Varestrongylus eleguneniensis (Nematoda; Protostrongylidae) is a recently described species of lungworm that infects caribou (Rangifer tarandus), muskoxen (Ovibos moschatus) and moose (Alces americanus) across northern North America. Herein we explore the geographic distribution of V. eleguneniensis through geographically extensive sampling and discuss the biogeography of this multi-host parasite. We analyzed fecal samples of three caribou subspecies (n = 1485), two muskox subspecies (n = 159), and two moose subspecies (n = 264) from across northern North America. Protostrongylid dorsal-spined larvae (DSL) were found in 23.8%, 73.6%, and 4.2% of these ungulates, respectively. A portion of recovered DSL were identified by genetic analyses of the ITS-2 region of the nuclear rDNA or the cytochrome oxidase c subunit I (COI) region of the mtDNA. We found V. eleguneniensis widely distributed among caribou and muskox populations across most of their geographic prange in North America but it was rare in moose. Parelaphostrongylus andersoni was present in caribou and moose and we provide new geographic records for this species. This study provides a substantial expansion of the knowledge defining the current distribution and biogeography of protostrongylid nematodes in northern ungulates. Insights about the host and geographic range of V. eleguneniensis can serve as a geographically extensive baseline for monitoring current distribution and in anticipating future biogeographic scenarios under a regime of accelerating climate and anthropogenic perturbation.

SETTING:Consumption of raw game meats is important for Inuit health and well-being but may sometimes increase risk of exposure to parasites. In Nunavik, following trichinellosis outbreaks in the 1980s caused by raw walrus consumption, a diagnostic test was developed for the region and offered to all Inuit communities by 1997. Despite this prevention program, an important trichinellosis outbreak occurred in 2013, affecting 18 inhabitants of Inukjuak.INTERVENTION:Because the classical outbreak investigation did not rapidly converge toward a common food source or specific event, a local response group, composed of four community members appointed by the Municipal Council as well as the regional public health physician, nurse and wildlife parasitologist, was created. Their objective was to investigate potential sources of infection related to the outbreak, hence the investigation of the types of meats consumed, the movement of meats between and within the community, and the local practices of processing game meat.OUTCOMES:Though the source of infection was not fully confirmed, this local investigation identified the distribution of transformed polar bear meat as the most probable source of infection. The creation of this unique, intersectoral and intercultural local response group fostered the use of local knowledge to better understand aspects of the modern food system, and is one of the most innovative outcomes of this investigation.IMPLICATIONS:Integrating multiple ways of knowing was critical for the management of this important public health issue and contributed to community members' mobilization and empowerment with respect to local food safety issues.

Toxoplasma gondii is a zoonotic protozoan parasite that can cause significant disease in most warm-blooded animals, including humans. Surveillance testing of human and animal populations is essential to estimate disease prevalence, assess food safety risks and establish control programmes. Serological tests are the most practical methods to detect the prevalence of infection in a broad range of host populations. The modified agglutination test (MAT) is a sensitive serological method to detect Toxoplasma IgG antibodies in livestock and wild animals. An in-house MAT was developed using tachyzoites produced by in vitro cultivation instead of traditional propagation in murine peritoneal cavity. The assay was evaluated using samples of serum and/or meat juice from pigs and cats experimentally infected with T. gondii. Samples were also tested by a commercially available MAT kit. Comparative analysis of test results from serum and meat juice samples showed excellent agreement between the in-house MAT and the commercial MAT. Serum and/or blood samples from naturally infected cats, sheep, and 20 wildlife host species were also tested by the in-house MAT, with overall results comparable to those obtained using the commercial MAT kit. Therefore, this new MAT is an efficient and convenient method for testing a variety of terrestrial and aquatic domestic or wild host species for T. gondii.

