CANADIANCCPA CENTRE FOR POLICY ALTERNATIVES COVID-19, and Poor Housing “Wash hands frequently” and “Self-isolate” Akin to “Let them eat cake” in First Nations with Overcrowded Homes Lacking Piped Water

By Shirley Thompson, Marleny Bonnycastle and Stewart Hill

MAY 2020 COVID-19, First Nations and Poor Housing: About the Authors “Wash hands frequently” and “Self-isolate” Marleny M. Bonnycastle is an Associate Professor at Akin to “Let them eat cake” in First Nations with the University of Manitoba, Faculty of Social Work in Overcrowded Homes Lacking Piped Water and worked for five years at the Northern isbn 978-1-77125-505-9 Social Work Program. During that time, Marleny developed relationships with northern communities May 2020 that contributed to the development of her research. Currently, Marleny is a co-researcher of the Mino Bimaadiziwin partnership. She is also a research This report is available free of charge from the CCPA associate with the Canadian Centre for Policy website at www.policyalternatives.ca. Printed Alternatives – Manitoba. copies may be ordered through the Manitoba Office for a $10 fee. Stewart Hill is a PhD Candidate at the Natural Resources Institute who is also working as a Senior Research and Policy Analyst at the Manitoba Help us continue to offer our publications free online. Keewatinowi Okimakanak (MKO), the Manitoba We make most of our publications available free northern Chiefs organization. Mr. Hill is from the on our website. Making a donation or taking out a God’s Lake First Nation, and was born and raised membership will help us continue to provide people in at God’s Lake, and is able to with access to our ideas and research free of charge. speak his Cree language fluently. His dissertation You can make a donation or become a supporter researches and asserts governance over land on-line at www.policyalternatives.ca. Or you can and water in the traditional territory of his home contact the Manitoba office at 204-927-3200 for community of God’s Lake First Nation. The input more information. Suggested donation for this and views shared in this article by Mr. Hill in no way publication: $10 or what you can afford. reflects views or opinions of the MKO, but rather, are the views, observations and opinions of Stewart Hill as an academic PhD student of the University of Manitoba. Shirley Thompson is an Associate Professor at the Natural Resources Institute, University of Manitoba. Dr. Thompson is the principal investigator of the Unit 301-583 Ellice Ave., Winnipeg, MB R3B 1Z7 Mino Bimaadiziwin partnership, which is building capacity and houses in Northern Manitoba thorough tel 204-927-3200 partnerships for community-led post-secondary email [email protected] education in Garden Hill and First Nations. Also, an Indigenous Food Sovereignty community college program was planned for Brokenhead First Nation to start in May 2020 but disrupted by COVID-19. For more information check: http://ecohealthcircle.com/.

Acknowledgements We acknowledge Northern Manitoba First Nations communities, co-researchers, participants in our projects and friends for joining us in learning in your lands and territories. We are grateful for the opportunity to do this work on these lands. We pleased to acknowledge the generous financial support of the Social Sciences and Humanities Research Council of through the Mino Bimaadiziwin partnership’s Northern Teaching Lodge grant and the Manitoba Research Alliance grant: ‘Partnering for Change – Community-based solutions for Aboriginal and inner-city poverty’. Introduction

Emergency measures are deemed universally nec- many systems, including the health care system essary to prevent the transmission and control of and the food supply system, have been seriously COVID-19. Around the world, people are asked to: disrupted. However, not only cracks but an abyss wash hands often, maintain physical distance and is visible in First Nation communities. Before quarantine in your shelter (WHO, 2020, Health COVID-19, government underfunding of housing, Canada, 2020). These are effective measures to slow water infrastructure, education, roads, health, down the transmission of the virus (WHO, 2020) and other services on reserve, compromised the but in communities with overcrowded homes that well-being of First Nation people on reserves for lack piped water and with no hospitals — how can many decades (Palmater, 2019; Elash & Walker, Canada make this pipe dream a reality? 2019). Public health tenants of safe and healthy This article analyzes Canada’s directive to living conditions that meet basic needs for suf- isolate-in-place and to wash your hands to re- ficient water, shelter and food, etc., fall short on duce public health risks from COVID-19 con- many Canadian First Nation reserves (Ander- sidering the triple jeopardy faced by many First son et al., 2016; Pritty, 2018). This article looks Nations — health, health care and infrastructure. at the health of people on First Nation reserves Many First Nations in northern Manitoba are to determine their vulnerability to COVID-19 discussed, with a special focus on two remote in light of the existing health services and the northern reserves, Wasagamack and Garden available infrastructure. Further, the health risk Hill First Nations in . Now is an ex- from housing and water infrastructure issues in traordinary time when COVID-19 has exposed First Nations are discussed before concluding the cracks in the fabric of globalized society. So with some policy recommendations.

