1 00:00:05,480 --> 00:00:10,360 >>THANK YOU FOR JOINING US FOR 2 00:00:10,360 --> 00:00:14,240 DAY TWO OF THE TAC. 3 00:00:14,240 --> 00:00:18,720 FOR ANYONE LISTENING ONLINE, 4 00:00:18,720 --> 00:00:20,640 THANK YOU FOR JOINING US. 5 00:00:20,640 --> 00:00:22,000 WE STARTED THE MORNING SESSION 6 00:00:22,000 --> 00:00:24,960 OVER AT -- WHERE WAS IT THIS 7 00:00:24,960 --> 00:00:30,600 MORNING? 8 00:00:30,600 --> 00:00:35,080 WE WERE AT THE CLINICAL CENTER 9 00:00:35,080 --> 00:00:35,640 FOR A NICE TOUR. 10 00:00:35,640 --> 00:00:46,160 DO YOU MIND DOING A ROLL CALL? 11 00:00:47,680 --> 00:00:53,480 WE'LL DO INTRODUCTIONS STARTING 12 00:00:53,480 --> 00:00:53,960 WITH YOU. 13 00:00:53,960 --> 00:00:59,240 >>DEBBIE DANFORTH MEMBER AT 14 00:00:59,240 --> 00:01:02,920 LARGE REPRESENTING THE ONEIDA 15 00:01:02,920 --> 00:01:04,760 NATION. 16 00:01:04,760 --> 00:01:10,920 >>MEMBER AT LARGE I LIVE IN 17 00:01:10,920 --> 00:01:13,920 ALASKA AND REPRESENTING THE 18 00:01:13,920 --> 00:01:18,320 ORGANIZATION OF MY TRIBE. 19 00:01:18,320 --> 00:01:22,920 >>I'M A DELEGATE FOR THE TUCSON 20 00:01:22,920 --> 00:01:24,120 AREA. 21 00:01:24,120 --> 00:01:26,400 >>ALICIA MOUSSEAU FROM THE 22 00:01:26,400 --> 00:01:31,400 GREAT PLAINS AREA. 23 00:01:31,400 --> 00:01:37,720 >>STEVE KUTZ REPRESENTING THE 24 00:01:37,720 --> 00:01:38,520 PORTLAND AREA. 25 00:01:38,520 --> 00:01:39,560 >> 26 00:01:39,560 --> 00:01:44,640 [SPEAKING NON-ENGLISH] 27 00:01:44,640 --> 00:01:52,880 MY NAME IS BRITTANY JOCK 28 00:01:52,880 --> 00:01:57,800 REPRESENTING THE NASHVILLE AREA 29 00:01:57,800 --> 00:02:07,200 REPRESENTING THE SAINT REGIS 30 00:02:07,200 --> 00:02:17,440 MOHAWK TRIBE. 31 00:02:21,840 --> 00:02:25,520 >>HERMINIA: NEXT TIME WE'LL 32 00:02:25,520 --> 00:02:29,440 TAKE INTO CONSIDERATION EAST 33 00:02:29,440 --> 00:02:31,800 COAST AND WEST COAST BECAUSE 34 00:02:31,800 --> 00:02:35,320 THAT'S REALLY IMPORTANT BECAUSE 35 00:02:35,320 --> 00:02:37,280 IT'S A PACKED AGENDA AND WE HAVE 36 00:02:37,280 --> 00:02:38,760 DIFFERENT TIME ZONES HERE. 37 00:02:38,760 --> 00:02:39,920 ONE THING TO KEEP IN MIND. 38 00:02:39,920 --> 00:02:45,920 THANK YOU FOR HANGING IN THERE. 39 00:02:45,920 --> 00:02:49,400 THE GOOD THING IS I THINK WE ALL 40 00:02:49,400 --> 00:02:51,360 STAYED WIDE AWAKE BECAUSE THE 41 00:02:51,360 --> 00:02:51,960 PRESENTATIONS WERE SO 42 00:02:51,960 --> 00:02:52,240 INTERESTING. 43 00:02:52,240 --> 00:02:55,200 THEY WERE GOOD PRESENTATIONS AND 44 00:02:55,200 --> 00:02:59,280 WE ALL LEARNED A LOT AND I THINK 45 00:02:59,280 --> 00:03:09,840 THAT'S WHY WE WERE ALL ENGAGED. 46 00:03:17,760 --> 00:03:20,320 AND WE HAD THE UPDATE BECAUSE WE 47 00:03:20,320 --> 00:03:22,040 HAD A GOOD CONVERSATION TODAY 48 00:03:22,040 --> 00:03:27,960 ALSO IN OUR CAUCUS AND 49 00:03:27,960 --> 00:03:30,160 SUPPORTING ALE THE WORK YOU'VE 50 00:03:30,160 --> 00:03:31,160 BEEN DOING IS CONSISTENT WITH 51 00:03:31,160 --> 00:03:32,680 WHAT WE'VE BEEN TALKING ABOUT. 52 00:03:32,680 --> 00:03:34,600 IT'S ALIGNED WITH WHAT WE'RE 53 00:03:34,600 --> 00:03:35,520 DOING. 54 00:03:35,520 --> 00:03:36,200 WE WANT TO CONTINUE TO SUPPORT 55 00:03:36,200 --> 00:03:38,000 THAT AND WE ALSO WANT TO BE A 56 00:03:38,000 --> 00:03:39,880 PART OF WHAT YOU'RE WORKING ON 57 00:03:39,880 --> 00:03:42,960 AS YOU CONTINUE TO MOVE FORWARD 58 00:03:42,960 --> 00:03:43,840 ON THE STRATEGY PLANNING. 59 00:03:43,840 --> 00:03:46,640 THAT IS SOMETHING THAT WE'RE 60 00:03:46,640 --> 00:03:54,920 LOOKING FORWARD TO DOING. 61 00:03:54,920 --> 00:03:57,120 DO YOU WANT TO BRING UP ANYTHING 62 00:03:57,120 --> 00:03:58,160 ELSE FOR THE WRAP UP FROM 63 00:03:58,160 --> 00:03:59,760 YESTERDAY AND TODAY BECAUSE I 64 00:03:59,760 --> 00:04:03,200 KNOW YOU DIDN'T REALLY HAVE A 65 00:04:03,200 --> 00:04:03,720 CHANCE. 66 00:04:03,720 --> 00:04:07,320 >>KARINA: THANK YOU VERY MUCH 67 00:04:07,320 --> 00:04:08,840 AND GRATEFUL FOR OUR PANELIST TO 68 00:04:08,840 --> 00:04:10,600 COME OUT AND SHARE THE AMAZING 69 00:04:10,600 --> 00:04:13,000 WORK BEING DONE AT THE NIH BY 70 00:04:13,000 --> 00:04:16,440 OUR NATIVE INVESTIGATORS. 71 00:04:16,440 --> 00:04:18,520 GIVING THE TAC THE OPPORTUNITY 72 00:04:18,520 --> 00:04:19,600 TO SEE THEM IN ACTION THE 73 00:04:19,600 --> 00:04:20,560 COMMITTEE WORK THAT'S GOING ON 74 00:04:20,560 --> 00:04:22,760 AND TODAY AT THE CLINICAL CENTER 75 00:04:22,760 --> 00:04:24,360 IT'S THE FIRST TIME I'VE HAD A 76 00:04:24,360 --> 00:04:25,240 CHANCE TO BE THERE AS WELL. 77 00:04:25,240 --> 00:04:27,600 I FOUND IT REALLY INTERESTING 78 00:04:27,600 --> 00:04:29,120 AND LOOK FORWARD TO HEARING WHAT 79 00:04:29,120 --> 00:04:31,000 YOUR THOUGHTS ARE ON THAT AND 80 00:04:31,000 --> 00:04:33,080 WAYS TO BETTER PARTNER 81 00:04:33,080 --> 00:04:34,200 POTENTIALLY WITH THE CLINICAL 82 00:04:34,200 --> 00:04:37,160 CENTER ACTIVITIES AND INTRAMURAL 83 00:04:37,160 --> 00:04:42,080 PROGRAMS FOR OUR COMMUNITIES, SO 84 00:04:42,080 --> 00:04:52,360 SERVICE OF THAT. 85 00:05:11,600 --> 00:05:14,240 >>Herminia: WE TALKED TO 86 00:05:14,240 --> 00:05:16,280 DR. TABAK AND ALSO HAD THOUGHT 87 00:05:16,280 --> 00:05:17,640 ABOUT THE WORK ALL OF US BRING 88 00:05:17,640 --> 00:05:18,960 TO THE TABLE AND THE PASSION WE 89 00:05:18,960 --> 00:05:23,960 ALL BRING TO THE TABLE AND WE 90 00:05:23,960 --> 00:05:26,240 HAVE REALLY GOOD AND GREAT 91 00:05:26,240 --> 00:05:28,760 TECHNICAL ADVISORS AND PEOPLE IN 92 00:05:28,760 --> 00:05:32,720 THE FIELD A LONG TIME. 93 00:05:32,720 --> 00:05:35,240 WE REALLY WANT TO CONTRIBUTE TO 94 00:05:35,240 --> 00:05:37,720 WHAT WE CAN HELP THROUGHOUT THE 95 00:05:37,720 --> 00:05:48,400 COUNTRY AN INDIAN COUNTRY AND 96 00:05:49,160 --> 00:05:50,200 AND SOMETIMES PROGRESS DOESN'T 97 00:05:50,200 --> 00:05:51,800 HAPPEN AS QUICKLY AS OTHERS 98 00:05:51,800 --> 00:05:57,080 MIGHT WANT TO SEE IT. 99 00:05:57,080 --> 00:06:03,680 I THINK THAT'S BECAUSE IT'S 100 00:06:03,680 --> 00:06:05,200 DIFFERENT AND WE'RE HAPPY TO SEE 101 00:06:05,200 --> 00:06:06,440 YOU IN THIS POSITION AND YOU'VE 102 00:06:06,440 --> 00:06:08,920 BEEN OUT WORKING IN THE 103 00:06:08,920 --> 00:06:09,200 UNIVERSITY. 104 00:06:09,200 --> 00:06:11,560 YOU'VE BEEN OUT WORKING WITH 105 00:06:11,560 --> 00:06:12,720 YOUR TRIBE, YOU'VE BEEN OUT 106 00:06:12,720 --> 00:06:16,360 WORKING WITH TRIBES AND YOU 107 00:06:16,360 --> 00:06:18,280 REALLY DO UNDERSTAND THE DYNAMIC 108 00:06:18,280 --> 00:06:21,080 AND SO IT'S REALLY HAVING YOU IN 109 00:06:21,080 --> 00:06:24,400 THIS POSITION HAS -- WE ALREADY 110 00:06:24,400 --> 00:06:25,280 SEE IT WHEN WE REPORT YESTERDAY 111 00:06:25,280 --> 00:06:29,480 BUT WE SEE THE VALUE OF HAVING 112 00:06:29,480 --> 00:06:30,840 YOU HERE AND BY YOU HIRING 113 00:06:30,840 --> 00:06:32,440 SHEILA I THINK IT'S GOING TO BE 114 00:06:32,440 --> 00:06:33,800 A GOOD FIT. 115 00:06:33,800 --> 00:06:36,600 THAT'S ONE OF THE THINGS WE HAD 116 00:06:36,600 --> 00:06:37,880 BEEN TALKING ABOUT IS HOW WE CAN 117 00:06:37,880 --> 00:06:43,640 CONTINUE TO SUPPORT THAT BUT 118 00:06:43,640 --> 00:06:45,520 ALSO THINKING ABOUT OUR WORK AS 119 00:06:45,520 --> 00:06:49,040 WE WANT TO AS A TAC HOW DO WE 120 00:06:49,040 --> 00:06:51,000 CONTINUE TO MOVE FORWARD AND 121 00:06:51,000 --> 00:06:53,000 CONTINUE THAT MOMENTUM AS A 122 00:06:53,000 --> 00:06:54,440 WORKING GROUP. 123 00:06:54,440 --> 00:07:01,080 AS A REAL ACTIVE WORKING GROUP. 124 00:07:01,080 --> 00:07:05,040 >>I ABSOLUTELY LOOK FORWARD TO 125 00:07:05,040 --> 00:07:07,520 THAT AND A PRODUCTIVE FUTURE. 126 00:07:07,520 --> 00:07:08,560 I HOPE TO BE ABLE TO BRING SOME 127 00:07:08,560 --> 00:07:10,480 OF THE EXPERIENCE I HAVE FROM 128 00:07:10,480 --> 00:07:13,320 THE FIELD BUT I'M ALSO STILL A 129 00:07:13,320 --> 00:07:16,120 LEARNER AND LOOKING FORWARD TO 130 00:07:16,120 --> 00:07:18,840 LEARNING FROM EACH OF EVERY ONE 131 00:07:18,840 --> 00:07:21,040 OF YOU AND ADDRESS THE 132 00:07:21,040 --> 00:07:22,360 CHALLENGES OUR COMMUNITIES OUR 133 00:07:22,360 --> 00:07:22,560 FACING. 134 00:07:22,560 --> 00:07:25,160 THANK YOU FOR THAT OPPORTUNITY. 135 00:07:25,160 --> 00:07:26,360 NOW WE HAVE DR. TABAK HERE. 136 00:07:26,360 --> 00:07:33,000 THANK YOU. 137 00:07:33,000 --> 00:07:38,720 WE'LL MOVE FORWARD. 138 00:07:38,720 --> 00:07:41,000 FIRST, THANK YOU DR. TABAK FOR 139 00:07:41,000 --> 00:07:51,200 BEING HERE. 140 00:08:15,280 --> 00:08:17,000 INTRODUCE YOURSELVES. 141 00:08:17,000 --> 00:08:23,920 >>MY NAME IS DR. BRITTANY JOCK 142 00:08:23,920 --> 00:08:27,280 AND I'M FROM THE SAINT REGIS 143 00:08:27,280 --> 00:08:29,120 MOHAWK TRIBE AND EXCITED TO MEET 144 00:08:29,120 --> 00:08:32,520 YOU AND HAVE THE SESSION. 145 00:08:32,520 --> 00:08:38,600 >>HI, MY NAME IS STEPHEN KUTZ 146 00:08:38,600 --> 00:08:39,600 FROM WASHINGTON STATE AND 147 00:08:39,600 --> 00:08:43,240 REPRESENT THE PORTLAND AREA AND 148 00:08:43,240 --> 00:08:46,720 COME PREDOMINANTLY FROM THE 149 00:08:46,720 --> 00:08:49,280 PUBLIC HEALTH FIELD IN THE FIELD 150 00:08:49,280 --> 00:08:53,560 ABOUT 33 YEARS. 151 00:08:53,560 --> 00:09:01,000 >>I'M ALICIA MOUSSEAU. 152 00:09:01,000 --> 00:09:04,360 >>I'M THE TRIBAL DELEGATE FOR 153 00:09:04,360 --> 00:09:14,840 THE TUCSON AREA AND FOR THE 154 00:09:18,600 --> 00:09:21,000 PASCUA TRIBE. 155 00:09:21,000 --> 00:09:25,760 >>I'M A FAMILY PRACTICE DOCTOR 156 00:09:25,760 --> 00:09:28,440 >>I'M DEBBIE DAN FORTH AND 157 00:09:28,440 --> 00:09:30,680 MEMBER AT LARGE FOR THE TAC TEAM 158 00:09:30,680 --> 00:09:33,280 ARE REPRESENTING THE ONEIDA 159 00:09:33,280 --> 00:09:37,000 NATION AND MY BACKGROUND IS 160 00:09:37,000 --> 00:09:41,000 PRIMARILY HEALTH DIRECTOR. 161 00:09:41,000 --> 00:09:44,800 >>AND I WILL INTRODUCE 162 00:09:44,800 --> 00:09:45,200 DR. TABAK. 163 00:09:45,200 --> 00:09:48,120 HE IS THE ACTING DIRECTOR OF THE 164 00:09:48,120 --> 00:09:50,080 NATIONAL INSTITUTES OF HEALTH 165 00:09:50,080 --> 00:09:52,240 WHICH OFFICIALLY TOOK OFFICE ON 166 00:09:52,240 --> 00:09:53,440 DECEMBER 20, 2021. 167 00:09:53,440 --> 00:09:56,680 HE SERVED AS THE PRINCIPAL 168 00:09:56,680 --> 00:10:00,600 DEPUTY DIRECTOR AND ETHICS 169 00:10:00,600 --> 00:10:03,240 COUNSELOR OF NIH SINCE AUGUST 170 00:10:03,240 --> 00:10:07,480 2010 AND ACTING PRINCIPAL DEPUTY 171 00:10:07,480 --> 00:10:10,760 DIRECTOR OF NIH AND PART OF THE 172 00:10:10,760 --> 00:10:17,000 DIRECTOR OF INTRACRANIAL AND 173 00:10:17,000 --> 00:10:19,560 INTRAFACIAL RESEARCH. 174 00:10:19,560 --> 00:10:20,200 >>WONDERFUL TO BE WITH YOU ALL 175 00:10:20,200 --> 00:10:22,280 TODAY. 176 00:10:22,280 --> 00:10:25,560 AS YOU HEARD I CAN'T KEEP A JOB 177 00:10:25,560 --> 00:10:27,480 ANY PLACE. 178 00:10:27,480 --> 00:10:29,360 BOUNCING AROUND NIH THE PAST 23 179 00:10:29,360 --> 00:10:29,800 YEARS. 180 00:10:29,800 --> 00:10:32,040 PRIOR TO THAT I WAS IN ACADEMICS 181 00:10:32,040 --> 00:10:32,880 FOR 20 YEARS. 182 00:10:32,880 --> 00:10:36,600 SO I'M IN MY 20th MONTH AS THE 183 00:10:36,600 --> 00:10:37,800 ACTING DIRECTOR. 184 00:10:37,800 --> 00:10:40,840 THAT JOB WAS SUPPOSED TO BE TWO 185 00:10:40,840 --> 00:10:43,640 OR THREE MONTHS AND THEN A FUNNY 186 00:10:43,640 --> 00:10:45,080 THING HAPPENED OR FUNNY THING 187 00:10:45,080 --> 00:10:46,320 DIDN'T HAPPEN, I GUESS. 188 00:10:46,320 --> 00:10:52,720 WE DO HAVE A NOMINEE DR. MONICA 189 00:10:52,720 --> 00:10:53,720 BERTAGNOLLI CURRENTLY THE 190 00:10:53,720 --> 00:10:54,880 DIRECTOR OF THE NATIONAL CANCER 191 00:10:54,880 --> 00:10:55,680 INSTITUTE THE LARGEST INSTITUTE 192 00:10:55,680 --> 00:11:01,680 AT NIH. 193 00:11:01,680 --> 00:11:03,880 AND FOR HER TO SECURE 194 00:11:03,880 --> 00:11:07,720 APPOINTMENT TWO THINGS NEED TO 195 00:11:07,720 --> 00:11:07,960 HAPPEN. 196 00:11:07,960 --> 00:11:08,760 FIRST, THE SENATE HEALTH 197 00:11:08,760 --> 00:11:10,040 COMMITTEE NEEDS TO HOLD A 198 00:11:10,040 --> 00:11:14,560 HEARING, A CONFIRMATION HEARING 199 00:11:14,560 --> 00:11:16,040 AND ASSUMING SHE GETS THROUGH 200 00:11:16,040 --> 00:11:18,280 THAT, WHICH I'M SURE SHE WILL, 201 00:11:18,280 --> 00:11:19,480 WE'RE VERY CONFIDENT OF THAT, 202 00:11:19,480 --> 00:11:28,240 THEN SHE HAS TO COME TO FULL 203 00:11:28,240 --> 00:11:28,640 VOTE TO SENATE. 204 00:11:28,640 --> 00:11:30,360 WE DON'T KNOW WHEN A HEARING 205 00:11:30,360 --> 00:11:31,840 WILL BE HELD YET. 206 00:11:31,840 --> 00:11:40,480 WE'RE STILL WAITING FOR THAT. 207 00:11:40,480 --> 00:11:41,840 IT'S IN THE PRESS SENATOR 208 00:11:41,840 --> 00:11:42,520 SANDERS EXPECTS THE 209 00:11:42,520 --> 00:11:44,320 ADMINISTRATION TO COME UP WITH A 210 00:11:44,320 --> 00:11:45,880 PLAN TO REDUCE DRUG PRICING 211 00:11:45,880 --> 00:11:49,360 BEFORE HE'S WILLING TO BRING 212 00:11:49,360 --> 00:11:51,960 ANYBODY TO COMMITTEE. 213 00:11:51,960 --> 00:11:53,360 AS THEY SAY IN WASHINGTON, 214 00:11:53,360 --> 00:11:55,800 THAT'S WAY ABOVE MY PAY GRADE 215 00:11:55,800 --> 00:11:59,240 AND WE'LL LET THE ADMINISTRATION 216 00:11:59,240 --> 00:12:02,640 AND SENATOR SANDERS WORK THIS 217 00:12:02,640 --> 00:12:02,800 OUT. 218 00:12:02,800 --> 00:12:06,760 IN THE INTERIM, YOU KNOW, WE ARE 219 00:12:06,760 --> 00:12:09,640 CONTINUING TO DO ALL THE THINGS 220 00:12:09,640 --> 00:12:10,280 THAT NEED TO BE DONE. 221 00:12:10,280 --> 00:12:12,240 THE SECRETARY MADE IT CLEAR HE 222 00:12:12,240 --> 00:12:18,160 WANTED ME TO DO THAT. 223 00:12:18,160 --> 00:12:19,520 WE'VE POINTED -- IT WILL BE TWO 224 00:12:19,520 --> 00:12:23,040 INSTITUTE DIRECTORS WE NEEDED TO 225 00:12:23,040 --> 00:12:23,480 REPLACE. 226 00:12:23,480 --> 00:12:25,960 AND ANOTHER FEW KEY POSITIONS 227 00:12:25,960 --> 00:12:32,440 OVER THE NEXT WEEKS OR MONTHS. 228 00:12:36,440 --> 00:12:37,440 SO, I WANT TO SAY WE'RE VERY 229 00:12:37,440 --> 00:12:39,200 GRATEFUL TO ALL OF YOU. 230 00:12:39,200 --> 00:12:41,000 WE KNOW YOU TRAVELED LONG 231 00:12:41,000 --> 00:12:42,800 DISTANCES TO BE HERE AND WE 232 00:12:42,800 --> 00:12:45,000 NEVER ASK PEOPLE WHO ARE NOT 233 00:12:45,000 --> 00:12:46,680 INSANELY BUSY TO DO THESE JOBS 234 00:12:46,680 --> 00:12:49,200 AND I'M SURE YOU ALL ARE IN THAT 235 00:12:49,200 --> 00:12:53,640 CATEGORY. 236 00:12:53,640 --> 00:12:55,200 SO WE DO APPRECIATE IT TAKES 237 00:12:55,200 --> 00:12:55,880 TIME OUT OF YOUR SCHEDULES TO DO 238 00:12:55,880 --> 00:13:03,640 THIS. 239 00:13:03,640 --> 00:13:05,920 WE'RE PLEASED TO HAVE DR. KARINA 240 00:13:05,920 --> 00:13:09,280 WALTERS JOIN US IN HER ROLE. 241 00:13:09,280 --> 00:13:11,000 HAVING YOU AS PART OF THE NIH 242 00:13:11,000 --> 00:13:12,240 FAMILY WILL ALLOW TO US ACHIEVE 243 00:13:12,240 --> 00:13:18,960 GREATER THINGS GOING FORWARD. 244 00:13:18,960 --> 00:13:21,000 OBVIOUSLY YOU HAVE UNIQUE 245 00:13:21,000 --> 00:13:23,680 EXPERTISE AND INSIGHT AND WE 246 00:13:23,680 --> 00:13:27,360 REALLY WANT TO THANK YOU, FIRST, 247 00:13:27,360 --> 00:13:29,640 FOR TAKING ON THE ROLE BECAUSE 248 00:13:29,640 --> 00:13:33,440 I'M SURE IT WAS A COMPLICATED 249 00:13:33,440 --> 00:13:39,520 DECISION FOR YOU AND COURSE MOST 250 00:13:39,520 --> 00:13:40,160 MULTIM 251 00:13:40,160 --> 00:13:41,200 IMMEDIATELY GETTING THE WORK 252 00:13:41,200 --> 00:13:44,640 WITH THE TAC. 253 00:13:44,640 --> 00:13:49,160 I KNOW WE HAD PANELISTS AND 254 00:13:49,160 --> 00:13:49,800 AMERICAN INDIAN/ALASKAN NATIVE 255 00:13:49,800 --> 00:13:50,120 INVESTIGATORS. 256 00:13:50,120 --> 00:13:57,000 THAT'S INVALUABLE TO US BECAUSE 257 00:13:57,000 --> 00:13:58,200 THEY HAVE A UNIQUE PERSPECTIVE 258 00:13:58,200 --> 00:14:00,480 NONE OF THE LEADERSHIP HAVE. 259 00:14:00,480 --> 00:14:10,880 DR. WALTERS JOINING US THAT ADDS 260 00:14:10,880 --> 00:14:12,840 TO OUR DEPTH. 261 00:14:12,840 --> 00:14:13,960 AND INVESTIGATORS ARE ALREADY 262 00:14:13,960 --> 00:14:15,160 PLAYING KEY ROLES OF TRAINING 263 00:14:15,160 --> 00:14:17,160 THE NEXT GENERATION IN SOME 264 00:14:17,160 --> 00:14:20,920 CASES. 265 00:14:20,920 --> 00:14:23,960 AND I REPRESENT THE NIH AT THE 266 00:14:23,960 --> 00:14:25,200 SECRETARY'S ADVISORY COMMITTEE 267 00:14:25,200 --> 00:14:34,720 FOR THE LAST 13 YEARS BASICALLY. 268 00:14:34,720 --> 00:14:45,200 AND OF COURSE OUR OWN TAC THE 269 00:14:45,520 --> 00:14:47,080 GOAL IS TO EMPOWER TRIBAL NATION 270 00:14:47,080 --> 00:14:50,040 TO DO RESEARCH THAT THEY ARE 271 00:14:50,040 --> 00:14:51,080 INTERESTED IN DOING WITH NATIVE 272 00:14:51,080 --> 00:15:01,320 INVESTIGATORS. 273 00:15:01,880 --> 00:15:03,320 AND WE HOPE TO ACHIEVE THAT 274 00:15:03,320 --> 00:15:03,600 COMPLETELY. 275 00:15:03,600 --> 00:15:04,440 OBVIOUSLY SOME OF THAT IS 276 00:15:04,440 --> 00:15:12,320 ALREADY GOING ON. 277 00:15:12,320 --> 00:15:13,000 OUR GOAL IS TO ENABLE MORE OF 278 00:15:13,000 --> 00:15:14,560 THAT. 279 00:15:14,560 --> 00:15:20,640 ANY EFFORT TO ENHANCE THE 280 00:15:20,640 --> 00:15:31,200 TRAINING AND I'LL GIVE A QUICK 281 00:15:34,080 --> 00:15:37,640 OVERVIEW AND WE'LL TRY TO 282 00:15:37,640 --> 00:15:38,280 ADDRESS ANY ISSUES YOU MAY HAVE. 283 00:15:38,280 --> 00:15:41,920 WE HAVE BEEN DOING A FAIR AMOUNT 284 00:15:41,920 --> 00:15:45,720 OF WORK THROUGHOUT THE YEAR. 285 00:15:45,720 --> 00:15:47,600 AND IN PARTICULAR OUR TRIBAL 286 00:15:47,600 --> 00:15:48,240 CONSULTATION AND LISTENING 287 00:15:48,240 --> 00:15:50,400 SESSIONS AND I KNOW THOSE ARE 288 00:15:50,400 --> 00:15:52,480 DIFFERENT THINGS BUT WE'VE DONE 289 00:15:52,480 --> 00:15:52,680 BOTH. 290 00:15:52,680 --> 00:15:56,440 AND THEN OF COURSE A NUMBER OF 291 00:15:56,440 --> 00:15:59,000 PROGRAMS THAT SUPPORT TRIBAL 292 00:15:59,000 --> 00:16:02,520 COMMUNITIES IN CONDUCTING THEIR 293 00:16:02,520 --> 00:16:04,040 LOCALLY PRIORITIZED RESEARCH. 294 00:16:04,040 --> 00:16:05,840 BECAUSE AS I'VE COME TO LEARN, I 295 00:16:05,840 --> 00:16:08,800 STILL HAVE MORE TO LEARN BUT AS 296 00:16:08,800 --> 00:16:10,320 I'VE COME TO LEARN OVER THE 297 00:16:10,320 --> 00:16:10,920 YEARS THAT'S AN IMPORTANT 298 00:16:10,920 --> 00:16:13,320 ELEMENT TO WHAT WE SHOULD BE 299 00:16:13,320 --> 00:16:14,320 DOING. 300 00:16:14,320 --> 00:16:15,880 AND IT WORKS. 301 00:16:15,880 --> 00:16:20,520 WE SEE THE RESULTS AND IT WORKS. 302 00:16:20,520 --> 00:16:24,200 ULTIMATELY IT WILL BUILD A MUCH 303 00:16:24,200 --> 00:16:27,600 MORE ROBUST CAPACITY TO CONDUCT 304 00:16:27,600 --> 00:16:32,040 RESEARCH AND WE ALL LIKE TO 305 00:16:32,040 --> 00:16:34,280 THINK THAT STEM CAREERS ARE 306 00:16:34,280 --> 00:16:34,840 GREAT CAREERS FOR PEOPLE. 307 00:16:34,840 --> 00:16:37,160 WE WANT AS MANY ENGAGED IN THAT 308 00:16:37,160 --> 00:16:37,760 AS POSSIBLE. 309 00:16:37,760 --> 00:16:42,160 SO IN TERMS OF THE CONSULTATIONS 310 00:16:42,160 --> 00:16:45,720 AND LISTENING SESSIONS WE REMAIN 311 00:16:45,720 --> 00:16:54,080 COMMITTED TO HONORING 312 00:16:54,080 --> 00:16:54,800 SOVEREIGNTY AND 313 00:16:54,800 --> 00:16:57,000 SELF-DETERMINATION AND WE HOPE 314 00:16:57,000 --> 00:17:03,640 TO ENGAGE IN WHAT WE HOPE ARE 315 00:17:03,640 --> 00:17:04,800 TIMELY CONSULTATIONS WANT TO 316 00:17:04,800 --> 00:17:06,400 HEAR FROM TRIBAL LEADERS. 317 00:17:06,400 --> 00:17:11,360 AS YOU ALL KNOW THERE'S MANY 318 00:17:11,360 --> 00:17:12,000 CONCERNS. 319 00:17:12,000 --> 00:17:13,280 THERE'S HISTORICAL CONSTRUCTS 320 00:17:13,280 --> 00:17:17,200 THAT WE NEED TO LEARN FROM SO WE 321 00:17:17,200 --> 00:17:18,960 NEED TO HEAR ABOUT THOSE. 322 00:17:18,960 --> 00:17:20,360 THERE'S DIFFERENT CULTURAL NORMS 323 00:17:20,360 --> 00:17:22,360 AND OBVIOUSLY EACH TRIBAL NATION 324 00:17:22,360 --> 00:17:28,720 HAS ITS OWN UNIQUE SET OF EACH. 325 00:17:28,720 --> 00:17:32,160 BUT BY CONTINUING THE DIALOGUE 326 00:17:32,160 --> 00:17:34,200 WE CONTINUE TO BUILD OUR 327 00:17:34,200 --> 00:17:36,880 KNOWLEDGE HERE AT THE AGENCY AND 328 00:17:36,880 --> 00:17:38,800 HOPEFULLY THAT WILL DO WELL 329 00:17:38,800 --> 00:17:40,280 GOING FORWARD. 330 00:17:40,280 --> 00:17:44,240 IN MARCH OF 2022 WE IMPLEMENTED 331 00:17:44,240 --> 00:17:45,800 A TRIBAL CONSULTATION POLICY. 332 00:17:45,800 --> 00:17:48,840 EARLIER THIS YEAR THE TRIBAL 333 00:17:48,840 --> 00:17:50,720 HEALTH RESEARCH OFFICE ISSUED AN 334 00:17:50,720 --> 00:17:53,040 INTERNAL GUIDE TO OUR NIH STAFF 335 00:17:53,040 --> 00:17:55,960 ON HOW TO IMPLEMENT THE TRIBAL 336 00:17:55,960 --> 00:17:59,360 CONSULTATION POLICY. 337 00:17:59,360 --> 00:18:01,360 WE HAVE -- WE'RE A VERY 338 00:18:01,360 --> 00:18:05,520 DECENTRALIZED ORGANIZATION. 339 00:18:05,520 --> 00:18:08,120 WE HAVE 27 INSTITUTES AND 340 00:18:08,120 --> 00:18:08,360 CENTERS. 341 00:18:08,360 --> 00:18:09,720 THEY EACH GET THEIR OWN 342 00:18:09,720 --> 00:18:13,640 APPROPRIATION FROM THE CONGRESS 343 00:18:13,640 --> 00:18:14,280 OF THE UNITED STATES AND THE 344 00:18:14,280 --> 00:18:17,720 PHRASE HERDING CATS IS NOT 345 00:18:17,720 --> 00:18:18,440 INAPPROPRIATE. 346 00:18:18,440 --> 00:18:21,160 THEY HAVE THEIR OWN SHEETS, THEY 347 00:18:21,160 --> 00:18:22,280 DON'T NEED MINE BECAUSE THEY 348 00:18:22,280 --> 00:18:24,600 HAVE MORE THAN I DO BUT THAT 349 00:18:24,600 --> 00:18:26,360 SAID FOR ISSUES OF THIS TYPE, WE 350 00:18:26,360 --> 00:18:30,440 TRY VERY HARD TO HAVE AN 351 00:18:30,440 --> 00:18:32,760 INTEGRATED AND STANDARD 352 00:18:32,760 --> 00:18:37,600 APPROACH. 353 00:18:37,600 --> 00:18:38,560 IN PARTICULAR, TRIBAL LEADER 354 00:18:38,560 --> 00:18:43,760 INPUT HAS BEEN REALLY IMPORTANT 355 00:18:43,760 --> 00:18:53,000 IN HELPING US IMPLEMENT PROGRAMS 356 00:18:53,000 --> 00:18:56,440 AND THE "ALL OF US" PROGRAM HAD 357 00:18:56,440 --> 00:18:57,320 FOUR LISTENING SESSIONS IN 358 00:18:57,320 --> 00:19:00,320 ADVANCE OF THE CONSULTATION IN 359 00:19:00,320 --> 00:19:01,360 NOVEMBER HELPING FRAME THINGS 360 00:19:01,360 --> 00:19:11,800 THEY'VE BEEN ENGAGED IN. 361 00:19:14,760 --> 00:19:17,760 BRIEFLY, A FEW EXAMPLES OF 362 00:19:17,760 --> 00:19:19,840 PROGRAMS WE THINK SHOULD SERVE 363 00:19:19,840 --> 00:19:28,640 AS AN EXEMPLARS FOR FUTURE WORK 364 00:19:28,640 --> 00:19:31,320 IT, THE NATIVE AMERICAN RESEARCH 365 00:19:31,320 --> 00:19:32,680 CENTERS NARCH PROGRAM AND THE 366 00:19:32,680 --> 00:19:33,640 TURTLE PROGRAM. 367 00:19:33,640 --> 00:19:35,600 IN 2021 THE NARCH PROGRAM WAS 368 00:19:35,600 --> 00:19:40,960 EVALUATED CULMINATING IN A 369 00:19:40,960 --> 00:19:42,800 CONSULTATION TO TEST THE 370 00:19:42,800 --> 00:19:48,240 PROGRAM'S EFFECTIVENESS AND THE 371 00:19:48,240 --> 00:19:49,440 GOALS ARE TO BUILD CAPACITY IN 372 00:19:49,440 --> 00:19:54,560 HEALTH RESEARCH AND EDUCATION 373 00:19:54,560 --> 00:20:01,000 AND TRAINING. 374 00:20:01,000 --> 00:20:04,720 NIGMS, WHICH SPONSORS THE 375 00:20:04,720 --> 00:20:08,560 PROGRAM, RELEASED THEIR FUNDING 376 00:20:08,560 --> 00:20:09,160 OPPORTUNITY AND IN DIRECT 377 00:20:09,160 --> 00:20:11,480 RESPONSE TO THE FEEDBACK THEY 378 00:20:11,480 --> 00:20:12,120 RECEIVED. 379 00:20:12,120 --> 00:20:13,680 SO THEY'RE STREAMLINING THE 380 00:20:13,680 --> 00:20:16,200 PROCESS FOR APPLICANTS SHIFTING 381 00:20:16,200 --> 00:20:18,040 TO A MUCH MORE STRAIGHTFORWARD 382 00:20:18,040 --> 00:20:19,760 ANNUAL SUBMISSION CYCLE AND 383 00:20:19,760 --> 00:20:20,640 INCREASING THE PROJECT PERIOD TO 384 00:20:20,640 --> 00:20:22,800 FIVE YEARS SO YOU DON'T HAVE TO 385 00:20:22,800 --> 00:20:23,800 KEEP WRITING GRANTS. 386 00:20:23,800 --> 00:20:25,640 SOME PEOPLE LIKE TO WRITE GRANTS 387 00:20:25,640 --> 00:20:26,600 BUT MOST PEOPLE WOULD PREFER A 388 00:20:26,600 --> 00:20:29,480 LONGER INTERVAL. 389 00:20:29,480 --> 00:20:32,200 THEY'VE INCREASED THE BUDGET UP 390 00:20:32,200 --> 00:20:38,440 TO 1.3 MILLION IN DIRECT COSTS. 391 00:20:38,440 --> 00:20:39,640 THE MAJORITY OF THE MONEY STAYS 392 00:20:39,640 --> 00:20:42,640 WITH THE TRIBAL NATION. 393 00:20:42,640 --> 00:20:43,960 THAT'S THE GOAL. 394 00:20:43,960 --> 00:20:45,880 DEPENDING ON THE NATURE OF THE 395 00:20:45,880 --> 00:20:47,120 APPLICATION, TRIBAL NATION MAY 396 00:20:47,120 --> 00:20:50,640 HAVE TO ENGAGE WITH OTHER 397 00:20:50,640 --> 00:20:51,520 PARTIES AND THAT'S THEIR 398 00:20:51,520 --> 00:20:53,520 PREROGATIVE BUT THE REAL GOAL 399 00:20:53,520 --> 00:20:54,480 STO GET AS MUCH AS THE MONEY 400 00:20:54,480 --> 00:20:59,280 WITH THE TRIBAL NATIONS RATHER 401 00:20:59,280 --> 00:21:04,920 THAN THE NON-AMERICAN INDIAN 402 00:21:04,920 --> 00:21:06,280 NON-PARTNER ORGANIZATIONS. 403 00:21:06,280 --> 00:21:07,760 THE INSTRUCTIONS HAVE BEEN 404 00:21:07,760 --> 00:21:08,080 CLARIFIED. 405 00:21:08,080 --> 00:21:09,920 WE ADOPTED MORE CULTURALLY 406 00:21:09,920 --> 00:21:11,200 APPROPRIATE REVIEW GUIDELINE 407 00:21:11,200 --> 00:21:21,640 LANGUAGE AMONG THE REVIEW 408 00:21:26,720 --> 00:21:30,440 CRITERIA USED AND YOU CAN 409 00:21:30,440 --> 00:21:32,480 CAPTURE PEOPLE EARLY IN THEIR 410 00:21:32,480 --> 00:21:33,400 EDUCATIONAL PROCESS. 411 00:21:33,400 --> 00:21:35,280 YOU MAY NOT BE SURPRISED BUT 412 00:21:35,280 --> 00:21:37,000 HIGH SCHOOLERS IN ADDITION TO 413 00:21:37,000 --> 00:21:38,280 BEING INTERESTING TEENAGERS 414 00:21:38,280 --> 00:21:44,280 WHICH ARE A DIFFERENT SPECIES, 415 00:21:44,280 --> 00:21:48,400 THEY'RE ALSO -- I JUST HAD MY 416 00:21:48,400 --> 00:21:50,640 GRANDSON VISITED FROM OREGON AND 417 00:21:50,640 --> 00:21:53,960 I WAS JUST REMINDED OF THIS, BUT 418 00:21:53,960 --> 00:21:55,600 IN ADDITION TO THAT, WONDERFUL 419 00:21:55,600 --> 00:21:57,880 PERIODS OF THEIR LIVES, THEY'RE 420 00:21:57,880 --> 00:21:59,600 ALSO QUITE CAPABLE OF DOING COOL 421 00:21:59,600 --> 00:22:01,160 THINGS IN A LAB AND RESEARCH 422 00:22:01,160 --> 00:22:04,640 SETTING SO THAT'S WHAT WE WANT 423 00:22:04,640 --> 00:22:07,240 TO CAPITALIZE. 424 00:22:07,240 --> 00:22:09,560 NIGMS IS THE PROCESS OF 425 00:22:09,560 --> 00:22:10,080 ADDITIONAL PROGRAMS TO 426 00:22:10,080 --> 00:22:11,880 SUPPLEMENT THE NARCH IN AREAS 427 00:22:11,880 --> 00:22:13,640 THAT HAVE BEEN HIGHLIGHTED BY 428 00:22:13,640 --> 00:22:15,720 THE TRIBAL CONSULTATIONS. 429 00:22:15,720 --> 00:22:20,120 THIS INCLUDES THINGS LIKE 430 00:22:20,120 --> 00:22:22,760 PLANNING GRANTS AND PLANNING 431 00:22:22,760 --> 00:22:24,400 GRANTS TO SUPPORT WHO WANT A 432 00:22:24,400 --> 00:22:26,160 NARCH AND INSPIRE THEM TO GET 433 00:22:26,160 --> 00:22:30,960 SEED MONEY TO GET THE THIS 434 00:22:30,960 --> 00:22:33,080 MOVING. 435 00:22:33,080 --> 00:22:35,960 IRB GRANTS WILL BE PROVIDED TO 436 00:22:35,960 --> 00:22:38,160 SUPPORT TRIBAL ORGANIZATIONS AND 437 00:22:38,160 --> 00:22:39,040 ESTABLISHING OR ENHANCING THEIR 438 00:22:39,040 --> 00:22:44,880 IRBs WHICH OBVIOUSLY IS A BIG 439 00:22:44,880 --> 00:22:45,840 DEAL. 440 00:22:45,840 --> 00:22:48,040 AND EVERYTHING HAS AN ACRONYM AT 441 00:22:48,040 --> 00:22:50,320 THE NIH, TRIBAL UNDERGRADUATE TO 442 00:22:50,320 --> 00:22:52,120 GRADUATE RESEARCH TRAINING AND 443 00:22:52,120 --> 00:22:53,840 LEADERSHIP EXPERIENCES. 444 00:22:53,840 --> 00:22:56,920 OKAY, THAT DOES SPELL TURTLE I 445 00:22:56,920 --> 00:22:57,320 GUESS. 446 00:22:57,320 --> 00:22:58,920 IT WILL PROVIDE INSTITUTIONAL 447 00:22:58,920 --> 00:23:00,960 TRAINING GRANTS TO TRIBES AND 448 00:23:00,960 --> 00:23:03,480 TRIBAL ORGANIZATIONS TO SUPPORT 449 00:23:03,480 --> 00:23:05,600 UNDERGRADUATE AND GRADUATE 450 00:23:05,600 --> 00:23:06,200 STUDENTS. 451 00:23:06,200 --> 00:23:12,440 AGAIN, KEY PART OF THE PATHWAY 452 00:23:12,440 --> 00:23:14,240 FOR CAREER DEVELOPMENT. 453 00:23:14,240 --> 00:23:16,280 THE CAPACITY DEVELOPMENT STAGE 454 00:23:16,280 --> 00:23:20,360 TO BUILD THE ADMINISTRATIVE 455 00:23:20,360 --> 00:23:23,000 INFRASTRUCTURE NEEDED AND THE 456 00:23:23,000 --> 00:23:25,000 TRAINING GRANT PHASE TO PROVIDE 457 00:23:25,000 --> 00:23:27,480 STIPENDS, TUITION REMISSION AND 458 00:23:27,480 --> 00:23:27,720 MENTORING. 459 00:23:27,720 --> 00:23:33,880 THESE ARE ALL EXCITING AND CAME 460 00:23:33,880 --> 00:23:36,320 DIRECTLY BECAUSE OF THE FEEDBACK 461 00:23:36,320 --> 00:23:37,800 WE WERE PLEASED TO RECEIVE. 