Polycyclic aromatic compounds in a northern freshwater ecosystem: Patterns, sources, and the influences of environmental factors

Polycyclic aromatic compounds (PACs) - a large group of organic chemicals naturally present in petroleum deposits (i.e., petrogenic) or released into the environment by incomplete combustion of organic materials (i.e., pyrogenic) - represent a potential risk to the health of aquatic ecosystems. In high latitude freshwater ecosystems, concentrations of PACs may be increasing, yet there are limited studies in such systems to assess change and to understand threats. Using 10 years of contemporary data from passive samplers deployed across five regions (n = 43 sites) in the Mackenzie River Basin, we (i) describe baseline levels of PACs, (ii) assess spatiotemporal patterns, and (iii) evaluate the extent to which environmental factors (fire, snowmelt, and proximity to oil infrastructure) influence concentrations in this system. Measured concentrations were low, relative to those in more southern systems, with mixtures primarily being dominated by non-alkylated, low molecular weight compounds. Concentrations were spatially consistent, except for two sites near Norman Wells (an area of active oil extraction) with increased levels. Similarly, observed annual variation was minimal, with 2014 having generally higher levels of PACs. We did not detect effects of fire, snowmelt, or oil infrastructure on concentrations. Taken together, our findings suggest that PACs in the Mackenzie River are currently at low levels and are primarily petrogenic in origin. They further indicate that ongoing monitoring and testing of environmental drivers (especially at finer spatial scales) are needed to better predict how ecosystem change will influence PAC levels in the basin and in other northern systems.

Mercury deposition to lake sediments near historic gold mines in northern Canada

Mercury (Hg) contamination in aquatic systems can lead to adverse human and environmental health outcomes. Yellowknife, a city in Canada's Northwest Territories, is a historic mining community, with two large gold mines (Giant Mine and Con Mine) that used Hg amalgamation methods to extract gold between ∼1938 and 1960. We analyzed dated sediment cores from 20 small lakes to investigate the spatial and temporal Hg deposition patterns within 50 km of Giant Mine. Breakpoint analysis of the within-lake z-score normalized anthropogenic Hg flux indicates two significant time periods of changing emission rates. The first is a significant increase in Hg deposition rate (∼1925) during the time of gold exploration in the region and onset of Hg amalgamation (1938) and the second is a significant decrease in deposition rate that begins around the time of the cessation of Hg amalgamation at Giant Mine (∼1959). Sediment Hg concentrations exceeded the Canadian Council for Ministers of the Environment Interim Sediment Quality Guideline (ISQG) for Hg (0.17 mg/kg dw) in 55% of the lakes (n = 11) during mining (1948-1999). All lakes within 5 km of the Giant Mine roaster stack exceeded CCME ISQG during mining (n = 8), with a 4-fold increase in total Hg concentration observed during mining at these near-field (<5 km from stack) sites. We observed evidence of enriched Hg in near-field, mid-field, and far-field sites. The elevated sedimentary Hg concentrations during mining in near-field sites would have posed a hazard to human and wildlife health during the height of emissions, however the significant decrease in Hg concentrations since the closure of mines in the region demonstrate the potential for recovery in these aquatic ecosystems.

Site-specific spatiotemporal occurrence and molecular congener distributions of naphthenic acids in Athabasca oil sands wetlands of Alberta, Canada

