1 00:00:05,960 --> 00:00:10,040 >>GOOD AFTERNOON, EVERYONE. 2 00:00:10,040 --> 00:00:37,040 THANK YOU FOR JOINING US 3 00:00:37,040 --> 00:00:39,240 BEFORE WE GET STARTED, JUST 4 00:00:39,240 --> 00:00:41,640 PLEASE NOTE THAT TODAY'S WEBINAR 5 00:00:41,640 --> 00:00:44,080 IS BEING BROADCAST ON NIH 6 00:00:44,080 --> 00:00:46,080 VIDEOCAST AND BEING RECORDED. 7 00:00:46,080 --> 00:00:48,920 IF YOU ARE A PRINCIPAL 8 00:00:48,920 --> 00:00:50,480 INVESTIGATOR OR NIH SUPPORTED 9 00:00:50,480 --> 00:00:52,280 RESEARCHER, WE HOPE YOU JOIN US 10 00:00:52,280 --> 00:00:53,600 HERE ON ZOOM WHERE YOU WILL BE 11 00:00:53,600 --> 00:00:55,680 ABLE TO ASK QUESTIONS DIRECTLY 12 00:00:55,680 --> 00:00:58,280 DURING THE Q&A PORTION OF THE 13 00:00:58,280 --> 00:00:58,560 SESSION. 14 00:00:58,560 --> 00:01:01,360 IF YOU'RE UNABLE TO JOIN ZOOM, 15 00:01:01,360 --> 00:01:05,800 PLEASE JOIN US VIA THE NIH 16 00:01:05,800 --> 00:01:07,680 VIDEOCAST EVENT DESCRIPTION 17 00:01:07,680 --> 00:01:07,880 LINK. 18 00:01:07,880 --> 00:01:09,240 THANK YOU. 19 00:01:09,240 --> 00:01:10,200 NEXT SLIDE. 20 00:01:10,200 --> 00:01:12,160 FOR EVERYONE VIEWING TODAY, 21 00:01:12,160 --> 00:01:13,960 CLOSED CAPTIONING HAS BEEN 22 00:01:13,960 --> 00:01:14,440 AUTOMATICALLY ENABLED. 23 00:01:14,440 --> 00:01:18,360 IF YOU'RE UNABLE TO SEE THE LIVE 24 00:01:18,360 --> 00:01:19,760 TRANSCRIPT, IT WILL BE AVAILABLE 25 00:01:19,760 --> 00:01:23,120 IF YOU SELECT CLOSED CAPTION ON 26 00:01:23,120 --> 00:01:27,720 ZOOM AND CC ON THE NIH 27 00:01:27,720 --> 00:01:28,400 VIDEOCAST. 28 00:01:28,400 --> 00:01:29,840 AMERICAN SIGN LANGUAGE 29 00:01:29,840 --> 00:01:32,800 INTERPRETER IS ALSO SUPPORTING 30 00:01:32,800 --> 00:01:33,840 THIS BROADCAST. 31 00:01:33,840 --> 00:01:35,520 THE INTERPRETER CAN ONLY LISTEN 32 00:01:35,520 --> 00:01:37,600 TO THE WEBINAR AND CANNOT 33 00:01:37,600 --> 00:01:40,320 COMMUNICATE WITH THE AUDIENCE. 34 00:01:40,320 --> 00:01:41,800 PARTICIPANTS JOINING THE SESSION 35 00:01:41,800 --> 00:01:44,480 THROUGH ZOOM WILL NOT BE ABLE TO 36 00:01:44,480 --> 00:01:46,080 UNMUTE THEIR AUDIO OR TURN ON 37 00:01:46,080 --> 00:01:46,880 THEIR VIDEO. 38 00:01:46,880 --> 00:01:49,040 YOU WILL, HOWEVER, BE ABLE TO 39 00:01:49,040 --> 00:01:51,480 SUBMIT QUESTIONS IN THE Q&A 40 00:01:51,480 --> 00:01:55,720 PORTION OF THE ZOOM ON THE 41 00:01:55,720 --> 00:01:55,960 SCREEN. 42 00:01:55,960 --> 00:01:58,320 ALL RIGHT, WITH THAT, NEXT 43 00:01:58,320 --> 00:02:01,360 SLIDE, PLEASE. 44 00:02:01,360 --> 00:02:02,920 TODAY'S SESSION, WE ARE EXCITED 45 00:02:02,920 --> 00:02:07,680 TO BRING TO YOU FROM THREE NIH 46 00:02:07,680 --> 00:02:08,840 EFFORTS THAT NIH RESEARCH IN 47 00:02:08,840 --> 00:02:10,840 COVID TO ENHANCED RECOVER 48 00:02:10,840 --> 00:02:12,600 INITIATIVE, OR WHAT IS KNOWN AS 49 00:02:12,600 --> 00:02:14,520 NIH RECOVER. 50 00:02:14,520 --> 00:02:15,840 IN PARTNERSHIP WITH THE 51 00:02:15,840 --> 00:02:18,960 COMMUNITY ENGAGEMENT ALLIANCE, 52 00:02:18,960 --> 00:02:21,640 CEAL, AND WITH OUR TRIBAL HEALTH 53 00:02:21,640 --> 00:02:24,440 RESEARCH OFFICE AT NIH. 54 00:02:24,440 --> 00:02:25,680 FOR MORE INFORMATION ABOUT ANY 55 00:02:25,680 --> 00:02:27,320 OF THESE THREE INITIATIVES, 56 00:02:27,320 --> 00:02:29,840 PLEASE VISIT THEIR WEBSITES 57 00:02:29,840 --> 00:02:31,880 WHICH WE ARE PUTTING IN THE CHAT 58 00:02:31,880 --> 00:02:32,040 NOW. 59 00:02:32,040 --> 00:02:33,120 AND WE'LL PROVIDE A LITTLE MORE 60 00:02:33,120 --> 00:02:37,240 DETAIL AT THE END OF THIS 61 00:02:37,240 --> 00:02:39,560 PRESENTATION. 62 00:02:39,560 --> 00:02:42,760 I'D LIKE TO JUST SHORTLY RUN 63 00:02:42,760 --> 00:02:44,440 THROUGH TODAY'S AGENDA. 64 00:02:44,440 --> 00:02:49,440 TODAY WE'LL START WITH A WELCOME 65 00:02:49,440 --> 00:02:49,840 AND INTRODUCTION. 66 00:02:49,840 --> 00:02:51,840 THEN WE'LL MOVE INTO THREE 67 00:02:51,840 --> 00:02:53,120 EXCITING PANELISTS WHO WILL 68 00:02:53,120 --> 00:02:54,560 PRESENT SOME OF THEIR WORK AND 69 00:02:54,560 --> 00:02:55,520 THEIR EFFORTS. 70 00:02:55,520 --> 00:02:57,320 AND THEN WE'LL OPEN IT UP AND 71 00:02:57,320 --> 00:03:00,880 OUR MODERATOR WILL ENGAGE IN A 72 00:03:00,880 --> 00:03:01,800 PANEL DISCUSSION AND WE'LL ALSO 73 00:03:01,800 --> 00:03:04,960 TAKE Q&As -- YOUR QUESTIONINGS 74 00:03:04,960 --> 00:03:05,840 THAT THE TIME. 75 00:03:05,840 --> 00:03:07,920 NEXT SLIDE. 76 00:03:07,920 --> 00:03:10,400 SO, WITHOUT FURTHER ADIEU, I'M 77 00:03:10,400 --> 00:03:13,440 PLEASED TO INTRODUCE MY 78 00:03:13,440 --> 00:03:15,800 COLLEAGUE, AS TODAY'S MODERATOR. 79 00:03:15,800 --> 00:03:18,160 MOSE IS SENIOR ADVISOR OF THE 80 00:03:18,160 --> 00:03:18,880 TRIBAL HEALTH RESEARCH OFFICE. 81 00:03:18,880 --> 00:03:22,280 HE IS A MEMBER OF THE SAINT 82 00:03:22,280 --> 00:03:24,240 REGIS MOHAWK NATION, TURTLE 83 00:03:24,240 --> 00:03:24,520 CLAN. 84 00:03:24,520 --> 00:03:26,880 PRIOR TO COMING TO NIH, HE 85 00:03:26,880 --> 00:03:28,040 WORKED FOR THE INIAN HEALTH 86 00:03:28,040 --> 00:03:31,200 SERVICE AS THE CEO FOR THE HOPI 87 00:03:31,200 --> 00:03:32,480 HEALTH CARE CENTER IN THE 88 00:03:32,480 --> 00:03:33,280 PHOENIX AREA. 89 00:03:33,280 --> 00:03:36,120 HE ALSO LED PLANNING AND 90 00:03:36,120 --> 00:03:37,840 EVALUATION, RESEARCH AND 91 00:03:37,840 --> 00:03:39,120 BEHAVIORAL HEALTH DIVISIONS AT 92 00:03:39,120 --> 00:03:41,760 THE IHS HEADQUARTERS. 93 00:03:41,760 --> 00:03:43,360 MOSE HELD CLINICAL POSITIONS AT 94 00:03:43,360 --> 00:03:45,760 THE VETERANS HEALTH 95 00:03:45,760 --> 00:03:47,760 ADMINISTRATION AND THE INDIAN 96 00:03:47,760 --> 00:03:50,080 HEALTH SERVICE URBAN INDIAN 97 00:03:50,080 --> 00:03:50,720 HEALTH PROGRAMS. 98 00:03:50,720 --> 00:03:54,000 AND ALSO SERVED AS AN ADJUNCT 99 00:03:54,000 --> 00:03:56,680 FACULTY POSITION AT BOSTON 100 00:03:56,680 --> 00:03:58,640 UNIVERSITY AND THE FITCHBURG 101 00:03:58,640 --> 00:03:58,960 STATE COLLEGE. 102 00:03:58,960 --> 00:03:59,720 HE WAS THE PUBLIC HEALTH 103 00:03:59,720 --> 00:04:00,840 DIRECTOR FOR THE FRANKLIN COUNTY 104 00:04:00,840 --> 00:04:03,520 HEALTH DEPARTMENT IN NEW YORK 105 00:04:03,520 --> 00:04:08,080 STATE AND IS A GULF WAR VETERAN 106 00:04:08,080 --> 00:04:09,760 HAVING SERVED AS A NUCLEAR 107 00:04:09,760 --> 00:04:10,520 PROPULSION PLANT OPERATOR ON THE 108 00:04:10,520 --> 00:04:13,800 U.S. NAVY FLEET BALLISTIC 109 00:04:13,800 --> 00:04:15,120 MISSILE -- EXCUSE ME. 110 00:04:15,120 --> 00:04:17,200 BALLISTIC MISSILE AND FAST 111 00:04:17,200 --> 00:04:18,320 ATTACK SUBMARINES. 112 00:04:18,320 --> 00:04:21,400 SO THANK YOU FOR YOUR SERVICE, 113 00:04:21,400 --> 00:04:21,640 MOSE. 114 00:04:21,640 --> 00:04:22,760 MOSE IS AN UNDERGRADUATE DEGREE 115 00:04:22,760 --> 00:04:25,920 IN PSYCHOLOGY FROM CLARKS BERG 116 00:04:25,920 --> 00:04:27,920 UNIVERSITY, MASTERS IN SCIENCE 117 00:04:27,920 --> 00:04:29,600 DEGREE IN NEUROSCIENCE FROM 118 00:04:29,600 --> 00:04:32,600 BRAND ICE UNIVERSITY AND AN NPH 119 00:04:32,600 --> 00:04:33,600 IN ENVIRONMENTAL SCIENCE FROM 120 00:04:33,600 --> 00:04:34,720 BOSTON UNIVERSITY SCHOOL OF 121 00:04:34,720 --> 00:04:35,960 PUBLIC HEALTH. 122 00:04:35,960 --> 00:04:38,800 WITH THAT, I'M EXCITED TO TURN 123 00:04:38,800 --> 00:04:41,960 TODAY'S WEBINAR OVER TO YOU, 124 00:04:41,960 --> 00:04:43,200 MOSE. 125 00:04:43,200 --> 00:04:43,480 THANK YOU. 126 00:04:43,480 --> 00:04:44,160 >>THANK YOU VERY MUCH 127 00:04:44,160 --> 00:04:46,120 DR. JOHNSON AND WELCOME 128 00:04:46,120 --> 00:04:46,400 EVERYBODY. 129 00:04:46,400 --> 00:04:48,320 I'M REALLY EXCITED TO BE HERE 130 00:04:48,320 --> 00:04:49,720 TODAY TO MODERATE TODAY'S 131 00:04:49,720 --> 00:04:51,720 WEBINAR AND I LOOK FORWARD TO 132 00:04:51,720 --> 00:04:54,360 HEARING FROM OUR GREAT PANEL OF 133 00:04:54,360 --> 00:04:55,040 SPEAKERS. 134 00:04:55,040 --> 00:04:57,160 OUR OBJECTIVES TODAY WE HOPE TO 135 00:04:57,160 --> 00:04:58,640 SPOTLIGHT SUCCESSFUL APPROACHES 136 00:04:58,640 --> 00:05:01,000 USED DURING THE COVID-19 137 00:05:01,000 --> 00:05:03,520 PANDEMIC TO ENGAGE TRIBAL 138 00:05:03,520 --> 00:05:04,760 COMMUNITIES BY HEARING FIRSTHAND 139 00:05:04,760 --> 00:05:07,320 FROM EXPERTS ABOUT BEST 140 00:05:07,320 --> 00:05:09,120 PRACTICES FOR ENGAGEMENT. 141 00:05:09,120 --> 00:05:10,720 WE ALSO HOPE TO SHARE INSIGHT 142 00:05:10,720 --> 00:05:12,960 INTO HOW TO BUILD RELATIONSHIPS 143 00:05:12,960 --> 00:05:14,720 BETWEEN TRIBAL COMMUNITY MEMBERS 144 00:05:14,720 --> 00:05:17,040 AND THE RESEARCHERS AND 145 00:05:17,040 --> 00:05:18,320 COMMUNITY ORGANIZATIONS INVOLVED 146 00:05:18,320 --> 00:05:20,200 IN THAT EFFORT. 147 00:05:20,200 --> 00:05:22,120 AND WE ALSO WANT TO HEAR FROM 148 00:05:22,120 --> 00:05:24,200 YOU, THE PRINCIPAL INVESTIGATORS 149 00:05:24,200 --> 00:05:26,160 AND RESEARCHERS AT NIH RECOVER 150 00:05:26,160 --> 00:05:28,320 AND CEAL, TO BETTER UNDERSTAND 151 00:05:28,320 --> 00:05:30,560 WHAT CONCERNS, EXPERIENCES AND 152 00:05:30,560 --> 00:05:32,600 QUESTIONS IN COVID-19 AND LONG 153 00:05:32,600 --> 00:05:34,400 COVID RESEARCH YOU MAY HAVE. 154 00:05:34,400 --> 00:05:36,560 TODAY'S WEBINAR WILL COMPRISE A 155 00:05:36,560 --> 00:05:38,280 SERIES OF PRESENTATIONS FROM 156 00:05:38,280 --> 00:05:39,880 EACH OF THE PANELISTS FOLLOWED 157 00:05:39,880 --> 00:05:42,800 BY AN INTERACTIVE DISCUSSION 158 00:05:42,800 --> 00:05:44,680 WITH ME AND THEN QUESTIONINGS 159 00:05:44,680 --> 00:05:48,280 AND ANSWERS WITH PARTICIPANTS. 160 00:05:48,280 --> 00:05:49,520 RESEARCH ON THE LINE -- 161 00:05:49,520 --> 00:05:50,720 RESEARCHERS ON THE LINE, WE 162 00:05:50,720 --> 00:05:52,600 ENCOURAGE YOU TO SHARE YOUR 163 00:05:52,600 --> 00:05:55,480 ENGAGEMENT EXPERIENCES AND ASK 164 00:05:55,480 --> 00:05:57,160 QUESTIONS TO PANELISTS. 165 00:05:57,160 --> 00:05:58,600 PLEASE ADD ANY QUESTIONS YOU MAY 166 00:05:58,600 --> 00:06:01,120 HAVE TO THE Q&A. 167 00:06:01,120 --> 00:06:02,640 SO LET'S GET STARTED. 168 00:06:02,640 --> 00:06:04,640 I WOULD LIKE TO TAKE THE 169 00:06:04,640 --> 00:06:07,000 OPPORTUNITY TO INTRODUCE OUR 170 00:06:07,000 --> 00:06:07,240 PANELISTS. 171 00:06:07,240 --> 00:06:11,160 FIRST WE'LL HEAR FROM LIEUTENANT 172 00:06:11,160 --> 00:06:13,440 SHAW NEL DAMON, MPHMS. 173 00:06:13,440 --> 00:06:15,640 THE GRANDDAUGHTER OF THE LATE 174 00:06:15,640 --> 00:06:18,080 MOLLY DAMON, THE LATE CODE 175 00:06:18,080 --> 00:06:20,920 TALKER AND THE DAUGHTER OF 176 00:06:20,920 --> 00:06:23,840 LUCINDA DAMON FROM OLD SAWMILL 177 00:06:23,840 --> 00:06:25,120 ARIZONA. 178 00:06:25,120 --> 00:06:25,960 SHAW NEL WAS BORN FOR THE ASHE 179 00:06:25,960 --> 00:06:29,840 HE AND HER PATERNAL CLANS ARE 180 00:06:29,840 --> 00:06:33,120 BILLA GHANA, [ SPEAKING NATIVE 181 00:06:33,120 --> 00:06:34,360 LANGUAGE ] SHE IS THE ACTING 182 00:06:34,360 --> 00:06:36,240 PUBLIC HEALTH DIRECTOR OF THE 183 00:06:36,240 --> 00:06:37,600 NAVAJO AREA INDIAN HEALTH 184 00:06:37,600 --> 00:06:38,960 SERVICE AND SHE WORKED TO 185 00:06:38,960 --> 00:06:40,920 IMPLEMENT HEALTH PROMOTION, 186 00:06:40,920 --> 00:06:41,840 DISEASE PREVENTION PROGRAMS THAT 187 00:06:41,840 --> 00:06:44,040 INCLUDE TEACHING AND TRAINING 188 00:06:44,040 --> 00:06:45,080 THROUGH PUBLIC HEALTH ACTIVITIES 189 00:06:45,080 --> 00:06:49,040 AND EVENTS WHICH FOCUS ON SELF 190 00:06:49,040 --> 00:06:53,040 AWARENESS, HEALTH LITERACY AND 191 00:06:53,040 --> 00:06:53,640 CULTURAL COMPETENCY THROUGHOUT 192 00:06:53,640 --> 00:06:54,080 THE NAVAJO COMMUNITY. 193 00:06:54,080 --> 00:06:56,680 WE WILL THEN HEAR FROM DR. LAURA 194 00:06:56,680 --> 00:06:58,680 HAMIT, THE DIRECTOR OF 195 00:06:58,680 --> 00:06:59,320 INFECTIOUS DISEASE PROGRAMS AT 196 00:06:59,320 --> 00:07:02,640 THE CENTER FOR INDIGENOUS HEALTH 197 00:07:02,640 --> 00:07:03,280 AND ASSOCIATE PROFESSOR AT THE 198 00:07:03,280 --> 00:07:04,760 JOHNS HOPKINS BLOOMBERG SCHOOL 199 00:07:04,760 --> 00:07:05,840 OF PUBLIC HEALTH. 200 00:07:05,840 --> 00:07:09,840 SHE HAS BEEN ON THE FACULTY 201 00:07:09,840 --> 00:07:12,160 SINCE 2011. 202 00:07:12,160 --> 00:07:13,880 SHE HAS OVER 20 YEARS OF 203 00:07:13,880 --> 00:07:15,560 EXPERIENCE STUDYING VIRAL AND 204 00:07:15,560 --> 00:07:17,200 BACTERIAL RESPIRATORY INFECTIONS 205 00:07:17,200 --> 00:07:20,400 AND WORKS IN PARTNERSHIP WITH 206 00:07:20,400 --> 00:07:21,240 NATIVE-AMERICAN COMMUNITIES IN 207 00:07:21,240 --> 00:07:22,720 THE SOUTH WEST UNITED STATES TO 208 00:07:22,720 --> 00:07:23,680 UNDERSTAND AND ADDRESS 209 00:07:23,680 --> 00:07:26,640 INFECTIOUS DISEASES IN A 210 00:07:26,640 --> 00:07:29,600 CULTURALLY-INFORMED MANNER. 211 00:07:29,600 --> 00:07:31,800 WE WILL THEN HEAR FROM CAPTAN 212 00:07:31,800 --> 00:07:32,200 HOLLY VAN LOU. 213 00:07:32,200 --> 00:07:34,400 SHE IS AN ADVANCED PRACTICE 214 00:07:34,400 --> 00:07:36,440 PHARMACIST AT THE INDIAN HEALTH 215 00:07:36,440 --> 00:07:36,680 SERVICE. 216 00:07:36,680 --> 00:07:40,400 A NATIONAL TRAINER FOR MULTIPLE 217 00:07:40,400 --> 00:07:42,440 PHARMACISTS AND PHARMACY 218 00:07:42,440 --> 00:07:42,960 TECHNICIAN IMMUNIZATION 219 00:07:42,960 --> 00:07:43,800 CERTIFICATE PROGRAMS. 220 00:07:43,800 --> 00:07:45,920 HAVING TRAINED OVER 1500 221 00:07:45,920 --> 00:07:48,600 PHARMACISTS, STUDENTS AND 222 00:07:48,600 --> 00:07:50,760 TECHNICIANS TO ADMINISTER 223 00:07:50,760 --> 00:07:51,240 VACCINES. 224 00:07:51,240 --> 00:07:52,440 SHE WORKS AT THE LOCAL, REGIONAL 225 00:07:52,440 --> 00:07:54,440 AND NATIONAL LEVEL TO EDUCATE 226 00:07:54,440 --> 00:07:55,680 PHARMACISTS, PROVIDERS AND 227 00:07:55,680 --> 00:07:57,520 NURSES ABOUT IMMUNIZATIONS WITH 228 00:07:57,520 --> 00:08:02,240 A FOCUS ON ADDRESSING PATIENT 229 00:08:02,240 --> 00:08:04,200 VACCINE NEEDS. 230 00:08:04,200 --> 00:08:08,520 OUR FIRST PRESENTER TODAY IS 231 00:08:08,520 --> 00:08:08,920 LIEUTENANT DAMON. 232 00:08:08,920 --> 00:08:10,960 OVER TO YOU. 233 00:08:10,960 --> 00:08:15,400 >>LIEUTENANT DAMON: HI, GOOD 234 00:08:15,400 --> 00:08:15,920 AFTERNOON. 235 00:08:15,920 --> 00:08:16,520 SHAW NEL DAMON -- [ SPEAKING 236 00:08:16,520 --> 00:08:24,400 NATIVE LANGUAGE ] 237 00:08:24,400 --> 00:08:25,280 I'M THE PUBLIC HEALTH DIRECTOR 238 00:08:25,280 --> 00:08:27,520 FOR THE NAVAJO AREA INDIAN 239 00:08:27,520 --> 00:08:28,920 HEALTH SERVICE AND ACTING 240 00:08:28,920 --> 00:08:29,080 CAPACITY. 241 00:08:29,080 --> 00:08:30,120 THANK YOU FOR COMING ON TO THE 242 00:08:30,120 --> 00:08:31,440 WEBINAR AND GO TO THE NEXT 243 00:08:31,440 --> 00:08:33,720 SLIDE, PLEASE. 244 00:08:33,720 --> 00:08:35,440 SO JUST TO GIVE YOU SOME 245 00:08:35,440 --> 00:08:35,800 BACKGROUND. 246 00:08:35,800 --> 00:08:39,160 THE NAVAJO NATION, WE ARE THE 247 00:08:39,160 --> 00:08:40,160 LARGEST TRIBE IN THE UNITED 248 00:08:40,160 --> 00:08:40,360 STATES. 249 00:08:40,360 --> 00:08:43,080 WE COVER THREE GEOGRAPHIC 250 00:08:43,080 --> 00:08:45,880 STATES, UTAH, ARIZONA AND NEW 251 00:08:45,880 --> 00:08:46,240 MEXICO. 252 00:08:46,240 --> 00:08:48,960 AND THEN ALSO WE HAVE 27,000 253 00:08:48,960 --> 00:08:51,440 SQUARE FEET MILES WITH FIVE 254 00:08:51,440 --> 00:08:58,880 DIFFERENT SERVICE UNITS AND THEN 255 00:08:58,880 --> 00:08:59,520 THE FEDERAL SERVICE UNITS ARE IN 256 00:08:59,520 --> 00:09:01,000 [ SPEAKING NATIVE LANGUAGE ] AND 257 00:09:01,000 --> 00:09:03,280 THEN THE TRIBAL ONES ARE [ 258 00:09:03,280 --> 00:09:03,920 SPEAKING NATIVE LANGUAGE ] JUST 259 00:09:03,920 --> 00:09:06,240 TO GIVE YOU SOME BACKGROUND OF 260 00:09:06,240 --> 00:09:06,960 OUR GEOGRAPHIC LOCATION. 261 00:09:06,960 --> 00:09:09,200 NEXT SLIDE, PLEASE. 262 00:09:09,200 --> 00:09:11,520 SO, ON MARCH 17, WE HAD OUR 263 00:09:11,520 --> 00:09:15,400 FIRST CONFIRMED CASE OF COVID-19 264 00:09:15,400 --> 00:09:15,680 COVID-19. 265 00:09:15,680 --> 00:09:20,240 THE TRAVEL TO TUCSON ARIZONA AND 266 00:09:20,240 --> 00:09:21,320 THEN TRAVELED BACK. 267 00:09:21,320 --> 00:09:22,400 AND FROM THAT ONE CASE BY THE 268 00:09:22,400 --> 00:09:24,080 END OF THE WEEK, WE WERE UP TO 269 00:09:24,080 --> 00:09:25,880 ALMOST 100 CASES. 270 00:09:25,880 --> 00:09:27,960 AND THE NAVAJO AREA IMMEDIATELY 271 00:09:27,960 --> 00:09:29,160 REACHED OUT TO THE NAVAJO 272 00:09:29,160 --> 00:09:30,880 EPICENTER AND VICE VERSA TO MAKE 273 00:09:30,880 --> 00:09:33,880 SURE THAT WE WERE ABLE TO 274 00:09:33,880 --> 00:09:35,720 FINALIZE PIECES AND START 275 00:09:35,720 --> 00:09:37,680 SURVEILLANCE PROJECT OR OUR 276 00:09:37,680 --> 00:09:39,320 ACTIVE SURVEILLANCE WITH ONE 277 00:09:39,320 --> 00:09:39,520 ANOTHER. 278 00:09:39,520 --> 00:09:41,320 THEN WE ALSO STARTED OUR DATA 279 00:09:41,320 --> 00:09:42,400 SHARING. 280 00:09:42,400 --> 00:09:48,440 EVERY DAY DAILY, WE WOULD GO 281 00:09:48,440 --> 00:09:50,680 STRAIGHT OVER TO NAVAJO 282 00:09:50,680 --> 00:09:50,960 EPICENTER. 283 00:09:50,960 --> 00:10:00,680 SO WE HAD PATIENTS THAT WERE 284 00:10:00,680 --> 00:10:00,720 SEEN ALL -- 285 00:10:01,800 --> 00:10:03,360 [ AUDIO DIFFICULTIES ] 286 00:10:03,360 --> 00:10:06,760 SO HERE WE HAVE OUR FIRST PIECE 287 00:10:06,760 --> 00:10:09,160 AND THEN YOU CAN SEE OUR 288 00:10:09,160 --> 00:10:13,800 SURROUNDING SERVICE UNITS. 289 00:10:13,800 --> 00:10:14,360 A FEDERAL SERVICE UNIT AND 290 00:10:14,360 --> 00:10:15,040 TRIBAL SERVICE UNIT. 291 00:10:15,040 --> 00:10:17,600 FROM THIS ONE EPILOCATION, OR 292 00:10:17,600 --> 00:10:19,720 EPICENTER, A LOT OF PIECES 293 00:10:19,720 --> 00:10:23,400 ACTUALLY HAPPENED TO TRAVEL AND 294 00:10:23,400 --> 00:10:27,400 THEN OVERFLOW PATIENT CARE WENT 295 00:10:27,400 --> 00:10:27,840 OTHER AREAS. 296 00:10:27,840 --> 00:10:29,440 THESE WERE THE MOST AFFECTED 297 00:10:29,440 --> 00:10:31,400 PLACES AT THE BEGINNING OF THE 298 00:10:31,400 --> 00:10:31,960 FIRST SEARCH. 299 00:10:31,960 --> 00:10:34,600 NEXT SLIDE. 300 00:10:34,600 --> 00:10:38,720 HERE YOU CAN SEE OUR EPICURVE OF 301 00:10:38,720 --> 00:10:39,960 THE PANDEMIC. 302 00:10:39,960 --> 00:10:41,800 SO FAR AT THE FIRST CURVE IN THE 303 00:10:41,800 --> 00:10:43,200 FIRST SURGE, WE SEE THAT WE HAD 304 00:10:43,200 --> 00:10:46,480 AT THAT TIME, WE HAD NO MASK. 305 00:10:46,480 --> 00:10:49,840 WE HAD TO GET DONATIONS FOR 306 00:10:49,840 --> 00:10:50,520 MASK. 307 00:10:50,520 --> 00:10:52,640 WE HAD JUST ENOUGH TO WHERE WE 308 00:10:52,640 --> 00:10:53,680 UTILIZED SURGICAL MASK AND 309 00:10:53,680 --> 00:10:55,120 REUSED THEM AT THE TIME. 310 00:10:55,120 --> 00:10:56,960 WE HAD TO MAKE SURE THAT WE 311 00:10:56,960 --> 00:10:58,840 DIDN'T HAVE ENOUGH TEST KITS. 312 00:10:58,840 --> 00:11:00,240 THERE WAS A BOTTLENECK AT LAB 313 00:11:00,240 --> 00:11:01,520 CORE WITH OUR COMMERCIAL 314 00:11:01,520 --> 00:11:03,960 CONTRACTS AND THEN ALSO A 315 00:11:03,960 --> 00:11:04,720 BOTTLENECK WITH THE STATE. 316 00:11:04,720 --> 00:11:07,840 SO WE HAD NOT ENOUGH TESTING 317 00:11:07,840 --> 00:11:09,160 CAPACITY DURING THE FIRST SURGE. 318 00:11:09,160 --> 00:11:11,640 WE HAD TO MAKE SURE THAT IF ONE 319 00:11:11,640 --> 00:11:15,160 PERSON WAS POSITIVE, THAT WE 320 00:11:15,160 --> 00:11:15,720 COMMUNE CALLED TO THE WHOLE 321 00:11:15,720 --> 00:11:17,200 FAMILY TO STAY HOME. 322 00:11:17,200 --> 00:11:18,800 AND WE TREATED THE WHOLE FAMILY 323 00:11:18,800 --> 00:11:19,720 AS POSITIVE CASES. 324 00:11:19,720 --> 00:11:21,280 YOU CAN SEE THROUGH THE FIRST 325 00:11:21,280 --> 00:11:21,640 SURGE. 326 00:11:21,640 --> 00:11:26,760 AND THEN THE SECOND ONE, IT 327 00:11:26,760 --> 00:11:27,240 HAPPENED IN THE FALL. 328 00:11:27,240 --> 00:11:28,880 WE ARE SEEING RIGHT NOW WITH 329 00:11:28,880 --> 00:11:29,680 COVID-19. 330 00:11:29,680 --> 00:11:31,680 SO WE ARE -- IN THE SECOND 331 00:11:31,680 --> 00:11:34,480 SURGE, WE ARE PREPARING FOR THE 332 00:11:34,480 --> 00:11:36,480 VACCINE, PREPARING FOR THE 333 00:11:36,480 --> 00:11:37,240 GUIDELINES OF WHEN THIS VACCINE 334 00:11:37,240 --> 00:11:38,480 IS GOING TO COME OUT. 335 00:11:38,480 --> 00:11:41,280 WHO IS GOING TO HAVE PRIORITY? 336 00:11:41,280 --> 00:11:42,800 WHERE ARE WE GOING TO GET IT? 337 00:11:42,800 --> 00:11:44,560 HOW WILL WE GET IT OUT ACROSS 338 00:11:44,560 --> 00:11:45,880 THIS GEOGRAPHIC LOCATION? 339 00:11:45,880 --> 00:11:49,040 AND THEN YOU FINALLY SEE THAT IN 340 00:11:49,040 --> 00:11:50,520 DECEMBER AND THEN JANUARY, THE 341 00:11:50,520 --> 00:11:53,400 VACCINE COMES AND WE ACTUALLY 342 00:11:53,400 --> 00:11:55,440 HAVE A SLOWING AND SPREAD THERE. 343 00:11:55,440 --> 00:11:59,400 AND THEN WE HAVE OUR THIRD SURGE 344 00:11:59,400 --> 00:12:02,080 IN THE FALL AGAIN. 345 00:12:02,080 --> 00:12:03,960 AND THEN OF COURSE THE OHM CRON 346 00:12:03,960 --> 00:12:05,240 SURGE THAT TOOK PLACE IN JANUARY 347 00:12:05,240 --> 00:12:06,400 OF LAST YEAR. 348 00:12:06,400 --> 00:12:08,520 SO THROUGH THESE SURGES, YOU CAN 349 00:12:08,520 --> 00:12:09,720 SEE THAT WE DEFINITELY HAD TO 350 00:12:09,720 --> 00:12:11,760 MAKE SURE THAT WE KNEW THE 351 00:12:11,760 --> 00:12:13,320 SURVEILLANCE DATA OF WHAT WAS 352 00:12:13,320 --> 00:12:17,000 GOING ON ON THE NAVAJO NATION. 353 00:12:17,000 --> 00:12:18,720 WHO WAS POSITIVE? 354 00:12:18,720 --> 00:12:20,720 HOW MANY PEOPLE WERE WE LOSING A 355 00:12:20,720 --> 00:12:21,800 DAY? 356 00:12:21,800 --> 00:12:24,200 AND THEN WE WERE AFFECTED 357 00:12:24,200 --> 00:12:25,640 EXPONENTIALLY AT THE BEGINNING 358 00:12:25,640 --> 00:12:27,000 OF THE PANDEMIC. 359 00:12:27,000 --> 00:12:29,840 NEXT SLIDE, PLEASE. 360 00:12:29,840 --> 00:12:32,480 SO WE DEFINITELY HAD SOME 361 00:12:32,480 --> 00:12:34,720 CHALLENGES BEFORE THE PANDEMIC. 362 00:12:34,720 --> 00:12:38,520 THERE WAS NO REALLY LIKE EPITEAM 363 00:12:38,520 --> 00:12:39,360 AT NAVAJO AREA. 364 00:12:39,360 --> 00:12:41,760 I HAVE BEEN DELEGATED AS THE 365 00:12:41,760 --> 00:12:43,840 EPIDEMIOLOGY CHIEF BECAUSE I 366 00:12:43,840 --> 00:12:44,480 WORKED FOR THE STATE AND HEALTH 367 00:12:44,480 --> 00:12:47,800 SERVICES IN TEXAS AS A 368 00:12:47,800 --> 00:12:50,400 EPIDEMIOLOGIST AND THE WEST 369 00:12:50,400 --> 00:12:51,200 TEXAS FOR 36 STATES. 370 00:12:51,200 --> 00:12:54,720 I GOT DELEGATED TO BE THE NAVAJO 371 00:12:54,720 --> 00:12:56,200 AREA EPIDIRECTOR AT THAT TIME. 372 00:12:56,200 --> 00:12:58,320 AND WE HAD NO STATISTICAL 373 00:12:58,320 --> 00:13:00,000 SOFTWARE. 374 00:13:00,000 --> 00:13:01,120 WEIDES EXCEL. 375 00:13:01,120 --> 00:13:02,960 WE DID MANUAL DATA EXTRACTIONS 376 00:13:02,960 --> 00:13:04,080 FROM OUR E HAD. 377 00:13:04,080 --> 00:13:06,680 R AND WE KEPT A DAILY LIST THAT 378 00:13:06,680 --> 00:13:09,080 WE SHARED OVER WITH THE NAVAJO 379 00:13:09,080 --> 00:13:11,080 EPICENTER AND THEIR DATA WAS 380 00:13:11,080 --> 00:13:15,560 SENT BACK AND FORTH TO ONE 381 00:13:15,560 --> 00:13:15,800 ANOTHER. 382 00:13:15,800 --> 00:13:16,960 AND SO BEFORE COVID, THE WAY THE 383 00:13:16,960 --> 00:13:19,560 DATA WAS SHARED WITH THE NAVAJO 384 00:13:19,560 --> 00:13:21,560 EPICENTER IS THAT THE HEALTH 385 00:13:21,560 --> 00:13:23,120 CARE CENTERS WOULD SEND DATA TO 386 00:13:23,120 --> 00:13:25,640 THE STATE AND THE STATE WOULD 387 00:13:25,640 --> 00:13:28,760 SEND THE DATA TO THE NAVAJO 388 00:13:28,760 --> 00:13:29,000 EPICENTER. 389 00:13:29,000 --> 00:13:30,280 WHEN WE HAD OUR FIRST MEETING, 390 00:13:30,280 --> 00:13:32,480 WE SAID WE WERE GOING TO BY PASS 391 00:13:32,480 --> 00:13:34,640 THE STATE AND FEED DIRECTLY INTO 392 00:13:34,640 --> 00:13:35,600 THE NAVAJO EPICENTER. 393 00:13:35,600 --> 00:13:37,120 SO THAT WAS LIKE ONE OF THE BEST 394 00:13:37,120 --> 00:13:41,960 PRACTICES IN DATA SHARING SO WE 395 00:13:41,960 --> 00:13:43,240 COULD REPORT OUT HOW MANY CASES 396 00:13:43,240 --> 00:13:45,200 OF COVID WE HAD ON A DAILY BASIS 397 00:13:45,200 --> 00:13:47,040 THROUGHOUT THIS WHOLE PANDEMIC. 398 00:13:47,040 --> 00:13:50,360 NEXT SLIDE, PLEASE. 399 00:13:50,360 --> 00:13:51,320 SO OUR STRENGTHS, WE PARTNERED 400 00:13:51,320 --> 00:13:55,080 WITH THE CD R AND WE WERE ABLE 401 00:13:55,080 --> 00:13:58,160 TO CREATE A DUPLICATION TOOL 402 00:13:58,160 --> 00:13:58,560 THROUGH EXCEL. 403 00:13:58,560 --> 00:14:00,240 WE STILL USE THIS TOOL EVERY DAY 404 00:14:00,240 --> 00:14:02,120 TO MAKE SURE THAT WE ARE ONLY 405 00:14:02,120 --> 00:14:04,800 COUNTING ONE CASE OF NEW CASES. 406 00:14:04,800 --> 00:14:07,120 ALSO, WE HAVE AND STILL UTILIZE 407 00:14:07,120 --> 00:14:09,480 A DATABASE THAT HOLDS ALL OUR 408 00:14:09,480 --> 00:14:09,760 CASES. 