Health geography in Canada: where are we headed?

This paper overviews the emergence of medical/health geography in Canada. The paper discusses the key questions that Canadian health geographers have explored in the past two decades, how these enquiries have featured in the field and how they contribute to the wider discourse of human geography. It also addresses questions on emerging themes and where Canadian health geography will go in the years ahead. With shifting health landscapes in terms of changes in social, political and physical environments, and changes in health care restructuring, Canadian health geographers are entering a new phase of research, teaching and policy. The complexity of the questions that health geographers seek to address means it is necessary to continue to highlight the policy implications of their findings. Health geographers need to emphasize the public agenda through interdisciplinary research and by continuing to work with geographers in other subfields.     

L'identification des zones calmes et un diagnostic d’équité environnementale à Montréal

Quiet urban areas are places with low noise levels that can help people to support physical and mental wellness. This paper has two objectives: to identify quiet urban areas in Montreal and to check for the presence of environmental inequities in access to such areas for vulnerable groups (children, older people, low‐income individuals, and visible minorities). Using a GIS‐based methodology, 2,282 quiet urban areas were identified in Montreal. The results of a mixed effects logistic regression model analysis showed that there are no major inequities in access to quiet urban areas for the population groups studied. The analysis did, however, revealed substantial spatial disparities in terms of the distribution of quiet urban areas across the boroughs and municipalities examined.     

From interdisciplinary to inter‐epistemological approaches: Confronting the challenges of integrated climate change research

Spurred by the literature on climate change and its calls for undertaking holistic research that more fully integrates the work of biophysical and social scientists, this article responds to the question: To what extent has climate change research in Canada embraced and been guided by the theories and tenets associated with interdisciplinarity and to what extent have integrated approaches been sensitive to cross‐cultural perspectives? It provides an overview of some of the epistemological issues raised in the interdisciplinarity literature that particularly impact research development and design. Furthermore, since much of the climate change literature that claims to be integrated or interdisciplinary draws from Indigenous Knowledge (IK), additional insights are provided from this perspective. The article develops a framework that can be used to undertake and/or evaluate research in a way that acknowledges “upstream” epistemological issues. The framework is then used to evaluate a comprehensive database (n = 282) of Canadian climate change articles. It is argued that an interdisciplinary approach adds a critical voice to the literature on integrated climate change research and is valuable because of its focus on epistemology and methodology. The article advocates the creation of a space for inter‐epistemological acknowledgement in which the academy develops an ethos of self‐reflection, while simultaneously respecting and integrating parallel knowledge frameworks, such as IK.     

Are new patterns of low‐income distribution emerging in Canadian metropolitan areas?

Recent studies on urban poverty in Canadian cities suggest a growing spatial concentration of poor populations within metropolitan regions. This article assesses trends in the intra‐urban distribution of the poor population from 1986 to 2006 in eight of Canada's largest cities. We consider five well‐known dimensions of segregation, as identified by Massey and Denton (1988) , in order to examine changes in the spatial distribution of poor populations within metropolitan areas: evenness, exposure, concentration, clustering, and centralization. These indices were calculated for low‐income populations at the census tract level using data from five Canadian censuses. Although each metropolitan area has distinctive characteristics, we were able to identify some general trends. The results suggest that, in 2006 compared to 1986, low‐income populations lived in more spatially concentrated areas, which were, at the same time, socioeconomically more homogeneous and more dispersed throughout the metropolitan area. In addition, we observed that over the last twenty years areas of poverty have been located, for the most part, in neighbourhoods adjacent to downtown cores. Nevertheless, we found that poverty has mostly increased in suburban areas located outside inner‐city neighbourhoods. Growing socioeconomic homogeneity and dispersion of low income areas in metropolitan areas reveal new spatial patterns of urban poverty distribution. These findings should be cause for concern as social isolation in the most disadvantaged neighbourhoods could affect the life chances and opportunities for the residents of those areas.     

