The Canadian Health Measures Survey
The Canadian Health Measures Survey (CHMS) is a national survey that is led by Statistics Canada, in partnership with Health Canada and the Public Health Agency of Canada, which collects information from Canadians about their general health. The CHMS is the most comprehensive, direct health measures survey conducted in Canada and is designed to represent the Canadian population. Through personal interviews and the collection of physical measurements, the survey provides baseline data on indicators of environmental exposures, chronic diseases, infectious diseases, fitness, and nutritional status, as well as risk factors and protective characteristics related to these areas. The physical measurements include such factors as height and weight, blood pressure, physical fitness and lung function measures, as well as many measures based on blood and urine samples including environmental chemicals.
The CHMS is an ongoing survey.
Biomonitoring Content
Since 2007, the CHMS has collected biomonitoring data from six cycles of the survey. The Biomonitoring Content Summary for the Canadian Health Measures Survey: Cycles 1–6 (2007–2019) presents a complete list of environmental chemicals measured or planned for measurement in blood, urine and/or pooled serum samples collected as part of the CHMS between 2007 and 2019.
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Biomonitoring Fact Sheets (2007–2019)
- Biomonitoring Fact Sheets
- What's new?
- Biomonitoring fact sheets on eight priority chemicals: arsenic, cadmium, lead, mercury, per- and polyfluoroalkyl substances (PFAS), di(2-ethylhexyl) phthalate (DEHP), bisphenol A (BPA) and parabens.
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Cycle 7 (2022–2023)
- The COVID-19 outbreak delayed the seventh cycle of the CHMS. Data collection for this cycle is anticipated to begin in 2022.
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Cycle 6 (2018–2019)
- Sixth Report on Human Biomonitoring of Environmental Chemicals in Canada (2021)
- Additional Information:
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Cycle 5 (2016–2017)
- Fifth Report on Human Biomonitoring of Environmental Chemicals in Canada (2019)
- What's new?
- Alternate plasticizers, boron, chromium, fungicides
- Hair data for 25 metals and trace elements
- Additional information:
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Cycle 4 (2014–2015)
- Fourth Report on Human Biomonitoring of Environmental Chemicals in Canada (2017)
- What's new?
- Parabens and organophosphate pesticides
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Cycle 3 (2012–2013)
- Third Report on Human Biomonitoring of Environmental Chemicals in Canada (2015)
- What's new?
- Acrylamide, methylmercury and volatile organic compounds
- Tap water sampling component (for more information contact Statistics Canada)
- Additional information:
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Cycle 2 (2009–2011)
- Second Report on Human Biomonitoring of Environmental Chemicals in Canada (2013)
- What's new?
- Inclusion of 3-5 year olds expanding the total sample population to 3-79 years
- Triclosan, speciated arsenic, phthalates and polycyclic aromatic hydrocarbons
- Indoor air sampling component (for more information contact Statistics Canada)
- Additional information:
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Cycle 1 (2007–2009)
- Report on Human Biomonitoring of Environmental Chemicals in Canada (2010)
- What's new?
- First nationally representative biomonitoring dataset for people aged 6 to 79 years in Canada
- Additional information:
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Pooled Samples (2007–2017)
- Report on Human Biomonitoring of Environmental Chemicals in Pooled Samples (2020)
- What's new?
- Dioxins and furans, brominated flame retardants, polychlorinated biphenyls (PCBs) and organochlorine pesticides
Reports on Human Biomonitoring of Environmental Chemicals in Canada
The Reports on Human Biomonitoring of Environmental Chemicals in Canada provide the results of the biomonitoring component from each two-year cycle of the CHMS. The primary purpose of the reports is to provide chemical exposure information, based on human biomonitoring, to scientists, health professionals, and policy makers. This information will help with the evaluation of chemical exposure and the development of policies to protect the health of Canadians.
Format of the Reports
The reports describe the survey methods used and include the following information for each chemical or chemical group:
- A scientific description of the chemical
- Common uses of the chemical
- Potential sources of exposure
- Information about possible health effects
- Existing Canadian biomonitoring data
- Relevant acts and regulations
The reports provide biomonitoring results, presented in tables, representing the total Canadian population, further sub-divided by sex and age group.
For chemicals that were measured in more than one cycle, all sets of data are shown for comparison. Data for chemicals measured multiple cycles will be used to track trends of levels in Canadians over time and to assess the effectiveness of regulatory and health risk management actions. For new chemicals, these national data will be used as an important baseline, or starting point, for future monitoring and research.
Alternate Data Sources
- Government of Canada's Open data portal
downloadable CHMS biomonitoring summary data (CSV format) - Statistics Canada's RDC Program (Research Data Centres)
provides researchers with access, in a secure university setting, to microdata from the CHMS (including biomonitoring, indoor air and tap water data) as well as other Statistics Canada population and household surveys
Chemicals Selected for Biomonitoring in the CHMS
The chemicals measured in each cycle of the CHMS were selected based on one or more of the following considerations:
- Known or suspected health effects
- Level of public concern
- Evidence of exposure in the Canadian population
- New or existing requirements for public health action
- The ability to detect and measure the chemical or its breakdown products in humans
- Similarity to chemicals monitored in other national and international programs to allow for meaningful comparisons
- Costs of performing the analysis
Chemicals can be rotated in and out of the biomonitoring component. In some cases, chemicals have been measured in multiple cycles to obtain additional information or a larger number of samples. In other cases, chemicals have been removed and may be added back in later cycles. New chemicals have been included to obtain national baseline data where none may have existed before.
The Biomonitoring Content Summary for the Canadian Health Measures Survey: Cycles 1-6 (2007-2019) presents a complete list of environmental chemicals measured or planned for measurement in blood, urine and/or pooled serum samples collected as part of the CHMS to date.
For more information
To stay current with news and information from the biomonitoring component of the CHMS, send an email to biomonitoring-biosurveillance@hc-sc.gc.ca.
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