Winnipeg Free Press (Newspaper) - December 12, 2020, Winnipeg, Manitoba
C M Y K PAGE A2
A 2 WINNIPEG FREE PRESS, SATURDAY, DECEMBER 12, 2020 ? WINNIPEGFREEPRESS.COM
W HEN COVID-19 vaccines reach Indigenous communities, which are near the top of the
list due to being disproportionately hit
by the virus, there will be challenges.
Firstly, the logistics. The Pfizer-
BioNTech vaccine - what most will
receive first - must be kept at -70 C
and, once thawed, is only usable from a
thermal container for five days.
For northern communities, this will
require intricate planning by health
officials working with airlines, trans-
portation companies, and Indigenous
governments. Add in training, human
resources, and safe spaces to admin-
ister doses, and it's even more compli-
cated.
The Moderna vaccine requires -20 C
conditions and lasts for 30 days. Even
those conditions will be tough to meet
by Indigenous communities.
Secondly, public opinion and political
will. While no one is complaining about
vaccines being given first to health-
care workers, the elderly, and long-
term care home staff, there has been a
litany of divisive comments regarding
Indigenous peoples being prioritized.
These aren't just by racists on social
media but by Manitoba Premier Brian
Pallister, who last week said giving
First Nations vaccinations "puts Mani-
tobans at the back of the line."
So much for your teary speech about
all of us being in this together, Mr.
Premier.
Prioritizing Indigenous communities
isn't special treatment, but taking care
of those hit hardest first. It's also, Can-
ada's legal obligation under Treaty 6,
when the Crown promised to "provide
aid to Indigenous people during times
of pestilence and famine." Above all
else, taking care of worst-hit First Na-
tions is also taking care of Manitobans,
regardless of what the premier says.
You don't have to look far to see how
Canada's health-care system, police,
and academic institutions contain a
great deal of systemic racism and now
some is coming to the surface through
the primary decision-makers and agen-
cies delivering the vaccine.
Indeed, without the National
Advisory Committee on Immuniza-
tion making Indigenous communities
a priority for the vaccine, and the
federal government distributing doses
accordingly, I wouldn't be surprised
if racism stopped the right thing from
being done.
Let's hope it continues.
Thirdly, education. The vaccines re-
quire two doses, taken within weeks of
one another, just to get to 90 to 95 per
cent immunity. Then, people still have
to wear masks for months afterwards
until the virus is minimized.
While other vaccines are in develop-
ment, the Pfizer and Moderna vaccines
work by tackling one of COVID-19's
29 proteins: the "spike" protein that
allows the virus to enter healthy cells.
They introduce a gene from that spike
protein that directs the immune sys-
tem to create competing proteins that
attack the spike protein.
It took me three hours of reading
to write the above paragraph (and I
still had to gloss over stuff) so you can
see how complicated vaccines are to
understand - never mind explain how
we won't be fully immune.
It's unknown whether immunity
fades over time or if vaccinations need
to repeated yearly.
This leads to the fourth issue, and
biggest challenge to the distribution of
COVID-19 vaccines in Indigenous com-
munities: suspicion.
In virtually every conversation I have
with Indigenous peoples about vaccines,
there is some level of suspicion.
Similar questions have come up
online, during weekly Assembly of
Manitoba Chiefs COVID-19 briefings,
on shows like APTN News, and during
the Assembly of First Nations meet-
ings this week.
Indigenous peoples aren't usually
anti-vaxxer conspiracy theorists, but
they do know history; and no one has
been more experimented on than our
communities.
In schools and sanatoriums, resi-
dents experienced dehumanizing
starvation experiments and medical
testing related to diseases and mental
health.
In hospitals, Indigenous women were
frequently sterilized without consent.
The federal government even used
Indigenous communities to test vac-
cines and medicines for tuberculosis
and dysentery.
Look these up if you don't believe
me; some are part of class action
lawsuits.
As one elder wrote on social media
this week: "I get suspicious when
governments want to offer new meds to
First Nations before anyone else."
For the record, I'll get the vaccine
when it's my turn.