462 00:23:37,800 --> 00:23:42,160 YOU HEARD YESTERDAY ABOUT 463 00:23:42,160 --> 00:23:44,240 ANOTHER NEW PROGRAM IN DIRECT 464 00:23:44,240 --> 00:23:45,880 RESPONSE IDENTIFIED IN TRIBAL 465 00:23:45,880 --> 00:23:46,720 CONSULTATIONS THAT IS THE N CREW 466 00:23:46,720 --> 00:23:51,520 PROGRAM. 467 00:23:51,520 --> 00:23:52,880 THE NATIVE COLLECTION RESEARCH 468 00:23:52,880 --> 00:23:54,640 EFFORT TO ENHANCE WELLNESS. 469 00:23:54,640 --> 00:24:00,920 THIS IS A COLLABORATIVE 470 00:24:00,920 --> 00:24:02,680 PARTNERSHIP AMONG NIH AND 471 00:24:02,680 --> 00:24:04,760 AMERICAN INDIAN/ALASKAN NATIVE 472 00:24:04,760 --> 00:24:05,920 ORGANIZATIONS TO RESPOND TO THE 473 00:24:05,920 --> 00:24:08,040 OPIOID OVERDOSE AND ADDICTION 474 00:24:08,040 --> 00:24:10,000 PUBLIC HEALTH EMERGENCY. 475 00:24:10,000 --> 00:24:13,080 MANY OF THE THEMES WHICH EMERGED 476 00:24:13,080 --> 00:24:17,160 FROM THE 2018 AND 2022 477 00:24:17,160 --> 00:24:17,880 CONSULTATIONS INCLUDING THE 478 00:24:17,880 --> 00:24:19,760 IMPORTANCE OF INDIGENOUS 479 00:24:19,760 --> 00:24:21,360 KNOWLEDGE AND LOCAL EXPERTISE 480 00:24:21,360 --> 00:24:22,720 AND THE NEED TO INVEST IN 481 00:24:22,720 --> 00:24:25,280 RESEARCH AND DATA LED BY THE 482 00:24:25,280 --> 00:24:26,880 TRIBAL NATIONS THEMSELVES AND IT 483 00:24:26,880 --> 00:24:28,760 WILL BE FACTORED IN. 484 00:24:28,760 --> 00:24:32,520 I HAVE BEEN IMPRESSED AND HAVE 485 00:24:32,520 --> 00:24:34,360 VISITED SOME TRIBAL NATIONS 486 00:24:34,360 --> 00:24:37,680 WHERE LOCAL CUSTOMS ARE BEING 487 00:24:37,680 --> 00:24:40,440 USED TO DEAL WITH OPIOID MISUSE 488 00:24:40,440 --> 00:24:42,840 IN A VERY EFFECTIVE WAY. 489 00:24:42,840 --> 00:24:44,680 IT'S NOT WESTERN MEDICINE BUT IT 490 00:24:44,680 --> 00:24:48,840 WORKS AND SO WE NEED TO EMBRACE 491 00:24:48,840 --> 00:24:50,120 THAT AND AGAIN EACH TRIBAL 492 00:24:50,120 --> 00:24:52,840 NATION HAS THEIR OWN APPROACH TO 493 00:24:52,840 --> 00:24:55,320 THIS AND THAT'S FINE BUT THESE 494 00:24:55,320 --> 00:24:59,160 ARE SOME OF THE THINGS. 495 00:24:59,160 --> 00:25:03,360 THERE'S TWO RESEARCH RESEARCH 496 00:25:03,360 --> 00:25:05,600 OPPORTUNITY ANNOUNCEMENTS 497 00:25:05,600 --> 00:25:08,360 ACCEPTING APPLICATIONS AND GET 498 00:25:08,360 --> 00:25:10,680 THE THAT FROM COLLEAGUES. 499 00:25:10,680 --> 00:25:17,000 THERE'S AN NIH FUNDED AMERICAN 500 00:25:17,000 --> 00:25:19,560 INDIAN/ALASKAN NATIVE EXTRAMURAL 501 00:25:19,560 --> 00:25:24,520 RESEARCH PROGRAM TO HELP BUILD 502 00:25:24,520 --> 00:25:27,960 THE INFRASTRUCTURE TO GET MORE 503 00:25:27,960 --> 00:25:31,840 COMMUNITIES ENGAGED IN RESEARCH 504 00:25:31,840 --> 00:25:34,680 AND WE'VE ALSO SINCE 2011 505 00:25:34,680 --> 00:25:38,720 SUPPORTED SOMETHING KNOWN AS THE 506 00:25:38,720 --> 00:25:42,040 INTERVENTION RESEARCH TO IMPROVE 507 00:25:42,040 --> 00:25:42,760 NATIVE AMERICAN HEALTH AND WON'T 508 00:25:42,760 --> 00:25:45,080 DARE TO PRONOUNCE THAT ACRONYM. 509 00:25:45,080 --> 00:25:48,360 THIS IS DESIGN TO TEST THE 510 00:25:48,360 --> 00:25:49,560 EFFECTIVENESS OF CULTURALLY 511 00:25:49,560 --> 00:25:51,920 BASED HEALTH PROMOTION AND 512 00:25:51,920 --> 00:25:53,160 DISEASE PREVENTION INTERVENTIONS 513 00:25:53,160 --> 00:25:57,000 IN COLLABORATION WITH YOUR 514 00:25:57,000 --> 00:25:57,440 COMMUNITIES. 515 00:25:57,440 --> 00:26:00,360 THERE'S OVER 50 GRANTS AWARDED 516 00:26:00,360 --> 00:26:02,160 FROM AMONG THE DIFFERENT 517 00:26:02,160 --> 00:26:04,200 INSTITUTES AND CENTERS AT NIH. 518 00:26:04,200 --> 00:26:08,720 FOR EXAMPLE, A RANDOMIZED 519 00:26:08,720 --> 00:26:10,800 CONTROL TRIAL OF STOOL DNA TEST 520 00:26:10,800 --> 00:26:14,920 TO IMPROVE COLORECTAL SCREENING. 521 00:26:14,920 --> 00:26:21,000 THE QUOTE WEAVING HEALTHY 522 00:26:21,000 --> 00:26:23,200 PROGRAMS FOR WAYS TO PREVENT 523 00:26:23,200 --> 00:26:26,440 ALCOHOL AND DRUG MISUSE AND 524 00:26:26,440 --> 00:26:26,800 VIOLENCE. 525 00:26:26,800 --> 00:26:28,880 A YOUTH LEADERSHIP PROGRAM THAT 526 00:26:28,880 --> 00:26:31,680 CENTERS ON TRADITIONAL 527 00:26:31,680 --> 00:26:32,840 ECOLOGICAL KNOWLEDGE OF THE 528 00:26:32,840 --> 00:26:37,200 TRIBE AND LAND BASED HEALING AND 529 00:26:37,200 --> 00:26:38,560 HEALING STRATEGIES TO PREVENT 530 00:26:38,560 --> 00:26:41,200 SUBSTANCE USE AND IMPROVE 531 00:26:41,200 --> 00:26:44,120 PHYSICAL ACTIVITY. 532 00:26:44,120 --> 00:26:46,160 A COUPLE MORE, WE HAD A 533 00:26:46,160 --> 00:26:49,440 PARTICULAR PROGRAM REACHING OUT 534 00:26:49,440 --> 00:26:52,200 DIRECTLY TO TRIBAL NATIONS IN 535 00:26:52,200 --> 00:26:54,480 THE COMMUNITY ENGAGEMENT 536 00:26:54,480 --> 00:26:58,160 ALLIANCE OR SEAL PROGRAM. 537 00:26:58,160 --> 00:27:02,840 WE STARTED THIS DURING THE 538 00:27:02,840 --> 00:27:05,960 PANDEMIC AS A WAY OF CONNECTING 539 00:27:05,960 --> 00:27:07,080 WITH COMMUNITIES TYPICALLY 540 00:27:07,080 --> 00:27:08,880 MARGINALIZED AND FORGOTTEN. 541 00:27:08,880 --> 00:27:11,000 WE WANTED THE TRIALS TO LOOK 542 00:27:11,000 --> 00:27:14,160 LIKE THE NATION THAT WE WERE 543 00:27:14,160 --> 00:27:17,480 TRYING TO TREAT. 544 00:27:17,480 --> 00:27:19,800 ALL MEME NOT JUST CONVENIENCE 545 00:27:19,800 --> 00:27:21,000 POPULATIONS OF YOUNG WHITE MEN 546 00:27:21,000 --> 00:27:23,920 WHICH IS TYPICALLY WHAT IS IN 547 00:27:23,920 --> 00:27:27,640 MANY CLINICAL TRIALS. 548 00:27:27,640 --> 00:27:31,720 SO THESE ENGAGEMENTS ARE AT THE 549 00:27:31,720 --> 00:27:32,920 COMMUNITY LEVEL. 550 00:27:32,920 --> 00:27:36,440 MY COLLEAGUE GARY GIBBONS TALKS 551 00:27:36,440 --> 00:27:37,840 ABOUT PROCEEDING AT THE SPEED OF 552 00:27:37,840 --> 00:27:40,360 TRUST AND I THINK THAT 553 00:27:40,360 --> 00:27:44,520 SUMMARIZES A LOT OF THIS. 554 00:27:44,520 --> 00:27:47,080 TO ENGAGE LOCALLY, NOT JUST 555 00:27:47,080 --> 00:27:50,000 PARACHUTING IN AND MAKING 556 00:27:50,000 --> 00:27:53,440 PROCLAMATIONS AND TRYING TO WORK 557 00:27:53,440 --> 00:27:54,920 CLOSELY WITH COMMUNITY LEADERS 558 00:27:54,920 --> 00:27:57,320 AND PEOPLE RESPECTED BY THE 559 00:27:57,320 --> 00:28:01,480 COMMUNITY. 560 00:28:01,480 --> 00:28:03,000 SO THEY ESTABLISHED THE 561 00:28:03,000 --> 00:28:08,640 INITIATIVE SPECIFICALLY FOR 562 00:28:08,640 --> 00:28:10,680 AMERICAN INDIAN/ALASKAN NATIVE 563 00:28:15,280 --> 00:28:16,880 ENRICHMENT TO SUPPORT ENGAGEMENT 564 00:28:16,880 --> 00:28:17,760 ABOUT BIOMEDICAL RESEARCH TO TRY 565 00:28:17,760 --> 00:28:20,520 TO LESSEN THE MISTRUST AND 566 00:28:20,520 --> 00:28:23,320 PROMOTE INCLUSION OF THESE 567 00:28:23,320 --> 00:28:25,520 GROUPS IN OUR VARIOUS EFFORTS. 568 00:28:25,520 --> 00:28:27,560 I CAN GO ON FOR A LONG TIME BUT 569 00:28:27,560 --> 00:28:32,320 I'M GOING TO WIND UP HERE. 570 00:28:32,320 --> 00:28:36,800 WE HAVE EFFORTS RELATED TO 571 00:28:36,800 --> 00:28:38,040 RESPONSIBLE MANAGEMENT AND 572 00:28:38,040 --> 00:28:38,800 SHARING OF RESEARCH PARTICIPANT 573 00:28:38,800 --> 00:28:43,040 DATA. 574 00:28:43,040 --> 00:28:45,400 SOMETHING I KNOW IS VERY 575 00:28:45,400 --> 00:28:47,520 IMPORTANT TO TRIBAL NATIONS IN 576 00:28:47,520 --> 00:28:49,400 CONTEXT OF THE ALL OF US PROGRAM 577 00:28:49,400 --> 00:28:54,480 BUT REQUIRED DELIBERATION ON ALL 578 00:28:54,480 --> 00:28:56,320 OF OUR PROGRAMS WE TALKED ABOUT 579 00:28:56,320 --> 00:28:57,920 DATA MANAGEMENT AND POLICIES AND 580 00:28:57,920 --> 00:29:03,560 GUIDELINES IN PARTICULAR AND WE 581 00:29:03,560 --> 00:29:07,760 CONTINUE TO WORK WITH YOU TO 582 00:29:07,760 --> 00:29:08,360 WORK AND CLARIFY AND MAKE THE 583 00:29:08,360 --> 00:29:09,760 PROGRAMS EASIER TO IMPLEMENT. 584 00:29:09,760 --> 00:29:12,200 SMALL BUSINESS INNOVATION 585 00:29:12,200 --> 00:29:13,760 RESEARCH WITH THE NATIVE 586 00:29:13,760 --> 00:29:18,400 SPECIFIC FOCUS FOR NATIVE-OWNED 587 00:29:18,400 --> 00:29:20,760 SMALL BUSINESSES, NIMHD, 588 00:29:20,760 --> 00:29:25,160 ENCOURAGES SPECIFICALLY 589 00:29:25,160 --> 00:29:30,720 APPLICATIONS FROM NATIVE-OWNED 590 00:29:30,720 --> 00:29:31,880 SMALL BUSINESSES AND PROVIDES 591 00:29:31,880 --> 00:29:37,520 PROGRAM FUNDS LOOKING TO EMPOWER 592 00:29:37,520 --> 00:29:39,920 COMMUNITY THROUGH RESEARCH OR 593 00:29:39,920 --> 00:29:41,560 DISEASE PREVENTION OR 594 00:29:41,560 --> 00:29:44,400 COMMUNITY-BASED SOLUTIONS AND SO 595 00:29:44,400 --> 00:29:45,080 FORTH. 596 00:29:45,080 --> 00:29:47,000 I KNOW THERE'S A TREMENDOUS 597 00:29:47,000 --> 00:29:48,680 INTEREST IN INDIGENOUS KNOWLEDGE 598 00:29:48,680 --> 00:29:52,920 AND DR. WALTERS REPRESENTS THE 599 00:29:52,920 --> 00:29:55,080 NIH ON THE WHITE HOUSE COUNCIL 600 00:29:55,080 --> 00:29:56,720 SUBCOMMITTEE ON INDIGENOUS 601 00:29:56,720 --> 00:29:57,000 KNOWLEDGE. 602 00:29:57,000 --> 00:30:00,320 THIS SUBCOMMITTEE IS CHARTERED 603 00:30:00,320 --> 00:30:02,960 TO IMPLEMENT VARIOUS GUIDELINES 604 00:30:02,960 --> 00:30:04,040 THAT RELATE TO THIS. 605 00:30:04,040 --> 00:30:05,560 I HAVEN'T DONE COMPLETE JUSTICE 606 00:30:05,560 --> 00:30:07,800 TO ALL THE PROGRAMS BUT I DID 607 00:30:07,800 --> 00:30:12,520 PROMISE TO HAVE TIME TO CHAT. 608 00:30:12,520 --> 00:30:14,000 BUT I HOPE YOU APPRECIATE WE 609 00:30:14,000 --> 00:30:20,960 HAVE A NUMBER OF THINGS ONGOING. 610 00:30:20,960 --> 00:30:22,600 MANY IN DIRECT RESPONSE TO 611 00:30:22,600 --> 00:30:24,920 CONSULTATIONS AND OTHER MEETINGS 612 00:30:24,920 --> 00:30:28,440 WITH TRIBAL LEADERS AND THEIR 613 00:30:28,440 --> 00:30:30,480 RESPECTIVE TEAMS. 614 00:30:30,480 --> 00:30:32,840 I KNOW THAT UNDER DR. WALTER'S 615 00:30:32,840 --> 00:30:33,640 LEADERSHIP THE TRIBAL HEALTH 616 00:30:33,640 --> 00:30:34,840 RESEARCH OFFICE WILL CONTINUE TO 617 00:30:34,840 --> 00:30:37,640 BUILD PARTNERSHIPS AND WORK 618 00:30:37,640 --> 00:30:38,760 COLLABORATIVELY ACROSS THE 619 00:30:38,760 --> 00:30:41,920 NATIONS AND WE LOOK FORWARD TO 620 00:30:41,920 --> 00:30:46,120 DEVELOPING APPROACHES WHERE WE 621 00:30:46,120 --> 00:30:52,520 UPHOLD TRIBAL SOVEREIGNTY AND 622 00:30:52,520 --> 00:31:00,160 YET LOOK TO MOVE FORWARD WITH 623 00:31:00,160 --> 00:31:03,080 THE COMMUNITY AND WITH THAT I'M 624 00:31:03,080 --> 00:31:05,000 HAPPY TO ANSWER QUESTIONS OR 625 00:31:05,000 --> 00:31:06,640 LISTEN TO ANY COMMENT YOU HAVE 626 00:31:06,640 --> 00:31:07,520 TO OFFER. 627 00:31:07,520 --> 00:31:12,440 >> 628 00:31:12,440 --> 00:31:13,080 >>Herminia: THANK YOU FOR 629 00:31:13,080 --> 00:31:16,120 TAKING THE TIME TO MEET WITH US, 630 00:31:16,120 --> 00:31:16,800 DR. TABAK. 631 00:31:16,800 --> 00:31:19,760 WE KNOW YOUR TIME IS VERY BUSY 632 00:31:19,760 --> 00:31:21,120 SO YOUR TIME IS VERY VALUABLE TO 633 00:31:21,120 --> 00:31:21,800 US TO SHARE THAT TIME. 634 00:31:21,800 --> 00:31:25,520 I WANTED TO START OFF BY 635 00:31:25,520 --> 00:31:27,880 THANKING YOU ALSO FOR HIRING 636 00:31:27,880 --> 00:31:28,840 DR. WALTERS. 637 00:31:28,840 --> 00:31:34,080 SHE'S ONLY BEEN HERE THREE 638 00:31:34,080 --> 00:31:38,920 MONTHS AND SEEN THE IMPACT AND 639 00:31:38,920 --> 00:31:44,000 SHE DID A REPORT AND SOME THINGS 640 00:31:44,000 --> 00:31:45,120 SHE'S WORKING ON AND ONE THING 641 00:31:45,120 --> 00:31:51,760 THE TAC WAS HAPPY TO SEE IS WHAT 642 00:31:51,760 --> 00:31:54,960 SHE SHARED WITH US WAS 643 00:31:54,960 --> 00:31:56,400 CONSISTENT TO THE POINTS OF THE 644 00:31:56,400 --> 00:31:57,600 AREAS WE JUST TALKED ABOUT. 645 00:31:57,600 --> 00:32:02,000 WE ARE ALIGNED IN THOSE AREAS 646 00:32:02,000 --> 00:32:05,920 AND WOULD LIKE TO SEE YOU 647 00:32:05,920 --> 00:32:11,040 SUPPORT HER THRO OFFICE AND TO 648 00:32:11,040 --> 00:32:14,560 THE HIRING MADE WITH HER TEAM 649 00:32:14,560 --> 00:32:17,000 AND THE OFFICE IS VERY SMALL. 650 00:32:17,000 --> 00:32:20,320 SHE'LL NEED MORE SUPPORT IN THAT 651 00:32:20,320 --> 00:32:20,520 OFFICE. 652 00:32:20,520 --> 00:32:21,360 TO BE ABLE TO SUPPORT THAT 653 00:32:21,360 --> 00:32:25,000 OFFICE WOULD BE VERY BENEFICIAL 654 00:32:25,000 --> 00:32:31,040 TO THE THRO OFFICE. 655 00:32:31,040 --> 00:32:31,560 WE WOULD LIKE THAT TOO. 656 00:32:31,560 --> 00:32:32,200 THERE'S A LOT OF WORK THAT NEEDS 657 00:32:32,200 --> 00:32:33,080 TO BE DONE SO WE CAN CONTINUE TO 658 00:32:33,080 --> 00:32:36,840 HAVE THE RESOURCES THAT WE NEED 659 00:32:36,840 --> 00:32:37,760 IN THE THRO OFFICE. 660 00:32:37,760 --> 00:32:39,560 THERE'S BEEN CHALLENGES WITH US 661 00:32:39,560 --> 00:32:43,280 MOVING FORWARD IN THE THRO AND 662 00:32:43,280 --> 00:32:46,680 WE'D LIKE TO GET OVER THAT. 663 00:32:46,680 --> 00:32:49,240 ONE OF THE THINGS THAT MOVING 664 00:32:49,240 --> 00:32:49,920 FORWARD ON THE STRATEGY PLANNING 665 00:32:49,920 --> 00:32:52,040 ONE OF THE THINGS WE TALKED 666 00:32:52,040 --> 00:32:55,120 ABOUT TOO WAS US BEING ENGAGED 667 00:32:55,120 --> 00:32:58,760 WITH DR. WALTERS AND TO HELP HER 668 00:32:58,760 --> 00:33:02,000 AS THE THRO DID IN THE PAST WHEN 669 00:33:02,000 --> 00:33:03,960 THE OFFICE WAS FIRST PUT 670 00:33:03,960 --> 00:33:07,880 TOGETHER AND BE ABLE TO PROVIDE 671 00:33:07,880 --> 00:33:13,440 THAT FEEDBACK WITH HER AND 672 00:33:13,440 --> 00:33:17,040 BECAUSE INDIAN COUNTRY IS VERY 673 00:33:17,040 --> 00:33:18,040 DIVERSE AND HAVE A GROUP HERE 674 00:33:18,040 --> 00:33:20,400 WITH THE TAC WILLING TO ROLL UP 675 00:33:20,400 --> 00:33:21,520 THEIR SLEEVES AND WITH OUR 676 00:33:21,520 --> 00:33:22,840 TECHNICAL ADVISORS TOO WILLING 677 00:33:22,840 --> 00:33:27,760 TO HELP PROVIDE THAT FEEDBACK 678 00:33:27,760 --> 00:33:29,720 AND WILLING TO HELP AND ALSO 679 00:33:29,720 --> 00:33:34,160 WITH THE WORK WE HAVE PUT IN 680 00:33:34,160 --> 00:33:35,760 WITH OUR GOALS AND OBJECTIVES 681 00:33:35,760 --> 00:33:37,360 AND PRIORITIES TO SAY THIS IS 682 00:33:37,360 --> 00:33:44,680 HOW WE CAN HELP. 683 00:33:44,680 --> 00:33:46,320 WE UNDERSTAND WORK NEEDS TO BE 684 00:33:46,320 --> 00:33:47,440 DONE BUT WE KNOW WE WANT TO SEE 685 00:33:47,440 --> 00:33:52,880 THE CHANGES. 686 00:33:52,880 --> 00:33:54,000 YESTERDAY TO SIT HERE AND HEAR 687 00:33:54,000 --> 00:33:56,400 FROM THE PEOPLE THAT PRESENTED 688 00:33:56,400 --> 00:33:58,880 THEIR PROJECT AND THE WORK 689 00:33:58,880 --> 00:34:05,080 THEY'RE DOING WAS VERY INSPIRING 690 00:34:05,080 --> 00:34:08,560 BECAUSE WE'RE SEEING THESE ARE 691 00:34:08,560 --> 00:34:10,000 HAPPENING IN INDIAN COUNTRY AND 692 00:34:10,000 --> 00:34:10,440 MAKING A DIFFERENCE. 693 00:34:10,440 --> 00:34:12,000 THAT'S WHAT WE WANT TO SEE. 694 00:34:12,000 --> 00:34:14,440 WE WANTED TO SHARE THAT BECAUSE 695 00:34:14,440 --> 00:34:15,920 WE NEED TO CONTINUE TO 696 00:34:15,920 --> 00:34:18,400 STRENGTHEN THE OFFICE OF THRO 697 00:34:18,400 --> 00:34:21,560 AND CONTINUE TO PUT MONEY INTO 698 00:34:21,560 --> 00:34:23,720 THE OFFICE OF THRO AND THE TAC 699 00:34:23,720 --> 00:34:25,880 THAT IS HERE AND THE TAC THAT 700 00:34:25,880 --> 00:34:33,000 UNFORTUNATELY COULDN'T BE HERE 701 00:34:33,000 --> 00:34:34,280 IS WILLING TO DO THE WORK AND 702 00:34:34,280 --> 00:34:39,080 SHARE AREAS WE'VE BEEN TALKING 703 00:34:39,080 --> 00:34:43,440 ABOUT THAT THE FOUR MAJOR AREAS 704 00:34:43,440 --> 00:34:45,800 WE WANTED TO HIGHLIGHT AROUND 705 00:34:45,800 --> 00:34:46,480 INTERVENTION BASED RESEARCH WITH 706 00:34:46,480 --> 00:34:51,800 THE FOCUS ON WELLNESS AND SOCIAL 707 00:34:51,800 --> 00:34:52,440 DETERMINATES OF HEALTH. 708 00:34:52,440 --> 00:34:53,520 THIS MORNING WE HAD A TOWER BY 709 00:34:53,520 --> 00:35:04,000 ONE OF THE DOCTORS WHO SHE 710 00:35:04,920 --> 00:35:05,480 SHARED ABOUT SOCIAL DETERMINATES 711 00:35:05,480 --> 00:35:06,960 OF HEALTH AND CARDIOVASCULAR 712 00:35:06,960 --> 00:35:08,480 HEALTH AND THE IMPACT ON 713 00:35:08,480 --> 00:35:10,200 NEIGHBORHOOD AND STRESS AND 714 00:35:10,200 --> 00:35:12,360 BLOOD AND THE RESEARCH IT DOES. 715 00:35:12,360 --> 00:35:13,160 SOCIAL DETERMINATES OF HEALTH IS 716 00:35:13,160 --> 00:35:14,160 VERY IMPORTANT. 717 00:35:14,160 --> 00:35:16,160 WE TALK ABOUT IT BUT THE 718 00:35:16,160 --> 00:35:17,480 RESEARCH AROUND IT IS VERY 719 00:35:17,480 --> 00:35:18,480 IMPORTANT AND FOR US TO BE ABLE 720 00:35:18,480 --> 00:35:20,800 TO HAVE OPPORTUNITIES TO START 721 00:35:20,800 --> 00:35:22,680 TO DO THAT TYPE OF RESEARCH. 722 00:35:22,680 --> 00:35:28,640 SO WE NEED TO BE ABLE TO FOCUS 723 00:35:28,640 --> 00:35:35,000 ON THAT AND ALSO THE ORDINANCE 724 00:35:35,000 --> 00:35:40,120 OF METHODOLOGIES ABOUT 725 00:35:40,120 --> 00:35:41,000 INDIGENOUS KNOWLEDGE WITH 726 00:35:41,000 --> 00:35:43,240 INDIGENOUS KNOWLEDGE AND 727 00:35:43,240 --> 00:35:46,200 SUPPORTING THOSE METHODOLOGIES 728 00:35:46,200 --> 00:35:47,080 AND TRIBAL SOVEREIGNTY AND 729 00:35:47,080 --> 00:35:48,680 TRIBAL NATION AND OWNERSHIP. 730 00:35:48,680 --> 00:35:50,800 THAT'S COME UP AROUND THE ALL OF 731 00:35:50,800 --> 00:35:52,000 US STUDY. 732 00:35:52,000 --> 00:35:56,800 I KNOW WE'RE GOING TO GO BACK 733 00:35:56,800 --> 00:36:00,840 AND TALK ABOUT HOW WE'LL WORK 734 00:36:00,840 --> 00:36:02,680 THAT OUT BUT WE HAVE A GROUP 735 00:36:02,680 --> 00:36:04,360 HERE WILLING TO HAVE THE 736 00:36:04,360 --> 00:36:10,120 CONVERSATION AND DATA 737 00:36:10,120 --> 00:36:11,320 SOVEREIGNTY IS VERY IMPORTANT 738 00:36:11,320 --> 00:36:12,520 AND WE'LL HAVE MORE CONVERSATION 739 00:36:12,520 --> 00:36:14,360 ABOUT THAT AND THE CAPACITY 740 00:36:14,360 --> 00:36:19,160 BUILDING AROUND INDIAN COUNTRY 741 00:36:19,160 --> 00:36:26,360 AND AROUND OUR PEOPLE THAT'S THE 742 00:36:26,360 --> 00:36:29,240 BOTTOM LINE IS BUILDING CAPACITY 743 00:36:29,240 --> 00:36:30,240 AND IS THE RESOURCES ARE THE 744 00:36:30,240 --> 00:36:32,520 FOUR POINTS I WANTED TO BRING UP 745 00:36:32,520 --> 00:36:32,680 TOO. 746 00:36:32,680 --> 00:36:42,560 >>WELL, THANK YOU. 747 00:36:42,560 --> 00:36:44,920 >>DR. TABAK: LOTS OF HARD WORK 748 00:36:44,920 --> 00:36:48,560 TO DO SO I'M HAPPY WE'RE IN 749 00:36:48,560 --> 00:36:49,160 ALIGNMENT. 750 00:36:49,160 --> 00:36:51,600 I'LL OFFER A FRIENDLY AMENDMENT 751 00:36:51,600 --> 00:36:55,000 IN THE ISSUE TO GETTING THE THRO 752 00:36:55,000 --> 00:36:57,000 OFFICE TO THE RIGHT CAPACITY. 753 00:36:57,000 --> 00:37:00,360 WE'RE GOING TO NEED YOUR HELP IN 754 00:37:00,360 --> 00:37:03,520 IDENTIFYING PEOPLE TO HELP STAFF 755 00:37:03,520 --> 00:37:04,480 THAT OFFICE. 756 00:37:04,480 --> 00:37:06,520 AND WHAT THAT MEANS, HERE'S THE 757 00:37:06,520 --> 00:37:09,200 HARD PART, SOME OF YOUR BEST 758 00:37:09,200 --> 00:37:10,960 PEOPLE YOU MAY HAVE TO ENCOURAGE 759 00:37:10,960 --> 00:37:14,720 TO APPLY EVEN IF IT'S FOR A 760 00:37:14,720 --> 00:37:15,360 SHORT TERM WHICH IS POSSIBLE IN 761 00:37:15,360 --> 00:37:22,400 THE GOVERNMENT. 762 00:37:22,400 --> 00:37:23,520 FOR SOME OF YOU THE BENCH 763 00:37:23,520 --> 00:37:24,880 STRENGTH IS NOT GREAT AND YOU 764 00:37:24,880 --> 00:37:26,640 CAN'T LET THAT PERSON GO BUT 765 00:37:26,640 --> 00:37:29,120 THAT'S WHAT'S GOING TO BE REALLY 766 00:37:29,120 --> 00:37:38,040 NEEDED. 767 00:37:38,040 --> 00:37:40,640 WE'LL SUPPORT HER TO GET HER 768 00:37:40,640 --> 00:37:45,280 RIGHT SIZED BUT YOU ALL KNOW THE 769 00:37:45,280 --> 00:37:46,880 RIGHT PERSON IS FAR GREATER THAN 770 00:37:46,880 --> 00:37:48,720 THE NUMBER OF PEOPLE. 771 00:37:48,720 --> 00:37:49,840 THAT'S WHERE WE'LL NEED YOUR 772 00:37:49,840 --> 00:37:50,040 HELP. 773 00:37:50,040 --> 00:37:51,600 YOU ALL KNOW WHERE THE TALENT 774 00:37:51,600 --> 00:37:53,640 LIES AND I KNOW YOU'RE HIDING 775 00:37:53,640 --> 00:37:58,000 SOME OF IT BECAUSE WE ALL DO 776 00:37:58,000 --> 00:38:02,320 THAT BUT WE WILL HOPEFULLY 777 00:38:02,320 --> 00:38:05,600 ENCOURAGE YOU TO ENCOURAGE SOME 778 00:38:05,600 --> 00:38:10,040 OF YOUR TEAMS TO APPLY FOR THESE 779 00:38:10,040 --> 00:38:12,200 TYPES OF POSITIONS AND NOT 780 00:38:12,200 --> 00:38:14,240 FOREVER BUT FOR SOME PERIOD OF 781 00:38:14,240 --> 00:38:16,880 TIME AND THEN THEY GO BACK AND 782 00:38:16,880 --> 00:38:18,040 HAVE A BETTER INSIGHT ABOUT WHAT 783 00:38:18,040 --> 00:38:22,080 NIH IS ALL ABOUT AND THEY BECOME 784 00:38:22,080 --> 00:38:23,880 INVALUABLE, QUITE FRANKLY. 785 00:38:23,880 --> 00:38:32,200 ANYWAY, THAT ONE LITTLE FRIENDLY 786 00:38:32,200 --> 00:38:32,960 AMENDMENT. 787 00:38:39,080 --> 00:38:39,200 >> 788 00:38:39,200 --> 00:38:42,640 >>Herminia: ANY OTHER COMMENTS? 789 00:38:42,640 --> 00:38:45,000 QUESTIONS FROM THE TAC? 790 00:38:45,000 --> 00:38:46,560 >>STEPHEN: THANK YOU FOR 791 00:38:46,560 --> 00:38:47,960 SPENDING THE TIME WITH US TODAY. 792 00:38:47,960 --> 00:38:51,920 YOU WERE TALKING ABOUT THE NARCH 793 00:38:51,920 --> 00:38:53,360 PROGRAM AND THE GRADUATE 794 00:38:53,360 --> 00:38:58,480 FELLOWSHIP PROGRAM IS 795 00:38:58,480 --> 00:38:58,880 INVALUABLE. 796 00:38:58,880 --> 00:39:02,920 IT'S A LOT OF THE GRADUATES ARE 797 00:39:02,920 --> 00:39:03,560 FINISHING THEIR DEGREES AND 798 00:39:03,560 --> 00:39:06,400 GETTING JOBS. 799 00:39:06,400 --> 00:39:10,360 APPROXIMATELY 200 NEW Ph.D.s AND 800 00:39:10,360 --> 00:39:11,680 MASTER'S PROGRAMS HAVE RESULTED, 801 00:39:11,680 --> 00:39:19,040 I THINK PROBABLY FROM THAT WORK. 802 00:39:19,040 --> 00:39:21,000 AND ABOUT 1200 PEOPLE HAVE BEEN 803 00:39:21,000 --> 00:39:21,240 TRAINED. 804 00:39:21,240 --> 00:39:22,200 SO CONTINUING THAT IS IMPORTANT 805 00:39:22,200 --> 00:39:24,320 BECAUSE THAT'S THE PIPELINE THAT 806 00:39:24,320 --> 00:39:25,800 YOUR TALKING ABOUT. 807 00:39:25,800 --> 00:39:28,200 SOME OF THEM HOPEFULLY WILL COME 808 00:39:28,200 --> 00:39:28,800 AND DO SOME OF THE WORK HERE 809 00:39:28,800 --> 00:39:39,160 THAT NEEDS TO BE DONE. 810 00:39:50,640 --> 00:39:55,840 IF SOMEONE PROPOSES TO DO 811 00:39:55,840 --> 00:39:56,480 TRIBAL RESEARCH THERE SHOULD BE 812 00:39:56,480 --> 00:39:57,080 A TRIBAL PERSON INVOLVED IN THE 813 00:39:57,080 --> 00:39:57,360 RESEARCH. 814 00:39:57,360 --> 00:39:57,960 IT'S NOT JUST RESEARCH BEING 815 00:39:57,960 --> 00:39:59,680 DONE ON INDIAN COUNTRY BUT 816 00:39:59,680 --> 00:40:00,560 PARTICIPATING WITH INDIAN 817 00:40:00,560 --> 00:40:01,000 COUNTRY. 818 00:40:01,000 --> 00:40:07,120 I WANTED TO SAY THOSE FEW 819 00:40:07,120 --> 00:40:08,520 THINGS. 820 00:40:08,520 --> 00:40:11,480 THE OTHER THING IS I AM 821 00:40:11,480 --> 00:40:15,280 ENCOURAGED WITH WHO IS WORKING 822 00:40:15,280 --> 00:40:17,000 ON THE HEAL PROGRAM RIGHT NOW. 823 00:40:17,000 --> 00:40:22,480 I'M HOPING THAT WE'RE GOING TO 824 00:40:22,480 --> 00:40:23,840 BE ABLE TO RECRUIT ADEQUATE 825 00:40:23,840 --> 00:40:26,280 REPRESENTATION OF TRIBAL PEOPLE 826 00:40:26,280 --> 00:40:29,000 IN THAT PROJECT. 827 00:40:29,000 --> 00:40:33,360 I THINK THAT THE DIRECTOR IS 828 00:40:33,360 --> 00:40:34,160 SUPPORTIVE OF THAT AND WE'RE 829 00:40:34,160 --> 00:40:37,640 LOOKING FORWARD TO ANY WAY WE 830 00:40:37,640 --> 00:40:38,520 CAN ENSURE TRIBAL REPRESENTATION 831 00:40:38,520 --> 00:40:40,680 ACROSS THE COUNTRY AND NOT JUST 832 00:40:40,680 --> 00:40:42,920 IN POCKETS THAT DOESN'T 833 00:40:42,920 --> 00:40:44,560 REPRESENT REALLY ALL OF INDIAN 834 00:40:44,560 --> 00:40:45,320 COUNTRY IS IMPORTANT FOR THAT TO 835 00:40:45,320 --> 00:40:50,800 HAPPEN. 836 00:40:50,800 --> 00:40:57,880 I MEANT THE "ALL OF US" NOT THE 837 00:40:57,880 --> 00:40:58,840 HEAL. 838 00:40:58,840 --> 00:40:59,760 AND THE HEAL INITIATIVE IS GOING 839 00:40:59,760 --> 00:41:04,960 TO BE REALLY IMPORTANT TO US 840 00:41:04,960 --> 00:41:08,600 BECAUSE TRIBAL HEME HAVE THE 841 00:41:08,600 --> 00:41:09,440 HIGHEST IMPACT OF THE OPIOID 842 00:41:09,440 --> 00:41:11,480 EPIDEMIC BEYOND THE SHADOW OF A 843 00:41:11,480 --> 00:41:11,680 DOUBT. 844 00:41:11,680 --> 00:41:16,960 SO THIS RESEARCH IS GOING TO BE 845 00:41:16,960 --> 00:41:18,920 SO IMPORTANT TO US WE GET GOOD 846 00:41:18,920 --> 00:41:19,920 INFORMATION AND PROGRAMMING TO 847 00:41:19,920 --> 00:41:21,280 HELP US MAKE A DIFFERENCE AT 848 00:41:21,280 --> 00:41:25,000 HOME. 849 00:41:25,000 --> 00:41:29,800 THOSE ARE A FEW THINGS I WANTED 850 00:41:29,800 --> 00:41:30,440 TO SAY. 851 00:41:30,440 --> 00:41:33,000 >>DR. TABAK: THANK YOU FOR 852 00:41:33,000 --> 00:41:35,920 RAISING THOSE ISSUES. 853 00:41:35,920 --> 00:41:36,480 THE TRAINING PROGRAMS ARE 854 00:41:36,480 --> 00:41:39,680 CRUCIAL. 855 00:41:39,680 --> 00:41:44,160 THEY CEDE EVERYTHING ELSE WE 856 00:41:44,160 --> 00:41:45,360 HAVE SHARED GOALS FOR. 857 00:41:45,360 --> 00:41:47,120 THE "ALL OF US" PROGRAM, WE 858 00:41:47,120 --> 00:41:54,040 LEARNED A LOT TOGETHER FRANKLY. 859 00:41:54,040 --> 00:41:56,720 WE HAVE MORE TO LEARN AS WE GO 860 00:41:56,720 --> 00:41:59,600 FORWARD BUT I HOPE EVERYBODY 861 00:41:59,600 --> 00:42:01,200 APPRECIATES THAT THE 862 00:42:01,200 --> 00:42:02,600 INVESTIGATORS ARE TRYING TO DO 863 00:42:02,600 --> 00:42:06,920 THIS IN THE RIGHT WAY TO 864 00:42:06,920 --> 00:42:10,480 MAXIMIZE THE VALUE TO 865 00:42:10,480 --> 00:42:11,680 PARTICIPANTS OF COURSE INCLUDING 866 00:42:11,680 --> 00:42:12,240 THOSE WHO ARE AMONG YOUR 867 00:42:12,240 --> 00:42:20,880 COMMUNITIES. 868 00:42:20,880 --> 00:42:23,480 AND LIKE HEAL, I KEEP A CLOSE 869 00:42:23,480 --> 00:42:23,880 EYE ON. 870 00:42:23,880 --> 00:42:28,040 WE THOUGHT IT WAS VERY IMPORTANT 871 00:42:28,040 --> 00:42:29,640 TO GET AN AIAN CENTRIC FOCUS ON 872 00:42:29,640 --> 00:42:35,360 THE HEAL RESOURCES. 873 00:42:35,360 --> 00:42:36,960 BUT FOR THE REASONS YOU SAID TO 874 00:42:36,960 --> 00:42:41,800 COME UP WITH RESEARCH THAT WILL 875 00:42:41,800 --> 00:42:44,280 DIRECTLY HAVE THE BEST 876 00:42:44,280 --> 00:42:47,440 OPPORTUNITIES TO POSSIBLY AFFECT 877 00:42:47,440 --> 00:42:48,160 PREVENTION AND/OR TREATMENT 878 00:42:48,160 --> 00:42:50,920 AMONG THE TRIBAL NATIONS. 879 00:42:50,920 --> 00:42:55,960 SO AGAIN, GOOD WE'RE IN 880 00:42:55,960 --> 00:42:56,640 ALIGNMENT BUT WE ALL APPRECIATE 881 00:42:56,640 --> 00:42:57,200 THERE'S STILL A LOT TO DO. 882 00:42:57,200 --> 00:43:05,000 THANK YOU. 883 00:43:05,000 --> 00:43:07,240 >>DR. JOCK. 884 00:43:07,240 --> 00:43:10,680 >>DR. JOCK: I WANTED TO 885 00:43:10,680 --> 00:43:14,440 RECOGNIZE THE HIERARCHY OF 886 00:43:14,440 --> 00:43:16,000 EVIDENCE WHEN IT COMES TO 887 00:43:16,000 --> 00:43:18,360 INDIGENOUS DATA AND WHEN 888 00:43:18,360 --> 00:43:18,920 PARTICULARLY DISTINGUISHING 889 00:43:18,920 --> 00:43:20,400 BETWEEN RECRUITMENT OF 890 00:43:20,400 --> 00:43:24,960 COMMUNITIES AND INCORPORATING 891 00:43:24,960 --> 00:43:26,480 COMMUNITY-INFORMED CONSENT AND 892 00:43:26,480 --> 00:43:27,760 DIFFERENTIATING THAT FROM 893 00:43:27,760 --> 00:43:30,160 RECRUITING INDIVIDUALS WHICH 894 00:43:30,160 --> 00:43:34,360 OFTEN TIMES MEANS SELF-REPORT OF 895 00:43:34,360 --> 00:43:35,760 INDIGENOUS OR AMERICAN 896 00:43:35,760 --> 00:43:36,560 INDIAN/ALASKAN NATIVE IDENTITY. 897 00:43:36,560 --> 00:43:39,560 AND TO ME I THINK THE GOLD 898 00:43:39,560 --> 00:43:41,720 STANDARD THAT THE NIH SHOULD 899 00:43:41,720 --> 00:43:43,280 CONSIDER IS IS RECRUITMENT OF 900 00:43:43,280 --> 00:43:44,280 COMMUNITIES WHERE IT'S 901 00:43:44,280 --> 00:43:46,320 PARTNERSHIP WITH COMMUNITIES, 902 00:43:46,320 --> 00:43:48,400 WORKING WITH COMMUNITIES TO 903 00:43:48,400 --> 00:43:50,920 RECRUIT PARTICIPANTS FOR SAMPLES 904 00:43:50,920 --> 00:43:54,680 AND THAT BEING A CONSIDERED A 905 00:43:54,680 --> 00:43:56,200 HIGHER QUALITY EVIDENCE COMPARED 906 00:43:56,200 --> 00:43:58,880 TO SELF-REPORT BECAUSE THERE'S 907 00:43:58,880 --> 00:44:00,040 PERVASIVE ISSUES OF 908 00:44:00,040 --> 00:44:03,360 SELF-IDENTIFICATION NOT BEING 909 00:44:03,360 --> 00:44:05,120 ACCURATE ESPECIALLY ACROSS THE 910 00:44:05,120 --> 00:44:05,360 COUNTRY. 911 00:44:05,360 --> 00:44:07,560 AND ONE OF THE QUESTIONS THAT I 912 00:44:07,560 --> 00:44:09,120 HAD IS GOING BACK TO THE 913 00:44:09,120 --> 00:44:14,040 IMPORTANCE OF INTERVENTION-BASED 914 00:44:14,040 --> 00:44:16,840 RESEARCH AND A WELLNESS FOCUS 915 00:44:16,840 --> 00:44:19,960 OPPOSED TO A DISEASE MODEL. 