your health — fall & winter 2012
DESCRIPTION
IN THIS ISSUE: Arm yourself to fight the flu this season • Are we doing enough to safeguard the public from harmful air pollutants? • Could the government do more to protect us from harms of tobacco use? • Introducing: Tobacco-Free Tuesdays! • Supporting BC Municipalities in promoting healthy communities • Trek 28: Doing Good. Feeling Good. Sharing Good. • RUSH: They did more in 6 hours than you did all summer • Researcher profiles: Dr. Chris Carlsten, Dr. Lindsay Eltis, Dr. Thomas Abraham • Difficulty breathing? Get tested. Get healthy.TRANSCRIPT
and the air you breathe
Fa l l & W i n t e r 2 0 1 2
Researchers we’re proud to support p.10
Celebrating TREK veterans p.6
Introducing Tobbacco-Free Tuesdays p.11
Your HealthFall & Winter 2012
British Columbia Lung Association 2675 Oak Street Vancouver, BC V6H 2K2
Tel: 604-731-5864
Toll-free: 1-800-665-5864
Fax: 604-731-5810
www.bc.lung.ca
StaffPresident & CEO: Scott McDonald
Editor: Katrina van Bylandt
Contributing Writer/Editors:
Emily Wall
Liz Sauvé
Layout & Design: Matthew Shettler
Medical advisory Committee:Dr. Robert Schellenberg, UBC Pulmonary Research Lab,
St. Paul’s Hospital (Chair)
Dr. Patricia Daly, Chief Medical Health Officer,
Vancouver Coastal Health
Dr. Richard J. Finley, UBC Department of Surgery
Dr. J. Mark FitzGerald, UBC Respiratory Medicine, VGH
Dr. John Fleetham, UBC Respiratory Medicine, VGH
Dr. Shannon Tania Waters, Medical Services Branch,
Health Canada
Dr. Darlene Reid, Div. Of Physical Therapy, UBC
Dr. Jeremy Road, UBC Respiratory Division, VHSSC
Dr. David Speert, BC Research Centre
executive Committee:Dr. Peter Paré, Chair
Mr. Ash Dhanani, Vice-Chairperson
Dr. Kevin Elwood, Honourary Treasurer
Mr. Dan Boudreault, Director
Mr. Gary Chapple, Director
Mr. Mike Ellis, Director
Dr. Kevin Elwood, Director
Mr. Richie Gage, Director
Mr. Doug Hill, Director
Mrs. Marilyn Lawrence, Director
Mr. Scott Marshall, Director
Mr. Keith Murray, Director
Dr. Robert Schellenberg, Director
Please join the generations of British Columbians who
celebrate their health and happiness year in and year out with
an important donation to Lung Association Christmas seals.®
Today, the Lung Association fights a bigger battle than ever before. From important research on lung cancer and asthma to the fight against the dangerous poisons in air pollution and secondhand smoke, the Lung Association’s crucial mission is still largely supported by Christmas Seals.
Each Year, thousands observe the tradition of sealing holiday cards and packages with that year’s special seal. And each year, your Christmas Seals donation supports the important fight against lung disease being waged every day by the Lung Association.
Help stamp out lung disease.1-800-665-lung • www.bc.lung.ca
bc.lung.ca 3
Important Dates
November 2012 Lung Cancer
Awareness Month
November 14, 2012 World COPD Day
(Chronic Obstructive
Pulmonary Disease)
January 20-26, 2013 National Non-Smoking
Week
February 19-20, 2013 Air Quality & Health
Workshop, Vancouver
February 28-30, 2013 Conference: The Union,
North America Region (International
Union Against TB & Lung Disease),
Vancouver
March 3, 2013
Climb the Wall: The Stairclimb for
Clean Air, Vancouver
March 5-11, 2013 National Sleep
Awareness Week
March 24, 2013
World Tuberculosis Day
Celebrating a Lifetime of Community Service
Kelly Ablog-Morrant, BC Lung
Association Health Education Director,
has been steadfast in her commitment
to promoting lung health for 30
years. In tribute to her life of service,
Kelly received the Queen Elizabeth II
Diamond Jubilee Medal in September
2012. Recipients also included long-time
Association director Richie Gage and
volunteer Johnny van Tol.
Arm yourself to fight the flu this season
Anyone can get the flu, but some
people are at greater risk for serious
flu-related complications, like
pneumonia, particularly adults 65 years
and older. This is because the body’s
ability to fight illness drops as you age.
We suggest those over 65 years of age
also get a pneumonia shot.
High risk groupsEveryone should get the shot,
but especially:
• Seniors 65 years or older
• Children under five
• People with chronic conditions
• Residents of care homes
• Pregnant women
• Individuals of aboriginal ancestry
• People who are severely overweight
• Care-givers and health-care givers
Over a normal flu season, one in 10 adults and one in 3 children will come down with the flu.
Everyonesixmonthsandolderisrecommendedtogetafluvaccine.Afluvaccineoffersthebestdefenseavailabletoprotectagainstflu.
In addition to getting your flu vaccine, stay healthy by taking the following steps:
• Wash your hands properly, and often. Twenty seconds of hand
washing with warm water and soaps
helps remove bacteria and viruses.
• Cover up when you cough or sneeze. If a tissue is not available,
raise your arm up to your face to
cough or sneeze into your sleeve.
If you use a tissue, dispose of it and
wash your hands immediately.
• Keep shared surfaces clean
like doorknobs, light switches, and
telephones as bacteria can live up to
two days on hard surfacexs.
• and, if you get sick, please stay at home so that you do not spread
your illness to others.
Flu by the numbers
• 3 million to 7.5 million Estimated number of Canadians who
get the flu each year
• 6 to 10 Typical number of days it takes people to get over the flu.
• 2,000 to 8,000 Number of Canadians who die of flu or
flu-related complications each year.