The role of accredited zoos in the recovery process for species at risk in Canada

Zoos and aquariums are responding to the worldwide biodiversity crisis through major conservation initiatives like captive breeding for assurance populations and reintroduction programs. These institutions also fundraise, offer education programs, and provide critical research on biodiversity. Through a case study inside three accredited Canadian zoos, this paper illustrates that zoos and their staff members are being incorporated into many official species‐at‐risk recovery efforts on provincial, federal, and international levels. Specifically, the zoos studied are involved in every stage of the recovery process, from providing valuable research and habitat analyses, to captive breeding animals for reintroduction, to writing recovery strategies and creating recovery policy for multiple jurisdictional levels. Zoo staff indicate that zoos are uniquely suited to conservation because zoos have space, expertise, apolitical status, and the ability to connect with the public. Overall, the paper suggests that zoos can significantly contribute to species‐at‐risk protection and recovery in Canada and beyond.     

Hydrology and water resources in Canadian geography

Academic research on water by Canadian geographers encompasses both the physical and the social sciences. While this may provide for an integrated approach to water, there is limited engagement between the hydrologists who study the details of the hydrological cycle and those who study water resources and governance. This paper reviews the current state of water research in Canadian geography departments and possible emergent areas of research in the coming decade. As an overview, interjected with points of contention, future discourses on the subject may be encouraged.     

Inter‐Indigenous development aid: markets,corporations, and biases

The Canadian government and the Meadow Lake Tribal Council sponsored a forest extraction corporation in eastern Nicaragua that restructured 16 Miskitu and Mayangna villages and transformed local human‐environment interactions. The Central American aid project demonstrated paternalistic and interventionist tendencies and exposed biases in inter‐Indigenous aid that rendered it inseparable from conventional aid. This case encourages reflection on social and ecological impacts from the marketing of collective resources, the creation of Indigenous development corporations, and the decision‐making criteria and processes driving foreign aid. The case study demonstrates how foreign aid programs targeting Indigenous Peoples may actually thwart the self‐determination that they set out to encourage. Aid agencies and business partners, who had limited knowledge of local cultures and institutions, created externally defined rules that instigated resource conflicts and undermined the authority of customary leaders without resolving poverty or uneven development.     

Talent,technology and tolerance in Canadian regional development

This article examines the factors that shape economic development in Canadian regions. It employs path analysis and structural equation models to isolate the effects of technology, human capital and/or the creative class, universities, the diversity of service industries and openness to immigrants, minorities and gay and lesbian populations on regional income. It also examines the effects of several broad occupations groups—business and finance, management, science, arts and culture, education and health care—on regional income. The findings indicate that both human capital and the creative class have a direct effect on regional income. Openness and tolerance also have a significant effect on regional development in Canada. Openness towards the gay and lesbian population has a direct effect on both human capital and the creative class, while tolerance towards immigrants and visible minorities is directly associated with higher regional incomes. The university has a relatively weak effect on regional incomes and on technology as well. Management, business and finance and science occupations have a sizeable effect on regional income; arts and culture occupations have a significant effect on technology; health and education occupations have no effect on regional income.     

NDVI variation and its relation to climate in Canadian ecozones

Parks Canada began the Northern Satellite Monitoring Program in 1997, with the objective of tracking large‐scale vegetation variation in Canadian ecosystems and helping land managers to develop appropriate management practices in response to climate change. Under this program, a sequence of 10‐day composite Advanced Very High Resolution Radiometer (AVHRR)‐derived Normalized Difference Vegetation Index (NDVI) data from 1985 to 2007 was examined to study seasonal and inter‐annual relationships between vegetation and climate data over Canadian ecosystems using statistical and wavelet analysis. Statistical analysis showed that temperature was the principal driver for seasonal variability in greenness, explaining more than 70 percent of seasonal variation in vegetation for most Canadian ecozones. In comparison with temperature, the relationships between NDVI and precipitation were weaker but still significant. Maximum annual NDVI showed increasing trends in Canadian ecozones during the study period, although increasing rates were spatially heterogeneous. Wavelet analysis confirmed that inter‐annual variation in NDVI was different at two ecozones in Canada. NDVI variation in the Northern Arctic was significant at scales of 3–4 years from 1997 to 2001, which was associated with temperature and precipitation variation. Comparatively, NDVI variation in the Boreal Shield was significant at scales of 5–8 years from 1991 to 1999, but did not correspond with climate variation.     

