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Environ Health Perspect. 2012 December; 120(12): 1645–1649.
Published online 2012 August 16. doi:  10.1289/ehp.1205422
PMCID: PMC3548285

Indigenous Peoples of North America: Environmental Exposures and Reproductive Justice


Background: Indigenous American communities face disproportionate health burdens and environmental health risks compared with the average North American population. These health impacts are issues of both environmental and reproductive justice.

Objectives: In this commentary, we review five indigenous communities in various stages of environmental health research and discuss the intersection of environmental health and reproductive justice issues in these communities as well as the limitations of legal recourse.

Discussion: The health disparities impacting life expectancy and reproductive capabilities in indigenous communities are due to a combination of social, economic, and environmental factors. The system of federal environmental and Indian law is insufficient to protect indigenous communities from environmental contamination. Many communities are interested in developing appropriate research partnerships in order to discern the full impact of environmental contamination and prevent further damage.

Conclusions: Continued research involving collaborative partnerships among scientific researchers, community members, and health care providers is needed to determine the impacts of this contamination and to develop approaches for remediation and policy interventions.

Keywords: Alaska Natives, environmental justice, First Nations, Native Americans, reproductive justice

American Indian (AI) and Alaska Native (AN) peoples compose 1.7% of the population of the United States (Census Briefs 2012), and First Nations, Metis, and Inuit peoples compose 3.8% of the population of Canada (Statistics Canada 2006). Although these groups differ markedly in some aspects of culture and lifestyle, they unfortunately suffer from many common problems. Rates of poverty, unemployment, substance abuse, and violence are high, and overall life expectancy for indigenous people is less than that among whites. Mortality rates for AN populations are 60% higher than those of the U.S. white population (Day and Lanier 2003), and mortality rates in AI populations are about twice that of the general U.S. population (Kunitz 2008). AI/AN adults (16.1%) were more likely than black adults (12.6%), Hispanic adults (11.8%), Asian adults (8.4%), or white adults (7.1%) to have ever been told they had diabetes. These rates vary by region, from 5.5% among AN adults to 33.5% among AI adults in southern Arizona (Centers for Disease Control and Prevention 2011). Similarly, rates of diabetes among indigenous populations in Canada are 3–5 times higher than the general population (Sharp 2009). In addition, AI/AN have the lowest cancer survival rates among any racial group in the United States (U.S. Commission on Civil Rights 2004).

Many health conditions in indigenous communities are attributed to poverty, lifestyle, genetics, and an inadequate health care delivery system, but in many cases they are also compounded by exposure to environmental contaminants. These exposures affect not only current community residents, and those born into these exposed communities, but also generations to come. Exposure to environmental contaminants can increase these health risks for both the mother and her unborn children. Exposure of the unborn to environmental chemicals such as methylmercury, pesticides, and polychlorinated biphenyls (PCBs) not only increases the risk of developing several diseases later in life (Grandjean 2008) but also results in impairment of intellectual function for life (Carpenter 2006). In this commentary we will explore the linkages between environmental and reproductive health and justice issues in Native North American communities.

Environmental and Reproductive Health and Justice

The U.S. Environmental Protection Agency (EPA 2012) defines environmental justice as

the fair treatment and meaningful involvement of all people regardless of race, color, national origin, or income with respect to the development, implementation, and enforcement of environmental laws, regulations, and policies.

In tribal communities in the United States, environmental mitigation is significantly behind that of nontribal communities (U.S. EPA 2004). The situation is equally concerning for indigenous communities in Canada, where legislation that deals directly with the inequalities created by environmental injustice is for the most part nonexistent (Dhillon and Young 2010). As Mascarenhas (2007) observed,

whether by conscious design or institutional neglect, Native American communities face some of the worst environmental devastation in the nation.

