Summer 2013 / 2nd Quarter / Vol. 2

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1 Summer 2013 / 2nd Quarter / Vol. 2 Pictures of Catherine Keene, Director, Eastern Shoshone Tribal Health Department and Allison Sage, Director, Northern Arapaho Tribal Health Department at the event, June 19, 2013 (Picture taken by Folo). Upon request, the Montana Wyoming Tribal Leaders Council in partnership with the Eastern Shoshone and Northern Arapaho Tribes of the Wind River Indian Reservation, Wyoming and in collaboration with Wind River Indian Health Service Department (Northern Arapaho and Eastern Shoshone IHS Service Unit; The Wyoming State Health Department and the Wyoming Comprehensive Cancer Control Consortium (WCCCC) and other local health care providers including Wyoming Komen and GE Mammo-Van implemented the Wind River Indian Reservation Cancer Outreach Project). The project included various events including: -Community Health Workers (CHRs) Cancer 101 Training June 18, 2013 morning event -Cultural Competency Training for local Physicians and Health Care Providers, June 18, evening event -Northern Arapaho Community Cancer Awareness Day (Health Fair), June 19, 2013

2 There were over 50 participants at the cancer 101 Training on June 18, Dr. Dee Ann DeRoin taught: -What is Cancer? -Introduction to Cancer -Preventable Cancers -Cancer Diagnosis and Staging -Cancer treatment Over view -Support for Patients and Caregivers -Preventing Cancer in Indian Communities ` There was a Cancer survivor panel with discussion on how to support Survivors and their families. Dr. Dee advised the two Tribes to designate some Community Health Representatives to run CANCER NAVIGATION/SURVIVOR GROUPS. Various materials including Cancer Prevention Brochures for men and women were given to the CHRs as tools to use to implement health education in the Wind River Indian Reservation Community. Picture above: Dr. Dee Ann DeRoin teaching at the event. Below: Participants listening attentively (Pictures Taken by Folo)

3 Pictures of Elders at the June 18, 2013 event talking about the Culture of Eastern Shoshone and Northern Arapaho Tribes of the Wind River Indian Reservation (Picture taken by Folo). Pictures of Dr. Dee Ann DeRoin facilitating the Cultural Competency Session with local Community Cancer Survivors at the June 18, 2013 event (Picture taken by Folo). Pictures of Cancer Survivors/Family Members answering questions including: Did you have any screening before diagnosis?; What was your diagnosis experience?; Who did you find help with?: Family, Community, Medical Home; at the June 18, 2013 event Most found Strength and Hope within their Family (Picture taken by Folo).

4 First picture to your left: Picture of Charles Aragon Presenting on Cultural Competency in Hospital Facilities to Doctors and Health Care Providers, June 18, 2013 evening event Second picture to your left: Picture of Sara Robinson and colleague who presented the history of the Northern Arapaho and Eastern Shoshone Tribe of the Wind River Indian Reservation to participating Doctors and Health Care Providers at the June 18, 2013 evening event Picture below: Picture of SOME Doctors and Health Care Providers from the community participating in the event. Some showing off their Door Prizes. (Pictures taken by Folo). Dr. John Purviance, Rocky Mountain Oncology Casper Wyoming; Candida Odde, Wyoming KOMEN; Dr. Mark Cardinal and colleague, IHS Physician, Fort Washakie Service Unit and Dr. Kim Donohue, IHS Physician, Northern Arapaho Service Unit Dr. Keith Mills, Wyoming Cancer Foundation Organization and Colleagues Health Care Providers from the Amedisys Hospice facility at Lander and Rocky Mountain Oncology

5 Picture Above: The Northern Arapaho Traditional Drummers introducing the Flag song at the event, June 18, 2013 Picture above and Below: Doctors and other Health Care Providers being taught the Round Dance by the community members and their children in their Traditional dance regalia at the event. June 18, 2013

6 Pictures of Community Members at the walk to Stomp out Cancer. Northern Arapaho Community Members walked with signs from the Wind River Hotel and Casino to the 789 Casino/ Smoke Shop. Community Cancer Awareness June 19, 2013 event (Picture taken by Folo).

