Reconstructing Social Networks and Connections in Indigenous Tribes: An Analysis of Countermeasures to COVID-19 among Rural Tribes in Taiwan
Keywords:COVID-19 Pandemic, Indigenous Tribes, Social Networks, Taiwan
Since the first outbreak of COVID-19 in December 2019, numerous countries have experienced waves of outbreaks that have had severe social, economic, and political effects. Many medical and anthropological studies have suggested that tribes and elders in rural and indigenous villages became isolated from the outside world due to a lack of resources and because of cultural constraints. On January 22, 2020, the first confirmed case of COVID-19 in Taiwan was discovered. As of October 23, 2022, 7,476,478 confirmed cases have been reported; of these, only 64,298 were in Taitung County, making it the region with the fewest cases in Taiwan. In this ethnographic study, I visited indigenous tribes in Taiwan that were less affected during the pandemic, conducted in-depth interviews with tribal-care providers, and collected secondary data from reports and social media regarding pandemic prevention on tribes in Taitung County. I also explored the difficulties created by the suspension of tribal-care services due to pandemic-related social distancing and isolation measures, and how care providers overcame these challenges. COVID-19 is not the first and nor will it be the last virus to threaten humans. Thus, it is important to gain insight into how care networks and connections were rebuilt through innovative measures that enabled tribal elders to receive culturally sensitive care and maintain their health during the pandemic.
Centers for Disease Control and Prevention (CDC). 2021. “COVID-19 Recommendations for Older Adults.” April 2, 2022, https://www.cdc.gov/aging/covid19-guidance.html.
Council of Indigenous Peoples. 2020. “Forward-looking Infrastructure Development Program: Urban and Rural Projects to Balance Regional Development.” June 2, 2022, https://www.cip.gov.tw/en/news/data-list/786B0901BD9D6A01/2D9680BFECBE80B684CC03E676539754-info.html.
Council of Indigenous Peoples. 2021. “Four-Year Plan for Phase III Indigenous Social Security Development, Council of Indigenous Peoples.” June 5, 2022, https://www.cip.gov.tw/en/news/data-list/55CBC3111C5604C8/2D9680BFECBE80B6C546EBC13E281EED-info.html.
Council of Indigenous Peoples. 2022a. “indigenous population statistics Data.” June 5, 2022, https://www.cip.gov.tw/zh-tw/news/data-list/812FFAB0BCD92D1A/9BDB1F0C78B4E7C3AFD284435EEE1136-info.html.
Council of Indigenous Peoples. 2022b. “My Home My County-County-Taitung County.” June 5, 2022, https://www.cip.gov.tw/en/village/info.html?VID=D199EC951076FA3B&cumid=CA8286A69511C172.
Da Silva, Marina Goulart, Pablo Michel Barcelos Pereira, Williams Ferreira Portela, Guilherme Cabreira Daros, Caio Roberto de Almeida Barbosa, Bruna Muraro Vanassi, Gabriel Oscar Cremona Parma, Rafael Mariano de Bitencourt, and Betine Pinto Moehlecke Iser. 2021. “Epidemiology of COVID-19 Among Indigenous Populations in Brazil.” Journal of Racial and Ethnic Health Disparities: 1-7. https://doi.org/10.1007/s40615-021-01035-2.
De León-Martínez, Lorena Díaz, Luz de la Sierra-de la Vega, Andrés Palacios-Ramírez, Maribel Rodriguez-Aguilar, and Rogelio Flores-Ramírez. 2020. “Critical Review of Social, Environmental and Health Risk Factors in the Mexican Indigenous Population and Their Capacity to Respond to the COVID-19.” Science of The Total Environment 733: 139357. https://doi.org/10.1016/j.scitotenv.2020.139357.
Fang, Yu-Zhen, & Liao, Shu-Chuan. 2021. “Cultural Health Stations and Aging in Place of Aboriginals: A Case Study of Bunun Tribes in Xinyi Township, Nantou County.” The Journal of Taiwan Health Care Association 24: 16-44.
Han, Yu-Shan. 2019. “A Study of the Cultural Appearance of the Aging Care Service in the Aboriginal Area: Using the Tribal Cultural Health Station as an Example”. Master Thesis, Taitung University, Taichung, Taiwan.
Huang, Ying-hao. 2020. “Tribal Responses to the COVID-19 Pandemic Experience in the Culture and Health Stations of Taiwanese Indigenous Peoples”. Journal of Indigenous Social Development 9(3): 224-232.