The Athabasca oil sands region (AOSR) of Alberta, Canada is notable for its considerable unconventional petroleum extraction projects, where bitumen is extracted from naturally-occurring oil sands ore. The large scale of these heavy crude oil developments raises concerns because of their potential to distribute and/or otherwise influence the occurrence, behaviour, and fate of environmental contaminants. Naphthenic acids (NAs) are one such contaminant class of concern in the AOSR, so studies have examined the occurrence and molecular profiles of NAs in the region. We catalogued the spatiotemporal occurrence and characteristics of NAs in boreal wetlands in the AOSR over a 7-year period, using derivatized liquid chromatography-tandem mass spectrometry (LC-MS/MS). Comparing median concentrations of NAs across these wetlands revealed a pattern of NAs suggesting NAs in surface waters derived from oil sands deposits. Opportunistic wetlands that formed adjacent to reclaimed overburden and other reclamation activities had the highest concentrations of NAs and consistent patterns suggestive of bitumen-derived inputs. However, similar patterns in the occurrence of NAs were also observed in undeveloped natural wetlands located above the known surface-mineable oil sands deposit that underlies the region. Intra-annual sampling results along with inter-annual comparisons across wetlands demonstrated that differences in the spatial and temporal NA concentrations were dependent on local factors, particularly when naturally occurring oil sands ores were observed in the wetland or drainage catchment.

Geospatial pattern of topsoil pollution and multi-endpoint toxicity in the petrochemical area of Augusta-Priolo (eastern Sicily, Italy)

The present study was aimed at identifying geospatial patterns of pollutants including concentrations and toxicity as complex environmental mixtures, in topsoil samples close to petrochemical facilities in the heavily industrialized area of Augusta and Priolo in south-eastern Sicily (Italy). Elemental analysis of soil was conducted by ICP-MS for 23 metals and 16 rare earth elements (REEs). Organic analyses were primarily focused on polycyclic aromatic hydrocarbons (PAHs) (16 parent homologs) and total aliphatic hydrocarbons (C10 - C40). Topsoil samples were tested for toxicity in multiple bioassay models including: 1) developmental defects and cytogenetic anomalies in sea urchin Sphaerechinus granularis early life stages; 2) growth inhibition of diatom Phaeodactylum tricornutum; 3) mortality in nematode Caenorhabditis elegans; and 4) induction of mitotic abnormalities in onion Allium cepa. Samples collected at sites closest to defined petrochemical facilities were highest in select pollutants and correlated with biological effects in different toxicity endpoints. A noteworthy finding was the increased level of total REEs in sites closest to petrochemical facilities, suggesting their contributions to identifying petrochemical sources of pollutants to the environment. The combined data obtained in the different bioassays allowed exploration of geospatial patterns of effect in biota as a function of contaminant levels. In conclusion, this study provides consistent data of soil toxicity, metal and REE contamination at Augusta-Priolo sampling sites, and may provide an appropriate baseline for epidemiological studies on high incidences of congenital birth defects in the area and identification of at-risk localities.

The skin is no barrier to mixtures: Air pollutant mixtures and reported psoriasis or eczema in the Personalized Environment and Genes Study (PEGS)

BACKGROUND

Autoimmune (AI) diseases appear to be a product of genetic predisposition and environmental triggers. Disruption of the skin barrier causes exacerbation of psoriasis/eczema. Oxidative stress is a mechanistic pathway for pathogenesis of the disease and is also a primary mechanism for the detrimental effects of air pollution.

METHODS

We evaluated the association between autoimmune skin diseases (psoriasis or eczema) and air pollutant mixtures in 9060 subjects from the Personalized Environment and Genes Study (PEGS) cohort. Pollutant exposure data on six criteria air pollutants are publicly available from the Center for Air, Climate, and Energy Solutions and the Atmospheric Composition Analysis Group. For increased spatial resolution, we included spatially cumulative exposure to volatile organic compounds from sites in the United States Environmental Protection Agency Toxic Release Inventory and the density of major roads within a 5 km radius of a participant's address from the United States Geological Survey. We applied logistic regression with quantile g-computation, adjusting for age, sex, diagnosis with an autoimmune disease in family or self, and smoking history to evaluate the relationship between self-reported diagnosis of an AI skin condition and air pollution mixtures.

RESULTS

Only one air pollution variable, sulfate, was significant individually (OR = 1.06, p = 3.99E-2); however, the conditional odds ratio for the combined mixture components of PM2.5 (black carbon, sulfate, sea salt, and soil), CO, SO2, benzene, toluene, and ethylbenzene is 1.10 (p-value = 5.4E-3).