Kelly Ablog-Morrant with Association CEO Scott McDonald.
Nurse Practitioner Elizabeth Leonardis gives BC Lung Association Volunteer Director
Muff Hackett of Squamish her annual flu shot.
To get your flu shot, see your doctor, pharmacist or visit the
BC Flu Shot Clinic Locator at health.gov.bc/flu
Could the governmentdo more toprotectusfromharmsoftobaccouse?
TheBCLungAssociation’s6thAnnualBCState
oftheAirReportunitesexpertsonairquality
andhealthtoprovideasnapshotofkeypollutant
levelsandareasofconcerninBC.Inthe2012,for
example,newfindingsontheimpactoftraffic
pollutionandhealthareaddressed.
“Powerfullinksbetweenairpollutionandillness
havebeenscientificallyestablished,”saidDr.
MennBiagtan,BCLungAssociationProgram
Manager.“Itisbecomingclearerthatthosewho
growupandliveinproximitytohigh-trafficareas
overlongperiodsoftimesufferallkindsofhealth
problemsmorefrequently.”
Approximately1/3ofallCanadianslivewithin
100metresofamajorroador500metresofa
highway—thezonesmostaffectedbytraffic-
relatedairpollution.
“Thequestionis,arewedoingenoughtosafeguard
publichealth?Shouldwebeseparatingactive
commuting(e.g.cycling)frombusyroadsor
establishingpoliciesonthelocationofnew
schools,hospitalsandrecreationcentresfor
example?”continuedDr.Biagtan.
Inadditiontohighleveldiscussionsonairquality
andhealth,thereportalsorecognizesindividuals
andorganizationsworkingtopromotecleanair
withinBCcommunities.
2012 State of the Air report contributors include the
Ministry of Environment, Environment Canada, Health
Canada, the Ministry of Health, the B.C. Centre for Dis-
ease Control, Metro Vancouver District, the Fraser Valley
Regional District, the University of British Columbia and
Simon Fraser University
Tobaccouseremainsthe#1preventablecauseofdeath.
Measurestoreducesmoking,andminimizeexposureto
second-handsmoke,arevitaltopublichealth.
WhiletheBCgovernmenthasexhibitedleadershipin
someareas—mostrecentlybysubsidizingthecost
ofprovenquitmedications—overalltheBCLung
AssociationandtheHeartandStrokeFoundation(B.C.
&Yukon)feelthepublicisready,andgovernment
capable,ofmore.In2012,thetwohealthadvocates
collaboratedtoproduceaTobaccoControlReport
Cardwhichlistedkeyareasforimprovement.
“Theaimofthereportcardistoignitedecisive
governmentactiononeveryavailabletobaccouse
deterrent,”saidBCLungAssociationCEOScott
McDonald.“Why,forexample,doesBCremainthe
onlyprovinceleftinCanadanottobanthesaleof
tobaccoproductsinpharmacies?”
Alsoonthe‘tobeimproved’lististheissueofsmoke-
freehousing.“TwomillionBritishColumbianslivein
apartmentbuildings,condosandtownhomes.The
vastmajorityarenon-smokersandwanttolivein
100%smoke-freebuildings,butfew,ifany,smoke-free
housingoptionsexist.”continuedMcDonald.
“Andweneedtoaddresssmokinginoutdoor
publicplaces.Only1/5ofBCregionaldistrictsand
municipalitieshavebylawsthatbansmokingon
restaurantandbarpatios,and/orinpublicparksand
playgrounds.Weneedstandardizedprovince-wide
legislation,”headded.
The BC Lung Association and the B.C & Yukon Heart and
Stroke Foundation have been working together on tobacco
issues under the Clean Air Coalition of B.C. banner for more
than a decade.
Are we doing enoughtosafeguardthepublicfrom
harmfulairpollutants?
STATE OF THE AIR2012B R I T I S H C O L U M B I A
Celebrating the Clean Air Month of June
1
FOREWORD
We are especially thrilled to present the 2012 State of the Air
Report. This year, we have not one but two Clean Air Champi-
ons: the Prince George Air Improvement Roundtable (PGAIR)
and Dana Schmidt. While PGAIR has done a lot over the years
to protect and ensure clean air quality for the community of
Prince George, Dana Schmidt founded the Donna Schmidt Me-
morial Lung Cancer Prevention Society three years ago to edu-
cate Castlegar’s residents on the dangers and health effects of
radon exposure in homes.
In this issue, we also profile two very special individuals: tri-
athlete Jeff Symonds and rugby player Andrea Burk. Though
competing in two different sports, Jeff and Andrea battle the
same illness: asthma. Their stories of courage and determina-
tion should inspire and remind others living with asthma that it
is possible to stay active and to succeed.
Like in previous years, we provide updates on air quality, air
pollution levels in B.C. compared to other parts of Canada, and
the clean air initiatives that agencies at various levels of gov-
ernment are undertaking. We also turn our attention on two
emerging issues—ultrafine particles and traffic-related air pol-
lution—and report on our 9th Annual Air Quality and Health
Workshop held last March.
Preparing a report such as this takes a lot of time and energy,
and I thank everyone who tirelessly worked to get it done.
Triumph Over
Adversity: Jeff Symonds
and Andrea Burk
Asthma and the
Environment
What is in the Air
We Breathe?
Pollution Levels: How
does B.C. Measure Up?
Emerging Issue:
Reducing Exposure
to Traffic Emissions
Emerging Issue:
Ultrafine Particles
Clean Air Champions:
The Prince George
Air Improvement
Roundtable &
Donna Schmidt
Memorial Lung Cancer
Prevention Society
Radon: Threats,
Challenges & Actions
Trends: Air Pollution
in B.C. through the Years
National Comparison
News from
Partner Agencies
Contact Information
of Agencies
C O N T E N T S
2
5
3
7
8
10
11
13
12
14
16
SCOTT MCDONALD President and CEO BC Lung Association
Tobacco conTrol reporT card
How does BC Compare to tHe rest of Canada?
