Scope of activities

The Human Health & Well-being Collaboration Team is a new team created as part of Arctic Research Plan 2017-2021. The team's scope of activities will include implementation of Research Objectives and Performance Elements listed under Research Goal 1, which is described as follows in the Plan:

Arctic societies are known for their historic capacity for adaptation and resilience. But, northern residents are now facing an unprecedented combination of climate and environmental change, new opportunities for commercial and industrial development, and social and economic transformations (Arctic Human Development Report 2004; Arctic Human Development Report II 2014). Such changes present significant challenges and opportunities. For example, the rapidly changing environment in the Arctic poses new risks to food, water, and energy security with implications for the health and well-being of Arctic residents. This is an opportunity for Federal agencies to work collaboratively with Arctic residents on research to foster adaptation and mitigation strategies to meet emerging needs.

State, local, and tribal authorities—and community members themselves—may be confronted with critical choices based on anticipated threats: stronger and more frequent storms, increasing coastal erosion, thawing permafrost, changing marine mammal and bird migration patterns, ocean acidification, sea level rise, changes in local vegetation due to warmer temperatures, and increased fires. Further, many Arctic populations are also experiencing heritage and language loss, shifting economies, population migration, mental illness, and high rates of suicide. Arctic residents need reliable and timely data and innovative research approaches to make knowledge-based decisions that consider the immediate and future impacts on existing infrastructure and community services, human health, subsistence activities, cultural and linguistic vitality, and overall food security.

A coordinated, evidence-based, government-wide plan can help support and strengthen the capacity of Arctic residents to adapt and respond to new challenges. Consistent with recommendations from the Alaska Arctic Policy Commission (AAPC 2015) and Indigenous organizations such as the Inuit Circumpolar Council (ICC Arctic Policy 2016), efforts are being made to use Indigenous Knowledge (IK) and/or Local Knowledge (LK) in community-based research and to use multiple knowledge systems to inform management, health, and environmental decisions.

The Human Health & Well-being Research Objectives reflect this integrated approach to Federal research commitments directly related to the Well-being policy driver, with implications for Stewardship and Security drivers as well. The determinants of health and well-being are wide-ranging, and it is beyond the scope of this Plan to catalog all of the research, programs, or services related to the health of Arctic residents. Instead, the Health and Well-being Goal is focused mainly on Federally-funded research activities that feature interagency collaborations and that are expected to produce tangible results during the time-span of this Plan. There are many excellent examples of ongoing health research that do not fit these criteria and are not included herein.

References


Team leaders

Roberto Delgado
Program Officer (Website)

Thomas Hennessy
CDC Arctic Investigations Program (Website)

Sarah Yoder
Alaska Department of Health and Social Services


Performance elements from the Arctic research plan

1.1 Support integrative approaches to human health that recognize the connections among people, wildlife, the environment, and climate.

  • 1.1.1 In collaboration with the Alaska Native Tribal Health Consortium (ANTHC), advance and support a regional One Health approach for assessing interactions at the Arctic human-animal-environment interface to enhance understanding of, and response to, the complexities of climate change for Arctic residents
  • 1.1.2 In collaboration with the ANTHC, support community-based monitoring and IK and LK by maintaining and strengthening the Local Environmental Observer (LEO) Network to help describe connections between climate change, environmental impacts, and health effects.
  • 1.1.3 In coordination with the ANTHC, use the Alaska Native Maternal Organics Monitoring Study (MOM) to monitor the spatial distribution, contaminant levels, and biological effects in species having body burdens of human caused Persistent Organic Pollutants21 (POPs) at or above levels of concern; and improve understanding of the adverse effects of POPs on human populations, especially on child development.
  • 1.1.4 Increase understanding of how both natural climate change and the effects of human activities are affecting the ecosystem by documenting observations of changing sea ice conditions, with implications for development and subsistence. Efforts like Arctic Crashes: Humans, Animals in a Rapidly-Changing World and Northern Alaska Sea Ice Project Jukebox are examples of contributions to this performance element.
  • 1.1.5 Support the Rural Alaska Monitoring Program (RAMP), a community-based environmental monitoring network in Alaska Native communities to collect samples and data on zoonotic pathogens, mercury, and organic contaminants in land and sea mammals used for subsistence.

1.2 Promote research, sustainable development, and community resilience to address health disparities associated with underlying social determinants of health and well-being.

