What's in your freezer? Traditional Food Use and Food Security in Two Yukon First Nations Communities Roseanne C. Schuster B.Sc, Canisius College, 2007 Thesis Submitted in Partial Fulfillment of The Requirements for the Degree of Master of Science In Community Health Sciences The University of Northern British Columbia August 2009 © Roseanne C. Schuster, 2009 1*1 Library and Archives Canada Bibliotheque et Archives Canada Published Heritage Branch Direction du Patrimoine de I'edition 395 Wellington Street Ottawa ON K1A 0N4 Canada 395, rue Wellington OttawaONK1A0N4 Canada Your Tile Votre reference ISBN: 978-0-494-60813-5 Our file Notre reference ISBN: 978-0-494-60813-5 NOTICE: AVIS: The author has granted a nonexclusive license allowing Library and Archives Canada to reproduce, publish, archive, preserve, conserve, communicate to the public by telecommunication or on the Internet, loan, distribute and sell theses worldwide, for commercial or noncommercial purposes, in microform, paper, electronic and/or any other formats. L'auteur a accorde une licence non exclusive permettant a la Bibliotheque et Archives Canada de reproduire, publier, archiver, sauvegarder, conserver, transmettre au public par telecommunication ou par I'lnternet, preter, distribuer et vendre des theses partout dans le monde, a des fins commerciales ou autres, sur support microforme, papier, electronique et/ou autres formats. The author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author's permission. L'auteur conserve la propriete du droit d'auteur et des droits moraux qui protege cette these. Ni la these ni des extraits substantiels de celle-ci ne doivent §tre imprimes ou autrement reproduits sans son autorisation. In compliance with the Canadian Privacy Act some supporting forms may have been removed from this thesis. Conformement a la loi canadienne sur la protection de la vie privee, quelques formulaires secondaires ont ete enleves de cette these. While these forms may be included in the document page count, their removal does not represent any loss of content from the thesis. Bien que ces formulaires aient inclus dans la pagination, il n'y aura aucun contenu manquant. 1+1 Canada Abstract Traditional foods are central to Aboriginal well-being; however the trend of decreasing use can pose risks of chronic diseases. This study collected information on the frequency and quantity of traditional foods consumed and level of food security of 29 Vuntut Gwitchin adults from Old Crow and 33 Teslin Tlingit adults in Yukon, Canada. Traditional foods were shown to be an important part of the diet, although challenges in access to and availability of foods were reported. There are limited data on mercury in caribou, a principal food source of the Vuntut Gwitchin. Seventy-five caribou muscle, 63 kidney and 3 liver samples were analyzed for total mercury. Estimated total mercury and methylmercury exposure and nutrient intake was calculated by combining mercury and nutrient levels with reported dietary information. Caribou issues were found to contribute high levels of important nutrients to the diet and pose minimal health risk from mercury exposure. TABLE OF CONTENTS Abstract Table of Contents List of Tables List of Figures Acknowledgements Contribution of Authors ii iii v vi vii viii Introduction Rationale Research Questions Organization 1 2 3 3 Chapter 1: Literature Review Food Security Factors Affecting Traditional Food Security Factors Affecting Market Food Security Food Use and Nutrition Nutrition Chronic diseases Mercury in Traditional Foods Methylmercury and Aboriginal Peoples Risk Benefit Assessments of Traditional Food Consumption 4 5 6 8 10 12 14 16 16 19 Chapter 2: Importance of traditional foods for the food security of two First Nations communities in Yukon, Canada Introduction Methods Communities Ethics and Research Agreements Data Collection Food Frequency Questionnaires Food Security Data Analysis Results Participants Food frequency Comparison between 1991-1992 and 2007-2008 Age and Gender Food Security 24 25 28 28 29 30 30 31 31 33 33 35 40 46 49 in Discussion Limitations Validity of comparison Frequency of food use Food security Conclusion 55 55 55 55 58 61 Connecting Bridge 62 Chapter 3: Assessing risk of mercury exposure and nutritional benefits of consumption of caribou (Rangifer tarandus) in the Vuntut Gwitchin First Nation community of Old Crow, Yukon, Canada Introduction Methods Community Ethics Food Frequency Questionnaires Mercury Analysis of Caribou Results Discussion Conclusion 63 64 67 67 67 67 68 71 78 81 Chapter 4: Conclusions 82 References 85 Appendices Appendix 1 Appendix 2 Appendix 5 Appendix 6 Appendix 7 Appendix 8 Appendix 9 Appendix 10 97 98 102 119 120 121 122 123 iv List of Tables Table 2.1. Household participation 34 Table 2.2. Participant demographics 34 Table 2.3a. Quantity of traditional foods consumed by adults in Vuntut Gwitchin households (n=26) 36 Table 2.3b. Quantity of traditional foods consumed by adults in Teslin Tlingit households (n=32) 38 Table 2.4a. Frequency of traditional food use by adults in Vuntut Gwitchin households in 1992 and 2008 41 Table 2.4b. Frequency of traditional food use by adults in Teslin Tlingit households in 1992 and 2008 44 Table 2.5. Median, mean and standard deviation g/day of traditional food consumption for adults in Old Crow and Teslin 47 Table 2.6a. Median, mean and standard deviation for foods where there was significant differences between genders 48 Table 2.6b. Median, mean and standard deviation for foods where there was significant differences between age groups 48 Table 2.7. Access to traditional foods 54 Table 3.1. Reported consumption (g/person/day) of Porcupine Caribou muscle, kidney and liver 72 Table 3.2. THg and MeHg concentrations in Porcupine Caribou muscle, kidney and liver 74 Table 3.3. THg and MeHg intake from the consumption of Porcupine Caribou muscle, kidney and liver 74 Table 3.4a. Contribution of caribou muscle, kidney and liver to nutrient intake in women (n=14) 76 Table 3.4b. Contribution of caribou muscle, kidney and liver to nutrient intake in men (n=12) v 77 List of Figures Fig. 2.1. First Nations traditional territory map of the Yukon (Wein & Freeman, 1995, p. 162; Reprinted with permission from the Arctic Institute of North America 29 Fig. 2.2a. Self-observed changes in diet of traditional food categories by adults in Vuntut Gwitchin households (n=25) 51 Fig. 2.2b. Self-observed changes in diet of traditional food categories by adults in Teslin Tlingit households (n=27) 51 Acknowledgements This project would not have been possible without the community members of Old Crow and Teslin. I sincerely appreciate your warm welcome and willingness to share your knowledge and experiences with me. Special thanks to the research assistants: Tracy Kapuschak, Bertha Frost, Edna Kyikavichik and Lorraine Peter (community coordinator) of Old Crow and Santana Jules, Brittany Desjarlais and Marianne Keenan (community coordinator) of Teslin. Thanks to my supervisor, Dr. Laurie Chan, who continually challenged me to take this thesis in new directions. I appreciate the contextual conversations of my committee members, Drs. Josee Lavoie and Karyn Sharp. I would like to thank Pam Tobin for her guidance, quick laughter and perspective throughout the project. I appreciate the data support of Amy Ing, the nutritional expertise of Angela Grigg, the perspective of Neil Hanlon and the statistical assistance of Drs. Paul Siakaluk and Peter MacMillan. I have thoroughly enjoyed the supportive learning environment and friendship of the members of the Chan Lab; sharing ideas, developing new strategies and savoring potlucks has been an important part of my time in Prince George. I would also like to thank my officemates and colleagues for your willingness to brainstorm over tea during the various stages of the conceptualization and thesis-writing process. Finally, thanks to my family and friends for your love, encouragement and varied conversation topics that kept me from becoming buried in this thesis. The funding for this project was provided by the Natural Science and Engineering Research Council of Canada through the International Polar Year Program and by a Team Grant from the Canadian Institute of Health Research, both through Dr. Chan, and a UNBC/Michael Smith Health Research Award to Roseanne Schuster. Roseanne Schuster was also supported by a Fulbright Scholarship from the U.S. Department of State and the Donald B. Rix BC Leadership Chair for Aboriginal Environmental Health Student Award. vii Contribution of Authors This is a manuscript-based thesis and includes two manuscripts to be submitted for publication (Chapter 2 and Chapter 3). Chapter 2 is authored by Roseanne Schuster and coauthored by Eleanor E. Wein, Cindy Dickson and Laurie Hing Man Chan. Chapter 3 is authored by Roseanne Schuster and co-authored by Mary Gamberg and Laurie Hing Man Chan. The contributions of each of the authors for the manuscripts are stated below: In respect to Chapter 2, Roseanne Schuster developed the study methodology, collected the 2007-2008 data, performed the statistical analysis and communicated results with the communities. Eleanor Wein supported the method development and shared the 1991-1992 food frequency data. Cindy Dickson of the Council of Yukon First Nations facilitated community engagement. Laurie Hing Man Chan initiated the project and advised the work of Roseanne Schuster. In respect to Chapter 3, Roseanne Schuster analyzed the caribou muscle samples for mercury content and performed all data analyses for estimated mercury exposure and nutrient intake. Mary Gamberg was responsible for the collection of all caribou samples and analysis of mercury levels in the liver and kidney samples. Laurie Hing Man Chan initiated the project and supervised the work of Roseanne Schuster. vni INTRODUCTION While traditional foods are recognized to contribute to the health and well-being of Aboriginal Peoples, there is an increasing inclusion of market foods in the diet (Batal et al, 2005; Deutch et al, 2007; Wein, 1994b). The replacement of nutrient-rich traditional foods with market foods high in carbohydrates and saturated fats has been identified as a risk factor for increased occurrences of chronic disease associated with the rapid nutrition transition (Damman et al, 2007; Kuhnlein et al, 2004; Popkin, 2009). This shift in diet has occurred due to a combination of socio-economic and environmental pressures that threaten food security in northern communities (Guyot et al, 2006; Lambden et al, 2006; Willows, 2005). The chemical contamination of traditional food sources has also become a food security issue in recent decades. The developmental neurotoxin methylmercury has been welldocumented in fish and marine mammals, raising concern about prenatal exposure through Aboriginal mothers' traditional diet (Gabrielsen et al, 2003; Kuhnlein & Chan, 2000; Muckle et al, 2001). Caribou is one of the traditional foods most frequently consumed among by Yukon First Nations (Wein & Freeman, 1995), yet there are gaps in the literature surrounding mercury in these terrestrial animals (Gamberg, 2004, 2007; Gamberg et al, 2005). It is important to assess the safety of caribou as even low levels of mercury can pose human health risk if frequency and quantity of consumption are sufficiently large. 1 Rationale In 1991-1992, Wein & Freeman (1995) surveyed three Yukon First Nations living in four communities for frequency of traditional food use. Traditional foods, particularly caribou, moose and salmon, were found to be important components of the daily diet of Yukon First Nations. The Vuntut Gwitchin First Nation community of Old Crow consumed and the Tlingit community of Teslin reported the highest frequencies of traditional food use. Since then, environmental and socio-economic pressures have continued to pose challenges to traditional lifestyles, and communities across the north have reported concerns for the integrity of their traditional food systems (Bird et al, 2008). Recent studies (Kuhnlein et al, 2006; Kuhnlein & Receveur, 2007; Kuhnlein et al, 2004; Nakano et al, 2005b) have been conducted on the frequency of traditional food use and nutrient intake among adults in other Yukon First Nations communities but have not included the original four surveyed by Wein and Freeman (1995). Identifying potential trends in traditional food consumption patterns is an important aspect of food security. The chemical contamination of traditional food sources is a concern reported by many northern communities. The Vuntut Gwitchin have sustained a unique relationship with the Porcupine Caribou Herd for centuries, and the caribou is central to both the diet and culture of the Vuntut Gwitchin. Investigating mercury levels in the caribou, which is the most frequently consumed traditional food in Old Crow, is important for the Vuntut Gwitchin First Nation's maintenance of traditional lifestyle, health and well-being. 