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A recent surge of Coronavirus disease 2019 (COVID-19) cases in First Nations communities during the second wave of the pandemic has raised concerns over the susceptibility of First Nations communities to COVID-19, as well as the preparedness of Canada's healthcare system in supporting isolated First Nations communities during the pandemic. Despite government initiatives and funding throughout the pandemic, it is well established that First Nations communities continue to face longstanding health disparities when compared to the rest of the Canadian population. In this commentary, we argue for a multidimensional approach that encompasses the social determinants of health for understanding the susceptibility of First Nations to COVID-19 outbreaks, and potential solutions aimed at primary prevention and community preparedness that will benefit First Nations communities across Canada. Based on this approach, we recommend that healthcare providers and community members advocate at both provincial and federal levels for proper housing, access to clean water, implementation of culturally competent care into practice, adequate health teaching and understanding of public health recommendations (e.g. proper handwashing techniques) and robust monitoring of patients who may be at risk for COVID-19 infection. [ABSTRACT FROM AUTHOR]

Almost every year, First Nations are evacuated in Canada because of wildfire proximity and smoke. Dynamics of wildfires, and remote locations, unique sociocultural characteristics, and limited emergency management resources present challenges for evacuation organizers and residents. This study explores how Dene Tha' First Nation evacuated their Taché community in July 2012 due to wildfire smoke and how the evacuation process affected evacuees. Interviews were completed with 31 evacuation organizers and residents to examine the factors that helped and hindered the evacuation process. Lack of information about the nearby wildfire, smoke, and evacuation of the nearby small community of Zama City, combined with a generic evacuation plan, delayed and posed challenges during the evacuation of this Dene Tha' community. Strong leadership and its role in community organizing, keeping families together, providing the social support they needed, and using familiar host communities, demonstrated and contributed to the community's resilience during the evacuation. Measures to improve evacuations and emergency management in the community and other First Nations in Canada are identified and discussed. [ABSTRACT FROM AUTHOR]

In June 2013, a severe flooding of the Bow and Elbow Rivers affected southern Alberta, a province in Canada. The flood was subsequently described to be the costliest natural disaster in Canadian history. Among the hardest hit communities was the Siksika First Nation, located on the Bow River banks about 100 kilometers east of the city of Calgary. A community-university partnership was formed to qualitatively document the Siksika First Nation community-based response to the health and social impacts to their community resulting from the flood. Our findings informed the development of a culturally appropriate framework for disaster and emergency planning in First Nations communities. The Siksika Nation's work to mitigate the impacts from the flood followed a holistic and socio-ecological approach that took the determinants of Indigenous peoples' health into consideration. [ABSTRACT FROM AUTHOR]

Objective. To understand how community members of a remote First Nations community respond to an emergency first aid education programme. Study design. A qualitative study involving focus groups and participant observation as part of a communitybased participatory research project, which involved the development and implementation of a wilderness first aid course in collaboration with the community. Methods. Twenty community members participated in the course and agreed to be part of the research focus groups. Three community research partners validated and reviewed the data collected from this process. These data were coded and analysed using open coding. Results. Community members responded to the course in ways related to their past experiences with injury and first aid, both as individuals and as members of the community. Feelings of confidence and self-efficacy related access to care and treatment of injury surfaced during the course. Findings also highlighted how the context of the remote First Nations community influenced the delivery and development of course materials. Conclusions. Developing and delivering a first aid course in a remote community requires sensitivity towards the response of participants to the course, as well as the context in which it is being delivered. Employing collaborative approaches to teaching first aid can aim to address these unique needs. Though delivery of a first response training programme in a small remote community will probably not impact the morbidity and mortality associated with injury, it has the potential to impact community self-efficacy and confidence when responding to an emergency situation. [ABSTRACT FROM AUTHOR]

First Nation reserves in Canada are at high risk from wildfires, with many evacuated every year. There is a need to understand how First Nations are affected by wildfire evacuations to identify ways to reduce negative impacts. The First Nations Wildfire Evacuation Partnership has conducted research to explore evacuation experiences of seven First Nations in three Canadian provinces. This paper presents findings from research across the seven First Nations. Results show that few participating First Nations had an up to date emergency plan tailored to their community, which contributed to challenges during the evacuation. Family separation, insufficient information, and worries about losing their house caused considerable distress for evacuees. Wildfire smoke health impacts occurred, particularly for those who had pre-existing health conditions. Social and financial support, if available, helped evacuees during and after their evacuation. Several years after First Nations return home after a wildfire evacuation, lingering distress continues and some First Nations were still experiencing fiscal challenges as a result of the evacuation. Recommendations for reducing negative impacts of wildfire evacuations on First Nations people are discussed. • Few First Nations had an up to date emergency plan tailored to their community. • Family separation and insufficient information contributed to distress. • Wildfire smoke impacts and fears about potential loss of home. • Social and financial support helped evacuees. • Lingering distress and fiscal challenges occurred after the evacuation. [ABSTRACT FROM AUTHOR]