Health Status of Aboriginal People in Ontario

As health professionals, we must look beyond individual attributes of Indigenous Australians to gain a greater understanding and a possible explanation of why there are such high rates of ill health issues such as alcoholism, depression, abuse, shorter life expectancy and higher prevalence of diseases including diabetes, heart disease and obesity in our indigenous population. Looking at just the individual aspects and the biomedical health model, we don’t get the context of Aboriginal health. This is why we need to explore in further detail what events could have created such inequities in Aboriginal health. Other details that we should consider are the historical and cultural factors such as, ‘terra nullius’, dispossession and social

The health of Aboriginal people in Canada is both a tragedy and a crisis (Aboriginal Affairs and North Development Canada, 2010). Aboriginals have a higher rate of death among aboriginal babies, twice the national average, higher rate of Infectious diseases example gastrointestinal infections to tuberculosis, and chronic and degenerative diseases such as cancer and heart disease are affecting more aboriginal people than they once did (AANDC, 2010). Availability of important medical facility is not enough to accommodate the growing medical needs of Aboriginals. A socioeconomic and cultural issue also hinders the access of aboriginals to access health care in the community.

I believe that the aboriginal people need better health care and housing. According to Health Canada First Nation people and Inuit people are more at risk to receive HIV. In a trend over the past few years, it has been seen that natives are being infected at a significantly younger age than non-aboriginal people. This could be because the aboriginal people are treated differently in Canada so that they don’t receive the same health coverage that the rest of the Canadians do. It is unfortunate that the highest cause of HIV transition between aboriginal people is injection drugs. The Canadian government should be enforcing the same drug laws that we have in other parts of Canada on the reserves. It is known that Aboriginal people have adjusted some of the laws on their reserves to accompany their customs and culture. Yet, the HIV count is rising in the aboriginal people, and if not properly taken care of, people may be more prone to different diseases. Also, some health care benefits that we receive are not translated to the aboriginal population. In the aboriginal regions, people live in a large home and hold many relatives and a few different families. With more young people, there will eventually be inadequate room for living. The government should use this opportunity to build houses and give the jobs to

As health professionals, we must look beyond individual attributes of Indigenous Australians to gain a greater understanding and a possible explanation of why there are such high rates of ill health issues such as alcoholism, depression, abuse, shorter life expectancy and higher prevalence of diseases including diabetes, heart disease and obesity in our indigenous population. Looking at just the individual aspects and the biomedical health model, we don’t get the context of Aboriginal health. This is why we need to explore in further detail what events could have created such inequities in Aboriginal health. Other details that we should consider are the historical and cultural factors such as, ‘terra nullius’, dispossession and social

     Many of the inequalities in the health of the Aboriginal people can be attributed to the

Carson, B., Dunbar, T., Chenhall, R. D., & Bailie, R. (2007). Social determinants of Indigenous health. Allen & Unwin.

Access to the communities is provided year round by Wasaya Airline and airstrips that are maintained by the Ontario Ministry of Transportation. Of course, each Aboriginal community is unique with its own set of traditions and ways of healing but my observation after working within the communities for over ten years is that they all suffer from improperished conditions and substandard housing. The local economies are primarily based upon government services (Indian and Northern Affairs) (INAC) and small business. Most of the reserves have six hundred people or less, and each community has a nursing station. The nursing stations are well-maintained functional buildings built in or about the early 1960’s and are maintained by Health Canada. First Nations and Inuit Health (FNIH) maintains responsibility for primary care services in the majority of the northwest Ontario reserve communities. In the north, nurses are the primary care givers working in an extended scope of practice, and client care is centrally coordinated by nurses working within interdisciplinary teams. The majority of the nursing and medical staff working for FNIH in the Sioux Lookout zone are Caucasian and do not come from local communities. This could outwardly appear as a reinforcement of power relations in the racial identities. There is only very limited cultural training given to employees when they are employed by FNIH. Medical advice and

“The status of Indigenous health in contemporary Australia is a result of historic factors as well as contemporary socio-economic issues” (Hampton & Toombs, 2013, p. 1).