SIGNIFICANCE

While the etiology of autoimmune skin disorders is not clear, this study provides evidence that air pollutants are associated with an increased prevalence of these disorders. The results provide further evidence of potential health impacts of air pollution exposures on life-altering diseases.

SIGNIFICANCE AND IMPACT STATEMENT

The impact of air pollution on non-pulmonary and cardiovascular diseases is understudied and under-reported. We find that air pollution significantly increased the odds of psoriasis or eczema in our cohort and the magnitude is comparable to the risk associated with smoking exposure. Autoimmune diseases like psoriasis and eczema are likely impacted by air pollution, particularly complex mixtures and our study underscores the importance of quantifying air pollution-associated risks in autoimmune disease.

A geospatial modeling approach to quantifying the risk of exposure to environmental chemical mixtures via a common molecular target

In the real world, individuals are exposed to chemicals from sources that vary over space and time. However, traditional risk assessments based on in vivo animal studies typically use a chemical-by-chemical approach and apical disease endpoints. New approach methodologies (NAMs) in toxicology, such as in vitro high-throughput (HTS) assays generated in Tox21 and ToxCast, can more readily provide mechanistic chemical hazard information for chemicals with no existing data than in vivo methods. In this paper, we establish a workflow to assess the joint action of 41 modeled ambient chemical exposures in the air from the USA-wide National Air Toxics Assessment by integrating human exposures with hazard data from curated HTS (cHTS) assays to identify counties where exposure to the local chemical mixture may perturb a common biological target. We exemplify this proof-of-concept using CYP1A1 mRNA up-regulation. We first estimate internal exposure and then convert the inhaled concentration to a steady state plasma concentration using physiologically based toxicokinetic modeling parameterized with county-specific information on ages and body weights. We then use the estimated blood plasma concentration and the concentration-response curve from the in vitro cHTS assay to determine the chemical-specific effects of the mixture components. Three mixture modeling methods were used to estimate the joint effect from exposure to the chemical mixture on the activity levels, which were geospatially mapped. Finally, a Monte Carlo uncertainty analysis was performed to quantify the influence of each parameter on the combined effects. This workflow demonstrates how NAMs can be used to predict early-stage biological perturbations that can lead to adverse health outcomes that result from exposure to chemical mixtures. As a result, this work will advance mixture risk assessment and other early events in the effects of chemicals.

An exploratory spatial contaminant assessment for polar bear (Ursus maritimus) liver, fat, and muscle from northern Canada

Since the industrial era, chemicals have been ubiquitous in worldwide ecosystems. Despite the discontinued release of highly toxic persistent organic pollutants (POPs) in the environment, the levels of some POPs are still being measured in the Canadian Arctic. These contaminants are of great concern due to their persistence, toxicity, and levels of bioaccumulation in food chains. Animals occupying top trophic positions in the Canadian Arctic, particularly polar bears, are exposed to these contaminants mainly through their diet. Our study investigated the levels of 30 metals (including total and methyl mercury) alkaline and alkaline earth metals, 15 polycyclic aromatic compounds and their alkyl congeners (PACs), 6 chlordanes (CHLs), and 20 polychlorinated biphenyls (PCBs), in 49 polar bears from the Canadian Arctic. Contaminant burden was measured in liver, muscle, and fat in bears of different sex, age, and locations. A principal component analysis did not distinguish differences between age and sex profiles for most contaminants. However, the concentrations measured and their distribution in the tissues confirm findings observed in past studies. This study highlights the importance of continual monitoring of polar bear health (e.g., newly detected PACs were measured within this study) and evaluating those impacts for the next generations of polar bears.

