健康人權──論臺灣原住民族健康不均等與疫情政策之適當性

Human Health Rights: Discussing Health Inequality for Taiwanese Indigenous Peoples and the Appropriateness of Current Epidemic Policies

國際大量的調查報告顯示COVID-19造成原住民族或弱勢族群之感染率、住院率和死亡率皆明顯高於主流人口群，因而曝露並強化原已存在的健康不平等現象。本文首先從國際疫情下多元文化族群的感染率及死亡率等狀況進行闡述，進而解構系統性或結構性種族主義下的多元關鍵要素，與影響原住民族人權健康與疫情期間政策擬定資源公正的根本原因，最終導致健康不均等議題。因此，本文同時將臺灣原住民族健康不均等，與疫情期間應有完善且具有文化合適性的原住民族防疫政策、制度與策略，進行建議以利制定政策的參考。

Many studies from around the world demonstrate that COVID-19 has had significantly higher rates of infection, hospitalization, and mortality among indigenous and other vulnerable groups than among mainstream population groups. This situation has exposed and reinforced pre-existing health inequalities. This article investigates the rates of infection and mortality among different cultural groups during the COVID-19 pandemic, and then deconstructs the key elements related to systemic or structural racism. The impacts on the human rights and health of indigenous peoples and issues of policy formulation and resource equity during the epidemic are also mentioned. Based on the identified root causes of health inequality, suggestions for reducing health inequality for Taiwanese indigenous peoples are proposed. Further, during epidemics, policymakers must design and implement culturally appropriate epidemic prevention policies, systems, and strategies for indigenous and other disadvantaged populations.