2 Research Questions There are two main objectives to this thesis. The first is to evaluate traditional food consumption patterns in the context of food security in Vuntut Gwitchin households in Old Crow and Tlingit households in Teslin. The second goal is to investigate mercury levels in archived caribou samples. In order to address these objectives, the following research questions have been asked and will be addressed within this thesis: ••• Has there been a change in traditional food consumption among adults in Vuntut Gwitchin and Tlingit households in Old Crow and Teslin between 1991-1992 and 2007-2008? o Are there differences between age groups and genders? ••• What, if any, are the challenges to food security in each community? • Does mercury exposure through consumption caribou muscle, kidney and liver pose a health risk to consumers? • What nutritional benefits do Vuntut Gwitchin adults receive through consuming caribou meat, kidney and liver? Organization This thesis is organized in a manuscript format, with the two middle chapters presenting study results written as manuscripts that will be further prepared for publication. The first chapter positions this thesis among the literature on northern food security, nutrition and chemical contaminants in traditional food sources. The second chapter answers the first two research questions and the third chapter addresses the third and fourth research questions in manuscript format. The concluding chapter integrates the main points from the two manuscripts and the literature review. 3 CHAPTER 1: LITERATURE REVIEW Traditional foods can be defined as culturally accepted foods available from local natural resources that constitute the food systems, with food systems encompassing the socio-cultural implications, harvesting, preparation, use, composition and nutritional consequences for people using the food (Kuhnlein et al, 2001). Traditional food systems vary according to the geography and culture of Indigenous Peoples. Throughout this thesis, traditional foods will be used to refer to the general food systems of Aboriginal Peoples (First Nations, Inuit and Metis) and when specified will focus on the foods systems of a particular group. The health benefits of traditional foods are widely recognized by Aboriginal Peoples. When asked about the most important advantage of traditional foods, the most common answer of Dene/Metis, Yukon First Nations and Inuit across the Arctic is its contribution to physical health and nutritional well-being (Kuhnlein et al, 2000; Lambden et al, 2007). Almost half (42%) of Inuit mothers interviewed in Nunavik reported increasing their traditional food consumption during pregnancy, with 26% for reasons of perceived health benefits for mother and/or child (Muckle et al, 2001). In a survey of Yukon First Nations, 24% of 802 male and female respondents chose healthy and nutritious as the most important advantage of traditional foods (Receveur et al, 1998). Yukon First Nations have also expressed the belief that the consumption of moose, salmon and caribou is important for health (Wein, 1994a). In interviews on the benefits of traditional foods, Dene/Metis, Inuit, and Yukon First Nations have made comments to the effect that "[traditional food] makes your blood strong" (Lambden et al, 2007, p. 312). Furthermore, regular engagement in hunting, fishing, berry picking and plant harvesting contribute to fitness and overall health 4 (Deutch et al, 2007; Kuhnlein & Receveur, 1996; Lambden et al, 2007; Wilson & Rosenberg, 2002). However, the harvesting, preparation and consumption of traditional foods represent much more than physical health and nutrition to Aboriginal Peoples (Kuhnlein & Receveur, 1996; Muckle et al, 2001; Van Oostdam et al, 2005; Wein & Freeman, 1992). The cultural values inherent in these food-centered activities form the basis for societal well-being and cultural identity (Egede, 1995; Kuhnlein et al, 2000; Wein & Freeman, 1992). Comments from Dene/Metis, Yukon First Nations and Inuit women on the importance of traditional foods have included "keeps our tradition," "brings people together" and "involves family in food preparation]" (Lambden et al., 2007, p. 312). Harvesting and preparation activities facilitate inter generational knowledge transfer between elders and youth and maintain the spiritual connection with the land (Kuhnlein et al., 2000; Richmond & Ross, 2009; Wheatley, 1994). Furthermore, the circumpolar Survey of Living Conditions in the Arctic (SLCiA) showed a strong relationship between levels of subsistence activities and overall satisfaction with life (Poppel et al, 2007). The societal and spiritual health benefits of harvesting and using traditional foods are important to individual and community well-being. Food Security Food security has been defined as existing "when all people, at all times, have physical and economic access to sufficient, safe and nutritious food to meet their dietary needs and food preferences for an active and healthy life" (Food and Agriculture Organization, 1996, para. 1). The World Health Organization notes that availability, access and appropriate use are the three pillars of food security (World Health Organization, 2008). Evaluating food security among Aboriginal Peoples must take into consideration their 5 culturally specific relationships with the land and the central role food plays in culture (Lambden et al, 2007; Power, 2008). Food security in a northern and Aboriginal context has been modified to include "the continual and predictable availability and access to food derived from northern environments through Indigenous cultural practices (Paci et al, 2004, p. 1). Factors affecting Yukon First Nations' food security include environmental changes, prohibitive costs, and lack of adequate and functional equipment for harvesting country foods as well as access to and availability of imported market foods (Lambden et al., 2006; Wein, 1994a). Factors Affecting Traditional Food Security Modification of the environment, chemical contamination and climate change are principal among environmental stresses affecting traditional food security (Loring & Gerlach, 2008; Willows, 2005). Disrupted water flows, changes in animal populations, and local chemical contamination can result from industrial activities (Willows, 2005). In addition to local industries, naturally occurring sources and long-range oceanic and atmospheric transport contribute to the presence of contaminants such as metals and organochlorines in the Arctic and subarctic (Arctic Monitoring and Assessment Programme, 2004; Brooks et al., 2005). Many of these contaminants bioaccumulate, building up in plants and animals in the environment. Some contaminants biomagnify, meaning that their levels increase according to the animals' position in the food chain, with highest levels in top-level trophic animals. The bioaccumulative properties of these contaminants have raised concerns for the safety of traditional foods for Aboriginal consumers. While this concern may be warranted for consumers of high trophic level animals, such as the Inuit whose diet consists of large quantities of seals and whales, contaminant exposure is generally less for other Aboriginal populations who consume primarily terrestrial herbivorous animals (Berti et al., 6 1998; Chan & Receveur, 2000; Hansen & Gilman, 2005). However, the perception of high health risk due to contamination is pervasive, as well as the confusion about which foods are safe and which are unsafe (Chan & Receveur, 2000; Usher et al, 1995). The lack of comprehensive exposure assessments and improper or ineffective communication of information are among the reasons for this confusion and have led to unnecessary changes in food consumption patterns (Berti et al, 1998; Myers & Furgal, 2006; Usher et al, 1995; Wheatley, 1997; Willows, 2005). Climate change has raised concerns that the predictability, availability and quality of traditional foods will be affected (Loring & Gerlach, 2008; Paci et al, 2004). Effects of climate-related changes differ between communities based on location and baseline climate, but overall trends show decreases in ice thickness and/or cover, fluctuations in precipitation and an increased unpredictability in weather (Guyot et al, 2006; Nancarrow, 2007). Changes in species presence and migration patterns have affected the length and calendar time of hunting season (Guyot et al, 2006). This changed hunting period combined with fluctuations in ice cover and snow melt have made personal safety an issue in deciding when to go out on the land to harvest (Guyot et al, 2006; Nancarrow, 2007). Time and income can act as barriers in a economy where both wage employment and subsistence activities are pursued (Chan et al, 2006; Kruse, 1991). Individuals engaged in regular wage-earning jobs may not have the time required to make harvesting trips to far destinations as was traditionally done. For example, in an Inupiat community where residents reported working more months at wage jobs than surrounding communities, households were observed to derive less food from subsistence activities (Kruse, 1991). Inuit in Nunavut have reported restricting harvesting activities to weekends and relying on elders 7 to feed younger generations as results of time demands (Chan et al, 2006). Still, the issue is more complex than a subsistence-wage economy trade-off. For instance, subsistence activities themselves have become more technologically enhanced, and money is necessary to purchase and maintain equipment including snow machines, gas, and ammunition (Loring & Gerlach, 2008; Poppel et al, 2007). Women in Yukon First Nations, Dene/Metis, and Inuit households have reported not having enough equipment for hunting and fishing, as well as perceiving these activities as cost-prohibitive (Lambden et al, 2006). Those belonging to the highest income bracket of Northern Alaskan Inupiat households most frequently reported obtaining over half their food from subsistence activities (Kruse, 1991). However, the circumpolar SLCiA failed to establish a relationship between number of subsistence activities and wage work as measured by income, suggesting there are factors in addition to time and money that are involved in this dynamic relationship (Poppel et al, 2007). Those factors may include proximity to harvesting areas and type and expense of equipment required for the particular harvesting. Factors Affecting Market Food Security Market foods now account for a larger proportion of First Nation Peoples' diets than previous decades, and obtaining and choosing nutritious market foods can be challenging (Lawn & Harvey, 2003; Wein, 1994a; Willows, 2005). In northern and remote communities, cost is often a prohibitive factor in obtaining nutritious market foods (Chan et al, 2006; Lambden et al, 2006; Wein, 1994a). In a survey of 1771 women across 44 Arctic Dene/Metis, Yukon First Nations and Inuit communities, between 26% and 58.3% reported not being able to afford all food items their household needed from the store (Lambden et al, 2006). 8 High prices in stores in remote and northern communities result from the expense of transporting goods long distances by truck, ship or air as well as the monopolies involved. In comparing four Yukon communities, Wein (1994) found prices increased in the following order: Whitehorse, Teslin, Haines Junction and Old Crow. The first three are accessible along the Alaska Highway, while goods must be flown into Old Crow (Indian and Northern Affairs Canada, 2007). Using information from the 1990 Northern Food Basket, which represents the cost of a nutritionally adequate diet for one week for a family of four, prices in Whitehorse, Teslin and Old Crow were 117%, 134% and 318% the cost of the same Northern Food Basket in Edmonton (Wein, 1994a). The Revised Northern Food Basket was released in 2007 to reflect market food consumption patterns of northern communities, and healthier alternatives were exchanged for previously included items, such as skim milk for 2% evaporated milk (Lawn & Hill, 2007). In 2008, the price of the Revised Northern Food Basket was $207 and $496 in Whitehorse and Old Crow, respectively (Indian and Northern Affairs Canada, 2009). The cost of market foods in Old Crow has been consistently at least two and a half times that in Whitehorse, a reflection of the challenges communities face in obtaining nutritious market foods in northern and remote locations. The Canadian Government began the Food Mail Program in 1993 in an effort to address the high shipping costs foods going to remote locations. This program subsidizes transportation costs so that recipients pay $0.75 per parcel in addition to $0.80/kg and $2.15/kg for perishable and non-perishable foods, respectively (Indian and Northern Affairs Canada, 2007). This represents a decrease from 1992 prices, which shipped perishables for $1.50/kg (Indian and Northern Affairs Canada, 2007). Old Crow is the only Yukon community to which the Food Mail Program is offered; however the local store does not 9 utilize the Food Mail program for non-perishables as it would not significantly reduce the cost (Indian and Northern Affairs Canada, 2009). Some community members order foods from Whitehorse on their own (Vuntut Gwitchin First Nation, 2006); still, there are perceived problems with accessing the Food Mail Program, including the need for a credit card, planning ahead, and the delay in shipments from Whitehorse due to weather and overweight planes (Community member, personal communication, March 2008). Additional factors influencing the availability of market foods in stores in northern communities include limited selection, poor nutritional quality and poor condition of perishables (Bird et al, 2008; Chan et al., 2006; Deutch et al, 2007; Wein, 1994a). To minimize losses from spoilage of perishable foods, stores tend to import foods with a longer shelf-life, just as families with low incomes may choose foods that can be stored longer (Tobin, 2007). Together these factors mean that the foods made available in remote locations tend to be higher in preservatives, carbohydrates and saturated fats (Milburn, 2004). Selection and quality of perishables is particularly limited in more remote locations. For example, the actual shipment of goods to Old Crow depends on availability of space in the transporting aircraft (Wein, 1994a). Coupled with limitations in inventory space in small stores, limited selection results in desirable foods disappearing from shelves soon after delivery (Wein, 1994a). Food Use and Nutrition Frequency of traditional food use has been shown to vary with geography, season, sex, age and identity of the Aboriginal community (Batal et al, 2005; Kuhnlein et al, 1996; Receveur et al., 1997; Wein & Freeman, 1995). Consumption of traditional foods increases with northern latitudes and remoteness, and seasonal availability dictates species 10 representation in the diet (Kuhnlein et al, 1994; Nakano et al, 2005b; Receveur et al, 1997; Wein & Freeman, 1995). In Yukon First Nations, terrestrial animals make up the largest group of traditional foods, with moose and caribou the most frequently consumed species (Batal et al, 2005; Nakano et al, 2005b; Wein & Freeman, 1995). Men generally consume more traditional foods than women, and older individuals tend to consume more traditional foods than younger individuals; however there is not a clear pattern when age and gender are considered together (Kuhnlein et al., 2004; Receveur et al., 1997; Wein et al., 1991). In a study of 44 Dene/Metis, Yukon First Nations and Inuit communities, men aged 20-40 consumed more traditional food than women of the same age group (Kuhnlein et al, 2004). The same study showed that traditional foods accounted for 10-36% of total energy intake. Traditional food consumption is lower still for children. In a study of children from three Dene/Metis and two Yukon First Nations communities, traditional foods accounted for 4.5% of total energy intake, with the highest rate in Old Crow (10.7%) and the lowest in Carcross (0.4%) (Nakano et al, 2005a). Fat and sweets made up 21% and 20% of the children's energy intake from market food consumption, with grains and then fruit and vegetables accounting for 20% and 8%, respectively (Nakano et al., 2005a). Still, First Nations have reported a preference for traditional foods over their market equivalents (Wein, 1996; Wein & Freeman, 1992). In reporting their perceived ideal diet when both traditional and market foods are abundant, respondents from four Yukon First Nations communities chose foods that would result in a diet lower in energy from fat as well as higher in iron and vitamins A and C when compared with their actual diet (Wein, 1996). Over one-third (37%) of individuals from all communities interviewed noted that they would prefer to eat more or mostly traditional foods, with other frequent comments supporting a 11 preference for more wild meat and an increased variety of both traditional and market foods (Wein, 1996). Yukon First Nations value the purity and natural characteristics of traditional foods, expressing concern for the chemical preservatives and additives in market foods (Lambden et al, 2007; Wein, 1996). Aboriginal Peoples' high regard for the purity of traditional foods is one aspect of their spiritual connection with traditional foods and the land. The Haudenosaunee Runner (2000, p.2) compares food to medicine, and notes "Food is a sacred gift of Creation meant to nourish our mind and bodies." This sentiment is shared by others, with Ship (1997a, para. 2) agreeing that food is eaten "not only to nourish our bodies but also to nourish our souls." Aboriginal Peoples believe that spiritual energy is associated and transferred with food. Therefore the individual must be in a good frame of mind while planting, nurturing, harvesting, and preparing the food because his or her energy goes into the food, and this energy will transfer to those who consume it (Elder G. Rossetti, personal communication, May 8 2008). Nutrition Traditional foods, particularly animal foods, are important sources of the critical vitamins and nutrients necessary for good health (Hidiroglou et al, 2008; Kuhnlein et al, 1994; Kuhnlein et al, 2002; Kuhnlein & Receveur, 2007; Kuhnlein et al, 2004; Moses et al, 2009). Even when consumed in low quantities, traditional foods contribute large amounts of important nutrients so that individuals have significantly higher micronutrient intakes in days when traditional foods are consumed than in days where traditional foods are not part of the diet (Deutch et al, 2007; Kuhnlein et al, 2006; Kuhnlein & Receveur, 1996, 2007; Kuhnlein et al, 2004; Receveur et al, 1997; Receveur et al, 1998). Although traditional foods contributed an average of just 17% of daily energy in four Yukon First Nations communities, 12 they were responsible for 50% or more of daily intakes of protein, vitamin B12, riboflavin, niacin, iron and zinc (Wein, 1995). Consumption of meat and fish are important sources of iron, protein and n-3 fatty acids (Kuhnlein et al, 2008; Kuhnlein et al, 1996). Cheap market foods tend to be low in nutrients and high in saturated fats, and their increased inclusion in the daily diet has generated concern that Aboriginal Peoples are lacking the critical nutrients found in a diet of mainly traditional foods. Low levels of magnesium, folate, calcium, fiber, and vitamins A, D, and E have been reported in Aboriginal diets across Canada (Kuhnlein et al, 2006; Kuhnlein et al, 2008; Wein, 1995). Close to 100% of all age and gender groups of Dene/Metis, Yukon First Nations and Inuit surveyed fell below the estimated average requirement (EAR) for Vitamin E, with almost 100% of all Dene/Metis below recommendations for Vitamin A as well (Kuhnlein et al, 2006). Age-related differences in vitamin A intake among Inuit have been linked with differences in consumption of traditional foods, with younger Inuit consuming foods that are rich in vitamin A (Egeland et al, 2004). Among Yukon First Nations, no consistent age or gender pattern was observed with levels of vitamins A, D and E (Kuhnlein et al, 2006). Older women (> 40) and young men (< 40) had better status with vitamin A, with only 15% and 0% falling below the EAR, respectively. All gender and age groups had a high percentage falling below the EAR for vitamin D, this time with 100% of both older women and young men below the EAR, and all individuals in the four groups below EAR for vitamin E. In studies with children from two Yukon First Nations and three Dene/Metis communities, average intake levels showed more than 50% of children aged 10-12 had levels below the EAR for calcium, phosphorous, 13 dietary fiber, co-6- fatty acids, co-3 fatty acids and vitamins A,D and E, and girls alone were likely inadequate for magnesium (Nakano et al, 2005a). Chronic Diseases The global nutrition transition created by shifts in diet and activity patterns has been characterized by the emergence of chronic diseases such as obesity, diabetes and cardiovascular diseases and has disproportionally affected Indigenous Peoples (Popkin, 2009). During the past half-century Indigenous Peoples have experienced a relatively rapid change in lifestyle, with a dietary trend shifting towards increased consumption of foods high in carbohydrates and saturated fats while simultaneously receiving less nutritional benefits due to decreased consumption of traditional foods (Damman et al, 2007; Kuhnlein & Receveur, 1996; Milburn, 2004). While there is a global trend of increasing nutrition-related chronic diseases, Indigenous Peoples are recognized to have higher rates of obesity, diabetes and cardiovascular diseases compared with national averages (Johnson et al, 2002; Kuhnlein et al, 2004; Kuperberg & Evers, 2006; Milburn, 2004; Popkin, 2009). The Aboriginal Peoples of Canada are part of this rapid nutrition transition and, in addition, are reporting higher poverty and hunger rates than non-Aboriginals in Canada (Willows, 2005). Poverty is a predictor of poor nutrition among adults, as individuals with low incomes tend to purchase cheap and filling foods characterized by low nutrient content and high levels of saturated fat and refined carbohydrates (Bhattacharya et al, 2004; Damman et al, 2007; Drewnowski & Specter, 2004). This, coupled with additional aspects of food insecurity discussed in previous sections, places Aboriginals at high risk for obesity (Damman et al, 2007; Kuhnlein et al, 2004). Mid-1990s prevalence of obesity for 41-60 year old Yukon First Nations and Inuit women (31% and 38%, respectively) greatly exceeded the prevalence for all Canadian women of 12% (Kuhnlein et al, 2004). The 14 prevalence of childhood obesity among First Nations is also higher than the Canadian average (Nakano et al, 2005a; Willows et al, 2007). First Nations youth and adults identified the social factors of low literacy levels and disempowerment as barriers to healthy eating and physical activity in addition to high cost and access to healthy market foods (Skinner etal, 2006). In the past fifty years, the endocrine disease diabetes mellitus has emerged from an essentially nonexistent disease among Aboriginal populations to one of primary health concern (Johnson et al, 2002). Risk factors for diabetes include obesity, sedentary lifestyle, high cholesterol, high blood pressure and age (Health Canada, 2000; Public Health Agency of Canada, 2003). Type 2 diabetes, characterized by the body's resistance to insulin or insufficient insulin production, is the form of diabetes most commonly afflicting Aboriginal Peoples (Young et al, 2000). The prevalence of diabetes among First Nations is three to five times the national average, with all age groups displaying high rates (Dannenbaum et al, 2008; Health Canada, 2000). It is not just the high rates that are of concern; rather the combination with early onset, severity at diagnosis, high rates of complications, lack of accessible services, increasing trends and increasing prevalence of risk factors have contributed to this epidemic (Health Canada, 2000). Studies have shown a north-south gradient among First Nations populations, with a higher prevalence of diabetes in more southerly communities (Green et al, 2003; Johnson et al, 2002; Martens et al, 2007). This can be inversely linked with a north-south gradient in traditional food use and accompanying nutritional benefits, with lower amounts of traditional foods consumed in more southern communities. However, type 2 diabetes is poised to become a greater concern in northern 15 and remote communities as medical surveillance improves and socio-cultural and dietary changes continue to occur (Green et al, 2003). Mercury in Traditional Foods The contamination of arctic biota with mercury from anthropogenic sources has become an issue of concern for Aboriginal food safety. Recent mercury levels measured in northern Aboriginal Peoples' teeth and hair are comparable to or higher than historic levels even though current populations rely less on subsistence food, corresponding to an increase in global anthropogenic mercury releases (Braune et al, 2005; Egeland et al, 2009). Mercury has a residence time of one to two years in the atmosphere, which allows it to be transported long distances via oceanic and atmospheric processes (Brooks et al, 2005; Pacyna, 2005). Atmospheric elemental mercury (Hg ) undergoes oxidation to Hg + and is removed from the atmosphere by dry deposition or precipitation in the forms of rain, snow, and fog (Brooks et al, 2005). In rivers and oceans, sediment bacteria convert Hg + into methylmercury (CH3Hg+), the most toxic form of mercury and the one that readily bioaccumulates and biomagnifies in organic tissues (Hansen & Gilman, 2005). In the terrestrial environment, soil microorganisms can reduce the deposited mercury back into volatile compounds which return to the atmosphere (Hansen & Gilman, 2005). Methylmercury and Aboriginal Peoples Methylmercury is a well-known neurotoxin that targets the brain and kidneys (United Nations Environmental Programme, 2002). Retrospective cohorts of adults exposed to high doses of methylmercury in Iraq and Japan have exhibited a high prevalence of mental and neurological disorders including paresthesia and sensory disturbances (Bakir et al, 1973; Harada, 1995). Studies also suggest methylmercury is a potential carcinogen and contributor to adverse effects on the cardiovascular system (United Nations Environmental Programme, 16 2002). The half-life of methylmercury in the human body averages 46 days for lactating women, 70 days for adults, and 90 days for children (Swartout & Rice, 2000). Methylmercury is of particular concern in fetal development. Two prospective cohorts investigating effects of prenatal methylmercury exposure via environmental dietary exposures have yielded conflicting results. A cohort of 900 prenatally exposed children in the Faroe Islands, where the main source of mercury exposure was pilot whales, exhibited measured neuropsychological and neurophysiological deficits at 7 years of age (Grandjean et al, 1997). Another large-scale cohort in the Seychelles Islands, where the main source of mercury exposure was fish, showed no association between prenatal mercury exposure and neurological effects at 66 months and 9 years (Davidson et al, 1998; Myers et al, 2003). It has been suggested that nutrients such as selenium in the fish may attenuate the effects of mercury (Hansen & Gilman, 2005; Moses et al, 2009; Van Oostdam et al, 2005). In addition, n -3 fatty acids from fish are being investigated for their potential to offset risk of cardiovascular heart diseases hypothesized to result from exposure to methylmercury (Smith era/., 2008). Since methylmercury bioaccumulates and biomagnifies, Aboriginal consumers of high trophic level animals are at risk. The main source of human exposure to methylmercury is large predatory fish and marine mammals, as these organisms are at the top of the long aquatic food chain with more opportunity