Margot Parkes

The impacts of global environmental change have precipitated numerous approaches that connect the health of ecosystems, non-human organisms and humans. However, the proliferation of approaches can lead to confusion due to overlaps in terminology, ideas and foci. Recognising the need for clarity, this paper provides a guide to seven field developments in environmental public health research and practice: occupational and environmental health; political ecology of health; environmental justice; ecohealth; One Health; ecological public health; and planetary health. Field developments are defined in terms of their uniqueness from one another, are historically situated, and core texts or journals are highlighted. The paper ends by discussing some of the intersecting features across field developments, and considers opportunities created through such convergence. This field guide will be useful for those seeking to build a next generation of integrative research, policy, education and act...

Work that addresses the cumulative impacts of resource extraction on environment, community, and health is necessarily large in scope. This paper presents experiences from initiating research at this intersection and explores implications for the ambitious, integrative agenda of planetary health. The purpose is to outline origins, design features, and preliminary insights from our intersectoral and international project, based in Canada and titled the “Environment, Community, Health Observatory” (ECHO) Network. With a clear emphasis on rural, remote, and Indigenous communities, environments, and health, the ECHO Network is designed to answer the question: How can an Environment, Community, Health Observatory Network support the integrative tools and processes required to improve understanding and response to the cumulative health impacts of resource development? The Network is informed by four regional cases across Canada where we employ a framework and an approach grounded in obser...

Renewed effort to understand the social-ecological context of health is drawing attention to the dynamics of land and water resources and their combined influence on the determinants of health. A new area of research, education and policy is emerging that focuses on the land-water-health nexus: this orientation is applicable from small wetlands through to large-scale watersheds or river basins, and draws attention to the benefits of combined land and water governance, as well as the interrelated implications for health, ecological and societal concerns. Informed by research precedents, imperatives and collaborations emerging in Canada and parts of Oceania, this review profiles three integrative, applied approaches that are bringing attention to the importance the land-water-health nexus within the Pacific Basin: wetlands and watersheds as intersectoral settings to address land-water-health dynamics; tools to integrate health, ecological and societal dynamics at the land-water-health...

This article highlights contributions that can be made to the public health field by incorporating "ecosystem approaches to health" to tackle future environmental and health challenges at a regional level. This qualitative research reviews attitudes and understandings of the relationship between public health and the environment and the priorities, aspirations and challenges of a newly established group (the Oceania EcoHealth Chapter) who are attempting to promote these principles. Ten semi-structured interviews with Oceania EcoHealth Chapter members highlighted the important role such groups can play in informing organisations working in the Oceania region to improve both public health and environmental outcomes simultaneously. Participants of this study emphasise the need to elevate Indigenous knowledge in Oceania and the role regional groups play in this regard. They also emphasis that regional advocacy and ecosystem approaches to health could bypass silos in knowledge and disciplinary divides, with groups like the Oceania EcoHealth Chapter acting as a mechanism for knowledge exchange, engagement, and action at a regional level with its ability to bridge the gap between environmental stewardship and public health.

The marine environment provides significant benefits to many local communities. Pressure to develop coastal waterways worldwide creates an urgent need for tools to locate marine spaces that have important social or ecological values, and to quantify their relative importance. The primary objective of this study was to develop, apply and critically assess a tool to identify important social-ecological hotspots in the marine environment. The study was conducted in a typical coastal community in northern British Columbia, Canada. This expert-informed GIS, or xGIS, tool used a survey instrument to draw on the knowledge of local experts from a range of backgrounds with respect to a series of 12 social-ecological value attributes, such as biodiversity, cultural and economic values. We identified approximately 1500 polygons on marine maps and assigned relative values to them using a token distribution exercise. A series of spatial statistical analyses were performed to locate and quantify ...

Available online at: https://www.novapublishers.com/catalog/product_info.php?products_id=22894. This paper argues that the health and wellbeing of Indigenous children, their communities, and ultimately their nations, arises from connection with the land and from cultural strengths linked with this connectivity. We provide critical reflection on contemporary discussions about impacts that climate change will have on the social, ecological, cultural and historical determinants of health of Indigenous children in Canada. Our analysis highlights overlooked opportunities, perspectives and priorities that demand attention in order to prevent climate change from exacerbating the already unacceptable health inequities experienced by Aboriginal children across Canada.

