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NEW! COVID-19 TRIBAL RESOURCE CENTER

NIHB Public Health Alerts

Posted: February 25, 2021

CDC to Launch 2021 Tips From Former Smokers

The Centers for Disease Control and Prevention (CDC) Office of Smoking and Health (OSH) will be starting their Tips From Former Smokers (Tips) campaign on March 1st 2021 and will be running through September 26th, 2021. This campaign will be running advertisements on national networks, cable television, radio, and online. The Tips campaign will be celebrating their 10-year mark and they are looking forward to celebrating individuals who have told their stories to help others quit. More information to come from this campaign.



Posted: February 25, 2021

Tribal Public Health Law Resource Table

The Network for Public Health Law released an updated Tribal Public Health Law Resource Table listing organizations with experience in both Tribal and public health law. This resource denotes the relationship between Tribes and state or federal governments by listing organizations such as epidemiology centers, academic institutions, and legal services. Read more here.



Posted: February 25, 2021

New! COVID-19 Resources: CDC Offers Vaccine Confidence Sessions

The Centers for Disease Control and Prevention (CDC) Vaccine Task Force now offers vaccine confidence consultations for interested jurisdictions. The program will match state, territorial, Tribal, and local public health jurisdictions with CDC experts for a 60-minute consult to answer questions around vaccine hesitancy and develop strategies to instill vaccine confidence for hesitant populations. To request this service, interested jurisdictions should contact [email protected]. Read more about vaccine confidence here.

Federal Emergency Management Agency

Urban Indian Health Institute

Substance Abuse & Mental Health Services Administration

Centers for Disease Control and Prevention (CDC)



Posted: February 18, 2021

NIHB 2021 National Tribal Public Health Summit

April 27 - 29, 2021

Every year the National Indian Health Board (NIHB) brings together public health practitioners, researchers, and policy experts to allow for conversation, mobilization, and strategy. This year is no different despite COVID-19. In fact, COVID-19 has made our work even more urgent and vital. The COVID-19 pandemic has illuminated, for all to see, the critical underfunding of the Indian Health Service (IHS) and the importance of improving Tribal public health infrastructure. Read more here.



Posted: February 18, 2021

"New Mexico In Depth: Hospitals Violated Rights of Native Mothers Amid COVID-19"

According to a federal investigation disclosure, a prominent women's hospital in New Mexico is being investigated for potentially violating patients' rights by singling out pregnant Native American women for COVID-19 testing and separating them from their newborns without adequate consent until test results became available. Read more here.



Posted: February 11, 2021

Tribal Leaders Convene for Biannual CDC Tribal Advisory Committee Meeting

Tribal leaders from six of the Indian Health Service Areas and four Tribes-at-large members gathered virtually for the 21st Biannual Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry Tribal Advisory Committee (CDC TAC) meeting on February 3, 2021. Dr. Rochelle Walensky, the newly appointed CDC Director, addressed the TAC and emphasized CDC priorities of equity and core public health infrastructure, including data use and sharing, data modernization, lab capacity, and the public health workforce.

The TAC also received briefings on CDC funding allocations to Tribes and Tribal organizations, an invitation to review CDC'rategic plan for American Indian and Alaska Native worker safety, and an update and discussion with CDC'VID-19 Response Tribal Liaison Division on vaccines. The TAC formed a new sub-committee to provide guidance to CDC on developing written guidelines for each CDC Center, Institute and Office on best practices for technical assistance for Tribes.

The Tribal leaders stressed to CDC the importance of government-to-government relationships, Tribal consultation, the need for direct funding to Tribes, and investments in Tribal public health infrastructure. Learn more about the CDC TAC, including the roster here, and access summaries from past meetings here. The NIHB contact regarding the CDC TAC is Tyler Dougherty, [email protected].



Posted: February 11, 2021

HRSA Meeting of the Advisory Committee on Childhood Vaccines Notice

On January 28, the Health Resources and Services Administration (HRSA) published a notice on a series of meetings for the Advisory Committee on Childhood Vaccines for the following dates:

  • March 4, 2021
  • June 3, 2021
  • September 2, 2021
  • December 2, 2021

These meetings will cover topics like policy, program development, issues like implementation of the National Vaccine Injury Compensation Program, and other updates from different Department of Health and Human service agencies. Members of the public will have the opportunity to provide comments and may submit written statements in advance. Read more here.



Posted: February 11, 2021

2.7% of ACF COVID Relief Funds Awarded to 265 Tribal Nations

On February 3, the Administration for Children and Families (ACF) awarded nearly $10 billion in supplemental Child Care and Development Fund (CCDF) program funding to states, territories, and Tribes to address the needs of child care providers and families resulting from the COVID-19 pandemic. 265 Tribes received a total of $275,000,000, about 2.75% of the total amount. Funds can be used for a range of activities, including providing relief from copayments and tuition payments for families; delivering technical assistance regarding the safe provision of child care services; and supporting other allowable CCDF program activities. The Office of Child Care (OCC) will provide further guidance to states, territories, and Tribes, including information on reporting requirements for these funds, through the OCC COVID-19 Resources page.



Posted: February 11, 2021

New Series of Advisories on Substance Use Disorder Treatment

The Substance Abuse & Mental Health Services Administration (SAMHSA) has published a series of Advisories based on existing Treatment Improvement Protocols (TIPs) and Technical Assistance Publications (TAPs). These Advisories summarize updated guidance and recommendations on topics in the substance use disorder (SUD) treatment field.



Posted: February 11, 2021

CDC Healthy Tribes Website

The Centers for Disease Control and Prevention’s (CDC) National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) has partnered with American Indian and Alaska Native communities to promote health, prevent disease, and strengthen cultural connections to improve health and promote wellness. The Healthy Tribes website offers a variety of resources and information in four action areas: epidemiology and surveillance; environmental approaches; health care system interventions; and community programs linked to clinical services. Read more here.



Posted: January 28, 2021

APA's Apology to Black, Indigenous, and People of Color for Its Support of Structural Racism in Psychiatry

The American Psychiatric Association (APA) Board of Trustees wrote an apology for the APA supporting structural racism in their work since the association's founding in 1844. They are committed to identifying, understanding, and rectifying past injustices, as well as developing anti-racist policies that promote equity in mental health for all. Read the full apology here.



Posted: January 28, 2021

Methamphetamine Overdose Deaths Rise Sharply Nationwide from 2011-2018

Research conducted by the National Institute on Drug Abuse (NIDA) revealed rapid rises in methamphetamine overdose deaths across all racial and ethnic groups, with American Indians and Alaska Natives (AI/AN) having the highest death rates overall. Deaths involving methamphetamines more than quadrupled among non-Hispanic AI/ANs from 2011-2018 with sharp increases for both men and women in that group. These findings highlight the urgent need to develop culturally tailored, gender-specific prevention and treatment strategies. Unlike for opioids, there are currently no Federal Drug Administration-approved medications for treating methamphetamine use disorders or reversing overdoses. Read more here.



Posted: January 28, 2021

New! COVID-19 Resources:

  • Centers for Disease Control and Prevention (CDC)
    • How to Protect Yourself and Others. Read more here.
    • COVID-19 Vaccine Communication Toolkit for Essential Workers: Getting Started. Read more here.
    • COVID-19 Vaccine Communication Toolkit for Community-Based Organizations: Getting Started. Read more here.
    • COVID-19 Contact Tracing Training and Resources. Read more here.


Posted: January 21, 2021

NIHB Requests Tribal Examples of Policies with Best and Promising Practices that Support Brain Health During Emergencies

People with brain health issues, and their caregivers that provide services, experience-enduring challenges when faced with a crisis. The COVID-19 pandemic is a perfect example of such an event. When people with brain health issues experience abrupt changes to their daily routine, which is reinforced through consistent mental expectations, confusion sets in which in turn contributes to health and safety risks and creates hardships for caregivers.

The National Indian Health Board (NIHB) is seeking examples of Tribal policies with best and promising practices that support vulnerable people living with cognitive impairment and their caregivers, especially during emergency situations. This type of policy may reside within Tribal codes or alongside health, mental health, aging, social services, food distribution, emergency management, public safety, transportation, or other types of policies. Your thoughts are welcomed if no such policy or best and promising practice exists.

The purpose of this request is to inform the development of a toolkit, intended for Tribal health leaders and Tribal Government officials, to support people living with brain health challenges and their caregivers during a pandemic or other emergency conditions. If you have examples that you are willing to share or would like to provide general input on the contents of the toolkit, contact Karrie Joseph, [email protected], or (202) 507-4079.



Posted: January 21, 2021

Healthy Gut Microbiome and Reduction of Certain Diseases Associated with a Plant-based Diet

Eating not only nourishes the body but also the trillions of microbes living within your gut's microbiome. A recent Nature Medicine publication conducted by Harvard Medical School and other institutions showcases the relationship between healthy gut microbes and a plant-based diet. Co–senior author Andrew T. Chan from Harvard-affiliated Massachusetts General Hospital says, "This study demonstrates a clear association between specific microbial species in the gut, certain foods, and risk of some common diseases," including obesity, type 2 diabetes, and cardiovascular disease. Read more here.



Posted: January 21, 2021

New! COVID-19 Resources:

National Indian Health Board

  • Prevention Strategies for Youth During COVID-19 Pandemic. Recording and slides are available.
  • Influenza Disease and Vaccination during COVID-19 Pandemic. Recording and slides are available.

Centers for Disease Control and Prevention (CDC)

  • Updated: Interim Clinical Considerations for Use of mRNA COVID-19 Vaccines Currently Authorized in the United States. Read more here.
  • US COVID-19 Cases Caused by Variants. Read more here.
  • Updated: Summary for Healthcare Facilities: Strategies for Optimizing the Supply of PPE during Shortages. Read more here.
  • Updated: People with Certain Medical Conditions. Read more here.
  • COVID-19 Vaccination: Understanding the Pharmacy Partnership for Long-Term Care Program. Read more here.
  • COVID-19 Racial and Ethnic Health Disparities. Read more here.

American Medical Association (AMA) Ed Hub

U.S. Department of Health & Human Services (HHS)

  • Web-Based Locator for COVID-19 Outpatient Treatment Sites for Monoclonal Antibodies. Read more here.
  • New telehealth resources added by telehealth.hhs.gov. Read more here and here.
  • HHS Telemedicine Hack and TeleECHO. Recordings available here.


Posted: January 21, 2021

COVID-19: Strategies and Techniques for Coping

Monday, January 25, 2021 at 10:00 AM – 11:00 AM ET

Join the New Jersey Department of Human Services, Division of Mental Health and Addictions Services for a webinar on strategies to cope with COVID-19. The current COVID-19 pandemic has impacted communities worldwide. Disruption of services due to bans on travel or group activities, decreased staffing levels, increased demands for services, and potential problems with the supply chain for medications, have strained every part of the healthcare, behavioral healthcare, and emergency management system. The impact on those already struggling with mental illnesses and substance abuse problems can represent a critical challenge to their safety and survival. This webinar will address the behavioral consequences of the COVID-19 pandemic, as well as strategies and techniques for coping. Register here.



Posted: January 14, 2021

National Indian Health Board Fills Key Director Position on Public Health Policy and Programs Team

The National Indian Health Board (NIHB) is pleased to welcome Tyler Dougherty as Director of Public Health Policy and Programs (PHPP). Mr. Dougherty will lead NIHB’s public health priorities and advocacy efforts; cultivate partnerships with federal agency, state, and Tribal partners; and oversee NIHB’s strategic planning to expand its Tribal public health department in response to the increased need for resources and technical assistance during the coronavirus pandemic. Mr. Dougherty joins NIHB from the Southern Plains Tribal Health Board Oklahoma Area Tribal Epidemiology Center where he managed multiple federal grants that served the 44 federally recognized Tribes across Kansas, Oklahoma, and Texas. Mr. Dougherty has a Master of Public Health in biostatistics from the University of Oklahoma Health Sciences Center Hudson College of Public Health and a Bachelor of Science in biology from the University of Oklahoma.

Read the full press release here.



Posted: January 14, 2021

CDC Health Alert Network (HAN) Health Advisory: Increase in Fatal Drug Overdoses Across the United States Driven by Synthetic Opioids Before and During the COVID-19 Pandemic

The purpose of this Health Alert Network (HAN) Advisory is to alert public health departments, healthcare professionals, first responders, harm reduction organizations, laboratories, and medical examiners and coroners of:

  1. Substantial increases in drug overdose deaths across the United States, primarily driven by rapid increases in overdose deaths involving synthetic opioids, likely illicitly manufactured fentanyl, excluding methadone (hereafter referred to as synthetic opioids);
  2. a concerning acceleration of the increase in drug overdose deaths with the largest increase recorded from March 2020 to May 2020, coinciding with the implementation of widespread mitigation measures for the COVID-19 pandemic;
  3. the changing geographic distribution of overdose deaths involving synthetic opioids, with the largest percentage increase occurring in states in the western United States;
  4. significant increases in overdose deaths involving psychostimulants with abuse potential (hereafter referred to as psychostimulants) such as methamphetamine; and
  5. recommendations for communities when responding to the evolving overdose crisis.

Newly released provisional data indicates that the recent increase in drug overdose mortality began in 2019 and continues into 2020, prior to the declaration of the COVID-19 National Emergency in the United States in March. The increases in drug overdose deaths appear to have accelerated during the COVID-19 pandemic.

Read more here.



Posted: January 14, 2021

2020 National Preparedness Report

The Federal Emergency Management Agency (FEMA) has released the 2020 National Preparedness Report. In its ninth year, this report presents an updated, risk-focused approach to summarizing the state of national preparedness. The report presents a discussion of the risks the nation faces, how those risks drive the nation’s capability requirements, and how the nation uses capabilities to manage risks, including a high-level overview of the nation’s current capabilities.

Read more here.



Posted: January 14, 2021

NIHB Telehealth Survey for Tribal Leaders and Health Administrators

The National Indian Health Board (NIHB) is asking for a Tribal representative from each of the 574 federally-recognized Tribes to take 10-15 minutes to complete an online and anonymous survey on the state of telehealth service and capacity in Indian Country. The survey closes on January 16, 2021.

Survey responses will be analyzed into a list of themes and recommendations that will be shared with Tribes during a virtual event in early 2021. Survey data will also be shared with stakeholders to help advance efforts in securing resources for needed improvements to the telehealth infrastructure in Indian Country. Help NIHB by taking the time to share your valuable insights.

For questions regarding the telehealth survey, please contact Robert Foley at [email protected].



Posted: January 14, 2021

IHS Director Weahkee Resigning January 20, 2021

Indian Health Service (IHS) Director RADM Michael Weahkee announced his resignation effective on January 20, 2021. In an email to Tribal leaders and organizations, RADM Weahkee said, "I remain committed to the IHS mission, but in order to allow the incoming administration to appoint new leadership -- as is standard in any presidential transition -- I have been asked to tender my resignation effective January 20th. It has been a sincere honor to have been entrusted to serve in this role. I believe the IHS is more capable now than ever before of fulfilling our vision of healthy communities and quality health care systems through strong partnerships and culturally responsive practices." Visit the IHS website at www.ihs.gov.



Posted: January 14, 2021

FEMA Releases Addendum to Pandemic Planning Considerations Guide

In June 2020, the Federal Emergency Management Agency (FEMA) released information to help state, local, Tribal and territorial partners provide shelter services and maintain the health and well-being of disaster survivors and workers in a pandemic environment. This addendum to the original guidance will assist partners in anticipating and attending to the needs of people with disabilities. Read more here.



Posted: January 14, 2021

Healthy People 2030 Resources

Every ten years, the U.S. Department of Health and Human Services’ Healthy People program identifies public health priorities and establishes measurable public health objectives to improve the overall health and well-being of communities across the United States. The Healthy People 2030 Leading Health Indicators (LHIs) and Overall Health and Well-Being Measures (OHMs) are now available on the Healthy People 2030 website.



Posted: January 14, 2021

New! COVID-19 Resources:

Centers for Disease Control and Prevention



Posted: January 7, 2021

Special Diabetes Program for Indians Reauthorized for Three Years

After 15 months of short-term extensions - equaling six in total - Congress has finally reached an agreement on long-term reauthorization of the Special Diabetes Program for Indians (SDPI). As a result of a bipartisan and bicameral agreement on surprise medical billing, Congress was able to secure the cost savings to pay for a three-year extension of SDPI - through the end of Fiscal Year 2023. This keeps SDPI on the same timeline as other "health extenders" including the Special Diabetes Program (which funds Type 1 diabetes research), funding for Community Health Centers, Teaching Health Centers, and other health programs. Together, the SDPI and SDP programs have become the nation’s most strategic, comprehensive, and effective effort to combat diabetes and its complications. SDPI currently provides grants for 301 programs in 35 states.

However, the reauthorization does not include an increase in funding for SDPI long sought by the Tribes and NIHB, or a critical legislative amendment to permit Tribes and Tribal organizations to receive SDPI awards pursuant to Title I contracting or Title V compacting agreements under the Indian Self-Determination and Education Assistance Act (ISDEAA). NIHB remains committed to securing these changes in the 117th Congress in close collaboration with the incoming Biden-Harris Administration.

You can learn more about SDPI and NIHB’s diabetes work here.



Posted: January 7, 2021

Sexually Transmitted Infections (STI) National Strategic Plan

Through the Office of the Assistant Secretary for Health (OASH) and the Office of Infectious Disease and HIV/AIDS Policy (OIDP), the U.S. Department of Health and Human Services (HHS) has worked with federal partners and public comment from a wide range of nonfederal stakeholders, to develop the nation’s first STI National Strategic Plan (STI Plan). The plan will serve as a roadmap to help federal, state, Tribal, and local public health officials and policymakers, community- and faith-based organizations, schools and other educational institutions, health plans and health care providers, private industry, researchers, and others in all sectors, reverse the sharp upward trends in STI rates and further address this growing public health epidemic. A copy of the STI Plan is available here.



Posted: January 7, 2021

CDC’s Inside Infection Control

In December, The Centers for Disease Control and Prevention (CDC) Project Firstline launched a video series for frontline healthcare workers called Inside Infection Control. The videos feature Dr. Abby Carlson, an infectious diseases doctor with experience on the frontlines of COVID-19 and a Project Firstline staffer. Ranging from 3-5 minutes, the videos are designed to answer a question heard from frontline healthcare workers.

Questions answered during the month of December include:

Read more here.



Posted: December 17, 2020

Information Hub: Adverse Childhood Experiences in Indian Country

Visit the National Indian Health Board’s (NIHB) Adverse Childhood Experiences (ACEs) Information Hub for resources, findings, and instruments around adverse childhood experiences. The ACEs Hub also provides a “Technical Assistance Request Form” for behavioral health workers to request assistance from NIHB and a “Continuous Feedback” form for individuals to voice their comments and suggestions on the Hub. Read more here.



Posted: December 17, 2020

Tribal Solid Waste Codes Virtual Training
Registration deadline: Wednesday, January 6, 2021

The Institute for Tribal Environmental Professionals, the Indian Health Service (IHS), and the United States Environmental Protection Agency are pleased to offer Development and Implementation of Tribal Solid Waste Codes and Ordinance training. The virtual courses will be held February 1-4, March 3, and April 19-22, 2021 and will focus on the writing and implementation of effective Tribal solid waste codes. Read more here.



Posted: December 17, 2020

CDC Tribal Road Safety: Get the Facts

The Centers for Disease Control and Prevention (CDC) recently released new fact sheets about Tribal road safety and how to reduce crash-related injuries and deaths in Tribal nations by:

  • Increasing the use of seat belts and child car seats
  • Reducing alcohol-impaired driving
  • Improving teen driver safety

The fact sheets focus on restraint use, child passenger safety, alcohol-impaired driving, and safer driving in Tribal communities. These fact sheets provide proven strategies to help reduce crash-related injuries and deaths in Tribal nations. Tribal communities can use the new fact sheets to identify strategies that help people stay safe on the road. Read more here.



Posted: December 17, 2020

"The Opposite of Deficit-Based Language Isn’t Asset-Based Language. It’s Truth-Telling."

As we all continue to improve and uphold Tribal health, the deficit-based language used to describe health priorities may have unintended consequences. In her Shelterforce article, Miriam Axel-Lute discusses how deficit-based language can reinforce stereotypes or lead to ostracization, yet the use of asset-based language alone may have its own concerns. How do we lead positive and productive conversations when working with ourselves and others while acknowledging the issues worth prioritizing? Read more here.



Posted: December 10, 2020

President-elect Joe Biden Announces Key Members of Health Team

On December 8, 2020, President-elect Joe Biden announced key nominations and appointments of his health team, that includes Dr. Anthony Fauci who will continue his role as Chief Medical Adviser to the President on COVID-19. The team are leaders with deep experience in public health, government, and crisis management.

  • Xavier Becerra, Secretary of Health and Human Services - Attorney General of California, long-time champion of expanding access to healthcare, and former Congressman who helped pass the Affordable Care Act.
  • Dr. Vivek Murthy, Surgeon General - A physician, research scientist, and former Vice Admiral in the Public Health Service Commissioned Corps. He currently serves as co-chair of the President-elect’s COVID-19 transition Advisory Board.
  • Dr. Rochelle Walensky, Director of the Centers for Disease Control and Prevention - An expert on virus testing, prevention, and treatment. She is the Chief of Infectious Diseases at Massachusetts General Hospital and a Professor of Medicine at Harvard Medical School.
  • Dr. Marcella Nunez-Smith, COVID-19 Equity Task Force Chair - An expert on health care disparities. She is the founding director of Yale’s Equity Research and Innovation Center and co-chair of the President-elect’s COVID-19 Transition Advisory Board. Dr. Nunez-Smith will advise the President-elect on a whole-of-government effort to reduce COVID-19 disparities in response, care, and treatment, including racial and ethnic disparities.
  • Dr. Anthony Fauci, Director of the National Institute of Allergy and Infectious Diseases - The nation’s preeminent expert on infectious diseases. Dr. Fauci will remain an essential voice both in informing the public about health risks and safety measures and in helping the scientific community, the Biden-Harris administration, and local officials overcome the COVID-19 pandemic.
  • Jeff Zients, Coordinator of the COVID-19 Response and Counselor to the President - An accomplished public servant, Mr. Zients will advise the president-elect on the implementation of the federal government’s COVID response, including managing safe and equitable vaccine distribution, the pandemic supply chain, and coordination across federal agencies and state and local governments.
  • Natalie Quillian, Deputy Coordinator of the COVID-19 Response - A national security expert and former White House and Pentagon senior advisor who played an instrumental role in coordinating the Obama-Biden administration’s interagency response to the opioid epidemic.

Read more here.



Posted: December 10, 2020

An Interview with Navajo Nation on COVID-19 Response

Esri's Chief Medical Officer Este Geraghty leads a roundtable discussion about COVID-19's impact on the Navajo Nation and how they're using geographic information system (GIS) to make a difference for their people. A recording of the roundtable discussion is available here.



Posted: December 10, 2020

Tribal Epidemiology Centers: Year 2 Report -Building Tribal Public Health Infrastructure in Indian Country

The Tribal Epidemiology Centers (TECs) have released their Year 2 Progress Report highlighting progress and achievements related to building public health infrastructure in Indian Country.

Tasked with improving the health and well-being of Tribal members, the TECs offer culturally competent approaches to collecting and disseminating data, improving surveillance, strengthening capacity, and assisting in disease prevention. To support the fulfillment of these activities, the TECs established a Tribal Epidemiology Centers Public Health Infrastructure (TECPHI) Program in 2017 to increase internal capacity and infrastructure needed to reduce chronic disease risk and disparities.

As a result of TECPHI efforts and activities, there has been a demonstrated improvement in capacity and infrastructure including workforce development, communication, technical assistance, sustainability, and partnership. Key findings from the Year 2 Progress Report include 441 new or expanded partnerships, 82 new staff members, more than 1,000 technical assistance requests being fulfilled, 93 grants being awarded, and 266 publications.

To learn more about the TECs year 2 progress, read more here.here.



Posted: December 10, 2020

National Influenza Vaccination Week

December 6-12, 2020

To raise awareness about the importance of continuing flu vaccination through the holiday season and beyond, the Department of Health and Human Service’s Office of Minority Health (OMH) is proud to support National Influenza Vaccination Week (December 6-12). According to the Centers for Disease Control and Prevention (CDC), as many as 45 million people in the U.S. get sick from the flu each season. Flu vaccination is especially important for people from racial and ethnic minority groups, who are often less likely to be vaccinated against flu and more likely to be hospitalized with flu. During 2020-2021, getting a flu vaccine is more important than ever because of the ongoing COVID-19 pandemic. A flu vaccine this season can also help reduce the burden on our medical system and save medical resources for the care of COVID-19 patients. Read more here.



Posted: December 10, 2020

CDC's Project Firstline Launches Inside Infection Control

What's the goal of infection control? The Centers for Disease Control and Prevention’s (CDC) Project Firstline launches Inside Infection Control, a new video series featuring content every frontline healthcare worker should know. Videos are hosted by Dr. Abby Carlson, an infectious diseases doctor with experience on the frontlines of COVID-19 and a Project Firstline staffer. In the first episode, Dr. Carson breaks down why infection control matters, and how it can protect healthcare workers, their patients, and their communities. Follow @CDC Project Firstline on Facebook to make sure you never miss an episode. Watch the first episode here.



Posted: December 10, 2020

PHAB Pathways Webinar for Tribes

The Public Health Accreditation Board (PHAB), in partnership with the National Indian Health Board (NIHB), hosted a webinar on December 8th, 2020 to discuss the future of public health accreditation recognition. The purpose of this webinar was to consider a new public health systems recognition product intended to facilitate performance improvement without requiring health departments to commit to the full accreditation process. The product is intended to recognize achievement of progress towards public health performance improvement. 55 participants attended this webinar and provided feedback on how a new product could best support Tribes on their path towards strengthening public health services.

If you are interested in providing additional feedback on this proposed product, please email Jessica Fisher at the Public Health Accreditation Board at [email protected]

To learn more about Tribal public health accreditation, visit NIHB’s Strengthening Tribal Public Health Systems Website here.

To learn more about public health accreditation overall, visit PHAB here.



Posted: December 10, 2020

National COVID-19 Resiliency Network

This year, the Department of Health and Human Services (HHS) Office of Minority Health (OMH) announced a partnership with the Morehouse School of Medicine to mitigate the impact of COVID-19 in racial and ethnic minority and vulnerable communities. Through this cooperative agreement, the Morehouse School of Medicine launched the National COVID-19 Resiliency Network (NCRN), which will share important messages and linkages to healthcare and social services in communities across the nation and areas hardest hit by the pandemic. The NRCN will focus on identifying and engaging disproportionately impacted communities, nurture existing and develop new partnerships, disseminate culturally and linguistically appropriate information, leverage technology to connect communities to resources, monitor and evaluate outcomes, and apply broad and comprehensive dissemination methods.
Read more here.



Posted: December 10, 2020

Tribal HIV Initiative Prevention Toolkits

As Indian Country, and the entire world, is battling the COVID-19 pandemic, it is important to remember that the HIV epidemic has been ravaging communities since the early 1980s. While advancements bring us closer every day to a cure or vaccine for HIV, we are still heavily reliant upon innovative community-driven and biomedical prevention strategies to hold this epidemic at bay. The National Indian Health Board (NIHB), in partnership with the Indian Health Service, JSI Research & Training, and Cardea Services, is very happy to have launched two new e-learning courses on December 1, 2020, World AIDS Day. These courses can help Tribal communities and health systems serving American Indian and Alaska Native communities build their capacity to utilize social media as a programmatic strategy to drive behavior change, and how to increase the uptake of Pre-exposure Prophylaxis (PrEP) as a primary biomedical preventative strategy. These courses are designed to be taken wherever and whenever it is convenient for the users; they are self-paced and easy to complete. There are continuing education credits offered for the PrEP course, as well.

  • Advancing the Uptake and Use of PrEP in Indian Country: This course is made up of four different modules, and is designed to familiarize the learner with the basics of Pre-exposure Prophylaxis (PrEP), explore barriers and potential solutions to the uptake of PrEP, and share strategies for incorporating PrEP into Tribal communities and existing clinical and community-based practices.
  • Developing a Social Media Strategy to Combat the HIV Epidemic in Indian Country: This eLearning course is comprised of six different modules and is designed to showcase best practices and practical tips for developing an effective and impactful social media strategy for HIV prevention for your community.

Both of these courses were funded through a cooperative agreement with the Indian Health Service (National Indian Health Outreach and Education II: HIV/AIDS, U252IHS0013-03-03) with resources from the Minority HIV/AIDS Fund.



Posted: December 10, 2020

Tribal Alerting via Integrated Public Alert and Warning System (IPAWS)

The Federal Emergency Management Agency’s (FEMA) Integrated Public Alert and Warning System (IPAWS) office hosted a webinar on Tribal Nations and IPAWS. IPAWS is a national system for local alerting that enables public safety officials the capability to deliver a single alert simultaneously through multiple communication devices, reaching as many people as possible to save lives and protect property. For additional information, check out the IPAWS Fact Sheet on How Tribal Governments Can Sign Up for Public Alerts and Warnings. Tribal governments interested in becoming an IPAWS Alerting Authority can also contact Harland Cleveland at [email protected] about the Navajo Nation's experiences with public alerting. A webinar recording is available for download here.



Posted: December 10, 2020

New! COVID-19 Resources

  • National Indian Health Board
    • Webinar: Prevention Strategies for Youth During COVID-19 Pandemic recording and slides.
  • Assistant Secretary for Preparedness and Response (ASPR) TRACIE
    • Emergency Responder Self-Care Plan: Behavioral Health PPE. Read more here.
  • Food and Drug Administration
    • The Path for a COVID-19 Vaccine from Research to Emergency Use Authorization. Read more here.
  • Centers for Disease Control and Prevention (CDC)
    • What's the difference between quarantine and isolation? Video available here.
    • COVID-19: Questions and Answers, November 20, 2020. Video available here.
    • Frequently Asked Questions: Ventilation FAQ
    • COVID-19 Science Update. Read more here.
  • Centers for Disease Control and Prevention Clinician Outreach and Communication Activity (COCA)
    • Leveraging Existing Resources to Meet the Challenges Faced by People Who Use Drugs or Who Have Substance Use Disorders During the COVID-19 Pandemic. Recording available here.


Posted: December 3, 2020

Cherokee Nation Success in Curtailing the Pandemic

As reported in STAT, the Cherokee Nation in Oklahoma has had success in curtailing its COVID-19 case and death rates even as those numbers surge in surrounding Oklahoma. Read more about the Cherokee Nation's impressive leadership during the pandemic here.



Posted: December 3, 2020

World AIDS Day – December 1st: "Ending the HIV/AIDS Epidemic: Resilience & Impact

December 1st is World AIDS Day, a day to unite in the fight to end the HIV epidemic, support people living with HIV, and honor those who have lost their lives. The 2020 theme focuses on the global commitment to deliver quality, people-centered HIV prevention and treatment services for impact and speaks to strengthening the capacity and resilience of communities and health systems to provide HIV prevention services during a global pandemic. According to the Centers for Disease Control and Prevention (CDC) American Indians/Alaska Natives (AI/AN) represent about 1.3% of the United States population and about 0.5% of the HIV diagnoses in 2018. However, the number of HIV diagnoses has increased over time. While COVID-19 has created major new challenges, the U.S. Department of Health and Human Services and its partners remain committed to accelerating efforts to End the HIV Epidemic. Read more here.



Posted: December 3, 2020

Systemic Racism, Access to Care, Poverty and Preexisting Conditions Help Fuel US Maternal and Infant Health Crisis, Particularly Devastating for Moms and Babies of Color

The March of Dimes has issued its new 2020 Report Card amid the coronavirus pandemic and calls for racial justice, shining a spotlight on factors that contribute to maternal and infant health. The U.S. remains among the most dangerous developed nations for childbirth, especially for women and babies of color. Disparities in preterm birth have increased over the past several years in the U.S. and shows that the ratio for racial/ethnic disparities have worsened in recent years by about 5%. Additionally, American Indian/Alaskan Native and Black women are up to three times more likely to die from pregnancy-related complications compared to White women. Read more here.



Posted: December 3, 2020

Coronavirus (COVID-19) Update: FDA Announces Advisory Committee Meeting to Discuss COVID-19 Vaccine Candidate

The U.S. Food and Drug Administration's (FDA) Vaccines and Related Biological Products Advisory Committee (VRBPAC) has scheduled a meeting on December 10th to discuss the request for emergency use authorization (EUA) of a COVID-19 vaccine from Pfizer, Inc. in partnership with BioNTech Manufacturing GmbH. At the time, public comments can be submitted to be reviewed by the FDA. No later than two business days prior to the meeting, the FDA intends to make background materials available to the public, including the meeting agenda and committee roster. Read more here.



Posted: December 3, 2020

CDC Science Agenda for COVID-19

The Centers for Disease Control and Prevention (CDC) Science Agenda for COVID-19 builds on CDC’s ongoing pandemic-related work. It articulates key areas of scientific inquiry and opportunities which chart a course for CDC, working with its partners, over a three-year period. Importantly, the COVID-19 pandemic has underscored long-standing health disparities and inequities in the United States. Data-driven strategies are essential to address these disparities and improve the health outcomes of people disproportionately affected by COVID-19. The work set out in The CDC Science Agenda for COVID-19 is based on the use of culturally and linguistically appropriate approaches and methods and inclusion of populations at increased risk for health disparities and inequities to help reduce the impact of COVID-19 in these communities. Read more here.



Posted: December 3, 2020

Birth and Infant Outcomes Following Laboratory-Confirmed SARS-CoV-2 Infection in Pregnancy — SET-NET, 16 Jurisdictions, March 29–October 14, 2020

Pregnant women with COVID-19 are at increased risk for severe illness and might be at risk for preterm birth. The full impact of infection with SARS-CoV-2, the virus that causes COVID-19, in pregnancy is unknown. Among 3,912 infants with known gestational age born to women with SARS-CoV-2 infection, 12.9% were preterm (<37 weeks), higher than a national estimate of 10.2%. Among 610 (21.3%) infants with testing results, 2.6% had positive SARS-CoV-2 results, primarily those born to women with infection at delivery. Read more here.



Posted: December 3, 2020

Estimated SARS-CoV-2 Seroprevalence in the United States as of September 2020

A new study from the Centers for Disease Control and Prevention (CDC) published November 24, 2020, shows that most of the U.S. population may still be susceptible to SARS-CoV-2, the virus that causes COVID-19. The study, published in JAMA Internal Medicine, focuses on CDC’s collaboration with commercial laboratories to conduct and publish results from large-scale geographic seroprevalence surveys to estimate the percentage of people in the United States who already have antibodies against SARS-CoV-2, and how that percentage changes over time in each geographic site. This includes infections that resulted in mild illness or no symptoms and those that were potentially not reported in official confirmed case counts. Read more here.



Posted: December 3, 2020

Scientific Brief: Community Use of Cloth Masks to Control the Spread of SARS-CoV-2

SARS-CoV-2 infection is transmitted predominately by respiratory droplets generated when people cough, sneeze, sing, talk, or breathe. The Centers for Disease Control and Prevention (CDC) recommends community use of masks, specifically non-valved multi-layer cloth masks, to prevent transmission of SARS-CoV-2. Masks are primarily intended to reduce the emission of virus-laden droplets, which is especially relevant for asymptomatic or presymptomatic infected wearers who feel well and may be unaware of their infectiousness to others. Read more here.



Posted: December 3, 2020

SmokefreeTXT for American Indian and Alaska Native People

The Indian Health Service (IHS), in collaboration with the National Cancer Institute, has announced a messaging tool that provides 24/7 encouragement, advice, and tips to American Indian and Alaska Native people who want to quit smoking. Access the campaign materials here.



Posted: November 19, 2020

Diné (The People) vs The Pandemic

The Navajo Nation has been disproportionately affected by COVID-19 due to existing economic and racial disparities. This project aims to explore those issues and solutions to the problem. The documentary was a project produced by KOB-TV (Albuquerque) for the USC Annenberg Center for Health Journalism’s 2020 National Fellowship. The video is available here.



Posted: November 19, 2020

Rural Health Updates from USDA Rural Development

Today, November 19th, is National Rural Health day. In recognition of this, the U.S. Department of Agriculture (USDA) Rural Development is launching a new mailing list all about Rural Health. To receive updates and announcements from USDA Rural Development about all the latest news in health opportunities in rural communities, subscribe to the new mailing list here.



Posted: November 19, 2020

Monoclonal Antibody Treatments for COVID-19 Medical Countermeasures Made Available under Emergency Use Authorization

On November 9, Eli Lilly and Company received an Emergency Use Authorization (EUA) from the U.S. Food and Drug Administration (FDA) for the investigational monoclonal antibody treatment bamlanivimab. The EUA allows healthcare providers to administer bamlanivimab to non-hospitalized patients with confirmed COVID-19 who are experiencing mild to moderate symptoms and are at high-risk for severe symptoms and hospitalization. Cases of the treatment are being allocated by the federal government to states, territories, and identified agencies on a weekly basis. To find out how much bamlanivimab has been allocated to specific jurisdictions view the allocation dashboard. Read more here.



Posted: November 19, 2020

Scientific Brief: Community Use of Cloth Masks to Control Spread of SARS-CoV-2

SARS-CoV-2 (the virus that causes COVID-19) is transmitted predominately by respiratory droplets generated when people cough, sneeze, sing, talk, or breathe. The Centers for Disease Control and Prevention (CDC) recommends community use of masks, specifically non-valved multi-layer cloth masks, to prevent transmission of SARS-CoV-2. Masks are primarily intended as "source control" to reduce the emission of virus-laden droplets. This is especially relevant for asymptomatic or presymptomatic individuals who feel well and may be unaware they are infectious. CDC has published a summary of the data supporting community masking. Read more here.



Posted: November 19, 2020

Deep Sleep Protects Against Alzheimer's, Growing Evidence Shows

New research is showing that deep sleep is vital to reducing risks of dementia and Alzheimer's. In a recent Current Biology publication, impaired sleep was found to be associated with a higher rate of future β-amyloid accumulation, the protein responsible for the onset of Alzheimer's disease (AD). These findings suggests that a deep, uninterrupted sleep may be protective against the progression of AD. Read more here.



Posted: November 19, 2020

New! COVID-19 Resources

  • Centers for Disease Control and Prevention (CDC)
    • Late Sequelae of COVID-19 - In peer-reviewed literature and public discussion, persistent symptoms are being reported among COVID-19 survivors, including individuals who initially experience a mild acute illness. These persistent symptoms pose new challenges to patients, healthcare providers, and public health practitioners. The natural history of SARS-CoV-2 infection and COVID-19 is a current area of investigation, and the prevalence, type, duration, and severity of persistent symptoms following resolution of acute SARS-CoV-2 infection, as well as risk factors associated with their development, are currently being studied. Read more here.
    • Long-Term Effects of COVID-19 — As the pandemic unfolds, we are learning that many organs besides the lungs are affected by COVID-19 and there are many ways the infection can affect someone’s health. Read more here.
    • Resources for Parents
    • Interim U.S. Guidance for Risk Assessment and Work Restrictions for Healthcare Personnel with Potential Exposure to COVID-19. Read more here.
    • Clinical Questions about COVID-19: Questions and Answers
    • Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic. Read more here.


    Posted: November 11, 2020

    Introducing the National Indian Health Board’s Climate Ready Tribes Initiative: Blog Post Series

    The National Indian Health Board (NIHB) and Climate for Health are partnering throughout November for National Native American Heritage Month to amplify Tribal leadership on climate solutions. Over the course of this month a series of blog posts from NIHB's Climate Ready Tribes grant awardees will highlight current climate change work in Indian Country. Read the first post introducing the project here.



    Posted: November 11, 2020

    DentaQuest Releases New Report: Ventilator-Associated Pneumonia and the Mouth

    DentaQuest Partnership for Oral Health Advancement released a new report titled, "The Link Between Ventilator-Associated Pneumonia and The Mouth." This report highlights the connection between oral health and ventilator-associated pneumonia (VAP). Some of the key findings of this report are how preventive dental visits can decrease the likelihood of acquiring VAP - one preventive dental visit in the last three years can reduces one’s chances of a VAP diagnosis by 22% - and patients with one or more comorbidities are at greater risk of VAP. Recordings and slides from a webinar are forthcoming.



    Posted: November 11, 2020

    2018 CDC WISQARS Released: Heart disease, cancer, and unintentional injuries are leading causes of death for AI/ANs

    New data from the Centers for Disease Control and Prevention (CDC) shows that in 2018, unintentional injuries, which include motor vehicle accidents, accidental drug overdoses, falls, and drownings were the third leading cause of death among American Indians and Alaska Natives (AI/ANs) across all ages, behind heart disease and cancer. Between the ages of 1-9 and 15-54 years, unintentional injuries were the leading cause of death.

    This mirrors a similar trend in nationally-reported deaths, where unintentional injuries are the primary cause of death for children and adults aged 1-44 years old. Notably, suicide became the leading cause of death among 10-14 year-olds in 2018, compared to unintentional injuries in 2017.

    Suicide is also the second leading cause of death for adolescents and adults aged 15-34 years. Among unintentional injury deaths for AI/AN adults aged 25-54 years, accidental poisonings (which include unintentional fatal drug overdoses) were the leading cause documented.

    These fatal injury data are available through CDC’s Web-based Injury Statistics Query and Reporting System (WISQARS) database, an online interactive platform that provides statistics on fatal and non-fatal injuries, violent death, and injury cost. You can view the interactive data tool here.


    Leading Causes of Death and Counts for AI/ANs, 2018, CDC WISQARS



    Posted: November 11, 2020

    Call for Infection Prevention and Control Epidemic and Outbreak Plans

    One of the goals of The National Indian Health Board's (NIHB) Project Firstline: Tribal Infection Prevent and Control Capacity Building Program is to provide Tribally specific resources and tools and share information to increase knowledge and improve practice of infection control within Tribal health facilities and among Tribal health staff. . To support this endeavor, NIHB is asking Tribes to share any IPC, epidemic, or outbreak plans, tools, or guides that has helped your Tribe. The materials can be de-identified, if needed. These resources will be placed online on the NIHB website. We hope to assist Tribes and support each other in an effort to mitigate the impact of current and future outbreaks in Indian Country. Anyone willing to share their materials or would like more information please contact Carmen Sanders at [email protected].



    Posted: November 11, 2020

    New! COVID-19 Resources

    • Centers for Disease Control and Prevention (CDC)
      • COVID-19 Vaccination Program Operational GuidanceThe COVID-19 Vaccination Program Operational Guidance for Jurisdictions Playbook serves as an interim playbook for state, territorial, Tribal, and local public health programs and their partners on how to plan and operationalize a vaccination response to COVID-19 within their jurisdictions. The document’s sections cover specific areas of COVID-19 vaccination program planning and implementation and provide key guidance documents and links to resources to assist those efforts.
      • Text Illness Monitoring (TIM) — Text Illness Monitoring, or TIM, is a text messaging system that helps public health organizations monitor symptoms of enrolled participants. Public health organizations can use this system at no cost to monitor symptoms consistent with COVID-19. Read more here.
      • Updated: Guidance for Pharmacies
      • Updated: Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19) - When SARS-CoV-2 and influenza viruses are co-circulating, clinicians should consider both viruses, as well as co-infection, in patients with acute respiratory illness symptoms because of similar signs and symptoms. Read more here.
      • Updated: How to Select, Wear, and Clean Your Mask


    Posted: November 5, 2020

    Join AICAF for National Lung Cancer Awareness Month

    The American Indian Cancer Foundation (AICAF) is hosting a variety of online events, and sharing resources toolkits in honor of National Lung Cancer Awareness Month. Read more here.