May 2012
Advocacy The BC Lung Association works with government, health care professionals, other non-profit organizations, and industry to bring about public policy changes to improve the health of British Columbians.
To obtain a copy of the 2012 State of the Air Report: email [email protected], call
1-800-665-5864, or visit www.bc.lung.ca
To download a copy of the Tobacco Control Report Card visit
www.cleanaircoalitionbc.om
bc.lung.ca 5
Ready to quit smoking? We’re here to help, 24/7.
Quittingsmokingisabigdeal.Anditcan
takemultipleattemptsbeforeitsticks.
That’snormal,andwhywe’redesignating
the1stTuesdayofeverymonth:Tobacco-
FreeTuesday.
How does it work? Simplyvisitquitnow.ca
andsubmityourpledgetobetobacco-free
for24hoursfrom12:00amto11:59pm
onTobacco-FreeTuesday.Thecontest
runsmonthlyonthe1stTuesdayofeach
month,commencingDecember4,2012.
Youcanenteronceeverymonth,asmany
monthsasyouneed.
Why take up the Challenge? Whetherit’s
yourfirstor10thtimetryingtoquit,the
evidenceshowsifyoukeepontryingto
quitsmoking,you’llultimatelysucceed.
AndtakingtheTobaccoFreeTuesday
challengewillhelpgiveyouthe
confidenceyouneedtoquitforgood.
Who can participate? Whetheryouare
thinkingofquitting,readytoquit,orwant
tostayquit,youcanjointhechallenge
andentertowin–everymonth!Note:you
mustbeaBCResidentand19yearsofage
towinprizes.
What can I win? We’lldrawnamesand
award5prizeseverymonth.Prizesand
prizesponsorswillvaryfrommonthto
month.Visitquitnow.caformoredetails.
Where will winners be announced? QuitNow’s
website,FacebookandTwitteraftereach
monthlychallenge.Visitquitnow.cafor
contestrules,regulationsandprizingdetails.
SupportingBCMunicipalitiesinpromotinghealthycommunitiesWorkingincollaborationwithBC
Municipalities,theBCLungAssociation’s
QuitNowteamisreachingouttomunicipal
employeeswhowouldnotusuallyattenda
quitsmokingclinicorspeaktotheirdoctor
abouttheirsmokingaddiction.
“Wewanttostrengthenourrelationships
withemployerswhoshareourcommitment
tohelpingBritishColumbiansquitsmoking
andgethealthy,”saysGeriGrigg,BCLung
AssociationHealthPromoter.“TheCityof
Surreyisagreatexample.”
Smokingcessationsclinics,bloodsugarlevel
andbloodpressuretestingarejustsome
ofthethingstheCityofSurreyworkplace
wellnessteamisorganisingforCityworkers
tohelpthemstayfitandhealthy.
“Encouragingpeopletobemorephysically
active,makehealthyfoodchoicesand
quitsmokingareallpartofourwellness
initiative,”saysLindsayForsman,Cityof
SurreyEmployeeWellnessCoordinator.
“QuitNowisagreatprogram.FortheCityof
Surrey,oneofthebiggestbenefitsisthat
weareabletohitthegroundrunningas
opposedtocreatingourownstopsmoking
programfromscratch.Theresourcesofthe
QuitNowprogramareveryhelpful.”
INTRODuCING
Tobacco-Free Tuesdays!Quit for 24 hours for your chance to win prizes & a healther life
quitnow news A province-wide quit smoking resource, QuitNow provides and promotes tools and services scientifically-proven to increase quit-ready British Columbians’ chances of quit success.
For more about QuitNow, visit quitnow.ca, email [email protected] or call
The Lung Association at 1-800-665-5864.
During October Workplace Wellness Month, Geri
(right) participated at a Lunch ‘n’ Learn event
organized by Lindsay (left) for City of Surrey
employees.
Terri Stewart, BC Lung
Association Health Promoter in
Prince George.
1st Tobacco-Free
TuesdayDecember 4,
2012
6 Your Health — Fall & Winter 2012
This year marked the 28th anniversary of the Bicycle Trek for Life and Breath.
Doing Good. Feeling Good. Sharing Good.
Theyraised$225,000insupportofvitallunghealthresearch,
educationandadvocacy,gothealthyandsharedgoodtimes.
We’respeakingaboutthe250+cyclingenthusiasts,volunteers
andsponsorswhounitedSeptember8-9,2012fortheB.C.Lung
Association’s28thAnnualBicycleTrekforLifeandBreath
(Trek)–a200kmridefromWhiteRocktoCultusLake.
BicycleTrekisourlongest-runningfundraisingevent.Itbegan
28yearsago,agrassrootsfundraiserorganizedbyafewintrepid
cyclists.Nowit’sanannualgatheringforaloyalfamilyofLung
Associationsupporters.Manyhavetakenpartforyears,andall
havecontributedtothenearlysixmilliondollarsraisedoverthe
yearstohelpfightlungdisease.
For more information about the Bicycle Trek for Life and Breath, contact
The BC Lung Association at 1-800-665-LUNG or visit bc.lung.ca
From left to right: Norah Heath, Crystal Barnaby and Melanie Reum
Craig Lylack“I lost 70 pounds training, took in
some pretty amazing mountain
views en route, and was able to
pay tribute to my nephew who
suffers from asthma, as well as
my sister who conquered a long-
time smoking addiction. You can’t
beat that!”
Joe Dobson“The course is great, the roads
quiet, and the scenery fantastic.
And Trek has real meaning for
me. My mom suffered from lung
cancer and I do it for her.”
