The New Arctic pp 239-257

Infectious Disease in the Arctic: A Panorama in Transition


Many interconnected factors are responsible for the continuing and growing importance of infectious diseases in the Arctic. Many of these factors not only contribute to the risk of infectious diseases but also are broad determinants of the populations overall health. In the last part of the nineteenth and first part of the twentieth centuries, infectious diseases were major causes of mortality in Arctic communities. However the health of indigenous peoples of the circumpolar region has improved over the last 50 years. Despite these improvements, rates of viral hepatitis, tuberculosis, respiratory tract infections, invasive bacterial infections, sexually transmitted diseases, infections caused by Helicobacter pylori, and certain zoonotic and parasitic infections are higher in the Arctic indigenous peoples when compared to their respective national population rates. More recently the climate and ecosystem driven emergence of climate sensitive infectious diseases and disease patterns in the Arctic region presents an emerging challenge to those living in the Arctic. As in other parts of the world, a key component of prevention and control of infectious diseases is surveillance. The use of circumpolar health networks, together with effective coordinated surveillance can facilitate timely control of infectious disease outbreaks, inform public health officials’ decisions on resource allocation, provide data to adjust prevention and control strategies to maximize their effects, and inform future research needs.


Arctic Circumpolar health Infectious diseases Indigenous peoples Climate change 


  1. Aenishaenslin, C., Simon, A., Forde, T., Ravel, A., Proulx, J. F., Fehlner-Gardiner, C., Picard, I., & Bélanger, D. (2014, March 19). Characterizing rabies epidemiology in remote inuit communities in Québec, Canada: A “one health” approach. Ecohealth. 11(3), 343–355.Google Scholar
  2. Ahlm, C., Eliasson, M., Vapalahti, O., & Evander, M. (2013). Seroprevalence of Sindbis virus and associated risk factors in Northern Sweden. Epidemiology and Infection, 13, 1–7.Google Scholar
  3. American Veterinary Medical Association. (2008, July 15). One health initiative task force. “One health: A new professional imperative”.
  4. Arctic Council. (2005). Arctic climate impact assessment scientific report (pp. 863–960). Cambridge: Cambridge University Press.Google Scholar
  5. Arctic Human Development Report. (2004). Stefansson Arctic Institute, Akureyri..Google Scholar
  6. Baggett, H. C., Hennessy, T. W., Rudolph, K., Bruden, D., Reasonover, A., Parkinson, A., Sparks, R., Dolan, R. M., Martinez, P., Mongkolrattanothai, K., & Butler, J. C. (2004). Community-onset methicillin-resistant Staphylococcus aureus associated with antibiotic use and the cytotoxin Panton-valentine leukocidin during a furunculosis outbreak in rural Alaska. The Journal of Infectious Diseases, 189, 1565–1573.CrossRefGoogle Scholar
  7. Banerji, A., Panzov, V., Robinson, J., Young, M., Ng, K., & Mamdani, M. (2013). The cost of lower respiratory tract infections hospital admissions in the Canadian Arctic. International Journal of Circumpolar Health, 72, 21595.
  8. Birch, E., Andersson, M., Koch, A., Stenz, F., & Søborg, B. (2014). Ten years of tuberculosis intervention in Greenland – Has it prevented cases of childhood tuberculosis? International Journal of Circumpolar Health, 732484.
  9. Bourgeois, A. C., Gallant, V., & Scholten, D. (2013). Establishment of an International Circumpolar Collaborative Tuberculosis Surveillance Working Group. International Journal of Circumpolar Health, 72, 22447.
