1 00:00:07,634 --> 00:00:10,070 >> GOOD AFTERNOON AND WELCOME TO 2 00:00:10,070 --> 00:00:12,205 THE NIH TRIBAL ADVISORY 3 00:00:12,205 --> 00:00:15,208 COMMITTEE MEETING. 4 00:00:15,208 --> 00:00:17,410 THANKS FOR THOSE JOINING 5 00:00:17,410 --> 00:00:20,246 VIRTUALLY FOR WAITING. 6 00:00:20,246 --> 00:00:21,781 WE'RE GETTING BACK INTO THE 7 00:00:21,781 --> 00:00:22,349 ROOM. 8 00:00:22,349 --> 00:00:24,851 I'M THE CONTRACTOR HELPING TO 9 00:00:24,851 --> 00:00:26,252 SUPPORT THE TRIBAL ADVISORY 10 00:00:26,252 --> 00:00:30,223 COMMITTEE AND AS USUAL, WE'LL 11 00:00:30,223 --> 00:00:34,160 START WITH A ROLL CALL, WORKING 12 00:00:34,160 --> 00:00:37,897 THROUGH THE NIH AREAS AND AT 13 00:00:37,897 --> 00:00:41,201 LARGE CONFERRED WHEN I CALL YOUR 14 00:00:41,201 --> 00:00:42,936 NAME, STATE WHO IS PRESENT AND 15 00:00:42,936 --> 00:00:45,438 YOUR ORGANIZATION. 16 00:00:45,438 --> 00:00:47,307 ALASKA AREA. 17 00:00:47,307 --> 00:00:52,879 >> CAREY FREEMAN, PRESENT. 18 00:00:52,879 --> 00:00:55,181 >> ALBUQUERQUE AREA. 19 00:00:55,181 --> 00:01:02,822 WE HAVE DR LORETTO ON LINE. 20 00:01:02,822 --> 00:01:06,526 >> KIMBERLY HANSEN PRESENT. 21 00:01:06,526 --> 00:01:14,667 >> I'M WITH THE JOHN HOPKINS FOR 22 00:01:14,667 --> 00:01:16,169 PUBLIC HEALTH. 23 00:01:16,169 --> 00:01:18,271 >> GREAT PLAINS AREA. 24 00:01:18,271 --> 00:01:20,240 >> [INDISCERNIBLE] PRESENT. 25 00:01:20,240 --> 00:01:22,442 >> GREAT, THANK YOU, NASHVILLE 26 00:01:22,442 --> 00:01:31,851 AREA. 27 00:01:31,851 --> 00:01:36,556 I BELIEVE COUNCILWOMAN STOT HAD 28 00:01:36,556 --> 00:01:39,192 RAY CONFLICT BUT WE HAVE HER 29 00:01:39,192 --> 00:01:43,129 TECHNICAL ADVISER ON LINE. 30 00:01:43,129 --> 00:01:43,997 NAVAJO. 31 00:01:43,997 --> 00:01:46,833 OKLAHOMA AREA. 32 00:01:46,833 --> 00:01:53,506 >> [INDISCERNIBLE] PRESENT. 33 00:01:53,506 --> 00:01:55,108 >> BOB, ALTERNATE, PRESENT. 34 00:01:55,108 --> 00:01:59,412 >> THANK YOU, PORTLAND AREA. 35 00:01:59,412 --> 00:02:03,049 TUCSON AREA. 36 00:02:03,049 --> 00:02:03,783 >> PRESENT. 37 00:02:03,783 --> 00:02:05,885 >> THANK YOU. 38 00:02:05,885 --> 00:02:09,255 >> [INDISCERNIBLE] PRESENT. 39 00:02:09,255 --> 00:02:12,992 >> SORRY DR. SOLOMON. 40 00:02:12,992 --> 00:02:15,929 NATIONAL AT LARGE -- I DON'T SEE 41 00:02:15,929 --> 00:02:18,531 DEBBIE DANFORTH ON THE LINE, BUT 42 00:02:18,531 --> 00:02:20,767 I BELIEVE WE HAVE HER TECHNICAL 43 00:02:20,767 --> 00:02:21,568 ADVISER. 44 00:02:21,568 --> 00:02:22,102 >> PRESENT. 45 00:02:22,102 --> 00:02:22,402 >> GREAT. 46 00:02:22,402 --> 00:02:27,006 THANK YOU. 47 00:02:27,006 --> 00:02:29,375 SO WE HAVE EXACTLY ENOUGH FOR A 48 00:02:29,375 --> 00:02:31,077 QUORUM. 49 00:02:31,077 --> 00:02:33,379 SO THIS IS AN OFFICIAL MEETING 50 00:02:33,379 --> 00:02:36,116 AND I WILL PASS IT OVER TO DR. 51 00:02:36,116 --> 00:02:39,519 WALTERS. 52 00:02:39,519 --> 00:02:40,386 >> K. Walters: GOOD AFTERNOON, 53 00:02:40,386 --> 00:02:42,589 EVERYBODY. 54 00:02:42,589 --> 00:02:45,291 WELCOME TO OUR TRIBAL ADVISORY 55 00:02:45,291 --> 00:02:46,192 COMMITTEE MEETING. 56 00:02:46,192 --> 00:02:50,130 I JUST WANTED TO SAY WELCOME 57 00:02:50,130 --> 00:02:53,066 THOSE OF YOU WHO COULD NOT BE 58 00:02:53,066 --> 00:02:54,167 HERE IN-PERSON. 59 00:02:54,167 --> 00:02:55,635 WE'RE HAPPY TO BE ABLE TO HOLD 60 00:02:55,635 --> 00:02:57,470 THIS MEETING THIS AFTERNOON. 61 00:02:57,470 --> 00:02:58,838 WE LOOK FORWARD TO AN 62 00:02:58,838 --> 00:03:01,274 OPPORTUNITY TO REALLY SHARE AND 63 00:03:01,274 --> 00:03:03,776 DISCUSS KIND OF SOME STEPS 64 00:03:03,776 --> 00:03:05,111 MOVING FORWARD ABOUT PRIORITY 65 00:03:05,111 --> 00:03:07,514 SETTING FOR THIS UP COMING YEAR 66 00:03:07,514 --> 00:03:09,382 AND BEGINNING THE STRATEGIC 67 00:03:09,382 --> 00:03:10,583 PLANNING PROCESS WHICH I'M 68 00:03:10,583 --> 00:03:12,118 EXCITED ABOUT. 69 00:03:12,118 --> 00:03:14,888 AND I WOULD LIKE TO INTRODUCE 70 00:03:14,888 --> 00:03:17,824 MR. BOBBY SAUNKEAH TO OPEN US UP 71 00:03:17,824 --> 00:03:21,060 IN A BEAUTIFUL WAY. 72 00:03:21,060 --> 00:03:22,195 >> B. Saunkeah: THANK YOU DR. 73 00:03:22,195 --> 00:03:26,900 WALTERS. 74 00:03:26,900 --> 00:03:29,002 GRACIOUS AND MERCIFUL FATHER WE 75 00:03:29,002 --> 00:03:30,803 THANK YOU FOR BRINGING US 76 00:03:30,803 --> 00:03:34,641 TOGETHER AS WE DISCUSS THIS FOR 77 00:03:34,641 --> 00:03:37,610 THE TRIBAL PEOPLES. 