409 00:14:09,760 --> 00:14:12,040 AND THEN FINALLY, WE WERE 410 00:14:12,040 --> 00:14:12,840 TRAINED IN SAS. 411 00:14:12,840 --> 00:14:14,720 HERE IS OUR TEAM HERE. 412 00:14:14,720 --> 00:14:19,880 WE WERE ABLE TO HIRE MONIQUE 413 00:14:19,880 --> 00:14:21,840 AFTER THE THE FIRST YEAR OF 414 00:14:21,840 --> 00:14:24,360 COVID AND THEN DR. CAT REASON 415 00:14:24,360 --> 00:14:27,320 AND I WERE THE ONES HOLDING DOWN 416 00:14:27,320 --> 00:14:27,680 THE FORT. 417 00:14:27,680 --> 00:14:30,360 AND THEN WE ALSO CREATED A GREAT 418 00:14:30,360 --> 00:14:33,720 PARTNERSHIP WITH JOHNS HOPKINS 419 00:14:33,720 --> 00:14:35,360 UNIVERSITY AND WE OBTAINED A 420 00:14:35,360 --> 00:14:36,960 GREAT EPIDEMIOLOGIST WHO 421 00:14:36,960 --> 00:14:39,320 ACTUALLY HELPED US WITH THE DATA 422 00:14:39,320 --> 00:14:42,840 TESTING DATA ON A WEEKLY BASIS 423 00:14:42,840 --> 00:14:43,480 WHERE SHE WOULD -- WE WERE ABLE 424 00:14:43,480 --> 00:14:44,840 TO KNOW EXACTLY HOW MANY TESTS 425 00:14:44,840 --> 00:14:47,880 WE WERE, LIKE TESTING, HOW MANY 426 00:14:47,880 --> 00:14:48,480 NEW PATIENTS WE WERE TESTING, 427 00:14:48,480 --> 00:14:49,880 HOW MANY PEOPLE WERE GETTING 428 00:14:49,880 --> 00:14:50,280 REPEATED TESTING. 429 00:14:50,280 --> 00:14:52,200 SO WE WERE ABLE TO REALLY WORK 430 00:14:52,200 --> 00:14:54,000 TOGETHER WITH ALL OF OUR 431 00:14:54,000 --> 00:14:57,200 PARTNERS TO STRENGTHEN OUR 432 00:14:57,200 --> 00:14:57,560 EPISURVEILLANCE. 433 00:14:57,560 --> 00:15:01,840 NEXT SLIDE, PLEASE. 434 00:15:01,840 --> 00:15:03,920 ALSO, ONE OF THE BEST TECHNIQUES 435 00:15:03,920 --> 00:15:06,160 THAT WE ALSO HAD WAS TRAINING 436 00:15:06,160 --> 00:15:10,040 AND HIRING OUR OWN CONTACT TRACE 437 00:15:10,040 --> 00:15:11,240 WORKFORCE, WHICH IS BEING 438 00:15:11,240 --> 00:15:11,920 SUSTAINED TODAY. 439 00:15:11,920 --> 00:15:16,120 WE WERE ABLE TO PARTNER WITH A 440 00:15:16,120 --> 00:15:17,000 NONPROFIT THAT IS HELD OUGHT OF 441 00:15:17,000 --> 00:15:18,600 NEW MEXICO. 442 00:15:18,600 --> 00:15:21,400 OUR LOCAL COMMUNITY COLLEGE, THE 443 00:15:21,400 --> 00:15:23,800 STATE OF NEW MEXICO AND THE CDC 444 00:15:23,800 --> 00:15:27,080 TO SUSTAIN THIS CONTACT TRACING 445 00:15:27,080 --> 00:15:27,280 TEAM. 446 00:15:27,280 --> 00:15:28,320 SO THIS PICTURE YOU CAN SEE THAT 447 00:15:28,320 --> 00:15:30,720 IT'S A COMBINATION OF CDC AND 448 00:15:30,720 --> 00:15:31,680 NAVAJO NATION EMPLOYEES. 449 00:15:31,680 --> 00:15:33,600 AND THEN WE WERE ALSO AT NAVAJO 450 00:15:33,600 --> 00:15:36,120 AREA ABLE TO BRING ON YOUNG 451 00:15:36,120 --> 00:15:37,880 WORKFORCE WHO BECAME CONTACT 452 00:15:37,880 --> 00:15:38,360 TRACERS. 453 00:15:38,360 --> 00:15:40,040 AND THROUGH THIS PARTNERSHIP, WE 454 00:15:40,040 --> 00:15:43,080 WERE ABLE TO CREATE A HIPPA 455 00:15:43,080 --> 00:15:44,440 COMPLIANT DATABASE THAT WE WERE 456 00:15:44,440 --> 00:15:48,440 ABLE TO SHARE WITH OUR FEDERAL 457 00:15:48,440 --> 00:15:49,760 SERVICE UNITS AND OUR TRIBAL 458 00:15:49,760 --> 00:15:50,760 SERVICE UNITS. 459 00:15:50,760 --> 00:15:51,400 WE WERE ABLE TO TRANSFER 460 00:15:51,400 --> 00:15:53,080 PATIENTS TO ONE ANOTHER AND TALK 461 00:15:53,080 --> 00:15:54,640 TO EACH OTHER DURING THE TIME OF 462 00:15:54,640 --> 00:15:59,240 COVID AND NOT HAVE TO FAX AND 463 00:15:59,240 --> 00:16:00,880 E-MAIL EACH OTHER THE DATA. 464 00:16:00,880 --> 00:16:04,040 IT WAS SENT DIRECTLY TO ONE 465 00:16:04,040 --> 00:16:04,280 ANOTHER. 466 00:16:04,280 --> 00:16:07,760 SO NEXT SLIDE, PLEASE. 467 00:16:07,760 --> 00:16:09,120 SO OUR BIGGEST STRENGTHS HERE 468 00:16:09,120 --> 00:16:11,000 WAS COMING TOGETHER AS A ACOC 469 00:16:11,000 --> 00:16:13,600 AND THAT IS A UNIFIED COMMAND 470 00:16:13,600 --> 00:16:16,200 WITH THE NAVAJO NATION. 471 00:16:16,200 --> 00:16:18,280 AND THROUGH THAT PARTNERSHIP, WE 472 00:16:18,280 --> 00:16:20,360 WERE ABLE TO CREATE DIFFERENT 473 00:16:20,360 --> 00:16:20,560 TEAMS. 474 00:16:20,560 --> 00:16:21,760 SO WE HAD A PUBLIC HEALTH 475 00:16:21,760 --> 00:16:25,080 MESSAGING TEAM THAT CREATED SOME 476 00:16:25,080 --> 00:16:27,000 OF THE MOST CREATIVE MESSAGING 477 00:16:27,000 --> 00:16:27,920 THAT YOU CAN SEE HERE ON THE 478 00:16:27,920 --> 00:16:28,600 SCREEN. 479 00:16:28,600 --> 00:16:31,440 WE HAD A COMMUNITY MITIGATION 480 00:16:31,440 --> 00:16:33,200 TEAM THAT HELPED WITH SCHOOLS. 481 00:16:33,200 --> 00:16:34,920 AND REALLY WORKED TO ADVOCATE TO 482 00:16:34,920 --> 00:16:36,800 GET OUR CHILDREN BACK IN SCHOOL. 483 00:16:36,800 --> 00:16:40,240 THEN WE HAD THE UNIFIED EPITEAM. 484 00:16:40,240 --> 00:16:41,800 SO NOT JUST MONITORING THE 485 00:16:41,800 --> 00:16:44,760 NUMBERS AND CARRY AND SHARING. 486 00:16:44,760 --> 00:16:46,360 WE WORKED WITH AN EPITEAM FROM 487 00:16:46,360 --> 00:16:47,440 THE NAVAJO EPICENTER AND THEN 488 00:16:47,440 --> 00:16:51,480 WITH THE CDC AND JOHNS HOPKINS. 489 00:16:51,480 --> 00:16:53,160 THIS TEAM IS REALLY POWERFUL 490 00:16:53,160 --> 00:16:53,920 GROUP RIGHT NOW. 491 00:16:53,920 --> 00:16:55,960 IT'S REALLY GREAT TO SEE ALL THE 492 00:16:55,960 --> 00:16:58,160 ACTIVE SURVEILLANCE THAT IS 493 00:16:58,160 --> 00:16:58,840 TAKING PLACE NOW. 494 00:16:58,840 --> 00:17:01,040 WE MOVED OVER TO MONKEY POX, FLU 495 00:17:01,040 --> 00:17:02,280 AND RSV. 496 00:17:02,280 --> 00:17:05,160 SO NOW THIS IS A VERY DIMENSION 497 00:17:05,160 --> 00:17:05,680 ALGROUP WE HAVE TOGETHER. 498 00:17:05,680 --> 00:17:07,280 AND THEN WE HAD A BEHAVIORAL 499 00:17:07,280 --> 00:17:10,040 HEALTH TEAM TO MAKE SURE THAT WE 500 00:17:10,040 --> 00:17:15,760 ARE -- ONE OF THE BIGGEST LONG 501 00:17:15,760 --> 00:17:18,920 COVID -- I THINK LIKE IT WILL BE 502 00:17:18,920 --> 00:17:23,960 LIKE -- CODISPARITY OR PROBLEM 503 00:17:23,960 --> 00:17:24,680 WOULD BE BEHAVIORAL HEALTH. 504 00:17:24,680 --> 00:17:26,720 SO WE DEFINITELY HAVE A 505 00:17:26,720 --> 00:17:27,760 BEHAVIORAL HEALTH TEAM TO MAKE 506 00:17:27,760 --> 00:17:34,880 SURE WE ARE ADDRESSING A LOT OF 507 00:17:34,880 --> 00:17:36,240 POST-COVID MISFORTUNATE 508 00:17:36,240 --> 00:17:37,280 HAPPENINGS FROM LONG COVID. 509 00:17:37,280 --> 00:17:38,040 SO SORRY. 510 00:17:38,040 --> 00:17:39,560 AND THEN WE HAVE A CASE 511 00:17:39,560 --> 00:17:40,080 MANAGEMENT TEAM. 512 00:17:40,080 --> 00:17:41,560 THIS TEAM IS ACTUALLY WORKING 513 00:17:41,560 --> 00:17:43,080 REALLY GOOD IN PARTNERSHIP WITH 514 00:17:43,080 --> 00:17:44,240 THE NAVAJO NATION. 515 00:17:44,240 --> 00:17:47,280 WE ARE ABLE TO GET FOOD TEST 516 00:17:47,280 --> 00:17:47,520 KITS OUT. 517 00:17:47,520 --> 00:17:49,040 FOOD AND HOME TEST KITS OUT TO 518 00:17:49,040 --> 00:17:49,520 THE COMMUNITY. 519 00:17:49,520 --> 00:17:52,440 WE ARE ABLE TO MAKE SURE THAT WE 520 00:17:52,440 --> 00:17:55,440 WERE ABLE TO SET UP HOTEL AND 521 00:17:55,440 --> 00:17:57,280 ISOLATION PLACES FOR PEOPLE TO 522 00:17:57,280 --> 00:17:59,160 ISOLATE BECAUSE WE HAVE 523 00:17:59,160 --> 00:18:00,480 MULTIGENERATIONAL HOMES. 524 00:18:00,480 --> 00:18:02,640 AND THEN ALSO JUST TO SERVE THE 525 00:18:02,640 --> 00:18:05,520 COMMUNITY AS A CAPACITY SO WE 526 00:18:05,520 --> 00:18:06,640 COULD ANSWER THE PHONE AND BE 527 00:18:06,640 --> 00:18:09,120 THERE TO ANSWER YOUR QUESTIONS 528 00:18:09,120 --> 00:18:10,400 REGARDING COVID OR COMING INTO 529 00:18:10,400 --> 00:18:11,200 THE CLINIC. 530 00:18:11,200 --> 00:18:12,720 NEXT SLIDE, PLEASE. 531 00:18:12,720 --> 00:18:14,080 SORRY ABOUT THAT. 532 00:18:14,080 --> 00:18:16,600 SO, WE HAVE TO BE VERY 533 00:18:16,600 --> 00:18:19,200 INNOVATIVE IN OUR RESPONSE. 534 00:18:19,200 --> 00:18:21,320 WE DO NOT HAVE ENOUGH, LIKE I 535 00:18:21,320 --> 00:18:23,120 SAID, ENOUGH FACE MASK, NOT 536 00:18:23,120 --> 00:18:24,120 ENOUGH TEST KITS. 537 00:18:24,120 --> 00:18:30,400 WE HAD TO MAKE AND USE REUSABLE 538 00:18:30,400 --> 00:18:30,600 GOWNS. 539 00:18:30,600 --> 00:18:32,600 WE SEWED GOWNS IN OUR HCOC AND 540 00:18:32,600 --> 00:18:37,040 THEN ALSO WE USED FACE MASK AND 541 00:18:37,040 --> 00:18:40,360 FACE SHE WOULDS AND A LOT OF THE 542 00:18:40,360 --> 00:18:41,000 FACE SHIELDS WE GOT CAME LATER 543 00:18:41,000 --> 00:18:42,080 IN THE PANDEMIC. 544 00:18:42,080 --> 00:18:44,280 SO WE WORE WELDING FACE SHIELDS. 545 00:18:44,280 --> 00:18:47,280 WE HAD TO RE-USE N95s. 546 00:18:47,280 --> 00:18:49,680 WE RECEIVED TONS OF DONATIONS 547 00:18:49,680 --> 00:18:50,120 FOR CLOTH MASK. 548 00:18:50,120 --> 00:18:52,520 AND WE HAD TO PRIORITIZE OUR 549 00:18:52,520 --> 00:18:53,760 HIGHEST RISK PATIENTS. 550 00:18:53,760 --> 00:18:54,880 SO WHEN YOU CAME TO THE HOSPITAL 551 00:18:54,880 --> 00:18:58,080 TO GET TESTED, IF WE KNEW YOU 552 00:18:58,080 --> 00:19:00,600 WERE GOING TO BE OKAY, WE MADE 553 00:19:00,600 --> 00:19:01,440 ACCOMMODATIONS FOR YOU TO GO 554 00:19:01,440 --> 00:19:03,800 HOME OR TO ISOLATE. 555 00:19:03,800 --> 00:19:07,000 BUT FOR OUR ELDERS AND OUR 556 00:19:07,000 --> 00:19:08,080 IMMUNOCOMPROMISED, WE HAD TO 557 00:19:08,080 --> 00:19:09,360 PRIORITIZE THEIR CARE AND GET 558 00:19:09,360 --> 00:19:10,000 THEM IN. 559 00:19:10,000 --> 00:19:12,400 AND THEN MAKING SURE THAT THERE 560 00:19:12,400 --> 00:19:13,840 ARE DRIVE-THROUGH CLINICS. 561 00:19:13,840 --> 00:19:15,240 THEY BECAME OUR BEST PRACTICE. 562 00:19:15,240 --> 00:19:16,840 MAKING SURE WE CAN DO DRIVE 563 00:19:16,840 --> 00:19:19,600 THROUGH TESTING, THRIVE THROUGH 564 00:19:19,600 --> 00:19:20,440 VACCINATION CLINICS AND MAKING 565 00:19:20,440 --> 00:19:24,040 SURE THAT WE CAN KEEP THE MOST 566 00:19:24,040 --> 00:19:26,080 VULNERABLE INSIDE THE HOSPITAL 567 00:19:26,080 --> 00:19:27,440 AND THEN PROTECT THOSE THAT 568 00:19:27,440 --> 00:19:28,560 DIDN'T NEED TO BE IN THE 569 00:19:28,560 --> 00:19:29,520 HOSPITAL. 570 00:19:29,520 --> 00:19:30,680 SO THEY COULD JUST DRIVE 571 00:19:30,680 --> 00:19:32,320 THROUGH. 572 00:19:32,320 --> 00:19:33,000 NEXT SLIDE, PLEASE. 573 00:19:33,000 --> 00:19:34,400 SO OUR COVID RESPONSE. 574 00:19:34,400 --> 00:19:36,160 WE DEFINITELY HAD TO INCREASE 575 00:19:36,160 --> 00:19:39,560 OUR CAPACITY TO SERVE OUR 576 00:19:39,560 --> 00:19:39,800 INPATIENT. 577 00:19:39,800 --> 00:19:42,520 AND SO WE HAD TO EXPAND OUR 578 00:19:42,520 --> 00:19:42,720 ICUs. 579 00:19:42,720 --> 00:19:46,800 WE ALSO HAD TO RE-TRAIN AND 580 00:19:46,800 --> 00:19:47,280 RE-ASSIGN STAFF. 581 00:19:47,280 --> 00:19:49,920 SO A LOT OF OUR DENTAL AND 582 00:19:49,920 --> 00:19:51,280 PHYSICAL THERAPISTS BECAME 583 00:19:51,280 --> 00:19:55,920 CONTACT TRACERS OR BECAME 584 00:19:55,920 --> 00:19:57,680 VACCINATORS OR THEY HELPED 585 00:19:57,680 --> 00:19:59,000 TRIAGE PATIENTS THROUGH THE 586 00:19:59,000 --> 00:19:59,320 HOSPITALS. 587 00:19:59,320 --> 00:20:02,240 SO WE DEFINITELY HAD TO WORK ON 588 00:20:02,240 --> 00:20:05,640 EXPANDING OUR HEALTH CENTERS. 589 00:20:05,640 --> 00:20:07,360 NEXT SLIDE, PLEASE. 590 00:20:07,360 --> 00:20:08,800 SO, AGAIN, WITH THE CLINICAL AND 591 00:20:08,800 --> 00:20:13,000 LAB TESTING, WE DEFINITELY SAW A 592 00:20:13,000 --> 00:20:14,480 BIG, BIG BOTTLENECK WITH OUR 593 00:20:14,480 --> 00:20:17,400 LABS DURING THE FIRST SURGE. 594 00:20:17,400 --> 00:20:20,560 WE DEFINITELY ACQUIRED NEW LAB 595 00:20:20,560 --> 00:20:21,200 TECHNOLOGY DURING OUR SECOND AND 596 00:20:21,200 --> 00:20:22,680 THIRD SURGE SO WE COULD INCREASE 597 00:20:22,680 --> 00:20:24,880 OUR CAPACITY FOR TESTING. 598 00:20:24,880 --> 00:20:27,280 AND SO, WE WENT FROM 3000 TESTS 599 00:20:27,280 --> 00:20:30,680 A DAY TO 165,000 TESTS THAT WE 600 00:20:30,680 --> 00:20:32,760 WERE ABLE TO TEST THROUGHOUT 601 00:20:32,760 --> 00:20:33,000 NAVAJO. 602 00:20:33,000 --> 00:20:35,040 AND THEN ALSO MAKING SURE THAT 603 00:20:35,040 --> 00:20:36,600 WE CAN DO OUR SURVEILLANCE. 604 00:20:36,600 --> 00:20:38,640 SO THIS WAS ONE OF OUR BEST 605 00:20:38,640 --> 00:20:39,880 PRACTICES TOO THAT CAME OUT OF 606 00:20:39,880 --> 00:20:41,040 WORKING TOGETHER WITH THE NAVAJO 607 00:20:41,040 --> 00:20:46,800 NATION AND THE CDC AND T GEN. 608 00:20:46,800 --> 00:20:47,720 A NON-PROFIT ORGANIZATION IN 609 00:20:47,720 --> 00:20:52,040 PHOENIX WHO WORKS ON GENOMICS. 610 00:20:52,040 --> 00:20:56,520 SO WE WERE ABLE TO HAVE OUR FIVE 611 00:20:56,520 --> 00:20:57,080 SERVICE UNIT AND OUR TRIBAL 612 00:20:57,080 --> 00:20:58,160 SERVICE UNITS SEND OUR TEST 613 00:20:58,160 --> 00:21:01,080 RESULTS TO T-GEN SO THEY COULD 614 00:21:01,080 --> 00:21:02,720 TELL US WHAT STRANDS OF COVID 615 00:21:02,720 --> 00:21:04,160 ARE CIRCULATING WITHIN THE 616 00:21:04,160 --> 00:21:05,800 NAVAJO NATION. 617 00:21:05,800 --> 00:21:08,560 AND SO, I THINK WE ARE THE ONLY 618 00:21:08,560 --> 00:21:09,560 RESERVATION THAT COULD ACTUALLY 619 00:21:09,560 --> 00:21:11,120 TELL YOU WHAT IS OUT THERE. 620 00:21:11,120 --> 00:21:13,440 A LOT OF PEOPLE FOLLOW THE STATE 621 00:21:13,440 --> 00:21:15,200 AND WHAT THE STATE DATA SHOWED 622 00:21:15,200 --> 00:21:19,440 AND THEN THEY USED THAT TO 623 00:21:19,440 --> 00:21:19,920 HYPOTHESIZED WHAT WAS 624 00:21:19,920 --> 00:21:20,760 CIRCULATING IN THEIR AREA. 625 00:21:20,760 --> 00:21:22,360 BUT FOR NAVAJO, WE KNEW WHAT WAS 626 00:21:22,360 --> 00:21:22,880 GOING ON. 627 00:21:22,880 --> 00:21:27,320 NEXT SLIDE, PLEASE. 628 00:21:27,320 --> 00:21:30,200 ALSO, WE HAD A LOT OF TEAMS THAT 629 00:21:30,200 --> 00:21:31,040 WE HAD TO ESTABLISH. 630 00:21:31,040 --> 00:21:33,080 SO WE HAD A PATIENT MOBILIZATION 631 00:21:33,080 --> 00:21:34,960 TEAM THAT MADE SURE WE TRACKED 632 00:21:34,960 --> 00:21:37,200 ALL OF OUR PATIENTS WHO WERE 633 00:21:37,200 --> 00:21:39,560 BEING ISOLATED IN HOTELS. 634 00:21:39,560 --> 00:21:41,160 AND WE ALSO HAD TO MAKE SURE 635 00:21:41,160 --> 00:21:43,480 THAT THOSE PEOPLE THAT WERE IN 636 00:21:43,480 --> 00:21:47,160 HOTELS HAD NURSING STAFF AND 637 00:21:47,160 --> 00:21:48,200 DOCTORS AVAILABLE FOR THEM TO 638 00:21:48,200 --> 00:21:50,320 CHECK ON THEM WHILE THEY WERE 639 00:21:50,320 --> 00:21:51,120 ISOLATING IN THE HOTELS. 640 00:21:51,120 --> 00:21:54,280 AND UNFORTUNATELY, IN THE 641 00:21:54,280 --> 00:21:57,720 HOTELS, WE HAD LOST A FEW OF OUR 642 00:21:57,720 --> 00:21:58,720 TRIBAL MEMBERS WHO WERE -- 643 00:21:58,720 --> 00:22:00,640 DIDN'T MAKE IT THROUGH THE NIGHT 644 00:22:00,640 --> 00:22:01,600 IN THOSE HOTELS. 645 00:22:01,600 --> 00:22:03,200 SO WE DEFINITELY HAD TO MAKE 646 00:22:03,200 --> 00:22:06,000 SURE WE HAD PROTOCOLS IN PLACE 647 00:22:06,000 --> 00:22:08,280 AND STAFF TO STAFF THOSE PLACES. 648 00:22:08,280 --> 00:22:11,240 AND IN PARTNERSHIP WITH THE NEW 649 00:22:11,240 --> 00:22:13,840 MEXICO STATE. 650 00:22:13,840 --> 00:22:16,440 SO WE ALSO WORKED TO WORK WITH 651 00:22:16,440 --> 00:22:17,960 THE UNSHELTERED POPULATION AND 652 00:22:17,960 --> 00:22:21,000 MAKING SURE THEY HAD HOTELS THAT 653 00:22:21,000 --> 00:22:21,720 THEY COULD GO TO TO ISOLATE, 654 00:22:21,720 --> 00:22:24,880 WHETHER THEY HAD COVID OR NOT. 655 00:22:24,880 --> 00:22:26,040 AND THIS HELPED TO SLOW THE 656 00:22:26,040 --> 00:22:31,280 SPREAD OF COVID WITHIN OUR HIGH 657 00:22:31,280 --> 00:22:33,000 GEOGRAPHIC AREAS LIKE GALLUP OR 658 00:22:33,000 --> 00:22:34,040 BORDER TOWN AREAS. 659 00:22:34,040 --> 00:22:36,800 NEXT SLIDE, PLEASE. 660 00:22:36,800 --> 00:22:39,840 AND THEN WE HAD TO WORK ON 661 00:22:39,840 --> 00:22:40,120 VOLUNTEERS. 662 00:22:40,120 --> 00:22:41,640 SO IF YOU WORKED FOR THE FEDERAL 663 00:22:41,640 --> 00:22:42,240 GOVERNMENT OR GET A JOB WITH 664 00:22:42,240 --> 00:22:43,320 FEDERAL GOVERNMENT, THERE IS A 665 00:22:43,320 --> 00:22:43,960 LONG BACKGROUND CHECK. 666 00:22:43,960 --> 00:22:46,640 SO WE NEEDED TO MAKE SURE WE 667 00:22:46,640 --> 00:22:48,560 EXPEDITED HOW WE COULD BRING ON 668 00:22:48,560 --> 00:22:50,000 PEOPLE. 669 00:22:50,000 --> 00:22:53,360 SO, WE DID A VERY FAST WAY OF 670 00:22:53,360 --> 00:22:54,440 EXPEDITING BACKGROUND CHECKS. 671 00:22:54,440 --> 00:22:58,840 WE WERE ABLE TO RECRUIT AND 672 00:22:58,840 --> 00:23:00,120 SUSTAIN AND BRING ON VOLUNTEERS 673 00:23:00,120 --> 00:23:05,080 FROM A LOT OF DIFFERENT 674 00:23:05,080 --> 00:23:08,320 AGENCIES, JOHNS HOPKINS, CDC, 675 00:23:08,320 --> 00:23:09,480 DOCTORS WITHOUT BORDERS, ALL 676 00:23:09,480 --> 00:23:10,640 HERE READY TO HELP AT OUR 677 00:23:10,640 --> 00:23:13,000 SERVICE UNITS. 678 00:23:13,000 --> 00:23:13,640 WE WEREN'T TERRITORIAL OVER WHAT 679 00:23:13,640 --> 00:23:14,680 THEY COULD DO OR COULDN'T DO. 680 00:23:14,680 --> 00:23:18,400 WE WERE ABLE TO PROVIDE ACCESS 681 00:23:18,400 --> 00:23:21,800 FOR HR AND CREDENTIAL A LOT OF 682 00:23:21,800 --> 00:23:22,400 THOSE NURSES AND DOCTORS HELP 683 00:23:22,400 --> 00:23:22,560 US. 684 00:23:22,560 --> 00:23:23,960 WE DEFINITELY HAD TO MOVE FAST 685 00:23:23,960 --> 00:23:25,640 AND MAKE SURE THAT WE WEREN'T 686 00:23:25,640 --> 00:23:27,360 TURNED DOWN IN ANY VOLUNTEERS 687 00:23:27,360 --> 00:23:30,720 AND THAT IS WHAT ALSO HELPED TO 688 00:23:30,720 --> 00:23:33,120 MAKE US SO SUCCESSFUL IN OUR 689 00:23:33,120 --> 00:23:33,400 RESPONSE. 690 00:23:33,400 --> 00:23:34,640 NEXT SLIDE. 691 00:23:34,640 --> 00:23:36,440 SO HERE ARE SOME PICTURES THAT 692 00:23:36,440 --> 00:23:40,200 KIND OF TELL YOU THE STORY THAT 693 00:23:40,200 --> 00:23:41,480 HAPPENED ON OUR NAVAJO. 694 00:23:41,480 --> 00:23:43,880 SO WE HAD A LOT OF OUTSIDE 695 00:23:43,880 --> 00:23:44,080 TESTING. 696 00:23:44,080 --> 00:23:47,280 WE HAD A LOT OF TEAM WORK. 697 00:23:47,280 --> 00:23:49,720 AND THESE MAKE ME REALLY PROUD 698 00:23:49,720 --> 00:23:50,120 OF US. 699 00:23:50,120 --> 00:23:54,080 NEXT SLIDE, PLEASE. 700 00:23:54,080 --> 00:23:55,560 WE ALSO HAVE TO WORK WITH OUR 701 00:23:55,560 --> 00:23:57,760 STATE AND OUR TOWNS TO MAKE SURE 702 00:23:57,760 --> 00:23:59,360 THAT WE WERE TRANSFERRING 703 00:23:59,360 --> 00:23:59,880 PATIENTS OUT. 704 00:23:59,880 --> 00:24:03,760 A LOT OF OUR CLINICS IN PHOENIX 705 00:24:03,760 --> 00:24:05,400 OR UTAH OR NEW MEXICO, THEY WERE 706 00:24:05,400 --> 00:24:05,720 FULL. 707 00:24:05,720 --> 00:24:09,640 SO WE HAD TO INCREASE OUR ICU 708 00:24:09,640 --> 00:24:10,120 SERVICES. 709 00:24:10,120 --> 00:24:11,440 WE HAD TO MAKE SURE WE WERE 710 00:24:11,440 --> 00:24:14,080 GETTING TRAINED AND UTILIZING 711 00:24:14,080 --> 00:24:16,240 THE VENTILATORS WE RECEIVED FROM 712 00:24:16,240 --> 00:24:17,040 THE NATIONAL STOCKPILE. 713 00:24:17,040 --> 00:24:19,480 AND THEN ALSO MAKING SURE WE ARE 714 00:24:19,480 --> 00:24:20,480 SURVEILLANCING WHERE THESE 715 00:24:20,480 --> 00:24:21,240 PATIENTS ARE GOING AND WHERE 716 00:24:21,240 --> 00:24:23,440 THEY ARE BEING TRANSFERRED TO. 717 00:24:23,440 --> 00:24:25,440 DO WE HAVE ENOUGH BEDS TO MAKE 718 00:24:25,440 --> 00:24:28,520 SURE THAT WE CAN GIVE THEM THE 719 00:24:28,520 --> 00:24:31,200 BEST QUALITY SERVICE THAT WE 720 00:24:31,200 --> 00:24:31,480 HAVE? 721 00:24:31,480 --> 00:24:33,240 AND THEN WHEN WE NEED TO 722 00:24:33,240 --> 00:24:34,200 EXPEDITE AND SEND PATIENTS OUT, 723 00:24:34,200 --> 00:24:35,200 WHERE ARE THEY GOING? 724 00:24:35,200 --> 00:24:37,080 SO WE WERE ABLE TO TRANSFER 725 00:24:37,080 --> 00:24:39,920 PATIENTS OUT TO PHOENIX AND TO 726 00:24:39,920 --> 00:24:40,840 OTHER SURROUNDING HOSPITALS WHEN 727 00:24:40,840 --> 00:24:44,280 WE NEEDED TO. 728 00:24:44,280 --> 00:24:46,880 NEXT SLIDE, PLEASE. 729 00:24:46,880 --> 00:24:48,400 SO, AGAIN, OUR PARTNERSHIPS 730 00:24:48,400 --> 00:24:51,080 HELPED US A LOT. 731 00:24:51,080 --> 00:24:53,280 AND THEY BECOME SOME OF OUR BEST 732 00:24:53,280 --> 00:24:54,480 PRACTICES. 733 00:24:54,480 --> 00:24:56,320 WE WERE ABLE TO WORK TOGETHER 734 00:24:56,320 --> 00:24:59,560 WITH OUR TRIBAL FACILITIES, OUR 735 00:24:59,560 --> 00:25:01,600 FEDERAL FACILITIES, OUR NAVAJO 736 00:25:01,600 --> 00:25:03,960 NATION GOVERNMENT, OUR NAVAJO 737 00:25:03,960 --> 00:25:05,240 NATION EPITEAM. 738 00:25:05,240 --> 00:25:07,200 AND THEN ALSO WITH THE 739 00:25:07,200 --> 00:25:07,760 UNIVERSITIES THAT ACTUALLY 740 00:25:07,760 --> 00:25:09,000 REACHED OUT TO US. 741 00:25:09,000 --> 00:25:11,920 SO WE WERE ABLE TO ACCEPT 742 00:25:11,920 --> 00:25:14,080 PATIENTS FROM OTHER AREAS INTO 743 00:25:14,080 --> 00:25:14,720 OUR AREA. 744 00:25:14,720 --> 00:25:17,120 SO WE WOULD TRANSFERASE TRIBAL 745 00:25:17,120 --> 00:25:18,720 HOSPITALS TO FEDERAL HOSPITALS. 746 00:25:18,720 --> 00:25:22,080 WE WERE ABLE TO ADJUST DURING 747 00:25:22,080 --> 00:25:22,680 SURGINGS. 748 00:25:22,680 --> 00:25:23,760 TO PREDICT WHERE DID THE 749 00:25:23,760 --> 00:25:26,080 VACCINE, WHICH AREAS NEEDED MORE 750 00:25:26,080 --> 00:25:26,360 ARE VACCINE. 751 00:25:26,360 --> 00:25:29,600 WE WERE ABLE TO OFFSET EACH 752 00:25:29,600 --> 00:25:33,080 OTHER DURING -- IF ONE AREA HAD 753 00:25:33,080 --> 00:25:33,720 SUCH A GREAT VACCINE CLINIC, AND 754 00:25:33,720 --> 00:25:36,280 THEY NEEDED MORE, WE WOULD 755 00:25:36,280 --> 00:25:37,800 TRANSPORT VACCINE BETWEEN 756 00:25:37,800 --> 00:25:38,360 CLINICS. 757 00:25:38,360 --> 00:25:39,800 AND THEN ALSO WE WERE ABLE TO 758 00:25:39,800 --> 00:25:40,880 PROVIDE SITUATIONAL AWARENESS TO 759 00:25:40,880 --> 00:25:43,640 OUR NAVAJO NATION LEADERSHIP. 760 00:25:43,640 --> 00:25:45,040 ON A REGULAR BASIS SO OUR 761 00:25:45,040 --> 00:25:47,640 PRESIDENT AND OUR LEADERS KNEW 762 00:25:47,640 --> 00:25:49,440 EXACTLY WHAT WAS GOING ON WITH 763 00:25:49,440 --> 00:25:52,960 THE COVID-19 PANDEMIC. 764 00:25:52,960 --> 00:25:55,040 NEXT SLIDE. 765 00:25:55,040 --> 00:25:58,440 SO, WE PREPARED FOR THIS VACCINE 766 00:25:58,440 --> 00:26:00,200 AND WE WERE VERY EXCITED FOR IT 767 00:26:00,200 --> 00:26:04,120 TO COME TO NAVAJO NATION. 768 00:26:04,120 --> 00:26:07,920 WE HAD TO TRAIN OVER 129 HEALTH 769 00:26:07,920 --> 00:26:10,760 PROFESSIONALS SO THAT WE COULD 770 00:26:10,760 --> 00:26:13,600 VACCINATE AND GET OUR VACCINES 771 00:26:13,600 --> 00:26:15,440 READY AT A CENTRAL SITE AND THEN 772 00:26:15,440 --> 00:26:17,040 DISBURSE TO ALL OUR SERVICE 773 00:26:17,040 --> 00:26:18,720 UNITS THROUGHOUT THAT MAP I 774 00:26:18,720 --> 00:26:19,200 SHOWED. 775 00:26:19,200 --> 00:26:21,000 AND THEN WHO WERE YOU GOING TO 776 00:26:21,000 --> 00:26:22,560 VACCINATE FIRST? 777 00:26:22,560 --> 00:26:24,120 WHO ARE OUR MOST VULNERABLE? 778 00:26:24,120 --> 00:26:29,000 OUR ELDERS AND THEN ALSO OUR 779 00:26:29,000 --> 00:26:30,680 TRIBAL LEADERS AND OUR DOCTORS 780 00:26:30,680 --> 00:26:32,800 AND NURSES. 781 00:26:32,800 --> 00:26:34,000 AND THEN OUR HEALERS. 782 00:26:34,000 --> 00:26:36,560 WE WANTED TO MAKE SURE WE HAD A 783 00:26:36,560 --> 00:26:37,520 GUIDELINE TO PREPARE FOR THIS 784 00:26:37,520 --> 00:26:37,800 VACCINE. 785 00:26:37,800 --> 00:26:40,920 NEXT SLIDE, PLEASE. 786 00:26:40,920 --> 00:26:42,680 SO, WE WERE DEFINITELY 787 00:26:42,680 --> 00:26:44,560 ANTICIPATING THE ARRIVAL AND 788 00:26:44,560 --> 00:26:47,080 ALSO ON DECEMBER 12, WE HAD THE 789 00:26:47,080 --> 00:26:47,880 FDA APPROVAL. 790 00:26:47,880 --> 00:26:52,360 AND THEN BY DECEMBER 14, WE WERE 791 00:26:52,360 --> 00:26:53,600 GETTING THAT VACCINE PREPPED AND 792 00:26:53,600 --> 00:26:56,080 READY TO BE OUT IN OUR SERVICE 793 00:26:56,080 --> 00:26:56,280 UNITS. 794 00:26:56,280 --> 00:26:57,800 AND WE ALREADY HAD OUR 795 00:26:57,800 --> 00:26:58,960 GUIDELINES SET AND READY FOR WHO 796 00:26:58,960 --> 00:27:02,320 WAS GOING TO HAVE ACCESS TO THIS 797 00:27:02,320 --> 00:27:04,240 VACCINE AT THE BEGINNING. 798 00:27:04,240 --> 00:27:05,680 NEXT SLIDE, PLEASE. 799 00:27:05,680 --> 00:27:07,480 SO WE HAD MASS VACCINATION 800 00:27:07,480 --> 00:27:07,720 EVENTS. 801 00:27:07,720 --> 00:27:09,160 THERE IS PICTURES OUT THERE ON 802 00:27:09,160 --> 00:27:10,920 SOCIAL MEDIA WHERE YOU SEE LINES 803 00:27:10,920 --> 00:27:12,320 AND LINES OF CARS. 804 00:27:12,320 --> 00:27:15,560 WE WERE ABLE TO ASSESS WHAT 805 00:27:15,560 --> 00:27:17,400 WORKED BETTER, HOW MANY LINES WE 806 00:27:17,400 --> 00:27:19,200 NEEDED SO THAT THE CARS WENT 807 00:27:19,200 --> 00:27:20,160 THROUGH FASTER. 808 00:27:20,160 --> 00:27:23,000 WE WERE ABLE TO LEAD THE COUNTRY 809 00:27:23,000 --> 00:27:25,200 AND THE STATE WITH THE HIGHEST 810 00:27:25,200 --> 00:27:28,160 VACCINATION ADMINISTRATIONS AND 811 00:27:28,160 --> 00:27:28,920 WITHIN ARIZONA. 812 00:27:28,920 --> 00:27:31,000 THE NAVAJO NATION AND WITHIN 813 00:27:31,000 --> 00:27:34,440 INDIAN HEALTH SERVICE, WE LEAD 814 00:27:34,440 --> 00:27:38,000 THE AREAS WITH A VACCINATING THE 815 00:27:38,000 --> 00:27:39,920 MOST COVID-19 VACCINES. 816 00:27:39,920 --> 00:27:42,000 AND I THINK THAT STILL STANDS 817 00:27:42,000 --> 00:27:43,960 TODAY. 818 00:27:43,960 --> 00:27:46,840 I'LL LET CAPTAN BAN LOU TELL US 819 00:27:46,840 --> 00:27:48,440 WHETHER NAVAJO DID THE BEST OR 820 00:27:48,440 --> 00:27:48,600 NOT. 821 00:27:48,600 --> 00:27:50,400 BUT WE WORKED REALLY HARD TO GET 822 00:27:50,400 --> 00:27:51,360 THAT VACCINE OUT. 823 00:27:51,360 --> 00:27:54,120 NEXT SLIDE, PLEASE. 824 00:27:54,120 --> 00:27:55,840 SO FROM THE DATA, AS OF NOVEMBER 825 00:27:55,840 --> 00:27:58,640 25, WE CAN SAY THAT AMONG ALL 826 00:27:58,640 --> 00:28:01,800 NAVAJOS RESIDING ON THE NAVAJO 827 00:28:01,800 --> 00:28:04,400 NATION, THAT 68% HAVE RECEIVED 828 00:28:04,400 --> 00:28:06,920 AT LEAST ONE DOSE. 829 00:28:06,920 --> 00:28:11,760 AND THEN 70% HAVE RECEIVED THEIR 830 00:28:11,760 --> 00:28:13,120 PRIMARY SERVICE SERIES, WHICH 831 00:28:13,120 --> 00:28:15,360 MEANS THEY ARE FULLY VACCINATED 832 00:28:15,360 --> 00:28:16,480 ACCORDING TO THE CDC. 833 00:28:16,480 --> 00:28:19,920 NOW SINCE THEN, WE HAVE HAD 834 00:28:19,920 --> 00:28:21,240 OTHER VACCINE AND BOOSTERS. 