Health/Healthcare

The following essay provides a brief introduction on the effects caused by housing insecurity and poor quality housing, with attention paid to the disproportionate impacts for Indigenous peoples (see bibliography below):

The result of one hundred and fifty years of colonial government oppression has been the large number of Indigenous peoples (First Nations, Métis, and Inuit) who live in poverty at levels below the LICO (Low Income Cut-Off). Indigenous peoples have been systematically disadvantaged by frequently being given the least productive reserves and farmland, being hindered by the pass system from selling the products of their labour, to work away from reserves for extended periods of time without losing their status, road allowances which kept Métis people impoverished, and the denial of economic and political self-determination due to paternalistic government policies. The cumulative effects of these and other assimilative government policies has been barriers to socioeconomic instability including unemployment, inaccessibility to education, poor health outcomes, addictions, and lateral violence.

Inaccessibility to affordable housing is fundamental to understanding these disparities, and creating access is imperative to establishing equity between Indigenous and non-Indigenous peoples alike. Limited access to safe housing is something that affects multiple and frequently overlapping populations: immigrants, people with disabilities, working class people, Black, Indigenous, and People of Colour, people with addictions, people who have criminal records, youth who do not live with a parent/guardian, the elderly, queer and transgender people, single parents, and of course, people who are unhoused. In their pre-budget submission to the Department of Finance in 2003, the Assembly of First Nations noted, “The lack of quality housing contributes to social problems such as child poverty, suicide, low educational attainment, alcoholism, and family breakdowns” (Barnsley 2003).

Incidentally, aforementioned factors of poverty, unemployment, educational inaccessibility, lateral violence, and addictions are frequent experiences of those caught within the Canadian criminal justice system. This underscores the necessity for adequate and affordable housing for Indigenous peoples, and others who are prevented from it due to the value placed on ‘whiteness’ or lack thereof (“Aboriginal Housing Needs in Saskatoon: A Survey of SaskNative Rentals Clients” 2004, 2; La Prairie and Stenning 2003, 187).

Indigenous peoples in comparison to white settlers, statistically, are significantly more likely to experience trauma due to systemic factors such as the experience of racial discrimination in employment, education, policing, and acquisition of services/resources. Often, Indigenous peoples experience racial discrimination causing barriers to resources and services; this not only has immediate effects on a person’s state of wellbeing but may prevent them from accessing support in the future due to fear the discrimination will happen again. Example, an Indigenous single mother applies for a house rental, but she is denied during a viewing and the property owner is racist towards her. Going forward, the fear and anticipation that something will happen could prevent her from reaching out to support services, going places, applying for housing, etc.

For Indigenous persons trying to get out of poverty, they may experience a lack of financial resources or assistance in urban and rural areas, accompanied by increased policing in Indigenous communities (e.g.: the neighbourhoods of Riversdale and Pleasant Hill in Saskatoon have higher police surveillance than Evergreen or Avalon; according to former Judge Harold Johnson, northern Indigenous communities experience a high presence of RCMP surveillance). One example is existing provincial programs such as Social Housing, which have long waiting lists and are insufficiently equipped to accommodate the number of people in need. According to Campaign 2020, “For children in First Nations families, the poverty rate in 2016 was 49.4 per cent. Among those families indicating they were Métis, 28.4 percent were in low-income households.” (Campaign 2000, Saskatchewan Child and Family Poverty Report, 2020). As of 2021, over one quarter or 26.1% percent of children within Saskatchewan live under the poverty line, the highest representation of these come from single-mother households (Global News, https://globalnews.ca/news/7722857/saskatchewan-children-poverty-report/, 2021).

Individuals living in poverty who are able to find housing may be limited to options that are overcrowded, or in poor repair. Young members of these groups may not have a sufficient number of safe spaces to spend their time, as community organizations and safe spaces that do not require money have limited funding, staff, and operating hours (e.g.: libraries, community halls and centres, EGADZ, shelters, The Lighthouse). For many of these community organizations, sobriety is mandatory for admittance creating another barrier to safe spaces for youth and adults. These difficulties can combine to create an overall sense of stress and frustration in surviving within urban surroundings, and in struggling to financially survive. The lack of support and resources can contribute to criminal justice system contact / re-contact. That is to say, the cumulative effects of settler colonialism and the ongoing dispossession of Indigenous lands resulting in impoverished conditions leads to a higher rate of Indigenous peoples in contact with the criminal justice system. (“Saskatoon Aboriginal Neighbourhood Survey: A Survey of Aboriginal Households in City Neighbourhoods” 2004, 12; Newhouse 2003, 245; Trevethan 2003, 195).