78 00:03:37,610 --> 00:03:39,812 WE ASK THAT YOU GIVE US PURPOSE 79 00:03:39,812 --> 00:03:41,581 THAT WE LEARN FROM EACH OTHER 80 00:03:41,581 --> 00:03:43,650 AND TEACH EACH OTHER AND TAKE 81 00:03:43,650 --> 00:03:45,852 THESE LESSONS TO HEART. 82 00:03:45,852 --> 00:03:51,057 WE ASK THAT YOU GUIDE US, WE SCW 83 00:03:51,057 --> 00:03:54,060 THAT YOU GUARD US AND PROTECT US 84 00:03:54,060 --> 00:03:59,532 IN OUR COMINGS AND GOINGS, WE 85 00:03:59,532 --> 00:04:10,009 ASK THIS IN YOUR NAME AMEN. 86 00:04:11,678 --> 00:04:14,647 >> THANK YOU DR. SAUNKEAH FOR 87 00:04:14,647 --> 00:04:17,383 THE APPRAISER AND DR. WALTERS. 88 00:04:17,383 --> 00:04:20,019 AS I SHARED EARLIER, WE 89 00:04:20,019 --> 00:04:22,088 COMPLETED A DAY AND A HALF 90 00:04:22,088 --> 00:04:24,724 REGARDING THE DATA SOVEREIGNTY 91 00:04:24,724 --> 00:04:26,893 SO WE LOOK FORWARD TO SHARONS 92 00:04:26,893 --> 00:04:28,228 MORE INFORMATION ON THAT. 93 00:04:28,228 --> 00:04:29,662 ALSO WANT TO SHARE THAT WE HAVE 94 00:04:29,662 --> 00:04:33,499 SOME GUESTS HERE IN THE AUDIENCE 95 00:04:33,499 --> 00:04:39,372 TO OUR -- FROM NIHB AND -- 96 00:04:39,372 --> 00:04:41,374 ACTUALLY, DO YOU WANT TO 97 00:04:41,374 --> 00:04:42,709 INTRODUCE YOURSELF? 98 00:04:42,709 --> 00:04:44,877 >> BOBBY HAS THE MIIKKA AND HE'S 99 00:04:44,877 --> 00:04:46,179 GOING TO SHARE IT ESPECIALLY FOR 100 00:04:46,179 --> 00:04:48,815 THE PEOPLE WHO ARE ON LINE. 101 00:04:48,815 --> 00:04:52,852 >> THIS IS CHRISTINA DIEGOO 102 00:04:52,852 --> 00:04:58,691 SENIOR POLICY ANALYST. 103 00:04:58,691 --> 00:05:02,629 >> I'M CAREY FIELD, ANOTHER 104 00:05:02,629 --> 00:05:05,365 SENIOR POLICY ANALYST WITH THE 105 00:05:05,365 --> 00:05:09,636 GOVERNMENT RELATIONS TEAM. 106 00:05:09,636 --> 00:05:11,170 >> ACTUALLY, MICHAEL, IF YOU CAN 107 00:05:11,170 --> 00:05:12,138 INTRODUCE YOURSELF. 108 00:05:12,138 --> 00:05:15,441 EVERYONE IN THE ROOM. 109 00:05:15,441 --> 00:05:17,777 >> MICHAEL HAHN OF THE RESEARCH 110 00:05:17,777 --> 00:05:18,611 PROGRAM. 111 00:05:18,611 --> 00:05:21,981 >> GOOD AFTERNOON, NAOMI FROM 112 00:05:21,981 --> 00:05:24,050 THE RESEARCH PROGRAM WITH 113 00:05:24,050 --> 00:05:26,386 MICHAEL HERE, I'M ASSOCIATE 114 00:05:26,386 --> 00:05:28,688 DIRECTOR FOR TRAVEL, ENGAGEMENT 115 00:05:28,688 --> 00:05:30,323 AND OUTREACH. 116 00:05:30,323 --> 00:05:33,493 >> SPEAK LOUDLY INTO THE MIKE. 117 00:05:33,493 --> 00:05:36,396 >> I'M ANGELA AND I SERVE MY 118 00:05:36,396 --> 00:05:37,363 SABBATICAL HERE IN THE RESEARCH 119 00:05:37,363 --> 00:05:45,071 OFFICE FOR THIS YEAR. 120 00:05:45,071 --> 00:05:50,576 >> HI, KAYLA DAVIS WITH THE 121 00:05:50,576 --> 00:05:55,048 TRIBAL HEALTH RESEARCH OFFICE. 122 00:05:55,048 --> 00:05:56,149 >> ROBERTO [INDISCERNIBLE] 123 00:05:56,149 --> 00:06:05,992 >> GOOD AFTERNOON, SHEILA 124 00:06:05,992 --> 00:06:09,329 CALDWELL -- I'M DEPUTY OF HEALTH 125 00:06:09,329 --> 00:06:14,334 FOR THE TRIBAL RESEARCH OFFICE. 126 00:06:14,334 --> 00:06:17,403 >> LOOKS LIKE WE HAVE EVERYONE 127 00:06:17,403 --> 00:06:18,371 INTRODUCE THEMSELVES. 128 00:06:18,371 --> 00:06:19,572 I APPRECIATE THAT. 129 00:06:19,572 --> 00:06:21,641 IF THAT'S IT FOR NOW, I'LL TURN 130 00:06:21,641 --> 00:06:32,085 IT OVER TOLL CO-CHAIR DR. 131 00:06:37,690 --> 00:06:41,260 MASSEAU. 132 00:06:41,260 --> 00:06:51,504 ARE YOU THERE? 133 00:07:08,521 --> 00:07:12,825 DR. MASSEAU, ARE YOU THERE? 134 00:07:12,825 --> 00:07:16,863 >> I'M HERE. 135 00:07:16,863 --> 00:07:18,398 >> DO YOU WANT TO SHARE AN 136 00:07:18,398 --> 00:07:23,002 OPENING WELCOME? 137 00:07:23,002 --> 00:07:24,504 >> I'M EXCITE 20D MEET WITH YOU 138 00:07:24,504 --> 00:07:26,205 ALL AGAIN AND CONTINUE THE WORK 139 00:07:26,205 --> 00:07:26,939 THAT WE DO. 140 00:07:26,939 --> 00:07:28,408 I LOOK AT THE GOALS THAT WE HAVE 141 00:07:28,408 --> 00:07:31,644 AND I THINK THERE IS A LOT OF 142 00:07:31,644 --> 00:07:33,513 GOOD WORK WE CAN DO. 143 00:07:33,513 --> 00:07:34,480 I WANT TO SAY THANK YOU AND 144 00:07:34,480 --> 00:07:39,118 WELCOME TO EVERYBODY. 145 00:07:39,118 --> 00:07:40,620 >> THANK YOU AND THANK YOU FOR 146 00:07:40,620 --> 00:07:42,155 TAKING THE TIME TO JOIN US. 147 00:07:42,155 --> 00:07:44,223 WE HAVE AN EXTENDED AGENDA 148 00:07:44,223 --> 00:07:45,091 TODAY. 