自内斯坎塔加第一民族最脆弱的成员被送往多伦多一家酒店安置以来，已近八周，但导致这个偏远安大略省北部社区撤离的受损护理站的修复工作才刚刚开始。
It’s been nearly eight weeks since Neskantaga First Nation’s most vulnerable members were sent to a hotel in Toronto, but remediation work has only just begun on the damaged nursing station that forced the evacuation of the isolated northern Ontario community.
这让内斯坎塔加酋长加里·奎塞斯担心，他的许多族人可能无法在大雪封路前返乡。
That's left Neskantaga’s chief Gary Quisses fearful that many of his people won't get home before the snow falls.
奎塞斯对加拿大广播公司（CBC）新闻表示：“时间表很可能会因天气而改变。我知道那边正在变冷。”他说，护理站可能还需要一个月或更长时间才能重新开放。
“The timeline is probably going to change because of the weather. I know it's getting cold up there,” Quisses told CBC News, saying it could be a month or more before the nursing station reopens.
这个偏远的奥吉布瓦社区距离安大略省桑德贝东北约440公里，于8月4日因护理站发生污水泄漏而宣布进入紧急状态，该护理站是第一民族唯一的医疗设施。
The remote Ojibway community, some 440 kilometres northeast of Thunder Bay, Ont., declared a state of emergency on Aug. 4 following a sewage spill at its nursing station, the only health-care facility in the First Nation.
这个不足400人的社区有250多人被疏散至多伦多，至今仍滞留在那里。
From a community of fewer than 400, more than 250 people were evacuated to Toronto, where they remain.
这是因医疗设施问题引发的第二次撤离。去年，社区成员因建筑物发生洪水和燃油气味而流离失所长达三个月。
This is the second time problems at the health-care facility prompted an evacuation. Last year, community members were displaced for three months over a flood and smell of fuel in the building.
在社区设立的临时护理站也问题不断。几周前，一台取暖器在医疗设施内引发了一场小火灾。据奎塞斯称，该临时场所缺乏隐私，只能提供止痛药和绷带等基本护理。他说：“医疗系统正在失效。”
Problems have also plagued a temporary nursing station set up in the community. A space heater caused a small fire in the health-care facility a few weeks ago. The space lacks privacy and can only provide basic care such as painkillers and bandages, according to Quisses.
南部酋长呼吁省府和联邦政府提供支持 内斯坎塔加属于尼什纳比阿斯基民族（NAN），这是一个代表第9号和第5号条约下49个第一民族的政治领土组织。在本周举行的NAN年度基威温会议上，内斯坎塔加前酋长韦恩·穆尼亚斯向该地区的酋长们呼吁支持。他说，撤离者想念传统食物，想念回到土地上生活。他说：“酒店里设起了临时学校。这些就是我们面临的问题。”
“The health system is failing,” he said. NAN chiefs call on province, feds for support Neskantaga is part of Nishnawbe Aski Nation (NAN), a political-territorial organization that represents 49 First Nations across treaties 9 and 5. During NAN’s annual Keewaywin Conference this week, Neskantaga’s former chief Wayne Moonias appealed to the region’s chiefs for support. Evacuees miss eating traditional food and being out on the land, he said. “There's a portable school set up at a hotel. Those are the kind of things that we're facing,” Moonias said.
“每当基础设施出现故障时，就不得不疏散居民，这种情况绝不能成为常态。”NAN（Neskantaga First Nation）的领导人们投票决定，呼吁加拿大原住民服务部（ISC）采取紧急行动来支援Neskantaga社区，包括为新建的护理站提供紧急资金，并搭建一个得到社区认可的临时设施。
“This cannot be a norm where people are evacuated every time an infrastructure unit goes down.” NAN chiefs voted in favour of calling on Indigenous Services Canada (ISC) to take urgent action to support Neskantaga, including emergency funding for a new nursing station and a temporary community-approved facility.
他们还要求省政府和联邦政府成立一个专门的工作组，直到Neskantaga社区的紧急状态解除为止，以解决当地居民的迫切需求，并制定一个得到原住民认可的、资金充足的解决方案。
They also want the provincial and federal governments to appoint a specifically mandated working group until Neskantaga’s state of emergency is lifted to resolve the situation, address the community’s outstanding demands, and prepare a financially resourced and First Nations-approved plan.
安大略省政府仅负责提供疏散相关的支持；基础设施的维护工作则由联邦政府负责。
The Ontario government is only responsible for providing evacuation support; infrastructure issues fall to the federal government.
