Climate change and COVID-19: reinforcing Indigenous food systems

Indigenous populations are at especially high risk from COVID-19 because of factors such discrimination, social exclusion, land dispossession, and a high prevalence of forms of malnutrition.1Anderson I Robson B Connolly M et al.Indigenous and tribal peoples' health (The Lancet–Lowitja Institute Global Collaboration): a population study.Lancet. 2016; 388: 131-157Summary Full Text Full Text PDF PubMed Scopus (592) Google Scholar Climate change is compounding many of these causes of health inequities, undermining coping mechanisms that are traditionally used to manage extreme events such as pandemics, and disrupting food systems and local diets.2Ford JD King N Galappaththi EK Pearce T McDowell G Harper SL The resilience of Indigenous Peoples to environmental change.One Earth. 2020; 2: 532-543Summary Full Text Full Text PDF Scopus (122) Google Scholar Addressing underlying structural inequities and strengthening Indigenous knowledge systems offer opportunities for building resilience to compound socioecological shocks, including climate effects and pandemics. Climate change is affecting Indigenous food systems, making Indigenous populations vulnerable to food and nutritional insecurity.3Intergovernmental Panel on Climate ChangeSpecial report: global warming of 1·5°C.https://www.ipcc.ch/sr15/Date: 2018Date accessed: July 24, 2020Google Scholar The nature and extent of the effects of COVID-19 on Indigenous food systems are still largely unknown, but the direct results include mortality from severe illness, reduced access to food, changes in local diet, and economic losses resulting from lockdowns. These outcomes present impediments to the recovery of populations already facing substantial nutritional challenges. The effects of previous pandemics on Indigenous food systems affected children in particular, when adults became ill and household food access was reduced.4Mamelund S-E Sattenspiel L Dimka J Influenza-associated mortality during the 1918–1919 influenza pandemic in Alaska and Labrador: a comparison.Soc Sci Hist. 2013; 37: 177-229Google Scholar Inadequate health service provision for Indigenous populations, including scant access to culturally safe services,5Brascoupé S Waters C Cultural safety exploring the applicability of the concept of cultural safety to aboriginal health and community wellness.Int J Indigen Health. 2006; 5: 6-41Google Scholar adds another layer of complexity in the face of the COVID-19 pandemic. Effects of climate change undermine Indigenous food security, in turn compromising the resilience of Indigenous populations to pandemics. At the same time, disruptions to food and nutrition security and the resulting health implications for Indigenous populations during pandemics exacerbate their vulnerability to climate change. In this context, understanding, reinforcing, and protecting Indigenous food systems in the context of a changing climate must be a cornerstone of post-pandemic recovery. In the Peruvian Amazon, some Shawi Indigenous communities have chosen to self-isolate in the forest during the COVID-19 pandemic.6Zavaleta C COVID-19: review Indigenous peoples' data.Nature. 2020; 580: 185Crossref PubMed Scopus (19) Google Scholar These communities are relying on traditional diets and Indigenous knowledge of local food systems, and they have little availability and accessibility to external food and government food-aid programmes. During this self-isolation, reliance on Indigenous food systems is inextricably linked to Indigenous knowledge about the land, rivers, and biodiversity, which includes knowledge of local techniques to preserve and prepare food.7Zavaleta C Berrang-Ford L et al.Multiple non-climatic drivers of food insecurity reinforce climate change maladaptation trajectories among Peruvian Indigenous Shawi in the Amazon.PLoS One. 2018; 13e0205714Crossref PubMed Scopus (28) Google Scholar However, food from the forest is being affected by biodiversity and vegetation loss: heatwaves, precipitation variation, and more frequent and intense extreme weather events are all related to deforestation and climate change and are compounded by a weakening of traditional hunting and fishing skills as a result of climatic and societal changes.6Zavaleta C COVID-19: review Indigenous peoples' data.Nature. 2020; 580: 185Crossref PubMed Scopus (19) Google Scholar, 8Marengo JA Souza Jr, CM Thonicke K et al.Changes in climate and land use over the Amazon region: current and future variability and trends.Front Earth Sci. 2018; 6: 228Crossref Scopus (219) Google Scholar, 9Harper SL Berrang-Ford L Carcamo C et al.The Indigenous climate–food–health nexus.in: Mason LR Rigg J People and climate change: vulnerability, adaptation, and social justice. Oxford Scholarship Online, Oxford2019: 184Crossref Google Scholar In the Arctic, Inuit are witnessing some of the most rapid rates of warming globally.3Intergovernmental Panel on Climate ChangeSpecial report: global warming of 1·5°C.https://www.ipcc.ch/sr15/Date: 2018Date accessed: July 24, 2020Google Scholar The remoteness of the region and travel restrictions have helped curtail the spread of COVID-19; however, disruptions to supply networks have had effects on food availability in communities that rely on retail food flown in from southern regions. To manage these disruptions, harvesting and sharing local foods, which is widely practiced in many Arctic regions,9Harper SL Berrang-Ford L Carcamo C et al.The Indigenous climate–food–health nexus.in: Mason LR Rigg J People and climate change: vulnerability, adaptation, and social justice. Oxford Scholarship Online, Oxford2019: 184Crossref Google Scholar has helped maintain food and nutrition security. Simultaneously, however, these local Indigenous food systems have been compromised by climatic extremes, including record-breaking temperatures, drought, and wildfires. In Uganda, some Indigenous populations (eg, Batwa) have adhered to