    Posted: November 5, 2020

    AI/AN Children Have Some of the Highest Rates of Obesity

    One of Indian Country's top public health priorities is addressing the obesity epidemic. In their recent report, The State of Obesity 2020: Better Policies for a Healthier America, Trust for America's Health explores obesity rates among demographic groups including American Indian and Alaska Natives (AI/AN). Below are findings included in the report:

    • AI/AN high schoolers had higher rates of obesity compared to white or Asian students.
    • AI/AN children enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) had the highest rate of obesity compared to other racial/ethic groups.

    The report also features an interview with Nicholas Barton (Cheyenne and Arapahoe), Executive Director of the Southern Plains Tribal Health Board Foundation, who states that food insecurity, physical inactivity, and general lack of nutritional knowledge are contributors to high obesity rates in AI/AN communities.



    Posted: November 5, 2020

    CDC Releases New Technical Document: Wildfires and Indoor Air

    The Centers for Disease Control and Prevention (CDC) has created a technical guidance document titled, “Evidence on the Use of Indoor Air Filtration as an Intervention for Wildfire Smoke Pollutant Exposure.” This document summarizes the available peer-reviewed literature about the effectiveness of air filtration as an intervention to decrease exposure to wildfire smoke and protect health when sheltering indoors. It also describes the different types of air filtering technology, metrics for measuring air quality, and summarizes the literature on their effectiveness in protecting against the harmful air pollutants in wildfire smoke.



    Posted: October 29, 2020

    SDPI 2020 Report to Congress Released

    The Indian Health Service (IHS) announced the release of their 2020 Special Diabetes Program for Indians (SDPI) Report to Congress, Changing the Course of Diabetes: Charting Remarkable Progress.

    This new report highlights SDPI's ongoing and outstanding contributions to improvements in diabetes care and health outcomes for American Indian and Alaska Native (AI/AN) people. In the report, Ann Bullock, Director of the IHS Division of Diabetes states, “These improvements have huge implications for quality of life and health care costs. Sustained efforts in diabetes prevention and treatment are critical to ensuring continued advances in the health of AI/AN people. The SDPI has been, and continues to be, key to this remarkable progress.” Read more here.



    Posted: October 29, 2020

    FDA Approves First Time Treatment for COVID-19

    The Food and Drug Administration (FDA) approved the first antiviral drug ‘Veklury (remdesivir)’ for use in adults and pediatric patients 12 years old and older weighing at least 40 kilograms for the treatment of COVID-19 requiring hospitalization. The approval of Veklury was supported by the agency’s analysis of data from 3 randomized, controlled clinical trials that included patients who were hospitalized with mild-to-severe COVID-19. Possible side effects of treatment include: increased level of liver enzymes, changes in blood pressure and heart rate, low blood oxygen level, fever, and shortness of breath. Veklury should only be administered in a hospital or healthcare setting that is capable of providing acute care comparable to inpatient hospital care. Read more here.



    Posted: October 29, 2020

    Public Health Accreditation Board Seeks Members for Tribal Workgroup

    The Public Health Accreditation Board (PHAB), in partnership with the National Indian Health Board, is seeking members to inform the development of the next iteration of the PHAB Standards and Measures, Version 2.0. The workgroup will meet several times in November, 2020. If you have knowledge and experience with the PHAB Standards and Measures v1.5 and are interested in participating in this workgroup, contact Sarah Price, [email protected], or 202-507-4078.



    Posted: October 29, 2020

    Staying Safe during the Holiday Season 2020

    In addition to our everyday lives, the coronavirus pandemic has also affected how we participate in celebrations. For the upcoming fall holidays, the Centers for Disease Control and Prevention (CDC) has described general considerations that individuals and families should keep in mind when celebrating, moderate- to high-risk activities that should be avoided, and low-risk activities that are suggested as alternatives. Read more here.



    Posted: October 22, 2020

    Judge Denies Tribes' Bid to Halt Keystone Pipeline Work

    A federal judge has denied a request by Tribes to halt construction of the Keystone XL oil pipeline from Canada over worries about potential spills and damage to cultural sites. Work started this spring on the pipeline, which would carry oil sands crude from Hardisty, Alberta, to Steele City, Nebraska. However, much of it is stalled after a separate ruling in July by the nation's top court. Read more here.



    Posted: October 22, 2020

    Announcing EPA's New Indoor Air and COVID-19 Webpage

    COVID-19 is known to spread mainly through close contact from person-to-person. There is uncertainty about the relative importance of other routes of transmission for COVID-19. The Environmental Protection Agency (EPA) recommends taking certain precautions to reduce potential airborne transmission, including increasing ventilation with outdoor air and air filtration. Read more here for topics covered on the EPA's Indoor Air and COVID-19 webpage.



    Posted: October 22, 2020

    Public Health Accreditation Board Seeks Members for Tribal Workgroup

    The Public Health Accreditation Board (PHAB), in partnership with the National Indian Health Board, is seeking members to inform the development of the next iteration of the PHAB Standards and Measures, Version 2.0. The workgroup will meet several times in November, 2020. If you have knowledge and experience with the PHAB Standards and Measures v1.5 and are interested in participating in this workgroup, contact Sarah Price, [email protected], or 202-507-4078.



    Posted: October 22, 2020

    2018 National Violent Death Reporting System Restricted Access Database Now Available

    The Centers for Disease Control and Prevention (CDC) has recently updated its Restricted Access Database (RAD) to include 2018 data from the National Violent Death Reporting System (NVDRS). The NVDRS RAD consists of data from 38 states, 21 California counties, the District of Columbia, and Puerto Rico. The NVDRS RAD is a de-identified, multi-state, case-level dataset comprised of hundreds of unique variables and includes short narratives that describe the circumstances related to violent deaths. There is no cost for accessing the NVDRS RAD and is available to researchers who meet certain criteria. Read more here.



    Posted: October 22, 2020

    Fact Sheet: Data Governance Strategies for States and Tribal Nations

    The Network for Public Health Law has published a fact sheet on data governance strategies for states and Tribal nations. This fact sheet focuses on strategies states should take to support Indigenous data sovereignty. Read more here.



    Posted: October 22, 2020

    New! COVID-19 Resources

    National Academies of Science, Engineering and Medicine - Reopening K-12 Schools During the COVID-19 Pandemic: Prioritizing Health, Equity, and Communities. Download free copy here.



    Posted: October 8, 2020

    Family Function During Pregnancy May Affect Fetal Brain Development

    According to new research led by Harvard T.H. Chan School of Public Health, how a family functions and manages conflict during pregnancy may influence the development of cortical white matter and subcortical volumes in the fetus' brain and be associated with brain characteristic that underlie behavioral problems later in life. Read more here.



    Posted: October 8, 2020

    Recent HIV Clusters and Outbreaks Across the United States Among People Who Inject Drugs and Considerations During the COVID-19 Pandemic

    The Centers for Disease Control and Prevention (CDC) has issued a Health Advisory to alert public health departments and healthcare providers to the possibility of new injection-related HIV infections and outbreaks. This health alert network provides guidance for preventing, identifying, and responding to HIV among people who inject drugs. It also provides considerations for delivering services in the context of the COVID-19 pandemic. Read more here.



    Posted: October 8, 2020

    Creative Responses to COVID-19 in Indian Country

    The latest issue of Transforming Care explores what has worked to contain the coronavirus and mitigate its impacts in Navajo, Mississippi Band of Choctaw Indians, and other American Indian communities – from community wide testing and mobile health services to developing improvised shelters for quarantining. The issue mentions the IHS response teams and other efforts. Read more here.



    Posted: October 8, 2020

    AMA Journal of Ethics "Caring for Native Americans" - October Issue

    In their October issue, the AMA Journal of Ethics explores health inequity in Native American communities, specifically. Topics discussed include transgenerational trauma, reproductive freedom, and partnerships between health professional schools and American Indian and Alaska Native communities.



    Posted: October 8, 2020

    New! COVID-19 Resources



    Posted: October 8, 2020

    Idaho State University Virtual Indigenous People's Day Events

    October 12 - 15, 2020

    Monday, October 12, 2020 marks Indigenous People's Day. In observance of this holiday, Idaho State University will be holding virtual Zoom events, including speakers and films, on the theme of “Celebrating Community and Neighbors: Building Relations with Shoshone-Bannock Tribes and Pocatello.” The deadline to register for these activities is Saturday, October 10, 2020. Read more here.



    Posted: October 1, 2020

    New Study Links Hazardous Air Pollutant Exposure as a Contributing Factor to COVID-19 Mortality in US

    Research published in the journal of Environmental Researcher Letters found that exposure to Hazardous Air Pollutants (HAPs) could be associated with an increase in COVID-19 morality. Researchers controlled for socioeconomic status, population health indicators, and exposure to PM2.5 and ozone. They found an increase in the respiratory hazard index is associated with a 9% increase in COVID-19 deaths. Read more here.



    Posted: October 1, 2020

    FDA Authorizes First Point-of-Care Antibody Test for COVID-19

    The Food and Drug Administration (FDA) has issued an emergency use authorization (EUA) for the first serology (antibody) point-of-care (POC) test for COVID-19. The Assure COVID-19 IgG/IgM Rapid Test Device was first authorized for emergency use by certain labs in July 2020 to help identify individuals with antibodies to SARS-CoV-2, indicating recent or prior COVID-19 infection. The EUA is being reissued to authorize the test for POC use using fingerstick blood samples. This authorization means that fingerstick blood samples can now be tested in POC settings like doctor's offices, hospitals, urgent care centers and emergency rooms rather than having to be sent to a central lab for testing. Read more here.



    Posted: October 1, 2020

    NIH Releases Tribal Consultation Report – Draft Policy for Data Management and Sharing

    The National Institutes of Health (NIH) has released a Tribal Consultation Report highlighting eight recommendations for a NIH policy for data management and sharing. The report is based on feedback gathered from consultation on existing policies and data management and identifies three common themes: building trust with Tribes, training researchers to respectfully manage Tribal data, and aligning policies with Tribal priorities and sovereignty. Additionally, future considerations and efforts will include development of outreach activities to improve resources related to the eight highlighted recommendations. Read more here.



    Posted: October 1, 2020

    CDC Awards Funding for Firearm Violence Research

    Every day in the United States, about 109 people die from a firearm-related injury. For every firearm death, at least two nonfatal firearm injuries are treated in emergency departments. In an effort to better understand and prevent firearm violence, the Centers for Disease Control and Prevention (CDC) will be supporting eighteen awardees in total as part of the competitively funded RFA-CE-20-006: Research Grants to Prevent Firearm-Related Violence and Injuries (R01) and RFA-CE-20-002: Grants to Support New Investigators in Conducting Research Related to Preventing Interpersonal Violence Impacting Children and Youth. Read more here.



    Posted: October 1, 2020

    Call for Infection Prevention and Control Epidemic and Outbreak Plans

    One of the goals of The National Indian Health Board's (NIHB) Project Firstline: Tribal Infection Prevent and Control (IPC) Capacity Building Program is to provide Tribally specific resources and tools and share information to increase knowledge and improve practice of infection control within Tribal health facilities and among Tribal health staff. To support this endeavor, NIHB is asking Tribes to share any IPC, epidemic, or outbreak plans, tools, or guides that has helped your Tribe. The materials can be de-identified, if needed. These resources will be placed online on the NIHB website. We hope to assist Tribes and support each other in an effort to mitigate the impact of current and future outbreaks in Indian Country. For anyone willing to share their materials or would like more information, please contact Carmen Sanders at [email protected].



    Posted: October 1, 2020

    New! COVID-19 Resources

    • Assistant Secretary for Preparedness and Response (ASPR) TRACIE:
      • COVID-19: Optimizing Healthcare Personal Protective Equipment (PPE) and Supplies – Webinar slides
      • Maintaining Healthcare Safety During the COVID-19 Pandemic: Medically Necessary, Time-Sensitive (MeNTS) Procedures - Slides
    • Substance Abuse and Mental Health Services Administration (SAMHSA):
    • Centers for Disease Control and Prevention (CDC) Guidance:


    Posted: September 24, 2020

    Tribes Awarded Funds to Combat Human Trafficking

    On Monday, September 21, 2020, the U.S. Department of Justice's Office of Justice Programs announced that nearly $101 million in funding was awarded to combat human trafficking and provide vital services to trafficking victims throughout the United States. Of the jurisdictions, service providers, and task forces awarded all over the country, two Tribes, the Ponca Tribe of Nebraska and Lummi Indian Business Council, were among the recipients. Human trafficking is a major contributor to the murdered and missing Indigenous people epidemic, and such available funds can go on to prevent further violence and support Indigenous survivors of human trafficking. Read more here.



    Posted: September 24, 2020

    Trump Administration Releases COVID-19 Vaccine Distribution Strategy

    The U.S. Department of Health and Human Services (HHS) and Department of Defense (DoD) released two documents outlining the Trump Administration's detailed strategy to deliver safe and effective COVID-19 vaccine doses to the American people. The documents, developed by HHS in coordination with DoD and the Centers for Disease Control and Prevention (CDC), provide a strategic distribution overview along with an interim playbook for state, Tribal, territorial, and local public health programs and their partners on how to plan and operationalize a vaccination response to COVID-19 within their respective jurisdictions.



    Posted: September 24, 2020

    SAMHSA's 2019 National Survey on Drug Use and Health Report Data Findings

    The Substance Abuse and Mental Health Services Administration (SAMHSA) has recently released the 2019 National Survey on Drug Use and Health (NSDUH). The annual survey is the nation's primary resource for data on mental health and substance use among Americans. As the NSDUH demonstrates, substance misuse and mental illness continue to be major problems for Americans. View a video presentation of the NSDUH data findings presented by Assistant Secretary for Mental Health and Substance Use, Dr. Elinore F. McCance-Katz, MD, PhD here. Read the report here.



    Posted: September 24, 2020

    Protecting Young People from E-Cigarettes

    The Centers for Disease Control and Prevention's (CDC) Office on Smoking and Health (OSH) has released a new feature article focused on both the ongoing epidemic of e-cigarette use by youth and ways to help reduce youth e-cigarette use. Nicotine addiction is part of what has caused the youth e-cigarette epidemic, along with flavors of e-cigarette liquid and advertising by e-cigarette manufacturers targeting youth. There are science-supported ways that everyone who interacts with youth can help reduce e-cigarette use among young people. Teachers, coaches, and healthcare providers can talk to young people about the negative health effects of e-cigarettes. Read more here.



    Posted: September 24, 2020

    Exposure to Secondhand Smoke in Homes and Vehicles among US Youths, United States, 2011–2019

    The Centers for Disease Control and Prevention's (CDC) Office on Smoking and Health released a research brief in Preventing Chronic Disease on secondhand smoke (SHS) exposure. This study reports the prevalence of self-reported SHS exposure in homes and vehicles among U.S. middle and high school students in 2019 and changes in SHS exposure over time. In 2019, 25.3% (6.7 million) of U.S. middle and high school students reported home SHS exposure, and 23.3% (6.1 million) reported vehicle SHS exposure. Implementation of smoke-free policies in both public and private settings, including homes and vehicles, can help reduce SHS exposure, particularly among youth. Read more here.



    Posted: September 24, 2020

    Prescription Opioid Misuse and Use of Alcohol and Other Substances Among High School Students- YRBS 2019

    The Centers for Disease Control and Prevention (CDC) released an article in the Morbidity and Mortality Weekly Report (MMWR) in August examining youth substance use trends and patterns. Studies show that substance use in youth directly correlate with an increase in delinquency, academic underachievement, teenage pregnancy, violence, and many more preventable issues. Analysis from the Youth Risk Behavior Surveillance System (YRBSS) provide public health professionals with ways to expand the implementation of evidence-based prevention policies, programs, and practices. It is shown that reaching young persons during early elementary ages in the school environment have greater promise than substance-specific programs. In addition, improving and implementing new and safer prescribing practices can help reduce opioid misuse and overdoses. Read more here.



    Posted: September 24, 2020

    End the Youth Vaping Epidemic

    The American Lung Association launched an initiative on September 1, 2020 to end the youth vaping epidemic. The initiative is an integrated, multi-component approach to support parents, schools, and students. Nearly 8,000 kids start vaping every day and the U.S. Surgeon General has classified youth vaping as an “epidemic.” Almost all vape liquid contains nicotine, which is addictive and harmful to adolescent brain development. Other dangerous ingredients in vape pods can cause irreversible lung damage and lung disease. Read more here.



    Posted: September 24, 2020

    Behavioral Health On-Demand Training: Courses Available!

    The Indian Health Service (IHS) now has a variety of behavioral health online courses with free continuing education (CE) credits. A list of course and how to register is available here.

    Course Topics include:

    • Domestic and Sexual Violence
    • Ethics for Behavioral Health Providers
    • Neonatal Opioid Withdrawal Syndrome
    • Screening, Brief Intervention and Referral to Treatment (SBIRT)


    Posted: September 24, 2020

    New! COVID-19 Resources



    Posted: September 24, 2020

    CMS-CDC Fundamentals of COVID-19 Prevention for Nursing Home Management Live Q&A Session

    Multiple days at 4:00 PM – 5:00 PM ET

    Join the Center for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) twice a month on Thursdays for live Q&A sessions on how to help prevent infection in nursing homes. You can choose to attend one or more of the live sessions. Register here.



    Posted: September 24, 2020

    IHS Invites Tribal Consultation on FY 2020 Funds for CHAP Implementation

    The Indian Health Service (IHS) has invited Tribal consultation on the use of FY 2020 Funds to support Community Health Aide Program (CHAP) expansion. Comments on how funding can be used to support Tribes and Federal Facilities to begin operating CHAP, support the development of National and Area Certification Boards to certify CHAP Providers, investing in training for CHAP Providers, and continuing community education on the value of CHAP into Tribal and Federal Programs. By November 23rd, 2020, Tribal Leaders are invited to send their comments by email to [email protected] with the subject line "National CHAP Expansion Funding."

    As part of the consultation, IHS will be hosting a CHAP Virtual Learning Series. This series is a four-part session that covers topics related to CHAP, the dates are:

    • Oct. 1st, 2020 at 1:00 PM ET: CHAP Expansion Learning Series CHAP Policy Explained.
    • Oct. 2nd, 2020 at 1:00 PM ET: CHAP Expansion Learning Series: Background of Consultation & Implementation Priorities.
    • Oct. 7th, 2020 at 2:00 PM ET: CHAP Expansion Learning Series: Deep Dive into the Behavioral, Community, & Dental Health Aides for Tribal Communities.
    • Oct. 8th, 2020 at 1:00 PM ET: CHAP Expansion Learning Series: Understanding the Roles of the CHR and CHAP Workforce.

    If Tribal Leaders may have any questions about CHAP, they can contact Ms. Minette Galindo, Public Health Advisor, IHS by email at [email protected].



    Posted: September 17, 2020

    Revised 10 Essential Services for Public Health Framework Released

    On September 9, The Public Health National Center for Innovations at the Public Health Accreditation Board, the de Beaumont Foundation, and a task force of public health experts revealed a revised version of the 10 Essential Public Health Services. This updated framework will serve as a guide and roadmap for public health agencies nationwide. You can learn more about the new framework here.
    A recording of the launch event is available here.
    A free digital toolkit with adoption resources is available here.



    Posted: September 17, 2020

    New Volume: How COVID-19 Exacerbates Educational Inequities Among Children

    The Society for Research in Child Development (SRCD) recently published a new volume of Statement of the Evidence briefs examining the impact of systemic racism and potential exacerbating effects of COVID-19 on racial-ethnic minority and LGBTQ+ children and youth. American Indian and Alaska Native (AI/AN) children are already at risk for low levels of school achievement, now they are further threatened with school closures, limited access to broadband services and technology, inadequate access to nutritious food and dedicated space to study in the home. Low-quality education and health care for AI/AN youth worsens the negative impact of COVID-19. Read more here.



    Posted: September 17, 2020

    MMWR: E-cigarette Unit Sales, by Product and Flavor Types—United States, 2014 –2020

    The Centers for Disease Control and Prevention (CDC), in collaboration with various partners, recently released a paper in Morbidity & Mortality Weekly Report (MMWR) highlighting recent changes in U.S. e-cigarette sales by product and flavor types. Pre-filled cartridges remain the leading type of e-cigarettes sold, but disposable product sales increased within the past year. Moreover, among pre-filled cartridge sales, menthol flavored products comprised more than three-fifths (61.8%) of all flavored products sold. Read more here.



    Posted: September 17, 2020

    MMWR: E-cigarette Use Among Middle and High School Students — United States, 2020

    In addition to the above paper on e-cigarette sales, the Centers for Disease Control and Prevention (CDC), in collaboration with various partners, recently released a paper in Morbidity & Mortality Weekly Report (MMWR) highlighting recent changes in U.S. e-cigarette use. About 3.6 million U.S. youth reported current (in the past 30 days) e-cigarette use in 2020, reflecting a decline from 5.4 million in 2019, according to the National Youth Tobacco Survey (NYTS) conducted in partnership with the U.S. Food and Drug Administration (FDA). Read more here.



    Posted: September 17, 2020

    Swinomish Tribe Assesses Climate Change Impact

    The Swinomish Indian Tribal Community in Western Washington conducted a value-based health assessment to address climate change impacts on first foods (traditional foods integral to a Tribe's health), incorporating local knowledge and Tribal values with the scientific research process. Researchers hypothesized that changes in first foods' habitats from climate change would negatively affect Swinomish Life, including social, cultural, mental, and physical health. Founded in values-driven data from the community, researchers and community members used local priorities to inform climate adaptation decisions. Their work was recently highlighted by the Centers for Disease Control and Prevention in its “Field Notes” series. Read more here.



    Posted: September 17, 2020

    Great Plains Tribal Casinos and the Benefits of Reopening Smoke-free

    On August 27, 2020, the Great Plains Tribal Chairmen's Health Board and Americans Nonsmokers' Rights Foundation hosted a webinar sharing tools, resources, and information on reopening casinos as smoke-free. This information is especially important and beneficial to consider as a method of preventing further respiratory distress in the age of COVID-19. Read more here.



    Posted: September 17, 2020

    New! COVID-19 Resources



    Posted: September 17, 2020

    New Emergency Preparedness Training: Law and Epidemic Emergency Preparedness (LEEP)

    The Center for Disease Control and Prevention's (CDC) Public Health Law Program, within CDC's Center for State, Tribal, Local, and Territorial Support (CSTLTS), has announced the new Law and Epidemic Emergency Preparedness (LEEP) online training. LEEP is a free, self-paced, e-learning course that helps improve understanding of the use of law during a large-scale communicable disease response. The training covers the legal underpinnings of emergency preparedness and response systems, what actions are authorized, and how to minimize legal barriers to an effective large-scale communicable disease response. Read more here.



    Posted: September 17, 2020

    Attendee Registration for the NIHB Annual National Tribal Health Conference is OPEN!

    The National Tribal Health Conference (NTHC) is the largest American Indian and Alaska Native specific gathering each year focused solely on health. The conference explores health policy and its impact on Tribes, advances Tribal capacity to expand policy work, and serves as a forum to discuss policy and political work in the arenas of Tribal health care, public, behavioral, and environmental health. Read more and register here!



    Posted: September 17, 2020

    Equity and Policy Preparedness During Public Health Emergencies

    The National Governors Association (NGA), Centers for Disease Control and Prevention (CDC), and the American Bar Association (ABA), are hosting a webinar series on Equity and Policy Preparedness during Public Health Emergencies. Participants in all four webinars will consider lessons learned from past public health emergencies to inform their implementation of best practices for the future. This four-part webinar series will lead off in September as part of National Preparedness Month and will conclude in December. Read more here.



    Posted: September 10, 2020

    NIHB CEO Stacy A. Bohlen to Speak on a Panel on Racism, Violence and Injury Prevention, and Tribal Heath

    On Friday, September 11, 2020 Stacy A. Bohlen spoke on a panel about injury and violence prevention, COVID-19, and the impacts of structural racism on American Indian and Alaska Native health. The session featured co-panelist Reggie Moore of the Milwaukee Health Department and moderator Sheila Savannah of the Prevention Institute. The panel sparked a meaningful conversation around what violence and injury prevention practitioners, advocacy groups, and organizations can do to critically address health inequities and racism in their work.

    The panel and conference were hosted by the Safe States Alliance, a national non-profit and professional organization whose mission is to strengthen the practice of injury and violence prevention. You can learn more about the Safe States 2020 Conference "Advancing Equity, Strengthening Prevention" here.



    Posted: September 10, 2020

    September - National Preparedness Month
    Disasters Don't Wait. Make Your Plan Today.

    National Preparedness Month (NPM) is recognized each September to promote family and community disaster planning now and throughout the year. As our nation continues to respond to COVID-19, there is no better time to be involved this September. #BeReady

    Week 1 September 1-5: Make A Plan

    Week 2 September 6-12: Build A Kit
    Gather supplies that will last for several days after a disaster for everyone living in your home. Don't forget to consider the unique needs each person or pet may have in case you have to evacuate quickly. Update your kits and supplies based on recommendations by the Centers for Disease Control. Build a kit PSA.

    Week 3 September 13-19: Prepare for Disasters

    

    Week 4 September 20-26: Teach Youth About Preparedness.



    Posted: September 10, 2020

    ACS Updates Cervical Cancer Screening Guidelines to Start Screening at Age 25

    The American Cancer Society (ACS) has updated its guidelines for cervical cancer screening aimed at people with a cervix who have an average risk of cervical cancer. For people aged 25 to 65 years, the preferred screening recommendation is to get a primary human papillomavirus (HPV) test every 5 years. Read more here.



    Posted: September 10, 2020

    Association Between the Tips From Former Smokers® Campaign and Smoking Cessation Among Adults, United States, 2012–2018

    The Centers for Disease Control and Prevention (CDC) Office on Smoking and Health released a tobacco-related research brief in the Preventing Chronic Disease (PCD) journal. In March 2012, CDC launched the Tips From Former Smokers® (Tips®) campaign—the first federally funded anti-smoking ad campaign-which profiles real people who are living with serious long-term health effects from smoking and secondhand smoke exposure. During 2012–2018, CDC's Tips campaign was associated with an estimated 1 million sustained quits and 16.4 million quit attempts among U.S. adults, demonstrating that public health campaigns can be effective when they are based on scientific evidence and are of sufficient intensity and duration. Continued implementation of smoking cessation campaigns, including the Tips campaign, could accelerate progress toward reducing rates of smoking-related diseases and death. Read more here.



    Posted: September 10, 2020

    Helping Children Thrive: Early Childhood Development & ACEs

    The National Institute for Health Care Management (NIHCM) has released an infographic on the impact of early childhood development and adverse childhood experiences (ACEs) on health and well-being, and outlines actionable strategies to support healthy child development. The COVID-19 pandemic and the associated economic downturn and schooling challenges have worsened stress and uncertainty for families and children. A child's earliest years lay the groundwork for lifelong health, and positive early experiences can strengthen a child's developing biological systems, helping them to thrive and become healthy adults. Alternatively, negative or adverse experiences, such as trauma, abuse and racism, can result in toxic stress and poor health outcomes. For more information on the impact of ACEs in Indian Country visit the NIHB Information Hub: Adverse Childhood Experiences (ACEs) in Indian Country here.



    Posted: September 10, 2020

    USDA Measures to Help Rural Residents, Businesses and Communities in the Wake of COVID-19

    On August 28, the United States Department of Agriculture (USDA) published an announcement titled, "USDA Implements Immediate Measures to Help Rural Residents, Businesses and Communities Affected by COVID-19" from the USDA Rural Development. This announcement is intended to help individuals in rural America effected by the COVID-19 outbreak and includes updates to the Rural Housing Service, Rural Utilities Service and the Rural Business-Cooperative Service. Many of these measures involve the extension of funding deadlines, guidance on new programs, and guidance on specific policies in relation to these three different services. Read more here.



    Posted: September 10, 2020

    FEMA Launches New Preparedness Training for Community-Based Organizations

    The Federal Emergency Management Agency (FEMA) launched a new preparedness training, "Organizations Preparing for Emergency Needs," or OPEN. The new training is designed to empower Community-Based Organizations (CBOs) to prepare for incidents and increase resilience in the face of a disaster. OPEN is both a self-guided online course for individuals and a downloadable instructor-led course designed to help organizations take preparedness steps. The OPEN training will walk participants through ten preparedness actions. Read more here. Read more here.



    Posted: September 10, 2020

    New! COVID-19 Resources



    Posted: September 3, 2020

    2020 National Indian Health Board Outstanding Service Awards

    Nominations for the National Indian Health Board 2020 Outstanding Service Awards: Recognizing Resiliency in Indian Country are now open! Nominate a hero in Indian Health between now and September 15, 2020 to recognize their work at the Local, Regional, and National Levels!

    Read more here.



    Posted: September 3, 2020

    CMS-targeted COVID-19 Training for Nursing Homes

    On August 25, 2020, the Centers for Medicare and Medicaid Services (CMS) implemented a national nursing home training program "designed to equip both frontline caregivers and their management with the knowledge they need to stop the spread of COVID-19 in their nursing homes." The scenario-based training on topics critical to stopping the spread of COVID-19 is available to staff of Medicare and Medicaid certified nursing homes. The instructions on how to access Targeted COVID-19 Training for Nursing Homes can be found here. Some training topics include infection control and prevention, appropriate screening of visitors, and proper use of personal protective equipment (PPE).Read more here.



    Posted: September 3, 2020

    SAMHSA: Dr. McCance-Katz Delivers Video Message to Celebrate Beginning of National Recovery Month

    In recognition of National Recovery Month, Assistant Secretary for Mental Health and Substance Use at the Substance Abuse and Mental Health Services Administration (SAMHSA), Dr. Elinore McCance-Katz, honors the millions of Americans who have achieved recovery from mental and substance use disorders. Watch her video message celebrating the work done by the recovery community here.



    Posted: September 3, 2020

    Low-cost Measurement of Face Mask Efficacy for Filtering Expelled Droplets During Speech

    A study conducted at Duke University used a simple visual measurement method to evaluate the efficacy of face masks (face coverings) used to reduce the transmission of respiratory droplets during regular speech. Researchers compared a variety of commonly available mask types and observed that some mask types approach the performance of standard surgical masks, while some mask alternatives, such as neck fleece or bandanas, offer very little protection. Read more here.



    Posted: September 3, 2020

    Solicitation of Nominations for Membership To Serve on Tribal Advisory Council

    The Health Resources and Services Administration (HRSA) is seeking additional nominations of qualified Tribal officials as candidates for consideration for appointment as voluntary delegate members of the HRSA Tribal Advisory Council (TAC), which is being established. Specifically, HRSA requests submissions of nominations of qualified Tribal officials from the Indian Health Service (IHS) geographic areas of: Alaska; Albuquerque; Billings; Navajo; Phoenix; and Tucson. Nominations for membership must be received on or before September 30, 2020. Read more here.



    Posted: September 3, 2020

    New COVID-19 Resources!



    Posted: August 27, 2020

    Postponed Tribal Public Health Summit Registrations Migrated to the 2020 Annual National Tribal Health Conference

    National Indian Health Board (NIHB) would like to thank those who registered for the 11th Annual Tribal Public Health Summit (TPHS) which was scheduled for March 17 - 19, 2020 in Omaha, NE and postponed due to the COVID-19 pandemic. NIHB would also like to thank registrants for continuing to support the mission and vision of the organization, as well as the work it does to support public health and Tribal health.

    After much consideration, National Indian Health Board has decided to include public health content from the TPHS in this year's National Tribal Health Conference (NTHC) scheduled for October 13 - 16, 2020. As of August 10, 2020, all TPHS registrations were migrated to the 2020 NTHC. TPHS registrants were emailed with more information for the National Tribal Health Conference. Please read more here for important information regarding this migration, including refund deadlines, and visit the NTHC website here for more information about this exciting and important annual event, now virtual!



    Posted: August 27, 2020

    MMWR: Tobacco Product Use Among High School Students - Youth Risk Behavior Survey, United States, 2019

    A recent Morbidity and Mortality Report (MMWR) published on August 20, 2020, by the Centers for Disease Control and Prevention uses data from the 2019 Youth Risk Behavior Survey to assess use of electronic vapor products, cigarettes, cigars, and smokeless tobacco among U.S. high school students, including frequency of use, trends in use over time, and usual source of electronic vapor products. In 2019, current electronic vapor product use was 32.7%, current cigarette smoking was 6.0%, current cigar smoking was 5.7%, and current smokeless tobacco use was 3.8%. Implementing evidence-based tobacco control strategies, combined with the U.S. Food and Drug Administration's regulatory efforts, is important for preventing and reducing all forms of tobacco product use among youths. In addition, continued surveillance of all tobacco products is needed to guide and evaluate public health policy at local, state, Tribal, and national levels.

    Read more here.



    Posted: August 27, 2020

    Pathological Findings in Suspected Cases of E-Cigarette, or Vaping, Product Use-Associated Lung Injury (EVALI): A Case Series

    The Lancet Respiratory Medicine

    In August 2019, the Centers for Disease Control and Prevention (CDC), the U.S. Food and Drug Administration, and state, territorial, local, and Tribal health departments began the investigation of a national outbreak of e-cigarette, or vaping, product-use associated lung injury (EVALI). After peaking in September 2020, EVALI cases and deaths have since declined. This study describes the pathological findings in autopsy and biopsy tissues submitted to CDC for the evaluation of suspected EVALI. This study also includes the first description of findings in a series of autopsies evaluated for suspected EVALI. The article and related audio are available online.



    Posted: August 27, 2020

    Real-time Data Collection on Implementation of Mitigation Strategies

    The Centers for Disease Control and Prevention (CDC) is currently exploring innovative approaches (e.g. crowd sourcing, online polls, social media monitoring, or web panels) to collect near real-time data to help assess the implementation of mitigation strategies, with a focus on school mitigation strategies. Such information can be triangulated with other data to develop situational reports and identify promising practices to help inform federal, state, Tribal, local, and territorial decisions regarding the implementation and effectiveness of COVID-19 mitigation strategies.



    Posted: August 27, 2020

    Request for Comments: Enhancing Linkage of STI and HIV Surveillance Data in the Ryan White HIV/AIDS Program Evaluation

    On August 20, the Health Resources and Services Administration (HRSA) published a notice of a comment request on “Enhancing Linkage of Sexually Transmitted Infection and Human Immunodeficiency Virus Surveillance Data” for the Ryan White HIV/AIDS program evaluation. This evaluation will assess the effectiveness of the Enhancing Sexually Transmitted Infection (STI) linkage demonstration project. Comments are due October 19, 2020. Read more here.



    Posted: August 27, 2020

    EPA Smoke-ready Toolbox for Wildfires

    The Environmental Protection Agency (EPA) has developed a Smoke-ready Toolbox for Wildfires. The toolbox includes resources that public health officials and others can use to help educate people about the risks of smoke exposure and actions they can take to protect their health. Smoke from wildfires reduces air quality and puts individuals with underlying conditions (such as asthma, COPD, or heart disease) and others at risk of poor health outcomes. The EPA, the U.S. Forest Service, and other federal, state, and community agencies and organizations work together to help prepare the public to reduce their health risk before a wildfire. The toolbox also includes links to the Centers for Disease Control and Prevention's Wildfire Smoke and COVID-19 frequently asked questions and resources for environmental health professionals. Read more here.



    Posted: August 27, 2020

    CDC Wildfire Smoke and COVID-19 Website

    Wildfire smoke can irritate your lungs, cause inflammation, affect your immune system, and make you more prone to lung infections, including COVID-19. Because of the pandemic, preparing for wildfires may be different this year. Know how wildfire smoke can affect you and your loved ones during the COVID-19 pandemic and what you can do to protect yourselves. Visit the Centers for Disease Control and Prevention's Wildfire Smoke and COVID-19 website here.



    Posted: August 27, 2020

    COVID-19 in Indian Country: Past Policy, Current Responses, and Future Implications

    This webinar introduced participants to key principles in Indian law and Tribal public health law, discussed the impact of COVID-19 in Indian Country, and identified response strategies based upon practical experience. The webinar was presented by the Network for Public Health Law and the American Society for Law, Medicine and Ethics. Recording and slides available here.



    Posted: August 27, 2020

    Natural Disasters, Severe Weather, and COVID-19

    The Centers for Disease Control and Prevention has launched a new website to provide information on how the general public can stay safe during and after hurricanes or other natural disasters. It contains information on preparedness and recovery during the COVID-19 response.



    Posted: August 27, 2020

    Attendee Registration for the NIHB Annual National Tribal Health Conference is OPEN!

    The National Tribal Health Conference (NTHC) is the largest American Indian and Alaska Native specific gathering each year focused solely on health. The conference explores health policy and its impact on Tribes, advances Tribal capacity to expand policy work, and serves as a forum to discuss policy and political work in the arenas of Tribal health care, public, behavioral, and environmental health. Read more and register here!



    Posted: August 27, 2020

    Trans & Gender-Affirming Care ECHO

    The Northwest Portland Area Indian Health Board (NPAIHB) invites healthcare providers to join the second phase of their Trans & Gender-Affirming Care ECHO. This virtual training curriculum will ensure registered providers have the resources they need to create affirming clinical environments and provide appropriate healthcare for gender-diverse patients. The sessions will include continuing education credits. Register here.

    • Adult-focused sessions: 4th Mondays at 2:00 PM ET, beginning October 26th, 2020
    • Pediatric-focused sessions: 2nd Mondays at 2:00 PM ET, beginning November 9th, 2020


    Posted: August 20, 2020

    NIHB Launches Brain Health for Tribal Nations Web Page!

    Ensuring good health and wellness for American Indians and Alaska Natives across the lifespan is essential. Supporting healthy minds and bodies with age is important to supporting the quality of life for elders, their families and caregivers, and their communities. The National Indian Health Board's (NIHB) web page on brain health brings together resources, tools, and success stories to empower Tribes in their journeys as brain health champions! Whether you are just starting to learn about brain health or have years of experience, we invite you to read through and learn more here.



    Posted: August 20, 2020

    CDC Seeks Nominations for Vacant Tribal Advisory Committee Seats

    A Dear Tribal Leader Letter was issued on August 7, 2020 announcing vacancies for the Centers Disease Control and Prevention/Agency for Toxic Substances and Disease Registry (CDC/ATSDR) Tribal Advisory Committee (TAC) for the following seats: Bemidji area, California area, Great Plains area, Phoenix area, Tucson area, and Tribes At-Large. The Tribal leaders, serving two-year terms on the TAC provide input and guidance about CDC policies, guidelines, and programmatic issues affecting the health of Indian Tribes. The current roster, TAC charter, eligibility and nomination guidance can be found on the CDC TAC website. Read more here.



    Posted: August 20, 2020

    HHS Releases July - December COVID-19 State Testing Plans

    On August 10, 2020, the U.S. Department of Health and Human Services (HHS) publicly posted the July through December COVID-19 Testing Plans from all states, territories, and localities on HHS.gov. The State Testing Plans serve as a roadmap developed in partnership with the Federal government for each jurisdiction's monthly 2020 testing strategy for SARS-CoV-2, the virus that causes COVID-19. Read more here.



    Posted: August 20, 2020

    CDC Recognizes World Mask Week: August 7 – 14, 2020

     Last week, the Centers for Disease Control and Prevention (CDC) joined the CDC Foundation and many other public health partners in highlighting the importance of wearing masks in public to prevent the spread of COVID-19. Wearing a mask is one of the best tools we have, especially when paired with social distancing and hand washing. COVID-19 can be spread by people who do not have symptoms and do not know that they are infected. Masks can help prevent people who have COVID19 from spreading the virus to others. Masks, when worn over the nose and mouth, can help reduce the spray of respiratory droplets when the person wearing them coughs, sneezes, talks, or shouts. Masks are most likely to reduce the spread of COVID-19 when they are widely used by people in public settings. The spread of COVID-19 can be reduced when masks are used along with other preventative measures, including social distancing, frequent handwashing, and cleaning and disinfecting frequently touched surfaces.



    Posted: August 20, 2020

    CDC Data Shows Disproportionate Impact of COVID-19 for AI/ANs, January – July 2020

    A new study released yesterday by the Centers for Disease Control and Prevention (CDC) found that American Indian and Alaska Natives (AI/AN) had a cumulative COVID-19 incidence that was 3.5 times that of the white, non-Hispanic population between January and July 2020. The data represent 340,059 voluntarily-reported laboratory-confirmed cases from 23 states. The median age of AI/AN who tested positive was younger than that of the white patients (40 years vs. 51 years). A higher percentage of AI/AN who test positive tended to be under 18 years (12.9%) compared to their white counterparts (4.3%).

    The authors note that historical trauma and racial inequity have had lasting impacts on socioeconomic and health status and may influence the disparate impacts of COVID-19 on AI/ANs. The higher incidence of cases may also be related to environmental and structural factors, such as limited access to running water and household size that may facilitate COVID-19 transmission.

    Read more here.



    Posted: August 20, 2020

    Center for Indigenous Cancer Research

    The Center for Indigenous Cancer Research (CICR) launched at Roswell Park Comprehensive Cancer Center in January 2020 aims to reduce the impact of cancer on Indigenous communities regionally, nationally, and internationally. The team honors the values of Indigenous Knowledge, sovereignty, and respect for the environment through community-driven partnerships, collaborative research, and education. The CICR offers free virtual workshops to educate communities about colorectal cancer screening and clinical trials, and the CICR Director Rodney Haring was recently named to the COVID-19 Prevention Network Native Experts Panel formed by the National Institute of Allergy and Infectious Disease.

    Read more here.



    Posted: August 13, 2020

    NIHB Launches Adverse Childhood Experiences (ACES) Hub

    Many Tribal individuals, families, and communities have been impacted by childhood experiences causing physical and mental health adversities throughout the lifespan. However, with understanding and effort, individuals and communities can confront Adverse Childhood Experiences (ACES) for positive health outcomes. This information hub, launched by the National Indian Health Board (NIHB) in collaboration with the Centers for Disease Control and Prevention, includes a "resource basket" designed for American Indian and Alaska Native individuals, families, communities, professionals, and leaders to rummage through, harvesting resources. This Hub can assist Tribes to learn more about ACEs, research, tools, and interventions. Visit the ACES hub here.



    Posted: August 13, 2020

    Four Awardees for Brain Health Capacity Building Grants Announced

    The Administration for Community Living announced four awardees of its 2020 Alzheimer's Disease Programs Initiative (ADPI) Dementia Capability in Indian Country grants this week. These three-year grants are intended to support communities to provide long-term support and services for individuals with dementia and their caregivers.

    The four 2020 grantees are:

    • Absentee Shawnee Tribe Of Oklahoma (OK)
    • Aleutian Pribilof Islands Association, Inc. (AK)
    • Great Lakes Inter-Tribal Council (WI)
    • Spirit Lake Tribe (ND)

    Congratulations to each grantee! Read the full announcement here. You can learn more about the ADPI program here.



    Posted: August 13, 2020

    CDC Expands COVID-19 Website for Tribal Communities

    On August 1, the Centers for Disease Control and Prevention (CDC) launched an updated Tribal Communities website for COVID-19. The update includes information for Tribal community members and leaders on Tribal funeral and burial practices, considerations for casino and gaming operations, advice on caring for pets and other animals, multigenerational and shared housing, and more. Read more here.



    Posted: August 13, 2020

    HHS, DOD Collaborate With Johnson & Johnson to Produce Millions of COVID-19 Investigational Vaccine Doses

    The U.S. Department of Health and Human Services (HHS) and Department of Defense (DoD) announced an agreement with the Janssen Pharmaceutical Companies of Johnson & Johnson, to demonstrate large-scale manufacturing and delivery of the company's COVID-19 vaccine candidate. Under the terms of the agreement, the federal government will own the resulting 100 million doses of vaccine. Read more here.



    Posted: August 13, 2020

    Oklahoma City Indian Clinic Promotes National Immunization Month

    The Oklahoma City Indian Clinic is promoting National Immunization Month by stressing the importance of vaccinations in Indian Country. Health and wellness benefits including vaccinations are highly recommended. Read more here.



    Posted: August 13, 2020

    Wear a Mask Challenge – Do It All!

