Développement et évaluation épidémiologique de mesures visant à améliorer la santé respiratoire des populations autochtones du Québec et des habitants de pays à faible revenu

 

Faiz Ahmad Khan

Université McGill

 

Domaine : santé circulatoire et respiratoire

Programme chercheurs-boursiers - Senior

Concours 2015-2016

The main purpose of my research is to identify interventions to lower the burden of tuberculosis (TB) in populations that are heavily affected by this infectious disease. In Quebec, TB rates in Nunavik are one-hundred times greater than in other regions. Thus one research project assesses how public health measures for controlling TB can be better implemented in Inuit communities. I will first use interviews and focus-groups with Inuit community members to identify barriers to key TB control activities, and then work with local policymakers to adapt interventions to overcome these barriers. Afterwards I will evaluate whether these new interventions have affected these TB control activities. Another project addresses TB in a low-income country (Pakistan) where TB is very common, and where 1 in 3 cases go undiagnosed every year. In countries like this, it is recommended to screen high-risk groups for TB, this includes people living in slums, and also persons seeking medical services for any reason (i.e. not just TB).

My project will take place in one of Pakistan's largest slums, where I will evaluate whether a digital chest x-ray interpreted by a computer program is effective at identifying persons with TB when it is used to screen all patients attending a local hospital. I will subsequently estimate the impact that TB screening with this technology could have on the number of  cases identified at the hospital.  My research also addresses lung diseases other than TB in Aboriginal populations. My final project investigates "interstitial lung diseases" (ILD) in the James Bay Cree Territory, where public health officials are concerned people have a higher risk of this disease. I will look at all cases to estimate the burden, identify the type of ILD, and search for reasons why this disease may be more common in this region.