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NPAIHB 090218

Aug 30, 2018|

AN INTERVIEW WITH JOE FINKBONNER, EXECUTIVE DIRECTOR OF NPAIHB ABOUT THE WORK THEY DO WITH NORTHWEST TRIBES REGARDING HEALTH AND WELFARE, AND ABOUT THEIR INDIAN DAY CELEBRATION.

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Automatically Generated Transcript (may not be 100% accurate)

This is metro school. And Entercom radio Portland public affairs program and during blocks of the on this show this time we're going to be talking about some issues that many native Americans in our area face and also about a big celebration coming up in downtown Portland. On the show this time I would like to welcome jolting on Joseph is the executive director of the northwest Portland area Indian health. For Joseph Lauria. I am doing well thank you. So let's first concern by a year use telling me what is the northwest Portland area Indian health board. It's strictly our question period and it's often confusing because people have appeared in Maine Portland area. You know our entire game and that's a little bit confusing footer for folks because they think it only applies to the Portland metropolitan area but we really are consortium of these 43 federally recognized tribes in Idaho Oregon Washington. And we conducted a public health activities for all the tribes in the street car respective states. That's one thing I didn't realize is that there are 43 federally recognized tribes in the industry three state area. Yes yes good point nine in Washington. Nine in organ and tried in Idaho. That's a lot of the Nokia. Yes that they tend to be smaller tribes in the northwest persons other parts of the United States still people tend to think of tribes like Navajo Cherokee or chock which can have a larger population. But it tries and northwestern to be smaller in size the largest being that the outcome not cold spell which are about 1510111000. Respectively at beta average size of our tribes in the northwest is about 2500 members. Give me an idea of some of the work the years do it but what coworker you don't. We we do a variety of different things everything from legislative and policy watchword we. Notified or tribes of any pending legislation either in their respective states or federal legislation that might be too long that might impact the administration of their health programs are there host systems. We also -- watch out for funding for that tribes might be eligible to an invite them to to partner without -- in going after that finding wanted to do without completely on their own but they have the infrastructure and ability to do so I'm also operate on one of 12100. Epidemiology Summers that's focused specifically on American Indian and Alaska native health status asks so what do projects like surveillance projects which is really fancy word for us to say that we. Well I'll monitor on either specific measures. And health and health being dropped just the treatment of disease but help us in terms of safety. Hum. You know protecting themselves demonization. Projects child safety seats monitoring to make sure that's. That's our our tribes and their members are not only come utilizing child safety seats but also a lot about it. Not trusting their kids than their appropriately so wall won't do variety of different projects locally at the tribal sites. And it really helps them to release home not only protect them from the illness but also it's cancer public health through our our target different activities. It's only about some of the history window into windows the northwest preliminary Indian health board gets started. Which we started in 1972. And it really was in had fired three turf aboard two very immediate health services into facility. Partial consultation which has really enhanced form of communication between the federal government and that the tribes in the northwest. So that was the original purpose of our board and since that time has really evolved. Two tribes Serbs taking over the responsibility. In administration on their own health programs and using their resources that the federal government typically spent on delivering care about it instead contract gained a compact and those funds and administrator bill services themselves. And really have a good chance to become the health status of the tribes in the north last not only what our public health and our epidemiologist Anna but also because of tribes are now developing their own health plans and setting priorities based on what their local community needs are they're what they're. Priorities and needs might be or the our agency headquarters in Rockville Maryland. So it has really put a lot of emphasis focusing resources on what the community wants to see addressed. So since 1972 you've seen some pro we've got pretty significant progress. We have Tom started 72 the average life expectancy of an American you're an almost 48 years of age. I'm here and that happens to this change significantly to the modern day were only about four hard years less than the general population so I'm a lot of things related to not only its treatment of almost I think cancer public health like water and sewer and he had access to immunizations. So a lot of public health activities I haven't really. Tom sustained it and lengthen the life expectancy of an American again that's part today. What are some of the most important issues facing American leaders today. Eat eat eat diabetes everybody knows about I think how much change should assume that everybody does but that's fairly well known that diabetes and they take chronic disease that impacts certainly at American population how they hadn't put greater how prevalent than the does the general population. EM and that chronic parish policies that go along with diabetes. You know. There all the neuropathy that can happen in the baloney amputations that kidney dialysis. And other long term chronic quality of life issues that can go when you have stood suffering from diabetes currently prolonged period of time. That's one another is that we are really looking at the currently my dressing and trying to go after somebody funding for mobile wait abuse. He and our our population's. Just like governor populations haven't been impacted by this. Epidemic of bad American Indians have also been calm you know perhaps. Succumbed to that'll be early detection and into even. To a point where they are so tell using illicit trucks and so we are trying to that it combative just like the rest of the population of how