Sites ranging from industry to mining to military bases, as well as the release of pesticides and other agricultural by-products, negatively affect not only the surrounding environment, but the health, culture, and reproductive capabilities of the communities they border. Because of subsistence lifestyles, spiritual practices, and other cultural behaviors, tribes have multiple exposures from resource use that could result in disproportionate environmental impacts (U.S. EPA 2004).

Reproductive justice is

the right to have children, not have children, and parent the children we have in safe and healthy environments—[and] is based on the human right to make personal decisions about one’s life, and the obligation of government and society to ensure that the conditions are suitable for implementing one’s decisions. (SisterSong 2012)

As such, reproductive justice, a term that has not yet appeared in the environmental health literature, embeds reproductive rights in an intersectional framework that includes social justice and human rights (Luna 2010). Reproductive justice stresses both individual and group rights because the ability of a woman to determine her reproductive destiny is in many cases directly tied to conditions in her community (Shen 2006). The concept of environmental reproductive justice involves ensuring that a community’s reproductive capabilities are not inhibited by environmental contamination.

In the case studies we highlight below, struggles for environmental and reproductive justice have often converged as communities have become concerned about the impact of environmental contamination on their ability to reproduce and create culturally competent tribal citizens. These issues were explored in July 2011 in an Environmental Reproductive Health Symposium and Retreat organized by the First Environment Collaborative in Hot Springs, South Dakota, near the homeland of the Lakota Sioux.

The focus of this meeting was to explore the common issues of exposure to environmental contaminants and the health consequences of this exposure. The intent was to facilitate and nurture partnerships among the indigenous community organizations, researchers, scientists, and health care providers. The recommendations that came from the symposium include the need for additional community-based research that will support efforts to achieve environmental reproductive justice, and the need to support policy regulations that will better protect indigenous communities from both local and more widespread sources of environmental contamination. Below we present the environmental and reproductive health issues faced by each of the indigenous communities who were represented at this symposium, and discuss the need to develop the concept of environmental reproductive justice.


Perhaps the most strikingly contaminated community is that of the Aamjiwnaang near Sarnia, Ontario, Canada, a 12-km2 reserve that is home to about 850 Anishnaabe First Nations people. The reserve is surrounded by 62 major industrial facilities located within 25 km, including oil refineries, chemical manufacturers (40% of Canada’s chemical industry), and manufacturers of plastics, polymers, and agricultural products. The area is known as “Chemical Valley.” Levels of air pollutants, including volatile organic compounds, are high (Atari and Luginaah 2009). In 1996, hospital admissions for women in Chemical Valley were 3.11 times the expected rates for women and 2.83 times those for men than would be expected based on other rates for Ontario. These admissions were especially pronounced for cardiovascular and respiratory ailments, and were hypothesized to be pollution related (Fung et al. 2007). About 40% of Aamjiwnaang residents require use of an inhaler, and 17% of adults and 22% of children are reported to have asthma (MacDonald and Rang 2007). The ratio of male births declined over the period 1984–1992 from > 0.5 to about 0.3, a change that may at least partly reflect effects of chemical exposures (Mackenzie et al. 2005.) Releases of chemicals have also interfered with the community’s cultural life, affecting hunting, fishing, medicine gathering, and ceremonial activities (MacDonald and Rang 2007).

St. Lawrence Island (SLI)

The SLI Yupik live in two villages of about 800 people each. SLI, the largest island in the Bering Sea, lies just 240 km south of the Arctic Circle and is distant from industrial contamination sources. However, the Arctic acts as a “cold trap” and is a hemispheric sink for persistent organic pollutants (POPs) that are transported through a process known as global distillation via atmospheric transport from warmer regions (Wania 2003). In addition, there are two abandoned military sites on the island that contain fuels, pesticides, PCBs, metals, and solvents.