for mercury biomagnification to occur (Van Oostdam et al, 2005). Risk of mercury exposure in non-coastal northern communities is comparably less since people consume more herbivorous terrestrial animals which are part of a shorter food chain and methylmercury is less bioavailable in the terrestrial environment than in the marine (Hansen & Gilman, 2005). Still, the terrestrial food chain has been 17 suggested to be an important pathway of mercury accumulation in the ecosystem (Poissant et al, 2008). Cross-sectional studies have found mercury levels to be low in liver and kidney of caribou and moose (Elkin & Bethke, 1995; Larter & Nagy, 2000); however caribou meat has been identified as a major source of dietary mercury intake due to its high frequency of consumption in Inuit communities (Kuhnlein et al, 2000). Unfortunately, the literature lacks a comprehensive picture of contaminants in northern terrestrial mammals, including longterm data sets for mercury trends (Braune et al, 2005; Gamberg, 2007). Mercury targets the kidneys and accumulates in the liver; these organs generally have higher mercury levels than the meat and have thus been most often used to assess animal levels (Berti et al, 1998; Gamberg, 2004; United Nations Environmental Programme, 2002). Seasonality can dictate contaminant burden, as organ weights are hypothesized to fluctuate due to changes in diet composition and environmental and biological stressors (Robillard et al, 2002). The proportion of mercury-accumulating lichens in the diet may affect mercury levels, and caribou have been shown to have higher renal mercury levels than moose, likely due to their preference of mercury-accumulating lichen (Gamberg et al, 2005). The Arctic Caribou and Moose Contaminant Monitoring Program began is the first to annually sample caribou herds in an effort to create temporal and geographic trends of contaminant burden (Gamberg, 2007). Under this program, the Porcupine Caribou Herd is one of two barren-ground caribou herds to be sampled annually, with an additional five caribou herds and two moose populations to be sampled every five years (Gamberg, 2007). Renal mercury concentrations have been shown to increase over time in both male and female Porcupine Caribou (Gamberg, 2008); however levels in caribou muscle meat have not been reported. 18 Assessing mercury levels in terrestrial mammals is important since caribou and moose top the list of frequently consumed foods in many northern Aboriginal communities and are the two most frequently consumed traditional foods in the Yukon (Batal et al, 2005; Kuhnlein et al, 1994; Kuhnlein et al, 2000; Nakano et al, 2005b; Wein & Freeman, 1995). Among Yukon First Nations children, 86% of energy derived from traditional food comes from terrestrial animals (Nakano et al, 2005b). Four Yukon First Nations communities reported consuming caribou an average of 71.3 times per year with a maximum high of 540 times and reported consuming moose an average of 94.8 times per year with a maximum of 365 (Wein & Freeman, 1995). The relationship of the Vuntut Gwitchin First Nation with the Porcupine Caribou Herd was apparent as Old Crow reported the highest mean frequency ( + standard deviation) of caribou use with 240.9 + 136.4 (Wein & Freeman, 1995). Benefit Risk Assessments of Traditional Food Consumption Dietary exposure assessments for many non-marine northern Aboriginal communities have often concluded that continued consumption of traditional foods is in the best interest of the community's well-being (Berti et al, 1998; Receveur et al, 1998). These assessments have evaluated the risks of consuming contaminants in traditional foods while simultaneously evaluating the risks associated with increased consumption of market foods and the loss of benefits from consumption of traditional foods (Receveur et ai, 1998). In addition to physical aspects, it is essential to consider the detrimental socio-cultural effects of discontinued consumption of traditional foods and associated activities (Arquette et al., 2002; Curtis, 1992; Elias & O'Neil, 1995; Richmond & Ross, 2009). In communities where traditional foods have been reported to be contaminated by methylmercury, socio-cultural effects have been devastating (Ship, 1997b). In the 1960s mercury was found to be released from a pulp and paper mill upstream of the Ojibwa community of Grassy Narrows in 19 northwestern Ontario and fish in the river were consequently deemed unsafe for human consumption (Erikson, 1994). The community lost their principal food source, important form of economic income and the ability to exercise traditional knowledge and skills, and consequently increased cases of child neglect, solvent sniffing by young children, family violence and alcohol-related violent deaths and suicides were reported in the years following the mercury contamination (Erikson, 1994). A breakdown of traditional roles associated with traditional lifestyles resulted in the Mohawk community of Akwesasne from fear generated by the contamination offish in St. Lawrence River with mercury and other chemicals discharged from industrial activities in the mid-1900s (Wheatley, 1997). Unemployment and the number of individuals receiving social assistance increased, as did gambling, violent crime and drug and alcohol abuse (Wheatley, 1997). Overall, dietary exposure assessments of 10 Yukon First Nations and 16 Northwest Territories Dene/Metis communities have shown limited contaminant exposure and few associated health risks (Berti et al, 1998; Receveur et al, 1998). Only a few individuals who frequently ate organs from large terrestrial mammals and particularly contaminated fish species exceeded the provisional tolerable daily intake for mercury set by Health Canada, and these individuals were not likely to exceed the provisional tolerable weekly intake (Receveur et al, 1997). Although one meal of a caribou kidney or liver may exceed the daily recommendations (Robillard et al, 2002), an individual's annual average daily intake is a more realistic measure of assessing tolerable intake (Kuhnlein et al, 2000; Larter & Nagy, 2000). Therefore a blanket warning against consuming these foods is not generally issued; the cultural and physical health benefits involved in traditional food harvesting, preparation 20 and consumption outweigh health risks posed by mercury (Berti et ah, 1998; Muir et al., 2005). Aboriginal Perspectives on Contamination Even with current benefit risk assessments accounting for socio-economic effects, a major gap in the literature exists in regards to the Aboriginal understanding and perspective of contamination, which is important in effectively assessing risk and communicating results. The literature includes an extensive and ever-expanding discourse on Western scientific knowledge of contaminants, and Aboriginal writings recognize many of the same physical health and socio-economic risks as the Western scientific community (Cole, 1997; Penn, 2006; Ship, 1997a, 1997b). Chemical contamination and other forms of environmental damage have been identified as a violation of Aboriginal holistic well-being, as human health and well-being are recognized to be intimately connected with that of the environment (Ship, 1997b). However, writings and recordings from the Aboriginal perspectives on the implications of contamination are limited. The gap in the Western understanding of the Aboriginal perspective of contamination has created confusion in risk communication in previous decades, especially in communities where a word for the specific effects did not exist. For example, the Cree Nation of James Bay developed the term nemasahkosiwin, which means "the fish is sick" in the face of the mid-1970s large-scale mercury exposure (Penn, 2006). Nemasahkosiwin intimates that the initial Cree understanding of mercury was that it would go away, similar to other infectious diseases that afflict aquatic life (Penn, 2006). The Ojibwa of Grassy Narrows used the term pijibowin, meaning poison, to refer to the mercury exposure described above that rendered fish inedible and led to chaos in the community (Erikson, 1994). After noting that one cannot taste, feel, see or smell mercury, an Ojibwa elder explained his confusion about 21 mercury with "you know that it can hurt you, make your limbs go numb, make your spirit sick. But I don't understand it. I don't understand how the land can turn against us" (Erikson, 1994, p. 38). As mercury is naturally occurring in the environment, Aboriginal Peoples have long been exposed to background levels (Penn, 2006). However, there was no experience from which to draw traditional understanding for the large-scale mercury exposures that resulted from anthropogenic industrial activities, and this inability to comprehend and address the issues through traditional knowledge brought confusion and fear to the communities affected (Erikson, 1994; Penn, 2006). Myers and Furgal (2006) report that risk perception and communication may be affected by differences in language, both in respect to the actual language (e.g. English vs. Athapaskan) and in the differences in terminology and way of explaining between Western science and traditional ecological knowledge (TEK). For example, Inuit community members identified noise, modern technology, consumer goods, tourists and scientists as sources of contaminants along with motor vehicles, garbage and air pollution (Myers & Furgal, 2006), highlighting the differences between Inuit and Western understanding of contamination. The gradient probability of risk and the uncertainties of direct health effects reported in Western contaminant assessments are difficult to convey and may be counterintuitive for communities that have traditionally relied on their senses, spiritual understanding and TEK to evaluate the health of the environment (Erikson, 1994; Myers & Furgal, 2006). Closing this gap in language and communication has been the motive of partnerships and community consultations when conducting recent risk assessments. The partnership of the Council of Yukon First Nations with the researchers at the Center for Indigenous People's Nutrition and Environment for the assessment of the 10 Yukon First 22 Nations communities' dietary risks and benefits (Receveur et ah, 1998) is one example, and this type of collaboration is now considered essential. Summary It has been established through the literature that food security in northern Aboriginal communities is a complex situation affected by socio-economic and environmental factors. Chronic diseases that are the hallmarks of the rapid nutrition transition can result from a heavy reliance on market foods that are high in carbohydrates and saturated fats and low in the nutrients that would have been previously obtained from traditional foods. Chapter 2 will evaluate food consumption patterns in the context of food security for two Yukon First Nations communities. Chapter 3 will evaluate estimated mercury exposure and nutrient intake through caribou consumption among Vuntut Gwitchin First Nation adults. As discussed, careful integration of Western and Aboriginal perspectives is important in conducting a comprehensive benefit risk assessment. However, since the objective of Chapter 3 is to provide estimated mercury exposure and nutrient intake for the appropriate bodies to conduct a comprehensive assessment, a Western paradigm has been used with the recognition that exploring the Aboriginal understanding of contamination, beyond just chemical contamination, is imperative in accurately addressing and communicating the issue of chemical contaminants in northern communities. 