title: Caring for children, focusing on children.
abstract: Two First Nations girls with leukemia received a significant amount of media attention in 2014 and 2015. In both cases, the parents refused to continue chemotherapy, the only proven effective treatment; they opted instead for a combination of traditional Aboriginal healing approaches and alternative therapies offered in a facility outside of the country. One child has died; the other relapsed and required chemotherapy to avoid death. Media reports were polarized, focusing either on the historical legacy of distrust felt by First Nations people when accessing health care, or the need for child protection services to intervene. One article in the Canadian Medical Association Journal focused on the legacy of mistrust and methods of countering it, but did not address the legal and ethical duties of physicians in such situations. The present commentary describes the events, responsibilities of professionals involved and a course of action for physicians when faced with similar circumstances.
authors.affiliation: Paediatrics, Cumming School of Medicine, University of Calgary; Member, Canadian Paediatric Society Bioethics Committee;
authors.forename: Ian
authors.initials: I
authors.lastname: Mitchell
authors.affiliation: Community Health Sciences, Cumming School of Medicine, University of Calgary;
authors.forename: Juliet R
authors.initials: JR
authors.lastname: Guichon
authors.affiliation: University of Alberta, Chair of Canadian Paediatric Society: First Nations, Inuit and Métis Health Committee.
authors.forename: Sam
authors.initials: S
authors.lastname: Wong
keywords: Aboriginal; Child protection; Duties of paediatricians