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Nituuchischaayihtitaau Aschii

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Nituuchischaayihtitaau Aschii Nituuchischaayihtitaau Aschii MULTI -CO mm UNITY ENVIRON M ENT -AND -HEALTH STUDY IN EEYOU ISTCHEE , 2005-2009: FINAL TECHNICAL REPORT Public Health Report Series 4 on the Health of the Population Cree Board of Health and Social Services of James Bay September 2013 Nituuchischaayihtitaau Aschii MULTI -CO mm UNITY ENVIRON me NT -AND -HE ALT H STUDY IN EE YOU IS TC hee , 2005-2009: FINAL TE C H NICAL RE PORT Chisasibi Eastmain Mistissini Nemaska Oujé-Bougoumou Waskaganish Waswanipi Wemindji Whapmagoostui Public Health Report Series 4 on the Health of the Population Cree Board of Health and Social Services of James Bay September 2013 We would like to thank Evert Nieboer, Professor Emeritus at McMaster University, friend and colleague, for his perseverance and strong leadership over the past ten years, throughout the planning, field work and reporting of this study. He first became involved in Eeyou Istchee in 2002 when he was invited by the Cree Nation of Oujé- Bougoumou to be a co-investigator in the study of the health impacts from former mining developments in their traditional territory. After that study, he agreed to carry out a community consultation to plan the NA study and has continued his active leadership throughout the years to ensure the successful completion of this report. Nieboer E, Dewailly E, Johnson-Down L, Sampasa-Kanyinga H, Château-Degat M-L, Egeland GM, Atikessé L, Robinson E, Torrie J. Nituuchischaayihtitaau Aschii Multi-community Environment-and-Health Study in Eeyou Istchee 2005- 2009: Final Technical Report. Nieboer E, Robinson E, Petrov K, editors. Public Health Report Series 4 on the Health of the Population. Chisasibi QC: Cree Board of Health and Social Services of James Bay; 2013. Reproduction is authorised for non-commercial purposes on condition the source is acknowledged. To obtain a copy of this report, please contact: Public Health Department of the Cree Territory of James Bay Cree Board of Health and Social Services of James Bay Fax: (514) 861-2681 or (418) 923-2564 e-mail: [email protected] www.creehealth.org Series editor & coordinator: Jill Torrie Public Health Department of the Cree Territory of James Bay [email protected] Cover design & formatting Katya Petrov [email protected] Photos: Reggie Tomatuk [email protected] © All rights reserved Cree Board of Health and Social Services of James Bay (2013) ISBN (print): 978-2-924293-08-9 ISBN (PDF): 978-2-924293-07-2 Legal deposit: 3rd trimester 2013 Bibliothèque et Archives nationales du Québec (BAnQ) Bibliothèque de l’Assemblée nationale du Québec Réseau Santécom EDITORS Collaborating Authors: Evert Nieboer Maya Andonov Elizabeth Robinson Elhadji Annasour-Laouan-Sidi TEXT EDITOR Pierre Ayotte Katya Petrov Megan Beggs Fernand Bertrand AUTHORS Luce Boulanger Laura Atikessé Marie-Ludivine Château-Degat Suzanne Côté Éric Dewailly David Dannenbaum Grace M. Egeland Liana Del Gobbo Louise Johnson-Down Kristina Dimitrova Evert Nieboer Michael A. Drebot Elizabeth Robinson Claire Dupont Hugues Sampasa-Kanyinga Alanah Heffez Jill Torrie Pierre Julien STUDY INVESTIGATORS (2008-2013) Marie-Ève Labonté Robert Lavoie Principal Investigators Benoît Lamarche Marie-Ludivine Château-Degat, SPPOS-CHU, Sainte-Foy, QC Pierre Lejeune Éric Dewailly, SPPOS-CHU, Sainte-Foy, QC Benoit Lévesque Louise Johnson-Down, CINE, McGill University, Montréal, QC Michael D. Libman Grace M. Egeland, CINE, McGill University, Montreal, QC Evert Nieboer, McMaster University, Hamilton, ON Robert Lazzinnaro Elizabeth Robinson, CBHSSJB, Montréal, QC Kai Makowski Ian Martin Co-investigators Momar Ndao Pierre Ayotte, SPPOS-CHU, Sainte-Foy, QC Martin Noël Benoît Lévesque, SPPOS-CHU, Sainte-Foy, QC Alexandra-Christina Paunescu Jill Torrie, CBHSSJB, Mistissini QC Alan Penn Leonard J. S. Tsuji, University of Waterloo, Waterloo, ON Françoise Proust Claude Thellen, INSPQ, Sainte-Foy, QC Bouchra Serhir Project Manager Reggie Tomatuk Laurie Lavallée, CBHSSJB, Montréal, QC (2008) Beatriz Valera Laura Atikessé, CBHSSJB, Mistissini, QC (2009) Brian J. Ward Assistant Project Manager Yuan Zhou Reggie Tomatuk, CBHSSJB, Chisasibi, QC Clinical Supervisor Suzanne Côté, SPPOS-CHU, Sainte-Foy, QC a PROJECT COLLABORATORS (2008-2013) Belkacem Abdous, SPPOS-CHU, Sainte-Foy, QC Alain Leblanc, INSPQ, Sainte-Foy, QC Frances Abraham, CBHSSJB, Whapmagoostui, QC Pierre Lejeune, CBHSSJB, Montréal, QC. Elhadji Anassour-Laouan-Sidi, SPPOS-CHU, Sainte-Foy, QC Sylvie Lemelin, SPPOS-CHU, Sainte-Foy, QC Sarah Atchynia, CBHSSJB, Whapmagoostui, QC Eric N. Liberda, Ryerson University, Toronto, ON Megan Beggs, CINE, McGill University, Montréal, QC Michael D. Libman, General Hospital, Montréal, QC Lucas Belbin, CINE, McGill University, Montréal, QC Paul Linton, CBHSSJB, Mistissini, QC Claude Blacksmith, CBHSSJB, Waswanipi, QC Jean-Sébastien Maguire, SPPOS-CHU, Sainte-Foy, QC Ivan Blacksmith, CBHSSJB, Waskaganish, QC Kai Makowski, NML PHAC, Winnipeg, MB Patricia Bobbish, CBHSSJB, Chisasibi, QC Ian Martin, Biological Consulting, Elora, ON Crystal Brien, CBHSSJB, Waskaganish, QC Mary Martinhunter, CBHSSJB, Waskaganish, QC Nancy Brien, CBHSSJB, Waskaganish, QC Adamie Mathias, CBHSSJB, Waswanipi, QC Robin Campbell, CINE, McGill University, Montréal, QC Tracy McDonough, CINE, McGill University, Montréal, QC Zhirong Cao, CINE, McGill University, Montréal, QC Lorrianne Napash, CBHSSJB, Chisasibi, QC Caroline Couture CBHSSJB, Montréal, QC Momar Ndao, Trop. Dis. Centre, McGill University, Montréal, QC Iain Cook, CBHSSJB, Mistissini, QC Martin Noël SPPOS-CHU, Sainte-Foy, QC Michel Couillard†, LSPQ, Sainte-Foy, QC Nigel Orr, CBHSSJB, Waswanipi, QC Ariane Couture SPPOS-CHU, Sainte-Foy, QC Irene Otter, CBHSSJB, Waswanipi, QC Louis-Frédéric Daigle, SPPOS-CHU, Sainte-Foy, QC Guillaume Pagé, SPPOS-CHU, Sainte-Foy, QC Liana Del Gobbo, CINE, McGill University, Montréal, QC Aïsha Paquette Dioury, CBHSSJB, Montréal, QC Ruby Dick, CBHSSJB, Whapmagoostui, QC Lily Pan, CINE, McGill University, Montréal, QC Kristina Dimitrova, NML PHAC, Winnipeg, MB Alexandra-Christina Paunescu SPPOS-CHU, Sainte-Foy, QC Jonathan di Tomasso, CINE, McGill University, Montréal, QC Alan Penn, CRA, Montréal, QC Véronique Doutreloux, SPPOS-CHU, Sainte-Foy, QC Elizabeth Petagumskum, CBHSSJB, Whapmagoostui, QC Michael A. Drebot, NML PHAC, Winnipeg, MB Sara Petrari, CINE, McGill