POPs bioaccumulate and biomagnify in the lipid-rich Arctic food webs, some to dangerous levels. The rendered oils of bowhead whale, seals, and walrus contain PCB concentrations of 193–421 ppb (Welfinger-Smith et al. 2011). For reference, the U.S. EPA risk-based consumption limit for PCBs in fish to avoid excess risk of cancer is 1.5 ppb (Welfinger-Smith et al. 2011). Rendered oils, blubber, and other fatty tissues from marine mammals are critical components of the traditional diet that provide important nutritional and cultural benefits. Blood serum of the Yupik people contains PCB levels 4–12 times higher than that of the general U.S. population. The predominant source is global transport; however, the former military site at Northeast Cape contributes to the PCB exposure (Carpenter et al. 2005). Although traditional foods are the primary source of exposure to POPs, harvest and consumption of these foods is a defining attribute of the SLI Yupik way of life—a necessary part of maintaining cultural identity. Although a systematic health study has not been done in this community, the residents believe they suffer from excess rates of cancer, thyroid disease, diabetes, and cardiovascular and other chronic diseases (Carpenter et al. 2005; Henifin 2007). This was most forcefully stated in a film interview of Annie Alowe, a SLI woman dying of breast cancer who believed it was caused by the chemical contamination (Miller and Riordan 1999).

Tewa Pueblo

In addition to deposition of petrochemical and military waste, mining tends to heavily impact native communities. Uranium mining and mine tailings are major problems in both South Dakota and New Mexico. There was extensive uranium mining in the Southwest in the past, often on Indian land, and the mounds of mine tailings leached uranium into drinking and groundwater (Landa and Gray 1995). Uranium is both radioactive and has direct metal toxicity, which results in increased risk of cancer, birth defects, and kidney disease (Craft et al. 2004). In addition to mining effluents, the Tewa community in northern New Mexico is also exposed to toxic and radioactive wastes coming from releases from the Los Alamos National Laboratory, spread by air and surface and groundwater. Although a systematic health study has not been conducted in these populations, some environmental testing has been commissioned by local nonprofit organizations, which found PCB levels 25,000 times the standard for human health and 1,000 times over the standard for wildlife habitat in Los Alamos Canyon (Amigos Bravos and Concerned Citizens for Nuclear Safety 2006). Amigos Bravos won a settlement in May 2011 against the U.S. EPA and Los Alamos over discharge permits that will require clean up of a number of sites, increase monitoring, and install pollution control measures (van Buren 2011). However, these measures do little to determine the impact this contamination has had on the health and culture of the region’s residents.

Oglala Lakota, Pine Ridge

Although starkly beautiful in landscape and home to myriad artists and storytellers, the Pine Ridge Indian Reservation in South Dakota, home to 25,000 Oglala Lakota people, is notoriously poverty stricken. Forty-nine percent of the residents live below the federal poverty level, and the infant mortality rate is five times higher than the national average (Ruffin 2011). Native Americans in the Northern Plains region have a cancer mortality rate approximately 40% higher than that of the overall population (Rogers and Petereit 2005). Although these health disparities are often attributed to the intense poverty in this region, since the late 1970s community organizations like Women of All Red Nations (WARN) have suspected links between Lakota health issues and the region’s history of uranium mining. WARN has cited the high rates of miscarriage and reproductive cancers among Lakota women as evidence of the adverse effects of uranium contamination (Unger 2004). The Pine Ridge reservation lies southeast of the Black Hills, which was the site of extensive uranium mining and milling during the 1940s–1970s. A series of studies traced gross alpha-radiation in groundwater and surface water sources in the Pine Ridge town of Red Shirt to the Edgemont uranium mill site (Jones 2011). Dozens of other abandoned mining and milling sites surround traditional Lakota territory, and the residents are currently fighting the expansion of uranium mining in the region in order to protect future generations.


