Ford, J.D., and L. Berrang-Ford (2009). Polar Record 45(234):225-236. Find PDF. This paper reports on an exploratory analysis examining the prevalence of food (in)security in the Inuit community of Igloolik, Nunavut, identifying high risk groups, and characterising conditions facilitating and constraining food security. A stratified cross-sectional food survey was administered to 50 Inuit community members in July 2007. 64% of the participants surveyed experienced some degree of food insecurity in the past year (July 2006–July 2007). Food insecurity among the sample population greatly exceeds the Canadian average. This is cause for concern given the negative physical and mental health impacts that have been documented for low nutritionalRead More →

Endfield, G., D.B. Ryves, K. Mills, and L. Berrang-Ford (2009). Geographical Journal 175(3):181-95. Find PDF. Identifying the nature of the association between climate, environmental, socio-economic and political context and disease remains a major challenge, yet a better comprehension of the linkages is imperative if predictive models to guide public health responses are to be devised. Our understanding of the relationships could be improved through investigations of historical epidemics. In this paper we draw on a range of published and unpublished documents to explore the complex relationship between climate, environmental change and epidemic disease (re)emergence in East Africa, and Uganda in particular. This is a region which hasRead More →

Berrang-Ford, L., J.D. MacLean, T.W. Gyorkos, J.D. Ford, N.H. Ogden (2009). Interdisciplinary Perspectives on Infectious Disease (ID 385487):1-13. Find PDF. This article examines the potential for changes in imported and autochthonous malaria incidence in Canada as a consequence of climate change. Drawing on a systems framework, we qualitatively characterize and assess the potential direct and indirect impact of climate change on malaria in Canada within the context of other concurrent ecological and social trends. Competent malaria vectors currently exist in southern Canada, including within this range several major urban centres, and conditions here have historically supported endemic malaria transmission. Climate change will increase the occurrence of temperatureRead More →

Berrang-Ford, L. (2007). Conflict and Health 1:6. Find PDF. Conflict and war have long been recognized as determinants of infectious disease risk. Re-emergence of epidemic sleeping sickness in sub-Saharan Africa since the 1970s has coincided with extensive civil conflict in affected regions. Sleeping sickness incidence has placed increasing pressure on the health resources of countries already burdened by malaria, HIV/AIDS, and tuberculosis. In areas of Sudan, the Democratic Republic of the Congo, and Angola, sleeping sickness occurs in epidemic proportions, and is the first or second greatest cause of mortality in some areas, ahead of HIV/AIDS. In Uganda, there is evidence of increasing spread and establishment ofRead More →

Berrang-Ford, L., M. Odiit, F. Maiso, D. Waltner-Toews, and J. McDermott (2006). African Health Sciences 6(4):223-231. Find PDF. Background Sleeping sickness is a parasitic, vector-borne disease, carried by the tsetse fly and prevalent in sub-Saharan Africa. The disease continues to pose a public health burden in Uganda, which experienced a widespread outbreak in 1900–1920, and a more recent outbreak in 1976–1989. The disease continues to spread to uninfected districts. Objectives This paper compares the spatial distributions of sleeping in Uganda for the 1900–1920 outbreak period with current disease foci, and discusses information gaps and implications arising for future research, prevention and control. Methods Population census records forRead More →

Berrang-Ford, L., O. Berke, L. Abdelrahman, D. Waltner-Toews, and J. McDermott (2006). Emerging Infectious Diseases 12(5):813-20. Find PDF. Sleeping sickness reemerged in southeastern Uganda in the 1970s and remains a public health problem. It has continued to spread north into new districts, and gaps remain in the understanding of the causes of its spread and distribution. We report the distribution and magnitude of sleeping sickness in southeastern Uganda from 1970 to 2003. Data were collected from records of the Ugandan Ministry of Health, individual sleeping sickness treatment centers, and interviews with public health officials. Data were used to develop incidence maps over time, conduct space-time cluster detectionRead More →