Paleotoxicity of petrogenic and pyrogenic hydrocarbon mixtures in sediment cores from the Athabasca oil sands region, Alberta (Canada)

Despite the economic benefits of the oil and gas industry in Northern Alberta, significant concerns exist regarding the impacts of increased oil production on the environment and human health. Several studies have highlighted increases in the concentrations of polycyclic aromatic compounds (PACs) and other hydrocarbons in the atmosphere, water, soil and sediments, plants, wildlife and fish in the Athabasca Oil Sands Region (AOSR) as a result of oil sands industrial activity. Sediment cores can provide information on the temporal trends of contaminants to the environment and provide important baseline information when monitoring data are absent. Here we combined analytical chemistry and a mammalian cell-based bioassay in dated lake sediment cores to assess paleotoxicity in freshwater systems in the AOSR. Sediment intervals were radiometrically dated and subsequently analysed for PACs. PAC extracts from select dated intervals were used in cell-based bioassays to evaluate their endocrine disrupting properties. We demonstrated spatial and temporal variability in the PAC composition of sediment cores around the AOSR with some of the highest concentrations of PACs detected near oil sands industrial activity north of Fort McMurray (AB) in La Saline Natural Area. Recent sediment had positive enrichment factors across most PAC analytes at this site with heavier pyrogenic compounds such as benz(a)anthracene/chrysene and benzofluoranthene/benzopyrene dominating. Our study is the first to link chemical analysis of sediment cores with biological effect assessments of endocrine activity showing feasibility of extending the usefulness of sediment cores in monitoring programs interested in complex mixture assessments. While we observed no spatial or temporal differences in ERα mediated signaling, AhR CALUX results mirrored those of the chemical analysis, demonstrating the utility of coupling biological effects assessments to historical reconstructions of contaminant inputs to the natural environment.

Spatial patterns of the exposure-response relationship between mercury and cortisol in the fur of river otter (Lontra canadensis)

Fur has been validated as a useful biomarker medium for chemical exposures and biological responses in wildlife. Mercury (Hg) is known to act as an endocrine disruptor by altering brain neurochemistry. In this study, we investigated the spatial patterns of relationships between total Hg (THg) and cortisol in the fur of river otter (Lontra canadensis). Geotagged fur samples were obtained from a wildlife biomonitoring program (n = 72) and the North American Fur Auction (n = 37) between 2014 and 2017. Fur THg was measured using direct thermal decomposition and fur cortisol was measured using an enzyme-linked immunosorbent assay (ELISA). The average fur THg concentration was 11.50 ± 12.40 μg/g fur weight (f.w.), and the fur cortisol concentration was 5.71 ± 8.24 pg/mg. Results from the global ordinary least squares regression show no relationship between THg and fur cortisol concentrations. However, both Hg and cortisol were heterogeneously distributed across the landscape. When a localized geographically weighted regression (GWR) was used, a geographically distinct bi-phasic relationship was observed. We suggest this bi-phasic relationship is associated with a threshold THg concentration, beyond which, there was a negative association with measured fur cortisol. Results of a break-point analysis, with one break, indicate that the threshold is 16 ± 1.27 μg/g f. w of THg in fur. This research highlights the need to use appropriate spatial methods when assessing exposure-response relationships in wildlife across large geographical areas. The identified threshold can be used for regulatory purposes.

The Gut Microbial Community Structure of the North American River Otter (Lontra canadensis) in the Alberta Oil Sands Region in Canada: Relationship with Local Environmental Variables and Metal Body Burden

