected as a University senator from the Faculty of Medicine (2013-2016). She will join Dr. Joel Kettner (2012-2015) and Dr. Robert Tate (2012-2015). Dr. Brenda Elias Dr. Robert Tate In March 2013 the Department welcomed Dr. Chencho Dorjee (Director) and Dr. Neyzang Wangmo (Director of Research and Industrial Relations) from the Royal Institute of Health Sciences located in Thimpu, Bhutan. They were here to implement the MOU between the University of Manitoba and Bhutan. Our guests appreciated the time that faculty (Back) Neyzang Wangmo, Dhiwya Attawar, Lynette Roulette, Nancy Abbas members, staff, and (Front) Chencho Dorjee, Norma Beaulieu, Tenzing Schering, Sharon Bruce students spent with them. We look forward visit. to future endeavours together. Health services to small remote communities is an important part of the health care system in Bhutan. Dr. Sharon Bruce escorted Chencho and Neyzang to Sandy Bay who hosted a site Faculty of Medicine, University of Manitoba Department of Community Health Sciences Lynette Roulette is the Chief Executive Director of Sandy Bay, Nancy Abbas is a registered psychiatric nurse working with the Health Centre and Child & Family Services, and Norma Beaulieu is the financial officer. s Page 3 Community April 2013 M AT T E R S No. 46 Awards and Appointments C ongratulations to Community Health Sciences instructors nominated for teaching excellence in Medicine 1 – Dr. Patricia Martens, Dr. Joel Kettner, Dr. Pierre Plourde, Dr. William Libich, and Dr. Bruce Martin at the MMSA 2011/12 teaching awards, Teacher Recognition Dinner on 9 April 2013. Congratulations to Malcolm Doupe, recipient of the Rh Award for Outstanding Contributions to Scholarship and Research in the Health Sciences category. Malcolm Doupe was Dr. Malcolm Doupe selected to receive one of two 2012-2013 CIHR IHSPR Article of the Year Awards for the article “Frequent users of emergency departments: developing standard definitions and defining prominent risk factors.” Dr. Michelle Driedger’s Tier 2 Canada Research Chair in Environmental and Health Risk Communication was renewed. Dr. Driedger will receive $500.000 over 5 years as a Tier 2 chair. Dr. Pamela Orr was appointed President of the North American Region of the International Union Against Tuberculosis and Lung Disease on 2 March 2013. Dr. Salah. Mahmud Dr. Pam Orr Public Service Dr. Michelle Driedger Leslie WD (presenter), Metge C, Morin S, Majumdar S, Lix L, Best Clinician Abstract, International Society for Clinical Densitometry. Temporal trends in bone mineral density, body mass index and fracture rates: implications for osteoporosis diagnosis and FRAX. March 2013; Tampa, Florida. Congratulations Dr Lisa Lix to Dr. Salaheddin (Salah) Mahmud, awarded a Tier 2 Canada Page 4 Research Chair (CRC) in Pharmacoepidemiology and Vaccine Evaluation. Dr. Mahmud will receive $500,000 in funding over the next 5 years as a Tier 2 chair. Martens PJ. Media Interview. CJOB Radio interview – Geoff Currier. Winnipeg, MB. Nov. 8, 2012. Topic: Canadian Network of Observational Drug Effect Studies (CNODES) – what is it? Dr. Pamela Orr joined Dr. Anne Fanning and MPs from the 3 major Canadian political parties on Parliament Hill on March 21, 2013 to announce World TB Day 2013 and to advocate for increased national and international efforts to prevent and control tuberculosis. Faculty of Medicine, University of Manitoba Department of Community Health Sciences April 2013 No. 46 Community M AT T E R S Circumpolar Health Research Network Submitted by: Dr. Pamela Orr T wo organisations have now joined together to form the Circumpolar Health Research Network. You can find out about this group at: http://circhnet.org and you are encouraged to join and to get involved. Members can be individuals or organisations. The University of Manitoba is currently an organisational member and I am the university representative on the board. The organisation's goals are to foster education, communication, networking, and research in circumpolar health. The organisation puts on yearly summer schools for postgraduate students and health care providers on topics of interest and provides travel grants to foster attendance. Community Engagement T he beginning of 2013 has been a busy time for Community Engagement partnerships and planning. Career Trek The University of Manitoba has partnered with Career Trek for several years. This organisation has been formed by the union of the former International Network for Circumpolar Health Research and the International Association of Circumpolar Health Publishers. Please contact me if you have questions or ideas or comments. We are passionate about Circumpolar health, and we aim to spread the love! s Dr. Pamela Orr Email: [email protected] Phone: 204-787-7029 span into adulthood with their young mothers program. Participants receive hands-on experience in a multitude of careers with the goal of igniting their passion and potential for post-secondary education. Career Trek visited Bannatyne on two occasions between January and March and approximately 60 Career Trek is a youth participated Manitoba-based, in hands-on not-for-profit activities in the organisation that following careers: provides children Medical Doctor, ten years and Pharmacy, older with the Occupational opportunity to Therapy, and explore several Respiratory Juan Monterrosa, Occupational Therapy Student providing students career paths. Therapy. with hands-on activity Students came The