Bedbugs in Toronto

These maps show the number of requests for service and inquiries (RFSI) made to Toronto Public Health, according to Postal Service Area, regarding bed bugs from 2009 to 2012. Absent more specific information, they are a fair representation of the spread and density of bed bugs in Toronto. The inspiration for this project lies in Patrick Cain‘s report on the same topic.

Reports of bedbugs to Toronto Public Health in 2012
Reports of bedbugs to Toronto Public Health in 2011
Reports of bedbugs to Toronto Public Health in 2010
Reports of bedbugs to Toronto Public Health in 2009

Legend for maps
White (0 RFSI)
Light yellow (1-10 RFSI)
Yellow (10-20 RFSI)
Light orange (20-40 RFSI)
Orange (40-80 RFSI)
Red (80-110 RFSI)

Phalloplasty: 1980-2012 (w/ Francois Grenier)

There are many popular misconceptions about phalloplasty; for example, that it is largely unsuccessful from cosmetic and functional standpoints. Our review, however, shows that 95% of transsexual men are able to stand-to-void following phalloplasty with urethroplasty, and a remarkably high rate of satisfaction cosmetically and generally. Other results were unsurprising. Like that forearm flaps are used in 76% of all phalloplasties.

Number of Men with Erectile Implants Post Phalloplasty
Most Common Complications
Ability to Void While Standing
Popularity of Phalloplasty Techniques
Satisfaction with Phalloplasty
Is It Worth It? What Trans Healthcare Providers Should Know About Phalloplasty
Poster presented at the 2011 Canadian Professional Association for Transgender Health conference

Publications and articles

Guidance and Ethical Considerations for Undertaking Transgender Health Research and Institutional Review Boards Adjudicating this Research (Oct 2017)
Noah Adams, Ruth Pearce, Jaimie Veale, Asa Radix, Danielle Castro, Amrita Sarkar, & Kai Cheng Thom
The purpose of this review is to create a set of provisional criteria for Institutional Review Boards (IRBs) to refer to when assessing the ethical orientation of transgender health research proposals. We began by searching for literature on this topic using databases and the reference lists of key articles, resulting in a preliminary set of criteria. We then collaborated to develop the following nine guidelines: (1) Whenever possible, research should be grounded, from inception to dissemination, in a meaningful collaboration with community stakeholders; (2) language and framing of transgender health research should be non-stigmatizing; (3) research should be disseminated back to the community; (4) the diversity of the transgender and gender diverse (TGGD) community should be accurately reflected and sensitively reflected; (5) informed consent must be meaningful, without coercion or undue influence; (6) the protection of participant confidentiality should be paramount; (7) alternative consent procedures should be considered for TGGD minors; (8) research should align with current professional standards that refute conversion, reorientation, or reparative therapy; and (9) IRBs should guard against the temptation to avoid, limit, or delay research on this subject.

Varied Reports of Adult Transgender Suicidality: Synthesizing and Describing Peer-Reviewed and Gray Literature (Apr 2017)
Noah Adams, Maaya Hitomi, & Cherie Moody
This article reports on the findings of a meta-synthesis undertaken on published gray transgender suicidality literature, to determine the average rate of suicidal ideation and attempts in this population. Studies included in this synthesis were restricted to the 42 that reported on 5 or more Canadian or U.S. adult participants, as published between 1997 and February 2016 in either gray or peer-reviewed health literature. Across these 42 studies an average of 55% of respondents ideated about and 29% attempted suicide in their lifetimes. Within the past year, these averages were, respectively, 51% and 11%, or 14 and 22 times that of the general public. Overall, suicidal ideation was higher among individuals of a male-to-female (MTF) than female-to-male (FTM) alignment, and lowest among those who were gender non-conforming (GNC). Conversely, attempts occurred most often among FTM individuals, then decreased for MTF individuals, followed by GNC individuals. These findings may be useful in creating targeted interventions that take into account both the alarmingly high rate of suicidality in this population, and the relatively differential experience of FTM, MTF, and GNC individuals. Future research should examine minority stress theory and suicidality protection/resilience factors, particularly transition, on this population.

