esponsible for conducting the medical examination <strong>of</strong> children prior to admission, had thefollowing to say regarding admission requirements <strong>and</strong> tuberculosis:I cannot recall any child, from any Reserve except Isl<strong>and</strong> Lake, whom I should not haverejected for tuberculosis if the regulation had been strictly adhered to. Those who appearto have active tuberculosis are rejected. Those whose infection appears dormant arepassed. <strong>The</strong>y have to be. Otherwise there would be no pupils in the schools. <strong>The</strong>re areno better to be had. <strong>The</strong>y do quite as well in schools as they would do outside, but, atthat, there are too many deaths <strong>of</strong> pupils during their education (Stone 1925: 247-248).Of the 130 children admitted between 1933 <strong>and</strong> 1941, eight percent (11) <strong>of</strong> the applicants hadsome form <strong>of</strong> TB. Three <strong>of</strong> the children with TB were not approved for admission due totheir condition: two had active cases <strong>of</strong> TB <strong>of</strong> the lungs, <strong>and</strong> the other had an inactive case <strong>of</strong>TB <strong>of</strong> the lungs. Tuberculosis had been a problem in Norway House <strong>and</strong> the surroundingcommunities for some time <strong>and</strong> was reported as a common infection in Norway House by1887 (Maundrell 1941). It continued to be a problem in northern communities well into the20 th century. When Dr Stone submitted a health report for the Norway House Agency in1925, he reported that the chief cause <strong>of</strong> illness was tuberculosis (Stone 1925). <strong>The</strong> majority<strong>of</strong> the children who were enrolled in NHRS would have likely been exposed to the disease athome due to its high prevalence rate. Had the regulation barring children with TB fromadmission been properly observed, the school would have been empty (Stone 1925). Thisbreach in policy was a common occurrence among the residential schools in order to keepthem full (Bryce 1907, 1909, 1922, Miller 1996).Despite the presence in the school <strong>of</strong> children already infected with TB, <strong>of</strong>ficials believed thatthe school environment was still “healthier” than the homes <strong>of</strong> the children <strong>and</strong>, in somecases, would be a better place for a child to live. <strong>The</strong>re is some evidence for this from theadmission records <strong>of</strong> two children. In 1937, a child with a TB infection in both the lungs <strong>and</strong>gl<strong>and</strong>s applied for admission. Along with his admission <strong>and</strong> medical forms, the schoolprincipal, Rev. Chapin, included a letter stating that:Any TB he has had has been arrested <strong>and</strong> he is in apparently good health at the presenttime. This being so he is no menace to the other children. <strong>The</strong> home he comes from isterribly poor <strong>and</strong> he ought to st<strong>and</strong> a much better chance in the school <strong>of</strong> getting built upagainst further reinfection (NAC, Chapin to Lazenby, Dec 24 1937).Another example comes from 1940, when a girl, aged 16, applied for admission. She was notinfected with tuberculosis; however, it was prevalent in her family. Again, Rev. Chapinincluded a letter along with her admission forms in order to justify her admission to theschool. An excerpt <strong>of</strong> the letter follows:<strong>The</strong> parents now have two younger children in the school. <strong>The</strong> home is not a healthyhome. <strong>The</strong>y lost one child from tuberculosis this winter. <strong>The</strong> father is now himself inpoor condition. And so the parents are anxious to get this girl in the school for a couple<strong>of</strong> years, both to get a bit <strong>of</strong> training <strong>and</strong> be cared for physically. <strong>The</strong> Doctor too isanxious to get her out <strong>of</strong> her home where she is so liable to infection. Before letting herinto the school however he x-rayed her chest to make sure there was no disease (NAC,Chapin to Lazenby, May 2 1940).Her admission to the school was denied due to her age. Regulations required that the childrenbe discharged at the age <strong>of</strong> 16 (NAC, Philip to Lazenby, May 21 1940).However, the school environment was not always healthy for children with or withouttuberculosis. For instance, the diet in most Native Residential Schools was considered sub-157
par <strong>and</strong> contributed to the children’s susceptibility to disease, particularly tuberculosis (Miller1996). <strong>The</strong> food was usually <strong>of</strong> poor quality, inadequate quantity, <strong>and</strong> lacked the varietyneeded to provide all the necessary nutrients. It was not uncommon for doctors to sendreports to the DIA on the relationship that they observed between the poor diet in the schools<strong>and</strong> tuberculosis among the school children (RCAP 1996a).At the NHRS, numerous complaints about the food led to an investigation <strong>of</strong> the diet by twoDIA <strong>of</strong>ficials in 1915. <strong>The</strong> local Indian Agent was the first to investigate at the beginning <strong>of</strong>the year. He claimed that the food was “good <strong>and</strong> substantial” <strong>and</strong> that there were no groundsfor the complaints. He essentially claimed that the children were complaining for the sake <strong>of</strong>it (NAC, Report on complaints, Jan 6 1915). However, due to continuing complaints, JohnBunn, the Inspector <strong>of</strong> Indian Agencies, conducted a second investigation later in the year.His results differed greatly from the Indian Agent’s report. As part <strong>of</strong> his report, the schoolprincipal had to submit a copy <strong>of</strong> the school menu (Table 3).Table 3 Menu <strong>of</strong> the NHRS for 1915 (Source: NAC, RG 10 Vol 6268, file 581-1, part 1).Day Morning Breakfast Noon Dinner Night SupperSundayMondayTuesdayWednesdayThursdayFridaySaturdayGranules Porridge,Bread & TeaBaked Beans, Bread &TeaOatmeal Porridge,Bread & TeaGranules Porridge,Bread & TeaOatmeal Porridge,Bread & TeaOatmeal Porridge,Bread & TeaOatmeal Porridge,Bread & TeaPork & Beans, Pie, Bread& WaterFish or Meat, Bread &WaterFish or Meat & Rice,Bread & WaterFish or Meat, Split Peas,Bread & WaterFish or Meat, Pot BarleyBread & WaterFish or Meat, Bread &WaterFish, Bread & WaterBread & Jam, TeaFish, Bread & TeaPrunes, Bread &TeaFish, Bread & TeaApples, Bread &TeaFish, Bread & TeaBread, Butter &Tea<strong>The</strong> Fish or Meat is to be boiled with some <strong>of</strong> the dried vegetables mentioned abovePies are made once a week, 1 1/2 lb Lard to a making, pie cuts in 6 piecesFor a change the Fish or Meat may be fried or roastedYellow sugar to be used in tea, night <strong>and</strong> morning, also in