Dave Beaver“I’m a doctor and I help patients
with lung problems on a regular
basis. Since I advocate a healthy
lifestyle, I try to walk the talk. Trek
is a beautiful, casual ride and the
companionship is great. It allows
me to give back and stay fit.”
Crystal Barnaby“I love the atmosphere, energy
and meeting new people. And
because I lost my uncle to lung
cancer, Trek has personal meaning
for me.”
Ken Jessiman, sister Laurie and her son Jeff
“We grew up in the Fraser Valley,
but neither Laurie nor myself
live there now, so Trek allows us
to travel the back roads of our
childhood. It’s also a way to pay
tribute to our father, who suffers
from chronic lung disease, and to
our Mom, who we lost last year.
One of our last times with Mom
and Dad together was during Trek
2011, so it’s become an important
memory.
The Frains“We’re an active family – we
love soccer, cross country and
running – and we love Trek!
We all ride: my sons Patrick and
Daniel, my daughter Katie, and
my husband too, but this year,
due an injury, he volunteered
instead. We’ll be back!”
bc.lung.ca 7
Thank you 2012 sponsors
Dunbar Cycles
YYoung Water
Budget
The River 97.5
Whistler Question FM
Global BC
Sugoi
Star FM & Country 107.1
BC Lions Football Club
BC Sports Hall of Fame
Canadian Outback Adventures
Capilano Suspension Bridge
Deep Cove Canoe & Kayak Centre Ltd
Greater Vancouver Zoo
Harbour Cruises Ltd
Heffley Boutique Inn
The Old Spaghetti Factory
Paradise Fun Park
Park Inn & Suites
Power House at Stave Falls
Rosedale on Robson Suite Hotel
UBC Botanical Garden
Vancouver Aquarium Marine Science
Vancouver Lookout
Vancouver Maritime Museum
Vancouver Trolley Company
Watermania
Whole Foods
Safeway
Vitamin Water
Rosebud
Q Energy
Impact Magazine
Granville Island Tea Co.
Buy-Low Foods & Nestors
Leading Brands
Get Out There Magazine
Larabar
Happy Water
Ken McDowell (20 Treks) Charlotte Snowsell ( 17 Treks)
Daphne Tobler ( 16 Treks) Debra Martin (16 Treks), Sonja Mohrsen (16 Treks), Morag and Johnny van Tol (16 Treks), Janice Hunt (10 Treks)
Jean Seymour (23 years)Shikyo Sawada (15 Treks)
Cliff Neyedi (20 Treks) and Rita Pollock (25 Treks)Ash Dhanani (21 Treks) Bonnie Pedersen (15 Treks)
Wayne Chorneychuk (18 Treks) Christa Hauzer (15 Treks) Peter Robb (20 Treks)
Marty Wanless (25 years) Lance Rossington (16 Treks)
Rosemarie Hoffman (15 Treks), Dave Bowen (10 Treks), Maxine Bowen (20 Treks), and Jean Douglas (16 Treks)
The BC Lung Association’s 3rd Annual RUSH: Race & Urban Scavenger Hunt
They were amazingly fast, amazingly strong
and amazingly competitive. We’re talking
about our 2012 RUSHers; two hundred,
two-person teams who raced around
downtown Vancouver on June 23, 2012 to
help fight lung disease and compete for
a chance to win a trip for two around the
world. Here’s your peak inside the most
outrageous fundraiser to hit Vancouver’s
streets yet.
Looks like fun, doesn’t it? Join us for RUSH 2013.
THEY DID MORE IN 6 HOURS THAN YOU DID ALL SUMMER
The BC Lung Association’s 3rd Annual RUSH: Race & Urban Scavenger Hunt
How it works: Teams of two deciphered
clues leading them to checkpoints hidden
all over metro Vancouver. The goal?
To successfully complete 10 of the 17
checkpoints and head back to Jack Poole
Plaza to cross the finish line before anyone
else – and win a trip around the world!
Photos thanks to Jorge Posada, Kelsey Derksen,
Sara Jakubowicz, Sukhraj Bhattal, Windy Corduroy,
and Andrew Lawrence.
Looks like fun, doesn’t it? Join us for RUSH 2013.
THEY DID MORE IN 6 HOURS THAN YOU DID ALL SUMMER
Thank you 2012 sponsors
Pinnacle Pursuits
Mahony & Sons
Vancouver Convention Centre
BC Place
Yuk Yuk’s Vancouver
1-800-GOT JUNK
Beaty Biodiversity Museum
Brandywine Bartending
Olivia Lovenmark/Stylestruck
Party Works
Steve Nash Fitness
Mavi Jeans
Virgin Radio
Pfizer Canada Inc.
TELUS
Vancouver Kiteboarding School
Sewells Marina
Coastal Climbing Centre
Grouse Mountain
Funtastic Inflatables
Vitamin Water
Queen Elizabeth Pitch & Putt
Q Energy
Waves Coffee
Lululemon Oakridge
UBC Dance Club
Larabar
Winners Nick and Kaley
10 Your Health — Fall & Winter 2012 bc.lung.ca 10
ASTHMA FACTS
Asthmaistheleadingcauseof
hospitalizationamongchildrenaged1–9.
Asthmaisalsotheleadingcauseofschool
absenteeism,themostcommonon-the-job
lungdiseaseandthethirdleadingcauseof
lostworktime.
Thougheffectivemedicationandtreatment
isavailable,manychildrenandadultsstill
donoteffectivelymanagetheirasthma.
AccordingtotheWorldHealthOrganization
(WHO)Canadahasoneofthehighestrates
ofasthmaintheworld.Altogether3million
Canadiansareaffected.
I’m working to understand
how air pollutants,
particularly traffic pollution,
affects children and adults
living with asthma, as well
as studying how long‑term
exposure to traffic‑related
pollution may lead to its
development.