835 00:28:21,240 --> 00:28:24,560 SO AMONG THAT, 70% -- 17% OF OUR 836 00:28:24,560 --> 00:28:25,960 TOTAL POPULATIONS ARE 837 00:28:25,960 --> 00:28:26,240 UP-TO-DATE. 838 00:28:26,240 --> 00:28:28,080 THAT MEANS THEY HAVE RECEIVED 839 00:28:28,080 --> 00:28:29,400 ADDITIONAL BOOSTERS. 840 00:28:29,400 --> 00:28:31,600 AND THEN ALSO WE ARE WORKING ON 841 00:28:31,600 --> 00:28:36,560 REALLY GETTING OUR YOUNGSTERS 842 00:28:36,560 --> 00:28:37,360 ALSO VACCINATED. 843 00:28:37,360 --> 00:28:42,480 SO FAR, WE HAVE 16% OF OUR TOTAL 844 00:28:42,480 --> 00:28:44,080 POPULATION HAVE RECEIVED THE NEW 845 00:28:44,080 --> 00:28:45,080 BIVALENT BOOSTERS. 846 00:28:45,080 --> 00:28:46,800 WE ARE CONTINUING TO WORK HARD 847 00:28:46,800 --> 00:28:48,360 ON MESSAGING AND MAKING SURE 848 00:28:48,360 --> 00:28:51,200 THAT WE ARE VACCINATING OUR 849 00:28:51,200 --> 00:28:51,520 POPULATION. 850 00:28:51,520 --> 00:28:53,640 NEXT SLIDE, PLEASE. 851 00:28:53,640 --> 00:28:56,040 SO, THIS IS OUR NAVAJO NATION 852 00:28:56,040 --> 00:28:58,200 PRESIDENT RECEIVING HIS FIRST 853 00:28:58,200 --> 00:28:59,640 PRIMARY SERIES. 854 00:28:59,640 --> 00:29:02,080 AND THEN ALSO A DEAR FRIEND OF 855 00:29:02,080 --> 00:29:04,600 MINE, COMMANDER PARKER WAS THE 856 00:29:04,600 --> 00:29:06,840 MASTERMIND WITH OUR EOC WITH 857 00:29:06,840 --> 00:29:08,760 GETTING THE DISTRIBUTION OF 858 00:29:08,760 --> 00:29:10,840 VACCINE THROUGHOUT NAVAJO 859 00:29:10,840 --> 00:29:11,280 NATION. 860 00:29:11,280 --> 00:29:12,080 THEY HAD A PARTNERSHIP WITH THE 861 00:29:12,080 --> 00:29:15,280 NAVAJO NATION PD SO THAT THESE 862 00:29:15,280 --> 00:29:18,280 VACCINES WENT OUT TO ALL THE 863 00:29:18,280 --> 00:29:19,880 SERVICE UNITS AND WERE NOT 864 00:29:19,880 --> 00:29:20,120 WASTED. 865 00:29:20,120 --> 00:29:22,800 NEXT SLIDE, PLEASE. 866 00:29:22,800 --> 00:29:25,120 SO I JUST WANT TO GIVE YOU AND 867 00:29:25,120 --> 00:29:26,360 SAY THANK YOU TO ALL OF YOU FOR 868 00:29:26,360 --> 00:29:27,640 LISTENING TO ME. 869 00:29:27,640 --> 00:29:29,800 HOPEFULLY I GAVE YOU GREAT 870 00:29:29,800 --> 00:29:31,680 INSIGHT OF HOW WE WERE ABLE TO 871 00:29:31,680 --> 00:29:34,000 RESPOND TO THE COVID-19 PANDEMIC 872 00:29:34,000 --> 00:29:36,400 ON THE NAVAJO NATION. 873 00:29:36,400 --> 00:29:44,360 THANK YOU. 874 00:29:44,360 --> 00:29:45,400 >>MOD THANK YOU FOR SHARING 875 00:29:45,400 --> 00:29:47,760 YOUR EXPERIENCES WITH US TODAY. 876 00:29:47,760 --> 00:29:51,440 NEXT, PLEASE WELCOME DR. LAURA 877 00:29:51,440 --> 00:29:53,760 HAMIT. 878 00:29:53,760 --> 00:29:54,400 >>THANK YOU VERY MUCH AND IT 879 00:29:54,400 --> 00:29:57,440 WAS GREAT TO HEAR THAT 880 00:29:57,440 --> 00:29:58,520 PRESENTATION FROM CHANNEL AND I 881 00:29:58,520 --> 00:30:00,320 APPRECIATE THE OPPORTUNITY TO BE 882 00:30:00,320 --> 00:30:02,720 HERE TODAY WITH EVERYONE ON THIS 883 00:30:02,720 --> 00:30:02,960 WEBINAR. 884 00:30:02,960 --> 00:30:03,640 IF YOU COULD GO TO THE NEXT 885 00:30:03,640 --> 00:30:05,040 SLIDE, PLEASE. 886 00:30:05,040 --> 00:30:06,680 AS WAS MENTIONED IN THE 887 00:30:06,680 --> 00:30:09,040 INTRODUCTIONS I'M WITH THE JOHNS 888 00:30:09,040 --> 00:30:10,600 HOPKINS CENTER FOR INDIGENOUS 889 00:30:10,600 --> 00:30:10,800 HEALTH. 890 00:30:10,800 --> 00:30:12,440 AND I WANT TO START BY 891 00:30:12,440 --> 00:30:14,360 ACKNOWLEDGING THAT JOHNS HOPKINS 892 00:30:14,360 --> 00:30:16,800 IS LOCATED ON THE TRADITIONAL 893 00:30:16,800 --> 00:30:21,280 AND UNCEDED LANDS OF THE PA SCAT 894 00:30:21,280 --> 00:30:21,640 WAY PEOPLES. 895 00:30:21,640 --> 00:30:23,640 AND I ALWAYS WANT TO ACKNOWLEDGE 896 00:30:23,640 --> 00:30:26,080 I LIVE AND WORK IN SOUTHWEST 897 00:30:26,080 --> 00:30:26,360 COLORADO. 898 00:30:26,360 --> 00:30:27,960 I'M IN BALTIMORE THIS WEEK. 899 00:30:27,960 --> 00:30:30,480 BUT WHERE I LIVE AND WORK IS THE 900 00:30:30,480 --> 00:30:31,920 ANCESTRAL LAND OF THE YUTE 901 00:30:31,920 --> 00:30:34,520 PEOPLE AND ALSO COMMUNITIED TO 902 00:30:34,520 --> 00:30:36,960 THE CEREMONIAL SPACES OF A 903 00:30:36,960 --> 00:30:37,800 NUMBER OF DIFFERENT TRIBES. 904 00:30:37,800 --> 00:30:40,320 I THINK THE NARRATIVES OF THESE 905 00:30:40,320 --> 00:30:40,960 LAUNCHED IN RECENT TIMES, HAVE 906 00:30:40,960 --> 00:30:42,600 LONG BEEN TOLD FROM NON 907 00:30:42,600 --> 00:30:43,840 INDIGENOUS PERSPECTIVES WITHOUT 908 00:30:43,840 --> 00:30:48,000 FULL RECOGNITION OF THE ORIGINAL 909 00:30:48,000 --> 00:30:50,000 LAND STEWARDS WHO CONTINUE TO 910 00:30:50,000 --> 00:30:51,880 OCCUPY THESE SPACES. 911 00:30:51,880 --> 00:30:54,920 NEXT SLIDE, PLEASE. 912 00:30:54,920 --> 00:30:58,200 I WANT TO DISCLOSE THAT I HAVE 913 00:30:58,200 --> 00:31:00,880 RESEARCH SUPPORT THROUGH MY 914 00:31:00,880 --> 00:31:01,880 INSTITUTION FROM THE DIFFERENT 915 00:31:01,880 --> 00:31:04,040 ORGANIZATIONS THAT ARE LISTED 916 00:31:04,040 --> 00:31:04,320 THERE. 917 00:31:04,320 --> 00:31:07,160 NEXT SLIDE, PLEASE. 918 00:31:07,160 --> 00:31:08,640 JUST A LITTLE BIT OF HISTORY 919 00:31:08,640 --> 00:31:10,400 ABOUT OUR CENTERS, THE JOHNS 920 00:31:10,400 --> 00:31:11,960 HOPKINS CENTER FOR INDIGENOUS 921 00:31:11,960 --> 00:31:14,160 HEALTH WAS FOUNDED IN 1991 922 00:31:14,160 --> 00:31:18,680 FOLLOWING 10 YEARS OF WORK WITH 923 00:31:18,680 --> 00:31:19,080 SOUTHWEST TRIBES. 924 00:31:19,080 --> 00:31:24,040 IT WAS LED BY -- AND WORKING IN 925 00:31:24,040 --> 00:31:25,760 PARTNERSHIP WITH NATIVE 926 00:31:25,760 --> 00:31:27,160 COMMUNITIES TO RAISE HEALTH 927 00:31:27,160 --> 00:31:29,400 STATUS AND LEADERRERSHIP TO THE 928 00:31:29,400 --> 00:31:30,120 HIGHEST POSSIBLE LEVEL. 929 00:31:30,120 --> 00:31:31,880 WE HAVE THE INFECTIOUS DISEASE 930 00:31:31,880 --> 00:31:34,520 TEAM WHICH I LEAD AND THEN 931 00:31:34,520 --> 00:31:35,880 BEHAVIORAL HEALTH AND MENTAL 932 00:31:35,880 --> 00:31:38,600 HEALTH TEAMS AS WELL AS TRAINING 933 00:31:38,600 --> 00:31:38,800 TEAM. 934 00:31:38,800 --> 00:31:41,200 WE HAVE A MOU WITH THE INDIAN 935 00:31:41,200 --> 00:31:43,720 HEALTH SERVICE SINCE 1991. 936 00:31:43,720 --> 00:31:45,840 I ALSO WORKED CLOSELY WITH THE 937 00:31:45,840 --> 00:31:46,760 NAVAJO EPIDEMIOLOGY CENTER. 938 00:31:46,760 --> 00:31:48,800 BUT WE ALSO HAVE LONGSTANDING 939 00:31:48,800 --> 00:31:50,720 PARTNERSHIPS WITH THE WHITE 940 00:31:50,720 --> 00:31:52,520 MOUNTAIN APACHE TRIBE AND NEWER 941 00:31:52,520 --> 00:31:54,000 HUBS IN THE GREAT LAKES AND 942 00:31:54,000 --> 00:31:55,520 DAKOTAS REGIONS. 943 00:31:55,520 --> 00:31:58,960 NEXT SLIDE, PLEASE. 944 00:31:58,960 --> 00:32:00,320 AND AS CHANNEL MENTIONED DURING 945 00:32:00,320 --> 00:32:02,040 HER PRESENTATION, IT WAS OUR 946 00:32:02,040 --> 00:32:05,720 HONOR TO WORK IN LOCK STEP WITH 947 00:32:05,720 --> 00:32:06,960 IHS AND TRANSCRIBED PARTNERS 948 00:32:06,960 --> 00:32:10,760 WHEN THE PANDEMIC STARTED. 949 00:32:10,760 --> 00:32:12,120 -- TRIBAL PARTNERS. 950 00:32:12,120 --> 00:32:15,960 INITIALLY WE HAVE A LONGSTANDING 951 00:32:15,960 --> 00:32:18,520 RESEARCH COLLABORATION AND A LOT 952 00:32:18,520 --> 00:32:20,360 OF PERSONNEL BASED LOCALLY. 953 00:32:20,360 --> 00:32:23,840 SO WE IMMEDIATELY JUST ALL 954 00:32:23,840 --> 00:32:24,400 RESEARCH OF COURSE STOPPED. 955 00:32:24,400 --> 00:32:26,320 SO WE PIVOTED OUR RESEARCH 956 00:32:26,320 --> 00:32:27,040 PERSONNEL TO BE ABLE TO SUPPORT 957 00:32:27,040 --> 00:32:29,440 THE PUBLIC HEALTH RESPONSE, 958 00:32:29,440 --> 00:32:32,040 INCLUDING WORKING ON TESTING. 959 00:32:32,040 --> 00:32:35,560 THIS IS ONE OF THE TESTING BLITZ 960 00:32:35,560 --> 00:32:36,760 THAT IS CHANNEL MENTIONED 961 00:32:36,760 --> 00:32:39,120 SUPPORTING CONTACT TRACING, 962 00:32:39,120 --> 00:32:41,280 VACCINE EFFORTS, AS WELL. 963 00:32:41,280 --> 00:32:44,720 IF YOU GO TO THE NEXT SLIDE, 964 00:32:44,720 --> 00:32:47,720 ALSO SUPPORTING AS CHANNEL 965 00:32:47,720 --> 00:32:48,400 MENTIONED, EARLIER ON WE 966 00:32:48,400 --> 00:32:51,000 REALIZED WE NEEDED TO START 967 00:32:51,000 --> 00:32:52,080 TELLING PEOPLE THAT -- ADVISING 968 00:32:52,080 --> 00:32:54,280 PEOPLE WHO ARE INFECTED TO 969 00:32:54,280 --> 00:32:56,560 ISOLATE AND THOSE WHO WERE 970 00:32:56,560 --> 00:32:57,200 EXPOSED TO QUARANTINE. 971 00:32:57,200 --> 00:32:59,800 BUT IN THESE VERY RURAL AND 972 00:32:59,800 --> 00:33:00,760 RESERVATION-BASED COMMUNITIES, 973 00:33:00,760 --> 00:33:02,640 THAT COULD BE REALLY HARD TO DO 974 00:33:02,640 --> 00:33:06,200 IF YOU DON'T HAVE FOOD AND WATER 975 00:33:06,200 --> 00:33:07,400 AND FOOD FOR YOUR LIVESTOCK AND 976 00:33:07,400 --> 00:33:08,680 OTHER SUPPLIES YOU MIGHT NEED. 977 00:33:08,680 --> 00:33:13,080 AND SO, SUPPORTING THOSE EFFORTS 978 00:33:13,080 --> 00:33:15,240 REALLY, AS SORT OF THE PUBLIC 979 00:33:15,240 --> 00:33:16,120 HEALTH INFRASTRUCTURE WAS 980 00:33:16,120 --> 00:33:17,080 GETTING UP TO SPEED. 981 00:33:17,080 --> 00:33:20,560 WE WERE ABLE TO COME IN AND 982 00:33:20,560 --> 00:33:24,720 SUPPORT THAT AS THE LOCAL PUBLIC 983 00:33:24,720 --> 00:33:25,760 HEALTH INSTITUTIONS WERE COMING 984 00:33:25,760 --> 00:33:29,400 ON LINE WITH THEIR RESPONSES AS 985 00:33:29,400 --> 00:33:30,080 WELL. 986 00:33:30,080 --> 00:33:32,800 THE NEXT SLIDE SHOWS A NUMBER OF 987 00:33:32,800 --> 00:33:33,520 DIFFERENT COMMUNICATIONS 988 00:33:33,520 --> 00:33:36,840 MATERIALS THAT WE PARTNERED WITH 989 00:33:36,840 --> 00:33:38,960 IHS AND OTHER ORGANIZATIONS TO 990 00:33:38,960 --> 00:33:40,760 HELP KEEP THE COMMUNITY UPDATED 991 00:33:40,760 --> 00:33:44,000 AND INFORMED, IN ADDITION TO 992 00:33:44,000 --> 00:33:44,880 PRINT MATERIALS. 993 00:33:44,880 --> 00:33:46,240 SOCIAL MEDIA MATERIALS, ALL 994 00:33:46,240 --> 00:33:50,600 RADIO PSAs THAT ALL COULD BE 995 00:33:50,600 --> 00:33:52,880 FREELY AVAILABLE ON OUR RESOURCE 996 00:33:52,880 --> 00:33:54,080 LIBRARY WHICH IS SHOWN IN THE 997 00:33:54,080 --> 00:33:56,040 LOWER RIGHT-HAND CORNER. 998 00:33:56,040 --> 00:33:59,040 AND ADAPTED FOR USE IN TRIBAL 999 00:33:59,040 --> 00:34:01,560 SETTINGS AS WELL. 1000 00:34:01,560 --> 00:34:04,400 THE NEXT SLIDE TALK ABOUT SOME 1001 00:34:04,400 --> 00:34:08,200 OF THE TESTING COORDINATION 1002 00:34:08,200 --> 00:34:08,480 ACTIVITIES. 1003 00:34:08,480 --> 00:34:10,240 WE WERE PRIVILEGED TO BE ABLE TO 1004 00:34:10,240 --> 00:34:12,360 BE PART OF THE NAVAJO NATION 1005 00:34:12,360 --> 00:34:15,400 HEALTH COMMAND OPERATIONS CENTER 1006 00:34:15,400 --> 00:34:16,040 ON THE CASE MANAGEMENT TEAM AND 1007 00:34:16,040 --> 00:34:19,200 TO SUPPORT THE TESTING 1008 00:34:19,200 --> 00:34:20,880 COORDINATION ACTIVITIES WITH 1009 00:34:20,880 --> 00:34:23,520 TRYING TO UNDERSTAND AND DEVISE 1010 00:34:23,520 --> 00:34:26,480 WHAT WOULD BE AN APPROPRIATE 1011 00:34:26,480 --> 00:34:27,960 TESTING STRATEGY FOR THE NAVAJO 1012 00:34:27,960 --> 00:34:30,160 NATION DEVELOPING WHEN HOME TEST 1013 00:34:30,160 --> 00:34:32,400 KITS CAME OUT. 1014 00:34:32,400 --> 00:34:34,400 DEVELOPING INSTRUCTIONS THAT 1015 00:34:34,400 --> 00:34:35,480 WEREAISE EASY FOR PEOPLE TO 1016 00:34:35,480 --> 00:34:38,200 UNDERSTAND IN TERMS OF HOW TO DO 1017 00:34:38,200 --> 00:34:39,000 THE TEST AND CONNECTING PEOPLE 1018 00:34:39,000 --> 00:34:40,000 TO CARE AND MAKING SURE PEOPLE 1019 00:34:40,000 --> 00:34:42,720 HAD ADEQUATE SUPPORT FOR 1020 00:34:42,720 --> 00:34:45,160 ISOLATION AND/OR QUARANTINE. 1021 00:34:45,160 --> 00:34:47,760 GENERATING GUIDANCE FOR AND BEST 1022 00:34:47,760 --> 00:34:49,320 PRACTICES FOR SCHOOLS WHICH I 1023 00:34:49,320 --> 00:34:52,240 CAN TALK ABOUT MORE LATER ON. 1024 00:34:52,240 --> 00:34:53,400 AND ESTABLISHING A TESTING 1025 00:34:53,400 --> 00:34:55,880 COMMUNITY OF PRACTICE WHICH IS 1026 00:34:55,880 --> 00:34:57,720 AN OPPORTUNITY, VIRTUAL SPACE 1027 00:34:57,720 --> 00:35:00,560 FOR PEOPLE TO COME TOGETHER FROM 1028 00:35:00,560 --> 00:35:01,640 ALL OF THE DIFFERENT SERVICE 1029 00:35:01,640 --> 00:35:04,520 UNITS ACROSS NAVAJO NATION TO 1030 00:35:04,520 --> 00:35:05,880 SHARE BEST PRACTICES, DISCUSS 1031 00:35:05,880 --> 00:35:09,440 EMERGING ISSUES, TROUBLESHOOT 1032 00:35:09,440 --> 00:35:10,080 SUPPLIED CHALLENGES OR WHATEVER 1033 00:35:10,080 --> 00:35:11,080 IT MIGHT BE. 1034 00:35:11,080 --> 00:35:12,560 AND JUST FACILITATE 1035 00:35:12,560 --> 00:35:13,840 COMMUNICATION ACROSS VARIOUS 1036 00:35:13,840 --> 00:35:15,920 GROUPS THAT ARE INVOLVED IN THE 1037 00:35:15,920 --> 00:35:16,200 RESPONSE. 1038 00:35:16,200 --> 00:35:18,280 AND THAT CONTINUES EVEN TODAY 1039 00:35:18,280 --> 00:35:19,720 BECAUSE I THINK THESE VARIOUS 1040 00:35:19,720 --> 00:35:21,120 DIFFERENT STAKEHOLDERS HAVE 1041 00:35:21,120 --> 00:35:24,240 FOUND TO BE REALLY VALUABLE TIME 1042 00:35:24,240 --> 00:35:27,600 TO SHARE IDEAS AND BEST 1043 00:35:27,600 --> 00:35:27,960 PRACTICES. 1044 00:35:27,960 --> 00:35:29,120 AND CHANNEL MENTIONED ALREADY 1045 00:35:29,120 --> 00:35:31,720 THE NAVAJO NATION AS FAR AS 1046 00:35:31,720 --> 00:35:32,680 COV-2 STRAIN SURVEILLANCE 1047 00:35:32,680 --> 00:35:34,800 PROGRAM TO ASSIST IN IDENTIFYING 1048 00:35:34,800 --> 00:35:36,760 THE VARIANTS CIRCUMSTANCE LATING 1049 00:35:36,760 --> 00:35:37,520 LOCALLY. 1050 00:35:37,520 --> 00:35:39,920 IF WE GO TO THE NEXT SLIDE, 1051 00:35:39,920 --> 00:35:40,600 PLEASE. 1052 00:35:40,600 --> 00:35:42,160 -- CIRCULATING LOCALLY -- I'M 1053 00:35:42,160 --> 00:35:44,040 GOING TO TALK MORE ABOUT THE 1054 00:35:44,040 --> 00:35:45,640 RESEARCH ACTIVITIES THAT WE HAD 1055 00:35:45,640 --> 00:35:47,600 THE OPPORTUNITY TO BE INVOLVED 1056 00:35:47,600 --> 00:35:47,800 IN. 1057 00:35:47,800 --> 00:35:49,720 AND I THINK YOU HAVE GOTTEN A 1058 00:35:49,720 --> 00:35:50,800 SENSE ALREADY FROM WHAT WE HAVE 1059 00:35:50,800 --> 00:35:51,720 TALKED ABOUT THAT THE NAVAJO 1060 00:35:51,720 --> 00:35:53,840 NATION RESPONDED TO THE PANDEMIC 1061 00:35:53,840 --> 00:35:56,600 REALLY QUICKLY IMPLEMENTING 1062 00:35:56,600 --> 00:35:59,480 LOCKDOWNS AND OTHER MEDICATION 1063 00:35:59,480 --> 00:35:59,760 ACTIVITIES. 1064 00:35:59,760 --> 00:36:00,920 AND AT THE JOHNS HOPKINS CENTER 1065 00:36:00,920 --> 00:36:03,880 FOR INDIGENOUS HEALTH, WE WORKED 1066 00:36:03,880 --> 00:36:06,040 ALONGSIDE THOSE EFFORTS. 1067 00:36:06,040 --> 00:36:07,440 AND IN THOSE COMMUNITY SPACES 1068 00:36:07,440 --> 00:36:09,760 WHEN WE WERE OUT DOING CONTACT 1069 00:36:09,760 --> 00:36:12,600 TRACING OR DELIVERING FOOD AND 1070 00:36:12,600 --> 00:36:14,560 WATER, PEOPLE STARTED ASKING 1071 00:36:14,560 --> 00:36:16,360 WHAT ABOUT THE COVID VACCINES? 1072 00:36:16,360 --> 00:36:18,800 THE NEWS HAD STARTED SHARING 1073 00:36:18,800 --> 00:36:21,000 INFORMATION ABOUT UPCOMING 1074 00:36:21,000 --> 00:36:23,880 CLINICAL TRIALS FOR COVID-19 1075 00:36:23,880 --> 00:36:24,160 VACCINES. 1076 00:36:24,160 --> 00:36:24,720 AND IT WAS SOMETHING THAT IN 1077 00:36:24,720 --> 00:36:26,280 THIS COMMUNITY ESPECIALLY THAT 1078 00:36:26,280 --> 00:36:28,120 WAS BEING INCREDIBLY HARD HIT BY 1079 00:36:28,120 --> 00:36:33,320 THIS PANDEMIC. 1080 00:36:33,320 --> 00:36:33,960 PEOPLE KNOWING JOHNS HOPKINS AND 1081 00:36:33,960 --> 00:36:35,400 OUR HISTORY, HAVING DONE VACCINE 1082 00:36:35,400 --> 00:36:36,920 RESEARCH IN THE COMMUNITY IS 1083 00:36:36,920 --> 00:36:39,120 SOMETHING THAT WHERE COVID 1084 00:36:39,120 --> 00:36:41,400 VACCINES WILL BE SOMETHING THAT 1085 00:36:41,400 --> 00:36:42,400 WAS AVAILABLE TO THE NAVAJO 1086 00:36:42,400 --> 00:36:43,360 NATION IN TERMS OF THESE 1087 00:36:43,360 --> 00:36:44,960 CLINICAL TRIALS THAT THEY WERE 1088 00:36:44,960 --> 00:36:46,280 HEARING ABOUT. 1089 00:36:46,280 --> 00:36:48,720 THE NEXT SLIDE JUST SORT OF 1090 00:36:48,720 --> 00:36:52,120 BRIEFLY SUMMARIZES SOME OF THE 1091 00:36:52,120 --> 00:36:52,800 CONSIDERATION ITS FOR TRIBAL 1092 00:36:52,800 --> 00:36:56,320 PARTICIPATION IN COVID-19 1093 00:36:56,320 --> 00:36:56,560 TRIALS. 1094 00:36:56,560 --> 00:36:59,320 FIRST AND FOREMOST I THINK THIS 1095 00:36:59,320 --> 00:37:01,440 IS IMPORTANT BECAUSE IT CAN HELP 1096 00:37:01,440 --> 00:37:02,160 PROMOTE HEALTH EQUITY. 1097 00:37:02,160 --> 00:37:04,280 IT ALSO ENSURE THAT IS PRODUCTS 1098 00:37:04,280 --> 00:37:07,640 LICENSED AND RECOMMENDED FOR USE 1099 00:37:07,640 --> 00:37:10,480 NATIONALLY HAVE EVIDENCE FOR USE 1100 00:37:10,480 --> 00:37:10,760 LOCALLY. 1101 00:37:10,760 --> 00:37:13,920 AND IT PROVIDES THE FOUNDATION 1102 00:37:13,920 --> 00:37:16,800 FOR EQUITABLE ACCESS AND 1103 00:37:16,800 --> 00:37:17,680 WIDESPREAD ACCEPTANCE OF UPTAKE. 1104 00:37:17,680 --> 00:37:20,600 THESE TRIALS HAVE TO BE DONE IN 1105 00:37:20,600 --> 00:37:23,280 A WAY THAT IS RESPECTFUL OF THE 1106 00:37:23,280 --> 00:37:27,160 COMMUNITY AND ACKNOWLEDGES 1107 00:37:27,160 --> 00:37:29,280 TRIBAL SOVEREIGNTY AND FOLLOWS 1108 00:37:29,280 --> 00:37:30,600 OBVIOUSLY LOCAL REGULATIONS. 1109 00:37:30,600 --> 00:37:32,160 SO THAT MEANS THAT THE STUDY 1110 00:37:32,160 --> 00:37:34,600 NEEDS TO BE SUPPORTED BY 1111 00:37:34,600 --> 00:37:36,880 PARTNERSHIP WITH THE COMMUNITY, 1112 00:37:36,880 --> 00:37:39,040 APPROVED BY LOCAL OVERSIGHT 1113 00:37:39,040 --> 00:37:41,040 COMMITTEES WHETHER IT IS ETHICAL 1114 00:37:41,040 --> 00:37:43,400 REVIEWS OR IRBs, HEALTH 1115 00:37:43,400 --> 00:37:45,520 BOARDS, OTHER ENTITIES. 1116 00:37:45,520 --> 00:37:47,720 AND IMPLEMENTED BY A TRUSTED 1117 00:37:47,720 --> 00:37:49,760 PARTNER WITH LOCAL TEAMS WHO ARE 1118 00:37:49,760 --> 00:37:51,640 EXPERIENCED IN THE CONDUCT OF 1119 00:37:51,640 --> 00:37:53,000 CLINICAL TRIALS. 1120 00:37:53,000 --> 00:37:54,720 AND IN THIS SETTING, REALLY 1121 00:37:54,720 --> 00:37:56,920 IMPORTANT TO WORK VERY CLOSELY 1122 00:37:56,920 --> 00:38:00,280 WITH THE LOCAL INDIAN HEALTH 1123 00:38:00,280 --> 00:38:04,640 SERVICE OR TRIBAL HEALTH OR 638 1124 00:38:04,640 --> 00:38:05,240 FACILITIES. 1125 00:38:05,240 --> 00:38:07,160 THE NEXT SLIDE. 1126 00:38:07,160 --> 00:38:10,040 I JUST WANTED TORCHED SCORE THE 1127 00:38:10,040 --> 00:38:12,680 IMPORTANCE OF ALL RESEARCH 1128 00:38:12,680 --> 00:38:14,680 STARTING FROM A STANDPOINT OF 1129 00:38:14,680 --> 00:38:16,040 RECOGNIZING AND RESPECTING 1130 00:38:16,040 --> 00:38:19,680 TRADITIONAL WELLNESS MODELS. 1131 00:38:19,680 --> 00:38:22,200 THIS SLIDE SHOWS DEPICTION OF 1132 00:38:22,200 --> 00:38:24,600 THE NAVAJO WELLNESS MODEL, WHICH 1133 00:38:24,600 --> 00:38:26,800 REALLY EMPHASIZES PERSPECTIVES 1134 00:38:26,800 --> 00:38:29,200 OF SELF CARE, FAMILY HEALTH, 1135 00:38:29,200 --> 00:38:30,800 COMMUNITY HEALTH, ENVIRONMENTAL 1136 00:38:30,800 --> 00:38:31,040 HEALTH. 1137 00:38:31,040 --> 00:38:32,240 AND OUR APPROACH TO THE WORK WE 1138 00:38:32,240 --> 00:38:35,000 DO IS REALLY GROUNDED IN RESPECT 1139 00:38:35,000 --> 00:38:37,400 FOR TRADITIONAL WELLNESS MODELS. 1140 00:38:37,400 --> 00:38:38,440 AND STRIVING TO PROMOTE 1141 00:38:38,440 --> 00:38:42,440 WELL-BEING THROUGH COMMUNITY 1142 00:38:42,440 --> 00:38:45,720 INFORMED INTERVENTIONS ROOTED IN 1143 00:38:45,720 --> 00:38:47,120 TRIBES RICH IN CULTURAL 1144 00:38:47,120 --> 00:38:48,520 KNOWLEDGE, STRENGTHS, 1145 00:38:48,520 --> 00:38:49,840 UNDERSTANDING AND WITH THE FOCUS 1146 00:38:49,840 --> 00:38:54,200 ON BUILDING AND SUPPORTING 1147 00:38:54,200 --> 00:38:55,480 RESILIENCY AND SELF 1148 00:38:55,480 --> 00:38:56,680 DETERMINATION. 1149 00:38:56,680 --> 00:38:58,720 THE NEXT SLIDE TALKS JUST MORE 1150 00:38:58,720 --> 00:39:02,240 BROADLY ABOUT THE CLINICAL 1151 00:39:02,240 --> 00:39:03,640 TRIALS PARTNERSHIP PROCESS. 1152 00:39:03,640 --> 00:39:05,400 WHICH FOLLOWS CLINICAL TRIALS 1153 00:39:05,400 --> 00:39:10,440 EVERYWHERE FOLLOWING A NORMAL 1154 00:39:10,440 --> 00:39:12,400 PROGRESSION FROM PHASE I, PHASE 1155 00:39:12,400 --> 00:39:13,720 II, PHASE III CLINICAL TRIALS. 1156 00:39:13,720 --> 00:39:15,680 BUT WHEN CONSIDERING CLINICAL 1157 00:39:15,680 --> 00:39:17,240 TRIALS WORK IN TRIBAL 1158 00:39:17,240 --> 00:39:19,200 COMMUNITIES, REALLY IMPORTANT TO 1159 00:39:19,200 --> 00:39:22,120 ENGAGE EARLY WITH COMMUNITIES TO 1160 00:39:22,120 --> 00:39:24,320 UNDERSTAND WHAT ARE THE HIGH 1161 00:39:24,320 --> 00:39:26,320 PRIORITY CONCERNS IN THAT 1162 00:39:26,320 --> 00:39:26,560 SETTING. 1163 00:39:26,560 --> 00:39:28,920 AND TO HAVE COMMUNITY ENGAGEMENT 1164 00:39:28,920 --> 00:39:31,360 ON THE POTENTIAL INTERVENTIONS 1165 00:39:31,360 --> 00:39:33,000 THAT MAY BE AVAILABLE AND 1166 00:39:33,000 --> 00:39:35,720 DISCUSSION WITH POTENTIAL 1167 00:39:35,720 --> 00:39:39,560 SPONSORS ABOUT THOSE 1168 00:39:39,560 --> 00:39:40,200 INTERVENTIONS. 1169 00:39:40,200 --> 00:39:42,240 THERE ALSO NEEDS TO BE A 1170 00:39:42,240 --> 00:39:43,040 COMMUNITY APPROVAL PROCESS, 1171 00:39:43,040 --> 00:39:44,120 FACILITY APPROVAL PROCESS THAT 1172 00:39:44,120 --> 00:39:47,040 THE WORK IS BEING DONE IN 1173 00:39:47,040 --> 00:39:48,800 COLLABORATION WITH IHS OR TRIBAL 1174 00:39:48,800 --> 00:39:51,400 HEALTH FACILITIES AND THEN IRB 1175 00:39:51,400 --> 00:39:53,080 APPROVAL FROM THE COMMUNITY AS 1176 00:39:53,080 --> 00:39:54,400 WELL DEPENDING ON WHAT THE LOCAL 1177 00:39:54,400 --> 00:39:54,920 PROCESS IS. 1178 00:39:54,920 --> 00:39:56,880 AND THEN DEVELOPING THE 1179 00:39:56,880 --> 00:39:57,880 RECRUITMENT PLAN WITH THE 1180 00:39:57,880 --> 00:40:01,600 COMMUNITY AND FACILITY PARTNERS, 1181 00:40:01,600 --> 00:40:03,360 FOLLOWED BY APPROACHING 1182 00:40:03,360 --> 00:40:04,960 POTENTIAL PARTICIPANTS, MAKING 1183 00:40:04,960 --> 00:40:09,160 SURE THAT YOU GO THROUGH A VERY 1184 00:40:09,160 --> 00:40:09,880 COMPREHENSIVE AND INFORMED 1185 00:40:09,880 --> 00:40:10,240 CONCEPT PROCESS. 1186 00:40:10,240 --> 00:40:12,760 WE OFTENTIMES WILL USE CONSENT 1187 00:40:12,760 --> 00:40:17,240 FLIP CHARTS TO SUPPLEMENT THE 1188 00:40:17,240 --> 00:40:17,960 LONGER WORD DOCUMENT CONSENT 1189 00:40:17,960 --> 00:40:21,320 FORMS TO MAKE SURE THAT WE ARE 1190 00:40:21,320 --> 00:40:22,800 DESCRIBING THE STUDIES AS 1191 00:40:22,800 --> 00:40:26,240 COMPREHENSIVELY AND COMPLETELY 1192 00:40:26,240 --> 00:40:26,800 AS POSSIBLE. 1193 00:40:26,800 --> 00:40:27,760 AND EVEN AT THE END OF THE 1194 00:40:27,760 --> 00:40:29,200 CONSENTING PROCESS, DOING 1195 00:40:29,200 --> 00:40:29,840 ASSESSMENT OF UNDERSTANDING TO 1196 00:40:29,840 --> 00:40:31,280 MAKE SURE THAT WE HAVE 1197 00:40:31,280 --> 00:40:32,520 COMMUNICATED THE CORE ASPECTS 1198 00:40:32,520 --> 00:40:34,000 CLEARLY AND THE PARTICIPANTS 1199 00:40:34,000 --> 00:40:36,600 KNOW WHAT THE STUDY ENTAILS. 1200 00:40:36,600 --> 00:40:37,760 AND THEN ELIGIBLE VOLUNTEERS 1201 00:40:37,760 --> 00:40:39,880 OBVIOUSLY GO THROUGH THE STUDY 1202 00:40:39,880 --> 00:40:43,880 PROTOCOL RECEIVING WHATEVER THE 1203 00:40:43,880 --> 00:40:44,240 INTERVENTION IS. 1204 00:40:44,240 --> 00:40:44,880 REALLY IMPORTANTLY, THE PROCESS 1205 00:40:44,880 --> 00:40:47,000 DOESN'T END THERE. 1206 00:40:47,000 --> 00:40:48,960 WE CONTINUALLY FOLLOW-UP TO THE 1207 00:40:48,960 --> 00:40:50,360 COMMUNITY, DISSEMINATIONFUL 1208 00:40:50,360 --> 00:40:52,480 RESULTS, TO ALL THE GROUPS THAT 1209 00:40:52,480 --> 00:40:54,360 WERE ORIGINALLY INVOLVED IN THE 1210 00:40:54,360 --> 00:40:55,800 APPROVAL SEEKING PROCESS, 1211 00:40:55,800 --> 00:40:58,320 KEEPING THEM ABREAST THE STEADY 1212 00:40:58,320 --> 00:40:59,600 PROGRESS ALONG THE WAY AND THEN 1213 00:40:59,600 --> 00:41:01,560 AT THE END AS WELL. 1214 00:41:01,560 --> 00:41:05,720 AND THE NEXT SLIDE JUST, I THINK 1215 00:41:05,720 --> 00:41:07,520 PEOPLE WHO DO RESEARCH IN 1216 00:41:07,520 --> 00:41:08,720 CLINICAL TRIALS WILL BE FAMILIAR 1217 00:41:08,720 --> 00:41:11,560 WITH ALL OF THE DIFFERENT STAFF 1218 00:41:11,560 --> 00:41:12,920 THAT ARE REQUIRED FOR CLINICAL 1219 00:41:12,920 --> 00:41:13,120 TRIAL. 1220 00:41:13,120 --> 00:41:15,080 AND I SHARE THIS AS -- IT'S NOT 1221 00:41:15,080 --> 00:41:16,560 EVEN A COMPLETE LIST. 1222 00:41:16,560 --> 00:41:22,080 BUT I SHARE THIS BECAUSE I THINK 1223 00:41:22,080 --> 00:41:23,440 IT CAN BE DIFFICULT. 1224 00:41:23,440 --> 00:41:25,120 THIS IS ONE OF THE CHALLENGES WE 1225 00:41:25,120 --> 00:41:27,200 SAW DURING THE PANDEMIC. 1226 00:41:27,200 --> 00:41:28,080 A NUMBER OF COMMUNITIES WERE 1227 00:41:28,080 --> 00:41:28,600 REALLY INTERESTED IN 1228 00:41:28,600 --> 00:41:31,800 PARTICIPATING IN SOME OF THE 1229 00:41:31,800 --> 00:41:34,800 CLINICAL TRIALS BUT LACKED THE 1230 00:41:34,800 --> 00:41:36,200 CORE PHYSICAL INFRASTRUCTURE IN 1231 00:41:36,200 --> 00:41:39,320 TERMS OF SPACE, EVEN. 1232 00:41:39,320 --> 00:41:41,440 BUT ALSO PERSONNEL, EXPERIENCED 1233 00:41:41,440 --> 00:41:51,200 PERSONNEL TO DO THIS WORK. 1234 00:41:51,200 --> 00:41:53,200 ALL STAFF HAVE TO BE TRAINED ON 1235 00:41:53,200 --> 00:41:54,200 RECRUITING AND CONSENTING 1236 00:41:54,200 --> 00:41:56,560 PRACTICES AND SPECIMEN 1237 00:41:56,560 --> 00:41:57,680 COLLECTION OR ANY PROCEDURES 1238 00:41:57,680 --> 00:42:00,320 THAT THE STUDY ENTAILS, SO IF WE 1239 00:42:00,320 --> 00:42:01,920 GO TO THE NEXT SLIDE, WE'LL SORT 1240 00:42:01,920 --> 00:42:04,480 OF TALK ABOUT HOW THIS WAS 1241 00:42:04,480 --> 00:42:07,360 TRANSLATED IN THE CONTEXT OF THE 1242 00:42:07,360 --> 00:42:09,560 COVID-19 VACCINE TRIALS THAT 1243 00:42:09,560 --> 00:42:10,400 WERE ONGOING. 