Tribal Public Health Broadcast
November 24, 2017

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Health Disparities Among American Indians and Alaska Natives: Enormous Hurdles and Opportunities to Advance Health Status 

Flu Resources

Nature and Health Webinar Recording Available

Native News: Climate Discussions 

November is National Diabetes Month

24 Hours of Reality: Stories of Climate Change, Monday, December 4 - Tuesday, December 5, 2017

Climate Changes Health: Extreme Weather, Vulnerable Populations, and the Many Benefits of Taking Action, Thursday, December 7, 2017 from 3:00-4:30 pm ET

Fundamentals of Evaluation for Public Health Programming - NIHB Webinar, Thursday, December 7, 2017 from 3:00-4:15 pm ET

Public Health Thank You Day

Learn more about the day  HERE or read the blog post  HERE

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: 
PBS News Hour Article: 
CBC News Article: 
National Indian Health Board Resolution 16-02, which lists previous oil and brine spills which affected the drinking water of Tribes: 
Indigenous Environmental Network: 


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
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


Read the article  HERE


View or access the resources  HERE or learn more about seasonal flu HERE


View the webinar  HERE
November is National Diabetes Month

[Source - IHS]


View IHS resources  HERE or CDC resources  HERE  


The National Colorectal Cancer Roundtable (NCCRT) states: "Many American Indian and Alaska Native (AI/AN) communities experience higher rates of colorectal cancer incidence and mortality and overall screening rates are lower than the national rate. In April 2016, the American Cancer Society [ACS] and the NCCRT hosted a one-day summit to explore the challenges and potential solutions to improving access to quality [colorectal cancer screening] in this population. This webinar will provide a brief overview of this meeting and describe the ACS's recent grants to increase screening for AI/AN-serving primary care clinics. We will also hear from two AI/AN-serving organizations that are implementing innovative strategies to increase [colorectal cancer screening] in the communities they serve." 

Pre-registration is required and registration is open to "NCCRT members, 80% by 2018 partners, CDC grantees, ACS Health Systems and Communications staff, and new partners interested in getting engaged in colorectal cancer screening efforts." 

Learn more or register HERE

Responding to Zika and Other Public Health Emergencies: A Spotlight on Current Efforts - NIHB Webinar
Tuesday, November 28, 2017 from 3:30-5:00 pm ET 

Public health and healthcare preparedness are cornerstones to how Tribal communities can equip themselves to address the threat of Zika and other events of public health significance. This webinar will highlight two national perspectives on ways communities have been preparing for and responding to Zika and other health emergencies. The Tribal Emergency Management Association will highlight efforts to support Tribal nations in improving healthcare preparedness. The National Association of County & City Health Officials will share approaches local health departments have taken in collaboration with partners to better prevent and control Zika. Presenters will provide resources for Tribal nations who can then leverage these for their own preparation and response activities.

Please email Angelica Colagreco at if you have questions. 

mDPPAll Tribes Call: Medicare Diabetes Prevention Program
Wednesday, November 29, 2017 from 2:00-3:00 pm ET

The purpose of this All Tribes' Call is for CMS staff to provide an overview of the MDPP Model Expansion CY 2018 Final Rule and answers questions. Some of the highlights of the CY 2018 Final Rule that will be presented on the call include:
  • MDPP services may begin being furnished on April 1, 2018;
  • Individuals with a previous diagnosis of diabetes are not eligible for MDPP services, however, a beneficiary will not lose coverage if he/she develops diabetes during the MDPP services period;
  • Finalized a total MDPP services for two years - one year of core & core maintenance sessions and up to one year of ongoing maintenance sessions depending on eligibility;
  • Finalized an entity may be eligible to enroll in Medicare as a MDPP supplier if it has achieved at least MDPP preliminary recognition;
  • Finalized an MDPP supplier may provide in-kind beneficiary engagement incentives.

For more information, click HERE
You can register for this call  HERE

Monday, December 4 - Tuesday, December 5, 2017

The project, 24 Hours of Reality, will encompass "twenty-four hours of inspiring stories of regular people taking their future into their hands and taking action on climate." This project will include conversations, musical performances, and information broadcasted live. 

Learn more about the project HERE or view the schedule (worldwide) and other details  HERE  

Learn more about climate, health, and Tribes AND work at the National Indian Health Board HERE

Fundamentals of Evaluation for Public Health Programming - NIHB Webinar
Thursday, December 7, 2017 from 3:00-4:15 pm ET

Evaluation is a key programmatic function; however, it often gets overlooked during program implementation, or confusion over how to conduct a good and thorough evaluation may lead staff to forgo such efforts. Evaluation helps us to make solid programmatic decisions and holds us accountable to ourselves, our funders and our communities.  This training will move through the different levels of process and outcome evaluation - clearly defining them and providing suggestions and tips on how to conduct evaluations easily and successfully. The webinar will use widely accepted terminology and methodologies so that the basics are well understand and can be universally applied across different programs or disciplines.  The facilitator will also briefly discuss how to construct evaluation plans (including evaluation questions and indicators) that align with implementation plans, and how to make sure that these plans align with one another.
Note: This webinar will not cover how to create evaluation instruments or how to create logic models.   

This webinar is designed for community health workers, prevention specialists, program directors, program planners, and evaluators that work specifically in the area of public health and programming, and have a vested and sincere interest in conducting evaluation activities on their Tribal programs.  It would also be appropriate for a broader audience of individuals that interact regularly with such programs, including health administrators, grant writers, and contract monitors. 

Learn more about this webinar, including learning objectives, or register HERE

Please email Angelica Colagreco at if you have questions.