Tribal Public Health Broadcast
September 7, 2017
NIHB Events 


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Public Health News

RWJF Culture of Health Prize Accepting Applications, 
Deadline November 3

Suicide Prevention Resources for World Suicide Day and National Suicide Prevention Week 

Zika Preparedness Resources - September is Preparedness Month


September is National Preparedness Month

Public Health News
mammogramsArticle Analyzes State Data and Finds American Indian Women with Medicaid are Less Likely to Use Mammograms

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)
RWJFRWJF Culture of Health Prize Accepting Applications 
Deadline Nov. 3

The Robert Wood Johnson Foundation (RWJF) Culture of Health Prize (the Prize) recognizes communities that have placed a priority on health and are creating powerful partnerships and deep commitments that will enable everyone, especially those facing the greatest barriers to good health, the opportunity to live well. A Culture of Health recognizes that health and well-being are greatly influenced by where we live, learn, work, and play; the safety of our surroundings; and the relationships we have in our families and communities. The Prize elevates the compelling stories of local leaders and community members who together are transforming neighborhoods, schools, businesses, and more-so that better health flourishes everywhere.  

SuicideResourcesSuicide Prevention Resources for World Suicide Day and National Suicide Prevention Week

Sunday, September 10 is World Suicide Day and the kickoff of National Suicide Prevention Week. The events section of this week's newsletter lists resources and other information related to suicide prevention. View the information and resources HERE

ZikaPrepZika Preparedness Resources

September is National Preparedness Month. Preparedness is an important part of public health. Zika preparedness is also an important part of public health and overall health and well-being. 

Zika is a virus most commonly spread by Aedes mosquitoes. It can also be transmitted from mother to child, through sexual activity, through blood transfusion (though this has not occurred yet in the US), and in laboratory or healthcare settings (although this is rare). Zika is a mild illness in most adults and many infected people will not have any symptoms. It is believed that Zika may sometimes cause complications leading to a nervous system disease called Guillain-Barr é Syndrome. However, the main health concern is that Zika during pregnancy can cause very serious birth defects for a developing baby. Learn more about Zika  HERE

Building a Zika kit is one way to be prepared for Zika virus. Some communities have Zika kits available for distribution, or you can make your own. Centers for Disease Control and Prevention (CDC) recommends including the following items in a Zika kit, particularly for pregnant women: 

Partial fact sheet from CDC

Communities and Tribes may also prepare for Zika transmission. With guidance from CDC, NIHB is also finalizing a Zika Action Plan training curriculum - a resource for Tribes wishing to create a Zika Action Plan. Look for this curriculum to be released in the near future! Preparing for Zika is important and communities are encouraged to take action now to be ready for the possibility of local cases. Preparedness activities can also create valuable partnerships to benefit Tribes in addressing other public health concerns. The Zika Community Action Response Toolkit (Z-CART) and the Zika Interim Response Plan are other helpful CDC resources. NIHB also offers the Zika Hub with information about Zika virus and preparedness. Finally, NIHB can provide technical assistance and answer questions for Tribes and individuals. Email NIHB or submit a question if you have questions or need assistance with Zika prepardness or other matters related to Zika virus. 

CHWDirectory of State Community Health Worker Models

This map highlights state activity to integrate Community Health Workers (CHW) into evolving health care systems in key areas such as financing, education and training, certification, and state definitions, roles and scope of practice. The map includes enacted state CHW legislation and provides links to state CHW associations and other leading organizations working on CHW issues in states. Link to CHW map


September is National Preparedness Month (NPM). Unfortunately, many Americans are not well prepared for disasters and other emergencies. 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

World Suicide Day and National Suicide Prevention Week
Sunday, September 10 and September 10-16

Suicide Rates by Race/Ethnicity, 2000-1014
Image from Suicide Prevention Resource Center

Sunday, September 10 is World Suicide Day and the kickoff for National Suicide Week from September 10-16. Suicide is a serious public health issue with a significant impact on American Indian communities. The Suicide Prevention Resource Center reports that American Indians and Alaska Natives have higher suicide rates than any racial or ethnic group in the United States. 