stewing apples or making piesYellow sugar, with syrup every alternate morning, served on PorridgeWhen fish or meat is not in stock, dried vegetables, as the Principal may direct, may be usedFish: <strong>The</strong>se are White [Fish], Pickerel, Pike, Gold Eyes, Sturgeon, Red <strong>and</strong> Grey SuckersMeat: This if Beef, Moose Meat, VenisonVegetables: Beans, Split Peas (dried)Cereals: Rolled Oats, Granules, Pot Barley, RiceAccording to Bunn’s findings, the quality <strong>of</strong> bread was “open to criticism,” the quality <strong>of</strong> fishwas not always the best <strong>and</strong> sometimes poorly cooked, there was an absence <strong>of</strong> fatty food, <strong>and</strong>there was a limited quantity <strong>of</strong> vegetables. <strong>The</strong> only available vegetables were turnips, beets,cabbage, <strong>and</strong> carrots. Potatoes were available at the beginning <strong>of</strong> the year but were only used forfour meals (NAC, Bunn to Scott, Sept 24 1915). In addition, the local doctor, Dr. Norquay,158
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Part 3 Living with TuberculosisIntr
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Part 1 Unpacking TuberculosisIntrod
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ReferencesAscione, F., 2005. Childr
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Cases of active TB disease were def
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40.035.0Age-specific incidence rate
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2001-06 the incidence rate for thos
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incidence rates for foreign-born pe
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that cases for whom the diagnosis o
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Voss, L., M. Campbell, C. Tildesley
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Figure 1Views of the 5th metacarpal
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when, in reality, recently transmit
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over” host (Morris et al 1994:172
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de Lisle, Geoffery W., C. G. Mackin
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Chapter 3The Political Ecology of T
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social networks (particularly for o
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community. However, as Anderson’s
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2004. Over this period the rate of
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the people interviewed had access t
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of household crowding or income ine
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Chapter 4Tuberculosis and Syndemics
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patterns. The authors examined “a
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Partners of Manitoba that explored
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The Point Douglas CA is 10.9 square
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Table 2Selected social determinants
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Rhodes, Tim, Merrill Singer, Philip
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During the four years since our pro
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under which a person who has had la
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groups in New Zealand that promotes
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Littleton, J., J. Park, C. Thornley
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Nair 1997, Geetakrishnan 1988, Puro
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with peer review, group work and re
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of TB cases. TANI became aware of t
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The programme has been successful i
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Chapter 7The Treaty of Waitangi Pri
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Given the apparent limitations of H
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delayed TB diagnosis and inappropri
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Six participants believed they had
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strategies, acknowledging different
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Hayward, Janine, 1997. Appendix: Th
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Chapter 8Matching Research with Evi
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problem in Aboriginal communities w
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officials advised community members
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ResultsThe MEDLINE search generated
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Gibson et al. 2005 X XCook et al. 2
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in rates will likely be achieved on
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Daschuk, J.W., Hackett, P., MacNeil
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Ontario Lung Association, 2003. Tub
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Part 2 Reproducing TuberculosisIntr
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particular focus on the quality of
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Chapter 9The Contribution of Tuberc
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years of civilian mortality registr
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Somalia (Lillebaek et al. 2002:682)
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carried out. I also interacted with
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The Auckland Somali population is h
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mask usually had to be worn by pati
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understanding of their migration hi
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Warfa, N., K. Bhui, T. Craig, S. Cu
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Figure 1New Zealand and its Pacific
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oth English and Samoan. The second
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Health cultures and explanations of
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Duality of TBMany of the older Paci
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e considered in the ecology of TB,
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Interviewer: “Do you have any ide
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McArthur, N., 1965. Island Populati
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ContributorsAnneka Anderson, Depart
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Moana Oh (Ngati Rarua, Ngati Toraru
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RAL-e1 Geoarchaeological Investigat