organisation likes to specify “as young as from several First Nations communities (Sandy 10” as the ages for participants, however many Bay, Long Plain, Dakota Tipi, Roseau River, Faculty of Medicine, University of Manitoba Department of Community Health Sciences Page 5 Community April 2013 M AT T E R S No. 46 Community Engagement, cont'd Front row: Celina Clements Back row: (l to r) Akalu Meekis, Seneca Chartrand, Karen Cook, Laura Kathler, Lisa Spence, Sonya Schulzki Swan Lake), Parkland Region (Waterhen, Skownan, Gymsumville, Pine Creek, Duck Bay, Winnipegosis), and from Winnipeg’s Pembina Trails School Division. A huge thank-you to our student volunteers from Faculties of Medicine and Pharmacy and School of Medical Rehabilitation who came out for two full days to be great mentors for participants! Pooja Sharma, Medical Doctor Instructor Julie Hernandez, Pharmacy Instructor Ryan Persaud , Pharmacy Instructor Kwabena Osei-Bonsu , Respiratory Therapy Instructor • Juan Monterrosa, Occupational Therapy Instructor • • • • Page 6 I Love to Read Month Each year in February, “I Love To Read” month is celebrated to promote a love of reading in schools, families and communities. This year’s theme was “Planting the Seeds of Literacy and Fostering Engagement.” The Faculty of Medicine partnered with Wellington School to bring our communities together and promote the love for reading during the week of February 25-March 1st. As readers to young students, we are able to support children’s literacy skills and help nurture their growth and development as engaged and proficient readers. Wellington is a Nursery to Grade 6 school with a diverse student population located just two blocks south of our campus. Thank you to the following Faculty of Medicine, University of Manitoba Department of Community Health Sciences April 2013 No. 46 Community Engagement, cont'd readers who came out to read: • Blair Nicholls, External Relations • Dr. Sharon Macdonald, Community Health Sciences • Paulette Collins, Community Health Sciences • Marcia Dzik, Faculty of Medicine • Melanie MacKinnon, Northern Medical Unit • Barbara Shay, School of Medical Rehabilitation • Karen Cook, Community Health Sciences • Dr. Stephen Moses, Community Health Sciences Community M AT T E R S Upcoming Departmental Council Meetings 8 May 2013 - 10:00 am, A106 Chown 16 Sept 2013 - 10:00 am, A106 Chown 5 Nov 2013 - 10:00 am, A106 Chown 8 January 2014 - 10:00 am, A106 Chown 6 March 2015 - 10:00 am, A106 Chown Rich Man Poor Man Dinner – 5 Feb 2013 Community Health Sciences invited inner city high school youth and program coordinators from the Rec & Read Program to the Medical student fundraiser. The youth were happy to hear the keynote speakers, network with guests, and tour our campus. Meeting with Deputy Minister Jan Sanderson – 6 Feb 2013 Karen Cook and Sharon Macdonald were part of UM delegation to provide presentation to Deputy Minister Jan Sanderson on UM activities re: youth and campus/community partnerships. Deputy Minister Sanderson holds the Children & Youth Opportunities Portfolio. Upcoming Executive Committee Meetings 12 June 2013 - 10:30 am - R060, Dr. Betty Havens Seminar Room 3 Oct 2013 - 10:00 am - A106 Chown 6 Dec 2013 - 10:00 am - A106 Chown 3 Feb 2014 - 10:00 am - A106 Chown Inner City Youth Attend Bison Games – 13 Feb 2013 Several SWISH (basketball) planning members chaperoned an excursion for inner city youth to Bison Men’s and Women’s semi-final games on the 13th of February at the Investors Group Athletic Centre. Forty-five attendees, including ten chaperones enjoyed the very lively and spirited games between UM and UW! s Faculty of Medicine, University of Manitoba Department of Community Health Sciences Upcoming Community Events • Swish 2013 • Bannatyne Minu-U • Indigenous Mini-U for Inner City Youth Page 7 Community April 2013 M AT T E R S No. 46 BioMedical Youth Program O ver the past few months the Biomedical Youth Program (BYP) has been pleased to host more than thirty teachers working with students from Kindergarten to Grade 12 at the Inner-City Science Centre (ICSC). Educators from across the province participated in professional development workshops covering cell biology, environmental science, and physics of motion. Our teachers enjoyed their sessions at the ICSC and look forward to applying the skills and knowledge learned to their classroom practices – enhancing science for youth! On a similar note, the ICSC has opened its doors to nearly 100 students from different schools undertaking curriculum-based activities led by their teachers. Students enjoyed activities exploring principles in chemistry, building water filtration systems, identifying small water microorganisms, and observing cells under a fluorescence microscope! Our student participants had a blast at the ICSC, some asking their teachers for another visit soon! The ICSC has served as the “hub” of original student research over the course of the past months. The ICSC has been delighted to host more than thirty students’ project work, posing a diversity of questions such as the effect of food preservatives on the inhibition of microbial growth, physiological stressors on cell structure, and testing different conditions for Page 8 optimal crystal formation, to name a few. Our participants are excited to take part in provincial science fairs held in April. We are very proud of each of our young scientists! The BYP is in the early stages of planning its annual summer