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Introduction: In July 2013, a train derailment caused the death of 47 people and destroyed the downtown area in the city of Lac-Mégantic (Quebec, Canada). This tragedy had several impacts on this small community. Method: Three years after this disaster, we used a representative population-based survey conducted among 800 adults (including 265 seniors aged 65 or above) to assess the physical and mental health of seniors. Results: Several differences were observed in seniors’ physical and mental health based on their level of exposure to the tragedy. Nearly half of seniors highly exposed to the train derailment (41.7%) believe that their health has deteriorated in the past 3 years. The majority of seniors highly exposed to the train derailment (68.7%) also show symptoms of posttraumatic stress disorders. Seniors highly or moderately exposed to the tragedy were also more likely to have found positive changes in their personal and social life as compared with nonexposed seniors. Discussion: A technological disaster such as a train derailment still had negative impacts on seniors’ physical and mental health 3 years later. Conclusion: Public health authorities must tailor prevention and promotion programs to restore health and well-being in this population.
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Abstract The database of the Quebec Ministry of Transport allowed us to analyze the occurrence of ice-block falls and snow avalanches for the past decades along national road 132. The results show that ice structure collapse may be categorized into three distinct phases by using daily temperatures (minimum, maximum, and average) and the cumulative degree day (temperatures above 0°C) since the March 1 st , corresponding to the beginning of the ice wall melting period: 1) a short and intense period of ice-block falls from the mid-April to the beginning of May; 2) a period of constant activity, mainly during the two first weeks of May; and 3) isolated residual activity, with a low frequency of ice-block falls until the month of June. The snow avalanche days were mainly characterized by significant snowfalls or rain-on-snow events with temperature>0°C. The multi-hazard probability was then evaluated based on the timing and relative frequency of ice-block fall and the modeling of sufficient snowpack for avalanching. This simple method to assess the synergistic effect of hillslope processes allows a better understanding of the spring avalanche regime related to the collapse of ice structures. These findings are expected to assist in the management of natural hazards and to improve our knowledge of spatiotemporal dynamics of mass-wasting events on highways.