1244 00:42:10,400 --> 00:42:12,080 SPECIFICALLY WITH THE PFIZER 1245 00:42:12,080 --> 00:42:14,160 TRIAL WHICH BEGAN OBVIOUSLY AS A 1246 00:42:14,160 --> 00:42:15,960 PHASE I, TWO, CLINICAL TRIAL IN 1247 00:42:15,960 --> 00:42:18,720 ADULTS AND EXPANDED TO A GLOBAL 1248 00:42:18,720 --> 00:42:20,640 PHASE II PHASE III STUDY. 1249 00:42:20,640 --> 00:42:22,880 AND AS I MENTIONED EARLIER, 1250 00:42:22,880 --> 00:42:24,520 BASED ON THAT FEEDBACK THAT WE 1251 00:42:24,520 --> 00:42:27,000 WERE HEARING FROM COMMUNITY 1252 00:42:27,000 --> 00:42:29,400 MEMBERS AND EXPRESSIONS OF 1253 00:42:29,400 --> 00:42:31,280 INTERESTS FROM PEOPLE WANTING TO 1254 00:42:31,280 --> 00:42:33,160 HAVE THE OPPORTUNITY TO 1255 00:42:33,160 --> 00:42:35,240 PARTICIPATE FROM THESE CLINICAL 1256 00:42:35,240 --> 00:42:38,440 TRIALS, WE CONVENED A LOCAL 1257 00:42:38,440 --> 00:42:39,360 ADVISORY COMMITTEE. 1258 00:42:39,360 --> 00:42:41,880 BECAUSE OF THE PANDEMIC NORMAL 1259 00:42:41,880 --> 00:42:43,520 TRIBAL APPROVAL PROCESSES WERE 1260 00:42:43,520 --> 00:42:43,960 INTERRUPTED. 1261 00:42:43,960 --> 00:42:46,400 A LOT OF THE STANDING COMMITTEES 1262 00:42:46,400 --> 00:42:48,200 CEASED MEETING BECAUSE EVERYBODY 1263 00:42:48,200 --> 00:42:49,320 WAS IN LOCKDOWN. 1264 00:42:49,320 --> 00:42:52,400 SO WE HAD TO SORT OF ADAPT THAT 1265 00:42:52,400 --> 00:42:54,400 COMMUNITY-BASED PARTICIPATORY 1266 00:42:54,400 --> 00:42:57,920 PROCESS A LITTLE MORE AND TO 1267 00:42:57,920 --> 00:42:59,800 THINK MORE CREATIVELY ABOUT HOW 1268 00:42:59,800 --> 00:43:01,400 CAN WE HAVE THAT COMMUNITY 1269 00:43:01,400 --> 00:43:02,840 ENGAGEMENT AND FIGURE OUT WHAT 1270 00:43:02,840 --> 00:43:07,080 THE RIGHT NEXT STEPS WOULD BE. 1271 00:43:07,080 --> 00:43:09,880 LOCAL ADVISORY COMMITTEE SORT OF 1272 00:43:09,880 --> 00:43:12,920 REVIEWED THE DIFFERENT STUDIES 1273 00:43:12,920 --> 00:43:14,720 THAT WERE ONGOING AND MADE THE 1274 00:43:14,720 --> 00:43:15,520 RECOMMENDATION THAT THIS SHOULD 1275 00:43:15,520 --> 00:43:18,240 BE SUBMITTED TO THE NAVAJO 1276 00:43:18,240 --> 00:43:20,120 NATION HUMAN RESEARCH REVIEW 1277 00:43:20,120 --> 00:43:20,960 BOARD FOR THEIR CONSIDERATION 1278 00:43:20,960 --> 00:43:22,280 AND APPROVAL. 1279 00:43:22,280 --> 00:43:24,920 SO WE WENT FORWARD WITH 1280 00:43:24,920 --> 00:43:27,120 SUBMITTING THAT PFIZER COVID-19 1281 00:43:27,120 --> 00:43:33,000 TRIAL TO BOTH THE NAVAJO 1282 00:43:33,000 --> 00:43:35,520 APPROVAL AND THE NATIONAL 1283 00:43:35,520 --> 00:43:36,680 IHSIRB, WHICH WERE BOTH 1284 00:43:36,680 --> 00:43:36,960 APPROVED. 1285 00:43:36,960 --> 00:43:40,760 AND THEN THE HOPKINS CENTER FOR 1286 00:43:40,760 --> 00:43:42,680 INDIGENOUS HEALTH SCIENCE JOINED 1287 00:43:42,680 --> 00:43:45,480 THE STUDY ON NAVAJO NATION AND 1288 00:43:45,480 --> 00:43:47,520 TRIBAL LANDS IN SEPTEMBER OF 1289 00:43:47,520 --> 00:43:47,720 2020. 1290 00:43:47,720 --> 00:43:48,960 THIS WAS AFTER MORE THAN ABOUT 1291 00:43:48,960 --> 00:43:50,520 20,000 PEOPLE HAD BEEN ENROLLED 1292 00:43:50,520 --> 00:43:55,040 IN THE GLOBAL MULTI-SITE STUDY 1293 00:43:55,040 --> 00:43:59,320 WHICH WAS ONGOING AND OVER 150 1294 00:43:59,320 --> 00:43:59,520 SITES. 1295 00:43:59,520 --> 00:44:00,920 OVER ALL, YOU CAN SEE AT THE 1296 00:44:00,920 --> 00:44:03,360 BOTTOM, THAT SLIDE, THE TRIAL 1297 00:44:03,360 --> 00:44:06,360 ENROLLED OVER 44,000 PEOPLE 1298 00:44:06,360 --> 00:44:07,760 GLOBALLY, 438 OF WHOM WERE 1299 00:44:07,760 --> 00:44:11,040 INDIGENOUS AND 277 OF WHOM WERE 1300 00:44:11,040 --> 00:44:12,160 ENROLLED AT SITES IN THE SOUTH 1301 00:44:12,160 --> 00:44:14,040 WEST AT THE CENTER FOR 1302 00:44:14,040 --> 00:44:14,840 INDIGENOUS HEALTH SITES. 1303 00:44:14,840 --> 00:44:17,200 AND OF COURSE THE NEXT SLIDE IS 1304 00:44:17,200 --> 00:44:20,240 DATA PEOPLE ALL KNOW WELL THAT 1305 00:44:20,240 --> 00:44:21,600 DOCUMENTED THAT THE VACCINE 1306 00:44:21,600 --> 00:44:24,680 AFTER TWO DOSES WAS 95% 1307 00:44:24,680 --> 00:44:26,080 EFFECTIVE AT PREVENTING 1308 00:44:26,080 --> 00:44:26,720 COVID-19. 1309 00:44:26,720 --> 00:44:29,120 YOU CAN SEE THE CHEWATIVE 1310 00:44:29,120 --> 00:44:31,160 INCIDENCES OF CASES FOR PEOPLE 1311 00:44:31,160 --> 00:44:32,760 WHO GOT THE PLACEBO IN THE BLUE 1312 00:44:32,760 --> 00:44:35,000 LINE AND MUCH, MUCH LOWER 1313 00:44:35,000 --> 00:44:37,480 ACCUMULATIVE CASES FOR VACCINE 1314 00:44:37,480 --> 00:44:39,200 RECIPIENTS IN THE RED LINE. 1315 00:44:39,200 --> 00:44:40,000 AND IMPORTANTLY, FOR OUR 1316 00:44:40,000 --> 00:44:41,240 COMMUNITY AUTO NEXT SLIDE, YOU 1317 00:44:41,240 --> 00:44:43,560 CAN SEE THAT WHEN WE LOOKED AT 1318 00:44:43,560 --> 00:44:47,000 THE EFFICACY THROUGH SIX MONTHS 1319 00:44:47,000 --> 00:44:49,400 AFTER DOSING, AS WE ALL KNOW, 1320 00:44:49,400 --> 00:44:51,080 EFFICACY WAYNES OVER TIME AND WE 1321 00:44:51,080 --> 00:44:53,920 SAW THAT HERE IN THE CLINICAL 1322 00:44:53,920 --> 00:44:54,120 TRIAL. 1323 00:44:54,120 --> 00:44:55,200 IMPORTANTLY IN THESE SUBGROUP 1324 00:44:55,200 --> 00:44:57,600 ANALYSIS YOU CAN SEE ON THIS 1325 00:44:57,600 --> 00:44:59,240 SLIDE, THE POINT ESTIMATE FOR 1326 00:44:59,240 --> 00:45:02,480 VACCINE EFFICACY OF 87% IN 1327 00:45:02,480 --> 00:45:05,320 AMERICAN INDIAN ALASKA NATIVES 1328 00:45:05,320 --> 00:45:06,360 WAS ON PAR WITH WHAT WE WERE 1329 00:45:06,360 --> 00:45:07,440 SEEING IN OTHER PLACES. 1330 00:45:07,440 --> 00:45:09,640 SO VERY REASSURING DATA TO HAVE 1331 00:45:09,640 --> 00:45:12,960 THESE DATA LOCALLY THAT SAID, 1332 00:45:12,960 --> 00:45:16,680 THIS VACCINE WORKS HERE T WORKS 1333 00:45:16,680 --> 00:45:20,240 FOR NATIVE PEOPLE. 1334 00:45:20,240 --> 00:45:22,480 THE NEXT SLIDE SHOWS THAT, 1335 00:45:22,480 --> 00:45:23,560 FORTUNATELY, AND VERY GRATEFULLY 1336 00:45:23,560 --> 00:45:24,720 WE WEREN'T THE ONLY ONES WHO 1337 00:45:24,720 --> 00:45:27,960 WERE ABLE TO STAND UP A CLINICAL 1338 00:45:27,960 --> 00:45:29,720 TRIAL FOR THE COVID-19 VACCINES. 1339 00:45:29,720 --> 00:45:31,320 THERE WERE TWO OTHER COMMUNITIES 1340 00:45:31,320 --> 00:45:35,240 WHERE THAT WORK WAS ALSO ABLE TO 1341 00:45:35,240 --> 00:45:38,320 BE DONE IN THE NORTH WEST ABLE 1342 00:45:38,320 --> 00:45:41,880 TO PARTICIPATE IN THE NOVA SAKS 1343 00:45:41,880 --> 00:45:43,520 COVID-19 TRIAL. 1344 00:45:43,520 --> 00:45:47,560 AND THE DAKOTAS THERE WAS ALSO 1345 00:45:47,560 --> 00:45:50,160 OPPORTUNITY TO PRESENT OR 1346 00:45:50,160 --> 00:45:53,400 PARTICIPATE IN THE NOVA VACS 1347 00:45:53,400 --> 00:45:55,800 COVID-19 CLINICAL TRIAL. 1348 00:45:55,800 --> 00:45:57,680 THIS CLINICAL TRIAL STARTED 1349 00:45:57,680 --> 00:45:59,280 SOMEWHAT LATER WHICH WAS HELPFUL 1350 00:45:59,280 --> 00:46:00,640 BECAUSE THEN THESE COMMUNITIES 1351 00:46:00,640 --> 00:46:03,000 HAD A LITTLE BIT MORE TIME TO 1352 00:46:03,000 --> 00:46:04,880 STAND UP ALL OF THE 1353 00:46:04,880 --> 00:46:07,560 INFRASTRUCTURE NEEDED TO SUPPORT 1354 00:46:07,560 --> 00:46:09,800 A CLINICAL TRIAL, PHASE III 1355 00:46:09,800 --> 00:46:10,760 CLINICAL TRIAL AND ALL THE 1356 00:46:10,760 --> 00:46:12,200 DIFFERENT REQUIREMENTS THAT THAT 1357 00:46:12,200 --> 00:46:12,520 ENTAILS. 1358 00:46:12,520 --> 00:46:15,000 AND THE NEXT SLIDE JUST WANTED 1359 00:46:15,000 --> 00:46:17,600 TO BRIEFLY TOUCH BASE ON OTHER 1360 00:46:17,600 --> 00:46:20,400 RESEARCH COLLABORATIONS THAT WE 1361 00:46:20,400 --> 00:46:22,600 ENGAGED IN IN PART OF THE 1362 00:46:22,600 --> 00:46:23,400 COVID-19 RESPONSE. 1363 00:46:23,400 --> 00:46:25,920 SO IN ADDITION TO THE COVID-19 1364 00:46:25,920 --> 00:46:27,360 VACCINE CLINICAL TRIAL, WE WERE 1365 00:46:27,360 --> 00:46:29,520 PART OF THE -- ONE OF THE 1366 00:46:29,520 --> 00:46:34,240 COVID-19 CONVALESCENT PLASMA 1367 00:46:34,240 --> 00:46:34,680 TREATMENT TRIALS WHICH 1368 00:46:34,680 --> 00:46:39,560 DOCUMENTED THAT USE OF HIGH 1369 00:46:39,560 --> 00:46:41,120 TITER CONVALESCENT PLASMA FROM 1370 00:46:41,120 --> 00:46:43,280 PEOPLE WHO RECOVERED FROM COVID 1371 00:46:43,280 --> 00:46:46,600 THAT HAS A HIGH CONCENTRATION OF 1372 00:46:46,600 --> 00:46:50,600 ANTIBODIES IS EFFECTIVE IN 1373 00:46:50,600 --> 00:46:51,240 TREATING INDIVIDUALS WHO ARE 1374 00:46:51,240 --> 00:46:52,600 EARLY IN THE COURSE OF THEIR 1375 00:46:52,600 --> 00:46:53,600 ILLNESS AND PREVENTING 1376 00:46:53,600 --> 00:46:59,560 PROGRESSION OF THE ILLNESS. 1377 00:46:59,560 --> 00:47:00,640 WORKING -- I HAVEN'T MENTIONED 1378 00:47:00,640 --> 00:47:01,840 MUCH TODAY HERE BUT ANOTHER PART 1379 00:47:01,840 --> 00:47:04,080 OF OUR RESPONSE AND RESEARCH 1380 00:47:04,080 --> 00:47:05,480 EFFORTS HAVE BEEN AROUND THE 1381 00:47:05,480 --> 00:47:07,880 MENTAL HEALTH IMPACTS OF THE 1382 00:47:07,880 --> 00:47:09,120 COVID-19. 1383 00:47:09,120 --> 00:47:11,000 PANDEMIC SUPPORTING 1384 00:47:11,000 --> 00:47:13,560 PSYCHOLOGICAL FIRST-AID. 1385 00:47:13,560 --> 00:47:15,880 AND IN THIS CASE SUPPORTING 1386 00:47:15,880 --> 00:47:18,960 FRONT LINE WORKERS AND 1387 00:47:18,960 --> 00:47:19,680 RESPONDERS WITH THE TREMENDOUS 1388 00:47:19,680 --> 00:47:21,320 STRAIN THAT WAS PLACED ON THEM 1389 00:47:21,320 --> 00:47:24,480 AS PART OF THE RESPONSE. 1390 00:47:24,480 --> 00:47:26,560 WE WERE ALSO HAVE A RESPIRATORY 1391 00:47:26,560 --> 00:47:27,720 SURVEILLANCE PROJECT THAT HAS 1392 00:47:27,720 --> 00:47:30,440 BEEN UP AND GOING SINCE 2019. 1393 00:47:30,440 --> 00:47:32,640 SO PRE DATING THE PANDEMIC WHICH 1394 00:47:32,640 --> 00:47:34,400 WE WERE ABLE TO AMEND TO LOOK 1395 00:47:34,400 --> 00:47:36,200 SPECIFICALLY AT COVID-19 AMONG 1396 00:47:36,200 --> 00:47:37,240 INPATIENTS AND OUTPATIENTS AND 1397 00:47:37,240 --> 00:47:41,240 WORKING REALLY CLOSELY WITH IHS 1398 00:47:41,240 --> 00:47:43,520 ON THAT AS WELL. 1399 00:47:43,520 --> 00:47:44,520 AND HAVING THE OPPORTUNITY TO 1400 00:47:44,520 --> 00:47:46,280 COMPARE WHAT WE ARE SEEING FROM 1401 00:47:46,280 --> 00:47:49,640 ACTIVE SURVEILLANCE THROUGH THIS 1402 00:47:49,640 --> 00:47:50,320 IRB-APPROVED RESEARCH PROJECT 1403 00:47:50,320 --> 00:47:53,920 VERSUS WHAT DO WE SEE THROUGH A 1404 00:47:53,920 --> 00:47:54,720 MORE PASSIVE SURVEILLANCE 1405 00:47:54,720 --> 00:47:56,200 THROUGH ADMINISTRATIVE DATA. 1406 00:47:56,200 --> 00:47:59,720 AND THEN WORK AS WELL ON LONG 1407 00:47:59,720 --> 00:48:02,000 COVID WHICH WE KNOW IS PLACING A 1408 00:48:02,000 --> 00:48:05,440 HUGE STRAIN ON INDIVIDUALS AND 1409 00:48:05,440 --> 00:48:06,360 ON COMMUNITIES RIGHT NOW. 1410 00:48:06,360 --> 00:48:07,080 ALL OF THESE THINGS THINK 1411 00:48:07,080 --> 00:48:10,160 MOTIVATED BY THE GOAL TO IMPROVE 1412 00:48:10,160 --> 00:48:10,960 COMMUNITY HEALTH. 1413 00:48:10,960 --> 00:48:13,640 THE NEXT SLIDE, I WANTED TO 1414 00:48:13,640 --> 00:48:15,760 HIGHLIGHT ONE OF THE RESEARCH 1415 00:48:15,760 --> 00:48:16,640 COLLABORATIONS THAT WASN'T 1416 00:48:16,640 --> 00:48:17,440 MENTIONED IN THE PREVIOUS SLIDE 1417 00:48:17,440 --> 00:48:20,520 BUT PROJECT SAFE SCHOOLS, WHICH 1418 00:48:20,520 --> 00:48:24,280 IS FUNDED BY THE RADx 1419 00:48:24,280 --> 00:48:27,600 UNDERSERVED POPULATIONS FUNDING 1420 00:48:27,600 --> 00:48:27,880 MECHANISM. 1421 00:48:27,880 --> 00:48:30,680 USED COMMUNITY-BASED 1422 00:48:30,680 --> 00:48:32,400 PARTICIPATORY RESEARCH TO HELP 1423 00:48:32,400 --> 00:48:34,280 UNDERSTAND THE FACILITATORS AND 1424 00:48:34,280 --> 00:48:36,400 BARRIERS TO SCHOOL REOPENING, 1425 00:48:36,400 --> 00:48:38,560 ENGAGING WITH MULTIPLE DIFFERENT 1426 00:48:38,560 --> 00:48:39,960 STAKEHOLDERS, DESIGNING 1427 00:48:39,960 --> 00:48:41,080 COMPREHENSIVE APPROACH TO COVID 1428 00:48:41,080 --> 00:48:42,520 TESTING IN SCHOOLS. 1429 00:48:42,520 --> 00:48:45,040 AND THEN EVALUATING THE 1430 00:48:45,040 --> 00:48:46,920 ACCEPTABILITY, FEASIBILITY AND 1431 00:48:46,920 --> 00:48:47,880 REACH OF SURVEILLANCE TESTING. 1432 00:48:47,880 --> 00:48:49,800 ONE OF THE PRODUCTS OF THIS 1433 00:48:49,800 --> 00:48:51,640 PROJECT HAS BEEN A TOOLKIT FOR 1434 00:48:51,640 --> 00:48:52,320 SAFE SCHOOLS, WHICH YOU CAN SEE 1435 00:48:52,320 --> 00:48:54,320 THERE AND IT IS LINKEDIN THE 1436 00:48:54,320 --> 00:48:55,520 REFERENCE AT THE BOTTOM OF THE 1437 00:48:55,520 --> 00:48:56,000 SLIDE. 1438 00:48:56,000 --> 00:48:58,760 BUT REALLY IMPORTANT KEY 1439 00:48:58,760 --> 00:49:00,560 FINDINGS THAT TESTING IN SCHOOLS 1440 00:49:00,560 --> 00:49:02,880 WAS FEASIBLE AND ACCEPTABLE AND 1441 00:49:02,880 --> 00:49:04,720 ALSO THAT SCHOOLS WERE NOT A 1442 00:49:04,720 --> 00:49:07,280 MAJOR SOURCE OF TRANSMISSION. 1443 00:49:07,280 --> 00:49:08,080 THEY WERE NOT DRIVERS OF 1444 00:49:08,080 --> 00:49:09,600 TRANSMISSION IN THE COMMUNITY. 1445 00:49:09,600 --> 00:49:11,680 SO IMPORTANT FINDINGS THERE TO 1446 00:49:11,680 --> 00:49:13,840 HELP REASSURE PEOPLE ABOUT 1447 00:49:13,840 --> 00:49:15,240 SENDING THEIR KIDS TO SCHOOL, 1448 00:49:15,240 --> 00:49:17,160 ABOUT KEEPING SCHOOLS EACH AND 1449 00:49:17,160 --> 00:49:18,600 PROMOTING SAFE AND IN-PERSON 1450 00:49:18,600 --> 00:49:18,880 LEARNING. 1451 00:49:18,880 --> 00:49:21,840 THE NEXT SLIDE, I'LL WRAP UP. 1452 00:49:21,840 --> 00:49:22,480 AGAIN THANK YOU FOR THE 1453 00:49:22,480 --> 00:49:23,720 OPPORTUNITY TO BE HERE. 1454 00:49:23,720 --> 00:49:26,440 I REALLY WANT TO -- I THINK 1455 00:49:26,440 --> 00:49:27,840 SHARE THE MESSAGE THAT RESEARCH 1456 00:49:27,840 --> 00:49:29,480 IS REALLY ESSENTIAL FOR TRIBES 1457 00:49:29,480 --> 00:49:31,760 TO UNDERSTAND AND ADDRESS HEALTH 1458 00:49:31,760 --> 00:49:32,760 CONCERNS IN THEIR COMMUNITIES T 1459 00:49:32,760 --> 00:49:35,680 HAS TO BE DONE ON TERMS. 1460 00:49:35,680 --> 00:49:37,640 OF TRIBAL COMMUNITIES WITH 1461 00:49:37,640 --> 00:49:40,280 RESPECT AND ACKNOWLEDGMENT OF 1462 00:49:40,280 --> 00:49:40,800 TRIBAL SOVEREIGNTY. 1463 00:49:40,800 --> 00:49:42,480 THE COMMUNITY ENGAGEMENT IS 1464 00:49:42,480 --> 00:49:43,160 REALLY CRITICAL. 1465 00:49:43,160 --> 00:49:44,960 AND THAT HAS TO START EARLY. 1466 00:49:44,960 --> 00:49:46,440 IT CAN'T START LIKE AFTER WE 1467 00:49:46,440 --> 00:49:47,600 HAVE GOT THIS GRANT AND WE WANT 1468 00:49:47,600 --> 00:49:49,600 TO DO THIS WORK. 1469 00:49:49,600 --> 00:49:51,520 IT NEEDS TO START IN THE 1470 00:49:51,520 --> 00:49:55,880 PROPOSAL WRITING PHASES OF THE 1471 00:49:55,880 --> 00:49:56,160 RESEARCH. 1472 00:49:56,160 --> 00:50:00,440 AND THE DESIGN OF THE CALLS FOR 1473 00:50:00,440 --> 00:50:01,080 FUNDING. 1474 00:50:01,080 --> 00:50:03,120 STAKEHOLDER PARTNERS ARE 1475 00:50:03,120 --> 00:50:04,440 INVALUABLE AND CHANNEL AND I 1476 00:50:04,440 --> 00:50:05,960 HAVE JUST -- WE HAVE REALLY 1477 00:50:05,960 --> 00:50:07,480 ENJOYED GETTING TO WORK WITH ONE 1478 00:50:07,480 --> 00:50:08,480 ANOTHER AS WELL AS ALL THE 1479 00:50:08,480 --> 00:50:10,480 VARIOUS OTHER STAKEHOLDERS WHO 1480 00:50:10,480 --> 00:50:13,000 HAVE BEEN CRITICAL TO RESPONSE 1481 00:50:13,000 --> 00:50:14,400 EFFORTS, AS WELL AS TO THE 1482 00:50:14,400 --> 00:50:16,640 RESEARCH EFFORTS. 1483 00:50:16,640 --> 00:50:19,000 AS OUR RESPONSE AS IRBs, WE 1484 00:50:19,000 --> 00:50:20,320 COULDN'T HAVE DONE THIS WORK HAD 1485 00:50:20,320 --> 00:50:23,400 IT NOT BEEN FOR THE IRBs BEING 1486 00:50:23,400 --> 00:50:24,840 WILLING TO REVIEW THINGS 1487 00:50:24,840 --> 00:50:26,840 PROMPTLY AND GIVE US FEEDBACK TO 1488 00:50:26,840 --> 00:50:28,600 BE ABLE TO MOVE THE STUDIES 1489 00:50:28,600 --> 00:50:28,840 FORWARD. 1490 00:50:28,840 --> 00:50:30,360 AND THAT'S A HARD THING TO DO 1491 00:50:30,360 --> 00:50:35,000 BECAUSE THESE ARE OFTENTIMES 1492 00:50:35,000 --> 00:50:38,800 UNDERFUNDED ENTITIES AND LOTS OF 1493 00:50:38,800 --> 00:50:39,240 OVERWORKED VIOLATES. 1494 00:50:39,240 --> 00:50:42,640 AND I THINK MY BIG TAKE AWAY 1495 00:50:42,640 --> 00:50:44,080 WOULD BE THAT WE REALLY URGENTLY 1496 00:50:44,080 --> 00:50:45,400 NEED INVESTMENT IN RESEARCH 1497 00:50:45,400 --> 00:50:47,920 CAPACITY BUILDING, NOT ONLY FOR 1498 00:50:47,920 --> 00:50:48,920 PERSONNEL BUT ALSO FOR DATA 1499 00:50:48,920 --> 00:50:50,000 SYSTEMS AND INFRASTRUCTURE. 1500 00:50:50,000 --> 00:50:51,840 ALL YOU THE THINGS THAT NEED TO 1501 00:50:51,840 --> 00:50:53,640 BE ABLE TO GO INTO DOING 1502 00:50:53,640 --> 00:50:56,520 RESEARCH SO WE CAN HAVE MORE 1503 00:50:56,520 --> 00:50:58,760 RESPONSIVE SYSTEMS, BE ABLE TO 1504 00:50:58,760 --> 00:51:00,880 SUPPORT RESEARCH AND TRIBAL 1505 00:51:00,880 --> 00:51:01,160 COMMUNITIES. 1506 00:51:01,160 --> 00:51:08,440 SO THANK YOU. 1507 00:51:08,440 --> 00:51:10,240 >>MODERATOR: THANK YOU FOR THAT 1508 00:51:10,240 --> 00:51:11,960 VERY IN NORMATIVE PRESENTATION. 1509 00:51:11,960 --> 00:51:12,840 WE WILL HAVE LOTS OF 1510 00:51:12,840 --> 00:51:16,040 QUESTIONINGS IN A BIT. 1511 00:51:16,040 --> 00:51:21,280 NEXT UP IS CAPTAN VAN LEW 1512 00:51:21,280 --> 00:51:23,600 MY NAME IS CAPTAN HOLLY VAN LEW, 1513 00:51:23,600 --> 00:51:25,160 A PHARMACIST WITH THE INDIAN 1514 00:51:25,160 --> 00:51:27,400 HEALTH SERVICE AND THE IHS 1515 00:51:27,400 --> 00:51:29,880 VACCINE TASK FORCE DEPUTY LEAD 1516 00:51:29,880 --> 00:51:34,000 HELPING TO STAND UP THE COVID-19 1517 00:51:34,000 --> 00:51:35,840 VACCINE PROGRAM ACROSS THE 1518 00:51:35,840 --> 00:51:37,600 INDIAN HEALTH SERVICE WHEN 1519 00:51:37,600 --> 00:51:39,080 NEEDED DURING THE PANDEMIC. 1520 00:51:39,080 --> 00:51:40,720 SO IT WAS REALLY EXCITING 1521 00:51:40,720 --> 00:51:40,960 TUNEDY. 1522 00:51:40,960 --> 00:51:43,840 WE WANTED TO REVIEW SOME OF THE 1523 00:51:43,840 --> 00:51:45,960 ACTIVITIES WE HAD ONGOING FOR 1524 00:51:45,960 --> 00:51:47,240 THE LAST TWO PLUS YEARS NOW. 1525 00:51:47,240 --> 00:51:48,560 WHICH IS REALLY CRAZY. 1526 00:51:48,560 --> 00:51:51,720 WE ARE COMING UP ON THE TWO-YEAR 1527 00:51:51,720 --> 00:51:53,360 TIMEFRAME WHERE WE LAUNCHED 1528 00:51:53,360 --> 00:51:55,360 VACCINE WITHIN THE INDIAN HEALTH 1529 00:51:55,360 --> 00:51:55,560 SERVICE. 1530 00:51:55,560 --> 00:51:58,400 SO IHS OVERALL AS MANY ARE VERY 1531 00:51:58,400 --> 00:52:00,640 WELL AWARE, IT IS AN AGENCY 1532 00:52:00,640 --> 00:52:01,480 WITHIN HHS. 1533 00:52:01,480 --> 00:52:03,600 OUR MISSION IS TO SERVE AMERICAN 1534 00:52:03,600 --> 00:52:08,520 INDIANS AND ALASKA NATIVES AND 1535 00:52:08,520 --> 00:52:10,200 RAISE OUR SOCIAL AND SPIRITUAL 1536 00:52:10,200 --> 00:52:11,880 HEALTH TO THE HIGHEST LEVEL. 1537 00:52:11,880 --> 00:52:16,600 WE NEED TO ADVOCATE FOR OUR 1538 00:52:16,600 --> 00:52:17,680 INDIAN PEOPLE AND ALL 1539 00:52:17,680 --> 00:52:20,520 INDIVIDUALS WITHIN OUR SYSTEM 1540 00:52:20,520 --> 00:52:22,520 AND OUR COMMUNITIES THAT MAY 1541 00:52:22,520 --> 00:52:23,440 INCLUDE NON-BENEFICIARIES AT 1542 00:52:23,440 --> 00:52:23,880 THAT TIME. 1543 00:52:23,880 --> 00:52:25,720 WE HAVE A SERVICE POPULATION OF 1544 00:52:25,720 --> 00:52:28,680 APPROXIMATELY 2.7 MILLION 1545 00:52:28,680 --> 00:52:30,880 INDIVIDUALS AND 1.7 MILLION HAVE 1546 00:52:30,880 --> 00:52:32,320 HAD A CLINICAL VISIT WITHIN THE 1547 00:52:32,320 --> 00:52:34,360 LAST THREE YEARS. 1548 00:52:34,360 --> 00:52:35,400 AND WE KIND OF USE THAT NUMBER 1549 00:52:35,400 --> 00:52:38,320 TO DEFINE HOW MUCH UTILIZATION 1550 00:52:38,320 --> 00:52:39,640 OF HEALTH CARE WE HAVE. 1551 00:52:39,640 --> 00:52:43,920 THERE ARE APPROXIMATELY 574 1552 00:52:43,920 --> 00:52:44,480 FEDERALLY-RECOGNIZED TRIBES 1553 00:52:44,480 --> 00:52:46,280 ACROSS 37 STATES. 1554 00:52:46,280 --> 00:52:48,920 THE VACCINE TASK FORCE 1555 00:52:48,920 --> 00:52:50,720 ACTIVITIES, WE'LL TALK SOON 1556 00:52:50,720 --> 00:52:54,160 ABOUT HOW SELECTION WAS MADE AND 1557 00:52:54,160 --> 00:52:56,840 WHO CHOSE VACCINE FROM THE IHS 1558 00:52:56,840 --> 00:52:58,880 VERSUS FROM THEIR STATE. 1559 00:52:58,880 --> 00:53:02,040 BUT, WE ARE NOW COVERING 36 1560 00:53:02,040 --> 00:53:05,680 STATES WHERE WE PROVIDE 1561 00:53:05,680 --> 00:53:05,960 VACCINES. 1562 00:53:05,960 --> 00:53:08,800 THERE ARE DIFFERENT VARIATIONS 1563 00:53:08,800 --> 00:53:13,760 úAS. 1564 00:53:13,760 --> 00:53:15,440 THEY ARE TRIBAL HEALTH PROGRAMS 1565 00:53:15,440 --> 00:53:16,680 IN INDIAN URBAN ORGANIZATIONS 1566 00:53:16,680 --> 00:53:20,000 AND WE HAVE SUCH VARIATION IN 1567 00:53:20,000 --> 00:53:21,480 INDIAN HEALTH SERVICE, INCLUDING 1568 00:53:21,480 --> 00:53:24,640 VERY URBAN, POPULATED AREAS OR 1569 00:53:24,640 --> 00:53:25,880 VERY BUSY MEDICAL FACILITIES IN 1570 00:53:25,880 --> 00:53:28,600 THE MIDDLE OF AN URBAN AREA. 1571 00:53:28,600 --> 00:53:30,040 AUGUST THE WAY TOUT REMOTE AND 1572 00:53:30,040 --> 00:53:31,520 RURAL LOCATIONS WHICH I'M SURE 1573 00:53:31,520 --> 00:53:32,960 YOU'RE VERY FAMILIAR WITH. 1574 00:53:32,960 --> 00:53:34,560 SO WE HAVE SO MUCH VARIATION 1575 00:53:34,560 --> 00:53:37,160 THAT WE HAVE TO BE ABLE TO MEET 1576 00:53:37,160 --> 00:53:39,440 THE NEEDS IN SO MANY DIFFERENT 1577 00:53:39,440 --> 00:53:41,000 WAYS, ESPECIALLY FOR VACCINES 1578 00:53:41,000 --> 00:53:41,680 AND DURING THIS TIME PERIOD. 1579 00:53:41,680 --> 00:53:50,120 NEXT SLIDE, PLEASE. 1580 00:53:50,120 --> 00:53:52,880 WE KNEW THAT -- THE HISTORY OF 1581 00:53:52,880 --> 00:53:56,480 MANY PANDEMICS AND OTHER 1582 00:53:56,480 --> 00:53:57,040 INFECTIOUS DISEASES THAT 1583 00:53:57,040 --> 00:53:58,520 AMERICAN INDIAN AND ALASKA 1584 00:53:58,520 --> 00:54:00,200 NATIVE MAY BE AFFECTED BY THINGS 1585 00:54:00,200 --> 00:54:01,320 LIKE COVID-19. 1586 00:54:01,320 --> 00:54:03,120 AND THAT DID COME TO FRUITION. 1587 00:54:03,120 --> 00:54:06,000 WE KNOW THAT AMERICAN INDIAN AND 1588 00:54:06,000 --> 00:54:07,440 ALASKA NATIVE INDIVIDUALS HAVE 1589 00:54:07,440 --> 00:54:09,640 HIGHER RATES OF BEING DIAGNOSED 1590 00:54:09,640 --> 00:54:12,200 WITH COVID-19, HIGHER RATES OF 1591 00:54:12,200 --> 00:54:14,120 HOSPITALIZATION AND HIGHER RATES 1592 00:54:14,120 --> 00:54:15,880 OF DEATH IN ALL AGE GROUPS. 1593 00:54:15,880 --> 00:54:18,520 AND EVEN AT YOUNGER AGE GROUPS, 1594 00:54:18,520 --> 00:54:20,320 WHICH IS REALLY TERRIFYING. 1595 00:54:20,320 --> 00:54:23,560 THIS IS SOMEWHAT COMMON FOR 1596 00:54:23,560 --> 00:54:24,760 OTHER MEDICAL CONDITIONS LIKE 1597 00:54:24,760 --> 00:54:26,960 INFLUENZA AND OTHER THINGS, BUT 1598 00:54:26,960 --> 00:54:28,160 WE KNEW THIS WAS GOING TO BE 1599 00:54:28,160 --> 00:54:28,480 PROBLEMATIC. 1600 00:54:28,480 --> 00:54:30,080 WE CONTINUED TO MONITOR THESE 1601 00:54:30,080 --> 00:54:30,880 THINGS AND WE HAVE SEEN THIS 1602 00:54:30,880 --> 00:54:33,760 COME TO FRUITION ALSO WITH 1603 00:54:33,760 --> 00:54:34,480 COVID-19. 1604 00:54:34,480 --> 00:54:38,160 SO WE KNEW THAT WE NEEDED A 1605 00:54:38,160 --> 00:54:39,200 COMPREHENSIVE CULTURAL 1606 00:54:39,200 --> 00:54:41,280 APPROPRIATE APPROACH TO ENSURE 1607 00:54:41,280 --> 00:54:42,520 THAT EVERYONE HAD THE 1608 00:54:42,520 --> 00:54:43,680 OPPORTUNITY TO BE VACCINATED AND 1609 00:54:43,680 --> 00:54:45,600 TO BE ABLE TO PUSH THE VACCINE 1610 00:54:45,600 --> 00:54:46,480 OUT TO THE LOCAL LEVEL TO 1611 00:54:46,480 --> 00:54:48,200 DETERMINE WHAT EXACTLY THEY 1612 00:54:48,200 --> 00:54:48,560 NEEDED. 1613 00:54:48,560 --> 00:54:51,000 HOW CAN WE MEET THEIR NEEDS? 1614 00:54:51,000 --> 00:54:53,240 WE UTILIZE A LOT OF TRUSTED 1615 00:54:53,240 --> 00:54:57,320 MESSENGERS AND WE REALLY WORKED 1616 00:54:57,320 --> 00:54:58,560 WITH FACILITIES, TRIBAL LEADERS 1617 00:54:58,560 --> 00:54:59,800 TO GET MESSAGING OUT. 1618 00:54:59,800 --> 00:55:01,560 AND THAT WAS REALLY THE KEY TO 1619 00:55:01,560 --> 00:55:03,600 THE SUCCESS. 1620 00:55:03,600 --> 00:55:05,800 UTILIZING AND PARTNERING WITH 1621 00:55:05,800 --> 00:55:08,040 TRIBES AND TRIBAL LEADERS TO 1622 00:55:08,040 --> 00:55:10,960 KEEP MESSAGING ONGOING AND 1623 00:55:10,960 --> 00:55:14,120 MEETING PEOPLE WHERE THEY WERE. 1624 00:55:14,120 --> 00:55:18,600 SO MANY MESSAGES OF CULTURAL 1625 00:55:18,600 --> 00:55:19,120 PRESERVATION, LANGUAGE, 1626 00:55:19,120 --> 00:55:21,200 PROTECTION OF OUR ELDERS, WERE 1627 00:55:21,200 --> 00:55:22,480 REALLY KEY AND WE'LL TALK MORE 1628 00:55:22,480 --> 00:55:25,600 AND FOCUS ON THOSE AS WE WORK 1629 00:55:25,600 --> 00:55:28,960 THROUGH MY PRESENTATION. 1630 00:55:28,960 --> 00:55:30,000 NEXT SLIDE, PLEASE. 1631 00:55:30,000 --> 00:55:33,680 SO THESE EARLY ENGAGEMENT WAS 1632 00:55:33,680 --> 00:55:35,120 LITERALLY THE MOST IMPORTANT 1633 00:55:35,120 --> 00:55:36,200 CRITICAL ELEMENT. 1634 00:55:36,200 --> 00:55:37,480 WE WENT THROUGH TRIBAL 1635 00:55:37,480 --> 00:55:37,800 CONSULTATION. 1636 00:55:37,800 --> 00:55:41,760 WE WENT THROUGH URBAN CONFIRM TO 1637 00:55:41,760 --> 00:55:43,520 DETERMINE WHAT WAS THE PRIORITY? 