University, Montréal, QC Christine Egner, SPPOS-CHU, Sainte-Foy, QC Katya Petrov, Montréal, QC Julie Fontaine, SPPOS-CHU, Sainte-Foy, QC Johanne Poirier, CINE, McGill University, Montréal, QC Tracey Galloway, CINE, McGill University, Montréal, QC Michel Poulin SPPOS-CHU, Sainte-Foy, QC Allison Gates, CINE, McGill University, Montréal, QC Amy Pronovost, CINE, McGill University, Montréal, QC Michelle Gates, CINE, McGill University, Montréal, QC Queenie Rupert, CBHSSJB, Chisasibi, QC Bessie Gillies, CBHSSJB, Waskaganish, QC Murray Rupert, CBHSSJB, Waswanipi, QC Maxine Gilpin, CBHSSJB, Waskaganish, QC Suzie Rupert, CBHSSJB, Whapmagoostui, QC Seanna Gilpin, CBHSSJB, Whapmagoostui, QC Natasha Saganash, CBHSSJB, Waswanipi, QC Sonia Grandi, CINE, McGill University, Montréal, QC Michelle-Anne St-Denis, SPPOS-CHU, Sainte-Foy, QC Cecile Happyjack Otter, CBHSSJB, Waswanipi, QC Hugues Sampasa-Kanyinga, SPPOS-CHU, Sainte-Foy, QC Alanah Heffez, CBHSSB, Montréal, QC Virginia Salt, CBHSSJB, Chisasibi, QC Gabriel Herodier, CBHSSJB, Chisasibi, QC Bouchra Serhir, LSPQ, Sainte-Foy, QC Sarah Horne, CINE, McGill University, Montréal, QC Leah Shainhouse, CINE, McGill University, Montréal, QC Jessica Ann Hough, CINE, McGill University, Montréal, QC Anika Sheikh, CINE, McGill University, Montréal, QC Jodie House, CBHSSJB, Chisasibi, QC Jaimie Yue Ting Shing, CINE, McGill University, Montréal, QC Lisa House, CBHSSJB, Chisasibi, QC Robert Smith, CINE, McGill University, Montréal, QC Kristen Iserhoff, CBHSSJB, Chisasibi, QC Mina Snowboy, CBHSSJB, Chisasibi, QC Maxim Jacob, CBHSSJB, Québec, QC (2008) Nancy Shecapio, CBHSSJB, Waskaganish, QC Étienne St-Michel Martel, CBHSSJB, Québec, QC (2009) George Tapiatic, CBHSSJB, Chisasibi, QC Mary Jacob, CBHSSJB, Waskaganish, QC Mathieu Trépanier, CBHSSJB, Montreal, QC Louisa Jolly, CBHSSJB, Waskaganish, QC Brian J. Ward, Trop. Dis. Centre, McGill University, Montréal, QC Paul Kawapit, CBHSSJB, Whapmagoostui, QC Hoi Ting Wong, CINE, McGill University, Montréal, QC Robert Lazzinnaro, CINE, McGill University, Montréal, QC Yuan Zhou, CINE, McGill University, Montréal, QC † Deceased b ACKNOWLEDGMENTS At the outset, the investigators and authors extend their sincerest gratitude for the willingness of the participants in the various Eeyou Istchee communities to engage in this comprehensive environment- and-health study. We also thank the Chiefs and Councils for approving our project and facilitating the stays of our team in their communities. A perusal of the listings on the preceding pages of investigators, authors, collaborators, clinical and technical staff, and the local support teams, demonstrate that the Nituuchischaayihtitaau Aschii project and our reports constituted team efforts. An inspection of the comparable pages of our interim Mistissini and Eastmain/Wemindji documents (see Chapter 1 for references and online links), reveals that there have been personnel changes at all levels of the investigative team during the 2005-2009 field work period. Although in terms of the data reported the current document focuses on the four communities surveyed in the summer of 2008 (Waskaganish and Chisasibi) and late summer of 2009 (Whapmagoostui and Waswanipi),
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