  10. Brookes, J. D., Antenucci, J., Hipsey, M., Burch, M. D., Ashbolt, N. J., & Ferguson, C. (2004). Fate and transport of pathogens in lakes and reservoirs. Environmental International, 30(5), 741–759.CrossRefGoogle Scholar
  11. Brubaker, M., Berner, J., Chavan, R., & Warren, J. (2011). Climate change and health effects in Northwestern Alaska. Global Health Action, 4, 8445. doi: 10.3402/gha.v4i0.8445
  12. Bruce, M. G., Bruden, D. L., McMahon, B. J., Hennessy, T. W., Reasonover, A., Morris, J., Hurlburt, D. A., Peters, H. V., Sacco, F., Martinez, P., Swenson, M., Berg, D. E., Parks, D., & Parkinson, A. J. (2006). Alaska sentinel surveillance for antimicrobial resistance in Helicobacter pylori isolates from Alaska native persons, 1999–2003. Helicobacter, 11, 581–588.CrossRefGoogle Scholar
  13. Bruce, M. G., Deeks, S. L., Zulz, T., Druden, D., Navarro, C., Lovegren, M., Jette, L., Kristinsson, K., Sigmundsdottir, G., Jensen, K. B., Lovoll, O., Nuorti, J. P., Herva, E., Nystedt, A., Sjostedt, A., Koch, A., Hennessey, T. W., & Parkinson, A. J. (2008). International circumpolar surveillance for invasive pneumococcal disease, 1999–2005. Emerging Infectious Diseases, 14(1), 25–33.CrossRefGoogle Scholar
  14. Bruce, M. G., Zulz, T., DeByle, C., Singleton, R., Hurlburt, D., Bruden, D., Rudolph, K., Hennessy, T., Klejka, J., & Wenger, J. D. (2013). Haemophilus influenza serotype a invasive disease, Alaska, USA, 1983–2011. Emerging Infectious Diseases, 19(6), 932–937.CrossRefGoogle Scholar
  15. Campagna, S., Lévesque, B., Anassour-Laouan-Sidi, E., Côté, S., Serhir, B., Ward, B. J., Libman, M. D., Drebot, M. A., Makowski, K., Andonova, M., & Ndao, M. (2011). Dewailly Seroprevalence of 10 zoonotic infections in 2 Canadian Cree communities. Diagnostic Microbiology and Infectious Disease, 70(2), 191–199. doi:10.1016/j.diagmicrobio.2011.01.009.CrossRefGoogle Scholar
  16. Centers for Disease Control and Prevention. (2007, March 23). Trends in tuberculosis incidence – United States, 2006. Morbidity and Mortality Weekly Report, 56(11), 245–250.Google Scholar
  17. Charania, N. A., & Tsuji, L. J. S. (2011). The 2009 H1N1 pandemic response in remote First Nation communities of sub arctic Ontario: Barriers and improvements from a health care services perspective. International Journal of Circumpolar Health, 70(5), 564–575.CrossRefGoogle Scholar
  18. Clark, M., Riben, P., & Nowgesic, E. (2002). The association of housing density, isolation and tuberculosis in Canadian First Nations communities. International Journal of Epidemiology, 31, 940–945.CrossRefGoogle Scholar
  19. Dalloo, A., Sobal, I., Palacios, C., Mulvey, M., Gravel, D., & Panaro, L. (2008). Investigation of community associated methicillin-resistant Staphylococcus aureus in remote northern community, Nunavut Canada. Canada Communicable Disease Report, 34(5), 1–7.Google Scholar
  20. Dearing, M. D., & Dizney, L. (2010). Ecology of hantavirus in a changing world. The Annals of the New York Academy of Sciences, 1195, 99–112.CrossRefGoogle Scholar
  21. Degani, N., Navarro, C., Deeks, S., & Lovgren, M. (2008). Invasive bacterial diseases in northern Canada. Emerging Infectious Diseases Journal, 14(1), 34–40.CrossRefGoogle Scholar
  22. Dehove, A. (2010). One world. One health. Transboundary and Emerging Diseases, 57, 3–6.CrossRefGoogle Scholar
  23. Dudarev, A. A., Dorofeyey, V. M., Dushkina, E. V., Alloyarov, P. R., Chupakhin, V. S., Sladkova, Y. N., Kolesnikova, T. A., Fridman, K. B., Nilsson, L. M., & Evengard, B. (2013a, December 9). Food and water security issues in Russia III: Food- and waterborne diseases in the Russian Arctic, Siberia and Far East, 2000–2011. International Journal of Circumpolar Health, 72, 21856.Google Scholar
  24. Dudarev, A. A., Alloyarov, P. R, Chupakhin, V. S., Dushkina, E. V., Sladkova, Y. N., Dorofeyey, V. M., Kolesnikova, T. A., Fridman, K. B., Nilsson, L. M., & Evengard, B. (2013b, October 23). Food and water security issues in Russia I: Food security in the general population of Russian Arctic, Siberia and Far East, 2000–2011. International Journal of Circumpolar Health, 72, 21848.Google Scholar
  25. Evander, M., & Ahlm, C. (2009, November 11). Milder winters in Northern Scandinavia may contribute to larger outbreaks of hemorrhagic fever virus. Global Health Action, 2. doi: 10.3402/gha.v2i0.2020
  26. Evengard, B., Berner, J., Brubaker, M., Mulvad, G., & Revich, B. (2011). Climate change and water security with a focus on the Arctic. Global Health Action, 4. doi: 10.3402/gha.v4i0.8449.