we do you deal with this people. I. I'm fortunate it's happened to our. Our community content and do in a manner that's respectful and can reduce the stigma so that people seek out treatment and with a healthy lifestyle rather than letting the rest of their life so addicted to what happened I don't believe. Certainly seems like an open ruined epidemic right now doesn't. Oh it does it it's it's tragic and in terms of how it all happens but it happens in the end I and I think that the emphasis put out public health officials are trying to help this. One of these pigment packets so that people. Realize that it because I happen you know they had that you're not weak because it's happened do you but instead let's go let's develop solutions of how we combat this on everything from having our camera available for those times when somebody may have overdosed we can save their lives and and oaxley date basic treatment after that and can deal with that addiction. I'm and the and then our functional part of their their communities whether you know back to working. And employing America creating an income from their families sustain the lifestyle and him and really everything that we want people that's the lives for a long and happy life. Could you talk to us about some of the programs and projects he does have going on. We we we have a diabetes project so our our props and focus and that is really just stop the Tribe's sort of diabetes registries and monitor the standards of care within their own clinic to make sure that that they are meeting their American Diabetes Association standards of care or diabetic including foot exams eye exams. I'm trying to live bullets and Stan enough blood pressure and make sure that our patients are are within normal limits so that we can reduce morbidity and mortality must populations that are afflicted. Oh we have but it's I don't oral health third Conn temple support project that we work with our tribes. An example sites to help them battle in the construction control but also oral health. My own promotion and prevention of because good dental carries. Army and addressing and giving them information that's really strengthens our services that they can provide to their tribal communities. And it can mini anymore including our epidemiology research arm. Where were able been one of the things civil on the back couple big periods talk about. Com every summer we've been able to offer peace summer institute which weeks. Engage tried small over the United States and invite them to come to our organization for three weeks straight in the summer. And we held. Tom instructors from throughout the United States and south western northwestern Johns Hopkins seats that term for three weeks here and and and our instructors and cartoons and really helped us. So can workforce development for our tribal public health found employees throughout. The US we typically have between hundreds and 120. How public health professionals Dutch shell looks during their three week period and and take weeklong conference and home where we go back to their they're home canned pay attention that's their there efforts and supporting public health services to their community because of their what they've been able to learn character in three weeks summer summer institute. What have diabetes project works with the in partnership with Nike. And we invite folks again from around throughout deal last. Too I'm really learn the latest and greatest in terms of swamp. How to work with their populations. On. Increasing physical activity. Of course you know that controlling blood sugar is only one aspect of those diabetes also getting them afterwards. Stay until I'm PO. Mobile so that they can reduce their own morbidity and mortality by I increasing the amount abduction site that they do that if it doesn't need to be strenuous exercise can be. You know simply walking Tony get thirty minutes that they are not getting its chance. Their health status of their significantly in terms of their quality of life. Pumped into their own. Outs or other projects I invite folks still take a look at our web site can really check out some of the projects that we have hum yeah I think that there would be impressed with what we're able to do with the limited resources that we have. We're talking today was joking Bonner executive director of the northwest Portland area Indian health board. I don't tell me how is the board made up what who is now a member of the board. Step Tom Gary. We have. Each of our tribes we think in reality we are owned by each of the tribes in Idaho orbit and washed and so the 43 federally recognized tribes and I mentioned earlier. And each tribe points through eight tribal resolution or a letter from there very government had to deal of their tribal chair or other tribal president depending on the the nature of their government structure. That's synthesis are represented did that's going to sit on your board and speak. To their health issues that are going on our tribal communities. Stand to vote in a manner that wolf it caps that the systems that are in place for their respective tribes. So we'll bring to have them come policy issues or. Other types of issues not even an educational thing to how we deal where it. Funding that might come to the northwest definitely good chances. See each individual needs of up their respective tribes but also collectively you know we look to maximize services throughout the northwest. And from the one example of that is our tribes have been working for about the last. He did ten years and try to create these six. Three regional specialties corners which were able to access access those for you they're seeing a treatment or diagnostic. And screening. Honda would have kids camps but armed can't. And stretched resources that are available within each of the tribal communities we would have built specially Sanders strategically located. Army and Washington Morgan in Idaho so that it would serve maximize. Tribal leader population have been able to access step up to shorten the distance what somebody would have to travel to be able to get those students well. Seems like the north was preliminary Indian health board has kind of for a main areas of of functional currency missiles we talked a little bit about health promotion disease prevention. Both talk about the other three among legislative and policy analysis. Yeah yeah we've we've got to have a good little shops here in terms of other folks are we have to work on her legislative policy analysis we've got. To folks that are experts in the Indian health and Indian policy that got travel from. These seats each of the state capitals in the home early work with our tribes. 