149 00:07:45,091 --> 00:07:48,728 IT'S A 2½ HOUR SESSION AND WE'RE 150 00:07:48,728 --> 00:07:50,263 LOOKING FORWARD TO THAT. 151 00:07:50,263 --> 00:07:54,500 >> TURN IT OVER TO YOU DR. 152 00:07:54,500 --> 00:07:55,334 WALTERS. 153 00:07:55,334 --> 00:07:56,702 >> K. Walters: THANK YOU 154 00:07:56,702 --> 00:07:58,771 COUNCILWOMAN FRIAS. 155 00:07:58,771 --> 00:08:02,542 DO WE HAVE -- IS DR DR. JORGENSN 156 00:08:02,542 --> 00:08:03,676 HERE YET? 157 00:08:03,676 --> 00:08:06,412 DR. JORGENSEN. 158 00:08:06,412 --> 00:08:08,548 WE WOULD WELCOME YOU TO BE ABLE 159 00:08:08,548 --> 00:08:10,616 TO SHARE WITH US SOME 160 00:08:10,616 --> 00:08:13,219 INFORMATION ABOUT THE OFFICE OF 161 00:08:13,219 --> 00:08:17,657 SCIENCE, POLICY AND BIOSPECIMENS 162 00:08:17,657 --> 00:08:18,391 UPDATE. 163 00:08:18,391 --> 00:08:19,826 WE'RE GLAD TO HAVE YOU HERE 164 00:08:19,826 --> 00:08:20,026 TODAY. 165 00:08:20,026 --> 00:08:21,594 >> THANK YOU DR. WALTERS. 166 00:08:21,594 --> 00:08:23,863 CAN YOU HEAR ME OKAY? 167 00:08:23,863 --> 00:08:25,965 >> WE CAN HEAR YOU GREAT, THANK 168 00:08:25,965 --> 00:08:26,732 YOU. 169 00:08:26,732 --> 00:08:28,468 >> I'M DELIGHTED TO BE BACK HERE 170 00:08:28,468 --> 00:08:30,436 JOINING US ALL HERE TODAY FOLLOW 171 00:08:30,436 --> 00:08:32,305 UP FROM THE LAST CONVERSATION. 172 00:08:32,305 --> 00:08:35,041 I'M GOING TO GO AHEAD AND SHARE 173 00:08:35,041 --> 00:08:36,476 SOME SLIDES. 174 00:08:36,476 --> 00:08:38,711 I HAVE GOT TO HAVE PERMISSION TO 175 00:08:38,711 --> 00:08:43,349 SHARE THEM. 176 00:08:43,349 --> 00:08:45,251 WELL, THE HOST IS GIVING ME 177 00:08:45,251 --> 00:08:46,886 PERMISSION TO SHARE THE SLIDES, 178 00:08:46,886 --> 00:08:48,855 I WANTED TO THANK YOU ALL FOR 179 00:08:48,855 --> 00:08:50,289 ALLOWING ME TO COME BACK AND 180 00:08:50,289 --> 00:08:51,891 DISCUSS THE WORK THAT WE'VE BEEN 181 00:08:51,891 --> 00:08:56,863 DOING ON THE BIOSPECIMENS 182 00:08:56,863 --> 00:08:57,497 COLLECTED. 183 00:08:57,497 --> 00:08:58,698 I MET WITH YOU TO DISCUSS SOME 184 00:08:58,698 --> 00:09:00,666 OF THE OPTIONS THAT WE DEVELOPED 185 00:09:00,666 --> 00:09:03,970 AND THANKS TO YOUR VERY HELPFUL 186 00:09:03,970 --> 00:09:06,706 FEEDBACK, REVISED OUR OPTIONS 187 00:09:06,706 --> 00:09:08,207 BASED ON YOUR QUESTIONS AND 188 00:09:08,207 --> 00:09:08,975 INSIGHT. 189 00:09:08,975 --> 00:09:10,343 WE APPRECIATE THE OPPORTUNITY TO 190 00:09:10,343 --> 00:09:12,945 BRING THIS BACK TO YOU ALL TO 191 00:09:12,945 --> 00:09:15,414 MAKE SURE WE MET THE SPIRIT WITH 192 00:09:15,414 --> 00:09:16,849 WHAT YOU REQUESTED BEFORE WE 193 00:09:16,849 --> 00:09:20,753 MOVE THIS FORWARD FOR 194 00:09:20,753 --> 00:09:21,354 CONSULTATION. 195 00:09:21,354 --> 00:09:23,222 I'M GOING TO GO AHEAD NOW AND 196 00:09:23,222 --> 00:09:24,891 SHARE MY SLIDES. 197 00:09:24,891 --> 00:09:28,828 CAN YOU SEE THIS OKAY? 198 00:09:28,828 --> 00:09:29,996 PERFECT. 199 00:09:29,996 --> 00:09:30,396 ALL RIGHT. 200 00:09:30,396 --> 00:09:31,664 THANK YOU ALL AGAIN. 201 00:09:31,664 --> 00:09:33,733 WE'RE GOING TO TALK ABOUT THE 202 00:09:33,733 --> 00:09:37,670 DISPOSITION OF BIOSPECIMENS 203 00:09:37,670 --> 00:09:39,672 COLLECTED FROM TRIBAL 204 00:09:39,672 --> 00:09:41,407 POPULATIONS AND IS THIS IS A 205 00:09:41,407 --> 00:09:41,841 FOLLOW-UP. 206 00:09:41,841 --> 00:09:43,910 FOR THOSE OF YOU UNABLE TO JOIN 207 00:09:43,910 --> 00:09:45,678 FRUS THE LAST CONVERSATION, I 208 00:09:45,678 --> 00:09:48,414 WANTED TO REMIND EVERYONE OF THE 209 00:09:48,414 --> 00:09:52,718 CONTEXT OF THE WORK WE'RE DOING. 210 00:09:52,718 --> 00:09:56,422 THIS WORK HAS BEEN DONE IN GREAT 211 00:09:56,422 --> 00:09:57,390 CONNECTION AND PARTNERSHIP WITH 212 00:09:57,390 --> 00:09:58,824 THE TRIBAL RESEARCH HEALTH 213 00:09:58,824 --> 00:09:59,992 OFFICE TO THINK ABOUT THE WORK 214 00:09:59,992 --> 00:10:05,264 THAT WE DO -- THE NIH FUNDED AND 215 00:10:05,264 --> 00:10:06,465 CONDUCTED RESEARCH FOR THE 216 00:10:06,465 --> 00:10:08,768 COLLECTION AND USE OF 217 00:10:08,768 --> 00:10:14,340 BIOSPECIMENS BUT ALSO THE TRIBES 218 00:10:14,340 --> 00:10:17,643 AND INDIGENOUS POPULATIONS AND 219 00:10:17,643 --> 00:10:25,051 IS THOUGHT THROUGH ABOUT THE 220 00:10:25,051 --> 00:10:28,287 SPECIMENS COLLECTED THINKING 221 00:10:28,287 --> 00:10:33,192 ABOUT THE RESPECT FOR CULTURAL 222 00:10:33,192 --> 00:10:33,826 SENSITIVITY. 