The community that has perhaps been best studied is the Mohawk Nation at Akwesasne (located at the juncture of New York, Ontario, and Quebec), whose members traditionally derived most of their protein from fish from the St. Lawrence River and its tributaries. Three aluminum foundries were established upstream of Akwesasne, and all used PCBs as hydraulic fluids that leaked and contaminated the rivers, the fish, and consequently the people (Hwang et al. 1996). After analysis of fish by state and federal officials, tribal leaders advised the members to cease eating local fish in 1986. Although this has resulted in a decline in the levels of PCBs in breast milk and serum, PCB levels are still elevated compared with the general U.S. population (Fitzgerald et al. 1998). In addition, significantly higher levels of PCBs were found in Mohawk adolescents who were breastfed as infants (Gallo et al. 2011). Higher serum PCB concentrations were also associated with decrements in cognitive (Haase et al. 2009; Newman et al. 2009) and thyroid function (Schell et al. 2008) and elevated risk of diabetes (Codru et al. 2007), cardiovascular disease, and hypertension (Goncharov et al. 2008). Mohawk girls were more likely to have reached puberty at 12 years of age if they had higher serum PCBs (Denham et al. 2005), which could be due to the estrogenic effects of PCBs. Serum levels of PCBs in Mohawk men were associated with lower serum testosterone levels (Goncharov et al. 2009). Thus many aspects of Mohawk health may be adversely impacted by their exposure to PCBs.

Environmental Justice, Indigenous People, and the Law

Indigenous communities are disproportionately exposed to environmental contaminants based on where they live and the cultural activities that put them in close contact with their environment. However, federal and state laws often make it easier for extractive and polluting enterprises to access tribal lands. Federal legislation and jurisprudence applicable to tribal lands are distinct from rules that apply to nontribal lands, and are typically inconsistent and inequitable. From Chief Justice John Marshall’s 1831 arbitrary definition of tribes as “domestic dependent nations” (Cherokee Nation v. State of Georgia 1831), to a 1985 Supreme Court decision that the Western Shoshone people lost title to their land because of “gradual encroachment” by the federal government (U.S. v. Dann 1985) (a concept that appears nowhere in the law before or since), federal courts and bureaucracies have long wielded language to constrain and derogate tribal peoples according to the political will of the day.

Because of these structural inequities, tribal jurisdictions are attractive to corporations seeking a lesser degree of environmental regulation, oversight, and enforcement than are imposed by state governments. Moreover, due to current social and structural inequalities, indigenous communities seeking environmental justice often experience barriers to their participation in prescribed environmental decision-making processes (Cole and Foster 2001).

Litigation under federal environmental laws and federal Indian law is fraught with challenges. Federal Indian law, a body of judge-made law arising mostly from litigation primarily before the United States Supreme Court, overwhelmingly denies environmental and cultural rights to Native American people. In addition, federal environmental legislation rarely recognizes environmental justice as a cause for action. Even when activists achieve victories in the courts, legislation and administrative agency rule makings can often undo years of environmental justice litigation. For these reasons, it is essential to develop policies that would better protect AI/AN communities from pollution, rather than leaving the matter to courts.

Native Communities and Research

Because indigenous communities often do not have the legal, political, or economic means to resist the placement of polluting industries, indigenous people may suffer excess illness as a consequence of involuntary environmental exposures. However, because of historic antagonism to and distrust of non-native governments and academics, often these communities have not been studied to determine the extent of illness. In the past, some researchers entered indigenous communities with pre-developed projects, did not ask for community input, pressured residents into taking part in the studies, treated Natives as subjects and not colleagues, sensationalized problems in the community in their publications, used blood samples for unauthorized projects (Schnarch 2004), and did not give results to the community (Schell and Tarbell 1998).

These experiences have led some native communities to avoid engaging in research and others to make themselves available only to research projects that will include them as equal partners. The Akwesasne Mohawk developed an effective partnership with researchers, which resulted in > 50 published papers. Mohawk authors Arquette et al. (2002) highlighted the importance of continued collaborative research because of the need for better site- and Nation-specific data. This will provide tribal decision makers with specific information about contaminant levels in various local media and biota. These types of studies can also collect information about traditional cultural practices and natural resource use—information that can then be used to support the protection of natural resources and support the transfer of traditional knowledge and cultural practices to future generations.

