The mission of the Northwest Tribal Epidemiology Center (The EpiCenter) is to collaborate with Northwest American Indian Tribes to provide health-related research, surveillance, training and technical assistance to improve the quality of life of American Indians and Alaskan Natives (AI/ANs).

The EpiCenter is one of thirteen national Centers charged with collecting tribal health status data, evaluating data monitoring and delivery systems, and assisting tribes in identifying local priorities for healthcare delivery and health education. Since 1997, The EpiCenter has administered a number of successful health research and surveillance projects serving the Northwest Tribes.

The EpiCenter serves the 43 federally recognized tribes in Idaho, Oregon, and Washington.

Until recently, monitoring and surveillance of disease and disease risk factors among AI/AN people has been a function of the Indian Health Service (IHS). In the Portland Area, which includes Washington, Oregon and Idaho, downsizing diminished the capabilities of IHS to adequately perform basic epidemiologic functions such as monitoring the health status of AI/AN communities.

In 1997, the Northwest Portland Area Indian Health Board (NPAIHB) received funding for the development of the Northwest Tribal Epidemiology Center (The EpiCenter), with the goal to assist member tribes to improve their health status and quality of life.

The EpiCenter is conducted and administered by NPAIHB, a non-profit tribal advisory board established in 1972 to advocate and provide technical assistance for the 43 Federally recognized tribes of Washington, Oregon and Idaho.

There are now ten national Centers charged with collecting data relating to and monitoring progress towards meeting the health status objectives; evaluating delivery systems and data systems; and assisting tribes to identify high priority needs for health care delivery and health education.

Tribal health research and surveillance priorities are identified by NPAIHB delegates on an annual basis. The EpiCenter’s current goals include:

Assisting communities in implementing disease surveillance systems and identifying health status priorities.
Providing health specific data and community health profiles for Tribal communities.
Conducting tribal health research and program evaluation.
Partnering with tribal, state, and federal agencies to improve the quality and accuracy of AI/AN health data.

Current projects being funded by the Northwest Epicenter include:

  • Hepatitis C Project
  • Immunization Project
  •  Improving Data and  Enhancing Access – Northwest (IDEA_NW)
  • Northwest Tribal Dental Support Center
  • Project Red Talon
  • Western Tribal Diabetes Program
  • Northwest comprehensive Cancer Prevention Program
  • Native Children Always Ride Safe (Native CARS)
  • Tots to 'Tweens
  • Native American Research Centers for Health (NW-NARCH)
  • Thrive
  • Wellness for Every American Indian to View and Achieve Health Equity (WEAVE-NW)
  • Injury Prevention Project
  • National EpiCenters Map

    View the National EpiCenters map

    epicentersmap

  • National Epidemiology Program Indian Health Service
    Lisa Neel, MPH

    Tribal Epidemiology Centers (TEC) Public Health Advisor
    12300 Twinbrook Pkwy.
    Suite 450a
    Rockville, MD 20852
    Email:
    Phone: 301-443-4305

    John Mosley Hayes, DrPh, MBA, MSPH Senior Epidemiologist
    Email:
    Phone: 301-443-2556
    http://www.ihs.gov/MedicalPrograms/Epi/index.asp

  • Alaska Native Tribal Health Consortium (ANTEC)
    Alaska Native
    TEC

    Director—Ellen M. Provost, DO, MPH
    3900 Ambassador Drive-Epicenter
    Anchorage, AK   99508
    Email: emprovost@anthc.org
    Office Phone (907) 729-4567
    Office Fax     (907) 729-4569
    http://www.anthc.org/chs/epicenter/

    ANEC

  • Albuquerque Area Southwest Tribal Epidemiology Center (AASTEC)
    Albuquerque Area Southwest
    TEC

    Director—Kevin English, RPh, MPH
    5015 Prospect Avenue NE
    Albuquerque, NM 87110
    Email: epidirector@aaihb.org
    Phone: (505) 962-2602
    Fax: (505) 764-0446
    AASTEC

  • California Rural IHB, Inc. (CTEC)

    California
    TEC
    Acting Director – Vanesscia Cresci, MSW, MPA
    vcresci@crihb.org
    4400 Auburn Blvd, 2nd Floor
    Sacramento, CA 95841
    PHN: (916) 929-9761
    FAX: (916) 929-7246
    CTEC

