scholarly journals COVID-19 in a remote First Nations community in British Columbia, Canada: an outbreak report

CMAJ Open ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. E1073-E1079
Author(s):  
Courtney R. Smith ◽  
Charmaine Enns ◽  
Dan Cutfeet ◽  
Shannon Alfred ◽  
Nicole James ◽  
...  
Keyword(s):  
British Columbia ◽  
First Nations ◽  
Nations Community

scholarly journals Retrospective Review of Pediatric and Adult Autoimmune Hepatitis in Two Quaternary Care Centres in British Columbia: Increased Prevalence Seen in British Columbia’S First Nations Community

2007 ◽  
Vol 21 (9) ◽  
pp. 565-568 ◽  
Author(s):  
Henry V Chung ◽  
Mark Riley ◽  
Jin K Ho ◽  
Benjamin Leung ◽  
Gareth P Jevon ◽  
...  
Keyword(s):  
British Columbia ◽  
Liver Transplant ◽  
Autoimmune Hepatitis ◽  
First Nations ◽  
Adult Patients ◽  
Children's Hospital ◽  
Transplant Program ◽  
Increased Risk ◽  
Children’S Hospital ◽  
Nations Community

BACKGROUND: It has been previously reported that British Columbia’s (BC’s) First Nations (Aboriginal) community has an increased risk of autoimmune diseases, including rheumatological conditions (rheumatoid arthritis, systemic lupus) and primary biliary cirrhosis. The researchers hypothesized that this community may also be at increased risk for autoimmune hepatitis (AIH).METHODS: Independent, retrospective reviews of the databases of two separate tertiary/quaternary British Columbia university-affiliated health care institutions, the Adult Liver Transplant Program of the BC Transplant Society and the Division of Pediatric Gastroenterology, BC Children’s Hospital (Vancouver, BC), were performed. All patients referred with a diagnosis of probable or definite AIH who identified themselves as being of First Nations descent from 1988 to 2004 were reviewed. The liver transplant database records all adult patients in the province referred for transplant assessment. The pediatric database records all children referred to the BC Children’s Hospital.RESULTS: A total of 68 adult patients with a definite or probable diagnosis of AIH were referred to the liver transplant program. Twelve patients (17.6%) were Aboriginal, 11 of which were female. Similarly, a total of 30 children with probable or definite AIH were identified from the pediatric database. Six of these cases (20%) were identified in Aboriginal children.CONCLUSIONS: The findings suggest an increased prevalence of AIH among BC’s First Nations community. A disproportionate First Nations representation was found on independent review of two databases. Future studies are needed to determine the true prevalence of AIH in this community, and to uncover the genetic predisposition and the environmental triggers explaining this phenomenon.

Dementia Care Knowledge Sharing within a First Nations Community

2013 ◽  
Vol 32 (4) ◽  
pp. 360-374 ◽  
Author(s):  
Dorothy Forbes ◽  
Catherine Blake ◽  
Emily Thiessen ◽  
Sara Finkelstein ◽  
Maggie Gibson ◽  
...  
Keyword(s):  
Knowledge Sharing ◽  
First Nations ◽  
Dementia Care ◽  
Premières Nations ◽  
Premieres Nations ◽  
Nations Community

RÉSUMÉCet article discute l’échantillon d’une étude des Premières Nations plus vaste sur les décisions de soins de la démence et le partage des connaissances. L’objectif de cette étude est de mieux comprendre le processus de partage des connaissances entre les praticiens de la santé (PS), les partenaires de soins, et les personnes atteintes de démence (PAD) au sein d’une communauté rurale des Premières Nations. Une méthodologie de la théorie constructiviste ancrée a été utilisée. Dix-neuf entrevues ont ete menées à trois reprises avec deux réseaux de soins de la démence qui comprenait deux PAD, trois partenaires de soins, et deux PS. Un modèle, “Partage des connaissances sur les soins de la démence,” a été conçue, centrée sur les PAD et leurs partenaires de soins. Trois grands thèmes du partage des connaissances sont representées dans le modèle: (1) le développement des relations de confiance, (2) l’accès et l’adaptation aux informations, et (3) application des informations. Des approches sensibles à la culture sont essentiels pour le développement des relations de confiance. Une fois que les relations ont été développées, le partage des connaissances grâce à l’accès, l’adaptation et l’application des informations est devenu possible.