To conduct such research, scientists and community members must develop equal and cooperative partnerships (Harding et al. 2012). Utilizing the community’s kinship network is important in garnering support for a study, recruiting study participants, and disseminating information. Especially important for the success of future environmental and reproductive health studies is increasing the number of indigenous midwives, physicians, and researchers who understand the potential health impacts of exposure to environmental contaminants.

Environmental Reproductive Justice

Concerns about the community’s ability to reproduce, whether physically through the birth of healthy children or culturally through the passing on of traditional practices, has sparked interest in the need for environmental health research. As stated above, in Aamjiwnaang there was the noticeable decrease in male birth ratio (Mackenzie et al. 2005), which residents attribute to their proximity to petrochemical plants. At Akwesasne, a midwife pushed for health studies because of concerns of local mothers about the number of miscarriages in the community and the possibility of contaminated breast milk. Studies found that Mohawk women who ate local fish had higher levels of contaminants in their breast milk than a control group (Fitzgerald et al. 1998). Breastfeeding rates for AI/AN populations are well below the national average (Spieler 2010), an issue that health care providers are seeking to rectify. Indigenous mothers need to be confident that their breast milk is safe for their infants if these statistics are to be improved.

The reproductive capabilities of Mohawk women in Akwesasne are also affected by contamination; for example, PCB exposure has been associated with reducing the age of menarche in Mohawk girls (Denham et al. 2005). The Tewa Pueblo are concerned about the potential of birth defects connected to radiation exposure, and the women of Pine Ridge have attributed their high rates of miscarriage and reproductive organ cancers to contamination from uranium mines (Unger 2004). SLI Yupik people attribute their perceived high rate of cancer and other diseases to contamination from military sources and long-range transport (Carpenter et al. 2005; Henifin 2007; Miller and Riordan 1999).

In addition to concerns about the physical reproduction of community members, indigenous people are concerned about how environmental contamination impacts the reproduction of cultural knowledge. In Aamjiwnaang, oral traditions once passed down from grandfathers during fishing or grandmothers during berry picking and medicine gathering are being lost as those activities are no longer practiced because of concerns about these foods being contaminated. Rocks once used for sweat lodges are no longer being collected from local streams because the streams have become contaminated. The cedar used for making tea, smudging, and washing babies contains vanadium at concentrations as high as 6 mg/kg (ALS Laboratory Group Analytical Report, unpublished data), reflecting local releases to air of > 611 tons of vanadium between 2001 and 2010 (Environment Canada 2012). At Akwesasne, community members report a loss of language and culture around subsistence activities like fishing, which have been largely abandoned because of fears of exposure to contaminants. The generational reproduction of culturally informed interpersonal relationships has been affected as much as physical reproduction. We want to expand the definition of reproductive justice to include the capacity to raise children in culturally appropriate ways. For many indigenous communities, to reproduce culturally informed citizens requires a clean environment.


Modern environmental law in North America is predicated on federal–state partnerships that did not initially account for pollution and environmental degradation of Native America (Grijalva 2011). Current regulatory gaps make it difficult to prevent and rectify environmental contamination that impacts AI/AN communities. This contamination threatens not only the health of indigenous communities, it also infringes on their reproductive rights, including the ability to impart cultural land-based knowledge to their children. Thus there is a great need for the concept of environmental reproductive justice in environmental health research. Continued research, involving collaborative partnerships among researchers, health care providers, and community members, is needed to determine the impact of environmental contamination on community members’ health and to develop necessary remediation, preventative measures, and protective policy interventions.


This study was supported by Running Strong for American Indian Youth, the First Environment Collaborative.

