Tribal Public Health Broadcast
Weekly News, Funding, Resources, and Upcoming Events in Indian Country

September 16, 2021
News
Early Bird Registration Rate Extended to September 21 for Upcoming National Tribal Health Conference!

It's not too late to register for the National Indian Health Board's (NIHB) annual National Tribal Health Conference (NTHC) that will take place October 4-8, 2021. The Early Bird rate has been extended through September 21!

Join NIHB for action-packed plenary sessions, informative workshops from experts across Indian Country, and consultation and listening sessions with federal agencies. Make sure to stick around for the last day of the conference for sessions dedicated to technology in American Indian and Alaska Native health systems! This year’s conference will feature listening and consultation sessions with the Indian Health Service (IHS), Department of Veterans Affairs (VA), Centers for Disease Control and Prevention (CDC), Centers for Medicare and Medicaid Services (CMS), Substance Abuse and Mental Health Services Administration (SAMHSA), and Health Resources and Services Administration (HRSA). Our plenary sessions will feature Tribal leaders, federal agency leaders and Members of Congress, including Victor Joseph (Native Village of Tanana), White House Health Equity Task Force, Chiquita Brooks-LaSure, Administrator, Centers for Medicare and Medicaid Services, and Dr. Matthew Fletcher, University of Michigan.

Read More and View the Agenda here.
President Biden Announces COVID-19 Plan

On September 10, 2021, President Biden announced his COVID-19 Action Plan. He will be implementing a six-pronged, comprehensive national strategy that uses the same science-based approach that has been successful in the past. The President’s plan to combat COVID-19 this fall has six main components: vaccinating the unvaccinated, furthering protection for the vaccinated, keeping schools safely open, increasing testing and requiring masking, protecting economic recovery, and improving care for those with COVID-19.

In the weeks ahead, the President will announce additional steps to build on the progress the administration has made to combat this pandemic globally.

Read more here.
FDA Statement on Vaccines for Younger Children

Janet Woodcock, M.D. Acting Commissioner of Food and Drugs - Food and Drug Administration (FDA), and Peter Marks, M.D., PhD. Director - Center for Biologics Evaluation and Research (CBER) shared information about the process and the necessary considerations involved to provide greater clarity to the public about vaccines for children under 12 years of age. Because young children are still growing and developing, it’s important that thorough and robust clinical trials of adequate size are completed to evaluate the safety and the immune response to a COVID-19 vaccine among younger children. Children are not small adults and issues that may be addressed in pediatric vaccine trials can include whether there is a need for different doses or different strength formulations of vaccines already used for adults. Read more here.

Until the FDA authorizes or approves a vaccine for children under 12 years of age Tribal communities, it’s especially important that parents and others who interact closely with children under 12 years of age get vaccinated, wear masks, and follow other recommended precautions so that we can protect those who cannot yet protect themselves through vaccination. Remember, getting your COVID-19 vaccine is an Act of Love to your Tribe! For more information on COVID-19 vaccines visit the NIHB COVID-19 Tribal Resource Center
CDC Releases Updated Infection Prevention and Control Guidance for Healthcare Settings
 
The Centers for Disease Control and Prevention (CDC) has updated its infection prevention and control (IPC) guidance for healthcare settings during the COVID-19 pandemic. The changes primarily focus on recommendations for the use of source control, SARS-CoV-2 testing, and quarantine for fully vaccinated patients and nursing home residents. There are no significant changes to recommended practices, rather, the updates were made to clarify, consolidate, and simplify existing healthcare IPC guidance. Tribal healthcare organizations may find the updated information a helpful resource to update their current IPC practices.
 