1638 00:55:43,520 --> 00:55:46,160 HOW WHEN WE OPERATIONALIZE 1639 00:55:46,160 --> 00:55:46,960 VACCINATION, HOW WILL WE ROLE 1640 00:55:46,960 --> 00:55:50,520 TELL OUT AND THE WHAT DO THE 1641 00:55:50,520 --> 00:55:50,960 TRIBES NEED? 1642 00:55:50,960 --> 00:55:51,480 WHAT DOT FACILITIES NEED? 1643 00:55:51,480 --> 00:55:53,200 OUR TRIBAL LEADERS AND OUR 1644 00:55:53,200 --> 00:55:56,120 MEDICAL DIRECTORS NEED? 1645 00:55:56,120 --> 00:55:57,640 SO TRIBES AND TRIBAL COMMUNITIES 1646 00:55:57,640 --> 00:55:59,400 WOULD ASK FOR PRIORITY. 1647 00:55:59,400 --> 00:56:00,840 WE WOULD ASK THEM FOR THEIR 1648 00:56:00,840 --> 00:56:02,840 INPUT, IHS EMPLOYEES WERE ASKED 1649 00:56:02,840 --> 00:56:05,480 FOR INPUT AND WE FOUND A THEME, 1650 00:56:05,480 --> 00:56:07,440 THAT THEME IS THAT FACILITIES 1651 00:56:07,440 --> 00:56:08,920 AND TRIBES WANTED A CHOICE IN 1652 00:56:08,920 --> 00:56:11,680 HOW THEY RECEIVED VACCINES THAT 1653 00:56:11,680 --> 00:56:14,720 WERE DISTRIBUTED. 1654 00:56:14,720 --> 00:56:16,800 SO, THEY COULD EITHER CHOOSE TO 1655 00:56:16,800 --> 00:56:21,480 GET VACCINES THROUGH THE IHS OR 1656 00:56:21,480 --> 00:56:22,120 THEY COULD CHOOSE TO GO THROUGH 1657 00:56:22,120 --> 00:56:23,560 THE STATE OR LOCAL JURISDICTION. 1658 00:56:23,560 --> 00:56:26,200 AND THAT WAS BASED ON THEIR 1659 00:56:26,200 --> 00:56:29,080 HISTORY, RELATIONSHIP, THEIR 1660 00:56:29,080 --> 00:56:30,840 LOCAL NEEDS, HOW DIFFERENT -- 1661 00:56:30,840 --> 00:56:32,480 EITHER IHS OR THE STATE MIGHT BE 1662 00:56:32,480 --> 00:56:36,800 ABLE TO MEET THEIR NEEDS OR 1663 00:56:36,800 --> 00:56:39,000 QUANTITY, AVAILABILITY, 1664 00:56:39,000 --> 00:56:39,480 DISTRIBUTION. 1665 00:56:39,480 --> 00:56:40,960 ALL OF THOSE DIFFERENT 1666 00:56:40,960 --> 00:56:41,280 COMPONENTS. 1667 00:56:41,280 --> 00:56:43,400 IT WAS REALLY UP TO THE LOCAL 1668 00:56:43,400 --> 00:56:46,480 FACILITY TO MAKE THOSE CHOICES. 1669 00:56:46,480 --> 00:56:47,520 ALSO, WE HEARD THAT PEOPLE 1670 00:56:47,520 --> 00:56:49,440 WANTED TO ESTIMATE THEIR OWN 1671 00:56:49,440 --> 00:56:49,720 POPULATION. 1672 00:56:49,720 --> 00:56:53,640 THEY DIDN'T WANT TO USE THIS 1673 00:56:53,640 --> 00:56:54,320 GENERALLY-ACCEPTABLE NUMBER OF 1674 00:56:54,320 --> 00:56:55,960 WHAT WE CALL THE USER 1675 00:56:55,960 --> 00:56:57,120 POPULATION, WHICH IS THOSE 1676 00:56:57,120 --> 00:56:58,360 PEOPLE WHO HAD ONE VISIT IN THE 1677 00:56:58,360 --> 00:56:58,920 LAST THREE YEARS. 1678 00:56:58,920 --> 00:57:01,160 THEY WANTED TO NAME THEIR OWN 1679 00:57:01,160 --> 00:57:01,760 POPULATION. 1680 00:57:01,760 --> 00:57:03,280 THEY WANTED TO TELL US WHAT 1681 00:57:03,280 --> 00:57:06,840 THEIR NEEDS WERE. 1682 00:57:06,840 --> 00:57:08,160 INCLUDING NOT JUST AMERICAN 1683 00:57:08,160 --> 00:57:10,840 INDIAN AND ALASKA NATIVE MEMBERS 1684 00:57:10,840 --> 00:57:12,680 BUT ALSO PEOPLE IN SURROUNDING 1685 00:57:12,680 --> 00:57:12,960 COMMUNITIES. 1686 00:57:12,960 --> 00:57:14,720 THEY WANTED TO BE ABLE TO 1687 00:57:14,720 --> 00:57:16,000 VACCINATE PEOPLE WHO LIVE AND 1688 00:57:16,000 --> 00:57:17,720 WORK IN THEIR COMMUNITIES TO 1689 00:57:17,720 --> 00:57:19,920 PROTECT THEIR COMMUNITIES. 1690 00:57:19,920 --> 00:57:21,320 THEY ALSO, THE TRIBES ALSO TOLD 1691 00:57:21,320 --> 00:57:23,000 US AND URBAN FACILITIES TOLD US 1692 00:57:23,000 --> 00:57:24,920 THEY WANTED TO DETERMINE THEIR 1693 00:57:24,920 --> 00:57:26,640 OWN PRIORITY POPULATION. 1694 00:57:26,640 --> 00:57:31,400 AND THIS IS ALSO REALLY KEY AND 1695 00:57:31,400 --> 00:57:32,400 CHANNEL TOUCHED ON THIS EARLIER. 1696 00:57:32,400 --> 00:57:36,680 THEY WANTED TO DEFINE WHAT IS AN 1697 00:57:36,680 --> 00:57:37,640 ELDER AGE. 1698 00:57:37,640 --> 00:57:38,920 IT'S NOT ALWAYS THE TYPICAL 1699 00:57:38,920 --> 00:57:41,040 DEFINITION OF 65 AND OLDER. 1700 00:57:41,040 --> 00:57:42,040 IN SOME TRIBES IT'S 55. 1701 00:57:42,040 --> 00:57:45,560 IN OTHER AREAS IT'S 60 OR 45. 1702 00:57:45,560 --> 00:57:48,000 SO MANY FACILITIES AND TRIBES 1703 00:57:48,000 --> 00:57:50,920 WANTED TO DETERMINE THEIR OWN 1704 00:57:50,920 --> 00:57:51,720 PRIORITY POPULATION, WHO WAS 1705 00:57:51,720 --> 00:57:53,320 DEFINED AS AN ELDER? 1706 00:57:53,320 --> 00:57:55,800 WOULD THAT INCLUDE THEIR 1707 00:57:55,800 --> 00:57:58,320 TRADITIONAL HEALERS AND 1708 00:57:58,320 --> 00:57:59,720 NATIVE-LANGUAGE SPEAKERS? 1709 00:57:59,720 --> 00:58:00,840 MAYBE IT WAS FOLKS WHO WORKED IN 1710 00:58:00,840 --> 00:58:01,680 CERTAIN ENVIRONMENTS. 1711 00:58:01,680 --> 00:58:03,320 SO IT WAS REALLY EXCITING FOR 1712 00:58:03,320 --> 00:58:04,760 SITES TO BE ABLE TO DETERMINE 1713 00:58:04,760 --> 00:58:07,120 THOSE PRIORITY POPULATIONS AND 1714 00:58:07,120 --> 00:58:09,360 WE WORKED VERY DILIGENTLY WITH 1715 00:58:09,360 --> 00:58:11,320 THE CDC AND THE ADVISORY 1716 00:58:11,320 --> 00:58:13,320 COMMITTEE ON IMMUNIZATION 1717 00:58:13,320 --> 00:58:14,480 PRACTICES TO INCORPORATE THEIR 1718 00:58:14,480 --> 00:58:18,000 RECOMMENDATIONS AND ALLOW THAT 1719 00:58:18,000 --> 00:58:20,000 FLEXIBILITY FOR DETERMINING 1720 00:58:20,000 --> 00:58:20,640 PRIORITY POPULATION. 1721 00:58:20,640 --> 00:58:22,240 AND THESE WERE THE ITEMS THAT 1722 00:58:22,240 --> 00:58:23,400 WERE CRIMINAL CALL AS WE 1723 00:58:23,400 --> 00:58:25,040 INCORPORATED THEM INTO OUR IHS 1724 00:58:25,040 --> 00:58:26,480 PLANNING AND IMPLEMENTATION. 1725 00:58:26,480 --> 00:58:27,520 -- CRITICAL. 1726 00:58:27,520 --> 00:58:30,120 NEXT SLIDE, PLEASE. 1727 00:58:30,120 --> 00:58:31,960 HERE SAY SNAPSHOT OF HOW WE HAVE 1728 00:58:31,960 --> 00:58:35,440 BEEN DOING AND WHERE WE ARE AT 1729 00:58:35,440 --> 00:58:37,440 RIGHT NOW. 1730 00:58:37,440 --> 00:58:41,560 IHS COVID-19 TASK FORCE WE HAVE 1731 00:58:41,560 --> 00:58:43,080 358 FACILITIES ACROSS 36 STATES 1732 00:58:43,080 --> 00:58:45,320 THAT WE DISTRIBUTE VACCINE TO. 1733 00:58:45,320 --> 00:58:49,480 IT'S ABOUT 75% OF WHAT THE IHS 1734 00:58:49,480 --> 00:58:51,640 HAS OVERALL. 1735 00:58:51,640 --> 00:58:53,040 IHS DIRECTLY DISTRICTS. 1736 00:58:53,040 --> 00:58:55,440 THE OTHER 25% FACILITIES AND 1737 00:58:55,440 --> 00:58:57,440 ADMINISTERED DOSES ARE THOSE 1738 00:58:57,440 --> 00:58:59,400 FOLKS WHO CHOSE THE STATE OR 1739 00:58:59,400 --> 00:59:02,000 LOCAL JURISDICTION FOR 1740 00:59:02,000 --> 00:59:03,520 DISTRIBUTION. 1741 00:59:03,520 --> 00:59:04,200 OVERALL, WE HAVE DISTRIBUTED 1742 00:59:04,200 --> 00:59:07,160 ABOUT 3.9 MILLION DOSES, THAT'S 1743 00:59:07,160 --> 00:59:08,640 GOING TO BE COMING UP PRETTY 1744 00:59:08,640 --> 00:59:10,600 SOON HERE WHEN WE HAVE A NEW 1745 00:59:10,600 --> 00:59:12,560 ROLLOUT OF A VACCINE FOR 1746 00:59:12,560 --> 00:59:14,520 PEDIATRICS, THE BIVALENT BOOSTER 1747 00:59:14,520 --> 00:59:15,600 IS COMING FORWARD IN THE NEXT 1748 00:59:15,600 --> 00:59:16,480 WEEK OR TWO. 1749 00:59:16,480 --> 00:59:20,480 WE ADMINISTERED OVER 2.3 MILLION 1750 00:59:20,480 --> 00:59:22,600 DOSES TO FOLKS OF ALL AGES. 1751 00:59:22,600 --> 00:59:25,520 SO ANYONE SIX MONTHS AND OLDER 1752 00:59:25,520 --> 00:59:28,040 IS COUNTING FIRST AND SECOND 1753 00:59:28,040 --> 00:59:31,880 DOSES, ADDITIONAL DOSES, BOOSTER 1754 00:59:31,880 --> 00:59:34,400 DOSES AND NOW BIVALENT BOOSTERS. 1755 00:59:34,400 --> 00:59:37,480 SO IT'S BEEN QUITE A WILD RIDE. 1756 00:59:37,480 --> 00:59:40,560 A LOT OF ACTION AND ACTIVITY AND 1757 00:59:40,560 --> 00:59:42,520 PERSISTENCE ACTION AND ACTIVITY 1758 00:59:42,520 --> 00:59:43,320 ALL ALONG. 1759 00:59:43,320 --> 00:59:45,200 SO AT THIS TIME, COVID-19 1760 00:59:45,200 --> 00:59:47,480 VACCINES ARE WIDELY AVAILABLE IN 1761 00:59:47,480 --> 00:59:48,200 INDIAN COUNTRY. 1762 00:59:48,200 --> 00:59:50,800 WE DO HAVE BIVALENT BOOSTERS, 1763 00:59:50,800 --> 00:59:52,160 WIDELY AVAILABLE AS WELL AND WE 1764 00:59:52,160 --> 00:59:53,640 ARE WORKING ON THE PREPARATION 1765 00:59:53,640 --> 00:59:56,960 AND LAUNCH FOR THOSE KIDS LESS 1766 00:59:56,960 --> 00:59:57,200 THAN 5. 1767 00:59:57,200 --> 01:00:00,480 WE DO CONTINUE TO HAVE A 1768 01:00:00,480 --> 01:00:01,320 RECOGNIZED VACCINATION RATE THAT 1769 01:00:01,320 --> 01:00:03,680 ARE SOME OF THE HIGHEST IN THE 1770 01:00:03,680 --> 01:00:05,680 COUNTRY FOR BASED ON RACE AND 1771 01:00:05,680 --> 01:00:06,200 ETHNICITY. 1772 01:00:06,200 --> 01:00:07,800 SO CDC RECOGNIZES AMERICAN 1773 01:00:07,800 --> 01:00:09,920 INDIAN AND ALASKA NATIVES HAVING 1774 01:00:09,920 --> 01:00:12,200 THE HIGHEST RACE OF SOURCE DOSE 1775 01:00:12,200 --> 01:00:13,840 COMPLETION AND SECOND HIGHEST 1776 01:00:13,840 --> 01:00:15,200 DOSE COURSE FOR SERIES 1777 01:00:15,200 --> 01:00:15,640 COMPLETION. 1778 01:00:15,640 --> 01:00:17,560 AND THEN WE CONTINUE TO WORK ON 1779 01:00:17,560 --> 01:00:20,200 ADDITIONAL BOOSTERS AND BIVALENT 1780 01:00:20,200 --> 01:00:21,600 BOOSTERS WITH INCREMENTAL 1781 01:00:21,600 --> 01:00:23,800 INCREASES OCCURRING IN ALL AGE 1782 01:00:23,800 --> 01:00:24,240 GROUPS. 1783 01:00:24,240 --> 01:00:25,440 AT THIS POINT, WE HAVE 1784 01:00:25,440 --> 01:00:28,360 ADMINISTERED OVER 110,000 1785 01:00:28,360 --> 01:00:29,240 BIVALENT BOOSTERS AND THAT 1786 01:00:29,240 --> 01:00:31,280 CONTINUES TO CLIMB EVERY DAY. 1787 01:00:31,280 --> 01:00:32,400 AGAIN, THAT CLOSE COMMUNICATION 1788 01:00:32,400 --> 01:00:34,480 WITH PARTNERS HAS BEEN REALLY 1789 01:00:34,480 --> 01:00:36,080 CRITICAL AND THAT INCLUDES ALSO 1790 01:00:36,080 --> 01:00:37,080 OUR FEDERAL PARTNERS WORKING 1791 01:00:37,080 --> 01:00:40,360 WITH THE CDC, FEMA, NATIONAL 1792 01:00:40,360 --> 01:00:43,080 GUARD, BUREAU OF INDIAN 1793 01:00:43,080 --> 01:00:43,640 EDUCATION. 1794 01:00:43,640 --> 01:00:48,560 THE BIA AND OTHERS, INCLUDING 1795 01:00:48,560 --> 01:00:49,560 US, SPECIFIC TRIBAL 1796 01:00:49,560 --> 01:00:51,520 ORGANIZATIONS INCLUDING 1797 01:00:51,520 --> 01:00:53,240 REGIONAL, TRIBAL ORGANIZATIONS, 1798 01:00:53,240 --> 01:00:54,880 STATE DEPARTMENTS OF HEALTH AND 1799 01:00:54,880 --> 01:00:55,120 OTHERS. 1800 01:00:55,120 --> 01:00:55,960 IT'S THOSE RELATIONSHIPS THAT 1801 01:00:55,960 --> 01:00:57,960 HAVE BEEN REALLY KEY AND 1802 01:00:57,960 --> 01:00:59,560 UTILIZING OUR TRIBES AND TRIBAL 1803 01:00:59,560 --> 01:01:03,520 LEADERS TO AMPLIFY MESSAGING AND 1804 01:01:03,520 --> 01:01:04,480 ENGAGING WITH OUR COMMUNITIES. 1805 01:01:04,480 --> 01:01:08,800 NEXT SLIDE, PLEASE. 1806 01:01:08,800 --> 01:01:11,520 FOCUSING ON PROTECTION OF 1807 01:01:11,520 --> 01:01:11,760 COMMUNITY. 1808 01:01:11,760 --> 01:01:13,040 IF IS SOMETHING THAT REALLY 1809 01:01:13,040 --> 01:01:14,720 RESONATED WITHIN INDIAN CREASE. 1810 01:01:14,720 --> 01:01:16,360 PRESERVATION OF CULTURE AND 1811 01:01:16,360 --> 01:01:17,840 LANGUAGE WAS CRITICAL. 1812 01:01:17,840 --> 01:01:19,920 TALKING ABOUT PROTECTING OUR 1813 01:01:19,920 --> 01:01:21,680 ELDERS BY CACOONING THEM, 1814 01:01:21,680 --> 01:01:22,760 INCLUDING NOT JUST VACCINATING 1815 01:01:22,760 --> 01:01:25,480 THE ELDER BUT VACCINATING OUR 1816 01:01:25,480 --> 01:01:26,720 FRIENDS, FAMILY AND YOU CAN SEE 1817 01:01:26,720 --> 01:01:29,880 ON THE RIGHT-HAND SIDE, THIS 1818 01:01:29,880 --> 01:01:31,640 PHOTO SHOWS A PICTURE ON THE MAP 1819 01:01:31,640 --> 01:01:33,560 THAT SAYS, BE A GOOD RELATIVE. 1820 01:01:33,560 --> 01:01:35,640 AND THAT IS REALLY SOME OF THE 1821 01:01:35,640 --> 01:01:37,880 MESSAGING THAT WAS REALLY 1822 01:01:37,880 --> 01:01:40,680 PROMINENT ACROSS INDIAN COUNTRY. 1823 01:01:40,680 --> 01:01:42,920 WE SAW A LOT OF MESSAGING AROUND 1824 01:01:42,920 --> 01:01:45,560 PROTECTION OF OUR FUTURE 1825 01:01:45,560 --> 01:01:46,760 GENERATIONS AS WELL, ESPECIALLY 1826 01:01:46,760 --> 01:01:48,360 WHEN VACCINATION ROLLED OUT FOR 1827 01:01:48,360 --> 01:01:50,320 THE YOUNGER AGE GROUPS, 1828 01:01:50,320 --> 01:01:52,080 ADOLESCENT AND YOUNG ADULTS AND 1829 01:01:52,080 --> 01:01:53,800 THEN REACHING COMMUNITY 1830 01:01:53,800 --> 01:01:55,240 IMMUNITY, INCLUDING PROTECTING 1831 01:01:55,240 --> 01:01:57,800 OUR FOLKS WHO HAVE UNDERLYING 1832 01:01:57,800 --> 01:02:00,000 MEDICAL CONDITIONS AND AT ONE 1833 01:02:00,000 --> 01:02:01,120 TIME, BEFORE CHILDREN WERE 1834 01:02:01,120 --> 01:02:03,200 AUTHORIZED FOR VACCINATION, 1835 01:02:03,200 --> 01:02:05,640 PROTECTING OUR CHILDREN WHEN 1836 01:02:05,640 --> 01:02:07,320 THEY COULDN'T BE VACCINATED, YET 1837 01:02:07,320 --> 01:02:07,880 ADULTS COULD BE. 1838 01:02:07,880 --> 01:02:11,520 NEXT SLIDE, PLEASE. 1839 01:02:11,520 --> 01:02:15,160 HERE ARE A COUPLE OF PHOTOS OR 1840 01:02:15,160 --> 01:02:17,640 MESSAGES, VISUAL MESSAGES. 1841 01:02:17,640 --> 01:02:20,720 SEVERAL OF THESE ON THE 1842 01:02:20,720 --> 01:02:22,600 LEFT-HAND SIDE WERE FROM THE 1843 01:02:22,600 --> 01:02:24,680 INTERTRIBAL COUNCIL OF MICHIGAN. 1844 01:02:24,680 --> 01:02:26,560 SO THEY ARE REALLY POWERFUL 1845 01:02:26,560 --> 01:02:29,200 MESSAGES HERE, PROTECT OUR 1846 01:02:29,200 --> 01:02:30,440 LANGUAGE, OUR CULTURE HOLDERS 1847 01:02:30,440 --> 01:02:32,080 FOR FUTURE GENERATIONS. 1848 01:02:32,080 --> 01:02:35,200 PRESERVE OUR CULTURE. 1849 01:02:35,200 --> 01:02:36,400 PROTECT YOUR TRIBE AND GET 1850 01:02:36,400 --> 01:02:36,720 VACCINATED. 1851 01:02:36,720 --> 01:02:39,080 SO WE JUST LOVE AND APPRECIATE 1852 01:02:39,080 --> 01:02:41,760 MANY OF THE VERY UNIQUE MESSAGES 1853 01:02:41,760 --> 01:02:44,720 THAT WERE CREATED LOCALLY OR 1854 01:02:44,720 --> 01:02:45,840 REGIONALLY THAT REACHED OUT TO 1855 01:02:45,840 --> 01:02:47,480 TRIBAL MEMBERS AND REACHED TOUT 1856 01:02:47,480 --> 01:02:49,080 OUR COMMUNITY. 1857 01:02:49,080 --> 01:02:51,800 ON THE RIGHT, WE SEE THERE IS A 1858 01:02:51,800 --> 01:02:56,000 LADY HERE HOLDING UP HER SIGN. 1859 01:02:56,000 --> 01:02:57,560 WE HAVE -- USE THESE A LOT, 1860 01:02:57,560 --> 01:02:59,360 ESPECIALLY AT MY FACILITY AND 1861 01:02:59,360 --> 01:02:59,920 MANY FACILITIES ACROSS THE 1862 01:02:59,920 --> 01:03:02,640 COUNTRY THAT SAYS, WHO IS THIS 1863 01:03:02,640 --> 01:03:03,080 VACCINE? 1864 01:03:03,080 --> 01:03:04,920 WHY ARE WE GETTING THIS VACCINE? 1865 01:03:04,920 --> 01:03:06,000 FOR MYSELF? 1866 01:03:06,000 --> 01:03:07,920 AND MORE OFTEN THAN NOT, IT'S 1867 01:03:07,920 --> 01:03:08,400 FOR OTHERS. 1868 01:03:08,400 --> 01:03:12,640 AND HERE SHE IS SAYING, MY COVID 1869 01:03:12,640 --> 01:03:15,120 VACCINE IS HER PEOPLE, NOT JUST 1870 01:03:15,120 --> 01:03:17,000 HERSELF. 1871 01:03:17,000 --> 01:03:19,080 NEXT SLIDE, PLEASE. 1872 01:03:19,080 --> 01:03:20,280 UTILIZATION OF TRUSTED MESSENGER 1873 01:03:20,280 --> 01:03:23,680 IS ALSO REALLY CRITICAL AND ALL 1874 01:03:23,680 --> 01:03:25,080 THROUGHOUT THIS PRESENTATION 1875 01:03:25,080 --> 01:03:27,120 KIND OF HONING IN ON THOSE 1876 01:03:27,120 --> 01:03:30,360 TRUSTED MESSENGERS. 1877 01:03:30,360 --> 01:03:31,920 THEY WERE KEY FOR THE ROLLOUT. 1878 01:03:31,920 --> 01:03:33,720 IT WAS AMAZING AND EXCITING TO 1879 01:03:33,720 --> 01:03:35,560 SEE TRADITIONAL HEALERS BEING 1880 01:03:35,560 --> 01:03:38,040 VACCINATED AS ONE OF THE FIRST 1881 01:03:38,040 --> 01:03:39,560 FOLKS TO BE VACCINATED, 1882 01:03:39,560 --> 01:03:42,200 PROMOTING THE SENSE THAT THESE 1883 01:03:42,200 --> 01:03:44,000 VACCINES ARE GOING TO BE HELPFUL 1884 01:03:44,000 --> 01:03:45,440 FOR OUR COMMUNITIES. 1885 01:03:45,440 --> 01:03:47,680 AND SAFE FOR OUR PEOPLE. 1886 01:03:47,680 --> 01:03:50,360 WE ALSO UTILIZED AND SAW MANY 1887 01:03:50,360 --> 01:03:52,800 TRIBAL MEMBERS, TRIBAL LEADERS, 1888 01:03:52,800 --> 01:03:54,800 PROMOTING THEIR OWN VACCINATIONS 1889 01:03:54,800 --> 01:04:03,040 ON SOCIAL MEDIA, IN THE NAVAJO 1890 01:04:03,040 --> 01:04:03,400 AREA. 1891 01:04:03,400 --> 01:04:06,160 THE NAVAJO PRESIDENT WAS OUT 1892 01:04:06,160 --> 01:04:07,720 PROMOTING THE VACCINATION IN 1893 01:04:07,720 --> 01:04:09,360 CLINICS, ENCOURAGING PEOPLE TO 1894 01:04:09,360 --> 01:04:11,240 ASK QUESTIONS, ENCOURAGING FOLKS 1895 01:04:11,240 --> 01:04:15,000 TO COME ON DOWN AND TO RECEIVE A 1896 01:04:15,000 --> 01:04:15,680 VACCINE. 1897 01:04:15,680 --> 01:04:20,440 WE ALSO USED TRADITIONAL 1898 01:04:20,440 --> 01:04:21,160 MESSAGING THAT IS OFTEN A LITTLE 1899 01:04:21,160 --> 01:04:23,040 DIFFERENT THAN THE REST OF THE 1900 01:04:23,040 --> 01:04:24,120 COUNTRY. 1901 01:04:24,120 --> 01:04:27,080 UTILIZING RADIO BROADCAST AND 1902 01:04:27,080 --> 01:04:28,960 THE LOCAL TRIBAL NEWSPAPERS TO 1903 01:04:28,960 --> 01:04:30,000 PROVIDE MESSAGING AS WELL. 1904 01:04:30,000 --> 01:04:34,400 AND HERE IS ONE OF THE TRIBAL 1905 01:04:34,400 --> 01:04:35,520 PRINCESSES RECEIVING HER 1906 01:04:35,520 --> 01:04:36,520 VACCINE, WHICH IS REALLY 1907 01:04:36,520 --> 01:04:38,680 EXCITING TO SEE IN THIS 1908 01:04:38,680 --> 01:04:40,840 TRADITIONAL DRESS, HOW BEAUTIFUL 1909 01:04:40,840 --> 01:04:42,480 SHE LOOKS WEARING HER MASK AND 1910 01:04:42,480 --> 01:04:44,080 RECEIVING HER VACCINATION. 1911 01:04:44,080 --> 01:04:49,640 NEXT SLIDE, PLEASE. 1912 01:04:49,640 --> 01:04:50,760 SO HOW DID WE LOCALLY IMPLEMENT 1913 01:04:50,760 --> 01:04:52,560 VACCINATIONS IN THERE WERE 1914 01:04:52,560 --> 01:04:53,840 MULTITIDES OF STRATEGIES. 1915 01:04:53,840 --> 01:04:55,720 IHS IS A HEALTH CARE DELIVERY 1916 01:04:55,720 --> 01:04:55,960 SYSTEM. 1917 01:04:55,960 --> 01:04:58,440 OF COURSE FIRST AND FOREMOST 1918 01:04:58,440 --> 01:05:00,560 CREATING VACCINES INTO ROUTINE 1919 01:05:00,560 --> 01:05:01,720 CARE. 1920 01:05:01,720 --> 01:05:02,680 IT BECAME COMMONPLACE FOR YOU IF 1921 01:05:02,680 --> 01:05:05,520 YOU WERE VISITING YOUR DOCTOR 1922 01:05:05,520 --> 01:05:06,880 FOR WELCHILD CHECK, PRIMARY CARE 1923 01:05:06,880 --> 01:05:08,920 VISIT, IF YOU WERE SEEING A 1924 01:05:08,920 --> 01:05:09,200 SPECIALIST. 1925 01:05:09,200 --> 01:05:10,200 YOU WERE OFFERED OR ASKED AND 1926 01:05:10,200 --> 01:05:11,720 OFFERED ABOUT THE OPPORTUNITY TO 1927 01:05:11,720 --> 01:05:13,960 BE VACCINATED WITH COVID 1928 01:05:13,960 --> 01:05:14,760 VACCINE. 1929 01:05:14,760 --> 01:05:18,280 WE ALSO IMPLEMENTED VACCINATION, 1930 01:05:18,280 --> 01:05:21,080 OFFERING VACCINATION OR REFERRAL 1931 01:05:21,080 --> 01:05:23,400 FOR VACCINATION AT THE CLINIC IN 1932 01:05:23,400 --> 01:05:26,600 OUR URGENT CARE FACILITIES, OUR 1933 01:05:26,600 --> 01:05:28,840 EMERGENCY DEPARTMENTS. 1934 01:05:28,840 --> 01:05:29,840 AN EXAMPLE WOULD BE IF YOU TWIST 1935 01:05:29,840 --> 01:05:31,480 YOUR ANKLE, YOU'RE STILL HEALTHY 1936 01:05:31,480 --> 01:05:33,520 ENOUGH TO RECEIVE A VACCINE 1937 01:05:33,520 --> 01:05:33,720 TODAY. 1938 01:05:33,720 --> 01:05:35,040 LET ME GIVE YOU INFORMATION ON 1939 01:05:35,040 --> 01:05:37,680 HOW YOU CAN BE VACCINATED. 1940 01:05:37,680 --> 01:05:38,320 INTEGRATION INTO IN-PATIENT 1941 01:05:38,320 --> 01:05:38,600 SERVICES. 1942 01:05:38,600 --> 01:05:39,320 MANY I HAD. 1943 01:05:39,320 --> 01:05:42,920 S FACILITIES HAVE INPATIENT 1944 01:05:42,920 --> 01:05:43,240 FACILITIES. 1945 01:05:43,240 --> 01:05:45,320 AT MANY OF OUR. 1946 01:05:45,320 --> 01:05:46,000 IF WE DO FULL IMMUNIZATION 1947 01:05:46,000 --> 01:05:48,680 REVIEWS AND ALSO VACCINATIONS 1948 01:05:48,680 --> 01:05:50,160 PRIOR TO DISCHARGE AS LONG AS 1949 01:05:50,160 --> 01:05:50,880 SOMEONE IS HEALTHY ENOUGH TO 1950 01:05:50,880 --> 01:05:52,240 RECEIVE THOSE VACCINES. 1951 01:05:52,240 --> 01:05:55,080 AND COMMUNITY VACCINATION EVENTS 1952 01:05:55,080 --> 01:05:58,000 WERE JUST ASTRONOMICAL. 1953 01:05:58,000 --> 01:06:02,240 THE MULTITUDE OF CITIES THAT 1954 01:06:02,240 --> 01:06:04,480 PEOPLE GOT TO -- AMAZING. 1955 01:06:04,480 --> 01:06:06,160 A QUICK REPRESENTATION OF THOSE 1956 01:06:06,160 --> 01:06:07,280 IN A MOMENT HERE. 1957 01:06:07,280 --> 01:06:10,920 BUT WE WERE ABLE TO PARTNER 1958 01:06:10,920 --> 01:06:11,560 PANDEMIC VACCINES, ROUTINE 1959 01:06:11,560 --> 01:06:14,960 VACCINES AND SEASONAL SUCH AS 1960 01:06:14,960 --> 01:06:17,160 INFLUENZA VACCINES TO MAKE SURE 1961 01:06:17,160 --> 01:06:20,440 OUR GROUPS WERE FULLY 1962 01:06:20,440 --> 01:06:21,160 UP-TO-DATE. 1963 01:06:21,160 --> 01:06:23,760 WE EXPANDED OUR POOL OF 1964 01:06:23,760 --> 01:06:24,120 VACCINATORS. 1965 01:06:24,120 --> 01:06:26,160 WE REALLY RELIED UPON NURSING 1966 01:06:26,160 --> 01:06:30,760 AND PHARMACY TO EXPAND OUR ROLE. 1967 01:06:30,760 --> 01:06:34,000 WE UTILIZED PHARMACY TECHNICIANS 1968 01:06:34,000 --> 01:06:34,840 IN ROLES. 1969 01:06:34,840 --> 01:06:37,320 WE UTILIZED DENTISTS, ALL KIND 1970 01:06:37,320 --> 01:06:40,680 OF FOLKS THAT WERE 1971 01:06:40,680 --> 01:06:41,880 NON-TRADITIONAL VACCINATORS TO 1972 01:06:41,880 --> 01:06:43,880 INCORPORATE THEM INTO THE 1973 01:06:43,880 --> 01:06:46,040 VACCINE EFFORT AND EXPANDED AND 1974 01:06:46,040 --> 01:06:48,920 CREATED ALL NEW VACCINE CLINICS. 1975 01:06:48,920 --> 01:06:52,600 SO IT WAS A REALLY EXCITING TIME 1976 01:06:52,600 --> 01:06:54,520 AND WE CONTINUE TO UTILIZE MANY 1977 01:06:54,520 --> 01:06:55,720 OF THESE METHODS. 1978 01:06:55,720 --> 01:06:59,640 NEXT SLIDE, PLEASE. 1979 01:06:59,640 --> 01:07:01,000 MEETING PEOPLE WHERE THEY ARE 1980 01:07:01,000 --> 01:07:03,440 WAS ABSOLUTELY ONE OF THE MOST 1981 01:07:03,440 --> 01:07:06,120 BENEFICIAL WAYS TO REACH OUR 1982 01:07:06,120 --> 01:07:07,200 COMMUNITIES AS WELL. 1983 01:07:07,200 --> 01:07:12,000 SO WE HAD OPPORTUNITIES TO GO TO 1984 01:07:12,000 --> 01:07:12,240 SCHOOL. 1985 01:07:12,240 --> 01:07:13,680 WE WENT TO HEAD START PROGRAMS, 1986 01:07:13,680 --> 01:07:14,280 CHILD CARE FACILITIES. 1987 01:07:14,280 --> 01:07:17,280 WE WORKED WITH BIE OR BUREAU OF 1988 01:07:17,280 --> 01:07:18,720 INDIAN EDUCATION, OFFERED TOWN 1989 01:07:18,720 --> 01:07:22,720 HALL EVENTS, PARENT 1990 01:07:22,720 --> 01:07:23,320 QUESTION-AND-ANSWER SESSIONS. 1991 01:07:23,320 --> 01:07:25,080 WE LOOKED TO TRIBAL COLLEGES AND 1992 01:07:25,080 --> 01:07:26,880 OFFERED VACCINATIONS ON SITE. 1993 01:07:26,880 --> 01:07:29,960 SO WE HAD SO MANY DIFFERENT 1994 01:07:29,960 --> 01:07:31,040 OPPORTUNITIES TO REALLY REACH 1995 01:07:31,040 --> 01:07:32,080 OUT TO THE COMMUNITY. 1996 01:07:32,080 --> 01:07:33,280 OUR PUBLIC HEALTH NURSES ARE 1997 01:07:33,280 --> 01:07:36,000 JUST SIMPLY AMAZING DOING HOME 1998 01:07:36,000 --> 01:07:39,040 VISITS, COMMUNITY VISITS, 1999 01:07:39,040 --> 01:07:41,040 CULTURAL EVENTS, ALL DIFFERENT 2000 01:07:41,040 --> 01:07:42,240 KINDS OF UNIQUE OPPORTUNITIES 2001 01:07:42,240 --> 01:07:44,240 WHERE WE CAN ENGAGE WITH PEOPLE 2002 01:07:44,240 --> 01:07:45,080 WHERE THEY WERE. 2003 01:07:45,080 --> 01:07:46,200 SO IF YOU'RE ATTENDING A 2004 01:07:46,200 --> 01:07:48,920 BASKETBALL GAME, HEY, LET'S 2005 01:07:48,920 --> 01:07:50,560 VACCINATE YOU. 2006 01:07:50,560 --> 01:07:51,720 GET YOU UP-TO-DATE. 2007 01:07:51,720 --> 01:07:54,440 AND NAVAJO HAS BEEN INCREDIBLY 2008 01:07:54,440 --> 01:07:55,520 SUCCESSFUL, ESPECIALLY BY 2009 01:07:55,520 --> 01:07:59,000 ATTENDING SCHOOL EVENTS, 2010 01:07:59,000 --> 01:07:59,680 INCLUDING BEAUTIFUL TOURNAMENTS. 2011 01:07:59,680 --> 01:08:00,960 THE RESEARCH IS PHENOMENAL WHICH 2012 01:08:00,960 --> 01:08:02,200 IS REALLY EXCITING. 2013 01:08:02,200 --> 01:08:04,600 WE ALSO WORKED WITH FEMA AND THE 2014 01:08:04,600 --> 01:08:07,880 NATIONAL GUARD AT SOME OF OUR 2015 01:08:07,880 --> 01:08:09,040 REMOTE RURAL LOCATIONS. 2016 01:08:09,040 --> 01:08:12,560 WE HAD MOBILE VANS IN GREAT 2017 01:08:12,560 --> 01:08:14,160 PLAINS, CALIFORNIA AREA AND 2018 01:08:14,160 --> 01:08:15,480 OTHERS AND THEN LARGE COMMUNITY 2019 01:08:15,480 --> 01:08:17,640 EVENTS UP IN NORTHERN ARIZONA. 2020 01:08:17,640 --> 01:08:21,080 I ATTENDED THAT ONE EVENT 2021 01:08:21,080 --> 01:08:21,400 PERSONALLY. 2022 01:08:21,400 --> 01:08:25,320 IT WAS REALLY EXCITING TO SEE 2023 01:08:25,320 --> 01:08:26,320 SUCH GREAT OUTPOURING SUPPORT 2024 01:08:26,320 --> 01:08:30,120 FROM THE CASINO, FROM THE LOCAL, 2025 01:08:30,120 --> 01:08:32,440 STATE, LOCAL FOLKS AND MANY 2026 01:08:32,440 --> 01:08:32,960 NON-BENEFICIARY COMMUNITY 2027 01:08:32,960 --> 01:08:34,720 MEMBERS WHO JUST WERE SO EXCITED 2028 01:08:34,720 --> 01:08:36,960 TO HAVE THE OPPORTUNITY TO BE 2029 01:08:36,960 --> 01:08:37,280 VACCINATED. 2030 01:08:37,280 --> 01:08:40,000 AND THEN AS MENTIONED BEFORE, 2031 01:08:40,000 --> 01:08:41,560 SOME OF THE PARTNERSHIPS WITH 2032 01:08:41,560 --> 01:08:44,320 BIE OR BUREAU OF INDIAN 2033 01:08:44,320 --> 01:08:46,240 EDUCATION. 2034 01:08:46,240 --> 01:08:49,160 WE DID LEADERSHIP TRAVEL TO MANY 2035 01:08:49,160 --> 01:08:51,600 SITES AND MANY BIE LOCATIONS AND 2036 01:08:51,600 --> 01:08:54,040 WE HOSTED LARGE-SCALE MEDIA 2037 01:08:54,040 --> 01:08:55,360 EVENTS AS WELL HIGHLIGHTING 2038 01:08:55,360 --> 01:08:56,360 THESE EXCITING OPPORTUNITIES AND 2039 01:08:56,360 --> 01:08:57,440 TOWN HALLS. 2040 01:08:57,440 --> 01:09:00,720 NEXT SLIDE, PLEASE. 