Dr. Chris CarlstenWhat is the focus of your research?I study the health effects of air pollution. My current research is focused on how
diesel exhaust, in combination with other air-borne irritants, affects people with
asthma. I’m also following — together with other colleagues — a group of more than
20,000 children from birth to see how their exposure to traffic-related pollution may
lead to new asthma.
I’d like to think that my research will help tighten limits on traffic-related emissions.
Current regulations are generally based on understanding only the exhaust, rather
than recognizing the impact of both allergen and exhaust combined.
Why did you choose a career in research? I’ve always been interested in biology – the human body fascinates me – and I really
wanted to use my knowledge to tackle a significant public health problem. I’m a lover
of everything outdoors, so studying the lungs and their intimate relationship to the
outside world made sense.
Do you have any real-life heroes? My professional mentor – Dr. Moira Chan-Yeung . She was a pioneer in occupational
and environmental lung research.
If you had a second career, what would it be? I’ve always thought it would be really cool to be a cartographer, plus I love the sound
of that word. I’m fascinated by maps and could stare at them for hours.
Your proudest moment so far would be?Since moving to BC from the US, I’ve met some incredible people; true pioneers in
the lung and environmental health community. Their recognition, support for, and
interest in my research has been really motivating.
Dr. Carlsten is a physician scientist with the Lung Centre at Vancouver General
Hospital and the Centre for Respiratory and Critical Care Medicine, and an assistant
professor and Chair in Occupational and Environmental Lung disease at the
University of British Columbia. He attended Stanford University before training in
internal, occupational, pulmonary and critical care medicine at the University of
Washington.
ReSeARch
bc.lung.ca 11
I’m using my research
to help understand and
ultimately improve the
quality of treatment for
tuberculosis (TB) patients. For
most Canadians, the risk of
developing TB is very low, but
globally TB is still a major
health problem.
TB FACTS
Canadaishometosomeoftheworld’s
leadingTBspecialistsandnationalincidence
ofthediseaseislow,withapproximately
1,600newcasesreportedeveryyear.
TBtendstotravelsintoCanadaaspeople
travelbackandforthtohighincidence
countries,withthemajorityofallnewTB
casesinCanadaoccurringinpeopleborn
outsideofthecountryand/orAboriginal
Canadians.
TBratesamongAboriginalpeoplesaremore
than25timeshigherthanthoseofother
peopleborninCanada.
Dr. Lindsay EltisWhat is the focus of your research?I study the mycobacteria that causes tuberculosis (TB). This bacteria usually attacks
the lungs, though it can affect other parts of the body, and if not treated properly is
fatal. I discovered that to survive the mycobacteria eats “good” cholesterol. In order to
digest it, certain enzymes must be present. I’m hoping to determine which cocktail of
medications could inhibit or block these enzymes. This would essentially starve the
TB mycobacteria to the point where, theoretically, the body’s own immune system
could flush it out. This would improve TB treatment – particularly for multi-drug
resistant strains of the disease, which are becoming more common and are very
difficult to treat.
Why did you choose a career in research? I decided to be a scientist when I was 14. I fell in love with the natural world. Bird
watching, in particular, was a passion. I have other interests too, rock climbing for
instance, but nothing gets me as excited as research.
Why do you think TB research has trouble attracting the same level of funding as other diseases? In Western societies TB is not as prevalent as other diseases but with the
development of new drug-resistant strains of the disease, we need to start taking
it more seriously. It is still a huge problem. One-third of the world’s population is
currently infected and millions of people still become infected and die every year.
Your proudest moment so far would be? I live for the moments where I’ve discovered something new, something I don’t
believe anyone else has seen before. My discovery about Mycobacterium
tuberculosis is up there in terms of adrenaline rush moments.
Do you have any real-life heroes? Michael Smith, a highly-regarded researcher at UBC who won a Nobel Prize in
Chemistry. He was hard-working, passionate – a true genius – but down to earth
Dr. Lindsay Eltis is Professor of Microbiology and Immunology at UBC and is the
founding Director of the Centre for Tuberculosis Research at UBC. He is also
Principal Investigator at the Eltis Lab, where his research seeks to understand
microbial enzymes and pathways involved in the degradation of natural and man-
made compounds.
Thanks to the generosity of our donors, the BC Lung Association grants almost a million dollars
annually to world-class lung health research taking place right here in BC. Meet a few celebrated members of BC’s research
community working to improve and save lives with our help.
12 Your Health — Fall & Winter 2012
I’m working on research that
will help better understand
and diagnose chronic
obstructive pulmonary
disease (COPD) earlier, when
more can be done to improve
quality of life.While cancer,
heart disease and stroke‑
related deaths have been
decreasing, deaths due to
COPD are rising steeply.
COPD FACTS
MorepeoplearebeingadmittedtoCanadian
hospitalseachyearwithCOPDthanany
othermajorchronicillness(including
heartattacks)andthatnumberhasbeen
increasingdramaticallyinrecentyears.
Since2005,COPDratesamongwomenhave
risenatratesfasterthanbreastcancer.
COPDcurrentlyaffects4.8percentof
Canadianwomen.
ThemajorityofCanadiansdon’tknowwhat
COPDis,whetherthey’reatriskorhowto
gettested.
Dr. Thomas AbrahamWhat is the focus of your research? Chronic obstructive pulmonary disease (COPD) is a worldwide public health problem
that reduces the quality of life, increases time lost from work, accounts for a large
proportion of acute care hospital admissions, and increases the risk of premature
death. My research will uncover critical new information about the earliest signs of lung
damage associated with COPD. These new insights will help identify therapeutic targets
for prevention and treatment.
Why did you choose a career in research?Curiosity. As a biophysicist and ardent cyclist, I’m fascinated by the complexity of
lungs – and how hostile environments created by pollution can influence lung
structure and function.