The updated guidance can be accessed at the following links:

ICYMI – Do Your Research: Empowering Native Youth to Get Vaccinated

On September 15, 2021, the National Indian Health Board (NIHB), in partnership with the Association of American Indian Physicians (AAIP) hosted the second webinar in the #ACTOFLOVE COVID-19 Vaccine Webinar Series. The webinar focused on knowledge sharing and helping Tribal communities vaccinate AI/AN youth as well as helping parents/caregivers discuss the COVID-19 vaccines. Native youth across the country are getting their COVID-19 vaccine for many reasons – going back to school, playing sports, and protecting their families and communities. 
 
Panelist Asa Worthington, 17, Kiowa/Mississippi Choctaw stated: "I was always taught by my grandparents and the people that have helped me growing up in my life that are gone now, some due to COVID, is to protect our culture, do what was right for our people make the best decision, you know. And I learned a lot through all of that stuff, knowing that it's more than just a vaccine, it's more than just a shot in the arm. It's more than just medicine you know it's protection. It's protecting our culture and it's, it's most importantly me doing my part." 

Remember getting vaccinated is an Act of Love.  Click here to watch the recording!  
Use of Rapid Antigen Testing for SARS-CoV-2 in Remote Communities — Yukon-Kuskokwim Delta Region, Alaska, September 15, 2020–March 1, 2021
 
A Morbidity and Mortality Weekly Report (MMWR) released by the Centers for Disease Control and Prevention (CDC) examines the use of rapid point-of-care antigen testing in the Yukon-Kuskokwim Delta Region of Alaska. Controlling the spread of SARS-CoV-2, the virus that causes COVID-19, in Alaska is challenging in rural areas due to the slow turnaround times for SARS-CoV-2 test results. This can be attributed to the need to transport specimens to testing facilities from many remote and isolated villages with small populations (ranging from 15 to >1,000 persons) that are accessible only by air from larger communities. Rapid point-of-care antigen testing reduces the turn-around time and might be a valuable tool in lowering transmission of SARS-CoV-2 in rural communities by facilitating rapid isolation and quarantine. Read more.
IHS National Tribal Advisory Committee on Behavioral Health (NTAC) Roster Vacancies
The Indian Health Service (IHS) National Tribal Advisory Committee on Behavioral Health (NTAC) membership roster currently has ten vacancies. There are four Area Primary vacant positions and six Area Alternate positions. The following areas have vacant positions:

  • Albuquerque: Primary and Alternate
  • Billings: Alternate
  • Bemidji: Alternate
  • Nashville: Primary and Alternate
  • Navajo: Primary and Alternate
  • Tucson: Primary and Alternate

For more information or questions regarding these vacancies, please contact Michele Muir-Howard at [email protected].
Funding & Opportunities
NIHB is Requesting Applications to Support American Indian and Alaska Native Maternal Health though Tribal-Led Maternal Mortality Review Committees
Applications are due by Friday, September 24, 2021

National Indian Health Board (NIHB) is requesting applications for a new opportunity for supporting maternal American Indian and Alaska Native maternal health through Tribal-led Maternal Mortality Review Committees (MMRCs). NIHB anticipates funding for up to 12 proposals from Tribes, Tribal consortia, and Tribal organizations for up to $7,500 each. Through this opportunity, grantees will participate in a self-assessment over an 8-month period to explore key components of Tribal-led MMRCs and assess their readiness to establish and sustain a Tribal-led MMRC. Tribal-led MMRCs that respect American Indian and Alaska Native (AI/AN) culture may result in identification of meaningful and effective maternal mortality prevention strategies for AI/AN communities. The intended outcomes for the Tribal-led MMRC Self-Assessment project include: Understanding the unique needs of Tribes for maintaining a successful MMRC, increasing knowledge capacity in AI/AN maternal mortality prevention efforts, and increasing partnerships among Tribes and Tribal organizations. The application deadline is Friday, September 24, 2021 at 11:59pm Eastern Time. To download the application packet and read more about the project, click here. 
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Request for Applications: Strong Systems, Stronger Communities (SSSC)
Due: Friday, September 24th 2021, at 11:59 PM ET
 
The National Indian Health Board (NIHB) and the Centers for Disease Control and Prevention (CDC) are pleased to announce the fourth cycle of funding for Strong Systems, Stronger Communities (SSSC) for Tribes. Through this opportunity, grantees will participate in self-assessment of capacity and departmental needs or perform work by choosing projects related to performance improvement or systems improvement. NIHB anticipates funding up to 8 proposals under 2 categories:
  • Self-Assessment Award - $3,000 each
  • Performance Improvement/Systems Improvement Award - up to $10,000 each, with up to an additional $2,000 provided to attend a required NIHB training.
 