916 00:44:19,960 --> 00:44:20,880 ONE CHALLENGE BECOMES BECAUSE OF 917 00:44:20,880 --> 00:44:22,400 THE WAY THE INSTITUTES ARE 918 00:44:22,400 --> 00:44:24,280 STRUCTURED, THEY'RE FOCUSSING ON 919 00:44:24,280 --> 00:44:28,200 THE SPECIFIC ILLNESSES, WHAT IS 920 00:44:28,200 --> 00:44:29,520 OF INTEREST ACROSS INDIAN 921 00:44:29,520 --> 00:44:32,120 COUNTRY IS WELLNESS AND HEALTH 922 00:44:32,120 --> 00:44:33,720 PROMOTION APPROACHES. 923 00:44:33,720 --> 00:44:35,200 CULTURAL REVITALIZATION PROGRAMS 924 00:44:35,200 --> 00:44:36,720 AND HOW THEY CAN HAVE HUGE 925 00:44:36,720 --> 00:44:38,560 IMPACTS ON HEALTH. 926 00:44:38,560 --> 00:44:40,800 ONE OF THE THINGS THAT I'M 927 00:44:40,800 --> 00:44:43,040 CURIOUS ABOUT IS IF IT'S 928 00:44:43,040 --> 00:44:44,400 POSSIBLE WITHIN THESE PRIORITIES 929 00:44:44,400 --> 00:44:47,000 WHICH ALIGN WITH THE NIH TAC AND 930 00:44:47,000 --> 00:44:50,440 THE DIRECTION DR. WALTERS HAS 931 00:44:50,440 --> 00:44:54,640 OUTLINED IS IF IT'S POSSIBLE FOR 932 00:44:54,640 --> 00:44:56,680 THRO AS AN OFFICE WITHIN NIH TO 933 00:44:56,680 --> 00:44:58,480 COLLABORATE ON SPECIFIC FUNDING 934 00:44:58,480 --> 00:44:59,080 ANNOUNCEMENTS WITH THIS BROADER 935 00:44:59,080 --> 00:45:02,920 FOCUS. 936 00:45:02,920 --> 00:45:03,360 THANK YOU. 937 00:45:03,360 --> 00:45:05,360 >>DR. TABAK: THANK YOU. 938 00:45:05,360 --> 00:45:06,280 THOSE ARE TWO IMPORTANT POINTS 939 00:45:06,280 --> 00:45:07,800 YOU RAISED. 940 00:45:07,800 --> 00:45:10,040 THE ISSUE OF -- AND I LIKE VERY 941 00:45:10,040 --> 00:45:11,240 MUCH THE WAY YOU FRAMED 942 00:45:11,240 --> 00:45:14,760 INDIVIDUAL VERSUS 943 00:45:14,760 --> 00:45:20,600 COMMUNITY-BASED CONSENT, IF YOU 944 00:45:20,600 --> 00:45:21,400 WILL. 945 00:45:21,400 --> 00:45:25,000 AND OF COURSE COMMUNITY-BASED 946 00:45:25,000 --> 00:45:27,360 CONSENT IS NOT TYPICAL OF 947 00:45:27,360 --> 00:45:28,440 EVERYONE IN THE U.S. BUT 948 00:45:28,440 --> 00:45:32,920 PARAMOUNT TO TRIBAL NATIONS. 949 00:45:32,920 --> 00:45:36,120 FRANKLY, WE HAVE BUMPS AND 950 00:45:36,120 --> 00:45:37,760 BRUISES BECAUSE WE DIDN'T QUITE 951 00:45:37,760 --> 00:45:39,680 GET THAT EARLY ON. 952 00:45:39,680 --> 00:45:41,960 BUT HOPEFULLY WE'VE LEARNED FROM 953 00:45:41,960 --> 00:45:42,960 THAT EXPERIENCE AND HAS JOSH 954 00:45:42,960 --> 00:45:44,640 COME TO SPEAK TO THE GROUP YET 955 00:45:44,640 --> 00:45:49,560 OR IS HE COMING -- YESTERDAY? 956 00:45:49,560 --> 00:45:49,760 OKAY. 957 00:45:49,760 --> 00:45:52,040 HOPEFULLY HE REFLECTED THE 958 00:45:52,040 --> 00:45:57,240 COMMITMENT GOING FORWARD TO 959 00:45:57,240 --> 00:46:02,040 DOING THIS IN THE PROPER WAY AND 960 00:46:02,040 --> 00:46:04,680 THAT'S FINE BECAUSE YOU ARE IN 961 00:46:04,680 --> 00:46:06,680 DEAL SORCHB -- 962 00:46:08,600 --> 00:46:09,960 YOU ARE INDEED SOVEREIGN NATIONS 963 00:46:09,960 --> 00:46:12,720 SO WE HAVE TO ABIDE BY THAT. 964 00:46:12,720 --> 00:46:18,200 IN TERMS OF YOUR SECOND POINT, 965 00:46:18,200 --> 00:46:28,760 FRANKLY, AND WE SPEND TOO MUCH 966 00:46:33,800 --> 00:46:36,880 TIME ON DISEASE INSTEAD OF 967 00:46:36,880 --> 00:46:38,720 WELLNESS AND MANY DIRECTORS SAY 968 00:46:38,720 --> 00:46:40,960 THE SAME THING. 969 00:46:40,960 --> 00:46:42,320 IT CAN BE A CATALYST. 970 00:46:42,320 --> 00:46:45,120 THE REAL MONEY'S IN THE 971 00:46:45,120 --> 00:46:47,000 INSTITUTES AND CENTERS BECAUSE 972 00:46:47,000 --> 00:46:47,720 THAT'S WHERE CONGRESS PUTS IT 973 00:46:47,720 --> 00:46:51,960 BUT INDEED THEY ARE REAL MONEY. 974 00:46:51,960 --> 00:46:54,960 PERHAPS TAKING ADVANTAGE OF WHAT 975 00:46:54,960 --> 00:46:57,240 IS SORT OF BUILDING INTEREST 976 00:46:57,240 --> 00:46:59,560 AMONG THE INSTITUTES AND CENTERS 977 00:46:59,560 --> 00:47:03,720 ABOUT WELLNESS OPPOSED TO FIXING 978 00:47:03,720 --> 00:47:07,120 IT AFTER THE FACT MAYBE THERE'S 979 00:47:07,120 --> 00:47:08,200 AN OPPORTUNITY THERE TO CATALYZE 980 00:47:08,200 --> 00:47:12,920 THE TYPES OF THINGS THAT YOU'RE 981 00:47:12,920 --> 00:47:17,640 REFERRING TO BECAUSE WE ALL KNOW 982 00:47:17,640 --> 00:47:26,200 THAT IF YOU PREVENT TYPE II 983 00:47:26,200 --> 00:47:33,040 DIABETES OR OBESITY SO I THINK 984 00:47:33,040 --> 00:47:42,040 YOU RAISE A GOOD TACTICAL A. 985 00:47:42,040 --> 00:47:48,480 FOR THE TRIBAL HEALTH AND WE'RE 986 00:47:48,480 --> 00:47:57,880 INTERESTED IN THIS APPROACH. 987 00:47:57,880 --> 00:48:02,800 AND THERE'S A SIGNAL. 988 00:48:02,800 --> 00:48:06,640 THEY GET IT. 989 00:48:06,640 --> 00:48:10,400 AND SO I THINK BOTH OF THOSE 990 00:48:10,400 --> 00:48:10,880 POINTS ARE VERY HELPFUL. 991 00:48:10,880 --> 00:48:20,720 THANK YOU. 992 00:48:20,720 --> 00:48:20,880 993 00:48:20,880 --> 00:48:21,840 >>HERMINIA: ANY OTHER 994 00:48:21,840 --> 00:48:22,080 QUESTIONS? 995 00:48:22,080 --> 00:48:25,520 WE HAVE A COUPLE MORE MINUTES. 996 00:48:25,520 --> 00:48:26,600 YES, STEPHEN. 997 00:48:26,600 --> 00:48:29,360 >>STEPHEN: ONE OTHER ISSUE IT 998 00:48:29,360 --> 00:48:33,960 WAS SO REFRESHING TO HAVE THE 999 00:48:33,960 --> 00:48:37,000 RESEARCH BROUGHT INTO US AND 1000 00:48:37,000 --> 00:48:39,600 WE'LL GET MORE TODAY FROM 1001 00:48:39,600 --> 00:48:47,040 DR. WARREN AND -- DR. WARNE AND 1002 00:48:47,040 --> 00:48:49,480 IN THAT SMALL AMOUNT OF TIME OF 1003 00:48:49,480 --> 00:48:50,840 HEARING THE RESEARCH IN THE 1004 00:48:50,840 --> 00:48:52,520 COMMUNITIES AND HOW IMPACTFUL IT 1005 00:48:52,520 --> 00:48:55,680 WAS WAS HEARTWARMING. 1006 00:48:55,680 --> 00:48:58,080 WE'RE ASKING IF THRO -- AND THIS 1007 00:48:58,080 --> 00:49:02,680 GOES ALL THE WAY BACK YEARS AND 1008 00:49:02,680 --> 00:49:04,520 WE WERE ASKING TO CATALOG THE 1009 00:49:04,520 --> 00:49:10,360 RESEARCH DONE IN INDIAN COUNTRY 1010 00:49:10,360 --> 00:49:14,400 SO WE -- IF WE COULD BEGIN TO 1011 00:49:14,400 --> 00:49:15,600 UNDERSTAND ALL OF THE RESEARCH 1012 00:49:15,600 --> 00:49:17,360 THAT'S GONE ON AND BE ABLE TO 1013 00:49:17,360 --> 00:49:23,640 READ ON THE THINGS PER 1014 00:49:23,640 --> 00:49:27,400 PERTINENT TO US AND HEARING AND 1015 00:49:27,400 --> 00:49:28,440 BEING ABLE TO UNDERSTAND WHERE 1016 00:49:28,440 --> 00:49:30,360 THE RESEARCH HAS ALREADY 1017 00:49:30,360 --> 00:49:32,880 OCCURRED SO WE'RE NOT GOING OVER 1018 00:49:32,880 --> 00:49:33,480 THE SAME PATH ALWAYS ALL THE 1019 00:49:33,480 --> 00:49:42,040 TIME IS HELPFUL. 1020 00:49:42,040 --> 00:49:44,760 RESEARCH IS GOING ON IN INDIAN 1021 00:49:44,760 --> 00:49:49,400 COUNTRY AND IF NIH IS KEEPING 1022 00:49:49,400 --> 00:49:51,720 TRAM AS MUCH AS POSSIBLE THAT'S 1023 00:49:51,720 --> 00:49:51,960 HELPFUL. 1024 00:49:51,960 --> 00:49:55,160 >>DR. TABAK: THAT'S AN 1025 00:49:55,160 --> 00:49:57,680 OPPORTUNITY FOR A COLLABORATION 1026 00:49:57,680 --> 00:50:05,920 WITH OTHER PARTS OF PCIPSI TO DO 1027 00:50:05,920 --> 00:50:07,720 DEEP DIVES OF WHAT WE'VE DONE IN 1028 00:50:07,720 --> 00:50:09,520 THE PAST AND I ENCOURAGE YOU TO 1029 00:50:09,520 --> 00:50:10,360 TAKE ADVANTAGE OF THEIR 1030 00:50:10,360 --> 00:50:10,840 EXPERTISE. 1031 00:50:10,840 --> 00:50:14,760 I THINK THAT'S A REASONABLE 1032 00:50:14,760 --> 00:50:19,000 REQUEST AND WE SHOULD TRY TO 1033 00:50:19,000 --> 00:50:20,360 TAKE ADVANTAGE OF THAT. 1034 00:50:20,360 --> 00:50:23,960 >>I THINK BRITTANY HAD A 1035 00:50:23,960 --> 00:50:24,200 COMMENT. 1036 00:50:24,200 --> 00:50:26,680 >>BRITTANY: I HAD ANOTHER 1037 00:50:26,680 --> 00:50:27,720 COMMENT, THANK YOU VERY MUCH. 1038 00:50:27,720 --> 00:50:28,760 ONE OTHER SUGGESTION AND THINGS 1039 00:50:28,760 --> 00:50:31,200 I THINK IS IMPORTANT IN TERMS OF 1040 00:50:31,200 --> 00:50:35,000 SUPPORTING INFRASTRUCTURE FOR 1041 00:50:35,000 --> 00:50:38,080 OUR COMMUNITIES IS IN I AGREE IN 1042 00:50:38,080 --> 00:50:39,480 CATALOGING THE INFORMATION. 1043 00:50:39,480 --> 00:50:41,760 I'M GLAD YOU MENTIONS THE 1044 00:50:41,760 --> 00:50:42,320 PIPELINE FOR HIGH SCHOOL 1045 00:50:42,320 --> 00:50:43,120 STUDENTS IS IMPORTANT AND TO 1046 00:50:43,120 --> 00:50:45,360 BUILD ON THAT INCORPORATING 1047 00:50:45,360 --> 00:50:47,960 THINGS LIKE THE OCAP PRINCIPLES 1048 00:50:47,960 --> 00:50:49,320 WHICH WERE ESTABLISHED ON THE 1049 00:50:49,320 --> 00:50:51,320 NORTHERN END OF TURTLE ISLAND 1050 00:50:51,320 --> 00:50:54,480 AND INCORPORATING THAT TO NIH 1051 00:50:54,480 --> 00:50:55,320 POLICY AS WELL AS SUPPORTING 1052 00:50:55,320 --> 00:50:55,840 INFRASTRUCTURE WITHIN 1053 00:50:55,840 --> 00:50:58,520 COMMUNITIES AND FUNDING DIRECTLY 1054 00:50:58,520 --> 00:51:08,920 TRIBAL EPICENTERS AS AN 1055 00:51:13,080 --> 00:51:15,280 IMPORTANT PART. 1056 00:51:15,280 --> 00:51:20,600 >>DR. TABAK: HOPEFULLY OVER 1057 00:51:20,600 --> 00:51:22,640 TIME THEY'RE ONE OF THE 1058 00:51:22,640 --> 00:51:24,320 STRENGTHS YOU COULD CURRENTLY 1059 00:51:24,320 --> 00:51:26,480 DRAW UPON BUT I DON'T WANT TO 1060 00:51:26,480 --> 00:51:30,000 STOP JUST WITH THE EPICENTERS. 1061 00:51:30,000 --> 00:51:34,720 I'M AN EPIDEMIOLOGIST BY 1062 00:51:34,720 --> 00:51:36,920 TRAINING BUT I DON'T WANT THAT 1063 00:51:36,920 --> 00:51:41,000 TO BE THE ONLY LOCUS OF STRENGTH 1064 00:51:41,000 --> 00:51:41,600 BUT CERTAINLY SHOULD BE AMONG 1065 00:51:41,600 --> 00:51:51,720 THEM. 1066 00:51:53,040 --> 00:51:53,920 >>HERMINIA: I LIKE TO MAKE A 1067 00:51:53,920 --> 00:51:55,640 COMMENT AND I KNOW WE'RE ALMOST 1068 00:51:55,640 --> 00:51:57,840 OUT OF TIME BUT ABOUT TECHNOLOGY 1069 00:51:57,840 --> 00:52:00,600 AND THE DIVERSITY WITH ALL THE 1070 00:52:00,600 --> 00:52:02,760 TRIBES THAT WE HAVE THAT WE 1071 00:52:02,760 --> 00:52:04,640 REPRESENT WITHIN ALL OF OUR 1072 00:52:04,640 --> 00:52:06,040 DIFFERENT REGIONS. 1073 00:52:06,040 --> 00:52:10,040 I'M IN THE TUCSON AREA WHERE 1074 00:52:10,040 --> 00:52:11,720 IT'S HOT. 1075 00:52:11,720 --> 00:52:13,680 TUCSON AND PHOENIX ARIZONA WE 1076 00:52:13,680 --> 00:52:15,080 JUST HAD THE MAJOR EXTREME HEAT. 1077 00:52:15,080 --> 00:52:17,280 WE HAVE ALASKA REPRESENTATION 1078 00:52:17,280 --> 00:52:20,800 AND WE HAVE NORTHWEST AND IT'S 1079 00:52:20,800 --> 00:52:21,120 VERY DIVERSE. 1080 00:52:21,120 --> 00:52:22,880 SOMETIMES WE FORGET ABOUT THE 1081 00:52:22,880 --> 00:52:24,400 DIVERSITY AND EVEN I FORGET 1082 00:52:24,400 --> 00:52:25,880 ABOUT THE DIVERSITY. 1083 00:52:25,880 --> 00:52:31,200 AND ONE OF THE CHALLENGES WITH 1084 00:52:31,200 --> 00:52:33,840 THE DIVERSITY IS THE TECHNOLOGY 1085 00:52:33,840 --> 00:52:35,000 AND ACCESS TO TECHNOLOGY. 1086 00:52:35,000 --> 00:52:37,200 WHEN I MENTIONED EARLIER ABOUT 1087 00:52:37,200 --> 00:52:40,640 HOW US AS THE TAC WE'RE READY TO 1088 00:52:40,640 --> 00:52:46,640 WORK WITH THE THRO OFFICE TO 1089 00:52:46,640 --> 00:52:50,120 REALLY START HELP IING TO HELP E 1090 00:52:50,120 --> 00:52:59,200 OFFICE WE AS DELEGATES A LOT OF 1091 00:52:59,200 --> 00:53:09,760 PEOPLE AND IT'S SCARY AND WE'RE 1092 00:53:10,240 --> 00:53:10,840 WILLING TO STEP UP AND BE A PART 1093 00:53:10,840 --> 00:53:17,000 OF THIS TO UNDERSTAND AND TO 1094 00:53:17,000 --> 00:53:18,280 GAIN THAT KNOWLEDGE AND BUILD 1095 00:53:18,280 --> 00:53:20,480 CAPACITY AND TECHNOLOGY IS 1096 00:53:20,480 --> 00:53:24,480 SOMETHING THAT A LOT OF OUR 1097 00:53:24,480 --> 00:53:26,120 TRIBAL NATIONS HAVE NOT HAD THE 1098 00:53:26,120 --> 00:53:27,760 ADVANTAGE OF AND ONE OF THE 1099 00:53:27,760 --> 00:53:30,360 ADVANTAGE THE REST OF THE 1100 00:53:30,360 --> 00:53:35,600 COUNTRY HAS HAD AN ADVANTAGE 1101 00:53:35,600 --> 00:53:39,000 THAT INDIAN COUNTRY HASN'T IS 1102 00:53:39,000 --> 00:53:41,200 THE INTERNET AND BROADBAND. 1103 00:53:41,200 --> 00:53:45,200 THAT'S INHIBITED US FROM 1104 00:53:45,200 --> 00:53:46,640 RESEARCH AND EPIDEMIOLOGY AND 1105 00:53:46,640 --> 00:53:48,360 GATHERING THE DATA AND GATHERING 1106 00:53:48,360 --> 00:53:51,080 WHAT IT IS THAT HAS PREVENTED US 1107 00:53:51,080 --> 00:53:53,040 FROM ELECTRONIC HEALTH RECORDS 1108 00:53:53,040 --> 00:53:54,960 AND FROM GETTING THIS KIND OF 1109 00:53:54,960 --> 00:53:59,240 INFORMATION SO I WANTED TO BRING 1110 00:53:59,240 --> 00:54:01,080 THAT UP SOMETIMES I EVEN FORGET 1111 00:54:01,080 --> 00:54:05,120 WHEN I TALK ABOUT MY HEALTH 1112 00:54:05,120 --> 00:54:06,680 DEPARTMENT AND DATA BECAUSE WE 1113 00:54:06,680 --> 00:54:08,120 DO HAVE ELECTRONIC HEALTH 1114 00:54:08,120 --> 00:54:08,360 RECORDS. 1115 00:54:08,360 --> 00:54:12,480 THEN I'M TALKING TO DR. MOUSSEAU 1116 00:54:12,480 --> 00:54:14,200 AND SHE'S TELLING ME A DIFFERENT 1117 00:54:14,200 --> 00:54:17,440 STORY THEN WE HAVE TO HAVE THAT 1118 00:54:17,440 --> 00:54:21,240 CONVERSATION BECAUSE I CAN'T 1119 00:54:21,240 --> 00:54:29,440 EVEN ASSUME THAT NOT EVERYBODY 1120 00:54:29,440 --> 00:54:31,440 HAS THIS AND THERE ARE OTHER 1121 00:54:31,440 --> 00:54:36,080 TRIBES GETTING TO THE DIGITAL 1122 00:54:36,080 --> 00:54:37,480 AGE. 1123 00:54:37,480 --> 00:54:41,320 AND THANKS TO THE EXPANSION OF 1124 00:54:41,320 --> 00:54:42,960 BROADBAND AND FIBER OPTICS 1125 00:54:42,960 --> 00:54:44,840 REACHING THE RESERVATIONS WE'RE 1126 00:54:44,840 --> 00:54:45,600 NOW GETTING THERE. 1127 00:54:45,600 --> 00:54:50,440 THE TECHNOLOGY HAS PREVENTED A 1128 00:54:50,440 --> 00:54:51,320 LOT OF US FROM GETTING TO A 1129 00:54:51,320 --> 00:54:53,000 PLACE THAT HAS IMPACTED OUR 1130 00:54:53,000 --> 00:55:02,280 HEALTH. 1131 00:55:02,280 --> 00:55:06,160 AND THE ADVANCEMENT OF MEDICINE 1132 00:55:06,160 --> 00:55:06,920 IS ALL PUT TOGETHER. 1133 00:55:06,920 --> 00:55:10,600 I WANTED TO MAKE THAT POINT. 1134 00:55:10,600 --> 00:55:13,560 IT'S NOT AS IF WE DON'T WANT 1135 00:55:13,560 --> 00:55:15,320 TRIBES IN OUR GOVERNMENT AND 1136 00:55:15,320 --> 00:55:16,080 LEADERSHIP DOESN'T WANT TO BE A 1137 00:55:16,080 --> 00:55:17,760 PART OF IS BUT IT'S ALL WRAP YOU 1138 00:55:17,760 --> 00:55:17,920 HAD. 1139 00:55:17,920 --> 00:55:18,520 IN THE SAME PICTURE. 1140 00:55:18,520 --> 00:55:20,800 WE HAVE TO HAVE THE TECHNOLOGY 1141 00:55:20,800 --> 00:55:24,280 AND HAVE TO HAVE -- WE ALL HAVE 1142 00:55:24,280 --> 00:55:25,320 TO BE PLAYING IN THE SAME FIELD 1143 00:55:25,320 --> 00:55:28,880 AND THE EQUITY AS PART OF THAT 1144 00:55:28,880 --> 00:55:32,080 EQUITY AND WE AREN'T PLAYING ON 1145 00:55:32,080 --> 00:55:34,240 THE SAME FIELD. 1146 00:55:34,240 --> 00:55:37,880 >>I APPRECIATE YOU RAISING IT. 1147 00:55:37,880 --> 00:55:39,960 OTHER PARTS OF THE COUNTRY ALSO 1148 00:55:39,960 --> 00:55:45,880 LACK THE OPTIONS. 1149 00:55:45,880 --> 00:55:48,040 IN GENERAL, RURAL AMERICA IS 1150 00:55:48,040 --> 00:55:49,280 BEHIND WHAT YOU FIND IN OTHER 1151 00:55:49,280 --> 00:55:54,160 AREAS. 1152 00:55:54,160 --> 00:55:56,400 PARADOXICALLY IT'S TECHNOLOGY 1153 00:55:56,400 --> 00:56:00,960 THAT WILL BE THE EQUALIZER. 1154 00:56:00,960 --> 00:56:04,840 ONCE YOU HAVE THE BASIC INTERNET 1155 00:56:04,840 --> 00:56:09,720 CAPACITY THEN ALL YOU NEED IS A 1156 00:56:09,720 --> 00:56:10,880 LAPTOP AND YOU CAN COMPUTE ON 1157 00:56:10,880 --> 00:56:13,640 ALL KINDS OF AMAZING THINGS. 1158 00:56:13,640 --> 00:56:15,080 AND YOU CAN DO ALL SORTS OF 1159 00:56:15,080 --> 00:56:21,000 REMARKABLE TYPES OF RESEARCH. 1160 00:56:21,000 --> 00:56:24,080 THAT'S OUR HOPE WITH THE 1161 00:56:24,080 --> 00:56:25,880 INITIATIVE GOING FORWARD TO 1162 00:56:25,880 --> 00:56:30,400 EMPOWER TRIBAL NATIONS TO 1163 00:56:30,400 --> 00:56:31,160 CONDUCT INCREASINGLY 1164 00:56:31,160 --> 00:56:33,880 SOPHISTICATED TYPES OF RESEARCH, 1165 00:56:33,880 --> 00:56:35,240 TAKING ADVANTAGE OF THINGS LIKE 1166 00:56:35,240 --> 00:56:37,160 ARTIFICIAL INTELLIGENCE OR 1167 00:56:37,160 --> 00:56:38,680 MACHINE LEARNING, ELECTRONIC 1168 00:56:38,680 --> 00:56:42,200 HEALTH RECORDS AS THEY DO EXIST. 1169 00:56:42,200 --> 00:56:46,280 AND SO THAT'S THE IRONY OF IT. 1170 00:56:46,280 --> 00:56:48,080 UNTIL YOU HAVE THE BASAL 1171 00:56:48,080 --> 00:56:49,680 INFRASTRUCTURE YOU CAN'T TAKE 1172 00:56:49,680 --> 00:56:53,120 ADVANTAGE OF THAT BUT ONCE DO 1173 00:56:53,120 --> 00:56:54,640 YOU HAVE THE BASAL 1174 00:56:54,640 --> 00:56:56,440 INFRASTRUCTURE IT OPENS UP A 1175 00:56:56,440 --> 00:56:58,240 RANGE OF POSSIBILITY WE HOPE TO 1176 00:56:58,240 --> 00:57:00,360 PARTNER WITH YOU ON SO YOU TAKE 1177 00:57:00,360 --> 00:57:02,440 ADVANTAGE OF IT BECAUSE THEN 1178 00:57:02,440 --> 00:57:09,880 EVERYBODY BENEFITS. 1179 00:57:09,880 --> 00:57:11,280 WE HAVE TO BE MINDFUL THAT NOT 1180 00:57:11,280 --> 00:57:13,080 EVERYBODY IS AT THE SAME 1181 00:57:13,080 --> 00:57:19,440 READINESS STATE. 1182 00:57:19,440 --> 00:57:25,000 HOW TO EVEN THAT BASIC PLAYING 1183 00:57:25,000 --> 00:57:35,120 FIE 1184 00:58:00,160 --> 00:58:04,440 FIELD. 1185 00:58:04,440 --> 00:58:05,600 THERE'S JUST SO MUCH THAT CAN BE 1186 00:58:05,600 --> 00:58:08,240 DONE WITHOUT HAVING TO GET A LOT 1187 00:58:08,240 --> 00:58:09,120 OF FANCY EQUIPMENT. 1188 00:58:09,120 --> 00:58:13,720 WHEN YOU THINK OF A RESEARCH YOU 1189 00:58:13,720 --> 00:58:14,760 THINK OF BIG MACHINES AND 1190 00:58:14,760 --> 00:58:17,080 POWERFUL NOISES. 1191 00:58:17,080 --> 00:58:19,480 JUST NEED A LITTLE LAPTOP AND 1192 00:58:19,480 --> 00:58:29,920 NEED TO KNOW HOW TO CODE. 1193 00:59:01,080 --> 00:59:01,520 >>HERMINIA: THANK YOU 1194 00:59:01,520 --> 00:59:03,400 DR. TABAK. 1195 00:59:03,400 --> 00:59:07,000 WE HAVE AN OPPORTUNITY FOR A 1196 00:59:07,000 --> 00:59:12,640 GROUP PHOTO. 1197 00:59:12,640 --> 00:59:31,320 >>DR. TABAK: ONE, TWO, THREE, DONE. 1198 00:59:31,320 --> 00:59:33,080 [SPEAKING NON-ENGLISH] 1199 00:59:33,080 --> 00:59:58,120 >>I SAID I'M HONORED AND HAPPY 1200 00:59:58,120 --> 00:59:59,760 TO WORK WITH KARINA AND THE TEAM 1201 00:59:59,760 --> 01:00:03,280 AT THRO AND ROBIN AS WELL. 1202 01:00:03,280 --> 01:00:04,400 SHE WAS MY SUPERVISOR PRIOR TO 1203 01:00:04,400 --> 01:00:07,280 KARINA AND I WAS SO HAPPY AND 1204 01:00:07,280 --> 01:00:09,720 HONORED TO WORK FOR HER. 1205 01:00:09,720 --> 01:00:11,880 I'M HAPPY TO WORK WITH THE TAC 1206 01:00:11,880 --> 01:00:13,320 MEMBERS TOO. 1207 01:00:13,320 --> 01:00:14,640 I'M HAPPY YOU'RE HERE AND TO SEE 1208 01:00:14,640 --> 01:00:19,480 YOU GUYS FACE TO FACE AND THE 1209 01:00:19,480 --> 01:00:19,800 PANEL MEMBERS. 1210 01:00:19,800 --> 01:00:26,000 THANK YOU. 1211 01:00:26,000 --> 01:00:28,680 I WAS MORE THAN THRILLED WHEN A 1212 01:00:28,680 --> 01:00:30,400 POSITION OPENED UP IN THE THRO 1213 01:00:30,400 --> 01:00:34,760 OFFICE TO GO AHEAD AND MOVE 1214 01:00:34,760 --> 01:00:35,160 OVER. 1215 01:00:35,160 --> 01:00:37,680 I AM THE SENIOR SCIENCE AND 1216 01:00:37,680 --> 01:00:39,800 POLICY ADVISER TO DR. WALTERS 1217 01:00:39,800 --> 01:00:44,080 AND REALLY LOOKING FORWARD TO 1218 01:00:44,080 --> 01:00:46,120 ALL OF THE THINGS THAT WE BOTH 1219 01:00:46,120 --> 01:00:48,520 SEE AS GOOD THINGS TO MOVE 1220 01:00:48,520 --> 01:00:50,040 FORWARD WITH. 1221 01:00:50,040 --> 01:00:52,480 VERY EXCITED ACTUALLY AND REALLY 1222 01:00:52,480 --> 01:00:59,680 HAPPY TO BE AT THIS MEETING. 1223 01:00:59,680 --> 01:01:05,760 >>I ALSO WANT TO ACKNOWLEDGE 1224 01:01:05,760 --> 01:01:06,440 BONNIE, SHE'S IN ANOTHER MEETING 1225 01:01:06,440 --> 01:01:08,520 SHE HAD TO ATTEND ON BEHALF OF 1226 01:01:08,520 --> 01:01:11,800 THRO BUT PART OF OUR LEADERSHIP 1227 01:01:11,800 --> 01:01:15,040 AND ALSO JULIANA BLOOM OUT ON 1228 01:01:15,040 --> 01:01:16,240 MEDICAL LEAVE RIGHT NOW. 1229 01:01:16,240 --> 01:01:17,640 SHE'S RECOVERING AND DOING 1230 01:01:17,640 --> 01:01:19,400 REALLY WELL BUT CANNOT BE HERE 1231 01:01:19,400 --> 01:01:19,960 WITH US TODAY. 1232 01:01:19,960 --> 01:01:25,480 I WANTED TO ACKNOWLEDGE HER AS 1233 01:01:25,480 --> 01:01:29,720 OUR DEPUTY DIRECTOR AND 1234 01:01:29,720 --> 01:01:32,480 ACKNOWLEDGE ROBIN HERE ON BEHALF 1235 01:01:32,480 --> 01:01:40,680 OF DPCIPSI AND IS A HUGE 1236 01:01:40,680 --> 01:01:42,440 SUPPORT. 1237 01:01:42,440 --> 01:01:43,800 THANK YOU. 1238 01:01:43,800 --> 01:01:44,600 WE HAVE A SIX-MINUTE BREAK. 1239 01:01:44,600 --> 01:01:47,360 ENJOY. 1240 01:01:47,360 --> 01:01:50,400 THERE'S FOOD AND DRINKS STILL 1241 01:01:50,400 --> 01:01:50,960 OUT THERE IF ANYBODY WANTS 1242 01:01:50,960 --> 01:01:51,680 ANYTHING. 1243 01:01:51,680 --> 01:01:59,400 >>I'M TURNING IT OVER TO 1244 01:01:59,400 --> 01:02:03,680 COUNCILWOMAN FRIAS. 1245 01:02:03,680 --> 01:02:05,520 >>HERMINIA: WE HAVE ANOTHER 1246 01:02:05,520 --> 01:02:06,040 SPECIAL GUEST PRESENT. 1247 01:02:06,040 --> 01:02:13,800 WE HAVE DR. ELISEO PEREZ-STABLE 1248 01:02:13,800 --> 01:02:15,120 THE DIRECTOR OF THE NATIONAL 1249 01:02:15,120 --> 01:02:16,040 INSTITUTE ON MINORITY HEALTH AND 1250 01:02:16,040 --> 01:02:18,200 HEALTH DISPARITIES AT THE 1251 01:02:18,200 --> 01:02:22,080 NATIONAL INSTITUTES OF HEALTH. 1252 01:02:22,080 --> 01:02:22,720 HIS RESEARCH INTERESTS HAVE 1253 01:02:22,720 --> 01:02:24,880 CENTERED ON IMPROVING THE HEALTH 1254 01:02:24,880 --> 01:02:26,920 OF INDIVIDUALS FROM RACIAL AND 1255 01:02:26,920 --> 01:02:29,160 ETHNIC MINORITY COMMUNITIES 1256 01:02:29,160 --> 01:02:31,880 THROUGH EFFECTIVE PREVENTION 1257 01:02:31,880 --> 01:02:32,560 INTERVENTIONS UNDERSTANDING 1258 01:02:32,560 --> 01:02:35,360 UNDERLYING CAUSES OF HEALTH 1259 01:02:35,360 --> 01:02:37,400 DISPARITIES AND ADVANCING 1260 01:02:37,400 --> 01:02:38,560 PATIENT-CENTERED CARE FOR UNDER 1261 01:02:38,560 --> 01:02:39,520 SERVED COMMUNITIES. 1262 01:02:39,520 --> 01:02:40,080 WELCOME AND THANK YOU FOR 1263 01:02:40,080 --> 01:02:45,040 SPENDING TIME WITH US. 1264 01:02:45,040 --> 01:02:49,200 >>DR. PEREZ-STABLE: WELCOME TO 1265 01:02:49,200 --> 01:02:51,480 THE INTRODUCTION AND FOR KARINA 1266 01:02:51,480 --> 01:02:53,000 IN HER NEW ROLE. 1267 01:02:53,000 --> 01:02:57,800 IT'S AN HONOR TO BE HERE WITH 1268 01:02:57,800 --> 01:02:59,680 YOU TODAY. 1269 01:02:59,680 --> 01:03:01,200 I LAST SPOKE VIRTUALLY BUT THIS 1270 01:03:01,200 --> 01:03:04,120 IS BETTER. 1271 01:03:04,120 --> 01:03:08,760 I'LL ADDRESS A FEW NIMHD 1272 01:03:08,760 --> 01:03:14,600 SPECIFIC ISSUES BUT WORK DONE 1273 01:03:14,600 --> 01:03:15,640 AROUND AMERICAN INDIAN/ALASKAN 1274 01:03:15,640 --> 01:03:18,960 NATIVE HEALTH CO-LEDLY NIMHD. 1275 01:03:18,960 --> 01:03:24,360 THIS IS A PROJECT THAT TOOK 1276 01:03:24,360 --> 01:03:28,040 SEVERAL YEARS TO GET GOING 1277 01:03:28,040 --> 01:03:28,680 MODELLING EXISTING DATA IN THE 1278 01:03:28,680 --> 01:03:30,880 UNITED STATES TO LOOK AT 1279 01:03:30,880 --> 01:03:31,440 OUTCOMES IN THIS CASE LIFE 1280 01:03:31,440 --> 01:03:35,120 EXPECTANCY. 1281 01:03:35,120 --> 01:03:36,560 THE MODELS ARE SET FOR 1282 01:03:36,560 --> 01:03:36,840 MORTALITY. 1283 01:03:36,840 --> 01:03:39,800 WE'VE DONE ANALYSES ON MORTALITY 1284 01:03:39,800 --> 01:03:40,040 ISSUES. 1285 01:03:40,040 --> 01:03:42,960 THEY'RE YET IN FINAL DEVELOPMENT 1286 01:03:42,960 --> 01:03:44,240 FOR WHAT PEOPLE WOULD CALL 1287 01:03:44,240 --> 01:03:47,200 HEALTHY LIFE EXPECTANCY OR 1288 01:03:47,200 --> 01:03:49,360 QUALITY OF LIFE, OTHER OUTCOMES 1289 01:03:49,360 --> 01:03:51,440 THAT ARE MORBIDITY RELATED. 1290 01:03:51,440 --> 01:03:53,440 AND THE HIGHLIGHT HERE IS ALL 1291 01:03:53,440 --> 01:03:56,920 TOO WELL KNOWN TO THIS GROUP IS 1292 01:03:56,920 --> 01:03:58,480 HOW AMERICAN INDIAN/ALASKAN 1293 01:03:58,480 --> 01:04:00,720 NATIVE LIFE EXPECTANCY HAS BEEN 1294 01:04:00,720 --> 01:04:00,920 FLAT. 1295 01:04:00,920 --> 01:04:08,480 DURING A PERIOD ILLUSTRATED BY 1296 01:04:08,480 --> 01:04:10,640 THIS BOTTOM LINE HERE. 1297 01:04:10,640 --> 01:04:12,920 PROGRESS FOR AFRICAN AMERICANS 1298 01:04:12,920 --> 01:04:15,040 WHICH IS NOW SORT OF PAUSED IN 1299 01:04:15,040 --> 01:04:17,360 THE LAST FEW YEARS AND PROGRESS 1300 01:04:17,360 --> 01:04:18,960 FOR THE OTHER POPULATIONS YOU 1301 01:04:18,960 --> 01:04:21,040 CAB SEE OVER ALL ALSO PAUSED AS 1302 01:04:21,040 --> 01:04:25,840 YOU PROBABLY ARE AWARE. 1303 01:04:25,840 --> 01:04:30,680 THIS IS BY COUNTY. 1304 01:04:30,680 --> 01:04:32,880 SO ONE OF THE POWERFUL THINGS WE 1305 01:04:32,880 --> 01:04:39,520 CAN DO IS LOOK AT MODELLING 1306 01:04:39,520 --> 01:04:42,200 THOUGH LATINO/HISPANICS HAVE A 1307 01:04:42,200 --> 01:04:46,360 LONGER LIFE EXPECTANCY BUT 1308 01:04:46,360 --> 01:04:47,480 SOUTHEASTERN COLORADO AND 1309 01:04:47,480 --> 01:04:49,080 NORTHERN NEW MEXICO THEY AREN'T 1310 01:04:49,080 --> 01:04:52,640 DOING AS WELL OR THE RIO GRANDE 1311 01:04:52,640 --> 01:04:53,600 VALLEY. 1312 01:04:53,600 --> 01:04:56,040 YOU CAN SEE THE MAP FOR AIAN IN 1313 01:04:56,040 --> 01:04:59,640 THE BOTTOM IS MOSTLY IN THE 1314 01:04:59,640 --> 01:05:00,560 RED-ORANGE AREAS. 1315 01:05:00,560 --> 01:05:05,600 VERY FEW ARE UP IN THE YELLOWISH 1316 01:05:05,600 --> 01:05:08,840 GREEN WHERE YOU'RE OVER 80 LIFE 1317 01:05:08,840 --> 01:05:09,120 EXPECTANCY. 1318 01:05:09,120 --> 01:05:12,400 EARLIER THIS YEAR WITH THE 1319 01:05:12,400 --> 01:05:16,160 CONTRACT THAT WE HAD WITH A 1320 01:05:16,160 --> 01:05:18,560 GROUP THAT HAD DONE THIS WORK 1321 01:05:18,560 --> 01:05:24,800 ABOUT 10 YEARS AGO CALCULATED 1322 01:05:24,800 --> 01:05:28,080 USING DATA FROM THE YEAR 2018. 1323 01:05:28,080 --> 01:05:29,640 MOST THE DATA COME FROM THINGS 1324 01:05:29,640 --> 01:05:31,840 LIKE THE BEHAVIORAL RISK FACTOR 1325 01:05:31,840 --> 01:05:33,520 SURVEY, THE MORTALITY DATA FROM 1326 01:05:33,520 --> 01:05:36,280 THE CDC AND THEN THE MEDICAL 1327 01:05:36,280 --> 01:05:39,480 EXPENDITURE PANEL SURVEY FUNDED 1328 01:05:39,480 --> 01:05:42,400 BY HRQ. 1329 01:05:42,400 --> 01:05:46,640 THE COLUMN FOR AMERICAN INDIAN 1330 01:05:46,640 --> 01:05:53,160 $27.5 BILLION ISN'T AS BIG AS 1331 01:05:53,160 --> 01:05:56,200 OTHER GROUPS FOR AFRICAN 1332 01:05:56,200 --> 01:05:57,600 AMERICANS AND HISPANICS BUT THE 1333 01:05:57,600 --> 01:06:00,000 PROPORTION IS SMALLER AND THE 1334 01:06:00,000 --> 01:06:01,400 EXCESS PREMATURE DEATHS CATEGORY 1335 01:06:01,400 --> 01:06:04,640 IS HIGHER THAN IT SHOULD BE OR 1336 01:06:04,640 --> 01:06:08,240 NEEDS TO BE FOR THIS POPULATION. 1337 01:06:08,240 --> 01:06:11,400 THE MACRO DATA BRING GREATER 1338 01:06:11,400 --> 01:06:14,680 AWARENESS ABOUT THE KINDS OF 1339 01:06:14,680 --> 01:06:15,200 ISSUES WE'RE DEALING WITH. 1340 01:06:15,200 --> 01:06:18,640 THESE ARE DATA ABSTRACTED FROM 1341 01:06:18,640 --> 01:06:21,680 THE CDC AND MMWR AND 1342 01:06:21,680 --> 01:06:22,600 AGE-ADJUSTED OVERDOSE DEATHS BY 1343 01:06:22,600 --> 01:06:24,240 RACE AND ETHNICITY. 1344 01:06:24,240 --> 01:06:29,960 WHEN I FIRST GOT TO NIH EIGHT 1345 01:06:29,960 --> 01:06:33,320 YEARS AGO THE OVERDOSE EPIDEMIC 1346 01:06:33,320 --> 01:06:35,040 WAS NOT AFFECTING AFRICAN 1347 01:06:35,040 --> 01:06:36,640 AMERICAN, HISPANICS THE SAME WAY 1348 01:06:36,640 --> 01:06:39,120 AND IT'S A CHANGED. 1349 01:06:39,120 --> 01:06:39,880 FOR AMERICAN INDIAN/ALASKAN 1350 01:06:39,880 --> 01:06:41,280 NATIVE IT HASN'T CHANGED. 1351 01:06:41,280 --> 01:06:45,560 IT CONTINUES TO BE A LEADING 1352 01:06:45,560 --> 01:06:50,280 CAUSE OF MORTALITY THIS IS A 1353 01:06:50,280 --> 01:06:54,360 CORRELATION LOOKING AT INCOME 1354 01:06:54,360 --> 01:06:55,520 EQUALITY FOR AMERICAN NATIVE AND 1355 01:06:55,520 --> 01:06:57,320 NOT SO MUCH FOR OTHER GROUPS, 1356 01:06:57,320 --> 01:06:58,640 BLACKS, WHITES AND LATINOS. 1357 01:06:58,640 --> 01:07:05,680 THIS SAY -- IS A STUDY BY THE 1358 01:07:05,680 --> 01:07:06,960 PROGRAM WHEN THEY SET UP A 1359 01:07:06,960 --> 01:07:09,160 SURVEY WHEN COVID CAME IN 2020. 1360 01:07:09,160 --> 01:07:16,440 THE STUDY WAS DONE ONLINE WITH 1361 01:07:16,440 --> 01:07:17,960 U-GOV BETWEEN DECEMBER AND 2020 1362 01:07:17,960 --> 01:07:22,680 AND FEBRUARY OF 2021. 1363 01:07:22,680 --> 01:07:24,560 THIS PAPER PUBLISHED IN THE 1364 01:07:24,560 --> 01:07:28,240 AMERICAN JOURNAL OF PUBLIC 1365 01:07:28,240 --> 01:07:29,640 HEALTH LOOKED AT THE 1366 01:07:29,640 --> 01:07:33,160 DISCRIMINATION BY RACE AND 1367 01:07:33,160 --> 01:07:33,760 ETHNIC 1368 01:07:33,760 --> 01:07:34,000 ETHNICITY. 