Health, Behavior and Society Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Glob Health Promot. 2024 Mar;31(1):91-94. doi: 10.1177/17579759231202629. Epub 2023 Oct 14.
The COVID-19 pandemic has brought to light the importance of hindsight in response to global health crises. Although globalization has amplified worldwide perspectives, many lessons learned from past outbreaks in Indigenous communities have been overlooked. Oral histories are deeply rooted traditions that have played a significant role in the health practices of Indigenous communities across Canada. These practices can provide valuable insights into past epidemics or casualty events and their short- to long-term impacts. They have shaped responses to COVID-19, with Indigenous communities implementing self-determination efforts, such as community closures, contact tracing, and isolation measures. These traditions have heavily influenced population health practices in other contexts, such as the 1700 Cascadia earthquake, smallpox, and tuberculosis outbreaks. However, challenges remain in facilitating disease data transparency and Indigenous sovereignty. Efforts should be made to promote recognizing and respecting Indigenous knowledge and practices within the broader health system.
新冠疫情凸显了事后反思在应对全球卫生危机中的重要性。尽管全球化放大了全球视野，但许多从过去在原住民社区爆发的疫情中吸取的经验教训却被忽视了。口述历史是一种根深蒂固的传统，在加拿大各地原住民社区的卫生实践中发挥了重要作用。这些实践可以为过去的流行病或伤亡事件及其短期到长期的影响提供有价值的见解。它们塑造了对新冠疫情的应对，原住民社区采取了自我决定的措施，如社区关闭、接触者追踪和隔离措施。这些传统在其他情况下也对人口健康实践产生了深远影响，如 18 世纪的卡斯卡迪亚地震、天花和结核病爆发。然而，在促进疾病数据透明度和原住民主权方面仍然存在挑战。应该努力促进在更广泛的卫生系统中承认和尊重原住民的知识和实践。