P.M. and V.W. are engaged through Alaska Community Action on Toxics in litigation against the U.S. Environmental Protection Agency and Teck Alaska Inc., Usibelli Coal Mine Inc., Aurora Energy Services LLC, the Alaska Railroad Corp., and Alaska Department of Environmental Conservation. R.P. is currently an applicant in a suit against the Ministry of the Environment, the Attorney General of Ontario, and Suncor Energy Products in Sarnia, Ontario, Canada. K.S. was a litigant in a settlement with Los Alamos National Laboratories. C.S. coordinates responsive legal support for Indigenous-led environmental justice campaigns. D.O.C. has served as an expert witness in cases regarding human health impact from exposure to various environmental agents, but has never accepted personal payment beyond travel costs. None of these suits will result in financial gain for the authors.


  • Amigos Bravos, Concerned Citizens for Nuclear Safety. Historic and Current Discharges from Los Alamos National Laboratory: Analysis and Recommendations. Final Report. 2006. Available: [accessed 10 October 2011]
  • Arquette M, Cole M, Cook K, LaFrance B, Peters M, Ransom J, et al. Holistic risk-based environmental decision making: a Native perspective. Environ Health Perspect. 2002;110(suppl 2):259–264. [PMC free article] [PubMed]
  • Atari DO, Luginaah IN. 2009. Assessing the distribution of volatile organic compounds using land use regression in Sarnia, “Chemical Valley,” Ontario, Canada. Environ Health 816 doi: [Online 16 April 2009]10.1186/1476-069X-8-16 [PMC free article] [PubMed] [Cross Ref]
  • Carpenter DO. Environmental contaminants and learning and memory. Internat Cong Series. 2006;1287:183–189.
  • Carpenter DO, DeCaprio AP, O’Hehir D, Akhtar F, Johnson G, Scrudato RJ, et al. Polychlorinated biphenyls in serum of the Siberian Yupik people from St. Lawrence Island, Alaska. Int J Circumpolar Health. 2005;64:322–335. [PubMed]
  • Census Briefs. The American Indian and Alaska Native Population: 2010. 2012. Available: [accessed 27 February 2012]
  • Centers for Disease Control and Prevention. 2011 National Diabetes Fact Sheet. 2011. Available: [accessed 1 June 2012]
  • Cherokee Nation v. State of Georgia. 1831. 30 U.S. (5 Pet.) 1. U.S. Supreme Court, Washington, DC, 5 March 1831.
  • Codru N, Schymura MJ, Negoita S., Akwesasne Task Force on Environment, Rej R, Carpenter DO. 2007. Diabetes in relation to serum levels of polychlorinated biphenyls and chlorinated pesticides in adult Native Americans. Environ Health Perspect 1151442–1447.1447 [PMC free article] [PubMed]
  • Cole LW, Foster SR. From the Ground Up: Environmental Racism and the Rise of the Environmental Justice Movement. New York:New York University Press 2001
  • Craft E, Abu-Qare A, Flaherty M, Garofolo M, Rincavage H, Abou-Donia M. Depleted and natural uranium: chemistry and toxicological effects. J Toxicol Environ Health B Crit Rev. 2004;7:297–317. [PubMed]
  • Day GE, Lanier AP. Alaska native mortality, 1979–1998. Public Health Rep. 2003;118:518–530. [PMC free article] [PubMed]
  • Denham M, Schell LM, Deane G, Gallo MV, Ravenscroft J, DeCaprio AP, et al. Relationship of lead, mercury, mirex, dichlorodiphenyldichloroethylene, hexachlorobenzene, and polychlorinated biphenyls to timing of menarche among Akwesasne Mohawk girls. Pediatrics. 2005;115:e127–e134. [PubMed]
  • Dhillon C, Young MG. Environmental racism and First Nations: a call for socially just public policy development. Cdn J Hum Soc Sci. 2010;1:23–37.