Indigenous survivors of sexual exploitation and trafficking, community activists, and scholars document that coercion and deception are means of forcing Indigenous women, girls, 2-Spirit, and transgender people into survival sex work. In Saskatchewan, Saskatoon is considered a significant part of the transit corridor used within the Prairies to expedite trafficking of gender marginalized Indigenous peoples. Notably, sex trafficking of gender marginalized Indigenous people in Canada is so pervasive that it has not only received international news coverage (CNN - Canada's Stolen Daughters, attached Resources), the Canadian government has received international criticism from the U.S. government and United Nations, and national organizations, such as the Native Women's Association of Canada and the Canadian Women's Foundation.

Survivors of sex trafficking, community advocates and scholars have discussed factors which increase the vulnerability of Indigenous women, girls, 2-Spirit, and transgender people into trafficking. Experiences of abuse/violence; limited supervision; substance use/misuse; proximity to foster care; educational absence on information related to sexuality, contraception and pregnancy, models of healthy platonic and romantic relationships; overall lack of access to education; familial and communal residential/day school attendance, intergenerational trauma; housing insecurity and/or a lack of rental history; unemployment and job insecurity; a lack of culturally-appropriate support services (mental and spiritual health, medical, etc.); an absence of support networks (family/friends); having resided in a rural, northern or other isolated area where there may be a lack of infrastructure such as sewer, electrical or water services; lacking access to basic necessities for survival; and gang involvement. Many, if not all of these factors of vulnerability are linked to the settler colonial policies and beliefs which continue to oppress gender marginalized peoples.

In the aforementioned CNN Article "Canada's Stolen Daughters," Diane Redsky, who runs the Ma Mawi Wi Chi Itata Centre in Winnipeg (a Centre which engages in anti-trafficking advocacy work and runs a healing lodge) was interviewed. She commented:  "We're still in a society that targets Indigenous women and girls. In fact the national task force concluded that there's a market for Indigenous girls" (par. 28).

The psychological and physical impacts of sexual exploitation and trafficking are described in the literature review and analysis released by the Native Women's Association of Canada, titled, "Sexual Exploitation and Trafficking of Aboriginal Women and Girls":

"What can be gathered from looking at the span of the above statistics, both the 2005 and 2011, is that there is a solid continuation of traumatic and damaging experiences that Aboriginal women and girls experience both prior to being trafficked and in the life of being trafficked for sexual acts. Unfortunately, experiences of violence, various forms of abuse, and trauma seem to be very consistent and prevalent within human trafficking. One of the defining characteristics of Farley et al’s research is the examination of post-traumatic stress disorder (PTSD) in prostituted and sexually trafficked women. PTSD consists of three types of symptoms: persistent, intrusive re-introducing of trauma; numbing of responsiveness and persistent avoidance of stimuli of trauma; and persistent autonomic heightened arousal. Those who participated in the study completed an evaluation of criteria for PTSD. In a 2005 paper examining prostituted and trafficked women, out of the one hundred participants, including both First Nations and non-First Nations, 72% qualified for PTSD, which is 'among the highest reported in populations where PTSD has been studied, including battered women, combat veterans, childhood trauma survivors, rape survivors, and torture survivors' (Farley, Lynne, & Cotton, 2005, p. 255) . Those who are prostituted and sexually trafficked often experience extreme and intentional violence, abuse and torture. It is no surprise that these women and girls fulfill the criteria for PTSD. Such evidence suggests the difficulty of trying to move on from sexual exploitation, trafficking, and prostitution. It is a deeply traumatic experience that impacts on one’s physical self, the mental, and the emotional" (pages 10-11).

