International Journal of Circumpolar Health 1998; vol 57(suppl 1)


Circumpolar Health 96

Proceedings of the 10th International Congress on Circumpolar Health. Anchorage, Alaska. May 19-24, 1996
Edited by Robert Fortuine, George A. Conway, Cynthia D. Schraer, Michael J. Dimino, Carl M. Hild and Juli Braund-Allen

Contents

Foreword
Preface
Donors
Acknowledgments

Chapter 1. Plenary Sessions

Address by the President of the Alaska Federation of Natives
Julie E. Kitka

Address by the President of the Inuit Circumpolar Conference
Rosemarie Kuptana

Keynote speaker Traditional healing among Alaska Natives
Rachel Craig

History of tobacco and the Inuit
Roda Grey

Circumpolar health: Science and health what is missing?
William Foege

Maintaining public health into the 21st century: The impact of poverty, privatization, and politics
Victor W Sidel

Keeping women and children last: America's war on the poor
Ruth Sidel

Investigating cancer clusters
Nathaniel Cobb

Chapter 2. Ethics, Culture, and Traditional Healing

Ethical issues in community health research:Implications for First Nations and circumpolar indigenous peoples
Joseph M. Kaufert and Patricia Leyland Kaufert

Developing a code of research ethics for research with a Native community in Canada: A report from the Kahnawake Schools Diabetes Prevention Project
Ann C. Macaulay, Edward J. Cross, Treena Delormier, Louise Potvin, Gilles Paradis, Alex McComber, et al.

The ethics of informed consent among storyteller cultures
Casteel, J. Keenan

Experience of Aboriginal health interpreters in mediation of conflicting values in end of life decision making
Joseph M. Kaufert, Robert W. Putsch and Margaret Lavallée.

The Tyrolean Iceman and excavated human remains as sources of information about the past, the p resent, and the future
Sjøvold, Torstein.

Value orientation of the Copper Inuit
Nancy A. Edgecombe

Traditional healing and allopathic medicine: Issues at the interface
Douglas Eby

The illness known as "twisted mouth" among the Nêhinaw (Cree)
Jocelyn Bruyere and Linda C. Garro

Chapter 3. Training and Education

Appropriate training for northern physicians
David A. Beach and Michael K.K. Jong

Educating medical students for Alaska
Robert Fortuine and Michael J. Dimino

Medical teaching program in a rural northern hospital
W.A. Macdonald

Premedical program effective in increasing admissions to health professionals chools
M.C. Stephens, P. Mirwaldt and S. Matusik

Health promotion partnerships: Service and education addressing the health needs of vulnerable groups
Jackie Pflaum and Nancy Sanders.

Using the evaluation of the Dalhousie Outpost Nursing Program for responsive social action
Ruth Martin-Misener and Joyce Black.

Continuing medical education for Community Health Aids/Pactitioners
Jane Kelly

Use of Objective Structured Clinical Examinations (OSCEs) in training and evaluating Community Health Aides
Jean-Rounds Riley

Chapter 4. Maternal and Child Health

Family pattern and family care in Greenland
Tine Curtis, Karo Thomsen, and Peter Bjerregaard.

Rankin Inlet Birthing Project: Outcome of primipara deliveries
J.I. England

Evaluation of a midwifery birthing center in the Canadian North
Marie Chamberlain, Rama Nair, Carl Nimrod, Alwyn Moyer, and Joyce England.

Indications for transfer for childbirth in Inuit women at the Innuulisivik Maternity
Affleck Chatwood, Susan, Abby Lippman, Lawrence Joseph, and Gary Pekeles.

Incidence of ectopic pregnancy and sexually transmitted disease in the Canadian Central Arctic
P.H. Orr, and R. Brown.

Iron deficiency anemia in Nunavik: Pregnancy and infancy
Stephen Hodgins, Erie Dewailly, Susan Chatwood, Suzanne Bruneau, and France Bernier.

Disease pattern in children living in the Arctic: Visits to a general practitioner by 0 to 14 year old children living in Nuuk, Greenland
B.V. L. Niclasen

Ecology and children's health conditions in the Far Eastern Region of Russia
V.K. Kozlov, G.P. Evseeva, S.V. Suprun, T.V. Chapel, T.D. Pankova, and A. Yu. Moschinetsky.

Prematurity in Greenland
Thorkild Jacobsen, and Susanne M. Møller.