  • Environment Canada. National Pollutant Release Inventory, Tracking Pollution in Canada. 2012. Available: [accessed 26 July 2012]
  • Fitzgerald EF, Hwang SA, Bush B, Cook K, Worswick P. Fish consumption and breast milk PCB concentrations among Mohawk women at Akwesasne. Am J Epidemiol. 1998;148:164–172. [PubMed]
  • Fung K, Luginaah I, Gorey K. 2007. Impact of air pollution on hospital admissions in Southwestern Ontario, Canada: generating hypotheses in sentinel high-exposure places. Environ Health; doi:[Online 5 July 2007]10.1186/1476-069X-6-18 [PMC free article] [PubMed] [Cross Ref]
  • Gallo MV, Schell LM, DeCaprio AP, Jacobs A. Levels of persistent organic pollutant and their predictors among young adults. Chemosphere. 2011;83:1374–1382. [PMC free article] [PubMed]
  • Goncharov A, Haase RF, Santiago-Rivera A, Morse G., Akwesasne Task Force on the Environment, McCaffrey RJ, et al. 2008. High serum PCBs are associated with elevation of serum lipids and cardiovascular disease in a Native American population. Environ Res 106226–239.239 [PMC free article] [PubMed]
  • Goncharov A, Rej R, Negoita S, Schymura M, Santiago-Rivera A, Morse G, et al. Lower serum testosterone associated with elevated polychlorinated biphenyl concentrations in Native American men. Environ Health Perspect. 2009;117:1454–1460. [PMC free article] [PubMed]
  • Grandjean P. Late insights into early origins of disease. Basic Clin Pharmacol Toxicol. 2008;102:94–99. [PMC free article] [PubMed]
  • Grijalva JM. Self-determining environmental justice for Native America. Environmental Justice. 2011;4:187–192.
  • Haase RF, McCaffrey RJ, Santiago-Rivera AL, Morse GS, Tarbell A. Evidence of an age-related threshold effect of polychlorinated biphenyls (PCBs) on neuropsychological functioning in a Native American population. Environ Res. 2009;109:73–85. [PMC free article] [PubMed]
  • Harding A, Harper B, Stone D, O’Neill C, Berger P, Harris S, Donatuto J. Conducting research with tribal communities: sovereignty, ethics, and data-sharing issues. Environ Health Perspect. 2012;120:6–10. [PMC free article] [PubMed]
  • Henifin KA. Corvallis, OR: Oregon State University; 2007. Toxic Politics at 64N,171W: Addressing Military Contaminants on St. Lawrence Island, Alaska [PhD Dissertation]
  • Hwang SA, Fitzgerald EF, Bush B. Exposure to PCBs from hazardous waste among Mohawk women and infants at Akwesasne. J Franklin Inst. 1996;333A:17–23.
  • Jones L. Uranium activities’ impacts on Lakota territory. Indigenous Policy J. XII. 2011 Available: [accessed 27 February 2012]
  • Kunitz SJ. Changing patterns of mortality among American Indians. Am J Public Health. 2008;98:404–412. [PubMed]
  • Landa ER, Gray JR. US Geological Survey research on the environmental fate of uranium mining and milling wastes. Environ Geol. 1995;26:19–31.
  • Luna ZT. Marching toward reproductive justice: coalitional (re)framing of the march for women’s lives. Sociol Inq. 2010;80:554–578. [PubMed]
  • MacDonald E, Rang S. Exposing Canada’s Chemical Valley: An Investigation of Cumulative Air Pollution Emissions in the Sarnia, Ontario Area. An Ecojustice Report. 2007 Available: [accessed 10 October 2011]
  • Mackenzie CA, Lockridge A, Keith M. Declining sex ratio in a First Nation community. Environ Health Perspect. 2005;113:1295–1298. [PMC free article] [PubMed]
  • Mascarenhas M. Where the waters divide: First Nations, tainted water and environmental justice in Canada. Local Environ. 2007;12:565–577.
  • Miller PK, Riordan J. I Will Fight Until I Melt [Video]. 1999 Available: [accessed 9 October 2012]