COVID-19, First Nations and Poor Housing 1 Health and Health Care of People on First Nation Reserves

According to the Public Health Agency of Can- the risks, from overcrowded housing on First ada (PHAC), people with certain pre-existing Nation reserves for COVID-19 transmission, are health conditions and individuals with weaker great. Another example is viral hepatitis, which immune systems, as well as older people, are is spread by contaminated water and food, being more at risk of developing complications from universal on many reserves by age 20 (Minuk et COVID-19 (Statistics Canada, 2020). Disease rates al., 2003), linked to the inadequate water sys- on First Nation reserves are many times higher tems. The transmission of viruses from inad- than the rates for other Canadians. For example, equate infrastructure on First Nation reserves age-standardized prevalence rates for diabetes in for housing and water is very concerning for Canada are 17.2 per cent for First Nation people COVID-19 and was implicated in the high rates living on-reserve, 10.3 per cent for First Nations of H1N1 on reserve. people living off-reserve, and 7.3 per cent for Mé- The H1N1 crisis sent a wake-up call in 2009 tis people, compared to 5 per cent for the gen- of the deadly impacts of pandemics without ad- eral population (Crowshoe et al., 2018). As well, equate infrastructure on First Nation reserves. hospitalization for asthma and respiratory tract One of Manitoba’s 17 remote fly-in communities, infections are higher for First Nations people on (population 4074 at the reserve than other Canadians (Carrière, Garner time) (INAC, 2013), had hundreds of people sick & Sanmartin, 2017). from H1N1 and three of the 11 Manitobans (27 Higher rates of contagious diseases on First per cent) who died from H1N1. The government’s Nation reserves are linked to infrastructure issues immediate response to the epidemic was sending (Statistics Canada, 2020). The crisis of overcrowd- in body bags with only minor improvements to ed housing on First Nation reserves correlates improve water access, which will be discussed with higher rates of many diseases, including a further in this paper. 50 times higher prevalence of tuberculosis (TB) The health care needs of First Nations are for people on First Nation-reserves compared presently not met on their reserve or nearby. to other Canadians (ISC, 2020b). Considering Most First Nations located in isolated or remote COVID-19 is much more contagious than TB, areas have smaller health care facilities, such

2 canadian centre for policy alternatives —­ MANITOBA as nursing stations. Typically the lack of hos- The facilities to isolate sick people on First pitals and doctors necessitates people living on Nation reserves are limited, according to Gar- reserves to travel far distances to meet all but rison Settee, Grand Chief of Manitoba Keewati- basic health care needs (Statistics Canada, 2020, nowi Okimakanak (MKO), a political advocacy FNIGC, 2018). The lack of nearby hospitals, par- organization that represents 26 Northern Man- ticularly for communities lacking access roads, itoba First Nations. Chief Settee commented: are barriers to health care, with one in ten First “The overall shortage of buildings in which we Nations people living on reserve having unmet can set up field hospitals or self-isolation units is health care needs in the preceding 12 months coming up daily as a concern for Northern First (FNIGC, 2018). Those in remote communities, Nations” (Graham, 2020). who would need ventilators or acute care for Therefore, people on First Nation reserves COVID-19, must fly out for emergency medi- are in double jeopardy having more health is- cal care, presenting a bottleneck for not only sues but less access to health services (Statistics airplanes but also, in many cases, for helicop- Canada, 2020). With health vulnerabilities and ters to reach the airports. For example, three barriers to accessing health care, prevention of of the Island Lake reserves need a helicopter to COVID-19 is critical. However, do First Nations transport people to the airport, during the two have the water and housing infrastructure to months or more of ice-break-up/freeze-up (May follow public health advice to prevent diseases, and November typically). for example, to wash often?

COVID-19, First Nations and Poor Housing 3 Frequently Washing your Hands while Rationing and Running out of Water

