Alveolar eosinophilia in current smokers with chronic obstructive pulmonary disease in the SPIROMICS cohort

To the Editor: Novel therapies for chronic obstructive pulmonary disease (COPD) are urgently needed. Eosinophilic inflammation is an appealing target, because blood or sputum eosinophils in stable COPD may predict responses to systemic or inhaled corticosteroid therapy. Titrating steroid therapy in the stable state on the basis of sputum eosinophils reduced severe exacerbations and has been recommended for clinical practice. However, the prevalence of eosinophilic inflammation in COPD and its uniformity between systemic and lung compartments remain incompletely defined. Controversy exists on whether sputum analysis (reflecting large airway events) is required, or whether blood eosinophilia can suffice, on the basis of strong correlation between the 2 found by 1 group. Thus, better understanding of eosinophils in COPD is needed

Assessing regional populations of ground-nesting marine birds in the Canadian High Arctic

The Queens Channel region of Nunavut is an ecologically distinct area within the Canadian High Arctic consisting of an extensive archipelago of small, low-lying gravel islands throughout which form several localized but highly productive polynyas. We used aerial survey and colony-monitoring data to assess regional- and colony-level fluctuations in the number of birds in this region between 2002 and 2013. Regional and colony-specific monitoring suggested that common eider (Somateria mollissima) numbers are increasing, while numbers of Arctic terns (Sterna paradisaea) may be in decline. Based on these data, we suggest that even infrequent comprehensive surveys are more useful than annual monitoring at specific sites in generating an accurate assessment of ground-nesting seabird populations at the regional level, and that dramatic fluctuations at individual colonies probably belie the overall stability of regional populations