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Health Disparities Among Native Americans. Michael E. Bird, MSW, MPH Public Health Consultant Past President, American Public Health Association. Opening Quote. In 1970 , U.S. President Richard Nixon delivered the following statement in a message to Congress…. Opening Quote.
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Health Disparities AmongNative Americans Michael E. Bird, MSW, MPH Public Health Consultant Past President, American Public Health Association
Opening Quote In 1970 , U.S. President Richard Nixon delivered the following statement in a message to Congress…
Opening Quote The first Americans-the Indians- are the most deprived and most isolated minority group in our nation. On virtually every scale of measurement-employment, income, education, health- the condition of the Indian people ranks at the bottom….
Opening Quote …This condition is the heritage of centuries of injustice. From the time of their first contact with European settlers, the American Indians have been oppressed and brutalized, deprived of their ancestral lands and denied the opportunity to control their own destiny.
TIMELINE ON INDIAN HEALTH CARE The Henry J. Kaiser Family Foundation, American Indians and Alaska Natives: Health Coverage and Access to Care (Feb 2004)
Indian Health Service (I.H.S.) • 566 federally recognized tribes • Provides services in 35 States • Annual appropriation of $4.3 billion • Serves 2M American Indians/Alaska Natives • www.ihs.gov/publicaffairs/IHSbrochure/disparities.asp
I.H.S. DATA 2004 to 2006 Rates: Alcoholism 514% Higher Tuberculosis 500% Higher Diabetes 177% Higher Accidents 140% Higher Suicide 82% Higher Homicide 92% Higher www.ihs.gov/publicaffairs/IHSbrochure/disparities.asp
I.H.S. DATA www.ihs.gov/publicaffairs/IHSbrochure/disparities.asp
CDC DATA • Leading Causes of Death (2007) • Heart disease • Cancer • Accidents (unintentional injuries) • 44% of persons <65 are without health insurance (2010) • http://www.cdc.gov/nchs/fastats/indfacts.htm
Dispossession Health Disparities • Before contact, tribes thrived as independent nations • Under Federal Indian Policy • subjected to mass genocide • forced resettlement • compulsory acculturation • Cultural dislocation transcended generations and manifested itself today into a dispersed, socioeconomically disadvantaged people overburdened by disease.
E-mail: mlittlebird@msn.com Phone: (505) 715-4851 MICHAEL E. BIRD, MSW, MPH