23 CHAPTER 2 Manuscript 1: Importance of traditional foods for the food security of two First Nations communities in Yukon, Canada 1 O "2 Roseanne C. Schuster , Eleanor E. Wein , Cindy Dickson and Hing Man Chan 1 Department of Health Sciences University of Northern British Columbia 3333 University Way Prince George, BC V2N4Z9 2 7135 Saskatchewan Dr. Edmonton, AB T6G 2A4 3 Council of Yukon First Nations 2166 2nd Ave Whitehorse, YTY1A4P1 24 1 Introduction Traditional foods are central to the health and culture of Aboriginal Peoples and are widely recognized as contributing to physical, social and spiritual well-being (Lambden et al, 2007; Receveur et al, 1998). Harvesting and preparation activities bring the community together, helping to maintain social relationships, facilitate intergenerational knowledge transfer and sustain spiritual connections with the land (Egede, 1995; Lambden et al, 2007). Regular engagement in hunting, fishing, berry picking and plant harvesting contributes to fitness and overall health (Deutch et al, 2007; Kuhnlein & Receveur, 1996; Lambden et al, 2007). Even when consumed in small quantities, traditional foods supply large amounts of essential nutrients to the diet so that individuals have significantly higher micronutrient intakes on days when traditional foods are consumed than days where traditional foods are not part of the diet (Bersamin et al, 2006; Deutch et al, 2007; Kuhnlein et al, 2006; Kuhnlein & Receveur, 1996, 2007; Kuhnlein et al, 2004; Receveur et al, 1997; Receveur et al, 1998; Wein, 1995). Food security has been defined as existing "when all people, at all times, have physical and economic access to sufficient, safe and nutritious food to meet their dietary needs and food preferences for an active and healthy life" (Food and Agriculture Organization, 1996, para. 1). Availability, access and appropriate use are considered to be the three pillars of food security (World Health Organization, 2008). There are two levels of food insecurity; moderate food insecurity involves not having the kinds and variety of foods that an individual wants, while severe food insecurity occurs when an individual does not have enough food to eat. A 2001 Health Canada study identified that 10% of all Yukon households were severely food insecure and another 11 % moderately food insecure for a 25 total of 21%, significantly higher than the Canadian average of 15% (Ledrou & Gervais, 2005). In respect to the culturally specific role that foods play in Aboriginal communities, food security in a northern and First Nations context can be defined as "the continual and predictable availability and access to food derived from northern environments through Indigenous cultural practices" (Paci et al, 2004, p. 1). Factors affecting traditional food security include but are not limited to climate change, changes in species populations and migration patterns, real and perceived environmental contamination, modification of the land from industrial activities and the related barriers of having enough time to get out on the land to harvest and the cost of modern harvesting equipment (Loring & Gerlach, 2008). While a switch to market foods can be an adaptation strategy to supplement decreasing traditional food use, it can also be a health concern when the replacement foods are high in preservatives, sodium, carbohydrates and saturated fats (Kuhnlein et al, 2004). The nutrition transition which has been shown to disproportionately affect Indigenous Peoples including Aboriginal Peoples is believed to be a significant risk factor for the global rise in chronic diseases (Damman et al, 2007; Popkin, 2009). The shift from a diet composed solely of traditional foods to one with a large proportion of market foods high in carbohydrates and saturated fats has increased the risk of obesity, diabetes and cardiovascular diseases among Aboriginal Peoples (Damman et al, 2007; J0rgensen & Young, 2008; Kuhnlein et al, 2004; Young et al, 2000). The mid-1990s obesity prevalence for female Yukon First Nations (31%) and Inuit (38%) aged 41-60 greatly exceeded the Canadian female prevalence of 12% (Kuhnlein et al, 2004), and prevalence of childhood obesity among First Nations also exceeds the Canadian average (Nakano et al, 2005a; Willows et 26 al, 2007). The prevalence of type 2 diabetes mellitus among First Nations is three to five times the national average, with all age groups displaying high rates (Dannenbaum et al, 2008; Health Canada, 2000; Martens et al, 2007). Diabetes prevalence is higher in more southerly and urban communities and has been suggested to be inversely related to adherence to traditional lifestyle activities and consumption of traditional foods (Green et al, 2003; Johnson et al, 2002; Martens et al, 2007). There are limited baseline data on the temporal patterns of traditional food use within Canada. Wein and Freeman (1995) documented the frequency of traditional food use of three Yukon First Nations living in four communities from fall 1991-summer 1992. Frequency of food use was found to be highest in the Vuntut Gwitchin First Nation community of Old Crow and the Tlingit community of Teslin. The study concluded that traditional foods, particularly caribou, moose and salmon, are important components in the diet of Yukon First Nations. Continuing environmental and socio-economic changes in the Canadian north are creating concern for the integrity of traditional food systems. This study seeks to evaluate food consumption patterns in the context of food security in the Yukon First Nations communities of Teslin and Old Crow. The quantity in which traditional foods are consumed in 2007-2008 will be described and the frequency will be compared to the early 1990s data (Wein & Freeman, 1995) in order to identify a potential temporal trend in traditional food consumption as part of the rapid nutrition transition. Other aspects of food security including access to and availability of traditional foods will be will be explored as well. 27 Methods Communities Old Crow is the home of the Vuntut Gwitchin First Nation and is the northernmost community in the Yukon, located 128 kilometers north of the Arctic Circle (Vuntut Gwitchin First Nation, 2008b). Traditionally a nomadic people following the migrations of the Porcupine Caribou Herd, the Vuntut Gwitchin have occupied Crow Flats for centuries, and their permanent settlement on the banks of the Porcupine River since the 1950s continues to provide access to the semi-annual migration of the Porcupine Caribou (Vuntut Gwitchin First Nation, 2008a; Yukon Community Profiles, 2004a). Old Crow is accessible only by aircraft and by river for certain windows in the summer and has thus has remained remote (Vuntut Gwitchin First Nation, 2008a). The population of Old Crow numbers 253 (Yukon Bureau of Statistics, 2006). The Tlingit community of Teslin is located in the southern Yukon, 183 km southeast of the territorial capital of Whitehorse along the Alaska Highway (Teslin Tlingit Council, 2003). Known as Dakh-ka or Inland Tlingit, the ancestors of the Teslin Tlingit moved inland from the Pacific coast in the 18th century and became instrumental in trade between their coastal relatives and Europeans (Yukon Community Profiles, 2004b). The settlement of Teslin began as a trading post in the early 1900s and became permanent after the completion of the Alaska Highway in 1942 (Teslin Tlingit Council, 2003). Today Teslin receives many tourists due to its easily accessible location and the recreational opportunities at the junction of Teslin Lake and Nisutlin Bay. Teslin Village has a population of 297 (Yukon Bureau of Statistics, 2006). 28 Fig. 2.1. First Nations traditional territory map of the Yukon (Wein & Freeman, 1995, p. 162; Reprinted with permission from the Arctic Institute of North America). Ethics and Research Agreements Research followed the Canadian Institutes for Health Research Guidelines for Health Research Involving Aboriginal Peoples (Canadian Institutes of Health Research, 2007), and ethical approval for the study was obtained through the University of Northern British Columbia's Review Ethics Board (Appendices 1 and 2). A research agreement was signed between the researchers and the Vuntut Gwitchin Government (Appendix 3) and a contract was signed with the Teslin Tlingit Council. It is important to recognize that this study was invited by the Vuntut Gwitchin Government as part of a larger food security initiative during the International Polar Year project Yeendoo Nanh Nakhweenjit K'atr'ahanahtyaa, "Looking after the land for the future." Individual informed consent forms were used to describe in detail participant rights and researcher responsibilities (Appendix 4). After reading through 29 the consent form with the participant, the research assistant asked if the participant understood each of eight separate points central to granting informed consent. Results were reported back to each community in January 2009, and the communities' comments and feedback are included in the discussion of this paper. Data Collection Interviews were conducted in the spring (March-May) of 2008 in Old Crow and in the summer (June-August) of 2008 in Teslin by three research assistants from the respective communities. Thirty-three households in each community were randomly selected from lists provided by the community governments, and one eligible male and one eligible female were invited to participate from each household. Eligibility criteria were age of 19 or older, written consent and membership in either a Vuntut Gwitchin household in Old Crow or Tlingit household in Teslin. Due to difficulties in making contact with households in Teslin, an additional 24 households were randomly selected for a total of 57 households in Teslin only. Interviews were comprised of a food frequency questionnaire (FFQ) and additional questions on access to traditional foods and food security (Appendix 5). The interviews were conducted in English, coded for confidentiality and took approximately one hour to complete. Food Frequency Questionnaires The study methods were intended to yield food frequency data directly comparable to that collected fall 1991 through summer 1992 by Wein & Freeman (1995), and methodological differences are explicitly stated. The FFQ utilized the same list of traditional foods developed by focus groups of Yukon First Nations elders and leaders for use in 19911992. The FFQ asked how often the participant consumed each of 78 foods from five traditional food groups (mammals, birds, fish, berries, other plants) in each of the four 30 seasons in order to capture seasonal variability. To facilitate recall, participants were asked about consumption starting in the most recent season working backwards (winter 2008, fall 2007, summer 2007, spring 2007). The FFQ invited participants to add a food not listed and inquired separately about muscle meat, liver, and kidney for caribou and moose only. Participants were first asked if they had consumed the food during the previous year, and then how many times per each season. Seasons were divided into equal lengths (90 days), so a frequency response of "once a day" for each of the four seasons would be 360 times per year. In addition to reporting frequency of food use, the FFQ asked participants for their average portion size for each traditional food in order to calculate the quantity of foods consumed. Food models were used as a guide for standardized portion sizes, and color photographs of each species were available to assist in participant recall. Food Security Participants were asked six yes or no questions based on the methods of Lambden et al. (2006) and then additional questions on access to traditional foods. A multi-step coded question asked participants their perception of their own traditional food consumption patterns now compared to fifteen years ago. In the final section, participants were asked the eighteen multiple choice questions of the Households Food Security Survey Module (HFSSM) that have been used in the Canadian Community Health Survey (Ledrou & Gervais, 2005; Office of Nutrition Policy and Proportion, 2007). Data Analysis All data were entered into Epi Info v. 3.4.3 (Centers for Disease Control and Prevention; Atlanta, United States) data entry files were then analyzed by the statistical software package SPSS v. 16.0 (SPSS, Inc., Chicago, United States). Grams per person per day (g/person/day) for each food was calculated by multiplying the individual's annual 31 frequency of consumption by their average reported portion size and dividing by 360 days. Descriptive statistics for g/person/day consumption were reported in terms of all participants surveyed as well as for consumers only. Three outliers (participants reporting in excess of three times the standard deviation of their respective community's average of g/person/day) were excluded from the data analysis. When two individuals from one household participated, only the female's response was included in the analysis of the food security sections, in which participants were asked to speak on behalf of their entire household. Frequency and quantity (g/person/day, all participants and consumers only) of consumption were compared for caribou meat, liver and kidney, each of the five traditional food groups and total food consumption by age groups (19-40, 41-60, 61+) and genders using the nonparametric Kruskall-Wallis and Mann-Whitney U tests, respectively. One male declined to give his age and is therefore not included in age-specific analyses. The comparison of frequency of food consumption between that reported in Wein & Freeman (1995) and the collected data was performed using the Mann-Whitney U test. The frequency of consumption for moose and caribou used in the comparison was calculated by adding the frequency of consumption for the meat, liver and kidney. Age-analysis for six questions on access to traditional food use was conducted using the Chi-Square test, and two older age groups were combined into a 41+age group to meet the parameters for this analysis. Apvalue of 0.05 was used as the criteria for significance in all statistical tests performed. 32 Results Participants Nearly one-third of First Nations households in each community participated in the study (Table 2.1). Twenty-nine individuals (15 males, 14 females) representing 27 Vuntut Gwitchin households and 33 individuals (19 males, 14 females) representing 27 Teslin Tlingit households participated in the interviews, and demographic information was similar in both communities (Table 2.2). 33 Table 2.1. Household Participation Old Crow Teslin First Nations households randomly selected (n) 92 33 90 57 Households contacted (n) 28 30 Households interviewed (n) 27 27 Refusals (n) 1 3 Non-responsive households (n) Participation rate (households interviewed/ households randomly selected) 5 27 82% 47% 96% 90% 29% 30% First Nations households in the community (n) Participation rate (households interviewed/ households contacted) % of First Nations households represented (households interviewed/households in the community) Table 2.2. Participant demographics Old Crow 29 Teslin 33 Total no. participants Gender [No. (%)] Male Female Age (years, mean + SD) Number of persons in household [Mean ±JSD (Range)] 15 (52) 14 (48) 49.7 ±.16.0 19 (58) 14 (42) 43. 