1369 01:07:34,000 --> 01:07:35,880 THERE WERE SIMILAR SIZED GROUPS 1370 01:07:35,880 --> 01:07:46,560 IN ALL THE GROUPS I THINK WITH 1371 01:07:46,560 --> 01:07:48,800 ISLANDER I WAS BIGGER AND THE 1372 01:07:48,800 --> 01:07:52,520 GROUPS WERE AT HIGHER RATES OF 1373 01:07:52,520 --> 01:07:54,680 DISCRIMINATION COMPARED TO WHITE 1374 01:07:54,680 --> 01:07:56,360 AMERICANS RESPONDING TO THIS. 1375 01:07:56,360 --> 01:08:01,240 JUST TO BE OPTIMISTIC, WHAT 1376 01:08:01,240 --> 01:08:02,480 HAPPENED WITH COVID ASSOCIATED 1377 01:08:02,480 --> 01:08:06,920 DEATHS BETWEEN 2020 AND 2022, 1378 01:08:06,920 --> 01:08:08,440 ONE CAN SAY THAT WELL, HOW MANY 1379 01:08:08,440 --> 01:08:10,000 PEOPLE WERE INFECTED AND 1380 01:08:10,000 --> 01:08:11,480 SURVIVED AND YOU GET SOME LEVEL 1381 01:08:11,480 --> 01:08:12,960 OF IMMUNITY BUT WE REALLY GOT 1382 01:08:12,960 --> 01:08:15,840 THE WORD OUT TO OUR COMMUNITIES 1383 01:08:15,840 --> 01:08:19,240 ABOUT THE IMPORTANCE OF THE 1384 01:08:19,240 --> 01:08:22,080 PANDEMIC AND TO GET VACCINATED. 1385 01:08:22,080 --> 01:08:25,040 WHAT WE'RE NOT SHOWING HERE THE 1386 01:08:25,040 --> 01:08:28,840 VACCINATION RATES FOR BLACKS AND 1387 01:08:28,840 --> 01:08:30,760 LATINOS AND NATIVE 1388 01:08:30,760 --> 01:08:31,920 HAWAIIAN/PACIFIC ISLANDERS WERE 1389 01:08:31,920 --> 01:08:34,520 SIMILAR TO WHITES BY FALL OF 1390 01:08:34,520 --> 01:08:35,000 2022. 1391 01:08:35,000 --> 01:08:41,200 YOU SEE THE MORTALITY RATES. 1392 01:08:41,200 --> 01:08:41,840 AMERICAN INDIAN/ALASKAN NATIVE 1393 01:08:41,840 --> 01:08:42,720 LAGGED A LITTLE BIT BEHIND BUT 1394 01:08:42,720 --> 01:08:44,000 THE PROGRESS WAS DRAMATIC. 1395 01:08:44,000 --> 01:08:50,640 I LIKE TO SAY THIS WAS CREDIT TO 1396 01:08:50,640 --> 01:08:54,640 EVERYBODY ALL OF US GETTING 1397 01:08:54,640 --> 01:08:56,120 COMMUNITIES VACCINATED AND HAD 1398 01:08:56,120 --> 01:08:57,000 AN IMPACT ON MORTALITY AS WELL 1399 01:08:57,000 --> 01:09:07,280 AS OTHER THINGS. 1400 01:09:14,000 --> 01:09:17,000 AND A COUPLE WEEKS AGO WITH THE 1401 01:09:17,000 --> 01:09:17,800 HEALTH DISPARITIES INSTITUTE AT 1402 01:09:17,800 --> 01:09:19,200 THE NIH SHE WAS RECOGNIZED AS 1403 01:09:19,200 --> 01:09:25,160 THE AWARDEE FOR THE EARLY STAGE 1404 01:09:25,160 --> 01:09:27,000 INVESTIGATOR AND STUDIES 1405 01:09:27,000 --> 01:09:31,600 NICOTINE METABOLISM WHICH IS A 1406 01:09:31,600 --> 01:09:34,640 REFLECTION OF DEPENDENCE IN 1407 01:09:34,640 --> 01:09:35,680 SMOKING EXPOSURE. 1408 01:09:35,680 --> 01:09:39,880 SEEING IF NICOTINE REPLACEMENT 1409 01:09:39,880 --> 01:09:43,040 IS A BETTER TREATMENT THAN ORAL 1410 01:09:43,040 --> 01:09:43,240 DRUGS. 1411 01:09:43,240 --> 01:09:46,680 AND THE PREFERENCE WAS MORE FOR 1412 01:09:46,680 --> 01:09:48,120 NICOTINE REPLACEMENT THERAPY. 1413 01:09:48,120 --> 01:09:50,400 I'LL PUT IN THE PLUG OR THE 1414 01:09:50,400 --> 01:09:52,920 HEALTH DISPARITIES RESEARCH 1415 01:09:52,920 --> 01:09:53,200 INSTITUTE. 1416 01:09:53,200 --> 01:09:54,680 SEVERAL INSTITUTES DO THINGS 1417 01:09:54,680 --> 01:09:55,320 LIKE THIS. 1418 01:09:55,320 --> 01:09:58,160 THIS WAS IN PART INSPIRED BY THE 1419 01:09:58,160 --> 01:09:59,400 NATIONAL INSTITUTE ON AGING BY 1420 01:09:59,400 --> 01:10:02,040 THE WILLIAMS PROGRAM WHEN I WAS 1421 01:10:02,040 --> 01:10:05,960 ON THEIR COUNCIL 10 YEARS AGO 1422 01:10:05,960 --> 01:10:08,360 AND IT'S A WEEK IN BETHESDA OR 1423 01:10:08,360 --> 01:10:09,280 FIVE DAYS. 1424 01:10:09,280 --> 01:10:11,560 WE FOCUS ON EARLY STAGE 1425 01:10:11,560 --> 01:10:12,920 INVESTIGATORS AND POSTDOCTORAL 1426 01:10:12,920 --> 01:10:13,360 FELLOWS. 1427 01:10:13,360 --> 01:10:15,040 THERE'S A FEW LECTURES EACH DAY 1428 01:10:15,040 --> 01:10:17,880 BY LEADING SCIENTISTS IN THE 1429 01:10:17,880 --> 01:10:19,840 FIELD AND THEN THEY DO A MOCK 1430 01:10:19,840 --> 01:10:23,200 GRANT REVIEW SESSION AND HAVE A 1431 01:10:23,200 --> 01:10:28,680 WRITING SEMINAR, WAAMC HELPS US 1432 01:10:28,680 --> 01:10:30,200 WITH AND PROGRAM STAFF AS WELL 1433 01:10:30,200 --> 01:10:32,920 AS NIH PROGRAM STAFF FROM ACROSS 1434 01:10:32,920 --> 01:10:34,440 THE AGENCY INTERESTED IN 1435 01:10:34,440 --> 01:10:37,120 MINORITY HEALTH, HEALTH 1436 01:10:37,120 --> 01:10:37,760 DISPARITIES. 1437 01:10:37,760 --> 01:10:39,560 I THINK WE CONTINUE THIS -- WE 1438 01:10:39,560 --> 01:10:41,040 DID IT VIRTUALLY FOR THREE 1439 01:10:41,040 --> 01:10:41,240 YEARS. 1440 01:10:41,240 --> 01:10:42,640 THIS WAS BACK IN PERSON THIS 1441 01:10:42,640 --> 01:10:42,880 YEAR. 1442 01:10:42,880 --> 01:10:44,560 WE DO IT IN AUGUST. 1443 01:10:44,560 --> 01:10:48,400 IT'S A PLEASANT TIME TO BE IN 1444 01:10:48,400 --> 01:10:49,840 BETHESDA USUALLY. 1445 01:10:49,840 --> 01:10:52,120 AND HAD NOW 458 PARTICIPANTS IN 1446 01:10:52,120 --> 01:10:53,640 EIGHT YEARS AND OF COURSE WE 1447 01:10:53,640 --> 01:10:57,400 DON'T USE ANY CRITERIA TO SELECT 1448 01:10:57,400 --> 01:11:01,240 PEOPLE BUT ABOUT 60% OF OUR 1449 01:11:01,240 --> 01:11:02,640 SCHOLARS ARE FROM UNDER 1450 01:11:02,640 --> 01:11:03,840 REPRESENTED GROUPS. 1451 01:11:03,840 --> 01:11:06,600 WE GET ABOUT 20% PHYSICIANS AND 1452 01:11:06,600 --> 01:11:17,120 HAVE NURSES AND PHARMACOLOGY, 1453 01:11:18,400 --> 01:11:22,640 DOCTORATES AND FOR SCHOLARS 1454 01:11:22,640 --> 01:11:24,560 THINKING ABOUT CAREER IN 1455 01:11:24,560 --> 01:11:29,160 RESEARCH, KO1, K08 OR K23 BECAME 1456 01:11:29,160 --> 01:11:32,200 AVAILABLE IN 2017 AND WE 1457 01:11:32,200 --> 01:11:34,200 INCREASED OUR FUNDING NUMBER WE 1458 01:11:34,200 --> 01:11:37,040 HAVE FUNDED OUR APPLICATIONS. 1459 01:11:37,040 --> 01:11:40,640 WE DON'T YET FOR FISCAL '23 1460 01:11:40,640 --> 01:11:45,400 WHERE IT WILL PLAY OUT. 1461 01:11:45,400 --> 01:11:48,040 NIMHD RECEIVED SOME FUNDING AND 1462 01:11:48,040 --> 01:11:50,280 IF YOU CAME IN WITH A K AWARD 1463 01:11:50,280 --> 01:11:52,000 AND SCORED AT 30 OR BETTER 1464 01:11:52,000 --> 01:11:54,680 YOU'LL BE FUNDED UNLESS THERE'S 1465 01:11:54,680 --> 01:11:56,880 A DISCONNECT OF THEME WHICH 1466 01:11:56,880 --> 01:11:59,440 HAPPENS RARELY AND WE'LL GO UP 1467 01:11:59,440 --> 01:12:00,080 HIGHER SCORES AS WELL. 1468 01:12:00,080 --> 01:12:04,200 THIS IS SOMETHING TO ENCOURAGE 1469 01:12:04,200 --> 01:12:06,640 NEW INVESTORS. 1470 01:12:06,640 --> 01:12:12,360 LET ME ADDRESS ISSUES AROUND 1471 01:12:12,360 --> 01:12:21,480 RADXUP AND THE TRIBAL ECOLOGICAL 1472 01:12:21,480 --> 01:12:21,680 CENTERS. 1473 01:12:21,680 --> 01:12:30,920 RADXUP HAS BEEN A REMARKABLE 1474 01:12:30,920 --> 01:12:31,160 PROGRAM. 1475 01:12:31,160 --> 01:12:36,800 I'LL POINT TO THIS WE'VE 1476 01:12:36,800 --> 01:12:38,880 ENROLLED ALMOST 400,000 PEOPLE 1477 01:12:38,880 --> 01:12:41,280 SINCE IT WAS LAUNCHED IN 1478 01:12:41,280 --> 01:12:42,000 SEPTEMBER/OCTOBER OF 2020. 1479 01:12:42,000 --> 01:12:46,040 IT WAS A HUGE INVESTMENT FROM 1480 01:12:46,040 --> 01:12:46,240 NIH. 1481 01:12:46,240 --> 01:12:47,800 WHEN THE PANDEMIC CAME AND 1482 01:12:47,800 --> 01:12:53,000 APPROPRIATIONS CAME WAS FOR 1483 01:12:53,000 --> 01:12:55,160 TESTING AND THE ONE THAT WAS 1484 01:12:55,160 --> 01:12:56,320 IMPORTANT WAS TAC TO DEVELOP THE 1485 01:12:56,320 --> 01:12:59,160 TESTS AND THE AT-HOME TESTS THAT 1486 01:12:59,160 --> 01:13:02,120 WERE AVAILABLE WERE A PRODUCT OF 1487 01:13:02,120 --> 01:13:05,520 THAT PIPELINE OF INNOVATION 1488 01:13:05,520 --> 01:13:10,000 CREATED BY NIH AND NIBIB THE 1489 01:13:10,000 --> 01:13:10,800 BIOMEDICAL ENGINEERING 1490 01:13:10,800 --> 01:13:11,200 INSTITUTE. 1491 01:13:11,200 --> 01:13:15,200 WE WERE ASKED TO DEVELOP A 1492 01:13:15,200 --> 01:13:16,880 PROGRAM TO ADDRESS THE 1493 01:13:16,880 --> 01:13:18,840 DISPARITIES IN UNDER SERVED 1494 01:13:18,840 --> 01:13:20,240 COMMUNITIES AND STAY IN THE LANE 1495 01:13:20,240 --> 01:13:21,680 OF TESTING. 1496 01:13:21,680 --> 01:13:25,200 EVERYTHING WE DID HAD TO BE WITH 1497 01:13:25,200 --> 01:13:26,160 TESTING. 1498 01:13:26,160 --> 01:13:32,800 WE STILL HAVE A FEW SMALL AWARTS 1499 01:13:32,800 --> 01:13:35,440 -- AWARDS IT MAKE IN THE FINAL 1500 01:13:35,440 --> 01:13:38,640 PHASE OF RADXUP BUT PROUD OF THE 1501 01:13:38,640 --> 01:13:40,520 SUCCESS IT'S HAD OVER THE YEARS 1502 01:13:40,520 --> 01:13:42,640 AND SEE THE NUMBERS OF PEOPLE 1503 01:13:42,640 --> 01:13:43,640 TOUCHED BY THIS AND THE 1504 01:13:43,640 --> 01:13:46,040 INFRASTRUCTURE CREATED. 1505 01:13:46,040 --> 01:13:49,400 ONE OF THE LESSONS -- 1506 01:13:49,400 --> 01:13:52,360 EXPERIENCES WE HAD WITH RADXUP 1507 01:13:52,360 --> 01:13:53,760 IS HOW DO WE GET PEOPLE TO 1508 01:13:53,760 --> 01:13:55,560 MEASURE THINGS THE SAME WAY? 1509 01:13:55,560 --> 01:13:58,000 NIMHD HAS BEEN ON A CAMPAIGN, IF 1510 01:13:58,000 --> 01:13:59,680 YOU WISH, TO GET INVESTIGATORS 1511 01:13:59,680 --> 01:14:03,720 TO USE SIMILAR MEASURES, SAME 1512 01:14:03,720 --> 01:14:04,840 MEASURES FOR MEASURING SOCIAL 1513 01:14:04,840 --> 01:14:06,760 DETERMINATES OF HEALTH. 1514 01:14:06,760 --> 01:14:08,680 THAT'S ON THE PHOENIX WEBSITE. 1515 01:14:08,680 --> 01:14:10,960 THERE'S A PAGE WHERE WE HAVE THE 1516 01:14:10,960 --> 01:14:12,960 MEASURES THAT HAVE BEEN VETTED 1517 01:14:12,960 --> 01:14:20,440 BY GROUPS OF EXPERTS. 1518 01:14:20,440 --> 01:14:23,640 WE ALSO PUT ALL THE AND HAVE 1519 01:14:23,640 --> 01:14:25,240 INDIVIDUAL KINDS OF CONSTRUCTS. 1520 01:14:25,240 --> 01:14:26,640 WE PLAN TO REVIEW THOSE NOW BUT 1521 01:14:26,640 --> 01:14:30,680 FOR NOW THEY'RE THE ONES THAT 1522 01:14:30,680 --> 01:14:32,800 HAVE BEEN PRESENT OR USUALLY 1523 01:14:32,800 --> 01:14:34,000 ADAPTED FROM OTHER NATIONAL 1524 01:14:34,000 --> 01:14:34,440 SURVEYS. 1525 01:14:34,440 --> 01:14:35,760 YOU CAN SEE THE LIST OF THE 1526 01:14:35,760 --> 01:14:37,520 KINDS OF THINGS WE DEVELOPED OR 1527 01:14:37,520 --> 01:14:39,120 VETTED MEASURES ON. 1528 01:14:39,120 --> 01:14:40,160 WE HAVEN'T DEVELOPED THE 1529 01:14:40,160 --> 01:14:43,080 MEASURES, THEY ALREADY EXISTED. 1530 01:14:43,080 --> 01:14:45,360 AND WE CALL THEM PROTOCOLS IN 1531 01:14:45,360 --> 01:14:46,600 THE PHOENIX LANGUAGE THEY HAVE. 1532 01:14:46,600 --> 01:14:51,960 AND THE IDEA WITH RADXUP IS WE 1533 01:14:51,960 --> 01:14:54,000 WANT EVERYONE TO COLLECT COMMON 1534 01:14:54,000 --> 01:14:54,640 DATA. 1535 01:14:54,640 --> 01:14:58,560 HERE WE HAD 138 PROJECTS, 1536 01:14:58,560 --> 01:15:00,520 400,000 PEOPLE EVENTUALLY 1537 01:15:00,520 --> 01:15:00,800 ENROLLED. 1538 01:15:00,800 --> 01:15:03,680 HOW CAN WE GET PEOPLE TO DO 1539 01:15:03,680 --> 01:15:05,520 THINGS THE SAME. 1540 01:15:05,520 --> 01:15:07,920 NIH CAN SCREAM ABOUT IT AND GET 1541 01:15:07,920 --> 01:15:10,360 25 PEOPLE TO DO IT BUT CAN WE 1542 01:15:10,360 --> 01:15:12,520 GET THIS TO HAPPEN? 1543 01:15:12,520 --> 01:15:15,520 IT WAS PROBABLY HARDER THAN I 1544 01:15:15,520 --> 01:15:15,920 THOUGHT. 1545 01:15:15,920 --> 01:15:17,800 IT WOULD BE. 1546 01:15:17,800 --> 01:15:19,160 THE SCIENTIFIC ARGUMENT WAS NOT 1547 01:15:19,160 --> 01:15:20,680 THE ISSUE MORE THE OPERATIONAL 1548 01:15:20,680 --> 01:15:23,560 AND PRACTICAL ONE AND ALSO UNDER 1549 01:15:23,560 --> 01:15:24,600 A NATIONAL EMERGENCY. 1550 01:15:24,600 --> 01:15:28,280 THERE WAS NO TIME TO REALLY 1551 01:15:28,280 --> 01:15:32,400 REACT, CONTRIBUTE, PAUSE AND 1552 01:15:32,400 --> 01:15:33,920 THINK ABOUT THE MEASURES. 1553 01:15:33,920 --> 01:15:35,840 BUT THEY HAPPENED. 1554 01:15:35,840 --> 01:15:39,000 MAYBE WE GOT ABOUT 80% OF THE 1555 01:15:39,000 --> 01:15:41,040 PROJECTS DOING MOST OF THE 1556 01:15:41,040 --> 01:15:44,120 COMMON DAY ELEMENTS AND OTHERS 1557 01:15:44,120 --> 01:15:47,400 WHO MODIFIED SOME OF THEM. 1558 01:15:47,400 --> 01:15:53,800 IN THIS MAP YOU SEE THE 1559 01:15:53,800 --> 01:15:54,440 ILLUSTRATION OF THE AMERICAN 1560 01:15:54,440 --> 01:15:57,120 INDIAN/ALASKAN NATIVE AWARDED 1561 01:15:57,120 --> 01:15:57,400 PROJECTS. 1562 01:15:57,400 --> 01:15:59,200 IT DOESN'T INCLUDE A COUPLE 1563 01:15:59,200 --> 01:16:01,360 THOUSAND PARTICIPANTS WHO WERE 1564 01:16:01,360 --> 01:16:05,280 ENROLLED IN OTHER PROJECTS 1565 01:16:05,280 --> 01:16:07,200 BESIDES THESE 10 AND THEY'RE 1566 01:16:07,200 --> 01:16:08,880 SPREAD AROUND THE COUNTRY AND 1567 01:16:08,880 --> 01:16:09,920 THE NUMBER OF PARTICIPANTS IS 1568 01:16:09,920 --> 01:16:13,720 IMPORTANT IN THE GROUP. 1569 01:16:13,720 --> 01:16:15,280 NOW, ONE RESULT THAT CAME OUT OF 1570 01:16:15,280 --> 01:16:16,800 THIS AND THERE'S A NUMBER OF 1571 01:16:16,800 --> 01:16:21,920 PAPERS PUBLISHED, THIS ONE EARLY 1572 01:16:21,920 --> 01:16:24,760 ON A CROSS SECTIONAL SURVEY IN 1573 01:16:24,760 --> 01:16:26,560 THE GREAT PLAINS ASKING ABOUT 1574 01:16:26,560 --> 01:16:30,000 WHAT THE FACTORS THAT WOULD 1575 01:16:30,000 --> 01:16:32,880 CONTRIBUTE TO THE TESTING AND 1576 01:16:32,880 --> 01:16:35,480 TURNED OUT HAVING A FULL-TIME 1577 01:16:35,480 --> 01:16:38,400 JOB REPORTING YOU WERE ABLE TO 1578 01:16:38,400 --> 01:16:40,360 ISOLATE YOURSELF IF DIAGNOSED IN 1579 01:16:40,360 --> 01:16:41,800 ENDORSING THE COVID-19 TESTING 1580 01:16:41,800 --> 01:16:44,920 IS ONLY NEEDED IF ONE HAS 1581 01:16:44,920 --> 01:16:45,520 SYMPTOMS. 1582 01:16:45,520 --> 01:16:46,640 CORRELATED WITH HAVING BEEN 1583 01:16:46,640 --> 01:16:49,480 PREVIOUSLY TESTED FOR COVID-19. 1584 01:16:49,480 --> 01:16:56,680 OPPOSED TO THE OPPOSITE. 1585 01:16:56,680 --> 01:17:00,760 THE RADXUP DATA USE AND SHARING 1586 01:17:00,760 --> 01:17:02,160 WENT THROUGH TRIBAL 1587 01:17:02,160 --> 01:17:02,480 CONSULTATION. 1588 01:17:02,480 --> 01:17:06,240 IT WAS CLEAR FROM THE BEGINNING 1589 01:17:06,240 --> 01:17:09,560 WE WOULD NOT BE ASKING THE 1590 01:17:09,560 --> 01:17:14,000 PROJECTS TO SHARE DATA THE SAME 1591 01:17:14,000 --> 01:17:16,880 WAY WE ASKED EVERYBODY ELSE. 1592 01:17:16,880 --> 01:17:19,040 FIVE PROJECTS EXHIBITED DATA USE 1593 01:17:19,040 --> 01:17:22,440 AGREEMENT WITH OUR COORDINATING 1594 01:17:22,440 --> 01:17:24,760 CENTER AND TRANSFERRED DATA AND 1595 01:17:24,760 --> 01:17:25,480 THEY'RE REQUIRED FROM THE TRIBAL 1596 01:17:25,480 --> 01:17:27,400 IRBs. 1597 01:17:27,400 --> 01:17:31,440 SOME PROJECTS ENROLLED AMERICAN 1598 01:17:31,440 --> 01:17:32,080 INDIAN/ALASKAN NATIVE AS WELL AS 1599 01:17:32,080 --> 01:17:34,800 PEOPLE FROM OTHER GROUPS AND THE 1600 01:17:34,800 --> 01:17:35,840 COORDINATING CENTER WITHHELD THE 1601 01:17:35,840 --> 01:17:38,080 DATA FROM ALL ANALYSIS, ALL 1602 01:17:38,080 --> 01:17:39,800 REPORTS, ALL DASHBOARDS, ALL 1603 01:17:39,800 --> 01:17:47,520 DATA SETS AND UPLOADS TO THE 1604 01:17:47,520 --> 01:17:52,480 RADXUP DATA HUB AND IT'S A 1605 01:17:52,480 --> 01:17:58,160 CENTRAL HUB FOR THE RADX DATA 1606 01:17:58,160 --> 01:18:03,600 AND THE OTHER COMPONENTS. 1607 01:18:03,600 --> 01:18:06,360 WE'RE ALSO EXCLUDING ZIP CODES 1608 01:18:06,360 --> 01:18:08,160 GIVEN THE POTENTIAL LOSS OF 1609 01:18:08,160 --> 01:18:10,200 PRIVACY OF INDIVIDUALS IN ZIP 1610 01:18:10,200 --> 01:18:14,840 CODES WHERE FEW PEOPLE LIVE. 1611 01:18:14,840 --> 01:18:17,920 THIS LED TO THE PROPOSAL OF A 1612 01:18:17,920 --> 01:18:20,160 TRIBAL DATA REPOSITORY. 1613 01:18:20,160 --> 01:18:22,040 WE HAVE A CONCLUSION ON THIS 1614 01:18:22,040 --> 01:18:27,120 THOUGH IT'S STILL IN THE FINAL 1615 01:18:27,120 --> 01:18:30,400 PROCESS IN MAY OF 2020 WAS THE 1616 01:18:30,400 --> 01:18:33,080 FINAL CONSULTATION OF COVID-19 1617 01:18:33,080 --> 01:18:34,560 RESEARCH AND I WAS PRESENT 1618 01:18:34,560 --> 01:18:37,640 THOUGH THE PRESENTATION WAS FROM 1619 01:18:37,640 --> 01:18:41,280 TA 1620 01:18:41,280 --> 01:18:42,720 TA 1621 01:18:42,720 --> 01:18:47,520 TARA SCHWETZ AND RICK WOYCHIK 1622 01:18:47,520 --> 01:18:48,680 AND THERE WAS A TRIBAL 1623 01:18:48,680 --> 01:18:50,240 CONSULTATION WITH MYSELF AND 1624 01:18:50,240 --> 01:18:59,800 DAVE WILSON AND SUSAN GREGORIC 1625 01:18:59,800 --> 01:19:01,800 AND THERE WAS A WEBINAR AND 1626 01:19:01,800 --> 01:19:04,480 THERE WERE QUESTIONS FROM BOTH 1627 01:19:04,480 --> 01:19:09,920 THE FORMAL TRIBAL CONSULTATION 1628 01:19:09,920 --> 01:19:15,520 AND INTERESTED PARTIES WE 1629 01:19:15,520 --> 01:19:19,280 CLEARED THE CONCEPT AND REVIEWED 1630 01:19:19,280 --> 01:19:20,640 APPLICATIONS AND AT THE END OF 1631 01:19:20,640 --> 01:19:25,480 MAY WE WERE ABLE TO AWARD $7 1632 01:19:25,480 --> 01:19:27,840 MILLION THAT WILL GO TO THE 1633 01:19:27,840 --> 01:19:29,640 NATIVE, BIO NATIVE CONSORTIUM 1634 01:19:29,640 --> 01:19:31,680 FOR THE TRIBAL DATA REPOSITORY. 1635 01:19:31,680 --> 01:19:33,960 BECAUSE OF LOGISTICAL CHALLENGES 1636 01:19:33,960 --> 01:19:36,360 IT ENDED UP THE MONEY WAS 1637 01:19:36,360 --> 01:19:39,800 TRANSFERRED TO THE MAJOR DATA 1638 01:19:39,800 --> 01:19:43,040 HUB THAT IS BASED AT STANFORD 1639 01:19:43,040 --> 01:19:43,880 AND THEY'LL RECEIVE A SUB AWARD 1640 01:19:43,880 --> 01:19:52,480 FROM THAT GROUP. 1641 01:19:52,480 --> 01:19:55,040 AND THERE'S BEEN AN ONGOING 1642 01:19:55,040 --> 01:19:56,080 RELATIONSHIP WITH THE 1643 01:19:56,080 --> 01:19:58,080 COORDINATION CENTER WE WERE 1644 01:19:58,080 --> 01:20:00,080 SLUMENT THEM TO HELP BUILD ON 1645 01:20:00,080 --> 01:20:02,640 THE COMMUNITY ENGAGEMENT AND 1646 01:20:02,640 --> 01:20:04,040 COORDINATION TO SUPPORT THE 1647 01:20:04,040 --> 01:20:09,280 TRIBAL DATA REPOSITORY BUT NOT 1648 01:20:09,280 --> 01:20:13,720 TO BE LEADING ON THAT POINT. 1649 01:20:13,720 --> 01:20:16,200 IS THE ORIGIN OF THE TRIBAL DATA 1650 01:20:16,200 --> 01:20:18,120 REPOSITORY WAS TO DEVELOP THE 1651 01:20:18,120 --> 01:20:20,200 INDEPENDENT RESEARCH DATA 1652 01:20:20,200 --> 01:20:21,760 REPOSITORY GOVERNED UNDER 1653 01:20:21,760 --> 01:20:24,880 PRINCIPLES AND PRACTICES OF 1654 01:20:24,880 --> 01:20:27,600 TRIBAL SOVEREIGNTY. 1655 01:20:27,600 --> 01:20:29,160 IT'S THE FIRST TIME NIMHD HAS 1656 01:20:29,160 --> 01:20:30,280 DONE THIS AND PROVIDE 1657 01:20:30,280 --> 01:20:34,920 RESPONSIBLE DATA SHARING AND 1658 01:20:34,920 --> 01:20:38,160 ACCESS TO RESEARCHERS AND THOSE 1659 01:20:38,160 --> 01:20:39,760 WORKING WITH RAD X AND AMERICAN 1660 01:20:39,760 --> 01:20:44,320 INDIAN/ALASKAN NATIVE RESEARCH 1661 01:20:44,320 --> 01:20:44,520 DATA. 1662 01:20:44,520 --> 01:20:47,560 THE IDEA AND THE COORDINATING 1663 01:20:47,560 --> 01:20:48,720 CENTER KNEW WHAT TO DO AND THIS 1664 01:20:48,720 --> 01:20:52,000 WAS A WAY TO SUPPORT THAT ASPECT 1665 01:20:52,000 --> 01:20:55,200 WHILE THE GOVERNANCE OF THE 1666 01:20:55,200 --> 01:20:56,800 TRIBAL DATA REPOSITORY WOULD 1667 01:20:56,800 --> 01:20:58,400 REST ELSEWHERE. 1668 01:20:58,400 --> 01:21:01,600 ONE OF OUR GOALS WAS TO SUPPORT 1669 01:21:01,600 --> 01:21:07,040 AND PROI MOTE NATIVE SCIENTISTS 1670 01:21:07,040 --> 01:21:08,560 WORKING WITH THE COMMUNITIES AND 1671 01:21:08,560 --> 01:21:11,040 WHATEVER THE LIMITATIONS THERE 1672 01:21:11,040 --> 01:21:11,400 MAY BE. 1673 01:21:11,400 --> 01:21:13,880 THE PARTNERSHIP WITH THE OFFICE 1674 01:21:13,880 --> 01:21:16,520 OF DATA SCIENCE STRATEGIES HAS 1675 01:21:16,520 --> 01:21:20,320 BEEN 100% WITH SUSAN GREGORIC 1676 01:21:20,320 --> 01:21:22,160 AND HER STAFF IN HER OFFICE. 1677 01:21:22,160 --> 01:21:23,640 THEY HAVE REALLY BEEN THERE WITH 1678 01:21:23,640 --> 01:21:33,680 US EVERY STEP OF THE WAY. 1679 01:21:33,680 --> 01:21:35,880 THE TRIBAL ECOLOGICALLY CENTERS 1680 01:21:35,880 --> 01:21:37,280 THERE'S BEEN AN RELATIONSHIP 1681 01:21:37,280 --> 01:21:41,040 BETWEEN NIMHD AND THE TRIBAL 1682 01:21:41,040 --> 01:21:43,360 EPIDEMIOLOGY CENTERS DATING BACK 1683 01:21:43,360 --> 01:21:50,040 TO THE EARLY 2000s AND THERE WAS 1684 01:21:50,040 --> 01:21:51,280 SUPPORT FOR THE TRIBAL 1685 01:21:51,280 --> 01:21:56,680 EPIDEMIOLOGY CENTERS AND IT WENT 1686 01:21:56,680 --> 01:22:00,840 FROM NIMHD TO THE INDIAN HEALTH 1687 01:22:00,840 --> 01:22:02,640 SERVICE CREATED THE TRIBAL 1688 01:22:02,640 --> 01:22:06,280 EPICENTERS UNDER THE 1689 01:22:06,280 --> 01:22:07,680 AUTHORIZATION OF THE INDIAN 1690 01:22:07,680 --> 01:22:08,840 HEALTH CARE IMPROVEMENT ACT. 1691 01:22:08,840 --> 01:22:12,440 THE CDC HAS ALSO BEEN SUPPORTIVE 1692 01:22:12,440 --> 01:22:16,200 AND PROVIDING A BULK OF THE 1693 01:22:16,200 --> 01:22:18,800 FUNDING FOR THE TRIBAL 1694 01:22:18,800 --> 01:22:23,920 EPIDEMIOLOGY CENTERS. 1695 01:22:23,920 --> 01:22:29,520 AND IN ALL THE WORK THEY DO THIS 1696 01:22:29,520 --> 01:22:33,120 GROUP IS FAMILIAR IN HOW TO 1697 01:22:33,120 --> 01:22:34,640 ADDRESS THE CONCERNS AND HEALTH 1698 01:22:34,640 --> 01:22:42,280 ISSUES AND CHALLENGES OF THE 3 1699 01:22:42,280 --> 01:22:44,680 MILLION AMERICAN INDIAN/ALASKAN 1700 01:22:44,680 --> 01:22:46,680 NATIVE INDIVIDUALS IN THE U.S. 1701 01:22:46,680 --> 01:22:48,120 THE EPICENTERS ARE DISTRIBUTED 1702 01:22:48,120 --> 01:22:54,440 UP ACCORDANCE TO THE INDIAN 1703 01:22:54,440 --> 01:22:56,000 HEALTH SERVICE AREAS AND IT'S 1704 01:22:56,000 --> 01:22:58,480 LARGE AND IN THE WEST AND ALASKA 1705 01:22:58,480 --> 01:23:07,400 IT'S ITS OWN AND THERE'S A TOTAL 1706 01:23:07,400 --> 01:23:07,960 OF 12 IN THE ADMINISTRATIVE 1707 01:23:07,960 --> 01:23:10,440 AREAS THIS IS A RESOURCE IN OUR 1708 01:23:10,440 --> 01:23:16,000 PERSPECTIVE WE WERE NOT 1709 01:23:16,000 --> 01:23:23,880 LEVERAGING THIS THE NIMHD IN 1710 01:23:23,880 --> 01:23:26,680 DISCUSSION WITH THE INDIAN 1711 01:23:26,680 --> 01:23:27,720 HEALTH SERVICE PRIOR TO THE 1712 01:23:27,720 --> 01:23:30,920 PANDEMIC HAD A PLAN TO DIRECTLY 1713 01:23:30,920 --> 01:23:33,280 FUND AN ENTITY THAT WOULD HAVE 1714 01:23:33,280 --> 01:23:40,360 TO COMPETE TO SUPPORT THE TEC 1715 01:23:40,360 --> 01:23:42,160 FROM NIH OPPOSED TO THE TRANSFER 1716 01:23:42,160 --> 01:23:52,440 TO THE INDIAN HEALTH SERVICES. 1717 01:23:52,440 --> 01:23:54,000 AND WE WERE DELAYED AND SET BACK 1718 01:23:54,000 --> 01:23:58,680 IN THE BLAN TO DO THIS. 1719 01:23:58,680 --> 01:24:00,520 BUT ULTIMATELY IT HAPPENED AND 1720 01:24:00,520 --> 01:24:05,960 THE AWARD WAS GIVEN TO THE 1721 01:24:05,960 --> 01:24:08,960 UNIVERSITY OF CLINICAL TRIAL 1722 01:24:08,960 --> 01:24:10,680 WHERE THE RESOURCE CENTER IS 1723 01:24:10,680 --> 01:24:11,160 LOCATED. 1724 01:24:11,160 --> 01:24:14,520 OUR COMMITMENT HAVE BEEN TO THE 1725 01:24:14,520 --> 01:24:17,000 $70,000 PER SITE RANGE. 1726 01:24:17,000 --> 01:24:18,720 THE TOTAL COMMITMENT WAS NOT 1727 01:24:18,720 --> 01:24:22,400 QUITE $800,000, $900,000 WITH 1728 01:24:22,400 --> 01:24:23,800 OVERHEAD. 1729 01:24:23,800 --> 01:24:27,240 WE INCREASED THAT TO $100,000 1730 01:24:27,240 --> 01:24:33,800 PER TECH AS AN AUTOMATIC 1731 01:24:33,800 --> 01:24:34,080 FOUNDATION. 1732 01:24:34,080 --> 01:24:36,480 THERE'S NO DETAIL EXPECTATION 1733 01:24:36,480 --> 01:24:41,120 FOR THE $100,000 THIS IS MONEY 1734 01:24:41,120 --> 01:24:43,760 IT SUPPORTS THE TEC'S FUNCTIONS 1735 01:24:43,760 --> 01:24:48,760 IN WHATEVER THEY ARE. 1736 01:24:48,760 --> 01:24:49,880 THAT COMMITMENT WILL CONTINUE 1737 01:24:49,880 --> 01:24:52,080 THE IDEA WAS TO PROVIDE MORE 1738 01:24:52,080 --> 01:24:53,440 TECHNICAL ASSISTANCE ON ISSUES 1739 01:24:53,440 --> 01:24:54,840 THAT MAY COME UP PARTICULARLY 1740 01:24:54,840 --> 01:24:56,200 AROUND DATA SCIENCE AROUND THE 1741 01:24:56,200 --> 01:25:01,640 OFFICE OF DATA SCIENCE 1742 01:25:01,640 --> 01:25:04,560 STRATEGIES WAS INTERESTED IN 1743 01:25:04,560 --> 01:25:05,840 WAYS TO SUPPLEMENT THIS TO BUILD 1744 01:25:05,840 --> 01:25:07,960 MORE CAPACITY IN DATA SCIENCE. 1745 01:25:07,960 --> 01:25:13,000 RESEARCH SKILLS, MENTORING AND 1746 01:25:13,000 --> 01:25:16,240 THEN ALSO WORK WITH NIH ON 1747 01:25:16,240 --> 01:25:18,640 DISSEMINATION OF RESOURCES AND 1748 01:25:18,640 --> 01:25:19,680 COULD BE A COMPENDIUM OF 1749 01:25:19,680 --> 01:25:22,640 AVAILABLE RESOURCES BY THE TECs. 1750 01:25:22,640 --> 01:25:25,200 I SEE THIS AS THE BEGINNING OF 1751 01:25:25,200 --> 01:25:26,120 THE VISION FOR THE TRIBAL 1752 01:25:26,120 --> 01:25:29,000 EPICENTERS AND FOR NIMHD TO BE 1753 01:25:29,000 --> 01:25:33,120 ABLE TO THEN WORK WITH A NETWORK 1754 01:25:33,120 --> 01:25:37,480 OF TRIBAL-BASED ORGANIZATIONS TO 1755 01:25:37,480 --> 01:25:38,160 CONDUCT RESEARCH PRIMARILY BY 1756 01:25:38,160 --> 01:25:39,000 NATIVE INVESTIGATORS. 1757 01:25:39,000 --> 01:25:44,720 THAT WAS MY VISION WITH THE 1758 01:25:44,720 --> 01:25:47,680 WHOLE PROBLEM TO MAKE IT A 1759 01:25:47,680 --> 01:25:49,120 DIRECT RELATIONSHIP BETWEEN THE 1760 01:25:49,120 --> 01:25:50,360 INSTITUTE AND THE INVESTIGATORS 1761 01:25:50,360 --> 01:25:52,000 ON THE GROUND. 1762 01:25:52,000 --> 01:25:54,080 I SEE THE FOUNDATIONAL FUNDING 1763 01:25:54,080 --> 01:25:57,200 AND THE RESOURCE CENTER IS JUST 1764 01:25:57,200 --> 01:25:59,440 A FIRST STEP. 1765 01:25:59,440 --> 01:26:01,840 IT'S TO FACILITATE OPPORTUNITIES 1766 01:26:01,840 --> 01:26:03,520 FOR GRANT FUNDING FROM NIH AND 1767 01:26:03,520 --> 01:26:04,400 OTHER INSTITUTES. 1768 01:26:04,400 --> 01:26:08,920 I THINK IF WE HAVE A FUNCTIONING 1769 01:26:08,920 --> 01:26:10,840 NETWORK THAT'S GATHERED WITH 1770 01:26:10,840 --> 01:26:12,320 SOME SORT OF COORDINATION AND WE 1771 01:26:12,320 --> 01:26:14,600 CREATE OPPORTUNITIES FOR PEOPLE 1772 01:26:14,600 --> 01:26:20,560 TO APPLY FOR GRANTS THAT CAN BE 1773 01:26:20,560 --> 01:26:21,600 IMPLEMENTED IN THE AREAS WHETHER 1774 01:26:21,600 --> 01:26:27,360 LED BY THE TECs OR NOT, OTHER 1775 01:26:27,360 --> 01:26:28,200 NIH INSTITUTE COULD BE 1776 01:26:28,200 --> 01:26:29,640 POTENTIALLY INTERESTED IN 1777 01:26:29,640 --> 01:26:30,840 SUPPORTING THAT. 1778 01:26:30,840 --> 01:26:32,840 OUR EXPERIENCE WITH THE RESEARCH 1779 01:26:32,840 --> 01:26:33,640 CENTERS FOR MINORITY 1780 01:26:33,640 --> 01:26:38,840 INSTITUTIONS WHICH WE INHERITED 1781 01:26:38,840 --> 01:26:44,080 AND IS FUNDED FOR THE LAST 40 1782 01:26:44,080 --> 01:26:46,760 YEARS WITH CONGRESSIONAL LINE 1783 01:26:46,760 --> 01:26:55,920 ITEM HAS IMPLIED IT CAN WORK. 1784 01:26:55,920 --> 01:27:01,560 IT TAKES TIME AND IT COULD BE A 1785 01:27:01,560 --> 01:27:12,120 FOCUS OF AND THIS IS SOMETHING 1786 01:27:13,520 --> 01:27:16,040 NIH LAUNCHED AND HOW WE SEE THE 1787 01:27:16,040 --> 01:27:18,680 ISSUES OF MINORITY HEALTH AND 1788 01:27:18,680 --> 01:27:23,880 HEALTH DISPARITIES FOR 1789 01:27:23,880 --> 01:27:32,560 POPULATIONS. 1790 01:27:32,560 --> 01:27:39,520 AND LISTS THE SITES FOR RADXUP 1791 01:27:39,520 --> 01:27:40,280 AND OTHERS. 1792 01:27:40,280 --> 01:27:40,800 THANK YOU SO MUCH. 1793 01:27:40,800 --> 01:27:43,920 >>THANK YOU 1794 01:27:46,920 --> 01:27:47,120 . 1795 01:27:47,120 --> 01:27:49,240 >>HERMINIA: DO WE HAVE ANY 1796 01:27:49,240 --> 01:27:50,240 QUESTIONS OR COMMENTS? 1797 01:27:50,240 --> 01:27:55,600 >>IT WAS INTERESTED WHEN YOU 1798 01:27:55,600 --> 01:28:06,120 WERE LOOKING AT THE AND WHERE 1799 01:28:06,640 --> 01:28:08,160 THEY WERE STAYING STABLE AND 1800 01:28:08,160 --> 01:28:08,960 WENT UP TO 2019 OR SOMETHING 1801 01:28:08,960 --> 01:28:13,400 LIKE THAT. 1802 01:28:13,400 --> 01:28:14,600 DURING COVID IT INCREASED 1803 01:28:14,600 --> 01:28:15,040 SIGNIFICANTLY. 1804 01:28:15,040 --> 01:28:16,400 MORE SO THAN THE REST OF THEM. 1805 01:28:16,400 --> 01:28:22,240 I DON'T KNOW THAT IT HAD A 1806 01:28:22,240 --> 01:28:27,680 CORRELATION TO LACK OF 1807 01:28:27,680 --> 01:28:28,000 VACCINATIONS. 1808 01:28:28,000 --> 01:28:29,760 IT WOULD BE INTERESTING TO LOOK 1809 01:28:29,760 --> 01:28:30,840 AT THAT BECAUSE I THINK THERE 1810 01:28:30,840 --> 01:28:41,320 WERE OTHER THINGS GOING ON. 1811 01:28:52,960 --> 01:28:58,680 >>DR. PEREZ-STABLE: THERE WERE 1812 01:28:58,680 --> 01:29:00,040 DEATHS FROM MARCH TO SEPTEMBER 1813 01:29:00,040 --> 01:29:03,680 THAT WAS SUSTAINED IN 2021 AND 1814 01:29:03,680 --> 01:29:07,920 DROPPED SUBSTANTIALLY IN 2022 1815 01:29:07,920 --> 01:29:17,880 THIS IS THE WHOLE COUNTRY. 