Why do you think COPD research fails to attract the same level of funding as other diseases? I think the public believes major lung diseases like COPD are man-made; either
caused by smoking or environmental pollution. The reality is many lung diseases
including asthma, pulmonary fibrosis and lung cancer are caused by both
environmental and genetic factors or have no known cause. Everyone has heard
about heart attacks and stroke and knows how lethal they can be, but few know
about COPD lung attacks.
Your proudest moment so far would be? I was invited to present at the May 2012 American Thoracic Society Meeting in San
Francisco on the subject of fibrotic lung disease detection and treatment. I was
overwhelmed by the size of the audience and their interest in what I had to say.
Do you have any real-life heroes? Without any doubt, Michael Faraday, a poor bookbinder’s apprentice without formal
education who turned into one of the best experimental scientists in history.
Dr. Thomas Abraham is a microscopy expert located at the James Hogg Research
Centre at St.Paul’s Hospital. Dr. Abraham holds a Ph. D. degree in Chemical
Engineering from Laval University (Canada), and has trained in Biophysics/
Structural Biology at various institutions in Canada, Japan and Sweden.
bc.lung.ca 13
Registered Respiratory Therapist Barb Moore administers a spirometry test at a BC
Lung Association Public Health Event.
it’s called a spirometry test. And lung health advocates
urge all present or past smokers over the age of 40 and
experiencing breathing difficulties to get one.
Spirometry is a simple, painless, breathing test that measures
how much air you can move out of your lungs. It’s used to
confirm diagnosis of COPD — a life-threatening lung disease
that interferes with normal breathing and is not fully reversible.
An estimated 93,000 British Columbians aged 45+ have been
diagnosed with mild to severe COPD. However it is believed
this is just the “tip of the iceberg” due to the lack of awareness
of symptoms.
Lung health advocates suspect thousands more middle-
aged people who smoke, or smoked in the past, could be
experiencing symptoms of the disease, but are not getting it
checked out.
The most common symptoms of COPD are breathlessness (or
a “need for air”), abnormal sputum (a mix of saliva and mucus
in the airway), and a chronic cough. Daily activities, such as
walking up a short flight of stairs or doing routine household
chores, can also become very difficult as the condition
gradually worsens.
“Too many British Columbians are living with chronic,
progressive, undiagnosed lung disease. And they’re not
getting diagnosed until the disease is advanced,” says
Kelly Ablog-Morrant, Health Education Director for the
BC Lung Association.
The earlier the test is performed, the earlier disease can be
detected, and treated. Many things can be done to slow
progress, manage symptoms, and improve a person’s quality
of life.
“More people today are being admitted annually to Canadian
hospitals due to COPD-related lung attacks than heart attacks
or any other major chronic illness. We need physicians to be
more proactive in screening for chronic lung disease so we
can get people into treatment earlier, when symptoms are still
mild,” said Dr. Mark Fitzgerald, Head of Respiratory Medicine
for UBC and Vancouver General Hospital.
To learn more about lung (spirometry) testing and COPD, visit
www.bc.lung.ca or call toll-free 1-800-665-5864.
Difficulty breathing? Get tested. Get healthy.
Chroniclungdisease,specifically
chronicobstructivepulmonarydisease,
isthefourthleadingcauseofdeath.
There’sasimpletesttothiscondition
early,butonlyathirdofBritish
Columbianshaveheardaboutit,says
theBCLungAssociation.
fieldnotesThe BC Lung Association has been dedicated to its mission of promoting and improving lung health for all British Columbians for over 100 years. Here are some of the things we’ve been up to lately.
14 Your Health — Fall/Winter 2012
3Supporting quitters – like Clarence Lundberg. A year ago the BC government decided to subsidize
supplies of quit smoking aids and medications to
help people who smoke overcome their addiction. Since this
government initiative began in Fall 2011, more than 150,000
British Columbians have taken advantage of the free quit
medications, many of whom have also taken advantage of
free phone, text and online quit supports offered by the BC
Lung Association through QutiNow.ca. For those interested in
free quit medications, call Healthlink 8-1-1.
“I was a smoker for 45 years,” says Clarence Lundberg. “Last year my doctor said if
I smoked for one more year, I would be on an oxygen machine. Quitting hasn’t
been easy, but having access to a free supply of nicotine patches helped. I also
found additional support from the QuitNow phone coach kept me on track. Now
I can go swimming with increased endurance, my circulation has improved, and
so has my general health.”
4 Fueling action on air pollution and public health issues. The BC
Lung Association’s annual spring Air
Quality & Health Workshop unites
environmental health experts,
advocates and policymakers to
discuss the known impacts of air
quality on public health. This year’s
workshop will address the emerging
issue of traffic pollution and ultrafine
particulate matter. To learn more
about the upcoming workshop, email
[email protected] or visit at
www.bc.lung.ca
5Introducing our 2013 golf savings book – the perfect stocking stuffer!�
The BC Lung Association Golf Privilege
Club Membership Book is a great
way for golfers to pay less and play
more while supporting the Lung
Association’s work to improve lung
health in British Columbia. For only
$35, the membership
book entitles golfers to
discounts at more than
120 courses across BC.
Call 1-800-665-5864 or
visit golfandsave.ca to
order your 2013
golf book out
November 1, 2012.
1Helping communities understand external threats to lung health. We continued our
annual community lecture series this
year in partnership with the Interior
Health Authority and Health Canada –
First Nations and Inuit Health Branch.
During September 2012 our health
education team travelled to Creston,
Cranbrook, Fernie, and Grand Forks
to address local lung health issues
including tobacco use, the health
impacts of wood smoke, the risks of
radon gas, and the burden of chronic
lung diseases including asthma and
COPD.
2Raising awareness of a deadly but little known lung disease. Anyone touched by idiopathic
pulmonary fibrosis (IPF) knows the need to raise
awareness is urgent. IPF is a rare and progressive lung disease
that generally targets seniors and often goes undiagnosed.