7 Pictures of Exhibition on Community Gardens by Northern Arapaho Tribal Health Staff at the Health Fair, Community Cancer Awareness June 19, 2013 event (Picture taken by Folo). Pictures of Exhibition by Nancy White, an Oncology Nurse Consultant with Montana Wyoming Tribal Leaders Council with participants at the Health Fair, Community Cancer Awareness June 20, 2013 event (Picture taken by Folo). Pictures of Denise Padilla Exhibiting the Breast and Cervical Cancer Early Detection Program, Wyoming Department of Health at the Cancer Awareness June 20, 2013 event (Picture taken by Folo). Pictures of Meaghan Hennings and Colleague, Exhibiting the Rocky Mountain Oncology Center Materials at the Cancer Awareness June 20, 2013 event (Picture taken by Folo).

8 Pictures of Elders and Cancer Survivors/Family members of Survivors at the June 19, 2013 event, Northern Arapaho, Wind River Indian Reservation Pictures of Eastern Shoshone Hand Games between Eastern Shoshone Community Members, RMTEC Staff and The Wyoming Department of Health Staff at Community Cancer Awareness, June 20, 2013 event Pictures of Eastern Shoshone Hoop Dancers at the Community Cancer Awareness June 20, 2013 event

9 Pictures of Pat Pearman and Colleagues, GE Health Care and the Wyoming Women First Project/Mammo Van at the June 18, 2013 evening event. (Pictures taken by Folo). Pictures of SOME members of the planning team: Catherine Keene, Director, Eastern Shoshone Tribal Health Department; Allison Sage, Director, Northern Arapaho Tribal Health Department; Liz Mikesell Wyoming Comprehensive Cancer Control Program; Ashley Busacker, Val Walsh-Haines, Wanda Webb, Wyoming Department of Health; Gary Collins, Wyoming Tribal Liaison, Wyoming Governor's Office Cheyenne; Glen Revere and Amy Clarke, Indian Health Service (IHS) Wind River.

10 Cancer is not Normal, do not let Cancer be a Norm in your Community! Joint Business Council of the Eastern Shoshone and Northern Arapaho Tribes of the Wind River Indian Reservation and the Montana Wyoming Tribal Leaders Council/ Rocky Mountain Tribal Epidemiology Center (MTWYTLC/RMTEC) Uranium Mill Tailings Remedial Action Site and the Wind River Communities The Rocky Mountain Tribal Epidemiology Center Presented a brief summary of the Wind River Environmental Health Initiative to the Joint Business Council of the Eastern Shoshone and Northern Arapaho Tribes of the Wind River Indian Reservation on July 17, Top 5 Cancers Incidence among American Indians in Fremont County, WY Prostate The Council appreciated the brief summary report presented and would like RMTEC to acquire Indian Health Service (IHS) Data on Health Outcomes of Wind River Communities And include these in the final report. Breast Darwin St. Clair, Chairman Eastern Shoshone Tribe RMTEC awaits access to IHS data mart and will continue with the development of a comprehensive report. On July 17, 2013, the Joint council also approved the brief summary to be disseminated among the Wind River Reservation Communities and made public. RMTEC also presented the brief summary to the community members at the Wind River Community Cancer Awareness functions on June 19, From June , 2013, the brief summary was disseminated to all Wind River Indian Reservation Communities and the public. Folo was available to answer questions during the events from June 17-20, Colorectal Kidney Lung For more information about the Environmental Health Initiative contact: Folo Akintan at fakintan@mtwytlc.com or