The resources below provide additional information about suicide (with a focus on Tribal communities), World Suicide Day, and National Suicide Week. These resources contain data and statistics, information about best practices and other community initiatives, opportunities for training, and resources for suicide prevention in a variety of different settings. 

  • Suicide Prevention Resource Center - American Indians and Alaska Natives: view information, resources, and news HERE or online courses HERE
  • Suicide Prevention Best Practices - Indian Health Service (IHS): view programs, practices, and resources, including those intended for schools, youth, and individuals HERE
  • Tribal Training and Technical Assistance Center - Substance Abuse and Mental Health Services Administration (SAMHSA): view fact sheets, prevention manuals, toolkits, research information, and connect with other prevention organizations HERE
  • World Suicide Prevention Day official website: view information about the date, basic prevention information, and more HERE
  • American Foundation for Suicide Prevention: learn about suicide and National Suicide Prevention Week, what you can do to get involved or help, and find support HERE
  • American Association of Suicidology: view ways to get involved (including simple options like using a Suicide Prevention Week graphic as your profile picture to raise awareness), training opportunities, and more HERE
  • Centers for Disease Control and Prevention (CDC) - Suicide Prevention: view public health data and statistics, publications, resources, and research activities HERE
  • Mental Health First Aid, similar to First Aid/CPR training but for mental health support in a community day-to-day: learn about certification or becoming an instructor HERE
Help is available for people considering suicide or in crisis. Many hotlines offer language interpreters or TTY assistance if needed. Most hotlines are available 24-hours per day. In addition to other local or national resources, resources include: 
  • The Suicide Prevention Lifeline: 800-273-TALK (8255) 
  • SAMHSA's National Helpline: 800-662-HELP (4357)
  • Veteran's Crisis Line: 800-273-TALK (8255) - Press 1
  • text 741741 from anywhere in the United States
  • Teen Line: 310-855-HOPE (4673) or 800-TLC-TEEN (852-8336) or text TEEN to 839863
  • RAINN (sexual assault related): 800-656-HOPE (4673) or online chat
  • Trevor Line (LGBT youth): 800-850-8078
  • National Eating Disorder Association (working hours PST): 800-931-2237
  • National Drug and Alcohol Abuse Hotline: 877-437-8422
  • Childhelp National Child Abuse Hotline: 800-4-A-CHILD (800-422-4453)
Call 911 if there is a suicidal person in immediate danger. Local emergency response may also provide a wellness check. 

Learn the warning signs of suicide and risk and protective factors

DataSharingTribal Perspectives on Data Sharing Webinar - National Cancer Institute  
Monday, September 11 at 2:30 pm ET (one hour) 

The National Cancer Institute is hosting a webinar on Monday, September 11 from 2:30-3:30 pm ET. The following is the description of the webinar posted on the website of the National Cancer Institute's ENRICH Forum: Ethical aNd Regulatory Issues in Cancer ResearcH: 

The aim of broad data sharing is to maximize the public benefit derived from genetic and genomic studies. However, Tribal leaders have a fiduciary responsibility to assure that uses of Tribal data are responsible, particularly in light of past mis-uses of research data. The sovereign status of Tribal governments has implications for research agreements and data-sharing negotiations. Recognizing the unique concerns raised by Tribal entities, an NIH-funded research center involving a partnership among three Tribal organizations and three universities convened a meeting to consider data sharing and related research issues. The speakers will discuss the Tribal perspectives that arose from the meeting, and from their experience participating in Tribal partnerships. While there is strong Tribal support for efficient research processes that expedite the benefits from collaborative research, there is also a need for data-sharing procedures that take into account Tribal sovereignty and appropriate oversight of research, and move beyond existing models of individual consent and community engagement.

Learn more or register  HERE