Baby bottle tooth decay: Are we on the right track?
Pamela J. Smith and Michael E.K. Moffatt.

Awareness of periodontal disease in a group of northern Canadian children
Paul D. Schuller, Gordon W. Thompson, and Terry Taerum.

Dental caries knowledge in a group of Northwest Territories children
Gordon W. Thompson, Paul D. Schuller, and Donald W. Lewis.

Chapter 5. Diet, Nutrition, Traditional Foods, and Food Safety

Food mail: The Canadian alternative to food stamps
Frederick Hill

Food affordability in air stage communities
J. Lawn, H. Robbins and F. Hill

Infant nutrition program effectively prevents iron deficiency anemia in a First Nations community
Paul Sawchuk, Margaret Rauliuk, Andrew Kotaska, Sheila Townsend, Elizabeth Wilson and Marlene Starr.

Nutrition of Chukotka Native children
Irina P. Beresovikova, Jamila B. Efendieva, Farida R. Mamleeva, Diana V. Denisova, and Gennady B. Lebedev.

Food consumption patterns of Inuit women
J. Lawn, N. Langner, D. Brulé, N. Thompson, P. Lawn, and F. Hill.

Preliminary assessment Of nutrients in daily diets of a sample of Belcher Island Inuit adults
Eleanor E. Wein, Milton M.R. Freeman and Jeanette C. Makus.

Ooligan grease: A traditional food fat of Western Canada and Alaska
Harriet V. Kulmlein and Hing Man Chan.

Sources of bias in estimates of calcium and vitamin A intakes of indigenous peoples in the Northwest Territories, Canada
Olivier Receveur and Harriet V. Kuhnlein.

Benefits of traditional food in Dene/Métis communities
Olivier Receveur and Harriet V. Kulmlein.

Communication about health and the risk effect of eating traditional food
Gert Mulvad and Henning Sloth Pedersen.

Review of food borne diseases in Nunavik
J. Grondin, J-F. Proulx, S. Hodgins, É. Dewailly, and C. Blanchette.

Primer on food borne pathogens for subsistence food handlers
Brian H. Himelbloom

Chapter 6. Infectious Diseases

Earl Albrecht and the struggle against tuberculosis in Alaska
Robert. C Fortuine

Tuberculosis: Finding a community solution
Jane McGillivray, Margaret Webb, Michael Jong, and Catherine Jong.

The dispersal of the 1918 influenza virus on the Seward Peninsula, Alaska: An ethnohistoric reconstruction
Matt L. Ganley

Respiratory tract infections in Greenlandic children: A prospective cohort study
Anders Koch, Kåre Mølbak, Preben Homøe, Poul Bretlau and Mads Melbye.

RSV associated hospitalizations in Alaska Native infants
Rosalyn Singleton, Ruth A. Karron, Donn G. Kruse, Lee H. Harrison, Irma J. DeSmet, Nina M. Davidson, Kenneth M. Petersen, et al.

Pneumococcal carriage in an Alaskan drug using population
Ken J. Brooks, David M. Paschane, Dennis G. Fisher and Sylvia M. Orr.

The prevalence of otitis media with effusion among Inuit children
Andreas H. Kramer and David W. McCullough.

The management of ear disease: Guidelines for Aboriginal health care programs
Bruce D. Martin and Sharon M. Macdonald.

Overview of viral hepatitis
E Blaine Hollinger

HIV and hepatitis B surveillance in First Nations alcohol and drug treatment centers in British Columbia, Canada
J. David Martin and Richard G. Mathias.

Immunogenicity of a combined hepatitis B and Haemophilus influenzae type b vaccine in Alaska Native infants
Kenneth Petersen, Lisa Bulkow, Brian McMahon, Robert Wainwright and Helen Peters.

Helicobacter pylori in the Chukotka Native male population
Oleg V. Reshetnikov, Yuri P. Nikitin, Mikhail V. Kholmogortsev, Svetlana A. Kurilovich and Oleg A. PycIlik.

Chapter 7. Cardiovascular Diseases

Cardiovascular risk factors in the adolescent population of Chukotka
Diana V. Denisova, Irina P. Beresovikova and Jamila B. Efendieva.

Regional variation in cardiovas cular risk factors and ischemic heart disease mortality in Greenland
Peter Bjerregaard, Gert Mulvad and Henning Sloth Pedersen.

