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  • OPEN ACCESS
    Risk factors associated with soft-shelled lobsters (Homarus americanus) in southwestern Nova Scotia, Canada
    FACETS • Vol. 2 • pp. 15 - 33
    Soft-shelled lobsters pose economic challenges to the lobster industry due to low meat yields and survivability during holding and transportation. Our objectives were to describe spatio-temporal patterns of soft-shelled lobsters in southwestern Nova Scotia, and identify environmental and lobster-related factors associated with shell quality. We analyzed data obtained from a broad-scale, intensive monitoring project and remotely sensed water temperatures. Mixed-effect logistic regression and linear regression methods analyzed more than 130 000 samples collected between 2004 and 2014. The annual overall prevalence of soft-shelled lobsters ranged from 9% to 38% and varied significantly among fishing areas. Shell quality was influenced by sex and size, and in the 2 months before the fishing season, lower water temperatures (4–6 weeks prior to sampling) were associated with reduced prevalence of soft-shells. High annual variability of soft-shell prevalence, that water temperature alone could not explain, suggests that adjusting fishing seasons, arbitrarily, in two fishing areas will not improve the overall shell quality of landed lobsters. Further research is needed to evaluate the effects of long-term temperature and ecosystem changes on lobster health in eastern Canada.
  • OPEN ACCESS
    Housing characteristics, home environmental factors, and pulmonary function deficit in Chinese children: Results from the Seven Northeast Cities (SNEC) Study
    FACETS • Vol. 3 • No. 1 • pp. 242 - 259
    To assess the effects of housing characteristics and home environmental factors on lung function of Chinese children, 6740 children (aged 6–16 years) were recruited from seven cities in Northeast China in 2012. Performance of lung function was determined by comparison of forced vital capacity (FVC), forced expiratory volume (FEV1), peak expiratory flow (PEF), and maximal mid-expiratory flow (MMEF). Multivariate regression models were used to evaluate the associations with lung function deficit. The results showed that housing conditions were associated with lung function deficit in children. The adjusted odds ratios were 0.47 (95% CI: 0.26–0.83) for FVC for “ping-fang” housing compared with “dan-yuan-lou-fang” housing and 2.90 (95% CI: 2.43–3.47) for FEV1 with home renovations completed within two years compared with counterparts. The linear regression models consistently showed a significant association of housing conditions and home environmental factors with lung function measurements across subjects. A residence taller than seven stories was negatively associated with FEV1 (β = −55; 95% CI: −97 to −13). In conclusion, housing conditions and home environmental factors are particularly important to the development of lung function and respiratory health in children. These factors are concerning and action should be taken to improve them.
  • OPEN ACCESS
    A comparison of infectious agents between hatchery-enhanced and wild out-migrating juvenile chinook salmon (Oncorhynchus tshawytscha) from Cowichan River, British Columbia
    FACETS • Vol. 3 • No. 1 • pp. 695 - 721
    Infectious diseases are likely contributing to large-scale declines in chinook salmon stocks in the Pacific Northwest, but the specific agents and diseases involved, and the prevalences in migratory salmon, are mostly unknown. We applied a high-throughput microfluidics platform to screen for 45 infectious agents in 556 out-migrating juvenile chinook salmon, collected from freshwater (FW) and saltwater (SW) locations in the Cowichan River system on Vancouver Island, Canada, during 2014. Nineteen agents (5 bacterial, 2 viral, and 12 parasitic) were detected, with prevalences ranging from 0.2% to 57.6%. Co-infections between Candidatus Branchiomonas cysticola Toenshoff, Kvellestad, Mitchell, Steinum, Falk, Colquhoun & Horn, 2012, Paranucleospora theridion Nylund, Nylund, Watanabe, Arnesen & Kalrsbakk, 2010, and gill chlamydia, all associated with gill disease, were observed in SW samples. We detected agents known to cause large-scale mortalities in Pacific salmon (Ceratonova shasta (Noble, 1950), Parvicapsula minibicornis Kent, Whitaker & Dawe, 1977), and agents only recently reported in Pacific salmon in BC (Ca. B. cysticola, P. theridion, Facilispora margolisi Jones, Prosperi-Porta & Kim, 2012 and Parvicapsula pseudobranchicola Karlsbakk, Saether, Hostlund, Fjellsoy & Nylund, 2002). Wild and hatchery fish were most divergent in agent profiles in FW, with higher agent diversity in wild fish. Differences in prevalence largely dissipated once they converged in the marine environment, although hatchery fish may be infected by a greater diversity of agents sooner after ocean entry by virtue of their more rapid migration from nearshore to offshore environments.
