ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2022
Housing conditions and respiratory morbidity in Indigenous children in remote communities in Northwestern Ontario, Canada.
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Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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11citing papers in PubMed, 1 pooled it
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Factors associated with wheezing in Indigenous children and adolescents: A systematic review of the global literature.PloS one · 2026Pooled it
- Why, Immunologically, Housing-Related Fungi and Endotoxins (and Other Chronic Pro-Inflammatory Stressors) Risk Latent Tuberculosis Reactivation, Severe Asthma, and Translocating and Invasive Infections in Indigenous Communities in Canada.American journal of human biology : the official journal of the Human Biology Council · 2026Review
- The associations between residential environment and atopic dermatitis of adults: a prospective cohort study.BMC public health · 2026Article
- Polycyclic aromatic hydrocarbons from environmental tobacco smoke and wood stoves dominate in settled house dust from Northwestern Ontario First Nations communities.International journal of circumpolar health · 2025Article
- Association between house dust endotoxin and kidney injury: findings from the national health and nutrition examination survey (NHANES) 2005-2006.International urology and nephrology · 2024Article
- Prevalence of indoor air pollutants from First Nation homes in North Central British Columbia, Canada.International journal of circumpolar health · 2024Article
- A participatory study of indoor environment quality in homes of children and youth in Kanehsatake First Nation.Scientific reports · 2024Article
- Carriage ofJournal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2024Article
- Infectious diseases in Indigenous populations in North America: learning from the past to create a more equitable future.The Lancet. Infectious diseases · 2023Review
- Impacts of residential indoor air quality and environmental risk factors on adult asthma-related health outcomes in Chicago, IL.Journal of exposure science & environmental epidemiology · 2023Article
- Article
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Authors and funding
12 authors at 1 institution in 1 country.
Thomas KovesiDepartment of Pediatrics (Kovesi), Children's Hospital of Eastern Ontario (CHEO), University of Ottawa; Water and Air Quality Bureau (Mallach, Kulka), Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ont.; Northern Ontario School of Medicine (Schreiber), Sioux Lookout, Ont.; Nishnawbe Aski Nation (McKay), Thunder Bay, Ont.; Energy Matters (Lawlor), Pickering, Ont.; CHEO Research Institute (Barrowman, Tsampalieros), University of Ottawa; School of Public Policy and Administration (Root), Carleton University, Ottawa, Ont.; Sioux Lookout First Nations Health Authority (Root); Sioux Lookout Meno Ya Win Health Centre (Kelly), Sioux Lookout, Ont.; Northern Ontario School of Medicine (Kirlew), Sudbury, Ont.; Department of Chemistry (Miller), Carleton University, Ottawa, Ont. kovesi@cheo.on.ca.
Gary MallachDepartment of Pediatrics (Kovesi), Children's Hospital of Eastern Ontario (CHEO), University of Ottawa; Water and Air Quality Bureau (Mallach, Kulka), Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ont.; Northern Ontario School of Medicine (Schreiber), Sioux Lookout, Ont.; Nishnawbe Aski Nation (McKay), Thunder Bay, Ont.; Energy Matters (Lawlor), Pickering, Ont.; CHEO Research Institute (Barrowman, Tsampalieros), University of Ottawa; School of Public Policy and Administration (Root), Carleton University, Ottawa, Ont.; Sioux Lookout First Nations Health Authority (Root); Sioux Lookout Meno Ya Win Health Centre (Kelly), Sioux Lookout, Ont.; Northern Ontario School of Medicine (Kirlew), Sudbury, Ont.; Department of Chemistry (Miller), Carleton University, Ottawa, Ont.
Yoko SchreiberDepartment of Pediatrics (Kovesi), Children's Hospital of Eastern Ontario (CHEO), University of Ottawa; Water and Air Quality Bureau (Mallach, Kulka), Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ont.; Northern Ontario School of Medicine (Schreiber), Sioux Lookout, Ont.; Nishnawbe Aski Nation (McKay), Thunder Bay, Ont.; Energy Matters (Lawlor), Pickering, Ont.; CHEO Research Institute (Barrowman, Tsampalieros), University of Ottawa; School of Public Policy and Administration (Root), Carleton University, Ottawa, Ont.; Sioux Lookout First Nations Health Authority (Root); Sioux Lookout Meno Ya Win Health Centre (Kelly), Sioux Lookout, Ont.; Northern Ontario School of Medicine (Kirlew), Sudbury, Ont.; Department of Chemistry (Miller), Carleton University, Ottawa, Ont.
