Lea Berrang-Ford

Lea Berrang-Ford
McGill University | McGill · Department of Geography

About

139
Publications
58,173
Reads
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6,724
Citations
Citations since 2017
58 Research Items
4582 Citations
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20172018201920202021202220230200400600800
20172018201920202021202220230200400600800
20172018201920202021202220230200400600800
Additional affiliations
June 2014 - present
McGill University
Position
  • Professor (Associate)
May 2007 - May 2014
McGill University
Position
  • Professor (Assistant)
July 2006 - April 2007
Public Health Agency of Canada
Position
  • Health Geographer (contract/ term)
Education
January 2002 - June 2006
University of Guelph
Field of study
  • Zoonotic, Environmental, and Spatial Epidemiology
October 2000 - August 2001
University of Oxford
Field of study
  • Environmental Change & Management
September 1997 - April 2000
University of Guelph
Field of study
  • Environmental Sciences (Geography)

Publications

Publications (139)
Article
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IntroductionThe global burden of maternal mortality remains high and inequitably distributed between countries. Antenatal care (ANC) was identified as critical component in achieving the Millennium Development Goal of improving maternal health. This scoping review aimed to summarize trends and critically explore research about ANC attendance for Ea...
Article
Background Indigenous women world-wide are diverse and heterogenous, yet many have similar experiences of colonization, land dispossession, and discrimination. These experiences along with inequitable access to, and quality of, maternal healthcare increase adverse maternal health outcomes. To improve health outcomes for Indigenous women, studies mu...
Article
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Assessing global progress on human adaptation to climate change is an urgent priority. Although the literature on adaptation to climate change is rapidly expanding, little is known about the actual extent of implementation. We systematically screened >48,000 articles using machine learning methods and a global network of 126 researchers. Our synthe...
Article
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Comprehensive food lists and databases are a critical input for programs aiming to alleviate undernutrition. However, standard methods for developing them may produce databases that are irrelevant for marginalised groups where nutritional needs are highest. Our study provides a method for identifying critical contextual information required to buil...
Article
Growing evidence suggests that climate adaptation responses that do not incorporate equity considerations may worsen inequality and increase vulnerability. Using data from a systematic review of peer-reviewed empirical research on adaptation responses to climate change (n = 1,682), we present an assessment of how social equity is considered in adap...
Article
Full-text available
Introduction: The number of maternal deaths remains high in sub-Saharan Africa. Effective antenatal care (ANC) reduces maternal morbidity and mortality; therefore, provision of improved antenatal care services has been prioritised across sub-Saharan Africa. Yet, research is limited on the ANC experiences of Indigenous women in sub-Saharan Africa....
Article
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The normative concepts of equity and justice are rising narratives within global climate change discourse. Despite growing considerations of climate equity and justice within the adaptation literature, the extent to which adaptation research has worked to empirically assess and operationalize concepts of equity and justice in practice remains uncle...
Article
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Climate change adaptation responses are being developed and delivered in many parts of the world in the absence of detailed knowledge of their effects on public health. Here we present the results of a systematic review of peer-reviewed literature reporting the effects on health of climate change adaptation responses in low- and middle-income count...
Article
The Batwa (Twa), an Indigenous People of southwest Uganda, were evicted from their ancestral forest lands in 1991 due to establishment of the Bwindi Impenetrable Forest. This land dispossession forced Batwa to transition from a semi-nomadic, hunting-gathering livelihood to an agricultural livelihood; eliminated access to Indigenous food, medicines,...
Article
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Extreme heat events impact people and ecosystems across the globe, and they are becoming more frequent and intense in a warming climate. Responses to heat span sectors and geographic boundaries. Prior research has documented technologies or options that can be deployed to manage extreme heat and examples of how individuals, communities, governments...
Chapter
Public health interventions in many African settings have traditionally been driven by data on disease burden. Geography, especially in the context of climate change, is being incorporated into the process of health planning to enunciate the spatial and place-specific nature of health and disease. This chapter will describe a case of how geography...