11 Purpose: To find out the health outcomes of community members near the Uranium Mill Tailings Remedial Action Site in Wind River Indian Reservation and other surrounding Communities. Right: 1 Map of the Wind River Indian Reservation with three sites of Interest: Arapaho/Riverton; Crow Heart; and Pavillion. Other Sources: Wind_River_Indian_Reservation Joint Business Council of the Eastern Shoshone and Northern Arapaho Tribes of the Wind River Indian Reservation and the Montana Wyoming Tribal Leaders Council/ Rocky Mountain Tribal Epidemiology Center (MTWYTLC/RMTEC) Uranium Mill Tailings Remedial Action Site and the Wind River Communities Health Outcomes Project Report The Wind River Environmental Health Initiative was started about two years ago upon request by the Joint Business Council of the Eastern Shoshone and Northern Arapaho Tribes of the Wind River Indian Reservation; this lead to several site visits and the implementation of a Community Health Impact Assessment. About 367 surveys were collected by both Northern Arapaho and Eastern Shoshone community volunteers and Tribal Health staff with 286 cleaned and analyzed. Data was collected from various zip codes including 82501; 82510; 82512; 82514; 82516; 82520; 82524; and Respondents from various communities including St. Stephens, Arapaho, Riverton, Beaver Creek, Ethete, Fort Washakie, Crow Heart, Pavillion, Kinnear, Lander, Shoshoni, Boulder Flats, Milk Creek, Plume Area, Charlie Town and Johns Town turned in their surveys. Sixty six percent (66%) of respondents were American Indians while 33% identified themselves as Caucasians (1% identified as other/no response). Forty four percent (44%) of respondents identified themselves as Arapahos while 22.9% identified themselves as Shoshone, other races were of mixed Tribes or other Tribes. About 3% of respondents were ages 19years and below, 23% ages years, 17% ages years, 44% ages years and 13% ages 65 years and above. Sixty two percent (62%) of respondents were female while 38% were males. About three percent (3%) of respondents currently have cancer, while 38% report having family members (Family member is defined as a blood-related relative) who had died of cancer. Twenty Seven percent (27%) reported having family deaths due to high blood sugar, while 17% reported family death from high blood pressure. Twenty one (21%) of those reporting ever being pregnant, also report having miscarriages. Nineteen percent (19%) of respondents reported having family living near the site. Most of the respondents report local water dipping (56%); local vicinity hunting (60%) and hiking (58%) as recreation activities they are fond of. Fourteen percent (14%) report carrying out these activities near the site while 18% report their family carry out these activities near the site. As many as 43% reported level one (1) stress due to the site (Less Stressful), Moderate/Average/More Stressful rates make up 42% while 15% reported level five (5) stress (Most Stressful) due to the site. A total of 57% reported some degree of stress over the site. About 43% of respondents believe the population size of those living near the site have changed while 36% reported changes in the settlement. Thirty percent (30%) believed there are cultural/sacred and ceremonial lands near the Uranium site, affected by the Uranium Mill Tailings.

12 Prescription Drug Abuse-Survey Monkey Results Objective: To collect data that will be used to discuss, develop, and plan interventions, that will help combat prescription drug and other substance abuse in Montana and Wyoming Tribal Communities. Method: On Jan 28, 2013 the survey monkey was sent by to all Tribal leaders; Bureau of Indian Affairs -social service/law enforcement, Indian health service and to Tribal Health Directors. The data collection was implemented from Jan. 28, 2013 to March 7, 2013 and a total of 60 completed surveys were received. An analysis was done in March 2013 using Microsoft excel. Do you think prescription drug abuse is a problem on your reservation or in your urban community? The majority (98.4%) of the respondents says that the prescription drug abuse is a problem on their reservation or urban community. Would you be interested in a conference discussing prescription drug abuse? 92% of the respondents says they would be interested in a conference discussing prescription drug abuse. Major Topics that are recommended by survey respondents: -Public Health prevention -Education prevention -Law Enforcement -Health Care For more information about the Injury and Violence Prevention Project, contact: Sonya Big Leggins, Native Youth Development Intern/Research Assistant at sbigleggins@mtwytlc.com or

13 One tribe from Montana opt-in for the BRFSS project and data collection is going to start in Fall 2013 by University of Nebraska. The mode of data collection will be through phone (landline and cell phone), Mail and web. Below is the logic model for data collection. BRFSS/Community Health Profile DATA COLLECTION Fall 2013 University of Nebraska Landline + Cell phone Mailing Web Data Analysis by University of Nebraska and RMTEC Report to the Tribe Data belong to Tribal Health Department For more information about the Community Health Profiles/BRFSS Project, contact: Helen Tesfai, Epidemiologist/Statistician at htesfai@mtwytlc.com or

