Abstract: Background: Indigenous peoples have inequitable health access and outcomes yet are under-represented in health research and policy. The Intersectoral Global Action Plan on Epilepsy and other Neurological Disorders 2022–2031 highlights Indigenous peoples as high priority groups. We aimed to provide a summary of existing knowledge regarding epilepsy among Indigenous peoples in Canada, Australia, New Zealand, and the USA (CANZUS). Methods: In this systematic scoping review, we searched Embase, MEDLINE, APA PsychInfo, Cochrane, Scopus, CINAHL databases and grey literature for reports published in any language between Jan 1, 1985, and April 16, 2023, using search terms related to seizures, epilepsy, and Indigenous peoples. Studies were assessed independently by three reviewers. Articles including epilepsy data in an Indigenous group were included. Articles were excluded if they combined Indigenous and non-Indigenous peoples as one population or if the outcomes did not include a separate analysis by Indigenous group. Case reports were also excluded. We extracted data on epilepsy epidemiology, access to health care, treatment, and health outcomes in Indigenous people. The methodological quality of studies was assessed through a methodological appraisal and an Indigenous perspective appraisal. Findings: Our search identified 2037 studies, of which 42 peer-reviewed articles and nine grey literature reports met inclusion criteria: these studies were in Canada (n=3), Australia (n=17), New Zealand (n=9), and the USA (n=22). With the exception of Māori children in New Zealand, who seem to have similar rates of epilepsy to children of European ancestry, the incidence and prevalence of epilepsy seemed to be higher in Indigenous peoples in these regions than non-Indigenous populations. In the included studies, Indigenous peoples showed a higher number of epilepsy hospital presentations, decreased access to specialists, decreased access and longer waits for antiseizure medication, and increased prescriptions for enzyme-inducing antiseizure medications when compared with non-Indigenous peoples. In Australia, the number of disability-adjusted life years among Aboriginal and Torres Strait Islander peoples with epilepsy was double that for non-Indigenous people with epilepsy. Mortality rates for Indigenous peoples with epilepsy in New Zealand and Australia were higher than in non-Indigenous people with epilepsy. Interpretation: Although Indigenous people from CANZUS have unique cultural identities, this review identified similar themes and substantial disparities experienced by Indigenous versus non-Indigenous people in these nations. Concerningly, there were relatively few studies, and these were of variable quality, leaving substantial knowledge gaps. Epidemiological epilepsy research in each specific Indigenous group from CANZUS countries is urgently required to enable health policy development and minimise inequity within these countries.




Abstract: Haifa or Hayfa (Hayfa is the transliteration of Haifa’s Arabic name. This article uses the term to distinguish between pre-1948 Hayfa and post-occupation Haifa [April 1948 onwards].), historically a vibrant Palestinian city, has undergone significant transformations under settler-colonialism. This article explores contemporary manifestations of the municipal settler-colonialism of Haifa, where Zionist territorial dominance is advanced under the guise of urban development, erasing the Palestinian history and identity of the city. Despite efforts to de-Palestinize Haifa, however, a Palestinian cultural scene flourished there during the 2010s and early-2020s, fostering an urban subjectivity that counters the settler-colonial narrative and challenges ongoing practices of erasure. Through an analysis of cultural initiatives and grassroots movements, the article demonstrates how ’48 Palestinian creatives (The term ’48 Palestinians refers to those Palestinians who remained within the borders of the State of Israel after 1948 and their descendants.) navigate contradictions, reclaim Palestinian spaces within what are now Israeli cities, and envision social and political emancipation. By conceptualizing these dynamics as a “non-state cultural ecosystem,” this article highlights the interconnections between cultural production and political activism, emphasizing how these relationships confront both settler-colonial erasure and neoliberal cultural commodification. Within this cultural ecosystem, ’48 Palestinian creatives have thus resisted settler-colonialism and proposed a decolonial future by embedding their struggle within boarder global discussions of art, culture, and resistance.






Description: This book analyses visitor responses to the interpretation of Aboriginal cultural heritage in Australian protected areas, focusing on Uluru-Kata Tjuta National Park in the Northern Territory and the Greater Blue Mountains World Heritage Area in New South Wales. It provides insights into the discursive features that structure various forms of interpretation of Aboriginal cultural heritage at these locales, ranging from on-site interpretative signage to audio tours available on mobile phone applications. It draws on visitors’ first-hand accounts of the experience of participating in Traditional Custodian led cultural tours and camps, and the visitor learnings that resulted from these. Based on extensive interviews with visitors, the author argues that visitor responses to these experiences both perpetuate and challenge settler-colonial assumptions about Aboriginal peoples and their cultures in both more urban and remote locations. The book provides insight into the forms of interpretation that foster visitor transformations, thereby advancing a politics of reconciliation between Indigenous and non-Indigenous Australians, and the types of interpretation that may hinder such transformations, by reinforcing settler-colonial discourses and affective states. The book is aimed at students and academics attempting to develop a more critical practice in relation to heritage interpretation, tourism, Aboriginal and Torres Strait Islander cultural heritage and settler-colonialism. It will also have appeal to heritage professionals, cultural tour operators and agencies responsible for the provision of protected area interpretation, including both government sector and Indigenous organisations