If the land is healthy… it makes the people healthy

This PhD explores the connection Aboriginal Victorian people have to their traditional lands (known as Country) and its relationship with health. Findings identify the deep connection Aboriginal Victorian people have to their Country and the need for public health clinicians to engage with diverse Indigenous practices and knowledge when applicable.

Cherbourg's Chinatown: creating an identity of place on an Australian Aboriginal settlement

This is the story of an extraordinary Aboriginal woman, Princy Carlo, and the identity of place she and her descendants fashioned within the confines of the Aboriginal settlement of Cherbourg (formerly Barambah), during the early twentieth century. The patch of Cherbourg that came to be known as 'Chinatown' has to date attracted cursory reference in historical commentary on the south-eastern Queensland Aboriginal settlement. Yet, hidden beneath what may appear as an inconsequential historical detail lies a fascinating illustration of the negotiation of place identity within a frame of triangulated group relations (Aboriginal-Chinese-White) in what remained, in essence, a colonial society. Incorporating primary written sources and oral accounts from descendants the study analyses the forging of the Chinatown identity of place through a process of 'spatial othering', eliciting features unique to this indigenous identity-construct. The study provides an insight into Aboriginal connection and kinship with land following forced removal to a government settlement, and contributes to the historical records of the Cherbourg Aboriginal community and the Eidsvold district in Queensland, Australia. (C) 2003 Elsevier Science Ltd. All rights reserved.

Assessing the legacy of the pine point mine: post-industrial land cover and land use

While mining is a major component of the northern Canadian economy, including the contemporary mixed economy of Aboriginal communities, it often leaves legacies of environmental and economic transformation that persist after closure. The legacies of historical mines in northern Canada challenge industry claims of sustainability. This thesis addresses how industrial mineral development and closure continue to affect local environments and economies after abandonment. The abandoned Pine Point mine in the Northwest Territories provides a case study for explaining the ongoing relationships among land cover, land use, and the post-industrial landscape. Drawing from landscape ecology and micropolitical ecology, I adopt an interdisciplinary approach to examine environmental and socioeconomic changes in the wake of industrial development and closure at Pine Point. The results show that passive reclamation is not sufficient for restoring ecological function in a subarctic environment. Land use, however, persists as land users adapt to the post-industrial landscape despite grave concern about its environmental condition. If mining is to be considered sustainable, decommissioning and reclamation must explicitly account for long-term environmental transformation as well as ongoing post-industrial land use, particularly in Aboriginal contexts.

Indigenous sustainable land management practices: perspectives from Wadawurrung/Wathaurong Country

This paper discusses the role and potential of ethnobotany in Australian Aboriginal plant knowledge in supporting and enabling sustainable land management practices for land use developments. In particular, it draws upon the Wadawurrung / Wathaurong Country knowledge for the greater Geelong region of Australia, summarises recent investigations and research, offers a deeper insight into the risks of indigenous vegetation deterioration and opportunities relating to plant usage, and highlights the importance of this plant knowledge in sustainable land management practice. The focus of this investigation is upon the Wathaurong Country around the City of Greater Geelong, host city for the ISDRS conference, of which there is little published material and oral distillation.
The purpose of this paper is to demonstrate how the Wadawurrung / Wathaurong people survived for over 60,000 years through sustainable land management techniques, caring & healing themselves by holding deep knowledge of the plants available in this region. Ethnoecology is the governing theoretical framework, with ethnobotany being a subset of this and the primary focus of this paper.
Conclusions arising from this research include: there is limited knowledge as a modern colonised nation; what little knowledge there is left is ageing and will disappear; and, there is an urgent need to better understand what still grows in the region prior to further urban applications and this is also compounded by the driving forces of climate change. Accordingly this paper demonstrates the need to urgently undertake this research. The implications for ‘Tipping Points’ is that we are increasingly at the point of no return is when we forget about the indigenous knowledge base and watch the death of the knowledge holders, and their wisdom and its benefits have not been transposed into contemporary society.

