From science to action and from action to science: the Nunavik Trichinellosis Prevention Program.
OBJECTIVE
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.
Centre Québécois sur la Santé des Animaux Sauvages/Canadian Cooperative Wildlife Health Center, Saint-Hyacinthe Faculty of Veterinary Medicine, University of Montréal, St-Hyacinthe, QC, Canada.
Sylvain
S
Larrat
Manon
M
Simard
Stéphane
S
Lair
Denise
D
Bélanger
Jean-François
JF
Proulx
D000818:Animals; D001110:Arctic Regions / Q000453:epidemiology; D004196:Disease Outbreaks / Q000517:prevention & control; D006293:Health Promotion; D006801:Humans; D011159:Population Surveillance; D011792:Quebec; D014235:Trichinellosis / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control*; D014856:Walruses / Q000469:parasitology