  • 1.2.1 In collaboration with the ANTHC and the State of Alaska, support development of Arctic Water, Sanitation and Hygiene (WASH) innovations and characterize the health consequences associated with decreased access to in-home water and sanitation services.
  • 1.2.2 Together with the ANTHC, the Commission for Environmental Cooperation, the Yukon Kuskokwim Health Corporation, and Bristol Bay Health Corporation, support research on the health impacts of poor indoor air quality, especially in children. Support source testing and technologies to improve indoor air quality.
  • 1.2.3 Support educating and connecting Arctic residents with museum collections and archival materials to improve community mental health and well-being through efforts such as The Health of Heritage.
  • 1.2.4 Synthesize knowledge on sustainable development among Arctic communities; develop a state-of- the-art understanding of social-ecological systems in the Arctic context; and amass case studies of best practices that support well-being and sustainable development across the Arctic.

1.3 Promote food, water, and energy security in rural/remote Arctic regions.

  • 1.3.1 In collaboration with the State of Alaska, coordinate investigations and reporting on food security in the Arctic, to include shifting patterns of food consumption, the safety of subsistence foods, and successful adaptation strategies being employed by northern residents.
  • 1.3.2 In collaboration with the Alaska Department of Environmental Conservation (ADEC) and the Alaska Rural Water and Sanitation Working Group, support the ADEC “Alaska Water and Sewer Challenge” and provide input and support for the Conference on Water Innovations for Healthy Arctic Homes (WIHAH) and its resultant research activities and recommendations.
  • 1.3.3 Together with the Alaska Energy Authority (AEA), the Cold Climate Housing Research Center (CCHRC), and UAF, promote research on renewable, efficient, and sustainable (resource, maintenance, and cost) energy systems, including microgrid technology development and application in remote Arctic communities via USARC’s Arctic Renewable Energy Working Group activities.

1.4 Document the prevalence and nature of violence against Alaska Native women and youth; evaluate the effectiveness of Federal, State, tribal, and local responses to violence against Alaska Native women and youth; and propose recommendations to improve the effectiveness of such responses.

  • 1.4.1 Conduct a National Baseline Study (NBS) to assess Alaska Native women’s experiences with violence and victimization, health and wellness, community crime, service needs, and help-seeking behaviors and outcomes.
  • 1.4.2 Examine the contributions Village Public Safety Officers (VPSO) make to their rural communities and the criminal justice responses to violence committed against Alaska Native women. Evaluate and document the impact that the Alaska VPSO initiative is having on the investigation and prosecution of those who commit acts of sexual and domestic violence against Alaska Native women in rural communities.
  • 1.4.3 Together with the AIDA, determine effective methods to assess exposure to violence and victimization among Alaska Native youth, ultimately to improve their health and well- being. Develop and test a survey instrument and different administration modes that can effectively evaluate exposure to violence and victimization and determine the feasibility of using these procedures in tribal communities.

1.5 Increase understanding of mental health, substance abuse, and well-being for Alaskan youth; and support programs that address those impacts and strengthen youth resilience.

  • 1.5.1 Increase knowledge and the evidence base for effective community- determined approaches that contribute to the health and well-being of children and youth as they move into adulthood. Efforts like Native Youth Initiative for Leadership, Empowerment, and Development (I-LEAD) and Generation Indigenous are examples of contributions to this performance element.
  • 1.5.2 Support tribal behavioral health programs and collaborative research hubs to prevent and reduce suicidal behavior and substance abuse and to reduce the burden of suicide and promote resilience among Alaska Native youth.
  • 1.5.3 Conduct surveys to document and report on adverse childhood experiences (ACEs) in Alaska children, including among American Indian and Alaska Native children.

1.6 Support the reduction of occupational safety and health (OSH) hazards in the Arctic, particularly in the commercial fishing, water, and air transportation industries as well as for those workers exposed to occupational hazards from climate change impacts.

  • 1.6.1 Together with the State of Alaska, document and describe occupational risks using epidemiologic surveillance.
  • 1.6.2 Together with the State of Alaska, conduct prevention-oriented research addressing fatal and nonfatal injuries and illnesses in high-risk worker populations.

1.7 Improve the quality, efficiency, effectiveness, and value of health care delivery in the Arctic.

  • 1.7.1 In collaboration with the ANTHC, promote research on how telemedicine applications can improve health care delivery and patient outcomes.

Accomplishments

The Health & Well-being Collaboration Team is a new team under Arctic Research Plan 2017-2021. Accomplishments will be listed here as they are made. 

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