Living with IPF on a daily basis is a very frightening way to
exist. Not only is there no cure, there is no proven treatment.
Studies suggest 5,000 to 9,000 Canadians suffer from it, with
an estimated 3,000 deaths each year.
A PUBLIC FORUM ADDRESSING LUNG HEALTH ISSUES
Presented by the British Columbia Lung Association in partnership with Interior Health Authority, Health Canada – First Nations and Inuit Health Branch.
• Tobacco
• Wood smoke and its health impacts
• Asthma and COPD
• Radon: What you should know
LUNG HEALTH& AIR QUALITY
September 21, 2012, 6 - 9 pmSelkirk College Grand Forks Campus486 72nd Avenue, Grand Forks, B.C.Room #8, Lower Parking Lot Entrance
For details, contact:
1-800-665-5864 [email protected]
A PUBLIC FORUM ADDRESSING LUNG HEALTH ISSUESA PUBLIC FORUM ADDRESSING LUNG HEALTH ISSUES
Presented by the British Columbia Lung Association in partnership with Interior Health Authority, Health Canada – First Nations and Inuit Health Branch.
• Tobacco
• Wood smoke and its health impacts
• Asthma and COPD
• Radon: What you should know
LUNG HEALTH& AIR QUALITY
September 18, 2012, 6 - 9 pmFernie Community Center (Main Hall)901 - 6th Ave., Fernie, B.C.
For details, contact:
1-800-665-5864 [email protected]
A PUBLIC FORUM ADDRESSING LUNG HEALTH ISSUES
Presented by the British Columbia Lung Association in partnership with Interior Health Authority, Health Canada – First Nations and Inuit Health Branch.
• Tobacco
• Wood smoke and its health impacts
• Asthma and COPD
• Radon: What you should know
LUNG HEALTH& AIR QUALITY
September 17, 2012, 6 - 9 pmSt. Eugene Golf Resort Casino (St. Eugene Pavilion)7777 Mission Rd., Cranbrook, B.C.
For details, contact:
1-800-665-5864 [email protected]
BC Minister of State for Seniors, the Honourable Ralph Sultan, presents Canadian
Pulmonary Fibrosis Foundation president Robert Davidson and BC Lung Association
CEO Scott McDonald with the government’s proclamation declaring September 2012
the first “IPF Awareness Month” in the province.
bc.lung.ca 15
9Uniting North American leaders in TB control. As the
Secretariat for the Union (against
TB and Lung Disease) – North America
Region, the BC Lung Association plays
a role on the global stage. In February
2013, the Association is hosting the
Union’s 17th Annual Meeting
in Vancouver. More than 400
global TB and respiratory
disease experts will meet to
discuss clinical, diagnostic,
scientific and social changes
to TB control. For more
information, visit bc.lung.ca.7Valuing our individual and corporate donors. Without
the support of our individual
and corporate donors, the BC Lung
Association’s mission could not be
accomplished. See here a photo of
Katie Gove, TELUS Senior Community
Investment Manager who recently
presented BC Lung Association CEO
Scott McDonald with a $5,000 corporate
donation.
6 Celebrating our 28th annual Fresh Air Photo Contest winners!� The Lung Association and London Drugs held its 28th
annual Fresh Air Photo Contest this July and August 2012.
The contest challenges amateur photographers from across
Western Canada to send in their best fresh air photo to win
fabulous prizes. First, second and third prizes
were awarded. See the winning photos here!
8Appointing Dr. Peter Paré as BC Lung Association Volunteer Chair. This year
the BC Lung Association elected
long-standing lung health champion
Dr. Peter Paré as volunteer Chair.
Dr. Paré concurrently holds the
position of Director, The James Hogg
iCAPTURE Centre for Cardiovascular
and Pulmonary Research, located at
St. Paul’s Hospital in Vancouver, and
Professor in the Faculty of Medicine at
the University of British Columbia.
17th ANNUAL CONFERENCEInternational Union Against Tuberculosis
and Lung Disease – North America RegionFebruary 28 - March 2 , 2013
SHERATON VANCOUVER WALL CENTRE HOTEL, VANCOUVER, BC
THE AIR WE SHARE
THE UNION – NORTH AMERICA REGION
EXECUTIVE COMMITTEEPresident: E. Jane Carter, MD, Brown University/Miriam Hospital, Providence, RI, USA
Planning Committee Chair/Vice-President: Kevin Schwartzman, MD, MPH, McGill
University, Montreal, QC, CanadaPresident-Elect: Pamela Orr, MD, University of Manitoba, Winnipeg, MB, Canada
Immediate Past President: Masae Kawamura, MD, San Francisco Dept. of Public
Health, San Francisco, CA, USAEx-Officio: Scott McDonald, British Columbia Lung Association, Vancouver, BC, Canada
Christine Hunt, The Union - North America Region, New York, NY, USA
Secretariat: Menn Biagtan, MD, MPH, British Columbia Lung Association, Vancouver,
BC, Canada
CME PLANNING COMMITTEE
Kevin Schwartzman (Chair), MD, MPH, McGill University, Montreal, QC, Canada
Anne Fanning, MD, Professor Emeritus, University of Alberta, Edmonton, AB, Canada
Sue Etkind, BSN, MS, Jamaica Plain, MA, USA
Eileen Napolitano, NJMS Global Tuberculosis Institute, Newark, NJ, USA
Pam Orr, MD, University of Manitoba, Winnipeg, MB, Canada
Shawna Buchholz, BScN, MPH, BC Centre for Disease Control, Vancouver, BC, Canada
Ian Kitai, MD, Hospital for Sick Children, Toronto, ON, Canada
Anna Mandalakas, MD, MPH, Baylor College of Medicine, Houston, TX, USA
Sapna Bamrah, MD, Centers for Disease Control and Prevention, Atlanta, GA, USA
Masae Kawamura, MD, Qiagen Inc., San Francisco, CA, USA
Sundari Mase, MD, MPH, Centers for Disease Control and Prevention, Atlanta, GA, USA
Ed Nardell, MD, Harvard Medical School, Boston, MA, USA
