"There's a little bit of mistrust": Red River Métis experiences of the H1N1 and COVID-19 pandemics.

Canada Indigenous colonialism immunization trust

Journal

Risk analysis : an official publication of the Society for Risk Analysis
ISSN: 1539-6924
Titre abrégé: Risk Anal
Pays: United States
ID NLM: 8109978

Informations de publication

Date de publication:
29 Jan 2024
Historique:
revised: 24 11 2023
received: 07 07 2023
accepted: 28 12 2023
medline: 30 1 2024
pubmed: 30 1 2024
entrez: 29 1 2024
Statut: aheadofprint

Résumé

We examined the perspectives of the Red River Métis citizens in Manitoba, Canada, during the H1N1 and COVID-19 pandemics and how they interpreted the communication of government/health authorities' risk management decisions. For Indigenous populations, pandemic response strategies play out within the context of ongoing colonial relationships with government institutions characterized by significant distrust. A crucial difference between the two pandemics was that the Métis in Manitoba were prioritized for early vaccine access during H1N1 but not for COVID-19. Data collection involved 17 focus groups with Métis citizens following the H1N1 outbreak and 17 focus groups during the COVID-19 pandemic. Métis prioritization during H1N1 was met with some apprehension and fear that Indigenous Peoples were vaccine-safety test subjects before population-wide distribution occurred. By contrast, as one of Canada's three recognized Indigenous nations, the non-prioritization of the Métis during COVID-19 was viewed as an egregious sign of disrespect and indifference. Our research demonstrates that both reactions were situated within claims that the government does not care about the Métis, referencing past and ongoing colonial motivations. Government and health institutions must anticipate this overarching colonial context when making and communicating risk management decisions with Indigenous Peoples. In this vein, government authorities must work toward a praxis of decolonization in these relationships, including, for example, working in partnership with Indigenous nations to engage in collaborative risk mitigation and communication that meets the unique needs of Indigenous populations and limits the potential for less benign-though understandable-interpretations.

Identifiants

pubmed: 38286593
doi: 10.1111/risa.14274
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Canadian Institutes of Health Research
ID : 102623
Organisme : Canadian Institutes of Health Research
ID : ER5-179415

Informations de copyright

© 2024 The Authors. Risk Analysis published by Wiley Periodicals LLC on behalf of Society for Risk Analysis.

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Auteurs

S Michelle Driedger (SM)

Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.

Ryan Maier (R)

Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.

Gabriela Capurro (G)

Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.

Cindy Jardine (C)

Faculty of Health Sciences, University of the Fraser Valley, Chilliwack, British Columbia, Canada.

Jordan Tustin (J)

School of Occupational and Public Health, Toronto Metropolitan University, Toronto, Ontario, Canada.

Frances Chartrand (F)

Health & Wellness Department, Manitoba Métis Federation, Winnipeg, Manitoba, Canada.

Julianne Sanguins (J)

Health & Wellness Department, Manitoba Métis Federation, Winnipeg, Manitoba, Canada.

Olena Kloss (O)

Health & Wellness Department, Manitoba Métis Federation, Winnipeg, Manitoba, Canada.

Classifications MeSH