title: Backcountry Travel Emergencies in Arctic Canada: A Pilot Study in Public Health Surveillance.
abstract: Residents in the Canadian Arctic regularly travel in remote, backcountry areas. This can pose risks for injuries and death, and create challenges for emergency responders and health systems. We aimed to describe the extent and characteristics of media-reported backcountry travel emergencies in two Northern Canadian territories (Nunavut and Northwest Territories). A case-series of all known incidents between 2004 and 2013 was established by identifying events in an online search of two media outlets, Nunatsiaq News and Northern News Services. We identified 121 incidents; these most commonly involved young men, and death occurred in just over 25% of cases. The territories differed in the seasonal patterns. News media provides a partial source of data to estimate the extent and characteristics of backcountry emergencies. This information is needed to improve emergency preparedness and health system responsiveness in the Arctic.
authors.affiliation: Institute for Circumpolar Health Research, Yellowknife, NT X1A 3X7, Canada. stephanie.young@ichr.ca.
authors.forename: Stephanie K
authors.initials: SK
authors.lastname: Young
authors.affiliation: Qaujigiartiit Health Research Centre, Iqaluit, NU X0A 0H0, Canada. taha.tabish@qhrc.ca.
authors.forename: Taha B
authors.initials: TB
authors.lastname: Tabish
authors.affiliation: Labrador Institute, Memorial University, Happy Valley-Goose Bay, NL A0P 1E0, Canada. nathaniel.pollock@med.mun.ca.
authors.forename: Nathaniel J
authors.initials: NJ
authors.lastname: Pollock
authors.affiliation: School of Public Health, University of Alberta, Edmonton, AB T6G 1C9, Canada. kue.young@ualberta.ca.
authors.forename: T Kue
authors.initials: TK
authors.lastname: Young
mesh_terms: D001110:Arctic Regions / Q000453:epidemiology; D002170:Canada / Q000453:epidemiology; D019090:Case Management; D057231:Climate Change; D004630:Emergencies / Q000453:epidemiology*; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration / Q000706:statistics & numerical data*; D006303:Health Services, Indigenous / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008402:Mass Media; D008507:Medically Underserved Area; D015873:Northwest Territories / Q000453:epidemiology; D020957:Nunavut / Q000453:epidemiology; D010865:Pilot Projects; D044382:Population Groups; D062486:Public Health Surveillance / Q000379:methods; D012040:Regional Health Planning; D014195:Travel
keywords: Canada; Indigenous; aboriginal; arctic regions; rural health; search and rescue; transportation