Michael McKayDepartment of Pediatrics (Kovesi), Children's Hospital of Eastern Ontario (CHEO), University of Ottawa; Water and Air Quality Bureau (Mallach, Kulka), Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ont.; Northern Ontario School of Medicine (Schreiber), Sioux Lookout, Ont.; Nishnawbe Aski Nation (McKay), Thunder Bay, Ont.; Energy Matters (Lawlor), Pickering, Ont.; CHEO Research Institute (Barrowman, Tsampalieros), University of Ottawa; School of Public Policy and Administration (Root), Carleton University, Ottawa, Ont.; Sioux Lookout First Nations Health Authority (Root); Sioux Lookout Meno Ya Win Health Centre (Kelly), Sioux Lookout, Ont.; Northern Ontario School of Medicine (Kirlew), Sudbury, Ont.; Department of Chemistry (Miller), Carleton University, Ottawa, Ont.
Gail LawlorDepartment of Pediatrics (Kovesi), Children's Hospital of Eastern Ontario (CHEO), University of Ottawa; Water and Air Quality Bureau (Mallach, Kulka), Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ont.; Northern Ontario School of Medicine (Schreiber), Sioux Lookout, Ont.; Nishnawbe Aski Nation (McKay), Thunder Bay, Ont.; Energy Matters (Lawlor), Pickering, Ont.; CHEO Research Institute (Barrowman, Tsampalieros), University of Ottawa; School of Public Policy and Administration (Root), Carleton University, Ottawa, Ont.; Sioux Lookout First Nations Health Authority (Root); Sioux Lookout Meno Ya Win Health Centre (Kelly), Sioux Lookout, Ont.; Northern Ontario School of Medicine (Kirlew), Sudbury, Ont.; Department of Chemistry (Miller), Carleton University, Ottawa, Ont.
Nick BarrowmanDepartment of Pediatrics (Kovesi), Children's Hospital of Eastern Ontario (CHEO), University of Ottawa; Water and Air Quality Bureau (Mallach, Kulka), Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ont.; Northern Ontario School of Medicine (Schreiber), Sioux Lookout, Ont.; Nishnawbe Aski Nation (McKay), Thunder Bay, Ont.; Energy Matters (Lawlor), Pickering, Ont.; CHEO Research Institute (Barrowman, Tsampalieros), University of Ottawa; School of Public Policy and Administration (Root), Carleton University, Ottawa, Ont.; Sioux Lookout First Nations Health Authority (Root); Sioux Lookout Meno Ya Win Health Centre (Kelly), Sioux Lookout, Ont.; Northern Ontario School of Medicine (Kirlew), Sudbury, Ont.; Department of Chemistry (Miller), Carleton University, Ottawa, Ont.
Anne TsampalierosDepartment of Pediatrics (Kovesi), Children's Hospital of Eastern Ontario (CHEO), University of Ottawa; Water and Air Quality Bureau (Mallach, Kulka), Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ont.; Northern Ontario School of Medicine (Schreiber), Sioux Lookout, Ont.; Nishnawbe Aski Nation (McKay), Thunder Bay, Ont.; Energy Matters (Lawlor), Pickering, Ont.; CHEO Research Institute (Barrowman, Tsampalieros), University of Ottawa; School of Public Policy and Administration (Root), Carleton University, Ottawa, Ont.; Sioux Lookout First Nations Health Authority (Root); Sioux Lookout Meno Ya Win Health Centre (Kelly), Sioux Lookout, Ont.; Northern Ontario School of Medicine (Kirlew), Sudbury, Ont.; Department of Chemistry (Miller), Carleton University, Ottawa, Ont.
Ryan KulkaDepartment of Pediatrics (Kovesi), Children's Hospital of Eastern Ontario (CHEO), University of Ottawa; Water and Air Quality Bureau (Mallach, Kulka), Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ont.; Northern Ontario School of Medicine (Schreiber), Sioux Lookout, Ont.; Nishnawbe Aski Nation (McKay), Thunder Bay, Ont.; Energy Matters (Lawlor), Pickering, Ont.; CHEO Research Institute (Barrowman, Tsampalieros), University of Ottawa; School of Public Policy and Administration (Root), Carleton University, Ottawa, Ont.; Sioux Lookout First Nations Health Authority (Root); Sioux Lookout Meno Ya Win Health Centre (Kelly), Sioux Lookout, Ont.; Northern Ontario School of Medicine (Kirlew), Sudbury, Ont.; Department of Chemistry (Miller), Carleton University, Ottawa, Ont.