Washing hands is vital to prevent COVID-19, but and , respectively, plus 5 per cent what if the water is contaminated or of insufficient having no water system (Neegan Burnside Ltd, quantity, so that people run out of water? Water 2011). Meanwhile, across Canada’s First Nations, systems on First Nations reserves, according to the rate is much lower at 13.5 per cent cisterns, the National Assessment of First Nations Water and 1.5 per cent having no water system (Neegan and Wastewater Systems (Neegan Burnside Ltd, Burnside Ltd, 2011). Truck delivery of water is 2011), harbor considerable risk, with 73 per cent easily disrupted under normal conditions, with of water systems on First Nation reserves being constant reports of shortages of water, but the either high risk (39 per cent) or medium risk (34 COVID-19 emergency brings further disruption per cent). Boil water advisories are common. hazards. Although First Nation water systems, Disruptions in supply also occur, for example like all water systems, need to be reliable and Wasagamack’s water treatment system breaking sustainable under all conditions, in Manitoba, for a week in May 2020 during COVID-19, with only 2 per cent had an emergency response plan. no water supply to the health centre and com- As well, only 4 per cent had a source water pro- munity (N. Whiteway, personal communication, tection plan, 5 per cent had a maintenance plan, May 07, 2020). These risks, though high, are un- and 26 per cent had a certified backup operator derestimated as the First Nation risk appraisal (Neegan Burnside Ltd, 2011), which shows the overlooked the risks for cisterns and barrels. In weaknesses in these systems. terms of water quality, the contamination of In northern Manitoba, many First Nation cisterns is the leading cause of boil-water advi- homes have cisterns that run out of water fre- sories in First Nations communities (Moffatt & quently. For example, 50 per cent of their homes Struck 2011; Baird, Summers, & Plummer, 2013; run dry, according to Chief Larson Anderson Farenhorst et al., 2017). from : “About half of the homes Hauling water is mostly a prairie-Province in Norway House are often left without water problem with the truck-to-cistern drinking for one to 10 days, because of overcrowding and water supply chain reaching 31 per cent and 21 tanks that quickly run dry” (Grabbish, 2020). In- per cent cisterns in First Nations in Manitoba sufficient trucks to keep up with the water de-

4 canadian centre for policy alternatives —­ MANITOBA Figure 1 Water Supply by Pail, Cistern or Pipe in Garden Hill Homes (n=384) 0%

21%

Pail

Cistern 52% Piped Water

Not Stated 27%

SOurce: Barkman, Monias & Thompson, 2018

mand creates water shortages or with the sewage a low-cost band-aid solution, with First Nation truck, overflowing sewage (Harper, Whiteway & Employment and Training having to fund the lo- Thompson, 2018). Also, the quality of water is a cal workers to retrofit the homes. Between 2011 concern. Cisterns are easily contaminated by soil, and 2016, 769 housing units were retrofitted with groundwater, as well as rodents. To decontaminate cisterns in Island Land (MB Partnership, 2020), necessitates regular cleaning, but First Nations with some homes not receiving cisterns for vari- lack adequate budgets to clean these confined ous reasons (e.g., lack of electricity, broken cis- spaces (Lebel & Reed, 2010; IAND, 2006). Con- tern, housing not up to code or mobile home, etc.) tamination of cisterns can occur at many points (Harper, Whiteway & Thompson, 2018). Then, in along the chain, at initial treatment, the trans- 2018, 21 per cent of the 384 houses surveyed in portation process, transfer to barrels or cisterns, Garden Hill First Nation used barrels, and 27 per microbial growth in the cistern, and the house- cent used cisterns (Barkman, Monias & Thomp- hold distribution system (Bradford et al., 2018). son, 2018). See graph 1. Based on this survey, the However, other houses have no running water. CBC reported 180 households were without run- The lack of water service, to many homes, was ning water (Elash & Walker, 2019). considered a factor in H1N1 deaths in Garden Hill Homes in many other First Nations lack run- First Nation (Elash & Walker, 2019). Before the ning water. According to a survey with 87 of 200 H1N1 epidemic, Garden Hill First Nation lacked households at South Indian Lake First Nation any water service to most homes (Thompson, (Statistics Canada, 2016), 33 per cent use barrels Thapa & Whiteway, 2019). To improve water ac- for water without any water service (Thompson cess to homes after H1N1, the Federal government & Pritty, 2020). Barrels provide less than 500 paid for water and sewage cisterns. Cisterns were gallons of water, which typically run out of wa-

COVID-19, First Nations and Poor Housing 5 ter after a few days, even with rationing. As well, Nation water systems to be reliable and sustain- in South Indian Lake First Nation, 47.5 per cent able under all conditions. Cisterns and barrels of homes use “honey buckets” or “slop buckets”. are only a temporary measure, until piping can Homeowners typically dump these buckets in be installed, as the cisterns compromise the their back yard, which provides an on-going quality and quantity of water. The Office of the source of contagion. Similarly, the 2018 survey Parliamentary Budget Office (2018) calculated of 384 houses in Garden Hill First Nation found that a minimum cost of $3.2 billion is required 21 per cent relied on honey buckets with another for First Nation on-reserve water systems to be 27 per cent having sewage cisterns (Barkman, at the same standards as Canadian communi- Monias & Thompson, 2019). ties. This investment is necessary to help prevent Therefore, to wash hands regularly to pre- future pandemics but also to improve health on vent COVID-19 requires upgrading of the First reserves overall.