  27. Fisk, A. T., de Wit, C. A., Wayland, M., Kuzyk, Z. Z., Burgess, N., Letcher, R., Braune, B., Norstrom, R., Blum, S. P., Sandau, C., Lie, E., Larsen, H. J., Skaare, J. U., & Muir, D. C. (2005). An assessment of the toxicological significance of anthropogenic contaminants in Canadian arctic wildlife. The Science of the Total Environment, 351–352, 57–93.CrossRefGoogle Scholar
  28. Fitzsimmons, D., McMahon, B., Hendrickx, G., Vorsters, A., & Van Damme, P. (2013). Burden and prevention of viral hepatitis in the Arctic region, Copenhagen, Denmark, 22–23 March 2012. International Journal of Circumpolar Health, 72, 21163.CrossRefGoogle Scholar
  29. Fortuine, R. (1989). “Chills and fever”: Health and disease in the early history of Alaska. Fairbanks: University of Alaska Press.Google Scholar
  30. Fortuine, R. (2005). Must we all die?” Alaska’s enduring struggle with tuberculosis. Fairbanks: University of Alaska Press.Google Scholar
  31. Funk, E. A. (2003). Tuberculosis contact investigations in rural Alaska: A unique challenge. The International Journal of Tuberculosis and Lung Disease, 7(12), 5349–5352.Google Scholar
  32. Gesink-Law, D., Rink, E., Mulvad, G., & Koch, A. (2008). Sexual health and sexually transmitted infections in the north American Arctic. Emerging Infectious Diseases, 14(1), 4–9.CrossRefGoogle Scholar
  33. Golding, G. R., Levett, P. N., McDonald, R. R., et al. (2011). High rates of Staphylococcus aureus USA400 infection, northern Canada. Emerging Infectious Diseases, 17(4), 722–725.CrossRefGoogle Scholar
  34. Goodman, K. J., Jacobson, K., & Veldhuyzen van Zanten, S. (2008). Helicobacter pylori infection in Canadian and related Arctic aboriginal populations. Canadian Journal of Gastroenterology, 22, 289.Google Scholar
  35. Goyette, S., Cao, Z., Libman, M., Ndao, M., & Ward, B. J. (2014). Seroprevalence of parasitic zoonoses and their relationship with social factors among the Canadian Inuit in Arctic regions. Diagnostic Microbiology and Infectious Disease.
  36. Groom, A. V., Jim, C., & LaRoque, M., et al. (2009). Pandenic influenza preparedness and vulnerable populations in tribal communities. American Journal of Public Health, 99S2, S271–S278.Google Scholar
  37. Haines, A., Kovars, R. S., Campbell-Lendrun, D., & Coralan, C. (2006). Climate change and human health: Impacts vulnerability and mitigation. Lancet, 360(9528), 2101–2109.CrossRefGoogle Scholar
  38. Helferty, M., Rotondo, J. L., Martin, I., & Desai, S. (2013, August 5). The epidemiology of invasive pneumococcal disease in the Canadian North from 1999 to 2010. International Journal of Circumpolar Health, 72, 21606.
  39. Hennessy, T. W., Ritter, T., Holman, R. C., Bruden, D. L., Yorita, K., Bulkow, L. R., Cheek, J. E., Singleton, R. J., & Smith, J. L. (2008). The relationship between in-home water service and the risk of infections on the lung, skin and gastrointestinal tract among Alaska Native persons. American Journal of Public Health, 98(5), 1–7.Google Scholar
  40. Hueffer, K., O’Hara, T. M., & Follmann, E. H. (2011, March 11). Review – Adaptation of mammalian host-pathogen interactions in a changing arctic environment. Acta Veterinaria Scandinavica, 53, 17. doi:10.1186/1751-0147-53-17.