1816 01:29:17,880 --> 01:29:18,480 DISPROPORTIONATELY, AMERICAN 1817 01:29:18,480 --> 01:29:20,800 INDIAN/ALASKAN NATIVE AND 1818 01:29:20,800 --> 01:29:22,080 AFRICAN AMERICANS AND LATINOS 1819 01:29:22,080 --> 01:29:27,640 AND HISPANICS SUFFERED A 1820 01:29:27,640 --> 01:29:28,480 DISPROPORTIONATE IN EXCESS 1821 01:29:28,480 --> 01:29:30,680 DEATHS AND IN MALES MORE THAN 1822 01:29:30,680 --> 01:29:30,880 FEMALES. 1823 01:29:30,880 --> 01:29:34,640 ALL RELATED PROBABLY TO SOCIAL 1824 01:29:34,640 --> 01:29:36,240 FACTORS RELATED TO CONTINUING 1825 01:29:36,240 --> 01:29:38,640 WORK IN WHAT CONTEXT, LACK OF 1826 01:29:38,640 --> 01:29:44,280 ABILITY TO ISOLATE AND LACK OF 1827 01:29:44,280 --> 01:29:45,920 ACCESS TO CARE SO PEOPLE WILL 1828 01:29:45,920 --> 01:29:49,040 GET SICK AND NOT GET THIS THE 1829 01:29:49,040 --> 01:29:50,640 CARE EARLY ON IN THE EPIDEMIC 1830 01:29:50,640 --> 01:29:54,400 ESPECIALLY. 1831 01:29:54,400 --> 01:29:56,240 LATINOS LOST AROUND TWO YEARS OF 1832 01:29:56,240 --> 01:29:57,400 LIFE EXPECTANCY FROM COVID. 1833 01:29:57,400 --> 01:29:58,560 WILL THAT BE RECOVERED? 1834 01:29:58,560 --> 01:29:59,360 WE DON'T KNOW. 1835 01:29:59,360 --> 01:30:01,840 WE HAVE TO WAIT AND SEE. 1836 01:30:01,840 --> 01:30:04,480 SO THE LOSS OF LIFE EXPECTANCY 1837 01:30:04,480 --> 01:30:05,360 IS REAL. 1838 01:30:05,360 --> 01:30:07,640 I WHAT STANDS OUT TO ME WHEN I 1839 01:30:07,640 --> 01:30:09,120 LOOK AT THIS AND WHEN I LEARNED 1840 01:30:09,120 --> 01:30:10,960 ABOUT THIS BECAUSE IN MY PRIOR 1841 01:30:10,960 --> 01:30:15,360 LIFE IN ACADEMICS I DIDN'T KNOW 1842 01:30:15,360 --> 01:30:20,920 THESE KINDS OF INFORMATION WITH 1843 01:30:20,920 --> 01:30:23,200 THIS LEVEL OF DEAL. 1844 01:30:23,200 --> 01:30:23,840 AMERICAN INDIAN/ALASKAN NATIVE 1845 01:30:23,840 --> 01:30:26,000 HEALTH STARTED TO DECLINE IN THE 1846 01:30:26,000 --> 01:30:27,120 1950s. 1847 01:30:27,120 --> 01:30:36,240 TRACK BACK THE LIFE EXPECTANCY 1848 01:30:36,240 --> 01:30:38,280 GOING BACK 70 YEARS AND HAD 1849 01:30:38,280 --> 01:30:39,640 SMALL INCREASES BUT THE GENERAL 1850 01:30:39,640 --> 01:30:42,680 TREND HAS BEEN IN THE WRONG 1851 01:30:42,680 --> 01:30:44,520 DIRECTION. 1852 01:30:44,520 --> 01:30:46,680 THESE 20 YEARS THE DATA IS MORE 1853 01:30:46,680 --> 01:30:52,920 ROBUST AND EASIER TO COMPARE. 1854 01:30:52,920 --> 01:30:56,280 THE GAINS MADE FOR BLACKS AND 1855 01:30:56,280 --> 01:30:59,680 SIMILAR SITUATIONS STABILIZED 1856 01:30:59,680 --> 01:31:03,440 WERE NOT PRESENT FOR AMERICAN 1857 01:31:03,440 --> 01:31:05,360 INDIANS FOR THE OVER ALL 1858 01:31:05,360 --> 01:31:06,800 U.S. POPULATION AND WHITES IN 1859 01:31:06,800 --> 01:31:08,000 PARTICULAR THERE'S BEEN A 1860 01:31:08,000 --> 01:31:10,640 DECREASE IN LIFE EXPECTANCY OVER 1861 01:31:10,640 --> 01:31:17,000 THE LAST SIX YEARS OR SO. 1862 01:31:17,000 --> 01:31:19,640 THOUGHT PRIMARILY TO THE 1863 01:31:19,640 --> 01:31:20,280 OVERDOSE AND THE OTHER FACTORS 1864 01:31:20,280 --> 01:31:27,280 AS WELL. 1865 01:31:27,280 --> 01:31:28,720 I'M OPTIMISTIC. 1866 01:31:28,720 --> 01:31:33,640 I THINK WE WILL RECOVER SOME OF 1867 01:31:33,640 --> 01:31:35,520 THE LOSS FROM COVID BUT I DON'T 1868 01:31:35,520 --> 01:31:36,160 THINK IT WILL BE BACK TO WHERE 1869 01:31:36,160 --> 01:31:42,800 WE WERE. 1870 01:31:42,800 --> 01:31:43,840 >>ONE MORE OBSERVATION. 1871 01:31:43,840 --> 01:31:54,360 I GUESS THE $100,000 FROM MY 1872 01:31:56,440 --> 01:32:00,920 POINT OF VIEW ISN'T A LOT OF 1873 01:32:00,920 --> 01:32:01,120 MONEY. 1874 01:32:01,120 --> 01:32:03,000 $100,000 IS BETTER THAN ZERO BUT 1875 01:32:03,000 --> 01:32:05,000 JUST A COMMENT. 1876 01:32:05,000 --> 01:32:05,480 THANKS. 1877 01:32:05,480 --> 01:32:06,600 >>POINT WELL TAKEN. 1878 01:32:06,600 --> 01:32:10,240 I'M NOT ARGUING WITH THAT. 1879 01:32:10,240 --> 01:32:12,400 IT'S A $1.2 MILLION COMMITMENT. 1880 01:32:12,400 --> 01:32:19,600 THAT'S WHERE I SEE THIS. 1881 01:32:19,600 --> 01:32:21,880 THE IDEA IS WE HAD THIS 1882 01:32:21,880 --> 01:32:23,040 COMMITMENT IN THE PAST AND NOW 1883 01:32:23,040 --> 01:32:24,440 WE WANT TO EMBRACE THAT 1884 01:32:24,440 --> 01:32:25,080 COMMITMENT DIRECTLY AND BUILD ON 1885 01:32:25,080 --> 01:32:28,600 THAT. 1886 01:32:28,600 --> 01:32:32,840 THIS WAS NOT DONE AS A ONE-OFF 1887 01:32:32,840 --> 01:32:34,640 OR THIS IS WHAT WE'LL DO AND 1888 01:32:34,640 --> 01:32:35,160 THAT'S IT. 1889 01:32:35,160 --> 01:32:36,800 MY GOAL IS TO BUILD OUT FROM 1890 01:32:36,800 --> 01:32:38,640 THAT FOUNDATION. 1891 01:32:38,640 --> 01:32:40,560 IT WILL TAKE TIME AND IT WILL 1892 01:32:40,560 --> 01:32:43,640 TAKE MORE RELATIONSHIP BUILDING 1893 01:32:43,640 --> 01:32:45,680 AS WE TRANSITION TO THIS. 1894 01:32:45,680 --> 01:32:51,560 BUT I AGAIN THINK THAT WE CAN DO 1895 01:32:51,560 --> 01:32:54,960 A LOT MORE WITH THE TRIBAL 1896 01:32:54,960 --> 01:32:56,120 EPIDEMIOLOGY CENTERS AS A 1897 01:32:56,120 --> 01:33:00,360 FOUNDATION TO DO MORE OF THIS 1898 01:33:00,360 --> 01:33:02,320 KIND OF RESEARCH WITH THE 1899 01:33:02,320 --> 01:33:02,920 POPULATION AND WITH NATIVE 1900 01:33:02,920 --> 01:33:13,160 INVESTIGATORS. 1901 01:33:18,200 --> 01:33:22,520 >>HERMINIA: ANY OTHER QUESTIONS 1902 01:33:22,520 --> 01:33:22,840 OR COMMENTS? 1903 01:33:22,840 --> 01:33:27,960 >>I NEVER HEARD OF IT BEFORE. 1904 01:33:27,960 --> 01:33:30,120 I WAS LOST IN THE PRESENTATION 1905 01:33:30,120 --> 01:33:35,520 BECAUSE I DIDN'T HAVE A FOUNDING 1906 01:33:35,520 --> 01:33:42,920 ON IT'S MY OWN PERSONAL 1907 01:33:42,920 --> 01:33:43,360 SITUATION. 1908 01:33:43,360 --> 01:33:46,520 >>DR. PEREZ-STABLE: WHAT PART 1909 01:33:46,520 --> 01:33:47,520 WAS LOST? 1910 01:33:47,520 --> 01:33:48,600 >>THE RADX. 1911 01:33:48,600 --> 01:33:53,880 I DIDN'T KNOW ANYTHING ABOUT IT 1912 01:33:53,880 --> 01:34:04,000 BEF 1913 01:34:10,920 --> 01:34:11,280 BEF 1914 01:34:11,280 --> 01:34:11,920 BEFORE. 1915 01:34:11,920 --> 01:34:19,600 >>DR. PEREZ-STABLE: RAPID 1916 01:34:19,600 --> 01:34:21,400 ACCELERATION AND IT WAS WITH THE 1917 01:34:21,400 --> 01:34:23,440 PANDEMIC START THAENGD ORIGINAL 1918 01:34:23,440 --> 01:34:25,320 CONVENING OF WHAT NIH WOULD DO 1919 01:34:25,320 --> 01:34:28,640 ABOUT IT THERE WAS EMPHASIS OVER 1920 01:34:28,640 --> 01:34:30,960 VACCINE DEVELOPMENT AND WHAT CAN 1921 01:34:30,960 --> 01:34:39,920 WE DO TO SIROLOGICALLY AND THE 1922 01:34:39,920 --> 01:34:42,480 SOCIAL AND BEHAVIORAL SCIENTISTS 1923 01:34:42,480 --> 01:34:44,040 CAME TO THE TABLE AND STARTED 1924 01:34:44,040 --> 01:34:48,360 RAISING THE ISSUES AND IT BECAME 1925 01:34:48,360 --> 01:34:50,760 EVIDENT WITHIN A MONTH THE 1926 01:34:50,760 --> 01:34:55,320 COMMUNITIES OF COLORS WERE BEING 1927 01:34:55,320 --> 01:34:56,560 DISPROPORTIONATELY IMPACT AND 1928 01:34:56,560 --> 01:34:58,320 BROUGHT NIMHD AND OTHER 1929 01:34:58,320 --> 01:34:59,640 SCIENTISTS HERE INTO THE 1930 01:34:59,640 --> 01:35:04,680 LIMELIGHT OF WHAT CAN WE DO 1931 01:35:04,680 --> 01:35:12,320 ABOUT IT? 1932 01:35:12,320 --> 01:35:18,640 AND WE AND YOU HAVE TO DO 1933 01:35:18,640 --> 01:35:22,800 SOMETHING WITH TESTING. 1934 01:35:22,800 --> 01:35:26,600 WE HAVE 10 PROJECTS FUNDED 1935 01:35:26,600 --> 01:35:27,640 FOCUSSED ON AMERICAN 1936 01:35:27,640 --> 01:35:28,680 INDIAN/ALASKAN NATIVES. 1937 01:35:28,680 --> 01:35:31,320 THAT WAS NOT BY ACCIDENT. 1938 01:35:31,320 --> 01:35:32,680 WE WERE INTENTIONAL IN HOW WE 1939 01:35:32,680 --> 01:35:37,920 TRIED TO DIRECT THE FUNDS AND IT 1940 01:35:37,920 --> 01:35:39,440 WAS AFRICAN AMERICAN, LATINO 1941 01:35:39,440 --> 01:35:41,760 HISPANICS AND HAWAIIAN AND OTHER 1942 01:35:41,760 --> 01:35:45,920 UNDER SERVED POPULATIONS WERE 1943 01:35:45,920 --> 01:35:47,560 INCLUDED AND WE CAN CERTAINLY 1944 01:35:47,560 --> 01:35:49,000 REFER YOU TO MORE DETAIL. 1945 01:35:49,000 --> 01:35:51,120 I DON'T WANT TO BORE ALL OF US 1946 01:35:51,120 --> 01:36:01,320 WITH THOSE. 1947 01:36:04,720 --> 01:36:06,960 IT'S ENGAGED WITH LARGE 1948 01:36:06,960 --> 01:36:08,840 POPULATIONS ON A LARGE SCALE AND 1949 01:36:08,840 --> 01:36:11,680 WHAT BARRIERS DO WE NEED TO 1950 01:36:11,680 --> 01:36:13,200 OVERCOME TO GET ACADEMIC 1951 01:36:13,200 --> 01:36:17,080 RESEARCHERS AND COMMUNITY 1952 01:36:17,080 --> 01:36:17,760 ORGANIZATIONS AND LEADERS AND 1953 01:36:17,760 --> 01:36:22,320 PEOPLE AT THE TABLE. 1954 01:36:22,320 --> 01:36:29,080 THERE'S MANY BUMPS AND LEARNED 1955 01:36:29,080 --> 01:36:34,640 LESSONS BUT OVER ALL WE'VE CRIT 1956 01:36:34,640 --> 01:36:36,800 TO BE SUCCESSFUL FROM ANY WAY WE 1957 01:36:36,800 --> 01:36:38,640 LOOK AT IT. 1958 01:36:38,640 --> 01:36:41,320 >>THAT EXPLANATION WRAPS MY 1959 01:36:41,320 --> 01:36:51,880 MIND AROUND WHAT WE'RE TALKING 1960 01:37:05,760 --> 01:37:10,640 ABOUT IT'S GREAT BUT ONE OF THE 1961 01:37:10,640 --> 01:37:13,960 WITH IT BEING FUNNELED THROUGH A 1962 01:37:13,960 --> 01:37:19,280 UNIVERSITY IT MEANS LESS MONEY 1963 01:37:19,280 --> 01:37:25,960 IS ABLE TO GO TO THE TRIBAL 1964 01:37:25,960 --> 01:37:26,440 EPICENTERS. 1965 01:37:26,440 --> 01:37:27,960 CLARIFY THOUGHTS AROUND PUTTING 1966 01:37:27,960 --> 01:37:32,920 IT THROUGH THE UNIVERSITY AND 1967 01:37:32,920 --> 01:37:35,760 THEN TO THE CENTERS OPPOSED TO 1968 01:37:35,760 --> 01:37:39,400 DIRECTLY FUNDING THE TRIBAL 1969 01:37:39,400 --> 01:37:39,960 EPICENTERS. 1970 01:37:39,960 --> 01:37:43,040 >>DR. PEREZ-STABLE: IN THE 1971 01:37:43,040 --> 01:37:45,800 PRIOR FORMAT WE TRANSFERRED TO 1972 01:37:45,800 --> 01:37:47,600 THE TRIBAL HEALTH SERVICE AND 1973 01:37:47,600 --> 01:37:49,000 WASN'T GOING DIRECTLY FROM NIH 1974 01:37:49,000 --> 01:37:55,080 TO THEM AND IN MY THINKING, DO 1975 01:37:55,080 --> 01:37:58,640 WE DO 12 DIFFERENT CONTRACT OR A 1976 01:37:58,640 --> 01:38:01,760 GRANT COMPETITION WHERE THEY SAY 1977 01:38:01,760 --> 01:38:05,600 APPLY AND ONLY HAVE 12 TO GIVE 1978 01:38:05,600 --> 01:38:08,640 OR TRY TO CHARGE ONE ENTITY TO 1979 01:38:08,640 --> 01:38:10,720 RECEIVE THE FUNDS AND DISTRIBUTE 1980 01:38:10,720 --> 01:38:11,320 THEM? 1981 01:38:11,320 --> 01:38:12,960 YES, THERE'S GOING TO BE 1982 01:38:12,960 --> 01:38:15,080 OVERHEAD NO MATTER WHAT WE DO 1983 01:38:15,080 --> 01:38:23,040 THERE'LL BE OVERHEAD. 1984 01:38:23,040 --> 01:38:24,920 IT WAS AN OPERATIONAL DECISION 1985 01:38:24,920 --> 01:38:26,960 TO MAKE IT MORE SIMPLER IN THAT 1986 01:38:26,960 --> 01:38:30,680 REGARDS. 1987 01:38:30,680 --> 01:38:35,600 AT THE SAME TIME THE GROUP WAS 1988 01:38:35,600 --> 01:38:38,520 ASKED TO DO RESEARCH METHODS OR 1989 01:38:38,520 --> 01:38:40,520 DATA SCIENCE OR GRANT WRITING 1990 01:38:40,520 --> 01:38:40,800 SKILLS. 1991 01:38:40,800 --> 01:38:45,600 WHATEVER IT WAS EACH OF THE 1992 01:38:45,600 --> 01:38:45,960 SITES NEEDED. 1993 01:38:45,960 --> 01:38:47,240 THAT WAS THE VISION. 1994 01:38:47,240 --> 01:38:52,880 >>PREVIOUSLY THE FUNDING WOULD 1995 01:38:52,880 --> 01:39:03,240 GO FROM NIH TO HIS. 1996 01:39:04,080 --> 01:39:07,720 >>DR. PEREZ-STABLE: THEY WERE 1997 01:39:07,720 --> 01:39:12,880 FUNDING THE TRIBAL EPICENTERS 1998 01:39:12,880 --> 01:39:23,280 AND OUR SVRS WAS CON ED. 1999 01:39:26,320 --> 01:39:27,320 WE COULD HAVE DONE THINGS 2000 01:39:27,320 --> 01:39:29,000 DIFFERENTLY AND BETTER. 2001 01:39:29,000 --> 01:39:32,120 I WON'T SAY ANYTHING'S PERFECT. 2002 01:39:32,120 --> 01:39:37,560 THE VISION AND PRINCIPLE IS WHAT 2003 01:39:37,560 --> 01:39:42,320 A WANT TO EMPHASIZE. 2004 01:39:42,320 --> 01:39:44,840 THEY'RE NOT LIFE TIME BUT CYCLES 2005 01:39:44,840 --> 01:39:46,640 AND CAN BE REVISITED GOING 2006 01:39:46,640 --> 01:39:53,120 FORWARD. 2007 01:39:53,120 --> 01:39:55,400 AND THIS IS NOT NECESSARILY NIH 2008 01:39:55,400 --> 01:39:56,840 THOUGH WE REPRESENT THE NIH IN 2009 01:39:56,840 --> 01:40:01,680 THIS CASE TO BUILD OUT THE 2010 01:40:01,680 --> 01:40:03,240 NETWORK TO FORTIFY AND BUILD TO 2011 01:40:03,240 --> 01:40:06,680 MORE RESEARCH ORIENTED. 2012 01:40:06,680 --> 01:40:07,880 THAT'S WHAT NIH DOES. 2013 01:40:07,880 --> 01:40:09,520 AS THEY DO THE OTHER 25 OTHER 2014 01:40:09,520 --> 01:40:13,120 THINGS THEY'RE CHARGED WITH 2015 01:40:13,120 --> 01:40:14,640 DOING IN TERMS OF SURVEILLANCE 2016 01:40:14,640 --> 01:40:19,280 OF THE POPULATION. 2017 01:40:19,280 --> 01:40:20,960 WE HAVE BUILT THAT WITH THE 2018 01:40:20,960 --> 01:40:26,640 DIRECTORS OF THE TEC AND THEY'RE 2019 01:40:26,640 --> 01:40:33,440 STAFF AND POPULATION. 2020 01:40:33,440 --> 01:40:34,880 I VISIT THE NEW MEXICO TEC 2021 01:40:34,880 --> 01:40:41,680 BEFORE THE PANDEMIC BUT MY HOPE 2022 01:40:41,680 --> 01:40:45,320 IS WE CAN GET MORE FAMILIAR AND 2023 01:40:45,320 --> 01:40:47,960 WE HAD AN OPPORTUNITY SEVERAL 2024 01:40:47,960 --> 01:40:50,440 YEARS AGO WE SAID THESE ARE 2025 01:40:50,440 --> 01:40:55,280 GRANTS FOR TRIBAL EPICENTERS AND 2026 01:40:55,280 --> 01:40:58,160 IT WAS OPEN AND A TEC COULD 2027 01:40:58,160 --> 01:41:02,640 APPLY AND WE FUNDED SEVERAL ALL 2028 01:41:02,640 --> 01:41:05,800 FROM TECs. 2029 01:41:05,800 --> 01:41:08,800 OREGON AND NATURAL AND NAVAJO 2030 01:41:08,800 --> 01:41:14,120 FOR SURE AND THERE WAS EXCELLENT 2031 01:41:14,120 --> 01:41:24,640 WORK OUR COUNCIL REPRESENTED. 2032 01:41:32,600 --> 01:41:33,760 >>THANK YOU FOR THE WORK. 2033 01:41:33,760 --> 01:41:36,880 >>I ALSO WANTED TO COMMENT ON 2034 01:41:36,880 --> 01:41:42,760 THE STATS SHARED WITH THE LIFE 2035 01:41:42,760 --> 01:41:44,720 EXPECTANCY AN WITH OUR 2036 01:41:44,720 --> 01:41:48,080 POPULATION AND IT VARIES. 2037 01:41:48,080 --> 01:41:53,600 IN SOME OF OUR COMMUNITIES WE'VE 2038 01:41:53,600 --> 01:41:58,160 SEEN HE DECLINE AND ONE THING WE 2039 01:41:58,160 --> 01:41:59,920 SEE IN OUR COMMUNITIES THAT 2040 01:41:59,920 --> 01:42:00,640 OTHER EXPERIENCES DON'T 2041 01:42:00,640 --> 01:42:05,440 EXPERIENCE AND I ALWAYS SHARED 2042 01:42:05,440 --> 01:42:07,000 THIS WITH OTHER PEOPLE AS A 2043 01:42:07,000 --> 01:42:08,720 TRIBAL LEADER THERE'S NO DEGREE 2044 01:42:08,720 --> 01:42:15,640 OF SEPARATION IN OUR COMMUNITIES 2045 01:42:15,640 --> 01:42:21,520 WE EXPERIENCE LOSS IN OUR 2046 01:42:21,520 --> 01:42:23,040 COMMUNITIES DIRECTLY. 2047 01:42:23,040 --> 01:42:25,120 WHEN THE WHOLE COVID-19 AND OUR 2048 01:42:25,120 --> 01:42:34,640 LOSSES, IT WAS DIRECT. 2049 01:42:34,640 --> 01:42:36,320 OUR CEREMONIES ARE ALL 2050 01:42:36,320 --> 01:42:36,600 INTEGRATED. 2051 01:42:36,600 --> 01:42:41,440 WHEN SOMETHING HAPPENS IN OUR 2052 01:42:41,440 --> 01:42:42,600 COMMUNITY AS A TRIBAL LEADER 2053 01:42:42,600 --> 01:42:43,840 IT'S NOT OPERATED THERE'S 2054 01:42:43,840 --> 01:42:45,000 SOMEONE AT YOUR DOOR THAT IS 2055 01:42:45,000 --> 01:42:46,840 THERE AND YOU ATTEND THE 2056 01:42:46,840 --> 01:42:51,040 SERVICES. 2057 01:42:51,040 --> 01:42:53,080 YOU KNOW WHAT'S HAPPENING IN 2058 01:42:53,080 --> 01:42:54,600 YOUR COMMUNITY AND EVERYBODY IS 2059 01:42:54,600 --> 01:42:55,400 RELATED. 2060 01:42:55,400 --> 01:42:56,200 IT'S ALL COMMUNAL. 2061 01:42:56,200 --> 01:42:58,120 WE KNOW WHAT HAPPENS IN OUR 2062 01:42:58,120 --> 01:43:00,640 COMMUNITIES AND THAT'S NOT THE 2063 01:43:00,640 --> 01:43:02,000 SAME FOR OTHER ELECTED 2064 01:43:02,000 --> 01:43:02,640 OFFICIALS. 2065 01:43:02,640 --> 01:43:04,480 YOU CAN SEPARATE YOURSELF BUT 2066 01:43:04,480 --> 01:43:07,280 NOT IN OUR COMMUNITIES. 2067 01:43:07,280 --> 01:43:09,440 THERE'S NO SEPARATION. 2068 01:43:09,440 --> 01:43:11,760 THAT MAKES IT VERY DIFFERENT AND 2069 01:43:11,760 --> 01:43:14,040 IT'S VERY IMPORTANT FOR US TO 2070 01:43:14,040 --> 01:43:16,880 ALWAYS TAKE CARE OF OUR 2071 01:43:16,880 --> 01:43:18,840 COMMUNITIES AND ONE OF THE 2072 01:43:18,840 --> 01:43:20,080 THINGS THAT WE EXPERIENCE AND I 2073 01:43:20,080 --> 01:43:25,160 KNOW WE'VE EXPERIENCED IN OUR 2074 01:43:25,160 --> 01:43:30,640 COMMUNITIES IS THE DIFFERENCE OF 2075 01:43:30,640 --> 01:43:31,200 OUR PEOPLE AS THEY'RE DYING 2076 01:43:31,200 --> 01:43:36,120 YOUNGER. 2077 01:43:36,120 --> 01:43:46,600 YOU KNOW THE FLAT RATE AND 2078 01:43:50,400 --> 01:43:51,200 APPRECIATE THERE'S RESEARCH AND 2079 01:43:51,200 --> 01:43:53,440 WE'RE PUMPING SO MUCH MONEY INTO 2080 01:43:53,440 --> 01:43:56,840 OUR HEALTH CARE SYSTEM, WE'RE 2081 01:43:56,840 --> 01:43:59,640 DOING THIS FOR PREVENTION AND 2082 01:43:59,640 --> 01:44:04,080 HEALTH CARE AND WELLNESS AND 2083 01:44:04,080 --> 01:44:06,400 DOING THIS AND YET WE'RE STILL 2084 01:44:06,400 --> 01:44:09,440 LOSING PEOPLE TO DIABETES. 2085 01:44:09,440 --> 01:44:12,160 WE'RE STILL LOSING PEOPLE 2086 01:44:12,160 --> 01:44:15,920 BECAUSE THEY'RE GIVING UP. 2087 01:44:15,920 --> 01:44:20,720 THEY'RE FATALISTIC, WHY SHOULD I 2088 01:44:20,720 --> 01:44:20,960 BOTHER? 2089 01:44:20,960 --> 01:44:22,400 I DON'T WANT TO ANYMORE AND STOP 2090 01:44:22,400 --> 01:44:32,680 GOING TO DIALYSIS. 2091 01:44:33,000 --> 01:44:34,400 FOR REASONS WE DON'T KNOW AND WE 2092 01:44:34,400 --> 01:44:37,320 NEED TO FIND OUT WHY DO WE LOSE 2093 01:44:37,320 --> 01:44:46,640 PEOPLE IN THEIR 30s TO RENAL 2094 01:44:46,640 --> 01:44:52,440 FAILURE? 2095 01:44:52,440 --> 01:44:54,800 THAT'S TOO YOUNG AND THE IMPACT 2096 01:44:54,800 --> 01:44:58,840 THAT'S HAVING. 2097 01:44:58,840 --> 01:45:00,840 THOSE ARE THINGS IN OUR 2098 01:45:00,840 --> 01:45:03,520 COMMUNITY AND THEY'RE LOSING. 2099 01:45:03,520 --> 01:45:05,400 AND THINGS LIKE GOING BLIND AND 2100 01:45:05,400 --> 01:45:07,400 THINGS THAT SHOULDN'T BE 2101 01:45:07,400 --> 01:45:07,680 HAPPENING. 2102 01:45:07,680 --> 01:45:09,920 THERE ARE THINGS THAT TECHNOLOGY 2103 01:45:09,920 --> 01:45:15,320 HAS ALREADY TAKEN CARE OF AND 2104 01:45:15,320 --> 01:45:22,080 IT'S LIKE THERE'S A DISCONNECT 2105 01:45:22,080 --> 01:45:25,280 AND A QUESTION DOB ASKED ABOUT 2106 01:45:25,280 --> 01:45:30,440 THOSE GOING BACK TO THE SOCIAL 2107 01:45:30,440 --> 01:45:34,360 DETERMINATES TOO. 2108 01:45:34,360 --> 01:45:35,880 AND THE DISPARITY OF WHAT'S 2109 01:45:35,880 --> 01:45:38,760 HAPPENING AND WHAT'S GOING ON IN 2110 01:45:38,760 --> 01:45:42,280 THE COMMUNITY AND IN PEOPLE'S 2111 01:45:42,280 --> 01:45:43,800 LIVES AND WHAT'S GOING ON 2112 01:45:43,800 --> 01:45:46,320 SPIRITUALLY AND EMOTIONALLY AND 2113 01:45:46,320 --> 01:45:51,640 IN SOMEBODY'S LIFE PREVENTING 2114 01:45:51,640 --> 01:45:52,640 THEM FROM WANTING TO LIVE A LIFE 2115 01:45:52,640 --> 01:46:02,880 THEY DESERVE. 2116 01:46:04,480 --> 01:46:06,640 IT'S IMPACTING THE WHOLE 2117 01:46:06,640 --> 01:46:07,360 COMMUNITY. 2118 01:46:07,360 --> 01:46:09,840 YEAH, I BRING THAT UP BECAUSE I 2119 01:46:09,840 --> 01:46:16,320 SEE THAT WHEN WE LOSE SOMEBODY 2120 01:46:16,320 --> 01:46:18,640 IT'S LIKE, WHAT HAPPENED? 2121 01:46:18,640 --> 01:46:25,320 I THINK ABOUT THOSE THINGS. 2122 01:46:25,320 --> 01:46:26,000 >>DR. PEREZ STABLE: THANK YOU 2123 01:46:26,000 --> 01:46:26,760 FOR THE COMMENTS. 2124 01:46:26,760 --> 01:46:29,280 IT'S THE REFLECTION OF LIVED 2125 01:46:29,280 --> 01:46:30,280 EXPERIENCE AND NOT JUST 2126 01:46:30,280 --> 01:46:31,800 INDIVIDUALLY BUT YOUR COLLECTIVE 2127 01:46:31,800 --> 01:46:34,600 IS WHAT YOU'RE SHARING AND I 2128 01:46:34,600 --> 01:46:36,600 THINK SOMETIMES IT'S HARD FOR 2129 01:46:36,600 --> 01:46:39,640 PEOPLE TO LISTEN TO THAT 2130 01:46:39,640 --> 01:46:42,120 ESPECIALLY THE OUTSIDE COMMUNITY 2131 01:46:42,120 --> 01:46:42,840 AND IT'S IMPORTANT EVERYONE 2132 01:46:42,840 --> 01:46:53,320 LISTEN TO IT AND I DO THINK 2133 01:46:55,120 --> 01:46:55,920 SCIENTISTS AND CLINICIANS AND 2134 01:46:55,920 --> 01:46:58,480 PEOPLE WHO RUN SERVICES NEED TO 2135 01:46:58,480 --> 01:47:00,080 BE A PART OF THE COMMUNITY AND 2136 01:47:00,080 --> 01:47:01,040 UNDERSTAND WHAT PEOPLE WOULD 2137 01:47:01,040 --> 01:47:02,760 LIKE AND HOW THEY LIVE. 2138 01:47:02,760 --> 01:47:04,680 I APPRECIATE THAT. 2139 01:47:04,680 --> 01:47:10,480 I THINK THAT'S A VERY IMPORTANT 2140 01:47:10,480 --> 01:47:10,680 POINT. 2141 01:47:10,680 --> 01:47:12,480 IN THE TRIBAL AND INDIAN 2142 01:47:12,480 --> 01:47:15,040 COUNTRY, PEOPLE REFER TO 2143 01:47:15,040 --> 01:47:16,320 GENERALLY THERE'S ALSO THE 2144 01:47:16,320 --> 01:47:22,640 COMPONENT OF VIRALITY AND 2145 01:47:22,640 --> 01:47:23,920 DISTANCE AND LACK OF TECHNOLOGY 2146 01:47:23,920 --> 01:47:27,720 THAT EXACERBATES MANY OF THESE 2147 01:47:27,720 --> 01:47:29,440 ISSUES AND THE AMERICAN INDIANS 2148 01:47:29,440 --> 01:47:32,880 WHO LIVE IN AN URBAN SETTING GET 2149 01:47:32,880 --> 01:47:35,680 NOT LOST BUT CERTAINLY ARE THEY 2150 01:47:35,680 --> 01:47:35,960 THERE? 2151 01:47:35,960 --> 01:47:36,720 WHO ARE THEY? 2152 01:47:36,720 --> 01:47:38,160 WHERE ARE THEY LOCATED? 2153 01:47:38,160 --> 01:47:45,440 THERE'S EXPERTS ON THE TOPIC. 2154 01:47:45,440 --> 01:47:48,680 AND GETTING A HANDLE ON THAT AND 2155 01:47:48,680 --> 01:47:50,640 ADDRESSING IT IS IMPORTANT. 2156 01:47:50,640 --> 01:47:51,880 THERE'S A LOT TO LEARN ABOUT 2157 01:47:51,880 --> 01:47:53,360 WHAT THE EXPERIENCE IN THE 2158 01:47:53,360 --> 01:47:55,280 AMERICAS ARE. 2159 01:47:55,280 --> 01:47:58,800 NATIVE PEOPLE IN LATIN AMERICA 2160 01:47:58,800 --> 01:48:01,120 PARTICULARLY MEXICO, OUR 2161 01:48:01,120 --> 01:48:06,560 NEIGHBOR ARE MORE NUMEROUS BUT 2162 01:48:06,560 --> 01:48:12,400 THERE'S A TREMENDOUS GAP THAT 2163 01:48:12,400 --> 01:48:16,920 EXISTS THEN MORE SOUTH THE MORE 2164 01:48:16,920 --> 01:48:19,320 NATIVE PEOPLE ARE AND THE 2165 01:48:19,320 --> 01:48:20,840 DIFFERENCE IN POWER IS OBVIOUS 2166 01:48:20,840 --> 01:48:22,160 FOR ANYONE WHO'S BEEN TO MEXICO 2167 01:48:22,160 --> 01:48:30,840 BUT THERE'S MORE MIXTURE. 2168 01:48:30,840 --> 01:48:33,240 IT'S NOT HAPPENED AS MUCH IN 2169 01:48:33,240 --> 01:48:35,200 RESEARCH AND WHAT ARE THE GOOD 2170 01:48:35,200 --> 01:48:36,960 VALUES OR THINGS TO LEARN ON IN 2171 01:48:36,960 --> 01:48:39,480 OUR COMMUNITIES HERE NOT JUST 2172 01:48:39,480 --> 01:48:41,760 AMERICAN INDIANS BUT THE OTHER 2173 01:48:41,760 --> 01:48:44,120 MINORITIZED COMMUNITIES. 2174 01:48:44,120 --> 01:48:46,000 THERE'S AN ASSUMPTION THAT IF 2175 01:48:46,000 --> 01:48:47,960 YOU'RE POOR YOU'RE GOING TO HAVE 2176 01:48:47,960 --> 01:48:50,640 BAD HEALTH AND THE DATA ON A 2177 01:48:50,640 --> 01:48:54,440 POPULATION BASED INDICATE THE 2178 01:48:54,440 --> 01:48:55,800 POORER YOU ARE THE WORSE YOUR 2179 01:48:55,800 --> 01:48:58,200 HEALTH IS BUT IT DOESN'T HAVE TO 2180 01:48:58,200 --> 01:49:00,320 BE THAT WAY AND HAS NOT ALWAYS 2181 01:49:00,320 --> 01:49:01,600 BEEN THAT WAY. 2182 01:49:01,600 --> 01:49:05,160 THE ORIGINAL PEOPLE WHO BECAME 2183 01:49:05,160 --> 01:49:08,640 OBESE AND DEVELOPED DIABETES 2184 01:49:08,640 --> 01:49:13,520 WERE PEOPLE WITH MONEY THAT 2185 01:49:13,520 --> 01:49:17,680 COULD BUY FOOD AND HYPERCALORIC 2186 01:49:17,680 --> 01:49:18,680 DENSE FOOD AND NOW THINGS ARE 2187 01:49:18,680 --> 01:49:19,680 TURNED AROUND. 2188 01:49:19,680 --> 01:49:25,200 I DO AND EXPECT OUR SCIENTISTS 2189 01:49:25,200 --> 01:49:27,800 WILL BEGIN TO LOOK AT THESE 2190 01:49:27,800 --> 01:49:31,640 ASPECTS AND HAVE TO THINK MORE 2191 01:49:31,640 --> 01:49:32,720 IN TERMS OF ASSOCIATIONS AND 2192 01:49:32,720 --> 01:49:34,640 THINK OF INTERVENTIONS TO MAKE A 2193 01:49:34,640 --> 01:49:38,680 DIFFERENCE TO FIND THE PATHWAYS 2194 01:49:38,680 --> 01:49:41,960 TO MAKE A DIFFERENCE. 2195 01:49:41,960 --> 01:49:45,600 ALSO TO FIND THE STRENGTHS THAT 2196 01:49:45,600 --> 01:49:50,040 EXIST IN OUR COMMUNITY SO IT'S 2197 01:49:50,040 --> 01:49:52,160 NOT ALWAYS ABOUT ADVERSITY. 2198 01:49:52,160 --> 01:49:54,640 YOU MENTIONED THE SPIRITUALITY 2199 01:49:54,640 --> 01:49:57,920 AND THE SENSE OF ELDERS. 2200 01:49:57,920 --> 01:50:02,800 ALL THE FACTORS IN MAINSTREAM 2201 01:50:02,800 --> 01:50:04,040 U.S. COMMUNITY ARE NOT -- DON'T 2202 01:50:04,040 --> 01:50:09,960 GET THAT KIND OF ATTENTION OR 2203 01:50:09,960 --> 01:50:19,640 VALUE PERHAPS FROM OTHER 2204 01:50:19,640 --> 01:50:22,880 MINORITIZED COMMUNITIES. 2205 01:50:22,880 --> 01:50:26,640 >>HERMINIA: THANK YOU FOR YOUR 2206 01:50:26,640 --> 01:50:27,640 PRESENTATION. 2207 01:50:27,640 --> 01:50:28,680 >>KARINA: IT WAS A 2208 01:50:28,680 --> 01:50:29,320 COMPREHENSIVE OVERVIEW AND THANK 2209 01:50:29,320 --> 01:50:31,080 YOU FOR BEING HERE. 2210 01:50:31,080 --> 01:50:33,440 WE'RE A LITTLE BIT BEHIND TIME 2211 01:50:33,440 --> 01:50:36,080 SO IF WE COULD JUST IF YOU NEED 2212 01:50:36,080 --> 01:50:38,560 A QUICK BIO BREAK OR QUICK 2213 01:50:38,560 --> 01:50:40,320 STRETCH AND THEN IT'S TIME FOR 2214 01:50:40,320 --> 01:50:41,680 DR. WARNE TO JOIN US AND GET 2215 01:50:41,680 --> 01:50:42,880 READY FOR HIS PRESENTATION. 2216 01:50:42,880 --> 01:50:46,720 TWO MINUTES. 2217 01:50:46,720 --> 01:50:50,960 THAT REALLY MEANS FIVE MINUTES 2218 01:50:50,960 --> 01:50:52,600 INDIAN TIME. 2219 01:50:52,600 --> 01:50:53,640 >>KARINA: THANK YOU DR. WARNE 2220 01:50:53,640 --> 01:50:56,160 FOR BEING HERE AND RECOGNIZING 2221 01:50:56,160 --> 01:50:58,440 WE'RE A LITTLE BIT BEHIND TIME 2222 01:50:58,440 --> 01:51:02,520 BUT I APPRECIATE YOU BEING ABLE 2223 01:51:02,520 --> 01:51:03,960 TO JOIN US TODAY. 2224 01:51:03,960 --> 01:51:06,560 HE SERVE AS THE CO-DIRECTOR OF 2225 01:51:06,560 --> 01:51:07,600 THE CENTER FOR INDIGENOUS HEALTH 2226 01:51:07,600 --> 01:51:10,600 AND AS A TENURED FULL PROFESSOR 2227 01:51:10,600 --> 01:51:13,520 AT THE BLOOMBERG SCHOOL OF 2228 01:51:13,520 --> 01:51:15,720 PUBLIC HEALTH AT JOHNS HOPKINS 2229 01:51:15,720 --> 01:51:23,560 IN MARYLAND SERVING AS THE 2230 01:51:23,560 --> 01:51:24,560 PROVOST FELLOW FOR INDIGENOUS 2231 01:51:24,560 --> 01:51:26,960 HEALTH STRATEGY. 2232 01:51:26,960 --> 01:51:29,480 >>GOOD DAY EVERYONE AND JUST 2233 01:51:29,480 --> 01:51:30,760 REFLECTING MY EXPERIENCE AT NIH 2234 01:51:30,760 --> 01:51:34,240 IN THIS ARENA, I'VE KNOWN MANY 2235 01:51:34,240 --> 01:51:35,960 OF YOU OUT THERE MORE THAN 20 2236 01:51:35,960 --> 01:51:37,560 YEARS SO LONG STANDING 2237 01:51:37,560 --> 01:51:43,240 CONNECTIONS TO PEOPLE AT NIH 2238 01:51:43,240 --> 01:51:45,440 THROUGH ASSOCIATION OF NATIVE 2239 01:51:45,440 --> 01:51:47,480 AMERICAN PHYSICIANS AND DEEPLY 2240 01:51:47,480 --> 01:51:50,640 BLESSED AND HONORED TO WORK WITH 2241 01:51:50,640 --> 01:51:53,440 MANY OF YOU FOR A LONG TIME AND 2242 01:51:53,440 --> 01:51:54,280 WE WERE ALL 7 YEARS OLD WHEN WE 2243 01:51:54,280 --> 01:51:57,760 STARTED. 2244 01:51:57,760 --> 01:52:00,520 PERFECT. 2245 01:52:00,520 --> 01:52:01,480 I'LL TALK ABOUT FUTURE 2246 01:52:01,480 --> 01:52:02,720 DIRECTIONS AND WHAT WE'RE 2247 01:52:02,720 --> 01:52:06,360 LOOKING ADD IN TERMS OF THE 2248 01:52:06,360 --> 01:52:08,920 HOLISTIC ROUTES AND LOOKED AT 2249 01:52:08,920 --> 01:52:17,000 THE CHALLENGES WE'RE FACING AS 2250 01:52:17,000 --> 01:52:18,320 AMERICAN INDIAN/ALASKAN NATIVES. 2251 01:52:18,320 --> 01:52:19,680 WHEN THINK OF THE FUTURE IT'S 2252 01:52:19,680 --> 01:52:24,680 NOT JUST THE DISPARITIES AND 2253 01:52:24,680 --> 01:52:26,640 WHAT ARE OUR STRENGTHS WITHIN 2254 01:52:26,640 --> 01:52:27,800 OUR CULTURES AND TRADITIONAL 2255 01:52:27,800 --> 01:52:30,040 WAYS TO PROMOTE HEALTH IN A MORE 2256 01:52:30,040 --> 01:52:31,320 MEANINGFUL MANNER BUT ALSO MEANS 2257 01:52:31,320 --> 01:52:33,080 WE HAVE TO STUDY THINGS IN A 2258 01:52:33,080 --> 01:52:35,200 DIFFERENT WAY AND PERHAPS A 2259 01:52:35,200 --> 01:52:35,680 DIFFERENT METHODOLOGY. 2260 01:52:35,680 --> 01:52:38,720 I'M EXCITED ABOUT THE FUTURE OF 2261 01:52:38,720 --> 01:52:40,160 INDIGENOUS HEALTH RESEARCH AND 2262 01:52:40,160 --> 01:52:41,160 THINKING ABOUT EVEN THE 2263 01:52:41,160 --> 01:52:44,160 CHALLENGES AN APPROACHES TO HOW 2264 01:52:44,160 --> 01:52:47,360 WE STUDY -- AND APPROACHES TO 2265 01:52:47,360 --> 01:52:48,680 HOW WE STUDY TRADITIONAL 2266 01:52:48,680 --> 01:52:51,160 MEDICINE AND I GREW UP WITH 2267 01:52:51,160 --> 01:52:55,600 MEDICINE MEN AND FAMILY HEALERS 2268 01:52:55,600 --> 01:53:04,280 I BEGAN INTEGRATING OUR CULTURAL 2269 01:53:04,280 --> 01:53:05,480 WAYS AND IF WE'RE STUDYING 2270 01:53:05,480 --> 01:53:06,360 TRADITIONAL MEDICINE AND SHOWING 2271 01:53:06,360 --> 01:53:07,520 THE EVIDENCE IT'S WORKING FOR 2272 01:53:07,520 --> 01:53:10,160 US, WE HAVE TO LOOK AT THE WAY 2273 01:53:10,160 --> 01:53:11,120 WE'RE STUDYING THINGS. 