6 canadian centre for policy alternatives —­ MANITOBA Self-Isolation and Physical Distancing in an Overcrowded House

The Public Health Agency of Canada recom- First Nations, according to Table 1, with per- mends that people isolate at home if they may son/room rates 24 times and 22 times Canada’s have COVID-19 (ISC, 2020a). However, this pub- average. In St. Theresa Point First Nation, the lic health advice is difficult to adhere to in over- chief reported cases of 23 people live in a two- crowded homes on First Nation reserves. Grand bedroom home where “they had to take turns MKO Chief Garrison Settee stated: “…with the sleeping” (Puxley, 2016). COVID-19 pandemic; however, we do need to pay With limited housing available on First Na- attention to the lack of housing as it directly im- tion reserves, grown children, with offspring pacts our ability to follow public health advice and spouses, often have few choices but living designed to mitigate the impacts of the virus on with their parents. One-quarter (25.4 per cent) the vulnerable citizens in our communities” (Gra- of people living on First Nation reserves lived in ham, 2020). Overcrowding is associated with a multigenerational households in 2016, which is higher risk of the spread of infectious diseases, four times the rate of non-Indigenous popula- such as COVID-19. tion (6.1 per cent). Grandparents living alongside Overcrowded housing is a common issue on their children and grandchildren create a greater reserves (Brandon & Peters, 2014; Bonnycastle, risk of viral exposure to older Indigenous adults, Simpkins, & Siddle, 2016). In 2016, 37 per cent of an at-risk group for severe COVID-19 symptoms. First Nations people on reserve lived in unsuit- The physical condition and quality of a home, able housing, compared to 8.5 per cent for the including the state of repair, allergens, and mold, non-Indigenous population, according to the are associated with an increased risk of the spread National Occupancy Standard (NOS). Housing of infectious diseases (Statistics Canada, 2020). suitability — a measure of crowding — refers to The percentage of homes in need of major repairs whether the dwelling has enough bedrooms for was highest among First Nations people living the size and composition of the household (Sta- on reserve (44.1 per cent). For example, a 2015 tistics Canada, 2020). In remote First Nations, survey on housing, completed by 408 Nisicha- NOS rates are higher yet, at approximately 53 wayasihk Cree Nation houses (formerly known per cent for both Wasagamack and Garden Hill as Nelson House) community, found 58 per cent

COVID-19, First Nations and Poor Housing 7 Table 1 The State of Housing in Two Remote First Nations Compared to Canada Housing Issue Canada Wasagamack Garden Hill More than 1 person/room 1.9% 45.6% (24x) 42.6% (22x) Rooms/dwelling 6.2 4.4 4.7 Housing Unsuitable (NOS) 8.5% 52.6% 53% Major Repairs needed 6.5% 82.6% (13x) 61.8% (9.5x) Not Suitable 4.9% 52.6% (11x) 54.5% (11x)

NOTE (X)- Times or multiplication of the rate for Canada. Source Statistics Canada, 2016.

have mold problems (Nisichawayasihk Housing on reserve at higher risk from COVID-19. The Authority, 2015) and 52 per cent needed major Assembly of First Nations (2020) estimates an repairs (Statistics Canada, 2016). additional 130,000 housing units are needed by The Federal government management of re- 2030. Four out of every five on-reserve house- serve housing started in the 1960s and 1970s. holds live in homes that need significant repairs, Due to a lack of planning for population growth, and are below the standard for adequate housing maintenance, and repair, these homes were over- (Lgui, 2019). To deal with the housing deficit, a crowded and in disrepair by the 1980s (Belanger, Treaty, Indigenous, and human “rights-based 2016). Harold Calla, Executive Chair, First Na- approach” needs to be the foundation of the tions Financial Management Board, describes First Nation Housing strategy (AFN, 2020). The First Nation reserve housing deficit as surpass- United Nations Rights for Indigenous Peoples ing $3 to $5 billion (Senate Committee on Ab- (UNDRIP) Article 23, calls for an Indigenous- original Peoples, 2015) and the infrastructure led approach: deficit of $45 billion to $50 billion (Cala, 2017). Indigenous peoples have the right to determine This overcrowding on reserves results in First and develop priorities and strategies for Nation people having a higher incidence of pre- exercising their right to development. In carious housing or homelessness (e.g., living in particular, indigenous peoples have the homeless shelters, transitional housing, or resi- right to be actively involved in developing dential facilities for victims of abuse) (Statistics and determining health, housing and other Canada, 2020). economic and social programs affecting them In conclusion, Federal Programs do not pro- and, as far as possible, to administer such vide adequate, safe, and healthy housing on First programs through their own institutions. Nation reserves, making First Nation people

8 canadian centre for policy alternatives —­ MANITOBA States of Emergency Declared by First Nation Communities