20 look at legislative bills that might be in place and identify what those impacts will be common example. We recently that we've been working out of a couple of other Indian Health Service is rob Greece we have. I'm money that was appropriate to what that would deal with the Indian health care improvement front four pass fondly as it seeks formats and hope to add trust to be. Funding allocation disparity that happens from. Tell you this area and we looked at different formulas and these two to really brilliant people that are involved in this shall look at the formulas that are in place and how they. They allocate that funding to bring everybody out to the same level and do the analysis to say how was this. Best going to serve the tribes in the north plastics and what are the areas that we really need to be mindful of so that it really why I'm less skill level of the target for all the tribes and not just float an individual both. You know because that doesn't benefit anybody he just have fun a couple of tribes that are gaining prominence. Or a couple of areas of the game four but we really wanna take those tribes that are funded at the lowest level and lift them up so that we all. Have that ability to have an account equity two million dollar tree and a careful our communities. One of the other areas is training and technical assistance to we both up. Yeah I think that get a little bit in terms of talking about our summer institutes. We we do about every year for three weeks but we also have. Just individual training discussions that we have we have a wonderful training center here that's sort of what terminals. And we do everything from. Statistical software like com SA US and has PS fassel charred palm software applications that people use for beryllium and our current analysis of the data that they haven't forms of the rural clinic information or even. If they've done a surveillance project may have information like hmmm how many people below the age of twenty high risks you know she starts and so vegetables every day and you can do these different types of analysis for not only. I'm monitoring health status but also even forecasting what do you think you're extra services might now be in five or ten or fifteen years from now based on that information you gather. So we do that in our training center here at the border stand to market so it's everything from. Statistical software to working with DP on health information system that they haven't teaching different modules that are a part of that health information system it's hum and hum compete you know updating people drink as to your staff turnover happens in our tribal politics. So we invite our tribes to send their. The new workforce to us and we all send them through a you know on a really wonderful courses that we have here that would dumps and cancer knowledge that when they go back home their duty are struggling last to understand it. Sometimes is very complicated systems but instead we. Have a small enough classroom and it's very interactive. And the final area it is a surveillance and research. And we about. Yes Obama are epidemiology center would get wonderful group of researchers that are here that work with our tribes. And surveillance projects like mark turned child safety seats. We also has done some things aren't done a toddler to dictate. We're we've done analysis. They're adult level of dental carries what happened since has a precursor for obesity later in life. And so we're really looking at Tom let's and I trust that that short term measurable. Status won't tooth decay and how that transfers translates because of deeds speak caloric rich environment. That might be present to obesity later in life which and we all know increases your risk for diabetes and other chronic disease so we. Are really trying to help or give our tribes information while enough and it's gaps that they can make interventions and improve the health status of their communities. So much indication that's frankly everybody could use right. Oh absolutely. Very general are reasonable and now you know once you have that information here that allows you to sort of goes intervention to do something about it that information is power. Fitness so tell me melts you assumed that the Indian day celebration to me about that. Yes armed in debate really started. Ouch I'm trying to remember what you're was ridiculous 2000. And accept. See I want so twelve years ago and if it was there's. President Ronald Reagan had announced that there was going to be a national Indian they would trust reports Friday. September. And nothing really has done about it or sad about it now and we thought that what a wonderful way to really draw attention to not only also have great Indian prime organizations that we have in the northwest. But also give an opportunity to share some of our culture that that we are very proud of him and what makes us special we've on the at least what we believe our patrons are unique culture of how we love to share and content clearly have fellowship let that whatever we want him and so. It up there was no better place to do that and then can beat people living room what Portland and that's down at -- square. For certainly wants those drums did going for the Palo. I'm feel really trust a lot of people and because that's and it's a cycle heartbeat when you heard those drums that people are gravitating to find out what's going on and it really embrace. Not only that dancing but also the vendors that will be seventy square. We dig in as Luke was even. Dictates he used it before Friday. September about this year because of other scheduling conflicts with type I underscore we have been moved out and it's going to be armed on September 7 tortuous Friday. Chances that if I would imagine finer scores by a hard place to get into. Lol so I don't think yeah especially around go to the end of summer you know that's a lot about. It's a difficult time. To schedule I think short noticed that we. Try to get down easily fit well enough and there commissioner we just get ousted by yet another attempt that was going national. So are you inviting the public at large to come and take part. Absolutely I hope everybody does have a chance to come down and you don't just walk through maybe check out their vendors and if other cancers are going you'll feel a little