  41. Hueffer, K., Parkinson, A. J., Gerlach, R., & Berner, J. (2013). Zoonotic infectious in Alaska: Disease prevalence, potential impact of climate change and recommended actions for earlier disease detection, research, prevention and control. International Journal of Circumpolar Health, 72, 19562.
  42. IPCC. Intergovernmental panel on climate change.
  43. Jenkins, E. J., Castrodale, L. J., de Rosemond, S. J., Dixon, B. R., Elmore, S. A., Gesy, K. M., Hoberg, E. P., Polley, L., Schurer, J. M., Simard, M., & Thompson, R. C. (2013). Tradition and transition: Parasitic zoonoses of people and animals in Alaska, northern Canada, and Greenland. Advances in Parasitology, 82, 33–204. doi:10.1016/B978-0-12-407706-5.00002-2.CrossRefGoogle Scholar
  44. Kersh, G. L., Lambourne, D., Taverty, S. A., et al. (2012). Coxiella burnetti infection in marine mammals in the Pacific Northwest, 1997–2010. Journal of Wildlife Diseases, 48, 201–206.CrossRefGoogle Scholar
  45. Kirk, J. L., Lehnherr, I., Braune, B. M., Chan, L., Dastoor, A. P., et al. (2012). Mercury in Arctic Marine ecosystems: Sources pathways and exposure. Environmental Research, 119, 64–87.CrossRefGoogle Scholar
  46. Koch, A., Sorensen, P., Homoe, P., Molbak, K., Pedersen, F. K., Mortensen, T., Elberling, H., Eriksen, A. M., Olsen, O. R., & Melbye, M. (2002). Population-based study of acute respiratory infections in children. Greenland EID, 8, 586–593.Google Scholar
  47. Koch, A., Krause, T. G., Krogfelt, K., Oslen, O. R., Fischer, T. K., & Melbye, M. (2005). Seroprevalence and risk factors for Helicobacter pylori infection in Greenlanders. Helicobacter, 10(5), 433–442.CrossRefGoogle Scholar
  48. Koch, A., Bruce, M., & Homoe, P. (2008). Infectious diseases. In K. Young & P. Bjerregaard (Eds.), Health transitions in Arctic populations. Toronto: University of Toronto Press.Google Scholar
  49. Kumar, A., Zarychanski, R., Pinto, R., et al. (2009). Critically ill patients with 2009 influenza A(H1N1) infection in Canada. JAMA, 302, 1872–1879.CrossRefGoogle Scholar
  50. Langer, B. C., Frösner, G. G., & von Brunn, A. (1997, September). Epidemiological study of viral hepatitis types A, B, C, D and E among Inuits in West Greenland. Journal of Viral Hepatitis, 4(5), 339–349.Google Scholar
  51. Larcombe, L., Waruk, J., Schellenberg, J., & Ormond, M. (2007). Rapid emergence of methicillin-resistant Staphylococcus aureus (MRSA) among children and adolescents in northern Manitoba 2003–2006. Canada Communicable Disease Report, 33(2), 9–14.Google Scholar
  52. Lynn, T. V., Bruce, B. G., Landen, M., Beller, M., Bulkow, L., & Parkinson, A. J. (2007). Helicobacter pylori among non-native educators in Alaska. International Journal of Circumpolar Health, 66(2), 135–143.CrossRefGoogle Scholar
  53. McDonald, R. W., Harner, T., & Fyfe, J. (2005, April 15). Recent climate change in the Arctic and its impact on contaminant pathways and interpretation of temporal trend data. Science of the Total Environment, 342, 5–86.Google Scholar
  54. McLaughlin, J. B., Sobel, J., Lynn, T., Funk, E., & Middaugh, J. P. (2004, September). Botulism Type E outbreak associated with eating a beached whale, Alaska. Emerging Infectious Diseases, 10(9), 1685–1687.Google Scholar
  55. McLaughlin, J. B., DePaola, A., Bopp, C. A., Martinek, K. A., Napolilli, N. P., Allison, C. G., Murray, S. L., Thompson, E. C., Bird, M. M., & Middaugh, J. P. (2005). Outbreak of Vibrio parahaemolyticus gastroenteritis associated with Alaskan oysters. The New England Journal of Medicine, 353, 1463–1470.CrossRefGoogle Scholar
  56. McMahon, B., & Blystad, H. (2013). Burden and prevention of viral hepatitis in the Arctic region: Meeting report of the viral hepatitis prevention board. Viral Hepatitis, 21(1), 1–28.Google Scholar
  57. McMahon, B. J., Hennessy, T. W., Bensler, M., Bruden, D. L., Parkinson, A. J., Morris, J. M., Reasonover, A. L., Hurlbert, D. A., Bruce, M. G., Sacco, F., & Butler, J. C. (2003). The relationship among previous antimicrobial use, antimicrobial resistance, and treatment outcomes for Helicobacter pylori infections. Annals of Internal Medicine, 139(6), 463–469.CrossRefGoogle Scholar