science camp, set to take place from 22-26 July 2013, right at the University of Manitoba Bannatyne Campus. The Camp is free-of-charge for participants in Grades 4-12 and offers a vast array of activities from fields including Medicine, Pharmacy, Physical Therapy, Medical Physics and Imaging, and Immunology. The Camp relies on the assistance of more than 100 volunteers from various departments and organisations to deliver this unique educational enrichment experience for youth. Stay tuned for further details on our Camp and how you can get involved. s Graduate Program MSc Graduates: Margaret J. Haworth-Brockman. “Gender, Deprivation and Health in Winnipeg”. Committee: Dr. P. Martens, Community Health Sciences; Dr. D. Chateau, Community Health Sciences; Dr. M. Heaman, Community Health Sciences; Dr. R. Fransoo, Community Health Sciences; Dr. J. Ristock, Women and Gender Studies. Faculty of Medicine, University of Manitoba Department of Community Health Sciences April 2013 No. 46 Community M AT T E R S Department Colloquia Mar 12: Chencho Dorjee and Neyzang Wangmo (Royal Institute of Health Sciences, Bhutan). Bhutanese Health Care System. Jan 25: Verena Menec (CHS). Age-Friendly Communities. Mar 15: Lynn McIntyre (University of Calgary). Using StatsCan datasets to uncover policy drivers of household food insecurity in Canada, 1994-2009. Feb 1: Margaret Haworth-Brockman (Prairie Women’s Health Centre of Excellence). Rethinking Women and Healthy Living in Canada. Feb 8: Randy Fransoo (CHS). Obesity, health status, and health service use: Expected and unexpected findings from a large, representative study in Manitoba. Feb 15: Evelyn Forget (CHS). Student Research at the Manitoba RDC with confidential Statistics Canada Survey Data. Adriana Mudryj (PhD student, Nutritional Sciences). Secondary Analysis of Nutritional Status using the Canadian Community Health Survey, Cycle 2.2. Stephenson Strobel (BSc Ned, CHS). Adolescents, income, and illicit substances. Mar 1: Ken Hahlweg, Yvette Emerson, Anne Durcan, Melanie MacKinnon (CHS). The J.A. Hildes Northern Medical Unit: Honoring Indigenous Self-Determination in Medical Practice. Mar 8: Stéphane McLachlan (Environment and Geography, U of M). Manitoba Alternative Food Research Alliance: Working Towards Food Justice and Community Wellbeing in Urban, Rural, and Northern Manitoba. Faculty of Medicine, University of Manitoba Department of Community Health Sciences Mar 22: Undergraduate Presentations, Community Health Sciences, Multiple Specialty Rotation “Award for Outstanding Paper in Community Health Sciences” and “Achievement in Community Health Sciences.” • Janelle Schneider. Funding Inequities, Vulnerable Children. An Analysis of Health Outcomes and Funding Legislation in First Nations Children. • Jeffrey Tompkins. Low-Dose lead Toxicity: Implications for a 5mcg/dl Lead Toxicity Threshold. • Bria Sharkey. Programs for the prevention and cessation of non-traditional tobacco use among Aboriginal youth in Canada. • Corey Veldman. The Uneven Distribution of Tuberculosis in Canada: A First Nations Perspective. April 5: Lisa Avery (CHS). 1000 Days of Opportunity: Enhancing linkages between food security, nutrition and maternal newborn and child health to improve outcomes among vulnerable women and children in Kenya. April 19: Marni Brownell (CHS). Putting the Pieces Together: Using the Population Health Research Data Repository to Study Children’s Developmental Trajectories. Page 9 Community M AT T E R S April 2013 No. 46 Section of First Nations, Métis, and Inuit Health J.A. Hildes Northern Medical Unit Announcements S ince 2002, Dr. Fondi Winston Boyang had been spending part of his year working for the NMU and part in his home town of Johannesburg, South Africa. This past December though he, regrettably for us, returned home permanently. Fondi touched many lives in Manitoba and will be sorely missed. We wish him and his family all the best. Stay warm Fondi. Dr. Jeff Ivey (psychiatry), who first went up to Churchill in 1972 for a six week elective and subsequently became an NMU Specialist, is soon to be retiring. We've asked him to write a reflection article for our next Newsletter and look forward to including it. We welcomed our new Financial Administrator, Kanchana Sankaranarayanan in March. Kanchana comes with 8 years of professional experience in accounting. She previously worked for Financial Services as an Account Analyst at Fort Garry Campus. Welcome Kanchana. We said goodbye to the Island Lake Regional Renal Health Program Manager, Dwayne Koop on the 13th February. Dwayne started with us in the summer of 2009 and over the last four years some of his accomplishments included the implementation of new systems which improved patient care, decreased unnecessary waste, and increased the capacity for patients. We wish Dwayne all the best. The positon of Island Lake Regional Renal Health Program Manager has been eliminated and a new position, Director of Health Programs has been created. The Director will oversee the Renal Health, Diabetic Foot, and Retinal Screening Programs. We welcome Melody Genaille into this new role. Melody comes with 17 years clinical and management experience in several First Nation communities. She has extensive experience Page 10 with remote nursing supervision and clinical operations including human resource and fiscal managment. Welcome Melody. We would like to thank June Grey for jumping out of her retirement yet again and taking