2041 01:09:00,720 --> 01:09:03,800 SO HERE IS JUST A COUPLE OF 2042 01:09:03,800 --> 01:09:06,200 SNAPSHOTS OF DIFFERENT -- SOME 2043 01:09:06,200 --> 01:09:07,400 OF THE HUNDREDS IF NOT THOUSANDS 2044 01:09:07,400 --> 01:09:10,600 OF EVENTS HOSTED AROUND THE 2045 01:09:10,600 --> 01:09:10,960 COUNTRY. 2046 01:09:10,960 --> 01:09:13,680 MANY FACILITIES CREATED LARGE 2047 01:09:13,680 --> 01:09:16,600 DRIVE THROUGHS THAT ARE STILL 2048 01:09:16,600 --> 01:09:16,960 BEING UTILIZED. 2049 01:09:16,960 --> 01:09:19,760 SUPER EXCITING TO BE ABLE TO 2050 01:09:19,760 --> 01:09:22,000 MAKE THESE POP UP EVENTS 2051 01:09:22,000 --> 01:09:24,160 AVAILABLE TO OUR COMMUNITIES, TO 2052 01:09:24,160 --> 01:09:26,080 HAVE EASY ACCESS FOR THE ENTIRE 2053 01:09:26,080 --> 01:09:28,960 FAMILY TO COME AND BE 2054 01:09:28,960 --> 01:09:29,280 VACCINATED. 2055 01:09:29,280 --> 01:09:31,840 NEXT SLIDE, PLEASE. 2056 01:09:31,840 --> 01:09:32,920 SO HOW DID WE ENGAGE THE 2057 01:09:32,920 --> 01:09:33,520 COMMUNITY I? 2058 01:09:33,520 --> 01:09:34,880 I ALREADY TALKED ABOUT SO MANY 2059 01:09:34,880 --> 01:09:37,640 DIFFERENT WAYS WE HAVE. 2060 01:09:37,640 --> 01:09:39,680 DIFFERENT WAYS, JUST KIND OF A 2061 01:09:39,680 --> 01:09:40,760 SNAPSHOT AND I'LL HIGHLIGHT A 2062 01:09:40,760 --> 01:09:42,160 FEW OF THESE THINGS. 2063 01:09:42,160 --> 01:09:43,840 ONE, WE USED PERSONALIZED 2064 01:09:43,840 --> 01:09:44,120 REMINDERS. 2065 01:09:44,120 --> 01:09:47,400 WE HAVE ELECTRONIC TOOLS TO CALL 2066 01:09:47,400 --> 01:09:49,640 AND SEND LETTERS TO FOLKS. 2067 01:09:49,640 --> 01:09:50,360 WE CAN TEXT FOLKS. 2068 01:09:50,360 --> 01:09:52,800 COME ON DOWN, GET YOUR VACCINE. 2069 01:09:52,800 --> 01:09:55,360 YOU'RE DUE FOR YOUR SECOND DOSE? 2070 01:09:55,360 --> 01:09:56,000 COME ON IN. 2071 01:09:56,000 --> 01:09:59,200 WE HAVE THE OPPORTUNITY TO 2072 01:09:59,200 --> 01:10:00,000 VACCINATE INDIVIDUALS WE 2073 01:10:00,000 --> 01:10:01,720 PARTNERED WITH FOLKS AT THE ZOO. 2074 01:10:01,720 --> 01:10:03,400 WE WENT TO EXPOS. 2075 01:10:03,400 --> 01:10:05,720 WE WENT AROUND TO LOCAL 2076 01:10:05,720 --> 01:10:07,000 BUSINESSES AND ADMINISTERED 2077 01:10:07,000 --> 01:10:07,280 VACCINES. 2078 01:10:07,280 --> 01:10:11,440 WE WORKED WITH CASINOS TO OFFER 2079 01:10:11,440 --> 01:10:11,760 INCENTIVES. 2080 01:10:11,760 --> 01:10:13,760 THERE WERE OTHER INCENTIVES LIKE 2081 01:10:13,760 --> 01:10:17,640 GYM ACCESS. 2082 01:10:17,640 --> 01:10:18,600 IF YOU WERE VACCINATED YOU WERE 2083 01:10:18,600 --> 01:10:19,800 OFFERED THE OPPORTUNITY TO WORK 2084 01:10:19,800 --> 01:10:21,600 OUT AT THE GYM WHEN THEY WERE 2085 01:10:21,600 --> 01:10:22,200 CLOSED DOWN. 2086 01:10:22,200 --> 01:10:26,800 YOU COULD GO TO -- GET FREE 2087 01:10:26,800 --> 01:10:29,040 ENTRANCE A POWWOW. 2088 01:10:29,040 --> 01:10:31,240 YOU COULD -- WE ALSO HAD TROOPS 2089 01:10:31,240 --> 01:10:33,280 WE HAD A LOT OF FOLKS VISITING 2090 01:10:33,280 --> 01:10:33,880 FAMILIES AND VACCINATING THE 2091 01:10:33,880 --> 01:10:36,600 ENTIRE FAMILY AT THEIR HOME. 2092 01:10:36,600 --> 01:10:41,920 WE ALSO ATTENDED BOYS AND GIRLS 2093 01:10:41,920 --> 01:10:43,120 CLUBS ESTONES VACCINATE FOLKS. 2094 01:10:43,120 --> 01:10:45,760 HOMELESS SHELTERS, ATTENDANCE AT 2095 01:10:45,760 --> 01:10:47,160 CORRECTIONAL FACILITIES. 2096 01:10:47,160 --> 01:10:49,000 SO MANY DEDICATED AMAZING 2097 01:10:49,000 --> 01:10:51,120 OPPORTUNITIES TO ENGAGE WITH 2098 01:10:51,120 --> 01:10:53,000 COWER COMMUNITY. 2099 01:10:53,000 --> 01:10:53,920 NEXT SLIDE, PLEASE. 2100 01:10:53,920 --> 01:10:55,880 HERE IS ONE 689 EVENTS 2101 01:10:55,880 --> 01:10:57,600 HIGHLIGHTED THE BUREAU OF INDIAN 2102 01:10:57,600 --> 01:11:00,640 EDUCATION IN OKLAHOMA WHERE OUR 2103 01:11:00,640 --> 01:11:01,640 IHS DIRECTOR HALVED TO AND WE 2104 01:11:01,640 --> 01:11:02,920 HOSTED A TOWN HALL EVENT. 2105 01:11:02,920 --> 01:11:05,480 IT WAS PRETTY EXCITING. 2106 01:11:05,480 --> 01:11:06,760 MANY OF THE KIDS WERE SUPER 2107 01:11:06,760 --> 01:11:09,760 EXCITED TO BE VACCINATED FOR THE 2108 01:11:09,760 --> 01:11:10,080 FIRST TIME. 2109 01:11:10,080 --> 01:11:13,360 NEXT SLIDE, PLEASE. 2110 01:11:13,360 --> 01:11:15,720 WHAT ABOUT RESOURCES? 2111 01:11:15,720 --> 01:11:16,440 WHAT RESOURCES DO WE HAVE 2112 01:11:16,440 --> 01:11:18,120 AVAILABLE FOR THE INDIAN HEALTH 2113 01:11:18,120 --> 01:11:19,320 SERVICE? 2114 01:11:19,320 --> 01:11:21,240 WE HAVE A WIKI THAT HOSTS A 2115 01:11:21,240 --> 01:11:22,560 NUMBER OF DIFFERENT RYE SOURCES 2116 01:11:22,560 --> 01:11:25,160 UP-TO-DATE INFORMATION, 2117 01:11:25,160 --> 01:11:26,320 HISTORICAL INFORMATION ABOUT 2118 01:11:26,320 --> 01:11:26,960 CONSULTATION AND CONFER. 2119 01:11:26,960 --> 01:11:29,440 WE HAVE OUR PANDEMIC PLAN 2120 01:11:29,440 --> 01:11:31,800 PUBLISHED FROM THE INITIAL 2121 01:11:31,800 --> 01:11:32,080 ROLLOUT. 2122 01:11:32,080 --> 01:11:35,440 WE ALSO KEEP UP-TO-DATE 2123 01:11:35,440 --> 01:11:36,440 COMPETENCY EXAMS TO OFFER 2124 01:11:36,440 --> 01:11:38,600 TRAINING TO OUR FACILITIES 2125 01:11:38,600 --> 01:11:38,880 NATIONWIDE. 2126 01:11:38,880 --> 01:11:41,240 WE ALSO HAVE UPDATED DATA ABOUT 2127 01:11:41,240 --> 01:11:43,480 OUR VACCINE DISTRIBUTION AND 2128 01:11:43,480 --> 01:11:44,520 ADMINISTRATION LISTED BY THE 2129 01:11:44,520 --> 01:11:46,720 AREA THAT WE UPDATE WEEKLY. 2130 01:11:46,720 --> 01:11:49,520 SO, WE ENCOURAGE YOU TO UTILIZE 2131 01:11:49,520 --> 01:11:50,120 THOSE RESOURCES. 2132 01:11:50,120 --> 01:11:53,920 NEXT SLIDE, PLEASE. 2133 01:11:53,920 --> 01:11:56,560 AND WE HAVE BEEN REALLY FULL 2134 01:11:56,560 --> 01:11:57,000 WITH THE HHS. 2135 01:11:57,000 --> 01:11:59,160 WE CAN DO THIS INDIAN COUNTRY 2136 01:11:59,160 --> 01:12:00,240 CAMPAIGN. 2137 01:12:00,240 --> 01:12:00,720 THE NATIONAL CAMPAIGN. 2138 01:12:00,720 --> 01:12:04,640 THERE IS A LOT OF REALLY 2139 01:12:04,640 --> 01:12:06,240 TERRIFIC GRAPHIC, REAL-CREATED 2140 01:12:06,240 --> 01:12:07,000 MESSAGING AND DIFFERENT THINGS 2141 01:12:07,000 --> 01:12:08,880 THAT CAN HELP TO STRENGTHEN 2142 01:12:08,880 --> 01:12:12,080 VACCINE COMPETENCE, INCREASE 2143 01:12:12,080 --> 01:12:12,680 VACCINE UPTAKE AND HELP WITH 2144 01:12:12,680 --> 01:12:13,880 MESSAGING THAT IS AT A LORD TO 2145 01:12:13,880 --> 01:12:17,680 AMERICAN INDIAN, ALASKA NATIVE 2146 01:12:17,680 --> 01:12:18,040 COMMUNITIES. 2147 01:12:18,040 --> 01:12:22,240 THEY ALSO HAVE THEIR SOME TRIBAL 2148 01:12:22,240 --> 01:12:22,760 LEADER TOOLKITS AND OTHER 2149 01:12:22,760 --> 01:12:24,440 RESOURCES THAT ARE REALLY 2150 01:12:24,440 --> 01:12:26,880 HELPFUL SO WE DON'T HAVE TO 2151 01:12:26,880 --> 01:12:27,960 RE-CREATE THE WHEEL AT EACH 2152 01:12:27,960 --> 01:12:29,360 FACILITY WHEN WE ARE TRYING TO 2153 01:12:29,360 --> 01:12:30,760 GET THE MESSAGING OUT. 2154 01:12:30,760 --> 01:12:34,720 NEXT SLIDE, PLEASE. 2155 01:12:34,720 --> 01:12:36,800 HERE ARE SOME EXAMPLES ALSO. 2156 01:12:36,800 --> 01:12:39,120 SOME REGIONAL CUSTOMIZABLE 2157 01:12:39,120 --> 01:12:42,400 POSTERS THAT TALK ABOUT 2158 01:12:42,400 --> 01:12:44,520 MESSAGING THAT CAN BE CUSTOMIZED 2159 01:12:44,520 --> 01:12:48,480 TO THE INDIVIDUAL REGION AND 2160 01:12:48,480 --> 01:12:50,200 SOME OF THE UNIQUE DESIGNS THAT 2161 01:12:50,200 --> 01:12:52,720 ARE IMPORTANT IN THOSE AREAS AND 2162 01:12:52,720 --> 01:12:53,080 REGIONS. 2163 01:12:53,080 --> 01:12:56,680 NEXT SLIDE, PLEASE. 2164 01:12:56,680 --> 01:12:57,720 AND AIL TOGETHER, JUST WANT TO 2165 01:12:57,720 --> 01:13:00,160 SAY THANK YOU FOR THIS 2166 01:13:00,160 --> 01:13:01,240 OPPORTUNITY AND HOPEFULLY WE 2167 01:13:01,240 --> 01:13:03,360 PROVIDED A NICE OVERVIEW WITH 2168 01:13:03,360 --> 01:13:05,080 SOME OF THE ACTIVITIES ONGOING 2169 01:13:05,080 --> 01:13:06,960 WITHIN THE IHS. 2170 01:13:06,960 --> 01:13:09,440 AND SO MORE PHOTOS TO SHARE WITH 2171 01:13:09,440 --> 01:13:11,120 YOU OF THE EXCITING DIFFERENT 2172 01:13:11,120 --> 01:13:12,760 EVENTS WE HAVE CREATED. 2173 01:13:12,760 --> 01:13:14,280 SO THANK YOU SO MUCH. 2174 01:13:14,280 --> 01:13:18,880 I'LL TURN IT BACK TO YOU, MOSE. 2175 01:13:18,880 --> 01:13:20,760 >>MODERATOR: THANK YOU, HOLLY. 2176 01:13:20,760 --> 01:13:22,160 I THINK I RECOGNIZE A COUPLE OF 2177 01:13:22,160 --> 01:13:26,800 THOSE KIDS IN THOSE PHOTOS. 2178 01:13:26,800 --> 01:13:28,720 THAT'S REALLY GREAT. 2179 01:13:28,720 --> 01:13:30,720 I SEE THE HOPI MESSAGING IN 2180 01:13:30,720 --> 01:13:30,920 THERE. 2181 01:13:30,920 --> 01:13:35,000 SO I RECOGNIZE THAT. 2182 01:13:35,000 --> 01:13:40,440 THANK YOU ALL, GOSH WHAT GREAT 2183 01:13:40,440 --> 01:13:40,800 PRESENTATIONS. 2184 01:13:40,800 --> 01:13:44,000 SO, FOR THE FOLKS ON THE CALL, 2185 01:13:44,000 --> 01:13:45,920 WE'RE GOING TO OPEN THIS UP FOR 2186 01:13:45,920 --> 01:13:48,440 PANEL DISCUSSION AT THIS POINT. 2187 01:13:48,440 --> 01:13:51,760 WE ENCOURAGE RESEARCHERS ON THE 2188 01:13:51,760 --> 01:13:53,120 WEBINAR -- ANY OTHER ATTENDEES 2189 01:13:53,120 --> 01:13:55,680 ON THE WEBINAR, TO ASK QUESTIONS 2190 01:13:55,680 --> 01:13:57,280 OF THE PANELISTS AROUND HOW TO 2191 01:13:57,280 --> 01:13:59,320 SUCCESSFULLY ENGAGE WITH TRIBAL 2192 01:13:59,320 --> 01:13:59,640 COMMUNITIES. 2193 01:13:59,640 --> 01:14:01,320 I THINK WE HAVE HEARD A NUMBER 2194 01:14:01,320 --> 01:14:04,080 OF EXCEPTIONAL EXAMPLES DURC THE 2195 01:14:04,080 --> 01:14:05,160 PRESENTATIONS AND I THANK YOU 2196 01:14:05,160 --> 01:14:05,600 FOR SHARING THAT. 2197 01:14:05,600 --> 01:14:09,600 THOSE ARE REALLY HELPFUL 2198 01:14:09,600 --> 01:14:11,360 RECOMMENDATIONS FOR FOLKS TO 2199 01:14:11,360 --> 01:14:17,640 ENGAGE WITH TRIBAL COMMUNITIES. 2200 01:14:17,640 --> 01:14:19,480 THE VOICE FUNCTION IS NOT 2201 01:14:19,480 --> 01:14:20,240 ENABLED FOR FOLKS ON THE CALL SO 2202 01:14:20,240 --> 01:14:22,040 YOU'RE GOING TO HAVE TO TYPE 2203 01:14:22,040 --> 01:14:25,800 YOUR QUESTION INTO THE CHAT BOX. 2204 01:14:25,800 --> 01:14:26,920 SO AS SOON AS FOLKS START 2205 01:14:26,920 --> 01:14:28,480 PUTTING QUESTIONS IN THERE, I 2206 01:14:28,480 --> 01:14:31,000 WILL READ THEM AND I'LL RAISE AS 2207 01:14:31,000 --> 01:14:32,840 MANY QUESTIONS TO THE PANELISTS 2208 01:14:32,840 --> 01:14:33,960 AS TIME PERMITS. 2209 01:14:33,960 --> 01:14:35,480 WE DO HAVE SOME TIME LEFT. 2210 01:14:35,480 --> 01:14:37,120 WE HAVE ABOUT 45 MINUTES LEFT 2211 01:14:37,120 --> 01:14:39,440 FOR THIS WEBINAR, IF WE NEED TO. 2212 01:14:39,440 --> 01:14:41,080 AND WE ALSO HAVE OUR TEAM ON THE 2213 01:14:41,080 --> 01:14:43,040 LINE TO TYPE RESPONSES TO 2214 01:14:43,040 --> 01:14:46,200 QUESTIONS THAT CAN BE ANSWERED 2215 01:14:46,200 --> 01:14:46,440 SIMPLY. 2216 01:14:46,440 --> 01:14:48,520 PLEASE INCLUDE YOUR NAME AND 2217 01:14:48,520 --> 01:14:49,440 ORGANIZATION IF APPLICABLE AND 2218 01:14:49,440 --> 01:14:52,640 IF WE DO NOT HAVE TIME TO ANSWER 2219 01:14:52,640 --> 01:14:54,800 YOUR QUESTION, PLEASE FEEL FREE 2220 01:14:54,800 --> 01:14:59,520 TO REACH OUT TO RECOVER AT 2221 01:14:59,520 --> 01:15:02,360 NIH.GOV. 2222 01:15:02,360 --> 01:15:04,080 I'M NOT SEEING ANY QUESTIONS, 2223 01:15:04,080 --> 01:15:04,320 YET. 2224 01:15:04,320 --> 01:15:09,720 BUT I HAVE A FEW. 2225 01:15:09,720 --> 01:15:11,880 CHANNEL, I WANT TO GO TO YOU 2226 01:15:11,880 --> 01:15:12,160 FIRST. 2227 01:15:12,160 --> 01:15:13,880 AGAIN, THANK YOU FOR THAT 2228 01:15:13,880 --> 01:15:14,800 PRESENTATION, IT WAS REALLY 2229 01:15:14,800 --> 01:15:19,000 GREAT TO HEAR HOW YOU ALL 2230 01:15:19,000 --> 01:15:22,360 IMPROVISED AND OVERCAME IN A 2231 01:15:22,360 --> 01:15:23,920 VERY DIFFICULT SITUATION. 2232 01:15:23,920 --> 01:15:28,240 I KNOW NAVAJO AT ONE TIME THE 2233 01:15:28,240 --> 01:15:29,600 HIGHEST IN THE WORLD, AND IT WAS 2234 01:15:29,600 --> 01:15:33,160 A VERY CHALLENGING SITUATIONS. 2235 01:15:33,160 --> 01:15:36,280 I WONDER IF YOU COULD TALK ABOUT 2236 01:15:36,280 --> 01:15:37,200 COLLABORATING WITH TRIBAL 2237 01:15:37,200 --> 01:15:38,160 PROGRAMS, COMMUNITY 2238 01:15:38,160 --> 01:15:38,520 ORGANIZATIONS. 2239 01:15:38,520 --> 01:15:40,160 I KNOW YOU PROBABLY WORKED WITH 2240 01:15:40,160 --> 01:15:43,280 THE COMMUNITY HEALTH 2241 01:15:43,280 --> 01:15:43,640 REPRESENTATIVES. 2242 01:15:43,640 --> 01:15:46,080 I KNOW THERE ARE PROBABLY 2243 01:15:46,080 --> 01:15:47,160 COMMUNITY ORGANIZATIONS THAT 2244 01:15:47,160 --> 01:15:48,520 MOBILIZED AND REALLY IT WAS AN 2245 01:15:48,520 --> 01:15:50,280 ALL HANDS ON DECK TYPE OF 2246 01:15:50,280 --> 01:15:51,160 SITUATION, RIGHT? 2247 01:15:51,160 --> 01:15:52,960 SO CAN YOU SPEAK A LITTLE BIT 2248 01:15:52,960 --> 01:15:54,560 MORE ABOUT THE DIFFERENT 2249 01:15:54,560 --> 01:15:56,960 PROGRAMS THAT YOU WORKED WITH, 2250 01:15:56,960 --> 01:15:59,440 WHAT THE CHALLENGES WERE AND HOW 2251 01:15:59,440 --> 01:16:01,160 YOU OVERCAME THEM TO RESPOND 2252 01:16:01,160 --> 01:16:09,360 VERY WELL TO THIS PANDEMIC. 2253 01:16:09,360 --> 01:16:10,240 >>HI, YES. 2254 01:16:10,240 --> 01:16:14,440 SO WE HAD ASSEMBLED A WORK TEAM 2255 01:16:14,440 --> 01:16:16,480 REALLY FAST WITH OUR PARTNERS. 2256 01:16:16,480 --> 01:16:18,120 AND I WAS NOT FAMILIAR WITH A 2257 01:16:18,120 --> 01:16:19,360 LOT OF THE PARTNERS BECAUSE I 2258 01:16:19,360 --> 01:16:22,520 HAD JUST BEEN HIRED AT NAVAJO 2259 01:16:22,520 --> 01:16:22,720 AREA. 2260 01:16:22,720 --> 01:16:23,360 SO I WAS UNFAMILIAR WITH JOHNS 2261 01:16:23,360 --> 01:16:26,000 HOPKINS UNIVERSITY. 2262 01:16:26,000 --> 01:16:27,200 I WAS UNFAMILIAR WITH COPE. 2263 01:16:27,200 --> 01:16:31,280 I WAS UNFAMILIAR WITH A LOT OF 2264 01:16:31,280 --> 01:16:32,840 TRIBAL ORGANIZATIONS AROUND 2265 01:16:32,840 --> 01:16:34,080 NAVAJO. 2266 01:16:34,080 --> 01:16:36,800 SO WHEN WE CAME TOGETHER, I JUST 2267 01:16:36,800 --> 01:16:37,720 REMEMBER HAVING A MEETING WITH 2268 01:16:37,720 --> 01:16:39,840 THE NAVAJO NATION AND THAT WAS 2269 01:16:39,840 --> 01:16:43,560 KIND OF LIKE OPENING UP THE KEY 2270 01:16:43,560 --> 01:16:44,400 STAKEHOLDERS AND PARTNERS. 2271 01:16:44,400 --> 01:16:46,720 SO WITH THE NAVAJO EPICENTER, 2272 01:16:46,720 --> 01:16:47,840 THEY ALREADY HAD PARTNERSHIPS 2273 01:16:47,840 --> 01:16:49,120 WITH THE UNIVERSITIES AND THEY 2274 01:16:49,120 --> 01:16:49,880 ALREADY HAD PARTNERSHIPS WITH 2275 01:16:49,880 --> 01:16:52,040 THE STATE. 2276 01:16:52,040 --> 01:16:53,160 SO FROM ATTENDING MEETINGS WITH 2277 01:16:53,160 --> 01:16:54,880 THEM AND THEN GETTING OUR 2278 01:16:54,880 --> 01:16:56,280 AGREEMENT TO MAKE SURE THAT WE 2279 01:16:56,280 --> 01:16:58,920 ARE SHARING DATA DAILY, I THINK 2280 01:16:58,920 --> 01:17:01,000 THAT REALLY HELPED US ESTABLISH 2281 01:17:01,000 --> 01:17:02,760 A POSITIVE RAPPORT WITH OUR 2282 01:17:02,760 --> 01:17:03,800 TRIBAL COMMUNITY. 2283 01:17:03,800 --> 01:17:05,160 AND THEN ALSO IN THE LEARNING 2284 01:17:05,160 --> 01:17:07,520 WHO OUR PARTNERS WERE. 2285 01:17:07,520 --> 01:17:09,400 SO I BECAME FAMILIAR WITH JOHNS 2286 01:17:09,400 --> 01:17:11,040 HOPKINS AND I BECAME FAMILIAR 2287 01:17:11,040 --> 01:17:15,680 WITH THE CDC AND THEN OUR LOCAL 2288 01:17:15,680 --> 01:17:18,200 TRIBAL COMMUNITY BEFORE COMING 2289 01:17:18,200 --> 01:17:20,080 TO NAVAJO AREA, I WAS A CHR 2290 01:17:20,080 --> 01:17:21,640 COORDINATOR FOR TUCSON AREA. 2291 01:17:21,640 --> 01:17:24,720 SO I WANTED TO MAKE SURE WE WERE 2292 01:17:24,720 --> 01:17:25,880 UTILIZING OUR TRIBAL PILLARS IN 2293 01:17:25,880 --> 01:17:26,600 THE COMMUNITY. 2294 01:17:26,600 --> 01:17:28,280 SO WE WANTED TO MAKE SURE THEY 2295 01:17:28,280 --> 01:17:30,080 GOT ACCESS TO EHR. 2296 01:17:30,080 --> 01:17:33,320 WE WANTED TO MAKE SURE ONE OF 2297 01:17:33,320 --> 01:17:38,080 OUR PHN TEAMS, AT A FEDERAL 2298 01:17:38,080 --> 01:17:41,520 FACILITY, IS A 638 FACILITY 2299 01:17:41,520 --> 01:17:43,200 MEANING THE TRIBE HAS TAKE OWN 2300 01:17:43,200 --> 01:17:44,240 OVER THE FUNDS FOR PUBLIC HEALTH 2301 01:17:44,240 --> 01:17:44,560 NURSING. 2302 01:17:44,560 --> 01:17:48,280 SO IN ORDER TO REALLY HELP 2303 01:17:48,280 --> 01:17:49,360 COMBAT OR SLOW THE SPREAD, WE 2304 01:17:49,360 --> 01:17:53,200 HAD TO REALLY PARTNER WITH THE 2305 01:17:53,200 --> 01:17:55,000 PHN SO THAT THEY CAN GET THE 2306 01:17:55,000 --> 01:17:56,640 INFORMATION FROM OUR EHR SYSTEM 2307 01:17:56,640 --> 01:17:58,880 SO THAT THERE IS NO DELAY FROM 2308 01:17:58,880 --> 01:18:01,360 OUR CLINIC TO THEM SO WE CAN 2309 01:18:01,360 --> 01:18:03,120 RELAY BACK TO THE COMMUNITY THAT 2310 01:18:03,120 --> 01:18:05,360 THEY ARE POSITIVE OR THEY SHOULD 2311 01:18:05,360 --> 01:18:05,920 STAY HOME OR THIGHS ARE THE 2312 01:18:05,920 --> 01:18:06,200 GUIDELINES. 2313 01:18:06,200 --> 01:18:08,800 THE SO WE HAD TO LEARN THOSE 2314 01:18:08,800 --> 01:18:10,640 THINGS REALLY FAST AS A TEAM. 2315 01:18:10,640 --> 01:18:13,040 AND THEN JUST MAKING SURE THAT 2316 01:18:13,040 --> 01:18:14,480 WE LET DOWN BARRIERS. 2317 01:18:14,480 --> 01:18:18,600 A LOT OF TIMES WE ARE 2318 01:18:18,600 --> 01:18:20,200 TERRITORIAL OVER SOME OF OUR 2319 01:18:20,200 --> 01:18:20,520 DATA. 2320 01:18:20,520 --> 01:18:21,120 MAYBE TERRITORIAL OF OUR WORK. 2321 01:18:21,120 --> 01:18:22,920 AND JUST REALLY LETTING US KNOW 2322 01:18:22,920 --> 01:18:25,880 THAT WE NEED TO REALLY WORK 2323 01:18:25,880 --> 01:18:26,120 TOGETHER. 2324 01:18:26,120 --> 01:18:28,600 AND THAT IS WHAT REALLY HELPS 2325 01:18:28,600 --> 01:18:29,480 GET THROUGH EVERYTHING. 2326 01:18:29,480 --> 01:18:30,920 SO I THINK JUST HAVING THOSE 2327 01:18:30,920 --> 01:18:33,440 MEETINGS WITH PEOPLE WHO ALREADY 2328 01:18:33,440 --> 01:18:34,320 ESTABLISHED THOSE PARTNERSHIPS 2329 01:18:34,320 --> 01:18:36,440 HELPED ME A LOT AND THEN FROM 2330 01:18:36,440 --> 01:18:39,400 THERE, I WAS ABLE, OUR TEAM WAS 2331 01:18:39,400 --> 01:18:42,200 ABLE TO GROW AND THEN ALSO 2332 01:18:42,200 --> 01:18:44,760 BECOME, HOPEFULLY GOOD PARTNER 2333 01:18:44,760 --> 01:18:48,640 WITH ALL THE OTHER TRIBAL 2334 01:18:48,640 --> 01:18:48,960 MEMBERS. 2335 01:18:48,960 --> 01:18:50,320 THANK YOU. 2336 01:18:50,320 --> 01:18:50,920 >>MODERATOR: HOW IMPORTANT 2337 01:18:50,920 --> 01:18:52,280 WOULD YOU SAY THE REGULAR 2338 01:18:52,280 --> 01:18:53,720 COMMUNICATION WITH YOUR PARTNERS 2339 01:18:53,720 --> 01:18:55,040 WAS AND IS? 2340 01:18:55,040 --> 01:18:55,840 >>OH, MY GOSH. 2341 01:18:55,840 --> 01:18:58,400 SO AT THE BEGINNING, THERE ARE 2342 01:18:58,400 --> 01:18:59,720 STILL A LOT OF MEETINGS. 2343 01:18:59,720 --> 01:19:01,880 FOR THE MOST PART, MAKING SURE 2344 01:19:01,880 --> 01:19:04,360 THAT WE ARE MEETING AT LEAST 2345 01:19:04,360 --> 01:19:06,160 WEEKLY OR BIWEEKLY AT THE 2346 01:19:06,160 --> 01:19:06,400 BEGINNING. 2347 01:19:06,400 --> 01:19:09,720 TO REALLY GET AN IDEA OF WHAT IS 2348 01:19:09,720 --> 01:19:10,200 AT STAKE? 2349 01:19:10,200 --> 01:19:10,960 HOW MANY PIECES DO WE HAVE AND 2350 01:19:10,960 --> 01:19:13,640 WHAT DO WE NEED TO DO? 2351 01:19:13,640 --> 01:19:16,480 DR. HAMIT SPOKE ABOUT HOW DO WE 2352 01:19:16,480 --> 01:19:17,360 CONTAIN AND SLOW THE SPREAD? 2353 01:19:17,360 --> 01:19:21,320 WE CAME UP WITH REALLY STRICT 2354 01:19:21,320 --> 01:19:23,800 RULES SO THAT PEOPLE STAYED 2355 01:19:23,800 --> 01:19:24,000 HOME. 2356 01:19:24,000 --> 01:19:27,000 WE CLOSED DOWN THE NAVAJO 2357 01:19:27,000 --> 01:19:29,040 NATION, WHICH IT HELPED OR MAYBE 2358 01:19:29,040 --> 01:19:32,360 AT THE END OF THE DAY, MADE 2359 01:19:32,360 --> 01:19:33,080 THINGS HARDER FOR MAYBE OUR 2360 01:19:33,080 --> 01:19:34,000 PEOPLE BUT AT THE END OF THE 2361 01:19:34,000 --> 01:19:36,120 DAY, WE WERE ABLE TO SLOW SOME 2362 01:19:36,120 --> 01:19:38,120 OF THE SPREAD AND HELP THE MOST 2363 01:19:38,120 --> 01:19:38,720 VULNERABLE. 2364 01:19:38,720 --> 01:19:40,240 AND FOCUS ON THE MOST 2365 01:19:40,240 --> 01:19:41,160 VULNERABLE. 2366 01:19:41,160 --> 01:19:42,960 SO DEFINITELY THOSE WERE VERY 2367 01:19:42,960 --> 01:19:46,200 IMPORTANT THINGS THAT WE HAD TO 2368 01:19:46,200 --> 01:19:48,320 KEEP INTO ACCOUNT. 2369 01:19:48,320 --> 01:19:48,840 >>MODERATOR: THANK YOU. 2370 01:19:48,840 --> 01:19:52,480 FOR THE VIEWERS, SINCE TRIBAL 2371 01:19:52,480 --> 01:19:54,160 NATIONS ARE SOVEREIGN ENTITIES, 2372 01:19:54,160 --> 01:19:56,160 THEY CAN ISSUE THE STAY AT HOME 2373 01:19:56,160 --> 01:19:56,400 ORDERS. 2374 01:19:56,400 --> 01:19:59,280 AND I KNOW ON HOPI TOO, WE HAD 2375 01:19:59,280 --> 01:20:01,440 MULTIPLE STAY AT HOME ORDERS FOR 2376 01:20:01,440 --> 01:20:06,000 FOLKS TO STOP THE SPREAD OF 2377 01:20:06,000 --> 01:20:06,200 COVID. 2378 01:20:06,200 --> 01:20:07,960 SO THAT'S REALLY IMPORTANT TO 2379 01:20:07,960 --> 01:20:11,600 KEEP IN MIND. 2380 01:20:11,600 --> 01:20:16,800 I'M GOING TO TURN IT TO 2381 01:20:16,800 --> 01:20:17,080 DR. HAMIT. 2382 01:20:17,080 --> 01:20:20,280 FOR NEW RESEARCHERS, HOW MIGHT 2383 01:20:20,280 --> 01:20:22,400 THEY GAIN AN ENTRY POINT INTO A 2384 01:20:22,400 --> 01:20:24,400 COMMUNITY THAT THEY WANT TO 2385 01:20:24,400 --> 01:20:25,240 WORK? 2386 01:20:25,240 --> 01:20:27,200 I KNOW YOU SAID ENGAGEMENT IS 2387 01:20:27,200 --> 01:20:31,200 IMPORTANT EARLY AND OFTEN. 2388 01:20:31,200 --> 01:20:33,400 EVEN BEFORE THE PROCESS. 2389 01:20:33,400 --> 01:20:34,720 I THINK IT'S GREAT THAT YOU 2390 01:20:34,720 --> 01:20:35,560 MENTIONED YOU CAN'T COME TO A 2391 01:20:35,560 --> 01:20:37,000 COMMUNITY AFTER YOU GET THE 2392 01:20:37,000 --> 01:20:39,480 GRANT AND SAY WE'D LIKE TO DO A 2393 01:20:39,480 --> 01:20:40,760 STUDY HERE. 2394 01:20:40,760 --> 01:20:43,560 BUT HOW WOULD YOU ADVISE A NEW 2395 01:20:43,560 --> 01:20:47,080 RESEARCHER THAT WANTS TO WORK IN 2396 01:20:47,080 --> 01:20:48,960 TRIBAL COMMUNITIES HOW TO GAIN 2397 01:20:48,960 --> 01:20:51,240 ENTRY AND INTRODUCTION AND 2398 01:20:51,240 --> 01:20:52,640 STARTED TO EARN THE TRUST OF 2399 01:20:52,640 --> 01:20:57,040 THAT COMMUNITY? 2400 01:20:57,040 --> 01:20:58,520 >>THAT'S A GREAT QUESTION, 2401 01:20:58,520 --> 01:20:59,240 THANK YOU. 2402 01:20:59,240 --> 01:21:00,760 AND I THINK I'LL JUST START BY 2403 01:21:00,760 --> 01:21:02,280 SAYING THERE IS SO MUCH 2404 01:21:02,280 --> 01:21:04,040 IMPORTANT WORK TO BE DONE. 2405 01:21:04,040 --> 01:21:06,160 SO I THINK THAT WHAT I HEARD 2406 01:21:06,160 --> 01:21:07,120 OVER AND OVER FROM TRIBAL 2407 01:21:07,120 --> 01:21:10,600 COMMUNITIES, AS A NON INDIGENOUS 2408 01:21:10,600 --> 01:21:11,920 PERSON, IS THAT THAT THEY 2409 01:21:11,920 --> 01:21:14,320 WELCOME ASSISTANCE FROM ALLIES 2410 01:21:14,320 --> 01:21:17,120 WHO ARE TRYING TO SUPPORT GOOD 2411 01:21:17,120 --> 01:21:18,200 WORK BEING DONE. 2412 01:21:18,200 --> 01:21:21,400 SO I WOULD JUST ENCOURAGE PEOPLE 2413 01:21:21,400 --> 01:21:22,840 THAT THERE ARE OPPORTUNITIES. 2414 01:21:22,840 --> 01:21:24,680 THERE IS IMPORTANT WORK TO BE 2415 01:21:24,680 --> 01:21:25,000 DONE. 2416 01:21:25,000 --> 01:21:30,160 LET IT BE LED BY THE COMMUNITY. 2417 01:21:30,160 --> 01:21:31,200 IF YOU HAVE A SPECIFIC TOPIC 2418 01:21:31,200 --> 01:21:32,240 THAT YOU'RE INTERESTED IN 2419 01:21:32,240 --> 01:21:36,040 WORKING ON, WHETHER IT'S A 2420 01:21:36,040 --> 01:21:37,840 MENTAL HEALTH OR INFECTIOUS 2421 01:21:37,840 --> 01:21:38,800 DISEASE OR WHETHER YOU'RE JUST 2422 01:21:38,800 --> 01:21:40,520 MORE INTERESTED IN WORKING WITH 2423 01:21:40,520 --> 01:21:41,920 A SPECIFIC TRIBAL COMMUNITY THAT 2424 01:21:41,920 --> 01:21:45,200 YOU HAVE SOME AFFILIATION WITH. 2425 01:21:45,200 --> 01:21:46,640 I THINK HEARING FROM THE 2426 01:21:46,640 --> 01:21:48,120 COMMUNITY ABOUT THEIR PRIORITY 2427 01:21:48,120 --> 01:21:49,560 AREAS OF CONCERN, UNDERSTANDING 2428 01:21:49,560 --> 01:21:51,720 WHO THE STAKEHOLDERS ARE, 2429 01:21:51,720 --> 01:21:53,560 UNDERSTANDING WHAT THE COMMUNITY 2430 01:21:53,560 --> 01:21:56,840 APPROVAL PROCESS IS FOR 2431 01:21:56,840 --> 01:21:57,120 RESEARCH. 2432 01:21:57,120 --> 01:21:58,760 IT IS ALL REALLY IMPORTANT 2433 01:21:58,760 --> 01:21:59,160 STEPS. 2434 01:21:59,160 --> 01:22:02,040 AND ALSO, I THINK CONTRARY TO 2435 01:22:02,040 --> 01:22:05,560 SOME REPRESENTATIONS OF 2436 01:22:05,560 --> 01:22:08,160 INDIGENOUS PEOPLES AS A 2437 01:22:08,160 --> 01:22:09,160 HOMOGENEOUS GROUP RECOGNIZING 2438 01:22:09,160 --> 01:22:11,760 THEY ARE MEMBERS OF DISTINCT AND 2439 01:22:11,760 --> 01:22:13,040 DIVERSE TRIBAL NATIONS. 2440 01:22:13,040 --> 01:22:16,200 SO THE UNIQUE CULTURE OF A TRIBE 2441 01:22:16,200 --> 01:22:19,960 CAN IMPACT ALL ASPECTS OF 2442 01:22:19,960 --> 01:22:20,240 RESEARCH. 2443 01:22:20,240 --> 01:22:22,720 AND WHAT WORKS IN ONE TRIBE 2444 01:22:22,720 --> 01:22:24,080 MIGHT NOT WORK T MIGHT NOT BE 2445 01:22:24,080 --> 01:22:25,760 THE SAME PROCESS WHEN YOU WORK 2446 01:22:25,760 --> 01:22:26,160 IN ANOTHER TRIBE. 