Tribal Epidemiology Centers

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Tribal Epidemiology Centers

• Jim Cheek, MD, MPH
• Division of Epidemiology and Disease Prevention
• Indian Health Service
• Albuquerque, NM

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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) gt70 years of age
• 418,000 (35) lt15 years of age
• 32 live below poverty level

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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
IN
IL
UT
DE
WV
CO
MD
KS
MO
VA
KY
CA
NC
AZ
TN
OK
AR
SC
NM
GA
TX
MS
AL
AK
LA
FL
Census 2000, One race (AI/AN) alone
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Health Care Delivery

• IHS-direct service
• Tribal Health Programs
• Contract with IHS
• Compact with U.S. Congress
• Urban Indian Programs

Visits
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Indian Health Service

• 12 regional offices
• 41 hospitals and 114 health centers
• Rural areas and Reservations

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Tribal Epidemiology Centers (TEC)

• Authorized by Indian Health Care Improvement Act
• Monitor progress toward Healthy People
• Funded since FY1996
• Located within tribal health programs

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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

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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

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