care of the Renal Health Program during the transition from Dwayne to Melody. June oversaw the Program while Dwayne was on paternity leave from April 2011 to April 2012. Its been great to have you back June even for a little while. Eileen Koop, Retinal Screening Nurse is not returning to the NMU after her mat leave but will be going to another Department in the Faculty of Medicine working as a Research Nurse. We wish Eileen all the best. Eileen had always liked the research side of medicine so we know she will do fantastic at her new job. It seems all Koops have flown our coop!! (I know – groan – but it was just begging to be said) Our perky, Amy Dytnerski who was replacing Eileen on mat leave will be staying on permanently as a Retinal Screening Nurse. Ava Halpin, our other Retinal Screening Nurse will be joining Robyn Gordon-Brown in the Diabetic Foot Program. Ava is busy with courses and attending clinics at HSC and looking forward to her new position with us. We will be recruiting for another Retinal Screening Nurse to team up with Amy. Monica Achtemichuk and Bonnie Tinker are back to work from their respective maternity leaves. Welcome back!!!! A big thank you to Pam Becker for jumping in to cover the Rehab Program while the ladies were minding their newborns. Pam stepped into big shoes as the acting Medical Rehabilitation Co-ordinator in January of 2012. Pam has done an excellent job in providing continued support and leadership to the rehab staff in the Kivalliq and overseeing the implementation of the new Rehab Database begun by Bonnie and developed by Julie Creasey. Pam left this role Faculty of Medicine, University of Manitoba Department of Community Health Sciences April 2013 No. 46 Community M AT T E R S J.A. Hildes Northern Medical Unit at the end of March when Bonnie returned from maternity leave. Thanks for all of your hard work Pam. Congratulations to Dr. Karen Appel and Joe Kalturnyk on the birth of their 1st baby, Emilia Anne who weighed in at 6lbs 11 oz. We are all so happy for you both. Congratulations to Dorothy Parker, one of our transcriptionists on the birth of her first grandchild, Lily. Congratulations to Jeanette Bouchard of Percy E. Moore Hospital and her husband on becoming first time grandparents of a baby girl. s Betty Hughson, (l) at the NMU office at the U of M 1980 (r) Betty at the NMU 40th Anniversary Dinner (Dec 2010) All of us at the NMU were very saddened to hear of Betty Hughson's passing on the 7th of February 2013. Betty was an integral part of the NMU in its early years and a valued member of the NMU team. Betty was one of the NMU's 1st Inuit Interpreters having started with us in the late 1970's. Betty loved helping the patients who came to Winnipeg for treatment. As was stated in her obituary: "Many times she would be called out in the middle of the night, 2:00 or 3:00 o'clock in the morning to help a patient. She thought nothing of jumping in a taxi and taking off downtown if a patient needed her at that time". That summed up Betty and her passion for helping people. Our condolences to Michael, their children, and grandchildren. Sharon Hunting Retires We suprised Cathy Cao (who had been feeling homesick for China) by celebrating Chinese New Year: (front) Angie Wall (2nd row), Lori Thiessen, Gail Yacucha, Amy Dytnerski, Cathy Cao (3rd row) Ava Halpin, Elaine Manzuik, Julie Creasey (4th row) Melanie Mackinnon, Sylvia Sunstrum, Joy Langrell, Kathy Harlos, Jean Perry Faculty of Medicine, University of Manitoba Department of Community Health Sciences Sharon Hunting is retiring on the 3rd of May 2013. Sharon first ventured North in 1972 to Fort Rae, NWT. Since 1992 she has been committed to her role as nurse co-ordinator for the Kivalliq area of Nunavut; 1st working for the NMU and then for the Government of Nunavut. We have set up a Tribbit site for Sharon where you can leave messages, photos, memories, or best wishes. http://www.tribbit.com/tribute.html?t=1075921 Page 11 Community April 2013 M AT T E R S No. 46 Undergraduate Medical Education R eceived from Ken Sun, Class of 2016, University of Manitoba PHIG student leader: "Interest in public and community health is growing amongst medical students. The Public Health Interest Group (PHIG) hosted a lunch talk on the 27th of March with a great turnout from first and second year medical students. Drs. Michael Isaac and Jocelyn Reimer gave engaging talks to over 50 students Dr. Ira Ripstein, Associate Dean Undergraduate Medical Educaiton; Jeffrey Tompkins; on the public health Corey Thomas Veldman; and Brea Sharkey. (missing Janelle Schneider who was completing an out-of-town elective and unable to attend) residency program here at the U of M work. Congratulations to all. and showed students their day-to-day activities. They also delved into many of their interesting “Award for Outstanding Paper in Community challenges and the research projects they are Health Sciences”: involved in. More PHIG events are being planned for September to generate more interest in public 1. Janelle Schneider: “Funding Inequities, health at the undergraduate medical level." Vulnerable Children. An Analysis of Health Outcomes and Funding Legislation in First On 22 March 2013 we were pleased to Nations Children”. have recipients of the 6th Annual “Award 2. Jeffrey Tompkins: “Low-Dose Lead Toxicity: for Outstanding Paper in Community Health Implications for a 5mcg/dl Lead Toxicity Sciences” and “Achievement in Community Threshold” Health