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Tribal Epidemiology Centers

Tribal Epidemiology Centers Jim Cheek, MD, MPH Division of Epidemiology and Disease Prevention Indian Health Service Albuquerque, NM American Indians and Alaska Natives Over 560 federally-recognized tribes 4.2 million American Indians and Alaska Natives 1.5 million served by IHS

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Tribal Epidemiology Centers

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  1. Tribal Epidemiology Centers Jim Cheek, MD, MPH Division of Epidemiology and Disease Prevention Indian Health Service Albuquerque, NM

  2. American Indians and Alaska Natives • Over 560 federally-recognized tribes • 4.2 million American Indians and Alaska Natives • 1.5 million served by IHS • 44,000 (3.7%) >70 years of age • 418,000 (35%) <15 years of age • 32% live below poverty level

  3. AI/AN Population by State, 2000 HI 100,00 to 333,400 50,000 to 99,999 10,000 to 49,999 1,713 to 9,999 American Indian and Alaska Native Population* By State WA NH ME VT MT ND MN MA OR ID SD WI NY RI MI WY CT IA PA NV NE NJ OH IL IN UT WV DE CO KS MO VA MD KY CA NC AZ TN OK AR SC NM GA TX MS AL AK LA FL * Census 2000, One race (AI/AN) alone

  4. Health Care Delivery % Visits • IHS-direct service • Tribal Health Programs • Contract with IHS • Compact with U.S. Congress • Urban Indian Programs

  5. Indian Health Service • 12 regional offices • 41 hospitals and 114 health centers • Rural areas and Reservations

  6. Tribal Epidemiology Centers (TEC) • Authorized by Indian Health Care Improvement Act • Monitor progress toward Healthy People • Funded since FY1996 • Located within tribal health programs

  7. Vision • Support for decision-making and action • Local uses--health profiles • National initiatives • Address health disparities • Provide public health services to tribes • Focus on essentials of public health • Serve multiple tribes in region

  8. Funding • Competitive Cooperative Agreements • Significant Agency involvement • $125,000 to $425,000 • Increasing over time • $750,000 needed per center • Additional funding from outside IHS • NIH, CDC • Foundations

  9. IHS Areas with Tribal Epidemiology Centers Portland -UIHS -NWPAIHB Bemidji Aberdeen Billings Nashville Phoenix & Tucson Navajo Oklahoma Albuquerque Alaska

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