223 00:10:33,826 --> 00:10:36,262 OUR GOAL FOR NIH IS TO PROVIDE A 224 00:10:36,262 --> 00:10:37,430 CONSISTENT SET OF OPTIONS THAT 225 00:10:37,430 --> 00:10:39,332 ALL OF OUR INSTITUTES AND 226 00:10:39,332 --> 00:10:41,067 CENTERS CAN SUPPORT SO WE CAN BE 227 00:10:41,067 --> 00:10:42,468 CONSISTENT IN HOW WE MANAGE THIS 228 00:10:42,468 --> 00:10:43,235 WORK. 229 00:10:43,235 --> 00:10:46,539 AND HAVE THEM TRIBALLY 230 00:10:46,539 --> 00:10:48,174 ACCEPTABLE OPTIONS FOR THE 231 00:10:48,174 --> 00:10:48,608 TRANSFER. 232 00:10:48,608 --> 00:10:51,344 THE WORD IS TRANSFER BUT WHAT WE 233 00:10:51,344 --> 00:10:54,981 REALLY MEAN IS RETURN OF 234 00:10:54,981 --> 00:10:56,716 BIOSPECIMENS FROM INTERNATIONAL 235 00:10:56,716 --> 00:10:58,684 AND TRIBAL MEMBERS. 236 00:10:58,684 --> 00:11:00,586 WHAT I'VE DONE IS UP DATED THE 237 00:11:00,586 --> 00:11:01,988 PRESENTATION THAT I SHARED WITH 238 00:11:01,988 --> 00:11:03,723 YOU LAST TIME WITH LANGUAGE HERE 239 00:11:03,723 --> 00:11:06,826 IN RED TO SHOW YOU WHERE WE MADE 240 00:11:06,826 --> 00:11:08,728 READVICES OR EDITS IN RESPONSE 241 00:11:08,728 --> 00:11:10,096 TO THE RECOMMENDATIONS YOU MADE 242 00:11:10,096 --> 00:11:12,198 IN OUR LAST MEETING. 243 00:11:12,198 --> 00:11:13,699 AS I MENTIONED, THERE ARE 244 00:11:13,699 --> 00:11:15,134 SEVERAL OPTIONS THAT WE'LL WALK 245 00:11:15,134 --> 00:11:17,970 THROUGH THAT COULD BE OFFERED 246 00:11:17,970 --> 00:11:21,707 TRIBES AND INTERNATIONAL AND 247 00:11:21,707 --> 00:11:23,109 INDIGENOUS POPULATION. 248 00:11:23,109 --> 00:11:24,844 THE NUMBER ONE OPTION IS THE 249 00:11:24,844 --> 00:11:27,380 DIRECT RETURN OF THE 250 00:11:27,380 --> 00:11:28,914 BIOSPECIMENS TO THE TRIBE. 251 00:11:28,914 --> 00:11:31,417 THE TRIBE WILL ARRANGE THE 252 00:11:31,417 --> 00:11:32,852 TRANSFER THE RETURN TO THEIR 253 00:11:32,852 --> 00:11:35,221 TRIBE OR REQUEST AND I'M IN 254 00:11:35,221 --> 00:11:37,223 POSITION TO ASSIST WITH THE 255 00:11:37,223 --> 00:11:39,492 RETURN AS NEEDED OR REQUESTED 256 00:11:39,492 --> 00:11:41,927 BUT THIS WILL BE IN RESPONSE TO 257 00:11:41,927 --> 00:11:43,496 THE TRIBAL ARRANGEMENT. 258 00:11:43,496 --> 00:11:45,131 IF THERE ARE CHALLENGES WITH 259 00:11:45,131 --> 00:11:48,267 THAT, WE CAN OFFER AN INDIRECT 260 00:11:48,267 --> 00:11:49,168 TRANSFER OR RETURN. 261 00:11:49,168 --> 00:11:50,870 THE RETURN IS CLEAR THAT THAT'S 262 00:11:50,870 --> 00:11:54,106 WHAT WE MEAN HERE IS 263 00:11:54,106 --> 00:11:56,409 BIOSPECIMENS TO TRIBAL THIRD 264 00:11:56,409 --> 00:11:57,710 PARTY ASSOCIATIONS THAT THE 265 00:11:57,710 --> 00:11:58,811 TRIBE IDENTIFIES. 266 00:11:58,811 --> 00:12:00,913 THE THIRD OPTION IS THE SAME. 267 00:12:00,913 --> 00:12:03,315 AGAIN, A TRANSFER TO A 268 00:12:03,315 --> 00:12:05,818 THIRD-PARTY ORGANIZATION OR 269 00:12:05,818 --> 00:12:07,253 INSTITUTION THAT NIH 270 00:12:07,253 --> 00:12:08,954 ORGANIZATIONS. 271 00:12:08,954 --> 00:12:10,856 WE'LL ARRANGE THE TRANSFER OF 272 00:12:10,856 --> 00:12:11,223 RETURN. 273 00:12:11,223 --> 00:12:12,625 IN THE INSTANCES WHERE THERE IS 274 00:12:12,625 --> 00:12:15,361 NOT A WELL-IDENTIFIED SOURCE OR 275 00:12:15,361 --> 00:12:19,965 DIRECT QUF THE TRIBE OR A THIRD 276 00:12:19,965 --> 00:12:21,200 FARYPT. 277 00:12:21,200 --> 00:12:22,702 NIH COULD CONSULT WITH THE TRIBE 278 00:12:22,702 --> 00:12:25,004 AND THE TRIBE COULD DESIGNATE 279 00:12:25,004 --> 00:12:27,506 NIH TO BE THE STEWARD OR COULD 280 00:12:27,506 --> 00:12:30,242 REQUEST THE DISPOSITION OF THE 281 00:12:30,242 --> 00:12:33,079 BIOSPECIMENS IN A CULTURALLY 282 00:12:33,079 --> 00:12:33,746 SENSITIVE MARN. 283 00:12:33,746 --> 00:12:35,581 THERE ARE FIVE OPTIONS HERE. 284 00:12:35,581 --> 00:12:36,916 AGAIN, I'M GOING TO HIGHLIGHT 285 00:12:36,916 --> 00:12:38,851 THE FIRST OPTION THAT WE WANTED 286 00:12:38,851 --> 00:12:42,221 TO MA MAKE ABUNDANTLY CLEAR TO 287 00:12:42,221 --> 00:12:43,789 EVERYONE THAT THE OPTION IS 288 00:12:43,789 --> 00:12:46,759 ALWAYS TO RETURN THE BIOSPECIMEN 289 00:12:46,759 --> 00:12:51,330 TO THE TRIBE WHEN THEY HAVE THE 290 00:12:51,330 --> 00:12:53,332 CAPABILITIES TO RECEIVE THEM. 291 00:12:53,332 --> 00:12:56,068 THIS IS IN DIRECT RESPONSE TO 292 00:12:56,068 --> 00:12:57,470 THE CONVERSATION LAST TAME TO 293 00:12:57,470 --> 00:13:02,408 MAKE THIS ABUNDANTLY CLEAR AS AN 294 00:13:02,408 --> 00:13:03,409 OPTION. 