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The authors offer a review of themes within occupational health and environmental public health surveillance over the past decade. In reviewing the history of public health surveillance, the authors highlight key acts of Congress in the 1970s that have made the development of “modern” occupational health and environmental health surveillance possible—but which also failed to develop into a cohesive and well-connected data management systems across federal agencies. Separate agencies were tasked with different data collection, management and intervention tasks in ways that fragmented the surveillance system to the point of ineffectiveness.

The authors argue that effective surveillance for occupational and environmental health demands development of a clear purpose for collecting data and having the data available to make meaningful analysis possible. They turn to the CDC’s childhood lead prevention program to demonstrate these points.

The first quote is “Eleven people attempted suicide in one night and the isolated Attawapiskat First Nation in northern Ontario became Canada's most talked about story. A week later five children tried to take their owns lives too.” It shows the mental emergency is serious in Canada.

Another quote is "When we go to the health centre for example after hours the staff on duty would probably only be a nurse and an LPN, or a doctor on call or maybe an ambulance, that would be the kind of service available after hours. There is none for mental health or addictions. When families are experiencing PTSD and other stresses, they are having a really hard time, there is no one, really." It shows the lake of support of mental support is a big issue for people. Government should offer more resource for mental health and solve mental issue which is already as a state emergency. 

The author use many examples of people suicide, photos, Youtube links, and links for more online reading. In addition, the narrative of people and conduct the author’s research.

The mental health is a crisis and the response is not enough for supporting. Many examples and narrative are shows the situations. Every single person have affected by the suicide and the problem was worse and worse. There were many reports about the issue but just little action for solving the problem.

The lack of resource and supporting for mental health and also little actions for the emergency. Especially in many Aboriginal communities which are high rates of poverty, ill health and family breakdown. Media reports reported that Children and youth are most at risk and influenced by these factors.

Offer more education, mental health advisory and treatment for people. Following the reports, offer more actions.

"Within the last 12 months, there have been multiple "crisis" states declared in Indigenous communities across the country, including even the entire territory of Nunavut—where 84 percent of the population are Inuit. Canadians have begun to ask what exactly is happening, but we should already know."

"What do you find 20 years ago? The same conversations we are having now about suicide. The same
conversations we are having now about the lack of mental health. The same conversations that we are
having around socio economic development,"

Research for this article was drawn mainly from other online sources such as news articles and youtube videos, and new research conducted by the author such as interviews with officials and locals in the affected areas. 

Amerindian populations in Canada have been plauged with mental illness and suicide for many decades, and  even though there were studies done and extensive research available, there was very little done to respond to this crisis, allowing it to keep reoccuring. 

Amerindian populations in Canada have been plauged with mental illness and suicide for many decades, and  even though there were studies done and extensive research available, there was very little done to respond to this crisis, allowing it to keep reoccuring.