{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T05:41:59Z","timestamp":1788932519984,"version":"build-2803163510"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,5,2]],"date-time":"2020-05-02T00:00:00Z","timestamp":1588377600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,16]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>First Nations, Inuit and M\u00e9tis people in Canada continue to be disproportionately affected by tuberculosis (TB), a disparity rooted primarily in factors such as poverty, crowded and inadequate housing, food insecurity, and inequitable health care access. Historical TB control practices in Canada have contributed to stigma and discrimination toward those with the disease, as well as fear and mistrust of the health system. These individual and system-level factors result in delays in TB diagnoses, ongoing transmission, poorer outcomes, and lower treatment completion rates. Children are especially vulnerable, as they are more likely to develop disease once infected with TB bacteria and to experience life-threatening conditions such as TB meningitis. Paediatric health professionals can help to increase TB awareness and literacy, reduce stigma and discrimination, and ultimately, improve the quality and uptake of services for treatment and prevention in families and communities at risk. They can also advocate for sustainable, community-driven TB elimination strategies that incorporate First Nations, Inuit and M\u00e9tis principles of wellness, healing and self-determination.<\/jats:p>","DOI":"10.1093\/pch\/pxz183","type":"journal-article","created":{"date-parts":[[2020,5,2]],"date-time":"2020-05-02T13:58:55Z","timestamp":1588427935000},"page":"e78-e81","source":"Crossref","is-referenced-by-count":15,"title":["Tuberculosis among First Nations, Inuit and M\u00e9tis children and youth in Canada: Beyond medical management"],"prefix":"10.1093","volume":"26","author":[{"given":"Radha","family":"Jetty","sequence":"first","affiliation":[{"name":"Chair, First Nations, Inuit and M\u00e9tis Health Committee, in collaboration with the Assembly of First Nations, Inuit Tapiriit Kanatami, and M\u00e9tis National Council"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,5,2]]},"reference":[{"issue":"3\u20134","key":"2021031614521427300_CIT0001","doi-asserted-by":"crossref","first-page":"62","DOI":"10.14745\/ccdr.v43i34a01","article-title":"Latent tuberculosis infection: An overview","volume":"43","author":"Kiazyk","year":"2017","journal-title":"Can Commun Dis Rep"},{"key":"2021031614521427300_CIT0002","volume-title":"Approaches to detecting tuberculosis in children and youth","author":"Le Saux","year":"2018"},{"issue":"1","key":"2021031614521427300_CIT0003","doi-asserted-by":"crossref","first-page":"E11","DOI":"10.1503\/cmaj.151212","article-title":"Diagnosis and management of pediatric tuberculosis in Canada","volume":"189","author":"Kitai","year":"2017","journal-title":"CMAJ"},{"key":"2021031614521427300_CIT0004","volume-title":"Addressing the Challenge of Latent Tuberculosis Infection Among Indigenous Peoples in Canada","author":"Halseth","year":"2018"},{"issue":"3\/4","key":"2021031614521427300_CIT0005","doi-asserted-by":"crossref","first-page":"75","DOI":"10.14745\/ccdr.v44i34a01","article-title":"Tuberculosis surveillance in Canada, 2006","volume":"44","author":"Vachon","year":"2018","journal-title":"Can Commun Dis Rep"},{"key":"2021031614521427300_CIT0006","volume-title":"The Time Is Now: CPHO Spotlight on Eliminating Tuberculosis in Canada","author":"Public Health Agency of Canada.","year":"2018"},{"issue":"1","key":"2021031614521427300_CIT0007","doi-asserted-by":"crossref","first-page":"e20","DOI":"10.1371\/journal.pmed.0040020","article-title":"Tobacco smoke, indoor air pollution and tuberculosis: A systematic review and meta-analysis","volume":"4","author":"Lin","year":"2007","journal-title":"PLoS Med"},{"issue":"3\u20134","key":"2021031614521427300_CIT0008","doi-asserted-by":"crossref","first-page":"82","DOI":"10.14745\/ccdr.v44i34a02","article-title":"Addressing tuberculosis among Inuit in Canada","volume":"44","author":"Patterson","year":"2018","journal-title":"Can Commun Dis Rep"},{"issue":"8","key":"2021031614521427300_CIT0009","first-page":"1153","article-title":"Inadequate diet is associated with acquiring mycobacterium tuberculosis infection in an inuit community. 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