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Public health restrictions, directives, and measures in Arctic countries in the first year of the COVID-19 pandemic
Department of Human Development and Community Health, Montana State University, Helena, United States.
Qaujigiartiit Health Research Centre, Nunavut, Canada.
Institute of Social and Economic Research (ISER), University of Alaska, AK, Anchorage, United States.
Ongomiizwin Research, University of Manitoba, MB, Winnipeg, Canada.
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2023 (English)In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 82, no 1, article id 2271211Article in journal (Refereed) Published
Abstract [en]

Beginning January of 2020, COVID-19 cases detected in Arctic countries triggered government policy responses to stop transmission and limit caseloads beneath levels that would overwhelm existing healthcare systems. This review details the various restrictions, health mandates, and transmission mitigation strategies imposed by governments in eight Arctic countries (the United States, Canada, Greenland, Norway, Finland, Sweden, Iceland, and Russia) during the first year of the COVID-19 pandemic, through 31 January 2021s31 January 2021. We highlight formal protocols and informal initiatives adopted by local communities in each country, beyond what was mandated by regional or national governments. This review documents travel restrictions, communications, testing strategies, and use of health technology to track and monitor COVID-19 cases. We provide geographical and sociocultural background and draw on local media and communications to contextualise the impact of COVID-19 emergence and prevention measures in Indigenous communities in the Arctic. Countries saw varied case rates associated with local protocols, governance, and population. Still, almost all regions maintained low COVID-19 case rates until November of 2020. This review was produced as part of an international collaboration to identify community-driven, evidence-based promising practices and recommendations to inform pan-Arctic collaboration and decision making in public health during global emergencies.

Place, publisher, year, edition, pages
Taylor & Francis, 2023. Vol. 82, no 1, article id 2271211
Keywords [en]
Epidemic, first nations, health policy, Indigenous, infectious diseases, Inuit, remote health services, community
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-216210DOI: 10.1080/22423982.2023.2271211Scopus ID: 2-s2.0-85175376490OAI: oai:DiVA.org:umu-216210DiVA, id: diva2:1810023
Available from: 2023-11-06 Created: 2023-11-06 Last updated: 2023-11-06Bibliographically approved

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Nilsson, Lena MariaSan Sebastian, MiguelStoor, Jon Petter A.

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