Environmental influences on skilled worker migration from Bangladesh to Canada

We conducted focus groups in Toronto with 44 recent skilled worker immigrants from Bangladesh to explore whether their decisions to migrate to Canada may have been influenced by environmental problems. Previous research has documented how floods, cyclones, droughts, and seasonal precipitation variations affect rural‐urban migration patterns within Bangladesh, and to its neighbours. Most participants had not experienced such environmental hazards, having lived in Dhaka prior to migrating. However, Dhaka's ongoing problems with air and water pollution, sanitation, lack of green space, and food adulteration were cited by 70% as being relevant considerations for the decision to migrate. The degree of influence varied considerably among participants. Roughly 16% said pollution was their primary motivation for leaving, household members having suffered from illnesses traceable to air pollution or poor sanitation. Another 54% stated that Dhaka's environmental problems were part of a wider range of quality‐of‐life concerns that had some influence on their decision. The findings suggest that current migration to Canada is not connected with environmental migration that takes place within Bangladesh, but that urban environmental problems combined with other social, economic, and political factors can help drive migration.     

Canadian studies and American geography: trends and issues

Geography is perceived to be a relevant contributing discipline within a growing Canadian studies community in the United States, and the Association of American Geographers (AAG) retains a viable Canadian Studies Specialty Group. Since the early 1990s, however, the number of American geographers affiliated with Canadian studies organizations has not significantly increased: the community of scholars remains small and geography holds a peripheral position in terms of its actual contribution to US‐based Canadian studies programs. This article documents and interprets these trends using membership data collected by prominent professional organizations in Canadian studies and geography. It also explores the question of why American geography's Canadian regional specialists are not engaging formal Canadian studies initiatives in greater numbers. The observations that emerge suggest that a diversification of research themes in Canadian studies, particularly in the realms of environmental and physical science, would both increase participation by American geographers and enhance the field's ability to address pertinent aspects of the Canadian experience. Although observations presented pertain directly to the state of Canadian studies in American geography, they may also shed light on the lack of involvement by geographers in a variety of area studies fields in the United States and elsewhere.     

Revealing circumstances of epidemiologic transition among Indigenous peoples: The case of the Keg River (Alberta) Métis

Rates of type 2 diabetes and other metabolic disorders are elevated among Indigenous peoples; however, no research has examined the origins of these diseases among the Métis. This case study documents a transition in lifestyle and health that affected the Keg River Métis of northern Alberta during the middle decades of the 20^th century. This community began to experience previously absent diseases, including obesity, heart disease, gestational and type 2 diabetes, and preeclampsia. This shift in disease burden appears tied to rapid socio‐cultural and economic change driven by a decline of traditional economic activities, access to government transfer payments and wage labour, an increasingly sedentary lifestyle, and a growing availability of non‐traditional foods. This study points to earlier emergence of diabetes among Canadian Indigenous populations than commonly credited and presents the case for a rapidly evolving epidemic tied to environmental and cultural change. Underlying this were structural changes that emerged out of colonization.     

Hypermobility and the governance of global production networks: The case of the Canadian cycle industry and its links with China and Taiwan

Western firms engaged in mass retailing and in product assembly make frequent changes to their global production networks (GPNs). Indeed, some GPNs show a tendency to hypermobility, which we define as a rapid switching of economic links among manufacturers, importers, and retailers. This theme is explored in the context of the Canadian bicycle industry where domestic production collapsed between 1980 and 2008, following a century of remarkable stability. After a period of flux when Taiwan was the key player, China has emerged as the dominant original equipment manufacturer (OEM) of bicycles sold in Canada, with big‐box stores accounting for the great majority of sales. We connect this increasing fluidity in supply arrangements and in the global organization of the industry with the governance of these GPNs. Several aspects of governance are considered, including the Sloanist practices of the largest Canadian retailers, and the activist role of the Chinese state in directing regional patterns of manufacturing in China.     