  • Great Lakes Inter-Tribal Epidemiology Center (GLITEC) – Great Lakes Inter-tribal Council
    Great Lakes
    TEC
    Interim CEO John Parins
    jparins@glitc.org
    P.O. Box 9
    2932 HWY 47 North – FEDEX
    Lac du Flambeau, WI 54538
    PHN: (715) 588-1093
    FAX: (715) 588-7900
    GLITEC
  • Inter Tribal Council of Arizona, Inc. (ITCA TEC)
    Inter Tribal Council of Arizona, Inc. TEC
    Director – Jamie Ritchey, PhD
    jamie.ritchey@itcaonline.com
    2214 N Central Ave., Suite 100
    Phoenix, AZ 85004
    PHN: (602) 258-4822
    FAX: (602) 258-4825
    ITCA TEC
  • Navajo Epidemiology Center (NTEC)
    Navajo
    TEC
    Director, Ramona Antone Nez, MPH, BSN
    ramona.nez@nndoh.org
    P.O. Box 1390
    Window Rock, AZ 86515
    PHN: (928) 871-6539
    FAX: (928) 871-3474
    NEC
  • Northern Plains Tribal Epidemiology Center (NPTEC)
    Great Plains
    TEC
    Director – PJ Beaudry, MPH
    pj.beaudry@gptchb.org
    1770 Rand Road
    Rapid City, SD 57702
    PHN: (605) 721-1922 ext. 155
    FAX: (605) 721-1932
    GPTEC
  • Rocky Mountains Tribal Epidemiology Center (RMTEC)
    Rocky Mountain
    TEC
    Director – Mike Andreini, MPH
    mandreini@mtwytlc.com
    711 Central Ave. Suite 220
    Billings, MT 59102
    Phone: (406) 252-2550 ext. 404
    Fax: (406) 254-6355
    RMTEC
    Navajo
    TEC
    Director, Ramona Antone Nez, MPH, BSN ramona.nez@nndoh.org
    P.O. Box 1390
    Window Rock, AZ 86515
    PHN: (928) 871-6539
    FAX: (928) 871-3474
    NEC
  • Urban Indian Health Institute (UIHI)
    Urban Indian Health Institute
    Epidemiology Center
    Director – Abigail Echo-Hawk, MA
    abigaile@uihi.org
    P.O. Box 3364
    Seattle, WA 98114
    611 12th Avenue South, Suite #300
    Seattle, WA 98144
    PHN: (206) 812-3030
    FAX: (206) 812-3044
    UIHI
  • Oklahoma Area Tribal Epidemiology Center (OKTEC) – Southern Plains Tribal Health Board
    Oklahoma Area Tribal Epidemiology Center
    Director – Tracy Prather, RT, CVT, MHA
    tprather@spthb.org
    P.O. Box 5826
    Edmond, OK 73083
    9705 North Broadway Extension, Suite 150
    Oklahoma City, OK 73114 – FEDEX
    PHN: (405) 652-9216
    FAX: (405) 840-7052
    OKTEC
  • United South & Eastern Tribes Inc. (USET TEC)
    United South and Eastern Tribes
    TEC
    Assistant Director – Kate Grismala, MS
    kate.Grismala@ihs.gov
    711 Stewarts Ferry Pike, Suite 100
    Nashville, TN 37214
    PHN: (860) 235-6371
    FAX: (615) 872-7417
    USET TEC

tulalipLeavingHohRvrResearchers must be sensitive to the local culture, traditions, research priorities, and lifestyle of AI/AN communities.  Furthermore, researchers must be responsible and accountable to the tribal government where the research is being conducted.  Tribal communities are sovereign nations.  Listed below are suggestions for improving research sensitivity and responsibility to tribal governments and communities:

Researcher Sensitivity

  • Ensure understanding and good communication
  • Respect tribal culture and traditions
  • Respect tribal sovereignty and self-determination
  • Respect concerns and opinions of community
  • Respect local research priorities and needs
  • Respect individuals, families, and communities
  • Respect human participants’ rights and dignity
  • Exclude over-studied populations from participation
  • Demystify research
  • Be accessible
  • Provide feed-back and findings in a timely manner
  • Respect a tribe’s right to decline participation
  • Respect the autonomy and decisions of the tribe