7 ±17.6 2.5 ±1.6 (1,6) 2.4 ±1.4 (1,7) No. of individuals in the household per age group [Mean ± SD, (Range)] 0-12 12-18 19-40 41-60 61 + 0.6 ± 0.9 (0, 3) 0.3 ±0.7 (0, 2) 0.7 ± 0.9 (0, 3) 0.6 ±0.8(0, 2) 0.4 ± 0.6 (0, 2) 0.6 ±1.0 (0,4) 0.2 ±0.4(0, 1) 0.8 ±1.0 (0,3) 0.6 ± 0.8 (0, 2) 0.3 ± 0.6 (0, 2) 34 Food frequency Forty-five traditional foods were reported to be consumed in Old Crow (Table 2.3a) and sixty in Teslin (Table 2.3b). All participants in both communities reported consuming at least one food from the groups of wild game and fish during the year surveyed, and nearly all participants reported having berries. Caribou meat, blueberry, chinook (king, spring) salmon, salmonberry and low bush cranberry were the foods consumed in the largest quantities (g/person/day, all participants) in Vuntut Gwitchin households. Foods eaten in the largest quantities by participants in Tlingit households were moose meat, lake trout, caribou meat, chinook salmon and blackberry. 35 Table 2.3a. Quantity of traditional food consumed by adults in Vuntut Gwitchin households (n=26) g/person/day Consumers consumers g/meal g/person/dav - all Median Mean + SD Median Mean ± SD Traditional food Mean ± SD [n (%)] 26 (100) 259 372 ± 2 7 1 259 372 ± 2 7 1 Total _ Mammals Caribou meat Moose meat Caribou kidney Caribou liver Rabbit Muskrat Moose kidney Moose liver Porcupine Beaver Black bear Arctic ground squirrel 26(100) 26 (100) 24 (92) 19 (73) 16(62) 19 (73) 12 (46) 10(39) 7(27) 8(31) 4(15) 1(4) 90.7 75.4 3.1 3.1 1.2 1.0 0.0 0.0 0.0 0.0 0.0 0.0 124 + 99.9 86.9 ±81.7 15.8 ±35.8 6.6 ± 8 . 6 5.6 ±9.5 3.1 ± 5 . 2 2.6 ± 3 . 8 1.8 ±4.1 1.6 + 4.1 0.2 ± 0.4 0.1 ± 0 . 4 0.1 ± 0 . 3 90.7 75.4 3.2 7.4 5.4 2.1 5.1 1.9 3.0 0.6 0.8 1.5 124 ±99.9 86.9 ±81.7 16.5 ±35.5 9.0 ± 8 . 9 9.0 ±10.8 4.2 ± 5 . 6 5.7 ± 3 . 8 4.6 ± 5 . 7 5.8 ± 6 . 5 0.7 ± 0 . 3 0.9 ± 0.4 1.5 204 ± 1 8 5 211 ± 1 6 4 130 ± 1 4 3 150 ± 1 5 9 258±151 244 ± 1 1 9 147 ± 1 0 5 128±91.4 135 ±70.1 185 ±76.5 177 1(4) 0.0 0.0 ±0.1 0.5 0.5 94.7 Birds Duck Goose Grouse Ptarmigan 19 (73) 17 (65) 14 (54) 4(15) 6(23) 8.4 5.9 1.0 0.0 0.0 28.6 ±35.1 15.3 ±22.8 8.3 ±13.5 3.5 ±17.4 1.4 ±3.5 24.6 15.8 10.3 1.0 4.6 39.1 ±35.8 23.4 ± 24.8 15.4 ±15.3 23.0 ±48.9 6.1 ± 5 . 0 - Fish All Salmon Chinook (king) Coho (silver) Chum (dog) Sockeye (red) 26 (100) 26 (100) 26 (100) 18 (69) 16 (62) 4(15) 72.6 38.1 16.1 3.6 3.2 0.0 112 ± 1 0 9 56.6 ±52.1 27.8 ± 27.3 12.5 ±19.9 9.7 ±16.9 6.6 ±25.4 72.6 38.1 16.1 8.3 8.6 21.7 . 112 ± 1 0 9 56.6 ±52.1 27.8 ±27.3 202 ± 80.4 207 ± 87.9 18.1 +21.8 15.8 ±19.2 186 ±49.7 42.7 ±57.6 169 ±46.2 continued on next page 36 335 + 172 278 ± 1 6 9 338 ± 264 217 ±30.6 Table 2.3a - continued Traditional food Other fish Lake whitefish Fish eggs Burbot (ling cod) Arctic grayling Fish liver Broad whitefish Round whitefish Inconnu Long nose sucker Jackfish (N. pike) Consumers [n (%)] 22 (84) 15 (58) 19 (73) 8(31) 15 (58) 13 (50) 5(19) 3(12) 3(12) 2(8) 1(4) g/person/dav - all Median Mean + SD 34.2 55.1 ±77.8 3.7 12.1 ±20.6 3.5 11.9 ±17.9 11.5 ±43.7 0.0 1.4 7.8 ±12.1 0.2 7.4 ±13.1 2.2 ±8.6 0.0 0.0 1.5 ±5.9 0.4 ±1.3 0.0 0.3 ±1.3 0.0 0.0 ±0.2 0.0 g/person/day consumers Median Mean ± SD 39.2 65.1 ±80.7 17.9 21.0 ±23.7 13.3 16.3 ±19.2 6.6 37.3 ±75.6 8.4 13.6 ±13.3 14.8 ±15.4 10.3 3.0 11.2+ 18.2 7.9 12.6 ±15.2 2.6 3.1 ±2.8 4.3 4.3 ±2.8 0.8 0.8 a/meal Mean + SD - 160 ±62.5 154 ±99.2 178+131 189 ±95.1 200 ±161 254 ± 226 118 ±0.00 143 ± 84.2 94.7 ± 0.00 143 _ Berries Blueberry Salmonberry Low bush cranberry Rosehip Strawberry Raspberry Black currant Red currant 25 (96) 24 (93) 25 (96) 64.8 18.7 19.2 81.0 ±85.0 27.9 ±27.9 27.1 ±28.1 71.0 21.7 20.7 84.3 ±85.1 30.3 ±27.8 28.2 ±28.1 281 ± 1 8 4 269 ± 1 8 6 18(69) 7(27) 1(4) 2(8) 2(8) 3(12) 8.9 0.0 0.0 0.0 0.0 0.0 22.1 ±30.8 2.8 ±7.6 0.3 ±1.7 0.3 ±1.3 0.2 ±0.9 0.1 ±0.4 28.6 12.2 8.9 4.4 3.2 0.5 35.9 ±32.4 10.4 ±12.2 8.9 4.4 ±2.1 3.2 ±1.7 1.0 ±0.9 233 ± 87.0 180 ± 1 2 0 118 237 ± 1 6 7 118 ±83.6 138 ±68.3 Other Plants Arctic dock (Old Crow rhubarb) Wild onion Labrador tea Spruce Mushroom Willow Balsam fir 24 (92) 12.0 22.2 ±31.8 12.0 24.0 ± 32.5 _ 18(69) 9(35) 24 (92) 13(50) 2(8) 2(8) 1(4) 6.9 0.0 2.0 0.0 0.0 0.0 0.0 12.9 ±24.0 4.2 ±12.6 3.6 ±4.8 1.2 ±2.4 0.2 ±0.7 0.1 ±0.4 0.0 ± 0.0 11.8 3.9 2.0 1.1 2.5 1.2 0.1 18.6 ±28.0 12.1 ±19.8 3.9 ±4.9 2.4 ±3.0 2.5 ±0.7 1.2+1.0 0.1 335 ± 1 4 1 87.2 ±63.7 18.8 + 11.6 15.8+11.0 148 + 41.8 59.1 ±0.1 2.0 37 Table 2.3b. Quantity of traditional foods consumed by adults in Teslin Tlingit households (n=32) Consumers [n (%)] 32 (100) g/person/dav - all Median Mean + SD 182 185 ± 1 0 5 g/person/day consumers Median Mean + SD 182 185 ± 1 0 5 Mammals Moose meat Caribou meat Moose kidney Mountain sheep Beaver Moose liver Black bear Porcupine Groundhog Rabbit Caribou kidney Caribou liver Muskrat Arctic ground squirrel Elk Deer Lynx 32(100) 32 (100) 20 (63) 23 (72) 13(41) 22 (69) 16 (50) 6(19) 14 (44) 10(31) 10(31) 5(16) 5(16) 2(6) 82.2 77.0 1.3 0.8 0.0 0.7 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 104 ± 79.8 87.6 + 64.5 10.2 ±21.5 1.2 + 1.8 1.1+2.2 0.9 ± 1 . 0 0.6 ±0.7 0.4 ±1.4 0.4 ± 0.6 0.4 ± 0 . 6 0.3 ±0.7 0.1 +0.3 0.1 ± 0 . 3 0.1 ± 0 . 4 82.2 76.9 2.5 1.1 1.3 0.7 0.3 0.2 0.7 1.0 0.7 0.7 0.7 1.2 104 ±79.8 87.6 + 64.5 16.3 ±25.5 1.6 ± 2 . 0 2.7 ± 2 . 8 1.3 + 1.0 1.1 ± 0 . 7 2.1 +2.9 0.9 ± 0.7 1.2 ± 0 . 6 1.1 ± 0 . 8 0.8 ± 0.5 0.7 ± 0.4 1.2+1.2 228 + 147 290 ± 1 3 9 181 + 118 166 ±80.0 227 ± 1 8 1 187 ± 1 3 3 98.6 ± 1 0 7 253 + 207 323 + 205 272 + 254 171 ±89.3 171 ±89.3 414±418 5(16) 1(3) 2(6) 1(3) 0.0 0.0 0.0 0.0 0.1 ±0.4 0.1 ± 0 . 3 0.1+0.2 0.0 ± 0.2 1.3 2.0 0.9 1.3 0.9 + 0.5 2.0 0.9 + 0.3 1.3 238 + 143 237 181 +78.0 473 Birds Duck Geese Grouse Ptarmigan Gull eggs 27 (84) 19 (59) 10(31) 19 (59) 4(13) 1(3) 1.0 0.5 0.0 0.2 0.0 0.0 4.6 ±10.4 2.6 + 6.8 1.3 ± 4 . 0 0.5 + 0.7 0.1 ±0.5 0.0 ± 0.0 1.3 0.8 1.5 0.7 1.2 0.1 5.4+ 11.2 4.3 + 8.5 4.2 ± 6.4 0.9 + 0.8 1.2 ± 0 . 9 0.1 _ Fish Salmon Chinook Sockeye Chum Coho Other fish Lake trout Lake whitefish Fish eggs Arctic grayling Broad whitefish 32(100) 27 (84) 22 (69) 8(25) 10(31) 4(13) 32(100) 32 (100) 20 (63) 23 (72) 17 (53) 10(31) 19.4 4.1 2.0 0.0 0.0 0.0 11.4 6.6 2.0 0.6 0.2 0.0 42.2 ±43.1 10.2 ±13.0 7.8 ±12.3 1.6 ±4.6 0.7 + 1.5 0.1 ±0.4 32.0 ±38.2 16.8 ±26.3 5.5 ±10.0 5.2 ±13.7 1.2 + 3.1 0.9 + 2.2 19.4 4.3 2.3 4.2 1.7 0.5 11.4 6.6 2.8 1.0 0.7 2.0 _ 42.2 ±43.1 12.1 ±13.4 252 ± 1 9 4 11.3 + 13.5 6.5 ± 7 . 6 158 ±50.3 2.2 + 2.1 145 + 48.4 0.8 ± 0 . 8 149 ±58.5 32.0 ±38.2 16.8 ±26.3 236 ± 1 6 3 8.8 ±11.6 275 + 233 137 ±135 7.2+15.8 2.3 + 4.0 170 ±134 2.9 ± 3 . 1 147 ±44.9 continued on next page Traditional food Total 38 a/meal Mean + SD _ 296 + 267 384 + 322 196+195 418 ±337 47.3 Table 2.3b - continued Traditional food Inconnu Dolly varden Burbot Fish liver Round whitefish Jackfish Rainbow trout Arctic char Halibut Berries Blackberry Raspberry Low bush cranberry Strawberry High bush cranberry Blueberry Soapberry Saskatoon Rosehip Red currant Black currant Other plants Wild rhubarb Labrador tea Balsam fir Mushroom Spruce Pine Dandelion Bear root Birch g/person/day - all Median Mean + SD 0.0 0.5 + 0.9 0.0 0.5 + 2.8 0.0 0.5 ±1.5 0.0 0.3 + 1.1 0.0 0.2 + 0.6 0.2 + 0.7 0.0 0.0 0.1+0.3 0.0 0.0 + 0.1 0.0 0.0 ±0.1 g/person/day consumers Median Mean + SD 0.7 1.2+1.0 8.1 8.1 + 10.9 3.9 3.2 ±2.5 1.2 ±2.2 0.5 2.0 2.0 ±0.0 2.0 1.5 ± 1.1 0.7 0.8 + 0.3 0.7 0.7 0.3 0.3 30 (94) 27 (84) 27 (84) 16.4 2.3 1.0 33.1 ±43.3 7.6+ 13.1 5.2 ±13.4 16.7 3.0 1.8 35.3 ±43.9 9.0 ±13.9 6.1 ±14.4 155 ± 1 0 6 130 ± 1 3 0 18 (56) 22 (69) 0.2 0.2 5.0 ±9.6 4.5 + 10.4 5.0 1.0 8.9 ±11.4 6.5 ±12.0 91.4 ±97.8 98.5 ± 1 1 5 16 (50) 15 (47) 19 (59) 6(19) 7(22) 2(6) 3(9) 0.0 0.0 0.4 0.0 0.0 0.0 0.0 4.2 ±8.3 3.2 ±6.5 2.1 ± 3 . 0 0.7 ±1.6 0.5 ±1.5 0.2 ±0.7 0.1 ±0.3 4.2 4.9 3.0 3.8 1.4 2.5 0.7 8.4 + 10.2 6.8 ±8.2 3.5 ±3.2 3.5 ±1.8 2.2 ±2.7 2.5 ±1.5 0.7 ± 0.6 140 ± 1 3 8 172 ±77.2 140 +109 118 ±80.3 68.8 ±74.7 185 ±199 5.0 ±2.5 21(66) 6(19) 7(22) 16 (50) 5(16) 4(13) 3(9) 1(3) 2(6) 1(3) 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 2.0 ±4.5 1.2 + 4.1 0.4+1.5 0.1 ±0.2 0.1 ±0.5 0.0 + 0.2 0.0 ±0.2 0.0 ±0.2 0.0 ±0.1 0.0 + 0.0 0.8 3.1 0.1 0.0 0.7 0.3 0.6 1.0 0.3 0.0 2.9 + 5.2 6.6 ±7.9 1.9 + 2.8 0.2 ±0.3 1.1 + 1.3 0.3 + 0.4 0.5 + 0.2 1.0 0.3 ±0.4 0.01 _ Consumers [n (%)] 14 (44) 2(6) 5(16) 7(22) 3(9) 5(16) 4(13) 1(3) K3) 39 e/meal Mean + SD 171 ±58.9 296 ±251 207 + 160 47.3 ±25.1 123 + 0.0 143 + 51.2 206 + 58.5 118 118 _ 256 +142 10.4 + 9.9 3.8 ±3.6 65.6 + 59.9 1.4 + 0.9 7.7 ±12.2 355 126 ±157 4.3 Comparison between 1991-1992 and 2007-2008 In 2008 members of Vuntut Gwitchin households reported consuming traditional foods a median of 443 times per year, not significantly different from the frequency reported in 1992 (Table 2.4a). Caribou meat, Labrador tea, chinook salmon, blueberry and salmonberry were the most frequently consumed foods in 2008 by median, with caribou (all parts), blueberry, moose (all parts), Labrador tea and broad whitefish the most frequently consumed in 1992. Frequency of consumption of salmon, all fish, berries and other plants was shown to significantly increase in Old Crow between 1992 and 2008. Frequency of consumption of beaver, rabbit and bird eggs decreased, but mammals and birds as a category did not change. There was a decrease in frequency of broad whitefish consumption, but increases in lake whitefish and chinook salmon led to an increase in overall frequency of fish consumption. Statistically significant increases in salmonberry, spruce and Labrador tea contributed to the increases in the categories of berries and other plants. 40 Table 2.4a. Frequency of food use by adults in Vuntut Gwitchin households in 1992 and 2008 Traditional Food All traditional foods 1992 Annual Frequency Median Mean + SD 443 529.2 ± 345 285 264 298+186 241 ± 136 - - 12.0 29.3 + 41.8 - - 1.0 6.0 0.0 0.0 0.0 0.0 0.0 0.0 Birds Duck Geese Ptarmigan Grouse Bird eggs* All fish All salmon Chinook Coho Chum Sockeye Mammals Caribou Meat Kidney Liver Moose Meat Kidney Liver Muskrat Rabbit Porcupine Beaver* Black bear Arctic ground squirrel Lynx Groundhog 2008 Annual Frequency Median Mean + SD 582 749 ± 558 6.6 ±18.0 18 + 35.3 1.0 + 2.3 1.3 + 1.9 0.2 + 0.6 0.4 + 0.8 0.1+0.6 0.0 + 0.2 193 162 156 18.0 3.5 10.5 6.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 245 ± 160 204 ± 1 3 6 167 ± 1 0 3 21.2 ±26.5 16.0 ±32.9 31.7 ±49.0 23.5 ±41.6 4.2 + 9.1 4.0 ±9.5 4.3 ±6.2 4.2 ±5.7 0.7 ±1.4 0.3 ±0.8 0.1+0.6 0.1 ±0.4 0.0 ± 0.0 0.0 ± 0.0 12.0 6.0 1.0 0.0 0.0 0.0 26.6 + 31.8 14.3 + 16.7 8.6 ±17.1 3.1+6.5 0.1 ±0.5 0.8 ±2.0 15.0 8.0 1.5 0.0 0.0 0.0 31.9 ±43.0 15.7 ±21.5 11.9 + 21.1 2.3 ±5.5 2.0 ±8.8 0.0 ± 0.0 45.0 24.0 6.0 3.0 2.0 0.0 83.1 ±96.4 28.1 ±35.6 16.4 ±32.8 7.0 ±8.6 4.4 + 6.5 0.2+1.1 138 67.5 30.0 7.5 6.0 0.0 200 ±174 90.4 ±77.1 47.6 ±41.4 19.8 ±26.9 19.2 ±30.1 3.7 ±15.9 continued on next page 41 Table 2.4a - continued Traditional Food Other fish Lake whitefish Fish eggs Fish liver Arctic grayling Burbot Round whitefish Broad whitefish Inconnu Long nose sucker Jackfish (N. pike) Arctic char 1992 Annual Frequency Median Mean + SD 55.0 ±83.5 24.0 0.0 0.8 ± 2 . 0 3.0 13.7 ±25.4 3.0 9.0 ±15.7 0.0 4.0 ±9.5 0.0 6.5 ± 14.6 0.0 0.0 ± 0.0 6.0 20.2 ±32.8 0.0 0.2+1.1 0.0 0.4 ±1.3 0.0 0.1 ±0.4 0.0 0.1 ±0.4 Berries Blueberry Salmonberry Low bush cranberry Rosehip Strawberry Black currant Red raspberry Red currant Blackberry Soapberry 39.0 24.0 3.0 6.0 Other plants* Labrador tea* Spruce3 Wild onion Arctic dock Willow Balsam Mushroom Bear root Birch 2008 AnnualI Frequency Median Mean + SD 66.5 110+118 6.0 26.3 ±37.8 15.0 26.2 ±28.5 0.5 18.8 ±34.8 3.0 16.5 ±22.8 13.2 ±35.3 0.0 4.4+ 18.1 0.0 0.0 2.0 ±5.6 0.0 1.4 ±5.9 1.3 ±5.0 0.0 0.8 ±0.4 0.0 0.0 0.0 + 0.0 50.2 ±48.5 23.1 ±21.0 6.8 ±12.5 87.0 36.0 36.0 138 ± 1 5 6 44.8 ±49.3 44.6 + 49.4 0.0 0.0 0.0 0.0 0.0 0.0 0.0 16.5 ±19.4 1.4 ±4.4 0.0 ± 0.0 0.0 ±0.2 0.4 ±1.3 1.6 ±6.0 0.2 ±0.8 0.1 ±0.5 16.5 0.0 0.0 0.0 0.0 0.0 0.0 0.0 37.4 ±52.5 7.6 + 21.4 1.0 + 5.3 0.8 ±2.9 0.8 ±3.6 0.5 + 2.4 0.0 + 0.0 0.0 + 0.0 24.0 6.0 0.0 0.0 3.0 0.0 0.0 0.0 0.0 0.0 71.4+ 111 57.9 ±107 0.7 ± 2 . 3 5.1 ±13.9 7.4 ±9.4 0.0 ± 0.0 0.0 ±0.2 0.0 ± 0.0 0.2+1.1 0.1+0.5 93.0 46.5 0.5 0.0 7.5 0.0 0.0 0.0 0.0 0.0 134 ±184 71.3 + 82.4 32.2 ±80.8 15.1 ±39.1 13.3 ±19.6 0.6 + 2.4 0.6 ±2.9 0.5 + 1.9 0.0 + 0.0 0.0 + 0.0 Significant difference, p < 0.05, Mann-Whitney U * Significant difference, p < 0.01, Mann-Whitney U 42 In 2008 members of Tlingit households consumed traditional foods a median of 386 times per year, with moose muscle meat, lake trout, raspberry, chinook salmon and low bush cranberry the most frequently consumed foods (Table 2.4b). The daily frequency did not significantly differ from the 1992 average, when moose (all parts), chinook salmon, blackberry, lake trout and lake whitefish were the most frequently consumed traditional foods. Frequency of consumption decreased between 1992 and 2008 within the categories of salmon, other fish and all fish, marked by decreases in consumption of chinook salmon, lake whitefish, arctic grayling, burbot, round whitefish, jackfish and least cisco. There was a decrease in frequency of consumption of other plants marked decreases in spruce, rhubarb, bear root, wild onion and willow. Frequency of consumption of rabbit, bird eggs, blackberry and red currant decreased but there was no statistically significant change in the categories of mammals, birds and berries. 43 Table 2.4b. Frequency of traditional food use by adults in Teslin Tlingit households between 1992 and 2008 1992 Annual Frequency 2008 Annual Frequency Traditional food Median Mean + SD Median Mean + SD Total 498 593 ± 452 386 496 ± 490 217 233 + 158 165 Mammals 170 ±95.9 Moose 186 202+123 150 148 ±79.5 Meat 144 144 ±78.7 Kidney 2.0 2.2 + 2.8 Liver 0.5 1.3 ± 1 . 8 Caribou 0.0 5.7 + 13.4 1.0 14.2 + 28.9 Meat 1.0 13.7 ±28.2 Kidney 0.0 0.3 + 0.7 Liver 0.0 0.3 ± 0 . 6 Mountain sheep 8.5 + 25.9 0.0 0.0 3.0 + 6.3 Beaver 1.7 ± 2 . 2 2.0 7.9 + 24.0 1.0 Black bear 0.8 + 2.6 0.0 0.0 0.9 + 2.3 Porcupine 0.0 1.3 + 2.3 0.0 0.6+ 1.0 Rabbit" 1.0 4.6 ±10.6 0.0 0.5 ± 0.9 Groundhog 1.2 ± 2 . 2 0.0 0.0 0.5 ± 0 . 9 Arctic ground 0.0 0.0 0.2 ± 0 . 6 1.0+1.7 squirrel Elk 0.0 0.0 0.0 0.1 ± 0 . 