    The World Health Organization (WHO) has launched a new #WearAMask challenge! By wearing a mask, you send a message of solidarity and protect people, especially those most vulnerable, from COVID-19. Take a photo or a video of yourself wearing a mask, share it and nominate friends to do the same. Masks alone will not stop the virus - we must do it all:

    • Wear a mask that covers your nose, mouth and chin
    • Keep physical distance
    • Clean your hands
    • Keep away from big crowds
    • Cover your mouth and nose when coughing

    We are the ones that can end this pandemic! Video available here



    Posted: August 13, 2020

    CDC Management of Acute and Chronic Pain: Opportunity for Stakeholder Engagement

    The Centers for Disease Control and Prevention has recently shared notice of upcoming listening sessions to collect stories and experiences from patients and clinicians surrounding opioids and pain management. Feedback is being requested from patients with acute or chronic pain, patients' family members and/or caregivers, and health care providers who care for patients with pain or conditions that can complicate pain management (e.g., opioid use disorder or overdose). Read more here.



    Posted: August 13, 2020

    Preparing for Hurricane Season

    Hurricanes are dangerous and can cause major damage because of storm surge, wind damage, and flooding. Ready is a national public service campaign designed to educate and empower the American people to prepare for, respond to, and mitigate emergencies, including natural and man-made disasters. The campaign is equipped with resources and tools for individuals to better prepare and plan for hurricane season. Read more here.

    • Eastern Pacific Hurricane Season: May 15-November 30.
    • Atlantic Hurricane Season: June 1-November 30.
    • Central Pacific Hurricane Season: June 1-November 30.


    Posted: August 6, 2020

    August is National Immunization Awareness Month

    August is National Immunization Awareness Month (NIAM). This annual observance highlights the efforts of healthcare professionals to protect patients of all ages against vaccine-preventable diseases through on-time vaccination. The Centers for Disease Control and Prevention (CDC) has a variety of webinars during this month in addition to vaccination resources. Read more here.

    In concert with NIAM, the National Indian Health Board (NIHB), National Congress of American Indians (NCAI), and National Council of Urban Indian Health (NCUIH) submitted a letter to House and Senate appropriators urging them to ensure a minimum 5% statutory set-aside in funding for COVID-19 vaccine distribution for the Indian Health Service, Tribal Nations, and urban Indian organizations in the next COVID-19 pandemic relief package. Read more here.



    Posted: August 6, 2020

    AI/ANs Largely Overlooked in Data as Pandemic Progresses

    As several regions of the United States continue to follow upward trends in COVID-19 cases, inconsistencies in recording the race and ethnicity data in hospitals has lead to poor estimations of how many American Indian and Alaska Native (AI/AN) people are affected. As a result of such statistical gaps, properly allocating public resources to afflicted communities becomes increasingly difficult to determine. Read more here.



    Posted: August 6, 2020

    StrongHearts Native Helpline Adds Sexual Violence Advocacy

    On August 03, 2020, the StrongHearts Native Helpline launched sexual violence advocacy as part of their list of services for American Indians and Alaska Natives including crisis intervention, peer support, and referrals to Native-centered resources.

    Read more here.



    Posted: August 6, 2020

    NIHB Webinar Recording Available: Strengthening Tribal COVID-19 Laboratory Testing Capacity

    During this webinar, David Stone with the Public Health Accreditation Board (PHAB) provided participants with an overview on using the PHAB Standards and Measures as a framework for strengthening Tribal Public Health Agencies' ability to work with laboratories on COVID-19 testing. Panelists from Pascua Yaqui Health Services, Osage Nation Health Services, and Tribal Diagnostics, an Oklahoma-based, Native-owned laboratory, shared the lessons they learned in developing strong relationships between Tribal Health Departments and laboratories, and how they will continue to bolster these relationships in preparing for future emergencies.

    View the recording here.

    Learn more about Tribal Public Health Accreditation and performance improvement here.



    Posted: August 6, 2020

    CDC Launches New "Hear Her" Campaign

     The Centers for Disease Control and Prevention's (CDC) Division of Reproductive Health has released a national communication campaign that brings attention to maternal morbidity and mortality in the United States. "Hear Her" aims to raise awareness of possibly life-threatening warning signs during and in the year after pregnancy and encourages the people supporting pregnant and postpartum women to listen and take action when she expresses concerns. Read more here.



    Posted: August 6, 2020

    Contact Tracing Training Centers

    The National Network of Disease Intervention Training Centers (NNDITC) and the Centers for Disease Control and Prevention (CDC) will launch contact tracing and case investigation training sessions at the end of August. The "National COVID-19 Virtual Skills-Based Training Program" will train staff to support public health systems throughout the United States as they mobilize to address COVID-19. In addition to a Coordinating Center, the four Regional Training Centers will support two training courses per week to accommodate demand. Registration will be open to all jurisdictions by August 6, 2020 at the following link here.



    Posted: July 30, 2020

    Free Service to Meet Tribal Health Agency COVID-19 Contact Tracing Training Needs

    Tribal health agencies can now receive a customized package of online training for their COVID-19 contact tracers. This is a free service offered by the Public Health Foundation through the TRAIN Learning Network. Read more here.



    Posted: July 30, 2020

    "Preparing for the Regional Health Impacts of Climate Change in the United States" Document from CDC

    Each region of the United States experiences climate change and its impacts on health differently. The Center for Disease Control and Prevention's (CDC) new document "Preparing for the Regional Health Impacts of Climate Change in the United States" describes the various health impacts climate change will have on different regions of the United States, actions taken by the CDC Climate and Health Program's health department partners to prepare for and respond to climate change in their communities, and relevant tools and resources. Read more here.



    Posted: July 30, 2020

    NIHB Joins NCAI and Tribal Organizations to Send Tribal Priorities to Congressional Leadership for Upcoming COVID-19 Relief Package

    On July 20, the National Indian Health Board (NIHB), National Congress of American Indians (NCAI), and a consortium of national and regional Tribal and Native organizations sent a letter to Senate Majority Leader McConnell, Speaker of the House Pelosi, Senator Minority Leader Schumer, and House Minority Leader McCarthy outlining Tribal priorities to Congress for the upcoming and likely final COVID-19 pandemic relief package before the November election. The letter encompasses a broad scope of Tribal priorities including health, education, housing, public safety, Tribal governance, and economies. Read the full list of priorities here.



    Posted: July 30, 2020

    Report from the Presidential Task Force on Protecting Native American Children in the Indian Health Service System

    The Presidential Task Force on Protecting Native American Children in the Indian Health Service System (IHS) has released a report with their findings and recommendations. Read more here.



    Posted: July 23, 2020

    NIHB Cites Federal Government's Failure to Uphold Treaty Obligations in Testimony Before US Commission on Civil Rights

    On Friday, July 17, 2020, the National Indian Health Board (NIHB) Acting Chairman William Smith (Valdez Native Tribe of Alaska) testified before the US Commission on Civil Rights as part of a virtual public briefing, titled: COVID-19 in Indian Country: The Impact of Federal Broken Promises on Native Americans. In his oral remarks before the Commission, Acting Chairman Smith discussed the federal government's failure to fulfill its treaty obligations to the Tribes for healthcare and public health, made evident by chronic underfunding of Indian Health Service, paternalistic oversight over Tribal programs and reluctance to expand self-determination and self-governance policies across federal agencies. Read NIHB's written testimony here.



    Posted: July 23, 2020

    Congress Urged to Reauthorize Special Diabetes Program for Indians

    American Indians and Alaska Natives are more likely to be diagnosed with diabetes than any other US racial group, and as the pandemic escalates in the US, individuals with diabetes are at exceptional risk of contracting the virus. The Special Diabetes Program for Indians (SDPI) has been instrumental in combating diabetes rates in Indian Country yet is set to expire in November 2020. A reauthorization bill has been introduced to extend SDPI for another five years and increase funding.

    Read more here.



    Posted: July 23, 2020

    NIHB Submits Letter Asking for Extension of COVID-19 Public Health Emergency

    The National Indian Health Board (NIHB) submitted a letter to Secretary of Health and Human Services (HHS) Alex Azar asking for an extension of the Public Health Emergency (PHE) beyond its currently scheduled end date of July 25, 2020. The letter highlights that the circumstances that necessitated the public health emergency are not only still present but have only gotten worse, with the United States reaching record highs of new cases on a near daily basis. It also highlights that a lot of the emergency powers, including waivers to Medicare and Medicaid, are conditioned on the existence of the Public Health Emergency. Read more here.



    Posted: July 22, 2020

    COVID-19 Pandemic and Tobacco Sales in the United States

    The Network for Public Health Law provides insights on the COVID-19 pandemic's impact on tobacco sales. "COVID-19 has unquestionably altered every facet of daily life, including where and how one purchases goods. For those who use tobacco products, including vape products, a patchwork of state laws continues to determine where these products may be sold because of orders classifying businesses as essential and non-essential." Read more here.



    Posted: July 22, 2020

    Stay-at-home Order Re-issued for Navajo Nation

    Cases are steadily increasing on the Navajo Nation. Although there have been steady numbers of recovery for individuals who tested positive for COVID-19, gracious efforts continue with stay-at-home orders and social distancing that was announced by the Navajo Department of Health on Sunday. Read more here.



    Posted: July 22, 2020

    The Navajo Nation Responds to COVID-19

    The Network for Public Health Law provides some law and policy insights on the Navajo Nation's response to the COVID-19 pandemic. "When COVID-19 arrived in the U.S., some called it 'the great equalizer,' suggesting that regardless of income, race, or any other factor, the susceptibility of contraction and risk of mortality would be the same." There are a variety of social determinants of health that have impacted the situation in the Navajo Nation leading to a higher occurrence of COVID-19 cases and deaths. Read more here.



    Posted: July 22, 2020

    COVID-19 Presents Significant Risks for American Indian and Alaska Native People

    The Kaiser Family Foundation (KFF) released an article discussing the impact and risk of COVID-19 on American Indians and Alaska Natives (AI/AN). In the article they discuss how AI/ANs face disproportionate risks given significant health disparities and other social determinants of health. Read more here.



    Posted: July 22, 2020

    Serious Adverse Health Events Associated with Methanol-based Hand Sanitizers

    The Centers for Disease Control and Prevention (CDC) issued the following Health Alert Network (HAN) Health Advisory on July 5, 2020. On June 19, 2020, the U.S. Food and Drug Administration (FDA) advised consumers not to use any hand sanitizer manufactured by "Eskbiochem SA de CV" in Mexico, due to the potential presence of methanol, a "toxic alcohol", as an active ingredient, which can cause blindness and/or death when absorbed through the skin or when swallowed. Since then, FDA has identified additional alcohol-based hand sanitizers or rubs that contain methanol and is working with manufacturers and distributors on a voluntary recall of these products. Read more here.



    Posted: July 22, 2020

    Indian Health Service (IHS) Telehealth Services Listserv

    Delivering care to Native Americans/Alaska Natives can be challenging during this pandemic. The Telehealth and mHealth listserv forum provide opportunities for staff across Indian health to communicate regarding telehealth and mHealth planning and implementation. Read more here.



    Posted: July 16, 2020

    The Pandemic is Highlighting the Need for Data Sovereignty

    The Pueblo of Zia recently experienced data sovereignty issues when the state of New Mexico published information about the Pueblo's COVID-19 cases before the Tribal government had figured out a longer-term response plan.

    

    Data sovereignty refers to the concept that data are subject to the laws and policies of the nations in which they are collected. In this article, the authors discuss the impacts of data sovereignty and practices that support Tribes' rights to their data. Read more here.



    Posted: July 16, 2020

    The Community Preventive Services Task Force (CPSTF) Recommends Internet-Based Interventions to Help Adults Quit Smoking

    The Community Preventive Services Task Force (CPSTF) has recommended internet-based interventions to increase the number of adult tobacco users who successfully quit. This new recommendation updates and replaces their 2011 finding of insufficient evidence for internet-based tobacco cessation interventions. The internet-based interventions include interactive content and tailored guidance or support systems, alone or with additional interventions. Read more here.



    Posted: July 2, 2020

    National Tribal Air Association Releases 2020 Status of Tribal Air Report

    The National Tribal Air Association's (NTAA) 2020 report on the Status of Tribal Air is now available. The annual report examines air monitoring and quality in Tribal jurisdictions, analyzes federal budgetary appropriations for Tribal air programs, and provides recommendations for air quality.

    Air quality is linked to a number of health and social outcomes. Poor air quality has been associated with an increased incidence of respiratory diseases, heart disease, and reduced academic performance for students.

    Read the report here.



    Posted: July 2, 2020

    AI/AN Males Twice as Likely to Have TBI-related ED Visits Than AI/AN Females

    A recent study published by the Centers for Disease Control and Prevention (CDC) analyzed the incidence rate for traumatic brain injuries (TBI) over a 10-year period (2005-2014) for American Indian and Alaska Native (AI/AN) children and adults. The CDC found that males and individuals aged 18-34 years and 75 years and older had the highest rates of TBI-related emergency department (ED) visits. Of these visits, unintentional falls and assaults were leading causes. Read more here.



    Posted: July 2, 2020

    2020 NIH Virtual Summer Enrichment Program

    The National Institutes of Health (NIH) is hosting an online summer enrichment program. To help you sharpen your science skills and develop both professionally and personally, NIH has worked with Institutes and Centers and Training Offices to develop a summer-long series of activities. These online offerings will focus on the exciting science done at the NIH and on important career and professional development topics for students at all educational levels. Students can choose to participate in career development series for high school or college students, series on preparation for graduate or professional school, wellness activities, and a scientific skills series. Take a look at all the program offerings. Read more here.



    Posted: July 2, 2020

    Duke-UNC Tobacco Treatment Specialist Training Program

    The Duke-UNC Tobacco Treatment Specialist Training Program is now making its program available as a virtual, web-based experience. The program will be a combination of interactive video classes and online self-paced training. The next training is fall 2020, dates to be announced soon. Read more here.



    Posted: July 2, 2020

    Infection Prevention & Control: Project Firstline Survey

    The National Indian Health Board (NIHB) and the Centers for Disease Control and Prevention (CDC) are collaborating on an infection prevention and control (IPC) training initiative for frontline Tribal healthcare facility personnel. In order for this initiative to be as responsive to the needs of Tribal healthcare workers and the Tribal health system as possible, we are asking you to complete this survey on IPC training interests, needs, and preferences. The survey should take less than 10 minutes to complete. Responses will be used to inform decisions on the development and delivery of training and capacity building efforts to ensure it best meets the needs of you and your colleagues. The survey link will be "live" until the survey receives 10,000 responses. Thank you for your time and all you do to keep your colleagues and patients safe. Read more here.



    Posted: July 2, 2020

    Recording Now Available: Health Education & Communication in Indian Country, A Climate and Health Learning Community Event

    Please click here to view a recording of a webinar hosted by the National Indian Health Board (NIHB) on June 23, 2020: Health Education and Communication in Indian Country. This webinar was presented by Hannabah Blue with the JSI Research and Training Institute, and discussed best practices in conducting health education and communication in Indian Country; tools and resources that Tribal health professionals have used successfully; and how COVID-19 and other barriers can be overcome to ensure Tribal public health professionals can connect and engage with community members successfully.



    Posted: July 2, 2020

    Increasing Capacity During COVID-19: 5 Tips to Streamline Partnership Development

    With an increased demand for public health departments to perform more testing and contact tracing, some health departments are turning to cross-jurisdictional sharing (CJS) to increase their resource capacity. Gianfranco Pezzino, Director of the Center for Sharing Public Health Services, has offered five tips to help plan and implement CJS arrangements to expand COVID-19 response operations. Read more here.



    Posted: July 2, 2020

    John Hopkins Center for American Indian Health Summer Institute Courses

    The Johns Hopkins Center for American Indian Health is offering three summer courses to introduce Indigenous health leaders to public health approaches to address health disparities in Tribal communities. These courses include:

    • Introduction to Quantitative and Qualitative Research Methods (July 13-17, 2020)
    • COVID-19 & Infectious Disease Outbreaks in Native American Communities (July 20-31, 2020)
    • Introduction to Data Management Using American Indian Health Data (August 3-14, 2020)
    

    Read more here.



    Posted: June 25, 2020

    National HIV Testing Day - Saturday, June 27, 2020

    First observed on June 27, 1995, National HIV Testing Day (NHTD) is a day to encourage people to know their status and get tested for HIV. The 2020 NHTD theme is "Knowing." Knowing your status, knowing your risk, knowing about prevention options, and knowing treatment options. The theme highlights the power of knowing. Read more here.



    Posted: June 25, 2020

    FDA Releases New Information for In-home HIV Test Kit

    Earlier this month, the U.S. Food and Drug Administration (FDA) released information on the OraQuick In-Home HIV Test, which is the only FDA-approved in-home HIV test at the moment. The OraQuick In-Home HIV Test kit uses oral fluids to detect antibodies that have formed in response to both versions of HIV responsible for AIDS. Using a self-testing kit at home can be a faster and more private alternative to detecting HIV and can overall increase awareness of HIV infection for people who would not otherwise test for it. Read more here.



    Posted: June 25, 2020

    Changes to the CDC Diabetes Prevention Program: Comment Period Now Open

    On June 17, the Centers for Disease Control and Prevention (CDC) released a Dear Tribal Leader Letter announcing updates to the National Diabetes Prevention Program (DPP) Standards and Operating Procedures. The proposed updates can be viewed here.

    Notably, the new guidelines offer alternatives to the previously required reporting of a 5% weight loss among DPP program participants. Tribes have consistently communicated that this 5% weight loss requirement was ineffective and culturally insensitive.

    A comment period is open until August 14, 2020. Tribal leaders, Native organizations, SDPI programs, and others affected by these changes are encouraged to provide feedback here.

    More information on the DPP in American Indian and Alaska Native Communities can be found here.



    Posted: June 25, 2020

    Reducing Smoking within the LGBTQ+ Community

    A new Centers for Disease Control and Prevention (CDC) article for Pride Month focuses on reducing smoking within the LGBTQ+ community. The article provides information on how everyone can help reduce smoking and commercial tobacco use among LGBTQ+ people. About 1 in every 5 lesbian/gay/bisexual adults smoke cigarettes, and that number may be as high as 1 in 3 for transgender adults. There are many reasons for this, including stress related to prejudice and stigma as well as aggressive target marketing by tobacco companies. Read more here.



    Posted: June 25, 2020

    Study Highlights Negative Psychological Impacts of Native Mascots

    A study published in June in the Race, Ethnicity and Education journal examined the negative mental health impacts that racist depictions of Native mascots has on Tribal people. The study found that exposure to Native mascots led to low self-esteem and increased negative feelings of stress and depression, particularly among youth. Read more here.



    Posted: June 25, 2020

    New Report Shows American Indians & Alaska Natives Have Highest Rate of Heat Death in the US

    A new report in the Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report examined heat deaths in the United States between 2004-2018. The report found that the American Indian and Alaska Native (AI/AN) population had the highest rate of heat death per capita, at 0.6 deaths per 100,000 people.

    According to the report, "understanding patterns in heat-related mortality associated with comorbidity, age group, sex, race/ethnicity, and urbanization levels could assist CDC and its public health partners in developing more effective surveillance and intervention strategies that integrate environmental health and other public health domains." Read more here.



    Posted: June 25, 2020

    NIHB COVID-19 Funding Table

    The COVID-19 Funding Opportunities for Tribes is a quick reference of the current and previously available funding for Tribal governments, consortiums, or organizations to prevent, prepare for, and respond to the novel coronavirus (COVID-19) in Indian Country. Funding announcements, technical assistance, COVID-19 funding table, and other resources are available on the NIHB COVID-19 Resource Center. Read more here.



    Posted: June 18, 2020

    New Legislation Introduced to Reauthorize SDPI with a Funding Increase

    U.S. Senator Martha McSally (R-AZ) introduced legislation to reauthorize the Special Diabetes Program for Indians (SDPI) for an additional five years and increase funding to $200 million per year. The proposed legislation also will permit Tribes and Tribal organizations to request the SDPI awards through 638 Contracts and Compacts.

    SDPI is the nation's most effective federal initiative to combat diabetes and serves as a useful model both for diabetes programs nationwide and public health programs in Indian Country. However, stagnant funding and multiple short-term extensions has been a challenge for the community-based programs SDPI supports. NIHB has expressed support for permanent reauthorization of SDPI, increased funding based on medical inflation, and allowing Tribes to receive funds through self-governance contracts and compacts.

    Read more here.



    Posted: June 18, 2020

    June is Alzheimer's and Brain Awareness Month!

    From knowing the signs of Alzheimer's and related dementias to tips on brain health over the life course, you can be a champion for Alzheimer's and Brain Health. You can learn more at the Alzheimer's Association's website.

    The National Indian Health Board is supporting brain health and elder wellness through our Brain Health Action Institute for Tribal Nations. This event, which will be held virtually, will bring together Tribal health providers, public health practitioners, and community experts to explore ways to support brain health for Tribes across the life course.

    If you are interested in participating, please contact Nina Martin at 202-548-7299 or [email protected].



    Posted: June 18, 2020

    Recording Available for NIHB Webinar: Public Health and Clean Air

    Click here to view the recording!

    The National Indian Health Board (NIHB) Climate and Health Learning Community webinar, Public Health and Clean Air, was held on Thursday, June 4, 2020. This webinar described the connection between air quality and community health outcomes, as well as provide an overview of tools and resources available to Tribes and Tribal public health officials to monitor and improve air quality. This webinar is a Climate and Health Learning Community event and was presented by Wilfred Nabahe, Chairman of the National Tribal Air Association.

    If you were unable to attend this webinar, a recording is now available at the link above. Read more here.



    Posted: June 11, 2020

    Montana's Tribal Nations Uphold COVID-19 Restrictions to Preserve Their Culture

    As the state of Montana beings to reopen for business, Tribes are constantly reminded that the safety of community elders and the cultural knowledge they hold takes priority over economics. Testing for coronavirus proactively continues as reservations and shut down orders maintain in effect for now to further protect the Tribes' elders. Natives in the community feel that reopening to soon will bring new dangers to Tribes, although economically it is needed. Read more here.



    Posted: June 11, 2020

    Health Disparities are a Symptom of Broader Social and Economic Inequities

    In recent news, structural and systemic racial inequities and how they impact both individual and community health are self-evident. According to a recent Kaiser Family Foundation study, Black and American Indian or Alaska Native individuals continue to fair worse compared to White individuals across most examined measures of health status. These health disparities, including those related to COVID-19, are markers of broader social and economic inequities attributable to poor social determinants of health. Read more here.



    Posted: June 11, 2020

    NIHB Publishes Two New HIV Prevention Resources

    The National Indian Health Board (NIHB) is pleased to release two new HIV prevention toolkits designed to strengthen the capacity of Tribes to further prevent the spread of HIV in their local communities. One toolkit focuses on using the power of social media to help reduce risk behaviors among American Indians and Alaska Natives and the other supports Tribal community knowledge and uptake of pre-exposure prophylaxis (PrEP). The NIHB partnered with JSI Research and Training Institute, Inc. to develop the content for the two HIV prevention toolkits:



    Posted: June 11, 2020

    Commercial Tobacco Cessation Fact Sheet

    The National Indian Health Board (NIHB) has created a fact sheet detailing the impact of commercial tobacco on Indian country. This is part of NIHB's ongoing work to support Tribes working to increase commercial tobacco cessation. Commercial tobacco often contains other chemicals in addition to nicotine that are toxic and can lead to respiratory diseases, heart disease, as well as other illnesses. Lung cancer is a leading cause of cancer death, and cardiovascular disease is the leading cause of death among American Indians and Alaska Natives. A contributing factor is the use of commercial tobacco products. Read more here.



    Posted: June 11, 2020

    CDC Million Hearts Hypertension Control Change Package, Second Edition

    The Centers for Disease Control and Prevention's Division for Heart Disease and Stroke Prevention has recently released the second edition of the Million Hearts Hypertension Control Change Package (HCCP). This edition of HCCP was revised with latest evidence- and practice-based tools and resources to help health systems and clinical teams systematically address hypertension in outpatient clinical settings. Read more here.



    Posted: June 4, 2020

    Gold Exploration Could Devastate Rapid City Water Supply

    Rapid Creek, originally called Mniluzahan, is a main source of drinking water, irrigation, recreation, and spiritual renewal for residents of Rapid City and surrounding communities. It was named one of America's Most Endangered Rivers one month ago on April 14 due to the threat of mining megaprojects posed by the prospecting permits. Read more here.



    Posted: June 4, 2020

    Prevalence of Bullying Among Youth Classified as LGBTQ Who Died by Suicide as Reported in the National Violent Death Reporting System, 2003-2017

     A study published in the Journal of the American Medical Association (JAMA) examined the prevalence of bullying among LGBTQ youth. Researchers who combed through 15 years of national death records discovered that the odds of being bullied were nearly five times higher for LGBTQ young people who took their own lives than for others who didn't identify as LGBTQ. "Bullying can be a deadly antecedent to suicide, especially among LGBTQ youth," the authors conclude, noting that because LGBTQ information is not always reported, their statistics probably underestimated the problem. Read more here.



    Posted: June 4, 2020

    COVID-19 Pandemic Operational Guidance for the 2020 Hurricane Season

    To expand awareness and understanding of the guidance, the Federal Emergency Management Agency's (FEMA) National Preparedness Directorate is holding four webinars. The webinars will allow emergency managers an opportunity to discuss how the guidance can assist jurisdictions review and modify their plans given the constraints and limitations of the ongoing pandemic. Read more here.



    Posted: May 28, 2020

    SDPI Program Updates Released by IHS

    The Indian Health Service (IHS) released a Dear Tribal Leader and Urban Indian Organization Leader Letter (DTLL/DUIOLL) on May 20 announcing several updates to the Special Diabetes Program for Indians (SDPI). SDPI was sent to conclude its current 5 year grant cycle this year. However, in light of COVID-19, IHS received an exception, and FY 2021 will now be added as a 6th year to the current grant cycle. This change will allow current grantees to complete a continuation application process, which is less demanding than applying for a new grant cycle.

    While SDPI is continuing, the program has still only received $25 million of the $150 million it spends each year. This continuation process is reliant on Congress authorizing additional SDPI funds.

    Read the DTTL/DUIOLL here.



    Posted: May 28, 2020

    Tribal Maternal Mortality Review Committees Fact Sheet

    To find out more about maternal mortality in Indian Country and how maternal mortality review committees address these mortality rates, read more here..



    Posted: May 28, 2020

    "What is a Tribal Epidemiology Center?"

    What is a Tribal Epidemiology Center (TEC) and what does it do? In collaboration with the Alaska Native Tribal Health Consortium and the Southern Plains Tribal Health Board, staff describe in this video how the TECs serve American Indian and Alaska Native Tribes, Tribal organizations, and urban Indian organizations to improve health and well-being.



    Posted: May 28, 2020

    NIHB Technical Assistance Resources for CDC COVID-19 Funding

    LasThe National Indian Health Board (NIHB) has hosted several technical assistance webinars on the Centers for Disease Control and Prevention's (CDC) Tribal noncompetitive grant funding opportunity, Supporting Tribal Public Health Capacity in Coronavirus Preparedness and Response (CDC-RFA-OT20-2004). These webinars included a walkthrough of the grant application requirements, and two office-hour question and answer sessions. Recordings of the first two webinars and minutes from the sessions are now available online. The third will be posted on NIHB's COVID-19 website under funding technical assistance.

    Additionally, NIHB has prepared several documents to assist Tribal Nations in applying for federal grant funding. All NIHB COVID-19 funding technical assistance tools can be found on the NIHB website here.



    Posted: May 28, 2020

    COVID-19 Resources



    Posted: May 28, 2020

    CTCCCP Cancer Survivorship Webinar Series

    The California Tribal Comprehensive Cancer Control Program (CTCCCP) under the California Rural Indian Health Board is presenting a series of webinars on cancer survivorship for the upcoming month of June. The webinar series will help to identify coping strategies for those diagnosed with cancer and prepare cancer survivors for challenges and obstacles to overcome. Read more here..



    Posted: May 21, 2020

    HEROES Act Passes House of Representatives

    Last week, the House of Representatives passed a massive $3 trillion COVID-19 relief package on a largely party line vote of 208-199. The behemoth package includes a number of significant Tribal healthcare and public health provisions to strengthen response efforts across Indian Country. Overall, the package includes billions in relief funding for Tribal, state, and territorial governments including $20 billion in economic relief funding for Tribal Nations. Read more here.



    Posted: May 21, 2020

    CDC Health Advisory: Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with COVID-19

    The Centers for Disease Control and Prevention (CDC) recommends healthcare providers report any patient who meets the case definition of multisystem inflammatory syndrome in children (MIS-C) to local, state, and territorial health departments. The CDC health advisory includes 1) background information on several cases of a recently reported multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19; and 2) a case definition for this syndrome. Read more here.



    Posted: May 21, 2020

    Pipeline Loses Permit, but Construction Continues

    Even after a federal judge revoked permission for the Keystone XL Pipeline construction, the Canadian builder of the private hazardous materials infrastructure was still proceeding with work in May all along the route across Montana, South Dakota and Nebraska. Read more here.



    Posted: May 21, 2020

    Long-Acting Injectable Drug Prevents HIV Among Men Who Have Sex with Men and Transgender Women

    Results from a National Institutes of Health-funded study is the first large trial to find that long-acting HIV prevention drug is effective. An investigational long-acting form of the HIV drug cabotegravir injected once every 8 weeks safely and effectively prevents HIV acquisition in men who have sex with men and transgender women who have sex with men. Read more here.



    Posted: May 21, 2020

    Recording Available for NIHB Webinar: How to Be an Effective Tribal Environmental Health Advocate

    Click here to view the recording!

    The National Indian Health Board (NIHB) Climate and Health Learning Community webinar, How to Be an Effective Tribal Environmental Health Advocate, was held on Thursday, May 14, 2020 from 3-4 PM ET. This webinar described the basic principles of effective advocacy and how they apply to Tribal environmental health.

    If you were unable to attend this webinar, a recording is now available at the link above. Read more here.



    Posted: May 21, 2020

    CDC Releases New AI/AN Data for HIV

    The Center for Disease Control and Prevention (CDC) has used its most recent surveillance data to produce a new webpage with updated statistics on HIV in Indian Country, including data on new infections, trends over time, and viral suppression rates.

    HIV Diagnoses Among AI/AN in the 50 States and the District of Columbia, 2010-2017*

    *Changes in populations with fewer HIV diagnoses can lead to a large percentage increase or decrease. Source: CDC. NCHHSTP AtlasPlus. Accessed April 27, 2020.



    Posted: May 21, 2020

    Report on Caregiving in the US Released

    The National Alliance for Caregiving and AARP have recently released the "Caregiving in the US 2020" report. Conducted approximately every five years, this study details the unique challenges faced by those providing this essential support. Although American Indians and Alaska Natives were not included in this analysis, Tribes may find this information useful. Read more here.



    Posted: May 14, 2020

    Call for Tribal COVID-19 Resources

    The National Indian Health Board (NIHB) is seeking to create a pool of resources which Tribes can access when planning or implementing their own COVID-19 response. To this end, NIHB is asking Tribes to share with us any tools, operational plans, guides, policies, communication products, etc. that has helped your Tribe combat this pandemic. The materials can be de-identified, if needed. These resources will be placed online within NIHB's COVID-19 Tribal Response Center alongside other community health materials. We hope this aids Tribes to build on successes and support each other in the collective effort to mitigate the impact of the pandemic on Indian Country.

    To submit any materials or resources, please email them to Courtney Wheeler ([email protected]). If you have any questions, please contact Courtney Wheeler.



    Posted: May 14, 2020

    Learn When to Seek Emergency Care for Symptoms Not Related to COVID-19

    A recent Department of Health and Human Services (HHS), Office of Disease Prevention and Health Promotion (ODOHP) blog post discusses when to seek emergency care for illness or disease not related to COVID-19. Many people may have some concerns about going to a hospital or urgent care, but it is important to monitor your health and know when to seek emergency medical care for serious symptoms that are not related to COVID-19. Read more here.



    Posted: May 14, 2020

    AI/ANs Are at Higher Risk for Serious Illness if Infected with Coronavirus

    A recent study published by the Kaiser Family Foundation investigated characteristics of people at a greater risk of illness if infected with the novel coronavirus. One key finding detailed that approximately one-third of American Indian/Alaska Native (AI/AN) non-elderly adults are at a higher risk of serious illness if they contract the virus. This proportion is greater than all other racial and ethnic groups. Read more here.



    Posted: May 14, 2020

    NIHB is Hiring!

    NIHB is seeking qualified candidates for the follow positions based in Washington, DC:

    • Public Health Project Coordinator
    • Public Health Program Coordinator (Climate Change)
    • Public Health Project Coordinator (Behavioral Health)
    • Public Health Project Associate (Dental Therapy)
    • Director of Public Health Policy and Programs

    Read more here.



    Posted: May 14, 2020

    Two New CDC HIV Surveillance Reports

    The Centers for Disease Control and Prevention (CDC) has published two new HIV reports: Diagnoses of HIV Infection in the United States and Dependent Areas, 2018 (Updated) and Estimated HIV Incidence and Prevalence in the United States 2014–2018. In addition, an AtlasPlus update provides data from these reports. Important changes in reporting include data by gender, including transgender persons, and persons of additional gender identity, and HIV incidence and prevalence estimates for Puerto Rico and at the county level.



    Posted: May 14, 2020

    Indian Country ECHO

    Indian Country Extension for Community Health Outcomes (ECHO) is a Tribally led effort to support Tribal, Indian Health Service, and Urban Indian health programs with regular telehealth ECHO sessions. ECHO telehealth sessions provide discussion and recommendations from expert faculty on topics including: Diabetes, Hepatitis C, HIV, pre-exposure prophylaxis (PrEP), Substance Use Disorders, Harm Reduction, and Transgender Care. Indian Country ECHO is also supporting the COVID-19 pandemic response with twice weekly telehealth ECHO sessions. Please see this newsletter for more information or visit www.indiancountryecho.org.



    Posted: May 7, 2020

    Diabetes Prevalence Decreases in American Indians and Alaska Natives

    A new report indicates that the prevalence of diabetes in American Indian and Alaska Native (AI/AN) adults decreased from 15.4% in 2013 to 14.6% in 2017. After many years of increasing, this is the first known decrease in diabetes prevalence for AI/AN people, and the AI/AN population is the only racial/ethnic group that has seen a decrease in recent years.

    A lower rate of diabetes means more Native people are able to live healthy lives, free of diabetes and related health complications, including kidney failure, eye disease, and amputations.

    This decrease is likely due to the numerous diabetes prevention measures currently in place in Native communities across the nation through the Special Diabetes Program for Indians (SDPI).

    Read the research paper here.

    Learn more about SDPI on the Indian Health Service website here or NIHB's website here.



    Posted: May 7, 2020

    Trump Visits Navajo Nation in Show of Support for Indian Country During COVID-19

    On May 5, 2020, President Trump visited Navajo Nation, one of the Tribes hardest hit by the COVID-19 pandemic. The presidential visit came about as a way for the White House to show support to Tribal communities impacted by the virus. Read more here.



    Posted: May 7, 2020

    Bristol Bay Tribes Grateful for Tribal Solidarity During Mine Opposition

    Bristol Bay Tribes have been fighting the proposed Pebble mine for sixteen years. The mine's infrastructure would include new ports built on top of their ancient fish camps, and traditional hunting and fishing grounds. Read more here.



    Posted: May 7, 2020

    The Risks of Vaping

    Vaping devices, also known as e-cigarettes, vape pens, and e-hookahs among other terms, come in many shapes and sizes. These devices can expose the lungs to a variety of chemicals, such as (nicotine) or marijuana (THC), flavorings, and other ingredients that are added to vaping liquids. Read more here.



    Posted: May 7, 2020

    Association of State and Territorial Health Official (ASTHO) Legal Preparedness Series and Emergency Authority & Immunity Toolkit

    The Association of State and Territorial Health Official's (ASTHO) toolkit addresses concepts regarding federal and state emergency declarations and the various response authorities and liability protections these declarations can initiate. This new toolkit's component documents are designed to assist in education, training, and planning activities to prepare for emergencies. Read more here.



    Posted: May 7, 2020

    Indian Health Service Quality Portal

    The Indian Health Service (IHS) Quality Portal Resource section is a tool for gathering information, sampling policies and background data as you work toward providing quality care and implementing quality improvement projects within your facility. A searchable library filters your results by keyword, category or file type to find dozens of resource materials, all vetted by the Office of Quality (OQ). Submit your own documents and resources that relate to patient care and quality improvement, and following approval from OQ staff, your documents, audio or video files or website URLs can be shared with your colleagues. Read more here.



    Posted: May 7, 2020

    National Association of County and City Health Officials (NACCHO) Administrative Preparedness Legal Guidebook

    The National Association of County and City Health Officials (NACCHO) developed a guidebook to help public health professionals improve their departments' administrative preparedness capabilities and to encourage collaborative preparatory work among preparedness, legal, human resources, procurement, and other staff. Read more here.



    Posted: May 7, 2020

    Introducing Making Contact: A Training for COVID-19 Contact Tracers

    The Association of State and Territorial Health Officials (ASTHO) and National Coalition of STD Directors (NCSD) has announced the launch of a free, online training for entry-level COVID-19 contact tracers. The course, Making Contact: A Training for COVID-19 Contact Tracers, will prepare new contact tracers helping to identify positive COVID-19 cases and those individuals they have been in close contact with. The course provides approximately three hours of free online training to teach participants the basics of contact tracing, regardless of prior experience in public health. Contact ASTHO at [email protected] with any questions. Read more here.



    Posted: May 7, 2020

    Native Farmer, Rancher, and Fisher Sovereignty Series: Sharpening Your Tools to Access Data Driven Analysis

    The Mvskoke Loan Fund, Native Community Development Financial Institutions (CDFI) Network, Center for Farm Financial Management (CFFM) and Native American Agriculture Fund (NAAF) seeks to share financial tools directly with Native farmers and ranchers. A recording of the first webinar on Wednesday, April 29 can be found online. Register for future webinars here.



    Posted: April 30, 2020

    Centers for Disease Control and Prevention (CDC) Adds Six NEW COVID-19 Symptoms

    The Centers for Disease Control and Prevention (CDC) has added six more new symptoms to the list for the novel coronavirus (COVID-19). These new symptoms include:

    1) chills, 2) repeated shaking with chills, 3) muscle pain, 4) headache, 5) sore throat, and 6) new loss of taste and smell.

    Symptoms of COVID-19 may appear 2-14 days after exposure to the virus. Health experts are continuing to learn more about the ways the virus is affecting patients. Please consult your medical provider for these and any other symptoms that are severe or concerning. Read more here.



    Posted: April 23, 2020

    NPAIHB Tribal Opioid Strategic Agenda and Educational Material

    To assist Tribes in addressing the opioid epidemic, the Northwest Portland Area Indian Health Board (NPAIHB) has developed the Tribal Opioid Response National Strategic Agenda. This agenda details recommendations on seven key action items, including opioid use disorder prevention (OUD) and evidence-based treatment and recovery services. Additionally, NPAIHB has developed fact sheets and educational videos to share with Tribal community members. Read more here.



    Posted: April 23, 2020

    COVID-19 Resources

    • New Website: Support for States, Tribes, Localities and Territories. This features a variety of resources for state, Tribal, local, and territorial health agencies. Topics featured include infection prevention and control, laboratory capacity, community mitigation, financial resources, surveillance and data analytics, contact tracing, and communication materials. It includes resources from federal agencies, the private sector, academia, and non-profit organizations.
    • The Centers for Disease Control and Prevention (CDC) is working with partners to bring together weekly forecasts for COVID-19 deaths on the CDC forecasting webpage. Forecasts include state specific models. These forecasts were developed independently and are shared publicly.
    • Department of Health and Human Services (HHS) / Assistant Secretary for Preparedness and Response (ASPR) COVID-19 Clinical Rounds Email List Sign Up.
    • Assistant Secretary for Preparedness and Response (ASPR) – Individual Resilience: Factsheet for Responders. Learn how to take care of yourself.
    • The Centers for Disease Control and Prevention (CDC) has released new guidance on:


    Posted: April 23, 2020

    NIHB Announces Tribal Awards for Climate and Health Communication

    As part of Earth Week (April 19-24), the National Indian Health Board (NIHB) is continuing its work to support Tribes in their efforts to combat the ill effects of the changing environment and climate. NIHB is supporting three Tribes to develop climate and environmental health communication materials. The three Tribes are:

    • Seneca Nation of Indians
    • Winnebago Tribe of Nebraska
    • Greenville Rancheria

    Each of these awardees will develop education and communications materials reflecting cultural values and raising awareness of climate health in a culturally appropriate way. Read more here.



    Posted: April 16, 2020

    NIWRC Supports Federal Court Decision Ordering Full Environmental Impact Statement on Dakota Access Pipeline

    The National Indigenous Women's Resource Center (NIWRC) supports the decision made by the United States District Court, District of Columbia in Standing Rock Sioux Tribe v. United States Army Corps of Engineers (D.D.C.), in which the judge remanded the case back to the Corps to prepare a full environmental impact statement (EIS) to address the health, safety, and treaty concerns by the Dakota Access Pipeline. Read more here.



    Posted: April 16, 2020

    NIHB Chairwoman Victoria Kitcheyan appears on C-SPAN's Washington Journal

    National Indian Helath Board's (NIHB) Chairwoman Victoria Kitcheyan, who is also a Tribal Councilwoman with the Winnebago Tribe of Nebraska, appeared on C-SPAN's live program Washington Journal to speak about the impact of COVID-19 on Tribal communities. Ms. Kitcheyan highlighted the health disparities American Indian and Alaska Natives face, spoke about the current situation in Indian Country and gave an outline of the funding for Tribes from COVID-19 legislation passed by Congress. Watch the video of the segment here.



    Posted: April 16, 2020

    NIHB Tribal Public Health Week Photo Contest Winner

    The National Indian Health Board's (NIHB) Tribal Public Health Week (TPHW) photo contest ran Monday, April 6 – Friday, April 10, 2020. The selected winner of the TPHW photo contest is Maka Monture from Anchorage, Alaska. She posted these two photographs on Instagram titled, "Balance" with a description of how she honors her mind, body, and spirit, and posed these questions to all of us "What does health mean to you? How are you taking care of mind body, and spirit at this time?" Thank you Maka for the beautiful photographs and reminding us the importance of caring for our mind, bodies, and spirits. Visit her Instagram page here!



    Posted: April 16, 2020

    Increase in Coronavirus Cases on Navajo Nation

    As federal, state, and Tribal leaders still fight the battle against the coronavirus pandemic, Navajo Nation's coronavirus cases jumped to 17%. Efforts are being implemented at increasing the number of test kits for availability to get a better handle. Read more here.



    Posted: April 9, 2020

    COVID-19 News

    • Indianz.com: COVID-19 in Indian Country. The Indian Health Service has updated its coronavirus testing data, reflecting results as of 7 PM ET on April 4, 2020. According to the data, a total of 6,759 people within the IHS system have been tested and 436 have tested positive for COVID-19. Read more here.
    • Native News Online: In Effort to Stop Spread of COVID-19, Red Lake Nation Under Medical Martial Law. The medical martial law went into effect, Friday, April 3, 2020. Read more here. Further detail on all the restrictions is available on the Red Lake Tribal Council Facebook page.
    • The Pan American Health Organization (PAHO) Director calls for Protections of Health Workers in Face of the Advancing COVID-19 Pandemic in the Region of the Americas. Since April 6, 2020, 384,435 cases of COVID-19 has been reported in the Americas. Read more here. Video available.
    • As of April 3, 2020, 95 states and local public health labs in 50 states, the District of Columbia, Guam, and Puerto Rico are using COVID-19 diagnostic tests. The Centers for Disease Control and Prevention (CDC) and state and local public health departments have tested 212,350 specimens. This does not include testing in private labs.
    • Morbidity and Mortality Weekly Report (MMWR): Coronavirus Disease 2019 in Children — United States, February 12–April 2, 2020. Read more here.
    Posted: April 9, 2020

    COVID-19 News



    Posted: April 9, 2020

    Navajo Nation President Jonathan Nez Implements Curfew

    COVID-19 cases have increased over the past week with 426 confirmed cases and 17 confirmed deaths within the Navajo Nation as of April 7, 2020. Indian Country strives to enforce social distancing practices as well as other parts of the world. Now, Navajo Nation has imposed a new curfew that has been in effect since March 30, 2020. Read more here.