Arterial calcification as a marker for atherosclerosis in three arctic populations
Troxclair, Dana, Donald A. Boudreau, Gray T. Malcom, Henning S. Pedersen, Gert Mulvad, William R Newman III and John P. Middaugh.

Left ventricular hypertrophy in northern and Siberian populations
Malyutina, Sofia, Andrew Ryabikov, Michail Voevoda, Michail Dolgych, Tatyana Benyuch and Yuri Nikitin.

Increase in leukotrienes in the coronary circulation by cooling: A study in the anesthetized dog
Kirsti Ytrehus, Torkjel Tveita and Olav Hevroy.

The Alaska Native Naming Test: Assessing speech loss in Alaska Natives after injury or stroke
Kerry Feldman and Kelly Scannell Brewer.

Effects of dietary seal oil on fat metabolism
Susanne M. Møller, Jens C. Hansen, E.B. Thorling, Gert Mulvad, Henning S. Pedersen, Peter Bjerregaard, et al.

Dietary fat and disease patterns in Chukotka Native adults
Farida R. Mamleeva, Jamila B. Efendieva and Yuri P. Nikitin.

Chlamydia pneumoniae antibodies associated with altered serum lipid profile
Aino L. Laurila, A Bloigu, S. Näyhä J. Hassi, M. Leinonen and P. Saikku.

Chapter 8. Diabetes and Other Endocrine and Metabolic Disorders

Diabetes mellitus in the First Nations population of British Columbia, Canada
J. David Martin and Haile M. Yidegiligne.

Prevalence of diabetes mellitus and obesity in the Keewatin District of the Canadian Arctic
P.H. Orr, B.D. Martin, K. Patterson and M.E.K. Moffatt.

Glucose tolerance and insulin resistance syndrome among St. Lawrence Island Eskimos
Cynthia D. Schraer, Sven O. Ebbesson, Amanda I. Adler, Johathan S. Cohen, Edward J. Boyko and Elizabeth D. Nobmann.

Gestational diabetes and subsequent development of NIDDM in Aboriginal women of Northwestern Ontario
Nashila Mohamed and Joseph Dooley

Pregnancy outcome in Aboriginal women with NIDDM in the Sioux Lookout Zone
Joseph P. Dooley and Mark E. Sugamori.

The Sioux Lookout Diabetes Program: Diabetes prevention and management in Northwestern Ontario
Natalia Morrison and Joe Dooley.

The Kahnawake Schools Diabetes Prevention Project: Community participation in a diabetes primary prevention research project
Alex M. McComber, Ann C. Macaulay, Rhonda Kirby, Serge Desrosiers, Edward J. Cross, Chantal Saad Haddad, et al.

Preventing NIDDM among Aboriginal people: Is exercise the answer? Description of a pilot project using exercise to prevent gestational diabetes
R.F. Dyck, M.S. Sheppard, H. Cassidy, K. Chad, L. Tan and S.H. Van Vliet.

The cost effectiveness of a retinal photography screening program for preventing diabetic retinopathy in the First Nations diabetic population in British Columbia, Canada
J. David Martin and Haile M. Yidegiligne.

Seasonal variation of serum TSH and thyroid hormones in males living in subarctic environmental conditions
J. Leppäluoto, K. Sikkilä, and J. Hassi.

Seasonal variation of the amino acid, L tryptophan, in Interior Alaska
Matthew E. Levine and Lawrence K. Duffy.

Chapter 9. Cancer

Cancer trends from 1972-1991 for Registered Indians living on Manitoba reserves
Ted Rosenberg and Suzanne Martel.

Development and implementation of a breast and cervical cancer screening program in urban and rural Alaska
K.Martinek, K. Thomas, B. Berner, J. Roche and M. Boling.

Follow up of a decentralized colposcopy program for the investigation and management of cervical intraepithelial neoplasia in the Canadian Central Arctic
Martin, Bruce D., Wendy L. Smith, Pamela Orr and Femando Guijon.

Management of hereditary non- polyposis colon cancer in a northern rural setting: A progress report
Cox, Janet, G. William N. Fitzgerald and Roger C. Green.

Hepatitis B and hepatocellular carcinoma in Eskimo/Inuit populations
Brian J. McMahon, Anne P. Lanier and Robert B. Wainwright.

Chapter 10. Mental Health and Substance Abuse

Common mental disorders among patients in primary health care in Greenland
Inge Lynge, Aksel Bertelsen, Peter Bjerregaard, Per Fink, Poul Munk Jørgensen and Amalie Lynge Pedersen.

