| Jared Harris at RIC |
FOR NURSING, HEALTH SCIENCES AND OTHER MEDICAL MAJORS
Delivering healthcare in the Arctic
As I've noted in class, Nunavut -- our nearest Arctic neighbor -- has a population of around 38,000 (similar to that of Coventry RI) and an area of 725,000 square miles, which is 600 times the size of Rhode Island -- it's two-and-a half times the size of Texas (population 30 million).
Most inhabitants are indigenous Inuit people, and nearly all of them live in the 26 small settlements known as "hamlets." the largest of which is the capitol city of Iqaluit, population 7,740; many have fewer than 1,000 residents. These hamlets are, in general, hundreds of miles from each other (though some are closer) and can reliably be reached only by airplane. So delivering health services, as you can imagine, is very challenging just in terms of logistics. Nearly all hamlets have a community health centre staffed by nurses; doctors support these via telehealth and periodic visits. Trauma and surgical cases generally require a flight to a more southerly Canadian city, such as Edmonton, Ottawa, or Montreal. All this poses enormous challenges to providing healthcare: cost, recruiting and retaining medical staff. and specialized care (there is only one maternity ward, one rehab center, and one long-term care facility, in all of Nunavut; most people are flown south at government expense to receive these services).
Food/Food insecurity
Many Inuit still eat their traditional foods -- muktuk (whale blubber), seal, beluga, polar bear, and Arctic char -- it's called "country food" up there.
| A plate of "country food" I enjoyed in Nunavut: seal liver, muktuk, char, and polar bear, with a big piece of "Bannock" or fry bread! |
At the same time, many younger Inuit prefer Western foods, and (unfortunately) go for some of the more highly sweetened and fatty foods. Diabetes is a big heath issue. All Western food has to be flown in at great expense; a jar of spaghetti sauce might cost $20, or a bunch of bananas $12. Incomes are limited and unemployment is high in the north, which then leads to food insecurity being a huge issue.
and I would strongly suggest you search back issues of the Nunatsiaq News, which will have many more recent articles and stories about food-related issues. This is just one example.