    Posted: March 26, 2020

    Native Wellness Institute offering Power Hour Workshops Daily

    Times are unsettling and many people's daily routines have been altered due to COVID-19. The non-profit Native Wellness Institute (NWI) is offering free 20-60 minute daily video workshops "to keep healing and wellness at the forefront for individuals, families, and communities." Presentations from NWI's trainers and staff range from self-care to traditional storytelling to comedy and healthy cooking demonstrations.

    Workshops are aired daily at 12:00 PM PST on NWI's Facebook page. You can also view past sessions at NWI's website.



    Posted: March 26, 2020

    CANCELLED 2020 American Indian & Alaska Native National Behavioral Health Conference

    Due to concerns around the spread of the COVID-19 virus and response efforts taking place, the National Indian Health Board (NIHB) has decided to cancel the 2020 American Indian & Alaska Native National Behavioral Health Conference scheduled for June 23-25, 2020. We are sorry for any inconvenience this may cause. We also sincerely hope you will plan on joining NIHB next year for 2021 American Indian & Alaska Native National Behavioral Health Conference. Read our complete statement here.



    Posted: March 19, 2020

    COVID-19 Resources

    Be sure to check resources as they are updated regularly since the situation is rapidly changing.

    • Protect your Family: You can take steps to protect the health of you and your family during a COVID-19 outbreak. Learn what you can do to plan and prepare. (Centers for Disease Control and Prevention (CDC))
    • National Congress of American Indians (NCAI) shared COVID-19 resources for Indian Country. Read more here.
    • The President's Coronavirus Guidelines for America: 15 Days to Slow the Spread. Read more here.
    • Substance Abuse and Mental Health Services Administration (SAMHSA) has published Tips for Social Distancing, Quarantine, and Isolation During an Infectious Disease Outbreak. Read more here.


    Posted: March 19, 2020

    Positively Native, a HIV Stigma Film from UIHI

    The Urban Indian Health Institute (UIHI) is excited to announce the release of Positively Native, a film featuring American Indian and Alaska Native individuals living with HIV. This film encourages dialogue to create more inclusive and supportive communities for those living with HIV. UIHI has also created a toolkit that includes a presentation on the basics of HIV, including transmission, prevention, treatment, stigma and discrimination, and epidemiology of HIV in American Indian/Alaska Native communities. To download the toolkit, Read more here.



    Posted: March 19, 2020

    Sault St. Marie Tribe Wins Major Victory in Homelands Litigation

    Sault Ste. Marie Tribe of Chippewa Indians finally are able to celebrate victory of winning their homeland back. The Tribe is now able to fight for what they believe is right, with the federal government agreeing to their perspective. Read more here.



    Posted: March 12, 2020

    NIHB 11th Annual National Tribal Public Health Summit Postponed

    Due to the progression of COVID-19, the 11th Annual National Tribal Public Health Summit (TPHS), originally scheduled for March 17-19, 2020 in Omaha, NE, has been postponed to a later 2020 date. For more information, please read our statement here.



    Posted: March 12, 2020

    World Health Organization Declares COVID-19 a Pandemic

    On Wednesday, March 11, the World Health Organization declared COVID-19 a pandemic, meaning the disease has spread over several countries or continents. This label raises the responsibility for prevention and mitigation across the globe rather than in isolated areas. Read more here.



    Posted: March 12, 2020

    The Rise of E-Cigarettes: How the Vaping Epidemic Impacts Indigenous Health & Culture

    A campaign hosted by Sacred Breath Day took place, engaging Indigenous communities. The purpose behind the campaign was to demonstrate that E-Cigarettes are not part of the cultural tradition. Although many advocates are steadily raising awareness in the community, e-cigarettes and vaping still raises a great concern. Read more here.



    Posted: March 12, 2020

    Navajo Nation COVD-19 Preparedness Team Established to Address Coronavirus Precautionary Efforts

    Navajo Nation President Jonathan Nez and Vice President Myron Lizer officially established the Navajo Nation COVID-19 Preparedness Team on Thursday, to monitor, plan, prepare, and coordinate precautionary efforts to address the coronavirus (COVID-19). Read more here.



    Posted: March 12, 2020

    COVID-19 Updates

    As of March 11, 2020

    • 124,910 infected people have been confirmed, still primarily in China, although cases have been identified in 122 countries/regions.
    • 4,589 people have died from the infection worldwide;
    • 66,702 people recovered from the infection; and
    • 938 reported cases of the virus in the United States.

    News stories:

    • Hoarding and misuse of supplies due to COVID-19 panic is causing a global shortage and threatening lives. Learn more about the rational and correct use here.
    • The Centers for Disease Control and Prevention (CDC) has developed a map of the U.S. that shows affected states and how many COVID-19 cases they have reported.
    • CDC published recommendations on environmental cleaning & disinfection.
    • CDC published information on people at risk for serious illness.
    • As of the evening of March 9, there are 79 state and local public health labs in 50 states and the District of Columbia that have successfully verified and are currently using COVID-19 diagnostic tests.
    • CDC has developed a map showing which states and territories have one or more laboratories that have successfully verified and are currently using COVID-19 diagnostic tests.
    • As of the evening of March 9, 2020, CDC and local and state public health laboratories had tested a total of 8,854 specimens.
    • On March 10, CDC published updated guidance on Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed COVID-19 in Healthcare Settings.
    • The CDC has announced a Clinician Outreach and Communication Activity (COCA) call on Coronavirus Disease 2019 (COVID-19) Update—Information for Clinicians Caring for Children and Pregnant Women for today, March 12 at 2 PM ET. Learn more here.

    COVID-19 Contact

    The National Indian Health Board is committed to serving Tribal Nations in response to the coronavirus outbreak. We welcome your requests and feedback. Contact Courtney Wheeler at [email protected] or 202-507-4081.



    Posted: March 12, 2020

    Public Health Training E-Course

    The National Indian Health Board is pleased to announce the release of an interactive e-course: Public Health Training. This course is intended to educate Tribal leaders and Tribal Advisory Committee (TAC) members on public health topics and provide information, including best practices, to support consultation on public health topics. Created by NIHB with funding and support from the Centers for Disease Control and Prevention (CDC), this course is part of NIHB's aim to strengthen the public health infrastructure of Tribal Nations; ensure a competent, current, and connected Tribal public health system; and improve the delivery of essential public health services through capacity-building. Read more here.



    Posted: March 5, 2020

    Omaha Tribe of Nebraska Declares Emergency amid Health and Safety Crisis

    The Omaha Tribe of Nebraska declared a state of emergency last week following three suicides, and several suicide attempts among its youth over the past few weeks. The Tribal council issued the resolution on February, vowing to direct Tribal resources toward addressing suicide, methamphetamine use, and domestic violence.

    The resolution called for the state of emergency to last until April 18, 2020 at which time a comprehensive plan to address the crisis would be presented. The Tribe also planned to seek state and federal aid to address the crisis. Read more here.



    Posted: March 5, 2020

    TRIBAL INPUT REQUESTED: The National Indian Health Board (NIHB) is asking for your assistance in assessing the coronavirus prevention and response capacity in Indian Country.

    We are asking for this information because NIHB has the opportunity to share information on Tribal needs and advocate for resources with both Congress and the Administration. To ensure that these efforts have the best possible impact, we need to gather key data from as many Tribes as possible to create a comprehensive profile of what is needed. Please complete the brief survey at this link.

    News stories:

    • On February 28, the Centers for Disease Control and Prevention (CDC) released updated guidance on COVID-19 evaluation and testing, travel, etc.
    • Indian Health Service (IHS) has announced a COVID-19 update for Tribal and Urban Indian Organization Leaders, taking place today, March 5, 2020 at 3:30 pm ET.
    • The CDC has announced a Clinician Outreach and Communication Activity (COCA) call today, March 5 at 2 pm ET. Learn more.
    • A person in California is the first known in the United States to become infected with COVID-19 without travel to a country with local transmission. Additionally, this person's exposure is unknown. Read more here.
    • Leaders from the Association of State and Territorial Health Officials (ASTHO), National Association of County and City Health Officials (NACCHO), and other partners have released a public health funding justification, urging the administration to propose and Congress to pass a supplemental appropriations bill to respond to this disease outbreak.


    Posted: March 5, 2020

    Urban Indian Health Institute HIV Toolkit

    The Urban Indian Health Institute (UIHI) is excited to announce the release of "Positively Native," a short film featuring American Indian and Alaska Native individuals living with HIV. The film encourages dialogue to create more inclusive and supportive communities for those living with HIV. UIHI has also created a toolkit that includes discussion questions corresponding to the film, a presentation on the basics of HIV, and a facilitator's guide. An upcoming opportunity to use this toolkit is on National Native HIV/AIDS Awareness Day, Friday, March 20, 2020. Read more and download the toolkit here.

    For more information, ideas/tips for holding an event for National Native HIV/AIDS Awareness Day, or questions regarding the film, please contact Leah Dodge at [email protected].



    Posted: March 5, 2020

    This Week's New COVID-19 Resources

    The World Health Organization (WHO) offers several online trainings for public health professionals and others. Trainings include COVID-19 infection prevention and control, introduction to emerging respiratory viruses, etc. Read more here.

    The WHO also recently released guidance for workplaces. View the guidance here. The Centers for Disease Control and Prevention (CDC) previously released similar guidance.

    Avoid the spread of misinformation! Consider syndicating the CDC's microsite on your own web page. Learn more here.

    A recently-published journal article offers guidance on tackling online heroisation and blame in epidemics, including the COVID-19 outbreak. Read more here.

    The American Health Lawyers Association (AHLA) is offering two online courses on COVID-19 legal preparedness and a toolkit on preparing hospitals for a COVID-19 outbreak. Learn more here.

    Realities of Coronavirus: How to Travel and Meet Safely: podcast here.

    The Lancet has created a Coronavirus Resource Centre, which brings together new COVID-19 content from across The Lancet journals as it is published. All content is free to access.

    Sign up for CDC "What's New" weekly e-newsletters on COVID-19.

    COVID-19 Resources

    Be sure to check resources as they are updated regularly since the situation is rapidly changing.



    Posted: February 27, 2020

    Proposed Reductions in Medicaid Would Have Catastrophic Impact on Urban Native People

    Indian Country is faced with a reduction in access to medical care as a results of cuts in Medicaid. The limits in access of care and budgeting services for American Indian and Alaska Natives poses health care risks with the lack of funding in the Indian health care system. Read more here.



    Posted: February 27, 2020

    Endangered Species Throw Roadblock in Path of Rosemont Copper Mine

    A federal judge has overturned environmental permits for the Rosemont Copper Mine, a controversial project opposed by Tribes in Arizona. Read more here.



    Posted: February 27, 2020

    Energy & Commerce Chairman Frank Pallone Urges FDA to Proceed with Setting a Maximum Nicotine Level in Cigarettes

    House Energy & Commerce Committee Chairman Frank Pallone, Jr. (D-NJ) sent a letter to Food and Drug Administration (FDA) Commissioner Stephen Hahn raising concerns the FDA appears to be reconsidering proposed regulations setting a maximum nicotine level in cigarettes in order to make them less addictive. The proposed regulation to set nicotine levels was announced as part of FDA's comprehensive regulatory plan to reduce tobacco-related disease and death. Read more here.



    Posted: February 27, 2020

    NIH Releases RFI to Gather Public Input for NIH-Wide Strategic Plan

    The National Institutes of Health (NIH) has issued a request for information (RFI) regarding public input on a framework for the 2021-2025 NIH-wide Strategic Plan. The plan, meant to expand on the previous NIH-wide Strategic Plan, will articulate NIH's priorities in research and scientific integrity. The RFI will remain open through March 25 and NIH is encouraging stakeholder organizations (e.g., patient advocacy groups, professional societies, etc.) to submit a single response reflective of the views of the organization or membership as a whole. Read more here.



    Posted: February 27, 2020

    Indian Health Service Asks Indian Country to be Vigilant to Prevent the Novel Coronavirus

    As more cases are being investigated, Indian Country is making an effort to preventing transmission of the Coronavirus. Read more here.



    Posted: February 27, 2020

    Combating Gastric Cancer in Alaska Native People

    Alaska Native people have disproportionally higher rates (and deaths) from gastric cancer. The Centers for Disease Control and Prevention (CDC) recently published an article summarizing the outcomes of a collaborative meeting with experts and Tribal stakeholders, describing needs and the need for solutions designed to work in Alaska, where around 40% of people live in communities not connected to a road system. Read more here.



    Posted: February 27, 2020

    National American Indian and Alaska Native ATTC Resources

    Funded by the Substance Abuse and Mental Health Services Administration, the Addiction Technology Transfer Center (ATTC) Network is meant to serve experts in culturally informed prevention services, addiction treatment, recovery, and mental health services. The National American Indian and Alaska Native ATTC focuses specifically on American Indian and Alaska Native communities and has a number of resources helpful to Native communities as well as a newsletter. Read more here.



    Posted: February 20, 2020

    'We Can Help Ourselves:' Native Women Come Together to Confront High Rates of Maternal Mortality

    In a December 2019 story reported by Cronkite news, too many Native women are dying due to complications from pregnancy and childbirth – deaths that should be preventable with the right intervention and care. Read more here.



    Posted: February 20, 2020

    COVID-19 Updates

    COVID-19, formerly known as 2019 Novel Coronavirus or 2019-nCoV, is a virus causing an outbreak of respiratory illness first detected in Wuhan, China in December 2019. Because the virus is newly identified, there are many unknowns and experts are unsure how it may impact health worldwide. This is a rapidly-evolving situation. However, the outbreak has been declared a public health emergency internationally and nationally.

    As of February 18, 2020:

    • 73,451 infected people have been confirmed, still overwhelmingly in China;
    • 1,875 people died from the infection worldwide;
    • 13,147 people recovered from the infection;
    • 29 people have tested positive for the virus in the United States. No deaths have occurred in the US.

    Novel Coronavirus Contact
    The National Indian Health Board is committed to serving Tribal Nations in response to the coronavirus outbreak. We welcome your requests and feedback. Contact Angelica Al Janabi at [email protected] or 202-507-4074.



    Posted: February 20, 2020

    COVID-19 Resources

    Guidance for Businesses and Employers

    The Centers for Disease Control and Prevention (CDC) have guidance available for businesses and employers to help prevent COVID-19 transmission. This guidance is meant to be used in non-healthcare settings to help prevent workplace exposures and respond to community outbreaks. For example, the guidance recommends implementing workplace protocols to prevent infection and prepare to continue business operations during a period of local transmission. View the guidance here.

    Five Things to Know about COVID-19

    View a CDC informational video here.



    Posted: February 13, 2020

    February is National Children's Dental Health Month

    February is National Children's Dental Health Month. Cavities, also known as caries or tooth decay, are one of the most common chronic diseases of childhood, yet cavities are preventable. Children who have poor oral health often miss more school and receive lower grades than children who do not. Learn how you can protect your child's teeth from cavities with these resources. Read more here.



    Posted: February 13, 2020

    'Strong Teeth, Strong Kid,' Brightening Smiles in Native Communities

    Native-led dental campaigns are changing the landscape of children's oral health in Indian Country. One of these campaigns is led by the National Indian Health Board's Tribal Oral Health Initiative to support Tribal efforts to bring dental therapy to their communities. These midlevel providers are well suited to deliver quality, culturally competent oral health to Tribal communities. Read more here.



    Posted: February 13, 2020

    Congressional Investigation Finds Juul Targeted American Indian and Alaska Native Tribes

    A recent report released by Congressional investigators finds Juul, an electronic cigarette company, targeted Tribes when selling their products. When responding to the House Oversight and Reform Committee questions, Juul admitted to pitching its products to leaders of at least eight Tribes between December 2018 and February 2019. No agreements were made between Juul and the Tribes. Read more here.



    Posted: February 13, 2020

    University of North Dakota Announces Indigenous Health Program

    The University of North Dakota in Grand Forks is starting a program focused on Indigenous health, adding to some of its existing Tribal work. This program will train health scholars on disparities and resilience of Indigenous groups worldwide. Read more here.



    Posted: February 13, 2020

    2019 Novel Coronavirus (2019-nCoV) Updates

    2019 Novel Coronavirus (2019-nCoV) is a virus causing an outbreak of respiratory illness first detected in Wuhan, China in December 2019. Because the virus is newly identified, there are many unknowns and experts are unsure how it may impact health worldwide. This is a rapidly-evolving situation. However, the outbreak has been declared a public health emergency internationally and nationally.

    As of February 11, 2020:

    • 43,141 infected people have been confirmed, still overwhelmingly in China;
    • 1,018 people died from the infection;
    • 4,340 people recovered from the infection;
    • 13 people have tested positive for the virus in the United States.

    News from this week:

    • The World Health Organization officially names the virus COVID-19, for Corona Virus Disease 2019.
    • More than 1,000 people have died from the new virus, surpassing deaths for recent past outbreaks of related viruses SARS (Severe Acute Respiratory Syndrome) and MERS (Middle East Respiratory Syndrome)


    Posted: February 13, 2020

    Ready or Not 2020: Protecting the Public's Health

    "Ready or Not" provides an annual assessment of states' level of readiness in responding to public health emergencies—such as diseases, disasters, and bioterrorism—and recommends policy actions to ensure that everyone's health is protected. Read more here.



    Posted: February 13, 2020

    Beware of Misinformation!

    Misinformation is everywhere, especially in a new situation where many people are scared or confused. It is important to think critically about the news sources you see. Be especially cautious with comments on social media posts. Remember anyone can leave a comment, including people who don't understand science well, people who are selling a product or have other self-interests, and people who are pushing conspiracy theories. Even on the Centers for Disease Control and Prevention (CDC) official social media channels, people frequently reply to official posts with incorrect information. This can be scary or cause people to question facts. Read Harvard Medical School guidelines for identifying misinformation.



    Posted: February 13, 2020

    nCOV-19 Resources

    Be sure to check resources as they are updated regularly since the situation is rapidly changing.



    Posted: February 6, 2020

    Coronavirus Resources



    Posted: February 6, 2020

    Learn About the Coronavirus

    What do you know about the 2019-nCoV? The World Health Organization published a short, video infographic to answer basic questions, including:

    • Where did the virus come from and where was it first identified?
    • What is the connection between the virus and animals?
    • Why is it called "coronavirus"?
    • How does it spread?
    • What symptoms does the virus cause?
    • What is the mortality rate?
    • How is the disease diagnosed?
    • Is there a vaccine?
    • How can I protect myself?
    • What should I do if I think I've been infected?

    To watch the video, click here.



    Posted: February 6, 2020

    New Performance Improvement Resources Available for Tribes!

    Are you looking for ways to strengthen your public health system? The National Indian Health Board has released new resources to help you develop a plan. As part of the Stronger Systems, Stronger Communities (SSSC) project, NIHB has released 4 sample workplans, including budget considerations, for conducting several key public health activities.

    Community/Tribal Health Assessment (CHA) Workplan: A Tribal assessment collects and analyzes community data on health status and the social determinants of health to identify key health needs and issues for their community.

    Community/Tribal Health Improvement Plan (CHIP) Workplan: A plan for a long term, systematic effort to address health problems based on CHA results.

    Strategic Planning Workplan: A plan that guides a Tribal public health program in creating a vision, and identifying priorities for public health work moving forward.

    Quality Improvement Project Workplan: A project for systematic improvement of a specific public health problem, including identifying the root causes, potential solutions, and monitoring improvement.

    View these workplans and other performance/system improvement tools on NIHB's SSSC project website.



    Posted: February 6, 2020

    Tribal Legal Preparedness Project

    During times of infectious disease or natural disasters, it is imperative for communities to understand how law can be used to enhance public health preparedness and response to such crises. As sovereign entities, Tribal governments have the capability to create their own laws and are encouraged utilize such authority to prepare for public health emergencies. As such, the University of Pittsburgh Tribal Legal Preparedness Project has been established to assist Tribal Nations interested in expanding their legal preparedness capacity. Read more here.



    Posted: February 6, 2020

    2019 Novel Coronavirus (2019-nCoV) Updates

    2019 Novel Coronavirus (2019-nCoV) is a virus causing an outbreak of respiratory illness first detected in Wuhan, China in December 2019. Because the virus is newly identified, there are many unknowns and experts are unsure how it may impact health worldwide. This is a rapidly-evolving situation. However, the outbreak has been declared a public health emergency internationally and nationally.

    Novel Coronavirus Contact

    The National Indian Health Board is committed to serving Tribal Nations in response to the coronavirus outbreak. We welcome your requests and feedback. Contact Angelica Al Janabi at [email protected] or 202-507-4074.



    Posted: February 6, 2020

    Certificate in Native American Health Debuts This Semester at the University of Minnesota

    The University of Minnesota is offering an onsite 12-credit hour American Indian Public Health and Wellness Certificate. Courses include law, health services administration, cultural humility, research and evaluation and others. Read more here and here.



    Posted: January 30, 2020

    NIHB Announces NEW Opportunities to Pilot Online Trainings 

    The National Indian Health Board (NIHB) is seeking individuals to pilot two electronic training modules: one educating Tribal leaders on public health and providing supportive materials on Tribal consultation, the other training federal government partners on best working practices with Tribal nations. NIHB requests input from Tribal leaders, current and former Tribal Advisory Committee (TAC) members, stakeholders from Tribal organizations/Area Indian Health Boards, and non-Tribal stakeholders such as Tribal liaisons or national/regional organization staff. Piloting is expected to take around two hours but can vary based on each piloter's individual pace. A small stipend may be available for those who meet project requirements. For more information, e-mail [email protected].



    Posted: January 30, 2020

    Little Shell Tribe of Chippewa Indians of Montana Now Federally Recognized 

    After nearly 90 years of advocacy, the Little Shell Tribe of Chippewa Indians of Montana became the 574th federally recognized Tribe on December 18, 2019. The Little Shell Tribe has over 5,000 members and is headquartered in Great Falls under Chairman Gerald Gray. Read more here.



    Posted: January 30, 2020

    Making Room and Moving Over: Knowledge Co-Production, Indigenous Knowledge Sovereignty, and the Politics of Global Environmental Change Decision-Making 

    Thursday, February 13 - Friday, March 20, 2020

    Working with Indigenous knowledge-holders is commonly extractive: knowledge is treated as data to be aggregated and understood in abstract and universal form. This assumes that knowledge and governance are separate and gives knowledge co-production the appearance of playing an informative and facilitative role in global environmental change governance. But seeking Indigenous knowledge to inform environmental decision-making implies that Indigenous peoples are stakeholders as opposed to self-determining nations with rights and responsibilities regarding their knowledge systems and lands. Read more here to explore a recent journal publication on these topics.



    Posted: January 30, 2020

    Combined Prenatal Smoking and Drinking Greatly Increases Sudden Infant Death Syndrome (SIDS) Risk 

    The National Institutes of Health (NIH)-funded Safe Passage Study provides a look at how SIDS—the sudden, unexplained, death of an infant under 1 year of age—is influenced by the timing and amount of prenatal exposure to tobacco and alcohol. Children born to mothers who both drank and smoked beyond the first trimester of pregnancy have a 12-fold increased risk for Sudden Infant Death Syndrome (SIDS) compared to those unexposed or only exposed to alcohol and tobacco in the first trimester of pregnancy. Read more here.



    Posted: January 30, 2020

    St. Regis Mohawk Tribe Announces Cooperative Agreement for State-Tribal Environmental Collaboration 

    The New York State Department of Environmental Conservation (DEC) and the Saint Regis Mohawk Tribe (SRMT) recently signed a cooperative agreement that will accelerate restoration of natural resources and traditional Native American uses within the St. Lawrence River Area of Concern (AOC). This agreement is the first of its kind across the United States portion of the Great Lakes and provides a new roadmap for coordinating studies and restoring natural and cultural resource uses between the two government agencies, while recognizing their unique jurisdictions and shared interests, according to the announcement from the DEC. Read more here.



    Posted: January 30, 2020

    SMSC Seeds of Native Health Final Report 

    The Shakopee Mdewakanton Sioux Community (SMSC) is pleased to announce the completion of their Seeds of Native Health final report. Launched in 2015, Seeds of Native Health is a five-year, $11 million philanthropic campaign to improve Tribal communities' nutrition and help Tribes reassert their food sovereignty. Read more here.



    Posted: January 30, 2020

    Environmental Professional Development Courses: Tribal Strategic Planning & Partnerships and Community Outreach 

    Thursday, February 13 - Friday, March 20, 2020

    The Institute for Tribal Environmental Professionals (ITEP) is pleased to offer professional development training to new and seasoned Tribal professionals through interactive online courses. The Tribal Strategic Planning/ETEPand Partnerships & Community Outreach courses will be available February 13 – March 20, 2020. The two online courses listed here are fee-based and have instructors to ensure your individual questions are answered in a timely manner during the course period. Learn more about the strategic planning course here and the partnerships class here.



    Posted: January 23, 2020

    Makah Traditional Knowledge and Cultural Resource Assessment 

    In a new article published in the journal Parks Stewardship Forum, the Makah Climate Change Workgroup highlights their preliminary framework demonstrating how Tribal nations and Indigenous groups can utilize traditional knowledge in their climate adaptation plans. Read more here.



    Posted: January 23, 2020

    E-cigarette, or Vaping and Associated Lung Injury - Update 

    American Indians have the highest prevalence of smoking and e-cigarette use and the effects are a concern among Tribes. A new Morbidity and Mortality Weekly Report (MMWR) from the Centers for Disease Control and Prevention has updated the E-cigarette or Vaping Product-Use Associated Lung Injury (EVALI) patient demographic and self-reported substance use characteristics. The number of EVALI cases reported to CDC peaked during the week of September 15, 2019; the weekly number of hospitalized patients has since steadily declined. It is known that Nationwide, 82% of patients hospitalized with e-cigarette or vaping, product use–associated lung injury (EVALI) reported tetrahydrocannabinol (THC)-containing product use. Vitamin E acetate, an additive to THC-containing e-cigarette, or vaping, products, is strongly linked to the EVALI outbreak. Read more here.



    Posted: January 23, 2020

    Patients with Newly Diagnosed Musculoskeletal Pain Are Prescribed Opioids More Often Than Recommended 

    A recent National Institutes of Health study shows that during the first physician visit, patients experiencing newly diagnosed chronic musculoskeletal pain are prescribed opioids more often than physical therapy, counseling, and other nonpharmacologic approaches, according to a new study published in the Journal of Pain. This stands in contrast with clinical recommendations. While the data does not include non-federal hospitals, prescribing practices are concerning due to American Indian and Alaska Native populations being disproportionately affected by the opioid epidemic. Read more here.



    Posted: January 23, 2020

    UCSF Center for Tobacco Control Research and Education Fellowship 

    Deadline passed; Email rolling submissions to [email protected].

    The University of California San Francisco (UCSF) Postdoctoral Fellowship offers diverse educational and research opportunities, including a grant writing seminar, graduate research positions, advocacy training, and individualized documents training. Read more here.



    Posted: January 23, 2020

    We R Native's Health Promotion Resources for Native Youth 

    We R Native is a comprehensive health resource for Native youth, by Native youth, providing content and stories about the topics that matter most to them. Help promote We R Native's resources by encouraging youth to:

    • Ask an Auntie or Ask Uncle a question.
    • Test NATIVE to 97779 to receive weekly tips and life advice.
    • Visit their A&D articles and videos in preparation for Drug & Alcohol Facts Week (March 30-April 5, 2020)


    Posted: January 16, 2020

    January is Cervical Cancer Awareness Month 

    January is Cervical Cancer Awareness Month! This is a chance for women to start the year with healthy actions that can help prevent cervical cancer. Although rates for cervical cancer have decreased dramatically nationwide, health disparities remain amongst American Indian and Alaska Native women. The main cause of cervical cancer is long-lasting infections with certain types of human papillomavirus (HPV). The HPV vaccine protects against the types of HPV that most often cause cervical cancer. Getting recommended screenings (Pap test, HPV test, or both) can help prevent cervical cancer or find it early by detecting HPV and cell changes on the cervix that might become cancer. Read more here.



    Posted: January 16, 2020

    Native American Pre-Dental Student Gateway Program 

    Monday, June 22, 2020 - Friday, June 26, 2020

    The Seneca Nation Health System and the University at Buffalo School of Dental Medicine have developed a ‘Gateway to Dentistry' internship program for American Indian/Alaska Native undergraduate students considering application to Dental School. This five day internship for approximately ten students will provide a ‘taste' of dental education and the various disciplines and sub-specialties within the Dental profession. Read more here.



    Posted: January 16, 2020

    Creating a Plain Language Summary 

    Sharing complex information about public health and science research allows your work to reach more people. View a fact sheet on making a plain language summary here. Read more here.



    Posted: January 16, 2020

    Udall Foundation's Native American Congressional Internship 

    Applications due by Friday, January 31, 2020

    The ten-week summer internship in Washington, D.C., offers distinctive opportunities for Native American and Alaska Native students who are interested in learning more about the Federal legislative process while gaining an insider's view of the government's unique trust relationship with Tribes. Interns work in congressional and agency offices where they have opportunities to research legislative issues important to Tribal communities, hone their legal research and writing skills, and network with public and Tribal officials and Tribal advocacy groups. Read more here..



    Posted: January 16, 2020

    Call for Abstracts: 8th International Indigenous Pre-conference on HIV and AIDS 

    The International Indigenous Working Group on HIV and AIDS invites you to attend and contribute to the 8th International Indigenous Pre-conference on HIV and AIDS. This is an opportunity to share action and research that is transforming Indigenous health from local to global perspectives. For more information or to submit an abstract, read more here.



    Posted: January 16, 2020

    Does Your State Have a Climate and Health Adaptation Plan? 

    Check out a new resource from the Association of State and Territorial Health Officials (ASTHO): an interactive map to explore whether your state health agency offers climate adaptation plans or related resources. View the interactive map here.



    Posted: January 16, 2020

    2020 Annual National Tribal Public Health Summit 

    Tuesday-Thursday, March 17-19, 2019 in Omaha, NE

    Register by February 14 for Early Bird Rates!

    Join NIHB at the 11th Annual National Tribal Public Health Summit (TPHS) on March 17-19, 2020 in Omaha, NE. This premiere Indian public health event attracts over 500 public health professionals, elected leaders, advocates, researchers, and community providers. This event features dynamic national speakers, interactive presentations, a welcoming reception, a fitness event, networking opportunities, an exhibit hall and marketplace, local host activities, and the presentation of the Native Public Health Innovation Awards.

    Learn more or register today on the conference website. Discounted early bird rates end February 14!



    Posted: January 9, 2020

    How Tribal Wisdom Can Help Climate Science

    Native peoples have been studying the impact of climate in their communities over generations. However, tension often arises between Indigenous communities and Western climate scientists. Tribal wisdom can help inform science to address climate change, but Indigenous communities must be treated as respected partners in the process for it to work. Read more here.



    Posted: January 9, 2020

    Increasing Access to Affordable Housing in Indian Country

    This article by Patrice Kunesh, from the Federal Reserve Bank of Minneapolis, in "Shelterforce Weekly" describes how incomes are rising in much of Indian Country, and many people are looking to own their own homes. However, a set of obstacles specific to Native lands is getting in the way. Read more here.


    Posted: January 9, 2020

    New APHA Code Offers Ethical Guidance in Practice and Policy

    The American Public Health Association (APHA) has recently updated the Public Health Code of Ethics to better help public health workers in making fair and ethical decisions. The APHA Public Health Code of Ethics features six core values and various factors to consider when assessing population health, including cultural, social, and historical contexts. This is the first time the code has been revised since its introduction in 2002. Read more here.

    Posted: January 9, 2020

    Be Counted in the Second Nationwide Assessment of Local Vector Control Opportunities

    In early 2020, the National Association of County and City Health Officials (NACCHO), in collaboration with the Centers for Disease Control and Prevention (CDC), will administer the second nationwide assessment of local vector control organizations in the United States. The 2016 assessment provided baseline data on the mosquito control and surveillance capabilities of nearly 2,000 programs. NACCHO and CDC have used the assessment findings to provide targeted guidance and training opportunities. If your Tribe is engaged in vector control work and would like to be included in the assessment, please contact [email protected].


    Posted: January 9, 2020

    "This Shouldn't Be Happening": Bethel Search and Rescue Safety Challenges from Climate Change

    It's a compelling image – rescuers crawling across rotting ice to reach survivors when there should have been almost a month of safe travel remaining on the Kuskokwim River. This presentation – delivered by Mark Leary of Napaimute at the Bureau of Indian Affairs Providers Conference in December 2019 – gives an on-the-ground look at the hazards facing northern communities due to climate change, describing a search and rescue mission to rescue three people and recover two others.



    Posted: January 9, 2020

    Join NIHB for Injury Prevention and Surveillance Discussion Sessions!

    Join the National Indian Health Board for a series of conversations on injury surveillance and prevention for American Indian and Alaska Native communities! Tribal communities, service providers, practitioners, and subject matter experts are invited to share their insights and expertise at 1.5 day sessions in Spring and Summer 2020. All are welcome to participate.

    Registration is expected to open in early 2020. Sign up for our email list to receive updates and information on how to register.

    Have questions? Please contact Nina Martin ([email protected], 202-548-7299) or visit our website for more information.



    Posted: January 2, 2020

    We Need Each Other to Heal:' Native Americans Help Native Americans Overcome Domestic Violence

    Representatives from across Indian Country recently gathered in Las Vegas to learn more about using traditional methods as a way to heal from trauma stemming from domestic violence. The Indian Law Resource Center estimates that 4 out of 5 Native American women are affected by domestic violence. Read more here.



    Posted: January 2, 2020

    Tribal Resilience Program

    Proposals due Monday, March 2, 2020 by 9:00 PM ET

    The Bureau of Indian Affairs (BIA) is pleased to announce the availability of funding to support Tribal adaptation and resilience planning and other related activities. The program aims to support Tribal Nations that need adaptation planning support and decision-making information to prepare for extreme events and harmful environmental trends that impact Tribal treaty and trust resources, economies, infrastructure, and human health and welfare. Read more here.



    Posted: December 19, 2019

    Native Women Come Together to Confront High Rates of Maternal Mortality

    Indian Country is plagued with high maternal mortality rates. Indigenous organizations in the Southwest—specifically on Navajo Nation—have taken action to combat this crisis in order to prevent deaths that occur during pregnancy, childbirth, and postpartum. Read more here.



    Posted: December 19, 2019

    CDC Report on Diagnoses of HIV Infection in the US and Dependent Areas

    The Centers for Disease Control and Prevention (CDC) has published a new HIV Surveillance Report titled "Diagnoses of HIV Infection in the United States and Dependent Areas, 2018." This new report summarizes information about diagnosed HIV infection in the US and dependent areas. The report also shows the continuation of an alarming increase of HIV diagnoses among American Indian/Alaska Native men that have sex with men (an increase of 51% from 2013 to 2018). To accompany the new surveillance report, CDC has also published an infographic highlighting key data.



    Posted: December 19, 2019

    Short-term Exposure to Air Pollution Linked with New Causes of Hospital Admissions, Substantial Economic Costs

    Hospitalizations for several common diseases—including septicemia (serious bloodstream infection), fluid and electrolyte disorders, renal failure, urinary tract infections, and skin and tissue infections—have been linked for the first time with short-term exposure to fine particulate air pollution (PM2.5), according to a comprehensive new study led by Harvard T.H. Chan School of Public Health. In addition, the study found that even small increases in PM2.5, exposure were linked with substantial health care and economic costs. Read more here.



    Posted: December 19, 2019

    HRSA Publishes Ryan White HIV State Profiles

    The Health Resources and Services Administration (HRSA) has recently made the Ryan White HIV/AIDS Program 2017 State Profiles available online.

    The 2017 State Profiles is an online resource that provides users with a national and state-by-state look at Ryan White HIV/AIDS Program Services Report (RSR) client-level data for 2017. The data visualization tool offers a detailed look at national and state-level information on Ryan White HIV/AIDS Program recipients, providers, and clients. Read more here.



    Posted: December 19, 2019

    Tribal Climate Health Project Webinar Series

    Third Tuesdays of each month (1:00 – 2:30 PM ET) from January 21, 2020 through August 18, 2020

    The Tribal Climate Health Project, an initiative of the Pala Band of Mission Indians/Pala Environmental Department, is pleased to announce the 2020 Tribal Climate & Health Adaptation Regional Cohort Webinar Series. Please visit their website for more information on how to register for this free series of eight live webinars.



    Posted: December 12, 2019

    IHS and AAP Release Clinical Recommendations to Improve Care of American Indian/Alaska Native Women and Infants Impacted by Prenatal Opioid Exposure

    On December 5th, the Indian Health Service (IHS) and the American Academy of Pediatrics (AAP) Committee on Native American Child Health released clinical recommendations on neonatal opioid withdrawal syndrome, or NOWS, for IHS, Tribal, and urban Indian organization health care facilities. These recommendations provide standards of care surrounding screening, diagnosing, and treatment of pregnant mothers and infants affected by prenatal opioid exposure. Read more here.



    Posted: December 12, 2019

    Journal of Agriculture, Food Systems, and Community Development: Supplemental Issue on Indigenous Food Sovereignty in North America

    The Journal of Agriculture, Food Systems, and Community Development (JAFSCD) recently released a new supplemental issue featuring papers on indigenous food sovereignty in North America. Read more here.



    Posted: December 12, 2019

    Commercial Tobacco Free K-12 School Model Policy

    With youth vaping on the rise, schools and school districts are revisiting their tobacco-free policies to ensure that they promote an environment as free from commercial tobacco as possible. The Public Health Law Center has released comprehensive K–12 school tobacco-free policy resources that can be used as a model or it can be modified as needed. The Center also released a publication about the effectiveness of measures, other than suspension and expulsion, in addressing student commercial tobacco use as part of school tobacco-free policies. Read more here, here, and here.



    Posted: December 12, 2019

    Redesigned AMBER Alert Website Now Features Indian Country Resources

    Office of Juvenile Justice and Delinquency Prevention (OJJDP) has launched a refreshed AMBER Alert website. The refreshed website now includes access to the AMBER Alert in Indian Country website, a summary of the AMBER Alert in Indian Country Initiative, and training and technical assistance resources. The website provides resources to help regional and state-level AMBER Alert training and coordination efforts and links to resources that support the AMBER Alert program through national partners and OJJDP grantees.



    Posted: December 12, 2019

    Webinar Slides: An Update on CDC's Response to E-cigarette, or Vaping, Product Use Associated Lung Injury (EVALI)

    The Centers for Disease Control and Prevention (CDC) is working with the Food and Drug Administration (FDA), state health departments, and public health and clinical partners to investigate the multistate outbreak of E-cigarette, or Vaping, product use Associated Lung Injury (EVALI). The latest national and state findings suggest products containing tetrahydrocannabinol (THC), particularly those from informal sources (e.g., friends, family members, illicit dealers), are linked to most of the cases and play a major role in the outbreak. THC is the major chemical responsible for marijuana's psychological effects. Slides from the webinar are available here.



    Posted: December 5, 2019

    Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry Recruitment for TAC Positions

    The Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry (CDC/ATSDR) is currently recruiting for Tribal Advisory Committee (TAC) positions in the Great Plains area, Tucson area, and Tribes At-Large (2) delegates. Read the eligibility and nomination criteria here and the Dear Tribal Leader Letter here.



    Posted: December 5, 2019

    Bakken Cough: An Oil Field Workers Dilemma

    New oil-and-gas pipeline protection measures could help people who suffer from pollution leaking into air, land, and water at the heart of the fracking industry's Bakken Formation. "Bakken cough" is a devastating illness that can take up to eight weeks to recover, even with a steroid injection. On November 15, the "SAFER Pipelines Act of 2019" was introduced in U.S. Congress. Read more here.



    Posted: December 5, 2019

    CONVERGE Disaster Training Modules

    Deadline: Thursday, February 27, 2020

    CONVERGE Training Modules are available free of charge, covering a wide range of rapid response research topics such as disaster mental health and social vulnerability and disasters. The modules seek to accelerate the training of hazards and disaster researchers, with a special emphasis on students, emerging and situational researchers, and those interested in joining or leading interdisciplinary teams. Read more here.



    Posted: December 5, 2019

    Tribally-Specific Memory Change Resources

    The Wyoming Center on Aging worked with the Eastern Shoshone and Northern Arapaho Tribes to develop Tribally-specific resources on abnormal memory change. View the resources here.



    Posted: December 5, 2019

    Transforming Tribal Communities: Indigenous Perspectives on Suicide Prevention

    The Suicide Prevention Resource Center (SPRC) is excited to announce the release of a new video series, Transforming Tribal Communities: Indigenous Perspectives on Suicide Prevention. This series includes six- to eight-minute webinar clips with expert advice on addressing the root causes of suicide and mental health issues in American Indian and Alaska Native communities by drawing on community strengths. Presenters show how culturally relevant suicide prevention strategies endorsed by community members can lead to long-lasting change. Read more here.



    Posted: December 5, 2019

    Traumatic Brain Injury in Native Populations

    Despite progress, injury remains the leading cause of preventable death for American Indian and Alaska Natives (AI/AN), aged 1 to 44. A traumatic brain injury (TBI) can cause short- or long-term changes in cognition, communication, and/or emotion. TBI-related hospitalizations and deaths are rising among AI/AN people, with falls, motor-vehicle crashes, and violence-related incidents as leading causes. Read more here.



    Posted: November 29, 2019

    Attorney General Announces Resources to Address Missing and Murdered Indigenous People Crisis

    On Friday, Attorney General William P. Barr announced a new strategy for addressing the urgent crisis of missing and murdered indigenous peoples (MMIP) in the United States. The three-part strategy outlines provisions for increased capacity and reporting, including increased linkages between the US Attorney's offices and local agencies and review of data reporting policies around missing persons. This announcement came just days after two bills to enhance investigative processes for MMIP advanced from the Senate Committee on Indian Affairs. The bills are now awaiting a full Senate vote; if approved, they will be brought to the Office of the President to be signed into law.

    Read more about Attorney General Barr's statement here and about the crisis here.



    Posted: November 29, 2019

    Native American Women and Heart Health: A New Vision for Research and Outreach

    Heart disease, the leading cause of death for all American women, takes a disproportionately heavy toll on Native American women. American Indian and Alaska Native women die from it at a rate 20-30 percent higher than non-Native women. The Convening on Native American Women's Heart Health took place at the Smithsonian Institution's National Museum of the American Indian in December 2018, where more than 40 people—including Native American health experts and educators—explored how to better prevent heart disease among Native American women and enhance support for those living with the disease. Read more here.



    Posted: November 29, 2019

    Childhood Obesity Prevalence Decreased Among WIC Beneficiaries

    As part of their Morbidity and Mortality Weekly Report (MMWR), the Centers for Disease Control and Prevention (CDC) recently reported that from 2010-2016, there was a statistically significant decrease in childhood obesity prevalence in 41 of 56 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) territories. These children were aged 2-4 years and enrolled in the WIC program.

    The WIC program is a federal grant program administered by states, territories, and Indian Tribal Organizations to provide supplemental nutritious foods, breastfeeding support, health care referrals, and nutrition education for low-income children aged <5 years and pregnant, postpartum, or breastfeeding women.

    To access the report, read more here.



    Posted: November 29, 2019

    SAMHSA Announces New Website for Substance Abuse Help

    The Substance Abuse and Mental Health Services Administration (SAMHSA) has announced a new website, findtreatment.gov, to help connect Americans to substance abuse help. Site visitors can access information on treatment locations, type of care, specific treatment options, payment and insurance information, language, and more. The site also includes information on understanding addiction and mental health.



