{"id":1950,"date":"2022-08-02T00:00:00","date_gmt":"2022-08-02T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/uncovering-sars-cov-2-vaccine-uptake-and-covid-19-impacts-among-first-nations-inuit-and-metis-peoples-living-in-toronto-and-london-ontario\/"},"modified":"2023-06-14T19:19:20","modified_gmt":"2023-06-14T23:19:20","slug":"uncovering-sars-cov-2-vaccine-uptake-and-covid-19-impacts-among-first-nations-inuit-and-metis-peoples-living-in-toronto-and-london-ontario","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/uncovering-sars-cov-2-vaccine-uptake-and-covid-19-impacts-among-first-nations-inuit-and-metis-peoples-living-in-toronto-and-london-ontario\/","title":{"rendered":"Uncovering SARS-COV-2 vaccine uptake and COVID-19 impacts among First Nations, Inuit and M\u00e9tis Peoples living in Toronto and London, Ontario"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; First Nations, Inuit and M&#xe9;tis Peoples across geographies are at higher risk of SARS-CoV-2 infection and COVID-19 because of high rates of chronic disease, inadequate housing and barriers to accessing health services. Most Indigenous Peoples in Canada live in cities, where SARS-CoV-2 infection is concentrated. To address gaps in SARS-CoV-2 information for these urban populations, we partnered with Indigenous agencies and sought to generate rates of SARS-CoV-2 testing and vaccination, and incidence of infection for First Nations, Inuit and M&#xe9;tis living in 2 Ontario cities.<\/p>\n<p><strong>Methods<\/strong> &#x2014; We drew on existing cohorts of First Nations, Inuit and M&#xe9;tis adults in Toronto (<em>n<\/em> = 723) and London (n = 364), Ontario, who were recruited using respondent-driven sampling. We linked to ICES SARS-CoV-2 databases and prospectively monitored rates of SARS-CoV-2 testing, diagnosis and vaccination for First Nations, Inuit and M&#xe9;tis, and comparator city and Ontario populations.<\/p>\n<p><strong>Results<\/strong> &#x2014; We found that SARS-CoV-2 testing rates among First Nations, Inuit and M&#xe9;tis were higher in Toronto (54.7%, 95% confidence interval [CI] 48.1% to 61.3%) and similar in London (44.5%, 95% CI 36.0% to 53.1%) compared with local and provincial rates. We determined that cumulative incidence of SARS-CoV-2 infection was not significantly different among First Nations, Inuit and M&#xe9;tis in Toronto (7364\/100 000, 95% CI 2882 to 11 847) or London (7707\/100 000, 95% CI 2215 to 13 200) compared with city rates. We found that rates of vaccination among First Nations, Inuit and M&#xe9;tis in Toronto (58.2%, 95% CI 51.4% to 64.9%) and London (61.5%, 95% CI 52.9% to 70.0%) were lower than the rates for the 2 cities and Ontario.<\/p>\n<p><strong>Interpretation<\/strong> &#x2014; Although Ontario government policies prioritized Indigenous populations for SARS-CoV-2 vaccination, vaccine uptake was lower than in the general population for First Nations, Inuit and M&#xe9;tis Peoples in Toronto and London. Ongoing access to culturally safe testing and vaccinations is urgently required to avoid disproportionate hospital admisson and mortality related to COVID-19 in these communities.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; First Nations, Inuit and M&#xe9;tis Peoples across geographies are at higher risk of SARS-CoV-2 infection and COVID-19 because of high rates of chronic disease, inadequate housing and barriers to accessing health services. Most Indigenous Peoples in Canada live in cities, where SARS-CoV-2 infection is concentrated. To address gaps in SARS-CoV-2 information for these [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-1950","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Smylie J, McConkey S, Rachlis B, Avery L, Mecredy G, Brar R, Bourgeois C, Dokis B, Vandevenne S, Rotondi MA. <em>CMAJ<\/em>. 2022; 194(29):E1018-26. Epub 2022 Aug 2.","source_url":"https:\/\/www.cmaj.ca\/content\/194\/29\/E1018","ices_scientist":[1367,1309,13129],"site":[6733],"research_program":[6745],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"9F12418E-D790-456F-AB80-03F8107A7AC4","sitecore_item_name":"Uncovering-SARS-COV-2-vaccine-uptake-and-COVID-19-impacts-among-First-Nations","sitecore_field_values":"{\n  \"Title\": \"Uncovering SARS-COV-2 vaccine uptake and COVID-19 impacts among First Nations, Inuit and M\u00e9tis Peoples living in Toronto and London, Ontario\",\n  \"Short title\": \"Uncovering SARS-COV-2 vaccine uptake\",\n  \"Summary\": \"This study found that vaccine uptake was lower than in the general population for First Nations, Inuit and M\u00e9tis Peoples in Toronto and London.\",\n  \"Citation\": \"<p>Smylie J, McConkey S, Rachlis B, Avery L, Mecredy G, Brar R, Bourgeois C, Dokis B, Vandevenne S, Rotondi MA. <em>CMAJ<\/em>. 