Eating and learning about food at school and on campus:

Food is an interdisciplinary topic that transverses different areas of knowledge, allowing it to be used as a pedagogical resource in numerous teaching-learning processes and environments. This paper seeks to contribute to early debates on the relationship between public procurement and food pedagogies in schools and universities, a topic that is still little addressed in the literature. I explore the Farm to Cafeteria Canada (F2CC) network in Metro Vancouver, British Columbia, which beyond institutional procurement recognises food as a pedagogical resource at schools and on campus. My research is based on 18 site visits and qualitative analysis of documents and 9 semi-structured interviews conducted with institutional administrators associated with F2CC in Metro Vancouver. This paper demonstrates how the F2CC network activities in Metro Vancouver contribute not only to food procurement, but also to the practical development of pedagogical activities from different areas of knowledge and in different educational spaces.

Hospital-to-Shelter/Housing Interventions for Persons Experiencing Homelessness

Persons with lived and living experiences of homelessness (PWLEs) commonly use hospitals and emergency departments to access healthcare yet support for transitions from hospital to shelter/housing can be challenging to access. To improve the continuity of care and health outcomes for PWLEs who are being discharged from hospital, a more complete understanding of two hospital-to-shelter/housing programs in Metro Vancouver, Canada was sought. Using a community-based participatory research approach, we conducted in-depth interviews in-person or by phone. Participants included eight healthcare and shelter/housing decision-makers and providers and a convenience sample of ten program participants (two females and eight males who ranged in age from 31 to 74 years old; average = 50 years old). Data were analyzed in NVivo 12 to identify successes including: 1) achieving health stability and recovery following hospital discharge; 2) having privacy and freedom while in the program; 3) building relationships with providers; 4) having formal support to find housing; and 5) cross-sector relationships between providers. Challenges included: 1) limited availability of affordable and appropriate housing; 2) other guests’ ways of life; 3) complex needs versus limited after-care resources; and 4) inequities in program access. While hospital-to-shelter/housing programs can serve as intervention opportunities to connect PWLEs to permanent housing, discharge plans need to acknowledge the local limitations on housing availability and offer short-term options for patients who require sub-acute rest and convalescence.

Non-alcoholic fatty liver disease (NAFLD) in Filipino North American patients: Results from a multi-ethnic cohort

Background: Non-alcoholic fatty liver disease (NAFLD) is more prevalent in certain ethnicities due to a combination of genetic, environmental, and metabolic factors. North American Filipino populations may have lifestyle and metabolic risk factors for NAFLD; however, the prevalence of NAFLD in this group is unknown. We sought to determine whether Filipino patients are over-represented in a multi-ethnic NAFLD cohort and describe their clinical presentation, primarily compared to other ethnicities in the same geographical region and secondarily compared to Manila-based Filipino patients. Methods: A cross-sectional study was conducted with patients with NAFLD who were followed at the Hepatology Clinic at Vancouver General Hospital, Canada, from January 2015 to August 2018. Data were extracted for clinicodemographic data, ethnicity, anthropometric measures, blood work, and transient elastography (TE). External comparison data was obtained online from the Metro Vancouver census and a NAFLD study conducted in Manila, Philippines. Results: Of 317 patients meeting inclusion criteria for the study, 224 patients had complete datasets. The mean age was 51.1 years, and 50% were female. There were 139 (62%) Caucasian and Other ethnicity patients, 55 (25%) Asian patients, and 30 (13%) Filipino patients. Compared to other ethnic groups, the Filipino group had similar clinical characteristics, including NAFLD fibrosis scores and TE. Of included NAFLD patients, the proportion of Filipino patients (13.39%) was significantly greater than the proportion of Filipino residents in Metro Vancouver (5.52%, p <0.01). Our Filipino Canadians seemed to be younger, with fewer females and a lower proportion of diabetes mellitus, but a higher proportion of hypertension than the previously reported cohort from Manila. Conclusions: While Filipino patients have not previously been examined in multi-ethnic NAFLD studies, they may represent a high-risk population. Further research is needed to clarify the prevalence and presentation of NAFLD in Filipino Canadian patients, as this appears to be a significant health issue in this community.