295 00:13:03,409 --> 00:13:05,478 WE WORKED TO MODIFY THE SLIDES 296 00:13:05,478 --> 00:13:07,346 BASED ON YOUR FEEDBACK AND THE 297 00:13:07,346 --> 00:13:07,913 OPTIONS. 298 00:13:07,913 --> 00:13:11,550 THE GOAL IS TO GO THROUGH TRIBAL 299 00:13:11,550 --> 00:13:12,051 CONSULTATION NEXT. 300 00:13:12,051 --> 00:13:14,220 I WARCHTED TO CLOSE THE LOOP 301 00:13:14,220 --> 00:13:16,021 WITH YOU TO SO IF THIS 302 00:13:16,021 --> 00:13:19,391 APPROPRIATELY ADDRESSED THE 303 00:13:19,391 --> 00:13:21,260 CONCERNS AND INPUT YOU HAD WHEN 304 00:13:21,260 --> 00:13:24,430 WE LAST MET AND ARE THESE GOOD 305 00:13:24,430 --> 00:13:26,632 OPTIONS TO GO INTO TRIBAL 306 00:13:26,632 --> 00:13:27,099 SOVEREIGNTY. 307 00:13:27,099 --> 00:13:29,368 WITH THAT, I'LL WE OPEN IT FOR 308 00:13:29,368 --> 00:13:35,608 DISCUSSION. 309 00:13:35,608 --> 00:13:35,875 >> OKAY. 310 00:13:35,875 --> 00:13:40,079 THEFLOOR IS OPEN FOR DISCUSSION. 311 00:13:40,079 --> 00:13:50,456 COMMENTS OR QUESTIONS? 312 00:13:51,524 --> 00:13:53,626 CAN YOU LEAVE THE SLIDES UP, 313 00:13:53,626 --> 00:14:03,769 PLEASE. 314 00:14:16,615 --> 00:14:19,218 >> I DO -- DOES ANYONE HAVE ANY 315 00:14:19,218 --> 00:14:20,019 QUESTIONS? 316 00:14:20,019 --> 00:14:23,322 I HAVE TO GO BACK O ON LINE TO E 317 00:14:23,322 --> 00:14:28,093 IF WE HAVE ANY HANDS RAISED. 318 00:14:28,093 --> 00:14:29,995 >> AGAIN, THE RED TEXT IS NEW 319 00:14:29,995 --> 00:14:31,163 INFORMATION ADDED TO THE OPTIONS 320 00:14:31,163 --> 00:14:34,133 THAT WE SHARED LAST TIME TO MAKE 321 00:14:34,133 --> 00:14:36,569 IT ABUNDANTLY CLEAR THAT WE'RE 322 00:14:36,569 --> 00:14:38,838 RETURNING THE SAMPLES BASED ON 323 00:14:38,838 --> 00:14:40,506 FEEDBACK AND SEPARATING THIS 324 00:14:40,506 --> 00:14:41,807 FIRST OPTION IS ON THE FIRST 325 00:14:41,807 --> 00:14:48,047 LINE. 326 00:14:48,047 --> 00:14:49,782 >> SO, DO YOU MIND MONITORING TO 327 00:14:49,782 --> 00:14:51,884 SEE IF WE HAVE ANY QUESTIONS ON 328 00:14:51,884 --> 00:14:52,084 LINE? 329 00:14:52,084 --> 00:14:53,619 THANK YOU. 330 00:14:53,619 --> 00:14:57,623 SO ONCE THIS IS -- WE REVIEWED 331 00:14:57,623 --> 00:15:00,960 THIS THROUGH THE TAC. 332 00:15:00,960 --> 00:15:03,929 IS THE PROCESS THEN TO SHARE IT 333 00:15:03,929 --> 00:15:08,300 TO THE TRIBES THROUGH TRIBAL 334 00:15:08,300 --> 00:15:08,634 CONSULTATION? 335 00:15:08,634 --> 00:15:08,868 CORRECT. 336 00:15:08,868 --> 00:15:10,569 THIS IS READY FOR CONSULTATION. 337 00:15:10,569 --> 00:15:13,005 WE WANTED TO MIK SURE WE WERE 338 00:15:13,005 --> 00:15:15,074 RESPONSIVE TO THE TAC REQUESTS 339 00:15:15,074 --> 00:15:18,310 FOR CLARIFICATION IN THE AREAS 340 00:15:18,310 --> 00:15:20,145 PRIMARILY IDENTIFIED IN RED, IS 341 00:15:20,145 --> 00:15:23,482 THAT CORRECT DR. JORGENSEN? 342 00:15:23,482 --> 00:15:25,784 CORRECT, THE FIRST OPTION IS 343 00:15:25,784 --> 00:15:27,786 ALWAYS PART OF THE OPTIONS BUT 344 00:15:27,786 --> 00:15:29,722 IT WAS SOMEWHAT BURIED IN THE 345 00:15:29,722 --> 00:15:30,289 DOCUMENT. 346 00:15:30,289 --> 00:15:34,560 THE USE OF THE WORD "TRANSFER" 347 00:15:34,560 --> 00:15:38,063 VERSUS "RETURN" IS WHAT WE WERE 348 00:15:38,063 --> 00:15:39,598 CONCERNED ABOUT HERE. 349 00:15:39,598 --> 00:15:43,669 IF THE TRIBE ASKS FOR THE 350 00:15:43,669 --> 00:15:44,870 BIOSPECIMENS, THE FIRST OPTION 351 00:15:44,870 --> 00:15:48,140 IS TO RETURN TO THEM. 352 00:15:48,140 --> 00:15:51,210 >> B. Saunkeah: THIS IS WOU BOBY 353 00:15:51,210 --> 00:15:51,477 SAUNKEAH. 354 00:15:51,477 --> 00:15:53,445 THANK YOU FOR UPDATING THESE. 355 00:15:53,445 --> 00:15:57,449 IT SEEMS MUCH MORE CLEAR THAN IT 356 00:15:57,449 --> 00:15:59,018 WAS IN THE PAST. 357 00:15:59,018 --> 00:16:00,819 REGARDING THE FIRST ONE WHERE IT 358 00:16:00,819 --> 00:16:04,757 TALKS ABOUT ASSISTING WITH THE 359 00:16:04,757 --> 00:16:06,859 RETURN, IS THAT ALSO ASSUMING 360 00:16:06,859 --> 00:16:08,060 SOME ASSISTANCE WITH THE COST? 361 00:16:08,060 --> 00:16:09,595 BECAUSE I KNOW THERE ARE 362 00:16:09,595 --> 00:16:11,764 CERTAINLY COSTS THERE ARE 363 00:16:11,764 --> 00:16:13,198 INVOLVED WITH RETURNING 364 00:16:13,198 --> 00:16:13,632 SPECIMENS. 