Deep ecology and Australian suburbia: learning from Aboriginal Australia philosophy

Naess’ Deep Ecology [50] represents a fundamental philosophical and conceptual shift from the dominant Western thinking that can be traced back to the Greek and Roman Empires. Like all philosophy, Naess’ Deep Ecology was born of and is most relevant to a specific time and place being northern Europe. Although the fundamentals of the Deep Ecology philosophy were new to modern Western thinking, it is not new to traditional Indigenous cultures, including the world’s oldest culture, that of Aboriginal Australia. While the past four decades has seen an increasing recognition of Aboriginal philosophical approaches, there is very little understanding of what this philosophical approach is and means for the management of the Australian environment in which humans are a central part. Since European arrival, Australia has been one of the world’s most urban societies. Unlike northern Europe, urban Australia is low density and suburban, a legacy of British and North American influences. Nearly 90% of Australians live in detached houses surrounded by gardens. Managed by individual residents, this land use accounts for about 70% of the total area of cities like Melbourne. Deeply culturally embedded, the Australian desire for living in low-density suburbs is unlikely to change soon. Contemporary cities are widely recognized as causing severe environmental degradation and are not sustainable. Yet in Australia introduced philosophical and design approaches are still used to address the unsustainable impacts of urban forms introduced from another time and place. While impractical to remove the existing suburban form in Australian cities, there is a significant opportunity to retrofit them using Australian Aboriginal philosophical and land management understandings developed and tested over tens of thousands of years. This paper establishes a contemporary Australian Deep Ecology philosophical approach to sustainably living in the suburbs that recognizes and works with the legacies of Australian Aboriginal, English, North American and contemporary Australian influences.

Considering Aboriginal palliative care models: the challenges for mainstream services

This review discusses palliative care and end-of-life models of care for Aboriginal people in the Australian state New South Wales, and considers Aboriginal palliative care needs by reflecting on recent literature and lessons derived from Aboriginal consultation. Aboriginal people in Australia account for a very small proportion of the population, have poorer health outcomes and their culture demonstrates a clear resistance to accessing mainstream health services which are viewed as powerful, isolating and not relevant to their culture, way of life, family and belief systems. Aboriginal people regard their land as spiritual and their culture dictates that an Aboriginal person needs to know their origins, emphasising the value placed on kin and also demonstrating a strong desire to remain within their own country. Currently Aboriginal people tend to not access palliative care services in mainstream facilities; and there is very little data on Aboriginal admissions to palliative care centres. Over the last two decades only two models of palliative care focusing on and developed in Aboriginal communities have been implemented. The seminal contribution to Aboriginal Palliative Care was in the form of a resource kit developed to support palliative care providers to examine their practice for cultural appropriateness for Aboriginal and Torres Strait Islanders. The "living model" coming from this project is adaptive and flexible, enabling implementation in different Aboriginal country as a participative process with community input. The Australian government"s National Indigenous Palliative Care Needs Study similarly indicated that Australian empirical research on Aboriginal palliative care service provision is in its infancy, and comprehensive data on the rates of Aboriginal access to palliative care services did not exist. What literature does exist is drawn together in an argument for the development and need for culturally specific Aboriginal palliative care models, which are culturally appropriate, locally accessible and delivered in collaboration and partnership with Aboriginal controlled health services. This is essential because Aboriginal people are a minority cultural group who are disconnected from mainstream health service delivery, and have a sense of cultural isolation when accessing mainstream services. It is preferable that palliative care is delivered in a collaboration between Aboriginal Controlled Health Service and mainstream palliative care services to ensure a dignified end of life for the Aboriginal person. These collaborations and partnerships are fundamental to ensure that a critical mass of Aboriginal clinicians are trained and experienced in end of life care and palliation. Developing palliative care programs within Aboriginal communities and training Aboriginal Health Workers, promoted and developed in partnership with the Aboriginal community, are important strategies to enhance palliative care service provision. Further partnerships should be championed in this collaborative process, acknowledging a need for palliative care models that fit with Aboriginal peoples" community values, beliefs, cultural/ spiritual rituals, heritage and place.