Sciences” present their papers at the 3. Bria Sharkey, BSc: “Programs for the Community Health Sciences colloquium series. prevention and cessation of non-traditional tobacco use among Aboriginal youth in Third year undergraduate students complete Canada” papers and presentations on public health and health policy topics as part of the Community Health Sciences component of the Multiple Specialty Clinical Rotation. Thirty-four “Class of 2013” undergraduate medical students submitted their papers for consideration and the following four students’ were recognised for outstanding Page 12 “Achievement in Community Health Sciences”: 1. Corey Thomas Veldman, BSc: “The Uneven Distribution of Tuberculosis in Canada: A First Nations Perspective”z Faculty of Medicine, University of Manitoba Department of Community Health Sciences April 2013 No. 46 Community M AT T E R S Research Platforms on the Dynamic Link between the Environment and Health O ur health and well being is dynamically linked to the environment to which we are introduced and live. Understanding these links to improve health requires research teams representing a wide range of disciplinary approaches In our department, Dr. Brenda Elias in collaboration with Professor Karen Busby from the Faculty of Law (nominated project Lead) and other Manitoba researchers were successful in securing a SSHRC partnership grant ($200,000, 2013-2016) to investigate water as a human right in First Nation communities in Manitoba. This grant was informed by the CIHR “Cherishing Water, Cherishing Health” grant ($25,000, 2012-2013)) led by Elias (Nominated PI) and Busby in collaboration with Dr. Annemieke Farenhorst, Professor and Women in Science and Engineering Research Chair at the University of Manitoba. From this collaboration, the trio then worked with other researchers from Manitoba and Canada and successfully competed in the NSERC Collaborative Research and Training Experience (CREATE) competition (led by Farenhorst $1.65 million, 2013-2019) with a training program for water and sanitation security for First Nations. These grants developed in full partnership with Manitoba First Nations represent an interdisciplinary research platform dedicated to address the right to water as a macro determinant of health and wellbeing. Another area of research illustrating the way our health and wellbeing is linked to the environment is though epigenetics. Epigenetics Faculty of Medicine, University of Manitoba Department of Community Health Sciences is an emerging field that involves the study of how our genome dynamically responds to the environment. Stress, diet, behaviour, toxins, and other factors activate chemical switches within our bodies that regulate gene expression. To ensure that Canadians take a leadership role in a field that has the potential to transform our ability to read and perhaps intervene, the Canadian Institutes of Health Research launched the Canadian Epigenetics, Environment and Health Research Consortium Signature Initiative. Dr. Brenda Elias teamed up with Dr. Jim Davie (Nominated PI and Canada Research Chair in Chromatin Dynamics), and Dr. Geoff Hicks (Biochemistry and Medical Genetics), Dr. Marc Del Bigio (Pathology) and Dr. Mojgan Rastegar (Biochemistry and Medical Genetics) of the University of Manitoba and Dr. Abraham Fainsod of Hebrew University to compete in this competition. The team was successful ($1.37 million, 20132018), and will endeavour to discover the epigenetic signatures associated with fetal alcohol spectrum disorder. Dr. Elias is the project lead of “Translating to the community: A social epigenetic FASD cohort study” ($274,000). This study developed in full partnership with a First Nation tribal area will establish a study cohort (cases and controls) and test specific social epigenetic measures of familial risk for FASD and associated social-behaviouralnutritional-environmental conditions. s Page 13 Community M AT T E R S New Research Grants Armstrong P, Armstrong H, Adams A, Baine, D, Chiver, S, Choiniere J., Dalu T, Davies M, Doupe M, James B, Lanoix M/. Leduc Browne P, Lexchin J, MacDonald M, MeGregor M, McPherson K, Struthers K, Struthers J, Harrington C, Rosenau P, Lloyd L, Pollock A, Szebehely M, Jacobsen F, Goldman M. Healthy Aging in Residential Places (HARP). European Research Area in Ageing (Active and Health Ageing Across the Life Course). 2012-2015; $784,000. Brownell M, Ouelette-Kuntz H, Shooshtari S, Hanlon-Dearman A. Validation study on administrative data in Manitoba for the purpose of ASD surveillance. Public Health Agency of Canada. 20132014: $150,000. Busby K (Program Lead, Partnership Develpoment), Elias BD (Co Lead), Gunn B, Funk L, Vorauer J, Bannycastle, O'Gorman, Gaucher D, Dupont D, Starzyk, K, Hotain, M, Avery Kinew, K, Meconse F, Craft A, Mulligan B. The right of clean water in First Nations: The most precious gift SSHRC, $200,000 2013-2016. Farenhorst A (PI), Busby K, Cicek N, Elias BD, Furgal CM, Holley RA, Lobb DL, Metcalfe CD, Oleszkiewicz JA, Metcalfe CD, Tenuta M, Wang F. NSERC Create Program for Water and Sanitation Security in First Nations (H20 Create). NSERC $1.65 Million. 