The Alberta Oil Sands Region in Canada is home to one of the largest oil bitumen deposits in the world. The North American river otter (Lontra canadensis) is a top predator with a small home range and is sensitive to disturbances; it has been designated as a sentinel species for the potential impacts of the natural resource exploitation on freshwater ecosystems in the Alberta Oil Sands Region. With an increasing interest in noninvasive biomarkers, recent studies suggest that gut microbiota can be used as a potential biomarker of early biological effects on aquatic wildlife. The goal of the present study was to determine the river otter gut microbial structure related to environmental variables characterizing mining activities and metal body burden. We obtained 18 trapped animals from and surrounding the surface mineable area of the Alberta Oil Sands Region. The gut microbial community structure was characterized using high-throughput sequencing of 16S rRNA gene amplicon analyses. Trace metal concentrations in the liver were measured by inductively coupled plasma-mass spectrometry. Our study revealed that the gut bacteria of river otters in the Alberta Oil Sands Region clustered in 4 groups dominated by Peptostreptococcaceae, Carnobacteriaceae, Enterobacteriaceae, Clostridiaceae, and Nostocaceae. We show that arsenic, barium, rubidium, liver-body weight ratio, and δ¹⁵ N were associated with each cluster. When comparing affected versus less affected sites, we show that river otter gut bacterial community and structure are significantly related to trophic level of the river otter but not to Alberta Oil Sands Region mining activities. Our study reveals that the gut bacterial dynamics can provide insights into the diet and habitat use of river otters but that more work is needed to use it as a pollution biomarker. Environ Toxicol Chem 2020;39:2516-2526. © 2020 SETAC.

Mixed-method evaluation of a community-based postpartum support program: a study protocol

INTRODUCTION

Becoming a parent is one of the most significant events an individual will experience in their lifetime. The postpartum period can be a difficult time, especially for mothers, who may require extra support during this challenging time. The proposed study seeks to understand the issue of postpartum support for mothers and their families. It will address this aim by using the Mothercraft Ottawa Postpartum Support Drop-in Program as real-life illustration of a community-based service organisation delivering these services.

METHODS AND ANALYSIS

A three-phased mixed-method programme evaluation guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) evaluation framework and the tenets of community-based participatory research. Instrumental case study methodology will be employed to gain an in-depth understanding of what impact(s) the programme is having on mothers, their partners and their families (phase I-qualitative). A questionnaire, regression modelling, and geospatial analysis will be conducted to gain a deeper understanding of specific programme outputs and to generate information that will help inform programme reach (phase II-quantitative). Study phase III will focus on knowledge translation activities to stakeholders and the broader academic community.

ETHICS AND DISSEMINATION

Ethics approval was granted by the University of Ottawa Research Ethics Board (H-12-18-1492). The results of this study will be disseminated at a community workshop, in an academic thesis, at academic conferences and in peer-reviewed publications.

Determining the effects of past gold mining using a sediment palaeotoxicity model

Ore processing techniques used in Yellowknife's largest mining operation, Giant Mine, is responsible for the atmospheric release of approximately 20,000 t of particulate arsenic trioxide and other heavy metal(loids). This rapid deposition of heavy metal(loids) may have caused ecological disturbances to aquatic food webs. Here we use ²¹⁰Pb and ¹³⁷Cs dated lake sediment cores from 20 lakes within a 40 km radius of Yellowknife to examine the spatial-temporal distribution of arsenic, antimony and lead. Further, we model the toxicity of the sediment to aquatic biota pre-, during, and post-mining using palaeotoxicity modelling, enrichment factor assessment, and comparisons to national sediment quality guidelines. We found that metal(loid) profiles in sediment peaked during the height of mining operations. These peak metal(loid) concentrations were highest in lakes near the mine's roaster stack, and decreased with distance from the historic mine. Palaeotoxicity modelling of lake sediment archives indicate that there is no significant difference in the mean predicted toxicity of pre- and post-mining samples (p = 0.14), however mining activities in the region significantly increased the predicted toxicity of sediments to aquatic organisms during mining operations (p < 0.001). In the years since roasting processes ceased, the mean palaeotoxicity of all lakes has decreased significantly (p < 0.05), indicating a projected pattern of biological recovery. Importantly, some lakes remain at an elevated risk, indicating that aquatic ecosystems in Yellowknife may continue to have lingering effects on aquatic biota despite the closure of the mine two decades ago.