COVID-19 measures, including physical distancing, staying home, and avoiding trading centres because of crowds, which challenge food and nutrition security by restricting access to markets. Furthermore, timely government food aid has not adequately reached Indigenous populations. The extended lockdown in Uganda, particularly for border districts where many Indigenous populations live, has hampered their mobility to access forested areas for foraging, access to nearby communities to offer labour for food exchange, and access to agricultural fields for food production. These challenges are exacerbated by existing climate effects,9Harper SL Berrang-Ford L Carcamo C et al.The Indigenous climate–food–health nexus.in: Mason LR Rigg J People and climate change: vulnerability, adaptation, and social justice. Oxford Scholarship Online, Oxford2019: 184Crossref Google Scholar including recent flooding in 2019 that damaged crops, compromised food production,10Chang'a LB Kijazi AL Mafuru KB et al.Assessment of the evolution and socio-economic impacts of extreme rainfall events in October 2019 over the east Africa.Atmos Clim Sci. 2020; 10: 319-338Google Scholar and reduced the resilience of Indigenous populations when the COVID-19 pandemic hit. Climate change challenges the resilience of Indigenous food systems with direct and immediate repercussions for the health and nutrition of Indigenous populations.2Ford JD King N Galappaththi EK Pearce T McDowell G Harper SL The resilience of Indigenous Peoples to environmental change.One Earth. 2020; 2: 532-543Summary Full Text Full Text PDF Scopus (122) Google Scholar In our highly connected world, the COVID-19 pandemic has easily travelled across continents, reaching remote geographical locations and Indigenous communities in less than 6 months. There is a vital window of opportunity to support Indigenous populations who face the double and syndemic burden of compound and cascading socioecological hazards, such as climate change and pandemics, by prioritising the protection of key Indigenous food sources (eg, tropical forests, Arctic ecosystems), by reinforcing and supporting the importance of Indigenous knowledge systems, by improving access to culturally safe health resources, and by and safeguarding access and rights to land and natural resources of Indigenous populations. This is the time to ensure that current decisions and development trajectories do not further jeopardise the resilience of Indigenous food systems, which have integral roles in the response of Indigenous populations to current and future pandemics and climatic changes. This online publication has been corrected. The corrected version first appeared at thelancet.com/planetary-health on September 9, 2020 This online publication has been corrected. The corrected version first appeared at thelancet.com/planetary-health on September 9, 2020 We declare no competing interests. CZ-C was supported by the National Institute for Health Research (NIHR), using the UK's Official Development Assistance funding, and by Wellcome (218743/Z/19/Z) under the NIHR–Wellcome Partnership for Global Health Research. CZ-C is member of the Indigenous Health and Adaptation to Climate Change Research Group. IA-R, JDF, SL, PJG, DBN, MN, CJW, LB-F, and SLH are funded by the Canadian Institutes for Health Research through the Indigenous Health Adaptation to Climate Change programme. JJM acknowledges support from the Alliance for Health Policy and Systems Research (HQHSR1206660), the Bernard Lown Scholars in Cardiovascular Health Program at Harvard T H Chan School of Public Health (BLSCHP-1902), Bloomberg Philanthropies (via University of North Carolina at Chapel Hill School of Public Health), Fondecyt (National Fund for Scientific, Technological Development and Technological Innovation) via Cienciactiva at Concytec (Consejo Nacional de Ciencia Tecnología e Innovacíon Tecnologica), British Council, British Embassy and the Newton-Paulet Fund (223-2018, 224-2018), Department for International Development, Medical Research Council (MRC), and Wellcome Global Health Trials (MR/M007405/1), Fogarty International Center (R21TW009982, D71TW010877), Grand Challenges Canada (0335-04), International Development Research Center Canada (IDRC 106887, 108167), Inter-American Institute for Global Change Research (IAI CRN3036), MRC (MR/P008984/1, MR/P024408/1, MR/P02386X/1), National Cancer Institute (1P20CA217231), National Heart, Lung and Blood Institute (HHSN268200900033C, 5U01HL114180, 1UM1HL134590), National Institute of Mental Health (1U19MH098780), Swiss National Science Foundation (40P740-160366), Wellcome (074833/Z/04/Z, 093541/Z/10/Z, 103994/Z/14/Z, 107435/Z/15/Z, 205177/Z/16/Z, 214185/Z/18/Z, 218743/Z/19/Z), and the World Diabetes Foundation (WDF15-1224). The views expressed are those of the authors and not necessarily those of Wellcome, the NIHR or the Department of Health and Social Care. The funding sources had no role in the preparation of this Comment or in the decision to submit for publication. We acknowledge the contribution of Matthew King. Download .pdf (.12 MB) Help with pdf files Supplementary appendix Correction to Lancet Planet Health 2020; 4: e381–82Zavaleta-Cortijo C, Ford JD, Arotoma-Rojas I, et al. Climate change and COVID-19: reinforcing Indigenous food systems. Lancet Planet Health 2020; 4: e381–82—In this Comment, the seventh author's name should be "J Jaime Miranda". This correction has been made as of Sept 9, 2020. Full-Text PDF Open AccessSupport Indigenous food system biocultural diversityThe Comment by Carol Zavaleta-Cortijo and colleagues1 was timely in emphasising the challenges faced by Indigenous peoples due to the combined effects of climate change, COVID-19, and longstanding inequities. Although pressure on Indigenous livelihoods is nothing new, current effects are extreme, both in terms of deaths due to the virus and disruptions to lifeways, including Indigenous food systems. Full-Text PDF Open Access