365 00:16:13,632 --> 00:16:17,136 THANK YOU. 366 00:16:17,136 --> 00:16:21,307 >> I WOULD LIKE TO -- WE WOULD 367 00:16:21,307 --> 00:16:23,375 NOT NEVER ADVISE ANY OF OUR 368 00:16:23,375 --> 00:16:26,979 INSUBSTITUTES TO EMBARK UPON 369 00:16:26,979 --> 00:16:28,614 THESE CONVERSATIONS WITHOUT 370 00:16:28,614 --> 00:16:30,249 CONSULTING WITH THE TRIBAL 371 00:16:30,249 --> 00:16:31,917 HEALTH SEARCH OFFICE SO I'M 372 00:16:31,917 --> 00:16:33,886 GOING TO SHARE THAT WITH DR. 373 00:16:33,886 --> 00:16:34,987 WALTERS. 374 00:16:34,987 --> 00:16:37,489 >> K. Walters: I THINK THAT, 375 00:16:37,489 --> 00:16:40,025 YES, THE GOAL AND INTENT IS TO 376 00:16:40,025 --> 00:16:43,195 WORK AS QUICKLY AND CLOSELY WITH 377 00:16:43,195 --> 00:16:46,799 TRIBES TO GET TRANSFER ENACTED. 378 00:16:46,799 --> 00:16:53,906 THE UNDERSTATHE FUNDING ON THATT 379 00:16:53,906 --> 00:16:56,008 IS YES, WE'RE GOING TO MAKE THAT 380 00:16:56,008 --> 00:17:00,779 HAPPEN. 381 00:17:00,779 --> 00:17:01,914 >> B. Saunkeah: BECAUSE I KNOW 382 00:17:01,914 --> 00:17:04,516 WITH OTHER ADVISORY GROUPS THAT 383 00:17:04,516 --> 00:17:07,052 THEY INCLUDE THAT COST -- 384 00:17:07,052 --> 00:17:11,957 CONSIDERING THE COST UP FRONT. 385 00:17:11,957 --> 00:17:12,424 FRONT. 386 00:17:12,424 --> 00:17:16,495 >> I THINK THE INTENT IS TO SAY 387 00:17:16,495 --> 00:17:18,564 THAT WE'RE POISED TOA CYST WITH 388 00:17:18,564 --> 00:17:29,041 THE RETURN, THAT IS IMPLIED. 389 00:17:33,278 --> 00:17:36,348 >> THIS IS RAYMOND, REPRESENTING 390 00:17:36,348 --> 00:17:38,183 THE ALBUQUERQUE AREA. 391 00:17:38,183 --> 00:17:40,285 FROM A TRIBAL PERSPECTIVE, 392 00:17:40,285 --> 00:17:42,488 TRIBAL LEADERS ARE GOING TO ASK, 393 00:17:42,488 --> 00:17:44,790 WHERE ARE SOME OF THESE SPEN 394 00:17:44,790 --> 00:17:46,191 MINUTES AT? 395 00:17:46,191 --> 00:17:48,494 WHERE ARE THE DEPOSITORY FOR 396 00:17:48,494 --> 00:17:53,732 SOME OF THESE AND HOW DO WE KNOW 397 00:17:53,732 --> 00:17:55,267 HOW SOME OF OUR TRIBES ARE 398 00:17:55,267 --> 00:17:57,803 INVOLVED IN SOME OF THESE AREAS? 399 00:17:57,803 --> 00:17:59,772 YOU KNOW, THE GENERAL STATEMENTS 400 00:17:59,772 --> 00:18:05,477 ARE GOOD, BUT I THINK IF 401 00:18:05,477 --> 00:18:06,645 SOMEBODY FINDS OUT WHERE THEY 402 00:18:06,645 --> 00:18:08,781 CAN IDENTIFY THEIR TRIBE, IF 403 00:18:08,781 --> 00:18:11,750 THEY WANT THINGS RETURNED, WHERE 404 00:18:11,750 --> 00:18:15,788 ARE THE SPECIMENS LOCATED? 405 00:18:15,788 --> 00:18:19,291 IS IT IN THE SURROUNDING AREAS? 406 00:18:19,291 --> 00:18:26,598 OR IS IT IN AN NIH DEPOSITORY? 407 00:18:26,598 --> 00:18:27,299 I'M NOT SURE. 408 00:18:27,299 --> 00:18:32,037 I WANTED TO POSE THAT QUESTION. 409 00:18:32,037 --> 00:18:40,012 >> THANK YOU DR. LORENDA. 410 00:18:40,012 --> 00:18:46,785 >> THIS MANY FOLK WANT TO KNOW E 411 00:18:46,785 --> 00:18:49,088 LOCATION OF THE BIOSPECIMENS AND 412 00:18:49,088 --> 00:18:53,025 HOW WE TRACK AND CAN RETURN 413 00:18:53,025 --> 00:18:53,459 THOSE BIOSPECIMENS. 414 00:18:53,459 --> 00:18:55,327 I THINK THIS IS ONE OF THE MOST 415 00:18:55,327 --> 00:18:56,995 IMPORTANT THINGS IN THE LEGACY 416 00:18:56,995 --> 00:19:00,032 AND PARTNERSHIP THAT NIH HAS 417 00:19:00,032 --> 00:19:02,101 WITH SEARCH PARTICIPANTS. 418 00:19:02,101 --> 00:19:05,971 IN THE PAST THERE ARE A LOT OF 419 00:19:05,971 --> 00:19:07,539 BIOSPECIMENS THAT CAN BE 420 00:19:07,539 --> 00:19:08,407 COLLECTED WITHOUT ACTUALLY 421 00:19:08,407 --> 00:19:10,342 HAVING TO TRACK THESE ISSUES AND 422 00:19:10,342 --> 00:19:13,145 NIH IS TAKING A DIFFERENT STANCE 423 00:19:13,145 --> 00:19:16,448 HERE OVER THE LAST DECADE OR SO 424 00:19:16,448 --> 00:19:20,586 TO BE ABLE TO ASK FOR PERMISSION 425 00:19:20,586 --> 00:19:22,287 AND CONSENT IN HOLDING THEM SO 426 00:19:22,287 --> 00:19:25,557 PEOPLE ARE PARTNER IN DONATING 427 00:19:25,557 --> 00:19:28,460 THEIR SPECIMENS AND WE CAN SHARE 428 00:19:28,460 --> 00:19:30,829 REGULAR UPDATES. 429 00:19:30,829 --> 00:19:33,799 YOUR SPECIFIC QUESTION ON WHERE 430 00:19:33,799 --> 00:19:37,402 THE BIOSPECIMENS ARE, THIS IS 431 00:19:37,402 --> 00:19:39,671 DISCUSSED IN DETAIL. 