I've read the research, spoken to
health officials I trust, and understand
what will transpire as the syringe
enters my body.
I hope other Indigenous peoples
read, research, and come to this same
decision. This is the only way to ulti-
mately stop this pandemic.
At the same time, though, I under-
stand the suspicion, hesitation, and
mistrust.
Just like the racism that created cir-
cumstances in which the virus spreads
faster in Indigenous communities,
divides all of us, and devastates Indig-
enous lives more than almost anyone
else, discussions of racism will be how
we get out of this pandemic.
And, maybe even a better future.
niigaan.sinclair@freepress.mb.ca
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Several challenges to getting Indigenous peoples vaccinated
NIIGAAN SINCLAIR
OPINION
O TTAWA - The federal Liberals say they're counting on provinces to prioritize COVID-19 vaccines
for Indigenous people who aren't part
of the group Ottawa is constitutionally
bound to protect.
On Tuesday, Health Minister Patty
Hajdu confirmed Ottawa is fast-track-
ing part of Manitoba's vaccine quota,
to account for people living on remote
First Nations, but not people living in
Winnipeg, nor anyone who is M�tis.
Her comments sparked alarm among
Indigenous leaders.
Ottawa has said it expects to receive
six million total doses of Pfizer- and
Moderna-produced vaccines by April
1, and will distribute them to provinces
and territories on a per capita basis.
However, Manitoba Premier Brian
Pallister announced Tuesday that Ot-
tawa was increasing the province's
early-2021 share of the Moderna vac-
cine, which is easier to transport than
Pfizer's but has yet to be approved.
That expedited quota means 4,800
more Manitobans getting a shot than if
Ottawa only doled out vaccines on a per
capita basis.
Hajdu confirmed Friday the ear-
ly-2021 allocations will be weighted to
look after First Nations living on re-
serve, who typically fall under federal
health services instead of provincial
ones - but not those living in cities.
"The decision has been made, and it is
on a per-capita basis, with additional al-
lotments for Indigenous people on First
Nations," Hajdu said. "It is with addition-
al doses for the federal populations, that
the federal government are responsible
for - that is people on First Nations."
Pallister had said Thursday he failed
to get Ottawa to commit to a similar ar-
rangement for other Indigenous groups,
including First Nations who live in cit-
ies and M�tis people.
Hajdu said she instead expects pre-
miers will prioritize those groups.
"We expect in urban populations
that Indigenous people, including M�-
tis people that are living within urban
populations, are treated like every
other Canadian in that population, and
have access in an equitable way."
The premier has warned this dis-
crepancy might incentivize people in
Winnipeg to fly to their home reserve
for shots, and inadvertently spread the
novel coronavirus.
While Indigenous leaders have
pushed back on that idea, they were
also put off by Hajdu's comments.
Grand Chief Arlen Dumas of the As-
sembly of Manitoba Chiefs noted nearly
half of First Nations in the province
live off-reserve, and have had dispro-
portionately worse outcomes from
COVID-19 than those living in far-flung
communities.
"The problem with these national
approaches is that they don't appreci-
ate the nuances or the specificities of
Manitoba," he said. "While we appre-
ciate the federal government making
more resources available, they need to
have an appreciation of how unique we
are here in Manitoba."
The Manitoba Metis Federation has
been pessimistic about working with
the Pallister government on vaccines,
despite the premier saying M�tis are
among his key concerns.
"If you pass my people's vaccines
through him, the likely chance of my
people getting a vaccine is nil, and you
are leading my people to death," MMF
president David Chartrand said this
week.
dylan.robertson@freepress.mb.ca
Ottawa tabs extra vaccine doses
for on-reserve First Nations use
DYLAN ROBERTSON
DAVID KAWAI / THE CANADIAN PRESS
Health Minister Patty Hajdu says Ottawa is fast-tracking vaccines for Manitoba's remote areas.
Indigenous peoples aren't usually anti-vaxxer conspiracy theorists, but they do know history
A_02_Dec-12-20_FP_01.indd A2 2020-12-11 9:10 PM
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