Psycho physiological mechanisms of adaptation of rotation personnel in arctic regions
Sergey G. Krivoschekov and Tatiana N. Shishkina.

The investigation of stress in resource dependent communities: The effect of rapid socioeconomic changes on mental health service use
JungweePark and Connie H. Nelson.

The effect of an alcohol ban on the number of alcohol related hospital visits in Barrow, Alaska
Arva Y. Chin and Pedro E. Perez.

Clinical and social aspects of alcoholism among the Nenetz population
Pavel Sidorov

Alcohol consumption among Alaskan drug users
Scott J. Turner, David M. Paschane, Mark E. Johnson, Dennis G. Fisher and Andrea M. Fenaughty.

Flushing response and its role in alcohol disease in Siberian populations
Svetlana A. Kurilovich, lgor A. Jakuschenko, Natalia G. Egorova, Alexey V. Avksentyuk and Vladimir B. Trusov.

Alcohol, drugs, and family violence: Perceptions of high school students in Southwest Alaska
Carole L. Seyfrit, Christine R. Crossland and Lawrence C. Hamilton.

Unmet treatment needs of drug users in Alaska: Correlates and societal costs
Mark E. Johnson, Christiane Brems and Dennis G. Fisher.

Cocaine smokers and injection drug users in Alaska: What distinguishes Native Americans from non Native Americans?
David M. Paschane, Henry H. Cagle and Dennis G. Fisher.

The development of a culture based substance abuse treatment program in the Kuskokwim Delta, Alaska
Joan Hamilton, , Brian Saylor and Lynne Meininger.

Methodological issues in evaluating a culture based substance abuse treatment program in the Kuskokwim Delta, Alaska
Brian Saylor, John Booker, Joan Hamilton and Kay Klose.

New approaches to smoking prevention in the North
Alekseeva, Natalia V., Arcadiy L. Molokov and Tamara I. Astakhova.

Education on health risks of smoking in Magadan, Russia
Tim Holder

Chapter 11. Injuries Intentional and Unintentional

Accidental deaths and suicides among Alaska Natives, 1979-1994
David Marshall and Susan Soule.

Preventing deaths in Alaska's commercial fishing industry
George A. Conway, Jennifer M. Lincoln, Sue A. Jorgensen, Michael L. Klatt and Jan C. Manwaring.

Occupational aviation deaths in Alaska, 1990-1995
Larry C. Garrett and George A. Conway.

Effective injury prevention using surveillance data: Helicopter logging in Alaska, 1992-1995
George A. Conway, Michael L. Klatt and Jan C. Manwaring.

Urban encroachment on the wilderness: Moose vehicle collisions in Anchorage, Alaska, 1991-1995
Larry C. Garrett and George A. Conway.

Man and polar bear in Svalbard: A solvable ecological conflict?
T. Risholt, E. Persen and O.I. Solem.


Chapter 12. Environmental Toxins and Pollution

Social and cultural impacts of environmental change on Aboriginal peoples in Canada
Margaret A. Wheatley

Cultural environmental health risk perception in the Canadian North
O'Neil, John, Annalee Yassi, and Brenda Elias.

Points of view: Inuit women's perceptions of pollution
Christine Egan

Persistent organic compounds in women residing in the Russian Arctic
Valeri P. Klopov

Cultural concerns regarding contaminants in Alaskan local foods
Carl M. Hild

A database for environmental contaminants in traditional food in Northern Canada
Hing Man Chan and Amy Ing.

A public health perspective on the evaluation of subsistence food safety
Grace M. Egeland, Rafael A. Ponce and John R Middaugh.

Twenty years of trace metal analyses of marine mammals in Alaska: Evaluation and summation
Rafael A. Ponce, Grace M. Egeland, John R Middaugh, and Paul R. Becker.

Levels of heavy metals in women residing in the Russian Arctic
Valeri P. Klopov

Northern exposure: Further analysis of the results of the Canadian Aboriginal methylmercury program
BrianWheatley and Sylvain Paradis.

Communication of risks: Organization of a methylmercury campaign in the Cree community of James Bay, Northern Quebec, Canada
Francine Nodl, Emily Rondeau and Julie Sbeghen.

Risk perception related to depletion of the ozone layer and UV-B radiation in the Arctic
Amulf Kolstad

Arctic snow crab related lung disease
Dorsett D. Smith and Ruth Sechena.