432 00:19:39,671 --> 00:19:41,573 WHICH ONES HAVE WE GAINED FROM 433 00:19:41,573 --> 00:19:44,076 TRIBES AND ASK FOR CONSENT FROM 434 00:19:44,076 --> 00:19:44,843 TRIBES? 435 00:19:44,843 --> 00:19:46,311 THE RETURNS OF THE SPEN MINUTES 436 00:19:46,311 --> 00:19:49,548 IS ONE OF OUR FIRST STEPS IN 437 00:19:49,548 --> 00:19:51,550 THINKING ABOUT IT AGAIN. 438 00:19:51,550 --> 00:19:57,890 AS WE KNOW THEY'RE CONTACTED 439 00:19:57,890 --> 00:20:03,362 WITH THE TRIBES AND WE RETURN 440 00:20:03,362 --> 00:20:07,065 THE BIOSPECIMENS FOR THE 441 00:20:07,065 --> 00:20:11,670 INTEREST OF THE TRIBE. 442 00:20:11,670 --> 00:20:12,638 >> THE TRIBAL HEALTH RESEARCH 443 00:20:12,638 --> 00:20:14,273 OFFICE IS IN THE PROCESS OF 444 00:20:14,273 --> 00:20:21,513 STARTING THE ADJOU JOURNEY OF 445 00:20:21,513 --> 00:20:25,450 IDENTIFYING THE SPECIMENS. 446 00:20:25,450 --> 00:20:27,953 IT'S GOING DOB A LENGTHY TASK. 447 00:20:27,953 --> 00:20:30,589 IT'S NOT -- BECAUSE WE ARE 448 00:20:30,589 --> 00:20:31,790 PRETTY MASSIVE. 449 00:20:31,790 --> 00:20:34,860 THIS IS IN ANTICIPATION AS WELL 450 00:20:34,860 --> 00:20:39,097 FOR THE REQUEST FROM HHS AND 451 00:20:39,097 --> 00:20:41,433 DATA SHARING. 452 00:20:41,433 --> 00:20:42,834 THAT'S ANOTHER ISSUE THAT'S COME 453 00:20:42,834 --> 00:20:43,702 UP AS WELL. 454 00:20:43,702 --> 00:20:46,772 WE'RE TRYING TO GET A JUMP ON 455 00:20:46,772 --> 00:20:49,141 THAT SO WE HAVE SOME CLARITY. 456 00:20:49,141 --> 00:20:55,747 >> ALL RIGHT, THANK YOU. 457 00:20:55,747 --> 00:20:59,351 >> DR. JORGENSEN, WE HAVE A 458 00:20:59,351 --> 00:21:02,087 QUESTION REGARDING THE SPECIMENS 459 00:21:02,087 --> 00:21:05,924 WITH THIS PROPOSAL. 460 00:21:05,924 --> 00:21:09,861 IS THIS PROPOSAL FOR INDIVIDUAL 461 00:21:09,861 --> 00:21:10,195 SPECIMENS? 462 00:21:10,195 --> 00:21:14,032 OR IS IT FOR TRIBAL GROUPS? 463 00:21:14,032 --> 00:21:15,234 >> THAT'S AN EXCELLENT QUESTION. 464 00:21:15,234 --> 00:21:17,402 I THINK THAT THE GOAL OF THE NIH 465 00:21:17,402 --> 00:21:21,907 IS TO RESPECT PARTICIPANT VOICE 466 00:21:21,907 --> 00:21:23,875 AND AUTONOMY AND IF THEY WOULD 467 00:21:23,875 --> 00:21:27,479 LIKE TO HAVE THEIR SAMPLES BACK, 468 00:21:27,479 --> 00:21:28,247 WE'LL ON THAT. 469 00:21:28,247 --> 00:21:30,983 THIS ONE IN SPECIFIC IS ABOUT 470 00:21:30,983 --> 00:21:32,050 RESPECTING TRIBAL SOVEREIGNTY 471 00:21:32,050 --> 00:21:34,920 AND HAVING INPUT OF TRIBES HERE. 472 00:21:34,920 --> 00:21:36,121 WHETHER THAT'S AN INDIVIDUAL 473 00:21:36,121 --> 00:21:41,260 MEMBER OF A TRIBE OR A TRIBE 474 00:21:41,260 --> 00:21:43,161 BROADLY, BOTH ARE TO BE 475 00:21:43,161 --> 00:21:43,462 RESPECTED. 476 00:21:43,462 --> 00:21:48,934 EXCELLENT QUESTION, THANK YOU. 477 00:21:48,934 --> 00:21:52,004 >> AND IT COVERS WHAT NIH HAS 478 00:21:52,004 --> 00:21:54,539 CURRENTLY AND FUTURE SPECIMENS? 479 00:21:54,539 --> 00:21:56,842 >> TO BE FAIR, THIS IS REALLY 480 00:21:56,842 --> 00:22:00,412 THE LANDING PAD FOR NEGOTIATIONS 481 00:22:00,412 --> 00:22:01,847 AND THERE COULD BE OTHER OPTIONS 482 00:22:01,847 --> 00:22:04,349 THAT MIGHT BE WHAT ARE OF 483 00:22:04,349 --> 00:22:05,117 INTEREST. 484 00:22:05,117 --> 00:22:08,420 WHAT OUR REAL GOAL IS, SINCE NIH 485 00:22:08,420 --> 00:22:11,156 HAS 27 INSTITUTES AND CENTERS 486 00:22:11,156 --> 00:22:12,457 WITH MANY PROGRAMS. 487 00:22:12,457 --> 00:22:14,059 IF THEY WANT TO HAVE THESE 488 00:22:14,059 --> 00:22:14,993 CONVERSATIONS, WE WANT TO MAKE 489 00:22:14,993 --> 00:22:18,397 SURE IF YOU'RE TALKING TO ONE 490 00:22:18,397 --> 00:22:19,798 PROGRAM, THEY DON'T OFFER ONE 491 00:22:19,798 --> 00:22:23,535 SET OF OPTIONS AND ANOTHER 492 00:22:23,535 --> 00:22:24,870 PROGRAM WITH OTHER OPTIONS. 493 00:22:24,870 --> 00:22:28,373 WE WANT A TEMPLATE OPTION. 494 00:22:28,373 --> 00:22:30,742 IF A TRIBE IS INTERESTED IN A 495 00:22:30,742 --> 00:22:32,077 DIFFERENT MECHANISM OR A PROAP 496 00:22:32,077 --> 00:22:33,612 THAT WE HAVEN'T THOUGHT OF HERE. 497 00:22:33,612 --> 00:22:35,781 THIS IS WHERE WE CAN START OFF 498 00:22:35,781 --> 00:22:38,517 AS THAT NEGOTIATING PIECE. 