Health Systems Responsiveness in Addressing Indigenous Residents' Health and Mental Health Needs Following the 2016 Horse River Wildfire in Northern Alberta, Canada: Perspectives From Health Service Providers

Following the 2016 Horse River Wildfire in northern Alberta, the provincial health authority, the ministry of health, non-profit and charitable organizations, and regional community-based service agencies mobilized to address the growing health and mental health concerns among Indigenous residents and communities through the provision of services and supports. Among the communities and residents that experienced significant devastation and loss were First Nation and Métis residents in the region. Provincial and local funding was allocated to new recovery positions and to support pre-existing health and social programs. The objective of this research was to qualitatively describe the health systems response to the health impacts following the wildfire from the perspective of service providers who were directly responsible for delivering or organizing health and mental wellness services and supports to Indigenous residents. Semi-structured qualitative interviews were conducted with 15 Indigenous and 10 non-Indigenous service providers from the Regional Municipality of Wood Buffalo (RMWB). Interviews were transcribed verbatim and a constant comparative analysis method was used to identify themes. Following service provider interviews, a supplemental document review was completed to provide background and context for the qualitative findings from interviews. The document review allowed for a better understanding of the health systems response at a systems level following the wildfire. Triangulation of semi-structured interviews and organization report documents confirmed our findings. The conceptual framework by Mirzoev and Kane for understanding health systems responsiveness guided our data interpretation. Our findings were divided into three themes (1) service provision in response to Indigenous mental health concerns (2) gaps in Indigenous health-related services post-wildfire and (3) adopting a health equity lens in post-disaster recovery. The knowledge gained from this research can help inform future emergency management and assist policy and decision makers with culturally safe and responsive recovery planning. Future recovery and response efforts should consider identifying and addressing underlying health, mental health, and emotional concerns in order to be more effective in assisting with healing for Indigenous communities following a public health emergency such as a wildfire disaster.

Is bog water chemistry affected by increasing N and S deposition from oil sands development in Northern Alberta, Canada?

Nitrogen and sulfur emissions from oil sands operations in northern Alberta, Canada have resulted in increasing deposition of N and S to the region’s ecosystems. To assess whether a changing N and S deposition regime affects bog porewater chemistry, we sampled bog porewater at sites at different distances from the oil sands industrial center from 2009 to 2012 (10-cm intervals to a depth of 1 m) and from 2009 to 2019 (top of the bog water table only). We hypothesized that: (1) as atmospheric N and S deposition increases with increasing proximity to the oil sands industrial center, surface porewater concentrations of NH4+, NO3−, DON, and SO42− would increase and (2) with increasing N and S deposition, elevated porewater concentrations of NH4+, NO3−, DON, and SO42− would be manifested increasingly deeper into the peat profile. We found weak evidence that oil sands N and S emissions affect bog porewater NH4+-N, NO3−-N, or DON concentrations. We found mixed evidence that increasing SO42− deposition results in increasing porewater SO42− concentrations. Current SO42− deposition, especially at bogs closest to the oil sands industrial center, likely exceeds the ability of the Sphagnum moss layer to retain S through net primary production, such that atmospherically deposited SO42− infiltrates downward into the peat column. Increasing porewater SO42− availability may stimulate dissimilatory sulfate reduction and/or inhibit CH4 production, potentially affecting carbon cycling and gaseous fluxes in these bogs.

Challenges and Benefits of Approaches Used to Integrate Regional Monitoring Programs

Although challenging to develop and operate, some degree of integrated monitoring is often necessary, especially at regional scales, to address the complex questions of environmental management and regulation. The concept of integration is well-understood, but its practice across programs and studies can be diverse suggesting a broader examination of the existing general approaches is needed. From the literature, we suggest integration of monitoring can occur across three study components: interpretation, analysis, and design. Design can be further subdivided into partial and full integration. Respectively combining information, data, and designs, we further define these types of integration and describe their general benefits and challenges, such as strength of inference. We further use the Oil Sands Monitoring program in northern Alberta as an example to clarify the practices common among integrated monitoring programs. The goal of the discussion paper is to familiarize readers with the diverse practices of integrated monitoring to further clarify the various configurations used to achieve the wider goals of a program.

New methodology shows short atmospheric lifetimes of oxidized sulfur and nitrogen due to dry deposition

The atmospheric lifetimes of pollutants determine their impacts on human health, ecosystems and climate, and yet, pollutant lifetimes due to dry deposition over large regions have not been determined from measurements. Here, a new methodology based on aircraft observations is used to determine the lifetimes of oxidized sulfur and nitrogen due to dry deposition over (3-6)×103 km2 of boreal forest in Canada. Dry deposition fluxes decreased exponentially with distance from the Athabasca oil sands sources, located in northern Alberta, resulting in lifetimes of 2.2–26 h. Fluxes were 2–14 and 1–18 times higher than model estimates for oxidized sulfur and nitrogen, respectively, indicating dry deposition velocities which were 1.2–5.4 times higher than those computed for models. A Monte Carlo analysis with five commonly used inferential dry deposition algorithms indicates that such model underestimates of dry deposition velocity are typical. These findings indicate that deposition to vegetation surfaces is likely underestimated in regional and global chemical transport models regardless of the model algorithm used. The model–observation gaps may be reduced if surface pH and quasi-laminar and aerodynamic resistances in algorithms are optimized as shown in the Monte Carlo analysis. Assessing the air quality and climate impacts of atmospheric pollutants on regional and global scales requires improved measurement-based understanding of atmospheric lifetimes of these pollutants.