20132019 Davie JR, Elias BD, Hicks G, Del Bigio M, Rastegar M, Fainsod A (PIs) Discovering the epigenetic signatures associated with fetal alcohol spectrum disorder. CIHR $1.37 Million 2013-2015 Hertzman C, Guhn M, Janus M, Brownell M, Duku E, Forer B, Muhajarine N. Examining the social determinants of children’s developmental health with a population-level, panCanadian database. CIHR, 2013-2016, $888,942 Lix L (co-principal investigator), with Bernatsky S, Lacaille D, Avina-Zubieta A. Administrative data in rheumatic disease research and surveillance- CanRad Network. CIHR. Amount: $24,847; Term: 04/2013 – 03/2014 Principal Investigators: Millikin CP, Fischer CE. CoInvestigators: Chow T, Ismail Z, Lix L, Schweizer T, Shelton P. Page 14 April 2013 No. 46 Neuroimaging profiles of neuropsychiatric subgroups in mild cognitive impairment and early Alzheimer’s disease. CIHR Catalyst Grant, Amount: $50,000; Term: 03/2013 – 02/2014 Principal Investigators: Marshall D, Vanderby S. CoInvestigators: Frank C, Noseworthy T, Peshken C, Barnabe C, Lix L, Carter M, Mosher D. Developing an innovative evidence-based decision support tool to improve osteoarthritis care planning and health service management for diverse patient populations in Alberta, Saskatchewan and Manitoba. CIHR. Amount: $429,174; Term: 04/2013 – 04/2016 John O’Neil has been awarded a CIHR grant ($150,000; Co-Investigators - Joe Gallagher, Lloy Willie, Josee Lavoie) in the “Healthcare Renewal Policy Analysis” competition. The proposal “Developing a Policy Framework for Co-Decision Making with the First Nations Health Authority and Provincial Health Authorities in British Columbia”. The project represents a partnership with the First Nations Health Authority in BC. Potter EK, Chakraborty PK, Coyle DA, Kronick JB, Wilson K, Dodds L, Grosse S, Miller F, Speechly K, Feigenbaum A, Guttmann A, Mitchell J, Vallance H, Fell D, Little J, Nakhla M, Wilson B, Gerghaty M, Mhanni A, Siriwardena K, Brownell M (collaborator). Emerging Team in Rare Diseases: Achieving the “Triple Air” for inborn errors of metabolism. Canadian Institutes of Health Research, Emerging Team Grant: Rare Diseases - Health Services/GELS. 2012-2017: $1,490,490. Roos NP. Improving Canadian access to evidence on health policy issues: Learning from a leading American health policy journalist. Fulbright Canada, Specialist Program. 2013; $6500. Snider C (PI), Brownell M, Elias B. A multilevel analysis of risk and protective factors for youth homicide and severe intentional injury in Winnipeg. Manitoba Medical Services Foundation. 2013-2014; $20,000. Wranik DW, Korchagina M, Edwards J, Katz A, Levy A: Funding Multidisciplinary Primary Health Care Teams: Designing remuneration and managerial governance models that supports the comprehensiveness, coordination, continuity, and quality of care (3C&Q) CIHR. 2012-2013: $135,203. Faculty of Medicine, University of Manitoba Department of Community Health Sciences April 2013 No. 46 New Publications Adrien A, Thompson LH, Archibald C, Sandstrom P, Munro M, Emmanuel F, Blanchard J. Translating Knowledge from Pakistan’s second generation surveillance system to Other Global Contexts. Sexually Transmitted Infections. 2013 Jan 11 Archibald CP, Shaw SY, Emmanuel F, Otho S, Reza T, Altaf A, Musa N, Thompson LH, Blanchard JF. Geographic and temporal variation of injection drug users in Pakistan. Sexually Transmitted Infections. 2013 Jan 11 Backes DM, Snijders PJ, Hudgens MG, Bailey RC, Bogaarts M, Agot K, Agingu W, Moses S, Meijer CJ, Smith JS. Sexual behaviour and less frequent bathing are associated with higher human papillomavirus incidence in a cohort study of Kenyan men. Sex Transm Inf 2013; 89:148-55. Balogh R, Ouellette-Kuntz H, Brownell M, Colantonio A. Factors associated with hospitalizations for ambulatory care sensitive conditions among persons with an intellectual disability-a publicly insured population perspective. Journal of Intellectual Disability Research 2013;57(3):226-239. Banandur P, Mahajan U, Potty RS, Isac S, Duchesne T, Abdous B, Ramesh BM, Moses S, Alary M. Population-level impact of Avahan in Karnataka state, south India using multilevel statistical modelling techniques. J Acquir Immune Defic Syndr 2013; 62:239-45. Becker M, Ramanaik S, Halli S, Blanchard JF, Raghavendra T, Bhattacharjee P, Moses S, Avery L, Mishra S. The intersection between sex work and reproductive health in northern Karnataka, India: identifying gaps and opportunities in the context of HIV prevention. AIDS Res Treat 2012; 2012:842576. Becker M, Thompson LH, Pindera C, Bridger N, Lopez C, Keynan Y, Bullard J, Van Caseele P, Kasper K. Feasibility and Success of HIV Point of Care Testing in an Emergency Department in an Urban Canadian Setting. Canadian Journal Faculty of Medicine, University of Manitoba Department of Community Health Sciences Community M AT T E R S of Infectious Diseases and Medical Microbiology Spring 2013, Volume 24 Issue 1: 27- 31. Bellan SE, Fiorella KJ, Melesse DY, Getz WM, Williams BG, Dushoff J. Extra-couple HIV transmission in sub-Saharan Africa: a mathematical modelling study of survey data. The Lancet 2013 Feb 4. doi: 10.1016/S01406736(12)61960-6. Bolton JM, Au W, Leslie WD, Martens PJ, Enns MW, Roos LR, Katz LY, Wilcox HC, Erlangsen A, Chateau D, Walld R, Spiwak R, Seguin M, Shear K, Sareen J. Parents bereaved by offspring suicide. A population-based longitudinal case-control study. JAMA Psychiatry 2013;70(2):158-167. Bradley J, Rajaram S, Moses S, Gowda GC, Pushpalatha R, Ramesh BM, Isac S, Boily MC, Lobo A, Gowda H, Alary M. Female sex worker client behaviors lead to condom breakage: a prospective telephone-based survey in Bangalore, south India. AIDS Behav 2013; 17:559-67. Brennan SL, Leslie WD, Lix LM. Associations between adverse social position