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L
AST week, the Manitoba
government announced the
fulfilment of an election
promise, pledging $727,000 to
support the development of an
Indigenous-led supervised con-
sumption site downtown, near
Main Street, in 2025.
Manitoba is the only province
west of Atlantic Canada without
a supervised consumption site.
People experiencing addiction
use the sites to inject or otherwise
use drugs in a non-judgmental
environment.
This prevents overdoses and
deaths and provides access to
supports necessary to escape
substance abuse.
Such “wraparound” supports
usually include mental health
care, employment and skill
training and the facilitation of a
healthy network or relationships
necessary for a “clean,” balanced
lifestyle.
Since Canada’s first safe
consumption site in Vancouver
opened in 2003, health advocates
have argued that for a minimal
cost, most such initiatives reduce
crime, death and the spread of
diseases such as HIV while pro-
viding health care and opportuni-
ties to those who need it most.
Money is saved too.
In 2019, I wrote a column about
the safe consumption program
at Shelter House in Thunder
Bay, Ont. Researchers from the
University of Victoria studying
the program found the initiative
resulted in a 37 per cent reduc-
tion in hospital admissions, a 54
per cent reduction in emergency
room use and 42 per cent fewer
police interactions.
The researchers concluded
every Ontario taxpayer “saved 10
to 20 cents” because clients at the
sites don’t require paramedic aid
and trips to the hospital as they
would in a home or on the streets.
The cost for not having a super-
vised consumption site was best
explained in a column by my Free
Press colleague Tom Brodbeck,
when he said the reluctance of
the previous Progressive Conser-
vative government “literally cost
lives.”
As I’ve pointed out previously,
deaths related to addiction have
been on the incline in Manitoba
since the COVID-19 pandemic.
In 2023, 445 deaths were
attributed to “substance-related”
issues, the office of the province’s
chief medical examiner said. The
previous year saw 467 deaths,
which is the record.
CBC reported last week that
a preliminary report from the
medical examiner’s office said
89 substance-related deaths were
reported in the first two months
of 2024, meaning this year might
break the record.
Winnipeg is in an addiction cri-
sis and something must be done.
For potential clients of a safe
consumption site in Winnipeg, it’s
not enough to only provide clean
needles and access to health-care
providers. Answers to addic-
tion emerge when the reasons
a person becomes addicted are
considered.
That brings me to the Indig-
enous-led part of Winnipeg’s
future supervised consumption
site. Most people probably think
it’s crucial the strategy is Indig-
enous-led because many who
suffer from addiction here are
Indigenous.
It’s true that people with
cultural familiarity, fluency and
experience are probably the best
at helping those from their own
culture heal.
But, there are other, equally
important reasons for the site to
be Indigenous-led.
It will be good for all Winni-
peggers.
Let me explain.
Indigenous senses of health are
almost exclusively proactive.
In most Indigenous commu-
nities, the leading health-care
providers are those who have
the most knowledge about the
territories, histories and stories
of the people.
It’s not that doctors and nurses
aren’t valuable, it’s that they often
only deal with health reactively,
such as when a bone is broken.
This approach to health is often
too late.
As anyone knows, a problem is
never fixed if the root causes are
not part of the solution. For exam-
ple, if a person who cannot ride
a bike is simply put back on the
bike and not taught how to ride it,
they will crash in perpetuity.
A person stuck in a cycle of
problems must be taught how to
rebuild their cycles and not be
defined by the problem.
Indigenous health-care provid-
ers care first and foremost about
relationships — specifically, those
that address a person’s mind,
body, heart and spirit.
This is why Indigenous
grandparents care not only about
eating healthy and doing well
in school, but falling in love and
laying tobacco to give thanks
every day.
This is why aunties and uncles
care as much about finding a
job and exercising as they do
building independence and pride
through building a fire and tak-
ing care of water.
This is why Indigenous health-
care providers care as much
about building community, so
everyone — human and non-hu-
man — can benefit collectively
from the gifts of one another.
This is the definition of “wrap-
around” care — the key to the
success of all safe consumption
sites throughout Canada.
An Indigenous-led solution
might just be the proactive solu-
tion to help a crisis that affects
everyone.
niigaan.sinclair@freepress.mb.ca
SIGNATURES and handshakes sealed the deal on
a historic land transfer in western Manitoba Fri-
day.
Premier Wab Kinew and Manitoba Métis Feder-
ation president David Chartrand signed a memo-
randum of understanding to begin the transfer of
100 acres of Crown land at Ste. Madeleine back to
the Métis, who had established it.
“I prayed one day that justice would be on our
side and that day is here,” Chartrand said at the
signing, which took place during the community’s
annual Métis Days celebration.
The village, some 340 kilometres west of Winni-
peg in the Rural Municipality of Russell-Binscarth,
was established in the 1880s and stood until 1938,
when the federal government burned it down for
pasture as per the Prairie Farm Rehabilitation Act
of 1935.
A Roman Catholic mission was established in
1902 by Father Jules Decorby and, at its peak in
the late 1920s, more than 400 people lived there, as
per the Manitoba Historical Society.
The agreement will start the process of giving
the land to the federation, which will seek to add on
to the current graveyard meant for descendants of
those who built the community.
“You’ll never have to ask permission to bury your
loved one in the graveyard again,” Chartrand said.
Kinew called the moment a righting of a historic
wrong.
“Today is a new day in Manitoba,” Kinew told a
crowd who gathered to witness the signing. “We’re
going to make sure we do this right.”
The Prairie Farm law was passed by the fed-
eral government in 1935 to provide land for the
improvement of agricultural conditions in Prairie
provinces that had suffered from drought and soil
drifting.
In 1939, the Métis families who lived in Ste. Mad-
eleine and had their taxes paid up to date were
to be compensated and relocated. Houses were
burned, dogs were shot and the parish church was
dismantled for a piggery, according to the book
Ste. Madeleine: Community Without a Town; Métis
Elders in Interview.
The federation is looking for 600 to 700 acres in
the area, Chartrand said in a separate interview
Thursday. Descendants of families who had their
homes reduced to ashes have talked about re-
turning and building small houses or cabins.
During the signing, Chartrand hinted a monu-
ment would be erected to explain the history of
the site and include the names of residents evicted
from the land.
The president said he hoped the deal was not
initiated because the premier is First Nations and
felt a responsibility to conduct the return of land,
but because it’s the right thing to do.
“I said one day there will be a time when this will
be done right… there will be a leader who comes
to us and that leader is here now. His name is Wab
Kinew,” Chartrand told the crowd.
Kinew assured the deal was being made in good
faith. “You have a friend in the provincial govern-
ment here in Manitoba,” he said.
John Fleury, the federation’s employment minis-
ter, called the signing momentous.
“Thank God for Wab, thank God for the Mani-
toba Métis Federation and thank God to all you
descendants of Ste. Madeleine who kept the dream
alive. God bless you all,” Fleury said.
nicole.buffie@freepress.mb.ca
NEWS I LOCAL
SATURDAY, JULY 20, 2024
Indigenous-led solution
to universal crisis
NIIGAAN SINCLAIR
OPINION
NICOLE BUFFIE
Manitoba returns 100 acres
to Métis at Ste. Madeleine
Premier Wab Kinew and Métis federation president David Chartrand hold up the agreement after signing it.
Feds razed community in 1938
The cemetery is
all that remains of
the Métis village
of Ste. Madeleine,
350 kilometres
northwest of
Winnipeg.
BILL REDEKOP / FREE PRESS FILES
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