  • OPEN ACCESS
    Initial indications of polycyclic aromatic hydrocarbon exposure in Saskatchewan common loons
    FACETS • Vol. 3 • No. 1 • pp. 849 - 857
    Mercury (Hg) and polycyclic aromatic hydrocarbons (PAHs) are global pollutants known for their toxicity to wildlife. Because of their trophic position, common loons (Gavia immer (Brünnich 1764)) are excellent indicators of environmental quality. In 2014 and 2015, tissue samples of ten adult common loons (plus one recapture) were obtained in Meadow Lake Provincial Park, Saskatchewan, and assessed for Hg and PAH exposure. Blood and feather levels of these contaminants are indicative of exposure during breeding and in wintering areas, respectively. Compared with an international Hg database, blood Hg levels were low (<1 μg/g). In most loons (90.5%, 10 out of 11), blood PAH concentrations were also low (<10 ng/g), but high (120 ng/g) for one individual (9.5% 1 out of 11). Feather PAH concentrations were high (95.9 ng/g and 250.6 ng/g) in two of the four loons (50%) caught in 2015. These data indicate that loons breeding in Meadow Lake Provincial Park were exposed to low levels of Hg; however, some individuals are being exposed to PAHs in both their breeding and wintering locations. The effect of these environmental pollutants on individual loon fitness is unclear, but because of their extreme toxicity in biological systems we suggest that future monitoring in the surrounding region is warranted.
  • OPEN ACCESS
    Lack of molecular detection of frog virus 3-like ranavirus (FV3) in mosquitoes during natural outbreak and nonoutbreak conditions
    FACETS • Vol. 5 • No. 1 • pp. 812 - 820
    Ranaviruses are worldwide pathogens of ectothermic vertebrates that can threaten herptile conservation efforts. Identifying transmission routes is critical for understanding disease ecology and promoting species conservation. Frog virus 3 (FV3) DNA was detected in mosquitoes during a ranavirus outbreak in semicaptive box turtles, but the role that insect vectors play under natural conditions is unknown. To address this knowledge gap, we collected mosquito species known to take blood meals from reptiles and amphibians (Aedes canadensis, Culex erraticus, Culex territans, and Uranotaenia sapphirina) from mid-May to early August, 2014, at four study sites in Vermilion County, Illinois, two of which had historic or ongoing FV3 outbreaks in box turtles and amphibians. Mosquitoes were batched by date and species, DNA was extracted, and quantitative polymerase chain reaction was performed for detection of FV3. FV3 was not detected despite one of the sites having an active FV3 outbreak during the study period. Our findings indicate that FV3 detection is uncommon in mosquitoes during outbreak and nonoutbreak conditions at these sites in Illinois. Thus, we cannot establish that mosquitoes contribute to transmission during natural mortality events without performing further studies.