Relationships between mercury concentrations in fur and stomach contents of river otter (Lontra canadensis) and mink (Neovison vison) in Northern Alberta Canada and their applications as proxies for environmental factors determining mercury bioavailability

The fur of piscivorous animals such as river otter (Lontra canadensis) and mink (Neovison vison) has been proposed to be used as a biomarker medium to assess mercury (Hg) exposure, but the relationship with dietary and environmental Hg exposure has not been fully characterized. The objective of this study was to investigate the relationship between fur total mercury (THg) and stomach content THg in river otter and mink, and their relationships with environmental factors. THg concentrations were measured in fur and stomach contents of river otter (n = 35) and mink (n = 30) collected from northern Alberta, Canada between 2014 and 2017. The fur THg concentration (mean ± standard deviation) was 6.36 ± 4.12 μg/g fur weight and 5.25 ± 3.50 μg/g fur weight and the average stomach content THg was 0.95 ± 0.56 μg/g dry weight and 0.71 ± 0.54 μg/g dry weight in river otter and mink respectively. There was a positive relationship between the log fur THg and log stomach contents THg for both species (p < 0.05). There was a positive relationship between the log THg of stomach contents and the percent of deciduous forest and a negative relationship with soil pH. There was a positive relationship between the log THg of fur and the total area burned by forest fire and a negative relationship with the percentage of wetlands. These results provide field evidence that fur can be used to reflect dietary Hg exposure and to identify sources and environmental factors that affect the bioavailable Hg in the habitats of these wildlife species.

The Use of Geographic Information Systems for Spatial Ecological Risk Assessments: An Example from the Athabasca Oil Sands Area in Canada

There is an acknowledged need in ecotoxicology for methods that integrate spatial analyses in risk assessment. This has resulted in the emergence of landscape ecotoxicology, a subdiscipline of ecotoxicology. However, landscape ecotoxicology has yet to become common practice in risk assessment due to the underdevelopment of techniques and a lack of standardized methods. In the present study, we demonstrate how geographic information systems (GISs) can serve as a standardized platform to integrate data, assess spatial patterns of ecotoxicological data for multiple species, and assess relationships between chemical mixture exposures and effects on biota for landscape ecotoxicological risks assessment. We use data collected under the Joint Oil Sands Monitoring Program in the Athabasca Oil Sands Region in Alberta, Canada. This dataset is composed of concentrations of contaminants including metals and polycyclic aromatic compounds, and health endpoints measured in 1100 biological samples, including tree swallows, amphibians, gull and tern eggs, plants, and mammals. We present 3 examples using a GIS as a platform and geospatial analysis to: 1) integrate data and assess spatial patterns of contaminant exposure in the region, 2) assess spatial patterns of exposures to complex mixtures, and 3) examine patterns of exposures and responses across the landscape. We summarize the methods used in the present study into a workflow for ease of use. The GIS methods allow researchers to identify hot spots of contamination, use georeferenced monitoring data to derive quantitative exposure-response relationships, and assess complex exposures with more realism. Environ Toxicol Chem 2019;38:2797-2810. © 2019 SETAC.

Predictive meta-regressions relating mercury tissue concentrations of freshwater piscivorous mammals

Mercury (Hg) is a pollutant of global concern. Sentinel species such as river otter (Lontra canadensis) and mink (Neovison vison) are often used to monitor environmental concentrations in freshwater ecosystems. Tissue total Hg (THg) concentrations are frequently used as biomarkers of exposure. However, there is no comprehensive model relating Hg tissue concentrations in different tissues, making interstudy comparisons challenging. Our objective was to establish conversion factors relating fur, brain, liver, kidney, and muscle THg concentrations using mean concentrations and standard errors reported in the literature. We used data from more than 6000 samples, pooled across 16 studies and 96 sampling sites in North America and Europe. Sixteen regressions were derived for the river otter and mink models, which were statistically significant at a 95% confidence interval and yielded high explained variances. The models were validated using an external data set of individually measured THg tissue concentrations. The validated conversions were used to evaluate the current fur Hg screening guidelines of 20 µg/g and 30 µg/g. At both of these fur concentrations, brain concentrations are of concern for altering brain neurochemistry. We suggest a more conservative fur Hg screening guideline of 15 µg/g to protect sensitive furbearers. The conversion factors can be used to predict internal organ THg concentrations from fur measurements, eliminating the need for invasive tissue sampling. Environ Toxicol Chem 2017;36:2377-2384. © 2017 SETAC.

