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               CANADIAN CENTRE FOR POLICY ALTERNATIVES
                                            MANITOBA

COVID-19,
First Nations 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
CCPA - Canadian Centre ...
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                     Winnipeg 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 northern Manitoba 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
em ail ccpamb@policyalternatives.ca
                                                          education in Garden Hill and Wasagamack 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 Canada 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’.
CCPA - Canadian Centre ...
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 Island Lake. 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 , Fir st Nations and Poor Housing            1
CCPA - Canadian Centre ...
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     Garden Hill First Nation (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   c anadian centre for polic y alternatives —
                                              ­ M ANITOBA
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 , Fir st 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 Saskatchewan, 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 Norway House: “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   c anadian centre for polic y alternatives —
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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 , Fir st 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   c anadian centre for polic y alternatives —
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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 , Fir st 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               c anadian centre for polic y alternatives —
                                                          ­ M ANITOBA
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.                                             Ontario 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 , Fir st 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   c anadian centre for polic y alternatives —
                                               ­ M ANITOBA
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 , Fir st 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   c anadian centre for polic y alternatives —
                                               ­ M ANITOBA
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 , Fir st Nations and Poor Housing            13
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