Applications are open to Tribal entities of federally recognized Tribal governments, Tribal organizations, or inter-Tribal consortiums, as defined in the Indian Self-Determination and Education Assistance Act, as amended. Applicants should have a strong interest and/or demonstrated commitment to pursuing public health performance and systems improvement or public health accreditation.
 
The application deadline is Friday, September 24, 2021, at 11:59 PM Eastern Time. Please read the full funding description and download the application packages here.
NIH Maternal Health Funding for Prevention of Perinatal Depression: Improving Intervention Delivery for At-Risk Individuals
Due date: October 9, 2021
The National Institutes of Health (NIH) recently announced two funding opportunities for applications to refine and examine preliminary effectiveness of perinatal depression preventive interventions in settings where women receive perinatal care. Tribal entities are encouraged to apply. Read more on RFA-MH-21-240 or RFA-MH-21-241.
New Funding from HUD for AI/AN Community Development
Applications due October 25, 2021
The U.S. Department of Housing and Urban Development (HUD) released a “Community Development Block Grant Program for Indian Tribes and Alaska Native Villages.” This grant program will provide funds for housing rehabilitation, economic development projects, healthcare facilities, correctional facilities, and many other infrastructure related projects within Tribal communities. For the application instructions to apply for this funding click here. To apply for this funding click here. Any questions or comments regarding this funding can be sent to [email protected]
New Funding Opportunity from NIH for a Resource Center to Serve American Indian and Alaska Native Populations
Letter of intent due October 30, 2021
On August 9, the National Institutes of Health’s (NIH) National Institute of Minority Health and Health Disparities released a funding opportunity for a selected resource center to provide both support and technical assistance for Tribal Epidemiology centers. This funding is being awarded to aid in research and data science capacity relating to American Indian and Alaska Native populations. If awarded this funding, the center would begin work in July of 2022. If you or an organization within your Tribal community is interested in receiving these funds, please submit a letter of intent by October 30, 2021. To apply online click here.
AmeriCorps and CDC Launch Public Health AmeriCorps, Seek Proposals to Build a New Generation of Public Health Leaders
Applications due November 8, 2021

AmeriCorps, the federal agency for volunteering and national service, has launched Public Health AmeriCorps, a new partnership with the Centers for Disease Control and Prevention (CDC) to support the recruitment, training, and development of a new generation of public health leaders who will be ready to respond to the nation’s public health needs.


On September 10th, 2021, AmeriCorps released the notice of federal funding availability for Public Health AmeriCorps through AmeriCorps’ State and National program. The competition is open to nonprofit, faith-based and community-based organizations; higher-education institutions; state, local and territorial government entities, such as cities or counties; and Indian Tribes. New organizations are encouraged to apply for these grants. The window for funding availability will be open for 60 days from this announcement.
Potential applicant organizations are encouraged to fully review the information posted on americorps.gov funding opportunities webpage. The deadline for applications is Monday, Nov. 8, 2021.

AmeriCorps will host a variety of technical assistance calls, webinars and workshops to answer questions about this funding opportunity, including how to submit an application. Times and dates for these calls, along with additional technical assistance information, will be posted on its funding opportunity page. Questions from organizations about the grant competition can be directed to [email protected].

Read more here.
The National Indian Health Board is Hiring!

The National Indian Health Board (NIHB) is seeking qualified candidates for the following open positions in the Public Health Policy and Programs Department based in Washington, DC.

