Australian Aboriginal and Torres Strait Islander communities and the development of pandemic influenza containment strategies: Community voices and community control

Massey, Peter; Miller, Adrian; Saggers, Sherry; Dürrheim, David N; Speare, Rick; Taylor, Kylie; Pearce, Glenn; Odo, Travis; Broome, Jennifer; Judd, Jenni; Kelly, Jennifer; Blackley, Magdalena; Clough, Alan R.

doi:10.1016/j.healthpol.2011.07.004

Cited by 46 publications

(59 citation statements)

References 8 publications

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“…Given the different challenges and health outcomes experienced in remote and isolated First Nations communities, it may be appropriate that future pandemic plans recommend pandemic control strategies in such communities that may not be supported in other Canadian communities. These findings highlight the importance of developing mitigation measures that address the population's values, beliefs, perceptions, and cultural differences in order to be appropriate and effective (Massey et al, 2011). For instance, culture influenced some of the recommended mitigation measures since participants were open to modifying the cultural practices of kissing and handshaking at church and funeral services, and traditional medicine was suggested as an additional beneficial mitigation measure.…”

Section: Discussionmentioning

confidence: 99%

“…However, the CPIP does note that travel measures may be more feasible to implement in geographically remote and isolated communities due to small population sizes and limited ports of entry (Public Health Agency of Canada, 2006). As disease transmission is typically amplified due to the characteristics of the study communities (Finnie, et al, 2012;Groom et al, 2009;Kermode-Scott, 2009;Massey et al, 2009;Massey et al, 2011), travel measures directed at preventing the importation of the pandemic virus, especially during a severe pandemic, may be particularly important.…”

Section: Discussionmentioning

confidence: 99%

“…For instance, although mandatory isolation and quarantine may infringe upon the ethical value of individual liberty and are not commonly recommended (Thompson et al, 2006), the majority of participants reported that they would recommend these measures to help minimize virus transmission if a community outbreak occurred. Engaging and partnering with community members using participatory approaches are vital to create pandemic plans that are community-and culturally-appropriate (Massey et al, 2011). …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Recommended Mitigation Measures for an Influenza Pandemic in Remote and Isolated First Nations Communities of Ontario, Canada: A Community-Based Participatory Research Approach

Charania

Tsuji

2014

iipj

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Influenza pandemics disproportionately impact remote and/or isolated Indigenous communities worldwide. The differential risk experienced by such communities warrants the recommendation of specific mitigation measures. Interviewer-administered questionnaires were conducted with adult key health care informants from three remote and isolated Canadian First Nations communities of sub-Arctic Ontario. Forty-eight mitigation measures (including the setting, pandemic period, trigger, and duration) were questioned. Participants' responses were summarized and collected data were deductively and inductively coded. The participants recommended 41 of the questioned mitigation measures, and often differed from previous literature and national recommendations. Results revealed that barriers, such as overcrowded housing, limited supplies, and health care infrastructure, impacted the feasibility of implementing mitigation measures. These findings suggest that pandemic plans should recommend control strategies for remote and isolated Canadian First Nations communities that may not be supported in other communities. These findings highlight the importance of engaging locally impacted populations using participatory approaches in policy decisionmaking processes. Other countries with remote and/or isolated Indigenous communities are encouraged to include recommendations for mitigation measures that specifically address the unique needs of such communities in an effort to improve their health outcomes during the next influenza pandemic.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Recommended Mitigation Measures for an Influenza Pandemic in Remote and Isolated First Nations Communities of Ontario, Canada: A Community-Based Participatory Research Approach

Charania

Tsuji

2014

iipj

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“…It is increasingly recognised as a culturally appropriate methodology for health research in Aboriginal communities, as it recognises both the community's expert knowledge about the subject and the researcher's methodological skills (Crane and O'Regan 2010;Evans et al 2014). It promotes ongoing consultation, capacity building and community empowerment (Massey et al 2011;Kelly et al 2012;Miller et al 2015). Consultation with community members took place before, during and after the study (Box 1).…”

