Mental and physical health impacts of water/sanitation infrastructure in First Nations communities in Canada: An analysis of the Regional Health Survey

O’Gorman, Melanie

doi:10.1016/j.worlddev.2021.105517

Cited by 13 publications

(7 citation statements)

References 42 publications

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“…True Colour (1) universal, clean, affordable, trustworthy, and uniformly governed water access 91 . The reality in reportedly high-performing countries, including Canada 92,93 and the United States [94][95][96] , is that water access is uneven and many challenges remain 97,98 . Race, income, housing, geography, and utility size correspond to gaps in water access and drinking water quality 94,95,97,99 .…”

Section: Discussionmentioning

confidence: 99%

Measuring the gaps in drinking water quality and policy across regional and remote Australia

et al. 2022

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Drinking water quality remains a persistent challenge across regional and remote Australia. We reviewed public reporting by 177 utilities and conducted a national assessment of reported exceedances against the health-based and aesthetic guideline values of the Australian Drinking Water Guidelines (ADWG). Four definitions of a basic level of drinking water quality were tested to quantify service gaps across regional and remote areas of each subnational jurisdiction in 2018–2019. At least 25,245 people across 99 locations with populations <1000 reportedly accessed water services that did not comply with health-based guideline values. Including larger towns and water systems, the estimated service gap rises to at least 194,572 people across more than 115 locations. Considering health parameters and the ADWG definition of ‘good’ aesthetic characteristics, the reported service gap rises further to at least 627,736 people across 408 locations. Forty percent of all locations with recorded health exceedances were remote Indigenous communities. Monitoring and reporting gaps indicate that the actual incidence of non-compliance with the guideline values of the ADWG could be much higher than our estimates. Our results quantified the divergence in the assessment of water quality outcomes between Sustainable Development Goal Target 6.1 and the ADWG, demonstrated disparities between service levels in capital cities and the rest of Australia, and highlighted the need for place-based solutions. The methods and dataset provide a ‘proof-of-concept’ for an Australian national drinking water quality database to guide government investments in water services.

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Section: Discussionmentioning

confidence: 99%

Measuring the gaps in drinking water quality and policy across regional and remote Australia

et al. 2022

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“…Indigenous communities in Canada face higher risks of infections due to environmental and social factors [3,33,[41][42][43]. This work created a context-specific tool that quantified the risks associated with a waterborne disease outbreak through an agent-based model that reflected community dynamics and cultural values.…”

Section: Discussionmentioning

confidence: 99%

Case Study of Collaborative Modeling in an Indigenous Community

McDonald

Bradford

Neapetung³

et al. 2022

Water

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To support Indigenous communities in preparing for uncertainties such as climate change impacts and unexpected threats to health, there are calls by researchers and community members for decision support tools that meaningfully and sensitively bring together Indigenous contextualized factors such as social dynamics, local- and culture-specific knowledge, and data with academic tools and practices including predictive modeling. This project used a community engaged approach to co-create an agent-based model geographically bounded to a reserve community to examine three community-requested simulations. Community members and researchers co-designed, built, and verified the model simulations: a contaminated water delivery truck; a Pow Wow where a waterborne infectious disease spreads; and a flood which restricts typical movement around the reserve for daily tasks and health care. The simulations’ findings, displayed as both conventional and narrative outputs, revealed management areas where community adaptation and mitigation are needed, including enhancing health service provision in times of disease outbreaks or large community events, and creating back-up plans for overcoming flood impacts to ensure services are accessible for vulnerable members of the community. Recommendations for communities, researchers, and modelers are discussed.

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“…However, there is a lack of culturally safe interventions and services available for Indigenous Peoples with autism ( 7 , 52 ). This can lead Indigenous Peoples to feel disconnected from their cultural identity, which can pose detrimental impacts on the mental health and wellbeing of Indigenous communities ( 62 ). According to Lindblom, it was determined that the interactions of Autistic First Nations children with traditional practices, such as Indigenous music interventions, can help to ease personal difficulties and improve communication and social interactions ( 53 ).…”

Section: Discussionmentioning

confidence: 99%

Informing care pathways and policies for children and youth with Indigenous perspectives to advance Canada's National Autism Strategy

et al. 2022

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Mental and physical health impacts of water/sanitation infrastructure in First Nations communities in Canada: An analysis of the Regional Health Survey

Cited by 13 publications

References 42 publications

Measuring the gaps in drinking water quality and policy across regional and remote Australia

Measuring the gaps in drinking water quality and policy across regional and remote Australia

Case Study of Collaborative Modeling in an Indigenous Community

Informing care pathways and policies for children and youth with Indigenous perspectives to advance Canada's National Autism Strategy

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