Nestled on the outskirts of the icy James Bay, Moosonee is recognized as one of Northern Ontario’s most secluded and historic locales—a region frequently dubbed the “Gateway to the Arctic.” Although municipalities like Thunder Bay and Rainy River share similar monikers, Moosonee boasts its own distinct characteristics.

This remote community of roughly 3,000 residents is influenced by its subarctic climate, deep-rooted cultural heritage, and unwavering resilience. Approximately 85 percent of Moosonee’s inhabitants identify as Cree, creating a monogamous and tightly-knit society that has prospered for generations in spite of restricted access to year-round infrastructure and health care services.

In 2021, the Weeneebayko Area Health Authority (WAHA) unveiled a community paramedicine initiative designed specifically for the unique requirements of Moosonee’s residents.

For elderly Indigenous people who flourish through their connection to the environment, community paramedicine serves as a chance to rethink health care and instill a sense of belonging.

The health challenges facing elderly Indigenous individuals

Many of the historical obstacles and traumas stemming from residential schools and systemic violence continue to impact mental health, particularly among older adults. Persistent racism, underfunded services, and a lack of cultural sensitivity erode trust and access. There is a notable chasm between Western medical approaches and the Indigenous community’s holistic practices and spiritual ties to the land.

Numerous Indigenous elders are compelled to leave their homes, relocating to urban areas where they are unfamiliar with their surroundings, merely to obtain necessary medical care. These individuals often face financial hardship, experience increased food insecurity, and contend with more chronic health issues like high blood pressure, arthritis, heart disease, diabetes, and depression compared to non-Indigenous seniors.

What are the implications for seniors who have chosen not to relocate? The daunting challenge of obtaining timely care for chronic ailments, such as heart disease. Concerning Moosonee, a ScienceDirect article indicates that some residents have had to journey up to nine hours to access specialized cardiovascular treatment.

Discrepancies in essential human rights have led to institutions like WAHA being inundated with thousands of calls from older Indigenous individuals.