    Posted: November 29, 2019

    Stay Up to Date with These Native News Sources

    Native American Heritage Month may be coming to an end, but there are still plenty of ways to stay well informed on what is happening in Indian Country. Below are several online Native news sources to incorporate into your daily readings:

  • Indian Country Today
  • Indianz
  • National Native News


Posted: November 29, 2019

Suicide Prevention Efforts in Native American Communities

Watch this webinar from the Native Center for Behavioral Health to learn about suicide prevention efforts, risk factors, and strategies for responding to suicide in American Indian and Alaska Native (AI/AN) communities. The main focus of the webinar is to share strategies and resources for developing suicide prevention programs in AI/AN communities. Click here for the video.



Posted: November 29, 2019

Native Knowledge 360°

Native Knowledge 360° (NK360°) is an online resource provided by the Smithsonian's National Museum of the American Indian. NK360° provides educators and students with new perspectives on Native American history and cultures. Most Americans have only been exposed to part of the story, as told from a single perspective through the lenses of popular media and textbooks. NK360° provides educational materials and teacher training that incorporate Native narratives, more comprehensive histories, and accurate information to enlighten and inform teaching and learning about Native America. Read more here.



Posted: November 29, 2019

Heart Disease Prevention in American Indians and Alaska Natives

Research shows that one of the leading causes of death in American Indians and Alaska Natives is heart disease. As part of the effort to bring more awareness to the Tribes, there have been heart healthy initiatives implemented with Partners in Health and Navajo Nation and also in the Southeast Arizona Area Health Education Center. Although the projects were launched between 2000-2002, several efforts have been made in Tribal communities. Read more here.



Posted: November 29, 2019

WEBINAR: School Crisis Mental Health Recovery: A Community and School Partnership

*This webinar has been postponed from its original date and time of December 6, 2019 at 2:00 PM - 3:00 PM ET. The new date and time has yet to be determined.*

The National Indian Health Board (NIHB) is hosting a webinar on the School Crisis Mental Health Recovery: A Community and School Partnership. This webinar will demonstrate the importance of school and community partnership when preparing for mental health emergencies. The attendees will learn key factors; Memorandum of Agreement (MOU) and an evidence-based crisis intervention training curriculum to build capacity for mutual aid during immediate and long term postvention efforts for schools. Register here.



Posted: November 14, 2019

NIHB Requests Tribal Input on Pilot Public Health Training from Current/Former TAC Members

The National Indian Health Board (NIHB), with funding from the Centers for Disease Control and Prevention (CDC), has developed an electronic training module to provide Tribal leaders with information on public health and consultation. This module is designed to educate Tribal leaders on what public health is, why it is important, and how it is different from healthcare. It also provides information to help prepare Tribal leaders for consultation sessions on public health topics. NIHB is seeking input from current or former Tribal Advisory Committee (TAC) members who can complete the training (from anywhere with a computer and internet access) and provide feedback. In total, this is expected to take two hours and a small stipend may be available for those who complete piloting and meet project requirements. For more information, email [email protected].



Posted: November 14, 2019

Alaska Federation of Natives Declares Climate Emergency – Youth Speak Out

On October 19, 2019, two young Alaska Natives introduced a resolution on climate change at the Alaska Federation of Natives: Nanieezh Peter (Neets'ail Gwich'in, age 15) and Quannah Chasing Horse Potts (Gwich'in and Lakota, age 17). "In recent years, we have lost community members due to unpredictable and unsafe ice conditions," the resolution reads in part. "We have seen the die-off and disease of [native species] and recognize that these are also our relatives. We, the Alaska Native youth, are asking our Tribal leaders to consider, as is traditional, the future of their grandchildren and the generations to come." Read more here.



Posted: November 14, 2019

FDA Reopens Comment Period for New Cigarette Health Warnings; Additional Materials Available

Deadline: Wednesday, November 27, 2019

The Food and Drug Administration (FDA) has reopened the comment period for the "Required Warnings for Cigarette Packages and Advertisements" proposed rule published on Aug. 16, 2019, which when finalized, would require new cigarette health warnings on cigarette packages and in advertisements to promote greater public understanding of the negative health consequences of smoking. FDA has placed additional materials in the docket and reopened the public comment period for 15 days to allow comment on the additional materials. The additional materials are available in the docket. Read more here.



Posted: November 14, 2019

CALMHSA Toolkit

This toolkit was developed by the Native American Health Center in partnership with the California Mental Health Services Administration (CALMHSA) to advance cultural competence in our systems of care. The name of the toolkit is "Engaging Native Wellness: Healing Communities of Care". To have access to the toolkit, training video, resource guides, and literature reviews, read more here.



Posted: November 14, 2019

Health Disparities and Strategies for Reduction as We Celebrate Native American Heritage Month

The Center for Disease Control and Prevention highlights strategies on dealing with different health related issues among American Indians and Alaska Natives. Continuous efforts are being made to address sudden unexpected infant death syndrome (SUIDS), diabetes, and Tribal road safety. As we celebrate Native American Heritage Month, outcomes of public health programs are on the spotlight. Read more here.



Posted: November 14, 2019

Indigikitchen - A Youtube Channel

Indigikitchen is an online cooking show hosted by Mariah Gladstone (Blackfeet) and is dedicated to re-indigenizing diets using digital media. Watch the channel's summary video here or read more here.



Posted: November 14, 2019

Domestic Violence is Never Okay

The StrongHearts Native Helpline 1-844-7NATIVE (762-8483) is a safe domestic violence and dating violence helpline for American Indians and Alaska Natives, offering culturally-appropriate support and advocacy daily from 7 AM to 10 PM CT. StrongHearts advocates offer the following services at no cost and are anonymous and confidential:

  • Peer support and advocacy
  • Information and education about domestic violence and dating violence
  • Personalized safety planning
  • Crisis intervention
  • Referrals to Native or Tribal-based domestic violence service providers

Read more here.



Posted: November 14, 2019

A Story of Health: A Multi-Media eBook

When people get sick or develop a disability, they often ask their health care providers, "How or why did this happen?" In some cases, the answer is obvious. In others, it's more complicated. A Story of Health is a multimedia eBook that explores this question and delves into how our environments interact with our genes to influence health across the lifespan. The book is told through the lives of several fictional characters. Read more here.



Posted: November 14, 2019

Preparing a Proposal and Presenting at the Tribal Public Health Summit – Climate and Health Learning Community Webinar Recording Now Available

The Climate and Health Learning Community is building capacity for Tribes to share their stories and work! View a recent webinar recording to learn more about submitting proposals, writing abstracts, effective presentation methods, creating measurable learning objectives, the NIHB Summit, and travel scholarships. View the recording here.



Posted: November 14, 2019

Financing Suicide Prevention in Health Care Systems

The Suicide Prevention Resource Center (SPRC) has released the Financing Suicide Prevention in Health Care Systems. This set of tools provides guidance on optimizing workflows and billing practices to finance the delivery of suicide prevention services aligned with the Zero Suicide framework. Designed for health and behavioral health care organizations, it summarizes current reimbursement mechanisms for delivering suicide care and offers tips for maximizing them.



Posted: November 7, 2019

House OKs Permanent Ban on Mining 1 Million Acres Around Grand Canyon

Last Wednesday, the House voted to permanently ban uranium mining on just over 1 million acres around the Grand Canyon. Havasupai Tribe has long said a ban is needed to protect its water supply. Opposition was received from Republicans claiming the bill would gut over 4,000 jobs. Support came from Democrats stating the contamination threat from mining to the Canyon and residents of the area is greater than the loss of jobs. Read more here.



Posted: November 7, 2019

Congressman Pallone Urges President Trump to Issue E-cigarette Flavor Ban

Congressman Frank Pallone, Jr. (D-NJ), who serves as the Energy and Commerce Chairman, sent a letter to President Trump on Wednesday, October 30, 2019, urging him to follow through on the promise he made in an Oval Office press conference to ban flavored e-cigarette products. Read more here.



Posted: November 7, 2019

Recognize Lung Cancer Awareness Month with the American Indian Cancer Foundation

The American Indian Cancer Foundation (AICAF) joins the nation in recognizing Lung Cancer Awareness Month this November. As part of this campaign, AICAF is excited to host its first annual Sacred Breath Day TODAY, November 7, 2019. Lung cancer is the leading cause of cancer death for American Indian and Alaska Native (AI/AN) people. AICAF invites indigenous communities everywhere in raising awareness of lung health in Indian Country, and support the mission to keep traditional tobacco sacred. Read more here.



Posted: November 7, 2019

Spiritual Message from the Elders

More than 1,200 Elders from 105 Tribes across America attended National Indian Council on Aging Year 2000 Conference in Duluth, Minnesota and contributed to the words in this timeless message to America. Read the message here.



Posted: November 7, 2019

Pow Wow Sweat

Prepare to sweat along with the Coeur D'Alene Tribe in these short pow wow dance-along videos. Access the You Tube videos here.



Posted: November 7, 2019

Native Now Campaign Dos and Don'ts

This one page resource is a great guide to talking in a respectful way about and with Native peoples. Although designed for the classroom, it can be adapted for any social or work situation. Read more here.



Posted: October 31, 2019

Resources Available from NIHB's Climate Ready Tribal Awardees

In the summer of 2019, four Tribal awardees - Kaw Nation, Lummi Nation, Pala Band of Mission Indians, and Sitka Tribe of Alaska - wrapped up projects funded through the NIHB Climate Ready Tribes Initiative. Some of the materials these Tribes created as part of their projects are publicly available here.



Posted: October 31, 2019

University of New Mexico Research finds Uranium in Navajo Women & Babies

Federally funded research from the University of New Mexico recently found that more than 25% of adult female study participants, plus some infants, have radioactive uranium present in their bodies. For decades, uranium ore was harvested from Navajo lands, leading to even more decades of pain and illness. Read more here.



Posted: October 24, 2019

Tribal Leaders Diabetes Committee Meets with IHS Leadership

On October 8-9th, 2019, representatives from the Tribal Leaders Diabetes Committee (TLDC) met in Buellton, CA to discuss the Special Diabetes Program for Indians (SDPI). TLDC members spent a portion of the meeting in conversation with RADM Michael Weahkee, the IHS Principal Deputy Director. They discussed various topics including the current Tribal Consultation/Urban Confer period for SDPI, and SDPI reauthorization status. Read more here.



Posted: October 24, 2019

NPAIHB We R Native Text Messaging Study

The Northwest Portland Area Indian Health Board (NPAIHB) We R Native Project is currently in the process of recruiting 1,500 American Indian and Alaskan Native (AI/AN) teens and young adults to participate in a study that will evaluate the impact of a text messaging service by November 9th. Youth who enroll will be randomized to receive messages designed to improve mental health, help-seeking skills, and promote cultural pride or to elevate and re-affirm Native voices in science, technology, engineering, math and medicine areas. Eligible youth must be: AI/AN, 15-24 years old, a US resident, and able to receive text messages. Youth will also be compensated for their time. Read more here.



Posted: October 24, 2019

NEW - CDC Opioid Training for Nurses

The Centers for Disease Control and Prevention (CDC) released a new module, A Nurse's Call to Action for Safer Opioid Prescribing Practices, in the interactive online training series Applying CDC's Guideline for Prescribing Opioids. This module helps nurses learn how they can support the implementation of the CDC Guideline to address the opioid overdose epidemic. Participants will learn risk mitigation strategies, quality improvement practices, patient communication techniques, and care coordination approaches that support safer opioid prescribing.



Posted: October 24, 2019

Resources Available from Last Year's Climate Ready Tribal Awardees

This past summer (2019), four Tribal awardees - Kaw Nation, Lummi Nation, Pala Band of Mission Indians, and Sitka Tribe of Alaska - wrapped up projects funded through the NIHB Climate Ready Tribes Initiative. Some of the materials these Tribes created as part of their projects are publicly available here.



Posted: October 24, 2019

Best and Promising Practices for the Implementation of Zero Suicide in Indian Country

A toolkit is available on Best and Promising Practices for the Implementation of Zero Suicide in Indian Country. This guide is a companion toolkit to the original Zero Suicide Toolkitfor general populations. Read more here.



Posted: October 17, 2019

IHS Awards $2.4M to Tribal Epidemiology Centers to Combat HIV, Hepatitis C, and STIs

The Indian Health Service (IHS) has recently awarded nine Tribal Epidemiology Centers $2.4 million to help diagnose, treat, prevent, and respond to American Indian and Alaska Native communities affected by HIV, hepatitis C, and sexually transmitted infections (STIs). The awards were given out as part of IHS's implementation of Ending the HIV Epidemic: A Plan for America. Addressing such epidemics requires greater collaboration across sectors and disciplines. Read more here.



Posted: October 10, 2019

New Resource! NIHB Cancer Screening Toolkit

The National Indian Health Board (NIHB) has released a new toolkit, Health Systems Improvement Toolkit: A Guide to Cancer Screenings in Indian Country. This toolkit was designed with the support of and for Tribal health systems interested in increasing high-quality, population-based breast, cervical, and colorectal cancer screenings.



Posted: October 10, 2019

NIHB Announces Mini-Award for Climate and Health Communication

Optional Pre-Application Webinar Thursday, October 17 at 2:00 PM ET
Applications due Friday, November 8, 2019 by 11:59 PM ET

The National Indian Health Board (NIHB) is delighted to announce a call for applications for a Climate Ready Tribes Initiative Mini-Award for Climate and Health Communication. This opportunity is designed to fund up to three (3) Tribes to conduct low-cost, local work related to climate health. The application is simple and the awardees will participate in a structured cohort with help from NIHB. This opportunity is intended for Tribes who need assistance determining where to start climate and health work and/or who need assistance with the application process. This award is possible with support from the Centers for Disease Control and Prevention. Read more here.



Posted: October 10, 2019

Injury Prevention for Tribes Resources

Many injuries disproportionately affect American Indians and Alaska Natives. The Centers for Disease Control and Prevention's National Center for Injury Prevention and Control has launched a new web page-Injury Prevention in American Indian and Alaska Native Communities-where you can find all of the center's current resources and information on injury prevention work in Tribal communities.



Posted: October 3, 2019

Oglala Sioux Tribal Council Bans E-Cigarettes

In a recent statement made by President Julian Bear Runner, the Oglala Sioux Tribal Council has recently announced that they are taking action to regulate nicotine intake through electronic smoking devices on the Pine Ridge Reservation. In response to the recent deaths as a result of electronic smoking devices, this ban is the first of its kind in Indian Country. Read more here.



Posted: October 3, 2019

Recognizing Indigenous Pink with AICAF

The American Indian Cancer Foundation (AICAF) is excited to acknowledge another Indigenous Pink event this October! Indigenous Pink is a national breast cancer awareness campaign for American Indian and Alaska Natives (AI/AN) and aims to educate people about the importance of early detection and breast cancer screening in men and women. Help raise awareness with AICAF on breast health in AI/AN communities throughout the month and on Indigenous Pink Day on Thursday, October 17, 2019! Read more here.



Posted: October 3, 2019

Seven Communities Receive Grants for Projects that Address Health and Climate Change Solutions

The Robert Wood Johnson Foundation, in partnership with the George Mason University Center for Climate Change Communication, recently announced grants to seven communities across the United States to study health, health equity, and climate change solutions. The seven communities include several Tribal winners:

  • The Alaska Native Tribal Health Consortium, evaluating health outcomes of portable water/sanitation systems in rural areas
  • Covenant Pathways, evaluating regenerative farming practices of Navajo farmers
  • Swinomish Indian Tribal Community, evaluating the efficacy of an indigenized framework for climate resilience

Swinomish worked on this framework as part of the National Indian Health Board (NIHB) Climate Ready Tribes project. Congratulations to Swinomish and all awardees! Read more here.



Posted: October 3, 2019

Seattle Times Series on Climate Change in the Northern Bering Sea

The Seattle Times is publishing a series on climate change in the northern Bering Sea. The series includes perspectives from Alaska Natives, including Yup'ik hunters and fishers who depend on the rapidly disappearing sea ice to hunt and fish for their traditional foods. Read more here.



Posted: October 3, 2019

The SMART Project

The Northwest Portland Area Indian Health Board has partnered with the Sexual Minority Adolescent Risk Taking (SMART) Project - a real-world online program for two spirit, gay, bi, and queer teens to learn more about their sexual identities and health! Read more here and find more resources for two spirit and LGBT people here.



Posted: October 3, 2019

Food Sovereignty and Self Governance: Inuit Role in Managing Arctic Marine Resources

As part of the Inuit led Food Sovereignty and Self Governance project, Indigenous Knowledge holders came together to explore the co-management structures, policies and decision-making pathways surrounding the management of walrus (and other marine food sources), and ways of moving toward Inuit Food Sovereignty. The produced report includes key themes discussed and recommendations. Read more here.



Posted: October 3, 2019

October is Health Literacy Month

October is National Health Literacy Month. Health literacy focuses on ensuring that health information is easy to understand and making the health care system easier to navigate. Poor communication is one barrier to health literacy, and it can prevent people from accessing and understanding vital health information. The Centers for Disease Control and Prevention has guidance and tools to help make health information accurate, accessible and actionable. View these resources here and also visit health.gov to learn more about the importance of health literacy and the many resources available for communities.



Posted: October 3, 2019

Counting a Diverse Nation: Disaggregating Data on Race and Ethnicity to Advance a Culture of Health

PolicyLink, in collaboration with the Robert Wood Johnson Foundation, recently published a report that discusses current and recommended methods for collecting and analyzing data about race and ethnicity, particularly for under-reported groups such as Asians/Pacific Islanders and American Indians/Alaska Natives, as well as government policies that enable and enhance data disaggregation. Read the full report here.



Posted: October 3, 2019

Missing and Murdered Indigenous Women and Girls: We Demand More

The Seattle Indian Health Board/Urban Indian Health Institute (UIHI) recently published a report. MMIWG: We Demand More. This report is a direct response to a June 2019 report by the Washington State Patrol on the missing and murdered indigenous women and girls (MMIWG) crisis in Washington State. UIHI conducted a research study using quantitative and qualitative analysis of information from the Washington State Patrol report and offered American Indian/Alaska Native community-driven recommendations on how to best address MMIWG. Read more here.



Posted: September 26, 2019

Outbreak of Lung Injury Associated with Using E-Cigarette Use, or Vaping

The Centers for Disease Control and Prevention (CDC), the U.S. Food and Drug Administration (FDA), state and local health departments, and other clinical and public health partners are investigating a multistate outbreak of lung injury associated with e-cigarette product (devices, liquids, refill pods, and/or cartridges) use. Patients in this investigation have reported symptoms such as cough, shortness of breath, chest pain, nausea, vomiting, diarrhea, fatigue, fever, and abdominal pain. Read more here.



Posted: September 26, 2019

New Tribal Health Exhibits at the David J. Sencer CDC Museum

September 21, 2019 – May 1, 2020 in Atlanta, GA

The David J. Sencer Centers for Disease Control and Prevention (CDC) Museum has two new exhibits related to Tribal health! These exhibits celebrate contributions made by American Indians and Alaska Natives to public health and other contemporary concerns like restoring ecosystems and rediscovering traditional foods and crafts. The event is free and open to the public. Reservations are required. Read more here.



Posted: September 19, 2019

NIHB's 36th Annual National Tribal Health Conference Gathers Nearly 600 Tribal Health Professionals in Temecula, California

(l-r) NIHB CEO Stacy Bohlen (Sault Ste. Marie Tribe of Chippewa Indians), Mohawk Nation Tribal Chief Beverly Cook, NIHB Chair Victoria Kitcheyan (Winnebago Tribe of Nebraska), National Congress of American Indians President and Chickasaw Nation Lt.Governor Jefferson Keel, and Lummi Nation Tribal Councilmember Nick Lewis discuss Tribal sovereignty and health equity during the opening plenary of the 2019 National Tribal Health Conference in Temecula, CA

Today, the National Indian Health Board (NIHB) wraps up its 36th Annual National Tribal Health Conference in Temecula, CA. Between Monday's federal listening sessions and today's closing plenary, NIHB brought together more than 600 Tribal leaders, health providers, health experts and advocates to focus on strengthening health policy through advocacy and federal relations and highlighting the importance of health as a key component of the federal trust responsibility and a pathway to sovereignty.
Read More Here.



Posted: September 19, 2019

Suite of Materials: SAMHSA AI/AN Suicide Prevention

(If you are feeling alone and having thoughts of suicide—whether or not you are in crisis—or know someone who is, call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).

In an effort to help prevent suicide, the Substance Abuse and Mental Health Services Administration (SAMHSA) has collected and developed resources for populations at greater risk of suicidal ideation, including American Indians and Alaska Natives(AI/AN). Find additional suicide prevention resources here.



Posted: September 19, 2019

Report: Trust for America's Health State of Obesity: U.S. Obesity Rates at Historic Highs

Trust for America's Health (TFAH) has released its 16th annual State of Obesity Report, which reports on the state of obesity rates for each state and by racial and ethnic groups, age, and gender. This year, the report found that AI/AN continue to have some of the highest rates of obesity. In particular, AI/AN children experience almost twice the rates of obesity of white children. Read the full report here.

Along with updated information on obesity rates, the report also provides policy and program recommendations.



Posted: September 12, 2019

FDA Takes Action Against JUUL in Response to Illegal Marketing to Youth and Tribes

On Monday, September 9th, The U.S. Food and Drug Administration (FDA) issued a warning to JUUL Labs Inc. for marketing e-cigarette products as a safer alternative to cigarettes without authorization. These problematic marketing tactics, which include a "Switching Program" presentation to the Cheyenne River Sioux Tribe, came to light during a July 27th hearing before the U.S. House of Representatives. The FDA is requesting a response from JUUL within 30 days of the date of the warning. Read more here.



Posted: September 12, 2019

SAMHSA 2019 National Recovery Month

September 2019

The Substance Abuse and Mental Health Services Administration's (SAMHSA) Recovery Month is a national observance held every September to educate Americans that substance use treatment and mental health services can enable those with mental and substance use disorders to live healthy and rewarding lives. This year's theme is "Join Voices for Recovery: Together we are Stronger". Read more here.



Posted: September 12, 2019

Alaska Native Tribal Health Consortium Developing Infrastructure to Chill Melting Permafrost

A team of engineers with the Alaska Native Health Consortium (ANTHC) are working with Tribal community members throughout Alaska to develop and install infrastructure to freeze thawed out permafrost. To learn more about this technological innovation and how it may impact climate change and improve public health in Alaska, Read more here.



Posted: September 12, 2019

NPAIHB New Informational Materials for Two Spirit and LGBTQ People

The Northwest Portland Area Indian Health Board (NPAIHB) has recently released new materials designed to improve clinic experiences for people who are Two Spirit or LGBTQ. These materials include posters, rack cards, and pamphlets for healthcare providers working with Two Spirit and LGBTQ patients, allies seeking to support their LGBTQ and Two Spirit community members, and Two Spirit and LGBTQ community members navigating healthcare. Access the materials here or contact Morgan Thomas ( [email protected] )


Lane, a trans Cherokee woman, shares her story in NPAIHB's Two-Spirit and LGBTQ Materials



Posted: September 12, 2019

CDC MMWR Report: Racial/Ethnic Disparities In Pregnancy


AI/AN Women experiences more pregnancy-related death than most women from other racial/ethnic groups

An analysis of 2007-2016 data published in last week's CDC Morbidity and Mortality Weekly Report (MMWR) found American Indian/Alaska Native women have significantly more pregnancy-related deaths than other racial/ethnic groups, second only to black women. View the full report here.



Posted: September 5, 2019

September is National Preparedness Month

National Preparedness Month is recognized each September to promote family and community disaster and emergency planning now and throughout the year. Organized by ready.gov and the Federal Emergency Management Agency (FEMA), the 2019 National Preparedness Month theme is "Prepared, Not Scared." Read more here.



Posted: September 5, 2019

New Article Released Examining Changes in Opioid-Involved Overdose Deaths by Opioid Type

The current issue of the Morbidity and Mortality Weekly Report (MMWR) includes an article on the changes in opioid-involved overdose deaths. From July–December 2017 to January–June 2018 in 25 states, opioid deaths decreased 5% overall and decreased for prescription opioids and illicit synthetic opioids excluding illicitly manufactured fentanyl (IMF). Read more here.



Posted: September 5, 2019

National American Indian/Alaska Native Hope for Life Day - September 10, 2019

To further advance the National Action Alliance for Suicide Prevention's priority to change the public conversation around suicide and suicide prevention, the Action Alliance American Indian/Alaska Native (AI/AN) Task Force developed the National AI/AN Hope for Life Day (which coincides with World Suicide Prevention Day on September 10). The National AI/AN Hope for Life Day toolkit is available here.



Posted: August 29, 2019

September 10th is National American Indian/Alaska Native Hope for Life Day

With Suicide Prevention Week taking place 9/8-9/14, the National Action Alliance for Suicide Prevention ( Action Alliance )—the nation's public-private partnership with 250+ partner organizations—wants to remind you about the important role we all play in suicide prevention. To further advance the Action Alliance's priority to change the public conversation around suicide and suicide prevention, the American Indian/Alaska Native (AI/AN) Task Force developed the National American Indian/Alaska Native Hope for Life Day (which coincides with World Suicide Prevention Day on September 10th) and the National AI/AN Hope for Life Day toolkit. Read more here.



Posted: August 29, 2019

John Hopkins Center for American Indian Health Expands Programming to Upper Midwest

The Johns Hopkins Bloomberg School of Public Health's Center for American Indian Health will expand its programming to the Midwest. With the expansion into the Great Lakes region, the center now reaches more than 125 Tribal communities in 20 states, offering a variety of programs centered on holistic approaches to health such as alcohol and drug abuse prevention, maternal and child health, mental health, and obesity and diabetes prevention. The new Great Lakes hub will be located in Duluth, Minnesota, and will house a study examining a multigenerational approach to preventing diabetes in American Indians. Read more here.



Posted: August 29, 2019

New CDC Preventing Chronic Disease Collection: Good Health and Wellness in Indian Country

Preventing Chronic Disease (PCD) is a peer-reviewed public health journal sponsored by the CDC and authored by experts worldwide. This Preventing Chronic Disease Collection of 7 articles chronicles the journey of CDC's Good Health and Wellness in Indian Country (GHWIC) as the first 5 years come to a close. Together, the articles on GHWIC describe a model for public health practice to uplift culture, respect local knowledge, and institutionalize sustainable health improvements. Read the full collection here.



Posted: August 22, 2019

NIHB Announces Catherine E. Lhamon as Opening Plenary Speaker for the 2019 National Tribal Health Conference

The National Indian Health Board (NIHB) is proud to have Catherine E. Lhamon, Chair of the United States Commission on Civil Rights, speak at the National Tribal Health Conference, September 16-19, 2019 in Temecula, CA.Recently, the Commission published a report, Broken Promises, on the continuing federal funding shortfall for American Indian and Alaska Native people. Read more here.



Posted: August 22, 2019

CDC Report: Antibiotic Use in the United States, 2018 Update

This week, CDC released an update to their 2017 antibiotic stewardship report. This updated report highlights data from 2018 studies, program activities, and resources related to antibiotic prescribing and use in healthcare settings. Read more here.



Posted: August 22, 2019

New Webinar and Resources: Tobacco Cessation Services in Rural Healthcare Settings

SelfMade Health Network (SMHN), a member of the Centers for Disease Control and Prevention (CDC) Consortium of National Networks, is dedicated to addressing cancer and tobacco-related disparities among populations with low socioeconomic status (SES) characteristics, including low-income patients diagnosed with one or more chronic diseases. In July, SMHN coordinated with the National Rural Health Association to host a webinar, Expanding the Delivery of Tobacco Cessation Interventions in Rural Health Clinics To Improve Health Outcomes, featuring a panel of experts with a range of perspectives. Read more here.



Posted: August 22, 2019

SAMHSA 2018 National Survey on Drug Use and Health (NSDUH) Report Data Findings

The Substance Abuse and Mental Health Services Administration (SAMHSA) have released the latest data findings from the 2018 National Survey on Drug Use and Health (NSDUH). The NSDUH provides estimates of the use of illegal substances, prescription drugs, alcohol, and tobacco, as well as mental disorders, treatment, and co-occurring substance use and mental disorders in the United States. The new NSDUH findings contain data which may be used to help identify substance use and mental illness trends among American Indians and Alaska Natives overtime. Read more here.



Posted: August 19, 2019

Fifth Circuit Court Rules in Favor of the Indian Child Welfare Act

Last Friday, August 9th, the United States Fifth Circuit Court of Appeals issued its decision in Brackeen v. Bernhard, where it upheld the constitutionality of the Indian Child Welfare Act (ICWA), reversing the decision of the Northern District of Texas and affirming the federal government's unique political relationship with the Tribes. Read more here.



Posted: August 19, 2019

New Journal Supplement Featuring Tribal Epidemiology Centers Focus on Reducing Health Disparities in American Indians and Alaska Natives

Efforts to monitor and improve the health of American Indian and Alaska Native (AIAN) populations face unique challenges, including racial misclassification and underrepresentation in health research. The role of the Tribal Epidemiology Centers (TECs) in improving the public health infrastructure for the AIAN population is highlighted in a special September supplement to the Journal of Public Health Management and Practice. Read more here.



Posted: August 19, 2019

First Kids 1st Data Resource Book

The First Kids 1st (FK1) Initiative has published a Data Resource Book highlighting research and data for Tribes to develop systems of support for Native youth to thrive. Access the resource book here. For an annotated bibliography, access the resource book appendix here.



Posted: August 19, 2019

Tribal Public Health Law Framework Article

Law is integral to advancing public health. Although the study of law has expanded to consider law as a tool in advancing public health, much of the research does not contemplate the cultural, legal, and practical realities of Tribes and American Indian and Alaska Native communities. This academic article offers a framework for public health law as applied to Tribes, whose history, culture, legal structure, and population health outcomes differ greatly from other jurisdictions. Read the abstract here. Read the full article here.



Posted: August 19, 2019

Policy Brief: Health Disparities in Rural American Indians and Alaska Natives

The University of South Carolina's Rural and Minority Health Research Center (RMHRC) produced four policy briefs examining health disparities in rural minority populations, including American Indians and Alaska Natives. Read the brief here.



Posted: August 12, 2019

August is National Breastfeeding Month

National Breastfeeding Month is observed in August as a time to raise awareness about the health benefits of breastfeeding. According to the HHS Office on Women's Health (OWH), breastfeeding can reduce the odds of a baby dying from Sudden Infant Death Syndrome (SIDS) by 50%. When mothers breastfeed, they also provide their babies essential nutrients and boost their immunity, all while bonding with their child. To help support breastfeeding in Tribal communities, view the Indian Health Service (IHS) Breastfeeding Toolkit. This year's theme is "Support Changes Everything." Read more here.



Posted: August 12, 2019

CDC Report Now Available, Tribal Practices for Wellness in Indian Country

The Centers for Disease Control and Prevention (CDC), in response to recommendations from their Tribal Advisory Committee (TAC), held a series of convenings in 2015 and 2016 with a group of cultural advisors to expand the understanding of Tribal practices and how they promote physical, emotional, and spiritual well-being. To learn more about the convenings and final outcomes, read the report here.



Posted: August 12, 2019

Office of Minority Health Online Knowledge and Resource Center

The Office of Minority Health (OMH) Knowledge Center online catalog provides access to a broad spectrum of government documents, article abstracts, and other reports related to disparities and immunizations for minority populations. Read more here.



Posted: August 2, 2019

NIHB Hosts Tribal Public Health Emergency Preparedness & Response Summit

On July 25, 2019, the National Indian Health Board (NIHB) held its first Tribal Public Health Emergency Preparedness and Response Summit in Phoenix, AZ at the Heard Museum. The Summit convened Tribal, state, local, and federal partners as well as other key stakeholders to discuss and share out information on topics ranging from emergency legal preparedness and declaring an emergency to communication tools to use during an emergency situation. For more information about NIHB's emergency preparedness and response initiative, read more here.



Posted: August 2, 2019

Tribal, State, and Local Partners Gather to Discuss Public Health Improvement

On July 26, 2019, NIHB held the Tribal-State-Local Relationships for Public Health Improvement Forum in Phoenix, AZ at the Heard Museum. The forum brought Tribal, state, and local public health entities in Arizona together to develop capacity-building partnerships for public health improvement efforts. Among the forum activities was a session led by the Pascua Yaqui Division of Health Services (Dr. Apryl Krause) and the Pima County, AZ Public Health Department (Alan Bergen and Julia Flannery) discussing the positive aspects of their own relationship. For more information, contact Karrie Joseph, [email protected].



Posted: August 2, 2019

Toolkit: Action Alliance Updated Hope for Life Day Toolkit

To further advance the National Action Alliance for Suicide Prevention's (Action Alliance) priority to support community-based efforts to implement effective suicide prevention strategies, the Action Alliance AI/AN Task Force developed the National AI/AN Hope for Life Day, which coincides with World Suicide Prevention Day on September 10, and the National AI/AN Hope for Life Day Toolkit in 2015. To keep the toolkit current and relevant for AI/AN communities, the Task Force released an updated version of the toolkit, including new tools and resources, in advance of the 2019 National AI/AN Hope for Life Day. Read more here.



Posted: July 25, 2019

FDA Expands Youth E-Cigarette Prevention Efforts

On Monday, July 22, the Food and Drug Administration (FDA) announced an expansion of their activities, include TV Ads and educational resources, through their "The Real Cost" Youth E-Cigarette Prevention Campaign. The campaign aims to reach nearly 10.7 million at-risk youth through TV, digital platforms, social media, in-school ads and posters nationwide. See the full press release here.



Posted: July 25, 2019

July 28th is World Hepatitis Day

The US Department of Health and Human Services (HHS) and the World Hepatitis Alliance recognize July 28 as World Hepatitis Day. AI/AN people have the highest hepatitis C-related mortality rate, with AI/AN Women more than 50% more likely to die from Viral Hepatitis than non-hispanic white women. To learn more about Hepatitis, Read more here.



Posted: July 11, 2019

NIHB's Public Health in Indian Country Capacity Scan (PHICCS)—Still Time to Participate!

Deadline July 31st, 2019 11:59 PM ET

There is still time to support the National Indian Health Board's (NIHB) efforts in creating a national-level, comprehensive profile of public health in Indian Country! NIHB, with support from the Centers for Disease Control and Prevention (CDC), is currently gathering information from Tribal health directors across Indian Country as part of the Public Health in Indian Country Capacity Scan (PHICCS). The information from this scan will be used to create and disseminate a national-level, comprehensive profile of the public health system and infrastructure in Indian Country. This profile will be vital to increasing the knowledge of Tribal and federal health leaders and advocates. The deadline for participation is July 31, 2019, so please help to ensure this scan has comprehensive participation from across Indian Country. Read more here.



Posted: July 5, 2019

CDC Report: Suicide Rates for AI/AN Women See Largest Increase Amongst Nationwide Rise Between 1999 to 2017

According to a recent report by the Centers for Disease Control and Prevention (CDC), the US suicide rate increased by 33% (14.0 per 100,000) between 1999 to 2017. Amongst all race and ethnicity groups, the largest increase was seen in non-Hispanic American Indian or Alaska Native (AI/AN) females (139%, from 4.6 to 11.0). Similarly amongst males, non-Hispanic AI/AN men showed the largest increase (71%, from 19.8 to 33.8). Read more here.



Posted: June 27, 2019

Choctaw Nation Diabetes Wellness Center First Outpatient Center to Be Certified As a Centers of Excellence

The Joint Commission has recently recognized the Choctaw Nation Diabetes Wellness Center as a Centers of Excellence for Diabetes Care, passing the Joint Commission's survey with an impressive zero findings. The Diabetes Wellness Center met rigorous standards and is the first outpatient organization in the nation to receive this certification. The Center is supported by the Special Diabetes Program for Indians (SDPI), the country's most strategic and comprehensive investment to combat diabetes in Indian Country.



Posted: June 27, 2019

The American Indian Cancer Foundation (AICAF) and NIHB Release Colorectal Cancer Screening Toolkit for Tribal Clinics

The National Indian Health Board, in collaboration with the American Indian Cancer Foundation (AICAF), is pleased to announce the release of a new resource, Advancing Health Systems: Colorectal Cancer Screening within American Indian & Alaska Native Communities. In recognition of the high colorectal cancer rates amongst American Indians and Alaska Natives, this toolkit is geared towards helping Tribal health care providers and clinic teams implement health system changes that will increase colorectal cancer screening rates within their communities. Read more here.



Posted: June 27, 2019

IHS Issues Two Special General Memos on Hepatitis C Virus (HCV) and Medication Assisted Treatment (MAT)

In the previous weeks, the Indian Health Service Chief Medical Officer (IHS CMO) has issued two Special General Memorandums (SGMs).

Amongst American Indian and Alaska Native (AI/AN) people, Hepatitis C Virus (HCV) mortality remain more than double the national rate. In a recent IHS survey, nearly 50% of individuals diagnosed with HCV were born after 1965. As a result, the IHS has expanded HCV screening from persons born in 1945-1965 to all persons 18 years of age or older. Read the HCV SGM here.

Medication assisted treatment (MAT) is a comprehensive evidence-based approach to recovery using pharmacological interventions and substance abuse counseling, social support, and culture. To combat the disproportionate opioid use disorder in AI/AN, the SGM requests all IHS federal facilities to:

  • Identify local opioid treatment programs or office-based opioid treatment models in their respective IHS Area, to improve access to MAT for patients with opioid use disorder; and
  • Create an action plan to identify local MAT resources and to provide and coordinate patient access to these services when indicated

Read the MAT SGM here.



Posted: June 27, 2019

HHS Office of Infectious Disease and HIV/AIDS Policy Launches New Sexually Transmitted Infections Webpage

The Office of Infectious Disease and HIV/AIDS Policy (OIDP) under the US Department of Health and Human Services (HHS) has recently launched its newest HHS webpage, HHS.gov/STI, in response to the nation's dramatic rise of sexually transmitted infections (STIs). This webpage provides basic STI information and resources on policies, guidelines, and best practices for STI prevention, diagnoses, and treatment.

Additionally, the webpage will also house the STI Federal Action Plan, expected to be released in 2020, and provide information about its implementation and progress.



Posted: June 27, 2019

California Department of Public Health Report on American Indian/Alaska Native Maternal and Infant Health Status

The California Department of Public Health (CDPH) announced the release of the California American Indian/Alaska Native Maternal and Infant Health Status Report. This landmark report provides a comprehensive overview of the health and well-being of American Indian/Alaska Native (AI/AN) mothers and babies. This includes the key finding that while the overall rate of infant mortality in California has declined steadily since 2005, the California AI/AN infant mortality rate has remained high. Read more here.



Posted: June 27, 2019

Third Annual Conference on Native American Nutrition Report

Last October, more than 600 people from 38 states, three countries and more than 100 different Tribes attended the Third Annual Conference on Native American Nutrition in Minnesota. This annual conference series is the only one in the world solely devoted to the food and nutrition of Indigenous peoples. To help share the insight from last year's conference presentations, Seeds of Native Health created the Third Annual Conference on Native American Nutrition report. This report includes speaker information and key takeaways from presentations, panels and elder responses. Read more here.



Posted: June 27, 2019

LGBTQ2+ Toolkit: Celebrating Our Magic

Pride Month may be coming to an end, but that doesn't mean support for LGBTQ+ and Two-Spirit youth is! The Northwest Portland Area Indian Health Board's (NPAIHB) toolkit, Celebrating Our Magic, is now available online. Celebrating Our Magic is a culturally-specific, LGBTQ2+ resource for American Indian and Alaska Native individuals, relatives, allies, and healthcare providers. Read more here.



Posted: June 20, 2019

IHS Principal Deputy Director, RADM Michael Weahkee, met with the National Indian Health Board of Directors on June 13 in Washington, DC.



Posted: June 20, 2019

Veteran Affairs and Indian Health Service Report: Actions Needed to Strengthen Oversight and Coordination of Health Care for American Indian and Alaska Native Veterans

This report discusses the relationship between the Department of Veterans Affairs (VA) and the Indian Health Service (IHS) with regard to providing care to American Indian and Alaska Native veterans. This comprehensive report details the cooperative agreement between the two entities and the ways their efforts could be improved. Read more here.



Posted: June 20, 2019

Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women

This randomized control study explores the use of culturally adapted Cognitive Processing Therapy (CPT) to improve PTSD and substance abuse outcomes and lower the risk of contracting HIV in Native American women. The study details data by age, education, and employment status, among other measures, and was published in AIDS and Behavior. Read more here.



Posted: June 20, 2019

Updates to Recommendations on Weight Loss to Prevent Obesity-Related Mortality in Adults

Nearly 40% of US adults are obese, increasing their risk for developing a plethora of other diseases. To combat and prevent obesity-related morbidity and mortality in adults, the US Preventative Services Task Force (USPSTF) has recently released a summary of its updated clinical preventative service recommendation. The USPSTF recommends that clinicians offer or refer adults with a body mass index (BMI) of 30 or higher (calculated as weight in kilograms divided by height in meters squared) to intensive, multicomponent behavioral interventions. Read more here.



Posted: June 20, 2019

IHS Announces Requirements to Increase Access to Medication Assisted Treatment for Opioid Use Disorder

To ensure increased access to medication assisted treatment, the Indian Health Service (IHS) released a Special General Memorandum 2019-01. All IHS federal facilities will identify opioid use disorder treatment resources in their local areas and create an action plan, no later than December 11, 2019, to provide or coordinate patient access to medication assisted treatment, increasing access to culturally appropriate prevention, treatment, and recovery support services. Read more here.



Posted: June 13, 2019

NIHB's Public Health in Indian Country Capacity Scan (PHICCS)—Still Time to Participate!
Deadline July 31st, 2019 11:59 PM ET

There is still time to support the National Indian Health Board's (NIHB) efforts in creating a national-level, comprehensive profile of public health in Indian Country! NIHB, with support from the Centers for Disease Control and Prevention (CDC), is currently gathering information from Tribal health directors across Indian Country as part of the Public Health in Indian Country Capacity Scan (PHICCS). The information from this scan will be used to create and disseminate a national-level, comprehensive profile of the public health system and infrastructure in Indian Country. This profile will be vital to increasing the knowledge of Tribal and federal health leaders and advocates. The deadline for participation is July 31, 2019, so please help to ensure this scan has comprehensive participation from across Indian Country. Read more here.



Posted: June 6, 2019

Pain Management Task Force Releases Final Report on Best Practices for Pain Treatments

The U.S. Department of Health and Human Services Pain Management Best Practices Inter-Agency Task Force recently passed its Final Report recommendations for the treatment of acute and chronic pain. This thorough and necessary report addresses important issues such as stigma, risk assessment, access to care, and education in pain management all while focusing on a patient-centered approach. The report also highlights disparities and recommendations for special populations, including American Indian and Alaska Natives. Read more here.



Posted: June 6, 2019

CDC Offers Climate and Health Resources

Have you checked out the climate and health resources for public health professionals on the Centers for Disease Control and Prevention (CDC) website? This page offers new materials, guidance and trainings, webinars, data and tools, videos, and more.



Posted: May 30, 2019

Senate Committee on Indian Affairs Hosts Roundtable Discussion on Tribal Public Health

On Wednesday May 22, 2019, the National Indian Health Board (NIHB) participated in a roundtable discussion "Advancing Tribal Public Health Partnerships", before the Senate Committee on Indian Affairs. The session was led by Chairman John Hoeven (R-ND) along with Senator Tina Smith (D-MN) and Senator Catherine Cortez Masto (D-NV). NIHB Deputy Director and Director of Public Health Policy and Programs, Carolyn Angus-Hornbuckle, participated on behalf of NIHB. Panel participants included...