Kaplan, Hillard S., Benjamin C Trumble, Jonathan Stieglitz, Roberta Mendez Mamany, Maguin Gutierrez Cayuba, Leonardina Maito Moye, Sarah Alami, Thomas Kraft, Raul Quispe Gutierrez, Juan Copajira Adrian, Randall C Thompson, Gregory S Thomas, David E Michalik, Daniel Eid Rodriguez, and Michael D Gurven. 2020. “Voluntary Collective Isolation as a Best Response to COVID-19 for Indigenous Populations? A Case Study and Protocol from the Bolivian Amazon.” The Lancet 395 (10238): 1727-34. https://doi.org/10.1016/S0140-6736(20)31104-1.
Lee, Chih-Hung, Huang, Chu-Chen, Huang, Jui-Ting, Wang, Chih-Chi, Fan, Sheng, Wang, Pi-sheng, & Lan, Kuo-Chung. 2021. Live-Interactive Teledermatology Program in Taiwan: One-Year Experience serving a District Hospital in Rural Taitung County. Journal of the Formosan Medical Association, 120(1, Part 2), 422-428. https://doi.org/10.1016/j.jfma.2020.06.007
Liu, Li-Chuan. 2021. Is “Culture” Needed in Aboriginal Elder Care Station? An Study from the Perspective of Service Providers. Innovation in Aging, 5(Suppl 1), 1018-1019. https://doi.org/10.1093/geroni/igab046.3615
Liu, Li-Chuan, Hsien-Wen Kuo, and Chiu-Chu Lin. 2018. “Current Status and Policy Planning for Promoting Age-Friendly Cities in Taitung County: Dialogue Between Older Adults and Service Providers.” International Journal of Environmental Research and Public Health 15 (10): 2314-40. https://doi.org/10.3390/ijerph15102314.
Manderson, Lenore, and Susan Levine. 2020. “Aging, Care, and Isolation in the Time of COVID-19.” Anthropology & Aging 41 (2): 132-40. https://doi.org/10.5195/aa.2020.314.
Suzuki, Nanami. 2020. Weaving Flexible Aging-friendly Communities Across Generations While Living with COVID-19. Anthropology & Aging 41(2): 155. doi:10.5195/aa.2020.311.
Suratana, Soontaree, Ratipark Tamornpark, Tawatchai Apidechku, Peeradone Srichan, Thanatchaporn Mulikaburt, Pilasinee Wongnuch, Siwarak Kitchanapaibu, Fartima Yeemard, Anusorn Udplong. 2021. “Impacts of and Survival Adaptations to the COVID-19 Pandemic Among the Hill Tribe Population of Northern Thailand: A Qualitative Study.” PloS One 16 (6): e0252326. https://doi.org/10.1371/journal.pone.0252326.
Taitung County Government. 2022. “Explore Taitung”. June 2, 2022, https://www.taitung.gov.tw/en/cp.aspx?n=15117.
Verbruggen, Christine. 2020. “Introduction: COVID19 and Aging Bodies–What Do We Mean When We Say That Older Adults Are Most ‘Affected’ By COVID-19?”. Anthropology & Aging 41 (2): 126-31. https://doi.org/10.5195/aa.2020.325.
Verbruggen, Britteny M. Howell, and Kaylee Simmon. 2020. “How We Talk About Aging During a Global Pandemic Matters: On Ageist Othering and Aging ‘Others’ Talking Back.” Anthropology & Aging 41 (2): 230. https://doi.org/10.5195/aa.2020.277.
Wildevuur, Sabine, Dick Van Dijk, Thomas Hammer-Jakobsen, Mie Bjerre, Anne Äyväri, and Jesper Lund. 2013. Connect: Design for an Empathic Society. Amsterdam: BIS Publishers.
Williams, Ishan C., and Meghan K. Mattos. 2021. “We’re Still Here: Addressing the Diverse Healthcare Needs of Older Adults in Rural Areas.” Public Policy & Aging Report 31 (4): 126-8. https://doi.org/10.1093/ppar/prab017.
Wu, Ya-Ke, Chu, Nain-Feng, Huang, Ya-Hsien, Syu, Jhu-Ting, & Chang, Jin-Biou. 2016. “BMI, Body Fat Mass and Plasma Leptin Level in Relation to Cardiovascular Diseases Risk Factors Among Adolescents in Taitung.” Obesity Research & Clinical Practice, 10(4), 432-441. https://doi.org/10.1016/j.orcp.2015.08.009
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