2447 01:22:26,160 --> 01:22:28,120 SO HAVING AWARENESS OF THAT 2448 01:22:28,120 --> 01:22:31,240 EARLY ON IS IMPORTANT AS WELL. 2449 01:22:31,240 --> 01:22:33,960 BUT I THINK LISTENING TO THE 2450 01:22:33,960 --> 01:22:35,200 COMMUNITY, REALLY INFORMING 2451 01:22:35,200 --> 01:22:36,240 YOURSELF, EDUCATING YOURSELF 2452 01:22:36,240 --> 01:22:39,640 ABOUT COMMUNITY-BASED 2453 01:22:39,640 --> 01:22:41,440 PARTICIPATORY RESEARCH AND 2454 01:22:41,440 --> 01:22:42,520 LETTING COMMUNITY STAKEHOLDERS 2455 01:22:42,520 --> 01:22:44,480 GUIDE THE WORK AND GUIDE THAT 2456 01:22:44,480 --> 01:22:50,720 PROCESS, IS A GOOD FIRST STEP. 2457 01:22:50,720 --> 01:22:52,560 >>MODERATOR: GREAT. 2458 01:22:52,560 --> 01:22:53,000 THANK YOU. 2459 01:22:53,000 --> 01:22:58,560 LET'S SEE IF THERE ARE ANY OTHER 2460 01:22:58,560 --> 01:23:03,400 QUESTIONS IN THE CHAT. 2461 01:23:03,400 --> 01:23:06,680 I'M NOT SEEING ANY OTHER 2462 01:23:06,680 --> 01:23:08,800 QUESTIONS. 2463 01:23:08,800 --> 01:23:09,200 CAPTAN VAN LEW. 2464 01:23:09,200 --> 01:23:09,800 I KNOW IT WAS A GREAT DAY WHEN 2465 01:23:09,800 --> 01:23:11,880 WE ALL GOT THE VACCINES AND WE 2466 01:23:11,880 --> 01:23:14,440 WERE ALL PLANNING TO ROLE THAT 2467 01:23:14,440 --> 01:23:18,880 OUT PRETTY QUICKLY. 2468 01:23:18,880 --> 01:23:20,520 I GUESS, MANY DISCUSSIONS THAT 2469 01:23:20,520 --> 01:23:22,080 WE HAD WITH TRIBAL LEADERS AT 2470 01:23:22,080 --> 01:23:26,520 THE TIME WERE AROUND VACCINE 2471 01:23:26,520 --> 01:23:26,760 HESITANCE. 2472 01:23:26,760 --> 01:23:28,080 AND I THINK ALL OF YOU ALLUDED 2473 01:23:28,080 --> 01:23:31,080 TO THIS AT ONE POINT OR ANOTHER 2474 01:23:31,080 --> 01:23:35,280 IN YOUR PRESENTATIONS. 2475 01:23:35,280 --> 01:23:39,960 BUT -- I SAW A LOT OF THE THINGS 2476 01:23:39,960 --> 01:23:40,200 YOU DID. 2477 01:23:40,200 --> 01:23:41,800 CAN YOU ELABORATE A LITTLE BIT 2478 01:23:41,800 --> 01:23:45,480 MORE ON ADDRESSING THE HESITANCE 2479 01:23:45,480 --> 01:23:47,760 AND HOW YOU EDUCATED THE 2480 01:23:47,760 --> 01:23:51,040 COMMUNITY ON THE EFFICACY OF THE 2481 01:23:51,040 --> 01:23:51,640 VACCINE? 2482 01:23:51,640 --> 01:23:56,200 AND SORTED OUT THE REALLY 2483 01:23:56,200 --> 01:23:56,720 COMPLICATED ADMINISTRATION 2484 01:23:56,720 --> 01:23:57,000 SCHEDULE. 2485 01:23:57,000 --> 01:23:58,320 BECAUSE A LOT OF FOLKS GOT 2486 01:23:58,320 --> 01:24:00,240 REALLY CONFUSED AROUND WHEN DO I 2487 01:24:00,240 --> 01:24:00,560 TAKE THIS ONE? 2488 01:24:00,560 --> 01:24:03,040 HOW MANY WEEKS DO I HAVE TO 2489 01:24:03,040 --> 01:24:03,240 WAIT? 2490 01:24:03,240 --> 01:24:06,480 SO COMMUNICATION IS REALLY 2491 01:24:06,480 --> 01:24:07,160 IMPORTANT AND KEY WHEN YOU'RE 2492 01:24:07,160 --> 01:24:09,560 TRYING TO MITIGATE A PANDEMIC. 2493 01:24:09,560 --> 01:24:10,960 SO WONDERING IF YOU COULD SPEAK 2494 01:24:10,960 --> 01:24:17,920 TO THAT A LITTLE BIT MORE. 2495 01:24:17,920 --> 01:24:20,840 >>THANK YOU FOR THE QUESTION. 2496 01:24:20,840 --> 01:24:22,840 VACCINE CONFIDENCE DOESN'T COME 2497 01:24:22,840 --> 01:24:24,240 IN AREN'TLY ESPECIALLY WITH A 2498 01:24:24,240 --> 01:24:26,680 BRAND NEW PRODUCT TWO YEARS AGO 2499 01:24:26,680 --> 01:24:29,080 BUT IT WAS REASSUREING TO HAVE 2500 01:24:29,080 --> 01:24:31,000 SOME OF THE DATA THAT WAS 2501 01:24:31,000 --> 01:24:34,040 WORKING SO HARD TO BRING FORWARD 2502 01:24:34,040 --> 01:24:37,480 TO THE COMMUNITY AS FAST AS 2503 01:24:37,480 --> 01:24:37,720 POSSIBLE. 2504 01:24:37,720 --> 01:24:41,360 IT WAS EXCITING TO BE ABLE TO 2505 01:24:41,360 --> 01:24:43,040 SHARE IN REALTIME. 2506 01:24:43,040 --> 01:24:44,960 SOMETIMES THE INFORMATION THAT 2507 01:24:44,960 --> 01:24:48,200 WAS AVAILABLE AND CONTINUED TO 2508 01:24:48,200 --> 01:24:49,400 PERPETUATE THAT INFORMATION 2509 01:24:49,400 --> 01:24:53,040 GETTING INTO OUR COMMUNITIES. 2510 01:24:53,040 --> 01:24:57,040 I THINK VACCINE CONFIDENCE WAS 2511 01:24:57,040 --> 01:24:57,720 BEST SERVED IN MANY OF OUR LOCAL 2512 01:24:57,720 --> 01:24:59,800 COMMUNITIES BY OFFERING TOWN 2513 01:24:59,800 --> 01:25:02,600 HALLS AND HAVING OPEN DIALOGUE. 2514 01:25:02,600 --> 01:25:04,240 OPEN QUESTION-AND-ANSWER 2515 01:25:04,240 --> 01:25:04,680 SESSIONS. 2516 01:25:04,680 --> 01:25:07,000 SPECIFICALLY IN THE NAVAJO AREA 2517 01:25:07,000 --> 01:25:09,280 THEY HAVE A Q&A PHONE LINE THAT 2518 01:25:09,280 --> 01:25:13,080 WAS UTILIZED. 2519 01:25:13,080 --> 01:25:13,920 AND REALLY APPRECIATED BECAUSE 2520 01:25:13,920 --> 01:25:15,000 FOLKS COULD DIAL UP AND ASK 2521 01:25:15,000 --> 01:25:15,280 QUESTIONS. 2522 01:25:15,280 --> 01:25:17,560 HOW DO YOU GET A VACCINE? 2523 01:25:17,560 --> 01:25:18,240 WHERE DO YOU GET A VACCINE? 2524 01:25:18,240 --> 01:25:21,600 CAN YOU TELL ME MORE ABOUT THE 2525 01:25:21,600 --> 01:25:26,600 VACCINE? 2526 01:25:26,600 --> 01:25:29,560 AND EVERYONE IS RIGHTFULLY SO, 2527 01:25:29,560 --> 01:25:31,480 SKEPTICAL WITH BRAND NEW 2528 01:25:31,480 --> 01:25:32,880 PRODUCTS COMING FORWARD. 2529 01:25:32,880 --> 01:25:33,680 THESE WERE BOLT PLATFORMS THAT 2530 01:25:33,680 --> 01:25:38,200 HAD BEEN STUDIED FOR LONG 2531 01:25:38,200 --> 01:25:38,560 PERIODS OF TIME. 2532 01:25:38,560 --> 01:25:41,040 IT'S BEEN EXCITING AND HELPFUL 2533 01:25:41,040 --> 01:25:41,680 TO GATHER INFORMATION FROM THE 2534 01:25:41,680 --> 01:25:44,440 CD R AND HAVE THESE MESSAGES 2535 01:25:44,440 --> 01:25:45,840 PERPETUATED THROUGH MULTIPLE 2536 01:25:45,840 --> 01:25:49,520 CHANNELS THROUGH OUR RESEARCH 2537 01:25:49,520 --> 01:25:51,320 PARTNERS, THROUGH OUR OTHER 2538 01:25:51,320 --> 01:25:52,280 AFFILIATES, FEDERAL PARTNERS. 2539 01:25:52,280 --> 01:25:54,040 AND THEN DOWN TO THE LOCAL 2540 01:25:54,040 --> 01:25:54,400 LEVEL. 2541 01:25:54,400 --> 01:25:58,200 SO I THINK IT WAS JUST A MATTER 2542 01:25:58,200 --> 01:25:59,320 OF TAKING AS MUCH INFORMATION AS 2543 01:25:59,320 --> 01:26:00,640 WE COULD WHEN WE HAD IT 2544 01:26:00,640 --> 01:26:00,880 AVAILABLE. 2545 01:26:00,880 --> 01:26:03,320 AND TRYING TO DISSEMINATE IT AS 2546 01:26:03,320 --> 01:26:05,240 QUICKLY AS POSSIBLE AND LETTING 2547 01:26:05,240 --> 01:26:08,800 PEOPLE KNOW THIS ISN'T A PROMISE 2548 01:26:08,800 --> 01:26:10,720 OF THE -- IT WILL BE PERFECT. 2549 01:26:10,720 --> 01:26:13,720 WE KNOW NO VACCINE IS 100% 2550 01:26:13,720 --> 01:26:14,840 EFFECTIVE BUT WE KNOW THEY 2551 01:26:14,840 --> 01:26:16,680 PREVENT SEVERE ILLNESS, DEATH 2552 01:26:16,680 --> 01:26:20,560 AND HOSPITALIZATION AND WE 2553 01:26:20,560 --> 01:26:21,760 CONTINUE TO COMMUNICATE THOSE 2554 01:26:21,760 --> 01:26:22,960 CRITICAL MESSAGES. 2555 01:26:22,960 --> 01:26:24,520 THIS IS JUST ONE TOOL WITH A 2556 01:26:24,520 --> 01:26:26,320 MULTITUDE AVAILABLE TO US TO 2557 01:26:26,320 --> 01:26:28,440 MAKE SURE THAT WE CAN HELP 2558 01:26:28,440 --> 01:26:29,360 PROTECT OURSELVES, OUR 2559 01:26:29,360 --> 01:26:31,200 COMMUNITIES, OUR FAMILIES AND 2560 01:26:31,200 --> 01:26:33,480 ELDERS AND OUR CHILDREN. 2561 01:26:33,480 --> 01:26:36,040 SO, AND THEN TOO, THE COMPLEXITY 2562 01:26:36,040 --> 01:26:39,280 OF COVID VACCINES AND SCHEDULES. 2563 01:26:39,280 --> 01:26:41,240 JUST EVERY DAY WHEN WE THINK IT 2564 01:26:41,240 --> 01:26:44,200 MAY GET EASIER T JUST GETS MORE 2565 01:26:44,200 --> 01:26:46,800 COMPLICATED AND WE THINK COULD 2566 01:26:46,800 --> 01:26:48,920 IT BE ANYMORE CONFUSING AT 2567 01:26:48,920 --> 01:26:49,320 TIMES? 2568 01:26:49,320 --> 01:26:51,520 RELY UPON YOUR HEALTH 2569 01:26:51,520 --> 01:26:52,040 PROFESSIONAL. 2570 01:26:52,040 --> 01:26:53,560 WE LIVE AND BREATHE IT EVERY 2571 01:26:53,560 --> 01:26:54,160 DAY. 2572 01:26:54,160 --> 01:26:55,560 WE KNOW THE MINIMUM INTERVALS 2573 01:26:55,560 --> 01:26:56,560 BETWEEN THE DOSES AND WHEN IS 2574 01:26:56,560 --> 01:26:59,040 THE LAST TIME YOU HAD A DOSE AND 2575 01:26:59,040 --> 01:27:01,320 WEATHER YOU'RE DUE FOR THE NEXT 2576 01:27:01,320 --> 01:27:01,920 TIME. 2577 01:27:01,920 --> 01:27:04,440 RIGHT NOW NEEDS A BIVALENT 2578 01:27:04,440 --> 01:27:07,000 BOOSTER IF YOU'RE 5 AND OLDER. 2579 01:27:07,000 --> 01:27:10,000 IF IT'S BEEN AT LEAST TWO MONTHS 2580 01:27:10,000 --> 01:27:11,240 SINCE YOUR LAST COVID VACCINE 2581 01:27:11,240 --> 01:27:13,400 AND YOU COMPLETED YOUR SERIES. 2582 01:27:13,400 --> 01:27:14,920 SO IS THAT IS SIMPLIFYING THINGS 2583 01:27:14,920 --> 01:27:16,160 RIGHT NOW AND WE ARE EXCITED 2584 01:27:16,160 --> 01:27:18,480 THAT IT IS HOPEFULLY IN THE NEXT 2585 01:27:18,480 --> 01:27:22,360 FEW DAYS TO A WEEK T WILL BE 2586 01:27:22,360 --> 01:27:24,280 BIVALIANT BOOSTERS, THOSE 2587 01:27:24,280 --> 01:27:25,840 BOOSTERS THAT INCORPORATE THE 2588 01:27:25,840 --> 01:27:28,400 ORIGINAL STRAIN OF COVID PLUS 2589 01:27:28,400 --> 01:27:30,720 SOME OF THE NEWER STRAINS THAT 2590 01:27:30,720 --> 01:27:34,200 HAVE BEEN CIRCULATING IN OUR 2591 01:27:34,200 --> 01:27:34,440 COMMUNITY. 2592 01:27:34,440 --> 01:27:36,040 SOY, HOPEFULLY THAT 2593 01:27:36,040 --> 01:27:37,880 SIMPLIFICATION WILL BE HELPFUL 2594 01:27:37,880 --> 01:27:39,240 AND CAN COMMUNICATE THROUGH OUR 2595 01:27:39,240 --> 01:27:40,680 COMMUNITIES TO SAY, JUST COME IN 2596 01:27:40,680 --> 01:27:42,560 AND GET YOUR FLU SHOT AND WHILE 2597 01:27:42,560 --> 01:27:43,960 YOU'RE HERE, LET'S GET YOU 2598 01:27:43,960 --> 01:27:47,440 UP-TO-DATE AND MAKE SURE YOU'RE 2599 01:27:47,440 --> 01:27:48,920 UP-TO-DATE - COVID VACCINES AND 2600 01:27:48,920 --> 01:27:49,800 ROUTINE VACCINES. 2601 01:27:49,800 --> 01:27:53,200 THAT'S WHAT I HAVE TO SAY. 2602 01:27:53,200 --> 01:27:54,400 >>MODERATOR: THANK YOU FOR THAT 2603 01:27:54,400 --> 01:27:56,760 EXCELLENT ANSWER. 2604 01:27:56,760 --> 01:27:57,200 APPRECIATE THAT. 2605 01:27:57,200 --> 01:27:58,920 I THINK ONE OF THE THINGS THAT 2606 01:27:58,920 --> 01:28:03,360 YOU JUST REMINDED ME OF WAS OF 2607 01:28:03,360 --> 01:28:06,840 ROUTINE CARE. 2608 01:28:06,840 --> 01:28:09,600 SO PATIENTS THEY -- IN MANY 2609 01:28:09,600 --> 01:28:13,120 FACILITIES HAVE TO REALLY SHUT 2610 01:28:13,120 --> 01:28:14,400 DOWN SERVICES AND LIKE THE 2611 01:28:14,400 --> 01:28:16,040 OUTPATIENT DEPARTMENT AND STAFF 2612 01:28:16,040 --> 01:28:17,320 WAS GETTING REASSIGNED AROUND 2613 01:28:17,320 --> 01:28:18,040 THE HOSPITAL. 2614 01:28:18,040 --> 01:28:19,480 CERTAIN DEPARTMENTS HAVE TO BE 2615 01:28:19,480 --> 01:28:19,720 SHUT DOWN. 2616 01:28:19,720 --> 01:28:22,120 THAT IS REALLY GOING TO HAVE, AT 2617 01:28:22,120 --> 01:28:24,640 LEAST A LOT OF PEOPLE WITH 2618 01:28:24,640 --> 01:28:25,720 EXPRESS CONCERN, MEDICAL 2619 01:28:25,720 --> 01:28:27,000 PROVIDERS THAT THIS IS GOING TO 2620 01:28:27,000 --> 01:28:29,880 HAVE A LONG TERM IMPACT ON -- 2621 01:28:29,880 --> 01:28:36,880 SHORT AND LONG TERM IMPACT ON 2622 01:28:36,880 --> 01:28:37,600 MECHANICS HEALTH. 2623 01:28:37,600 --> 01:28:38,760 SO, I WONDER IF EACH OF YOU 2624 01:28:38,760 --> 01:28:41,480 COULD SPEAK TO THAT. 2625 01:28:41,480 --> 01:28:45,760 SPEAK TO SOME OF THE CONCERNS, 2626 01:28:45,760 --> 01:28:47,680 MAYBE SOME POSSIBLE SOLUTIONS OR 2627 01:28:47,680 --> 01:28:50,640 WHAT WE NEED TO DO. 2628 01:28:50,640 --> 01:28:52,000 BECAUSE FOLKS HAVE TWO-YEAR 2629 01:28:52,000 --> 01:28:54,640 PERIOD WHERE THEY REALLY DIDN'T 2630 01:28:54,640 --> 01:28:56,440 ACCESS PRIMARY CARE UNLESS IT 2631 01:28:56,440 --> 01:28:57,680 WAS AN EMERGENCY. 2632 01:28:57,680 --> 01:29:00,320 DO ANY OF YOU HAVE ANY INSIGHTS 2633 01:29:00,320 --> 01:29:02,720 AS TO WHAT THE LONG TERM EFFECTS 2634 01:29:02,720 --> 01:29:05,400 MIGHT HAVE ON A POPULATION AND 2635 01:29:05,400 --> 01:29:11,960 WHAT RESEARCH MIGHT HELP TO 2636 01:29:11,960 --> 01:29:16,560 TREAT, THOSE CONDITIONS AS WELL 2637 01:29:16,560 --> 01:29:16,880 AS LONG COVID? 2638 01:29:16,880 --> 01:29:17,520 I KNOW THAT IS A LONG QUESTION. 2639 01:29:17,520 --> 01:29:18,160 I THINK YOU KNOW WHERE I'M GOING 2640 01:29:18,160 --> 01:29:19,040 WITH THAT. 2641 01:29:19,040 --> 01:29:20,040 >>I CAN START AND THEN I'LL 2642 01:29:20,040 --> 01:29:24,600 TURN IT OVER TO MY COLLEAGUES 2643 01:29:24,600 --> 01:29:25,000 HERE. 2644 01:29:25,000 --> 01:29:25,480 I WOULD SAY ROUTINE CARE 2645 01:29:25,480 --> 01:29:26,280 CERTAINLY HAS BEEN AFFECTED AND 2646 01:29:26,280 --> 01:29:29,720 WE ARE GOING TO SEE LONG TERM 2647 01:29:29,720 --> 01:29:30,080 REPERCUSSIONS. 2648 01:29:30,080 --> 01:29:32,560 WE KNOW FOR A FACT IN OUR CHILD 2649 01:29:32,560 --> 01:29:33,560 IMMUNIZATION RATES, ADULT 2650 01:29:33,560 --> 01:29:36,120 IMMUNIZATION RATES FOR ROUTINE 2651 01:29:36,120 --> 01:29:38,600 VACCINES HAVE DECLINED OVER THE 2652 01:29:38,600 --> 01:29:38,920 L TWO YEARS. 2653 01:29:38,920 --> 01:29:39,760 AND EVEN THOUGH WE CONTINUE TO 2654 01:29:39,760 --> 01:29:41,360 TRY TO CATCH-UP, WE STILL ARE 2655 01:29:41,360 --> 01:29:43,960 BEHIND AND WE ARE TRYING AND 2656 01:29:43,960 --> 01:29:44,400 TRYING. 2657 01:29:44,400 --> 01:29:46,800 AND TRYING TO BALANCE ALL THESE 2658 01:29:46,800 --> 01:29:47,160 OTHER THINGS. 2659 01:29:47,160 --> 01:29:49,080 WE HAVE THE PANDEMIC WITH 2660 01:29:49,080 --> 01:29:49,360 COVID-19. 2661 01:29:49,360 --> 01:29:56,000 WE HAD A LOT OF THERAPEUTIC 2662 01:29:56,000 --> 01:29:56,480 MONOCLONAL ANTIBODY AND 2663 01:29:56,480 --> 01:29:57,760 TREATMENTS THAT ROLLED OUT AS 2664 01:29:57,760 --> 01:30:00,360 WELL, PREVENTION ITEMS SUCH AS 2665 01:30:00,360 --> 01:30:02,440 AN INJECTABLE MEDICATION FOR 2666 01:30:02,440 --> 01:30:05,400 CERTAIN HIGH-RISK GROUPS. 2667 01:30:05,400 --> 01:30:08,560 WE ALSO HAD THE M POX OR 2668 01:30:08,560 --> 01:30:11,960 PREVIOUSLY CALLED MONKEY POX 2669 01:30:11,960 --> 01:30:14,360 OUTBREAK OF 2022. 2670 01:30:14,360 --> 01:30:15,720 SO WE HAVE BEEN HANDLING AND 2671 01:30:15,720 --> 01:30:18,680 JUGGLING SO MANY DIFFERENT 2672 01:30:18,680 --> 01:30:19,200 PIECES OVER TIME. 2673 01:30:19,200 --> 01:30:21,200 YOU KNOW THE IHS IS REALLY 2674 01:30:21,200 --> 01:30:22,680 FOCUSED AND ALWAYS HAS BEEN 2675 01:30:22,680 --> 01:30:25,040 FOCUSED ON ROUTINE 2676 01:30:25,040 --> 01:30:25,400 IMMUNIZATIONS. 2677 01:30:25,400 --> 01:30:26,240 WE KNOW AMERICAN INDIAN AND 2678 01:30:26,240 --> 01:30:28,760 ALASKA NATIVES IN GENERAL OFTEN 2679 01:30:28,760 --> 01:30:30,440 HAVE MORE UNDERLYING MEDICAL 2680 01:30:30,440 --> 01:30:33,280 CONDITIONS AND MORE 2681 01:30:33,280 --> 01:30:35,880 DISPROPORTIONATELY AFFECTED WITH 2682 01:30:35,880 --> 01:30:37,480 INFLUENZA AND PNEUMONIA. 2683 01:30:37,480 --> 01:30:38,600 SO REMAINING DILIGENT WITH 2684 01:30:38,600 --> 01:30:40,280 ROUTINE VACCINES IS CRITICAL AND 2685 01:30:40,280 --> 01:30:43,040 VERY RECENTLY, WE HAVE RELEASED 2686 01:30:43,040 --> 01:30:44,800 OUR E3 VACCINE STRATEGY WHICH IS 2687 01:30:44,800 --> 01:30:47,960 A COMPREHENSIVE STRATEGY TO 2688 01:30:47,960 --> 01:30:50,560 ADDRESS EVERY VACCINE FOR EVERY 2689 01:30:50,560 --> 01:30:52,600 PATIENT AT EVERY ENCOUNTER. 2690 01:30:52,600 --> 01:30:55,800 SO IT'S A REALLY EXCITING 2691 01:30:55,800 --> 01:30:57,480 OPPORTUNITY REMINDING EVERY 2692 01:30:57,480 --> 01:30:59,000 FACILITY THAT WHEN SOMEONE COMES 2693 01:30:59,000 --> 01:31:01,240 FOR THEIR PRIMARY CARE VISIT OR 2694 01:31:01,240 --> 01:31:05,200 MAYBE THEY HAVE A RASH, LIKE 2695 01:31:05,200 --> 01:31:07,040 JUST A REGULAR OLD RASH ON THEIR 2696 01:31:07,040 --> 01:31:08,720 ARM, THAT WE NEED TO BE MINDFUL 2697 01:31:08,720 --> 01:31:12,480 OF GETTING THEM COMPLETELY 2698 01:31:12,480 --> 01:31:13,120 UP-TO-DATE WHILE WE HAVE THEM IN 2699 01:31:13,120 --> 01:31:13,320 HAND. 2700 01:31:13,320 --> 01:31:18,320 WHEN WE WERE DOING TELEPHONE 2701 01:31:18,320 --> 01:31:19,880 VISITS IT WAS DIFFICULT. 2702 01:31:19,880 --> 01:31:20,880 SO WE DID REALLY ENCOURAGE FOLKS 2703 01:31:20,880 --> 01:31:23,600 TO COME OUT TO OUR DEDICATED 2704 01:31:23,600 --> 01:31:25,560 VACCINE CLINICS AND NOW REALLY 2705 01:31:25,560 --> 01:31:27,400 FOCUSING ON ROUTINE CARE AND 2706 01:31:27,400 --> 01:31:32,200 THEN EXPANDING THOSE CLINICS AND 2707 01:31:32,200 --> 01:31:33,920 SEASONAL FLU VACCINES AND ALSO 2708 01:31:33,920 --> 01:31:34,240 ALL VACCINES. 2709 01:31:34,240 --> 01:31:35,840 SO IT'S A LOT. 2710 01:31:35,840 --> 01:31:37,400 THERE IS SO MUCH TO BE DONE IN 2711 01:31:37,400 --> 01:31:39,240 THE VACCINE WORLD RIGHT NOW. 2712 01:31:39,240 --> 01:31:45,280 SO THANK YOU FOR THE QUESTION. 2713 01:31:45,280 --> 01:31:46,600 >>MODERATOR: THANK YOU. 2714 01:31:46,600 --> 01:31:46,880 DR. HAMIT? 2715 01:31:46,880 --> 01:31:48,440 DO YOU HAVE ANY THOUGHTS ON THAT 2716 01:31:48,440 --> 01:31:51,120 AS WELL AS LONG COVID? 2717 01:31:51,120 --> 01:31:51,840 >>YES, THANK YOU FOR THE 2718 01:31:51,840 --> 01:31:52,440 QUESTION. 2719 01:31:52,440 --> 01:31:56,560 I COMPLETELY AGREE WITH THE 2720 01:31:56,560 --> 01:31:56,960 CAPTAN'S REMARKS. 2721 01:31:56,960 --> 01:31:57,840 WE THINK THERE IS A LOT TO BE 2722 01:31:57,840 --> 01:32:02,280 DONE FROM THE RESEARCH 2723 01:32:02,280 --> 01:32:05,480 STANDPOINT I THINK TREMENDOUS 2724 01:32:05,480 --> 01:32:07,040 PLACES HAVE DONE A TREMENDOUS 2725 01:32:07,040 --> 01:32:08,560 EFFORT IN TRYING TO SUPPORT 2726 01:32:08,560 --> 01:32:09,640 GIVING MESSAGES IN THE RIGHT WAY 2727 01:32:09,640 --> 01:32:12,480 WITH THE RIGHT MESSENGERS. 2728 01:32:12,480 --> 01:32:14,280 AND I THINK THERE IS RESEARCH 2729 01:32:14,280 --> 01:32:15,160 OPPORTUNITIES TO FIGURE OUT FOR 2730 01:32:15,160 --> 01:32:18,440 THE GROUP OF PEOPLE WHO HAVE NOT 2731 01:32:18,440 --> 01:32:19,640 YET HAD VACCINATION OR NOT HAD 2732 01:32:19,640 --> 01:32:20,520 THEIR BOOSTERS. 2733 01:32:20,520 --> 01:32:23,440 WHAT ARE THE REASONS THAT IT 2734 01:32:23,440 --> 01:32:24,400 THEY ARE HESITANT? 2735 01:32:24,400 --> 01:32:25,960 LOGISTICAL REASONS? 2736 01:32:25,960 --> 01:32:26,560 THEY CAN'T GET TIME OFF WORK? 2737 01:32:26,560 --> 01:32:31,640 DO WE NEED TO HAVE MORE SUPPORT 2738 01:32:31,640 --> 01:32:32,080 FOR OUTREACH EVENT. 2739 01:32:32,080 --> 01:32:33,640 OR ARE THERE SAFETY CONCERNS? 2740 01:32:33,640 --> 01:32:35,200 OR ARE THERE CONCERNS THAT THEY 2741 01:32:35,200 --> 01:32:36,440 JUST DON'T FEEL LIKE THIS IS 2742 01:32:36,440 --> 01:32:38,560 SOMETHING THAT REALLY APPLIES TO 2743 01:32:38,560 --> 01:32:39,160 THEM BECAUSE THEY ARE HEALTHY 2744 01:32:39,160 --> 01:32:41,200 AND THEY JUST DON'T NEED A 2745 01:32:41,200 --> 01:32:41,440 VACCINE. 2746 01:32:41,440 --> 01:32:43,840 SO I THINK MORE WORK IN TERMS OF 2747 01:32:43,840 --> 01:32:45,760 RESEARCH THAT REALLY WOULD BE 2748 01:32:45,760 --> 01:32:46,400 IMPORTANT IS UNDERSTANDING WHAT 2749 01:32:46,400 --> 01:32:49,480 ARE THE BARRIERS TO PROMOTING 2750 01:32:49,480 --> 01:32:49,880 UPTAKE? 2751 01:32:49,880 --> 01:32:50,640 WHAT ARE THE BEST WAYS TO 2752 01:32:50,640 --> 01:32:53,320 DELIVER THE MESSAGES? 2753 01:32:53,320 --> 01:32:55,320 IS IT SOMETHING THAT WOULD BE 2754 01:32:55,320 --> 01:32:57,320 WELL RECEIVED ON SOCIAL MEDIA, 2755 01:32:57,320 --> 01:32:59,160 BY RADIO? 2756 01:32:59,160 --> 01:33:00,200 PROBABLY DIFFERENT MESSAGES FOR 2757 01:33:00,200 --> 01:33:01,360 DIFFERENT AUDIENCES IF YOU'RE 2758 01:33:01,360 --> 01:33:03,360 TRYING TO TARGET PEOPLE WHO ARE 2759 01:33:03,360 --> 01:33:08,200 ELDERLY IN RURAL COMMUNITIES 2760 01:33:08,200 --> 01:33:10,840 VERSUS YOUNG URBAN MEN. 2761 01:33:10,840 --> 01:33:14,160 THEY PROBABLY WILL BE DIFFERENT 2762 01:33:14,160 --> 01:33:23,000 MESSES MOST EFFECTIVE FOR THOSE 2763 01:33:23,000 --> 01:33:27,640 GROUPS. 2764 01:33:27,640 --> 01:33:28,840 I THINK THERE ARE REALLY 2765 01:33:28,840 --> 01:33:30,720 SIGNIFICANT PHYSICAL AND MENTAL 2766 01:33:30,720 --> 01:33:32,720 HEALTH SEQUEL I FOR COVID WE ARE 2767 01:33:32,720 --> 01:33:33,160 LEARNING MORE ABOUT. 2768 01:33:33,160 --> 01:33:34,160 THIS IS ESPECIALLY HARD FOR 2769 01:33:34,160 --> 01:33:36,560 PEOPLE WHO SERVE AS CAREGIVERS 2770 01:33:36,560 --> 01:33:37,320 AND THEIR FAMILIES. 2771 01:33:37,320 --> 01:33:39,400 AND THE IT'S ESPECIALLY HARD 2772 01:33:39,400 --> 01:33:41,000 WHEN THE EXISTING HEALTH CARE 2773 01:33:41,000 --> 01:33:44,400 SYSTEM IS ALREADY UNDERFUNDED 2774 01:33:44,400 --> 01:33:46,840 AND GRAPPLING WITH TRYING TO 2775 01:33:46,840 --> 01:33:47,640 PROVIDE ROUTINE CARE. 2776 01:33:47,640 --> 01:33:49,800 BUT NOW HAS THE ADDED BURDEN OF 2777 01:33:49,800 --> 01:33:53,480 TRYING TO CARE FOR A VERY YET TO 2778 01:33:53,480 --> 01:33:56,200 BE FULLY CHARACTERIZED ENTITY OF 2779 01:33:56,200 --> 01:33:58,520 LONG COVID. 2780 01:33:58,520 --> 01:34:00,520 SO, WE NEED RESEARCH DOLLARS TO 2781 01:34:00,520 --> 01:34:04,840 FIGURE OUT THE BEST WAYS TO 2782 01:34:04,840 --> 01:34:06,080 PROACTIVELY -- WE NEED 2783 01:34:06,080 --> 01:34:06,720 RESEARCH -- HEALTH CARE DOLLARS 2784 01:34:06,720 --> 01:34:09,040 TO BE ABLE TO PROVIDE THE CARE 2785 01:34:09,040 --> 01:34:10,440 FOR PEOPLE AND RESEARCH DOLLARS 2786 01:34:10,440 --> 01:34:12,120 TO BE ABLE TO UNDERSTAND WHAT 2787 01:34:12,120 --> 01:34:15,800 ARE THE BEST INTERVENTIONS THAT 2788 01:34:15,800 --> 01:34:17,880 ARE GOING -- THAT WILL HELP 2789 01:34:17,880 --> 01:34:19,080 PEOPLE TO DEAL WITH THESE 2790 01:34:19,080 --> 01:34:22,160 SEQUELAE OF COVID. 2791 01:34:22,160 --> 01:34:25,440 >>MODERATOR: THANK YOU FOR THAT 2792 01:34:25,440 --> 01:34:26,600 RESPONSE. 2793 01:34:26,600 --> 01:34:30,640 THAT REMINDED ME OF SOMETHING 2794 01:34:30,640 --> 01:34:33,040 TRIBAL LEADERS HAD RECENTLY IN 2795 01:34:33,040 --> 01:34:36,800 ONE EVER THEIR PRIORITIES THEY 2796 01:34:36,800 --> 01:34:37,840 EXPRESSED ON ONE OF OUR 2797 01:34:37,840 --> 01:34:40,480 COMMIT -- A COMMITTEE I SERB ON. 2798 01:34:40,480 --> 01:34:41,760 AND THAT WAS ABOUT USING 2799 01:34:41,760 --> 01:34:44,160 TRADITIONAL MEDICINE TO TREAT 2800 01:34:44,160 --> 01:34:46,000 LONG COVID. 2801 01:34:46,000 --> 01:34:48,800 I MEAN, DO YOU SEE SOME PROMISE 2802 01:34:48,800 --> 01:34:49,000 THERE? 2803 01:34:49,000 --> 01:34:50,120 AND WHETHER OR NOT YOU KNOW OF 2804 01:34:50,120 --> 01:34:51,480 ANY SPECIFIC PROJECTS THAT ARE 2805 01:34:51,480 --> 01:34:56,840 ACTUALLY USING TRADITIONAL 2806 01:34:56,840 --> 01:34:57,840 MEDICINE? 2807 01:34:57,840 --> 01:35:00,080 >>I CAN ANSWER THAT FIRST AND 2808 01:35:00,080 --> 01:35:01,760 WELCOME OTHERS ON THE PANEL TO 2809 01:35:01,760 --> 01:35:02,080 CONTRIBUTE. 2810 01:35:02,080 --> 01:35:04,280 I THINK THERE IS DEFINITELY 2811 01:35:04,280 --> 01:35:05,440 PROMISE THERE. 2812 01:35:05,440 --> 01:35:10,720 I THINK THAT TRADITIONAL HEALERS 2813 01:35:10,720 --> 01:35:11,920 HAVE HAD GRAPPLED WITH DISEASES 2814 01:35:11,920 --> 01:35:13,840 FOR HUNDREDS AND THOUSANDS OF 2815 01:35:13,840 --> 01:35:15,560 YEARS AND HAVE A LOT OF 2816 01:35:15,560 --> 01:35:16,800 SOLUTIONS IN HAND THAT WE HAVE 2817 01:35:16,800 --> 01:35:19,640 NOT REALLY EVEN STARTED TO 2818 01:35:19,640 --> 01:35:20,160 EXPLORE, I DON'T THINK. 2819 01:35:20,160 --> 01:35:21,960 IN TERMS OF COVID-19. 2820 01:35:21,960 --> 01:35:24,480 SO I THINK THERE IS TREMENDOUS 2821 01:35:24,480 --> 01:35:25,200 POTENTIAL THERE. 2822 01:35:25,200 --> 01:35:26,960 I THINK ONE OF THE CHALLENGES 2823 01:35:26,960 --> 01:35:30,640 HAS BEEN FOR A LONG TIME, HOW TO 2824 01:35:30,640 --> 01:35:31,120 GET THAT WORK FUNDED. 2825 01:35:31,120 --> 01:35:34,160 AND I THINK THAT THAT IS WHERE 2826 01:35:34,160 --> 01:35:36,080 ORGANIZATIONS THAT CAN 2827 01:35:36,080 --> 01:35:38,040 APPRECIATE AND RESPECT AND 2828 01:35:38,040 --> 01:35:41,520 ACKNOWLEDGE ALL THAT TRADITIONAL 2829 01:35:41,520 --> 01:35:43,320 HEALERS HAVE TO OFFER. 2830 01:35:43,320 --> 01:35:44,520 WE COULD GAIN A LOT. 2831 01:35:44,520 --> 01:35:48,640 THERE IS A LOT OF WISDOM THERE 2832 01:35:48,640 --> 01:35:51,720 THAT I THINK HASN'T BEEN FULLY 2833 01:35:51,720 --> 01:35:57,800 APPRECIATED. 2834 01:35:57,800 --> 01:35:58,440 >>CHANNEL, YOU COVERED A LOT OF 2835 01:35:58,440 --> 01:36:00,480 GROUND IN YOUR PRESENTATION AND 2836 01:36:00,480 --> 01:36:01,840 GAVE A GREAT OVERVIEW AND REALLY 2837 01:36:01,840 --> 01:36:03,440 POINTED OUT A LOT OF THE 2838 01:36:03,440 --> 01:36:06,640 CHALLENGES THAT YOU HAD IN 2839 01:36:06,640 --> 01:36:08,920 RESPONDING TO THE PANDEMIC. 2840 01:36:08,920 --> 01:36:11,360 ARE THERE ANY -- WHAT 2841 01:36:11,360 --> 01:36:15,080 INFORMATION WOULD BE HELPFUL FOR 2842 01:36:15,080 --> 01:36:19,720 YOU AS WE PREPARE, HOPEFULLY WE 2843 01:36:19,720 --> 01:36:20,720 DON'T HAVE ANOTHER PANDEMIC. 2844 01:36:20,720 --> 01:36:24,800 BUT AS WE KEEP OUR PREPAREDNESS 2845 01:36:24,800 --> 01:36:25,760 UP, WHAT ARE SOME OF THE THINGS 2846 01:36:25,760 --> 01:36:27,040 THAT YOU WOULD LIKE TO KNOW FROM 2847 01:36:27,040 --> 01:36:30,560 A RESEARCH STANDPOINT THAT WOULD 2848 01:36:30,560 --> 01:36:32,240 MAKE THINGS, AT LEAST WORK A 2849 01:36:32,240 --> 01:36:33,240 LITTLE BIT MORE EFFICIENTLY? 2850 01:36:33,240 --> 01:36:34,720 AND YOU CAN BE MORE EFFECTIVE IN 2851 01:36:34,720 --> 01:36:36,320 THE BEGINNING. 2852 01:36:36,320 --> 01:36:38,560 I KNOW YOU MENTIONED DATA 2853 01:36:38,560 --> 01:36:41,160 SHARING AND THINGS LIKE THAT. 2854 01:36:41,160 --> 01:36:42,120 I WONDER IF YOU COULD TALK MORE 2855 01:36:42,120 --> 01:36:45,480 ABOUT THAT AND SOME OF THE AREAS 2856 01:36:45,480 --> 01:36:47,200 WHERE RESEARCH WOULD HELP FOLKS 2857 01:36:47,200 --> 01:36:48,320 ON THE GROUND AS THEY ARE TRYING 2858 01:36:48,320 --> 01:36:51,000 TO TAKE CARE OF PATIENTS AND 2859 01:36:51,000 --> 01:36:54,760 RESPOND TO THIS PANDEMIC. 