Using epidemiologic time-series analysis, we examine associations between three hydroclimatic variables (temperature, precipitation, and streamflow) and waterborne acute gastro-intestinal illness (AGI) in two communities in the province of British Columbia (BC), Canada. The communities were selected to represent the major hydroclimatic regimes that characterize BC: rainfall-dominated and snowmelt-dominated. Our results show that the number of monthly cases of AGI increased with increasing temperature, precipitation, and streamflow in the same month in the context of a rainfall-dominated regime, and with increasing streamflow in the previous month in the context of a snowfall-dominated regime. These results suggest that hydroclimatology plays a role in driving the occurrence and variability of AGI in these settings. Further, this study highlights that the nature and magnitude of the effects of hydroclimatic variability on AGI are different in the context of a snowfall-dominated regim...

The Fraser River is by volume the largest Canadian waterway flowing to the Pacific Ocean and remains largely unaffected by flow regulation. The Fraser River Basin (FRB) spans across 234,000 square kilometers or one quarter of British Columbia, Canada and bears a magnificent amount of natural and human heritage and the cultural and linguistic diversity of this region encompasses various First Nations peoples who use the Fraser River and its tributaries as waterways and for sustenance. This presentation will focus on the role of climate oscillations on the 1910-2009 variability and trends in annual streamflow at 141 sites across the FRB of British Columbia (BC), Canada. Our analyses reveal high runoff rates and low interannual variability in alpine and coastal rivers and low runoff rates and high interannual variability in streams on BC's interior plateau. Large-scale climate teleconnections such as El Niño-Southern Oscillation (ENSO) and Pacific Decadal Oscillation (PDO), in conj...

A specific binding protein for human corticotrophin-releasing hormone (hCRH), which does not bind to the ovine hormone (oCRH), has recently been demonstrated in human plasma. No such binding protein has been found in sheep plasma. We have investigated the half-life of human and ovine CRH in man and in sheep. Peptides were measured directly in plasma with two-site immunoradiometric assays, as these assays are unaffected by the presence of inactivated peptide fragments. In man, the half-life of hCRH (30.5 +/- 3.3 min; mean +/- S.E.M.) was significantly (P less than 0.001) less than that of oCRH (42.8 +/- 6.4 min). In sheep, there was no significant difference between the half-life of hCRH (46.5 +/- 7.2 min) and that of oCRH (39.8 +/- 10.1 min); these half-lives were also significantly (P less than 0.001) longer than that of hCRH in man. One possible explanation for the shorter half-life of hCRH in man is that the clearance of hCRH is enhanced by CRH-binding protein, although other binding proteins often have the opposite effect. Peak ACTH and cortisol responses occurred earlier in sheep than in man, although no differences were found in the response times to oCRH or hCRH within either species. The responses were more sustained in sheep than in man, and the previously reported biphasic response was only seen in some of the sheep and not in man. Absolute responses to either peptide were greater in sheep than in man; however, in man an 8.1-fold rise in ACTH was measured in response to oCRH, while hCRH gave a significantly (P = 0.043) smaller 4.4-fold response.(ABSTRACT TRUNCATED AT 250 WORDS)

Although the phenomenon of posthypnotic amnesia has been invoked in many applied contexts, its academic status remains unclear. This paper examines the claim that hypnotic amnesia and amnesia due to brain injury may share similarities in that, in both, implicit memory is spared. Hypnotically susceptible participants given an hypnotic suggestion for amnesia were compared to untreated controls and participants simulating amnesia on two memory tests, fragment completion and the coin in the hand test. As brain injured patients with amnesia typically perform better than simulators on these tests, it has been proposed that both may be useful for the detection of malingering in clinical contexts. On both tests, participants of high and medium hypnotic susceptibility performed similarly to simulators showing deficits in implicit memory not typically shown by brain injured patients. It is concluded that the results are most compatible with a response suppression account of hypnotic amnesia.

