Tuberculosis among First Nations, Inuit Inuit and Metis children and youth in Canada: beyond medical management

Question 1

Is LTBI a reportable condition?

Answer 1

No!

Unlike active TB disease which is a reportable condition

Question 2

What are there high incidence rates of TB in Indigenous communities?

Answer 2

1. Social determinants: living conditions, health inequities
   - TB = social disease with medical consequences
   - crowded and poor quality housing
   - food insecurity
   - barriers to health care access
2. historical trauma
   - TB hospitals and sanatoria
3. stigma
   - social exclusion loss of housing or income

Question 3

What HCP can do to reduce TB in Indigenous populations?

Answer 3

• Wider community: improve SES conditions and transform health systems to Indigenous self-determination
• Hospitals: cultural safety training, consult Indigenous populations, incorporate healing practices, increase number of Indigenous people in organization, encourage HCP to develop sustainable models of care
• Individual HCP: know TB context & epidemiology, learn about history
• Working with families: co-develop TB care plans, share culturally appropriate info on TB, create safe spaces