Indigenous-led struggles for health justice in the context of the climate emergency: insights from Guatemala.

IF 7.1 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH BMJ Global Health Pub Date : 2024-11-28 DOI:10.1136/bmjgh-2024-015519
Jeannie Samuel, Benilda Batzin, Rosaura Medina, Evaristo Caal, Karin Slowing, Esteban Sabbatasso, Walter Flores
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Abstract

This practice paper reflects on an ongoing Participatory Action Research project that combines community-engaged methods, national data analysis and advocacy to support community-based emergency response to extreme weather events in 16 Indigenous communities in Alta Verapaz province, Guatemala. Our work points to a worrying predicament experienced in climate-affected areas, where some populations face a dangerous confluence of climate vulnerability, social exclusion and state abandonment that imperils human health. Indigenous communities in Alta Verapaz are often particularly vulnerable to health impacts from climate-driven extreme weather events, a reality compounded by the historical and contemporary ways the state marginalises them. We share work from our project activities to shed light on these interconnected problems and how Indigenous communities in Alta Verapaz, especially Maya Q'eqchi' communities, are using creative strategies to confront them. Technical solutions are important but insufficient responses. Community-led activism to push for state support to address extreme weather events, as has been practised in struggles for health rights, can provide vital tools for addressing the increasing challenges these populations face in the context of the climate crisis.

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在气候紧急情况背景下,土著领导的卫生正义斗争:来自危地马拉的见解。
本实践文件反映了正在进行的参与性行动研究项目,该项目结合了社区参与的方法、国家数据分析和宣传,以支持危地马拉上维拉帕斯省16个土著社区对极端天气事件的社区应急反应。我们的工作指出了气候影响地区所经历的令人担忧的困境,在那里,一些人口面临着气候脆弱性、社会排斥和国家遗弃的危险汇合,危及人类健康。Alta Verapaz的土著社区往往特别容易受到气候驱动的极端天气事件对健康的影响,历史和当代国家边缘化他们的方式加剧了这一现实。我们分享项目活动的成果,以揭示这些相互关联的问题,以及阿尔塔韦拉帕斯的土著社区,特别是玛雅Q‘eqchi’社区如何使用创造性的策略来应对这些问题。技术解决方案很重要,但反应不足。社区主导的推动国家支持应对极端天气事件的行动,就像在争取健康权利的斗争中所实践的那样,可以为解决这些人口在气候危机背景下面临的日益严峻的挑战提供重要工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Global Health
BMJ Global Health Medicine-Health Policy
CiteScore
11.40
自引率
4.90%
发文量
429
审稿时长
18 weeks
期刊介绍: BMJ Global Health is an online Open Access journal from BMJ that focuses on publishing high-quality peer-reviewed content pertinent to individuals engaged in global health, including policy makers, funders, researchers, clinicians, and frontline healthcare workers. The journal encompasses all facets of global health, with a special emphasis on submissions addressing underfunded areas such as non-communicable diseases (NCDs). It welcomes research across all study phases and designs, from study protocols to phase I trials to meta-analyses, including small or specialized studies. The journal also encourages opinionated discussions on controversial topics.
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