Read more



Posted: May 30, 2019

A 5-Year, 200 Million SDPI Renewal Bill Introduced in House of Representatives

Representative Tom O'Halleran (D-AZ) has introduced legislation ( H.R. 2680 ) to renew the Special Diabetes Program for Indians (SDPI) for another five years at $200 million per year. Since 1997, SDPI encourages Tribes and Tribal organizations to develop community level programs in preventing and treating diabetes through community engagement. With a funding increase of $50 million, H.R. 2680 aims to adjust for medical inflation and provide greater access to the program. To learn more about the National Indian Health Board's efforts to support the highly successful SDPI, please contact Brett Weber at [email protected].



Posted: May 30, 2019

1 in 6 American Indian/Alaska Native Adults Reported Experiencing Subjective Cognitive Decline

The Centers for Disease Control and Prevention (CDC) has released statistics from its 2015-2017 Behavioral Risk Factor Surveillance System (BRFSS) regarding subjective cognitive decline (SCD) in American Indian/Alaska Native (AI/AN). This survey reached AI/AN adults 45 years and older in 49 states, Puerto Rico, and the District of Columbia. To address cognitive decline and other dementias, public health and healthcare professionals can use the Healthy Brain Initiative's Road Map for Indian Country guidebook. Read more here.



Posted: May 30, 2019

NIHB Awardee Swinomish Releases Open-Access Learning Modules to Help Tribes Assess Health and Adapt to Climate Change

Over the past several years, the National Indian Health Board (NIHB) has worked with Swinomish Indian Tribal Community (Swinomish) as part of the Climate Ready Tribes (CRT) project funded through the Centers for Disease Control and Prevention (CDC). For the project, Swinomish indigenized the CDC Building Resilience Against Climate Effects (BRACE) health assessment framework to better reflect indigenous health definitions and priorities. Now, NIHB is delighted to announce that Swinomish has developed a series of online, freely accessible modules that describe why and how Swinomish modified BRACE ( module 1 ), and provide an example of how Swinomish used the indigenized BRACE framework in a climate change and health assessment project ( module 2 ). Swinomish hopes that other Tribes may tailor the process and methods f or use in their own communities. Read more here.



Posted: May 30, 2019

Office on Women's Health Trauma-Informed Care Tool

The U.S. Department of Health and Human Services' Office on Women's Health provides a training tool for a broad range of professionals to learn about the prevalence and impact of trauma and how to integrate the principles of trauma-informed care into practice. Read more here.



Posted: May 23, 2019

What do Native People Want from a President?

The Washington Post recently published a front page article discussing the "hopes and dreams" Tribal citizens have and raising the question: Will the 2020 presidential candidates hear them? This article addresses issues such as access to healthcare, environmental health, health disparities, treaty obligations to Tribes, underfunding, and the relevance of these discussions to an election where healthcare is a top priority...

Read more



Posted: May 23, 2019

Tribal Climate Adaptation Menu

Climate change has impacted and will continue to impact indigenous peoples, their lifeways, culture, and the natural world in unpredictable and potentially devastating ways. Many climate adaptation planning tools fail to effectively address the unique needs, values, and cultures of Indigenous communities. This Tribal Climate Adaptation Menu, which was developed by a diverse group of collaborators representing Tribal, academic, inter-Tribal and government entities in Minnesota, Wisconsin, and Michigan, provides a framework to integrate Indigenous and traditional knowledge, culture, language, and history into the climate adaptation planning process.

Read more


Posted: May 23, 2019

Opportunity to Participate in Evaluation of the Wildfire Smoke: A Guide for Public Health Officials

The guide, Wildfire Smoke: A Guide for Public Health Officials, was published by state and federal partners in 2016 and is publicly available at the link above. The Centers for Disease Control and Prevention (CDC) is interested in your feedback. There is an opportunity to provide general feedback and an opportunity to participate in an evaluation of the guide. Contact [email protected] for more infor mation and learn how you can make sure Tribal perspectives are included.



Posted: May 23, 2019

Evidence on the Use of Integrated Mosquito Management to Reduce the Risk of West Nile Outbreak After a Flooding Event

The Climate and Health Program at the Centers for Disease Control and Prevention (CDC) released a guidance document about mosquito management, West Nile, and flooding. This can be used to help provide information useful surrounding environmental/climate-related flooding emergencies.

Read more



Posted: May 23, 2019

A Guide to Requesting Health Data Reports within a Federally Recognized Tribe

This guide describes how Tribal staff in various programs can request health data to better understand and describe the scope of public health issues that affect the Tribes they serve. This document was created by staff at the Environmental Protection Agency (EPA) with review from staff at Tribal and Tribally-serving organizations.



Posted: May 23, 2019

NIHB Climate and Health Webinar Archives Available

Have you missed any of NIHB's recent Climate and Health Learning Community webinars? Great news! They are available in the archive (along with other helpful resources) here, under the "NIHB Resources" section, "Webinars" subheading.



Posted: May 23, 2019

Healthy Brain Initiative's Road Map for Indian Country

The Centers for Disease Control and Prevention's Division of Population Health has released the Healthy Brain Initiative's Road Map for Indian Country . This document is the first-ever public health guide tailored for leaders of American Indian/Alaska Native communities as they develop a broad response to Alzheimer's and other dementias.

Read more



Posted: May 23, 2019

Traditional Foods Project: Stories and Teachings

Using Traditional Foods and Sustainable Ecological Approaches for Health Promotion and Type 2 Diabetes Prevention in American Indian and Alaska Native communities was a 6-year cooperative agreement (2008-2014) that championed 17 Tribal programs. Those involved worked to restore access to local, traditional foods and physical activity to promote health. Although the funding period has ended, the Centers for Disease Control and Prevention (CDC) maintain web pages on this project to share lessons learned and other relevant information as an example.

Read more



Posted: April 25, 2019

Opioid Use Creates "Public Health Emergency" for Pregnant Native Women

A recent article from Indian Country Today highlights the Indian Health Service's work with the American College of Obstetricians and Gynecologists to develop an opioid treatment program for those most at risk for dying of opioid overdose: American Indian/Alaska Native (AI/AN) women, who already face special barriers and challenges. This treatment specifically targets AI/AN women who are pregnant or of childbearing age. Integrating culture and tradition, as well as trauma-informed approaches, is key. Read more here.



Posted: April 25, 2019

World Health Organization Releases Recommendations on Digital Interventions for Health Systems Strengthening

The World Health Organization (WHO) recently released guidelines for digital interventions designed to strengthen health systems. "Today we have more health information – and misinformation – at our fingertips than any generation in history. Before we ever sit down in a doctor's office, most of us have Googled our symptoms and diagnosed ourselves – perhaps inaccurately," Dr. Ghebreyesus, Director-General, states in the forward. "A key challenge is to ensure that all people enjoy the benefits of digital technologies for everyone. We must make sure that innovation and technology helps to reduce the inequities in our world, instead of becoming another reason people are left behind. [...] That's what this guideline is all about." Read more here.



Posted: March 29, 2019

Communicating in Indian Country: Healthy Heart, Healthy Brain

The Association of State and Territorial Health Officials (ASTHO) and the International Association for Indigenous Aging are honored to announce the release of ready-to-use communication materials about heart and brain health among American Indian and Alaska Native communities. Learn more about these materials, how you can use them, and how they can increase your knowledge of Tribal sovereignty and contributions. Read more here.



Posted: March 29, 2019

Health Initiative: OMH Active & Healthy Challenge for National Minority Health Month

Register now! Challenge begins April 1, 2019-April 30, 2019

The Office of Minority Health (OMH) launched the Active and Healthy Challenge, intended to encourage individuals, particularly racial and ethnic minorities, to be more active. The challenge is open to individuals or teams and allows people to report various types of physical activity – from walking or running to biking, dancing, or even swimming. Read more here.



Posted: March 29, 2019

Guide: Developing a Competitive SAMHSA Grant Application

The Substance Abuse and Mental Health Services Administration (SAMHSA) held a webinar for Tribes on how to develop a competitive SAMHSA grant application. A recording of the webinar will be available here. To access the manual around which the webinar was structured, click here.



Posted: March 21, 2019

Tribal Action Plan Training

Deadline to submit nomination forms: Friday, March 22, 2019 *TOMORROW*

The US Department of Justice's National Indian Country Training Initiative (NICTI), together with the Substance Abuse and Mental Health Services Administration (SAMHSA), is pleased to announce the Tribal Action Plan (TAP) Development Workshop. This free workshop is designed to provide Tribes with the tools and guidance to assist in developing a TAP. Tribes who are chosen to participate will send five representatives. Suggested disciplines include leadership, behavioral, public, or community health; the criminal justice system; and education. Read more here.



Posted: March 21, 2019

Public Health in Indian Country Capacity Scan Deadline Extended!

The National Indian Health Board (NIHB) with support from the Centers for Disease Control and Prevention (CDC), is pleased to announce the Public Health in Indian Country Capacity Scan (PHICCS) deadline will be extended to July 31, 2019. The purpose of this scan is to increase the knowledge of Tribal and federal health leaders and advocates through the creation and dissemination of a national-level, comprehensive profile of the public health system and infrastructure in Indian Country. The profile will be informed by a national assessment of Tribal public health systems, functions, workforce, issues, gaps, strengths, and leadership. Read more here.



Posted: March 21, 2019

New Research Released on Climate Change, Heat Exposure in Pregnancy, and Congenital Heart Defects

Climate change is leading to an increase in extreme temperatures throughout the United States. Rising temperatures can cause a variety of health impacts. This article discusses how exposure to extreme heat during pregnancy can cause birth defects including congenital heart problems, preterm birth, and low weight at birth. This new research considers predictions for extreme heat, predictions for births, and how these predictions imply an increase in birth defects. This is another way that climate change can harm the next generation. Read more here. Learn more about NIHB's climate health work here.



Posted: March 14, 2019

NIHB to Celebrate National Tribal Public Health Week
Monday to Friday, April 1-5, 2019

In recognition of the American Public Health Association's (APHA) National Public Health Week, the National Indian Health Board (NIHB) is celebrating Tribal Public Health Week from April 1st-5th! Join us throughout the week by participating in one of our activities. See the list of events here.



Posted: March 14, 2019

National Native HIV/AIDS Awareness Day
Wednesday, March 20, 2019

National Native HIV/AIDS Awareness Day raises awareness of the impact of HIV/AIDS on American Indian and Alaska Native (AI/AN) communities, as well as promotes HIV education, testing, community involvement and treatment in the United States and territorial areas. Read more here.



Posted: March 14, 2019

March is National Colorectal Cancer Awareness Month

According to the Centers for Disease Control and Prevention (CDC), colorectal cancer is most often found in people who are 50 years old or older and disproportionately impacts AI/AN people. CDC's Screen for Life: National Colorectal Cancer Action Campaign raises awareness about the importance of having regular colorectal cancer screening tests for men and women aged 50 years and older. Read more here.



Posted: March 14, 2019

Online Course: Environmental Justice in Indian Country

The Center for World Indigenous Studies (CWIS) is offering a course on Environmental Justice in Indian Country. It is designed not only for people who are serious students of Native American and Indigenous/Fourth World studies, but also for people who may be members of Tribal communities who could benefit from a broader understanding of what environmental justice is and how it affects their communities. Read more here.



Posted: March 14, 2019

Tribal Public and Environmental Health Think Tank and Report

The APHA Center for Public Health Policy hosted a Tribal Public and Environmental Health Think Tank with support from the CDC. Click below to learn more about the Think Tank and their report, Priorities in Tribal Public Health. Read more here.



Posted: March 11, 2019

NIHB Elects New Executive Board, Takes to Capitol Hill

On February 26, 2019, during the National Indian Health Board (NIHB)'s 2019 quarterly Board of Directors Meeting, members of the Board held elections for the positions of Chairperson, Vice-Chair, Member-at-Large, and Secretary.

The new NIHB Executive Committee Members are:

  • Chairperson (2019-2021): Victoria Kitcheyan, Great Plains Area, Winnebago Tribe of Nebraska
  • Vice-Chair (2019-2020): William Smith, Alaska Area, Valdez Native Tribe
  • Secretary (2019-2021): Lisa Elgin, California Area, Manchester-Pt. Arena Band of Pomo Indians
  • Member-at-Large (2019-2020): Andrew Joseph Jr., Portland Area, Confederated Tribes of the Colville Reservation
  • The position of Treasurer is continuing its current term and is held by Samuel Moose, Bemidji Area, Mille Lacs Band of Ojibwe



Posted: March 11, 2019

New Paper Provides More Evidence for Traditional Native Diets

A recent study of patients with diabetes indicated that eating more nuts- particularly tree nuts- is positively correlated with lower risk of developing and dying of heart disease. Many indigenous diets traditionally incorporated various types of nuts, such as pine nuts in the Southwest, or acorns in California. Studies showing the health benefits of traditional Native American diets indicate that science is catching up to what indigenous people have always known about eating a healthy and balanced diet.

To view the study, click here.
For more information on various nuts that are indigenous to the Americas, and their use in traditional diets, click here.



Posted: March 11, 2019

Environmental Justice in Indian Country Course

The Center for World Indigenous Studies (CWIS) is offering a course on Environmental Justice in Indian Country. It is designed not only for people who are serious students of Native American and Indigenous/Fourth World studies, but also for people who may be members of Tribal communities who could benefit from a broader understanding of what environmental justice is and how it affects their communities. Read more here.

Posted: March 11, 2019

"Realistic Ways You Can Combat Climate Change, Today" Resource Guide

The online Master of Public Health Program at George Washington University recently published a resource guide titled "Realistic Ways You Can Combat Climate Change, Today." The guide provides some effective ways that an individual can help the planet day-to-day, and includes low-cost, low-time, low-burden options. This resource is not specific to Tribal communities and some information may be more or less relevant. View the guide here.

Posted: February 28, 2019

NIHB Announces 2019 Climate Ready Tribes Awardees and New Fact Sheet

The National Indian Health Board (NIHB) is pleased to announce that four awardees have been funded through the Climate Ready Tribes Initiative and have begun projects to tackle local climate and health work in their communities. Three awardees were funded at up to $50,000: Lummi Nation (Washington State), the Pala Band of Mission Indians (California), and the Sitka Tribe of Alaska (Alaska). For the first time, one awardee was funded for a mini-award of $5000: Kaw Nation (Oklahoma). Read the announcement here. A map is available above showing the current and previous cohorts of funded Tribes. Additionally, a new fact sheet for the Climate Ready Tribes Initiative is now available – view the fact sheet here!



Posted: February 28, 2019

Juul's Latest Tactics on Sovereign Tribal Nations

Webinar Wednesday, March 6th, 4:00 pm ET

JUUL sent company representatives to the Cheyenne River Sioux, Tribal health committee, giving out free samples and then seeking approval for a "smoking cessation" program with free JUUL starter kits and a full-time program director "at no cost to the Tribe". The proposed partnership with JUUL would not only provide a company being investigated by the U.S. Food & Drug Administration (FDA) with unprecedented data on Tribal members, but also the potential to undo years of tobacco prevention progress on Tribal lands.

Join American Nonsmokers' Rights (ANR) Foundation, National Native Network, Great Plains Tribal Chairmen's Health Board and Rae O'Leary, Cheyenne River Sioux, Canli Coalition to talk about the most recent tactics by JUUL.

Join by Zoom Meeting here, or dial +1 646 876 9923



Posted: February 28, 2019

Report: Advancing Tobacco Prevention and Control in Rural America

Commercial tobacco use is the leading cause of preventable disease, disability, and death in the United States. Rural communities continue to bear a disproportionate burden of tobacco-related health harms. This comprehensive report examines rates and patterns of commercial tobacco use across rural subpopulations; explores aspects of the rural context that may affect tobacco prevention and control efforts; and presents challenges and opportunities for improving rural health through tobacco prevention and control. Read the full report here.



Posted: February 21, 2019

Representative Deb Haaland to Speak at NIHB Tribal Public Health Summit

Monday, May 13th, 2019

The National Indian Health Board (NIHB) is delighted to announce that Congresswoman Deb Haaland will be speaking at the Tribal Public Health Summit's first plenary, on Monday, May 13th. She is planning to share remarks on how Tribes can work with Congress to improve public health outcomes in native communities. Representative Haaland is an enrolled member of the Pueblo of Laguna and also has Jemez Pueblo heritage. In 2014, Haaland became the first Native American woman to be elected to lead a State Party and was recently elected as one of the first Native American women to serve in Congress. Read More here.



Posted: February 21, 2019

Education and Training in the Arctic

The University of the Arctic and Arctic Council Indigenous Peoples' Secretariat organized a panel to discuss education and training needs for Arctic Indigenous Peoples during the UArctic Congress 2018 in Oulu, Finland, Autumn 2018. The panelists represented each of the Arctic Council Indigenous Peoples' organizations – also known as Permanent Participants – and addressed questions, including traditional knowledge. Read more here.



Posted: February 14, 2019

New Publication: TIP 61: Behavioral Health Services for American Indians and Alaska Natives

Tuesday February 19, 2019, 12PM-1PM PST

SAMHSA's new Treatment Improvement Protocol (TIP), "TIP 61: Behavioral Health Services for American Indians and Alaska Natives" (TIP 61), provides practical and culturally relevant guidance on how best to provide effective behavioral health services to clients in this population. TIP 61 is divided into three parts. Read more here.



Posted: February 14, 2019

Community Health Maps

Developed by the National Library of Medicine (NLM), Community Health Maps (CHM) provides information about low/no cost mapping tools with a focus on increasing capacity within under-served and other at-risk communities. The CHM workflow can also be used by individuals and organizations needing to collect, analyze, and visualize mapping data. An online tutorial is available. Read more here.



Posted: February 14, 2019

Indian Health Surveillance Report — Sexually Transmitted Diseases 2015

The IHS National Sexually Transmitted Diseases (STD) program and the IHS Division of Epidemiology and Disease Prevention are announcing the release of the Indian Health Surveillance Report — Sexually Transmitted Diseases 2015. The report presents statistics and trends for STDs among American Indians and Alaska Natives (AI/AN) in the United States and represents a unique collaboration and partnership between IHS and CDC. The report highlights disparities among AI/AN with national data indicating that in 2015 AI/AN had the second highest rates for chlamydia and gonorrhea and the fourth highest rates for syphilis among all racial and ethnic groups. Read the report here.



Posted: February 14, 2019

IHS announces new IHS Division and Area Directors

The Indian Health Service (IHS) is pleased to welcome Tamara James, PhD as the Acting Director for the IHS Division of Behavioral Health (DBH). Dr. James is an enrolled member of the Choctaw Nation of Oklahoma. In her role, Dr. James will serve as the primary source of national advocacy, policy development, management and administration of behavioral health, alcohol and substance abuse, and family violence prevention programs. DBH coordinates national efforts to share knowledge and build capacity through the development and implementation of evidence/practice based and cultural-based practices in Indian Country.

IHS is also pleased to announce Beverly Cotton, DNP, RN, CPNP-PC, as the new director of the IHS Nashville Area. Dr. Cotton, an enrolled member of the Mississippi Band of Choctaw Indians, served as the Acting Director of the IHS Headquarters Office of Clinical and Preventive Services since April 2018. She joined IHS in 2011 as the national sexual assault nurse examiner (SANE) coordinator and served as director of the IHS Division of Behavioral Health from 2013 to 2018.



Posted: February 11, 2019

February is American Heart Month

American Heart Month is observed every February to raise awareness about heart disease and the importance of reducing the risk through healthy lifestyle changes, such as increased physical activity and healthy eating. Heart Disease is one of the leading causes of death American Indian and Alaska Native people.

The National Institutes of Health (NIH), National Heart, Lung, and Blood Institute (NHLBI) is launching the #OurHearts national initiative to encourage heart healthy habits. Read more here.



Posted: February 11, 2019

The Many Dimensions of Knowledge

The National Park Service recently published a blog post by Henry P. Huntington on different types and systems of knowledge, including indigenous knowledge, and the related opportunities and challenges. Read more here.



Posted: February 11, 2019

Report on Tribal Nursing Homes Best Practices

A Centers for Medicare and Medicaid Services (CMS) sponsored report on trauma and person-centered care practices of three tribal nursing homes in Nebraska, Alaska, and South Dakota. Discusses best practices for caring for patients dealing with the repercussions of elder and child abuse, sexual assault, and historical trauma, among other traumatic experiences. Read more here.



Posted: February 4, 2019

Social Determinants of Health in HIV Care for American Indian/Alaska Native Adults

American Indian and Alaska Native (AI/AN) communities have long been disproportionately impacted by the HIV epidemic with AI/AN infection rates increasing by 70% between 2011 and 2016. The CDC recently published an article on behavioral characteristics of American Indian and Alaska Native people living with HIV. The article paints a demographic picture of those living with HIV, but potentially more importantly calls attention to the social determinants of health and risk co-factors exhibited by those that participated in the study and justifies a more comprehensive wrap around approach to HIV services. Read the full article from CDC here.



Posted: February 4, 2019

Climate Opinion Maps 2018

The Yale Program on Climate Change Communication hosts maps based on opinion data. Public opinion about climate change is an important influence on decision making about policies to reduce global warming or prepare for the impacts, but American opinions vary widely depending on where people live. This tool allow users to explore beliefs, perceptions, and policy support for climate-related issues nationally or in states, counties, congressional districts, or metro areas. Read more here.



Posted: February 4, 2019

Report on Motor Vehicle & Pedestrian Safety

A new report from Smart Growth America describes the state of pedestrian fatalities and emphasizes the need to build safer streets. The report includes important stats on how AI/ANs are disproportionately impacted by pedestrian deaths, and spotlights how the Kalispel Tribe in WA state is addressing this disparity. Read the report here.



Posted: January 24, 2019

Otoe-Missouria Youth Become First Tribal Youth Preparedness Council and First Tribal CERT Instructors in the Nation

Thirteen Otoe-Missouria youth were trained as a Teen Community Emergency Response Team (CERT) and four went on to become Teen CERT Instructors. Both the team and instructors were the first Tribal youth in the nation to achieve these status. They plan to train other teens from their Tribe as well as other Tribes this summer. Read more about the CERT team here and the instructors here.



Posted: January 24, 2019

Social Determinants of Health Training Plan

The Public Health Foundation (PHF), through its TRAIN Learning Network, has created a training on Social Determinants of Health (SDOH). The training will help describe the fundamental aspects of SDOH, explain social contexts and effects of SDOH on specific populations, and apply SDOH knowledge to design targeted interventions for improving public health. You can register and work at your own pace. Read more here.



Posted: January 18, 2019

For First Time in U.S. History, Americans more Likely to Die From Opioid Overdose than Motor Vehicle Crash

A new report from the National Safety Council found that Americans have a 1 in 96 chance of dying from an opioid overdose, while the probability of dying in a motor vehicle crash is 1 in 103. The rising rates of overdoses is part of an overall trend of a Americans dying from preventable, unintentional injuries that has increased over the past 15 years. Read more here.



Posted: January 18, 2019

Human Papillomavirus and Cervical Cancer Factsheet

January is Cervical Cancer Awareness Month. Worldwide, Cervical cancer remains one of the gravest threats to women's lives and American Indian and Alaska Native (AI/AN) women are disproportionately affected in the U.S. We can eliminate cervical cancer as a public health problem through intensified vaccination against Human Papillomavirus (HPV), screening and treatment. Access a factsheet on HPV and Cervical Cancer here.



Posted: January 11, 2018

Oneida Nation in Wisconsin is the Second Tribal Health Department in the US to Achieve Public Health Accreditation

On November 20, 2018, the Oneida Nation received national public health accreditation recognition. The Oneida Nation is only the second Tribal nation to be accredited by the Public Health Accreditation Board (PHAB). Public health accreditation is a voluntary process that measures the performance of Tribal, state, territorial, and local health departments against national public health standards for the delivery of quality programs and services for their communities. Read the PHAB press release here.



Posted: January 11, 2018

Public Comment for Healthy People 2030

The U.S. Department of Health and Human Services (HHS) is soliciting written comments regarding the Healthy People 2030 objectives. The public comment period will be open from December 3, 2018 through January 17, 2019. To comment, read more here. NIHB is preparing to submit comments. Contact Shervin Aazami, [email protected] for more information about NIHB's comments or if you have comments to share and would like them included in NIHB's submission.



Posted: January 11, 2018

January is Cervical Cancer Awareness Month

According to the American Indian Cancer Foundation, nationally, American Indian and Alaska Native women are 1.5 times as likely to develop cervical cancer and 2 times more likely to die from the disease compared to white women. Read more here.



Posted: January 11, 2018

Family Spirit Home Visiting Program Featured in NHVRC Video

The National Home Visiting Resource Center (NHVRC) recently spotlighted the Family Spirit Home Visiting Program as delivered by the Arapaho people on the Wind River Indian Reservation, in Wyoming. The Johns Hopkins Center for American Indian Health shared this video, stating that Family Spirit is the only evidence-based home visiting model designed specifically with and for Native Americans. These programs can greatly impact health and wellbeing. Watch the video here.



Posted: January 11, 2018

Report on Behavioral and Clinical Characteristics of American Indian/Alaska Native Adults in HIV Care

The Centers for Disease Control and Prevention(CDC)'s Morbidity and Mortality Weekly Report (MMWR) published findings from the medical monitoring project detailing the behavioral and clinical characteristics of AI/AN Adults seeking HIV treatment. Read more here.



Posted: January 11, 2018

myPlan Intimate Partner Violence Survivor Tool

myPlan is a tool that survivors of intimate partner violence (and others with concerns about healthy relationships) can use to help them make decisions about safety. This tool is a discreet and confidential smartphone app or web-based tool; it is not meant as a replacement for expert advice, but is designed to encourage the majority of people who may never seek services. Staff can also use myPlan with clients to help facilitate discussions about their level of danger and their priorities when making safety decisions. Read more here.



Posted: January 11, 2018

Invitation to Contribute to Tribal Resource Tool

The Tribal Resource Tool needs is a web-based map and searchable database to connect American Indian and Alaska Native (AI/AN) survivors of crime and abuse to resources. If your organization provides services to AI/AN survivors recovering from crime and abuse, submit your information to Tribal Resource Tool and find out how to get involved by visiting the website here.



Posted: December 17, 2018

WHO Publishes COP24 Special Report: Value of Health Gains from Climate Action Outweigh Cost of Mitigation Policies

Meeting the goals of the Paris Agreement could save about a million lives a year worldwide by 2050 through reductions in air pollution alone. A World Health Organization (WHO) report launched at the United Nations Climate Change Conference (COP24) last week says that the value of health gains from climate action would far outweigh the cost of mitigation policies at global level, and the benefit-to-cost ratio is even higher in countries such as China and India.

The report highlights why health considerations are critical to the advancement of climate action and outlines key recommendations for policy makers. Read more here.



Posted: December 17, 2018

CDC Releases Report on "Drugs Most Frequently Involved in Drug Overdose Deaths: United States, 2011–2016"

A recently released report from the Centers for Disease Control and Prevention (CDC) identifies patterns around the specific drugs most frequently involved in drug overdose deaths in the US from 2011 to 2016. Read more here.



Posted: December 10, 2018

NIHB Announces Public Health Preparedness and Response Initiative

NIHB is pleased to announce a Public Health Emergency Preparedness and Response (PHEPR) initiative. NIHB will support capacity building of Tribal Governments to ensure effective and efficient emergency preparedness planning and response. This will include, but not limited to:

  • Sharing information, tools, and resources with Tribal Governments across Indian Country to improve identification of best practices
  • Supporting the implementation of evidence-based programs and services
  • Supporting enhanced surveillance and data sharing between states and Tribes
  • Supporting engagement and partnerships between stakeholders to improve capacity of Tribal governments to prepare, respond, and recover from public health emergencies.

Read more here



Posted: December 10, 2018

Join NIHB's New Climate and Health Learning Community

Sign up to join the new Climate and Health Learning Community at the National Indian Health Board (NIHB). This learning community will offer resources and activities for learning, networking, and information sharing. Activities may include webinars and an optional in-person event at NIHB's Tribal Public Health Summit. NIHB will offer a certificate to each learning community member who attends at least two of the community calls or webinars.

Read more here



Posted: December 10, 2018

NCAI Policy Brief: Climate Change and Global Warming

The National Congress of American Indians (NCAI) recently released a policy brief on climate change and global warming. The brief includes definitions, how climate change affects different geographical areas, and available databases to track climate change in your area.

Read more here



Posted: December 3, 2018

NIHB Announces Additional Climate and Health Opportunities and Resources

NIHB is pleased to announce new resources and opportunities related to Tribal climate health. These include:

Read more here



Posted: December 3, 2018

Report Released Detailing Climate Change's Impact on Tribes

On Friday November 23, 2018, the Trump Administration released a major scientific report on the current and projected long-term impacts of climate change. The report also has a chapter devoted to the impact of climate change on Tribes and Indigenous Peoples, which documents existing and projected impact of climate change on Tribal health, livelihoods and economies, and adaptive capacity. The chapter also makes the case for incorporating Indigenous knowledge and wisdom towards developing solutions to mitigate climate change-related disasters. Read more here.



Posted: December 3, 2018

Tribal Climate Adaptation Guidebook

The Oregon Climate Change Research Institute (OCCRI)-Oregon State University just released the Tribal Climate Adaptation Guidebook, with steps and recommendations for Tribes interested in climate adaptation planning and highlighting Tribes from across the country in case studies. Read more here.



Posted: December 3, 2018

Diabetes Awareness Month: Who is the Tribal Leaders Diabetes Committee?

The Tribal Leaders Diabetes Committee (TLDC) serves as an advisory body to the Director of the Indian Health Service (IHS) and is a direct voice to the IHS on diabetes and related chronic diseases affecting American Indians and Alaska Natives. Learn more about the TLDC and find out who the Tribal laeder representative is for your IHS service area. Read more here.



Posted: November 30, 2018

2018 National Youth Tobacco Survey Shows Dramatic Increase In e-cigarette Use Among Youth Over Past Year

Last week, the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) released new findings from the National Youth Tobacco Survey (NYTS) showing that more than 3.6 million middle and high school students were current (past 30 day) e-cigarette users in 2018, a dramatic increase of more than 1.5 million students since last year. According to the results published in last Thursday's Morbidity and Mortality Weekly Report, youth who use e-cigarettes also are using them more frequently and using flavored products more often than last year. The sharp rise in e-cigarette use has resulted in an increase in overall youth tobacco product use, reversing a decline seen in recent years, and is prompting a series of steps by the FDA to curb youth use trends. Read more here.



Posted: November 14, 2018

Final Report on Evaluation of Alaska's Village Public Safety Officers (VPSO) Program

A recently published report, "An Innovative Response to an Intractable Problem – Using Village Public Safety Officers to Enhance the Criminal Justice Response to Violence Committed Against Alaska Native and American Indian Women in Alaska's Tribal Communities" is available HERE

The principal goal of this project was to empirically document and evaluate the impact Alaska's village public safety officer (VPSO) program has on the investigation and prosecution of those who commit acts of sexual and domestic violence against Alaska Native and American Indian women in Alaska's Tribal communities. Results show that the men and women who constitute Alaska's VPSO program play a central role in the criminal justice response to incidents of sexual assault, sexual abuse, and domestic violence committed in Alaska's Tribal communities. This study documents the many ways that VPSOs not only serve as a "force multiplier" for Troopers by serving as first responders and assisting with investigations. VPSOs also serve victims and their communities by providing crucial post-incidents support and services in the aftermath of sexual assault, sexual abuse, and domestic violence incidents.



Posted: November 14, 2018

NIHB Releases Tribal Public Health Accreditation Readiness Case Study featuring Chickasaw Nation

NIHB supported Chickasaw Nation to conduct accreditation and performance improvement activities in their health department through the Tribal Accreditation Support Initiative (ASI) grant. Chickasaw Nation used the Accreditation Readiness Model (ARM), a tool developed by NIHB, to measure both improvements and challenges, as well as to set priorities, and determine which initiatives are most successful. NIHB has released a case study highlighting how Chickasaw Nation used the ARM to support their public health accreditation efforts. This case study illuminates the importance of using a readiness tool when making a system-wide change.

Read more



Posted: November 14, 2018

Tribal Leaders Diabetes Committee Meets in Oklahoma City

The Tribal Leaders Diabetes Committee (TLDC) met in Oklahoma City, OK, on September 17-18, 2018. TLDC members reaffirmed the importance of collecting diabetes data, discussed the upcoming SDPI data infrastructure budget, and considered the role of SDPI in international indigenous health conversations.

Read more



Posted: November 14, 2018

Blackfeet Nation Environmental Director Receives 2018 Climate Adaptation Leadership Award for Natural Resources

Mr. Gerald Wagner, Director of the Blackfeet Environmental Office and pictured right in the image, was recently an honored recipient of the 2018 Climate Adaptation Leadership Award for Natural Resources Award, in the Tribal Government Category, at the Association of Fish and Wildlife Agencies Annual Meeting.

With support from the National Indian Health Board's Climate Ready Tribes Initiative, Mr. Wagner received this award for leading the Blackfeet Nation's first-ever climate change adaptation planning initiative, bringing together natural resource managers to complete the Blackfeet Nation Climate Change Adaptation Plan in April 2018.

Read more



Posted: November 14, 2018

A Portrait of American Indian and Alaska Native Children and Families

There is little national data about the need for early childhood and health services for American Indian/Alaska Native (AI/AN) children. The American Indian and Alaska Native Early Childhood Needs Assessment project was initiated in 2015 to develop three designs for future studies to inform a national early childhood needs assessment for AI/AN children.

This brief summarizes findings from the implementation of the first design, which used existing data to create a national picture of the AI/AN population of young children and their families, and their access to and participation in early childhood services using the 2010–2014 American Community Survey.

Click here to learn more and view the report.



Posted: November 14, 2018

Gene Mutation Points to New Way to Fight Diabetes, Obesity, Heart Disease

A news release from the National Institutes of Health on October 9, 2018 reports that researchers say they have discovered a gene mutation that slows the metabolism of sugar in the gut, giving people who have the mutation a distinct advantage over those who do not. Those with the mutation have a lower risk of diabetes, obesity, heart failure, and even death. The researchers say their finding could provide the basis for drug therapies that could mimic the workings of this gene mutation, offering a potential benefit for the millions of people who suffer with diabetes, heart disease, and obesity.

The study, which is largely supported by the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health, appears in the Journal of the American College of Cardiology.

Read more



Posted: November 13, 2018

Not Enough Fruits, Vegetables Grown to Feed the Planet, Study Reveals

Researchers from the University of Guelph in Canada compared global agricultural production with Harvard University nutritionists' healthy eating recommendations and found that if everyone on the planet wanted eat a healthy diet, there wouldn't be enough fruit and vegetables to go around. A shift in production is needed to align with healthy diet recommendations and would require 50 million fewer hectares of arable land. Read more here.



Posted: November 13, 2018

Reshaping the Journey: American Indians and Alaska Natives in Medicine

A new report published by the Association of American Medical Colleges (AAMC) and the Association of American Indian Physicians (AAIP) advocates for diversity in education and training and explores slow and uneven growth among the number of individuals who identify as American Indian and Alaska Native (AI/AN) applying to and enrolling in medical school. Read more here.



Posted: November 9, 2018

November is National American Indian Heritage Month

The Library of Congress, National Archives and Records Administration, National Endowment for the Humanities, National Gallery of Art, National Park Service, Smithsonian Institution and United States Holocaust Memorial Museum join in paying tribute to the rich ancestry and traditions of Native Americans.

Read more about the month's events and highlights here.



Posted: November 9, 2018

PHICCS Pre-Launch Webinar Recording Now Available!

NIHB, with support from the Centers for Disease Control and Prevention (CDC), is pleased to announce the Public Health in Indian Country Capacity Scan (PHICCS). The purpose of this scan is to increase the knowledge of Tribal and federal health leaders and advocates through the creation and dissemination of a national-level, comprehensive profile of the public health system and infrastructure in Indian Country. The profile will be informed by a national assessment of Tribal public health systems, functions, workforce, issues, gaps, strengths, and leadership.

To learn more about this scan and to receive instructions on completing the web-based tool, view the recording from our pre-launch webinar HERE.

Click here to read more



Posted: October 18, 2018

Technical Assistance Available for Tribal Domestic Violence Programs and Shelters

Application deadline: Friday, November 16, 2018

The National Indigenous Women's Resource Center is offering three-day training to up to four Tribal domestic violence programs and shelters. This training is meant to build capacity to respond to domestic violence, sexual assault, stalking, dating violence, and sex trafficking. Learn more here.



Posted: October 18, 2018

Valerie Davidson Sworn In as Lieutenant Governor of Alaska

On Tuesday October 17, Lt. Gov. Valerie Nurr'araaluk Davidson was sworn into office in Anchorage to replace Lt. Gov. Byron Mallott, who resigned earlier in the day. She is the first Alaska Native woman to serve in statewide office in Alaska's history...

Read More



Posted: October 18, 2018

EPA Indoor Environments Newsletter Subscription Invitation

Want to learn more about why the quality of the air matters in your home, school, or office and how to improve it? Join more than 89,000 other subscribers receiving important messages about IAQ [indoor air quality] and health from the Indoor Environments Division of the U.S. Environmental Protection Agency (EPA).

Give it a try HERE.



Posted: September 10, 2018

Public Health Professionals Gateway

The CDC State, Tribal, Local, and Territorial Public Health Professionals Gateway is becoming the "Public Health Professionals Gateway." There is a new home page, a link to directly contact the Centers for Disease Control Prevention (CDC) for immediate help, and other improvements to content and organization. Click here to view the new gateway!



Posted: September 10, 2018

PolicyLink: Counting a Diverse Nation: Disaggregating Data on Race and Ethnicity to Advance a Culture of Health

Supported by the Robert Wood Johnson Foundation (RWJF), this report recommends changes and improvements to the conduct of research and data collection on race/ethnicity and to the government and corporate policies that define priorities and allocate resources.

The PolicyLink preface states:

"As the U.S. population becomes ever more diverse, our country is strengthened in many ways by its remarkable array of races, ethnicities, cultures, and languages. For us to fully benefit from that diversity, to fully unlock our promise, we need to be able to document, measure, and appreciate the economic conditions and the nuances of life experience of people of all backgrounds. The inequities in health outcomes that persist in American society do not show up just at the level of broad racial categories but as disparities experienced by more specific groups. When Americans of Southeast Asian and Pacific Islander backgrounds make the case to be recognized, not obscured within a much larger, undifferentiated Asian American category, they are seeking information about their own community and also to be a more visible part of the American fabric. When members of individual American Indian nations, or refugees from a Middle Eastern country, or immigrants from nations in Central America or Africa, seek to be counted and have their life circumstances documented, theirs is a call for visibility and full inclusion as well.

Creating that visibility is the power of disaggregated data when it is meant to advance health equity. It is the basis for systemic change and the empowerment of groups that have often not been heard. That is why, at PolicyLink, we have been honored to work with the Robert Wood Johnson Foundation to bring clarity to the issues, ideas, and best practices in data disaggregation and to carry those insights to new audiences.

The researchers, advocates, and policymakers who participated in this project have proposed and are ready to move forward with practical actions that can improve the quality, availability, and utilization of disaggregated data. Federal policies about the collection and use of data, from the census to the array of health surveillance surveys, will need to be more responsive to the need for disaggregation by race and ethnicity. Well thought out, scientifically sound proposals for such changes are now available. States, several of which have already taken important steps, will need to reconfigure key data sources about health, education, and other services to reflect their growing diversity. And for all levels of policymaking, good ideas and the drive for positive change will continue to come from local, grassroots leaders in health equity, immigrants' rights, racial justice, and other struggles. This report is intended to support all those who are seeking to bring about those changes."

Specific to Tribes, this report mentions that members of the 573 federally-recognized Nations have diverse ethnic, cultural, and language backgrounds and may have very different life experiences such as living on or off reservations. This document also emphasizes Tribal sovereignty: "The relationships between the U.S. government and the American Indian/Alaska Native Tribes should protect and build the integrity of research activity and data collection about Tribal areas and Tribal citizens. These practices should continue to grow and value the Tribal sovereignty of data and information about Tribal communities." [All "Tribe" and "Tribal" words have been capitalized by NIHB.] Additionally, the document addresses research protocols and standardization for working with Tribes, data sovereignty for indigenous peoples, and other issues such as challenges with racial classification.

Click here to learn more or view the document.



Posted: September 10, 2018

Evaluation of Telemedicine for Rheumatoid Arthritis and Chronic Diseases in the Alaska Native Population

Click here to download a presentation of telerheumatology outcomes research from the Alaska Native Tribal Health Consortium.



Posted: September 10, 2018

Community Commons Spotlights Thunder Valley Community Development Corporation and the Pine Ridge Indian Reservation

The Community Commons website hosts a series of Spotlight Stories, featuring "examples of how people across the country are working creatively and effectively to enhance well-being for themselves and to leave a legacy of well-being for generations to come. These are stories from communities creating lasting legacies identified through the Well Being Legacy Initiative."

A recent spotlight highlighted the Pine Ridge Indian Reservation, home to the Oglala Lakota Nation, in South Dakota. The article spotlights some of the health issues the Tribal community faces and identifies the systemic and historical circumstances that have affected the Tribe. Thunder Valley Community Development Corporation (TVCDC) was a response to these challenges and inequalities and grew out of a small community discussion among Lakota young people. TVCDC has staff from each of the nine districts on the reservation, working together to address key issues, such as housing. Thunder Valley works as "a convener and connector, building relationships with federal partners, foundations, and districts on the Reservation" to build infrastructure and community. This type of partnership and organization can build community and improve health and well-being in many different ways.

Read the Community Commons article here.



Posted: September 5, 2018

New CDC Analysis Shows Steep and Sustained Increases in STDs in Recent Years

Nearly 2.3 million cases of chlamydia, gonorrhea, and syphilis were diagnosed in the United States in 2017, according to preliminary data released this week by the Centers for Disease Control and Prevention (CDC) at the National STD Prevention Conference in Washington, D.C. This surpassed the previous record set in 2016 by more than 200,000 cases and marked the fourth consecutive year of sharp increases in these sexually transmitted diseases (STDs).

The CDC analysis of STD cases reported for 2013 and preliminary data for 2017 shows steep, sustained increases:

  • Gonorrhea diagnoses increased 67 percent overall (from 333,004 to 555,608 cases according to preliminary 2017 data) and nearly doubled among men (from 169,130 to 322,169). Increases in diagnoses among women - and the speed with which they are increasing - are also concerning, with cases going up for the third year in a row (from 197,499 to 232,587).
  • Primary and secondary syphilis diagnoses increased 76 percent (from 17,375 to 30,644 cases). Gay, bisexual and other men who have sex with men (MSM) made up almost 70 percent of primary and secondary syphilis cases where the gender of the sex partner is known in 2017. Primary and secondary syphilis are the most infectious stages of the disease.
  • Chlamydia remained the most common condition reported to CDC. More than 1.7 million cases were diagnosed in 2017, with 45 percent among 15- to 24-year-old females.

For more information, visit the CDC release here.



Posted: August 31, 2018

Travel-Associated Zika Cases and Threat of Local Transmission during Global Outbreak, California, USA: Article Published

Experts at the California Department of Public Health recently published an article about travel-associated Zika cases and the threat of local transmission. The abstract states:

"Zika and associated microcephaly among newborns were reported in Brazil during 2015. Zika has since spread across the Americas, and travel-associated cases were reported throughout the United States. We reviewed travel-associated Zika cases in California to assess the potential threat of local Zika virus transmission, given the regional spread of Aedes aegypti and Ae. albopictus mosquitoes. During November 2015-September 2017, a total of 588 travel-associated Zika cases were reported in California, including 139 infections in pregnant women, 10 congenital infections, and 8 sexually transmitted infections. Most case-patients reported travel to Mexico and Central America, and many returned during a period when they could have been viremic. By September 2017, Ae. aegypti mosquitoes had spread to 124 locations in California, and Ae. albopictus mosquitoes had spread to 53 locations. Continued human and mosquito surveillance and public health education are valuable tools in preventing and detecting Zika virus infections and local transmission in California."