2274 01:53:11,120 --> 01:53:13,520 A RANDOMIZED CONTROL TRIAL 2275 01:53:13,520 --> 01:53:16,680 ALWAYS THE BEST METHODOLOGY? 2276 01:53:16,680 --> 01:53:19,560 IF WE'RE STUDYING A PILL AND 2277 01:53:19,560 --> 01:53:21,080 PLACEBO THAT'S FINE BUT WHAT IF 2278 01:53:21,080 --> 01:53:23,800 WE'RE STUDYING A CEREMONY EVEN 2279 01:53:23,800 --> 01:53:26,520 SOMETHING AS SIMPLE AS PRAYER. 2280 01:53:26,520 --> 01:53:28,840 WHAT'S A PLACEBO FOR PRAYER? 2281 01:53:28,840 --> 01:53:31,640 IF YOU COME UP WITH ONE LET ME 2282 01:53:31,640 --> 01:53:32,240 KNOW. 2283 01:53:32,240 --> 01:53:34,640 WE CAN'T JUST INVENT THINGS LIKE 2284 01:53:34,640 --> 01:53:36,160 A PLACEBO PILL WHEN WE TALK 2285 01:53:36,160 --> 01:53:36,880 ABOUT TRADITIONAL INTERVENTION. 2286 01:53:36,880 --> 01:53:39,200 WE NEED A DIFFERENT WAY OF 2287 01:53:39,200 --> 01:53:40,960 THINKING ABOUT OUR 2288 01:53:40,960 --> 01:53:41,280 METHODOLOGIES. 2289 01:53:41,280 --> 01:53:44,440 THERE'S A WHOLE GROWING ARENA OF 2290 01:53:44,440 --> 01:53:45,320 INDIGENOUS METHODOLOGIES WE'LL 2291 01:53:45,320 --> 01:53:46,960 TALK ABOUT BRIEFLY. 2292 01:53:46,960 --> 01:53:52,280 AND IDEALLY WILL INCREASE IT IN 2293 01:53:52,280 --> 01:53:53,360 EFFORTS AND EXCITED ABOUT THOSE 2294 01:53:53,360 --> 01:53:55,560 MOVING FORWARD BECAUSE WE NEED 2295 01:53:55,560 --> 01:54:01,560 MORE CLINICAL RESEARCH NOT JUST 2296 01:54:01,560 --> 01:54:03,080 DISTRICTIVE EPIDEMIOLOGY OF 2297 01:54:03,080 --> 01:54:04,840 DISPARITIES AND LEAD THE 2298 01:54:04,840 --> 01:54:07,200 CLINICAL TRIALS AND NEED MORE 2299 01:54:07,200 --> 01:54:08,600 CAPACITY IN INDIGENOUS LED 2300 01:54:08,600 --> 01:54:09,240 TRIALS AND RESEARCH. 2301 01:54:09,240 --> 01:54:11,160 AND I WANTED TIME TO TOUCH ON 2302 01:54:11,160 --> 01:54:12,120 EVERYTHING BECAUSE THERE'S SO 2303 01:54:12,120 --> 01:54:13,880 MANY THINGS TO TALK ABOUT AND 2304 01:54:13,880 --> 01:54:16,280 EACH COULD BE A DAY LONG 2305 01:54:16,280 --> 01:54:17,080 DISCUSSION AND I'LL BRIEFLY 2306 01:54:17,080 --> 01:54:18,600 TOUCH ON A FEW OF THESE. 2307 01:54:18,600 --> 01:54:25,280 IN ADDITION TO THE WHOLE IDEA OF 2308 01:54:25,280 --> 01:54:27,480 MORE Ph.D.s AND OTHERS FROM 2309 01:54:27,480 --> 01:54:28,960 INDIGENOUS POPULATIONS DOING THE 2310 01:54:28,960 --> 01:54:31,160 WORK AND CLOSE ON THE INDIGENOUS 2311 01:54:31,160 --> 01:54:32,160 SCHOOL OF HEALING ARTS AND 2312 01:54:32,160 --> 01:54:33,760 SCIENCES AND THAT MAY BE A WAY 2313 01:54:33,760 --> 01:54:35,360 TO OPEN FURTHER DOORS IN THIS 2314 01:54:35,360 --> 01:54:36,400 ARENA. 2315 01:54:36,400 --> 01:54:37,480 I THINK IT'S IMPORTANT TO THINK 2316 01:54:37,480 --> 01:54:43,400 ABOUT THE TERMINOLOGY AS WELL. 2317 01:54:43,400 --> 01:54:45,760 AS A RACIAL GROUP WE'RE AMERICAN 2318 01:54:45,760 --> 01:54:46,680 INDIAN/ALASKAN NATIVE AND WORK 2319 01:54:46,680 --> 01:54:48,360 WITH THE NATIONAL INSTITUTE OF A 2320 01:54:48,360 --> 01:54:50,640 MINORITY HEALTH AND HEALTH 2321 01:54:50,640 --> 01:54:51,440 DISPARITY AS A MINORITY 2322 01:54:51,440 --> 01:54:56,680 POPULATION AND HAVE A UNIQUE 2323 01:54:56,680 --> 01:55:00,200 FEDERAL STATUS AND HAVE A TRIBAL 2324 01:55:00,200 --> 01:55:02,160 ADVISORY COMMITTEE. 2325 01:55:02,160 --> 01:55:03,520 PART OF THE DISCUSSION IS BASED 2326 01:55:03,520 --> 01:55:05,120 ON OUR STATUS AS A MINORITY 2327 01:55:05,120 --> 01:55:06,480 POPULATION BUT THE WHOLE MEETING 2328 01:55:06,480 --> 01:55:08,280 IS REALLY BASED ON THE UNIQUE 2329 01:55:08,280 --> 01:55:08,920 POLITICAL STATUS. 2330 01:55:08,920 --> 01:55:10,400 IT'S IMPORTANT FROM A RESEARCH 2331 01:55:10,400 --> 01:55:12,360 PERSPECTIVE BECAUSE WHEN WE 2332 01:55:12,360 --> 01:55:15,280 THINK ABOUT OUR POPULATION, 2333 01:55:15,280 --> 01:55:19,120 OFTEN WE USE IHS DATA AS A PROXY 2334 01:55:19,120 --> 01:55:21,960 FOR IND AMERICAN INDIAN/ALASKAN 2335 01:55:21,960 --> 01:55:22,880 NATIVE BUT THERE'S OVER 9 2336 01:55:22,880 --> 01:55:26,160 MILLION PEOPLE WHO SELF-IDENTIFY 2337 01:55:26,160 --> 01:55:26,880 AS AMERICAN INDIAN/ALASKAN 2338 01:55:26,880 --> 01:55:28,840 NATIVE AND THE IHS USER 2339 01:55:28,840 --> 01:55:29,640 POPULATION IS 2 MILLION. 2340 01:55:29,640 --> 01:55:31,480 KEEP THAT IN MIND WHEN WE LOOK 2341 01:55:31,480 --> 01:55:33,800 AT THE DATA. 2342 01:55:33,800 --> 01:55:37,720 IHS IS A MINORITY OF AMERICAN 2343 01:55:37,720 --> 01:55:39,680 INDIANS AND ALASKAN NATIVES. 2344 01:55:39,680 --> 01:55:44,560 WE USE TERMINOLOGY 2345 01:55:44,560 --> 01:55:45,800 INTERCHANGEABLY. 2346 01:55:45,800 --> 01:55:51,960 NATIVE AMERICAN IS LEGALLY 2347 01:55:51,960 --> 01:55:53,760 DEFINED INCLUDING HAWAI'I AND 2348 01:55:53,760 --> 01:56:03,560 NATIVE SAM -- SAMOANS ARE NATIVE 2349 01:56:03,560 --> 01:56:05,120 AND NATIVE AMERICAN IS AN 2350 01:56:05,120 --> 01:56:07,720 APPROPRIATE TERM BUT IF WE'RE 2351 01:56:07,720 --> 01:56:08,760 THINKING ABOUT THE AMERICAN 2352 01:56:08,760 --> 01:56:09,600 INDIAN/ALASKAN NATIVE 2353 01:56:09,600 --> 01:56:11,120 POPULATIONS OR TRIBAL 2354 01:56:11,120 --> 01:56:12,640 POPULATIONS, I TRY TO BE 2355 01:56:12,640 --> 01:56:13,280 CONSISTENT WITH THE TERMINOLOGY 2356 01:56:13,280 --> 01:56:16,200 WE'RE USING. 2357 01:56:16,200 --> 01:56:18,080 MANY OF US NOW USE THE TERM 2358 01:56:18,080 --> 01:56:18,720 INDIGENOUS. 2359 01:56:18,720 --> 01:56:20,960 THAT'S REFLECTIVE OF THE 2360 01:56:20,960 --> 01:56:23,160 ORIGINAL INHABITANTS OF VARIOUS 2361 01:56:23,160 --> 01:56:26,240 PARTS OF THE GLOBE. 2362 01:56:26,240 --> 01:56:27,880 IN THE U.S. PART OF NORTH 2363 01:56:27,880 --> 01:56:28,800 AMERICA AND THERE'S INDIGENOUS 2364 01:56:28,800 --> 01:56:30,760 PEOPLES ALL OVER THE WORLD AND 2365 01:56:30,760 --> 01:56:32,800 WE SHARE A LOT OF COMMON HEALTH 2366 01:56:32,800 --> 01:56:35,200 OUTCOMES BASED ON COLONIZATION, 2367 01:56:35,200 --> 01:56:38,000 HISTORICAL TRAUMA AND 2368 01:56:38,000 --> 01:56:39,280 MARGINALIZATION. 2369 01:56:39,280 --> 01:56:40,880 WE SEE SIMILAR PATTERNS IN 2370 01:56:40,880 --> 01:56:43,360 DISPARITIES AND THINK WE HAVE 2371 01:56:43,360 --> 01:56:45,760 MUCH TO LEARN FROM EACH OTHER IN 2372 01:56:45,760 --> 01:56:47,200 LOOKING AT INDIGENOUS APPROACHES 2373 01:56:47,200 --> 01:56:48,600 TO HEALTH AND HEALING. 2374 01:56:48,600 --> 01:56:50,640 WE KNOW THE HISTORY. 2375 01:56:50,640 --> 01:56:53,520 OF COURSE THIS IS SHOWING THE 2376 01:56:53,520 --> 01:56:54,280 LOWER 48 STATES. 2377 01:56:54,280 --> 01:56:55,960 WE DIDN'T DRAW THE LINES BETWEEN 2378 01:56:55,960 --> 01:56:57,800 THE U.S. AND COMMAND OR THE 2379 01:56:57,800 --> 01:56:58,760 U.S. AND MEXICO. 2380 01:56:58,760 --> 01:57:00,200 THOSE LINES WERE DRAWN FOR US IN 2381 01:57:00,200 --> 01:57:08,520 THE COLONIZATION PROCESS. 2382 01:57:08,520 --> 01:57:11,480 WHEN WE THINK OF LOSS OF LAND 2383 01:57:11,480 --> 01:57:14,880 AND WE LOST TRADITIONAL FOODS 2384 01:57:14,880 --> 01:57:16,560 AND BECAME DEPENDENT ON FOOD 2385 01:57:16,560 --> 01:57:17,800 PROGRAMS THAT WERE NOT HEALTHY 2386 01:57:17,800 --> 01:57:20,200 FOR US AND WE LOOKED AT 2387 01:57:20,200 --> 01:57:21,200 LAND-BASED HEALING AND THE 2388 01:57:21,200 --> 01:57:22,640 SPIRITUAL CONNECTION TO PLACE. 2389 01:57:22,640 --> 01:57:25,440 CLEARLY IT'S GOING TO BE AN 2390 01:57:25,440 --> 01:57:26,480 INTERGENERATIONAL IMPACT IN 2391 01:57:26,480 --> 01:57:28,800 TERMS OF THE LOSS OF LAND AND 2392 01:57:28,800 --> 01:57:33,080 RESOURCES AS INDIGENOUS PEOPLES. 2393 01:57:33,080 --> 01:57:33,880 THERE'S COMPELLING EVIDENCE NOW 2394 01:57:33,880 --> 01:57:36,920 THROUGH EPIGENETICS LOOKING AT 2395 01:57:36,920 --> 01:57:38,520 CHANGES FROM DNA FROM EXTERNAL 2396 01:57:38,520 --> 01:57:39,320 STRESSORS. 2397 01:57:39,320 --> 01:57:40,920 TOXIC STRESS CAN CHANGE THE DNA. 2398 01:57:40,920 --> 01:57:42,840 I'M SURE MANY ARE FAMILIAR BUT 2399 01:57:42,840 --> 01:57:45,400 ONE OF THE PROCESSES THAT CAN 2400 01:57:45,400 --> 01:57:46,880 OCCUR IS METHYLATION. 2401 01:57:46,880 --> 01:57:49,680 A CARBON ATTACHES TO A 2402 01:57:49,680 --> 01:57:51,800 NUCLEOTIDE AND CAN HAVE AN 2403 01:57:51,800 --> 01:57:52,840 IMPACT ON GENE EXPRESSION. 2404 01:57:52,840 --> 01:57:56,560 I THINK EPIGENETICS IS PROVIDING 2405 01:57:56,560 --> 01:57:58,960 A SCIENTIFIC PLATFORM TO BETTER 2406 01:57:58,960 --> 01:57:59,680 UNDERSTAND INTERGENERATIONAL 2407 01:57:59,680 --> 01:58:01,200 TRAUMA AND HEALTH DISPARITIES 2408 01:58:01,200 --> 01:58:05,440 FROM THESE EXTERNAL STRESSORS 2409 01:58:05,440 --> 01:58:05,920 LIKE HISTORICAL TRAUMA. 2410 01:58:05,920 --> 01:58:10,480 IN ADDITION, LOSS OF OUR FOOD 2411 01:58:10,480 --> 01:58:10,720 SYSTEMS. 2412 01:58:10,720 --> 01:58:13,920 I KNOW A LOT OF US GREW UP WITH 2413 01:58:13,920 --> 01:58:16,720 THESE FOODS, THE CANNED BEEF AND 2414 01:58:16,720 --> 01:58:18,320 PORK AND SPAM-LIKE PRODUCTS NOT 2415 01:58:18,320 --> 01:58:20,320 SURE WHAT'S IN THERE. 2416 01:58:20,320 --> 01:58:23,160 WE ALL LIKE THE COMMODITY 2417 01:58:23,160 --> 01:58:25,120 CHEESE, BRICKS OF CHEESE BUT 2418 01:58:25,120 --> 01:58:28,360 MOST PEOPLE DIDN'T GROW UP WITH 2419 01:58:28,360 --> 01:58:31,760 THIS OUTSIDE OF OUR POPULATION 2420 01:58:31,760 --> 01:58:35,440 AND I'LL HIGHLIGHT THAT'S A HUGE 2421 01:58:35,440 --> 01:58:38,320 CONTAINER OF FOOD CORN SYRUP 2422 01:58:38,320 --> 01:58:40,040 THAT'S NOT AND IF YOU LOOK AT 2423 01:58:40,040 --> 01:58:42,640 THE LABEL THAT SAYS USE IN BABY 2424 01:58:42,640 --> 01:58:45,520 FORMULA, ISN'T THAT REMARKABLE? 2425 01:58:45,520 --> 01:58:49,680 WHEN WE THINK OF HISTORIC FOOD 2426 01:58:49,680 --> 01:58:51,080 POLICY ADDED TO OUR DISPARITIES 2427 01:58:51,080 --> 01:58:52,680 AND WHEN WE THINK OF THE 2428 01:58:52,680 --> 01:58:54,960 ENGINEERED FOODS AND HOW THEY'RE 2429 01:58:54,960 --> 01:58:57,480 NOT NATURE LIKE VEGETABLE 2430 01:58:57,480 --> 01:59:01,320 SHORTENING AND CORN SYRUP AND 2431 01:59:01,320 --> 01:59:03,160 ENRICHED FLOUR WHAT IS HAPPENING 2432 01:59:03,160 --> 01:59:05,280 IN TERMS OF TRADITIONAL 2433 01:59:05,280 --> 01:59:07,840 EPIGENETICS AND HOW IS THAT 2434 01:59:07,840 --> 01:59:08,600 CHANGING OUR DARN AND HOW IT'S 2435 01:59:08,600 --> 01:59:10,160 PASSED FROM ONE GENERATION TO 2436 01:59:10,160 --> 01:59:12,160 THE NEXT AND WHEN WE THINK OF 2437 01:59:12,160 --> 01:59:13,600 TRADITIONAL FOOD WE THINK OF 2438 01:59:13,600 --> 01:59:15,440 FRIED BREAD. 2439 01:59:15,440 --> 01:59:18,880 WE NEVER FRIED DOUGH. 2440 01:59:18,880 --> 01:59:20,280 THAT'S NOT A TRADITIONAL 2441 01:59:20,280 --> 01:59:21,840 AMERICAN INDIAN FOOD AND IT'S 2442 01:59:21,840 --> 01:59:23,920 BEEN ACCULTURATED AND PEOPLE 2443 01:59:23,920 --> 01:59:28,360 DOING THE BEST THEY COULD WITH 2444 01:59:28,360 --> 01:59:31,000 THEIR FOOD AND FLOUR AND 2445 01:59:31,000 --> 01:59:31,280 SHORTENING. 2446 01:59:31,280 --> 01:59:34,240 NOW WHEN I GO HOME THERE'S AN 2447 01:59:34,240 --> 01:59:36,480 EXPECTATION THERE'S FRIED BREAD 2448 01:59:36,480 --> 01:59:37,640 AND AN ALWAYS ASK WHY AND PEOPLE 2449 01:59:37,640 --> 01:59:41,360 SAY IT'S TRADITIONAL AND I SAID 2450 01:59:41,360 --> 01:59:46,520 IT'S NOT TRADITIONAL TRIBAL FOOD 2451 01:59:46,520 --> 01:59:51,360 BUT TRADITIONAL USDA FOOD BUT 2452 01:59:51,360 --> 01:59:53,760 NOT OURS AND WHAT'S THE IMPACT 2453 01:59:53,760 --> 02:00:03,200 ON GENERATIONS WITH THE 2454 02:00:03,200 --> 02:00:05,600 UNHEALTHY FOODS AND THERE'S 2455 02:00:05,600 --> 02:00:08,360 NUTRITIONAL FOODS AND THERE'S A 2456 02:00:08,360 --> 02:00:17,800 CHOKEBERRY SIMILAR TO A 2457 02:00:17,800 --> 02:00:18,880 BLUEBERRY AND STUDIED IT AND 2458 02:00:18,880 --> 02:00:21,120 LOOKED FOR CHANGES IN 2459 02:00:21,120 --> 02:00:25,080 INFLAMMATION AND EPIGENETICS AND 2460 02:00:25,080 --> 02:00:28,920 SIMPLY ADDED EX TRACT OF 2461 02:00:28,920 --> 02:00:31,000 CHOKEBERRY JUICE AND IT REDUCED 2462 02:00:31,000 --> 02:00:32,760 INFLAMMATION IN A STATISTICALLY 2463 02:00:32,760 --> 02:00:35,920 SIGNIFICANT MANNER AND 2464 02:00:35,920 --> 02:00:38,160 CHOKEBERRY ACTUALLY DEMETHYLATED 2465 02:00:38,160 --> 02:00:40,800 THE DNA AT THE INTERLEUKIN 6 2466 02:00:40,800 --> 02:00:41,080 GENE. 2467 02:00:41,080 --> 02:00:42,600 THIS ISN'T CELL CULTURE, THIS IS 2468 02:00:42,600 --> 02:00:45,440 KIND OF REMARKABLE STUFF AT THE 2469 02:00:45,440 --> 02:00:48,440 SUB CELLULAR LEVEL OUR 2470 02:00:48,440 --> 02:00:50,520 TRADITIONAL MEDICINE, FOOD IS 2471 02:00:50,520 --> 02:00:55,600 HAVING A MEASURABLE AND 2472 02:00:55,600 --> 02:00:58,440 SIGNIFICANT IMPACT THE NEXT STEP 2473 02:00:58,440 --> 02:01:03,040 IS TO STUDY IT IN HUMAN BEINGS. 2474 02:01:03,040 --> 02:01:09,280 WE HAD A GRANT COBRE THE FOR THE 2475 02:01:09,280 --> 02:01:10,960 INDIGENOUS TRAUMA AND RESILIENCE 2476 02:01:10,960 --> 02:01:14,640 RESEARCH CENTER AND TESTED IN 2477 02:01:14,640 --> 02:01:17,800 HUMAN BEINGS AND COLLECTED DATA 2478 02:01:17,800 --> 02:01:20,360 COLLECTION IN VIVO WE SAW 2479 02:01:20,360 --> 02:01:22,640 STATISTICALLY SIGNIFICANT 2480 02:01:22,640 --> 02:01:25,400 REDUCTIONS IN INFLAMMATION AND 2481 02:01:25,400 --> 02:01:30,400 DEMETHYLATION WITH CHOKEBERRY 2482 02:01:30,400 --> 02:01:31,560 JUICE. 2483 02:01:31,560 --> 02:01:34,440 ISN'T THAT REMARKABLE AND ONE 2484 02:01:34,440 --> 02:01:36,240 EXAMPLE OF MANY OF OUR FOODS 2485 02:01:36,240 --> 02:01:43,160 THAT CAN BE SIGNIFICANT. 2486 02:01:43,160 --> 02:01:49,160 AND I APPRECIATE NIH AND OUR 2487 02:01:49,160 --> 02:01:50,280 FORMER PROGRAM OFFICIAL DEEPLY 2488 02:01:50,280 --> 02:01:50,880 INVOLVED IN THE PROJECT AND 2489 02:01:50,880 --> 02:01:52,680 WE'RE EXCITED ABOUT SOME OF 2490 02:01:52,680 --> 02:01:53,360 THOSE OUTCOMES AS WE'RE MOVING 2491 02:01:53,360 --> 02:01:58,360 FORWARD. 2492 02:01:58,360 --> 02:02:00,760 ANOTHER AREA TO LOOK AT BEYOND 2493 02:02:00,760 --> 02:02:05,320 TRADITIONAL EPIGENETICS AND 2494 02:02:05,320 --> 02:02:07,040 TRAUMA IS ADVERSE CHILDHOOD 2495 02:02:07,040 --> 02:02:07,480 EXPERIENCES. 2496 02:02:07,480 --> 02:02:10,760 WE KNOW WE HAVE POORER OUTCOMES 2497 02:02:10,760 --> 02:02:13,760 RELATED TO ADVERSITY DURING 2498 02:02:13,760 --> 02:02:17,000 CHILDHOOD AND STRONG 2499 02:02:17,000 --> 02:02:18,400 CORRELATIONS TO MORE ADVERSE 2500 02:02:18,400 --> 02:02:20,200 CHILDHOOD EXPERIENCES. 2501 02:02:20,200 --> 02:02:22,680 ONE THING WE'RE PLEASED WITH THE 2502 02:02:22,680 --> 02:02:27,400 NATIONAL CENTER FOR INJURY 2503 02:02:27,400 --> 02:02:32,000 PREVENTION THEY REDID THE ACE 2504 02:02:32,000 --> 02:02:34,080 PYRAMID SO ADVERSE CHILDHOOD 2505 02:02:34,080 --> 02:02:37,040 EXPERIENCES ARE NOT AT THE BASE 2506 02:02:37,040 --> 02:02:40,760 AND NOW GENERATIONAL EMBODIMENT 2507 02:02:40,760 --> 02:02:44,680 AND HISTORICAL TRAUMA ARE THERE 2508 02:02:44,680 --> 02:02:47,440 RECOGNIZING IT CAN PUT PEOPLE AT 2509 02:02:47,440 --> 02:02:48,760 GREATER RISK FOR ADVERSE 2510 02:02:48,760 --> 02:02:50,520 EXPERIENCES AND WE SEE 2511 02:02:50,520 --> 02:02:51,960 DISRUPTIONS IN NEUROLOGICAL AND 2512 02:02:51,960 --> 02:02:53,720 SOCIAL DEVELOPMENT AND NEGATIVE 2513 02:02:53,720 --> 02:02:56,440 IMPACT ON HEALTH BEHAVIOR AND 2514 02:02:56,440 --> 02:02:57,520 ULTIMATELY EARLY DISEASE AND 2515 02:02:57,520 --> 02:02:58,360 EARLY MORTALITY WHICH WE'RE 2516 02:02:58,360 --> 02:03:07,720 SEEING REFLECTED IN THE DATA. 2517 02:03:07,720 --> 02:03:09,800 WHEN WE THINK OF TRADITIONAL 2518 02:03:09,800 --> 02:03:12,600 CHALLENGES IT REMINDS ME OF A 2519 02:03:12,600 --> 02:03:14,720 STORY FROM THE NORTHWESTERN 2520 02:03:14,720 --> 02:03:16,960 PLAINS OF THREE SISTERS WALKING 2521 02:03:16,960 --> 02:03:19,400 ALONG A RIVER AND SEE BABIES AND 2522 02:03:19,400 --> 02:03:20,880 YOUNG CHILDREN IN THE WATER 2523 02:03:20,880 --> 02:03:22,520 STRUGGLING IT STAY AFLOAT. 2524 02:03:22,520 --> 02:03:24,280 THE FIRST SISTER DECLARES IT'S 2525 02:03:24,280 --> 02:03:25,800 AN EMERGENCY WE NEED TO GET THE 2526 02:03:25,800 --> 02:03:27,240 BABIES OUT OF THE WATER. 2527 02:03:27,240 --> 02:03:28,480 THE SECOND SISTER THINKS ABOUT 2528 02:03:28,480 --> 02:03:30,120 THAT AND SAID NO, WE NEED TO 2529 02:03:30,120 --> 02:03:32,320 TEACH THE BABIES HOW TO SWIM SO 2530 02:03:32,320 --> 02:03:34,040 THEY CAN SURVIVE IN THE WATER 2531 02:03:34,040 --> 02:03:37,680 AND THE THIRD SISTER KEEPING 2532 02:03:37,680 --> 02:03:39,200 WALKING UP STREAM AND THE OTHER 2533 02:03:39,200 --> 02:03:44,720 SISTERS GET ANGRY AND SAID WHY 2534 02:03:44,720 --> 02:03:46,920 AREN'T YOU SAYING WITH US AND 2535 02:03:46,920 --> 02:03:48,160 THE SAID I'M SEEING WHO IS 2536 02:03:48,160 --> 02:03:51,520 PUTTING THE BABIES IN THE WATER 2537 02:03:51,520 --> 02:03:52,600 AND STOP THEM. 2538 02:03:52,600 --> 02:03:54,560 THAT'S ESSENTIALLY WHAT WE'RE 2539 02:03:54,560 --> 02:03:56,400 TALKING ABOUT IN THE STORY. 2540 02:03:56,400 --> 02:03:57,800 DO WE NEED EACH OF THOSE 2541 02:03:57,800 --> 02:03:58,880 SISTERS? 2542 02:03:58,880 --> 02:03:59,200 ABSOLUTELY. 2543 02:03:59,200 --> 02:04:01,000 WE NEED CRISIS INTERVENTION AND 2544 02:04:01,000 --> 02:04:04,520 NEED EMERGENCY AND ACUTE CARE. 2545 02:04:04,520 --> 02:04:07,440 WE ALSO NEED THE SECOND CENTER 2546 02:04:07,440 --> 02:04:09,880 FOCUSSING ON MANAGING DISEASES 2547 02:04:09,880 --> 02:04:10,600 LIKE DIABETES AND HYPERTENSION, 2548 02:04:10,600 --> 02:04:14,680 ETCETERA. 2549 02:04:14,680 --> 02:04:16,680 WE ALSO NEED THE OTHER SISTER 2550 02:04:16,680 --> 02:04:19,200 FOCUSSING ON PRIMARY 2551 02:04:19,200 --> 02:04:19,600 INTERVENTION. 2552 02:04:19,600 --> 02:04:23,120 WHEN WE GO UPSTREAM WE HAVE TO 2553 02:04:23,120 --> 02:04:27,880 INCLUDE HISTORICAL TRAUMA AND 2554 02:04:27,880 --> 02:04:30,560 ADVERSITY DURING CHILDHOOD AND 2555 02:04:30,560 --> 02:04:31,880 THOSE EVENTS UP STREAM HAVING AN 2556 02:04:31,880 --> 02:04:41,040 IMPACT ON OUR PEOPLE AND HEALTH. 2557 02:04:41,040 --> 02:04:42,160 WE HAD RESPECT FOR INDIGENOUS 2558 02:04:42,160 --> 02:04:44,480 KNOWLEDGE AND YOU MAY HAVE SEEN 2559 02:04:44,480 --> 02:04:48,560 THESE FROM GUATEMALA THE IMAGES. 2560 02:04:48,560 --> 02:04:53,120 THEY HAVE UNCOVERED ANCIENT 2561 02:04:53,120 --> 02:04:55,520 GIGANTIC CITIES IN GUATEMALA 2562 02:04:55,520 --> 02:04:57,960 THAT WERE CITIES AND USING NEW 2563 02:04:57,960 --> 02:05:01,160 TECHNOLOGIES TO USE THE RADAR TO 2564 02:05:01,160 --> 02:05:02,560 LOOK THROUGH THE FOLIAGE AND SEE 2565 02:05:02,560 --> 02:05:08,920 THE SIZE OF THOSE CITIES. 2566 02:05:08,920 --> 02:05:11,960 IN INDIGENOUS AMERICA THE CITIES 2567 02:05:11,960 --> 02:05:16,680 IN AT THAT TIME WAS THE FURTHEST 2568 02:05:16,680 --> 02:05:17,480 ADVANCED IN THE WORLD AT THAT 2569 02:05:17,480 --> 02:05:22,000 TIME IN HISTORY. 2570 02:05:22,000 --> 02:05:24,920 THIS IS A PICTURE OF A WILLOW 2571 02:05:24,920 --> 02:05:25,880 TREE. 2572 02:05:25,880 --> 02:05:27,720 WHAT ASPIRIN COMES FROM WILLOW 2573 02:05:27,720 --> 02:05:29,480 BARK? 2574 02:05:29,480 --> 02:05:29,760 ASPIRIN. 2575 02:05:29,760 --> 02:05:29,920 YES. 2576 02:05:29,920 --> 02:05:32,160 SO WE'VE BEEN USING WILLOW BARK 2577 02:05:32,160 --> 02:05:34,760 TEA AS A MEDICINE FOR YEARS 2578 02:05:34,760 --> 02:05:35,920 UNTIL BAYER DISCOVERED IT AND 2579 02:05:35,920 --> 02:05:37,560 NOW IT'S A MODERN MEDICINE. 2580 02:05:37,560 --> 02:05:41,680 THINK OF HOW MANY THINGS WE USE 2581 02:05:41,680 --> 02:05:42,720 ASPIRIN FOR AND THAT'S 2582 02:05:42,720 --> 02:05:44,800 TRADITIONAL AMERICAN INDIAN 2583 02:05:44,800 --> 02:05:45,320 MEDICINE. 2584 02:05:45,320 --> 02:05:49,800 I AM ASKED IF THERE'S HOSPITALS 2585 02:05:49,800 --> 02:05:52,120 THAT INTEGRATE THIS INTO THEIR 2586 02:05:52,120 --> 02:05:54,480 HEALTH CARE AND EVERY ONE. 2587 02:05:54,480 --> 02:05:57,720 IF YOU SUSPECT A HEART THE FIRST 2588 02:05:57,720 --> 02:05:59,800 THING THEY DO IS GIVE YOU WILLOW 2589 02:05:59,800 --> 02:06:00,640 BARK BUT IT'S NAMED SOMETHING 2590 02:06:00,640 --> 02:06:02,720 ELSE AND WE HAVE OUR OWN SCIENCE 2591 02:06:02,720 --> 02:06:04,000 THAT IS DEEPLY VALUABLE. 2592 02:06:04,000 --> 02:06:07,240 THE FIRST DOCUMENTED BULB 2593 02:06:07,240 --> 02:06:08,760 SYRINGE WAS AMERICAN INDIAN 2594 02:06:08,760 --> 02:06:13,440 USING A BIRD BLADDER AND BIRD 2595 02:06:13,440 --> 02:06:16,080 BONE BASICALLY THE SAME TYPES OF 2596 02:06:16,080 --> 02:06:17,800 TECHNOLOGY FOR TODAY OF CLEANING 2597 02:06:17,800 --> 02:06:23,440 WOUNDS AND THAT TYPE OF THING. 2598 02:06:23,440 --> 02:06:25,560 THE INCA POPULATION HAD EVIDENCE 2599 02:06:25,560 --> 02:06:32,680 OF THE FIRST BRAIN SURGERYIES W 2600 02:06:32,680 --> 02:06:35,120 KNOW PEOPLE SURVIVED THE SURGERY 2601 02:06:35,120 --> 02:06:36,120 BECAUSE THE BONE WAS HEALED. 2602 02:06:36,120 --> 02:06:41,960 THIS IS PROBABLY A BURR HOLE 2603 02:06:41,960 --> 02:06:50,200 WHICH WE USE IN AND WE HAVE TE 2604 02:06:50,200 --> 02:06:52,640 SAME PROCESS TO CREATE A WAY TO 2605 02:06:52,640 --> 02:06:55,400 RELIEF THE PRESSURE SO THE 2606 02:06:55,400 --> 02:06:57,240 INDIVIDUAL SURVIVES. 2607 02:06:57,240 --> 02:06:58,720 AMERICAN INDIANS WERE DOING THIS 2608 02:06:58,720 --> 02:07:08,600 THOUS ANDS OF YEARS AGO USDA IS 2609 02:07:08,600 --> 02:07:09,760 RECOGNIZING AGRICULTURE AND NOW 2610 02:07:09,760 --> 02:07:14,160 WE JUST THINK OF YELLOW SWEET 2611 02:07:14,160 --> 02:07:15,320 WORN AS MASS PRODUCED BUT WE 2612 02:07:15,320 --> 02:07:18,000 NEED TO LOOK AT THE HEALTH IMOF 2613 02:07:18,000 --> 02:07:18,800 INDIGENOUS CORN? 2614 02:07:18,800 --> 02:07:20,000 THAT'S PART OF OUR TRADITIONAL 2615 02:07:20,000 --> 02:07:20,560 FOOD SYSTEMS. 2616 02:07:20,560 --> 02:07:21,960 EVEN THE WHITE HOUSE IS NOW 2617 02:07:21,960 --> 02:07:23,760 COMMITTED TO ELEVATING 2618 02:07:23,760 --> 02:07:25,520 INDIGENOUS KNOWLEDGE IN FEDERAL 2619 02:07:25,520 --> 02:07:25,920 POLICY DECISIONS. 2620 02:07:25,920 --> 02:07:30,960 THE TIME IS PERFECT TO BE DOING 2621 02:07:30,960 --> 02:07:34,800 THIS WORK AND EXPAND ON IT. 2622 02:07:34,800 --> 02:07:36,120 WE LOOKED AT SOCIAL DETERMINES 2623 02:07:36,120 --> 02:07:36,960 OF HEALTH. 2624 02:07:36,960 --> 02:07:43,400 I WAS ON A WRITING TEAM FOR THE 2625 02:07:43,400 --> 02:07:45,720 FORUM ON INDIGENOUS ISSUES AND 2626 02:07:45,720 --> 02:07:46,960 HAVE INDIGENOUS DETERMINATES OF 2627 02:07:46,960 --> 02:07:48,400 HEALTH AND RECOGNIZING WHEN WE 2628 02:07:48,400 --> 02:07:51,200 THINK OF SOCIAL DETERMINATES OF 2629 02:07:51,200 --> 02:07:52,640 HEALTH WE THINK OF THE NEGATIVE 2630 02:07:52,640 --> 02:07:56,360 OUTCOMES AND POVERTY AND 2631 02:07:56,360 --> 02:07:58,400 HOMELESSNESS OR LACK OF ADEQUATE 2632 02:07:58,400 --> 02:08:00,240 EDUCATION AND THOSE TYPES OF 2633 02:08:00,240 --> 02:08:01,720 THINGS AND WE HAVE STRENGTHS IN 2634 02:08:01,720 --> 02:08:05,960 OUR CULTURES AN SOCIAL LIVES. 2635 02:08:05,960 --> 02:08:07,120 THERE'S GOOD PRELIMINARY DATA 2636 02:08:07,120 --> 02:08:12,280 OUT OF CANADA THAT SHOWS THINGS 2637 02:08:12,280 --> 02:08:15,280 LIKE LANGUAGE PRESERVATION IS 2638 02:08:15,280 --> 02:08:16,320 PROTECTIVE OF HEALTH AND 2639 02:08:16,320 --> 02:08:19,080 PARTICIPATION IN CEREMONY IS 2640 02:08:19,080 --> 02:08:19,960 PROTECTIVE IN HEALTH. 2641 02:08:19,960 --> 02:08:21,760 THESE ARE THE TYPES OF THINGS WE 2642 02:08:21,760 --> 02:08:26,240 SHOULD BE STUDYING AND INVESTING 2643 02:08:26,240 --> 02:08:28,480 UP AND WE CAN SHOW AS THEY 2644 02:08:28,480 --> 02:08:29,520 IMPROVE HEALTH OUTCOMES THIS IS 2645 02:08:29,520 --> 02:08:31,600 THE WORK WE NEED TO DO. 2646 02:08:31,600 --> 02:08:34,880 IT'S NOT ALL GOING TO BE DONE IN 2647 02:08:34,880 --> 02:08:37,800 A LABORATORY SETTING WE HAVE TO 2648 02:08:37,800 --> 02:08:42,360 WORK EFFECTIVELY. 2649 02:08:42,360 --> 02:08:46,360 THERE'S ALL KINDS OF HEALING 2650 02:08:46,360 --> 02:08:47,800 SYSTEM FOR AMERICAN 2651 02:08:47,800 --> 02:08:48,480 INDIAN/ALASKAN NATIVE AND HANDS 2652 02:08:48,480 --> 02:08:56,560 ON METHOLOGIES, BOTANICAL AND 2653 02:08:56,560 --> 02:08:58,640 MIND-BODY AND PURIFICATION 2654 02:08:58,640 --> 02:08:59,320 INTERVENTIONS AND THERE'S WORK 2655 02:08:59,320 --> 02:09:00,600 DONE FOR GENERATIONS. 2656 02:09:00,600 --> 02:09:03,120 MANY OF OUR COMMUNITIES HAVE 2657 02:09:03,120 --> 02:09:08,840 HELD ON TO THESE TRADITIONAL 2658 02:09:08,840 --> 02:09:14,920 CULTURAL PRACTICES AND THERE'S 2659 02:09:14,920 --> 02:09:16,720 REAL STRENGTH AND HISTORICALLY 2660 02:09:16,720 --> 02:09:19,560 30 YEARS AGO WHEN I WAS STARTING 2661 02:09:19,560 --> 02:09:20,560 TO DO THIS WORK THERE WHETHER OR 2662 02:09:20,560 --> 02:09:22,920 NOT MANY OF US AND NOW THERE'S 2663 02:09:22,920 --> 02:09:24,520 SO MANY WELL EDUCATED INDIGENOUS 2664 02:09:24,520 --> 02:09:25,560 PEOPLE WE WOULD BE LEADING THESE 2665 02:09:25,560 --> 02:09:28,320 TYPES OF STUDIES AND I REALLY 2666 02:09:28,320 --> 02:09:29,800 BELIEVE THE HEALTH OF FUTURE 2667 02:09:29,800 --> 02:09:34,040 GENERATIONS DEPENDS ON OUR 2668 02:09:34,040 --> 02:09:36,800 ABILITY TO INTEGRATE CULTURALLY 2669 02:09:36,800 --> 02:09:38,520 BASED INTERVENTIONS NOT JUST THE 2670 02:09:38,520 --> 02:09:41,800 TYPICAL INTERVENTIONS IN OTHER 2671 02:09:41,800 --> 02:09:44,920 POPULATIONS. 2672 02:09:44,920 --> 02:09:47,400 WE CAN INCORPORATE CULTURAL 2673 02:09:47,400 --> 02:09:50,680 PERSPECTIVES INTO OUR RESEARCH 2674 02:09:50,680 --> 02:09:50,880 DESIGN. 2675 02:09:50,880 --> 02:09:51,720 THERE'S SEVERAL BOOKS. 2676 02:09:51,720 --> 02:09:54,400 IF YOU'RE INTERESTED IN AN Ph.D. 2677 02:09:54,400 --> 02:09:57,320 IN INDIGENOUS HEALTH WE HAVE IT 2678 02:09:57,320 --> 02:09:58,000 AT UNIVERSITY OF SOUTH DAKOTA 2679 02:09:58,000 --> 02:10:01,720 AND THESE THE RESOURCES WE USE. 2680 02:10:01,720 --> 02:10:04,600 INDIGENOUS METHODOLOGIES AND 2681 02:10:04,600 --> 02:10:06,440 CEREMONY AND DECOLONIZING AND 2682 02:10:06,440 --> 02:10:08,200 THERE'S WONDERFUL SCHOLARSHIP 2683 02:10:08,200 --> 02:10:09,680 OUT THERE NOW. 2684 02:10:09,680 --> 02:10:11,920 IT'S THE BLEND OF WESTERN 2685 02:10:11,920 --> 02:10:15,640 RESEARCH KNOWLEDGE METHODS WITH 2686 02:10:15,640 --> 02:10:16,400 INDIGENOUS METHODS AND IT'S A 2687 02:10:16,400 --> 02:10:21,880 VEN DIAGRAM AND AT THE CROSSOVER 2688 02:10:21,880 --> 02:10:30,160 THERE'S OPPORTUNITIES TO CONDUCT 2689 02:10:30,160 --> 02:10:31,960 MEANINGFUL RESEARCH AND IT HAS 2690 02:10:31,960 --> 02:10:37,640 AN IMPACT THAT IS MEANINGFUL. 2691 02:10:37,640 --> 02:10:39,960 WE TRIED TO CREATE CONDITIONS IN 2692 02:10:39,960 --> 02:10:41,200 WHICH THERE IS NO IMPACT BETWEEN 2693 02:10:41,200 --> 02:10:43,280 THE RESEARCHER AND SUBJECT. 2694 02:10:43,280 --> 02:10:44,200 WE KNOW THAT'S NOT TRUE. 2695 02:10:44,200 --> 02:10:49,280 THERE'S AN IMPACT. 2696 02:10:49,280 --> 02:10:53,880 BUT IT CAN BE ACCOUNTED OR AND 2697 02:10:53,880 --> 02:10:54,880 PART OF THE MEASUREMENT PROCESS. 2698 02:10:54,880 --> 02:10:57,640 WE HAVE AN IMPACT ON THE 2699 02:10:57,640 --> 02:10:59,320 PATIENTS OR THE SUBJECTS WHEN 2700 02:10:59,320 --> 02:11:00,600 WE'RE CONDUCTING RESEARCH IN THE 2701 02:11:00,600 --> 02:11:00,960 COMMUNITY. 2702 02:11:00,960 --> 02:11:03,840 WE'RE NEVER GOING TO REPLICATE A 2703 02:11:03,840 --> 02:11:05,160 STERILE LAB IN A COMMUNITY. 2704 02:11:05,160 --> 02:11:07,680 WE NEED DIFFERENT 2705 02:11:07,680 --> 02:11:08,920 COMMUNITY-BASED METHODOLOGY TO 2706 02:11:08,920 --> 02:11:10,080 UNDERSTAND THESE THINGS. 2707 02:11:10,080 --> 02:11:13,960 WE HAVE A MORE HOLISTIC PROSPECT 2708 02:11:13,960 --> 02:11:15,200 ON HEALTH. 2709 02:11:15,200 --> 02:11:17,200 ANOTHER WORD FOR DOCTOR IS 2710 02:11:17,200 --> 02:11:17,480 PHYSICIAN. 2711 02:11:17,480 --> 02:11:19,600 WE'RE SAYING UP FRONT WE DEAL IN 2712 02:11:19,600 --> 02:11:22,640 THE PHYSICAL ARENA THEY HAVE THE 2713 02:11:22,640 --> 02:11:27,880 SAME LATIN ROOT MEANING 2714 02:11:27,880 --> 02:11:28,120 SCIENCES. 