This excerpt from the Globe and Mail contains the testimony of a sex trafficking survivor as to the long-lasting impacts of PTSD in terms of her ability to function:

"But even if there is no physical evidence, illness and violence are so pervasive that, eventually, “trafficking will produce a health consequence,” says Tara Wilkie of the Surrey Memorial forensic team. Patients are provided with support after leaving the hospital, but Ms. Wilkie says the after-effects of trafficking can leave someone with lifelong physical and mental-health issues. Bridget Perrier seems to be living proof of this. As she sits on the couch of her Toronto home, phone buzzing, two dogs scampering around, pictures of her children on the wall, her old life seems like the distant past. Yet, she says, a decade of sexual exploitation “damaged me to a point where ... I have panic attacks. I have PTSD. I can’t have a baby naturally because my cervix is just shot. I sleep with the lights on. I’m hypervigilant. And there are flashbacks. “Sometimes a smell will set me off, gagging.” Pine-Sol, used to disinfect the rooms, “triggers it.” As do “certain male colognes, certain deodorants.” Also damaged: her relationship with others. She says her clientele was so predominantly white that, even today 'I can’t be on an elevator with a Caucasian man'" (pars. 85-90).

Regarding solutions for recovery from post-traumatic symptoms, including PTSD, the Native Women's Association of Canada literature review and analysis notes:

"Many who are sexually exploited and trafficked come from backgrounds where formal education and job skill development have been compromised from traumatic childhoods and growing up in abuse. To help these women and youth escape the cycle of sexual exploitation, they need training in viable alternatives for income. It is not enough to protect women and girls from pimps and traffickers; the conditions of growing up in poverty and without a full education must also be addressed for lasting difference" (page 25).

Bluntly put, one participant phrased it aptly: ’People don’t heal overnight. It took seventeen years to get all the shit inside of you and it’s probably going to take twenty years to get it out of you’ (p. 36). Quick-healing regimens are unrealistic. Healing takes time, and sexual exploitation is a violent, oppressive, and damaging process. In a 2003 study on sexual exploitation with some 854 participants, their findings were that prostitution was multi- traumatic, with 68% meeting the criteria for posttraumatic stress disorder (Farley, et al., 2003, p. 34), which, also happens to match the same range of PTSD as combat veterans (Weathers, Litz, Herman, Huska, & Keane, 1993, as cited in Farley, et al., 2003, p. 37). If prostitution is categorized as choice and trafficked as forced, it may be that trafficked women are dealing with even more PTSD." (page 29).

In the interview included, participant Liora Salter reports that she observed that the living and social conditions on the reserve in centre of the La Ronge townsite were extremely deteriorated. Ms. Salter describes the lack of infrastructure on the reserve for basic utilities including sewer, electricity and water provisions. She notes that the houses on-reserve were "the oldest generation of Indian Affairs houses" with one room and newspaper serving as wallpaper. Incidentally, Ms. Salter references Metis activist and La Ronge resident Jim Brady's suspicions that the Department of Indian Affairs officials in La Ronge was deeply corrupt, and incapable of enacting the type of change that was needed.

Ms. Salter also references Mr. Brady's concerns that Indigenous girls, as young as thirteen, were being forced into sex trafficking. The interview with La Ronge resident Verna Richards provides first-hand testimony of the occurrence of sex trafficking. While Ms. Richards believes that she observed this as an isolated incident, the reporting of Mr. Brady indicated otherwise - and it is possible that sex trafficking occurred in locales other than Ms. Richard's restaurant. Mr. Brady stated that this was a result of the tourism industry in La Ronge.

Ms. Richards also testifies as to the prevalence of sexual assault of Indigenous girls and women by American tourists who visited the community of La Ronge. She reports that there were a number of pregnancies that resulted from these assaults. She reports that this was met with little response from both the non-Indigenous community and the parents of the girls who were assaulted and/or became pregnant. She does not mention anything about post-assault psychological support/trauma services or other mental health services in the community. Nor does she mention any of the American tourists providing child support.

Metis women from La Ronge and area in Northern Saskatchewan were respondents interviewed by Doris and Irene Poelzer for their study on Metis women's experiences in their home-communities. Numerous respondents reported discrepancies in the types of work available for men and women. They also reported discrepancies in the wages of men and women, with men being paid more for the same work. For example, these respondents stated that the types of jobs available for women were those that restricted them to traditionally feminized work, such as caregiving/nurturing, feeding, serving or providing instruction. That is, although job opportunities are scarce in the northern part of the province, those that were available for women were typically concession work, cleaning, health-related, teaching and clerical. These women believed that they had the same intellectual capacities as men, and that they should not be restricted (Poelzer 1985, 21-22).

One stated, “Women need training for jobs...I don’t want women to have the kind of life I had before” (Poelzer 1985, 23).