First Nations leaders have declared states of emer- from Gull Lake First Nation caught COVID-19 gencies to protect their First Nation communi- after 17 people at the nearby mine contracted ties, knowing that their lack of infrastructure it (Walters, 2020). But First Nations leadership is a death sentence under COVID-19 (Hatherly, can be credited with keeping the virus out of 2020). Proactively, First Nations erected barri- northern communities. As of May 10, 2020, 175 cades in most remote First Nation communities positive COVID-19 cases are confirmed on First in mid-March to limit outsiders coming in with Nations reserves in provinces (with British Co- contagion (Hatherly, 2020), including Northern lumbia at 39, Alberta at 29, Saskatchewan at 35, Manitoba. at 41 and Quebec at 31), resulting in 17 The chiefs of northern Manitoba First Na- hospitalizations and two deaths (ISC, 2020c). tions called on the Province to cut off travel to Lockdowns have effectively prevented the trans- northern Manitoba, which was initially rejected. mission from reaching remote communities and However, later on, April 17, 2020, the Province did Nunavut to date. enact a “travel ban for northern Manitoba (north Without immunity to European contagions, of the 53rd parallel), with exceptions for essen- the remote Anishiniwuk and Ininiw (previous- tial travel” (APTN, 2020). Despite this, HudBay ly described as Oji-Cree and Cree, respectively) mining operations are business as usual, accord- communities were able to survive smallpox and ing to the HudBay spokesperson, as “traveling other disease plagues on their land. With suste- north for employment and the delivery of goods nance (food, fish, medicines, etc.) from the land and services are exempt” (Hatherley, 2020). Re- and by applying physical distance through liv- source development projects continue to have ing on their traplines in their vast traditional workers travel in and out of northern Manito- territory, they were able to survive (Thomp- ba, despite First Nations calling for a shut down son, Whiteway & Harper, 2019). To deal with of their operations (Haverley, 2020). The nega- COVID-19 many First Nations are sending out tive impact of workers from resource industries hunters and fishers to their traplines to both nearby to First Nations is evident in Northern provide physical distancing and obtain food Ontario’s Gull Lake First Nation. Six people from the land. Supports for wild foods (fish-

COVID-19, First Nations and Poor Housing 9 ing nets, gas, seeds, and tarps for living on the in the community, as well as abundant wildlife land) will help to provide continuous supplies of and vast areas, wild foods provide a significant, traditional food to people living on reserve and sustainable source of food, to supplement com- the land. With many skilled hunters and fishers mercial foods.

10 canadian centre for policy alternatives —­ MANITOBA Policy Recommendations

Preventing contagions reaching at-risk First Nation including Indigenous people from COVID-19, reserve communities, until a vaccine is achieved, none are Indigenous organizations, and most is the key way to stop transmission of COVID-19. do not serve First Nations or rural Indigenous First Nation leadership’s decision to lock down communities (Levi & Robin, 2020). Further, borders and erect barricades should be fully re- the $305 million fund established by the fed- spected and supported. Mechanisms to achieve eral government for Indigenous communities collaboration among all service providers, (e.g., to address COVID-19 for “emergency” and “tem- health workers, RCMP, mental healthworkers, porary” proposal funding was not at the scale construction workers, resource workers, etc.) to or proportionality available to other communi- support First Nation leadership COVID-19 plan, ties (Levi & Robin, 2020). Food security needs including lockdowns, are needed. To enforce the urgent attention as roughly half (50.8 per cent) northern travel ban, a checkpoint at Grand Rap- of households in First Nation reserves (FNIGC, ids, which is the gateway to the north, would help 2018) experienced food insecurity and 75 per prevent non-essential workers (Wallace, 2020). cent in remote and northern communities, The lack of infrastructure and vulnerability of prior to COVID-19 (Thompson et al, 2012). This First Nations has to be considered in every deci- means most households had inadequate or un- sion by every level of government, which neces- stable access to nutritious food due to financial sities reclassifying resource extraction workers constraints, before COVID-19, compared to 1 in (e.g., workers at HudBay and Keeyask Dam) as 8 Canadians (4.4 million Canadians). Food se- non-essential, in close vicinity to First Nations curity will only get worse with COVID-19. Sus- to shut down. tainable supports to keep these communities As well, in the short term, special funding fed and with drinking water require supports has to be put in place through Indigenous-led for fishing, hunting, store-bought food and gas organizations for dealing with the lack of in- for extra water delivery. First Nations require frastructure. Although $100 million was given aid in the billions to prevent a massacre (Levi & by the Canadian government to charities to Robin, 2020). For the long term, local capacity deal with the urgent food needs of Canadians, building and billions in infrastructure spend-

COVID-19, First Nations and Poor Housing 11 ing is needed to ensure communities can sus- must be done in partnership with First Nations, tain basic needs, including water, housing, and to build capacity, social enterprise and support food (Palmater, 2019; Levi & Robin, 2020). This self-determination.

