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First Nations prime ground for H1N1 pandemic

Shiloh

Editor, Senior Moderator
Source: http://www.calgaryherald.com/Health/First+Nations+prime+ground+H1N1+pandemic/1711527/story.html

First Nations prime ground for H1N1 pandemic
By Doug Cuthand, The StarPhoenixJune 19, 2009


Treaty 6 chiefs in Saskatchewan and Alberta will sign an agreement this week to work together on a medicine chest task force.

The agreement comes after a traditional gathering of chiefs, elders and First Nations citizens to discuss the state of health care, with special reference to the medicine chest clause in the treaty.

The clause was inserted into Treaty 6, which covers the First Nations in central Alberta and Saskatchewan, because the chiefs present in 1876 feared the diseases that were being introduced as a result of increased European contact.

The clause stipulates that a "medicine chest be kept at the house of the Indian agent for the use and benefit of the Indians." Over the years, its meaning has been expanded and interpreted in the broader context of the spirit and intent of treaties to mean universal health care.

Medicare is a fact of life now for Canadians, but it isn't universal. There are still items such as the prescription drugs, dental and optical care that are not included.

Making health care truly universal for First Nations people has been the goal of our leaders for decades. Medical care for everyone has expanded greatly from the medical chest to modern medical care. If we are to regard our treaties as living documents, then we must see that they reflect the technology of the times. To do otherwise fossilizes our treaties and disregards their spirit and intent.

This gathering to discuss treaty issues is older than the treaties themselves. For generations our leaders and elders have gathered in the summer to discuss issues of importance across Indian Country. Information has been exchanged and policies developed at these meetings.

This year, the gathering takes place on the Moosomin First Nation and the topic under discussion is First Nations control of health care. This follows the discussions three decades ago that led to the policy of Indian control of Indian education.

Part of the discussions revolve around the threat of the H1N1 flu pandemic. This threat takes us back to the concerns expressed by our leaders more than 130 years ago. They feared the new diseases that were decimating their population and they wanted health care included under the terms of the treaty.

The H1N1 flu, otherwise known as swine flu, has been in the news for several months. However, it's slipped to the back pages even though the pandemic is steadily growing throughout the world. The World Health Organization has declared the H1N1 flu the first pandemic of the 21st century and the first one in 41 years.

In Canada, it is hitting the First Nations and Inuit communities the hardest. In Manitoba, the First Nations communities of Garden River and St. Theresa's Point have been walloped by the flu outbreak. Across the border in Ontario, the Sandy Lake First Nation has reported more than 120 people sick with the flu.

So what are the factors that are leading to a high rate of H1N1 in the aboriginal community?

Inadequate living conditions that include poor housing and overcrowding are most probably the causes of its spread. It is impossible to prevent the disease from spreading when you have three families living in a two-bedroom home, according to Chief Adam Fiddler of the Sandy Lake First Nation.

On the Garden River First Nation, for example, only half the homes have running water.

As of June 12, there were 31 people in hospital on ventilators due to the H1N1 virus. Two-thirds of them were aboriginal. As of June 13, there were 96 confirmed cases of H1N1 in Nunavut.

The flu outbreak currently is restricted to areas of northeastern Manitoba and northwestern Ontario, but we can expect to see the disease spread even more across Indian country. During the summer our people travel widely to see family and attend social events.

The fear is that the virus will travel throughout Indian country and be in full bloom when the flu season hits later this fall and winter.

Unfortunately, we have a jurisdictional issue, with the federal government holding the constitutional responsibility for "Indians and lands reserved for Indians" and the provinces holding the responsibility for health care. All too often our people fall through the cracks, with the two governments blaming one another for the failure to deliver proper services.

The flu pandemic of 1918 hit the First Nations hard. The fear is that this will be the case again. Many of our people live in Third World conditions far removed from the Canadian mainstream. Aboriginal communities are ground zero for the H1N1 flu pandemic and the federal and provincial governments must respond accordingly.
 
Re: First Nations prime ground for H1N1 pandemic

Source: http://www.newswire.ca/en/releases/archive/June2009/24/c9799.html

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AFN says UNICEF Canada Report Demonstrates Further Evidence that First Nations Especially Vulnerable to H1N1

OTTAWA, June 24 /CNW Telbec/ - Assembly of First Nations National Chief
Phil Fontaine said a report released today by UNICEF, entitled Aboriginal
Children's Health: Leaving No Child Behind - the Canadian Supplement to State
of the World's Children 2009, provides further evidence that First Nations are
especially vulnerable to viruses like H1N1.
"Today's report by UNICEF demonstrates that the inequities in health
services for First Nations, compounded by the poor social conditions found in
too many of our communities, contributes to our poorer health status even in
the best of times," the National Chief said. "This is why First Nations are
particularly vulnerable to H1N1. The World Health Organization already has
pointed out that there is a link between the severity of H1N1 cases and poor
living conditions, over-crowded housing, poor-quality drinking water,
pre-existing chronic diseases and sub-standard healthcare. It is time for
action to improve the conditions that make us the most vulnerable segment of
the population."
The UNICEF report examined inequities in Canada's health system that
perpetuate health disparities between First Nations and other Canadian
children. It states that federal investments in First Nations health services
have not mirrored population growth, and that a number of services routinely
provided to other Canadians are under-funded or denied. The report also notes
that while there have been improvements in the health of First Nations
children in recent years, inequalities persist such as higher infant mortality
rates, lower child immunization rates, poorer nutritional status and endemic
rates of obesity, diabetes and other chronic diseases.
The AFN has called on governments to take three urgent measures to
improve the response to pandemic outbreaks of H1N1 in First Nations
communities. These include: striking an independent taskforce to study the
recent outbreaks in Ontario and Manitoba and make recommendations to ensure
more seamless service; developing and instituting national guidelines for
service to First Nations; and providing investments that will allow every
First Nation to develop a pandemic plan, as well as investing in Annex B which
is the portion of the Canadian Pandemic Influenza Plan that addresses
outbreaks in First Nations.
AFN Ontario Regional Chief Angus Toulouse stated: "The chronic
under-investment in health is unacceptable but it is not unique. In fact, as
we have seen in report after report and study after study, First Nations are
under-funded across the board and this is reflected in the poverty and poor
conditions in too many of our communities. First Nations want to build their
economies and ensure their people and communities are healthy, but making this
a reality means putting an end to this fiscal discrimination."
"It should be clear to all Canadians at this point that the problem is
not simply confined to the current H1N1 crisis," said AFN Manitoba Regional
Chief Bill Traverse. "We do need immediate action on that front, but even with
that our communities will still be vulnerable and our people will still be
living in conditions that would not be tolerated elsewhere in Canada. We need
a government-wide response that involves working with First Nations to create
a real, coordinated plan that will foster healthier communities and healthier
citizens. We should all support this goal because strong First Nations make a
stronger Canada."
While the majority of H1N1 cases have so far been mild, the World Health
Organization (WHO) has warned that H1N1 could reappear in the fall and cause
more severe illness.

The Assembly of First Nations is the national organization representing
First Nations in Canada.



For further information: Bryan Hendry, Senior Policy Advisor, (613)
241-6789, ext. 229, cell: (613) 293-6106, bhendry@afn.ca; Karyn Pugliese, AFN
Heath Communications Officer, Cell: (613) 292-1877, kpugliese@afn.ca
 
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