Article
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Objective To develop an online food composition database of locally consumed foods among an Indigenous population in south-western Uganda. Design Using a community-based approach and collaboration with local nutritionists, we collected a list of foods for inclusion in the database through focus group discussions, an individual dietary survey and m...
Article
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Background Climate change is expected to decrease food security globally. Many Indigenous communities have heightened sensitivity to climate change and food insecurity for multifactorial reasons including close relationships with the local environment and socioeconomic inequities which increase exposures and challenge adaptation to climate change....
Article
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Established in Article 14 of the Paris Agreement, countries must evaluate progress toward climate adaptation, mitigation, and financial goals via the 2023 global stocktake. Yet, the extent of climate integration into evaluation in response to the rapidly approaching stocktake mandate remains unclear. Many United Nations agencies recognize the impor...
Preprint
Full-text available
We present the first systematic, global stocktake of the academic literature on human adaptation. We screen 48,316 documents and identify 1,682 articles that present empirical research documenting human efforts to reduce risk from climate change and associated hazards. Coding and synthesizing this literature highlights that the overall extent of ad...
Article
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Climate change is projected to negatively affect human health and nutrition. There is a growing literature on the effects of climatic changes on food availability, quantity, and agricultural production, but impacts on the nutritional content of foods has not been widely studied. The aim of this paper is to systematically characterise empirical lite...
Article
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Access to safe drinking water is limited in many isolated areas, such as the Amazon where Indigenous peoples frequently reside. Identifying safe forms of drinking water accepted by the communities could have positive health benefits for Indigenous peoples. Many Amazon Indigenous peoples traditionally prepare and consume a fermented beverage called...
Preprint
Full-text available
Context : It is now widely accepted that the climate is changing, and that societal response will need to be rapid and comprehensive to prevent the most severe impacts. A key milestone in global climate governance is to assess progress on adaptation. To-date, however, there has been negligible robust, systematic synthesis of progress on adaptation...
Preprint
Full-text available
Context : It is now widely accepted that the climate is changing, and that societal responses will need to be rapid and comprehensive to prevent the most severe impacts. A key milestone in global climate governance is to assess progress on adaptation. To-date, however, there has been negligible robust, systematic synthesis of progress on adaptation...
Preprint
Full-text available
Context : It is now widely accepted that the climate is changing, and that societal response will need to be rapid and comprehensive to prevent the most severe impacts. A key milestone in global climate governance is to assess progress on adaptation. To-date, however, there has been negligible robust, systematic synthesis of progress on adaptation...
Article
Health information systems (HIS) are used to manage information related to population health. The goal of this research was to conduct an evaluation of a HIS used at a hospital in south-western Uganda using participatory approaches. The evaluation structure was based on guidelines generated by the Center for Disease Control and Prevention and a ser...
Article
East Africa is highly affected by neglected tropical diseases (NTDs), which are projected to be exacerbated by climate change. Consequently, understanding what research has been conducted and what knowledge gaps remain regarding NTDs and climate change is crucial to informing public health interventions and climate change adaptation. We conducted a...
Article
Objectives Among older Canadians, we examined the influence of low social support, a weak sense of belonging, and living alone to understand their role on mortality risk in Canada.Methods We conducted a retrospective cohort study of older Canadians surveyed in 2001 from the Canadian Community Health Survey and followed up with death events through...
Article
Dengue is a climate-sensitive disease with an increasing global burden. Although the relationship between meteorological conditions and dengue incidence is well established, less is known about the modifying nature of sociodemographic variables on that relationship. We assess the strength and direction of sociodemographic effect modification of the...
Article
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Comparative research on climate change adaptation policy struggles with robust conceptualization and measurement of adaptation policy. Using a policy mixes approach to address this challenge, we characterize adaptation policy based on a general model of how governments govern issues of societal interest. We argue that this approach allows for conte...
Article
The Paris Agreement and Katowice Climate Package articulate a clear mandate for all parties to undertake and document adaptation progress. Yet persistent challenges have prevented substantive developments in tracking adaptation and the assessment of adaptation actions and their outcomes. Here, we provide an overview of the challenges of adaptation...
