Uncovering SARS-COV-2 vaccine uptake and COVID-19 impacts among First Nations, Inuit and Métis Peoples living in Toronto and London, Ontario

We found that higher risk of SARS-CoV-2 infection and and prospectively monitored rates of rates of vaccination among First Nations, COVID-19 because of high rates of SARS-CoV-2 testing, diagnosis and vac- Inuit and Métis in Toronto (58.2%, 95% chronic disease, inadequate housing cination for First Nations, Inuit and CI 51.4% to 64.9%) and London (61.5%, and barriers to accessing health services. [...] or its licensors The quality, comprehensiveness and accessibility of First centring First Nations, Inuit and Métis epistemologies, concepts Nations, Inuit and Métis health and social statistics in Canada, par- and priorities to assure and optimize local community benefit. [...] For First Nations, Inuit and and Métis in Toronto was 27.1%, compared with 7.7% and 5.9% in Métis living in London, the rate of SARS-CoV-2 testing was similar the general populations of Toronto and Ontario, respectively, to crude and age-adjusted local comparison rates. [...] Rates of vaccine uptake Interpretation among First Nations, Inuit and Métis in both Toronto and London were considerably lower than crude and age-adjusted rates among We found that, although First Nations, Inuit and Métis living in the general populations of the cities and Ontario. [...] Nations, Inuit and Métis community members may be motivated Our finding of markedly lower rates of vaccine uptake among to limit the spread of COVID-19 to family and community by par- First Nations, Inuit and Métis is of concern within the context of the ticipating in public health responses including testing, case man- global emergence of highly transmissible new variants and evi- agement and con.