View this article in its entirety HERE. You can also check out NIHB's Zika hub to learn more and view other resources HERE.



Posted: August 31, 2018

Continuing Education Activity: HIV Testing Intervals for At-Risk Adults

The Centers for Disease Control and Prevention (CDC)'s Morbidity and Mortality Weekly Report (MMWR) and Medscape are proud to introduce a new Continuing Education (CE) activity that describes compliance with recommendations from the CDC for HIV infection screening among persons at increased risk, based on an analysis of 2006-2016 data from the General Social Survey (GSS).

This activity is intended for family medicine practitioners, internists, obstetrician-gynecologists, infectious disease clinicians, pharmacists, public health officials, nurses, and other clinicians involved in HIV infection screening.

Upon completion of this activity, participants will

  1. Assess the percentage of adults who were ever tested for HIV infection and the interval since their last test, based on an analysis of General Social Survey data from 2006-2016
  2. Identify factors associated with compliance with recommendations from the CDC for HIV infection screening
  3. Determine the clinical implications of findings regarding decreased compliance with CDC recommendations for HIV infection screening

To access this FREE MMWR / Medscape CE activity, click HERE



Posted: August 31, 2018

New Diabetes Education Tool: Low Blood Sugar

This diabetes education tool from Indian Health Service (IHS) describes the symptoms of low blood sugar and how to treat it.

View the tool HERE



Posted: August 16, 2018

Opioid Use Among Pregnant Women Quadrupled since 1999

In the August 10, Mortality and Morbidity Weekly report, the Centers for Disease Control and Prevention (CDC) reported that opioid use among pregnant women quadrupled from 1999-2014. Opioid use during pregnancy has been associated with a range of adverse maternal and neonatal outcomes, including maternal death, preterm labor, stillbirth, and neonatal abstinence syndrome.

Read more here.



Posted: August 16, 2018

Managing Diabetes and Mental Health

CDC released a new spotlight linking diabetes and mental health. Managing mental health is an important priority when also managing diabetes. People with diabetes are 2 to 3 times more likely to have depression than people without. In addition, stress and discouragement during diabetes treatment can make diabetes more difficult to manage.

Native American adults are at a higher risk of diabetes than any other population, although successful programs such as the Special Diabetes Program for Indians (SDPI) have led to excellent outcomes, including the greatest reduction in kidney failure rates of any race or ethnicity. Native people also face disparities in mental health. With the link between diabetes and mental health, it is important that treatment plans for diabetic patients are holistic.

To read more about the mind- body connection, and how managing both diabetes and mental health can help you or your patients lead a healthier life, click here.



Posted: August 9, 2018

NIHB Zika Resources are Available!

The National Indian Health Board (NIHB) published a final Zika newsletter on August 7, 2018, with a summary of some of the resources created throughout the NIHB Zika project. This project was funded by the Centers for Disease Control and Prevention (CDC). Throughout the project period, wrapping up at the end of June 2018, NIHB held webinars and in-person meetings, offered funding to support local work, distributed newsletters, and much more! NIHB would like to highlight some of the materials created as part of this project.

This includes:

Highlighted resource: Do you ever have trouble connecting scientific Zika information you read or watch to real-life for your Tribal community? If so, you may be interested in reading the (fictional but realistic example) Tribal case studies from the newest NIHB Zika resource: 101 Informational Guide for Tribes.

Note that this week, CDC just announced new guidelines for preventing sexual transmission among males and updated information about babies with Zika-related health problems. Click here to read more about these updates!

Selection of Tribal case studies from Zika 101 Informational Guide for Tribes, NIHB 2018.



Posted: August 9, 2018

Climate Change and Indigenous Peoples Lecture

A new Wisdom of the Elders recording is available on Climate Change and Indigenous Peoples. Click here to learn more or click here to view the recording directly.



Posted: August 9, 2018

National Indian Law Library Articles on Tribes and Climate/Climate Health

The National Indian Law Library (NILL) recently posted several articles related to Tribes and climate or climate health. These articles include:

  • Beyond Dakota Access Pipeline: Energy Development and the Imperative for Meaningful Tribal Consultation - view here
  • Environmental Justice in the United States: The Human Right to Water - view here
  • Here Today, Gone Tomorrow--Is Global Climate Change Another White Man 's Trick to Get Indian Land? The Role of Treaties in Protecting Tribes as They Adapt to Climate Change - posted but not directly linked on NILL site - available for viewing here

Click here to view the NILL site with these and other articles.



Posted: August 9, 2018

EPA-Tribal Environmental Plan Course Launched by Prosper Sustainably

In 2016, Prosper Sustainably launched an EPA [Environmental Protection Agency]-Tribal Environmental Plan (ETEP) online training course which includes over 20 hours of webinar recordings and training videos plus templates, examples, and other resources. Previously, course access was only available for a fee but is now available to all free of charge. This ETEP Online Training Course shows how a Tribal environmental program can develop a living, adaptable, and highly customized strategic planning and management system through developing an ETEP.

You can freely access all of the videos on Prosper Sustainably's new YouTube channel HERE.

You can freely access all of the course resources HERE.



Posted: August 9, 2018

StrongHearts Native Helpline

The StrongHearts Native Helpline "is a safe, anonymous and confidential service for Native Americans affected by domestic violence and dating violence. Advocates are available at no cost Monday through Friday from 9 am to 5:30 pm CST when you are ready to reach out. Callers after hours may connect with the National Domestic Violence Hotline or call back the next business day."

Resources and support are available not only for survivors of violence, but also for abusive partners - "Every caller is treated with dignity and respect. [...] StrongHearts advocates speak with people who are concerned about their behavior because we support anyone who wants to take responsibility for their actions. Every call from someone who is beginning to recognize their unhealthy behavior is an opportunity to plant a seed for change and to begin healing."

Call 1-844-7NATIVE or visit the website here



Posted: August 9, 2018

Competencies for Performance Improvement Professionals in Public Health Now Available

A new competency set designed specifically for performance improvement professionals working in public health is now available from the Public Health Foundation. These competencies were developed to offer additional guidance in performance improvement for public health professionals with responsibilities related to quality improvement, performance management, workforce development, accreditation, or community health assessment and improvement. Learn more here.



Posted: August 9, 2018

New Updates: Babies with Zika-Related Health Problems

The Centers for Disease Control and Prevention (CDC) published a Vital Signs Report on August 7, 2018, with new information about babies with Zika-related health problems. According to this report, approximately "1 in 7 babies now 1 year or older who were born to women with Zika virus infection during pregnancy had one or more health problems possibly caused by exposure to the virus before birth. Some of these problems were not apparent at birth. The report shows that between 2016 and 2018, more than 4,800 pregnancies in the U.S. territories had a lab result showing confirmed or possible Zika virus infection. From these pregnancies, 1,450 babies were at least 1 year old and had some follow-up care reported to the U.S. Zika Pregnancy and Infant Registry. Many of these babies did not receive all the recommended screenings for health problems potentially related to Zika virus. Careful monitoring and evaluation of these children is essential to ensure early detection of possible disabilities and referral to early intervention services.

"Along with this new report, CDC released updated guidance for couples planning to become pregnant after possible exposure to Zika virus. CDC now recommends that men with possible Zika virus exposure who are planning to conceive with their partner wait at least three months after symptoms or possible exposure (travel to or residence in an area with risk of Zika). This shortened timeframe also applies for men who are not planning to conceive with their partners but who want to prevent passing of Zika virus through sex."

"The bottom line is Zika has not gone away, and we must remain cautious," CDC Director Robert R. Redfield said. [Source] This news means that it is still important to prevent Zika virus, and for providers to evaluate new babies! Here are some resources that can give you more information:

  • Read the Vital Signs report for more information and to learn how healthcare providers and everyone can prevent Zika and protect the next generation!
  • Click here to view recommendations based on where you live and whether you are pregnant, trying to become pregnant, or not interested in pregnancy at this time.
  • Click here to visit NIHB's Zika hub and check out our Tribally-specific Zika materials, such as posters and brochures that you can use in your community.
  • Learn more about resources for healthcare and public health providers here


Posted: August 2, 2018

Suicide Clusters within American Indian and Alaska Native Communities: A Review of the Literature and Recommendations

The US Department of Health and Human Services Substance Abuse and Mental Health Services Administration had a report prepared in 2017 regarding suicide clusters affecting American Indian and Alaska Native (AI/AN) communities. The report's purpose was to "examine what is known about suicide clusters within [AI/AN] populations and to use that information to develop recommendations for stakeholders working to prevent and contain suicide clusters within AI/AN communities."

Read the report HERE.



Posted: August 2, 2018

Prevention of Underage Drinking on California Reservations Using Individual- and Community-Level Approaches

The American Journal of Public Health recently published an article on individual and community interventions to reduce drinking by American Indian and Alaska Native (AI/AN) youth on California Indian reservations. These interventions included community mobilization and awareness, restricting alcohol sales to minors, motivational interviewing, and psychoeducation for Tribal youth. This study compared AI/AN and non-AI/AN youth in the intervention with AI/AN students outside the intervention. This study "documented significant, sustained past 30-day drinking or heavy episodic drinking frequency reductions among AI/AN 9th- and 11th-grade current drinkers in rural California Indian communities exposed to multilevel interventions," suggesting that "multilevel community-partnered interventions can effectively reduce underage alcohol use in this population."

Read the full article HERE!



Posted: August 2, 2018

Influenza and Zoonoses Education among Youth in Agriculture

One Health is a concept that recognizes what Tribes have always known: that the health of people, animals, and the environment is connected. This can include zoonotic diseases - diseases that can be shared between people and animals.

The Centers for Disease Control and Prevention (CDC) recently published an article about youth education initiatives in agriculture and zoonotic disease. The Youth in Agriculture program has provided funding to 14 states and jurisdictions, some for multiple funding cycles. The program aims to: improve awareness and knowledge of influenza and other zoonotic diseases among rural youth; motivate them to take steps to prevent the spread of flu and other zoonoses (both swine to human and human to swine); help them understand the roles of public and animal health in disease prevention; and increase their awareness of careers in public and animal health. In addition, the program helps to develop relationships among stakeholders to improve responses to important public and animal health issues, such as outbreak responses. The article also highlights some work taking place in Minnesota.

The article notes that this program provides a sustainable and adaptable model in public health education that can be used in local, state, regional, or national initiatives. This might also be useful for Tribal nations.

Click HERE to learn more or read the article.



Posted: August 1, 2018

IHS Releases DTLL and DUIOLL on SDPI Data Infrastructure Funding

On July 12, 2018, Rear Admiral (RADM) Michael Weahkee, the acting director of the Indian Health Service (IHS), released a Dear Tribal Leader Letter (DTLL), followed by a Dear Urban Indian Organization Leader Letter (DUIOLL) on July 13. These letters are regarding fiscal year (FY) 2019 funding for the Special Diabetes Program for Indians.

In accordance with the results of a Tribal consultation, and the recommendations from the Tribal Leaders Diabetes Committee (TLDC), RADM Weahkee announced his decision to keep the SDPI funding distribution the same as it has been since FY 2016, with no changes to the Data Infrastructure Improvement set aside of $5.2 million.

There will be continued discussion on how data infrastructure funds should be spent at the upcoming TLDC meeting on September 17-18, 2018 in Oklahoma City, OK. Highlights from the May TLDC meeting can be found at NIHB's Diabetes in Indian Country website.

To read the Dear Tribal Leader Letter, click HERE

To read the Dear Urban Indian Organization Leader Letter, click HERE



Posted: July 17, 2018

NIHB Community Health Assessment (CHA) Focus Groups and Key Informant Interviews: Brief Training for Facilitators

This new training from NIHB provides an introduction to facilitating a focus group or key informant interview. It can be downloaded and used by individuals, or by Tribal organizations to train their facilitators.

Download this training from the NIHB Tribal Accreditation Support Initiative website's "Tools" page, and view other accreditation and quality improvement resources HERE



Posted: July 12, 2018

CPSTF Recommends Primary Prevention to Reduce Intimate Partner Violence and Sexual Violence Among Youth

The Community Preventive Services Task Force (CPSTF) recommends primary prevention interventions that aim to prevent or reduce intimate partner violence and sexual violence among youth. Evidence shows these interventions decrease perpetration of intimate partner violence and sexual violence and increase bystander action.

The recommendation is based on a systematic review of 28 studies published through June 2016. Included studies evaluated interventions that combined educational information about intimate partner violence and sexual violence with strategies to teach healthy relationship skills, promote social norms that protect against violence, or create protective environments.

For more information and resources, click HERE



Posted: July 5, 2018

Webinar: Making an Effective Poster Presentation

For those unable to attend the Webinar: Making an Effective Poster Presentation on Thursday, June 14, 2018 please find a link to recording below. The webinar covered essential components of an effective poster presentation. Tips and suggestions on creating an effective poster were also included.





Posted: June 4, 2018

NIHB Recognizes Twenty Tribal Health Departments as Leaders in Public Health Accreditation

NIHB recognized twenty Tribal health departments for their work in public health accreditation during the closing plenary at the 2018 National Tribal Public Health Summit. Public health accreditation is a voluntary process in which health departments are recognized for meeting "nationally recognized, practice-focused and evidenced-based standards." Engaging in the quality improvement activities leading up to public health accreditation has allowed Tribes to identify gaps in their public health services, improve the quality of their services, and improve relationships with states and counties. It has also been reported that Tribal health departments feel this process increases their credibility, and improves staff morale.

For the past 4 years, with the support of the Centers for Disease Control and Prevention (CDC), NIHB has provided mini-grants to Tribal health departments working on public health accreditation through the Tribal Public Health Accreditation Support Initiative (ASI). This grant has gone towards supporting initiatives that improve public health activities, and increase Tribal health departments' readiness to apply for public health accreditation. Tribal ASI grantees worked on many different activities, including conducting community health assessments, increasing community member engagement, finding creative methods that honor tradition to convey the improvement of their services, providing recommendations on public health laws and Tribal codes, and developing relationships with outside entities to ensure that their people receive the highest level of public health services.

The Tribal health departments who participated in the Tribal ASI have been leaders in public health for Indian Country, and NIHB is proud to recognize their dedication to advancing Tribal public health. Learn more about their work HERE.

Learn more about the Tribal Public Health Accreditation Support Initiative HERE.



Posted: May 23, 2018

NIHB Announces Upcoming Vector-Borne Disease and Collaboration Meetings in California

The National Indian Health Board (NIHB), in partnership with the California Rural Indian Health Board (CRIHB), has announced two meetings to take place in California this June. These meetings will be held to discuss and learn about vector-borne disease, including Zika virus, and discuss state-local-Tribal collaboration and ways to build stronger partnerships that can benefit a wide variety of public health responses. These meetings welcome interested Tribal, state, and local representatives who want to come together to address Zika virus and other vector-borne diseases and foster increased collaborations between Tribal, state, and local partners. Since California is such a large state, sister meetings will be held in San Francisco for Northern/Central California attendees and in San Diego for Southern California attendees.

Meetings will be held June 4-5 in San Diego and June 6-7 in San Francisco. Registration is free, but attendees are asked to register online. Some travel scholarships are available for Tribal representatives to support their travel expenses.

Learn more about the San Diego meeting or register (free) HERE
Learn more about the San Francisco meeting or register (free) HERE
View a flyer about both meetings HERE



Posted: April 16, 2018

National Tribal Public Health Week Resources

Last week, the National Indian Health Board (NIHB) celebrated National Tribal Public Health Week. Learn more about the resources NIHB shared as part of the celebration! For example, see the diagram below about how a bill becomes a law, from our webinar, Advocacy 101: Gaining Congressional Support for Tribal Public Health.

Check out all the Tribal Public Health Week resources HERE



Posted: April 16, 2018

NIHB Celebrated National Tribal Public Health Week
April 2-6, 2018

During the first full week of April each year, the American Public Health Association (APHA) brings together communities across the United States to celebrate National Public Health Week as a time to recognize the contributions of public health and highlight issues that are important to improving our nation. The National Indian Health Board (NIHB) has expanded on the original idea to create National Tribal Public Health Week, which runs concurrently and focuses on the unique needs, priorities, strengths, and systems within Tribal communities in order to encourage everyone to celebrate the power of prevention, advocate for healthy and fair policies, share strategies for successful partnerships, and champion the role of a strong public health system.

NIHB celebrated from April 2nd-6th! Check out the events and resources NIHB hosted throughout the week.

Webinars

Articles

Social Media Contest: to share their stories and for a chance to win $100, people submitted pictures to show what Tribal Public Health means to them and how they see public health in action every day using the hashtag #ThisisTribalPublicHealth! Check out the submitted images here:

Social Media Project Posts: Check out our Twitter, Facebook, or Instagram for updates posted last week about some of our public health projects (including Zika, cancer, behavioral health, diabetes, and accreditation) and other posts celebrating Tribal Public Health Week. Look for the hashtag #ThisIsTribalPublicHealth.



Posted: April 16, 2018

Lower Sioux Indian Community (LSIC) Identified as Trailblazer by Blue Cross Blue Shield of Minnesota

Blue Cross Blue Shield of Minnesota recently named the Lower Sioux Indian Community (LCIS) as a Trailblazer for their fantastic community health work. This information was shared in a newsletter from the American Indian Cancer Foundation.

Watch a brief video clip (around 2 minutes) from Blue Cross and Blue Shield of MN about this Tribe's community health work, including diabetes and pre-diabetes prevention efforts and the strengths they draw from Dakota culture and community, HERE



Posted: April 9, 2018

Spotlight on Winnebago Tribe and Food Sovereignty

"When we take care of ourselves by going out there and planting something, harvesting it, preparing it, cooking it and eating it, then it's only going to help us," said Frank White, chairman of the Winnebago Tribe, as quoted in an Indianz.com news article. "We may not see results this generation, but the next generation will see it."

This news article discusses the journey of the Winnebago Tribe: first, living with a connection to the land and its natural resources; then, being forced away from the land where they could not live from gardens and food storage, which led to hunger; and finally, now, transitioning to "reclaim their [Tribal] lands and return their people to the fields, to grow their crops - the corn, the bean and the squash - that their people grew long before being forced off their lands."

Learn more by reading the article HERE



Posted: April 9, 2018

Impact of Public Health Accreditation Featured in May/June Supplement to the Journal of Public Health Management and Practice

With nearly 70 percent of the U.S. population now served by a nationally accredited health department, including all of Cherokee Nation in Oklahoma, the breadth of accreditation's impact is captured in a special supplement to the May/June 2018 edition of the Journal of Public Health Management and Practice. The online edition of the special supplement is being offered with free access on the Journal's website.



Posted: April 9, 2018

Sex Trafficking in Indian Country: Victim/Survivor Resource Book

The Tribal Law and Policy Institute has release the "Sex Trafficking in Indian Country: Victim/Survivor Resource Book". The resource book addresses the need for a comprehensive guide due to the jurisdictional challenges related to safety planning and how networking through Tribal Coalitions assisting survivors can help.

Per their website, "This Resource Book is intended to provide Tribal Coalitions and [Tribal] advocates with basic information on sex trafficking as it impacts Native people and to provide access to direct services that may assist victims/survivors of sex trafficking. This resource contains a 900+ page victim/survivor services directory that is organized by state."

Please feel free to share with your colleagues working in forensic healthcare and domestic and sexual violence prevention.

Resource book available HERE



Posted: April 9, 2018

National Safety Council Releases Opioid Report: Prescription Nation 2018

Opioids are a critical issue in Indian Country. The National Safety Council just released a report, Prescription Nation 2018, with information about America's opioid epidemic. This report defines the issues, grades progress made by states, and recommends life-saving actions.

Read the report HERE



Posted: April 9, 2018

Heroin, Opioids, and Pain Efforts (HOPE) Inaugural Newsletter

The IHS National Committee on Heroin, Opioids, and Pain Efforts (HOPE) is pleased to release its inaugural newsletter to share important updates surrounding the IHS response to the opioid and heroin epidemic. The goal of the newsletter is to briefly highlight resources and share additional information with the healthcare workforce, employees, and Tribal stakeholders.

In this issue you will find information surrounding prescriber training, updates to our chronic pain management policy, opioid overdose reversal, and Medication Assisted Treatment.

Please submit any future content recommendations to LT Kristin Allmaras, HOPE Committee Communications Lead.

Please consider sharing this important information!

View the newsletter HERE



Posted: April 5, 2018

Free Online Courses in Data and Public Health Epidemiology

Having a basic understanding of data, data organization, sources of error, statistics, and statistical tests can help tell the story of your community and public health needs. Epidemiology is a critical field in public health.

Online learning platform websites, Coursera and FutureLearn, offer several free courses related to these topics. Upgrades are available for purchase to provide additional features such as an official certificate or long-term access, but these are not required in order to learn.

Click here to learn more about the data course - Data to Insight: An Introduction to Data Analysis

Click here to learn more about the epidemiology course - Epidemiology in Public Health Practice

Note that both Coursera and FutureLearn offer a variety of other courses, so consider looking through their course catalogues to see what other subjects you might also like to explore. Courses also offer opportunity for discussion and interaction so you may find opportunities to share information about Tribal perspectives.



Posted: April 5, 2018

"Animals May Take Pity on Us": Using Traditional Tribal Beliefs to Address Animal Abuse and Family Violence Within Tribal Nations Article

"The relationship between Native people and animals has a rich, complex history," opens a journal article published in the Mitchell Hamline Law Review. This article discusses in detail the traditional beliefs and practices Native people held towards animals, the fundamental differences between these views and the views of European arrivals, and the ways in which these realities and differences have affected Native people and their relationships to animals continuing even today (for example, ranging from animals used as weapons against Native people and their spiritual beliefs, to modern-day animal abuse and neglect problems on reservations). Additionally, the article explores the relationships between domestic violence and animal abuse and offers potential solutions for these problems.

Learn more or read the article HERE



Posted: April 5, 2018

A Matter of Trust: Colorectal Cancer Screening Among Native Americans

Colorectal cancer is a common cancer in the United States and one of the most common cancers for American Indian and Alaska Native (AI/AN) people. Unfortunately, only fewer than half of all AI/AN people are current on their recommended colorectal screenings. This happens for various reasons, including time and distance constraints, transportation issues, and competing priorities such as caregiving for children or elders. Learn more about this issue and what CDC is doing to help in a recent CDC blog post for Colorectal Cancer Awareness Month. The National Indian Health Board is currently collaborating with the American Indian Cancer Foundation to try and reduce cancer disparities through CDC-funded cancer screening and colorectal cancer projects. NIHB looks forward to sharing work on forthcoming cancer toolkits in the future. Also, don't forget to apply for NIHB's funding opportunity: Tribal Health Systems Enhancement for Cancer Screening. Learn more about the funding opportunity HERE and note that applications are due tomorrow, March 30!

Read the CDC blog post HERE



Posted: April 5, 2018

IHS Publishes Public Health Reports Article of HIV in Native Communities

The Centers for Disease Control and Prevention (CDC) and the Indian Health Service (IHS) collaborated on a study that was recently published: Assessing New Diagnoses of HIV Among American Indian/Alaska Natives Served by the Indian Health Service, 20005-2014. The announcement states that the "objectives of the study were to use IHS data from electronic health records to analyze HIV diagnoses among American Indian/Alaska Natives (AI/ANs) and to identify current rates and trends that can support data-driven policy implementation and resource allocation for this population. Using provider visit data on IHS clients, the IHS/CDC research team found that the rate of new HIV diagnoses was stable from 2010 through 2014. The data indicate that AI/ANs aged 20-54, particularly men, may benefit from increased HIV prevention and screening efforts. These findings on HIV trends may help [Tribal], federal, and state health entities serving [Tribal] nations better target efforts on HIV prevention, screening, and linkage to care among AI/ANs."

Learn more HERE or read the study HERE

Access additional resources, including "Clinician's Guide: Working with Native Americans Living with HIV" HERE



Posted: April 5, 2018

Community-Based Participatory Research in Indian Country Webinar
Thursday, April 5, 2018 from 2:00-3:00 pm ET

The American Indian and Alaska Native National Partnership for Action to End Health Disparities (NPA) Caucus at the NPA will host a webinar on Community-Based Participatory Research (CBPR) on April 5 from 2-3 pm ET. This webinar will describe how CBPR principles can "address health disparities among American Indian and Alaska Native communities. A brief overview of CBPR for health promising practices will be provided, as will definitions and specific examples of practices associated with outcomes for improving health equity. Webinar participants will be able to define CBPR, Community-Engaged Research, and promising practices in the context of the CBPR framework. The presenter will discuss the development of CBPR partnerships and will share practices and tools, connecting them to research implementation."

Learn more or register HERE



Posted: April 5, 2018

Louisiana First to Purchase Land to Resettle Climate Change Refugees

Climate change is a critical issue facing the world and Tribal communities particularly are often the first affected due to reasons such as their closer relationship with the land. Climate change can lead to various issues affecting people, communities, economic well-being, subsistence lifestyles, safety, and health. Issues include flooding, asthma, unintentional injury, wildfires, increased vector-borne disease, and nutritional issues among many others.

Located on the Gulf of Mexico, Louisiana is a warm, coastal state with a long jagged coastline. Communities in this area are at risk for many harmful effects of climate change such as flooding and coastal erosion. A national news article from BISNOW provides information about the first "climate change-induced community resettlement project in U.S. history" which primarily affects members of the state-recognized Jean Charles Band of Biloxi-Chitimacha-Choctaw Tribe who are living on Louisiana's Isle of Jean Charles. According to the article, "The Louisiana government is set to purchase 515 acres of farmland that will become the new home for [the affected people]. The state will buy the land for $11.7 M [...] to resettle the residents of Isle de Jean Charles. The island community has received global attention focused on how other cities can address coastal flooding. Somewhere between 50 million and 200 million people could be forced to move out of flood-prone areas by 2050 due to climate change, according to the New York Times." Although individuals forced to relocate are technically internally displaced persons rather than refugees, this need for resettlement demands extensive resources and upends the lives of many people and communities.

Read the original article about Louisiana HERE



Posted: April 5, 2018

Spotlight on Maine Tribe Combating Opioid Addiction with Tradition

Tribal members at Penobscot Nation in Maine who "commit substance abuse-related crimes can enter a program called the Healing to Wellness Court, which operates something like a traditional drug court but offers a cultural curriculum."

"Recognizing that issues with substance abuse in native communities often arise from intergenerational trauma, the Penobscot Nation attempts to reacquaint criminal drug offenders with [Tribal] traditions and cultural practices to help them make a full recovery. [...] Guided by cultural advisers, participants are required to take part in activities that include sweetgrass picking, basket making, and sweat lodge ceremonies that offer both healing and spiritual benefits. Because addiction can lead to isolation from the larger community, these cultural activities allow offenders an opportunity to reconnect with the community and embrace their identity."

Learn more about this project HERE



Posted: March 19, 2018

New CDC Vital Signs Report Demonstrates a 30% increase in Opioid Overdoses from July 2016 through September 27 in 52 Areas in 45 States.

A new Vital Signs report from the Centers for Disease Control and Prevention (CDC) stated that emergency room visits for opioid overdoses rose by 30%. The largest increases were seen in the Midwestern region of the country, largely driven by a 109% increase in the state of Wisconsin alone. The CDC reported that overdoses increased for men by 30%, and 24% for women, while those between the ages of 35-54 saw the largest increase in opioid overdoses at 36%.

The complete report in addition to strategies and recommendations for responding to the growing opioid crisis can be found on the CDC website, available HERE.



Posted: March 15, 2018

APHA Opens Public Access to Firearms Research

On March 6, 2018, the American Public Health Association (APHA) announced that all research papers, commentaries, and analytic essays related to public health and firearms, and published in the American Journal of Public Health would be available free of charge.

APHA hopes that increasing public access to research on firearms will lead to reduced intentional and unintentional deaths and injuries, and better policy to stop the "epidemic of violence in our communities."

To read the full news release from APHA, click HERE



Posted: March 15, 2018

Tribal Leaders Diabetes Committee Meets with Acting IHS Director

Tribal leaders from eleven Indian Health Service (IHS) Areas participated in the Tribal Leaders Diabetes Committee (TLDC) meeting in Reno, NV on February 21-22, 2018. More than 40 people across Indian Country attended including local Tribal leaders, Tribal, IHS and Urban health program representatives, and members of regional and national organizations and committees. Presenters and Tribal leaders celebrated the reauthorization of the Special Diabetes Program for Indians (SDPI), and discussed upcoming Tribal consultation in relation to SDPI.

The TLDC met with Acting IHS Director, Rear Admiral (RADM) Michael Weahkee, and discussed updating Tribal consultation policies, improving communication with federal partners, navigating the implications of the current administration's goal of creating more efficient programs, and encouraging the importance of culturally appropriate programs in American Indian/Alaska Native communities. Tribal leaders voiced their concerns with the reclassification of SDPI from mandatory to discretionary spending, as suggested in the President's 2019 budget. RADM Weahkee promised to work with others in IHS to insure that the messages of the agency reflected that of Tribal Leaders.

Stacy A. Bohlen, National Indian Health Board CEO and Vinton Hawley, NIHB Chair and Tribal Chairman of the Pyramid Lake Paiute Tribe presented TLDC members with updates on legislative issues of concern to Tribal leaders in regards to chronic disease prevention, including efforts for permanent SDPI authorization, the classification of SDPI funding from mandatory to discretionary spending, and advocacy on the Farm Bill to support AI/AN farmers and food sovereignty. Chairman Hawley emphasized that, "agencies want to hear directly from Tribal leaders. It is important we have collaboration and move forward with a unified voice." He challenged Tribal leaders to get involved with Native health issues both locally and nationally.

A common theme throughout the TLDC meeting was the need to improve data infrastructure, and to do a better job telling our stories about successful programs, particularly those that do not have federal data available to support them. The TLDC also heard from local SDPI programs. These stories, among many others, highlight the remarkable successes of SDPI in Indian Country, particularly those that, according to one of the SDPI presenters, "reincorporate traditional values into our lives... [and] keep traditions alive."

Follow the link HERE to view all of the Local Impact Stories submitted to NIHB by SDPI program participants and staff, or to submit your own.

To view highlights from the most recent TLDC meeting, click HERE

The next TLDC meeting will be held May 20-21 at the location of the 9th Annual Tribal Public Health Summit (May 22-24) at the Mystic Lake Center in Prior Lake, MN. For more information about the Tribal Leader's Diabetes Committee, contact Karrie Joseph, [email protected].



Posted: March 15, 2018

Zika Summit in Louisiana Brings Together Tribes and their State and Local Partners

Communicating, coordinating, and collaborating with adjacent or overlapping governments can be daunting in the best of situations. Collaboration becomes especially complex when those partnerships get tested in public health emergency situations. Many Tribal governments face additional challenges, including the need to educate state and local partners on Tribal sovereignty, jurisdiction, and the status Tribal Epidemiology Centers (TECs) hold as public health authorities. Nevertheless, Tribal-State-Local partnership are valuable and important - especially for emerging issues like Zika which can require emergency response as well as interdepartmental and cross-jurisdictional cooperation.

Keeping in mind that disease knows no boundaries and much public health work is local, the National Indian Health Board (NIHB) and United South and Eastern Tribes, Inc. (USET) hosted a Zika Summit, focused on collaboration with a theme of "Ensuring Healthy Tribes through State and Local Partnership" February 27-28 in Baton Rouge , Louisiana. Nearly 40 state, local, and Tribal representatives came together during this day-and-a-half event to learn about and discuss collaborative efforts to address Zika and other vector-borne diseases and ways to increase collaboration between Tribal, state, and local partners. Attendees stressed the potential benefits of partnership including the increased ability to share information and resources, to avoid duplication and waste, and to allow all stakeholders to contribute to program design.

NIHB led interactive activities designed to clarify values, discuss barriers to collaboration and possible solutions, and workshop through potential Zika scenarios that might affect Tribal communities in Louisiana. USET described Tribal health systems and the role of TECs to help non-Tribal staff better understand the Tribal health/public health framework. The Louisiana Department of Health staff discussed non-Tribal public health systems for Tribal attendees and also provided information about Zika and other vector-borne diseases. The National Association of County and City Health Officials (NACCHO) and the Association of State and Territorial Health Officials (ASTHO) presented about partnerships and collaboration.

Participants shared best practices and identified opportunities for improvement that could lead to more successful communication, coordination, and collaboration including:

  • Ensure contact lists are up-to-date
  • Be consistent, transparent, and fair
  • Learn about each other - ask about needs and priorities, look at the data that does exist
  • Build relationships and consider phone or in-person meetings
  • Spend time in partnership before urgent needs arise; for example, work together during "friendly events"
  • Pair staff or liaisons at both Tribal and state/local level
  • Attempt formal and informal contact in different ways when reaching out
  • Use long term cross-jurisdictional sharing agreements
  • Solidify shared goals and objectives
  • Keep lines of communication open and ensure ongoing opportunities for discussion such as forums, summits, or partnership events

Over the next few months, working with our Area Indian Health Board partners, NIHB aims to host similar meetings in New Mexico and California. If you live or work in one of these states, please look out for additional information about these upcoming events.

To learn more about NIHB's Zika project, or to request technical assistance, please contact Angelica Colagreco, NIHB Public Health Project Coordinator at [email protected] or 202-507-4074 or visit the NIHB website HERE



Posted: March 15, 2018

Dear Tribal Leader Letter - Community Health Aide Program

The Indian Health Service Acting Director writes to Tribal Leaders to provide updates on efforts to expand the Community Health Aide Program (CHAP). This includes:

  1. Formation of the CHAP Tribal Advisory Group (TAG)
  2. Developing the policy and implementation plan. The CHAP TAG will convene for a two-day meeting March 21-22, 2018 in Phoenix, AZ.

View the Dear Tribal Leader Letter HERE.



Posted: March 15, 2018

Spotlight on Behavioral Health Interventions Using Indigenous Traditions

The American Psychological Association recently published an article entitled "The Healing Power of Heritage." The article describes the serious problem of suicide and substance abuse in American Indian/Alaska Native communities and the frequent attempts professionals made to address these problems using "Western evidence-based strategies that failed to recognize indigenous values - such as spirituality, the wisdom of elders and family relationships." The article also touches on other issues with these interventions - for example, Native people were most often excluded from helping develop solutions. More recently, However, it appears that progress has been made in more recent times by closely collaborating with indigenous people to include their heritage and values. "Many of the struggles Native communities face are caused by broken connections with their heritage," the article quotes Art Blume, PhD (Cherokee and Choctaw), psychology professor at Washington State University Vancouver. "Progress has been made over the last few years because we are combining the best indigenous cultural practices for healing with empirically supported interventions, plus we have enhanced the trust of the communities by working with them." The article then describes four communities with innovative and culturally-tailored programs to address these serious public health problems.

These communities and programs are:

  • Yup'ik Alaska Native: a toolbox for survival
  • White Mountain Apache: connecting spirituality to mental health
  • Cheyenne, Arapaho, and other Tribes: success with integrated care
  • Great Plains Indians: finding strength in the buffalo

Read the article HERE



Posted: March 15, 2018

CDC Releases the 2017 Diabetes Report Card

The Centers for Disease Control and Prevention (CDC) released the 2017 Diabetes Report Card, containing information on diabetes, prediabetes, diabetes preventive care practices, health outcomes, risk factors, and trends.

Overall, the rate of new cases in the US has decreased, and more adults and organizations are participating in the national Diabetes Prevention Program. However, American Indians/Alaska Natives (AI/AN) had the highest age-adjusted rates of diagnosed diabetes among the racial and ethnic groups examined. AI/AN children aged 1-19 years old also had the highest rates of Type 2 Diabetes among the racial/ethnic groups, although the results were not representative of all AI/AN youth.

To read more about the 2017 Diabetes Report Card, click HERE



Posted: March 15, 2018

NIHB Webinar Slides Available

In the last several months, the National Indian Health Board (NIHB) has hosted some successful webinars with funding from the Centers for Disease Control and Prevention (CDC) under the Climate Ready Tribes and Zika projects. This is a reminder that slides and recordings are currently available online, so please consider checking out these resources if you were unable to attend and sharing information with colleagues or partners who may also be interested.

The following webinars have slides available:

Thank you to all our previous attendees and presenters! Please keep an eye out for additional webinars from NIHB in the near future.

Posted: March 7, 2018

Clinical Guidance to Help Broaden Health Care Professionals' Understanding of Medications to Treat Opioid Use Disorder

The Substance Abuse and Mental Health Services Administration (SAMHSA) has published new guidance to help expand healthcare providers' understanding of using medications to treat people with opioid use disorder (OUD). Treatment Improvement Protocol (TIP) 63, Medications for Opioid Use Disorder, reviews the use of the three U.S. Food and Drug Administration-approved medications to treat OUD:

  • Methadone
  • Naltrexone
  • Buprenorphine

TIP 63 is the latest in a series of topic-specific best-practice guidelines that SAMHSA has developed to help educate and inform healthcare professionals of the most up-to-date practices for treating OUD, as part of the Agency's effort to combat the nation's opioid crisis.

Learn more and read TIP 63 HERE



Posted: March 7, 2018

Different Ways of Knowing: Successful Examples of Knowledge Co-production in Arctic Research

The Interagency Arctic Research Policy Committee (IARPC) has posted a new webinar, entitled "Different Ways of Knowing: Successful Examples of Knowledge Co-production in Arctic Research." This webinar addresses traditional/indigenous knowledge.

This webinar recording is available HERE or HERE

Also, learn more about IARPC Collaborations or join the member space (free) to access many resources and events like this. Learn more HERE



Posted: March 7, 2018

SAMHSA New Behavioral Health Publications

Suicide Clusters within American Indian and Alaskan Native Communities
This paper examines what is known about suicide clusters within American Indian and Alaska Native (AI/AN) populations and uses that information to provide recommendations for stakeholders working to prevent and contain suicide clusters within AI/AN communities. Inventory#: SMA17-5050.

Clinical Guidelines for Treating Pregnant and Parenting Women with Opioid Use Disorder and Their Infants
This Clinical Guide provides comprehensive, national guidance for optimal management of pregnant and parenting women with opioid use disorder and their infants. The Clinical Guide helps healthcare professionals and patients determine the most clinically appropriate action for a particular situation and informs individualized treatment decisions. Inventory#: SMA18-5054.

Finding Quality Treatment for Substance Use Disorders
This fact sheet serves as a guide for individuals seeking behavioral health treatment. It provides three necessary steps to complete prior to utilizing a treatment center and the five signs of a quality treatment center, which include a review of the accreditation, medication, evidence-based practices, position on the role of families, and support networks. Inventory#: PEP18-TREATMENT-LOC.

View all new publications HERE



Posted: February 26, 2018

National Advisory Committee Policy Brief on Rural Suicide Now Available

The National Advisory Committee's Policy Brief on Rural Suicide is now available. In the document there are sections that discuss suicide in Indian Country as well as a section on IHS suicide prevention programs.

The policy brief can be found HERE



Posted: February 26, 2018

NIHB Shares Promising Practice for Zika Work: Spotlight on Cocopah Tribe

The National Indian Health Board (NIHB) is always pleased to highlight the successes of public health work occurring in Tribal communities. In case you missed it, NIHB recently shared an article about Zika preparedness work which the Cocopah Tribe is conducting in Arizona. The image above shows Michael Fila, Emergency Manager/Public Health Officer at the Cocopah Office of Emergency Management, conducting community outreach at a cultural celebration.

To read the original article, click HERE

Check out NIHB's Zika hub for other Zika-related information, resources, and more HERE



Posted: February 26, 2018

American Indian/Alaska Native-Specific Zika Posters and Brochure Available for Adapting, Printing, and Downloading

The National Indian Health Board (NIHB) has developed posters and brochures addressing Zika virus in Tribal communities. These materials were developed as part of NIHB's Zika project with support from the Centers for Disease Control and Prevention (CDC).

All materials are available on the NIHB website at no cost. These posters and brochure are designed to be shared online or printed. Some of the materials contain form field text boxes where you can enter your own contact information - for example, for your health facility so that individuals with questions or concerns can contact your Tribal clinic to make an appointment.

The Zika materials can be accessed HERE

Also be sure to check out the recently-updated NIHB Zika Hub with other Zika information, resources, webinars, and more.



Posted: February 26, 2018

Ask Questions or Request Technical Assistance on Zika Virus or Tribal Preparedness and Response

Depending on where you live, warm weather may be just around the corner! Now is the time to begin preparing for mosquito season. Do you have questions about Zika virus? Are you looking for information, or do you need assistance preventing Zika in your community or preparing for the possibility of Zika transmission?

NIHB offers technical assistance on Zika preparedness or response at no cost. To request technical assistance, email [email protected]

Submit your Zika questions HERE and check back to see answers posted



Posted: February 21, 2018

NIHB Releases Tools for Developing a Public Health Accreditation Elevator Speech

Many Tribal health departments are in the process of working towards Public Health Accreditation, the recognition that their department's performance meets a set of nationally recognized, practice-based, and evidence-based standards. Public Health Accreditation is valuable for health departments, but advocates may find it difficult to communicate the importance of Public Health Accreditation in a short and succinct manner when the audience may not understand the benefits, or even the definition of accreditation.

An elevator speech is a short, catchy way to put forth an idea in an amount of time that could be delivered during an elevator ride. They are often used to market an idea or initiative. You can use an elevator speech to convey meaningful information, and to grab an audience's attention. The National Indian Health Board (NIHB) has released a tool for developing an elevator speech that will increase the audience's understanding of a health department's public health accreditation efforts.

To view NIHB's "Creating an Elevator Speech Infographic", click HERE
You can use the "Creating an Elevator Worksheet" to record your ideas. View it HERE

To view these, and other accreditation tools for Tribes, visit NIHB's Tribal Accreditation Readiness Initiative (Tribal ASI) website HERE



Posted: February 21, 2018

FDA Releases the 2017 Food Code

The U.S. Food and Drug Administration released the 2017 edition of the FDA food code, a model regulation that provides all levels of government and industry with practical, science-based guidance and manageable provisions for reducing the known risks of foodborne illness.

The 2017 Food Code provides uniform standards for retail food safety, eliminates redundant processes for establishing food safety criteria, and establishes a more standardized approach in controlling food safety hazards within a retail environment.

View the Food Code HERE

View the Constituent Update for the release HERE



Posted: February 21, 2018

Suicide Clusters within American Indian and Alaska Native Communities

This paper examines what is known about suicide clusters within American Indian and Alaska Native (AI/AN) populations and uses that information to provide recommendations for stakeholders working to prevent and contain suicide clusters within AI/AN communities.

Access full text HERE.



Posted: February 5, 2018

Dr. Brenda Fitzgerald Resigns as Director of the CDC

Image: Dr. Brenda Fitzgerald, from Politco.

On Wednesday morning, January 31st, Dr. Brenda Fitzgerald resigned her position as Director of CDC and ATSDR.  Dr. Anne Schuchat (RADM, USPHS) began as Acting Director. Dr. Schuchat previously served as acting CDC director from January-July 2017 and was director of CDC's National Center for Immunization and Respiratory Diseases from 2006-2015. CDC remains committed to their mission of saving lives and protecting people.

For more details, click HERE



Posted: February 5, 2018

Enrollment is Open for Medicare Diabetes Prevention Program Suppliers

What You Need to Know
MDPP supplier enrollment has now begun for eligible organizations as of January 1, 2018, as a result of the publication of the Medicare Diabetes Prevention Program (MDPP) Final Rule. MDPP supplier applications can be accepted at any time. Delivery of and billing for MDPP services will begin April 1, 2018.

How to Enroll as an MDPP Supplier
There are two ways you can enroll in Medicare as an MDPP supplier: you can fill out and submit your enrollment application online using the Provider Enrollment, Chain and Ownership System (PECOS), or you can submit a paper enrollment application to a Medicare Administrative Contractor. The MDPP Supplier Enrollment Application (paper form) is now available online through CMS.gov HERE. This application can also be accessed and submitted online through PECOS.