12 canadian centre for policy alternatives —­ MANITOBA Conclusion

Asking people to wash their hands and isolate enous peoples from traditional lands, cultures, in overcrowded homes without running water is and lifeways; racism, exclusion, and economic like asking people, unable to afford bread, to eat marginalization; and legislation, policies, and cake. Washing hands regularly and self-isolating practices have undermined the collective and provides limited means for prevention in First individual well-being of Indigenous peoples Nations communities due to their lack of critical (Thistle, 2017). Indigenous peoples’ poor health infrastructure (Belanger, Weasel Head, & Awo- outcomes are from the infrastructural inequali- soga, 2012). With the overcrowding of homes, wa- ties and regional underdevelopment generated ter issues, and lack of infrastructure, particularly by colonialism (Christensen, 2016). in remote and northern communities, just one The root of the health inequity needs to be COVID-19 case on a reserve has huge potential to addressed to prevent dire consequences from spread widely and devastate the community. Ad- pandemics by shifting policy, major investments equate resources are required for First Nations to in capacity building and infrastructure funding. build local capacity and infrastructure for homes, A change in governance to Indigenous self-gov- water, and other necessary infrastructure. This ernment is needed to bring about reconciliation price tag, even in the short term, has to go beyond and adequate infrastructure for First Nation re- $305 million for emergencies into the billions of serves to protect the health of Indigenous peoples. dollars. With the large infrastructure deficit, bil- Indigenous people hold the answers to their lions are required to ensure water; housing and own well-being. Restoring self-governance and food systems are safe, sustainable, and healthy. stewardship of traditional territories by the Indig- The First Nation infrastructure crisis is more enous peoples of Canada is needed. The tremen- than a building problem or a health problem dous wealth from the natural resources in their for COVID-19 transmission and health care. It ancestral territories should benefit Indigenous is a colonial systems’ problem. The historic and peoples to ensure healthy infrastructure in First present-day displacement and removal of Indig- Nations (Thompson, Thapa & Whiteway, 2019).

COVID-19, First Nations and Poor Housing 13 References

Anderson, I., Robson, B., Connolly, M., Al-Yaman, Barkman, L. Monias, E. & Thompson, S. (2018). F., Bjertness, E., & King, A. et al. (2016). In- Household water and Sewage Survey and pro- digenous and tribal peoples’ health (The Lan- gram in Garden Hill First Nation. Retrieved cet–Lowitja Institute Global Collaboration): from http://create-h2o.ca/pages/annual_con- a population study. The Lancet, 388 (10040), ference/presentations/2018/L_Barkman.pdf 131–157. doi: 10.1016/s0140-6736(16)00345-7 Belanger, Y. (2016). A Critical Review of Canadian APTN. (2020, April 16). Manitoba bans non-essen- First Nations and Aboriginal Housing Policy, tial travel to northern region of Province. Re- 1867-Present. In Nichols, N., & Doberstein, C. trieved from: https://aptnnews.ca/2020/04/16/ (Eds.) Exploring Effective Systems Responses manitoba-bans-non-essential-travel-to-north- to Homelessness. (pp. 442–459). Toronto: The ern-region-of-province/ Canadian Observatory on Homelessness Press. Assembly of First Nations (AFN) (2020). Nation- Belanger, Y. D., Weasel Head, G & Awosoga, O. al Housing Strategy. Retrieved from: https:// (2012). Housing and Homelessness of Urban www.afn.ca/uploads/files/housing/afn_na- Aboriginal People in Urban Centres. Ottawa: tional_housing_strategy.pdf National Association of Friendship Centres/ Baird, J., Summers, R., & Plummer, R. (2013). Office of the Federal Interlocutor for Métis Cisterns and safe drinking water in Canada. and Non-Status Indians. Canadian Water Resources Journal, 38(2), Bonnycastle, M. M., Simpkins, M., & Siddle, A. 121–134. doi: 10.1080/07011784.2013.780790 (2016). The inclusion of Indigenous voices in Barkman, L. Monias, E. & Thompson, S. (2019). co-constructing home: Indigenous homeless- Housing, Water and Sewer in Garden Hill ness in a northern semi-urban community in First Nation. Retrieved from http://ecohealth- Manitoba. In E. J. Peters & J. Christensen (Eds.), circle.com/wp-content/uploads/2019/04/ Indigenous homelessness: Perspectives from Garden-Hill-housing-and-water-stats-lakei- Canada, Australia and New Zealand (pp. 116– sha.pdf 148). Winnipeg: University of Manitoba Press.