bit of our culture and our celebration that happens and I'm you know they'll be food and can slap some jewelry and other types of crops that are down there and I hope everybody a chance stuff yes on the commute home after taking the Macs weren't Elmore. Any other way that this happened this when the by credit score that bus stop in for a little bit and just enjoy the time. If our listeners have never been before kind of give us an idea what happens when you walked to the moon walk through gates. We can see if you look at the pioneer square from me either how Broadway or sixth avenue and you're gonna see. That there will be people found out I better not only you know we'll have information about some of our tribal programs and or other tribal organizations that are in Portland. I'm only just you usually shows up and know how. They had a hearing. Clinic that was barely got about a different things and comments now what are politician has been part of what are some several projects with their tribe so oftentimes they'll put information out there and how it worked with us with the tribes and hope to recruit for some of our project's success aren't going to be lots of vendors are selling everything from. You know drawings and paintings to expect Indians closing that have specific tribal designs on them. Dot org or jewelry and and those are always a big hit first with folks on her walking around and they see that the lots of just beautiful jewelry that's out on the tables. And the mobile for food fuel food vendors that are down there. I'm selling everything from Indian tacos which is the fried bread with crowned decent. Come you know other countries that you you'd throw on there depending on your liking me and hum it's just it's a wonderful time not only in Russia softened the culture but also maybe pick up an early Christmas present if you cease and become an issue like. Good idea and ended how I don't tell me what is the Palo. But I holidays in Europe couples types of power rarely these spiritual power that you could take place in the in the winter that are more private that the tribe does as part of its healing process and spiritual. How do you think. And then there's a celebratory powerhouse that happened that all of us think about like that double parked in June and then this power assistance. Short version of data to sell the towards our work. I'm walkouts dancers and drummers down there they'll sing songs different types of songs and won't even invite people down from the crowd if they want to. How are you against what some of our dancers and and it's such a wonderful time of need and we hope everybody has chance to come down and just enjoyed some of our culture and I don't I would have to writing committee that the native culture is sure enough the north last. And can I assume it's a pretty family friendly event. Back 'cause we're very family friendly drug and alcohol free event we invite people to come down and spend as much time they would like to and certainly stick around and ask questions if there's anything you don't understand. How more and we invite people to just freely ask questions seriously we understand that. The tribal culture might be due to some people and how we we lull while people don't understand what we're doing and and why it's important to us. The tray and then I would imagine kids have such a curious mind you. While the things for kids going up. We do we usually have a tiny cuts are much section that happens then built somewhat different activities for the kids and we also invite. The youngsters as they wanna predicament dancing that we'll have a few. I ain't got dances that don't want so that they can get out there and can can join the rest of this. But dentures out on the floor. In the last little bit meander Joseph tell us what would you like people to take away from the Indian days celebration. It's just a wonderful celebration of our culture and really took to let people know that we're here and we're striving. Stand alone despite do you get diversity that we face in terms of our health status and and they you know many other things that are going on our tribal communities that were. Where are alive and well and where are part of a community that number is called Portland. Pomp and we end and guard our neighbors and friends and our camera to come down and celebrate with us. And given the time and date location one more time. Yep Friday at September 7 and half weeks to start setting up early in the morning and I'm the vendors are always there early so. I know at noon we have been aspect dancers that are gonna stay put on a little bit of exhibitions. And our secure its kettle twice at noon and at 6 PM so if you missed them apple lunch hour. And you're getting out later don't bulk Heilman to enter exhibition again at 6 PM immediately. Sounds pretty awesome. If somebody is looking for more information about the northwest Portland area Indian health or Wear what to Wear as best place ago. It invite them to our web site it's W Debbie Debbie you and HD Scott pull our chief. How there's lots of information on there or not only about our organization on the projects we have but also he conceived links to our tribes and give a little bit of I information not only about what their health clinic might be like but I'm not weird barter tribes to add up those pages aren't sure what ever information that they would like their. The general population this week. Looks like lots of information in and resources to an immune careers. Absolutely we've we've post jobs for all of our charges including our own organization when we have taken to meet posts and a considerable tropical get a lot of hits on our web site itself. You know certain major looking for a job where you have a job. They are offering queen invite people contact us somewhere especially our tribes. There won't help post written and sharing that information so that the rights but I candidate gets to Derek took the right position. We're talking today would doping Bonner executive director in the northwest Portland area Indian health for the tournament scooped up. Yeah. Metro Scopes is an Entercom radio Portland public affairs program. I'm Gary blocks and if you're involved with a non profit for public affairs organization or if you have an idea for an upcoming show I'd like to hear from you. This is microscope PDX dot com and submit your ideas you can also go to the station's website and some richer information there. Thanks for listening to metros go and enjoy the rest of your weekend.