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SARS-CoV-2 and vaccine dissemination among urban indigenous, Inuit and Métis

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Despite prioritization of Indigenous populations in SARS-CoV-2 immunization, recent studies have documented low vaccination coverage among First Nations, Inuit, and Métis peoples in Toronto, Ontario and London. published in a study. CMAJ (Journal of the Canadian Medical Association).

With more than half of Canada’s Indigenous Peoples living in urban areas, it is important to understand the impact of the COVID-19 pandemic on these people, exacerbating existing health inequalities.

“Dense multi-generational social networks, barriers to access to culturally safe health care, and the disproportionate burden of poverty, chronic disease and inadequate housing are among the first nations, Inuit and Métis living in urban areas. creating the conditions for SARS-CoV-2 to spread among Canada,” said Dr. Janet Smiley, a Unity Health Toronto site at St. Michael’s Hospital, and the Dara Rana School of Public Health at the University of Toronto. I am writing with a co-author.

To bridge the understanding gap, a team of Indigenous and Allied researchers, co-led by Dr. Janet Smiley, Dr. Cherily Bourgeois, Seventh Generation Midwives Toronto, and Dr. Together, we aimed to generate data on rates. SARS-CoV-2 testing and vaccination status and prevalence among First Nations, Inuit, and Métis living in Toronto and London, Ontario. These included data on population-representative samples of 723 of her and 364 of her 15 years and older in each city. Among Toronto’s Indigenous, Inuit, and Métis people, her two-dose coverage was 58%, compared to 79% for the population as a whole. In London, the 2-dose completion rate for Indigenous peoples was 61%, but 82% for the general population.

Similarly, First Nations, Inuit, and Métis vaccination coverage in Toronto and London lags behind the overall vaccination coverage of First Nations living within and outside protected areas in Ontario, and the domestic coverage of First Nations in protected areas. I am taking The authors suggest that these differences in vaccination coverage may be due to delayed access to vaccines in cities and distrust of vaccines by indigenous peoples and distrust of city hospitals leading Ontario’s vaccination campaigns. suggesting that it is sexual.

“Multi-generational colonial policies aimed at assimilating suitable land and resources with First Nation, Inuit and Métis peoples have been associated with first populations living in urban, rural and remote areas compared to non-Indigenous peoples. It has led to inequities in most major health outcomes for Nation, Inuit and Métis, where there are notable gaps in access to equal and culturally safe health care in Canada,” the authors write. .

With the emergence of new subspecies, there are concerns that these vaccination rates will decline.

“With the subsequent surge in hospitalizations and mortality from COVID-19 among indigenous peoples, we focused on indigenous peoples to prevent the spread of SARS-CoV-2 infection among unvaccinated populations. There is a time sensitive need to expand COVID-19 response measures, Inuit and Metis,” they wrote.

Indigenous, Inuit, and Métis SARS-CoV-2 testing rates were higher in Toronto (54%) than local and state testing rates. Community partnerships and outreach, as well as culturally safe access to testing and vaccination, will help reduce the burden of her COVID-19 on these people.

“A community-by-community, community-localized approach has successfully engaged urban First Nations, Inuit and Métis in the COVID-19 response, providing access to authoritative sources of COVID-19 information and culturally safe communities. It can be used to further improve vaccination opportunities,” they suggest.


COVID-19 and the decolonization of indigenous public health


For more information:
Determining the effects of SARS-CoV-2 vaccine uptake and COVID-19 among Indigenous, Inuit, and Métis peoples living in Toronto and London, Ontario, Journal of the Canadian Medical Association (2022). DOI: 10.1503/cmaj.212147

Quote: SARS-CoV-2 and Vaccine Uptake Among Urban Indigenous, Inuit, and Métis (2 August 2022) https://medicalxpress.com/news/2022-08-sars-cov-vaccine Retrieved 2 August 2022 from-uptake-nations-inuit.html

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SARS-CoV-2 and vaccine dissemination among urban indigenous, Inuit and Métis

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