Originally published at the Sprawl
In the event there is a COVID-19 outbreak on reserve, First Nations in Alberta are following public health directives. But the painful legacy of colonialism has created a unique set of circumstances for Indigenous people broadly and within each nation.
Blood Tribe recently had a COVID-19 outbreak, with 14 confirmed cases, 11 of which were active as of May 19.
Lindstrom says there are several specific challenges in combating COVID-19 on reserves.
“The biggest challenge is access to healthcare and adequate testing materials,” Lindstrom said.
“Another is the lack of access to other resources, like transportation for tribal members. We have very isolated members of the tribe who don’t get around, who may not have access to vehicles,” she added.
“Access to information is another, because lots of time information spreads through the internet quite quickly and a lot of members don’t have access to the internet, because they simply cannot afford a computer.”
The extent of these roadblocks vary from reserve to reserve, she emphasized.
The entire world is dealing with the same pandemic, but each community has different needs, priorities and resources. It’s no different for First Nations.
Ryan Robb, CEO of Stoney Nakoda, says First Nations are co-ordinating with each other through the various treaties and the national Assembly of First Nations, as well as public health officials.
“I think it’s important to recognize that all First Nations are just that—autonomous nations,” Robb said. “Different nations will have different capacities and capabilities, and even different focuses on what they want to do.”
The Stoney Nakoda First Nation—located between Banff and Calgary—consists of three bands residing on three different reserves. The Bighorn, Morley and Eden Valley reserves are home to the Wesley, Chiniki and Bearspaw peoples.
Stoney Nakoda had Alberta’s first major outbreak on reserve in Eden Valley, with 18 of 600 residents testing positive. This outbreak was traced back to the Cargill facility in High River, where a number of residents work.
Like many Cargill employees elsewhere, those in Eden Valley often live in cramped quarters and carpool to work, increasing the chances of transmission.
While High River’s positive test results skyrocketed, Stoney Nakoda successfully contained the spread. All 18 cases in Eden Valley, as well as a lone positive test result in Morley, have since recovered.
Robb says the tribal administration was uniquely well positioned to manage the pandemic. This seems to come as a result of their past experience in emergency preparation, resulting from the 2013 floods in southern Alberta, which hit Morley, and led to the implementation of the Incident Command System—a standard used by industry and municipalities across Canada.
“It’s a management system so we can identify where we have risks, where we might have issues and what we can do about it,” explained Robb, who is familiar with this system from his time employed at Suncor. “We were unique. Very few First Nations had this system in place.”
Another reason for their successful management, Robb says, is that Stoney Nakoda is a consultant nation on the Trans Mountain pipeline expansion, so they already had a robust emergency planning system for various scenarios, which could be adapted towards a pandemic.
“It let us plan ourselves exceptionally well. We were the first nation in Alberta, and possibly Canada, to have isolation centres on reserve,” said Robb.
‘We’re doing a lot more phone visits’
Linda Wonitoway-Raw is a registered nurse at Alexis Nakota Sioux Nation’s health centre. She says that the reserve—located about 85 kilometres northwest of Edmonton—has had zero confirmed COVID-19 cases, but is working on plans in the event there’s an outbreak.
As elsewhere, the number of in-person visits to healthcare facilities has been limited as focus has shifted to physical distancing and COVID-19 testing, she says.
“People are staying at home. We’re doing a lot more phone visits,” said Wonitoway-Raw. “It’s very, very different from everything that we’ve been taught. As a nurse practitioner or physician, you really don’t want to be diagnosing patients over the phone.”
Public data could be weaponized against First Nations
Alberta Health doesn’t provide COVID-19 figures specific to each First Nation but Tom McMillan, a spokesperson for AHS, says they have been working closely with First Nations to share data.
Although Dr. Deena Hinshaw, Alberta’s chief medical officer of health, said AHS would look into collecting race-based data in the future, McMillan says it’s not in the cards at this time, at least as it pertains to First Nations.
However, their data is included in the total daily figures.
“Individual Nations are free to share relevant information as they see fit,” he said, emphasizing that AHS would need each nation’s consent to share those details publicly.
There’s a certain reticence among some First Nations towards publicly sharing data with Canadian authorities, given how information about them has been historically weaponized against them by settler society, explains Lindstrom.