and bone mineral density in women aged 50 years or older: Data from the Manitoba Bone Density Program. Osteoporosis International. [e-pub February 22, 2013]. Brownell M, Jutte D. Administrative data linkage as a tool for child maltreatment research. Child Abuse & Neglect 2013;37:120-124 Buzdugan R, Halli SS, Hiremath JM, Jayanna K, Raghavendra T, Moses S, Blanchard J, Scambler G, Cowan. F. The female sex work industry in a district of India in the context of HIV prevention. AIDS Res Treat 2012; 2012:371482. Deering KN, Bhattacharjee P, Mohan HL, Bradley J, Shannon K, Boily M-C, Ramesh BM, Isac S, Moses S, Blanchard J. Violence and HIV risk among female sex workers in southern India. Sex Transm Dis 2013; 42:168-74. Deering KN, Vickerman P, Pickles M, Moses S, Blanchard JF, Ramesh BM, Isac S, Boily M-C. Differences between seven measures of self-reported numbers of clients of female sex workers in southern Page 15 Community M AT T E R S April 2013 No. 46 New Publications, cont'd incremental cost of first trimester screening and prenatal diagnosis for trisomy 21 in a Canadian province. Prenatal Diagnosis. [e-pub March 21, 2013]. Hinds A, Distasio J, Martens PJ, Smith M. Health status and service use among homeless individuals with mental illness: consistency between self-report and administrative health records in the At Home/ Chez Soi Multi-site Trial. Chronic Diseases and Injuries in Canada 2013;33(2):107. Mishra S, Thompson LH, Sonia A, Khalid N, Emmanuel F, Blanchard JF. Sexual behavior, structural vulnerabilities, and HIV prevalence among female sex workers in Pakistan. Sexually Transmitted Infections. 2013 Feb 14 India: implications for individual- and populationlevel analysis. AIDS Behav 2013; 17:649-61. Hudson M, Avina-Zubieta A, Lacaille D, Bernatsky S, Lix L, Jean S. The validity of administrative data to identify hip fractures is high--a systematic review. Journal of Clinical Epidemiology 2013;66:278-285. Jadhav A, Bhattacharjee P, Raghavendra T, Blanchard J, Moses S, Isac S, Halli SS. Risky behaviors among HIV-positive female sex workers in northern Karnataka, India. AIDS Res Treat 2013; 2013:878151. Katz A, Enns J. "Prevention and screening for cancer in primary health care." In: Anthony B. Miller (ed). Epidemiologic Studies in Cancer Prevention and Screening. New York, NY: Springer; 2013. 397-404. Leslie WD, Brennan SL, Prior HJ, Lix LM, Metge C, Elias B. (2013) The contributions of First Nations ethnicity, income, and delays in surgery on mortality post-fracture: a population-based analysis. Osteoporosis International, 24(4), 1247-56. Mehta SD, Moses S, Parker CB, Agot K, Maclean I, Bailey RC. Response to “Herpes simplex virus type-2 (HSV-2) assay specificity and male circumcision to reduce HSV-2 acquisition” [Letter]. AIDS 2013; 27:149-50. McPhail D, Chapman GE, Beagan BL. The Rural and the Rotund? A Critical Interpretation of Food Deserts and Rural Adolescent Obesity in the Canadian Context. Health & Place. DOI: 10.1016/j. healthplace.2013.03.009. Metcalfe A, Currie G, Johnson JA, Bernier F, Lix LM, Lyon AW, Tough SC. Impact of observed versus hypothesized service utilization on the Page 16 Nickel NC, Labbok MH, Hudgens MG, Daniels JL. The extent that noncompliance with the ten steps to successful breastfeeding influences breastfeeding duration. Journal of Human Lactation 2013;29(1):59-70. Orr P. Tuberculosis in Nunavut: looking back, moving forward. CMAJ, 2013; March 5, 185(4), 287-288. Quan H, Chen G, Tu K, Bartlett G, Butt DA, Campbell NR, Hemmelgarn BR, Hill MD, Johansen H, Khan N, Lix LM, Smith M, Svenson L, Walker RL, Wielgosz A, McAlister FA; Hypertension Outcome and Surveillance Team. Outcomes Among 3.5 Million Newly Diagnosed Hypertensive Canadians. Canadian Journal of Cardiology. 2013 Mar 2. pii: S0828-282X(13)00004-4. [Epub ahead of print] Roos LL, Hiebert B, Manivong P, Edgerton J, Walld R, MacWilliam L, de Rocquigny J. What is most important: Social factors, health selection, and adolescent educational achievement. Social Indicators Research 2013;110(1):385-414. Roos NP, Manson-Singer S, O’Grady K, Tapp C, Turczak S. Canadian Health Policy in the News: Why Evidence Matters. Available in Apple, Kobo, Google Play, Scribd, Goodreads.com. Also available in PDF format: http://umanitoba.ca/ outreach/evidencenetwork/archives/8941. Ruth C, Roos N, Hildes Ripstein E, Brownell M. The influence of gestational age and socioeconomic status on neonatal outcomes in late preterm and early term gestation: A population based study. BMC Pregnancy and Childbirth 2012: 12: 62 doi:10.1186/1471-2393-12-62 Faculty of Medicine, University of Manitoba Department of Community Health Sciences April 2013 No. 46 Community M AT T E R S Presentations, Invited Lectures, Consultations provided to the Law and Risk Communication in Health Research Group, School of Public Health, University of Alberta, March 14, 2013 Brownell M. Linking EDI to other population-based data: the Manitoba experience. Early Childhood Indicators – EDI: From Data to Action. Montreal PQ, February 1, 2013. [invited] Driedger M. Working as partners: Researching Risk Messaging about H1N1 with the Metis, Research Engagement with First Nations, Metis and Inuit Communities meeting for the Faculty of Medicine, University of Manitoba. March 8, 2013. Winnipeg, Manitoba. Doupe M. Research Potential Using Administrative Health Care Data in Manitoba. Presentation at Information Meeting with Researchers and Graduate Students, sponsored by the