COVID-19 Pandemic and Indigenous Representation in Public Health Data

Kimberly R. Huyser · Aggie J. Yellow Horse · Alena A. Kuhlemeier · Michelle R. Huyser

37 citations0/0 files storedAmerican Journal of Public Health

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Indigenous Health, Education, and Rights Indigenous Cultures and History Indigenous Health and Education

Abstract

Public Health 3.0 calls for the inclusion of new partners and novel data to bring systemic change to the US public health landscape. The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has illuminated significant data gaps influenced by ongoing colonial legacies of racism and erasure. American Indian and Alaska Native (AI/AN) populations and communities have been disproportionately affected by incomplete public health data and by the COVID-19 pandemic itself. Our findings indicate that only 26 US states were able to calculate COVID-19‒related death rates for AI/AN populations. Given that 37 states have Indian Health Service locations, we argue that public health researchers and practitioners should have a far larger data set of aggregated public health information on AI/AN populations. Despite enormous obstacles, local Tribal facilities have created effective community responses to COVID-19 testing, tracking, and vaccine administration. Their knowledge can lead the way to a healthier nation. Federal and state governments and health agencies must learn to responsibly support Tribal efforts, collect data from AI/AN persons in partnership with Indian Health Service and Tribal governments, and communicate effectively with Tribal authorities to ensure Indigenous data sovereignty. (Am J Public Health. 2021;111(S3): S208–S214. https://doi.org/10.2105/AJPH.2021.306415 )

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2006Settler colonialism and the elimination of the native 2014Systemic racism and U.S. health care 2006Systemic Racism: A Theory of Oppression 2016Indigenous Data Sovereignty 2011Conducting Research with Tribal Communities: Sovereignty, Ethics, and Data-Sharing Issues 2011American Indian politics and the American political system 2011Indian Health Service Innovations Have Helped Reduce Health Disparities Affecting American Indian And Alaska Native People 2019Barriers to Healthcare Access Facing American Indian and Alaska Natives in Rural America

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