Exploring Indigenous Ways of Coping After a Wildfire Disaster in Northern Alberta, Canada

In May 2016, a wildfire devastated a northern region of Alberta, Canada, resulting in negative consequences on physical and mental stress, social relationships, and overall resilience among Indigenous residents. Research on coping and managing stress following a disaster has failed to incorporate unique characteristics from Indigenous perspectives. Sharing circles were held in urban and rural community settings to capture: (a) Indigenous perspectives of coping, (b) individual and collective strengths that helped Indigenous residents and communities to cope during and after the wildfire, and (c) intergenerational experiences of coping from stress among Indigenous residents. Indigenous residents’ experience with coping from the wildfire was shaped by: (a) heightened physical and emotional stress, (b) existing structural inequities, and (c) strong community cohesion and connection to culture. An unexpected outcome of this research was the therapeutic value of the sharing circles for participants to share their experience.

Field Testing of Selected Salt-Tolerant Screened Balsam Poplar (Populus balsamifera L.) Clones for Use in Reclamation around End-Pit Lakes Associated with Bitumen Extraction in Northern Alberta

For the oil sands mine sites in northern Alberta, the presence of salty process affected water, a byproduct of the hot-water bitumen extraction process, is anticipated to pose a challenge on some reconstructed landforms. The fundamental challenge when re-vegetating these sites is to ensure not only survival, but vigorous growth where plants are subjected to conditions of high electrical conductivity owing to salts in process affected water that may be contained in the substrate. Finding plants suitable for high salt conditions has offered the opportunity for Alberta-Pacific Forest Industries Inc. (Al-Pac) to investigate the potential role of using native balsam poplar (Populus balsamifera L.) as a key reclamation species for the oil sands region. Two years of greenhouse screening (2012 and 2013) of 222 balsam poplar clones from Al-Pac’s balsam poplar tree improvement program, using process affected discharge water from an oil sands processing facility in Ft. McMurray, has suggested an opportunity to select genetically suitable native clones of balsam poplar for use in reclamation of challenging sites affected by process water. In consideration of the results from both greenhouse and field testing, there is an opportunity to select genetically suitable native clones of balsam poplar that are tolerant to challenging growing conditions, making them more suitable for planting on saline sites.

Growing (with) Muskeg: Oil Sands Reclamation and Healing in Northern Alberta

Scientists working for oil companies in the Athabasca region are developing methods by which to reclaim muskeg (boreal peatlands) on land disturbed by oil sands extraction. The Alberta government requires companies to reclaim disturbed land by achieving equivalent capability of the landscape to support an end land use. Indigenous community members instead define reclamation as establishing not only quantifiable ecological functions, but also relationships to their traditional territories. Tensions emerge as Indigenous concerns are often subsumed within bureaucratic discourses that favour scientific classification and quantification of land uses in reclaimed areas. Divergent responses to muskeg in reclamation activities are informed in part by these competing emphases on quantifiable landscapes as opposed to those that are relational and growing. This article traces this multiplicity through the examination of government and scientific literature and ethnographic fieldwork with Indigenous communities in northern Alberta. Muskeg is used as an analytical tool to explore competing conceptions of land reclamation. Mistranslation of polysemantic terms like muskeg occur on an ontological level, and settler colonial relations and power imbalances between competing languages and knowledge systems proliferate in reclamation activities.

Assessing the Skills of Alberta’s Refracting Opticians: Can Opticians Safely and Independently Refract and Prescribe Optical Appliances?

Alberta is one of three Canadian provinces that permits optician-performed refractions. Recently, the Alberta College and Association of Opticians (ACAO) has requested an expansion of opticians’ scope of practice to include the ability to prescribe optical appliances, an activity currently restricted to optometrists and ophthalmologists. For the remainder of this paper, the term “prescribe” should be interpreted as the prescription of an optical appliance, not a therapeutic pharmaceutical agent. In this paper, we investigate whether designated refracting opticians in Alberta have adequate training and knowledge to safely and independently perform a refraction and prescribe an optical appliance. To answer this research question, we composed a list of 27 skills we deem necessary to safely and independently refract and prescribe. We then evaluated the Northern Alberta Institute of Technology’s (NAIT) opticianry programs and the entry to practice examinations administered by the National Association of Canadian Optician Regulators (NACOR) and the Optometry Examining Board of Canada (OEBC) in terms of their coverage of these 27 skills. Our findings show that NAIT’s optical science programs either do not cover or do not practically assess students on over half (59 percent) of the skills required to safely and independently refract and prescribe, and the NACOR examination fails to cover 77 percent of the skills required to safely refract and prescribe. Based on this information, refracting opticians in Alberta do not possess adequate training and knowledge to safely and independently perform a refraction and prescribe an optical appliance. Granting opticians the legislative authority to independently refract and prescribe may result in a public health issue, as there may be an increase in the number of un-diagnosed or un-detected eye and systemic diseases.