Section: Methodsmentioning

confidence: 99%

Reducing recurrence of bacterial skin infections in Aboriginal children in rural communities: new ways of thinking, new ways of working

Thomas

Crooks

Taylor

et al. 2017

Aust. J. Prim. Health

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Abstract.Reports from health workers, school staff and community members in rural NSW suggested that bacterial skin infections are a significant health issue for Aboriginal children and their families, affecting quality of life and contributing to poor school attendance. Current NSW treatment guidelines do not incorporate important sociocultural factors or ways of living in Aboriginal communities. The aim of this qualitative study was to gain a deeper understanding of the experience of parents and carers of Aboriginal children affected by skin infections and of other community members, health workers and school staff, and what actions have been considered successful or unsuccessful in reducing the recurrence of infection. This study used a Participatory Action Research methodology. Interviews and focus groups were conducted with 38 health workers and managers, school staff, community members and parents and carers. Themes that emerged included: (i) skin infections have become normalised; (ii) skin infections are, in part, a consequence of transgenerational trauma; (iii) skin infections are interwoven with social determinants; (iv) families have survived but more could thrive; and (v) something can and should be done about the problem. The findings of this study will inform the development of more effective and acceptable options to reduce skin infections in Aboriginal children.

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“…Consideration should be given to issues such as the use of 'gain' versus 'loss' frames, the judicious use of statistics and numerical comparisons 27 and how to craft messages in language that is accessible to people with low levels of health literacy and numeracy. 28 Visual formats aid understanding of probabilities and help reduce the impact of cognitive biases on decision making. 18 …”

Section: Communicate Early and Oftenmentioning

confidence: 99%

Communicating about risk: strategies for situations where public concern is high, but the risk is low

Hooker¹,

Capon²,

Leask³

2017

Public Health Research Pr

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In this article, we summarise research that identifies best practice for communicating about hazards where the risk is low but public concern is high. We apply Peter Sandman's 'risk = hazard + outrage' formulation to these risks, and review factors associated with the amplification of risk signals. We discuss the structures that determine the success of risk communication strategies, such as the capacity for early communication to 'capture' the dominant representation of risk issues, the importance of communicating uncertainty, and the usefulness of engaging with communities.We argue that, when facing trade-offs in probable outcomes from communication, it is always best to choose strategies that maintain or build trust, even at the cost of initial overreactions. We discuss these features of successful risk communication in relation to a range of specific examples, particularly opposition to community water fluoridation, Ebola, and routine childhood immunisation. IntroductionPublic and environmental health officers make careful risk assessments about a range of hazards. The question of how to best manage these risks is given equally careful consideration. Best practice in risk management is complex, often requiring policies whose goals are not merely to minimise the harms caused by the hazard itself, but to provide an appropriate balance between a range of interests, such as the need for safe water, air and soil; the need for people to work, and for business to survive and thrive; and the need for communities to have quality of life, enjoyment, security and amenity.After such thought and care, it can be challenging when a carefully crafted policy strategy is thrown into disarray because of public reactions to sensationalised media headlines, or because of public fears about lowrisk, highly beneficial policies. However, such outcomes can be mitigated, and sometimes prevented altogether, by making communicating about risk as critical as risk assessment in the risk management process. Risk Communicating about risk: strategies for situations where public concern is high but the risk is low

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Australian Aboriginal and Torres Strait Islander communities and the development of pandemic influenza containment strategies: Community voices and community control

Cited by 46 publications

References 8 publications

Recommended Mitigation Measures for an Influenza Pandemic in Remote and Isolated First Nations Communities of Ontario, Canada: A Community-Based Participatory Research Approach

Recommended Mitigation Measures for an Influenza Pandemic in Remote and Isolated First Nations Communities of Ontario, Canada: A Community-Based Participatory Research Approach

Reducing recurrence of bacterial skin infections in Aboriginal children in rural communities: new ways of thinking, new ways of working

Communicating about risk: strategies for situations where public concern is high, but the risk is low

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