6 Deer 0.0 0.0 0.0 0.1+0.5 Muskrat 0.1+0.2 0.0 0.0 + 0.0 0.0 Lynx 0.4 + 0.2 0.0 0.0 0.0 + 0.2 Mountain goat 0.4 ± 0 . 2 0.0 0.0 0.0 ± 0.0 13.3 ±26.4 Birds 4.0 2.0 5.0 + 7.6 Duck 6.3 + 18.0 1.0 1.0 2.8 ± 6 . 6 Grouse 1.0 3.2 ± 5 . 6 1.0 1.1 + 1.5 Geese 1.8 + 3.8 0.0 1.0 + 2.0 0.0 Ptarmigan 1.1 ±2.5 0.0 0.1 ± 0 . 3 0.0 Bird eggs 0.8 + 2.2 0.0 0.0 ± 0.2 0.0 Swan 0.12 ± 0 . 6 0.0 0.0 ± 0.0 0.0 72.6 + 83.1 All fish* 101 123 + 106 49.5 38.4 + 32.1 Salmon* 27.0 10.0 20.6 + 30.5 Chinook 24.0 32.7 ±28.8 4.0 15.3 + 28.3 Sockeye 0.0 3.3 ± 9 . 0 0.0 3.4 ± 8 . 1 Chum 0.5 ± 2.4 0.0 1.6 ± 2 . 9 0.0 Coho 1.9 ±5.7 0.0 0.3 + 1.1 0.0 84.7 ± 89.2 22.0 52.0 ±63.1 Other fish* 58.0 Lake trout 19.7 + 20.3 9.5 23.7 + 35.7 15.0 22.6 ±42.3 8.7 ±16.4 Lake whitefish 3.00 9.00 8.4 ± 8 . 9 8.3 ±17.0 Fish eggs 2.00 6.00 2.8 ±13.2 Fish liver 1.6 ± 2 . 3 0.00 0.00 continued on next page 44 Table 4b - continued 1992 Annual Frequency 2008 Annual Frequency Broad whitefish Arctic grayling Burbot * Inconnu Round whitefish Jackfish Dolly varden Rainbow trout Arctic char Halibut Least cisco Long nose sucker Median 0.0 3.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Mean ± SD 12.4 + 41.3 5.4 + 5.9 2.1 ±2.3 1.1 + 1.6 6.2 ±23.9 1.6 + 2.7 1.7 ±5.3 1.2 + 4.8 0.0 ± 0.0 0.0 ± 0.0 0.7 ± 2.4 0.0 + 0.2 Median 0.0 1.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 Mean ± SD 2.3 ±5.7 1.9 ±2.8 1.4 ±5.6 1.2 + 2.0 0.6 ±1.8 0.6 ±1.6 0.4 + 2.1 0.2 + 0.8 0.1 ±0.4 0.0 + 0.2 0.0 ± 0.0 0.0 ± 0.0 Berries Low bush cranberry High bush cranberry Raspberry Strawberry Blackberry Rosehip Blueberry Soapberry Black currant Saskatoonberry Red currant Bristly black currant Bearberry Bog cranberry 70.0 0.0 3.0 2.0 3.0 24.0 0.0 0.0 4.0 0.0 0.0 0.0 0.0 0.0 0.0 166 ± 2 4 2 27.9 + 76.9 15.6 ±30.3 24.8 + 38.6 14.0 ±26.0 28.6 ±28.5 5.6+19.5 5.2 ±8.8 18.8 ±50.0 11.4±31.2 1.6 ±4.3 11.0 ±26.5 1.4 ±7.2 0.0 ± 0 . 2 0.0 ± 0.2 149 4.0 0.5 7.5 2.5 10.0 0.0 0.0 2.5 0.0 0.0 0.0 0.0 0.0 0.0 162+185 33.7 ±62.9 27.5 ±61.1 27.3 ±42.7 25.2 ±50.6 13.7 ±14.8 9.4 ±35.3 7.9 ±16.0 6.5 + 8.3 6.1 ±23.6 4.3 + 17.0 0.5 ±2.2 0.0 + 0.0 0.0 ± 0.0 0.0 ± 0.0 5.0 0.5 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 86.8 ± 299 29.0 ±88.2 22.7 ± 88.5 22.7 ± 88.5 9.7 + 35.3 1.8±5.2 1.0 ±2.8 0.1 ±0.2 0.0 ± 0 . 2 0.0± 0.2 0.0 ± 0.0 0.0 ± 0.0 0.0 + 0.0 0.0 + 0.0 57.1 ± 1 2 3 12.0 0.0 31.4+101 6.1 ±20.0 1.0 0.6 ±1.5 0.0 7.3 ±19.8 0.0 ** 8.7 ± 20.4 1.0 Wild rhubarb Mushroom 0.6 ± 2.4 0.0 0.4 ± 0.7 Bear root 0.0 Dandelion 0.0 ± 0.0 0.0 0.1 ±0.4 Birch 0.0 0.3 ±0.8 Willow* 0.0 Wild onion** 1.5 ±4.9 0.0 0.0 ± 0.2 Rice root 0.0 0.0 ±0.2 Wild mint 0.0 X O C •* + c CO +1 +1 lO f-; s s Oi n co CN ft » rson/d onsum isumer :dia M c a 5 OH y O ^b 3 tU ON r-I fN i-i a o m m ^ i Q Crt c s *S a i-i x> £ .2 s f N 5*6 c 1 V3 oo 00 •3- u X! •a o .o TJ- p ST c O •*' 00 « « c S3 £ o c c p c c c c CU s d d V V G. a. ca IC 4—* .-s xl u of u o c c a> CN VO ^4 *s '2 Q "1 m C/3 2 •*' +1 S +1 +1 o "": c O (N ca o en y of caribou isumption* Mean + SD 16.4 + 43.2 15.6+15.8 OldC t- |^ c oo CN O d 0O >o tN d t-i Frequ liver Media 0.0 10.5 iffere differ 1 »-. +1 +1 +1 ^H c r-' 'day c nsum 11)** Mea 1U n for f oods standard de dia mean O ^ O O -Wh n-W was ret 1 «= CO fN a, " "O O oo O 00 p- u dia den M C T—H ' + +1 +1 >-> e 0) 4—« J3 cd c.SP >-. e cd -o co 0 £P^ o o H ^ o o .s 60 o. s, o o $ entratio oo .SP C M ,i o O CD CD CN r- 1 o d d i * +1 +1 S 6 0 CN -a c (50 cd CD X! s cd 3 H O CD +1 o o o 60 " ^ (50 CO o VC CN X 3 H (30 o H d d d j j 3 N I C CN CO o o o CO E as "•4—» (3 • ^ H s cd _(D a o c T3 CM a T3 i CH o c o ro 'a, (50 o CO 3 O "S a o £h§ d • 1—1 3 3 CN CM 3 cd H 2 Nutrients The g/person/day consumption of caribou muscle, liver and kidney contributed to nearly two-thirds of the EAR for protein and zinc, half of the EAR for iron and one-third of the EAR for phosphorous in women (Table 3.4a). The niacin intake was close to the EAR, and the B12 intake was two and a half times the EAR. In men, caribou tissues contributed to approximately half of EAR for protein and zinc, two-thirds for vitamin A, nearly all for iron, and two and a half times for B12 (Table 3.4b). Caribou muscle, kidney and liver also contributed low amounts of copper, calcium, sodium, magnesium, manganese, potassium and vitamins C and D (data not shown) to the diets of both women and men. 75 P ~ u~> ( N NO —i ON , S | S id § oo - § q rn oo $ oq m *> * - O g CN - 1 CN 5=) -* ^ CO ^O NO CN CO o II c E o CN o o ~-~ 00 CN —( S 3 ""> -; ^ OO CN <-: m vo CN io ON +1 +1 +1 +1 +1 +1 m (S en Tt TJ- o >o d ^ S «/-> H c u •c 00 NO NO 2 o< +1 +1 +1 + °^ o „ CN ^d — CO -H NO 3 18.2 3.0 2.5 46.2 0.8 c o s Q c oS >, c -a +1 +1 +1 +1 +1 en r- -* + 00 +1 0 t0 ' CN O T f -< ON ON IT) d c d +1 NO O £ d «n S <*. <- en ^. c •a o I bO 3 O OH -H a CN s — d c +1 +1 .a D c U o '3 w> E a" bO E * w s •S3 6 0 — O CN NO bO 03 bO "S VD 3 en ' +1 +1 en m — d +1 +1 +1 +1 +1 +1 u bO en u — r- oo — CN o o 2 oo in 2 ^ o> ^ CN ^ •n c o U O *> J^ «? o X> — d +1 +1 NO — m m M in o\ 3 ~0 C 03 3 O OS d o c + ON c i2 1 §3 £3 00 CN .8 ^ e ftSRwZSw>> 3 o | 8* 8 c c E 03 T3 o3 ,«J p OS c « co ON r- -< £} NO o\ o ^ -H o\ ^ « S ^> 00 ^ NO U0 E2^ CN ON u o in en CN CN 04 < o a S CN 2 o CN NO 25 o r- c CN £ NO CN NO rj- ^. CO o o 00 +1 +1 +1 +1 +1 +1 +l +1 CO O N r-; in O co °) m 2 i> in £^ in 06 ^ in I c u W0 •* ON o +1 +1 ON •n «0 CM •c C O in " ON ^ NO CO VO _• o — © S •* CN r~ —< 00 CO 06 © p ^t 00 3 06 + 0) > +1 +1 -o c CN ^ +1 +1 +1 +1 +1 O —H 00 NO o vo 03 ^ p O 13 ON +1 +1 r- O 3 O w XI "S 3 O !o 2 c c •g !5 in in NO c o +1 o 2 NO O UO ky- in O —1 3 NO O CN NO ^ CO Tj—' NO rt CO NO CO O TT od ^ +l +1 +1?, +1 +1 +1 +1 +1 +1 NONooNor-co^^ CN o x> _ 00 o3 (U *-' bfl 03 4) -C O O « .S £3 C c5 in C o c _o c o 60 '•«-» ,33 , 0 -J3 •= <*- 3 TD 00 E 'C c o U (50 60 "31 I03 io IS 3 jd 60 CO I ^ 00 bO -—- 3 Z o « > 3 '3 o 60 — 03 60 C e £ " o p _C .3 u A OH N M o CN £ Z 5 W e .W. 'E 03 03 > > O a c c iS "O ^ Q S * Discussion Nearly all parts of a harvested caribou are used by the Vuntut Gwitchin; however only the muscle, liver and kidney were evaluated in this study since the organs are targets for MeHg accumulation and the meat is consumed in large quantities. The estimated average daily THg and MeHg exposure of adults in Vuntut Gwitchin households through consumption of caribou muscle, liver and kidney is low and therefore minimal risk of toxic Hg effects exists from consumption of caribou in this community. Even the THg and MeHg intake of high end consumers (top 90th percentile) was below Health Canada guideline levels. The calculated Hazard Quotients were well below 1, suggesting the health risk for Hg exposure from this route is minimal. Cooking methods, which have been shown to affect THg and MeHg in tissues (Moses et al., 2009), were not taken into account in this analysis; however since the estimated exposures were well below the guideline levels, the variations caused by different preparation methods would likely not affect the results of the assessment. Levels of THg in caribou organs generally increase with animal age and vary with season, as seasonality dictates both the size of the organs and the proportion of mercuryaccumulating lichens in the caribou diet (Robillard et al, 2002). THg levels in Porcupine Caribou kidney have been shown to be higher in spring harvested animals compared with those harvested in the fall and higher in females than in males (Gamberg, 2008). Samples analyzed for this study were collected only from male caribou during the fall hunting season. Although the harvesting both males and females is allowed, the Porcupine Caribou Management Board is encouraging the hunting of male caribou as a strategy to maintain a healthy herd population (Porcupine Caribou Management Board, 2009). Therefore the sampled male caribou can be considered representative of fall harvested animals. The 78 estimated exposure may increase a minimal amount if samples from spring harvested caribou were included; however individuals would still not surpass guideline levels for THg and MeHg. In addition, a conservative approach was employed to estimate the proportion of MeHg in the tissue samples, and actual MeHg levels may be even lower. Even though caribou tissues (muscle, liver and kidney combined) only contributed a median of 5-6% of the EER, they contributed half or more of the median EAR for protein, iron, zinc, B12 and niacin equivalent for both men and women. Total B12 intake exceeded the EAR by two and half times for both men and women; however there is not an upper limit (UL) for vitamin B12 as available research does not suggest adverse effects from high levels of consumption. Men and women were both close to the EAR for niacin but are not in danger of exceeding the UL, which is set for synthetic forms such as supplements and fortified foods. Men had a median percent reference intake of vitamin A twenty times higher than that of women due to their significantly greater consumption of liver. Since only a small number of women consumed liver and two of those women consumed a relative large amount, there is a positive skew for mean nutrient intakes for those nutrients present in high levels in the liver. Nutrient intake in Aboriginal communities has been found to be higher on days when traditional foods are part of the diet than on days when market foods are consumed exclusively (Kuhnlein et ai, 1996; Receveur et ai, 1997). A survey of four Yukon First Nations communities that included Old Crow found that even when traditional foods comprise 17% of the daily energy, they contribute 50% or more of daily intakes of protein, vitamin B12, riboflavin, niacin, iron and zinc (Wein, 1995). These results suggest that caribou tissues are critical in maintaining the nutrient requirement of individuals in this 79 community. The transition from traditional foods to market foods may decrease dietary quality and increase risk for diabetes, obesity and cardiovascular diseases (Damman et al, 2007; Kuhnlein et al, 2004; Kuhnlein et al, 1996; Martens et al, 2007). The study results resonate with comprehensive risk-benefit assessments conducted with other northern First Nations communities. A 1995 study found mercury levels to be low in Yukon wildlife and freshwater fish with the exception of loche, suggesting that mercury exposure is not a significant problem in Yukon First Nations communities (Receveur et al., 1998). A study of 16 Dene/Metis communities in the Northwest Territories including the Teetl'it Gwich'in community of Fort McPherson similarly reported low risk from dietary mercury exposure (Berti et al, 1998). Continued consumption of traditional foods was encouraged, as the nutritional benefits were considered important to the health of the communities and contaminant risk was low. 80 Conclusion Consumption of Porcupine Caribou in Vuntut Gwitchin households in Old Crow contributes high levels of nutrients to the diet. The average daily risk posed by mercury exposure is low when evaluated on a g/person/day consumption basis of all tissues. Results were discussed with the community to inform dietary choice and reported to the local health authorities for the development of regional and culturally appropriate nutritional policy and risk management. This paper examines contamination through a Western lens since the objective is to contribute only estimate of mercury levels and nutrient intake from caribou muscle, kidney and liver to a comprehensive risk assessment. A comprehensive risk assessment would explore the concept of contamination from an Aboriginal perspective and situate the assessment within the cultural understanding and implications of the contamination. 81 CHAPTER 4: CONCLUSIONS Traditional foods have been demonstrated to be an important part of the contemporary diet of two First Nations communities, the Vuntut Gwitchin of Old Crow and Teslin Tlingit. Forty-five traditional foods were reported to be consumed in Old Crow a median of 582 times per year. Due to its more southerly location and increased species diversity (Wein, 1995), a wider span of 60 different traditional foods was consumed in Teslin, albeit at a lower median of 386 times per year. Traditional foods are important to nutrition and physical health as well as to the spiritual and social well-being of the communities, especially since the foods reported to be consumed in this survey are high in protein, poly-unsaturated fatty acids, iron, zinc and vitamins A, B12, C, and E. Even though traditional foods are frequently consumed, both communities reported challenges to food security that stem from environmental variability. Twenty-six percent of households in Old Crow and Teslin reported not getting all the traditional foods that they want, which is a manifestation of moderate food insecurity. All of these Vuntut Gwitchin households wanted more caribou, due to the irregular fall migration of the Porcupine Caribou that left families without their normal stock for the winter. Caribou migration patterns can be affected by climate change, snow depth and hardness and access to and availability of preferred food sources such as lichen (Duquette, 1988; Manning, 2009). Tlingit households mentioned wanting more salmon in the survey, and those at the community meeting made it clear that the low salmon runs were affecting their community. Participants even reported resorting to obtaining salmon from outfitters and other First Nations, and the Teslin Tlingit Council purchased salmon from elsewhere and delivered it to community households in need, beginning with elders, single parents and large families. Salmon harvests are affected 82 by overfishing, water levels of the harvest area, changes to the freshwater habitat and variability in ocean conditions (Bradford & Irvine, 2000). The low 2008 salmon