14 canadian centre for policy alternatives —­ MANITOBA Brandon, J., & Peters, E. (2014). Moving to the ume One. Retrieved from https://fnigc.ca/sites/ City: Housing and Aboriginal migration to default/files/docs/fnigc_rhs_phase_3_nation- Winnipeg. Retrieved from file:///F:/My%20 al_report_vol_1_en_final_web.pdf passport/MyPassport/Backup/Marleny%20 Grabish, A. (2020, March 27). H1N1 hit northern Articles/Coronovirus/Articles3/Aboriginal_ Manitoba First Nations hard — some worry Migration.pdf COVID-19 will do the same. CBC News. Re- Bradford, B. Z., Huseth, A. S. & Groves, R. L. trieved from https://www.cbc.ca/news/cana- (2018). Widespread detections of neonicotinoid da/manitoba/covid-19-concerns-remote-first- contaminants in central Wisconsin ground- nations-manitoba-1.5510388 water. PLoS ONE 13(10): e0201753. https://doi. Graham, I. (2020). First Nations concerned that org/10.1371/journal.pone.0201753 crowded housing creates greater risk of coro- Cala, H. (2017). House of Commons Commit- navirus exposure. Thompson Citizen. Retrieved tee, Meeting 50. Retrieved from https://www. from https://www.thereminder.ca/covid-19/ ourcommons.ca/DocumentViewer/en/42-1/ first-nations-concerned-that-crowded-hous- INAN/meeting-50/evidence ing-creates-greater-risk-of-coronavirus-expo- Carrière, G., Garner, R. and Sanmartin, C. (2017). sure-1.24111685 Housing conditions and respiratory hospitali- Hatherly, D. (2020). More First Nations lock down zations among First Nations people in Cana- borders declare their own states of emergency da. Statistics Canada, Catalogue no. 82-003- to keep COVID-19 out. CBC. https://www.cbc. X • Health Reports, Vol. 28, no. 4, pp. 9–15. ca/news/canada/manitoba/first-nations-lock- Christensen, J. (2016). No home in a homeland: down-states-of-emergency-1.5506238 Indigenous peoples and homelessness in the Harper, J., Whiteway, N., & Thompson, S. (May, Canadian north. Vancouver, BC: UBC Press. 2018). Sewer and water retrofit of housing: From Crowshoe, L., Dannenbaum, D., Green, M., Hen- pails to cisterns in Wasagamack and Island derson, R., Hayward, M., & Toth, E. (2018). Lake. Presentation at Fifth Annual Create H2O Type 2 Diabetes and Indigenous Peoples. Ca- Conference, University of Manitoba, Win- nadian Journal Of Diabetes, 42, S296-S306. nipeg. Retrieved from http://create-h2o.ca/ doi: 10.1016/j.jcjd.2017.10.022 pages/annual_conference/presentations/2018/ Jerome_Harper.pdf Elash, A. & Walker, C. (2019, January 29). Ot- tawa to examine First Nation’s water system Health Canada. (2020). Coronavirus disease after residents voice concerns. CBC News. Re- (COVID-19): Prevention and risks. Retrieved trieved from https://www.cbc.ca/news/indig- from https://www.canada.ca/en/public-health/ enous/garden-hill-first-nation-water-feasibil- services/diseases/2019-novel-coronavirus-in- ity-study-1.4994175 fection/prevention-risks.html Farenhorst, A., Li, R., Jahan, M., Tun, H., Mi, R., & Indian and Northern Affairs Canada INAC( ). Amarakoon, I. et al. (2017). Bacteria in drink- (2013). Garden Hill First Nations – connectiv- ing water sources of a First Nation reserve in ity profile. Retrieved from https://www.aadnc- Canada. Science of The Total Environment, 575, aandc.gc.ca/eng/1357840941884/1360161611769 813–819. doi: 10.1016/j.scitotenv.2016.09.138 Indian Affairs & Northern Development IAND( ). First Nations Information Governance Centre (2006). Report of the expert panel on safe drink- (FNIGC). (2018). National Report of the First ing water for First Nations, vol.1. Ottawa: Min- Nations Regional Health Survey. Phase 3: Vol- ister of Indian and Northern Affairs Canada.