  • OPEN ACCESS
    Non-HDL cholesterol level and depression among Canadian elderly—a cross-sectional analysis of the baseline data from the CLSA
    FACETS • Vol. 5 • No. 1 • pp. 1006 - 1018
    To explore whether non-high-density-lipoprotein cholesterol (non-HDL-c) is associated with depression, a total of 26 819 Canadians aged 45–85 from the Canadian Longitudinal Study on Aging (CLSA) were included in analysis. Non-HDL-c, the difference between total-c and HDL-c, was categorized into five levels, i.e., <2.6, 2.6 to <3.7, 3.7 to <4.8, 4.8 to 5.7, and ≥5.7 mmol/L. History of clinical depression was collected by questionnaire at an in-home interview, and current potential depression status was determined by CES-D10 (Center for Epidemiological Studies Depression Scale 10 questions version) score, i.e., ≥10 vs. <10. Logistic continuation ratio model for ordinal data was used to estimate the odds of being at or above a higher non-HDL-c category for depression status. Compared with those without clinical depression history and currently undepressed, the adjusted odds ratios (95% CI) were 1.09 (1.02, 1.17) for those without clinical depression history but currently depressed, 1.05 (0.98, 1.12) for those had clinical depression history but currently undepressed, and 1.21 (1.10, 1.32) for those had clinical depression history and currently depressed. The average of non-HDL-c for four depression groups were 3.64, 3.71, 3.69, and 3.82 mmol/L, respectively, and group 4 was statistically higher than others (p < 0.001). In conclusion, people with both current depression and a history clinical depression are at an increased risk of having high level of non-HDL-c.
  • OPEN ACCESS
    Establishment, contagiousness, and initial spread of SARS-CoV-2 in Canada
    FACETS • Vol. 6 • pp. 180 - 194
    This study empirically quantifies dynamics of SARS-CoV-2 establishment and early spread in Canada. We developed a transmission model that was simulation tested and fitted in a Bayesian framework to timeseries of new cases per day prior to physical distancing interventions. A hierarchical version was fitted to all provinces simultaneously to obtain average estimates for Canada. Across scenarios of a latent period of 2–4 d and an infectious period of 5–9 d, the R0 estimate for Canada ranges from a minimum of 3.0 (95% CI: 2.3–3.9) to a maximum of 5.3 (95% CI: 3.9–7.1). Among provinces, the estimated commencement of community transmission ranged from 3 d before to 50 d after the first reported case and from 2 to 25 d before the first reports of community transmission. Among parameter scenarios and provinces, the median reduction in transmission needed to obtain R0 < 1 ranged from 46% (95% CI: 43%–48%) to 89% (95% CI: 88%–90%). Our results indicate that local epidemics of SARS-CoV-2 in Canada entail high levels of stochasticity, contagiousness, and observation delay, which facilitates rapid undetected spread and requires comprehensive testing and contact tracing for its containment.
  • OPEN ACCESS
    Changes in serum copeptin in the early onset of type 2 diabetes
    FACETS • Vol. 7 • pp. 1244 - 1257
    Copeptin (C-terminal fragment of pro-arginine vasopressin) levels change as fasting plasma glucose (FPG) and blood pressure change. To explore the clinical significance of changes in copeptin levels in development of type 2 diabetes mellitus (T2DM), we enrolled patients undergoing physical health examinations who met diagnostic criteria for prediabetes and T2DM. Subjects were divided into eight subgroups based on FPG levels and presence or absence of hypertension, including: a normal group (NGT), FPG < 5.6 mmol/L; prediabetes A, 5.6 mmol/L ≤ FPG < 6.1 mmol/L; prediabetes B, 6.1 mmol/L ≤ FPG < 7.0 mmol/L; and T2DM, FPG ≥ 7.0 mmol/L; participants were further into two subgroups by whether they had hypertension or not. Measures included biochemical indicators, fasting insulin (FINS), and copeptin. Copeptin levels in prediabetes A, prediabetes B, and T2DM groups increased significantly compared to NGT group (P < 0.01). No significant differences were found in copeptin levels between normal blood pressure and hypertension subgroups in all four groups. Copeptin levels correlated positively with systolic blood pressure, glycosylated hemoglobin (HbA1c), FPG, FINS, and insulin resistance index (HOMA-IR; P < 0.05–0.001), and negatively with insulin secretion index (P < 0.05–0.001). Stepwise regression analysis revealed that copeptin levels correlated independently with elevated HbA1c and aggravated HOMA-IR (P < 0.001). Increase in copeptin levels may aggravate insulin resistance, finally leading to T2DM.