  • Newman J, Gallo MV, Schell LM, DeCaprio AP, Denham M, Deane GD, et al. Analysis of PCB congeners related to cognitive functioning in adolescents. Neurotoxicology. 2009;30:686–696. [PMC free article] [PubMed]
  • Rogers D, Petereit D. Cancer disparities research partnerships in Lakota Country: clinical trials, patient services, and community education for the Oglala, Rosebud, and Cheyenne River Sioux Tribes. Am J Public Health. 2005;95:2129–2132. [PubMed]
  • Ruffin J. A renewed commitment to environmental justice in health disparities research. Am J Public Health. 2011;101(suppl 1):S12–S14. [PubMed]
  • Schell LM, Gallo MV, Denham M, Ravenscroft J, DeCaprio AP, Carpenter DO. Relationship of thyroid hormone levels to levels of polychlorinated biphenyls, lead, p,p’- DDE, and other toxicants in Akwesasne Mohawk youth. Environ Health Perspect. 2008;116:806–813. [PMC free article] [PubMed]
  • Schell L, Tarbell A. A partnership study of PCBs and the health of Mohawk youth: lessons from our past and guidelines for our future. Environ Health Perspect. 1998;106(suppl 3):833–840. [PMC free article] [PubMed]
  • Schnarch B. Ownership, control, access, and possession (OCAP) or self determination applied to research: a critical analysis of contemporary First Nations research and some options for First Nations communities. J Aboriginal Health. 2004;1:80–95.
  • Sharp D. Environmental toxins, a potential risk factor for diabetes among Canadian Aboriginals. Int J Circumpolar Health. 2009;68:316–326. [PubMed]
  • Shen E. Reproductive justice: towards a comprehensive movement. Collective Voices. 2006;1:1–3.
  • SisterSong. Why is Reproductive Justice Important for Women of Color? 2012. Available: [accessed 27 February 2012]
  • Spieler L. American Indians and Alaska Natives: breastfeeding disparities and resources. Breastfeed Med. 2010;5:219–220. [PubMed]
  • Statistics Canada. Aboriginal Identity (8), Sex (3) and Age Groups (12) for the Population of Canada, Provinces, Territories, Census Metropolitan Areas and Census Agglomerations, 2006 Census—20% Sample Data. 2006. Available:,97154&S=0&SHOWALL=0&SUB=0&Temporal=2006&THEME=73&VID=0&VNAMEE=&VNAMEF= [accessed 27 February 2012]
  • Unger N. In: New Perspectives on Environmental Justice (Stein R, ed). New Brunswick, NJ:Rutgers University Press, 45–62; 2004. Women, sexuality and environmental justice in American history.
  • U.S. Commission on Civil Rights. Native American Health Care Disparities Briefing. 2004. Available: [accessed 1 June 2012]
  • U.S. EPA (U.S. Environmental Protection Agency) Tribal Superfund Program Needs Clear Direction and Actions to Improve Effectiveness. Report no. 2004-P-00035. 2004. Available: [accessed 30 July 2011]
  • U.S. EPA (U.S. Environmental Protection Agency) Environmental Justice Program and Civil Rights. 2012. Available: [accessed 5 November 2012]
  • U.S. v. Dann. 1985. 470 U.S. 39. U.S. Supreme Court, Washington, DC, 20 February 20 1985.
  • van Buren M. LANL and Taos nonprofit reach pollution settlement. The Taos News. Thursday, 5 May 2011. 2011 Available: [accessed 10 October 2011]
  • Wania F. Assessing the potential of persistent organic chemicals for long-range transport and accumulation in polar regions. Environ Sci Technol. 2003;37:1344–1351.
  • Welfinger-Smith G, Minholz JL, Byrne S, Waghiyi V, Gologergen J, Kava J, et al. Organochlorine and metal contaminants in traditional foods from St. Lawrence Island, Alaska. J Toxicol Environ Health A. 2011;74:1–20. [PubMed]

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