2715 02:11:28,120 --> 02:11:29,680 WE ALSO KNOW THERE'S A MENTAL TO 2716 02:11:29,680 --> 02:11:33,920 HEALTH AND WHEN WE THINK OF 2717 02:11:33,920 --> 02:11:35,480 INTERRATIONAL PUBLIC HEALTH AND 2718 02:11:35,480 --> 02:11:40,400 THERE'S AN IMPACT ON OVER ALL 2719 02:11:40,400 --> 02:11:41,160 WELL BEING. 2720 02:11:41,160 --> 02:11:46,000 WE CAN'T FORCE UNDERSTANDING OF 2721 02:11:46,000 --> 02:11:48,560 ARENAS TO FIT INTO A PHYSICAL 2722 02:11:48,560 --> 02:11:50,040 MOLE AND HAVE TO BE MORE 2723 02:11:50,040 --> 02:11:50,480 HOLISTIC. 2724 02:11:50,480 --> 02:11:55,440 IT'S A BIG CHALLENGE. 2725 02:11:55,440 --> 02:11:58,320 WHAT I SEE IS WE'RE TRYING TO 2726 02:11:58,320 --> 02:12:00,360 FORCE HOLISTIC PRINCIPLES INTO A 2727 02:12:00,360 --> 02:12:01,800 PHYSICAL MODEL AND CAN'T ALWAYS 2728 02:12:01,800 --> 02:12:03,400 WORK EFFECTIVELY. 2729 02:12:03,400 --> 02:12:06,520 WE HAVE TO BE MORE INDIGENOUS 2730 02:12:06,520 --> 02:12:08,320 AND HOLISTIC ABOUT 2731 02:12:08,320 --> 02:12:08,680 METHODOLOGIES. 2732 02:12:08,680 --> 02:12:12,760 WE'RE TRYING TO RECRUIT MORE 2733 02:12:12,760 --> 02:12:15,560 PEOPLE INTO CLINICAL TRIALS AND 2734 02:12:15,560 --> 02:12:19,000 DID A CIRCLE OF TRUST MODEL. 2735 02:12:19,000 --> 02:12:19,960 WE'RE LOOKING AT THE COMMUNITY 2736 02:12:19,960 --> 02:12:23,440 AS HAVING A ROLE IN THIS AND THE 2737 02:12:23,440 --> 02:12:26,240 RESEARCH AND CLINICAL TRIALS ARE 2738 02:12:26,240 --> 02:12:29,800 BEING LED BY INDIGENOUS 2739 02:12:29,800 --> 02:12:36,920 ACADEMICS AND RESEARCHERS. 2740 02:12:36,920 --> 02:12:39,720 WE HAVE THE WORLD'S FIRST 2741 02:12:39,720 --> 02:12:41,080 DOCTORATE IN INDIGENOUS WITH 2742 02:12:41,080 --> 02:12:44,120 SPECIALIZATION AND IN PROCESS OF 2743 02:12:44,120 --> 02:12:46,840 GETTING THAT DEVELOPED. 2744 02:12:46,840 --> 02:12:48,320 AND WE HAVE MORE IN THE ACADEMIC 2745 02:12:48,320 --> 02:12:51,800 YEAR AND FALL OF 2025 WE'LL HAVE 2746 02:12:51,800 --> 02:12:54,000 THE OFFICIAL ROLL OUT AND WE 2747 02:12:54,000 --> 02:13:00,600 HAVE A Ph.D. IN INDIGENOUS 2748 02:13:00,600 --> 02:13:08,000 HEALTH AND LOOKING AT WE HAVE AT 2749 02:13:08,000 --> 02:13:08,760 INDIGENOUS PUBLIC HEALTH THROUGH 2750 02:13:08,760 --> 02:13:09,600 A PUBLIC HEALTH LENS AND THERE'S 2751 02:13:09,600 --> 02:13:16,640 OVERLAP IN THE PRINCIPLES. 2752 02:13:16,640 --> 02:13:20,160 AND WE'LL ROLL OUT AN MPH AT 2753 02:13:20,160 --> 02:13:21,560 JOHNS HOPKINS. 2754 02:13:21,560 --> 02:13:22,840 I WANT TO APPRECIATE NIDA. 2755 02:13:22,840 --> 02:13:24,160 THERE'S THE CLINICAL TRIALS 2756 02:13:24,160 --> 02:13:24,600 NETWORK. 2757 02:13:24,600 --> 02:13:27,280 I'M THE P.I. FOR WHAT'S CALLED 2758 02:13:27,280 --> 02:13:28,800 THE GREAT PLAINS INITIATIVE 2759 02:13:28,800 --> 02:13:30,800 WITHIN THE OHIO NODE OF THE 2760 02:13:30,800 --> 02:13:31,680 CLINICAL TRIALS NETWORK. 2761 02:13:31,680 --> 02:13:33,640 IT'S A RELATIVELY SIMPLE 2762 02:13:33,640 --> 02:13:33,840 PROJECT. 2763 02:13:33,840 --> 02:13:36,600 WE'RE DEVELOP COMMUNITY-DRIVEN 2764 02:13:36,600 --> 02:13:39,480 RESEARCH AGENDA THROUGH 2765 02:13:39,480 --> 02:13:41,760 QUALITATIVE METHODS AND DOING 2766 02:13:41,760 --> 02:13:47,200 INTERVIEWS AND FOCUS GROUPS. 2767 02:13:47,200 --> 02:13:50,440 AND WE NEED TO ASK THE COMMUNITY 2768 02:13:50,440 --> 02:13:52,360 WHAT ARE THEIR RESEARCH QUESTION 2769 02:13:52,360 --> 02:13:54,520 OR PRIORITIES OR HYPOTHESES. 2770 02:13:54,520 --> 02:13:58,640 THIS HAS LED TO MEANINGFUL 2771 02:13:58,640 --> 02:14:02,320 DISCUSSIONS. 2772 02:14:02,320 --> 02:14:05,800 ONE OF OUR PARTNERS THAT'S AN 2773 02:14:05,800 --> 02:14:07,080 OPIOID TREATMENT RECOVERY 2774 02:14:07,080 --> 02:14:09,440 PROGRAM FOR ALL ADDICTION AND 2775 02:14:09,440 --> 02:14:11,520 INCORPORATED CEREMONY IN THEIR 2776 02:14:11,520 --> 02:14:13,800 PROGRAM THERE'S SIX CEREMONIES 2777 02:14:13,800 --> 02:14:15,480 IN 12 WEEKS. 2778 02:14:15,480 --> 02:14:18,080 THEY COINED A NEW TERM, 2779 02:14:18,080 --> 02:14:21,320 MEDICATED ASSISTED TREATMENT AND 2780 02:14:21,320 --> 02:14:23,960 HAVE C.A.T., CEREMONY ASSISTED 2781 02:14:23,960 --> 02:14:24,760 TREATMENT AND THE DATA IS 2782 02:14:24,760 --> 02:14:25,360 COMPELLING AND THEY WANT TO 2783 02:14:25,360 --> 02:14:31,800 STUDY THIS. 2784 02:14:31,800 --> 02:14:33,440 THAT'S THE ARENA IN WHICH WE CAN 2785 02:14:33,440 --> 02:14:42,840 MAKE MEANINGFUL IMPACT. 2786 02:14:42,840 --> 02:14:44,800 WE ESTABLISHED INDIGENOUS HEALTH 2787 02:14:44,800 --> 02:14:46,480 AND LOOKING AT INDIGENOUS 2788 02:14:46,480 --> 02:14:48,720 MEDICINE AS CLINICAL SCIENCE AND 2789 02:14:48,720 --> 02:14:50,840 ULTIMATELY AND I'LL CLOSE WITH 2790 02:14:50,840 --> 02:14:52,600 IN THE DISCUSSION IS THE NEED 2791 02:14:52,600 --> 02:14:54,320 FOR AN INDIGENOUS SCHOOL OF 2792 02:14:54,320 --> 02:14:55,920 HEALING ARTS AND SCIENTISTS. 2793 02:14:55,920 --> 02:14:56,960 AN INDIGENOUS MEDICAL SCHOOL. 2794 02:14:56,960 --> 02:15:00,000 THERE'S A MODEL FOR THIS. 2795 02:15:00,000 --> 02:15:02,280 THERE'S 105 HISTORICALLY BLACK 2796 02:15:02,280 --> 02:15:04,520 COLLEGES AND UNIVERSITIES IN THE 2797 02:15:04,520 --> 02:15:04,960 COUNTRY. 2798 02:15:04,960 --> 02:15:06,960 THEY HAVE FIVE MEDICAL SCHOOLS 2799 02:15:06,960 --> 02:15:09,200 IN THEIR NETWORK, FIVE IN THE 2800 02:15:09,200 --> 02:15:10,200 HBCU SYSTEM. 2801 02:15:10,200 --> 02:15:12,040 THIS IS A MAP OF THE TRIBAL 2802 02:15:12,040 --> 02:15:12,840 COLLEGES AND UNIVERSITIES AND 2803 02:15:12,840 --> 02:15:13,840 THIS IS A MAP OF THE TRIBAL 2804 02:15:13,840 --> 02:15:17,480 MEDICAL SCHOOLS. 2805 02:15:17,480 --> 02:15:19,600 IT'S A BLANK, THERE IS NONE. 2806 02:15:19,600 --> 02:15:22,080 WE CAN FIX THIS IF WE CHOOSE TO. 2807 02:15:22,080 --> 02:15:26,120 IF WE WANT TO THINK BIG AND HAVE 2808 02:15:26,120 --> 02:15:28,120 OUR OWN MEDICAL SCHOOL AND 2809 02:15:28,120 --> 02:15:28,960 SCHOOL OF HEALING ARTS AND 2810 02:15:28,960 --> 02:15:31,040 SCIENCES WE COULD BE THE LEADERS 2811 02:15:31,040 --> 02:15:32,320 IN DOING THIS TYPE OF RESEARCH 2812 02:15:32,320 --> 02:15:33,960 BECAUSE WE CAN DEVELOP IT 2813 02:15:33,960 --> 02:15:39,280 OURSELVES AND THE RIGHT WAY. 2814 02:15:39,280 --> 02:15:43,880 IN MY OWN EXPERIENCE IN AND WE 2815 02:15:43,880 --> 02:15:44,640 NEED TO FIX AND BUILD OUR OWN 2816 02:15:44,640 --> 02:15:50,120 SYSTEM. 2817 02:15:50,120 --> 02:15:54,840 WE PROPOSE AN INDIGENOUS SCHOOL 2818 02:15:54,840 --> 02:16:05,520 AND MULTIPLE DISFLIPSS -- DISDI 2819 02:16:11,120 --> 02:16:15,360 DISCIPLINES AND NURSES AND WE A 2820 02:16:15,360 --> 02:16:17,000 MEDICAL SCHOOL WITH MEDICINE MEN 2821 02:16:17,000 --> 02:16:18,080 AND WOMEN ON FACULTY TEACHING 2822 02:16:18,080 --> 02:16:26,760 OUR STUDENTS. 2823 02:16:26,760 --> 02:16:29,280 WE CAN DECOLONIZE THE CURRICULUM 2824 02:16:29,280 --> 02:16:31,000 AND I ASKED IN MEDICAL SCHOOL, 2825 02:16:31,000 --> 02:16:33,800 WHAT IS MAGICAL ABOUT FOUR 2826 02:16:33,800 --> 02:16:43,920 YEARS? 2827 02:17:12,360 --> 02:17:14,080 OUR POTENTIAL STUDENTS GREW UP 2828 02:17:14,080 --> 02:17:16,640 IN UNDER RESOURCED POPULATIONS. 2829 02:17:16,640 --> 02:17:19,680 THEY MAY NOT HAVE HAD ACCESS TO 2830 02:17:19,680 --> 02:17:21,200 LABORATORY SETTINGS IN HIGH 2831 02:17:21,200 --> 02:17:21,600 SCHOOLS. 2832 02:17:21,600 --> 02:17:22,680 THINGS OTHER POPULATIONS MAY 2833 02:17:22,680 --> 02:17:23,840 TAKE FOR GRANTED. 2834 02:17:23,840 --> 02:17:26,520 WE HAVE LAND-BASED HEALING 2835 02:17:26,520 --> 02:17:26,840 PRINCIPLES. 2836 02:17:26,840 --> 02:17:28,600 AS INDIGENOUS PEOPLES OUR 2837 02:17:28,600 --> 02:17:30,000 POPULATIONS HAVE BEEN HERE FOR 2838 02:17:30,000 --> 02:17:31,600 1,000 GENERATIONS WHEN THE LAND 2839 02:17:31,600 --> 02:17:33,800 IS THE DUST OF OUR ANCESTORS. 2840 02:17:33,800 --> 02:17:35,120 THE BUILDING BLOCKS OF FUTURE 2841 02:17:35,120 --> 02:17:36,640 GENERATIONS AND IT MEANS 2842 02:17:36,640 --> 02:17:37,720 SOMETHING TO US. 2843 02:17:37,720 --> 02:17:39,840 WE SHOULD BE PROMOTING WELLNESS 2844 02:17:39,840 --> 02:17:41,240 NOT JUST TREATING DISEASE. 2845 02:17:41,240 --> 02:17:43,480 HERE'S A RADICAL THOUGHT, WHAT 2846 02:17:43,480 --> 02:17:46,120 IF MEDICAL SCHOOL WAS ACTUALLY A 2847 02:17:46,120 --> 02:17:47,920 HEALING EXPERIENCE INSTEAD OF 2848 02:17:47,920 --> 02:17:48,400 TRAUMATIC EXPERIENCE? 2849 02:17:48,400 --> 02:17:51,240 ISN'T THAT RADICAL? 2850 02:17:51,240 --> 02:17:53,800 WE ACTUALLY WANT HEALING IN OUR 2851 02:17:53,800 --> 02:17:56,120 FUTURE HEALERS INSTEAD OF 2852 02:17:56,120 --> 02:17:57,800 TRAUMATIZING THEM? 2853 02:17:57,800 --> 02:17:59,040 AND WHAT WE DO DOESN'T MAKE ANY 2854 02:17:59,040 --> 02:17:59,360 SENSE. 2855 02:17:59,360 --> 02:18:00,960 THERE'S REASONS FOR THIS. 2856 02:18:00,960 --> 02:18:04,040 HOW MANY MEDICAL SCHOOL 2857 02:18:04,040 --> 02:18:04,720 CURRENTLY HAVE AN AMERICAN 2858 02:18:04,720 --> 02:18:05,040 INDIAN DEAN? 2859 02:18:05,040 --> 02:18:09,640 ZERO. 2860 02:18:09,640 --> 02:18:12,000 THE DECISION MAKING TABLES 2861 02:18:12,000 --> 02:18:15,440 AROUND CURRICULUM DEVELOPMENT 2862 02:18:15,440 --> 02:18:17,240 AND PRIORITIES ARE ZERO. 2863 02:18:17,240 --> 02:18:19,160 WE CAN WAIT FOR THE CURRENT 2864 02:18:19,160 --> 02:18:21,640 SYSTEM TO FIX IT OR DO IT 2865 02:18:21,640 --> 02:18:21,920 OURSELVES. 2866 02:18:21,920 --> 02:18:23,880 I'VE BEEN DOING WORK ON THIS IN 2867 02:18:23,880 --> 02:18:26,360 PRELIMINARY DISCUSSIONS AND 2868 02:18:26,360 --> 02:18:28,680 THINKING ABOUT LOCATIONS, IT HAS 2869 02:18:28,680 --> 02:18:31,200 TO BE A BIG ENOUGH CITY TO 2870 02:18:31,200 --> 02:18:32,760 SUPPORT MEDICAL INFORMATION. 2871 02:18:32,760 --> 02:18:33,920 THERE'S ALWAYS PUSHBACK WHEN 2872 02:18:33,920 --> 02:18:35,560 THERE'S A NEW MEDICAL SCHOOL 2873 02:18:35,560 --> 02:18:39,080 BECAUSE OF COMPETITION FOR 2874 02:18:39,080 --> 02:18:40,720 CLINICAL TRAINING SITES AND 2875 02:18:40,720 --> 02:18:43,960 SIGNIFICANT NUMBER OF AMERICAN 2876 02:18:43,960 --> 02:18:45,120 INDIAN/ALASKAN NATIVE AND THINK 2877 02:18:45,120 --> 02:18:48,000 OF SOME SITES, FLAG STAFF, 2878 02:18:48,000 --> 02:18:52,320 ARIZONA, SANTE FE, NATURAL AND 2879 02:18:52,320 --> 02:18:53,120 ANCHORAGE, ALASKA AND OTHERS. 2880 02:18:53,120 --> 02:18:54,440 COULD BE MORE THAN ONE SITE. 2881 02:18:54,440 --> 02:18:57,760 WHEN I THINK OF THE FUTURE OF 2882 02:18:57,760 --> 02:18:59,040 INDIGENOUS HEALTH WE CAN'T 2883 02:18:59,040 --> 02:19:01,080 UNCOUPLE THAT FROM THE FUTURE OF 2884 02:19:01,080 --> 02:19:02,600 INDIGENOUS MEDICINE AND THE 2885 02:19:02,600 --> 02:19:03,480 FUTURE OF INDIGENOUS HEALING 2886 02:19:03,480 --> 02:19:05,240 SYSTEMS AND THE FUTURE OF 2887 02:19:05,240 --> 02:19:06,200 INDIGENOUS HEALTH EDUCATION AND 2888 02:19:06,200 --> 02:19:09,440 IF WE WANT TO DO THIS IN A 2889 02:19:09,440 --> 02:19:10,240 HOLISTIC WAY AND IN AN 2890 02:19:10,240 --> 02:19:11,600 INDIGENOUS WAY WE HAVE TO LOOK 2891 02:19:11,600 --> 02:19:12,640 AT THE WHOLE PICTURE. 2892 02:19:12,640 --> 02:19:17,760 THAT'S A PICTURE OF THE NEW NOW 2893 02:19:17,760 --> 02:19:20,120 TRIBALLY MANAGED. 2894 02:19:20,120 --> 02:19:22,400 THAT LOOKS LIKE A BEAUTIFUL 2895 02:19:22,400 --> 02:19:23,800 MEDICAL SCHOOL TO ME AND LOOKS 2896 02:19:23,800 --> 02:19:25,400 LIKE A GREAT OPPORTUNITY. 2897 02:19:25,400 --> 02:19:26,400 WE'RE DOING SOME INITIAL 2898 02:19:26,400 --> 02:19:29,360 STRATEGY PLANNING AND HAVING 2899 02:19:29,360 --> 02:19:31,440 THOSE DISCUSSIONS NOW BUT IN THE 2900 02:19:31,440 --> 02:19:33,320 INTEREST OF TIME I'LL END IT 2901 02:19:33,320 --> 02:19:38,000 WITH ONE LAST QUOTE FROM A 2902 02:19:38,000 --> 02:19:39,840 TRADITIONAL HEALER FROM THE LATE 2903 02:19:39,840 --> 02:19:40,040 1800s. 2904 02:19:40,040 --> 02:19:41,520 WE DIDN'T HAVE A WRITTEN 2905 02:19:41,520 --> 02:19:42,360 LANGUAGE HISTORICALLY AND MET 2906 02:19:42,360 --> 02:19:45,600 WITH A WRITER AND THEY PUBLISHED 2907 02:19:45,600 --> 02:19:53,560 A BOOK CALLED BL BLACK ELK SPEA. 2908 02:19:53,560 --> 02:19:55,720 THIS IS HIS QUOTE. 2909 02:19:55,720 --> 02:19:57,640 OF COURSE IT IS NOT I WHO CURE. 2910 02:19:57,640 --> 02:20:01,520 IT WAS THE POWER FROM THE OUTER 2911 02:20:01,520 --> 02:20:04,680 WORLD AND THE VISIONS AND 2912 02:20:04,680 --> 02:20:07,160 CEREMONIES HAD ONLY MADE WE LIKE 2913 02:20:07,160 --> 02:20:08,520 A HOLE THROUGH WHICH THE POWER 2914 02:20:08,520 --> 02:20:11,280 COULD COME TO THE TWO-LEGGEDS. 2915 02:20:11,280 --> 02:20:14,200 IF I THOUGHT THAT I WAS DOING IT 2916 02:20:14,200 --> 02:20:16,240 MYSELF THE HOLE WOULD CLOSE UP 2917 02:20:16,240 --> 02:20:17,600 AND NO POWER COULD COME THROUGH. 2918 02:20:17,600 --> 02:20:22,600 I WAS UNFORTUNATE I WENT TO 2919 02:20:22,600 --> 02:20:26,880 STANFORD FOR MEDICAL SCHOOL BUT 2920 02:20:26,880 --> 02:20:29,280 HUMILITY WAS NOT THE CORE, I 2921 02:20:29,280 --> 02:20:30,840 KNOW IT'S A SHOCK BUT THAT'S THE 2922 02:20:30,840 --> 02:20:31,760 WAY IT IS. 2923 02:20:31,760 --> 02:20:33,400 WHEN PEOPLE LOSE THEIR HUMILITY 2924 02:20:33,400 --> 02:20:35,520 IN MEDICINE THEY LOSE THEIR 2925 02:20:35,520 --> 02:20:38,000 ABILITY TO BE HEALERS AND WHEN 2926 02:20:38,000 --> 02:20:39,400 THEY LOSE THEIR HUMILITY IN 2927 02:20:39,400 --> 02:20:41,400 TEACHING THEY LOSE THEIR ABILITY 2928 02:20:41,400 --> 02:20:41,800 TO REACH. 2929 02:20:41,800 --> 02:20:43,280 I'D SAY IT'S ALSO TRUE IN 2930 02:20:43,280 --> 02:20:43,560 RESEARCH. 2931 02:20:43,560 --> 02:20:46,240 WE HAVE TO BE HUMBLE ENOUGH TO 2932 02:20:46,240 --> 02:20:46,920 LEARN NEW THINGS AND TO 2933 02:20:46,920 --> 02:20:48,040 RECOGNIZE THERE MAY BE OTHER 2934 02:20:48,040 --> 02:20:49,080 WAYS OF DOING THIS WORK THAT 2935 02:20:49,080 --> 02:20:51,120 WOULD BE MORE EFFECTIVE FOR OUR 2936 02:20:51,120 --> 02:20:51,520 POPULATIONS. 2937 02:20:51,520 --> 02:20:54,800 I TRY TO REMEMBER THAT IN MY 2938 02:20:54,800 --> 02:20:56,440 DAILY PRACTICE AND HOPE YOU WILL 2939 02:20:56,440 --> 02:21:00,000 DO AND I'LL END IT THERE. 2940 02:21:00,000 --> 02:21:08,720 THANK YOU ALL, VERY MUCH. 2941 02:21:08,720 --> 02:21:11,600 NOT SURE IF YOU WANT ME TO TAKE 2942 02:21:11,600 --> 02:21:16,640 QUESTION OR COMMENTS BECAUSE I 2943 02:21:16,640 --> 02:21:21,160 KNOW WE'RE OVER A LITTLE BIT. 2944 02:21:21,160 --> 02:21:23,440 >>I DON'T HAVE A QUESTION BUT I 2945 02:21:23,440 --> 02:21:25,480 HAVE TO SAY, BRAVO. 2946 02:21:25,480 --> 02:21:26,760 I APPRECIATE ALL THE WORK YOU'RE 2947 02:21:26,760 --> 02:21:28,880 DOING AND EXCITED TO SEE WHERE 2948 02:21:28,880 --> 02:21:32,200 YOU GO AND HOW THIS DEVELOPS. 2949 02:21:32,200 --> 02:21:36,000 I'M ALREADY THINKING I WHO I CAN 2950 02:21:36,000 --> 02:21:36,200 REFER. 2951 02:21:36,200 --> 02:21:46,760 >>SOUNDS WONDERFUL, THANK YOU. 2952 02:22:02,600 --> 02:22:02,680 S. 2953 02:22:02,680 --> 02:22:07,800 >>DR. WARNE: WE HAVE A GREAT 2954 02:22:07,800 --> 02:22:09,720 COLLABORATING INSTITUTION ON THE 2955 02:22:09,720 --> 02:22:10,600 WORK IN JOHNS HOPKINS. 2956 02:22:10,600 --> 02:22:15,120 I KNOW WE'RE OVER TIME SO -- 2957 02:22:15,120 --> 02:22:17,560 >>I DO APPRECIATE YOUR 2958 02:22:17,560 --> 02:22:20,080 PRESENTATION AND I THINK IT 2959 02:22:20,080 --> 02:22:22,600 WAS -- I THINK IT'S A BREATH OF 2960 02:22:22,600 --> 02:22:23,880 FRESH AIR TO HEAR EVERYTHING YOU 2961 02:22:23,880 --> 02:22:24,920 HAVE TO SAY. 2962 02:22:24,920 --> 02:22:27,640 I LOOK FORWARD TO CONTINUING TO 2963 02:22:27,640 --> 02:22:28,400 HEAR MORE GOOD THINGS THAT 2964 02:22:28,400 --> 02:22:31,440 YOU'RE WORKING ON AND THAT YOU 2965 02:22:31,440 --> 02:22:33,800 CONTINUE TO MENTOR SO MANY OF 2966 02:22:33,800 --> 02:22:35,680 OUR TRIBAL CITIZENS AND OUR 2967 02:22:35,680 --> 02:22:37,480 FUTURE PEOPLE THAT ARE WORKING 2968 02:22:37,480 --> 02:22:39,120 ON RESEARCH AND PEOPLE THAT ARE 2969 02:22:39,120 --> 02:22:39,760 DOING GREAT THINGS. 2970 02:22:39,760 --> 02:22:43,000 SO YOU HAVE DONE SO MANY 2971 02:22:43,000 --> 02:22:44,800 WONDERFUL THINGS AND TO KNOW 2972 02:22:44,800 --> 02:22:45,920 THAT PEOPLE ARE FOLLOWING IN 2973 02:22:45,920 --> 02:22:47,760 YOUR FOOTSTEPS IS GREAT. 2974 02:22:47,760 --> 02:22:48,160 THANK YOU. 2975 02:22:48,160 --> 02:22:49,360 I APPRECIATE EVERYTHING YOU'RE 2976 02:22:49,360 --> 02:22:49,720 DOING. 2977 02:22:49,720 --> 02:22:53,800 >>THANK YOU VERY MUCH. 2978 02:22:53,800 --> 02:22:56,120 I APPRECIATE IT. 2979 02:22:56,120 --> 02:23:06,680 >>KARINA: THANK YOU, DR. WARNE. 2980 02:23:09,080 --> 02:23:09,800 >>HERMINIA: OKAY. 2981 02:23:09,800 --> 02:23:16,480 SO WE'RE GOING TO GO ON AND LET 2982 02:23:16,480 --> 02:23:19,120 ME CHECK MY AGENDA TO SEE WHERE 2983 02:23:19,120 --> 02:23:19,360 I AM. 2984 02:23:19,360 --> 02:23:22,560 SO NEXT ON THE AGENDA WE HAVE A 2985 02:23:22,560 --> 02:23:25,440 CHARTER REVIEW AND VOTE AND WE 2986 02:23:25,440 --> 02:23:26,720 TALKED ABOUT THIS WITH THE TEC 2987 02:23:26,720 --> 02:23:28,200 SO WE'RE GOING TO TABLE THIS FOR 2988 02:23:28,200 --> 02:23:31,120 THE NEXT TEC MEETING. 2989 02:23:31,120 --> 02:23:34,280 CAN I GET CENSUS FROM THE TEC 2990 02:23:34,280 --> 02:23:36,200 AND MOVE ON TO THE ELECTION OF 2991 02:23:36,200 --> 02:23:38,240 THE TAC CHAIR AND CO-CHAIR. 2992 02:23:38,240 --> 02:23:42,000 WE TALKED ABOUT THIS YESTERDAY 2993 02:23:42,000 --> 02:23:44,760 IN THE TAC CAUCUS. 2994 02:23:44,760 --> 02:23:53,760 SO WITH THE TAC -- DO WE HAVE A 2995 02:23:53,760 --> 02:23:59,440 QUORUM? 2996 02:23:59,440 --> 02:23:59,720 ALL RIGHT. 2997 02:23:59,720 --> 02:24:01,880 DO WE WANT TO MOVE FORWARD ON 2998 02:24:01,880 --> 02:24:02,640 ELECTIONS FOR THE CHAIR AND 2999 02:24:02,640 --> 02:24:06,600 SELECTION OF A CO-CHAIR? 3000 02:24:06,600 --> 02:24:17,080 DO WE HAVE ANY NOMINATIONS? 3001 02:24:17,840 --> 02:24:19,840 >>STEVEN: I'LL NOMINATE YOU FOR 3002 02:24:19,840 --> 02:24:20,120 CHAIR. 3003 02:24:20,120 --> 02:24:22,240 >>I SECOND THE NOMINATION. 3004 02:24:22,240 --> 02:24:22,800 >>HERMINIA: OKAY. 3005 02:24:22,800 --> 02:24:24,160 I WILL ACCEPT THE NOMINATION FOR 3006 02:24:24,160 --> 02:24:29,200 CHAIR. 3007 02:24:29,200 --> 02:24:32,920 ALL RIGHT, WELL I'LL CALL FOR A 3008 02:24:32,920 --> 02:24:33,120 VOTE. 3009 02:24:33,120 --> 02:24:34,800 ANY DISCUSSION BEFORE WE VOTE? 3010 02:24:34,800 --> 02:24:41,680 ALL RIGHT, ROLL CALL FOR A VOTE. 3011 02:24:41,680 --> 02:24:45,760 KENDRA, DO YOU MIND DOING THE 3012 02:24:45,760 --> 02:24:54,040 ROLL CALL FOR THE VOTE? 3013 02:24:54,040 --> 02:24:54,280 >>YES. 3014 02:24:54,280 --> 02:24:58,960 >>YES. 3015 02:24:58,960 --> 02:25:07,640 >>YES. 3016 02:25:07,640 --> 02:25:09,920 >>HERMINIA: I'LL AB TAIN. 3017 02:25:09,920 --> 02:25:10,200 -- ABSTAIN. 3018 02:25:10,200 --> 02:25:14,200 >>YES. 3019 02:25:14,200 --> 02:25:15,640 >>. 3020 02:25:15,640 --> 02:25:17,720 3021 02:25:19,080 --> 02:25:19,600 YES. 3022 02:25:19,600 --> 02:25:20,360 >>HERMINIA: SO MOTION CARRIES 3023 02:25:20,360 --> 02:25:21,720 AND THANK YOU EVERYONE FOR THE 3024 02:25:21,720 --> 02:25:23,240 NOMINATION AND FOR YOUR 3025 02:25:23,240 --> 02:25:26,680 CONFIDENCE IN MY LEADERSHIP. 3026 02:25:26,680 --> 02:25:29,120 I APPRECIATE IT. 3027 02:25:29,120 --> 02:25:29,400 THANK YOU. 3028 02:25:29,400 --> 02:25:33,400 AND WE'LL MOVE ON FOR CO-CHAIR. 3029 02:25:33,400 --> 02:25:34,400 DO WE HAVE ANY NOMINATIONS FOR 3030 02:25:34,400 --> 02:25:41,800 CO-CHAIR? 3031 02:25:41,800 --> 02:25:43,600 ANY INTEREST FOR CO-CHAIR? 3032 02:25:43,600 --> 02:25:44,000 OKAY. 3033 02:25:44,000 --> 02:25:48,920 I'LL BE HAPPY TO NOMINATE DEBBIE 3034 02:25:48,920 --> 02:25:52,320 DANFORTH FOR CO-CHAIR. 3035 02:25:52,320 --> 02:25:54,960 >>YOU HAVE TO BE AN ELECTED 3036 02:25:54,960 --> 02:26:00,120 OFFICIAL TO BE A CO-CHAIR. 3037 02:26:00,120 --> 02:26:01,760 >>HERMINIA: OH. 3038 02:26:01,760 --> 02:26:06,240 OKAY. 3039 02:26:06,240 --> 02:26:10,440 WE DID GO OVER THAT THE LAST 3040 02:26:10,440 --> 02:26:10,720 TIME. 3041 02:26:10,720 --> 02:26:18,600 ARE YOU INTERESTED IN SERVING AS 3042 02:26:18,600 --> 02:26:20,920 CO-CHAIR? 3043 02:26:20,920 --> 02:26:25,360 >>DEBBIE: IF IT HAS TO BE AN 3044 02:26:25,360 --> 02:26:30,480 ELECTED OFFICIAL. 3045 02:26:30,480 --> 02:26:32,920 >>HERMINIA: I NOMINATE. 3046 02:26:32,920 --> 02:26:36,000 WE'LL DO ROLL CALL SECONDED BY 3047 02:26:36,000 --> 02:26:36,640 STEVEN. 3048 02:26:36,640 --> 02:26:38,520 >>ABSTAIN. 3049 02:26:38,520 --> 02:26:41,920 >>YES. 3050 02:26:41,920 --> 02:26:46,680 >>YES. 3051 02:26:46,680 --> 02:26:53,760 >>YES. 3052 02:26:53,760 --> 02:26:57,760 >>ABSTAIN. 3053 02:26:57,760 --> 02:27:07,920 >>YES. 3054 02:27:09,320 --> 02:27:10,720 >>SORRY, MOTION CARRIES. 3055 02:27:10,720 --> 02:27:13,360 THANK YOU EVERYONE FOR THE VOTE 3056 02:27:13,360 --> 02:27:14,000 AND CONGRATULATIONS AND THANK 3057 02:27:14,000 --> 02:27:16,320 YOU FOR STEPPING UP IN THE ROLE. 3058 02:27:16,320 --> 02:27:16,960 I APPRECIATE THAT. 3059 02:27:16,960 --> 02:27:18,240 THANK YOU FOR HELPING BECAUSE 3060 02:27:18,240 --> 02:27:19,760 IT'S BEEN HARD NOT HAVING A 3061 02:27:19,760 --> 02:27:21,520 CO-CHAIR FOR THE LAST FEW 3062 02:27:21,520 --> 02:27:21,800 MONTHS. 3063 02:27:21,800 --> 02:27:25,480 I REALLY DO APPRECIATE THAT. 3064 02:27:25,480 --> 02:27:27,000 AND OKAY, WE'LL MOVE ON TO THE 3065 02:27:27,000 --> 02:27:29,800 NEXT ITEM ON THE AGENDA THE NEXT 3066 02:27:29,800 --> 02:27:31,600 STEPS AND DISCUSSION. 3067 02:27:31,600 --> 02:27:33,800 WE'LL TURN IT OVER TO 3068 02:27:33,800 --> 02:27:34,080 DR. WALTERS. 3069 02:27:34,080 --> 02:27:34,680 >>GREAT. 3070 02:27:34,680 --> 02:27:36,680 THANK YOU. 3071 02:27:36,680 --> 02:27:37,760 CONGRATULATIONS MADAME CHAIR AND 3072 02:27:37,760 --> 02:27:41,720 CO-CHAIR. 3073 02:27:41,720 --> 02:27:42,920 WE WANTED TO LEAVE A LITTLE BIT 3074 02:27:42,920 --> 02:27:46,160 OF TIME TO TALK A LITTLE BIT 3075 02:27:46,160 --> 02:27:50,200 ABOUT NEXT STEPS FOR TAC 3076 02:27:50,200 --> 02:27:52,160 PRIORITIES AND DEVELOPING A 3077 02:27:52,160 --> 02:27:53,800 STRATEGY PLAN AND A RECOGNIZE A 3078 02:27:53,800 --> 02:27:56,720 HALF HOUR WON'T DO IT JUSTICE 3079 02:27:56,720 --> 02:27:57,880 BUT WANTED TO TURN TO YOU TO SEE 3080 02:27:57,880 --> 02:28:00,680 HOW WE CAN START THAT 3081 02:28:00,680 --> 02:28:01,520 CONVERSATION AND MY SUGGESTION 3082 02:28:01,520 --> 02:28:04,600 WOULD BE ALSO WE SET UP A 3083 02:28:04,600 --> 02:28:06,320 DIFFERENT TIME A WORKING TIME 3084 02:28:06,320 --> 02:28:08,720 FOR A GOOD HOUR AND A HALF MAYBE 3085 02:28:08,720 --> 02:28:12,520 TO REALLY DIVE IN AND DIVE DEEP 3086 02:28:12,520 --> 02:28:15,920 BASED ON DISCIPLINARY 3087 02:28:15,920 --> 02:28:16,280 DISCUSSION. 3088 02:28:16,280 --> 02:28:18,480 BEFORE WE MOVE FORWARD WITH 3089 02:28:18,480 --> 02:28:23,520 THAT, ONE PRIORITY IS TO GET 3090 02:28:23,520 --> 02:28:25,800 MORE MEMBERS ON BOARD OF THE TAC 3091 02:28:25,800 --> 02:28:27,640 AS WELL AND WE'RE WORKING ON 3092 02:28:27,640 --> 02:28:29,280 THAT RIGHT NOW. 3093 02:28:29,280 --> 02:28:32,200 WE'RE SOLICITING SOLE 3094 02:28:32,200 --> 02:28:36,640 NOMINATIONS FROM A COUPLE AREAS, 3095 02:28:36,640 --> 02:28:41,680 NAVAJO AND OKLAHOMA IS COMING 3096 02:28:41,680 --> 02:28:42,600 THROUGH WITH POTENTIAL PERSON 3097 02:28:42,600 --> 02:28:44,920 AND WHAT OTHER AREAS DO WE HAVE 3098 02:28:44,920 --> 02:28:45,760 REMAINING? 3099 02:28:45,760 --> 02:28:48,200 ALASKA? 3100 02:28:48,200 --> 02:28:49,760 >>CALIFORNIA. 3101 02:28:49,760 --> 02:28:51,600 >>CALIFORNIA. 3102 02:28:51,600 --> 02:28:52,720 >>ALBUQUERQUE. 3103 02:28:52,720 --> 02:28:53,920 >>MM-HMM. 3104 02:28:53,920 --> 02:28:57,760 >>PHOENIX. 3105 02:28:57,760 --> 02:29:02,280 >>BILLINGS. 3106 02:29:02,280 --> 02:29:05,800 >>BILLINGS AND NARCH MEMBERS. 3107 02:29:05,800 --> 02:29:11,640 >>THAT'S CORRECT. 3108 02:29:11,640 --> 02:29:12,640 >>KARINA: I'M ASKING, BEGGING, 3109 02:29:12,640 --> 02:29:15,200 I DON'T KNOW, IF YOU HAVE PEOPLE 3110 02:29:15,200 --> 02:29:20,240 YOU KNOW, COLLEAGUES, WE'VE BEEN 3111 02:29:20,240 --> 02:29:25,520 DOING OUTREACH OURSELVES AND 3112 02:29:25,520 --> 02:29:29,080 TALKING TO PEOPLE BUT WE WOULD 3113 02:29:29,080 --> 02:29:30,200 REALLY ENCOURAGE -- 3114 02:29:30,200 --> 02:29:31,480 >>HERMINIA: ONE OF THE THINGS I 3115 02:29:31,480 --> 02:29:33,440 WANTED TO ASK ABOUT WAS FOR THE 3116 02:29:33,440 --> 02:29:39,000 MEMBER AT LARGE IF THERE WERE 3117 02:29:39,000 --> 02:29:42,400 DIFFERENT ELIGIBILITY. 3118 02:29:42,400 --> 02:29:44,920 >>BRITTANY: I THINK IT WOULD BE 3119 02:29:44,920 --> 02:29:46,280 GOOD FOR URBAN REPRESENTATION 3120 02:29:46,280 --> 02:29:48,920 BUT OF COURSE IT'S COMPLICATED 3121 02:29:48,920 --> 02:29:51,960 BECAUSE OF THE NEED TO BE A 3122 02:29:51,960 --> 02:29:54,200 TRIBAL REPRESENTATIVE OR 3123 02:29:54,200 --> 02:29:56,520 APPOINTED BY DELEGATE FROM A 3124 02:29:56,520 --> 02:29:57,200 TRIBAL COMMUNITY. 3125 02:29:57,200 --> 02:29:59,480 IS THAT SOMETHING WE CAN -- 3126 02:29:59,480 --> 02:30:01,560 >>IF 3127 02:30:04,240 --> 02:30:05,560 >>KARINA: IF THEY'RE AN 3128 02:30:05,560 --> 02:30:07,480 EMPLOYEE THERE ARE TRIBES IN 3129 02:30:07,480 --> 02:30:08,280 URBAN AREAS SO THAT'S SOMETHING 3130 02:30:08,280 --> 02:30:09,720 TO KEEP IN MIND AND CONSIDER. 3131 02:30:09,720 --> 02:30:12,240 WE HAVE A CALIFORNIA DELEGATE 3132 02:30:12,240 --> 02:30:15,720 AND THAT'S AN EXAMPLE OF 3133 02:30:15,720 --> 02:30:17,000 ENCOURAGING A TRIBAL GROUP TO 3134 02:30:17,000 --> 02:30:20,040 PUT FORTH A DELEGATE THAT'S IN 3135 02:30:20,040 --> 02:30:22,120 AN URBAN AREA POTENTIALLY BUT 3136 02:30:22,120 --> 02:30:28,600 YOU STILL HAVE TO BE AN EMPLOYEE 3137 02:30:28,600 --> 02:30:30,920 OR TRIBAL LEADER. 3138 02:30:30,920 --> 02:30:35,160 >>STEPHEN: IT SAYS YOU CAN AN 3139 02:30:35,160 --> 02:30:39,960 APPOINTED TRIBAL LEADER. 3140 02:30:39,960 --> 02:30:42,680 SO A TRIBAL LEADER CHAIR OF AN 3141 02:30:42,680 --> 02:30:44,400 INDIAN TRIBE CAN APPOINT AN 3142 02:30:44,400 --> 02:30:46,040 URBAN DELEGATE IF THEY WANTED 3143 02:30:46,040 --> 02:30:48,600 TO. 3144 02:30:48,600 --> 02:30:50,040 >>KARINA: THAT'S A GREAT 3145 02:30:50,040 --> 02:30:50,440 QUESTION. 3146 02:30:50,440 --> 02:30:51,840 WE CAN PUT THAT FORWARD TO OUR 3147 02:30:51,840 --> 02:30:58,360 OFFICE OF GENERAL COUNSEL. 3148 02:30:58,360 --> 02:31:01,720 MY UNDERSTANDING IS I THINK 3149 02:31:01,720 --> 02:31:04,520 THEY'RE HONORING THE TRIBAL 3150 02:31:04,520 --> 02:31:07,000 SOVEREIGNTY OF HOW PEOPLE SELECT 3151 02:31:07,000 --> 02:31:09,760 LEADERS OPPOSED TO A SITUATION 3152 02:31:09,760 --> 02:31:20,280 WHERE THE CHIEF DELEGATES AN 3153 02:31:24,080 --> 02:31:27,000 EMPLOYEE BUT I APPRECIATE 3154 02:31:27,000 --> 02:31:28,680 REPRESENTATIVE JOCK YOUR POINT 3155 02:31:28,680 --> 02:31:34,040 ON URBAN REPRESENTATION AS WELL. 3156 02:31:34,040 --> 02:31:40,120 >>STEPHEN: WHAT I WILL SAY IS 3157 02:31:40,120 --> 02:31:44,240 IN WASHINGTON STATE WE HAVE A 3158 02:31:44,240 --> 02:31:46,880 GROUP AND I'M THE CHAIR OF 29 3159 02:31:46,880 --> 02:31:53,080 TRIBES AND TWO IN URBAN 3160 02:31:53,080 --> 02:31:53,360 PROGRAMS. 3161 02:31:53,360 --> 02:31:55,600 ALSO, TWO CENTERS AND THEY 3162 02:31:55,600 --> 02:31:57,360 AREN'T OFFICIALLY IN URBAN 3163 02:31:57,360 --> 02:31:58,600 PROGRAMS BUT THEY DO THEIR 3164 02:31:58,600 --> 02:32:00,440 CENTERS WORK WITH THEM AND THEY 3165 02:32:00,440 --> 02:32:04,560 WORK WITH US ON HEALTH ISSUES 3166 02:32:04,560 --> 02:32:05,960 AND SO IT'S REALLY IMPORTANT FOR 3167 02:32:05,960 --> 02:32:10,840 ALL OF US TO STAY ENGAGED WITH 3168 02:32:10,840 --> 02:32:13,280 THE INDIAN PEOPLE UNDER 3169 02:32:13,280 --> 02:32:13,560 REPRESENTED. 3170 02:32:13,560 --> 02:32:17,760 WE HEARD THREE OUT OF 9 MILLION 3171 02:32:17,760 --> 02:32:25,880 MAYBE. 