Within the Aotearoa/New Zealand context, this article identifies opportunities for, as well as constraints on, using participatory research to address environmental health concerns. In New Zealand, principles of partnership fundamental to the Treaty of Waitangi, and the requirements for consultation within the Resource Management Act, provide a framework for participatory approaches. Participatory environmental health research integrates knowledge from various scientific and community sources. It also fosters the innovation, evaluation, and sharing of information that new public health approaches demand. As an emerging field in Aotearoa/New Zealand, it must draw on experience from resource management, rural development, and public health research and practice. Water quality is used as an example of the complexity of environmental health issues and of the potential benefits of engaging stakeholders where long-term health and well-being require balancing ecosystem integrity, economic viability, and social processes.

Despite the proposed ecological and systems-based perspectives of the settings-based approach to health promotion, most initiatives have tended to overlook the fundamental nature of ecosystems. This paper responds to this oversight by proposing an explicit re-integration of ecosystems within the healthy settings approach. We make this case by focusing on water as an integrating unit of analysis. Water, on which

The intimate interdependence of human health and the ecosystems in which we are embedded is now a commonplace observation. For much of the history of public health, this was not so obvious. After over a century of focus on diseases, their biologic causes and the correction of exposures (clean water and air) and facilitation of responses (immunizations and nutrition), public health discourse shifted to embrace the concept of determinants of health as extending to social, economic and environmental realms. This moved the discourse and science of public health into an unprecedented level of complexity just as public concern about the environment heightened. To address multifactorial, dynamic impacts on health, a new paradigm was needed which would overcome the separation of humans and ecosystems. Ecosystem approaches to health arose in the 1990s from a rich background of intellectual ferment as Canada wrestled with diverse problems ranging from Great Lakes contamination to zoonotic dis...

The International Institute for Sustainable Development (IISD) contributes to sustainable development by advancing policy recommendations on international trade and investment, economic policy, climate change and energy, and management of natural and social capital, as well as the enabling role of communication technologies in these areas. We report on international negotiations and disseminate knowledge gained through collaborative projects, resulting in more rigorous research, capacity building in developing countries, better networks spanning the North and the South, and better global connections among researchers, practitioners, citizens and policy-makers. IISD's vision is better living for all—sustainably; its mission is to champion innovation, enabling societies to live sustainably. IISD is registered as a charitable organization in Canada and has 501(c)(3) status in the United States. IISD receives core operating support from the Government of Canada, provided through the...

Watersheds are settings for health and well-being that have a great deal to offer the public health community due to the correspondence between the spatial form of the watershed unit and the importance to health and well-being of water. However, managing watersheds for human health and well-being requires the ability to move beyond typical reductionist approaches toward more holistic methods. Health and well-being are emergent properties of inter-related social and biophysical processes. This paper characterizes points of connection and integration between watershed management and public health and tests a new conceptual model, the Watershed Governance Prism, to determine the prevalence in peer-reviewed literature of different perspectives relating to watersheds and public health. We conducted an initial search of academic databases for papers that addressed the interface between watershed management (or governance) and public health themes. We then generated a sample of these papers and undertook a collaborative analysis informed by the Watershed Governance Prism. Our analysis found that although these manuscripts dealt with a range of biophysical and social determinants of health, there was a tendency for social factors and health outcomes to be framed as context only for these studies, rather than form the core of the relationships being investigated. At least one cluster of papers emerged from this analysis that represented a cohesive perspective on watershed governance and health; "Perspective B" on the Watershed Governance Prism, "water governance for ecosystems and well-being," was dominant. Overall, the integration of watershed management/governance and public health is in its infancy.

Within the Aotearoa/New Zealand context, this article identifies opportunities for, as well as constraints on, using participatory research to address environmental health concerns. In New Zealand, principles of partnership fundamental to the Treaty of Waitangi, and the requirements for consultation within the Resource Management Act, provide a framework for participatory approaches. Participatory environmental health research integrates knowledge from various scientific and community sources. It also fosters the innovation, evaluation, and sharing of information that new public health approaches demand. As an emerging field in Aotearoa/New Zealand, it must draw on experience from resource management, rural development, and public health research and practice. Water quality is used as an example of the complexity of environmental health issues and of the potential benefits of engaging stakeholders where long-term health and well-being require balancing ecosystem integrity, economic viability, and social processes.

... Published online: August 15, 2006 Correspondence to: Margot Parkes, Managing Editor, EcoHealth; Global Health Research Program, University of British Columbia, Vancouver, BC, Canada, V6T 1Z3; e-mail: mparkes@ecohealth.net ... (Jonathan Swift, 1726) ...