Great Lakes Inter-Tribal Emergency Preparedness Team “Serving the Wisconsin & Michigan Tribes”

1. Great Lakes Inter-Tribal Emergency Preparedness Team“Serving the Wisconsin & Michigan Tribes” Dwayne W. Jarman, DVM, MPH GLITC MI Emergency Preparedness Coordinator

2. Tribal Governments &Health Directors • Tribal governments responsible for decisions & disaster management impacting the tribe • Sovereign & independent from each other • Governmental resolution or letter of support • Less “on-the-spot” decisions • Tribal Health Directors • Direct, contract, and community health services (+/- human services) • May not be authorized to contract with other entities or approve activities

3. WI and MI Tribal Health & Technical Assistance (Skip) • 100% (11 WI/ 12 MI) Tribes – PL 93-638 • No IHS Hospital facilities • Health Clinics & Contract Health Services • Urban Health Centers (2 WI, 1 MI) • Technical Assistance • Bemidji Area IHS office (MN, WI, & MI) • No FTE’s to focus on preparedness • Tribal Serving Organizations • Inter-Tribal councils (GLITC & ITC MI)

4. Funding • Wisconsin (’03 cont. – present) • Tribal objectives (obj.) - support consortia obj. • Public Health Consortia agreements w/ Tribes • WI Tribal consolidated contracts • GLITC – support tribal obj. completion • Michigan (’04 cont. – present) • GLITC – completion of objectives at tribes • Additional funding through GLITC to tribes • 1 of 12 Tribes direct funded with the State • WI and MI Tribal governments directed state contracting with GLITC

5. GLITC Emergency Preparedness Team (EPT) (Skip) • 2 Emergency Prep Coordinators (WI & MI) • 1 Surveillance Epidemiologist (WI) • 1 Homeland Security Coordinator (WI) • 1 Staff Assistant (2/3 WI & 1/3 MI) • Staff background: • Emergency Management, Law Enforcement, Military, Nursing, Human and Veterinary Medicine, Epidemiology, Gen. Public Health

6. WI/MI Tribal Emergency Preparedness Accomplishments • Annual Preparedness Conference • Tribal specific trainings • GLITC Emergency Preparedness website • Regional and Tribal/County exercises • Formation of Tribal Emergency Management/Response Committees • Increased communication interoperability • Tribal participation in State systems • HAN, TRAIN, & Electronic Surveillance • Increase inclusion in state meetings and steering committees

7. WI/MI Emergency PreparednessChallenges • Multi-factorial start-up delays • Funding equity (CDC, HRSA, HS) • Direct funding may be sought • Geo-Political relationships (local & state) • Additional tribal preparedness activities • Direct relationships with federal level • Impacts on Tribal Sovereignty not always clear on project onset

8. WI/MI Emergency PreparednessRecommendations • Bilateral vs. unilateral decision making • Respect tribal governments and protocols • Sharing more vs. less program info w/ tribes • Letter to Tribal government and Health Director • Set up meetings with the tribes • Incorporating Tribal input decreases the work load • Flexibility in Tribal contracting process • Tribal vs. State directed preparedness staff may increase program success

9. Contact Information: Dwayne W. Jarman, DVM, MPH - OR - Carol Wright, RN, MS Great Lakes Inter-Tribal Council, Inc. 2932 Highway 47 North Lac du Flambeau, WI 54548 Ph: 715/588-3324 Fax: 715/588-3607 Email: djarman@glitc.org (Dwayne) cwright@glitc.org (Carol) Website: www.glitc.org/~ept