  58. McMahon, B. J., Bruce, M. G., Hennessy, T. W., Bruden, D. L., Sacco, F., Peters, H., Hurlburt, D. A., Morris, J. M., Reasonover, A. L., Dailide, G., Berg, D. E., & Parkinson, A. J. (2006). Reinfection after successful eradication of Helicobacter pylori: A 2-year prospective study in Alaska Natives. Alimentary Pharmacology and Therapeutics, 23, 1215–1223.CrossRefGoogle Scholar
  59. McMahon, B. J., Bruce, M. G., Koch, A., Goodman, K. J., Tsukanov, V., Mulvad, G., Borresen, M. L., Sacco, F., Barrett, D., Westby, S., & Parkinson, A. J. (2014). Expert commentary for the diagnosis and treatment of Helicobacter pylori infection in Arctic regions with a high prevalence of infection (Submitted to Epidemiology and Infection).Google Scholar
  60. Meyer, M., Ladefoged, K., Poulsen, P., & Koch, A. (2008, January). Population-based survey of invasive bacterial diseases, Greenland, 1995–2004. Emerging Infectious Diseases, 14(1), 76–79.
  61. Money, P., Kelly, A. F., Gould, S. W., Denholm-Price, J., Threlfall, E. J., & Fielder, M. D. (2010). Cattle, weather and water: mapping Escherichia coli O157: H7 infections in humans in England and Scotland. Environmental Microbiology, 12(10), 2633–2644.Google Scholar
  62. Moniruzzaman, A., Elwood, R. K., Schulzer, M., & FitzGerald, J. M. (2006). A population-based study of risk factors for drug-resistant TB in British Columbia. The International Journal of Tuberculosis and Lung Disease, 10(6), 631–638.Google Scholar
  63. Mørk, T., & Prestrud, P. (2004). Arctic rabies – A review. Acta Veterinaria Scandinavica, 45, 1–9.CrossRefGoogle Scholar
  64. Nguyen, D., Proulx, J., Westley, J., Thibert, L., Dery, S., & Behr, M. A. (2003). Tuberculosis in the Inuit community of Quebec, Canada. American Journal of Respiratory and Critical Care Medicine, 168, 1353–1357.CrossRefGoogle Scholar
  65. Nilsson, L. M., Berner, J., Dudarev, A., Mulvad, G., Odland, J. O., Rautio, A., Tikhonov, C., & Evengård, B. (2013, August 7). Selecting indicators of food and water security in an Arctic health context –results from an international workshop. International Journal of Circumpolar Health, 72, 21530.
  66. Njoo, H. (2000). National surveillance: A Canadian perspective. The International Journal of Tuberculosis and Lung Disease, 4(12), 5139–5145.Google Scholar
  67. PAHO, WHO. (2012). Protecting health from climate change: Vulnerability and adaptation assessment. Geneva: World Health Organization.Google Scholar
  68. Parkinson, A. J. (2008). Climate change and infectious diseases: The Arctic environment. IOM Institute of Medicine. 2008 Global climate change and extreme weather events: understanding the contributions to infectious disease emergence. Washington, DC: The National Academies Press.Google Scholar
  69. Parkinson, A. J. (2010). Improving human health in the Arctic: The expanding role of the Arctic Council’s Sustainable Development Working Group. International Journal of Circumpolar Health, 69(3), 304–313.CrossRefGoogle Scholar
  70. Parkinson, A. J., & Evengard, B. (2009). Climate change, its impact on human health in the Arctic and the public health response to threats of emerging infectious diseases. Global Health Action. doi:10.3402/gha.v2i0.2075,
  71. Parkinson, A. J., Bulkow, L., Wainwright, R. B., Gold, B., Swaminathan, B., Petersen, K. M., & Fitzgerald, M. A. (2000). High prevalence of Helicobacter pylori and an association with low serum ferritin in the Alaska native population. Clinical and Diagnostic Laboratory Immunology, 7, 885–888.Google Scholar
  72. Parkinson, A. J., Bruce, M. G., & Zulz, T. (2008). International circumpolar surveillance, an Arctic network for surveillance of infectious diseases. Emerging Infectious Diseases Journal, 14(1), 18–24.CrossRefGoogle Scholar
  73. Parkinson, A. J., Evengard, B., Semenza, J., Ogden, N., et al. (2014). Climate change and infectious disease in the Arctic: Establishment of a circumpolar working Group. International Journal of Circumpolar Health 76, 25163.