Trends in the residential mobility of seniors in Canada, 1961–2006

This article examines residential mobility for seniors 65 years of age and older in Canada using census data from 1961–2006. We addressed three questions. First, have seniors been increasingly likely to change their residential location within Canada or alternatively become increasingly likely to age‐in‐place? Second, has the in‐migration of seniors to Canada from other countries become more pronounced over the years? Third, does the residential mobility of seniors vary by age and sex? We used census data to calculate the percentages of seniors who changed their residence in the five‐year periods prior to each of the 1961–2006 censuses and the percentages of seniors who moved in the previous year for the 1991–2006 censuses. We calculated the percentages of seniors making local moves, longer distance moves within the same province, moves from one province to another, and moves to Canada from another country. We found that rates of residential mobility for seniors tended to increase in the 1961–1981 period but have been lower and relatively consistent from 1986–2006. We found no evidence to suggest a pattern of sustained increase in residential mobility of seniors. We conclude that Canadian seniors tend to age‐in‐place and that when seniors do change residence, the likelihood of residential mobility decreases with the distance of the move and decreases with age. Nevertheless, the likelihood of changing residence may increase for seniors 75+ years of age who need assistance and are at risk of institutionalization. We found that senior women were more likely to change residence locally than senior men. Finally, we found that from 1961 to 2006 between 0.8 percent and 1.4 percent of seniors had migrated to Canada in the five years prior to each census from other countries and that this pattern has fluctuated over the past half century with no clear trend.     

Ambitious deep energy retrofits of buildings to accelerate the 1.5°C energy transition in Canada

Scientists advise limiting global warming to 1.5°C with substantial actions by 2030. Our viewpoint argues that climate response strategies in Canada have underemphasized and underestimated the potential contribution deep energy retrofits can make to greenhouse gas (GHG) emissions reductions, leading to inadequate responses in the building sector, and that Canada can (and should) be ambitious with building retrofits over the next decade. GHG savings from building retrofits can be realized more quickly than GHG reductions from other sectors, and either deliver net cost savings or are cost‐effective when compared to other mitigation measures. Retrofits can also provide social and economic benefits, such as improved health and comfort, and lower energy costs. This paper reviews energy use and building retrofits in Canada and argues the following should be implemented: (1) focus innovation on deep energy retrofit processes, not singular retrofit actions; (2) maximize both social and environmental benefits; (3) improve data gathering and availability for analysis and delivery; (4) innovate for a process of decisions and to avoid “dropouts” during the retrofit process; and (5) focus innovation on business models that maximize benefits.     

Spatial and environmental impacts on adverse birth outcomes in Ontario

This study assesses the overall spatial variations and neighbourhood‐level “hot spots” of low birth weight and preterm birth incidence within three public health units in Ontario, Canada. The analysis uses a stepwise approach of intra‐class correlation analysis, a spatial scan statistic, and multilevel spatial modeling. Results show that neighbourhood level variation accounts for only 2–3 percent of the total variation of adverse birth outcomes in the study area. However, strong spatial autocorrelation is observed at the neighbourhood level, and spatial clusters of relatively high adverse birth outcome rates exist in areas that are associated with environmental risks, including pollution sources and proximity to highways. Thus, although estimated neighbourhood impacts on adverse birth outcomes are small compared with those of individual‐level risks, local high potential environmental risk areas are identifiable. Environmental surveillance and spatial statistical analysis should be conducted regularly by local health authorities to identify and monitor the impact of environmental changes on health in general and on birth outcomes in particular. Specific community‐oriented health interventions may be required to reduce observed local health impacts.     

