A/HRC/33/56 human rights, which jeopardized the well-being and identity of children, families and communities. 49. Furthermore, indigenous persons with disabilities could experience State-based violence, such as violence by police and other State actors. There was often a pathway of negative interaction with the criminal justice system, instead of justice and disability support being provided. Indigenous peoples’ lands in some countries were being contaminated, with severe adverse consequences, including birth defects and child disability. 50. States provided examples of good practices, including national disability policies and services addressing indigenous peoples’ needs and including the provision of culturally appropriate services. Indigenous representatives called for greater investment in family support and community-based services. Preventive approaches were identified as being of critical importance. 51. Ms. Yamada expressed concerns regarding disabilities caused by mining, particularly the uncontrolled use of mercury. She also emphasized the importance of taking an intercultural approach to disabilities. Mr. Tsykarev called upon States and corporations to safeguard the working conditions of indigenous peoples in order to prevent occupational diseases. He also invited States to revise the system of periodic confirmation of disability status for indigenous persons residing in remote and inaccessible areas in order to be able to obtain a disability pension. 52. The experts thanked the Special Rapporteurs for convening the expert meeting on indigenous persons with disabilities, and agreed that the Expert Mechanism and other United Nations bodies must be fully inclusive of indigenous persons with disabilities. Chief Littlechild recommended that the Committee on the Rights of Persons with Disabilities should consider developing a general comment on indigenous persons with disabilities. VI. Study and advice on the right to health and indigenous peoples, with a focus on children and youth 53. Mr. Barume introduced the study on the right to health and indigenous peoples, with a focus on children and youth. He expressed his gratitude to the Institute for the Study of International Development at McGill University, which had jointly with OHCHR organized an expert seminar on the topic of the study in Montreal, Canada, in February 2016. He thanked all the experts who had participated in the seminar for their valuable contributions. He thanked all States, indigenous peoples’ organizations, non-governmental organizations and national human rights institutions that provided submissions to the study. He then provided a detailed overview of the study, focusing on the advice issued by the Expert Mechanism to States, indigenous peoples and international organizations. 54. Ms. Yamada highlighted the need to strengthen traditional knowledge and practices on health and for intercultural approaches that were sensitive to the health needs of indigenous peoples. She also noted that environmental issues and displacement compound the health challenges of indigenous peoples and called on States to share positive examples of protection of indigenous peoples living in voluntary isolation. Mr. Tsykarev noted that the global strategy and targets for tuberculosis prevention, care and control after 2015 , adopted by the World Health Organization (WHO), made no reference to indigenous peoples, despite tuberculosis being a significant challenge for them. He also highlighted the need to lift the taboo around sexual health and sexually transmitted diseases, and called on States and indigenous organizations to conduct joint initiatives in order to prevent HIV/AIDS in indigenous communities. 13

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