IMG_8767

Researcher Responsibility

  • Communicate and coordinate with tribal leaders
  • Negotiate tribal and community consent to participate
  • Maximize benefits and minimize risks
  • Protect human participants and sensitive data
  • Comply with informed consent process
  • Obtain service unit director, tribal, IHS research committee, and IRB approval
  • Do not begin research until all approvals are obtained
  • Share results of the research with the tribes
  • Protect participant and tribal identity
  • Build capacity within the community
  • Comply with the agreed-upon protocol specifications
  • Comply with tribal and IHS publication clearance

2018 Tribal Public Health Emergency Preparedness Conference

May 16-18, 2018

Suquamish Clearwater Casino Resort

Suquamish, WA

 

2018 Conference Agenda Day 1   2018 Conference Agenda Day 2   2018 Conference Agenda Day 3

 

Session Presentations:

Tribal Community Preparedness: One Tribe’s Experiences on the Continuous Cycle of Preparedness ~ Lou Schmitz, American Indian Health Commission for Washington State; Kelly Sullivan, Kerstin Powell, and Sam White, Port Gamble S'Klallam Tribe

Tribal Youth Radio Training Programs for Preparedness ~ Lee Shipman, Shoalwater Bay Tribe; Dan Martinez, Confederated Tribes of Warm Springs

Preparing for a Public Health Emergency: The Tribal Legal Preparedness Project ~ Tina Hershey, University of Pittsburgh Graduate School of Public Health

Disaster Behavioral Health: Post-Disaster Resources for Emotional Support and Recovery ~ Rebecca Bolante, Bolante.NET

Crisis and Emergency Risk Communication Principles ~ Celia Toles, Centers for Disease Control and Prevention (CDC)

Community and Healthcare Preparedness Tools ~ Jean Randolph, Centers for Disease Control and Prevention (CDC)

A Look at Access and Functional Needs ~ Jim House, Washington State Independent Living Council

Community Resiliency: Establishing the Tribal Mitigation Framework for Planning and Projects ~ Brett Holt, Jonathan Olds, and Brenna Humphrey, FEMA Region X; Dan Tolliver, Upper Skagit Indian Tribe

Safer Communities Through Behavioral Threat Assessment Teams ~ Rebecca Bolante, Bolante.NET

Outbreak Investigations in Indian Country: What an Emergency Manager Needs to Know ~ Fauna Larkin, Coquille Tribe; Richard Leman, Oregon Health Authority Public Health Division

Assuring Effective Delivery of Medical Countermeasures to Tribes Through Collaboration ~ Lou Schmitz and Heather Erb, American Indian Health Commission for Washington State

T-Rex 2019: Medical Countermeasures Distribution Full Scale Exercise ~ Cory Portner, Ted Fischer, and Collette Byrd, Washington State Department of Health

Lessons from the Field: 2017-2018 Disaster Response Deployments: Presentation 1  Presentation 2  Presentation 3  ~ Kristen Baird Romero, Washington State Department of Health; Jennifer Cockrill, US Department of Health and Human Services ASPR Region X; Carina Elsenboss, Public Health – Seattle & King County; John Fulton, FEMA Region X; Greg McKnight, Washington State Department of Health

Preserving What Works Well: Tribal-State-NPAIHB-IHS MOUs in Oregon ~ Richard Leman, Oregon Health Authority Public Health Division; Victoria Warren-Mears, NPAIHB

The Mutual Aid Agreement for Tribes and Local Health Jurisdictions in Washington State ~ Lou Schmitz and Heather Erb, American Indian Health Commission for Washington State

Climate Change and Public Health – Seattle & King County: Building Community Departmental Capacity ~ Robin Pfohman and Colin Rhodes, Public Health – Seattle & King County

Government to Government: What Works and What Doesn't ~ Dan Martinez, Confederated Tribes of Warm Springs

The Washington State Indian Healthcare Improvement Act: Adding Tribal Representation to Washington State’s Emergency Management Council ~ Heather Erb and Lou Schmitz, American Indian Health Commission for Washington State; Lee Shipman, Shoalwater Bay Tribe

Crisis and Emergency Risk Communication: Tools You Can Use ~ Jamie Bash, Oregon Health Authority

Climate and Health: Voices of the Confederated Tribes of Warm Springs ~ Dan Martinez, Confederated Tribes of Warm Springs

 

2019 Tribal Public Health Emergency Preparedness Conference

Embassy Suites Portland Airport

Portland, OR

June 10 – 14, 2019

Conference Agenda

Session Presentations 

 

Day One

 