Detrended fluctuation analysis of daily atmospheric surface temperature records in Atlantic Canada

The presence and properties of long‐range correlations in temperature data reflect interactions among climate components; therefore, the quantitative characterization of scaling aspects of temperature patterns is important to climate research and can serve as an effective constituent of tests for climate models. The article presents the results of a study using multiscale characterization of daily atmospheric surface temperature patterns in Atlantic Canada. Important influences in this region are exerted from the west (the Pacific Ocean), the south (the Gulf of Mexico) and the north (the Arctic), while a significant easterly impact is due to the Atlantic Ocean; the corresponding processes involve a wide range of spatial and temporal scales. The objective of the present study of long‐term temperature recordings was to evaluate the scaling properties produced in this geographical context. The data consist of homogenized daily atmospheric temperature time series recorded in stations from Atlantic Canada over a time interval of more than 100 years. Detrended fluctuation analysis (DFA) was applied both to maximum and minimum temperature records. The atmospheric temperature pattern produced by the interplay of factors of different strengths and dominating various time‐space scales was found to be characterized by consistent scaling properties, expressed over time intervals ranging from months to decades. Higher values of DFA scaling exponents were obtained for minimum temperature compared to maximum temperature records. Site‐specific properties include stronger pattern persistence—higher DFA exponents—for oceanic than for coastal locations; persistence tends to decrease with increasing distance from the coast for distances up to 10 kilometres. Scaling exponents tend to increase with decreasing difference between average minimum and maximum temperature, which may be relevant for the assessment of future changes in pattern variability if climate change involves modified contrasts between minimum and maximum temperature values.     

Panda politics

This article argues that China's agreement in 2012 to loan Canada two panda bears is emblematic of animals’ simultaneous material‐symbolic inclusion and exclusion in contemporary politics. Employing a material focus, this article draws a connection between the panda gift and the promise to which it is attached: a promise of material flows; of Chinese access to Canadian resources, especially; and controversially, tar sands oil. Common to geographical flows of both pandas and oil is a devaluation of nonhuman life. In one flow, two pandas cross the Pacific for a decade of captivity at the Toronto and Calgary Zoos, where visitors will pay to view the permanently visible pandas. In the other instance, oil will be shipped across the same ocean, oil whose production comes at great cost to wildlife, including caribou, birds, and fish, and whose spill at any point along its journey to China would devastate marine and terrestrial wildlife populations. Stark power imbalances between species are at the heart of both of these flows and their material consequences. This article argues that, in emphasizing what the pandas symbolize, the extent to which their own and others’ lives are materially affected is elided.     

Canada‐United States interregional trade: quasi‐points and spatial change

Interregional trade between Canada and the United States has undergone significant change since the inception of free trade. However, the magnitude of that change for the different regions in Canada and the United States has not been properly identified because of a lack of an appropriate measure. This paper introduces the concept of a quasi‐point and employs a spatial point pattern test to measure the degree of change in the interregional trade of Canadian provinces and US states, with an emphasis of that change on Ontario. It is found that the degree of change in the interregional trade flows is related to the degree of change in the provincial tariff rates.     

Supporting food security for Indigenous families through the restoration of Indigenous foodways

Indigenous families are overrepresented among those within Canada who experience food insecurity. Studies have largely focused on northern populations, with less attention paid to southern and urban communities, including the social, cultural, and geographic processes that challenge food security. In this study, we present findings from a decade‐long community‐based study with the Southwest Ontario Aboriginal Health Access Centre (London, Ontario) to examine family perspectives related to the social determinants of food security. These topics were explored through qualitative interviews (n = 25) and focus groups (n = 2) with First Nation mothers with young children from the city of London, and a nearby reserve community. Interviewees from both geographies identified a number of socio‐economic challenges including household income and transportation. However, some interviewees also shed light on barriers to healthy eating unique to these Indigenous contexts including access issues such as a lack of grocery stores on‐reserve; loss of knowledge related to the utilization of traditional foods; and the erosion of community, familial, and social supports. Resolving these unique determinants of food security for urban and reserve‐based First Nation families will require a range of economic and culturally specific interventions, particularly those that support development and uptake of Indigenous foodways.