Ariel RootDepartment of Pediatrics (Kovesi), Children's Hospital of Eastern Ontario (CHEO), University of Ottawa; Water and Air Quality Bureau (Mallach, Kulka), Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ont.; Northern Ontario School of Medicine (Schreiber), Sioux Lookout, Ont.; Nishnawbe Aski Nation (McKay), Thunder Bay, Ont.; Energy Matters (Lawlor), Pickering, Ont.; CHEO Research Institute (Barrowman, Tsampalieros), University of Ottawa; School of Public Policy and Administration (Root), Carleton University, Ottawa, Ont.; Sioux Lookout First Nations Health Authority (Root); Sioux Lookout Meno Ya Win Health Centre (Kelly), Sioux Lookout, Ont.; Northern Ontario School of Medicine (Kirlew), Sudbury, Ont.; Department of Chemistry (Miller), Carleton University, Ottawa, Ont.
Len KellyDepartment of Pediatrics (Kovesi), Children's Hospital of Eastern Ontario (CHEO), University of Ottawa; Water and Air Quality Bureau (Mallach, Kulka), Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ont.; Northern Ontario School of Medicine (Schreiber), Sioux Lookout, Ont.; Nishnawbe Aski Nation (McKay), Thunder Bay, Ont.; Energy Matters (Lawlor), Pickering, Ont.; CHEO Research Institute (Barrowman, Tsampalieros), University of Ottawa; School of Public Policy and Administration (Root), Carleton University, Ottawa, Ont.; Sioux Lookout First Nations Health Authority (Root); Sioux Lookout Meno Ya Win Health Centre (Kelly), Sioux Lookout, Ont.; Northern Ontario School of Medicine (Kirlew), Sudbury, Ont.; Department of Chemistry (Miller), Carleton University, Ottawa, Ont.
Michael KirlewDepartment of Pediatrics (Kovesi), Children's Hospital of Eastern Ontario (CHEO), University of Ottawa; Water and Air Quality Bureau (Mallach, Kulka), Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ont.; Northern Ontario School of Medicine (Schreiber), Sioux Lookout, Ont.; Nishnawbe Aski Nation (McKay), Thunder Bay, Ont.; Energy Matters (Lawlor), Pickering, Ont.; CHEO Research Institute (Barrowman, Tsampalieros), University of Ottawa; School of Public Policy and Administration (Root), Carleton University, Ottawa, Ont.; Sioux Lookout First Nations Health Authority (Root); Sioux Lookout Meno Ya Win Health Centre (Kelly), Sioux Lookout, Ont.; Northern Ontario School of Medicine (Kirlew), Sudbury, Ont.; Department of Chemistry (Miller), Carleton University, Ottawa, Ont.
J David MillerDepartment of Pediatrics (Kovesi), Children's Hospital of Eastern Ontario (CHEO), University of Ottawa; Water and Air Quality Bureau (Mallach, Kulka), Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ont.; Northern Ontario School of Medicine (Schreiber), Sioux Lookout, Ont.; Nishnawbe Aski Nation (McKay), Thunder Bay, Ont.; Energy Matters (Lawlor), Pickering, Ont.; CHEO Research Institute (Barrowman, Tsampalieros), University of Ottawa; School of Public Policy and Administration (Root), Carleton University, Ottawa, Ont.; Sioux Lookout First Nations Health Authority (Root); Sioux Lookout Meno Ya Win Health Centre (Kelly), Sioux Lookout, Ont.; Northern Ontario School of Medicine (Kirlew), Sudbury, Ont.; Department of Chemistry (Miller), Carleton University, Ottawa, Ont.
Children's Hospital of Eastern Ontario · CA
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRates of lower respiratory tract infection (LRTI) among First Nations (FN) children living in Canada are elevated. We aimed to quantify indoor environmental quality (IEQ) in the homes of FN children in isolated communities and evaluate any associations with respiratory morbidity.
methodsWe performed a cross-sectional evaluation of 98 FN children (81 with complete data) aged 3 years or younger, living in 4 FN communities in the Sioux Lookout region of Northern Ontario. We performed medical chart reviews and administered questionnaires. We performed a housing inspection, including quantifying the interior surface area of mould (SAM). We monitored air quality for 5 days in each home and quantified the contaminant loading of settled floor dust, including endotoxin. We analyzed associations between IEQ variables and respiratory conditions using univariable and multivariable analyses.
resultsParticipants had a mean age of 1.6 years and 21% had been admitted to hospital for respiratory infections before age 2 years. Houses were generally crowded (mean occupancy 6.6 [standard deviation 2.6, range 3-17] people per house). Serious housing concerns were frequent, including a lack of functioning controlled ventilation. The mean SAM in the occupied space was 0.2 m
interpretationWe observed poor housing conditions and an association between endotoxin and wheezing in young FN children living in Northern Ontario.
Indexed as
Air Pollution, IndoorHousing QualityIndigenous CanadiansChild, PreschoolCross-Sectional StudiesDustEndotoxinsFemaleFungiHumansMaleOntarioRespiratory Tract InfectionsRural PopulationVentilationDustEndotoxins
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