加拿大原住民服务部的一位发言人表示，Neskantaga社区正在自行负责护理站的维修工作，预计这些工作将于10月初完成。他们在周五发给CBC News的电子邮件中写道：“目前有三名ISC护士正在为仍留在社区内的居民提供紧急医疗服务；如果需要将居民送往医院治疗，安大略省政府的相关医疗服务也可以提供。”
A spokesperson for ISC says Neskantaga is leading repairs at its nursing station, which are hoped to be completed in early October, they told CBC News in an email on Friday. “Three ISC nurses are providing urgent and emergency medical services for those who remain in [the] community. Ornge services are also available should any med-evacs from the community be required,” wrote Maryéva Métellus.
由于Neskantaga社区缺乏必要的医疗基础设施，数十名居民不得不被疏散到多伦多。这位发言人还表示：“我们正在为所有被疏散的居民提供全面的健康、安全和福利保障。”
Neskantaga First Nation's lack of health-care infrastructure forces evacuation of dozens to Toronto In-DepthAmid 2nd evacuation this summer, Neskantaga First Nation calls on Ontario, feds to act“Wraparound services for health, safety and wellness are being provided" for evacuees, she said. ISC is working with health partners to support evacuees, she said.
她补充说，加拿大原住民服务部正在与医疗合作伙伴合作，共同为疏散者提供援助。同时，各方（包括原住民社区、加拿大原住民服务部、安大略省政府、Matawa原住民管理机构以及相关承包商）之间的协调工作仍在进行中。
“Partner co-ordination calls with the First Nation, ISC, the province, Matawa First Nations Management, Ornge and the community contractor are ongoing.” Culture shock in Canada’s largest city The issues Neskantaga is facing are compounded by the fact that it’s been under a boil water advisory for 31 years, the longest in effect in Canada’s history.
Neskantaga社区面临的问题更加复杂：该社区已经连续31年处于“饮用水需煮沸才能饮用的警告状态”，这是加拿大历史上持续时间最长的此类警告。
Neskantaga receives support from the Sioux Lookout First Nations Health Authority (SLFNHA). It serves 33 communities in northwestern Ontario, 28 of which are remote.
内斯坎塔加社区获得锡乌卢卡乌特第一民族卫生管理局（SLFNHA）的支持。该局服务于安大略省西北部的33个社区，其中28个为偏远社区。
SLFNHA’s vice president of community health, Janet Gordon, said infrastructure deficits in fly-in First Nations often prevent health-care services from being delivered.
SLFNHA社区健康副总裁珍妮特·戈登表示，飞抵式第一民族社区的基础设施不足，往往导致医疗服务无法有效提供。
“Lack of space, workspace and lack of accommodation,” Gordon said. “The services have expanded but the infrastructure has not been able to keep up with the needs of those services.” While nurses are on-site with Neskantaga evacuees in Toronto, Gordon said it’s important to recognize the mental health effects that come with being displaced for so long — as well as the culture shock of relocating from a remote community to Canada’s largest city.
戈登说：“空间、工作场所和住宿的缺乏。服务规模已经扩大，但基础设施未能跟上这些服务的需求。”她表示，尽管护士正在多伦多陪伴内斯坎塔加撤离人员，但必须认识到长期流离失所带来的心理健康影响，以及从偏远社区迁往加拿大最大城市所产生的文化冲击。
Sewage leak forces another evacuation of Neskantaga First Nation Neskantaga First Nation calls on province to communicate better amid wildfire emergency“There's lots of stress that comes with that and just being in an environment that doesn't feel like home, doesn't feel safe,” she said.
“这伴随着巨大的压力，身处一个感觉不像家、也不安全的环境中，”她说。
Sewage leak forces another evacuation of Neskantaga First Nation Neskantaga First Nation calls on province to communicate better amid wildfire emergency“There's lots of stress that comes with that and just being in an environment that doesn't feel like home, doesn't feel safe,” she said.
与此同时，奎西斯表示，他每天都在回答社区成员关于护士站状况的询问。
Meanwhile, Quisses said he’s fielding questions from community members every day seeking updates about the nursing station.
“大家基本上都在问同样的问题：‘我们什么时候能回家？圣诞节我们会不会还在这里？’”
“Everybody's pretty much on the same page asking, ‘When are we going to go home? Are we going to be here for Christmas?’”