Hiraldo Danielle, James Kyra, Carroll Stephanie Russo
Native Nations Institute, University of Arizona, Tucson, AZ, United States.
College of Public Health, University of Arizona, Tucson, AZ, United States.
Front Sociol. 2021 Mar 15;6:617995. doi: 10.3389/fsoc.2021.617995. eCollection 2021.
Indigenous Peoples globally and in the United States have combatted and continue to face disease, genocide, and erasure, often the systemic result of settler colonial policies that seek to eradicate Indigenous communities. Many Native nations in the United States have asserted their inherent sovereign authority to protect their citizens by passing tribal public health and emergency codes to support their public health infrastructures. While the current COVID-19 pandemic affects everyone, marginalized and Indigenous communities in the United States experience disproportionate burdens of COVID-19 morbidity and mortality as well as socioeconomic and environmental impacts. In this brief research report, we examine 41 publicly available tribal public health and emergency preparedness codes to gain a better understanding of the institutional public health capacity that exists during this time. Of the codes collected, only nine mention any data sharing provisions with local, state, and federal officials while 21 reference communicable diseases. The existence of these public health institutions is not directly tied to the outcomes in the current pandemic; however, it is plausible that having such codes in place makes responding to public health crises now and in the future less reactionary and more proactive in meeting community needs. These tribal institutions advance the public health outcomes that we all want to see in our communities.
全球和美国的原住民一直在抗击并持续面临疾病、种族灭绝和被抹除的命运，这往往是定居者殖民政策的系统性后果，这些政策旨在根除原住民社区。美国的许多原住民部落通过制定部落公共卫生和紧急情况法规来维护其内在的主权权力，以保护其公民，支持其公共卫生基础设施。虽然当前的新冠疫情影响到每个人，但美国的边缘化群体和原住民社区在新冠发病率和死亡率以及社会经济和环境影响方面承受着不成比例的负担。在这份简短的研究报告中，我们研究了41份公开的部落公共卫生和应急准备法规，以更好地了解在此期间存在的机构公共卫生能力。在收集到的法规中，只有9份提到了与地方、州和联邦官员的数据共享条款，21份提到了传染病。这些公共卫生机构的存在与当前疫情的结果没有直接关联；然而，有这些法规可能会使现在和未来应对公共卫生危机时减少被动反应，更积极主动地满足社区需求。这些部落机构推动了我们都希望在社区中看到的公共卫生成果。