Emerging infectious diseases are a growing concern in wildlife conservation. Documenting outbreak patterns and determining the ecological drivers of transmission risk are fundamental to predicting disease spread and assessing potential impacts on population viability. However, evaluating disease in wildlife populations requires expansive surveillance networks that often do not exist in remote and developing areas. Here, we describe the results of a community-based research initiative conducted in collaboration with indigenous harvesters, the Inuit, in response to a new series of Avian Cholera outbreaks affecting Common Eiders (Somateria mollissima) and other comingling species in the Canadian Arctic. Avian Cholera is a virulent disease of birds caused by the bacterium Pasteurella multocida. Common Eiders are a valuable subsistence resource for Inuit, who hunt the birds for meat and visit breeding colonies during the summer to collect eggs and feather down for use in clothing and blankets. We compiled the observations of harvesters about the growing epidemic and with their assistance undertook field investigation of 131 colonies distributed over > 1200 km of coastline in the affected region. Thirteen locations were identified where Avian Cholera outbreaks have occurred since 2004. Mortality rates ranged from 1% to 43% of the local breeding population at these locations. Using a species-habitat model (Maxent), we determined that the distribution of outbreak events has not been random within the study area and that colony size, vegetation cover, and a measure of host crowding in shared wetlands were significantly correlated to outbreak risk. In addition, outbreak locations have been spatially structured with respect to hypothesized introduction foci and clustered along the migration corridor linking Arctic breeding areas with wintering areas in Atlantic Canada. At present, Avian Cholera remains a localized threat to Common Eider populations in the Arctic; however expanded, community-based surveillance will be required to track disease spread.

A total of 190 nematodes was isolated from the stomachs of 13 beluga whales Delphinapterus leucas from the Arctic part of Hudson Bay and Hudson Strait. Infection intensity ranged from 1 to 57 specimens and prevalence was 84.62%. Morphological examination of the nematodes revealed the presence of 3 species: Pseudoterranova decipiens sensu lato, Contracaecum osculatum s.l., and Anisakis simplex s.l. Molecular analysis by PCR-based restriction fragment length polymorphism (PCR-RFLP) resulted in the identification of 4 species: Pseudoterranova bulbosa, Contracaecum osculatum A and C, and Anisakis simplex sensu stricto. The nematodes were present in 3 developmental stages: L3 (159 specimens), L4 (16 larvae), and adults (15 worms: 11 males and 4 females).

BACKGROUND:A putative new species of Varestrongylus has been recently recognized in wild North American ungulates based on the ITS-2 sequences of larvae isolated from feces during a wide geographic survey. No taxonomic description was provided, as adult specimens were not examined.METHODS:Lungworm specimens were collected in the terminal bronchioles of muskoxen from Quebec, and a woodland caribou from central Alberta, Canada. The L3 stage was recovered from experimentally infected slugs (Deroceras spp.). Description of specimens was based on comparative morphology and integrated approaches. Molecular identity was determined by PCR and sequencing of the ITS-2 region of the nuclear ribosomal DNA, and compared to other protostrongylids.RESULTS:Varestrongylus eleguneniensis sp. n. is established for a recently discovered protostrongylid nematode found in caribou (Rangifer tarandus), muskoxen (Ovibos moschatus) and moose (Alces americanus); hosts that collectively occupy an extensive geographic range across northern North America. Adults of Varestrongylus eleguneniensis are distinguished from congeners by a combination of characters in males (distally bifurcate gubernaculum, relatively short equal spicules not split distally, a strongly elongate and bifurcate dorsal ray, and an undivided copulatory bursa) and females (reduced provagina with hood-like fold extending ventrally across prominent genital protuberance). Third-stage larvae resemble those found among other species in the genus. The genus Varestrongylus is emended to account for the structure of the dorsal ray characteristic of V. eleguneniensis, V. alpenae, V. alces and V. longispiculatus.CONCLUSIONS:Herein we describe and name V. eleguneniensis, a pulmonary protostrongylid with Rangifer tarandus as a primary definitive host, and which secondarily infects muskoxen and moose in areas of sympatry. Biogeographic history for V. eleguneniensis and V. alpenae, the only two endemic species of Varestrongylus known from North America, appears consistent with independent events of geographic expansion with cervid hosts from Eurasia into North America during the late Pliocene and Quaternary.