  74. Peart, A. F., & Nagler, F. P. (1952). Measles in the Canadian Arctic. Canadian Journal of Public Health, 45, 146–157.Google Scholar
  75. Pinzon, J. E., Wilson, J. M., Tucker, C. J., Arthur, R., Jahrling, P. B., & Formenty, P. (2004). Trigger events: Enviro-climatic coupling of Ebola hemorrhagic fever outbreaks. The American Journal of Tropical Medicine and Hygiene, 71(5), 664–674.Google Scholar
  76. Proulx, J. F., MacLean, J. D., Gyorkos, T. W., Leclair, D., Richter, A. K., Serhir, B., Forbes, L., & Gajadhar, A. (2002). Novel prevention program for trichinellosis in Inuit communities. Clinical Infectious Diseases, 34, 1508–1514.CrossRefGoogle Scholar
  77. Public Health Agency of Canada. (2004, May 15). Tuberculosis drug resistance: summary report for 2003.
  78. Public Health Agency of Canada. (2005, February 15). Tuberculosis in Canada 2002: Executive summary.
  79. Reid, A. H., Fanning, T. G., Hultin, J. V., & Taubenberger, J. K. (1999). Origin and evolution of the 1918 “Spanish” influenza virus hemagglutinin gene. Proceedings of the National Academy of Sciences, 96, 1651–1656.CrossRefGoogle Scholar
  80. Revich B., & Podolnya, A. (2011). Thawing of permafrost may disturb historic cattle burial grounds in eastern Siberia. Global Health Action, 4, 8482. doi:10.3402/gha.v4i0.8482.
  81. Revich, B., Tokarevich, N., & Parkinson, A. J. (2012). Climate change and zoonotic infections in the Russian Arctic. International Journal of Circumpolar Health, 71, 18792.
  82. Ryden, P., Sjostedt, A., & Johanssan, A. (2011, November 11). Effects of climate change on tularemia disease activity in Sweden. Global Health Action, 2. doi:10.3402/ghav2i0.2063
  83. Sakamoto, T., Tanaka, Y., Simonetti, J., Osiowy, C., Borresen, M. L., Koch, A., Kurbanov, F., Sugiyama, M., Minuk, G. Y., McMahon, B. J., Joh, T., & Mizokami, M. (2007, November 15). Classification of hepatitis B virus genotype B into 2 major types based on characterization of a novel subgenotype in Arctic indigenous populations. Journal of Infectious Diseases, 196(10), 1487–1492.Google Scholar
  84. Semenza, J. C., & Menne, B. (2009, June). Climate change and infectious diseases in Europe. The Lancet Infectious Diseases, 9(6), 365–375.Google Scholar
  85. Singleton, R. J., Bulkow, L. R., Miernyk, K., Debyle, C., Pruitt, L., Hummel, K. B., Bruden, D., Englunf, J. A., Andersen, L. J., Lucher, L., Holman, R. C., & Hennessy, T. W. (2010). Viral respiratory infections in hospitalized and community control children in Alaska. Journal of Medical Virology, 82, 1282–1290.CrossRefGoogle Scholar
  86. Skifte, T. B. (2003). Tuberculosis in Greenland – Still a problem to bear in mind: development and strategy. International Journal of Circumpolar Health, 63(Suppl 2), 221–224.Google Scholar
  87. Søborg, C., Søborg, B., Pouelsen, S., Pallisgaard, G., Thybo, S., & Bauer, J. (2001). Doubling of the tuberculosis incidence in Greenland over an 8-year period (1990–1997). The International Journal of Tuberculosis and Lung Disease, 5(3), 257–265.Google Scholar