  • Communications Director
  • Director of Congressional Relations
  • Congressional Relations Associate
  • Policy Analyst
  • Policy Research Analyst
  • Policy Center Communications Coordinator
  • Public Health Project Coordinator (Environmental Health)
  • Public Health Project Associate (Infectious Disease)
  • Public Health Project Associate (Maternal and Child Health)
  • Public Health Project Associate (Maternal Mortality Review Committee)
  • Public Health Social Media Communications Specialist
  • Public Health Administrative Assistant

Job descriptions are available here.
Request for Information on Infection Control and Disaster Plans
One of the goals of The National Indian Health Board’s (NIHB) Project Firstline: Tribal Infection Prevention and Control Capacity Building Program is to “develop and/or adapt existing materials to inform Tribal health professionals about important components of infection prevention and control (IPC)”. To support this endeavor, NIHB is in the process of compiling current materials and plans which Tribal Health Organizations and Systems currently use or have used. NIHB is seeking assistance with gathering information about existing infection control learning materials and/or infection control response plans. Recognizing that many Tribes and Tribal organizations have set an example in their response through great planning, NIHB requests that anyone willing to share their materials to please contact Carmen Sanders at [email protected].
Resources
COVID-19 Children’s Eagle Book Coloring Storybook Is Now Available.

The Centers for Disease Control and Prevention (CDC) has released a coloring storybook about staying safe from COVID-19, title Community Protectors: Children Help Communities Stay Safe from COVID-19. CDC, CDC foundation, and Oklahoma Tribal Engagement Partners created a Community Protectors to educate children to stay safe and help protect their communities from the spread of COVID-19. Community protectors is written by James Wallace (Choctaw Nation). Patrick Polo (Bad River Band of Ojibwe), the original Eagle Books provided the illustrations to color. This 20-page coloring book follows the same characters of the Eagle Books and contains a lively story that conveys culturally relevant and science-based messages for Native Children about preventing the spread of COVID-19. It was created for children age 5-10. A downloadable version of the coloring storybook is available here. There are also copies available for order.
NICOA officially launches #ConnectedIndigenousElders campaign

The National Indian Council on Aging (NICOA) has launched a new campaign to address the issue of social isolation and loneliness among American Indian and Alaska Native elders. Learn more here.
Request Technical Assistance on NIHB’s Brain Health Webpage
On the National Indian Health Board’s (NIHB) Brain Health for Tribal Nations webpage, you can now submit a request for technical assistance for implementing the Roadmap to Indian Country strategies, hosting a Brain Health Action Institute, locating resources, starting conversations on brain health in your community, and more. Read more here.
Centers for Disease Control and Prevention (CDC)

  • CDC COVID-19 Vaccination Program Provider Agreements- Providers must administer COVID-19 vaccines in accordance with all program requirements and recommendations of CDC, the Advisory Committee on Immunization Practices, and the U.S Food and Drug Administration (FDA). This applies to both EUA and FDA approved COVID-19 vaccines. Accordingly, “off-label use” of these products is not recommended and would violate the provider agreement, potentially exposing providers to the following risks:
  • Off-label administration may not be covered under the PREP Act or the PREP Act declaration; therefore, providers may not have immunity from claims.
  • Individuals who receive an off-label dose may not be eligible for compensation under the Countermeasures Injury Compensation Program after a possible adverse event.
  • Providers giving off-label doses would be in violation of the CDC COVID-19 Vaccination Program provider agreement potentially impacting their ability to remain a provider in the CDC program.
  • Administration fees may not be reimbursable by payers.
  • Natural Disaster, Sever Weather, and COVID-19: Going to a Public Disaster Shelter During the COVID-19 Pandemic Read more. Follow tips to help you and your family stay safe during hurricane season this year, Read more.
  • Wildfire Smoke and COVID-19: Know how wildfire smoke can affect you and your loved ones during the COVID-19 pandemic and what you can do to protect yourself, Read more.
  • CDC Disaster Shelter Assessment: The CDC has developed the Environmental Health Assessment Form for Disaster Shelters to assist environmental health practitioners in conducting a rapid assessment of shelter conditions during emergencies and disasters. The tool is an assessment form that covers 10 general areas of environmental health, ranging from basic food safety and water quality to pet (companion animal) wellness, and allows for the documentation of immediate needs in shelters. Users can easily modify the tool to meet local needs. To find the Shelter Assessment Form instruction during COVID-19: Instruction Sheet. A downloadable version of the Shelter Assessment Form during COVID-19 is available here.
  • Making Contact: A Training for COVID-19 Contact Tracers. Introductory online course for entry-level COVID-19 contact tracers, for use by health agencies in rapid training of new contact tracers. The training will be augmented by state/local specific training required to orient individuals to jurisdiction-specific protocols. This training focuses on building knowledge for remote contact tracing; a subsequent release will include a module on field services. Register here.