Abstract 9876: Optimizing Public Naloxone Kit Locations Through Mathematical Modeling

Introduction: Use of bystander-administered naloxone may lead to improved likelihood of recovery from opioid overdose. We sought to determine the accessibility of public access naloxone kits on nearby opioid overdose incidents if placed at public transit stops, compared to placing kits outside pharmacies or with existing public access automated external defibrillators (PADs). Methods: We included all incidents in Metro Vancouver, British Columbia responded to by British Columbia Emergency Health Services coded as a drug overdose with naloxone administered on-scene (Dec. 2014 to Aug. 2020). We geo-coded all public transit bus stops and used a mathematical optimization model to select bus stops where publicly accessible naloxone kits could be placed to maximize accessibility (defined as ≤100 m walking distance) to opioid overdoses. We evaluated accessibility on out-of-sample OHCAs using five-fold cross validation and compared against two baseline policies: placing publicly accessible naloxone kits at all pharmacies identified by the College of Pharmacists of British Columbia, and placing kits at all PADs identified by the British Columbia AED Registry. Statistical analysis was conducted using McNemar’s test. Results: We identified 14,318 opioid overdoses, 8,972 bus stops, 736 pharmacies, and 425 PADs. Accessibility of public naloxone kits for opioid overdose locations was 5.1% when placed at all pharmacies and 3.5% when placed with all existing PADs. Optimized naloxone kit placement using bus stops as candidate locations resulted in significantly higher accessibility than both pharmacy and PAD-based placement at 14.8% with 10 optimized locations (P<0.001), increasing to 36.7% with 500 locations (P<0.001). Conclusion: Optimizing placement of public access naloxone kits at select public transit locations can provide significantly higher accessibility to opioid overdose locations compared to placement at pharmacies or at existing PAD locations.

Long-Term Maximum and Minimum Temperature Projections Over Metro Vancouver, Canada

Evident climate change has been observed and projected in observation records and General Circulation Models (GCMs), respectively. This change is expected to reshape current seasonal variability; the degree varies between regions. High-resolution climate projections are thereby necessary to support further regional impact assessment. In this study, a gated recurrent unit-based recurrent neural network statistical downscaling model is developed to project future temperature change (both daily maximum temperature and minimum temperature) over Metro Vancouver, Canada. Three indexes (i.e., coefficient of determinant, root mean square error, and correlation coefficient) are estimated for model validation, indicating the developed model’s competitive ability to simulate the regional climatology of Metro Vancouver. Monthly comparisons between simulation and observation also highlight the effectiveness of the proposed downscaling method. The projected results (under one model set-up, WRF-MPI-ESM-LR, RCP 8.5) show that both maximum and minimum temperature will consistently increase between 2,035 and 2,100 over the 12 selected meteorological stations. By the end of this century, the daily maximum temperature and minimum temperature are expected to increase by an average of 2.91°C and 2.98°C. Nevertheless, with trivial increases in summer and significant rises in winter and spring, the seasonal variability will be reduced substantially, which indicates less energy requirement over Metro Vancouver. This is quite favorable for Metro Vancouver to switch from fossil fuel-based energy sources to renewable and clean forms of energy. Further, the cold extremes’ frequency of minimum temperature will be reduced as expected; however, despite evident warming trend, the hot extremes of maximum temperature will become less frequent.

Echoing memories: Migration, the senses, and the city in Metro Vancouver, Canada

Using images, video, and text, I weave together two walks and several conversations on the senses, migration, and memory. I focus on echoes or resonances as a method to attend to the relation between remembering, sensory emplacement and urban materialities. Using comments from my interlocutors who migrated to Metro Vancouver from outside Canada, as well as autobiographical reflections on sensate memories in urban landscapes, I investigate how forgetting and memory are co-implicated, and I propose that echoes can help us think of spatial and social displacements. I include digital meaning making practices like videos, photographs, and montage, as well as hand-written notes, stories, lists, and drawings. These in turn accompany the kinesthetic inhabiting of the city through walking, standing, and sensing in place.