It is well studied by health authorities that the current health statistics of the Indigenous population today are clearly reflected on their health status, due to the impacts of the colonisation process. The relating problems associated with this have resulted in destructive families and communities. It is unquestionable that Indigenous Australians were adapted to the environment in which people lived and had control on every feature of their life during the colonisation period. According to ‘The Deplorable State of Aboriginal Ill Health, Chapter 1’ (2014), studies that show that numerous infectious diseases; such as, smallpox and the flu, were not present in the pre-invasion period. It is also shown that lifestyle diseases such as high BP, diabetes and heart diseases were not known to exist.

Dementia is an increasing concern in Canadian Aboriginal populations. Canadian Aboriginal populations consistently experience an increased likelihood of negative health outcomes, an increased prevalence of risk factors for impaired health, and are largely understudied in health literature compared to the non-Aboriginal Canadian population (Bruce, Riediger, & Lix, 2014). These populations are comprised of three heterogeneous groups – First Nations, Métis, and Inuit. Historically, Aboriginal populations have experienced disproportionately high rates of infectious diseases, compared to the non-Aboriginal Canadian population, whereas a recent review of the Canadian Community Health Survey data for the years 2000-2001 compared to 2005-2006, stated

As a people, our rate of chronic disease is still 2.5 times higher than that of other Australians, and Indigenous people in this country die 15 to 20 years younger than those in mainstream Australia. More than half of

The Aboriginals also known as the Indigenous people are the first people’s inhabitants of mainland Australia (WIKIPEDIA). Historically, Aboriginals enjoyed better health before any invasions from non-Indigenous peoples. They didn’t suffer from any major illnesses though they did have other type of health issues, but their life was happier and content. Everything started to change after 1788 when non-Indigenous people introduced illnesses where the mortality rate of Aboriginals population started to increase, and this affected their life and the community (http://www.healthinfonet.ecu.edu.au/health-facts/overviews/the-context-of-indigenous-health). There are various factors that contribute to the poor health status of Indigenous people, and this is part of the social determinants of health which should been seen in a broader context (1)(2). Factors such as employment, income, stress, gender, education, behavioral aspects, working and living conditions, social networks and support, are interrelated and complex, and are part of the social

Colonialism has contributed to multiple issues in the lives of Aboriginal people including inadequate housing and clean resources on Aboriginal reserves. One significant outcome is health problems reserve residents face, including a lower life expectancy and higher mortality rate. “For Aboriginal men on reserve, life expectancy is 67.1 years, while off reserve it’s 72. 1, compared to 76 years for the general population of Canada. For Aboriginal women, it is 73.1, 77.7, and 81.5 respectively” (Frohlich et al. 134). Additionally, more than 50% of off reserve Aboriginal people have at least one chronic condition (Frohlich et al.). Reserves stem from the colonial era, where Aboriginal people were displaced by the government and are a continuous symbol of oppression.

What might explain these statistics, or at least serve as correlations, are the determinants of health. If the reader is not familiar with the determinants of health, the World Health Organisation (WHO) provides an explanation of them. In essence, these health determinants are factors that have significant impact upon one’s health. The main determinants for health are: socioeconomic status, where the rich and upper classes tend to be healthier; education, where low education is linked to stress, lower self-esteem and poorer health choices; environment, where purer air, cleaner water, healthier workplaces and better housing contribute to being healthier; health services, where access to services and proper equipment all contribute to health; as well as gender, genetics, culture and social behaviour (WHO, 2016). As there are so health determinants, where essays can be written on one alone, it is not within the scope of this essay to critically analyse each determinant for Indigenous Australians. With this in mind, the Australian Institute of Health and Welfare (2014) documents an extensive list of data for Indigenous health, most of which discusses issues which are out-of-scope for this analysis. What is relevant, however, is outlined next. Across the board, in 2011, the Indigenous population was younger than the non-Indigenous population due to high fertility and mortality rates with those

Aboriginal health standards are so low today that all most half aboriginal men and a third of the women die before they are 45. Aboriginal people can expect to live 20 years less than non-indigenous Australians. Aboriginals generally suffer from more health problem and are more likely to suffer from diabetes, liver disease and glaucoma. The causes of their poor health and low life expectancy are poverty, poor nutrition, poor housing, dispossession of their traditional land, low education level, high unemployment, drug and substance use, unsafe sex, limited health care and diseases.