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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.

Sylvia Wynter (2003) suggests that our current struggles in Western colonized society regarding racism, classism, sexism, homophobia, ethnicism, climate change, environmental destruction, and the unequal distribution of resources are rooted in what she argues is the overrepresentation of the descriptive statement of Man as human, which only recognizes white, wealthy, able-bodied, heterosexual men as "human." As such, just as I argue Black feminist writers and scholars have drawn on speculative methods and Afrofuturism, the use of twentieth-century technology and speculative imagination to address issues within Black and African diasporic communities (see Dery & Dery, 1994), to insist on and explore the full humanity of Black girls, women, and femmes, so too have Black and African diasporic scholars called on Afrofuturism to imagine new ways technology and traditional knowledge practices can address environmental injustice. Suékama (2018) argues that as a form of resistant knowledge building and theorizing, an Afrofuturist approach to environmentalism “integrates speculation with the ecological and scientific, and the spiritual or metaphysical'' to make our environmental justice less European, male, human, (and I would add capitalist) centered. Thus, an Afrofuturist approach to environmental injustice asks us to think about our collective struggle for environmental justice as a part of and connected to other forms of systemic oppression rooted in the rejection of African diasporic and Indigenous people and their knowledge practices through the overrepresentation of Man as human in Western society. In this way, a speculative and Afrofuturist approach to environmental injustice draws on African diasporic knowledge practices in conjunction with modern and traditional technologies to imagine new solutions to environmental injustice that center the needs, values, and traditional practices of African diasporic people. 

Image source: Still from "Pumzi" Directed by Wanuri Kahiu

Peterson-Salahuddin, Chelsea. 2023. "An Afrofuturist Approach to Unsettling Environmental injustice." 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.