High selenium exposure lowers the odds ratios for hypertension, stroke, and myocardial infarction associated with mercury exposure among Inuit in Canada

BACKGROUND

Selenium (Se) has been reported to protect against the neurotoxicity of mercury (Hg). However, the effect of Se against Hg on cardiovascular diseases remains unclear. Inuit living in the Arctic have high exposure to both Se and Hg through their marine mammal and fish rich traditional diet.

OBJECTIVE

To characterize the co-exposure of Hg and Se among Inuit in Canada and to assess the associations between Hg, Se and cardiovascular health outcomes, including stroke, hypertension, and myocardial infarction (MI).

METHODS

Data was collected from the International Polar Year Inuit Health Survey (IHS) conducted in 2007 and 2008. Blood Se and Hg were measured, and self-report cardiovascular health outcomes were collected through a questionnaire interview from 2169 adults aged 18 and above.

RESULTS

The mean age was 42.4years, and 38.7% of the participants were male. The geometric means (GM) of blood Se and total Hg were 319.5μg/L and 7.0μg/L, respectively. The crude prevalence of heart attack, stroke and hypertension were 3.55%, 2.36%, and 24.47% respectively. Participants were categorized into 4 exposure groups according to blood Hg (high: ≥7.8μg/L; low: <7.8μg/L), and Se (high: ≥280μg/L; low: <280μg/L). The odds ratio (OR) of cardiovascular outcomes were estimated using general linearized models. Results showed the low Se and high Hg group had a higher prevalence of cardiovascular disease (OR=1.76 for hypertension, 1.57 for stroke, and 1.26 for MI. However, the prevalence was decreased in both the high Se and low Hg group (OR=0.57 for hypertension, 0.44 for stroke, and 0.27 for MI) and the high Se and high Hg group (OR=1.14 for hypertension, 0.31 for stroke, and 0.80 for MI).

CONCLUSIONS

The high Se and low Hg group had the lowest prevalence of cardiovascular outcomes, except for stroke. These results provide evidence that Se may exhibit a protective effect against Hg on cardiovascular disease.

Applications of geographic information systems in public health: A geospatial approach to analyzing MMR immunization uptake in Alberta

OBJECTIVE

This study evaluates the temporal, spatial, and spatio-temporal variation of immunization rates for measles, mumps and rubella (MMR) immunization in the province of Alberta. The study uses yearly immunization rate data for Health Zones and Local Geographic Areas (2004-2012), which were obtained from Alberta Health's Interactive Health Data Application (IHDA).

METHODS

Spatial analyses include a global spatial analysis, Moran's I, and local indicators of spatial association (LISA) analysis - Getis and Ord's G* - to identify clusters of high or low immunization rates. Spatial methods are then applied to a time series analysis to examine how the immunization rates change over time in conjunction with space.

RESULTS

Mapped results indicate decreasing immunization rates over time for the majority of the province where most local geographic areas (LGAs) fall short of the 95% herd immunity threshold. Clusters of high immunization rates in the metropolitan centres, and clusters of low immunization rates in the southern and northern region of the province exist spatially and spatio-temporally. Over time, the high rate clusters are decreasing in size and the low rate clusters are increasing.

CONCLUSION

This research provides a localized geographic approach to assessing MMR immunization rates in Alberta. Findings from this research can be used to target public health interventions to specific areas that exhibit the lowest immunization rates. These results can also be used for hypothesis generation in future research on barriers to immunization uptake.