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18 Keep Your Cool in Hot Weather Getting too hot can make you sick. You can become ill from the heat if your body can't compensate for it and properly cool you off. Heat exposure can even kill you: it caused 8,015 deaths in the United States from 1979 to These are the main things affecting your body's ability to cool itself during extremely hot weather: 1. High humidity. When the humidity is high, sweat won't evaporate as quickly, which keeps your body from releasing heat as fast as it may need to. 2. Personal factors. Age, obesity, fever, dehydration, heart disease, mental illness, poor circulation, sunburn, and prescription drug and alcohol use can play a role in whether a person can cool off enough in very hot weather. 3. Here are some facts about which people are at greatest risk for heat-related illness and what protective actions to take to prevent illness or death: 4. People who are at highest risk are the elderly, the very young, and people with mental illness and chronic diseases, but even young and healthy people can get sick from the heat if they participate in strenuous physical activities during hot weather. 5. Air-conditioning is the number one protective factor against heat-related illness and death. If a home is not air-conditioned, people can reduce their risk for heat-related illness by spending time in public facilities that are air-conditioned. You can take these steps to prevent heat-related illnesses, injuries, and deaths during hot weather: Stay in an air-conditioned indoor location Drink plenty of fluids. Wear loose, lightweight, light-colored clothing and sunscreen. Schedule outdoor activities carefully. Pace yourself. Take cool showers or baths to cool down. Check on a friend or neighbor and have someone do the same for you. Do not leave children in cars. Check the local news for health and safety updates. Source: For more information about Prevention, contact: Julie Not Afraid, RMTEC Administrative Assistant at jnotafraid@mtwytlc.com or

19 Puzzle Source: julypuzzles For more information about Prevention, contact: Julie Not Afraid, RMTEC Administrative Assistant at or

20 4TH OF JULY POW WOW /3/2013-7/7/2013 LAME DEER ANNUAL PEOPLE'S CENTER CELEBRATION AND POW-WOW /21/ Highway 93 Pablo, MT ARLEE 4TH OF JULY CELEBRATION /3/2013-7/7/2013 ARLEE ASHLAND LABOR DAY POWWOW /30/2013-9/2/2013 ASHLAND BADLANDS CELEBRATION /28/2013-7/30/2013 BROCKTON HIEF PLENTY COUPS DAY OF HONOR /31/2013 PRYOR CROW FAIR AND RODEO /15/2013-8/19/2013 CROW AGENCY FORT KIPP CELEBRATION /4/2013-7/7/2013 BROCKTON HAYS POW WOW /9/2013-8/11/2013 HAYS HEART BUTTE CELEBRATION /9/2012-8/12/2012 HEART BUTTE LAST CHANCE COMMUNITY POW WOW /27/2013-9/29/ West Custer Avenue Helena, MT MILK RIVER INDIAN DAYS /25/2013-7/28/2013 FORT BELKNAP NATIVE AMERICAN AWARENESS DAYS /17/2013-9/19/2013 PABLO

21 NORTH AMERICAN INDIAN ALLIANCE POW WOW /6/2013-9/7/ Harrison Avenue Butte, MT NORTH AMERICAN INDIAN DAYS /11/2013-7/14/ All Chief Park Browning, MT POPLAR INDIAN DAYS /29/2013-9/1/ th Avenue East Poplar, MT RED BOTTOM CELEBRATION /20/2013-6/23/2013 FRAZER ROCKY BOY'S ANNUAL POW WOW /31/2013-8/4/2013 BOX ELDER STANDING ARROW POW WOW /18/2013-7/22/2013 ELMO VALLEY OF THE CHIEFS POW WOW AND RODEO /5/2013-7/7/2013 LODGE GRASS VIRGINIA CITY TREATY DAYS /19/2013-7/21/2013 VIRGINIA CITY WADOPANA CELEBRATION /2/2013-8/4/2013 WOLF POINT WHITE RIVER CHEYENNE INDIAN DAYS /21/2013-6/23/2013 BUSBY

22 MT-WY TRIBAL LEADERS COUNCIL ROCKY MOUNTAIN TRIBAL EPI-CENTER 175 North 27th Street, Suite 1003 BILLINGS, MT For more information about the Newsletter, contact: Julie Not Afraid, MTWYTLC/RMTEC Administrative Assistant at or