  • OPEN ACCESS
    The association of typical and atypical symptoms with in-hospital mortality in older adults with COVID-19: a multicentre cohort study
    FACETS • Vol. 7 • pp. 1199 - 1213
    Atypical disease presentations are common in older adults with COVID-19. The objective of this study was to determine the prevalence of atypical and typical symptoms in older adults with COVID-19 through progressive pandemic waves and the association of these symptoms with in-hospital mortality. This retrospective cohort study included consecutive adults aged over 65 years with confirmed COVID-19 infection who were admitted to seven hospitals in Toronto, Canada, from 1 March 2020 to 30 June 2021. The median age for the 1786 patients was 78.0 years and 847 (47.5%) were female. Atypical symptoms (as defined by geriatric syndromes) occurred in 1187 patients (66.5%), but rarely occurred in the absence of other symptoms (n = 106; 6.2%). The most common atypical symptoms were anorexia (n = 598; 33.5%), weakness (n = 519; 23.9%), and delirium (n = 449; 25.1%). Dyspnea (adjusted odds ratio [aOR] 2.05; 95% confidence interval [CI] 1.62–2.62), tachycardia (aOR 1.87; 95% CI 1.14–3.04), and delirium (aOR 1.52; 95% CI 1.18–1.96) were independently associated with in-hospital mortality. In a cohort of older adults hospitalized with COVID-19 infection, atypical presentations frequently overlapped with typical symptoms. Further research should be directed at understanding the cause and clinical significance of atypical presentations in older adults.
  • OPEN ACCESS
    Funding change: An environmental scan of research funders’ knowledge translation strategic plans and initiatives across 10 high-income countries/regions
    FACETS • Vol. 8 • pp. 1 - 26
    Knowledge translation (KT) is the science and practice of dissemination and implementation of evidence. We describe how research funders operationalize and evaluate KT initiatives, identify challenges and opportunities, and suggest strategic considerations for KT support. We conducted an environmental scan, which included a systematic search of published and grey literature and a focus group with Canadian funders. A total of 130 published articles and 2415 grey literature sources were screened; 212 unique data sources were included. Published literature commonly described KT initiatives related to “KT practice and science funding.” These initiatives commonly provided funds for infrastructure development (e.g., clinical technologies, database subscriptions) to facilitate translational or applied research to address regional health priorities. Of the articles, 44% outlined an evaluation plan; few provided validated KT metrics. In the grey literature, 364 initiatives were described; the most commonly described initiatives related to “exchange and integrated KT.” Focus group participants hoped to see increased resources to support KT, exchange opportunities with policy/decision-makers, and evaluate KT initiatives. Funders completed various KT initiatives, which tended to engage stakeholders to set research priorities, collaborate with a range of stakeholders, build KT capacity, and mandate KT requirements. We provide six considerations for funders to support KT.
  • OPEN ACCESS
    The influence of sociodemographic and environmental factors on wildlife carcass submissions in urban areas: Opportunities for increasing equitable and representative wildlife health surveillance
    FACETS • Vol. 8 • pp. 1 - 13
    Wildlife health surveillance is important in rapidly expanding urban areas, where wildlife live in close association with humans and face unique health risks. Urban areas are not homogeneous, and social and environmental factors may affect the distribution of surveillance data we receive from these environments. The Canadian Wildlife Health Cooperative (CWHC) operates a national wildlife surveillance programme that receives carcass submissions for diagnostic evaluation. Our objective was to evaluate sociodemographic and environmental factors associated with CWHC submissions within two cities in Ontario, Canada. Submissions were mapped at two geographic scales and linked with census and environmental data. The results of mixed multivariable Poisson and negative binomial regression analyses suggest that natural (e.g., percent parkland) and anthropogenic environmental (e.g., presence of a zoo) and social variables (e.g., low income) are associated with submissions at both administratively relevant scales. Associations that are common across scales may represent robust intervention points and inform surveillance methodology/messaging. Surveillance data may influence public health policy, wildlife management, and other decision-making regarding the benefits/risks associated with coexistence with wildlife. This study highlights gaps in surveillance methodology that may prevent equal opportunity for participation in wildlife health surveillance and enable equal opportunity to benefit from the associated outputs.
