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Lon Kightlinger, MSPH, Ph.D. South Dakota Dept of Health 27 October 2005

Partnership for Good Health Aberdeen Area Tribal Chairmen’s Health Board Consumer Conference. Lon Kightlinger, MSPH, Ph.D. South Dakota Dept of Health 27 October 2005. 800-738-2301 605-773-3737. Races in South Dakota 2004 population estimate: 770,883.

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Lon Kightlinger, MSPH, Ph.D. South Dakota Dept of Health 27 October 2005

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  1. Partnership for Good HealthAberdeen Area Tribal Chairmen’s Health Board Consumer Conference Lon Kightlinger, MSPH, Ph.D. South Dakota Dept of Health 27 October 2005 800-738-2301 605-773-3737

  2. Races in South Dakota2004 population estimate: 770,883

  3. South Dakota population age distribution <1% 2% 1% 6% 3% 8% 9% 5% 8% 14% White American Indian 13% 16% 13% 12% 19% 15% 26% 14% 6% 12% Percent of race group’s population, 2000 census

  4. Some Problems • All the same problems as any other place in South Dakota, magnified. • Health disparities • Geographic isolation of Reservations • Off the Interstate, no commercial airports. • Short-term physicians. • Multiple jurisdictions for funding and authority. • Poverty. • Communication (all in English).

  5. Partnership Context • Tribal jurisdiction and tribal sovereignty. • Everyone living in South Dakota is a resident of South Dakota. • All disease and health events are interrelated. • Look for health disparities. • SD Dept of Health serves all residents of SD. • “Reducing Health Disparities” guiding principal of SD-DOH • Normal, inclusive and seamless. • “Counties and Tribes” • NEW in 2004: Northern Plains Tribal Epidemiology Center. • Handshake agreements – not many formal MOUs. • Cooperation, patience and forbearance. • Tribal epi needs: Top priority for SD-DOH.

  6. Leading causes of death, South Dakota SEER*Stat Age-adjusted rate, 1998-2002

  7. Years of potential life lost before age 75 years by race, SD and USA(Age-adjusted YPLL before age 75 years per 100,000 population) CDC. 2003 State Health Profiles

  8. Infant mortality disparity, South Dakota, median 1999 – 2003, (Infant deaths per 1000 live births)

  9. Overweight school children by race,South Dakota, 2003-2004 school year 44% 35% 32% 30% Overweight: ≥95th percentile BMI-for-age and gender At risk of overweight: 85th -94thpercentile BMI-for-age and gender

  10. Infectious disease incidence by race, South Dakota *2004 cases **Presently living with HIV/AIDS ***2003 WNV neuroinvasive cases

  11. South Dakota current adult and high school smokers

  12. Partnerships between SD Dept of Health and Tribes • Birth Registry • Death Registry • Cancer Registry • Immunization Registry • Women-Infants-Children (WIC) • 32% American Indian children • Adult Behavioral Risk Factor Surveillance Survey (BRFSS)

  13. Partnerships between SD Dept of Health and Tribes • Bioterrorism preparedness. • Reportable infectious diseases: all reported to SD-DOH by passive surveillance • Active surveillance visits to IHS hospitals. • Disease control and prevention activities. • HIV/AIDS Prevention. • Tuberculosis control. • Sexually transmitted infection prevention. • Other infectious disease control

  14. Partnerships between SD Dept of Health and Tribes • Youth Risk Behavioral Survey (YRBS) (DoE) • Youth Tobacco Survey (YTS) • School weight/height survey • Healthy South Dakota • Work group for nutrition and physical activity • Tobacco Control • Dental services (CareMobile)

  15. 5% of clients Am Indian

  16. South Dakota adult white and Indian health and nutrition BRFSS 2003

  17. Credible health information and inspiration to help South Dakotans “Live Better and Grow Stronger” Website

  18. Health Behaviors Affecting Weight Increase:Fruits and Vegetables to “5 A Day” Decrease:Calories Increase:Physical Activity Decrease:TV viewing Increase:Breastfeeding

  19. Partnerships between SD Dept of Health and Tribes • Comprehensive Cancer Control • Diabetes Strategic Planning Coalition • All Women Count! (WISEWOMAN) • 18% of women served are Native American. • Mobile Mammography Van (starts 1 Dec 05) • Enrollment and cost of services

  20. Dental CareMobile Visits Eagle Butte, Marty, Takini, Porcupine and Crow Creek

  21. Partnerships between SD Dept of Health and Tribes inPandemic Influenza preparedness

  22. Get your flu shot

  23. Wakpa Sica Reconciliation Place Cardinal virtues woksape(wisdom),woohitika(bravery),wowacintanka(fortitude), wacantognaka(generosity).  Lon Kightlinger, MSPH, Ph.D. State Epidemiologist South Dakota Dept of Health 615 E. 4th Street, Pierre, SD 57501 (605)773-3737 lon.kightlinger@state.sd.us

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