ABSTRACT
The article presents the challenges of the Indigenous peoples' interplay with the key actors (Indigenous communities, Indigenous associations, regional governments, corporate businesses, and scientific institutions) in the Russian Arctic. Invoking actor–network theory offered knowledge to analyse how the effectiveness of this collaboration may lead to Indigenous peoples' social adaptation in the COVID-19 times. It revealed the main problems increasing their vulnerability and making barriers to meeting sustainable development goals (SDGs). The primary sources included the data collected from expert interviews in the Yamal-Nenets Autonomous Okrug, the Nenets Autonomous Okrug, and the Murmansk region in 2020–2021. The main findings proved the gaps in the interplay of Indigenous peoples with key actors in the Russian Arctic due to insufficient interregional and international cooperation, indirect communication of governments with Indigenous peoples via Indigenous associations and communities focused mostly on supporting elites, and the lack of systematic feedback of all key actors. This collaboration must be focused on meeting SDGs and guaranteeing their economic, social, and cultural rights to maintain a traditional lifestyle and livelihoods, involving them in natural resource management, improving quality of life and well-being, increasing access to ethnocultural education, reducing inequality, and promoting Indigenous peoples' self-government.
ABSTRACT
Aims Frontline health care workers exposed to COVID-19 patients could be at increased risk of developing psychological issues. The study aimed to estimate the prevalence of mental health-related problems, specifically depression, anxiety, post-traumatic stress disorder (PTSD), and insomnia among health care professionals during the COVID-19 pandemic in Bangladesh and to compare these between medical and allied health care professionals. Method This cross-sectional survey was conducted using Google Form then subsequent telephone interview between June and August 2020. Using random sampling, a total of 479 health care professionals participated in the study. We collected data on demographics. Anxiety and depression were measured using 4 items Patient Health Questionnaire-4 (PHQ-4), PTSD was measured using 4 items Primary Care (PC)-PTSD-Screen, and insomnia was measured by using a 7-item Insomnia Severity Index (ISI). A multivariable logistic regression analysis was performed to assess risk factors associated with mental health symptoms. Result Overall, 17.6% of frontline health workers had symptoms of anxiety, 15.5% had depression symptoms, 7.6% had PTSD symptoms and 5.9% had symptoms of insomnia. Compared to allied health professionals (n = 113, 24%), doctors (n = 366, 76%) had significantly higher prevalence of anxiety: 21.1% vs 06%, (OR = 4.19;95% CI = 1.88–9.35;p-value <0.001);depression: 18% vs 6.8%, (OR = 2.99;95% CI = 1.40–6.42;p-value 0.005);PTSD: 9.4% vs 1.7%, (OR = 5.96;95% CI = 1.41–25.11;p-value 0.015) and insomnia: 7.4% vs 0.9%, (OR = 9.22;95% CI = 1.24–68.4;p-value 0.03). Logistic regression analysis showed that pre-existing medical illness has significantly more risks of developing symptoms of anxiety (adjusted OR = 2.85;95% CI = 1.71–4.76;p-value <0.001) and depression (OR = 2.29;95% CI = 1.39–3.77;p-value 0.001). Having a postgraduate degree (adjusted OR = 6.13;95% CI = 1.28–29.28;p-value 0.023) and working in secondary care setting (adjusted OR = 3.08;95% CI = 1.18–8.02;p value 0.021) have significant predictors of developing anxiety symptoms among health workers. Those who had worked more than 6 weeks in COVID-19 dedicated hospitals had risk of developing symptoms of PSTD (OR = 2.83;95% CI = 1.35–5.93;p value 0.006) and insomnia (OR = 2.63;95% CI = 1.15–6.02;p value 0.022). Conclusion Our study demonstrated a high prevalence of symptoms of depression, anxiety, PTSD, and insomnia among Bangladeshi frontline health workers (particularly among doctors) during the COVID-19 pandemic. There is an urgent need to address the mental health needs of frontline health workers. Funding: Medical Research Council, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
ABSTRACT
This article presents the challenges facing reindeer herding as being both a profitable business and part of the traditional culture of the nomadic Indigenous peoples in the Arctic zone of Western Siberia which addresses substantial needs of the local population. Reindeer herding products are used as traditional nutrition, and as effective preventive means and remedies for adapting to the cold and geomagnetic activity in the High North. Export trends of traditional reindeer products have decreased local Indigenous peoples' access to venison and had a negative impact on their health. Due to the COVID-19 pandemic, it is especially urgent for the Indigenous peoples to have sufficient access to traditional food and be involved in policy decision-making to maintain this traditional business. We aim to analyze the dependencies of Indigenous peoples on the reindeer produce-exporting "food value chain" and explore how (1) the independence of reindeer herders could be increased in these export chains and (2) how provision of their products to local communities could be secured. The study takes a multidisciplinary approach based on policy and socioeconomic analyses with input from medical research. Primary sources include data collected from interviews and surveys of Indigenous peoples during expeditions to the Nyda settlement, the Nydinskaya tundra, the Tazovsky settlement, the Tazovskaya tundra, the Nakhodka tundra, the Gyda and Gydansky settlements, the Yavai-Salinskaya tundra, the Seyakha settlement, the Seyakhinskaya and Tambeyskaya tundras located along the southern coast of the Ob Bay, the northeast coast of the Yamal Peninsula, the Tazovsky and Gydansky Peninsulas, and the Shuryshkarsky district. Data were collected during the summers and winters of 2014-2020.