As many Arctic fish species are intermediate hosts of anisakids, they are present in the diet of the ringed seal, Pusa hispida, and the bearded seal, Erignathus barbatus. Parasitic nematodes from the stomachs of 66 seals caught in the Nunavut region (Canada) from two communities (Arviat and Sanikiluaq) from October 2007 to January 2008 have been examined in order to identify the epidemiological risk for Inuit communities who consume traditional food. In Arviat 2428 anisakids were observed in 37 seals, while in Sanikiluaq 316 Anisakidae were isolated from 29 seals. The worms were treated with a host tissue, washed in deionized water and stored until analysis in 70% ethanol. The parasites were divided into three parts. The anterior and posterior parts were stored in 70% ethanol containing 5% glycerol and were examined using a light microscope by evaporation of the ethanol/glycerin mixture. The central parts were prepared for molecular identification by fixing in 70% ethanol. Using the polymerase chain reaction–restriction fragment length polymorphism (PCR–RFLP) method, the following members of the family Anisakidae were identified: Contracaecum osculatum A and C and Pseudoterranova bulbosa. In the studied material, more adult worms were noted than larval stages. The most numerous nematodes were P. bulbosa, and mixed infection was observed. The mean prevalence of anisakids infection was 43.2% in the Arviat and 37.9% in the Sanikiluaq communities.

Besnoitia tarandi has been documented in free-ranging reindeer and caribou (Rangifer tarandus spp.) since 1922 throughout their arctic and subarctic ranges; however, very little is known about its epidemiology. We evaluated variables associated with B. tarandi prevalence and cyst density with the use of barren-ground caribou (Rangifer tarandus) from two migratory herds in northern Quebec: the Rivière-aux-Feuilles and the Rivière-George herds. Diagnosis of infection was made upon the microscopic observation of characteristic cysts in a formalin-fixed section of skin from the anterior aspect of the metatarsus. The density of cysts (number of B. tarandi cysts/mm(2)) was calculated in a section of the dermis extending from the epidermis of the skin to the base of the hair follicles and adnexal structures. Statistically significant associations between B. tarandi prevalence and cyst density, sex, age, and time of harvest were observed. Male caribou had a slightly higher prevalence compared to females, whereas cyst densities were similar between sexes. We found a nonlinear increase in the odds of infection by B. tarandi by age combined with the opposite trend for intensity of infection. Higher B. tarandi prevalence was observed in caribou sampled in the fall compared to June of the same year, suggesting that transmission is increased during the summer. Higher densities of cysts observed during the fall compared to June of the following year may be the result of the elimination of B. tarandi cysts from the dermis during the winter, or lower winter survival of heavily infected caribou. Comparisons of B. tarandi prevalence and density across herds should take into account these different variables.

Zoonotic parasites are important causes of endemic and emerging human disease in northern North America and Greenland (the North), where prevalence of some parasites is higher than in the general North American population. The North today is in transition, facing increased resource extraction, globalisation of trade and travel, and rapid and accelerating environmental change. This comprehensive review addresses the diversity, distribution, ecology, epidemiology, and significance of nine zoonotic parasites in animal and human populations in the North. Based on a qualitative risk assessment with criteria heavily weighted for human health, these zoonotic parasites are ranked, in the order of decreasing importance, as follows: Echinococcus multilocularis, Toxoplasma gondii, Trichinella and Giardia, Echinococcus granulosus/canadensis and Cryptosporidium, Toxocara, anisakid nematodes, and diphyllobothriid cestodes. Recent and future trends in the importance of these parasites for human health in the North are explored. For example, the incidence of human exposure to endemic helminth zoonoses (e.g. Diphyllobothrium, Trichinella, and Echinococcus) appears to be declining, while water-borne protozoans such as Giardia, Cryptosporidium, and Toxoplasma may be emerging causes of human disease in a warming North. Parasites that undergo temperature-dependent development in the environment (such as Toxoplasma, ascarid and anisakid nematodes, and diphyllobothriid cestodes) will likely undergo accelerated development in endemic areas and temperate-adapted strains/species will move north, resulting in faunal shifts. Food-borne pathogens (e.g. Trichinella, Toxoplasma, anisakid nematodes, and diphyllobothriid cestodes) may be increasingly important as animal products are exported from the North and tourists, workers, and domestic animals enter the North. Finally, key needs are identified to better assess and mitigate risks associated with zoonotic parasites, including enhanced surveillance in animals and people, detection methods, and delivery and evaluation of veterinary and public health services.

