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Since 1972, Eeyou Itschee, a territory east of James Bay, has been terraformed by the largest hydro-generation system on the planet, led by HydroQuébec and the Government of Québec. A territory 2/3rds the size of France has been diked, dammed, its rivers redirected, and criss-crossed by electrical transmission lines to the South and to the US. Due to the high levels of mercury released by the forests flooded for reservoirs the size of Belgium, health authorities recommend eating no more than two fish from the rivers each month. Fluctuating spring river levels led to the drowning of tens of thousands of Caribou. Learning only from newspapers, the resident Eenouch came together and negotiated the first land claims agreement in Canada, surrendering about 99% of their territory for promises of economic development. 50 years on, a settler-colonial geography, reinforced by a complex sociolegal framework, contain and constrain spatial relations in and of Eeyou Itschee through constant processes of renegotiation and reparation for land with money. Our research focused on a survey of the ways the science literature represents the region and its features. Our research ties with this territory are strongly linked to Nemaska, an Eenouch hamlet 2 days drive north of Montreal that was expropriated but managed to relocate and rebuild their community. Today, a lithium (spodumene) mine is being developed nearby. The community fears the impacts. However, the Nemaska band council approved the project due to the economic benefits it might bring. For more information: https://www.spaceandculture.com/2023/10/31/eeyou-istchee-old-nemaska/ 

Source

Shields, Rob, Cheryl Arnston, Nicholas Hardy and Juan David Guevara-Salamanca. 2023. "Eeyou Itschee and settler colonial terraforming." In 4S Paraconference X EiJ: Building a Global Record, curated by Misria Shaik Ali, Kim Fortun, Phillip Baum and Prerna Srigyan. Annual Meeting of the Society of Social Studies of Science. Honolulu, Hawai'i, Nov 8-11.

Since 1972, Eeyou Itschee, a territory east of James Bay, has been terraformed by the largest hydro-generation system on the planet, led by HydroQuébec and the Government of Québec. A territory 2/3rds the size of France has been diked, dammed, its rivers redirected, and criss-crossed by electrical transmission lines to the South and to the US. Due to the high levels of mercury released by the forests flooded for reservoirs the size of Belgium, health authorities recommend eating no more than two fish from the rivers each month. Fluctuating spring river levels led to the drowning of tens of thousands of Caribou. Learning only from newspapers, the resident Eenouch came together and negotiated the first land claims agreement in Canada, surrendering about 99% of their territory for promises of economic development. 50 years on, a settler-colonial geography, reinforced by a complex sociolegal framework, contain and constrain spatial relations in and of Eeyou Itschee through constant processes of renegotiation and reparation for land with money. Our research focused on a survey of the ways the science literature represents the region and its features. Our research ties with this territory are strongly linked to Nemaska, an Eenouch hamlet 2 days drive north of Montreal that was expropriated but managed to relocate and rebuild their community. Today, a lithium (spodumene) mine is being developed nearby. The community fears the impacts. However, the Nemaska band council approved the project due to the economic benefits it might bring. For more information: https://www.spaceandculture.com/2023/10/31/eeyou-istchee-old-nemaska/ 

Shields, Rob, Cheryl Arnston, Nicholas Hardy and Juan David Guevara-Salamanca. 2023. "Eeyou Itschee and settler colonial terraforming." In 4S Paraconference X EiJ: Building a Global Record, curated by Misria Shaik Ali, Kim Fortun, Phillip Baum and Prerna Srigyan. Annual Meeting of the Society of Social Studies of Science. Honolulu, Hawai'i, Nov 8-11.

Quoted from the front page of the website

"Our Mission ... to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level.

Our Goal ... to assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American Indian and Alaska Native people."

The membership consists of American natives who would like to receive the benefits of this organization. To be eligible to be a member you must be "an Indian and/or Alaskan Native" evidenced by several factors including being a part of a tribe, living on reservation land, or living in the household of a native. The employees consist of federal healthcare professionals commissioned by the United States Public Health Service and Civil Service federal employees.

Representatives of the Indian Health Service have made numerous congressional testimonies and numerous pieces of legislation have been passes to support the IHS, however, it does not appear that any relate to emergency response or disaster.

The IHS mainly focuses on disaster prevention and preparedness with initiatives such as teaching children about illness prevention, teaching about safe drinking water and food safety, preventing the spread of disease, and preventing injuries. They also have a number of resources available to their members to connect with healthcare professionals. This seems to be a community awareness type approach that prevents the spread of disease by teaching the community. It resembles that of many healthcare systems and does not seem to suggest problems with other approaches.

Legislation including the Indian Healthcare Improvement Act and the Snyder Act are the bases on which the IHS was founded. The passing of the Patient Protection and Affordable Care act by President Obama is the cornerstone of the IHS, however no single event seems to shape the agency's way of approaching health.

The IHS is funded by Congress after being reviewed by The House, Senate, and Congressional committees annually. A budget is formulated by a division within the IHS for approval each year. This means that their way of thinking about disaster and health must be approved by Congress, since they are a Federal agency.

I could not find any data or reports on their website that have been collected to support their approach to healthcare other than the legislation previously mentioned.

The organization has done research and generated fact sheets on statistics like injuries, behavior health, and environmental safety.