Article
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Acute gastrointestinal illness (AGI) is a global public health priority that often disproportionately effects Indigenous populations. While previous research examines the association between meteorological conditions and AGI, little is known about how socio-cultural factors may modify this relationship. This present study seeks to address this rese...
Data
Prevalence estimates of AGI for international comparison. (DOCX)
Data
Exploring potential confounding effects of covariates with bivariable logistic regression models of AGI occurrence. (DOCX)
Data
Modelling the association between AGI occurrence, precipitation, and indigenous identity with no random-intercept structure, a fixed within-individual random intercept (temporal correlation structure which is exchangeable within each individual), and a fixed within-community random intercept (community-level correlation structure which is assumed t...
Data
Modelling the effect of different precipitation accumulation periods on AGI in full and stratified models. (DOCX)
Article
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Rapid growth over the past two decades in digitized textual information represents untapped potential for methodological innovations in the adaptation governance literature that draw on machine learning approaches already being applied in other areas of computational social sciences. This Focus Article explores the potential for text mining techniq...
Chapter
The health impacts of climate change are not evenly distributed among the global population. Indigenous peoples are expected to bear a disproportionate burden of the climate-related health impacts given their close relationship with and dependence on the local environment for subsistence and food security, as well as existing gradients in health an...
Chapter
In Uganda, the Karamojong Pastoralist and Batwa forest pygmy communities are disproportionately affected by the increasing frequency and magnitude of climate change impacts. Though these communities have long-standing traditional systems to adapt to a changing climate, policymakers and researchers often disregard the adaptations. Programs in the Ka...
Article
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Arctic climate change has the potential to affect access to semi-permanent trails on land, water and sea ice, which are the main forms of transport for communities in many circumpolar regions. Focusing on Inuit Nunangat (the Inuit homeland in northern Canada), trail access models were developed drawing upon a participatory process that connects Ind...
Article
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Research on climate change media coverage is growing. Few studies, however, have investigated how the media portrays climate change impacts on human health. This review, therefore, presents a quantitative spatiotemporal analysis of Canadian newspaper coverage of climate change impacts on health between 2005 and 2015. Using the ProQuest® and Eureka®...
Article
Community-level vulnerability assessments (VAs) are important for understanding how populations experience vulnerabilities to climate change in different ways given local socioeconomic and environmental factors. Despite recent expansion in the literature that evaluates vulnerability at the local level, approaches to understanding future scenarios a...
Article
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The concept of vulnerability is well established in the climate change literature, underpinning significant research effort. The ability of vulnerability research to capture the complexities of climate-society dynamics has been increasingly questioned, however. In this paper, we identify, characterize, and evaluate concerns over the use of vulnerab...
Article
Local public health authorities often lack the capacity to adapt to climate change, despite being on the ‘front lines’ of climate impacts. Upper-level governments are well positioned to create an enabling environment for adaptation and build local public health authorities' capacity, yet adaptation literature has not specified how upper-level gover...
Article
Objectives Malnutrition is a persistent health concern throughout the world. Globally, Indigenous peoples experience poorer health outcomes compared to their non-Indigenous neighbours. Despite this, malnutrition among Indigenous populations is poorly understood. This analysis estimated the prevalence, and modeled possible determinants of, moderate...
Article
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Background: Season and weather are associated with many health outcomes, which can influence hospital admission rates. We examined associations between hospital admissions (all diagnoses) and local meteorological parameters in Southwestern Uganda, with the aim of supporting hospital planning and preparedness in the context of climate change. Method...
Article
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Background: Climate change is affecting food systems globally, with implications for food security, nutrition, and the health of human populations. There are limited data characterizing the current and future consequences of climate change on local food security for populations already experiencing poor nutritional indicators. Indigenous Amazonian...
Data
Photovoice summary results. (PDF)
Article
Full-text available
Climate change adaptation research is dominated by in‐depth, qualitative, single‐ or small‐n case studies that have resulted in rich and in‐depth understanding on adaptation processes and decision making in specific locations. Recently, the number of comparative adaptation policy cases has increased, focusing on examining, describing, and/or explai...