Alzheimer’s Society of Manitoban November 28, 2012). Doupe M. Population Demographics and Rising Costs of Health Care Use: A Review. Presentation to the Seniors and Healthy Living Secretariat, Healthy Living, Youth and Seniors, Province of Manitoba, November 20, 2012.. Doupe M, Chateau D. Planning Strategies for Care for Older Adults Now and in the Future: More versus Different? Presentation to Executive Board Members, Western Health Region, Province of Manitoba, November 16, 2012. Doupe M. Conducting Health Services Research using Administrative Data: The importance of Measuring Mental Health. Presented to the Faculty of Graduate Students, Clinical Psychology, University of Manitoba, November 8, 2012. Driedger M. Communicating Health Risk Uncertainty: Busting the Myths, presentation with Cindy Jardine (University of Alberta), linked through national webinar for the National Collaborating Centres for Environment and Health and the British Columbia Centres for Disease Control, March 27, 2013, Vancouver, British Columbia. Driedger M. Communicating Health Risk Uncertainty: Busting the Myths, 3 hour workshop with Cindy Jardine (University of Alberta), prepared for Alberta Health Services, March 15, 2013, Edmonton, Alberta. Driedger M. Advanced Session for NV9”, training Faculty of Medicine, University of Manitoba Department of Community Health Sciences Driedger M. Communicating Health Risk Uncertainty: Busting the Myths, special presentation with Cindy Jardine (University of Alberta), to the Manitoba Public Health Community meeting, March 7, 2013. Winnipeg, Manitoba. Driedger M. Developing respectful researchcommunity partnerships with the Metis, Plenary Speaker, First Nations, Metis, and Inuit Research Symposium. March, 1, 2013. Winnipeg, Manitoba. Driedger M. Introductory Session for NV9, training provided to the Law and Risk Communication in Health Research Group, School of Public Health, University of Alberta, February 26, 2013. Goertzen T, Edwards J, Smith P, Lavallee B, Katz A. Primary Health Care in Manitoba – Panel Presentation. Facilitating the Dialogue: What is the Role of the Faculty of Medicine. University of Manitoba in Primary Health Care for First Nations, Métis & Inuit Communities, Winnipeg, MB, March 14, 2013. Katz A. Invited Keynote Speaker. Take Charge: Your Future Lies in Your Hands. Dementia Care 2013. Winnipeg, MB, March 5. 2013. Lix L. Patient-oriented research in Manitoba: Opportunities for statisticians. Department of Statistics, University of Manitoba, January 31, 2013. Martens PJ. Invited Plenary Speaker. Mind the gap—bridging the gap between research and policy. Manitoba Child and Youth Rehabilitation Research Day, Winnipeg, MB, January 25, 2013. Martens PJ, Raymond C, Targownik L, AlessiPage 17 Community Severini S, Bugden S. CNODES—A leading-edge approach to researching the post-marketing safety and effectiveness of Canadian pharmaceuticals. Presented at the Pharmacy Grand Rounds, University of Manitoba, Winnipeg, MB, January31, 2013. Martens PJ. MCHP – a local resource, and international reputation (dressed for success). Government of Manitoba Industry, Energy and Mines Invitational meeting. Winnipeg, MB, December 17, 2012. Martens PJ. 1) PATHS Equity for Children: a program of research into what works to reduce the gap for Manitoba’s children; 2) Introduction to MCHP—Dressed for Success. First Annual MCHP Government Workshop Day, Winnipeg, MB, December 14, 2012. Martens PJ. The Need To Know Team: Establishing a Robust and Sustainable Health Information Collaborative. Data Analytics for Healthcare annual conference. Toronto, ON, December 5, 2012. Invited plenary speaker. Martens PJ, Katz A. MCHP – a local resource, an international reputation (dressed for success!). Faculty of Medicine Grand Rounds. University of Manitoba, Winnipeg, MB. December 3, 2012. Dr. Pamela Orr chaired a session on “Tuberculosis in Indigenous Peoples” at the North American Region of the International Union Against Tuberculosis and Lung Disease meeting in Vancouver on March 1, 2013. Drs. P. Orr and L. Larcombe presented a talk: “Research and relational Accountability” at the “Framework for research Engagement with First nations, Métis and Inuit Communities” meeting in Winnipeg on March 8, 2013. Dr. Pamela Orr was an invited participant at the “Tuberculosis in Nunavut” meeting held in Iqaluit, January 29-31, 2013. Roos LL. Information-Rich Environments: The Next Generation” paper presented at the Institute of Health Policy, Management, and Evaluation, Toronto, ON, March 8, 2013. Page 18 April 2013 M AT T E R S No. 46 Reports Chapters Books Fransoo R, Martens PJ, Prior Martens PJ. Media Interview. CJOB Radio interview – Geoff Currier. Winnipeg, MB. Nov. 8, 2012. Topic: Canadian Network of Observational Drug Effect Studies (CNODES) – what is it? Dr. Pamela Orr joined Dr. Anne Fanning and MPs from the 3 major Canadian political parties on Parliament Hill on March 21, 2013 to announce World TB Day 2013 and to advocate for increased national and international efforts to prevent and control tuberculosis. Community MATTERS Community Matters is published by the Department of Community Health Sciences at the University of Manitoba Submissions can be made to Kathy Bell at P120-750 Bannatyne Avenue, Winnipeg MB, R3E 0W3 Kathy.Bell@ med.umanitoba.ca Opinions expressed on these pages may or may not be the opinions of the Editors. Faculty of Medicine, University of Manitoba Department of Community Health Sciences