run in Old Crow coupled with high water levels led to the harvest of only seven chinook salmon and the Vuntut Gwitchin Government's purchasing of salmon to distribute to the community (S. Graupe, VVG Director of Natural Resources, personal communication, March 31 2009). Contamination of traditional food sources is another environmental issue threatening food security. Two participants in Old Crow reported decreasing their consumption of traditional foods because they were concerned about the foods' safety, specifically contaminants in the liver and meat of animals. This study did not qualitatively explore the community's perception of contamination and therefore it does not claim to have comprehensively addressed these concerns. From the Western perspective, one common scientific contaminant of concern, mercury, was measured and found to be of minimal risk through consumption of the frequently eaten caribou muscle meat and the commonly consumed mercury-accumulating organs, kidney and liver. The average daily nutrient intakes through consumption of caribou muscle, liver and kidney were identified as important factors in physical health, and the socio-cultural benefits of caribou and other traditional food consumption are recognized as contributing to holistic well-being. Reported socio-economic challenges to food security include not having enough time to hunt, money to hire someone to hunt for them, a hunter/trapper or fisherman in the household and enough and functioning equipment to fulfill the family's food needs. In Teslin 40% of households did not have enough hunting/trapping equipment, and this was found to be more of an issue with those under 40 years of age. In Old Crow, only 52% of households were identified as food secure by the HFSSM, a number well below the Canadian 83 and Yukon averages. That statistic incorporates both traditional and market food insecurity and is likely affected by the extremely high price of market foods in Old Crow due to its remote location. Although this study did not evaluate potential social aspects of changing diets that have been reported in other communities, such as the convenience of purchasing market foods at the store, education and media influences, changing tastes of younger generations and challenges in intergenerational knowledge transfer (Chan et ah, 2006; Kuhnlein et al, 1996; Wein et ah, 1993), these are factors to be considered in a comprehensive discussion of food security in the north. Communities and regional health networks are seeking to address the challenges to food security that are facing the north. 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Type 2 diabetes mellitus in Canada's First Nations: status of an epidemic in progress. Canadian Medical Association Journal, 163(5), 561-566. 95 Yukon Bureau of Statistics. (2006). Census 2006: Population and Dwelling Counts. Retrieved February 4, 2008, from http://www.eco.gov.vk.ca/stats/census/census06/popdwell.pdf Yukon Community Profiles. (2004a). Old Crow. Retrieved February 4, 2008, from http://www.yukoncommunities.yk.ca/communities/oldcrow/ Yukon Community Profiles. (2004b). Teslin. Retrieved February 4, 2008, from http://www.yukoncommunities.yk.ca/comrnunities/teslin/ \ 96 Appendix 1 UNIVERSITY OF NORTHERN BRITISH COLUMBIA RESEARCH ETHICS BOARD MEMORANDUM To: CC: Laurie Chan Pam Tobin From: Greg Halseth, Acting Chair Research Ethics Board Date: October 2, 2007 Re: E2007.0911.098 Adaptation strategies to effects of climate change and impacts on diet and health Thank you for submitting the above-noted research proposal and requested changes to the Research Ethics Board (REB). Your proposal has been approved. We are pleased to issue approval for the above named study for a period of 12 months from the date of this letter. Continuation beyond that date will require further review and renewal of REB approval. Any changes or amendments to the protocol or consent form must be approved by the Research Ethics Board. Good luck with your research. Greg Halseth 97 Appendix 2 UNIVERSITY OF NORTHERN BRITISH COLUMBIA RESEARCH ETHICS BOARD MEMORANDUM To: CC: Laurie Chan Pam Tobin From: Greg Halseth, Chair Research Ethics Board Date: April 22, 2008 Re: E2008.0221.041 Adaptation strategies to effects of climate change and impacts on diet and health Thank you for submitting the above-noted research proposal and requested amendments to the Research Ethics Board. Your proposal has been approved. We are pleased to issue approval for the above named study for a period of 12 months from the date of this letter. Continuation beyond that date will require further review and renewal of REB approval. Any changes or amendments to the protocol or consent form must be approved by the Research Ethics Board. Good luck with your research. Sincerely, Greg Halseth 98 Dr. Laurie Chan, BC Leadership Chair for Aboriginal Environmental Health 3333 University Way Prince George, BC V2N 4Z9 Tel: 250-960-5237 Email: lchan@unbc.ca Principal Investigator: Laurie Chan Ph.D., University of Northern British Columbia Responsible Institution: University of Northern British Columbia, Prince George, BC Funding Organizations: Natural Sciences and Engineering Research Council of Canada, Canadian Institute of Health Research Purpose: To find out the kinds and amounts of traditional foods eaten by Vuntut Gwitchin adults in Old Crow. This will be compared with information from fifteen years ago to show if there has been changes in traditional food use. Description of the research: You will be asked to complete a questionnaire that will ask you about your use of traditional foods over the past four seasons (winter, fall, summer, spring). You will also be asked some questions about your level of food security and access to traditional foods. If you would like to participate in this study, it will take about 1 hour. Anonymity and Confidentiality: Each questionnaire will have an identification number. No names or addresses will appear on the questionnaire so that no one can identify you from the questionnaire. The interviewer will have a separate profile form with the identification number and your name in order to keep track of participants but this form will not be shared with any individual or group. The collected interviews will be held in confidence by the Principle Investigator, Laurie Chan, and his researcher, Roseanne Schuster, for up to two years in a secured data laboratory at the University of Northern British Columbia (UNBC). At this time, after all the data are analyzed and reports published, the material will be destroyed. A set of the data will be held by VGG and will be administered under the VGG Access Policy. Potential Risks and Benefits: There are no risks associated with the interview. The diet information will help your community leadership have a record of traditional food consumption and develop public health promotion programs. Volunteer Status: Your participation is voluntary. You can choose to withdraw at any time, and your information will be destroyed. Research Results: The data will be co-owned by the community and the University of Northern British Columbia. Results of the study will be communicated to participants within one year. We will not release the individual results as only the collective results will be useful. Paper and electronic copies of the results will be presented to the VGG. Results will also be used to estimate nutrient and contaminant intake in the community. Final results will be published in a thesis and scientific journal and also used for public health planning. 100 If you have any questions about this project please do not hesitate to contact Dr. Laurie Chan, Principle Investigator, UNBC Community Health Program, 250-960-5237 or lchan@unbc.ca. Complaints: If you have any complaints about this project they should be directed to UNBCs Office of Research at 250-960-5820 or by email at officeofresearch@unbc.ca. Traditional Food Use in Old Crow and Teslin Informed Consent Form Informed Consent By signing this form, I agree that: • The study has been explained to me Yes No • All my questions were answered Yes No • I agree to participate in the Traditional Food Use study Yes No • I understand I can withdraw my participation at any time and the information I provided will be destroyed Yes No • I have the choice of not answering specific questions Yes No • I am free now, and in the future, to ask questions Yes No • I have been told that my personal information will be kept confidential. Yes No • I understand that I will receive a signed copy of this consent form. Yes No / Printed name Name of person who obtained consent / Signature Date (m/d/y) Signature / / Date (m/d/y) 101 Participant ID Appendix 5 / / Frequency of Traditional Food Use in Old Crow and Teslin Interview Questionnaire Interviewer ID Date / M / D Y There will be three parts to this study. The first part has one question asking the number of people in your household. The second will ask how often you have eaten traditional foods in the last year and how much you usually eat. The third will ask questions about your household's food security, or the availability and access to nutritious and culturally appropriate foods. I. HOUSEHOLD DEMOGRAPHICS This first part is very short. In order to describe the group of people who took part in the study, I will ask one question about your household. HD_Q1: How many people total, including yourself, live in your household? How many a) Children 0 to 12 years b) Teenagers 13 to 18 years c) Adults 19 to 40 years d) Adults 41 to 60 years e) Adults 61 years and over II. FOOD FREQUENCY QUESTIONNAIRE / will now ask you how often you ate several traditional food species in the past four seasons, winter (December-February); fall (September-November); summer (June-August); and spring (March-May). I will ask about muscle, liver, and kidneys separately for moose and caribou only. I will also ask how often you ate fish livers and bird and fish eggs. For all other species, when I ask how often you ate that bird, fish, or mammal, it includes all parts of the animal: the meat, organs, marrow, etc. Then I will ask approximately how much of each food you usually ate. I have food models here to help you estimate the portion size. 102 Traditional food Caribou kidney Caribou liver Moose meat Moose kidney Moose liver Mountain sheep Mountain goat Black bear Grizzly bear Lynx Hare Muskrats Beaver Porcupine Groundhog (hoary marmot, whistler) Gopher (Arctic ground squirrel) Any other? TF2 TF3 TF4 TF5 TF6 TF7 TF8 TF9 TF10 TF11 TF12 TF13 TF14 TF15 TF16 TF18 TF17 Caribou meat TF1 MAMMALS TF# Eaten in past year? Yes Z O #per W/M #per Season Winter (Dec-Jan-Feb) #per W/M #per Season #per W/M #per Season Frequency Fall Summer (Sep-Oct-Nov) (Jun-Jul-Aug) #per W/M #per Season Spring (Mar-Apr-May) #of portions Model Thickness Description of Portions Duck eggs Goose eggs Gull eggs Grouse (spruce, blue, ruffed) Ptarmigan (willow rock) Any other bird? TF22 TF23 TF24 TF25 Round whitefish TF30 Least cisco (herring) TF32 Inconnu (coney, sheefish) 1 Broad whitefish TF29 TF31 Lake whitefish TF28 FISH TF27 TF26 Swans TF21 Ducks Geese i Traditional food TF20 TF19 BIRDS TF# Eate past 5 Yes e u o — « C 9? #per W/M #per Season #per W/M #per Season #per W/M Winter (Dec-Jan-Feb) #per Season Frequency Fall Summer (Sep-Oct-Nov) (Jun-Jul-Aug) #per W/M #per Season Spring (Mar-Apr-May) #of portions Model Thickness Description of Portions Cutthroat trout Arctic grayling Northern pike, (jackfish) Burbot (ling cod, loche) Long nose sucker Fish livers Fish eggs Any other fish? TF40 TF41 TF42 TF43 TF44 TF45 TF46 TF47 TF48 Dolly varden Arctic char (incl. stocked from lakes) Rainbow trout TF39 TF38 TF37 TF36 TF35 1 Chinook (king) salmon Sockeye salmon (incl. kokanee) Coho (silver) salmon Chum (dog) salmon Lake trout TF33 TF34 Traditional food TF# 1 Eaten in past year? Yes o #per Season #per W/M #per W/M #per Season Fall (Sep-Oct-Nov) Winter (Dec-Jan-Feb) #per W/M #per Season Summer (Jun-Jul-Aug) Frequency #per W/M #per Season Spring (Mar-Apr-May) #of portions Model Description of Portions Traditional food Black currants Rosehips Red raspberry TF55 TF56 Bearberry (stoneberry, kinnikinnick) Blueberry TF62 High bush cranberry TF61 TF60 TF57 Cloudberry (salmonberry) TF58 Crowberry (mossberry, blackberry) TF59 Soapberry Saskatoon berry TF54 TF53 Strawberry TF52 Red currant TF50 Bristly black currants (swamp gooseberry) TF51 Gooseberry TF49 WILD BERRIES TF# Eaten in past year? Yes o #per Season #per W/M #per W/M #per Season Fall (Sep-Oct-Nov) Winter (Dec-Jan-Feb) #per W/M #per Season Summer (Jun-Jul-Aug) Frequency #per W/M #per Season Spring (Mar-Apr-May) #of portions Model Thickness Description of Portions Traditional food Fireweed shoots Labrador tea Wild mint Dandelion greens Willow buds TF69 TF70 TF71 TF72 TF73 Bear root TF75 TF76 Spruce bark or sap TREE FOODS Rice root TF74 ROOTS Arctic dock TF68 Any other wild berrv? WILD GREENS (Shoots, leaves, stems, buds) TF66 Wild onion, wild chive TF67 Wild rhubarb TF65 TF64 Bog cranberry TF63 Low bush cranberry TF# Eaten in past year? Yes o Z #per Season #per W/M #per W/M #per Season Fall (Sep-Oct-Nov) Winter (Dec-Jan-Feb) #per W/M #per Season Summer (Jun-Jul-Aug) Frequency #per W/M #per Season Spring (Mar-Apr-May) #of portions Model Thickness Description of Portions Mushrooms Caribou moss Any other food? TF82 TF83 TF84 Any other plant food? FUNGI, LICHENS TF81 TF80 TF79 Poplar sap or syrup Birch sap or syrup Balsam fir bark or sap Jackpine TF77 TF78 Traditional food TF# Eaten in past year? Yes #per W/M #per Season Winter (Dec-Jan-Feb) #per W/M #per Season Fall (Sep-Oct-Nov) #per W/M #per Season Summer (Jun-Jul-Aug) Frequency "-C w