‘Historical trauma is like generational post-traumatic stress’įor Dr. “When you have this pattern of loss - loss of life, loss of population, loss of land, loss of culture, loss of resources - does it have a health impact, and can that health impact be passed from one generation to the next?” he asked. Warne wondered about the toll taken by the past. The 2010 Census showed that the AI/AN population was again at five million, but Dr. “In many ways, this is the American Holocaust.” These and other acts led to a decline in the AI population from over five million in 1492 to fewer than 200,000 in 1900. And the scalping and murder of AI individuals was legitimized by bounties during the Dakota War of 1862. Thousands of AI people were killed when the government delivered smallpox-containing blankets to them, in the “first documented case of bioterrorism” on American soil. The “ Indian Removal Act” of 1830 forcibly relocated Cherokee, Seminole, and Choctaw individuals, he said, separating them from their homes and families. Warne then highlighted the historical context that gave rise to the collective trauma of these groups. The historical context: ‘almost a complete genocide’ĭr. do not have federally recognized tribes, and their political representatives may not be as motivated to advocate for nationwide health services that benefit AI/AN individuals. ![]() He pointed out that 15 states in the U.S. “We have a lot of built-in inequity because of our distribution of population,” Dr. The closest supermarket is 90 miles away, and people have limited access to healthful food choices. Kyle itself is in a food desert, he added. By comparison, the average age at death in North Dakota is 77.4 for the white population. In Pine Ridge, he said, the average age of death for men is 48 years. He specifically looked at health inequities in his hometown of Kyle, South Dakota, located within the Pine Ridge reservation. ![]() Warne spoke of the unresolved trauma that AI/AN people have inherited over centuries due to genocide, displacement, and forced boarding school participation. In a 2019 talk at the University of Washington School of Public Health, Dr. Similar points have been made by Donald Warne, MD, the associate dean of diversity, equity, and inclusion at the University of North Dakota School of Medicine and Health Sciences.
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