The Permanent Forum urgently recommends that the Pan American Health Organization and the World Health Organization (WHO), in cooperation with the Permanent Forum and other relevant entities, create a permanent working group to evaluate the ongoing situation of indigenous peoples living in voluntary isolation and initial contact, and to design, promote and discuss with Governments and other institutions the implementation of urgent measures for the protection of indigenous peoples living in voluntary isolation and initial contact.
The Permanent Forum reiterates the recommendation contained in paragraph 47 of its report on its seventeenth session and calls upon Member States to begin work on a global, legally binding regime for toxic industrial chemicals and hazardous pesticides under the Rotterdam Convention on the Prior Informed Consent Procedure for Certain Hazardous Chemicals and Pesticides in International Trade.
The Permanent Forum urges Member States and United Nations entities, in particular the World Health Organization (WHO), to recognize that Indigenous views of human and planetary health must be central to the 2030 Agenda for Sustainable Development and emphasizes the central need to stabilize and regenerate the biosphere as essential for protecting humanity. The right to a clean, healthy and sustainable environment, the right to health and development and the rights of Indigenous Peoples must be seen as interconnected and essential to an integrated planetary health governance framework.
The Permanent Forum reiterates its previous recommendations that address the alarming number of suicides among indigenous youth. The Forum encourages community organization for safe spaces and low-threshold health services, respecting non-discrimination, in particular where discrimination based on ethnicity, gender and sexual orientation is concerned. The United Nations system, in particular the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF), should emphasize the provision of mental health services, with particular efforts to address suicide among indigenous youth.
The Permanent Forum strongly encourages States to provide disaggregated data on health and social welfare indicators for indigenous populations in order to better assist in the monitoring and evaluation of outcomes at the national and international levels.
The Permanent Forum takes note of the report (E/C.19/2014/8) and recommendations of the expert group meeting, and reiterates and supports the recommendations contained in paragraphs 62, 63, 64, 70 and 72 of the report, as set out below, which are specifically addressed to entities of the United Nations system and States Members of the United Nations.
The Permanent Forum calls upon States to revise national public policies and programmes to include a culturally appropriate perspective, in particular in policies E/2024/43 E/C.19/2024/8 24-07820 17/28 and programmes for reproductive health services so that Indigenous women can receive quality health services.
The Forum reiterates the recommendations made in its report on its first session and:
(a) Urges the World Health Organization (WHO), the Pan American Health Organization (PAHO) and all United Nations bodies and agencies involved in programmes relating to health to incorporate indigenous healers and cultural perspectives on health and illness into their policies, guidelines and programmes, and to undertake regional consultations with indigenous peoples on these issues, in order to mainstream indigenous health issues into the United Nations system;
(b) Urges the Food and Agriculture Organization of the United Nations (FAO) to undertake a study on the relationship between food security, subsistence agricultural practices and indigenous health and illness.
The Permanent Forum recognizes the cultural significance and medical importance of the coca leaf in the Andean and other indigenous regions of South America. It also notes that coca leaf chewing is specifically banned by the United Nations Single Convention on Narcotic Drugs (1961). The Permanent Forum recommends that those portions of the Convention regarding coca leaf chewing that are inconsistent with the rights of indigenous peoples to maintain their traditional health and cultural practices, as recognized in articles 11, 24 and 31 of the Declaration, be amended and/or repealed.
The Permanent Forum reiterates previous recommendations that WHO, the United Nations Children’s Fund (UNICEF) and UNFPA, as well as regional health organizations and Governments, fully incorporate a cultural perspective into health policies and programmes and reproductive health services aimed at providing indigenous women with quality health care, including emergency obstetric care, voluntary family planning and skilled attendance at birth. The roles of traditional midwives should be re-evaluated and expanded so that they may assist indigenous women during their reproductive health processes and act as cultural brokers between health systems and indigenous peoples.
The Forum urges UNICEF, the lead United Nations agency on children, to adopt a policy relating to indigenous children. The Permanent Forum urges UNICEF to include questions on ethnicity, cultural and tribal affiliation and language in its Demographic and Health and Multiple Indicator Cluster Surveys, in order to obtain disaggregated data on the goals set forth at the World Summit for Children and the health needs of indigenous children.
The ongoing COVID-19 pandemic has highlighted the urgent need for the collection of disaggregated statistical data on the situation of indigenous peoples. Where such data are available, they have shown that the pandemic has affected indigenous peoples differently than other populations, requiring culturally appropriate approaches and solutions. The Permanent Forum reiterates its recommendation to Member States to collect and disseminate disaggregated statistical data on indigenous peoples, in close cooperation with indigenous peoples themselves, in order to support evidence-based policymaking and programming.