This guidance is intended to support indigenous leaders, public health departments, regional health authorities and federal, provincial and territorial governments in their COVID-19 preparedness efforts for remote and isolated (RI) communities. The considerations included in this appendix are based on principles outlined in the Canadian Pandemic Influenza Preparedness Guidance.

A multitude of factors can influence the health status of an individual or a population. For many indigenous communities, culture and tradition are integral components of a holistic approach to health and well-being and it is critical to recognize their unique strengths which contribute to their resiliency e.g. teachings from Elders, nurtured relationships of family and community, revitalization of language and culture, connections to the land, traditional healing and cultural ceremonies.

The overall health of Canadians living in RI communities can be affected by social, environmental and economic factors, including housing, water quality or access, food security, pre-existing health conditions, limited access to health care, education and income. These factors, in addition to limited accessibility to health care are important to consider in the context of mitigating the spread and impacts of COVID-19.

Provincial/Territorial variations with respect to infrastructure, human resource capacity, and planning principles should be taken into account when reading this document. It is recommended that this guidance be considered in conjunction with relevant federal, provincial and territorial guidance and planning documents, which should take into consideration existing treaties, agreements and relationships.