COVID-19, First Nations and Poor Housing 15 Retrieved fromhttp://publications.gc.ca/col- Neegan Burnside Ltd. (2011). National assess- lections/Collection/R2-445-2006E1.pdf ment of First Nations water and wastewater Indigenous Services Canada. (2020a). Coronavi- systems. Retrieved from https://www.sac- rus disease (COVID-19): How to isolate at home isc.gc.ca/DAM/DAM-ISC-SAC/DAM-WTR/ when you may have COVID-19. Retrieved from STAGING/texte-text/enr_wtr_nawws_rur- https://www.canada.ca/en/public-health/ser- nat_rurnat_1313761126676_eng.pdf vices/publications/diseases-conditions/covid- Nisichawayasihk Housing Authority. (2015). 19-how-to-isolate-at-home.html Housing survey results. Retrieved from http:// Indigenous Services Canada. (2020b). Tubercu- www.ncncree.com/housing-authority/hous- losis in Indigenous communities. Retrieved ing-survey-results/ from https://www.sac-isc.gc.ca/eng/1570132 Palmater, P. (2019). First Nations water problems 922208/1570132959826#chp4 a crisis of Canada’s own making. Policy Op- Indigenous Services Canada. (2020c). Coronavi- tions. Retrieved from https://policyoptions. rus (COVID-19) and Indigenous communities. irpp.org/magazines/february-2019/first-na- Retrieved from https://www.sac-isc.gc.ca/ tions-water-problems-crisis--making/ eng/1581964230816/1581964277298 Pritty, A. (2018). Indigenizing the healthy built Lebel, P.M. & Reed, M.G. (2010). The Capacity and social environment: A public health case of Montreal Lake, Saskatchewan to Provide study of O-Pipon- Na-Piwin Cree Nation Safe Drinking Water: Applying a Framework (OPCN). Master thesis. Winnipeg: University for Analysis. Canadian Water Resources Jour- of Manitoba. nal, 35(3), 317–338. Puxley, C. (2016, February). Billions needed to Levi, E. & Robin, T. (2020, April 29). COVID-19 fix crumbling First Nations homes in Man- Did Not Cause Food Insecurity In Indigenous itoba: government report. The Canadian Communities But It Will Make It Worse. Social Press. Retrieved from https://globalnews.ca/ Policy, Yellow Head Institute. Retrieved from news/2489323/billions-needed-to-fix-crum- https://yellowheadinstitute.org/2020/04/29/ bling-first-nations-homes-in-manitoba-gov- covid19-food-insecurity/ ernment-report/ Lgui, B. (2019). Housing conditions of on-reserve Senate Committee on Aboriginal Peoples. (2015). Aboriginal households. Ottawa: Canada Mort- Housing on First Nation Reserves: Challeng- gage and Housing Corporation (CMHC). es and Successes. Retrieved from: www.sen. parl.gc.ca Minuk, G.Y., Zhang, M., Wong, S.G.M., Uhano- va, J., Bernstein, C.N., Giulvi, A. (2003). Viral Statistics Canada. (2020). First Nations people, hepatitis in a Canadian First Nations com- Metis and Inuit and COVID-19: Health and munity. Can J Gastroenterol, 17(10):593–596. social characteristics. Retrieved from https:// www150.statcan.gc.ca/n1/en/daily-quotidi- Moffatt, H. & Struck, S. (2011). Water-borne Dis- en/200417/dq200417b-eng.pdf?st=bcUx8XNE ease Outbreaks in Canadian Small Drinking Water Systems Strong evidence, stronger pub- Statistics Canada. (2016). Community Profile. lic health. Environmental Science. Retrieved Statistics Canada Catalogue no. 98-316- from https://www.semanticscholar.org/paper/ X2016001. Ottawa: Statistics Canada. Re- Water-borne-Disease-Outbreaks-in-Canadi- trieved from https://www12.statcan.gc.ca/ an-Small-Moffatt-Struck/09c91a3cd4274e491 census-recensement/2016/dp-pd/prof/index. 3edba33c81b749ab65b80ff cfm?Lang=E

16 canadian centre for policy alternatives —­ MANITOBA Thompson S., Wiebe, J., Gulrukh, A. & Ashram, Thistle, J. (2017). Definition of Indigenous home- A. (2012). Analyzing Food-related Economic lessness in Canada. Toronto: Canadian Ob- Development in Indigenous Communities servatory on Homelessness Press. in Northern Manitoba for Impacts on Food UNDRIP. (2017). The United Nations Declara- Sovereignty, Food Security and Sustainable tion on the Rights of Indigenous Peoples. Re- Livelihoods. Canadian Journal of Nonprofit trieved from https://www.un.org/develop- and Social Economy Research. 3(2): 43–66. ment/desa/indigenouspeoples/wp-content/ Thompson, S., Thapa, K. & Whiteway, N. (2019). uploads/sites/19/2018/11/UNDRIP_E_web.pdf Sacred Harvest, Sacred Place: Mapping har- Walter, J. (2020, April 23). Gull Bay First Nation vesting sites in . confirms 6 positiveCOVID -19 cases: Nearly Journal of Agriculture, Food Systems, and half of people tested in community have had Community Development, 9 (1), 1–29. /10.5304/ a positive test result. CBC. Retrieved from: jafscd.2019.09B.017 https://www.cbc.ca/news/canada/thunder- Thompson, S. & Pritty, P. (2020). Damming bay/gull-bay-covid-19-positive-1.5542525 Food Sovereignty of Indigenous Peoples: A World Health Organization. (2020). Basic pro- Case study of Food Security at O-Pipon-Na- tective measures against the new coronavirus. Piwin Cree Nation. In Settee and Shuklah Retrieved from https://www.who.int/emer- (Eds.), Indigenous Food Systems: Concepts, gencies/diseases/novel-coronavirus-2019/ Cases, and Conversations. Toronto: Canadian advice-for-public Scholars Press.

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