The objective of this study was to establish a standardized protocol to monitor Besnoitia tarandi prevalence and intensity in barren-ground caribou (Rangifer tarandus) herds by: 1) calculating the relative sensitivity and specificity of the gross visual assessment of four anatomical sites compared with microscopic evaluation, and 2) determining which of four anatomical sampling sites was the most sensitive for detecting B. tarandi cysts by microscopy. Sampled tissues consisted of the conjunctiva of the left eye and skin sections from the rostrum, metatarsus, and thigh from 312 harvested caribou. Diagnosis of infection with B. tarandi was based on observation of at least one cyst by microscopic examination. For each tissue, the maximal density of cysts (number of B. tarandi cysts/mm(2) in the section examined) was calculated for a measured area consisting of the dermis extending from the epidermis of the skin to the base of the hair follicles and adnexal structures. For the conjunctiva, the entire submucosa was evaluated. Gross visual evaluation markedly underestimated B. tarandi prevalence in caribou with a relative sensitivity ranging from 0.29 in the conjunctiva to 0.13 in the skin section from the thigh, whereas relative specificities ranged from 0.98 to 1.00. The metatarsus and rostrum skin sections had the highest probabilities of cyst detection of all four anatomical sampling sites. The metatarsus harbored significantly higher densities of B. tarandi cysts than the rostrum, thigh, or conjunctiva. In conclusion, microscopic evaluation of a skin section from the anterior aspect of the mid-third portion of the metatarsal region could be used as a standardized comparative indicator of density of B. tarandi infection in Rangifer.

The contributions of several IPY health projects are highlighted in the context of population health indicators for Inuit Nunangat. Food and housing are two critical social determinants of health contributing to health issues on many levels. The nutritional deficit associated with food insecurity and the transition away from traditional and towards market foods represents a dual risk with profound consequences. Knowledge of the physiological benefits associated with traditional food consumption is increasing, including for mental health and chronic disease. Ensuring the safety of traditional foods in terms of zoonotic diseases is thus highly valuable and efforts to institute adequate monitoring and address knowledge gaps are underway. Acute respiratory disease among the young remains a significant public health issue with potential long term effects. The human papilloma virus is manifesting itself among women across northern Canada with high risk types that are more similar to profiles observed in Europe than in North America with possible implications for immunization programs. Despite a high prevalence of Hepatitis B virus infections among residents of Inuit Nunangat, the outcomes appear to be relatively benign. Communication of new knowledge on the manifestation of this virus among northern populations is provided to health care providers in the North through modern technology.

Human anisakidosis is a recognized Arctic zoonosis that is directly related to the consumption of traditional Inuit foods, particularly raw fish. The epidemiology of infections with the zoonotic anisakid nematodes Anisakis simplex and Pseudoterranova decipiens was investigated from August 2007 to July 2009 in Inuit-harvested fish and marine mammals from Inuit regions of Nunavik, Nunavut, and Nunatsiavut, Canada. Fish were tested for anisakid larvae using the pepsin-HCl digestion method, and the stomachs or stomach contents of beluga whales, walruses, and three seal species were examined for anisakids. Anisakids were found in seven of eight fish species, as well as in ringed seals (18.2%; 31/170), bearded seals (75.0%; 12/16), and beluga whales (78.9%; 15/19), but not walruses (0%; 0/15). In fish, the odds of being infected with A. simplex and/or P. decipiens was 68.6 (95% confidence interval, 11.6-627.7) times higher in marine fish than in anadromous fish, after adjusting for length of fish. Negative binomial models were created for animal species with large enough sample sizes and parasite prevalence estimates to assess risk factors associated with anisakid abundance. In seals, the only risk factor significantly associated with increasing anisakid abundance was increasing length (p < 0.01), while in beluga whales, the only significant risk factor was year of capture (p = 0.03). In fish, length was the variable most commonly associated with increased anisakid larval abundance, with longer fish having significantly higher larval abundances than shorter fish of the same species. The presence of A. simplex and P. decipiens in bearded seals, ringed seals, and beluga whales from Inuit hunting grounds suggests that they likely act as definitive hosts for these parasites in these environments. With respect to zoonotic disease risk associated with Inuit country foods, among the species of fish examined, Atlantic tomcod, polar cod, and sculpins represented the greatest risk of foodborne disease from A. simplex and P. decipiens.