An Aboriginal obligation to Country: challenging the status quo

Australian Aboriginal Traditional Owner ancestral responsibilities to Country involves listening and exercising vested responsibilities and duties of care, passed down from generation to generation through clan and familial connections. Traditional Owners is a term used to describe today’s descendants of the original Aboriginal inhabitants and have ongoing cultural and spiritual connections to land and water where their ancestors lived. The incorporation of Traditional Owner relationships to Country and the need to engage with Traditional Owners in Western planning regimes are often expressed positively; that Aboriginal needs and aspirations need to be recognized in the urban landscape. However in practice, decisions involving the address of Aboriginal aspirations are usually made in a generic context rather than a Country and knowledge specific context. This can have adverse effects on obligations to Country stewardship, and Custodial perceptions are being ignored and negated. Improving our understanding of how Traditional ancestral obligations to Country are expressed and embodied within the context of generic Western planning instruments, is critical as cities expand and increase the pressures and threats on Traditional Owners Country, their resources, their cultural heritage, their knowledge and their histories. This paper contributes to this understanding by focusing upon Traditional Owner communities in the Brisbane metropolitan region who are attempting to address their responsibility to Country through Western State and local planning instruments. This paper draws on empirical data collected through interviews and observations between 2013-2015 with the Quandamooka communities and a content analysis of current planning instruments. The paper reports on their obligations of and to Country and the consequences that engagement within Western planning instruments has had upon their Traditional Ownership well-being and landscape health. Lessons learned from this case study are discussed to offer future planning policy initiatives that could better meet the needs of Traditional Owners in Australian cities.

Exploring Aboriginal patients’ experiences of cardiac care at a major metropolitan hospital in Melbourne

Objectives: The aim of the present study was to explore Aboriginal patients' lived experiences of cardiac care at a major metropolitan hospital in Melbourne.Methods: The study was a qualitative study involving in-depth interviews with a purposive sample of 10 Aboriginal patients who had been treated in the cardiology unit at the study hospital during 2012-13. A phenomenological approach was used to analyse the data.Results: Eight themes emerged from the data, each concerning various aspects of participants' experiences: 'dislike of hospitals', 'system failures', 'engagement with hospital staff', 'experiences of racism', 'health literacy and information needs', 'self-identifying as Aboriginal', 'family involvement in care' and 'going home and difficulties adapting'. Most participants had positive experiences of the cardiac care, but hospitalisation was often challenging because of a sense of dislocation and disorientation. The stress of hospitalisation was greatly mediated by positive engagements with staff, but at times exacerbated by system failures or negative experiences.Conclusion Cardiac crises are stressful and hospital stays were particularly disorienting for Aboriginal people dislocated from their home land and community.What is known about the topic? Aboriginal people have higher mortality rates due to cardiovascular diseases compared with other Australians. Along with different factors contributing to the life expectancy gap, Aboriginal people also face significant barriers in the use of the healthcare system.What does this paper add? Aboriginal patients' lived experience of cardiac care at a major metropolitan hospital in Melbourne is explored in this paper. Different issues were revealed during their interaction with the hospital staff and the hospital system in conjunction with their cultural aspect of patient care.What are the implications for practitioners? Positive interactions with staff, ongoing support from family and community, culturally appropriate cardiac rehabilitation programs can improve the cardiac care experiences of Aboriginal patients.

Aboriginal cottages, transactional encounters and mission lifestyles at New Norcia, 1860-1900s

Several photos of Aboriginal people outside their cottages exist in the New Norcia Archives. These images could be read in different ways but have commonly been viewed as powerfully symbolic stories of successful mission life and converted Aboriginal people. While historians of colonial photography have persuasively linked the photographs of ‘settled’ Aboriginal residents with evidence of missionary success, we might add that they could also be compelling proof of Aboriginal families’ own success in adapting their land use and way of life in the context of dispossession. Reading this photograph of Aboriginal houses alongside Aboriginal voices in New Norcia’s archive it is possible to suggest Aboriginal people’s own desires for houses and settlement aligned with their ideas about respectability, as well as Aboriginal families’ own complicity in mission propaganda through such images.

How can land and urban development make houses healthier?

Traditionally, the main focus of the professional community involved with indoor air quality has been indoor pollution sources, preventing or reducing their emissions, as well as lowering the impact of the sources by replacing the polluted indoor air with "fresh" outdoor air. However, urban outdoor air cannot often be considered "fresh", as it contains high concentrations of pollutants emitted from motor vehicles - the main outdoor pollution sources in cities. Evidence from epidemiological studies conducted worldwide demonstrates that outdoor air quality has considerable effects on human health, despite the fact that people spend the majority of their time indoors. This is because pollution from outdoors penetrates indoors and becomes a major constituent of indoor pollution. Urban land and transport development has significant impact on the overall air quality of the urban airshed as well as the pollution concentration in the vicinity of high-density traffic areas. Therefore, an overall improvement in indoor air quality would be achieved by lowering urban airshed pollution, as well as by lowering the impact of the hot spots on indoor air. This paper explores the elements of urban land and vehicle transport developments, their impact on global and local air quality, and how the science of outdoor pollution generation and transport in the air could be utilized in urban development towards lowering indoor air pollution.