scholarly journals Bringing Ethics Review Home to Cowichan: Indigenizing Ethics Review in British Columbia, Canada

2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Cowichan Tribes
Keyword(s):  
British Columbia ◽  
Research Ethics ◽  
First Nations ◽  
Indigenous Peoples ◽  
Preterm Births ◽  
High Rate ◽  
Community Members ◽  
Ethics Review ◽  
Research Ethics Review ◽  
United Nations Declaration

Cowichan Tribes’ territory, located in the Cowichan Valley on Vancouver Island, British Columbia, Canada, is experiencing an alarmingly high rate of preterm births compared to the national average of Indigenous Peoples in Canada. In response, and in partnership with the First Nations Health Authority (FNHA), Cowichan Tribes is in the first year of a 3-year study to investigate causes. Cowichan Tribes’ Elders and community members are guiding the study to ensure it follows Cowichan Tribes’ research processes and to support self- determination in research. Furthermore, as a way to enhance reconciliation, Elders and community members guided an on-site ethics review on Cowichan Tribes territory. This article outlines the collaborative, in-person research ethics review process that Cowichan Tribes, Island Health, and FNHA completed on August 21, 2019. The purpose of this article is to provide suggestions other First Nations could use when conducting a research ethics review, and to explain how this process aligns with the principles of ownership, control, access, and possession (OCAP®), the United Nations Declaration on the Rights of Indigenous Peoples, the Truth and Reconciliation Commission of Canada, and above all, the Cowichan snuw’uy’ulh (teachings from Elders).

scholarly journals Evaluating Attitudes towards Large Carnivores within the Great Bear Rainforest

2021 ◽  
Vol 13 (23) ◽  
pp. 13270
Author(s):  
Max C. Leveridge ◽  
Amélie Y. Davis ◽  
Sarah L. Dumyahn
Keyword(s):  
British Columbia ◽  
First Nations ◽  
Public Attitudes ◽  
Local Economy ◽  
Large Carnivores ◽  
Structured Interviews ◽  
New Ecological Paradigm ◽  
Relational Value ◽  
Positive Attitudes ◽  
Significant Difference

Cohabitation between humans and carnivores is vital to the continued existence and integrity of ecosystems, often playing a large role in the success of large carnivore conservation. We focus on interactions between humans and carnivores in the world’s largest, relatively intact temperate rainforest—The Great Bear Rainforest (GBR), British Columbia, Canada. Specifically, we focus on residents of Prince Rupert, a city within the GBR, and examine its residents’ ecological and relational attitudes towards the surrounding area of protected rainforest and the large carnivores present in the area. We aim to determine the strength of public attitudes and values of the environment and carnivores in the GBR, and to examine whether they differ between First Nations and non-First Nations residents of Prince Rupert, British Columbia. We conducted 28 semi-structured interviews of Prince Rupert residents. At the start of the interview, respondents self-administered a survey consisting of statements from the Social Ecological Relational Value and the New Ecological Paradigm scales. We find no significant difference between First Nations and non-First Nations respondent attitudes. This is possibly due to three factors: (1) cultural influence from the local First Nations, (2) the fact that these carnivores are important for the local economy through tourism, and (3) a strong sense of place associated with the area and the carnivores that inhabit it regardless of positive or negative encounters with these animals. While we find positive attitudes towards carnivores and little evidence of human–wildlife conflict, feelings towards carnivores encountered in town or while hiking tend to be negative, especially when they involve wolves. In order to mitigate these effects in a way that protects these valuable creatures, respondents overwhelmingly clamored for a conservation officer to be assigned to Prince Rupert. We conclude that policy and management might alleviate human–carnivore conflicts in the area should our results be corroborated by studies with larger sample sizes.

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