FILE: IUATLD 2012 Brochure Side 1SIZE: Folded-4”x9” ; Spread-20”x9”COLOUR: 4/4
ABSTRACT COMMITTEEAlfred Lardizabal (Chair), MD, MPH, NJMS Global Tuberculosis Institute, Newark, NJ, USA
E. Jane Carter, MD, Brown University/Miriam Hospital, Providence, RI, USA
Victoria Cook, MD, BC Centre for Disease Control, Vancouver, BC, Canada
Laura Freimanis, PhD, WESTAT, Rockville, MD, USA
Joan Mangan, PhD, MST, Centers for Disease Control and Prevention, Atlanta, GA, USA
Eyal Oren, MS, PhD, Public Health, Seattle King County, Seattle, WA, USA
Edward Ellis, MD, MPH, Ottawa, ON, Canada
Charles M. Crane, MD, MPH, Contra Costa Public Health, Martinez, CA, USA
Gayle M. Schack, RN, MS, California Dept. of Public Health, Richmond, CA, USA
Howard Njoo, MD, Public Health Agency of Canada, Ottawa, ON, Canada
Kevin Elwood, MD, BC Centres for Disease Control, Vancouver, BC, Canada
Ann Raftery, RN, PHN, Curry International Tuberculosis Center, San Francisco, CA, USA
James Johnston, MD, MPH, BC Centre for Disease Control, Vancouver, BC, Canada
NURSING ASSEMBLY COMMITTEE
Shirley Rempel (Chair), RN, MPH, Health Canada, Vancouver, BC, Canada
Kathy Hursen, RN, MS, Jamaica Plain, MA, USA
Julia Lechner, RN, BScN, Toronto Public Health, ON, Canada
April MacNaughton, BScN, First Nations and Inuit Health Branch, Health Canada,
Vancouver, BC, CanadaJoy Marshall, RN, Ministry of Health and Long-Term Care York Region, Toronto,
ON, CanadaAnn Raftery, RN, PHN, Curry International Tuberculosis Center, San Francisco, CA, USA
CONTINUING EDUCATIONThis live activity is jointly sponsored by The American Thoracic Society and The
Union – North America Region. This activity has been planned and implemented in
accordance with the Essential Areas and Policies of the Accreditation Council for
Continuing Medical Education (ACCME) through the joint sponsorship of the
American Thoracic Society and The Union – North America Region.
The American Thoracic Society is accredited by the ACCME to provide continuing
medical education for physicians. It designates this live activity for a maximum of
22.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit
commensurate with the extent of their participation in the activity.
CONFERENCE GOALS• Discuss scientific evidence and lessons from successful public health programs
that promote best practices in the management of tuberculosis – notably in
Aboriginal communities, in children, and in urban populations including
the homeless• Share successful strategies for engagement and support of diverse communities
affected by tuberculosis• Discuss scientific evidence underpinning best practices in the prevention of
tuberculosis, transmission, and their application by public health programs
and providers• Provide a forum to network as well as to share knowledge and expertise with
diverse participants from North America, the Caribbean, and Latin America.
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Vancouver has it all—ambience, culture, sites, restaurants, lodging, and shopping. A
dynamic multicultural city in a spectacular natural environment and temperate climate. Whatever
the time of year, there are indoor and outdoor activities for everyone. Proud host to the 2010
Olympic and Paralympic Winter Games, Vancouver has much to offer.
People from many cultures call Vancouver home, and their influence is obvious in the city’s many
festivals, shops, restaurants and diverse neighbourhoods. There’s cuisine for every palate.
Location is everything! You can stroll or roll on wheels on the seawall, walk sandy beaches, or
enjoy the sights while dining gourmet style on the waterfront in Coal Harbour or False Creek.
Tour Gastown or Chinatown for a history of Vancouver, but don’t miss the First Nations
culture represented just minutes from downtown. The Capilano Suspension Bridge does
more than span 450 ft. across and 230 ft. above the Capilano River: it connects lush trails
through the West Coast rainforest. Its park exhibits totem poles, colourful gardens and
examples of early logging. Grouse Mountain, 3,700 ft. above the city by Skyride, offers adven-
ture (skiing, hiking), education, and fine dining with panoramic views.
Other attractions of note are Stanley Park and the Aquarium. The Vancouver Maritime Museum,
Museum of Anthropology, Japanese Garden, Queen Elizabeth Park and McMillan Conservatory
are interesting as well as educational. Theatre and symphony performances at the Orpheum, Ford
or Arts Club provide great entertainment. For sports buffs, opportunities abound—they can enjoy
watching baseball, hockey, and soccer games played at all levels.
Shopping in Vancouver offers lots of variety, too. If the designer boutiques on Robson Street and Pacific
Centre Mall in the downtown core are not enough, a short trip via Skytrain will take you to Metropolis in
the city of Burnaby.
v a n c o u ve r
Tourism Vancouver / Al Harvey
10 Supporting our Lung Association SUPERTEAM at the RBC Granfondo Whistler!�
September 8, 2012 marked the third
annual RBC GranFondo Whistler — a
mass, competitive cycling race. Thousands
of riders participated overall including a
total 20 BC Lung Association SUPERTEAM
members who together raised nearly
$19,000 in support of vital lung health and
air quality programs. Thank you GranFondo
SUPERTEAM!
Grand prize winner Cheryl Andrichuk
Second prize winner Royden Coombes Third prize winner Mark Gibbard