2022; 194(29):E1018-26. Epub 2022 Aug 2. DOI: <a href=\"https:\/\/doi.org\/10.1503\/cmaj.212147\" title=\"opens external link\">https:\/\/doi.org\/10.1503\/cmaj.212147<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; First Nations, Inuit and M&eacute;tis Peoples across geographies are at higher risk of SARS-CoV-2 infection and COVID-19 because of high rates of chronic disease, inadequate housing and barriers to accessing health services. Most Indigenous Peoples in Canada live in cities, where SARS-CoV-2 infection is concentrated. To address gaps in SARS-CoV-2 information for these urban populations, we partnered with Indigenous agencies and sought to generate rates of SARS-CoV-2 testing and vaccination, and incidence of infection for First Nations, Inuit and M&eacute;tis living in 2 Ontario cities.<\/p>n<p><strong>Methods<\/strong> &mdash; We drew on existing cohorts of First Nations, Inuit and M&eacute;tis adults in Toronto (<em>n<\/em> = 723) and London (n = 364), Ontario, who were recruited using respondent-driven sampling. We linked to ICES SARS-CoV-2 databases and prospectively monitored rates of SARS-CoV-2 testing, diagnosis and vaccination for First Nations, Inuit and M&eacute;tis, and comparator city and Ontario populations.<\/p>n<p><strong>Results<\/strong> &mdash; We found that SARS-CoV-2 testing rates among First Nations, Inuit and M&eacute;tis were higher in Toronto (54.7%, 95% confidence interval [CI] 48.1% to 61.3%) and similar in London (44.5%, 95% CI 36.0% to 53.1%) compared with local and provincial rates. We determined that cumulative incidence of SARS-CoV-2 infection was not significantly different among First Nations, Inuit and M&eacute;tis in Toronto (7364\/100 000, 95% CI 2882 to 11 847) or London (7707\/100 000, 95% CI 2215 to 13 200) compared with city rates. We found that rates of vaccination among First Nations, Inuit and M&eacute;tis in Toronto (58.2%, 95% CI 51.4% to 64.9%) and London (61.5%, 95% CI 52.9% to 70.0%) were lower than the rates for the 2 cities and Ontario.<\/p>n<p><strong>Interpretation<\/strong> &mdash; Although Ontario government policies prioritized Indigenous populations for SARS-CoV-2 vaccination, vaccine uptake was lower than in the general population for First Nations, Inuit and M&eacute;tis Peoples in Toronto and London. Ongoing access to culturally safe testing and vaccinations is urgently required to avoid disproportionate hospital admisson and mortality related to COVID-19 in these communities.<\/p>n<p><a href=\"https:\/\/www.cmaj.ca\/content\/194\/29\/E1018\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{91C9D48C-5B00-4FE5-9ABD-875AEA8F8FAE}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{56832BA9-F5FB-4B41-BB59-EF1D62FE2645}|{EA4DEC64-AACD-488F-8BC7-4D9A8CBAF75C}|{F71FE2C7-341D-46E7-AFDE-0C5DB8565D16}\",\n  \"Posted Date\": \"20220802T000000\",\n  \"Show on Publications Landing Page\": \"1\",\n  \"In The News\": \"{E5DC89CA-BDD8-4024-9702-367CF37ED483}\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2022\/August\/Uncovering-SARS-COV-2-vaccine-uptake-and-COVID-19-impacts-among-First-Nations"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Uncovering SARS-COV-2 vaccine uptake and COVID-19 impacts among First Nations, Inuit and M\u00e9tis Peoples living in Toronto and London, Ontario<\/title>\n<meta name=\"description\" content=\"Background &#x2014; First Nations, Inuit and M&#xe9;tis Peoples across geographies are at higher risk of SARS-CoV-2 infection and COVID-19 because of high\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/uncovering-sars-cov-2-vaccine-uptake-and-covid-19-impacts-among-first-nations-inuit-and-metis-peoples-living-in-toronto-and-london-ontario\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Uncovering SARS-COV-2 vaccine uptake and COVID-19 impacts among First Nations, Inuit and M\u00e9tis Peoples living in Toronto and London, Ontario\" \/>\n<meta property=\"og:description\" content=\"Background &#x2014; First Nations, Inuit and M&#xe9;tis Peoples across geographies are at higher risk of SARS-CoV-2 infection and COVID-19 because of high\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/uncovering-sars-cov-2-vaccine-uptake-and-covid-19-impacts-among-first-nations-inuit-and-metis-peoples-living-in-toronto-and-london-ontario\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-14T23:19:20+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/uncovering-sars-cov-2-vaccine-uptake-and-covid-19-impacts-among-first-nations-inuit-and-metis-peoples-living-in-toronto-and-london-ontario\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/uncovering-sars-cov-2-vaccine-uptake-and-covid-19-impacts-among-first-nations-inuit-and-metis-peoples-living-in-toronto-and-london-ontario\\\/\",\"name\":\"ICES | Uncovering SARS-COV-2 vaccine uptake and COVID-19 impacts among First Nations, Inuit and M\u00e9tis Peoples living in Toronto and London, Ontario\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2022-08-02T04:00:00+00:00\",\"dateModified\":\"2023-06-14T23:19:20+00:00\",\"description\":\"Background &#x2014; 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