If your organization currently meets the requirements for enrolling as an MDPP supplier, including recognition and additional supplier standards, follow the steps below to begin the MDPP enrollment process:

  • Review the MDPP Orientation Roadmap to understand the MDPP supplier journey
  • For a more detailed introduction, watch the MDPP Orientation Webinar to gain a better understanding of MDPP - including requirements to enroll as a MDPP supplier, furnish MDPP services, and submit claims (please note registration is required to view the webinar)
  • Use the MDPP Enrollment Fact Sheet and the MDPP Checklist to guide you through the enrollment process

For more information, visit the MDPP website.



Posted: February 5, 2018

ASTHO Releases Profile of State and Territorial Public Health, Volume Four

The Association of State and Territorial Health Officials (ASTHO) has released its new version (volume 4) of the ASTHO Profile of State and Territorial Public Health. This document examines funding levels, agency priorities, and the governmental public health workforce. It also identifies trends, challenges, and developments across public health agencies. Although this document focuses on states (and territories), Tribes may benefit from understanding more about the public health infrastructure in their states and identifying opportunities to increase collaboration that could benefit Tribal health. This document also identifies state priorities and contains statistics about information-sharing with Tribes.

Read the article HERE



Posted: February 5, 2018

Combating Trafficking: Native Youth Toolkit on Human Trafficking

American Indians and Alaska Natives are considered an at-risk population for human trafficking. Human trafficking is a form of modern slavery, which includes forced labor, involuntary servitude, or forced commercial sex. Traffickers can be anyone, strangers, peers, friends, romantic partners, or family. They sometimes may make offers of false employment, and generally prey on individuals seeking better opportunities.

This toolkit offers Native Youth information about trafficking, tips for protecting themselves, and resources for preventing trafficking. The goal of the toolkit is to empower youth and their community to prevent and respond to human trafficking.

To view the toolkit, click HERE



Posted: February 5, 2018

2nd Annual Conference on Native American Nutrition Conference Report

Last fall, more than 500 Tribal officials, elders, youth, researchers, and practitioners from 37 states, four countries, and more than 50 Tribes attended the 2nd Annual Conference on Native American Nutrition in Prior Lake, Minnesota. This annual conference brings together indigenous and academic scientific knowledge on Native nutrition and food science. Building off the inaugural conference in 2016, last year's conference focused on traditional foods, community-university collaborations, environment, land, and nutrition.

To share lesson learned, a conference report was created. Inside the report you will find speaker information, key takeaways from presentations and panels, and testimonials from attendees. You can also find videos and presentations from the 2017 conference speakers HERE

Read the 2017 nutrition conference report HERE

Information on the 3rd Annual Conference on Native American Nutrition HERE



Posted: February 5, 2018

Safe to Sleep Campaign Stipends and Outreach Materials for American Indians/Alaska Natives

The Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) has announced outreach stipends for Tribes and organizations serving American Indian/Alaska Native (AI/AN) communities to have customized materials with Safe to Sleep Campaign messages printed by NICHD, utilizing the Healthy Native Babies Project Toolkit Disk. The Toolkit Disk allows individuals to design culturally appropriate and regionally specific materials with phrases translated into Native languages as well as photographs of Native families taken across the country.

For further information, please contact [email protected].

You can also click HERE to learn more about the campaign or click HERE to view a brochure for AI/AN populations.



Posted: January 26, 2018

Sponsor the NIHB 9th Annual National Tribal Public Health Summit

We invite you to contribute to Tribal public health by becoming an official sponsor of the premier national AI/AN specific public health gathering.

Our 9th Annual National Tribal Public Health Summit (TPHS) offers key opportunities for allies, organizations and agencies to network, build relationships and establish partnerships with Tribal health leaders in an effort to address AI/AN health priorities.

NIHB is honored to welcome your support for TPHS. We offer a variety of sponsorship levels with many benefits included. Sponsoring the TPHS provides a great opportunity to elevate the presence and visibility of your organization and work, as well as your commitment to Tribal public health and healthcare needs.

To view more information about sponsorship opportunities, including our sponsorship packages, click HERE

For all questions, or to become an official sponsor, please contact NIHB Public Health Program Associate: Sarah Price at 202-507-4078 or [email protected].



Posted: January 26, 2018

American Psychological Association (APA) Releases Stress and Health Disparities Report

The American Psychological Association (APA) recently released a report entitled Stress and Health Disparities: Contexts, Mechanisms, and Interventions Among Racial/Ethnic Minority and Low Socioeconomic Status Populations. The report includes information about American Indians where available and identifies issues such as discrimination, higher poverty rates, and lessened life spans. The report's executive summary states that stress has been identified by the WHO (2008) as one of the top ten "determinants of disparities in health. This report presents a state-of-the-science overview of research examining stress as a driver of disparities in health. Stress occurs when individuals experience demands or threats without sufficient resources to meet these demands or mitigate the threats (Lazarus & Folkman, 1984). We document disparities in stress exposures; explore biopsychosocial mechanisms that may link stress to health, with a particular focus on disparities in depression, cardiovascular disease, and cancer; and identify interventions on the individual, family, community, and national levels that may reduce stress and the effects of stress on health among health disparity populations. The aim is to identify actions that APA and others can take to reduce stress and stress-related health disparities."

Read the report HERE



Posted: January 26, 2018

Yup'ik Communities Turn to Indigenous Knowledge to Prevent Risk for Youth Suicide and Alcohol Abuse

"Culture plays a substantial role in reducing disparities among American Indian and Alaska Native (AI/AN) populations; experts acknowledge culture's critical importance to intervention success and sustainability," begins a recently published article from the National Institute on Minority Health and Health Disparities. "For more than a decade, researchers at the Center for Alaska Native Health Research have been collaborating with Yup'ik communities to address challenges facing Alaskan youth. The Qungasvik (qoo ngaz vik) or 'tools for life' prevention model is grounded in Yup'ik cultural and an indigenous knowledge framework. Through a self-determined, local community-developed and staffed intervention, the Qungasvik prevention model helps improve the lives and health of Yup'ik community members."

Click here to continue reading and learn about the qasgiq ("organizing structure and modeling system that reflects and transmits core Yup'ik principles, ideologies, and theories) and the Yup'ik "cultural model of intervention, community healing, and repair."

"We need the research to demonstrate that our culture [...] is our prevention, it is intervention," a man in the article states. "Every community has a local cultural process of coming together, of organizing its work, and of intervening effectively. In Yup'ik communities, this spirit of community is always present, and not only in times of problems and crisis."

Read the article HERE



Posted: January 26, 2018

Study Shows that Even Short Term Exposure to Air Pollution Increases Mortality among Elderly

As reported in a press release by the Harvard T. H. Chan School of Public Health on December 26, 2017, short-term exposures to fine particulate air pollution and ozone-even at levels well below current national safety standards-were linked to higher risk of premature death among the elderly. The importance of this study is that the US Environmental Protection Agency is required to reexamine its National Ambient Air Quality Standards (NAAQS) every five years and these results suggest that current national air quality safety levels may need to be reevaluated.



Posted: January 26, 2018

Alex Azar Confirmed as Secretary of the United States Department of Health and Human Services

On January 24, 2018 the Senate confirmed in a vote of 55-43, Alex Azar as Secretary of the U.S. Department of Health and Human Services (HHS). Deputy Director, Eric Hargan has been serving as acting Director, following former Secretary Price's resignation on September 29, 2017.

Azar's previous experience includes work as a pharmaceutical executive and a twice-confirmed HHS official during the George W. Bush administration. Supporters of Azar have noted his oversight of the Medicare Modernization Act of 2003 (which created Medicare Part D) and Medicare Advantage as evidence of his expertise.

During his Senate confirmation hearing on January 9, 2018, Azar pledged to prioritize lowering drug prices, tackling the Opioid Crisis, stated his in interest in moving towards value-based purchasing (away from the Fee-for-Service model) and suggested that he favored block grants for the Medicaid program.

Washington Post: Alex Azar Confirmed by Senate as New Head of Health and Human Services



Posted: January 18, 2018

NIHB Releases Call for Proposals for the 9th Annual National Tribal Public Health Summit
Due Friday, February 23, 2018
Summit May 22-24, 2018 in Prior Lake, MN

Public health practitioners, researchers, and policy experts are invited to submit abstracts for 90 minute workshops and 60 minute roundtables for the NIHB 2018 National Tribal Public Health Summit, taking place May 22-24 at the Mystic Lake Casino in Prior Lake, Minnesota. NIHB encourages presentations highlighting evidenced-based, best, wise, or promising practices developed in and for Tribal communities. NIHB highly encourages dynamic, interactive sessions that will draw upon the skills, knowledge and experience of session participants. NIHB is particularly interested in interactive presentations that provide tools along with information and research, so that participants can make the knowledge they gain actionable. NIHB is also looking for presentations highlighting the social determinants of health (i.e. socioeconomic status, access to education and employment, the physical environment, etc.) as they pertain to the issues discussed.

This year's summit emphasizes balance, harmony, culture and health, so please consider topics and content that focus on these interconnections within one of the six summit tracks: Health Promotion and Disease Prevention, Public Health Infrastructure and Capacity, Public Health Policy, Substance Misuse and Behavioral Health, Climate Change and Environmental Health, and Cancer Prevention and Treatment.

For more information and to submit your proposal, CLICK HERE



Posted: January 18, 2018

Safe Sleep for Babies: Vital Signs Report Signals Need for More Caregivers to Follow Safe-Sleep Practices

The CDC analyzed Pregnancy Risk Assessment Monitoring System (PRAMS) data to describe sleep practices for babies. PRAMS is a state-based surveillance system that monitors self-reported behaviors before, during, and after pregnancy among women with a recent live birth since late 1980s. Date reported from 2015 about unsafe sleep positioning (i.e. placing the baby on his or her side or stomach to sleep), bed sharing, and the use of soft bedding (i.e. pillows, blankets, bumper pads, stuffed toys, and sleep positioners) were examined. Each year about 3,500 sleep related deaths occur among US babies.

In 2015, within states included in the analysis:
About 1 in 5 mothers (21.6 percent) reported placing their baby to sleep on their side or stomach More than half of mothers (61.4 percent) reported any bed sharing with their baby 2 in 5 mothers (38.5 percent) reported using any soft bedding in the baby's sleep area

Read the entire Vital Signs report HERE

For more information on safe sleep practices, see the AAP Policy Statement, "SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment," HERE

Parents may find it helpful to visit the Safe to Sleep® website® HERE for additional information and materials.



Posted: January 11, 2018

Job Opportunity: Shoshone-Bannock Tribal Health and Human Services Community Health Educator

The Shoshone-Bannock Tribal Health and Human Services Community Health Educator is responsible for influencing and motivating American Indian and Alaska Natives to adopt health lifestyles through promoting health care resources, products, services, policies, procedures, and planning for a variety of health related issues. The Tribal Health and Human Services department implements continuous quality improvement practices. To learn more about this opportunity, click here.



Posted: January 6, 2018

CDC Releases a HAN Advisory on Seasonal Flu Activity

CDC has released a Health Alert Network (HAN) Advisory regarding seasonal Influenza A(H3N2) due to increased influenza activity. This advisory promotes considering treatment with an antiviral medication for patients earlier in the course of illness, particularly for high risk (elderly, pregnant, and hospitalized) patients. The advisory also encourages vaccination, as vaccines still remain the best tool to prevent influenza despite reduced vaccine efficacy.

To view the advisory, CLICK HERE



Posted: January 6, 2018

Apply to the CDC Public Health Associate Program as a Host Site or an Associate

Host site applications open January 2-18, 2018, and associate applications open January 2-8, 2018

The application period for the Centers for Disease Control and Prevention (CDC) Public Health Associate Program (PHAP) will be open for potential host sites from January 2-18, 2018, and for potential associates from January 2-8, 2018.

PHAP is a two-year, paid training program with the Centers for Disease Control and Prevention. PHAP associates are assigned to various public health agencies (host sites) across the United States and US territories, including Tribal health departments.

Tribes can benefit greatly from hosting a PHAP associate. Assignees bring their skills to the host agency, foster a partnership between their host site and CDC, facilitate access to CDC resources, trainings and subject matter expertise, and build Tribal capacity by filling human resource gaps. In return, the Tribe will offer the PHAP associate opportunities to grow as an early-career public health professional.

American Indian and Alaska Native (AI/AN) early-career professionals in public health should also consider applying to be PHAP associate. PHAP offers the opportunity for recent bachelor's and master's degree students to be recognized as a CDC employee, gain valuable skills in public health, receive mentoring from both their host site and from CDC professionals, and contribute to improving public health in their assigned community.

For more information, or to apply as a host site or PHAP associate, CLICK HERE



Posted: December 12, 2017

New Research: Investing in Public Health May Reduce Medicare Spending

Results from a new study published in the December issue of the journal Health Services Research by researchers at the University of Kentucky, suggest new directions for containing costs by aligning medical and public health programs. The findings suggest that the federal Medicare program could realize an average of $1.10 in savings for each $1.00 invested in local public health activities over time.

The researchers measured the amount of money spent annually by hundreds of local public health agencies in hundreds of communities, and linked these data with measures of Medicare spending per beneficiary in the same local areas, along with detailed information on demographic, economic and community characteristics. Using an advanced statistical methodology known as instrumental variables analysis, the researchers estimated how public health spending influenced Medicare spending over time, while controlling for other factors that tend to obscure the true causal relationship between these two types of spending. The results show that Medicare spending per beneficiary fell by about 1 percent for each 10 percent increase in public health spending per resident, with even larger offsets observed in low-income and medically underserved communities.

The article concludes that expanded financing for public health activities may provide an effective way of constraining Medicare spending, particularly in low-resource communities.

Read the press release



Posted: December 12, 2017

Success Story from Northwest Tribes: Native CARS (Children Always Ride Safe) Partnership to Improve Child Passenger Safety

In the beginning of the 2000s, Northwest Tribes noticed that vehicle accidents leading to injuries and death were impacting their communities. The Northwest Tribal EpiCenter (NWTEC) confirmed this disparity and noticed, finding that American Indian and Alaska Natives (AI/AN) were experiencing the highest death rate compared to other groups as a result of vehicle accidents. The NWTEC contacted experts and formed partnerships to investigate if this mortality rate might be connected to the low use of safety seats. Partnerships included the Oregon Health and Science University (OHSU) and Harborview Injury Prevention and Research Center (HIPRC). The group explored this data for six Tribes and found that correct safety seat usage was low - between 25 and 55 percent only.

The six Tribes are: Confederated Tribes of the Colville Reservation, Confederated Tribes of Grand Ronde, Klamath Tribes, Nez Perce, Shoshone-Bannock Tribes, and Spokane Tribe...

Read More



Posted: December 12, 2017

Prevention and Unintentional Injuries in American Indian Communities: 5 Day Course
January 8-12, 2018 from 8:30 am to 12:00 pm

Johns Hopkins Center for American Indian Health is offering a course on injury prevention. Injuries are the leading cause of death for American Indians ages 1-44 and the third leading cause of death overall. This 5-day day learning opportunity will explore the unique injury patterns experienced by American Indian communities and teach students how to design, implement and evaluate injury prevention initiatives in their community. Throughout the course, students will work to develop basic knowledge and skills relating to all core competencies of injury prevention. Although some competencies will be addressed in greater detail than others, students will be given as many opportunities as possible, within the constraints of the 5-day training, to practice these skills. Practical application sessions will provide hands-on, facilitated, skills-development experience.

Tuition: $1091 per credit for credit, $818 for non-credit.

For more information, CLICK HERE



Posted: December 5, 2017

Sexual Violence Resources

The recent #metoo social media campaign has highlighted important, but often overlooked, public health issues: sexual violence and intimate partner violence (IPV). In the US, Native Americans are at greatest risk of sexual violence and are twice as likely as all races to experience rape or sexual assault compared [source].

The World Health Organization (WHO) recently published guidelines - for the first time - "to help front-line healthcare workers give high-quality, compassionate, and respectful care to children and adolescents [...] who have experienced sexual abuse." View the WHO document HERE or read a WHO article about the #metoo campaign and public health HERE. The Centers for Disease Control and Prevention (CDC) offer additional, US-specific resources for sexual violence HERE.

Learn more about sexual assault or get help for yourself or someone you know at the Rape, Abuse & Incest National Network (RAINN) HERE.



Posted: December 5, 2017

IHSIHS FY2015 Report to Congress on Sanitation Deficiency Levels for Indian Homes and Communities

The purpose of the IHS FY2015 Report to Congress on Sanitation Deficiency Levels for Indian Homes and Communities report is to satisfy the requirements for Sanitation Facilities Construction (SFC) Program reporting under section 302 of the Indian Health Care Improvement Act (IHCIA), codified as amended at 25 U.S.C. § 1632(g). The information in this report to Congress is used by the Indian Health Service (IHS) to establish budgetary funding requests and to allocate funding resources received. Additionally, the United States (U.S.) Environmental Protection Agency (EPA), the U.S. Department of Agriculture Rural Development, and the U.S. Department of the Interior Bureau of Reclamation utilize the information contained in this report to aid in the implementation of their programs that support Tribal water, sewer and solid waste infrastructure. Access the report HERE.



Posted: December 5, 2017

Journal of Health Disparities Research and Practice Articles Available

The most recent issue of the Journal of Health Disparities Research and Practice contains information about the Office of Minority Health (OMH) and the National Partnership for Action to End Health Disparities (NPA). There are several articles available addressing health equity, funding, health equity mapping, capacity building, cross sector collaborations, and other important topics related to health disparities. There is also an article, "Achieving Health Equity for Indian Country."

Download the articles HERE.



Posted: December 5, 2017

November is Bladder Health Month - Bladder Health Information and Resources

November is Bladder Health Month. Bladder health can include a wide range of issues such as bladder cancer, incontinence, bedwetting, and urinary tract infections (UTIs) [source]. It is estimated that one in ten veteran injuries since 2003 have affected the genitourinary system [source]. Some people do not feel comfortable talking about bladder problems, although these problems may be common - and sometimes serious [source].

Learn more about these conditions, basic information about the bladder, and ways to keep your bladder healthy HERE and HERE.

Read a journal article about a bladder health research study conducted with American Indian women in South Dakota HERE.



Posted: December 5, 2017

Meeting Report: Increasing Colorectal Cancer Screening for American Indians and Alaska Natives

The National Colorectal Cancer Roundtable (NCCRT) recently published (November 2017) a report from a meeting co-sponsored by the American Cancer Society which was held in April 2016 in Michigan to discuss colorectal cancer screening in American Indian/Alaska Native communities.

The report "provides an overview of the burden of colorectal cancer among AI/AN, summarizes meeting presentations and discussions, and presents the participants' collaborative 'framework for change' tool that identifies goals, priority tactics, barriers, and potential communities of solution and roles."

Learn more or download the report HERE.



Posted: December 5, 2017

Advancing Health Equity in Tribal Communities through Public Health Accreditation

The Office of Minority Health and National Partnership for Action to End Health Disparities has posted a webinar discussing public health accreditation and the work that has been done at the National and Tribal levels to advance health equity and improve health outcomes for AI/AN. The webinar features Karrie Joseph from National Indian Health Board and Carrie Sampson from Yellowhawk Tribal Health Center.

You can view this webinar HERE.

For more information about public health accreditation and NIHB's Tribal Accreditation Support Initiative (ASI), click HERE.



Posted: December 5, 2017

IHS American Indian/Alaska Native Community Crisis Response Guidelines

The Indian Health Service (IHS) has announced the online publication of the IHS American Indian/Alaska Native Community Crisis Response Guidelines. This resource was developed by the IHS Division of Behavioral Health (DBH) and the Suicide Care Workgroup under the National Combined Council.

The guidelines are an effort to address the importance of federal and Tribal partnerships in addressing suicide behavior-related crises. These guidelines recommend responsibilities and procedures for Tribes, who receive services through IHS, in requesting assistance in suicide prevention and early/post intervention from the DBH.

You can view these guidelines HERE.

For questions, contact Pamela End of Horn at [email protected] or 301-443-8028.



Posted: December 5, 2017

The National Institutes of Health (NIH) Request for Comment on Proposed Update to the NIH Genomic Data Sharing Policy's Access Model for Genomic Summary Results
Deadline: December 12, 2017

The National Institutes of Health (NIH) is seeking public comments regarding a proposed update to the access procedures for genomic summary results under the Genomic Data Sharing (GDS) Policy. Genomic summary results, also known as "aggregate genomic data" or "genomic summary statistics" are primary analyses of genomic research that convey information relevant to understanding genomic associations with traits or diseases across entire datasets rather than data specific to any one individual research participant. The goal of this proposed update is to align NIH's genomic data management procedures for genomic summary results with the current understanding of risks and benefits to research participants while at the same time trying to promote maximum public benefit from NIH-funded research investments.

Responses will be accepted through December 12, 2017.

To view the notice, click HERE

To submit a response, click HERE



Posted: November 30, 2017

Post-Doc Position Available: Center for Injury Research and Policy Nationwide Children's Hospital, Columbus, Ohio

The Center for Injury Research and Policy, located in The Research Institute of Nationwide Children's Hospital, is seeking applicants for a post-doctoral fellow in injury epidemiology. The center (www.injurycenter.org) is one of 10 CDC-funded Injury Control Research Centers...

Read More



Posted: November 27, 2017

Public Health Thank You Day

November 20, 2017 was Public Health Thank You Day. This time of year is a time for many people to reflect on gratitude. The Monday before Thanksgiving is set aside each year to thank public health professionals "who work tirelessly every day to protect the health of all people and all communities." The American Public Health Association has written a blog about the day and the importance of social determinants of health.

If you are a public health worker, thank you for your work benefiting Tribal communities!

Learn more about the day HERE or read the blog post HERE



Posted: November 27, 2017

Keystone Pipeline Leak in South Dakota

On Thursday, November 16th, the Keystone Pipeline leaked about 210,000 gallons of oil in South Dakota. According to David Flute, Tribal Chairman of the Sisseton Wahpeton Oyate, this leak took place approximately 20-25 miles from the Lake Traverse Reservation. The Sisseton Wahpeton Oyate Tribe is waiting to hear if any water sources were contaminated, particularly because some residents of the reservation use well water in their homes. Currently, South Dakota officials are stating that they do not believe there is any water contamination [SOURCE]. However, concern stems from previous oil and brine spills in the US, which have affected the drinking water of Tribal Nations [SOURCE].

This leak occurred before a Monday, November 20, 2017 vote by the Nebraska Public Service Commission to move forward with the Keystone XL Pipeline. There has been concern from many Tribal members regarding the Keystone XL, which would connect with the existing Keystone Pipeline. Dallas Goldtooth with the indigenous Environmental Network has pointed out that 15 Tribal nations live along the proposed route, and has suggested that it poses a risk to the drinking water of over 65,000 Indigenous people [SOURCE].

For more information:
New York Times Article: HERE
PBS News Hour Article: HERE
CBC News Article: HERE
National Indian Health Board Resolution 16-02, which lists previous oil and brine spills which affected the drinking water of Tribes: HERE
Indigenous Environmental Network: HERE



Posted: November 27, 2017

Native News: Climate Discussions

Native News recently shared a radio blurb with interviews from several people working on Tribal climate health issues who were present at the American Public Health Association (APHA) annual conference.

Listen to the blurb HERE



Posted: November 27, 2017

CDC Report on Racial/Ethnic Health Disparities Among Rural Adults

Rural communities often have worse health outcomes, have less access to care, and are less diverse than urban communities. Much of the research on rural health disparities examines disparities between rural and urban communities, with fewer studies on disparities within rural communities. This report provides an overview of racial/ethnic health disparities for selected indicators in rural areas of the United States.

Access the report HERE



Posted: November 27, 2017

Health Disparities Among American Indians and Alaska Natives: Enormous Hurdles and Opportunities to Advance Health Status

The National Institute on Minority Health and Health Disparities (NIMHD) recently published an "insights" post on health disparities in American Indian/Alaska Native (AI/AN) communities. This post describes the disparities, socioeconomic effects, risk factors, recommendations, and strengths.

Read the article HERE



Posted: November 27, 2017

Flu Resources

The Centers for Disease Control and Prevention (CDC) have flu resources available online - including brochures and posters. These materials can be downloaded or printed at no cost, and some materials can also be ordered and shipped to your facility.

View or access the resources HERE or learn more about seasonal flu HERE



Posted: November 27, 2017

Nature and Health Webinar Recording Available

Sally Jewell, former Secretary of the Interior, and her team "were deeply engaged in rebuilding a trusting, nation-to-nation relationship with indigenous communities in the U.S. She recently hosted a webinar through the Voices in Leadership series at the Harvard T.H. Chan School of Public Health. This webinar was recorded and can be viewed online.

View the webinar HERE



Posted: October 30, 2017

National Indian Health Board Celebrates Indigenous Pink Day on October 19, 2017

On October 19th, staff at the National Indian Health Board (NIHB) celebrated Indigenous Pink Day to support breast cancer awareness among American Indian and Alaska Native people. The American Indian Cancer Foundation reports that breast cancer is the most common cancer in AI/AN women and the second greatest cause of cancer death.

Learn more about breast cancer and Indigenous Pink Day HERE



Posted: October 30, 2017

President Trump Declares Opioid Epidemic a Nationwide Public Health Emergency

On Thursday, October 26, 2017, President Trump, through the Public Health Services Act, directed the Acting Secretary of Health and Human Services Eric Hargan, to declare a nationwide public health emergency on the opioid epidemic. The opioid epidemic has been one of the most fatal public health epidemics in recent years, claiming roughly 140 lives nationwide every day, with over 33,000 opioid related overdose deaths in 2015 alone. Within American Indians and Alaska Native communities, there has been a fourfold increase in opioid related overdose deaths from 1989 to 2009.

This declaration falls short of a national disaster declaration under the Stafford Disaster Relief and Emergency Existence Act, which would have allowed for immediate access to additional federal funding to combat the crisis. Instead, the declaration will expand access to telemedicine services in rural communities, direct federal agencies to reduce administrative delays in administering existing grants, and redirect funds from other existing federal grants to combat the opioid crisis. The Trump Administration states that they will work with Congress to approve additional funding towards combating the epidemic. The National Indian Health Board is closely monitoring this developing declaration and will provide further updates as the direct effects of the declaration continue to evolve.

If you have any questions, please contact Shervin Aazimi, NIHB Public Health Project Coordinator, at [email protected] or at 202-507-4088.



Posted: October 30, 2017

Plain Language Resources and Health Literacy Information

Materials, information, and resources about plain language are available online from the Centers for Disease Control and Prevention (CDC). These types of materials can help improve health literacy and help Tribes design posters, written texts, and other educational materials that patients can easily understand.

Health literacy is the ability to read and understand information about health. An Indian Health Service (IHS) paper from 2009 reports that nearly half the US population has low health literacy skills, particularly vulnerable people like American Indian/Alaska Native people, elders, and people in poverty; unfortunately, low health literacy can lead to worse health outcomes [Source].

View CDC links and resources HERE and HERE

Learn more about health literacy and American Indians/Alaska Natives HERE



Posted: October 30, 2017

Tool: Mapping Broadband Health in America

The Mapping Broadband Health in America platform allows users to visualize, overlay and analyze broadband and health data at the national, state and county levels. The maps are an interactive experience, enabling detailed study of the intersection between connectivity and health for every county in the United States. The resulting maps can be used by both public and private sectors, and local communities, to identify opportunities and gaps in connectivity and care.

Sample maps include: Rural Broadband and Physician Shortages, Broadband and Diabetes in Rural America, and Broadband Access and Obesity.

Learn more and view the mapping tool HERE



Posted: October 23, 2017

Major Hurricanes: Potential Public Health and Medical Implications

The Office of the Assistant Secretary for Preparedness & Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE) was created to meet the information and technical assistance needs of regional ASPR staff, healthcare coalitions, healthcare entities, healthcare providers, emergency managers, public health practitioners, and others working in disaster medicine, healthcare system preparedness, and public health emergency preparedness.[Source]

Since this year's hurricane season was so severe and since many areas of the US have experienced extreme weather and storms, ASTR TRACIE has developed a document of considerations for these circumstances. These considerations include:

  • Overarching concerns such as family reunification, behavioral health needs, and risk communication;
  • Immediate considerations such as lack of water or power, transportation needs, and medical care;
  • Short-term considerations such as worsened health for persons with medical conditions, mosquito abatement, mold, and food safety; and
  • Long-term considerations and recovery such as loss of providers or facilities, and changes to the baseline health in a community.

Preparedness is important. View the document HERE



Posted: October 23, 2017

Resources on Mass Violence

After the tragic and deadly mass shooting on October 1 in Las Vegas, the U.S. Department of Health and Human Services has created a collection of resources on a variety of mass violence topics, intended to assist responders, clinicians, health care coalitions, and communities with planning for, responding to, and recovering from mass violence events.

The list includes extensive information about terrorism (increasingly transitioning to smaller attacks caused by individuals or small groups), workplace violence, disaster behavioral health, responder safety and health, explosives and mass shootings, and more.

View the resource list HERE



Posted: October 23, 2017

Climate Change and Health: A Framework for Action

The Public Health Institute's Center for Climate Change and Health developed a framework for action on climate health. Their website states: "Public health engagement is critical to ensure that the public health sector prepares for climate impacts, and that climate change strategies promote optimal health and reduce health inequities. Our research delves deeper into the complex barriers to this important work, and identifies a number of immediate opportunities for public health and partners to work together towards improved health, equity, and climate change outcomes. These research findings helped to guide us in development of the framework we present [...] and in our recommendations for action."

View the framework HERE or read the full accompanying report,
Climate Change, Health, and Equity: Opportunities for Action HERE

Learn more about NIHB and the Climate Ready Tribes project or view NIHB's list of climate health resources HERE



Posted: October 23, 2017

Indian Health Service Publishes a Paper Indicating AI/AN Childhood Obesity May Have Stabilized

Indian Health Service (IHS) published an article to the American Journal of Public Health (AJPH) reporting good news- the prevalence of overweight and obesity in American Indian and Alaska Native (AI/AN) children may have stabilized for the past decade. This study is the largest and most comprehensive data set ever used to address obesity in AI/AN children. More than 184,000 children aged 2-19 years were included in each year from 2006-2015.

While the data still shows a higher prevalence of obesity in AI/AN children when compared to the greater population, this data will allow IHS, Tribal, and urban Indian programs to determine the best practices that ensure that all children have the opportunity for a healthy future.

To learn more about this study, click HERE



Posted: October 23, 2017

Tribal Leaders Diabetes Committee Meets with Acting IHS Director

Tribal leaders from nine Indian Health Services Areas participated in the Tribal Leaders Diabetes Committee (TLDC) meeting at the We-Ko-Pa Conference Center in Fort McDowell, AZ on October 16-18, 2017. More than 60 people from Tribal...

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Posted: October 12, 2017

New Report--American Indian and Alaska Native Communities and Genetics Research

The National Human Genome Research Institute (NHGRI) and the NIH Tribal Health Research Office (THRO) put together a genetics research resource for the recent Tribal Data Sharing & Genetics workshop at the University of New Mexico. The resource includes brief descriptions of NHGRI-funded education and research projects with American Indians and Alaska Natives, definitions of terms used in genetics research, and links to more in depth resources. The resource can be accessed on the THRO website.

To read the report, click HERE



Posted: October 12, 2017

What is "One Health"?

"One Health" is a term that refers to the relationships between the health of animals, humans, and the environment. Did you know that OVER HALF of all infections in humans are spread by animals? One Health is an increasingly important idea discussed in public health. Since indigenous people often live in close contact with nature, One Health topics may be of special concern but may also already be well understood by many American Indian/Alaska Native (AI/AN) people according to traditional beliefs about health.

The image below shows how cows contaminated with bacteria E. coli can cause people to get sick or die from eating salad.

Image from CDC

Here are some other examples of the connections between the health of animals, humans, and the environment:

  • Bats and other animals infected with rabies can spread rabies to humans. Rabies is a fatal disease if not treated quickly after potential exposure.
  • Birds play an important role in West Nile virus. Birds infected with West Nile can spread the virus to other mosquitoes. Those mosquitoes can spread West Nile virus to humans. Unlike Zika virus, West Nile virus can not be spread from a human to a mosquito. Therefore, birds play a critical role.
  • Influenza (the flu) can be a serious illness. Pigs and chickens can play a role in spreading flu or creating new types of flu. Increased animal monitoring and greater compliance with farm standards can help prevent a pandemic - a worldwide outbreak of flu, which may be deadly. [By the way, don't forget to get your flu vaccine this year. Vaccines are now available.]

Learn more about One Health HERE



Posted: October 4, 2017

United Tribal Voices Advocating for Healthy Native People: NIHB's 34th Annual Tribal Health Conference
September 25-28, 2017

Tribal leaders, federal health partners, and Tribal health advocates came together this week in Bellevue, Washington for the National Indian Health Board's (NIHB) 34th Annual National Tribal Health Conference (NTHC). Every year, the NTHC brings advocates and stakeholders in the Indian Health System to discuss policy priorities, explore strategies, and share best practices in forming partnerships to advance Tribal health. This year, more than 600 people will participate in the conference with a focus on partnership. This year's theme is "Uniting Tribal Voices Advocating for Healthy Native People." The conference runs from September 25-28, 2017.

Read More



Posted: October 4, 2017

CDC Call for Tribal Public Health Stories
Deadline January 15, 2018

Tribal nations are active and important contributors to public health, and Tribal cultures have long fostered health and wellness among American Indians/Alaska Natives (AI/AN). The Centers for Disease Control and Prevention (CDC) invites you to share stories that show how you do just that, so they can be a part of an exciting new exhibit at the David J. Sencer CDC Museum in Atlanta.

Read More



Posted: October 4, 2017

Profile in Public Health Law: Valerie Davidson, JD

Valerie Davidson, JD, the Commissioner of the Alaska Department of Health and Human Services was featured in the September 2017 issue of the Centers for Disease Control and Prevention's (CDC) Public Health Law News (PHLN). Davidson, an enrolled member of the Orutsararmiut Tribal Council, discusses how the State of Alaska is working to strengthen its relationship with the Alaska Tribes. Davidson also comments on Alaska's response to the opioid epidemic; Alaska Governor Bill Walker declared the epidemic a public health disaster. This formal declaration allows the State to respond as they would to any other public emergency or natural disaster, increases access to naloxone (a drug that can prevent death in the case of an overdose), and prioritizes the opioid crisis Statewide.

Read More



Posted: September 7, 2017

National Lead Poisoning Prevention Week
October 22-28, 2017

October 22-28 is National Lead Poisoning Week. Young children under the age of six, are most at risk for lead poisoning. Fortunately, lead poisoning is preventable. Learn the facts about lead poisoning and test your child and home. The image below shows the goals of National Lead Poisoning Week.

Read More



Posted: September 7, 2017

September is National Preparedness Month

September is National Preparedness Month (NPM). Unfortunately, many Americans are not well prepared for disasters and other emergencies.

Ready.gov has posted excellent information about National Preparedness month. This includes a social media toolkit, toolkits for different natural disasters, recorded webinars, training opportunities and courses, and information to help average individuals provide emergency help until additional help arrives.

The National Red Cross has also provided information about individual and family preparedness, such as creating a "family game plan" for emergencies. You can also view a family disaster plan template, learn about creating an emergency preparedness/survival kit (including first aid kit and many other items), and learn about CPR/First Aid and other training opportunities.

Information about Zika preparedness can be found in the resources section of this week's newsletter, HERE



Posted: September 7, 2017

Article Analyzes State Data and Finds American Indian Women with Medicaid are Less Likely to Use Mammograms

A mammogram is a screening test that can be used to detect breast cancer. Getting regular mammograms as recommended can detect breast cancer early and prevent death or suffering. A report published September 2017 in the journal Preventive Medicine used 2006-2008 Medicaid data to determine racial, ethnic, and geographic differences in mammography usage among women who have Medicaid coverage. Forty-four (44) states were studied, and while results varied by region, the study found that American Indian and African American women were significantly less likely to obtain mammogram screenings compared to while women. The study also concluded that disparities exist at the state level, suggesting that it is valuable to separate data by state and by type of insurance coverage; analyzing all data together at the national level can hide disparities and prevent recognizing populations that need additional assistance.

View the article HERE (abstract and highlights are free; may need to purchase full article)



Posted: September 5, 2017

"Tobacco: Honoring our Traditions and our Health," Video on Tobacco Prevention Efforts in Wisconsin Tribal Communities

The American Public Health Association and the Great Lakes Inter-Tribal Council have announced a new video, Tobacco: Honoring our Traditions and our Health. This short video, produced by the Tribal Public and Environmental Health Think Tank, depicts tobacco prevention efforts in Wisconsin Tribal communities, highlighting the importance of reclaiming traditional tobacco. The historical use of tobacco in Indian culture is explored in the video, and it also tells the story of an Indian casino going smoke-free and thriving.

To view the video, click HERE



Posted: September 5, 2017

National Partnership for Action (NPA) Blog Post, "Unintentional Injuries: Leading Cause of Death for American Indians and Alaska Natives"

Among the myriad challenges faced by American Indians and Alaska Natives (AI/ANs), unintentional injuries remains one of the leading causes of death. A number of factors may explain why this is the case. This blog addresses the greater challenge of how to reduce unintended deaths and injuries among AI/ANs.

To read the full blog post, click HERE



Posted: September 5, 2017

Journal of Health Disparities Research and Practice, "Achieving Health Equity in Indian Country."

The essence of health equity is giving resources where they are needed most. American Indians and Alaska Natives (AI/AN) continue to have the worst health outcomes, live in some of the most desperate of conditions, and lack access to even basic amenities that many other Americans could not survive without. Although Tribes have been plagued with social, economic and political injustice for centuries, there is an opportunity to put a stop to the systematic oppression and build up the first peoples of this country. A partnership between the National Indian Health Board (NIHB) and the National Partnership for Action to End Health Disparities (NPA) at the U.S. Department of Health and Human Services Office of Minority Health (HHS OMH) has taken a proactive and strategic approach to build the public health capacity of Tribal health departments through information gathering and dissemination, capacity building and awareness raising.

To download the report, click HERE



Posted: August 28, 2017

Comment on Proposed Revisions to the CDC Diabetes Prevention Recognition Program (DPRP) Standards
Deadline Tuesday, September 12

CDC's Division of Diabetes Translation (DDT) established and administers the National DPP's Diabetes Prevention Recognition Program (DPRP), which recognizes organizations that deliver diabetes prevention programs according to evidence-based requirements set forth in the "Centers for Disease Control and Prevention Recognition Program Standards and Operating Procedures" (DPRP Standards). Additionally, the Centers for Medicare and Medicaid Services (CMS) Medicare Diabetes Prevention Program (MDPP) expansion of CDC's National DPP was announced in early 2016, when the Secretary of Health and Human Services determined that the Diabetes Prevention Program met the statutory criteria for inclusion in Medicare's expanded list of healthcare services for beneficiaries. Written comments must be received by September 12. Read more HERE.



Posted: August 28, 2017

Mental Health and Spiritual Care in Emergencies Webinar
Tuesday, August 29 at 1pm ET

Preparedness is an important part of public health. Mental and spiritual health are also important parts of overall health. The Centers for Disease Control and Prevention (CDC) and National Voluntary Organizations Active in Disaster (National VOAD) are hosting a webinar to discuss topics including stress, stigma, isolation, populations more likely to be adversely affected by specific emergencies, and effective communication to address mental health concerns. The webinar will also discuss integrating principles of mental health into faith-based settings.

The webinar will be held on Tuesday, August 29 at 1pm ET.

Learn more or join the webinar HERE



Posted: August 28, 2017

ZikaQuestionsAsk Questions About Zika!


Image from Pixabay

You may have heard information about Zika in the news or on social media. Some information may be incorrect or confusing, or maybe you have questions but are unsure where to find answers. NIHB would like to support you to access correct and reliable information about Zika. You can submit questions to NIHB's Zika Question and Answer box HERE

You can submit anonymously or provide name and email address for direct NIHB contact. Relevant questions will be posted anonymously and answered online at the Zika Frequently Asked Questions page on the NIHB Zika hub, located HERE



Posted: August 7, 2017

New report from the IHS and University of Colorado Anschutz Medical Campus, "Obesity and Overweight in American Indian and Alaska Native Children, 2006-2015"

The Indian Health Service (IHS) and the University of Colorado Anschutz Medical Campus released a joint paper on July 20 in the American Journal of Public Health, "Obesity and Overweight in American Indian and Alaska Native Children, 2006-2015." The report found that the prevalence of overweight and obesity among American Indian and Alaska Native (AI/AN) children in this population may have stabilized. It is key to note that this is the largest, most comprehensive data set ever used to assess obesity in AI/AN children.

Read the full report HERE



Posted: August 7, 2017

Tribal Leaders Diabetes Committee Receives an IHS Director's Award

Connie Barker, Chickasaw Nation Legislator and Co-Chair of the Tribal Leaders Diabetes Committee (TLDC), accepted an IHS Director's Special Recognition Federal Partnership Award on behalf of the 2016 TLDC in a ceremony at IHS Headquarters in Rockville, MD on July 28, 2017.

An Indian Health Service (IHS) Director's Award recognizes service significantly advancing the IHS mission and goals through enhancements supporting IHS priorities. Priorities include: renewing and strengthening Tribal partnerships; bringing reform to the IHS; improving quality and access to care for IHS patients; and ensuring transparency, accountability, fairness, and inclusion.

The Tribal Leaders Diabetes Committee (TLDC) consists of Tribal leader representatives from each of the twelve IHS Areas, one federal co-chair, and five advisers. The TLDC provides leadership, guidance, and recommendations to the Indian Health Service (IHS) on issues related to diabetes and related chronic health conditions among American Indians and Alaska Natives. The TLDC has been providing recommendations to the IHS Director for close to 20 years on the Special Diabetes Program for Indians (SDPI) since the program was first authorized by Congress in 1997. SDPI has been one of the more successful chronic disease treatment and prevention programs in the nation and certainly in Indian Country. However, despite the impressive clinical outcomes, the program is at risk. SDPI will expire next month in September 2017 if not reauthorized by Congress.



Posted: August 7, 2017

Food and Drug Administration Announces New Comprehensive Plan for Tobacco and Nicotine Regulation

On July 28, the US Food and Drug Administration (FDA) announced a new, comprehensive tobacco framework to significantly reduce tobacco-related disease and death. The approach places nicotine at the center of the agency's harm reduction efforts and ensures the FDA has the proper foundation to efficiently and effectively implement the Family Smoking Prevention and Tobacco Control Act. Since nearly 17.3 million Americans are predicted to die prematurely from cigarette smoking by mid-century, this announcement has significant public health implications, particularly for young people. The framework is intended to protect children and reduce tobacco-related morbidity and mortality.

The tobacco homepage on FDA.gov will be updated with new information regarding this announcement, including a link to the Commissioner's speech.

Read the full press announcement HERE



Posted: August 7, 2017

Fact Sheet Infographic: Special Diabetes Program for Indians, Changing the Course of Diabetes diabetINFOg

Download the Fact Sheet Infographic



Posted: August 7, 2017

Infographic: Medical High Utilization - A Complex Challenge That Can Be Prevented

In this resource, the Prevention Institute breaks down what high utilization is, how it comes about, and what can be done to lower it. Improving community conditions can complement existing healthcare strategies focused on reducing medical high utilization and its associated costs.

Download the Infographic



Posted: January 8, 2017

NIHB Announces Tribal-focused Zika Virus Summits

Zika Virus Response and Planning

The Zika Virus continues to emerge as an imminent public health threat to Tribal communities and families in southern regions of the United States. The National Indian Health Board (NIHB) seeks to assist with capacity building and prevention planning to target this issue. The Zika Virus is especially concerning for expectant mothers and their fetuses. To target this serious health threat, the NIHB is striving to share information and resources and to provide support for Tribal-specific mitigation strategies.

To learn more, please see the Save-the-Date Announcement



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