Crooks Kristy, Ahmed Fatima, Liberda Eric N, Massey Peter D, Taylor Kylie, Harwood Elizabeth, Sutherland Celine, Kataquapit Gisele, Clark Katrina, Spence Nicholas D, Moriarity Robert J, Briggs Hannah, Tsuji Leonard J S, Charania Nadia A
Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.
Menzies School of Health Research, Charles Darwin University, Casuarina, NT, Australia.
Int J Equity Health. 2025 Jan 22;24(1):24. doi: 10.1186/s12939-025-02387-5.
Indigenous communities worldwide continue to disproportionately bear the burden during pandemics due to ongoing health inequities and systemic exclusion from pandemic decision-making processes. As the global community prepares for the next pandemic, it is critical to prioritise Indigenous leadership and governance within public health responses. This commentary highlights successful models of Indigenous-led pandemic responses during COVID-19 in Canada and Australia. It introduces the EPIC (Equity, Partnerships, Intelligences, and Change) framework, that emphasises equity, leadership and local and cultural intelligence as critical components to improve pandemic preparedness and response for Indigenous communities. This international collaboration calls on governments and health authorities to uphold Indigenous sovereignty, self-determination, and leadership in pandemic planning and response efforts.
由于持续存在的健康不平等以及在大流行决策过程中被系统性排斥,全球各地的原住民社区在大流行期间继续承受着不成比例的负担。随着全球社会为下一次大流行做准备,在公共卫生应对措施中优先考虑原住民的领导力和治理至关重要。本评论重点介绍了加拿大和澳大利亚在新冠疫情期间由原住民主导的成功大流行应对模式。它引入了EPIC(公平、伙伴关系、情报和变革)框架,该框架强调公平、领导力以及地方和文化情报是改善原住民社区大流行防范和应对能力的关键要素。这种国际合作呼吁各国政府和卫生当局在大流行规划和应对工作中维护原住民的主权、自决权和领导力。