  • OPEN ACCESS
    British Columbia freshwater salmon hatcheries demonstrate minimal contribution to piscine orthoreovirus (PRV) regional occurrence with no evidence for nonendemic strain introductions
    FACETS • Vol. 8 • pp. 1 - 9
    Piscine orthoreovirus genotype 1 (PRV-1) is a common virus in farmed and wild salmon in the northeastern Pacific Ocean. Its regional occurrence in freshwater is far less clear. From 2019 to 2021, tissues of 5619 juvenile anadromous salmon (primarily Atlantic, Chinook, and coho) sampled from 12 commercial and 27 enhancement British Columbia hatcheries during 83 sampling events were screened for PRV-1 prior to seawater entry. More than 2200 (∼40%) were also screened using a Pan-PRV assay targeting all known PRV genotypes. PRV-1 was detected in four coho salmon at two freshwater enhancement facilities and in one Chinook salmon at a commercial facility. Partial (S1 segment) genome sequencing identified detections to be of the PRV-1 subgenotype endemic to the northeastern Pacific. PRV-1 was not detected (5611 individuals; 99.9%) or test results were inconclusive (3 individuals; 0.05%) for all remaining samples screened for PRV-1. PRV-2 and PRV-3 were not detected using the Pan-PRV assay. It is concluded that commercial and enhancement freshwater hatcheries of British Columbia contribute minimally to the prevalence and persistence of PRV-1 in anadromous salmon of the northeastern Pacific, and these hatcheries appear not to have contracted or participated in the distribution of nonendemic forms of PRV in recent years.
  • OPEN ACCESS
    Prospective cohort study of Helicobacter pylori infection on the risk of nonalcoholic fatty liver disease
    FACETS • Vol. 9 • pp. 1 - 8
    To investigate the epidemiological connection between nonalcoholic fatty liver disease (NAFLD) and Helicobacter pylori (H. pylori). 6,478 retired and active workers, aged 22-69 years, were included in the study. Their baseline measures of height, weight, waist measurement, body mass index, blood pressure, fasting blood sugar, plasma lipid, liver function index, glycosylated hemoglobin, abdominal ultrasonography, and findings from the line “13 C urea breath test” H. pylori test were analyzed, and follow-up with consistent baseline methods and criteria was performed annually. Over a 4-year period, the prevalence of NAFLD increased by 16.9%, with 612 (18.7%) of those who tested positive for H. pylori developing NAFLD, whereas 484 (15.1%) of those who did not test positive for H. pylori were later diagnosed with new NAFLD (χ2 = 14.862, P < 0.05). One of the risk factors identified in the univariable Cox regression model for NAFLD was H. pylori (Hazard Ratio = 1.297; 95.0% confidence interval (CI) 1.150,1.485, P < 0.000); however, H. pylori continued to be an independent factor affecting the risk of NAFLD even after accounting for gender, age, and aspects of the metabolic syndrome (Hazard Ratio = 1.240; 95.0% CI 1.077,1.429, P = 0.003). The growth of NAFLD may be correlated with H. pylori infection.