2860 01:36:54,760 --> 01:36:55,400 >>I THINK THE WAY THAT WE CAN 2861 01:36:55,400 --> 01:36:57,360 ASSESS THAT WE DID THE BEST JOB, 2862 01:36:57,360 --> 01:36:59,360 IS MAKING SURE WE ARE ABLE TO 2863 01:36:59,360 --> 01:37:00,800 PREPARE AND BE PREPARED FOR 2864 01:37:00,800 --> 01:37:02,480 ANOTHER PANDEMIC. 2865 01:37:02,480 --> 01:37:06,920 AND NOT HAVE TO BE ON THE BACK 2866 01:37:06,920 --> 01:37:09,160 BURNER WAITING FOR MASK OR 2867 01:37:09,160 --> 01:37:10,640 WAITING FOR TEAMS TO SHOW UP. 2868 01:37:10,640 --> 01:37:12,920 SO MAKING SURE THAT WE 2869 01:37:12,920 --> 01:37:15,160 DEFINITELY KEEP OUR PARTNERSHIPS 2870 01:37:15,160 --> 01:37:17,040 GOING AND THEN FOR ME, AND OUR 2871 01:37:17,040 --> 01:37:18,520 TEAMS AND NATIONS, WE NEED TO 2872 01:37:18,520 --> 01:37:20,160 KNOW WHAT IS GOING ON IN OUR 2873 01:37:20,160 --> 01:37:20,640 COMMUNITY. 2874 01:37:20,640 --> 01:37:21,520 WHAT IS THE COMMUNITY 2875 01:37:21,520 --> 01:37:22,320 ASSESSMENT? 2876 01:37:22,320 --> 01:37:23,200 WHAT IS THE PULSE OF THE 2877 01:37:23,200 --> 01:37:25,280 COMMUNITY? 2878 01:37:25,280 --> 01:37:27,760 HOW CAN WE LIKED TAILOR OUR 2879 01:37:27,760 --> 01:37:30,040 MEDICAL CARE TO THE NEEDS OF THE 2880 01:37:30,040 --> 01:37:30,360 COMMUNITY? 2881 01:37:30,360 --> 01:37:33,200 AND SO WE, BEFORE COVID, WE 2882 01:37:33,200 --> 01:37:36,800 COULD SAY MOST OF OUR HEALTH 2883 01:37:36,800 --> 01:37:37,600 DISPARITIES ARE BECAUSE OF 2884 01:37:37,600 --> 01:37:38,800 DIABETES OR BECAUSE WE DON'T 2885 01:37:38,800 --> 01:37:40,720 HAVE ACCESS TO FOOD. 2886 01:37:40,720 --> 01:37:44,120 BUT I THINK NOW THAT WE HAD THIS 2887 01:37:44,120 --> 01:37:46,360 PANDEMIC, OUR PRIORITIES AND A 2888 01:37:46,360 --> 01:37:48,280 LOT OF OUR HEALTH HAS CHANGED 2889 01:37:48,280 --> 01:37:49,480 AND WE DEFINITELY NEED TO MAKE 2890 01:37:49,480 --> 01:37:51,880 SURE THAT WE ASSESS OUR 2891 01:37:51,880 --> 01:37:52,200 COMMUNITIES. 2892 01:37:52,200 --> 01:37:53,680 WHAT DO THEY NEED BESIDES -- WE 2893 01:37:53,680 --> 01:37:56,240 KNOW WE ARE GOING TO NEED SOME 2894 01:37:56,240 --> 01:37:58,320 MENTAL BEHAVIORAL HEALTH 2895 01:37:58,320 --> 01:38:01,000 THERAPISTS, SUPPORTS, OR MORE 2896 01:38:01,000 --> 01:38:03,960 KIND OF LIKE PEER-TO-PEER 2897 01:38:03,960 --> 01:38:04,600 SPECIALISTS, COMMUNITY LEADERS, 2898 01:38:04,600 --> 01:38:06,760 WITHIN THE COMMUNITIES TO HELP 2899 01:38:06,760 --> 01:38:07,400 OUR COMMUNITY HEAL. 2900 01:38:07,400 --> 01:38:08,720 SO I THINK MAKING SURE THAT WE 2901 01:38:08,720 --> 01:38:10,720 GET A PULSE OF WHAT IS GOING ON 2902 01:38:10,720 --> 01:38:12,960 IN OUR COMMUNITY, MAKING -- 2903 01:38:12,960 --> 01:38:14,720 GOING BACK TO ASK, LIKE WHAT WE 2904 01:38:14,720 --> 01:38:17,560 DID RIGHT AND WHAT DO WE NEED TO 2905 01:38:17,560 --> 01:38:18,240 DO DIFFERENT AND WHAT DO WE NEED 2906 01:38:18,240 --> 01:38:18,520 TO SUSTAIN? 2907 01:38:18,520 --> 01:38:20,520 AND WHAT DO WE NEED TO CHANGE? 2908 01:38:20,520 --> 01:38:22,720 SO I THINK MAKING SURE WE ARE 2909 01:38:22,720 --> 01:38:24,320 GOING FORWARD, WE CONTINUE TO 2910 01:38:24,320 --> 01:38:26,360 EVOLVE AS A HEALTH CARE SYSTEM. 2911 01:38:26,360 --> 01:38:28,720 WE CONTINUE TO KEEP THE 2912 01:38:28,720 --> 01:38:30,440 COMMUNITIES VOICE AND HEAR IT 2913 01:38:30,440 --> 01:38:33,320 WHEN IT COMES TO THEIR NEEDS, 2914 01:38:33,320 --> 01:38:34,200 THEIR MEDICAL CARE. 2915 01:38:34,200 --> 01:38:37,560 AND THEN SEEING HOW ADVERSELY 2916 01:38:37,560 --> 01:38:38,880 COVID HAS AFFECTED OUR FAMILIES. 2917 01:38:38,880 --> 01:38:41,040 I THINK THAT WE COME FROM A LONG 2918 01:38:41,040 --> 01:38:43,080 GENERATION OF RESILIENCE. 2919 01:38:43,080 --> 01:38:46,440 I THINK THAT WE ARE HERE TO HEAL 2920 01:38:46,440 --> 01:38:48,640 AND STAY BUT I DEFINITELY THINK 2921 01:38:48,640 --> 01:38:49,960 WE DEFINITELY HAVE TO TAILOR THE 2922 01:38:49,960 --> 01:38:55,040 WAY WE DO BUSINESS WITH OUR 2923 01:38:55,040 --> 01:38:55,480 COMMUNITY. 2924 01:38:55,480 --> 01:38:57,760 WITH OUR PARTNERS AND THEN JUST 2925 01:38:57,760 --> 01:39:00,160 MAKING SURE THAT WE ARE ALSO 2926 01:39:00,160 --> 01:39:02,320 WORKING TO GET BETTER TO ASSESS 2927 01:39:02,320 --> 01:39:03,760 THOSE NEEDS AND THEN ADDRESS 2928 01:39:03,760 --> 01:39:04,560 THOSE NEEDS. 2929 01:39:04,560 --> 01:39:06,880 THANK YOU. 2930 01:39:06,880 --> 01:39:07,560 >>MODERATOR: THANK YOU. 2931 01:39:07,560 --> 01:39:09,320 GREAT ANSWER. 2932 01:39:09,320 --> 01:39:11,760 I THINK ONE OF THE ISSUES TOO, 2933 01:39:11,760 --> 01:39:12,920 THAT WE WERE GOING TO BE DEALING 2934 01:39:12,920 --> 01:39:15,960 WITH FOR A LONG TIME IS THE 2935 01:39:15,960 --> 01:39:17,960 WORKFORCE ISSUERS. 2936 01:39:17,960 --> 01:39:19,640 I THINK -- ISSUES. 2937 01:39:19,640 --> 01:39:21,600 JUST THE SHEAR LENGTH OF THIS 2938 01:39:21,600 --> 01:39:22,840 PANDEMIC PUT INCREDIBLE STRESS 2939 01:39:22,840 --> 01:39:25,240 ON OUR HEALTH CARE SYSTEM AND 2940 01:39:25,240 --> 01:39:28,520 OUR FRONT LINE WORKERS. 2941 01:39:28,520 --> 01:39:31,280 SO I MEAN, THERE HAS BEEN SOME 2942 01:39:31,280 --> 01:39:33,120 RESEARCH INTO THE WORKFORCE 2943 01:39:33,120 --> 01:39:34,760 ISSUES AND HOW WE CAN RESPOND TO 2944 01:39:34,760 --> 01:39:36,320 THAT BUT I THINK YOU BRING UP A 2945 01:39:36,320 --> 01:39:38,480 REALLY GOOD AND IMPORTANT POINT 2946 01:39:38,480 --> 01:39:41,480 ABOUT A LONG TERM MENTAL HEALTH, 2947 01:39:41,480 --> 01:39:44,360 BEHAVIORAL HEALTH AMONG 2948 01:39:44,360 --> 01:39:47,040 WORKFORCE AND OUR PATIENTED. 2949 01:39:47,040 --> 01:39:49,200 SO THANK YOU FOR THAT. 2950 01:39:49,200 --> 01:39:51,800 -- PATIENTS. 2951 01:39:51,800 --> 01:39:53,760 I DON'T SEE ANY OTHER QUESTIONS 2952 01:39:53,760 --> 01:39:59,080 IN THE CHAT AT THIS MOMENT. 2953 01:39:59,080 --> 01:40:00,600 >>I DID SEE SOME QUESTIONS IN 2954 01:40:00,600 --> 01:40:01,920 THE Q&A SECTION. 2955 01:40:01,920 --> 01:40:04,720 I'M NOT SURE IF THAT IS 2956 01:40:04,720 --> 01:40:06,080 SOMETHING YOU WERE HOPING TO 2957 01:40:06,080 --> 01:40:07,480 LOOK AT. 2958 01:40:07,480 --> 01:40:11,520 >>MODERATOR: I'M SORRY. 2959 01:40:11,520 --> 01:40:13,480 I DIDN'T HAVE THAT OPEN. 2960 01:40:13,480 --> 01:40:15,800 OKAY, I'M NEW AT THIS. 2961 01:40:15,800 --> 01:40:17,800 WE LEARN AND GET BETTER. 2962 01:40:17,800 --> 01:40:20,040 THIS IS TO ALL PANELISTS. 2963 01:40:20,040 --> 01:40:21,960 WHEN TRYING TO GET ALL THE 2964 01:40:21,960 --> 01:40:23,200 DIFFERENT PARTNERS FROM TRIBAL, 2965 01:40:23,200 --> 01:40:24,640 FEDERAL, STATE, COMMUNITY 2966 01:40:24,640 --> 01:40:26,480 ET CETERA TO WORK TOGETHER, HOW 2967 01:40:26,480 --> 01:40:27,840 WERE YOU ABLE TO GET THE WORK TO 2968 01:40:27,840 --> 01:40:31,440 MOVE FORWARD SO QUICKLY? 2969 01:40:31,440 --> 01:40:32,040 WERE THERE EXPEDITED MEASURES 2970 01:40:32,040 --> 01:40:34,280 THAT TOOK PLACE THAT NORMALLY 2971 01:40:34,280 --> 01:40:36,360 TAKE LONGER? 2972 01:40:36,360 --> 01:40:39,040 ANYBODY WANT TO TAKE A FIRST 2973 01:40:39,040 --> 01:40:47,240 STAB AT THAT ONE? 2974 01:40:47,240 --> 01:40:52,920 >>I CAN TAKE A FIRST STAB AT 2975 01:40:52,920 --> 01:40:53,320 IT. 2976 01:40:53,320 --> 01:40:56,000 I'M SURE THAT LIEUTENANT AND 2977 01:40:56,000 --> 01:40:58,440 CAPTAN WILL HAVE THOUGHTS ABOUT 2978 01:40:58,440 --> 01:40:59,160 THIS. 2979 01:40:59,160 --> 01:41:00,720 HONESTLY, THIS WAS SOMETHING 2980 01:41:00,720 --> 01:41:02,840 THAT CONSUMED EVERYBODY'S TIME 2981 01:41:02,840 --> 01:41:04,000 AND ENERGY 24-7. 2982 01:41:04,000 --> 01:41:07,800 SO PEOPLE WERE WORKING AROUND 2983 01:41:07,800 --> 01:41:09,280 THE CLOCK. 2984 01:41:09,280 --> 01:41:09,880 ESPECIALLY IN TRIBAL COMMUNITIES 2985 01:41:09,880 --> 01:41:12,480 WHERE THIS HIT SO HARD AND EVERY 2986 01:41:12,480 --> 01:41:13,320 FAMILY WAS TOUCHED. 2987 01:41:13,320 --> 01:41:14,680 AND PEOPLE WERE DYING. 2988 01:41:14,680 --> 01:41:15,560 LIKE YOU JUST WANTED TO DO 2989 01:41:15,560 --> 01:41:18,560 EVERYTHING YOU POSSIBLE I COULD. 2990 01:41:18,560 --> 01:41:20,960 AND I THINK EVERYBODY FELT THAT 2991 01:41:20,960 --> 01:41:23,000 WAY IN THE RESPONSE. 2992 01:41:23,000 --> 01:41:24,600 SO, IT DEFINITELY HAPPENED MORE 2993 01:41:24,600 --> 01:41:27,000 QUICKLY THAN IT NORMALLY DOES, 2994 01:41:27,000 --> 01:41:29,600 BUT THAT'S BECAUSE OF THE 2995 01:41:29,600 --> 01:41:30,720 ABSOLUTE URGENCY OF THIS 2996 01:41:30,720 --> 01:41:31,240 SITUATION. 2997 01:41:31,240 --> 01:41:34,360 AND I THINK IT'S A REAL 2998 01:41:34,360 --> 01:41:35,120 TESTAMENT TO SOMETHING THAT I 2999 01:41:35,120 --> 01:41:37,760 THINK WE ALL FEEL PROUD ABOUT. 3000 01:41:37,760 --> 01:41:40,600 BECAUSE THAT WAS -- IT WAS A 3001 01:41:40,600 --> 01:41:41,960 REALLY SCARY TIME BUT IT WAS 3002 01:41:41,960 --> 01:41:45,000 ALSO A REALLY INCREDIBLE 3003 01:41:45,000 --> 01:41:46,600 OPPORTUNITY OR TIME FOR PEOPLE 3004 01:41:46,600 --> 01:41:49,600 TO COME TOGETHER AND JUST FIGURE 3005 01:41:49,600 --> 01:41:49,840 IT OUT. 3006 01:41:49,840 --> 01:41:52,000 AND DO EVERYTHING THAT YOU 3007 01:41:52,000 --> 01:41:53,720 POSSIBLY COULD. 3008 01:41:53,720 --> 01:41:55,200 AND I THINK AUGUST OF THE 3009 01:41:55,200 --> 01:41:56,440 PARTNERS FELT THAT WAY. 3010 01:41:56,440 --> 01:41:57,160 EVERY ONE. 3011 01:41:57,160 --> 01:41:58,600 EVERYBODY WANTED TO DO 3012 01:41:58,600 --> 01:42:00,760 EVERYTHING THAT THEY COULD TO 3013 01:42:00,760 --> 01:42:08,120 TRY AND HELP THEIR COMMUNITY. 3014 01:42:08,120 --> 01:42:09,080 >>MODERATOR: I THINK THAT'S A 3015 01:42:09,080 --> 01:42:10,640 GREAT RESPONSE. 3016 01:42:10,640 --> 01:42:12,600 I CAN'T THINK OF ANYTHING TO 3017 01:42:12,600 --> 01:42:12,760 ADD. 3018 01:42:12,760 --> 01:42:15,800 THERE WERE SOME THINGS, 3019 01:42:15,800 --> 01:42:17,120 ESPECIALLY -- I'LL SHARE WITH 3020 01:42:17,120 --> 01:42:19,840 THE PANEL AND BECOME A PANELIST 3021 01:42:19,840 --> 01:42:21,720 FOR A MOMENT WITH MY PANELIST 3022 01:42:21,720 --> 01:42:23,120 HAT IF YOU DON'T MIND. 3023 01:42:23,120 --> 01:42:25,440 ONE OF THE -- THERE WERE SO MANY 3024 01:42:25,440 --> 01:42:28,160 THINGS AND ESPECIALLY AROUND 3025 01:42:28,160 --> 01:42:28,480 PRIVACY. 3026 01:42:28,480 --> 01:42:29,960 THE PRIVACY ACT AND HIPPA. 3027 01:42:29,960 --> 01:42:31,720 I KNOW A LOT OF THOSE 3028 01:42:31,720 --> 01:42:34,400 CONSIDERATIONS CAME IN AT THE 3029 01:42:34,400 --> 01:42:36,400 VERY BEGINNING. 3030 01:42:36,400 --> 01:42:40,680 BUT WE WERE -- THE PUBLIC HEALTH 3031 01:42:40,680 --> 01:42:41,320 EMERGENCY GIVES FOLKS DIFFERENT 3032 01:42:41,320 --> 01:42:41,960 AUTHORITIES THEY DIDN'T HAVE 3033 01:42:41,960 --> 01:42:42,600 BEFORE. 3034 01:42:42,600 --> 01:42:46,480 SO I THINK A LOT OF PEOPLE WERE 3035 01:42:46,480 --> 01:42:48,360 ABLE TO EXPEDITE AND JUST KIND 3036 01:42:48,360 --> 01:42:50,880 OF CUT THROUGH THE RED TAPE TO 3037 01:42:50,880 --> 01:42:51,360 GET THINGS DONE. 3038 01:42:51,360 --> 01:42:55,920 I THINK FOR US, THE KEY EXAMPLE 3039 01:42:55,920 --> 01:42:56,520 IS THE PUBLIC HEALTH AUTHORITY 3040 01:42:56,520 --> 01:42:57,520 FOR DATA SHARING. 3041 01:42:57,520 --> 01:43:00,960 SO EACH OF THE -- THE TRIBE HAD 3042 01:43:00,960 --> 01:43:01,920 TO ESTABLISH A PUBLIC HEALTH 3043 01:43:01,920 --> 01:43:02,920 AUTHORITY SO WE COULD LEGALLY 3044 01:43:02,920 --> 01:43:07,000 SHARE THAT DATA WITH THEM EVEN 3045 01:43:07,000 --> 01:43:09,520 UNDER PUBLIC HEALTH EMERGENCY. 3046 01:43:09,520 --> 01:43:11,800 SO WE HAD TO HAVE THAT IN 3047 01:43:11,800 --> 01:43:12,000 PLAGUES. 3048 01:43:12,000 --> 01:43:15,240 AND THAT NORMALLY, OF COURSE, 3049 01:43:15,240 --> 01:43:16,440 THINGS KIND OF TAKE LONG IN THE 3050 01:43:16,440 --> 01:43:19,280 FEDERAL GOVERNMENT SOMETIMES. 3051 01:43:19,280 --> 01:43:20,880 AND EVEN IN TRIBAL GOVERNMENT 3052 01:43:20,880 --> 01:43:22,640 FOR THAT MATTER. 3053 01:43:22,640 --> 01:43:25,440 AND THAT TOOK A LOT LESS TIME, 3054 01:43:25,440 --> 01:43:28,400 GIVEN THE PANDEMIC. 3055 01:43:28,400 --> 01:43:31,680 AND I THINK EVEN THE CHAIRMAN OF 3056 01:43:31,680 --> 01:43:33,120 THE TRIBE ON MY LAST DAY UP AT 3057 01:43:33,120 --> 01:43:34,560 THE HOPI HEALTH CARE CENTER, WE 3058 01:43:34,560 --> 01:43:36,560 TALKED ABOUT HOW CLOSE WE HAD 3059 01:43:36,560 --> 01:43:38,040 COME IN OUR WORKING 3060 01:43:38,040 --> 01:43:40,920 RELATIONSHIPS WHERE WE WERE 3061 01:43:40,920 --> 01:43:42,240 TALKING DALE I. 3062 01:43:42,240 --> 01:43:44,200 AND A LOT OF POINTS DURING OUR 3063 01:43:44,200 --> 01:43:45,640 RESPONSE AND THEN ALSO KEEPING 3064 01:43:45,640 --> 01:43:47,680 UM THE WEEKLY MEETINGS AND 3065 01:43:47,680 --> 01:43:49,560 SHARING INFORMATION, REALLY 3066 01:43:49,560 --> 01:43:51,720 WORKING HAND IN GLOVE WITH ALL 3067 01:43:51,720 --> 01:43:53,480 OF THE TRIBAL PROGRAMS, 3068 01:43:53,480 --> 01:43:55,280 EMERGENCY RESPONSE TEAMS FROM 3069 01:43:55,280 --> 01:43:55,520 THE TRIBE. 3070 01:43:55,520 --> 01:44:00,560 THEY WERE GREAT TO WORK WITH. 3071 01:44:00,560 --> 01:44:03,560 AND SO I THINK YOU SUMMED IT UP 3072 01:44:03,560 --> 01:44:04,920 REALLY NICELY THAT BY NECESSITY 3073 01:44:04,920 --> 01:44:09,520 WE HAD TO COME TOGETHER AND 3074 01:44:09,520 --> 01:44:11,360 REALLY JUST WORK TOGETHER AND 3075 01:44:11,360 --> 01:44:12,240 FIGURE IT OUT. 3076 01:44:12,240 --> 01:44:15,200 A LOT OF THOSE ADMINISTRATIVE 3077 01:44:15,200 --> 01:44:19,000 HURDLES YOU JUST FIGURE OUT. 3078 01:44:19,000 --> 01:44:25,280 THERE IS ANOTHER QUESTION IN THE 3079 01:44:25,280 --> 01:44:25,560 CHAT. 3080 01:44:25,560 --> 01:44:27,760 IT'S FROM -- SHE GIVES HER 3081 01:44:27,760 --> 01:44:28,960 NAME -- I DON'T KNOW IF I'M 3082 01:44:28,960 --> 01:44:30,320 SUPPOSED TO GIVE NAMES. 3083 01:44:30,320 --> 01:44:34,320 BUT SHE IS A RECOVER PATIENT 3084 01:44:34,320 --> 01:44:37,480 CAREGIVER REPRESENTATIVE WITH 3085 01:44:37,480 --> 01:44:37,760 LONG COVID. 3086 01:44:37,760 --> 01:44:38,600 WHAT MEASURES ARE BEING DONE TO 3087 01:44:38,600 --> 01:44:40,080 PROVIDE MEDICAL CARE FOR COVID 3088 01:44:40,080 --> 01:44:41,960 LONG HAULERS WITH CHRONIC 3089 01:44:41,960 --> 01:44:44,760 ILLNESS WHICH CAN BE A VERY NEW 3090 01:44:44,760 --> 01:44:47,720 AND EXTREME EXPERIENCE? 3091 01:44:47,720 --> 01:44:52,320 I'M NOT AWARE OF THE CURRENT 3092 01:44:52,320 --> 01:44:54,280 MEASURES BEING DONE FOR LONG 3093 01:44:54,280 --> 01:44:54,560 COVID. 3094 01:44:54,560 --> 01:44:55,840 CAN ANYBODY RESPOND TO THAT 3095 01:44:55,840 --> 01:45:04,200 QUESTION? 3096 01:45:04,200 --> 01:45:06,440 >>I'LL ANSWER REAL QUICK. 3097 01:45:06,440 --> 01:45:07,800 AT NAVAJO WE HAVE BEEN ASSESSING 3098 01:45:07,800 --> 01:45:09,680 LONG COVID EVEN DURING THE 3099 01:45:09,680 --> 01:45:11,880 PANDEMIC WITH OUR CONTACT 3100 01:45:11,880 --> 01:45:12,120 TRACERS. 3101 01:45:12,120 --> 01:45:14,480 THEY CALL OUR RECOVERED 3102 01:45:14,480 --> 01:45:17,120 POPULATION AND ASK THEM HOW THEY 3103 01:45:17,120 --> 01:45:17,640 ARE DOING. 3104 01:45:17,640 --> 01:45:19,480 AND THEN ALSO CONNECTING THEM 3105 01:45:19,480 --> 01:45:19,680 BACK. 3106 01:45:19,680 --> 01:45:21,480 SO WE ASK THESE QUESTIONS AND IF 3107 01:45:21,480 --> 01:45:23,200 THEY SAY YES TO ANY OF THOSE 3108 01:45:23,200 --> 01:45:24,920 QUESTIONS, WE TRIED TRY TO 3109 01:45:24,920 --> 01:45:26,200 CONNECT THEM BACK TO THE 3110 01:45:26,200 --> 01:45:29,240 PROVIDER SO THEY CAN COME IN FOR 3111 01:45:29,240 --> 01:45:30,000 FOLLOW-UP CARE. 3112 01:45:30,000 --> 01:45:31,920 SO THAT'S HOW WE ARE DOING IT AT 3113 01:45:31,920 --> 01:45:33,280 NAVAJO AREA. 3114 01:45:33,280 --> 01:45:40,600 I'LL TURN IT OVER TO CAPTAN. 3115 01:45:40,600 --> 01:45:40,920 >>THANKS. 3116 01:45:40,920 --> 01:45:45,600 I WOULD JUST SAY I KNOW THAT 3117 01:45:45,600 --> 01:45:48,480 IHS, CHIEF MEDICAL OFFICER 3118 01:45:48,480 --> 01:45:49,120 DR. CHRISTENSEN, LONG COVE ID IS 3119 01:45:49,120 --> 01:45:49,720 SOMETHING THAT IS IMPORTANT TO 3120 01:45:49,720 --> 01:45:51,120 HER AND SHE GENERATED A 3121 01:45:51,120 --> 01:45:53,600 WORKGROUP WORKING ON LONG COVID 3122 01:45:53,600 --> 01:45:56,080 WITHIN IHS. 3123 01:45:56,080 --> 01:45:58,280 SO I HAVE NOT HEARD OF THAT 3124 01:45:58,280 --> 01:46:03,040 INITIATIVE -- I'M NOT PART OF 3125 01:46:03,040 --> 01:46:04,240 THE INITIATIVE BUT IT'S A 3126 01:46:04,240 --> 01:46:04,680 IMPORTANT COMPONENT. 3127 01:46:04,680 --> 01:46:06,240 MYSELF, WE HAVE -- SO MANY 3128 01:46:06,240 --> 01:46:06,760 COLLEAGUES THAT ARE STILL 3129 01:46:06,760 --> 01:46:10,000 SUFFERING FROM LONG COVID AND 3130 01:46:10,000 --> 01:46:10,600 IT'S AN IMPORTANT THING AND 3131 01:46:10,600 --> 01:46:13,680 WE'LL HAVE TO CONTINUE TO GATHER 3132 01:46:13,680 --> 01:46:16,320 INFORMATION ABOUT, GATHER 3133 01:46:16,320 --> 01:46:17,280 FUNDING FOR RESEARCH AND 3134 01:46:17,280 --> 01:46:18,600 CONTINUE TO MONITOR. 3135 01:46:18,600 --> 01:46:19,800 THERE ARE SO MANY THINGS WE 3136 01:46:19,800 --> 01:46:20,960 PROBABLY DON'T EVEN KNOW YET 3137 01:46:20,960 --> 01:46:22,040 ABOUT LONG COVID. 3138 01:46:22,040 --> 01:46:23,400 SO I WOULD SAY, CONTINUING TO 3139 01:46:23,400 --> 01:46:26,240 HAVE THAT CONVERSATION WITH YOUR 3140 01:46:26,240 --> 01:46:27,080 MEDICAL PROVIDER. 3141 01:46:27,080 --> 01:46:29,120 CONTINUING TO ASK YOUR MEDICAL 3142 01:46:29,120 --> 01:46:32,160 PROVIDER TOILIVATE THAT YOU'RE 3143 01:46:32,160 --> 01:46:33,640 CONCERNED AND BE COMPREHENSIVE 3144 01:46:33,640 --> 01:46:39,960 ABOUT THINKING THROUGH 3145 01:46:39,960 --> 01:46:40,240 SOLUTIONS. 3146 01:46:40,240 --> 01:46:42,080 AND EVALUATING YOUR HOLISTIC 3147 01:46:42,080 --> 01:46:42,320 PERSON. 3148 01:46:42,320 --> 01:46:42,880 WHAT OTHER THINGS COULD BE 3149 01:46:42,880 --> 01:46:46,920 AFFECTED BY COVID THAT AREN'T 3150 01:46:46,920 --> 01:46:47,520 JUST SOMETHING YOU CAN MEASURE 3151 01:46:47,520 --> 01:46:48,920 WITH A BLOOD PRESSURE CUFF OR A 3152 01:46:48,920 --> 01:46:49,560 LAB TEST. 3153 01:46:49,560 --> 01:46:53,000 SO I THINK IT'S IMPORTANT TO 3154 01:46:53,000 --> 01:46:53,880 CONTINUE THOSE CONVERSATIONS 3155 01:46:53,880 --> 01:46:55,320 WITH MEDICAL PROVIDERS AND 3156 01:46:55,320 --> 01:47:00,680 HOPEFULLY WE'LL CONTINUE TO 3157 01:47:00,680 --> 01:47:01,760 ELEVATE INFORMATION ABOUT LONG 3158 01:47:01,760 --> 01:47:03,520 COVID AND AS AN AGENCY BE ABLE 3159 01:47:03,520 --> 01:47:05,640 TO MOVE FORWARD WITH SOME OF 3160 01:47:05,640 --> 01:47:05,840 THAT. 3161 01:47:05,840 --> 01:47:06,680 SO MANY UNKNOWNS AT THIS TIME. 3162 01:47:06,680 --> 01:47:09,920 IT'S A GREAT QUESTION. 3163 01:47:09,920 --> 01:47:10,720 >>MODERATOR: SURE. 3164 01:47:10,720 --> 01:47:13,880 THANK YOU. 3165 01:47:13,880 --> 01:47:19,720 WITH THAT, I SEE NO MORE 3166 01:47:19,720 --> 01:47:20,240 QUESTIONS. 3167 01:47:20,240 --> 01:47:22,320 AND AGAIN, YOU ALL DID SUCH A 3168 01:47:22,320 --> 01:47:22,800 WONDERFUL JOB. 3169 01:47:22,800 --> 01:47:27,840 I DON'T EVEN HAVE ANY QUESTIONS. 3170 01:47:27,840 --> 01:47:31,720 SO WITH THAT, I JUST WANT TO 3171 01:47:31,720 --> 01:47:32,760 CHK1 LAST TIME. 3172 01:47:32,760 --> 01:47:35,640 WITH THAT, I WANT TO THANK YOU 3173 01:47:35,640 --> 01:47:36,600 ALL. 3174 01:47:36,600 --> 01:47:41,320 YOU HAVE BEEN SO ENLIGHTENING 3175 01:47:41,320 --> 01:47:41,960 AND PROVIDING SUCH GREAT 3176 01:47:41,960 --> 01:47:43,320 INFORMATION AND RECOMMENDATIONS 3177 01:47:43,320 --> 01:47:44,760 FOR ENGAGING WITH TRIBAL 3178 01:47:44,760 --> 01:47:46,000 COMMUNITIES AND WORKING WITH 3179 01:47:46,000 --> 01:47:49,880 TRIBAL COMMUNITIES, WHETHER IN A 3180 01:47:49,880 --> 01:47:50,480 PANDEMIC OR NOT. 3181 01:47:50,480 --> 01:47:53,240 AND ALSO, RESEARCHERS AND 3182 01:47:53,240 --> 01:47:57,160 INVESTIGATORS THAT WANT TO 3183 01:47:57,160 --> 01:47:58,400 ENGAGE WITH THE TRIBAL COMMUNITY 3184 01:47:58,400 --> 01:47:58,920 CAN DO RESEARCH. 3185 01:47:58,920 --> 01:48:01,840 THAT'S IMPORTANT FOR THAT 3186 01:48:01,840 --> 01:48:02,120 COMMUNITY. 3187 01:48:02,120 --> 01:48:03,400 AND PROVIDED GREAT INFORMATION 3188 01:48:03,400 --> 01:48:06,600 ON THAT AS WELL TO ENGAGE WITH 3189 01:48:06,600 --> 01:48:07,080 THE COMMUNITIES EARLY. 3190 01:48:07,080 --> 01:48:08,920 TO HAVE THEM INVOLVED IN ALL 3191 01:48:08,920 --> 01:48:10,880 ASPECTS OF THE STUDY FROM THE 3192 01:48:10,880 --> 01:48:12,800 DEVELOPMENT TO DISSEMINATION OF 3193 01:48:12,800 --> 01:48:13,040 RESULTS. 3194 01:48:13,040 --> 01:48:15,960 I THOUGHT THAT WAS ALSO VERY 3195 01:48:15,960 --> 01:48:16,200 HELPFUL. 3196 01:48:16,200 --> 01:48:18,640 AND YOU ALSO SHARED SO MUCH 3197 01:48:18,640 --> 01:48:19,880 INFORMATION ACROSS THE SPECTRUM 3198 01:48:19,880 --> 01:48:21,840 OF THE RESPONSE OF THE PANDEMIC. 3199 01:48:21,840 --> 01:48:25,000 I THINK IT'S BEEN VERY, VERY 3200 01:48:25,000 --> 01:48:26,280 HELPFUL AND YOU HAVE ALSO 3201 01:48:26,280 --> 01:48:28,120 IDENTIFIED SOME GAPS IN SOME 3202 01:48:28,120 --> 01:48:30,600 AREAS WHERE WE COULD PUT SOME 3203 01:48:30,600 --> 01:48:33,320 RESOURCES TO AND TRY TO 3204 01:48:33,320 --> 01:48:34,560 UNDERSTAND BETTER SO WE CAN -- 3205 01:48:34,560 --> 01:48:39,200 SO WE CAN BE PREPARED GOING 3206 01:48:39,200 --> 01:48:40,120 FORWARD. 3207 01:48:40,120 --> 01:48:44,520 AND UNFORTUNATELY, THAT IS OUR 3208 01:48:44,520 --> 01:48:45,280 REALITY. 3209 01:48:45,280 --> 01:48:48,320 SO, WITH THAT, I THINK WE ARE 3210 01:48:48,320 --> 01:48:51,600 GOING TO WRAP UP THE WEBINAR 3211 01:48:51,600 --> 01:48:54,840 HERE AND DR. JOHNSON, BACK TO 3212 01:48:54,840 --> 01:48:55,120 YOU. 3213 01:48:55,120 --> 01:48:57,800 THIS HAS BEEN A GREAT WEBINAR. 3214 01:48:57,800 --> 01:48:58,720 I'LL JUST HAND IT BACK TO YOU. 3215 01:48:58,720 --> 01:49:01,040 THANK YOU. 3216 01:49:01,040 --> 01:49:01,760 >>GREAT. 3217 01:49:01,760 --> 01:49:05,080 I JUST ECHO YOUR SENTIMENT AND 3218 01:49:05,080 --> 01:49:09,640 WANT TO SAY, APPLAUSE TO OUR 3219 01:49:09,640 --> 01:49:09,960 PANELISTS. 3220 01:49:09,960 --> 01:49:14,960 WE RECOGNIZE THE AMAZING IMPACT 3221 01:49:14,960 --> 01:49:15,640 THAT YOU'VE HAD IN THE TRIBAL 3222 01:49:15,640 --> 01:49:17,240 COMMUNITIES AND SORT OF CHANGING 3223 01:49:17,240 --> 01:49:20,120 THE LANDSCAPE FROM EARLY IN THE 3224 01:49:20,120 --> 01:49:23,040 PANDEMIC UNTIL WHERE WE ARE NOW. 3225 01:49:23,040 --> 01:49:25,720 SO JUST WANT TO RECOGNIZE 3226 01:49:25,720 --> 01:49:31,480 LIEUTENANT DAY MAN, CAPTAN VAN 3227 01:49:31,480 --> 01:49:33,720 LEW AND DR. HAMIT. 3228 01:49:33,720 --> 01:49:34,720 AND THANK YOU MOSE FOR AGREEING 3229 01:49:34,720 --> 01:49:37,040 TO BE THE MODERATOR. 3230 01:49:37,040 --> 01:49:37,640 WE ARE MUSH PETERED. 3231 01:49:37,640 --> 01:49:38,480 ON THE SCREEN YOU HAVE BEFORE 3232 01:49:38,480 --> 01:49:40,560 YOU ARE RESOURCES THAT ARE 3233 01:49:40,560 --> 01:49:43,120 AVAILABLE FOR THOSE 3234 01:49:43,120 --> 01:49:43,440 PARTICIPATING. 3235 01:49:43,440 --> 01:49:44,560 THEY ARE RESOURCES MADE 3236 01:49:44,560 --> 01:49:45,720 AVAILABLE BY THE SPOONSORS OF 3237 01:49:45,720 --> 01:49:49,360 THIS WEBINAR, THE CEAL ALLIANCE, 3238 01:49:49,360 --> 01:49:50,600 COVID-19 COMMUNITY. 3239 01:49:50,600 --> 01:49:53,000 YOU'LL FIND THOSE ON LINE. 3240 01:49:53,000 --> 01:49:56,960 ALSO PROVIDING SOME RESOURCES 3241 01:49:56,960 --> 01:50:02,400 FOR YOU AND THEN ANOTHER AIAN 3242 01:50:02,400 --> 01:50:03,640 RESOURCE IS AVAILABLE. 3243 01:50:03,640 --> 01:50:06,800 PLEASE TAKE THOSE AND WE LOOK 3244 01:50:06,800 --> 01:50:07,400 FORWARD TO WORKING MORE WITH 3245 01:50:07,400 --> 01:50:08,040 YOU. 3246 01:50:08,040 --> 01:50:09,320 THE RECOVER INITIATIVE, THE LAST 3247 01:50:09,320 --> 01:50:10,640 QUESTION THAT BESPOKE ABOUT, 3248 01:50:10,640 --> 01:50:11,800 LONG COVID. 3249 01:50:11,800 --> 01:50:14,160 I DID WANT TO CALL ATTENTION TO 3250 01:50:14,160 --> 01:50:15,760 THE RECOVER INITIATIVE, WHICH IS 3251 01:50:15,760 --> 01:50:17,920 UND IFED TO ADDRESS LONG COVID. 3252 01:50:17,920 --> 01:50:19,760 THEY HAVE RESOURCES AVAILABLE 3253 01:50:19,760 --> 01:50:21,720 FOR TRIBAL COMMUNITIES FOR 3254 01:50:21,720 --> 01:50:23,240 PARTICIPATION IN THE 3255 01:50:23,240 --> 01:50:25,000 OBSERVATIONAL STUDIES WITHIN THE 3256 01:50:25,000 --> 01:50:26,720 RECOVER INITIATIVE. 3257 01:50:26,720 --> 01:50:32,320 AND THOSE ARE AVAILABLE AS WELL. 3258 01:50:32,320 --> 01:50:33,840 A COUPLE OF CONTACTS JUST IN 3259 01:50:33,840 --> 01:50:36,000 CASE YOU WANT TO CIRCLE BACK AND 3260 01:50:36,000 --> 01:50:38,000 TOUCH BASE WITH US. 3261 01:50:38,000 --> 01:50:41,480 THESE ARE WAYS YOU CAN REACH OUT 3262 01:50:41,480 --> 01:50:42,920 AND GET FURTHER INFORMATION OR 3263 01:50:42,920 --> 01:50:45,640 CONTACT FROM RECOVER FROM THE 3264 01:50:45,640 --> 01:50:47,760 NIH TRIBAL HEALTH RESEARCH 3265 01:50:47,760 --> 01:50:51,760 OFFICE AS WELL AS THE CEAL 3266 01:50:51,760 --> 01:50:52,160 APPLIANCE. 3267 01:50:52,160 --> 01:50:53,920 WITH THAT, THANK YOU AND HAVE A 3268 01:50:53,920 --> 01:51:04,240 WONDERFUL AFTERNOON.