Chapter
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Faced with rising and irreversible impacts from climate change, a growing number of public and private stakeholders across vulnerable sectors are engaging with adaptation efforts. However, our knowledge is limited regarding the type of information being demanded to track adaptation progress at the national level. To address this gap, we conducted a...
Article
Climate change presents substantial risks to the health of Indigenous peoples. Research is needed to inform health policy and practice for managing risks, with community based adaptation (CBA) emerging as one approach to conducting research to support such efforts. Few, if any, studies however, have critically examined the application of CBA in a h...
Article
Food insecurity is a major challenge facing Peru’s Indigenous Shawi communities, who receive food support through national level programs. There is limited research, however, on how national food and social programming support is perceived, received and used among Indigenous communities. We address this research gap by characterizing the preferred...
Article
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Pregnancy and birth outcomes have been found to be sensitive to meteorological variation, yet few studies explore this relationship in sub-Saharan Africa where infant mortality rates are the highest in the world. We address this research gap by examining the association between meteorological factors and birth weight in a rural population in southw...
Article
Maternal and newborn health disparities and the health impacts of climate change present grand challenges for global health equity, and there remain knowledge gaps in our understanding of how these challenges intersect. This study examines the pathways through which mothers are affected by seasonal and meteorological factors in sub-Saharan Africa i...
Article
The Paris Agreement takes a significant step forward in strengthening the adaptation pillar of global climate policy. By widening the normative framing around adaptation, calling for stronger adaptation commitments from states, being explicit about the multilevel nature of adaptation governance, and outlining stronger transparency mechanisms for as...
Article
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Understanding variations in malaria transmission and exposure is critical to identify populations at risk and enable better targeting of interventions. The Indigenous Batwa of southwestern Uganda have a disproportionate burden of malaria infection compared with their non-Indigenous neighbors. To better understand the individual- and community-level...
Article
It is increasingly evident that adaptation will figure prominently in the post-2015 United Nations climate change agreement. As adaptation obligations under the United Nations Framework Convention on Climate Change evolve, more rigorous approaches to measuring adaptation progress among parties will be critical. In this Letter we elaborate on an eme...
Article
Climate change will have significant impacts on human health, and urban populations are expected to be highly sensitive. The health risks from climate change in cities are compounded by rapid urbanization, high population density, and climate-sensitive built environments. Local governments are positioned to protect populations from climate health r...
Article
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A post-2015 climate agreement will require systematic approaches for tracking adaptation progress across Parties to the UNFCC. A number of steps need to be taken to improve adaptation measurement and reporting.
Article
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Food insecurity is an ongoing problem in the Canadian Arctic. Although most studies have focused on smaller communities, little is known about food insecurity in larger centres. This study aimed to estimate the prevalence of food insecurity during 2 different seasons in Iqaluit, the territorial capital of Nunavut, as well as identify associated ris...
Article
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Integrated vector management (IVM) is recommended as a sustainable approach to malaria control. IVM consists of combining vector control methods based on scientific evidence to maximize efficacy and cost-effectiveness while minimizing negative impacts, such as insecticide resistance and environmental damage. Zooprophylaxis has been identified as a...
Article
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In Canada, the emergence of vector-borne diseases may occur via international movement and subsequent establishment of vectors and pathogens, or via northward spread from endemic areas in the USA. Re-emergence of endemic vector-borne diseases may occur due to climate-driven changes to their geographic range and ecology. Lyme disease, West Nile viru...
Article
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Recent controversy has led to calls for increased standardization and transparency in the methods used to synthesize climate change research. Though these debates have focused largely on the biophysical dimensions of climate change, human dimensions research is equally in need of improved methodological approaches for research synthesis. Systematic...
Article
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Adaptation is a key component of climate policy, yet we have limited and fragmented understanding of if and how adaptation is currently taking place. In this paper, we document and characterize the current status of adaptation in 47 vulnerable ‘hotspot’ nations in Asia and Africa, based on a systematic review of the peer-reviewed and grey literatur...
Article
Vulnerability to the health impacts of climate change will be shaped by the existing burden of