  • Updated: The COVID-19 Testing Communication Toolkit provides communication resources about COVID-19 testing, including factsheets and social media. You can use these resources to communicate in your Tribal community. Read more.
  • Updated: Find maps and charts tracking cases, deaths, and trends of COVID-19 in the United States, updated daily by 8 pm ET. On the CDC COVID Data Tracker here.
  • Updated: Trends in COVID-19 Vaccine Confidence in the US: Maps, charts, and data provided by CDC; National data updated weekly, and jurisdictional data updated monthly. Read more.
  • Updated: In case you missed the COCA call on September 9, 2021: 2021-2022 Influenza Vaccination Recommendations and Guidance on Coadministration with COVID-19 Vaccines. You can find the recording here.
  • Updated: Find new guidance for fully vaccinated people, Read more.
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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.
CDC’s Coronavirus Self Checker
 
The Centers for Disease Control and Prevention (CDC) has a great tool to help you make decisions on when to seek testing and medical care. Tribal members who are 13 and older, and parents and caregivers of children ages 2 to 12 can use the tool to help decide when to seek testing or medical care if they suspect they or someone they know has contracted COVID-19 or has come into close contact with someone who has COVID-19. Tribal members can use the on-line tool to find recommended actions and resources based on their response to questions in the Self-checker tool. 
Events
Symposium: Missing or Murdered American Indians and Alaska Natives
September 14-16, at 1:30pm-5:15pm ET
In an effort to find lasting solutions to the public safety challenges Tribal communities encounter and to protect them from violence, abuse, and exploitation, a national symposium on missing or murdered indigenous persons (MMIP) related issues for federal, state, Tribal and local stakeholders is being held September 14-16, 2021. This MMIP training is via webinar and will address important topics like data collection, victim advocacy, creating a community strategy for addressing missing persons, and working collaboratively across jurisdictions. The webinar is free. Learn more here.
Join CDC Experts for a Virtual Town Hall TOMORROW!
Friday, September 17, 2021, at 2:15 PM ET
 
Have questions about what the updated guidance for healthcare settings during the COVID-19 pandemic means for your role as a Tribal healthcare worker and your Tribal healthcare facility? Centers for Disease Control and Prevention’s(CDC)Project Firstline is hosting a town hall for healthcare workers on September 17th at 2:15pm EST, where CDC experts will discuss the updates and answer questions. This is a unique opportunity for Tribal healthcare workers to speak directly to the CDC experts and ask your questions. REGISTER HERE today! 
CDC - COVID-19 Leadership: Best Practices for Team Leads
Multiple dates and times available.
 