Chapter 13. Health Surveys

Determining the feasibility of the Canadian First Nations and Inuit regional (longitudinal) health surveys
John O'Neil and Laura Commanda.

The use of ethnic identifiers in epidemiologic research
Hilary C. Robinson

Social and cultural factors as determinants of self rated health in Greenland
Peter Bjerregaard and Tine Curtis.

The role of hunting in a socioeconomic classification for Greenland
KaroThomsen, Tine Curtis and Peter Bjerregaard.

A health profile of the Inuit of Nunavik: Report of the Santé Québec Health Survey (1992)
Mireille Jetté

Post Soviet Russian indigenous health: The Sami people of the Kola Peninsula
Aino Snellman, Ole Mathis Hetta, Marina Dubovtseva, et al.

Well being among Greenlandic students
J. Michael Pedersen

Youth Risk Behavior Survey: The Alaskan perspective
Michele A. Hansen, Catherine Schumacher, Diane E. Ingle, John P. Middaugh and Helen L. Mehrkens.

Developing and conducting a health risk behavior survey among school aged students
Michele A. Schiffkorn-Hansen, Diane E. Ingle and Helen L. Mchrkens.

A comparison of demographic characteristics of selected Year 2000 Health Objectivesfor the United States, using Behavioral Risk Factor Surveillance System data for Alaska
Diane E. Ingle and Patricia G. Owen.

Alaska Native community assessment: Health care services, knowledge of health issues, and health education
Christine A. DeCourtney

Chapter 14. Health Care Delivery and Telemedicine

Integrated primary care
Douglas Eby

Quality development in health care in Greenland: Facing unlikely odds
Richard E. Steele

The potential for Ontario Region's Health Information System to facilitate case management, program planning, and evaluation and to promote enhanced First Nations' control of health services
Roger J. Johnson,

Designing a home health care systemfor Alaska Natives in Anchorage
Theodore A. Mala and Kevin L. Gottlieb.

The recruiting of stafffor the Health System in Greenland
Gert Mulvad

Telemedicine: Have technological advances improved health care to remote antarctic populations?
Desmond J. Lugg

Telemedicine in Greenland: The case for and against implementation
Richard E. Steele

Preliminary experience with an orthopedic clinical teleradiology service at the Alaska Native Medical Center
R. David Beck, Christine Saddler and Roger Ranch.

Enhancing diagnostic ultrasound programs utilizing wide area image management technology
Bruce D. Martin, Clifford Levi and Joanne L. Kelly.

Instrumentation availablefor remote diagnosis and consultation in eye care
James A. Pickard

Delivery of physiotherapy services to some First Nations communities in Manitoba
Margrét. Thomas

The role of cost analysis in deciding whether to provide laparoscopic cholecystectomy in remote communities
Andrus J. Voitk and Judy Watts.

Chapter 15. Miscellaneous

The Wenger Eskimo Anthropological Database: A valuable research tool
Wendy H. Arundale

Up to date studies of the Siberian population: International programs of the Institute of Internal Medicine
N.V. Alekseeva, Yu. P. Nikitin, M.I. Voevoda, S.K. Malyutina, A.V. Tarasov and T.E. Vinogradova.

Russian Academy of Medical Sciences (RAMS), Siberian Branch, activity in solving the medical problems of Russian circumpolar regions
Valery A. Trufakin and Konstantin V. Gaidul.

Self determination: The panacea for Canadian Aboriginal people with disabilities ?
Moni Fricke

Genetic polymorphism of CYP1A1 and CYP2D6 in the Tundra Nentsi population
Lyakhovich, Vyacheslay V., Dmitriy V. Mitrofanov, Nadezda I. Gutkina, Tatyana G. Duzhak, Olga L. Posukh, Lyudmila P. Osipova, et al.

Standard versus modified bio electrical impedance analysis on reactance measurements
A. Allan Turner, Marcel Bouffard and Henry C. Lukaski.

Heat balance at 5°C after cold water immersion
Hannu Rintamäki, Juhani Hassi, Tero Mäkinen and K. Koskenvuo.

The hydration status of backpackers at high altitude
Leslie H. Rozier

Trans Antarctic Expedition: The second 100 days
Raymond A. Dieter Jr., Ray A. Dieter III, David Lowell Dieter, Robert S. Dieter and Bette Dieter.

Int J Circumpolar Health 1998; vol 57(suppl 1)