Cited by 200Indigenous Health, Education, and RightsIndigenous Studies and EcologyEnvironmental Justice and Health Disparities

Holistic risk-based environmental decision making: a Native perspective.

Open access
Arquette, Mary, Cole, Maxine, Cook, Katsi, LaFrance, Brenda, Peters, Margaret, Ransom, James, Sargent, Elvera, Smoke, Vivian +1 more·2002·Environmental Health Perspectives

Abstract

Native American Nations have become increasingly concerned about the impacts of toxic substances. Although risk assessment and risk management processes have been used by government agencies to help estimate and manage risks associated with exposure to toxicants, these tools have many inadequacies and as a result have not served Native people well. In addition, resources have not always been adequate to address the concerns of Native Nations, and involvement of Native decision makers on a government-to-government basis in discussions regarding risk has only recently become common. Finally, because the definitions of health used by Native people are strikingly different from that of risk assessors, there is also a need to expand current definitions and incorporate traditional knowledge into decision making. Examples are discussed from the First Environment Restoration Initiative, a project that is working to address toxicant issues facing the Mohawk territory of Akwesasne. This project is developing a community-defined model in which health is protected at the same time that traditional cultural practices, which have long been the key to individual and community health, are maintained and restored.

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Crossref · 10.1289/ehp.02110s2259

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  • Climate change directly threatens human health, with substantial impacts on Indigenous peoples, who are uniquely vulnerable because climate-related events affect their practices, lifeways, self-determination, and physical and cultural health.

    “Climate change directly threatens human health, with substantial impacts on Indigenous peoples, who are uniquely vulnerable as climate-related events affect their practices, lifeways, self-determination, and physical and cultural health.”

    From How Indigenous Communities Are Adapting To Climate Change: Insights From The Climate-Ready Tribes Initiative (2020) · cites this paper as [2]

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  • Climate change-related damage to land, water, and life can negatively affect traditional practices and ways of life, causing deep distress.

    “Climate change–related damage to land, water, and life can negatively affect traditional practices and ways of life, causing deep distress.2,5,6”

    From How Indigenous Communities Are Adapting To Climate Change: Insights From The Climate-Ready Tribes Initiative (2020) · cites this paper as [2]

    The section on sociocultural implications of exposure to contaminants says that pollution at Akwesasne disrupted traditional practices and caused social, cultural, and health effects. It does not attribute the damage to climate change or specifically report deep distress. (LLM, conf=0.85)

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  • Evidence shows that climate change will continue to affect tribal health, and thus health should be considered in tribal climate policies.

    “Evidence shows that climate change will continue to affect tribal health, and thus health should be considered in tribal climate policies.2”

    From How Indigenous Communities Are Adapting To Climate Change: Insights From The Climate-Ready Tribes Initiative (2020) · cites this paper as [2]

    The paper argues that Native Nations should be involved in environmental decisions affecting their people and that health should be considered alongside social, cultural, and ecological impacts (discussion of risk assessment, pp. 259–263). It discusses contamination and environmental risk, but does not address climate change, its continuing effects on tribal health, or tribal climate policies. (LLM, conf=0.86)

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  • Although climate change has an impact on all communities, Indigenous peoples are among the first and most severely affected.

    “Although climate change has an impact on all communities, Indigenous peoples are among the first and most severely affected.2”

    From How Indigenous Communities Are Adapting To Climate Change: Insights From The Climate-Ready Tribes Initiative (2020) · cites this paper as [2]

    The discussion of Native communities’ environmental risks (p. 260) concerns toxic-substance exposure, and the Akwesasne example (p. 261) concerns contamination and its cultural effects. Searches for climate change, global warming, and disproportionate climate impacts found no passage saying Indigenous peoples are among the first or most severely affected by climate change. (LLM, conf=0.78)

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Authors
Arquette, M., Cole, M., Cook, K., LaFrance, B., Peters, M., Ransom, J., Sargent, E., Smoke, V., & Stairs, A.
Affiliations
Akwesasne Task Force on the Environment, Hogansburg, New York 13655, USA. mfadden@westelcom.com
Venue
Environmental Health Perspectives
Published
2002-04-01
Volume
110
Issue
suppl 2
Pages
259-264
ISSN
  • 0091-6765 (ISSN-L)
  • 1552-9924
OpenAlex
W1976303211
Cited by
200
References
36
Citations by year
2026: 7 · 2025: 8 · 2024: 11 · 2023: 9 · 2022: 7 · 2021: 11 · 2020: 13 · 2019: 14 · 2018: 8 · 2017: 9 · 2016: 8 · 2015: 15 · 2014: 10 · 2013: 9 · 2012: 11
FWCI
3.05
Type
journal article
Language
en
Open access
Locations
  • Environmental Health Perspectives (publishedVersion, public-domain)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r25es007231-06)
  • National Institute of Environmental Health Sciences (5 R25 ES07231-02)
Topics
  • Social Sciences › Health › Indigenous Health, Education, and Rights
  • Health Sciences › Health Professions › General Health Professions › Indigenous Studies and Ecology
  • Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
Keywords
Native American health, toxic substances, risk assessment, risk management, environmental decision-making, traditional knowledge, Akwesasne, Mohawk, cultural practices, environmental justice
MeSH terms
Community-Institutional Relations, Conservation of Natural Resources, Cultural Characteristics, Decision Making, Environmental Health, Environmental Pollutants, Financing, Government, Hazardous Waste, Humans, Indians, North American, Policy Making, Public Policy, United States, Risk Assessment

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