We said we’d delve more deeply into the issue of swine flu on reservations, and we have. In today’s Missoulian, Michael Jamison reports here that the tribal leaders are worried about the outbreak of 16 cases on Montana’s Fort Belknap Reservation, as well as the fact that state’s only death was on the Fort Peck Reservation.
“We’re definitely worried that it might be more prevalent on the reservations,” said Raymond Chandler, vice president of the tribal council at Fort Belknap, home to the Gros Ventre and Assiniboine tribes. “You can’t prove it, because they don’t keep good numbers; but all you have to do is look around to see what’s happening.”
The story also recounts similar concerns in Saskatchewan and Manitoba. In the latter province, First Nations leaders have declared a state of emergency. They’re looking to raise $1.5 million to purchase medical kits, because the rate of infection in tribal communities is reported at 135 per 100,000 people, compared to 20 per 100,000 people nationwide.
There are similar dispararities in the numbers in Montana counties with reservations, as opposed to largely white counties. But Chandler says he doesn’t need to look at the numbers.
“All you have to do is look around and it’s obvious,” he says. It’s obvious, he tells Jamison, in the masked faces waiting at the reservation health clinic. It’s obvious in the number of people home sick, and in the special hand-washing stations set up at powwow this year.
“We continue to have sick people,” says Avis Spencer, public information officer for Fort Belknap’s Gros Ventre and Assiniboine tribes. She predicts off-reservation towns will, too. After all, she said, crowded housing is nothing compared to crowded classrooms, and school is just around the corner.
Finally, say tribal leaders, all of this points up to the inadequacies in the Indian health care system. As we said when this story first began to simmer, stay tuned. There’ll be more.
Gwen Florio
Tags: buffalo post, Fort Belknap Reservation, Fort Peck Reservation, H1N1 influenza, Indian Health Service, Native American news, Swine flu