There was also a need expressed for support from one’s community and romantic partner. For example, women who ran for public office positions such as the school board believed that they were discriminated against because of their gender, and thus received few votes. In another example, women found that men refused to take instruction from them because of their gender. Overall, some respondents felt that men ignored, underestimate or exploited their Metis female co-workers (Poelzer 1985, 24-26).-

Metis women in Poelzer’s study also spoke extensively on the impact of religion in their life and the community. This impact was construed as both positive and negative. One respondent noted, “The church has been so much a part of exploitation”, as it provided a variety of services including education, health, employment and welfare. However, this also provided church officials with a great degree of control over the community, in which they took advantage of their privileged position by humiliating some individuals and also keeping community members dependent and indebted to their services. For example, individuals in the community must be church members in order to access services (Poelzer 1985, 27-36).

As well, women as a demographic are more likely to live in poverty and are often perceived to be primarily responsible for child-rearing. The financial burden resulting from poverty and raising children often results in a greater degree of reliance on these services. Metis women in the communities surveyed noted that church control was exerted by shaming women who practiced family planning or separated from a violent spouse. They also noted that they would be shamed for living common-law, even though some women declared that cohabitation gave them a greater degree of control, equality and autonomy than marriage.

One woman described the social pressure (resulting from the internalization of Christian moral norms) this way:

“You don’t feel right when you stay with the man without marrying him. It is just that when you go to some places, somebody asks if he is your husband, and you have to lie most of the time. You say ‘yes’ and you are lying. So it hurts you that way...And when you get kids, somebody is going to tell (them) that ‘he is not your dad. That is not your mother’s husband.’ It is not very nice very much” (Poelzer 1985, 49).

Another woman reported a more direct form of religious pressure: “...The church feels that if you are living common-law, you are not following the religion...marriage is quite a big thing” (Poelzer 1985, 49).

In contrast, Metis women respondents reported that common-law arrangements allowed for an easier separation if men were discovered to be immature or abusive. They also reported that such an arrangement prevented male romantic partners from perceiving his wife as property, that is, of possessing rights of ownership over her body or labour. An arrangement of cohabitation, therefore, was perceived to prevent domestic violence as well as prevent men from becoming jealous or of forgetting their household responsibilities.

Overall, women who received social services through the church were made to feel obligated to meet the expectations of religious officials by adhering to their moral and purity ideals (Poelzer 1985, 31-49). 

The completion of the Canadian Pacific Railway, infamously known as the 'Last Spike,' occurred on Nov. 7, 1885. With this new transportation network came a host of new diseases to the Plains which further devastated malnourished reserve communities on the southern plains. In 1886, whooping cough & measles, which was particularly deadly spread to the Plains via the railway. Some of the Cree population who travelled as far north as Peace River to find relief from introduced disease in southern reserves, suffered consumption (tuberculosis), rheumatism, and scrofula and competition for resources with the local Dane-zaa population.

Many students experienced sexual abuse at the hands of school faculty, local clergy members, lay persons from the local community, and other students. Some victims of sexual assault in Residential Schools have remained silent about their experiences for multiple reasons, including shame, fear of disbelief, and symptoms of psychological trauma that are harmful to retell to the survivors. However, given the number of survivors who have reported sexual assault, and the extensive research already collected on the conditions of Residential schools, it is inarguable that sexual violence was widespread throughout the institutions, having immediate and long-term effect on Indigenous peoples and their communities. This is affirmed by Mel H. Buffalo, an adviser to the Samson band in Alberta, who says that "every Indian person I have spoken to who attended these schools has a story of mental, physical or sexual abuse.". Several incidents of sexual abuse and neglect occurred under Principle McWhinney at the Crowstand IRS. Following incidents of abuse in 1914, D. C. Scott, Deputy Superintendent of Indian Affairs, instructed that female students be sent home. It was deemed the institution was no longer safe to continue mixed education of boys and girls.

In the decade between 1827 and 1837 a series of localized epidemics hit the Woodland areas of Northern Saskatchewan, infecting the Woodland Cree and Saulteaux. During the 1820s smallpox was raging across in the Missouri River valley, but vaccination efforts at Red River Colony largely halted the spreading of smallpox onto the Plains while also providing some immunity for the smallpox epidemic of 1837. During this decade multiple different illnesses infected the Canadian interior. among them was two new illnesses in chickenpox and mumps. In addition, whooping cough, influenza, and smallpox all returned, although it should be noted that due to vaccination efforts this period saw a decline in smallpox outbreaks. Other illnesses, particularly respiratory complaints, were reported at an increased rate.