Measles Outbreak Response in Clark County, Washington  DOH  OHA  ~ Cynthia Harry, Washington State Department of Health; Chas Debolt, Washington State Department of Health; Juventila Liko, Oregon Health Authority; Monica Czapla, Clark County Health Department; Alexander Wu, CDC/Northwest Portland Area Indian Health Board

Threat Recognition and Response ~ Jim Bennett, Bolante.NET (file too large for upload email for copy)

Pan Flu Scramble: Preparing Your Community for Surge ~ Jean Randolph, CDC Office of Public Health Preparedness and Response; Kelly Dickinson, CDC Office of Public Health Preparedness and Response

 

Day Two

 

The PsySTART Responders and Anticipate.Plan.Deter Responder Resilience System ~ Merritt Schreiber, Harbor-UCLA Medical Center (No slides available) 

Social Media in Emergency Management ~ Sara Smith, FEMA Headquarters; Savannah Brehmer, FEMA Region X

  • Crowdtangle Live Displays: Oregon
  • Crowdtangle Live Displays: Washington
  • Crowdtangle Live Displays:  Idaho
  • Crowdtangle Live Displays:  Alaska

Legal Preparedness to Address the Opioid Crisis in Indian Country ~ Tina Hershey, University of Pittsburgh

Medical Countermeasures Distribution Planning for Tribes ~ Lou Schmitz, American Indian Health Commission for Washington State; Heather Erb, American Indian Health Commission for Washington State (File too large for upload, email for copy)

Thinking Outside the Box: Bolstering Healthcare Response Capabilities ~ Misty Bowechop, Port Gamble S’Klallam Tribe; Elya Baltazar, Northwest Healthcare Response Network

Maintaining Immunization Coverage as a Preparedness Measure ~ Jody Anderson, Oregon Health Authority Immunization Program; Cecile Town, Oregon Health Authority Immunization Program

Tribal Public Health Partnerships Online Toolkit ~ Tamara Fulwyler, Washington State Department of Health ( no slides, on-line only)

Using GIS to Map Opioid Use in the Spokane Valley ~ Richard Llewellyn, Evertt Fire Department (file too large for upload, email for copy)

Community Resiliency: Establishing the Tribal Mitigation Framework for Planning and Projects ~ Erin Ward, FEMA Region X; John Schelling, FEMA Region X; Kristen Meyers, FEMA Region X ; Tracy DePew

 Cow Creek Band of Umpqua Tribe of Indians; ~ Lee Shipman, Shoalwater Bay Tribe

Evolving the National Weather Service (NWS) for the Future ~ Tyree Wilde, National Oceanic and Atmospheric Administration (NOAA)/National Weather Service 

Key Components for Tribal Legal Preparedness ~ Heather Erb, American Indian Health Commission for Washington State

Many Pathways to Follow: Tribal Best Practices  ~ Caroline Cruz, Confederated Tribes of Warm Springs

Handout 1; Handout 2

Standing Up a Tribal Medication Dispensing Center (or POD) ~ Lou Schmitz, American Indian Health Commission for Washington State (file to large to upload, email for copy)

Coordinating Public Health Messaging during Crisis ~ Cory Portner, Washington State Department of Health; Jessica Baggett, Washington State Department of Health

 

Day Three

 

Coalition on Inclusive Emergency Planning ~ Jim House, Washington State Council on
Independent Living

WTN On‐The‐Go: Your Go‐To Application During Emergencies ~ Lauren Freelander, Washington State Department of Health; Kennly Asato, Washington State Department of Health

Utilizing State Laboratory Services for Everyday Community Health and for Emergency Response ~ Soyeon Lippman, Washington State Department of Health (some pictures removed for privacy) Please email for further information

Mutual Aid Agreements Between Tribes and Local Health Jurisdictions ~ Lou Schmitz, American Indian Health Commission for Washington State; Heather Erb, American Indian Health Commission for Washington State (file too large for upload, email for copy)

Good to Go: An Evacuation Preparedness Project ~ Summer Warfield, Spokane Regional Health District

The Need for Cultural Capacity in Disaster Relief – It’s a Public Health Issue ~ Dereck Stonefish, Indigenous Allied Consulting; Kim Cookemboo, Indigenous Allied Consulting. (Session canceled  – no slides available)

O tribulus terrestris só pode ser ingerido após a orientação médica. A tabela 1 abaixo resume os dados Mais sobre o resgatador da virilidade de concentração de testosterona nos pacientes que completaram 1 dias.