COVID-19: Resources and Materials for Indian Country



COVID-19: Indian Country


There are seven Indian reservations in Montana.

In 'normal' times, each of these locations confronts significant challenges resulting from very high unemployment, substance abuse, teen-age pregnancy, hunger and inadequate housing, every day.

The results of these and other factors are devastating. The Montana Healthcare Foundation summarized it this way:

In a 2014 report on the health of Montanans, the Montana Department of Public Health and Human Services documented severe health disparities among American Indians living in Montana. The report found that American Indians in Montana die at a median age of 50 years (more than 20 years earlier than non-Indian Montanans). Death rates for specific illnesses, including heart disease, cancer, respiratory illnesses, injuries, and suicide are substantially higher as well.

COVID-19 only serves to exacerbate these dreadful statitisics, especially for those with heart disease and respiratory illnesses.

The Center for American Indian Health  at the Bloomberg School of Public Health at Johns Hopkins University has a treasure trove of information and available resources specifically tailored for the needs of those in Indian Country. 

There site has a page devoted to providing instruction and materials to contain and prevent the spread the virus.

1.  Provider
2.  Caregiver
3.  General Public
4.  Tribe Specific
The following materials can be customized with tribal name and local contact number. If a tribal community needs help with customizing the materials or would like to do further customization like adding their logo to the flyer, we are happy to help, but they must contact Rose Weeks at rweeks@jhu.edu for assistance.
Social Media Materials:


The Indian Health Services (IHS), the principal healthcare provider on Indian reservations, provides the following information about COVID-19 in Indian Country.

Resources available for clinicians:
Materials developed for Tribal use: 

Frequently asked questions.


Q: Where can I find the most-up-to-date information?
A: The Centers for Disease Control and Prevention’s website   is the best place to find comprehensive updated information and guidance on COVID-19, including information on symptoms, treatment, schools, quarantine, travel, etc.

Q: How is the IHS working with federal, tribal, and urban Indian health facilities to promote awareness of changing guidelines, protocols, and processes related to COVID-19?
A: IHS headquarters is holding weekly conference calls with tribal and urban Indian health organization leaders from across the country to provide updates, answer questions, and hear concerns from tribal communities. Additionally, IHS area offices provide technical assistance and support to tribal and urban Indian programs. For federal staff, IHS headquarters is holding regular all-employee conference calls and communicating through email updates. Area chief medical officers are in regular communication with clinical directors at all IHS facilities. We are actively extending outreach to all within the federal, tribal and urban clinical communities regarding webinar and similar resources as they become available from the CDC   
.
Q: How is IHS working across the Departments of the federal government to ensure a comprehensive holistic approach to addressing COVID-19 in Indian Country?
A: The IHS is in constant communication with the CDC and other operating divisions across the Department of Health and Human Services. In addition, the IHS is in close communication with the White House and other non-HHS Departments across the federal government to ensure comprehensive communication is shared with Indian Country.

Q: What is IHS doing to ensure the protection of their providers as they test and treat individuals for COVID-19?
A: The IHS is following CDC guidance   for health care professionals. Many of our service units are screening individuals for COVID-19 prior to entering our health facilities to determine their risk for COVID-19 and to prevent additional infections within our facilities. Individuals suspected of having COVID-19 will be given a mask and cared for separately from other patients in a designated area with a provider. The National Supply Service Center is distributing personal protective equipment (PPE) and other supplies to regional centers and to IHS, tribal, and urban facilities as quickly as possible to address supply shortages. We are exploring every avenue to acquire more supplies.

Q: Is it safe to travel?
A: The CDC continues to provide regular updated travel guidance   

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