Health care providers' knowledge assessment of measles, mumps, and rubella vaccine.

The aim of this study was to assess educational needs of health care personnel in vaccine storage and handling. The Immunization Knowledge Assessment Tool (IKAT) was used to evaluate knowledge related to delivery and storage of measles, mumps and rubella (MMR) vaccine among health care personnel in Idaho. Using descriptive analysis, only 61% of respondents achieved a passing score of 80%. Knowledge deficits were revealed among health care personnel, physicians, and other providers in immunization administration and handling of the MMR vaccine. Scores were highest among registered nurses, licensed practical nurses, and medical assistants.

Source elucidation of perfluorinated carboxylic acids in remote alpine lake sediment cores.

Atmospheric deposition of perfluorinated carboxylic acids (PFCAs) in remote regions might arise from transport and degradation of precursors (e.g., perfluorooctanesulfonyl fluoride (PFOSF)-based products or fluorotelomer alcohols (FTOHs)) or direct transport (e.g., PFCAs in the vapor phase or on particles). To probe the dominant atmospheric source of PFCAs, historical trends in environmental FTOH, PFOSF, and direct perfluorooctanoate (PFOA) emissions were compared to the flux of PFCAs (sum of C7-C13 perfluoroalkyl chain lengths) and PFCA isomer signatures in dated sediment cores from two remote alpine lakes in the Canadian Rocky Mountains. Contributions from PFOSF-based substances and direct transport of PFOA were ruled to be minimal because no branched isomers were detected in either core and temporal trends for direct emission of PFOA did not match the flux measurements. PFCA flux to Lake Opabin sediment agreed well with reported FTOH emissions, including a peak in mid-2003 and subsequent decline. In Lake Oesa, agreement between PFCA flux and FTOH emissions was also good up to 2004, but a subsequent decline was only detected for some PFCA congeners through 2008, while others continued to increase. Overall, both the isomer profiles and the temporal trend data suggest that FTOH oxidation is the dominant atmospheric source of PFCAs to these high alpine lakes. The efficacy of recent industry phase-out initiatives was difficult to assess due to the divergent temporal trends in samples after 2003; thus, continued monitoring is suggested at remote sites such as these.

Increased mercury loadings to western Canadian alpine lakes over the past 150 years.

We reconstructed historical trends in mercury (Hg) accumulation over the past ∼ 150 years in nine western Canadian alpine lakes. Recent Hg accumulation rates (fluxes) ranged between ∼ 7 and 75 µg m(-2) yr(-1), which were an average of 1.8 times higher than preindustrial (i.e., pre-1850) fluxes. Increased Hg fluxes in these lakes were less than at lower elevation sites, showing that despite the potential for increased deposition, alpine lakes are no more susceptible to Hg accumulation. Unlike other studies, we found that geographic setting, changes in chlorophyll-inferred algal production, and climate were not significant predictors of [Hg] or Hg flux in lakes. Instead, our findings highlight how a combination of atmospheric deposition and site-specific processes, including organic matter supply and catchment weathering, better explain sequestration of Hg in alpine lakes.