This training is not recorded. It is a live, instructor-led training. Full attendance and active participation for all two days are required to obtain a certificate. Our trainings are offered by demand, so register only if you will attend. This virtual skills-based course is designed for public health leaders who manage case investigators and contact tracers supporting COVID-19 programs. Read more.
NIHB COVID-19 Vaccines Listening Session
Tuesday, September 21, 2021 from 3:00 - 4:30 PM EST

The National Indian Health Board (NIHB) is hosting a listening session on youth COVID-19 Vaccines to further the discussion around current challenges and needs as well as best practices for COVID-19 vaccines hesitancy in Indian Country. American Indian and Alaska Native youth as young as 12 years old are now eligible to get a COVID-19 vaccine. NIHB invites Tribal leaders, Tribal health administrators, Tribal public health staff, Tribal advocates, stakeholders, and citizens to share with their peers the experiences and best approaches to getting community members vaccinated over the last few months. Information gathered will inform NIHB's ongoing advocacy and awareness efforts. Register here.
National Partnership for Dental Therapy Webinar
Tuesday, September 21, 2021, at 1:00pm ET

This webinar will discuss the latest developments in dental therapy policy, including emerging trends and lessons learned from existing states, and about the latest state to authorize dental therapists – Oregon. With many more states contemplating adding dental therapists to their dental teams, this timely information can help ensure advocates and policymakers develop policies that advance health equity and expand access to high-quality dental care while investing in underserved communities. Click here to register!
HRSA 2021 American Indian/Alaska Native Health Summit—Virtual
September 21–23, 2021
Join the Health Resources and Services Administration’s (HRSA) Office of Regional Operations (ORO) in Seattle in collaboration with Health and Human Services (HHS) operating divisions and Tribal and Urban Indian Organizations in Region 10 for the 2021 American Indian/ Alaska Native (AI/AN) multidisciplinary health summit. The summit will focus on promising practices and innovative approaches to improve AI/AN health and address disparities in the midst of COVID-19. Read more
Indian Country Dementia ECHO for Health Care Workers and Caregivers 
Date: 2nd and 4th Thursday of every month at 2-3pm ET

The Dementia Extended Care Health Option (ECHO) Program: For Health Care Workers and Caregivers begins on September 9th (clinical program) and September 23rd (caregiver support program). The program is designed to support I/T/U clinicians and caregivers to strengthen the knowledge and care around dementia for Tribal patients. Learn more.
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Save the Date: Tribal Public Health Accreditation Advisory Board Meeting
Wednesday, September 29, 2021, at 1:00 PM ET
 
The National Indian Health Board (NIHB) will host the Public Health Accreditation Board (PHAB) during the next Tribal Public Health Accreditation Advisory Board (TPHAAB) meeting on Wednesday, September 29, 2021 from 1:00-2:00 PM Eastern.
 
During this meeting we will overview the Version 2022 of the PHAB Standards & Measures, which are now available for feedback. PHAB is seeking input from the Tribal public health field to weigh in on the proposed Version 2022. Feedback is crucial to ensuring that Version 2022 reflects the changing landscape of public health practice in Indian Country and incorporates important feedback from Tribal public health practitioners. If your Tribe has participated in or has interest in public health accreditation, please mark your calendar and plan to join us for this event. Registration details to follow. 
Managing Influenza in American Indian Populations: Timely Diagnosis & Community Engagement Webinar
Multiple dates and times available

Timely recognition is important to mitigate complications from influenza, but disparities in community awareness and diagnostic testing create a unique burden for Indian Health systems establishing best practices for clinical and laboratory diagnosis. In this first of a 2-part virtual meeting series, real-world survey data will be shared to highlight different approaches and opportunities across tribal health settings. You won't want to miss:
  • Local survey results surrounding community engagement and healthcare access for timely influenza diagnosis
  • The latest evidence, guidelines and best practices for clinical and laboratory diagnosis of influenza
  • Interactive discussion with faculty and colleagues on strategies to overcoming barriers and improve patient care

Register for the webinar here.
This publication is supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $9,600,000, and by the Indian Health Service (IHS) of HHS as part of a financial assistance award totaling $266,000, with up to 75 percent funded by CDC, up to 15 percent funded by IHS, and up to 10 percent funded by other governmental and non-governmental source(s). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.