  • OPEN ACCESS
    Youth COVID-19 stressors and associations with self-perceived health, depression, anxiety, and at-risk alcohol and cannabis use
    FACETS • Vol. 9 • pp. 1 - 10
    Adolescents and young adults have been particularly vulnerable to disruptions caused by the COVID-19 pandemic. The objectives were to identify youth's self-reported pandemic-related stressors and examine how these stressors were related to six negative health outcomes: self-perceived, fair-to-poor physical, and mental health, depression, anxiety, and at-risk alcohol and cannabis use. Data were from the Well-Being and Experiences Study (The WE Study) from Manitoba, Canada (17–22 years old; n = 587; collected from November 2021 to January 2022). The COVID-19 stressors reported most frequently since pandemic onset included: (1) not being able to spend time with friends (78.5%); (2) feeling lonely or isolated (69.9%); and (3) remote learning for school, college, or university (68.4%). In reference to the “past month”, frequently reported stressors were (1) remote learning (42.6%); (2) feeling lonely or isolated (41.2%); and (3) uncertainty about the future (41.1%). Overall, 26.1% of the sample perceived their physical health as fair-to-poor and 59.1% perceive their mental health as fair-to-poor. A number of stressors were related to fair-to-poor mental health, depression, and anxiety; fewer were related to fair-to-poor physical health and at-risk alcohol and cannabis use. These findings can inform future pandemics and recovery efforts to improve pandemic-related health risks among youth.
  • OPEN ACCESS
    Parents’ COVID-19 stressors and associations with self-rated health, symptoms of mental health problems, and substance use: a cross-sectional study
    FACETS • Vol. 10 • pp. 1 - 13
    The aim of this study was to understand associations between pandemic stressors and parents’ self-rated physical and mental health; symptoms of mental health problems, and at-risk substance use problems. Data were collected from February 2022 to March 2022 as part of Wave 2 of the Well-being and Experiences Study in Manitoba, Canada (n = 749). Stressors frequently identified since the onset of the pandemic included inability to spend time with family and friends, worry about getting coronavirus disease-2019 (COVID-19), and travel restrictions. In the past month, the most frequently identified stressors were worry about getting COVID-19, travel restrictions, public health restrictions, and worry about the future. The stressors with the greatest number of associations with worse health outcomes included: job loss or financial burden; feeling lonely or isolated; disrupted or poor sleep; uncertainty about the future; accessing health care for any reason; increased conflict in relationships; cancellation of surgeries, caregiving for children; and inability to spend time with family. Understanding the COVID-19 stressors that were associated with health and substance problems can inform clinical approaches to respond to pandemic-related problems, as well as public health preparedness to mitigate declines in parents’ health and well-being in the context of future pandemics.
  • OPEN ACCESS
    Spatiotemporal patterns of low and highly pathogenic avian influenza virus prevalence in murres in Canada from 2007 to 2022—a case study for wildlife viral monitoring
    FACETS • Vol. 9 • pp. 1 - 13
    Migratory seabirds move across ocean basins and are one of the primary reservoirs of low pathogenic avian influenza virus (LPAIV). This includes the millions of thick-billed murres (Uria lomvia) and common murres (Uria aalge) that are distributed across northern hemisphere oceans. In response to increasingly frequent detections of highly pathogenic avian influenza virus (HPAIV) in Europe in 2020–2021, avian influenza virus (AIV) monitoring in wildlife has increased. We compiled data from murres tested for AIV in Canada between 2007 and 2022 to quantify spatiotemporal variation in the prevalence of LPAIV and HPAIV in these birds. No HPAIV was detected in murres prior to 2022, but HPAIV was present in 46% of both live/harvested and found dead murres in the northwestern Atlantic in 2022 with prevalence peaking at 63% among live birds in the summer. In the eastern Canadian Arctic, HPAIV prevalence in 2022 was <1% while LPAIV prevalence was 21%, which was significantly higher than previous sampling years. Power analyses suggest approximately 100 samples from breeding murres should be collected annually per colony or region to detect moderate changes in HPAIV prevalence. These analyses inform robust monitoring of viruses in wildlife, with implications for conservation, harvest management, and public health.