  88. State of Alaska Epidemiology Bulletin. 2009.
  89. State of Alaska Epidemiology Bulletin. 2011.
  90. State of Alaska Epidemiology Bulletin. 2013.
  91. Stein, K. S. (1994). Tuberculosis in Greenland and the fight against it (pp. 7–56). Copenhagen: Danish National Union Against Tuberculosis And Lung Disease.Google Scholar
  92. Taylor, G., Kirkland, T., Kowalewska-Grochowska, K., et al. (1990). A multistrain cluster of methicillin-resistant Staphylococcus aureus based in a native community. Canadian Journal of Infectious Diseases, 1, 121–126.Google Scholar
  93. Thomsen, V. Ø., Lillebaek, T., & Stenz, F. (2003). Tuberculosis in Greenland – Current situation and future challenges. International Journal of Circumpolar Health, 63(Suppl 2), 225–229.Google Scholar
  94. Tokarevich, N., Buzinov, R., Boltenkov, V., Grjibovski, A., Varakina, Zh., Pshenichnaya, N., Yurasova, E., & Nurse, J. (2012). The impact of climate change on the tick-borne encephalitis and salmonellosis in the Arkhangelsk region, Northwest Russia: WHO study. In 15th International Congress on Circumpolar Health, 6–10 August 2012, Fairbanks, AK, USA (pp. 187–188). Fairbanks: Abstract Book.Google Scholar
  95. Tsang, R. S. W., Bruce, M. G., Lem, M., Barreto, L., & Ulanova, M. (2014). A review of invasive Heamophilus influenza disease in the indigenous populations of North America. Epidemiology and Infection, 142(7), 1344–1354.CrossRefGoogle Scholar
  96. Warren, J. A., Berner, J. E., & Curtis, T. (2005). Climate change and human health: Infrastructure impacts to small remote communities in the North. International Journal of Circumpolar Health, 64(5), 487–497.CrossRefGoogle Scholar
  97. Wenger, J., Zulz, T., Bruden, D., Bruce, M., Bulkow, L., Parks, D., Rudolph, K., Hurlburt, D., & Singleton, R. (2010). Invasive pneumococcal disease in Alaskan children: Impact of the 7-valent pneumococcal vaccine and the role of water supply. The Pediatric Infectious Disease Journal, 29(3), 251–256.CrossRefGoogle Scholar
  98. Wenger, J. D., Castrodale, L. J., Bruden, D. L., Keck, J. W., Zulz, T., Bruce, M. G., Fearey, D. A., McLaughlin, J., Hurlburt, D., Hummel, K. B., Sitka, S., Bentley, S., Thomas, T. K., Singelton, R., Redd, J. T., Layne, L., Cheek, J. E., & Hennessy, T. (2011). 2009 pandenic influenza A H1N1 in Alaska: Temporal and geographic characteristics of spread and increased risk of hospitalization among Alaska Native and Asian/Pacific Islander people. CID, 52(Suppl 1), S189–S197.CrossRefGoogle Scholar
  99. Wherret, G. J. (1945). Arctic survey 1: Survey of health conditions and medical and hospital services in the North West Territories. Canadian Journal of Economics and Political Science, 11(1), 49–60.Google Scholar
  100. Zulz, T., Bruce, M. G., & Parkinson, A. J. (2009). International circumpolar surveillance: Prevention and control of infectious diseases: 1999–2008. Oulu: Circumpolar Health Supplements, (4), 7–50.Google Scholar
  101. Zulz, T., Bruce, M. G., & Parkinson A. J. (2014). International circumpolar surveillance: Prevention and control of infectious diseases: 1999–2012 (in preparation).Google Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Alan Parkinson
    • 1
  • Anders Koch
    • 2
  • Birgitta Evengård
    • 3
  1. 1.Arctic Investigations Program, Division of Preparedness and Emerging InfectionsCenters for Disease Control & Prevention, National Center for Emerging and Zoonotic DiseasesAnchorageUSA
  2. 2.Department of Epidemiology ResearchStatens Serum InstitutCopenhagen SDenmark
  3. 3.Division of Infectious Diseases, Department of Clinical MicrobiologyUmeå University HospitalUmeåSweden

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