3172 02:32:25,880 --> 02:32:27,320 >>KARINA: I HAVE FULL 3173 02:32:27,320 --> 02:32:29,040 APPRECIATION, BORN AND RAISED IN 3174 02:32:29,040 --> 02:32:31,280 AN URBAN AREA I RECOGNIZE THAT 3175 02:32:31,280 --> 02:32:33,520 FOR SURE BUT WE'D BE HAPPY TO 3176 02:32:33,520 --> 02:32:34,120 CHECK ON THE NOTIFICATION OF 3177 02:32:34,120 --> 02:32:44,240 THAT. 3178 02:32:59,760 --> 02:33:01,800 IN TERM OF THE STRATEGY PLAN 3179 02:33:01,800 --> 02:33:03,520 IT'S BETWEEN NOW AND DECEMBER 3180 02:33:03,520 --> 02:33:05,760 WE'RE HOPING TO GET A DRAFT 3181 02:33:05,760 --> 02:33:12,960 INITIAL PLAN AND OUTLINE GOING. 3182 02:33:12,960 --> 02:33:14,560 IT WILL PROVIDE CONSULTATION 3183 02:33:14,560 --> 02:33:17,760 FROM THE TAC AND THAT'S WHAT WAS 3184 02:33:17,760 --> 02:33:28,040 DONE PREVIOUSLY. 3185 02:33:35,040 --> 02:33:42,960 >>STEPHEN: WE HAD A DISCUSSION 3186 02:33:42,960 --> 02:33:46,040 IN OUR CAUCUS AND IT WOULD BE 3187 02:33:46,040 --> 02:33:48,560 HELPFUL TO KNOW HOW THE STRATEGY 3188 02:33:48,560 --> 02:33:50,800 PLAN WAS IMPLEMENTED WITH NIH, 3189 02:33:50,800 --> 02:34:00,720 WHAT AFFECT DID IT HAVE. 3190 02:34:00,720 --> 02:34:05,800 WHAT WAS BROUGHT INTO PRACTICE 3191 02:34:05,800 --> 02:34:10,920 SO WE CAN UNDERSTAND. 3192 02:34:10,920 --> 02:34:13,760 AND I DON'T KNOW ANY WERE 3193 02:34:13,760 --> 02:34:15,280 MEASURABLE BUT WOULD BE HELPFUL 3194 02:34:15,280 --> 02:34:18,280 TO UNDERSTAND HOW DID THE 3195 02:34:18,280 --> 02:34:20,240 STRATEGY PLAN AFFECT NIH BEFORE 3196 02:34:20,240 --> 02:34:22,400 WE START ON ANOTHER. 3197 02:34:22,400 --> 02:34:23,320 >>KARINA: ABSOLUTELY. 3198 02:34:23,320 --> 02:34:25,800 ONE THING WE'RE HOPING TO DO IS 3199 02:34:25,800 --> 02:34:32,160 TO GET A VERY GOOD PORTFOLIO 3200 02:34:32,160 --> 02:34:37,400 ANALYSIS GOING SOME ARE 3201 02:34:37,400 --> 02:34:40,160 CONTRIBUTED TO THRO AND SOME 3202 02:34:40,160 --> 02:34:41,880 WERE FOR NATIVE DEVELOPMENT. 3203 02:34:41,880 --> 02:34:47,200 WE'LL BE SURE TO DOCUMENT ALL OF 3204 02:34:47,200 --> 02:34:53,400 THAT AND BUILDING INITIATIVES 3205 02:34:53,400 --> 02:34:55,240 AND WORKFORCE DEVELOPMENT. 3206 02:34:55,240 --> 02:34:59,160 -- I HAVE THE SAME QUESTIONS. 3207 02:34:59,160 --> 02:35:01,600 I'VE BEEN HERE THREE MONTHS AND 3208 02:35:01,600 --> 02:35:04,120 I NEED TO KNOW WHERE ARE WE AND 3209 02:35:04,120 --> 02:35:05,720 WHERE THE BASELINE IS AND WHERE 3210 02:35:05,720 --> 02:35:08,280 WE'VE BEEN SUCCESSFUL AND 3211 02:35:08,280 --> 02:35:09,400 ANOTHER THING THAT WON'T BE DONE 3212 02:35:09,400 --> 02:35:12,560 IN SIX MONTHS BUT FOR THE 3213 02:35:12,560 --> 02:35:15,080 10-YEAR ANNIVERSARY OF THRO IS 3214 02:35:15,080 --> 02:35:18,040 TO HAVE A 10-YEAR REVIEW OF 3215 02:35:18,040 --> 02:35:21,480 WHAT'S HAPPENED FOR OVER 10 3216 02:35:21,480 --> 02:35:21,680 YEARS. 3217 02:35:21,680 --> 02:35:23,360 AGAIN, WITH THE IDEA WHERE DO WE 3218 02:35:23,360 --> 02:35:29,760 GO FROM HERE AND HOW TO LAUNCH 3219 02:35:29,760 --> 02:35:31,120 STRONGER IN THE FUTURE. 3220 02:35:31,120 --> 02:35:36,000 >>SO IT'S PROBABLY AN UNFAIR 3221 02:35:36,000 --> 02:35:37,360 REQUEST REALLY ALMOST TO ASK YOU 3222 02:35:37,360 --> 02:35:41,800 SINCE YOU HAVEN'T BEEN HERE THAT 3223 02:35:41,800 --> 02:35:43,080 LONG BUT I THINK YOU TO THE 3224 02:35:43,080 --> 02:35:47,120 INSTITUTES AND ASK THEM HOW DID 3225 02:35:47,120 --> 02:35:47,680 THEY IMPLEMENT PARTS OF THE 3226 02:35:47,680 --> 02:35:57,640 STRATEGIC PLAN OR NOT. 3227 02:35:57,640 --> 02:36:08,240 THAT'S ALWAYS BEEN OURS OUR 3228 02:36:12,080 --> 02:36:12,800 GOAL. 3229 02:36:12,800 --> 02:36:23,360 >>KARINA: I'LL BE DOING TOURS. 3230 02:36:24,080 --> 02:36:26,680 >>STEPHEN: THEY DIDN'T READ IT. 3231 02:36:26,680 --> 02:36:28,160 >>KARINA: SOME HAVE DONE WELL 3232 02:36:28,160 --> 02:36:29,440 AND SOME HAVE MISSED SOME 3233 02:36:29,440 --> 02:36:32,600 OPPORTUNITIES SO WE HOPE TO 3234 02:36:32,600 --> 02:36:33,720 FOCUS ON THAT. 3235 02:36:33,720 --> 02:36:38,760 >>HERMINIA: I THINK ONE OF THE 3236 02:36:38,760 --> 02:36:42,720 THINGS WE HAD TALKED ABOUT IN 3237 02:36:42,720 --> 02:36:45,520 OUR CAUCUS IS WHAT WOULD BE 3238 02:36:45,520 --> 02:36:50,840 HELPFUL FOR US AS A TAC WORKING 3239 02:36:50,840 --> 02:36:54,000 WITH YOU IS HAVING A WORKING 3240 02:36:54,000 --> 02:36:59,960 SESSION AND WHAT WOULD BE REALLY 3241 02:36:59,960 --> 02:37:03,400 BENEFICIAL IS HAVING AN ONSITE 3242 02:37:03,400 --> 02:37:04,280 WORKING SESSION. 3243 02:37:04,280 --> 02:37:09,760 THE ZOOM IS VERY DIFFICULT TO 3244 02:37:09,760 --> 02:37:12,320 REALLY JUST GET TO WORK. 3245 02:37:12,320 --> 02:37:15,200 IT TOOK US A LONG TIME TO GET 3246 02:37:15,200 --> 02:37:20,600 OUR PRIORITIES ORGANIZED AND PUT 3247 02:37:20,600 --> 02:37:22,280 TOGETHER AND LOOKING AT THE 3248 02:37:22,280 --> 02:37:24,000 STRATEGIC PLAN TO HAVE THAT 3249 02:37:24,000 --> 02:37:28,560 SESSION WHERE WE CAN HAVE 3250 02:37:28,560 --> 02:37:31,360 DIALOGUE AND WE JUST STARTED 3251 02:37:31,360 --> 02:37:33,000 THREE MONTHS AGO AND IT TOOK A 3252 02:37:33,000 --> 02:37:36,040 LONG TIME TO EVEN SET UP THIS 3253 02:37:36,040 --> 02:37:37,160 MEETING AND WE WANT TO CONTINUE 3254 02:37:37,160 --> 02:37:41,440 THIS MOMENTUM AND WANT TO BE 3255 02:37:41,440 --> 02:37:42,720 ABLE TO SIT DOWN WITH YOU AND 3256 02:37:42,720 --> 02:37:45,120 YOUR TEAM AND BE ABLE TO SAY, 3257 02:37:45,120 --> 02:37:48,000 HEY, LET'S HAVE THIS DIALOGUE 3258 02:37:48,000 --> 02:37:53,600 AND LET'S REALLY CALENDAR OUT 3259 02:37:53,600 --> 02:37:55,800 HOW WE WANT TO DO THE NEXT YEAR. 3260 02:37:55,800 --> 02:37:57,200 ONE THING WE DIDN'T GET TO DO AT 3261 02:37:57,200 --> 02:38:02,640 THE MEETING WE HAD TALKED ABOUT 3262 02:38:02,640 --> 02:38:04,840 IS THE CALENDAR FOR THE NEXT 3263 02:38:04,840 --> 02:38:09,880 YEAR, HOW WE WANT TO SEE OUR 3264 02:38:09,880 --> 02:38:11,160 PEOPLE DIFFERENT CENTERS AND 3265 02:38:11,160 --> 02:38:12,080 INSTITUTE COME AND PRESENT WHEN 3266 02:38:12,080 --> 02:38:16,000 WE DO OUR ZOOM SESSIONS AND WE 3267 02:38:16,000 --> 02:38:18,320 HAD CHANGED OUR AGENDA FROM LAST 3268 02:38:18,320 --> 02:38:20,960 YEAR WHEN WE PRESENT EVERY 3269 02:38:20,960 --> 02:38:23,200 SINGLE MONTH TO EVERY OTHER 3270 02:38:23,200 --> 02:38:25,080 MONTH AND CHANGE IT TO EVERY 3271 02:38:25,080 --> 02:38:25,800 OTHER MONTH. 3272 02:38:25,800 --> 02:38:30,360 THERE HAVE BEEN CHANGES BUT WE 3273 02:38:30,360 --> 02:38:33,000 HAVEN'T REALLY BEEN ABLE TO SEE 3274 02:38:33,000 --> 02:38:34,120 THE DIFFERENCE BECAUSE THERE'S 3275 02:38:34,120 --> 02:38:35,120 CHANGES HERE TOO. 3276 02:38:35,120 --> 02:38:36,160 SO WE NEED THAT SESSION WHERE WE 3277 02:38:36,160 --> 02:38:40,280 CAN SIT DOWN WITH YOU AND LOOK 3278 02:38:40,280 --> 02:38:44,320 AT WHAT YOU PRESENTED YESTERDAY 3279 02:38:44,320 --> 02:38:45,280 AND WHAT WE HAVE WITH OUR 3280 02:38:45,280 --> 02:38:47,720 STRATEGIC PLAN AND THEN ROLL OUT 3281 02:38:47,720 --> 02:38:54,480 THIS CALENDAR SO THAT NIH KNOWS 3282 02:38:54,480 --> 02:38:56,920 WHO WE WANT TO PUT ON OUR 3283 02:38:56,920 --> 02:39:00,080 CALENDAR FOR THE NEXT YEAR ON 3284 02:39:00,080 --> 02:39:00,680 OUR ZOOM SESSIONS. 3285 02:39:00,680 --> 02:39:05,360 WE THE WE'RE GOING TO BE MEETING 3286 02:39:05,360 --> 02:39:06,000 IN ADVANCE. 3287 02:39:06,000 --> 02:39:09,160 THAT'S BEEN AN ISSUE FOR US. 3288 02:39:09,160 --> 02:39:10,960 IT'S BEEN AN ISSUE OF THE 3289 02:39:10,960 --> 02:39:13,680 CALENDAR IN BECAUSE YOU NEEDED 3290 02:39:13,680 --> 02:39:16,000 THE BEST NOTICE WHO WE WANT TO 3291 02:39:16,000 --> 02:39:16,280 SEE. 3292 02:39:16,280 --> 02:39:17,720 WE NEEDED ADVANCE NOTICE SO WE 3293 02:39:17,720 --> 02:39:19,520 HAVE ALL THE INFORMATION SO WE 3294 02:39:19,520 --> 02:39:21,040 CAN READ UP ABOUT THE STUDIES 3295 02:39:21,040 --> 02:39:26,000 AND WHAT'S HAPPENING. 3296 02:39:26,000 --> 02:39:28,520 WE KNOW WE ARE PREPARED WITH OUR 3297 02:39:28,520 --> 02:39:30,480 QUESTIONS AND WE'RE READY FOR 3298 02:39:30,480 --> 02:39:33,200 THOSE MEETINGS AND THAT'S BEEN 3299 02:39:33,200 --> 02:39:35,240 LIKE ONE OF THE THINGS THAT'S 3300 02:39:35,240 --> 02:39:36,400 BEEN A CHALLENGE MONTH TO MONTH 3301 02:39:36,400 --> 02:39:37,760 LIKE WHO ARE WE GOING TO MEET 3302 02:39:37,760 --> 02:39:39,200 WITH AND THE STAFF WAS TRYING TO 3303 02:39:39,200 --> 02:39:44,040 GET THOSE PEOPLE. 3304 02:39:44,040 --> 02:39:46,680 WE REALLY WANT TO MAKE SURE TO 3305 02:39:46,680 --> 02:39:50,640 CALENDAR OUT AND PRIORITIZE NOW 3306 02:39:50,640 --> 02:39:52,280 THAT WE HAVE THAT FOR PEOPLE WE 3307 02:39:52,280 --> 02:39:53,640 WANT TO HAVE AT THE ZOOM 3308 02:39:53,640 --> 02:39:54,120 SESSIONS. 3309 02:39:54,120 --> 02:39:59,680 WHAT INSTITUTES, WHAT WOULD BE 3310 02:39:59,680 --> 02:40:01,720 THE BEST FOR US WE DIDN'T GET TO 3311 02:40:01,720 --> 02:40:07,600 DO THAT AT THE SESSION. 3312 02:40:07,600 --> 02:40:09,880 ONE DAY WORKING SESSION WOULD BE 3313 02:40:09,880 --> 02:40:10,720 HELPFUL. 3314 02:40:10,720 --> 02:40:16,400 EVEN A HYBRID OF SOME SORT LIKE 3315 02:40:16,400 --> 02:40:27,120 THIS WOULD BE HELP FFUL HELPFUL. 3316 02:40:27,800 --> 02:40:29,760 WOULD ANYBODY ELSE LIKE TO 3317 02:40:29,760 --> 02:40:39,920 COMMENT? 3318 02:40:41,800 --> 02:40:44,960 >>VERY HELPFUL. 3319 02:40:44,960 --> 02:40:47,960 IT MAKE SENSE TO THINK OF TO AN 3320 02:40:47,960 --> 02:40:49,720 EVERY OTHER MONTH AND WHO IS 3321 02:40:49,720 --> 02:40:50,840 DESIGNING FOR WHICH MONTH WE CAN 3322 02:40:50,840 --> 02:40:51,520 ORGANIZE THAT. 3323 02:40:51,520 --> 02:40:54,000 IT'S NOT LIKE YOU'RE WANTING A 3324 02:40:54,000 --> 02:40:58,680 ONE-DAY WORKING SESSION PERHAPS 3325 02:40:58,680 --> 02:41:04,320 IN PERSON SOMETIMES SOON TO 3326 02:41:04,320 --> 02:41:10,200 START. 3327 02:41:10,200 --> 02:41:20,440 IS THAT IT? 3328 02:41:20,760 --> 02:41:21,040 ALL RIGHT. 3329 02:41:21,040 --> 02:41:21,640 THANK YOU. 3330 02:41:21,640 --> 02:41:27,000 IN THE MEANTIME SOME HOME WORK 3331 02:41:27,000 --> 02:41:30,760 I'LL BE DOING IS STARTING A 3332 02:41:30,760 --> 02:41:33,560 LISTEN TOUR WITH OUR I.C. 3333 02:41:33,560 --> 02:41:37,040 DIRECTORS UNTIL WE CAN GET IT 3334 02:41:37,040 --> 02:41:42,400 CALENDARED FOR THE 12 TO 16 3335 02:41:42,400 --> 02:41:52,960 MONTHS OUT KNOW I'M STARTING THE 3336 02:41:58,040 --> 02:42:00,720 PROCESS. 3337 02:42:00,720 --> 02:42:09,040 AND I WAS IN ALASKA AND MET WITH 3338 02:42:09,040 --> 02:42:09,920 FOLKS. 3339 02:42:09,920 --> 02:42:11,920 WE'RE STARTING TO DO SOME OF 3340 02:42:11,920 --> 02:42:13,760 THIS AND WE'LL BE ACCELERATING 3341 02:42:13,760 --> 02:42:21,120 THAT AS WELL. 3342 02:42:21,120 --> 02:42:23,400 GATHERING NOTES AND I'LL LOOK AT 3343 02:42:23,400 --> 02:42:24,680 THE STRATEGIC PRIORITIES I'VE 3344 02:42:24,680 --> 02:42:26,720 LAID OUT. 3345 02:42:26,720 --> 02:42:28,800 WHAT I'M HOPING TO DO IS 3346 02:42:28,800 --> 02:42:29,880 PROBABLY IN PREPARATION FOR OUR 3347 02:42:29,880 --> 02:42:32,880 WORKING MEETING IS TO BEGIN TO 3348 02:42:32,880 --> 02:42:34,480 THINK ABOUT BASED ON THE 3349 02:42:34,480 --> 02:42:38,720 LISTENING TOURS AND BASED ON 3350 02:42:38,720 --> 02:42:44,280 SOME OF THE LITERATURE AND 3351 02:42:44,280 --> 02:42:51,160 LOOKING AT THE ISSUES AND THE 3352 02:42:51,160 --> 02:42:56,400 STRATEGIC PLANNING FOR 3353 02:42:56,400 --> 02:43:03,200 LEADERSHIP AND ENGAGEMENT AND 3354 02:43:03,200 --> 02:43:07,320 TRIBAL CONSULTATION ENGAGEMENT. 3355 02:43:07,320 --> 02:43:09,640 WHERE SOME OF THESE MAY GO AND 3356 02:43:09,640 --> 02:43:15,040 DON'T GO AND SUBSTANTIVE AREAS 3357 02:43:15,040 --> 02:43:17,360 IDENTIFIED YOU WANT US TO THINK 3358 02:43:17,360 --> 02:43:19,440 ABOUT AND I'M GOING TO THE 3359 02:43:19,440 --> 02:43:25,760 TRIBAL OPIOID SUMMIT AND 3360 02:43:25,760 --> 02:43:28,360 LISTENING TO THE ISSUES FOR 3361 02:43:28,360 --> 02:43:33,080 SUBSTANCE ISSUES AND WHAT 3362 02:43:33,080 --> 02:43:41,760 RESEARCH NEEDS TO BE HAPPENING 3363 02:43:41,760 --> 02:43:43,480 AND THINKING ABOUT THAT. 3364 02:43:43,480 --> 02:43:44,480 AND ALSO ADDRESSING ISSUES 3365 02:43:44,480 --> 02:43:47,000 AROUND TRYING TO CREATE MORE 3366 02:43:47,000 --> 02:43:49,760 TRANS-NIH APPROACHES TO SOME 3367 02:43:49,760 --> 02:43:51,720 POLICIES AND GUIDELINES WITH 3368 02:43:51,720 --> 02:43:53,640 RESPECT TO DATA MANAGEMENT AND 3369 02:43:53,640 --> 02:43:57,120 SHARING AND GENOMIC AND BIO 3370 02:43:57,120 --> 02:43:59,000 SPECIMEN DATA AND INSTEAD OF 3371 02:43:59,000 --> 02:44:00,760 TROUBLE SHOOTING AT EACH I.C. 3372 02:44:00,760 --> 02:44:01,920 IT'S BETTER TO HAVE LARGER 3373 02:44:01,920 --> 02:44:02,520 POLICIES. 3374 02:44:02,520 --> 02:44:04,040 WE STARTED SOME OF THE WORK IN 3375 02:44:04,040 --> 02:44:05,560 THE AREA OF DATA SHARING BUT 3376 02:44:05,560 --> 02:44:13,760 THERE'S MORE WORK TO BE DONE AND 3377 02:44:19,040 --> 02:44:21,560 SO . 3378 02:44:21,560 --> 02:44:23,920 >>SINCE OUR SCOPE IS TO ALSO 3379 02:44:23,920 --> 02:44:27,160 LOOK AT POLICIES, PROCEDURES AND 3380 02:44:27,160 --> 02:44:28,560 IDENTIFY OPPORTUNITIES FOR 3381 02:44:28,560 --> 02:44:30,000 INCREASING EQUITY AND ACCESS FOR 3382 02:44:30,000 --> 02:44:31,400 INDIGENOUS HEALTH RESEARCH WOULD 3383 02:44:31,400 --> 02:44:34,440 BE TO FOCUS ON POLICIES. 3384 02:44:34,440 --> 02:44:37,280 HAVING A BALANCE BETWEEN LOOKING 3385 02:44:37,280 --> 02:44:38,800 AT INDIVIDUAL STUDIES AND SAYING 3386 02:44:38,800 --> 02:44:41,440 SOME OF THESE EXAMPLES OF 3387 02:44:41,440 --> 02:44:43,440 AMAZING RESEARCH THEN ALSO 3388 02:44:43,440 --> 02:44:45,040 LOOKING AT SOME OF THE EXISTING 3389 02:44:45,040 --> 02:44:45,760 POLICIES. 3390 02:44:45,760 --> 02:44:48,240 LIKE I WOULD BE INTERESTED -- I 3391 02:44:48,240 --> 02:44:49,400 KNOW THERE IS -- THERE ARE 3392 02:44:49,400 --> 02:44:50,760 POLICIES ALREADY ON THE BOOKS 3393 02:44:50,760 --> 02:44:52,600 BUT HAVING A PRESENTATION ON 3394 02:44:52,600 --> 02:44:56,760 THOSE EXISTING POLICIES AND MORE 3395 02:44:56,760 --> 02:44:59,440 OF A DISCUSSION IDENTIFYING 3396 02:44:59,440 --> 02:45:02,640 OPPORTUNITIES WOULD BE 3397 02:45:02,640 --> 02:45:05,160 INTERESTING TO THINK OF EXAMPLES 3398 02:45:05,160 --> 02:45:06,320 BECAUSE THERE'S ALWAYS SUCH 3399 02:45:06,320 --> 02:45:08,000 DIVERSITY THAT NEEDS TO BE 3400 02:45:08,000 --> 02:45:09,360 FIGURED OUT LIKE THIS POLICY 3401 02:45:09,360 --> 02:45:10,320 NEEDS TO BE THIS WAY BECAUSE 3402 02:45:10,320 --> 02:45:12,520 THIS STUDY IS DOING THINGS THIS 3403 02:45:12,520 --> 02:45:16,920 WAY AND THIS STUDY HAS TO DO IT 3404 02:45:16,920 --> 02:45:18,640 THIS WAY AND WE NEED TO 3405 02:45:18,640 --> 02:45:18,960 ACCOMMODATE. 3406 02:45:18,960 --> 02:45:20,640 IT WOULD BE NICE TO HAVE A 3407 02:45:20,640 --> 02:45:26,440 LITTLE BIT OF THE CASE STUDIES 3408 02:45:26,440 --> 02:45:30,520 OF INDIVIDUALS AND THERE'S AN 3409 02:45:30,520 --> 02:45:31,800 EXAMPLE OF THE RAW NIH POLICY 3410 02:45:31,800 --> 02:45:42,320 AND WAYS TO SUPPORT YOUR WORK 3411 02:45:45,000 --> 02:45:45,760 >>WE'LL BE HAPPY TO BRING THAT 3412 02:45:45,760 --> 02:45:55,640 BACK. 3413 02:45:55,640 --> 02:45:59,840 >>I MENTIONED IN CAUCUS AND I 3414 02:45:59,840 --> 02:46:07,200 TALKED TO DR. WARNE EARLIER 3415 02:46:07,200 --> 02:46:15,920 TODAY, I FIRST MET HIM AT A 3416 02:46:15,920 --> 02:46:19,240 MEETING. 3417 02:46:19,240 --> 02:46:25,480 THAT'S THE WAY WE CONNECT UP 3418 02:46:25,480 --> 02:46:27,680 RESEARCH AND I WAS THINKING IT 3419 02:46:27,680 --> 02:46:37,520 MIGHT BE HELPFUL TO SEND A 3420 02:46:37,520 --> 02:46:41,000 REPRESENTATIVE TO THAT TO HAVE 3421 02:46:41,000 --> 02:46:46,280 DISCUSSIONS WITH THEM ON WHAT'S 3422 02:46:46,280 --> 02:46:49,400 GOING ON AND DIFFICULT AND WHAT 3423 02:46:49,400 --> 02:46:53,360 THE PERSPECTIVE IS THE ABILITY 3424 02:46:53,360 --> 02:46:59,200 TO ENGAGE NIH IN RESEARCH 3425 02:46:59,200 --> 02:46:59,520 OPPORTUNITIES. 3426 02:46:59,520 --> 02:47:07,240 >>I DON'T KNOW IF THEY'RE STILL 3427 02:47:07,240 --> 02:47:08,280 HAVING MEETINGS. 3428 02:47:08,280 --> 02:47:13,760 >>KARINA: WE'LL LOOK TO GO TO 3429 02:47:13,760 --> 02:47:16,160 RESEARCH MEETINGS. 3430 02:47:16,160 --> 02:47:16,720 THAT'S A GREAT SUGGESTION. 3431 02:47:16,720 --> 02:47:21,040 ANOTHER OPTION FOR US TO 3432 02:47:21,040 --> 02:47:26,360 CONSIDER IS SUPPORT A CONFERENCE 3433 02:47:26,360 --> 02:47:29,760 HERE AND SHARE ALL THE RESEARCH 3434 02:47:29,760 --> 02:47:30,720 CURRENTLY BEING DONE. 3435 02:47:30,720 --> 02:47:32,880 WE'RE GOING TO DO THAT A NUMBER 3436 02:47:32,880 --> 02:47:37,800 OF YEARS AGO WITH A PROGRAM WITH 3437 02:47:37,800 --> 02:47:43,520 OVER 50 SUCCESSFUL GRANTS AND WE 3438 02:47:43,520 --> 02:47:49,200 SAW A NUMBER TO WHAT FEELS LIKE 3439 02:47:49,200 --> 02:47:50,520 THREE DAYS AGO, THERE'S AN 3440 02:47:50,520 --> 02:47:51,160 OPPORTUNITY TO THINK ABOUT DOING 3441 02:47:51,160 --> 02:48:01,840 SOMETHING LIKE THAT AS WELL. 3442 02:48:01,840 --> 02:48:05,000 WRING BRING -- BRINGING PEOPLE 3443 02:48:05,000 --> 02:48:08,880 IN AND SHARING RECOMMENDATIONS. 3444 02:48:08,880 --> 02:48:10,600 WE TALKED ABOUT INCREASING 3445 02:48:10,600 --> 02:48:11,480 OPPORTUNITIES FOR DISSEMINATION 3446 02:48:11,480 --> 02:48:16,120 AND THERE'S OPPORTUNITIES THAT 3447 02:48:16,120 --> 02:48:25,160 WE COULD TAKE ADVANTAGE OF 3448 02:48:25,160 --> 02:48:35,680 PROVIDING LINKS TO THE WEBSITE. 3449 02:48:40,760 --> 02:48:43,640 AND ONE THING I GOT FROM THE 3450 02:48:43,640 --> 02:48:44,200 RESEARCHERS WASN'T SO MUCH 3451 02:48:44,200 --> 02:48:47,400 HAVING THEM TALK ABOUT THE 3452 02:48:47,400 --> 02:48:52,600 RESULTS BUT HAVING TO TALK ABOUT 3453 02:48:52,600 --> 02:48:57,840 THE PROCESSES AND THE WAYS TO 3454 02:48:57,840 --> 02:48:59,080 ENGAGE WITH THE COMMUNITIES THAT 3455 02:48:59,080 --> 02:49:01,200 WERE SO INSPIRING. 3456 02:49:01,200 --> 02:49:03,360 SO SHOWCASING THOSE TYPE OF 3457 02:49:03,360 --> 02:49:07,680 STORIES, I THINK WOULD REALLY 3458 02:49:07,680 --> 02:49:09,040 ENCOURAGE OTHER COMMUNITIES TO 3459 02:49:09,040 --> 02:49:19,080 DO SOME MORE THINGS. 3460 02:49:19,080 --> 02:49:20,400 A RESEARCH REPORT WENT OUT THAT 3461 02:49:20,400 --> 02:49:23,000 WAS NOTHING LIKE WE HEARD FROM 3462 02:49:23,000 --> 02:49:25,760 THEM BUT THE REPORT TO NIH ON 3463 02:49:25,760 --> 02:49:32,080 THE TOPIC WAS NOT EXACTLY THAT. 3464 02:49:32,080 --> 02:49:38,000 TO ME THAT WAS INSPIRING TO ME 3465 02:49:38,000 --> 02:49:41,560 AND A LOT OF PEOPLE. 3466 02:49:41,560 --> 02:49:44,640 THEY HAVE A PRESENTATION IN THE 3467 02:49:44,640 --> 02:49:46,360 RESULTS OF OUR RESEARCH AND ALL 3468 02:49:46,360 --> 02:49:56,120 THIS KINDS OF STUFF. 3469 02:49:56,120 --> 02:49:57,800 IT WILL ENCOURAGE OTHER 3470 02:49:57,800 --> 02:49:58,400 COMMUNITIES TO DO THINGS LIKE 3471 02:49:58,400 --> 02:50:01,560 THIS. 3472 02:50:01,560 --> 02:50:03,440 >>THERE'S WAYS TO SHARE 3473 02:50:03,440 --> 02:50:06,400 INFORMATION THIS IS AN EXAMPLE 3474 02:50:06,400 --> 02:50:07,800 ALSO OF DIFFERENT RESULTS. 3475 02:50:07,800 --> 02:50:10,640 WE WERE SHARING THE METHODS AND 3476 02:50:10,640 --> 02:50:13,800 THE METHODOLOGICAL APPROACHES 3477 02:50:13,800 --> 02:50:15,240 ROOTED IN CULTURE AND COMMUNITY. 3478 02:50:15,240 --> 02:50:21,800 AND HOW POWERFUL THAT IS. 3479 02:50:21,800 --> 02:50:24,960 THERE'S AN OPPORTUNITY TO BRING 3480 02:50:24,960 --> 02:50:29,760 THE JUNIOR INVESTIGATORS AND 3481 02:50:29,760 --> 02:50:32,640 OTHER INTERESTED IN PURSUING A 3482 02:50:32,640 --> 02:50:37,960 CAREER AND SEEING THESE KINDS OF 3483 02:50:37,960 --> 02:50:41,800 PROJECTS IN ACTION WOULD BE 3484 02:50:41,800 --> 02:50:51,880 GREAT. 3485 02:50:56,440 --> 02:51:01,520 >>WE HEARD FROM A RESEARCH 3486 02:51:01,520 --> 02:51:04,240 STUDY YESTERDAY THEY RESPONDED 3487 02:51:04,240 --> 02:51:09,640 TO THE TRIBE'S STATE OF 3488 02:51:09,640 --> 02:51:10,640 EMERGENCY AND GOT RESOLUTIONS. 3489 02:51:10,640 --> 02:51:13,800 WE RECENTLY DID A RESOLUTION TO 3490 02:51:13,800 --> 02:51:18,000 SUPPORT A WEBSITE OR DATABASE TO 3491 02:51:18,000 --> 02:51:19,000 DISSEMINATE THE RESEARCH DONE 3492 02:51:19,000 --> 02:51:19,800 AND WE HAVE A RESEARCH REVIEW 3493 02:51:19,800 --> 02:51:21,240 BOARD. 3494 02:51:21,240 --> 02:51:22,840 I THINK THAT'S THE OTHER PART OF 3495 02:51:22,840 --> 02:51:28,480 IT IS OUR TRIBE'S COMMITMENT TO 3496 02:51:28,480 --> 02:51:35,040 LEADING IN THE MIDDLE. 3497 02:51:35,040 --> 02:51:36,680 I CAN SEND THAT AS WELL BUT 3498 02:51:36,680 --> 02:51:38,320 WONDERING IF THERE'S ANY OTHER 3499 02:51:38,320 --> 02:51:43,480 TRIBAL SUPPORT IN THE FORM OF 3500 02:51:43,480 --> 02:51:46,440 RESOLUTI 3501 02:51:46,440 --> 02:51:49,800 RESOLUTIONS OR HELPFUL TO THE 3502 02:51:49,800 --> 02:51:59,320 TAC IN SUPPORT OF OTHER THINGS. 3503 02:51:59,320 --> 02:52:01,680 AND IF YOU THINK OF ANYTHING 3504 02:52:01,680 --> 02:52:02,760 LIKE THAT -- 3505 02:52:02,760 --> 02:52:03,400 >>KARINA: THAT'S AN EXCELLENT 3506 02:52:03,400 --> 02:52:12,040 SUGGESTION. 3507 02:52:12,040 --> 02:52:15,840 I STARTED THINKING AROUND 3508 02:52:15,840 --> 02:52:19,160 EMERGENCY RESPONSE ISSUES AND 3509 02:52:19,160 --> 02:52:26,200 TRIBAL IRB ISSUES. 3510 02:52:26,200 --> 02:52:29,560 IT WOULD BE NICE TO BE PROACTIVE 3511 02:52:29,560 --> 02:52:31,920 AND CONNECT SOMETHING IN PLACE 3512 02:52:31,920 --> 02:52:36,760 TO FACILITATE QUICK MOVEMENT 3513 02:52:36,760 --> 02:52:47,320 THAT ENSURES THE WORK AND AND WE 3514 02:52:55,600 --> 02:53:02,840 CAN LEARN FROM THAT AND LOOK AT 3515 02:53:02,840 --> 02:53:13,040 RESPONSE. 3516 02:53:16,360 --> 02:53:19,400 >>ALSO, I'M ON THE DIRECT 3517 02:53:19,400 --> 02:53:20,600 SERVICE TRIBES FOR INDIAN HEALTH 3518 02:53:20,600 --> 02:53:20,960 SERVICE. 3519 02:53:20,960 --> 02:53:26,120 WE'RE HAVING OUR MEETING NEXT 3520 02:53:26,120 --> 02:53:31,360 MONTH AND IT INCLUDES TRIBE THAT 3521 02:53:31,360 --> 02:53:33,040 RECEIVE DIRECT IHS SERVICES. 3522 02:53:33,040 --> 02:53:34,880 IF I COULD, I'M THE VICE CHAIR 3523 02:53:34,880 --> 02:53:40,560 AND HAD TO STEP OUT TODAY FOR A 3524 02:53:40,560 --> 02:53:41,280 MEETING 3525 02:53:41,280 --> 02:53:43,360 MEETING AND LET THEM KNOW WE'D 3526 02:53:43,360 --> 02:53:46,280 HAVE IT PRESENTED NEXT MONTH 3527 02:53:46,280 --> 02:53:50,160 EITHER VIRTUALLY OR IN PERSON. 3528 02:53:50,160 --> 02:53:54,720 I KNOW HHS TAC IS MEETING AT THE 3529 02:53:54,720 --> 02:54:00,080 SAME TIME BUT IF WE CAN FORMALLY 3530 02:54:00,080 --> 02:54:01,960 REQUEST THEM TO PRESENT IT WOULD 3531 02:54:01,960 --> 02:54:07,840 BE A WAY TO ROOF THE AREAS AND 3532 02:54:07,840 --> 02:54:08,840 REPRESENTS IN THE AREAS AND LET 3533 02:54:08,840 --> 02:54:10,720 THEM KNOW WHAT'S GOING ON. 3534 02:54:10,720 --> 02:54:13,120 I'M VERY INTERESTED IN HOW THAT 3535 02:54:13,120 --> 02:54:14,080 WILL WORK WITH OUR INDIAN HEALTH 3536 02:54:14,080 --> 02:54:24,240 SERVICE. 3537 02:54:41,040 --> 02:54:42,040 >>WE'RE ABLE TO GO OUT TO 3538 02:54:42,040 --> 02:54:49,520 COMMUNITIES. 3539 02:54:49,520 --> 02:54:53,800 >>I THINK YOU'LL BE TOURING SO 3540 02:54:53,800 --> 02:55:04,160 YOU'LL BE GOING ALL OVER. 3541 02:55:04,160 --> 02:55:06,960 IS THERE ANYTHING ELSE FROM THE 3542 02:55:06,960 --> 02:55:10,920 MEETING IN THE LAST 48 HOURS 3543 02:55:10,920 --> 02:55:13,800 THAT YOU WANT TO MAKE SURE I 3544 02:55:13,800 --> 02:55:18,920 WALK AWAY WITH AND THINK ABOUT 3545 02:55:18,920 --> 02:55:20,880 AND PLAN FOR? 3546 02:55:20,880 --> 02:55:21,800 THOUGHTS ON NEXT STEPS? 3547 02:55:21,800 --> 02:55:24,560 >>I JUST WANT TO MENTION ONE 3548 02:55:24,560 --> 02:55:27,560 MORE THING THAT IS CONTINUOUSLY 3549 02:55:27,560 --> 02:55:29,720 BROUGHT UP IN OUR CAUCUS AND THE 3550 02:55:29,720 --> 02:55:35,360 PAST TWO DAYS AND I GUESS 3551 02:55:35,360 --> 02:55:40,360 THROUGHOUT THE WHOLE MEETING HAS 3552 02:55:40,360 --> 02:55:50,720 BEEN COMMUNICATION. 3553 02:55:51,160 --> 02:55:54,800 AND WE INCLUDE RESEARCH AND 3554 02:55:54,800 --> 02:55:56,680 COMMUNITY WITH HOW DO YOU BEST 3555 02:55:56,680 --> 02:56:01,480 COMMUNICATE WITH RESEARCH IN OUR 3556 02:56:01,480 --> 02:56:07,240 TRIBAL COMMUNITIES AND QUARTERLY 3557 02:56:07,240 --> 02:56:09,760 REPORTS WE CAN SHARE WITHIN 3558 02:56:09,760 --> 02:56:10,440 COMMUNITIES. 3559 02:56:10,440 --> 02:56:11,200 THERE'S A LOT OF DIFFERENT 3560 02:56:11,200 --> 02:56:13,560 THINGS AND THAT'S ANOTHER THING 3561 02:56:13,560 --> 02:56:15,080 WHEN WE MEET AGAIN -- 3562 02:56:15,080 --> 02:56:20,440 >>WE HAVE 3563 02:56:20,440 --> 02:56:21,400 >> 3564 02:56:21,400 --> 02:56:22,960 >>KARINA: WE HAVE A NEWS LETTER 3565 02:56:22,960 --> 02:56:25,440 AND WE CAN FOLLOW-UP. 3566 02:56:25,440 --> 02:56:30,480 >>HERMINIA: THE OTHER THING 3567 02:56:30,480 --> 02:56:35,320 ABOUT SOME OF THE THINGS IS THE 3568 02:56:35,320 --> 02:56:37,360 FOLLOW UP AND MAKE SURE STUFF 3569 02:56:37,360 --> 02:56:40,560 DOESN'T GET LOST BECAUSE WE WANT 3570 02:56:40,560 --> 02:56:47,280 TO MAKE SURE THERE'S CONTINUITY. 3571 02:56:47,280 --> 02:56:54,480 >>IF THERE'S ANYTHING ELSE THAT 3572 02:56:54,480 --> 02:57:04,840 ARISES LET US KNOW. 3573 02:57:08,680 --> 02:57:11,400 I'LL BE ABLE TO GET BACK TO YOU 3574 02:57:11,400 --> 02:57:12,840 AFTER TALKING TO FOLKS ABOUT 3575 02:57:12,840 --> 02:57:15,120 ONE-DAY MEETING AND ARRANGE 3576 02:57:15,120 --> 02:57:18,840 THAT. 3577 02:57:18,840 --> 02:57:19,480 ANYTHING ELSE? 3578 02:57:19,480 --> 02:57:24,080 IF NOT I THINK WE'RE READY TO 3579 02:57:24,080 --> 02:57:24,640 MOVE FORWARD. 3580 02:57:24,640 --> 02:57:35,160 WE'RE CLOSE TO BEING ON TIME. 3581 02:57:35,520 --> 02:57:36,600 WELL, ALL RIGHT. 3582 02:57:36,600 --> 02:57:37,800 THANK YOU TO EACH AND EVERY ONE 3583 02:57:37,800 --> 02:57:38,560 OF YOU. 3584 02:57:38,560 --> 02:57:39,080 I APPRECIATE GETTING THE 3585 02:57:39,080 --> 02:57:39,760 OPPORTUNITY TO SPEND TIME WITH 3586 02:57:39,760 --> 02:57:44,960 YOU IN PERSON. 3587 02:57:44,960 --> 02:57:47,960 I APPRECIATE THE INSIGHTS AND 3588 02:57:47,960 --> 02:57:50,040 THE QUESTION AND THE IDEAS THAT 3589 02:57:50,040 --> 02:57:52,280 HAVE BEEN FORTIFIED BY ALL OF 3590 02:57:52,280 --> 02:57:56,200 YOU AND LOOK FORWARD TO 3591 02:57:56,200 --> 02:57:58,040 CONTINUING TO MOVE FORWARD ON 3592 02:57:58,040 --> 02:57:59,200 OUR STRATEGIC PLAN AND OTHER 3593 02:57:59,200 --> 02:58:00,960 THINGS WE OUTLINED THAT ARE 3594 02:58:00,960 --> 02:58:01,840 IMPORTANT. 3595 02:58:01,840 --> 02:58:03,400 AGAIN, IF THERE'S ANYTHING ELSE 3596 02:58:03,400 --> 02:58:04,360 YOU NEED AFTER THE MEET THAT 3597 02:58:04,360 --> 02:58:07,320 COMES UP FOR YOU, PLEASE JUST 3598 02:58:07,320 --> 02:58:08,240 GIVE US A CALL. 3599 02:58:08,240 --> 02:58:09,760 AND THANK YOU FOR TRAVELLING THE 3600 02:58:09,760 --> 02:58:17,000 DISTANCE AND ESPECIALLY TO OUR 3601 02:58:17,000 --> 02:58:18,760 ALASKAN NATIVE MEMBER I 3602 02:58:18,760 --> 02:58:20,480 RECOGNIZE THE BURDEN OF 3603 02:58:20,480 --> 02:58:21,640 TRAVELLING A GREAT DISTANCE. 3604 02:58:21,640 --> 02:58:21,920 THANK YOU. 3605 02:58:21,920 --> 02:58:24,200 I KNOW ALL OF YOU ARE SUPER BUSY 3606 02:58:24,200 --> 02:58:34,360 IN YOUR COMMUNITIES AND I KN 3607 02:58:34,360 --> 02:58:36,320 KNOW -- ALSO WANT TO THANK 3608 02:58:36,320 --> 02:58:38,080 EVERYBODY WHO ATTENDED IN 3609 02:58:38,080 --> 02:58:41,280 PERSON. 3610 02:58:41,280 --> 02:58:42,600 AND ALSO VIA WEBCAST. 3611 02:58:42,600 --> 02:58:48,000 WE'RE GOING TO END AND WE'LL 3612 02:58:48,000 --> 02:58:53,120 CLOSE WITH A BLESSING AND 3613 02:58:53,120 --> 02:59:03,320 DONNA -- 3614 02:59:14,440 --> 02:59:17,800 >>I DECIDED I'D SING A PRAYER 3615 02:59:17,800 --> 02:59:21,680 SONG. 3616 02:59:21,680 --> 02:59:31,920 [NON-ENGLISH] 3617 03:01:06,960 --> 03:01:09,000 I'M TOLD THE NAME OF THE SONG IS 3618 03:01:09,000 --> 03:01:15,120 WELCOME ALL THE POWERS OF 3619 03:01:15,120 --> 03:01:15,360 NATURE. 3620 03:01:15,360 --> 03:01:18,440 WE KNOW THAT IN THESE DAYS AS WE 3621 03:01:18,440 --> 03:01:19,800 WORK TOGETHER THE DAYS OF 3622 03:01:19,800 --> 03:01:24,920 CLIMATE CHANGE AND THINGS GOING 3623 03:01:24,920 --> 03:01:28,880 ON YOU MAY RECALL ON THE OTHER 3624 03:01:28,880 --> 03:01:33,040 SIDE OF OUR ANCESTORS CAN HELP 3625 03:01:33,040 --> 03:01:33,200 US. 3626 03:01:33,200 --> 03:01:43,360 THANK YOU.