Language and Trans Health (Dec 2016)
Walter Pierre Bouman, Amets Suess Schwend, Joz Motmans, Adam Smiley, Joshua D. Safer, Madeline Deutsch, Noah Adams, & Sam Winter
This article discusses the importance and use of language in transgender healthcare and proposes linguistic guidelines to be adapted in reviewing and accepting future submissions to WPATH and EPATH conferences and publications.

Finding Order in Chaos: Accounting for Variation in Estimates of Suicidality Among Transgender Adults (Jul 2015-MSW Thesis)
This study, which uses a mixed methods design, within the framework of methodological triangulated design, examined the impact of 5 research variables (ethnicity, gender identity/sex at birth, education, suicidality questions, inclusion criteria) on variation in estimates of transgender suicidality; an inquiry largely absent from existing literature. I did so by collecting and examining qualitative and quantitative data over three separate stages (collecting statistical transgender suicidality data, collecting interview data, and analyzing the impact of these 5 variables on suicidality, using this data). I found that high educational attainment doesn’t protect against suicidality, Black/African American ethnicity may, and that individuals assigned female at birth ideate less and attempt more than those assigned male at birth. These findings have utility for creating transgender-specific therapeutic treatment, legislative advocacy, and better research, which might focus on the effect of minority stress theory and suicidality protection/resilience factors to transgender individuals and communities

Resources for autistic trans folks

This handout has been provided at several conferences and consists of a list of resources for autistic folks who are also on the transgender spectrum. It is updated yearly, following the Philadelphia Transgender Health Conference (PTHC). The how-to video demonstrates how I made the fidget spinners that were handed out at this year’s neuro/trans discussion group at PTHC. I’d like to give a big hand to Bike Pirates and Bike Sauce in Toronto, who provided the parts.

Neuro/trans resources
How to make a fidget spinner

Transgender suicidality

Guidance and Ethical Considerations for Undertaking Transgender Health Research and Institutional Review Boards Adjudicating this Research
The purpose of this review is to create a set of provisional criteria for Institutional Review Boards (IRBs) to refer to when assessing the ethical orientation of transgender health research proposals. We began by searching for literature on this topic using databases and the reference lists of key articles, resulting in a preliminary set of criteria. We then collaborated to develop the following nine guidelines: (1) Whenever possible, research should be grounded, from inception to dissemination, in a meaningful collaboration with community stakeholders; (2) language and framing of transgender health research should be non-stigmatizing; (3) research should be disseminated back to the community; (4) the diversity of the transgender and gender diverse (TGGD) community should be accurately reflected and sensitively reflected; (5) informed consent must be meaningful, without coercion or undue influence; (6) the protection of participant confidentiality should be paramount; (7) alternative consent procedures should be considered for TGGD minors; (8) research should align with current professional standards that refute conversion, reorientation, or reparative therapy; and (9) IRBs should guard against the temptation to avoid, limit, or delay research on this subject.

Language and Trans Health
This article discusses the importance and use of language in transgender healthcare and proposes linguistic guidelines to be adapted in reviewing and accepting future submissions to WPATH and EPATH conferences and publications.

Varied Reports of Adult Transgender Suicidality: Synthesizing and Describing the Peer-Reviewed and Gray Literature
This article reports on the findings of a meta-synthesis undertaken on published gray transgender suicidality literature, to determine the average rate of suicidal ideation and attempts in this population. Studies included in this synthesis were restricted to the 42 that reported on 5 or more Canadian or U.S. adult participants, as published between 1997 and February 2016 in either gray or peer-reviewed health literature. Across these 42 studies an average of 55% of respondents ideated about and 29% attempted suicide in their lifetimes. Within the past year, these averages were, respectively, 51% and 11%, or 14 and 22 times that of the general public. Overall, suicidal ideation was higher among individuals of a male-to-female (MTF) than female-to-male (FTM) alignment, and lowest among those who were gender non-conforming (GNC). Conversely, attempts occurred most often among FTM individuals, then decreased for MTF individuals, followed by GNC individuals. These findings may be useful in creating targeted interventions that take into account both the alarmingly high rate of suicidality in this population, and the relatively differential experience of FTM, MTF, and GNC individuals. Future research should examine minority stress theory and suicidality protection/resilience factors, particularly transition, on this population.