Objectives. During the 1980s, walrus-meat consumption caused infections with the parasite Trichinella nativa in Nunavik inhabitants. In response to these events, stakeholders set up the community-based Nunavik Trichinellosis Prevention Program (NTPP). The objectives of the present communication are to review the NTPP, describe how science and action were interwoven in its development and identify its assets and limitations. Study design. Descriptive study. Methods. The NTPP relies on a pooled digestion assay of tongue samples taken from each harvested walrus. The public health recommendations depend on the results of the analyses: infected walrus meat should be destroyed; parasite-free meat may be eaten raw or cooked. Results. All communities involved in the walrus hunt participate in the NTPP and a high percentage of harvested walruses are included in the NTPP. Infected animals account for 2.9% of the walruses tested (20/694) since 1992. The NTPP permitted the early management of a trichinellosis event in 1997. Since then, it prevented the new occurrence of outbreaks related to walruses hunted by Nunavimmiut. Conclusions. The absence of recent major outbreaks of trichinellosis in Nunavik may reasonably be attributed to the NTPP. The success of the program stands on many facilitating factors such as the nature of the disease and its source, the existence of an efficient analytic method, the strong involvement of the different partners including direct resource users, as well as the comprehensive bidirectional science-to-action approach that has been followed.

The significant impact on human and animal health from parasitic infections in tropical regions is well known, but parasites of medical and veterinary importance are also found in the Arctic. Subsistence hunting and inadequate food inspection can expose people of the Arctic to food-borne parasites. Parasitic infections can influence the health of wildlife populations and thereby food security. The low ecological diversity that characterizes the Arctic imparts vulnerability. In addition, parasitic invasions and altered transmission of endemic parasites are evident and anticipated to continue under current climate changes, manifesting as pathogen range expansion, host switching, and/or disease emergence or reduction. However, Arctic ecosystems can provide useful models for understanding climate-induced shifts in host parasite ecology in other regions.

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Introduction: The objectives of this project were two-fold, to: (1) implement rapid, simple, and inexpensive test methods enabling the detection of the foodborne pathogens Escherichia coli O157:H7 and Salmonella in foods and related samples, for the purpose of establishing basic on-site food microbiology testing capability at the Nunavik Research Centre (NRC) in Kuujjuaq, with the provision of hands-on training in the operation of methods; and (2) use this new capability to conduct a survey of the eastern Canadian Arctic in order to ascertain the prevalence of E. coli O157:H7 and Salmonella in traditional meats derived from arctic food animals.Methods: To verify the effectiveness of training provided to NRC staff, proficiency test samples consisting of ground beef inoculated with salmonellae and E. coli O157:H7 were prepared by the Proficiency Testing Unit of the Canadian Food Inspection Agency (CFIA) and shipped to the NRC for analysis. The NRC laboratory demonstrated 100% accuracy in the identification of the target pathogens in all samples, demonstrating the successful implementation of on-site test capability. For the prevalence study, a total of 129 samples from arctic mammals, fowl, fish and environmental swabs from community freezers were analyzed at both the NRC and CFIA laboratories.Results: No E. coli O157- or Salmonella-positives were identified for any of the samples examined.Conclusion: These results represent a first step towards the creation for future reference of a database on the prevalence of the pathogens E. coli O157 and Salmonella.