499 00:22:38,517 --> 00:22:41,153 AND WORK WLGT TRIBAL HEALTH 500 00:22:41,153 --> 00:22:42,788 RESEARCH OFFICE BEING ABLE TO 501 00:22:42,788 --> 00:22:44,356 NAVIGATE A SUSTAINABLE SOLUTION 502 00:22:44,356 --> 00:22:46,091 THAT MEETS THE INTERESTS OF THE 503 00:22:46,091 --> 00:22:53,298 PARTIES. 504 00:22:53,298 --> 00:22:55,067 >> SO IT'S WORKING WITH THE 505 00:22:55,067 --> 00:22:58,704 SOVEREIGN AND HOW THEY WANT TO 506 00:22:58,704 --> 00:23:04,409 DISPOSE OR -- ANY SPECIMENS, 507 00:23:04,409 --> 00:23:08,547 RIGHTS? 508 00:23:08,547 --> 00:23:09,548 >> CORRECT. 509 00:23:09,548 --> 00:23:12,384 PORPLY, AGAIN, BECAUSE IDEALLY 510 00:23:12,384 --> 00:23:14,453 WE WANT TO RESPECT THE CHOICE 511 00:23:14,453 --> 00:23:16,221 OFFER THE INDIVIDUAL AND TRIBE 512 00:23:16,221 --> 00:23:17,856 AND IN SOME INSTANCESES MAYBE 513 00:23:17,856 --> 00:23:19,591 YOU WANT THOSE TO BE ABLE TO 514 00:23:19,591 --> 00:23:20,359 CONTINUE FOR RESEARCH. 515 00:23:20,359 --> 00:23:23,395 WE WANT THAT TO CONTINUE TO BE A 516 00:23:23,395 --> 00:23:25,630 PATHWAY FORWARD. 517 00:23:25,630 --> 00:23:26,898 IN THE INSTANCE THAT THEY WANT 518 00:23:26,898 --> 00:23:28,867 TO HAVE THEIR SAMPLES BACK, 519 00:23:28,867 --> 00:23:30,836 THERE ARE FEDERAL LAWS AND OTHER 520 00:23:30,836 --> 00:23:33,605 THINGS ABOUT THE TRANSFERS OF 521 00:23:33,605 --> 00:23:36,875 MATERIALS THAT WOULD BE BIOHAZ 522 00:23:36,875 --> 00:23:45,784 RDZ SO WE W RDS. 523 00:23:45,784 --> 00:23:46,518 HAZZARDS. 524 00:23:46,518 --> 00:23:48,387 WE WANT TO SUPPORT THE LEGAL 525 00:23:48,387 --> 00:23:51,690 OPTIONS SO WE CAN SAY QUESTION, 526 00:23:51,690 --> 00:23:52,691 WE CAN GIVE THIS BACK TO THE 527 00:23:52,691 --> 00:23:54,059 TRIBE. 528 00:23:54,059 --> 00:23:59,798 IF THEY DON'T HAVE THE PROPER 529 00:23:59,798 --> 00:24:01,666 RECEPTACLES, WE CAN ARRANGE FOR 530 00:24:01,666 --> 00:24:04,703 ANOTHER DISPOSITION THAT IS 531 00:24:04,703 --> 00:24:05,470 CULTURALLY APPROPRIATE WITH THE 532 00:24:05,470 --> 00:24:07,005 TRIBE. 533 00:24:07,005 --> 00:24:10,175 THERE ARE MULTIPLE OPTIONS FOR 534 00:24:10,175 --> 00:24:12,811 HOLDING THE SAMPLES. 535 00:24:12,811 --> 00:24:14,679 IF YOU DON'T WANT THE FEDERAL G. 536 00:24:14,679 --> 00:24:16,982 TO HOLD IT, THAT IS WORKABLE OR 537 00:24:16,982 --> 00:24:20,819 IF YOU WANT SOMEONE ELSE THAT 538 00:24:20,819 --> 00:24:26,625 PATH IS AN OPTION TO BUT WE WANT 539 00:24:26,625 --> 00:24:29,895 TO RESPECT THE CULTURAL 540 00:24:29,895 --> 00:24:30,562 PREFERENCES. 541 00:24:30,562 --> 00:24:31,630 >> DO WE HAVE ANY OTHER 542 00:24:31,630 --> 00:24:34,166 QUESTIONS? 543 00:24:34,166 --> 00:24:37,436 SO JUST A FOLLOW-UPEN THAT, HOW 544 00:24:37,436 --> 00:24:42,941 WOULD IT BE HANDLED FOR DECEASE? 545 00:24:42,941 --> 00:24:44,376 >> I THINK THAT'S AN EXCELLENT 546 00:24:44,376 --> 00:24:46,011 QUESTION AND OBVIOUSLY, THE 547 00:24:46,011 --> 00:24:48,747 ISSUE OF THE SOVEREIGNTY OF THE 548 00:24:48,747 --> 00:24:50,816 TRIBES AND THE REQUEST OF THE 549 00:24:50,816 --> 00:24:52,584 TRIBES CAN REPRESENT THE 550 00:24:52,584 --> 00:24:54,719 INTEREST OF DECEASED MEMBERS 551 00:24:54,719 --> 00:24:57,589 WHERE THEY WANT THE SAMPLES BACK 552 00:24:57,589 --> 00:25:00,992 AND THOSE CAN BE NEGOTIATED AS 553 00:25:00,992 --> 00:25:02,961 WELL. 554 00:25:02,961 --> 00:25:04,262 >> BOBBY. 555 00:25:04,262 --> 00:25:06,131 >> B. Saunkeah: THIS IS BOBBY 556 00:25:06,131 --> 00:25:06,898 AGAIN. 557 00:25:06,898 --> 00:25:09,901 DR. JORGENSEN YOU MENTIONED 558 00:25:09,901 --> 00:25:12,404 ABOUT SPECIMENS POSSIBLY BEING 559 00:25:12,404 --> 00:25:14,372 RETAINED FOR FUTURE PROJECTS. 560 00:25:14,372 --> 00:25:17,409 ONCE THIS LIST IS COMPILED, WILL 561 00:25:17,409 --> 00:25:20,178 THERE BE NEGOTIATION OR 562 00:25:20,178 --> 00:25:22,147 SOMETHING ABOUT LIKE WELL MAYBE 563 00:25:22,147 --> 00:25:25,016 AN INSTITUTE WANTS TO KEEP THOSE 564 00:25:25,016 --> 00:25:27,486 FOR CERTAIN RESEARCH PURPOSES. 565 00:25:27,486 --> 00:25:30,121 HOW WOULD THAT NEGOTIATION BE 566 00:25:30,121 --> 00:25:34,726 HANDLHANDLED AND WHO WITH IF AN 567 00:25:34,726 --> 00:25:36,661 INSTITUTE SAZ WE WANT TO KEEP 568 00:25:36,661 --> 00:25:43,602 THE SAMPLES BECAUSE OF BYLAW BLH 569 00:25:43,602 --> 00:25:44,202 BLAH. 570 00:25:44,202 --> 00:25:48,940 WE TALKED ABOUT RECONSENTING FOR 571 00:25:48,940 --> 00:25:51,009 BIOSPECIMENS AT LEAST WHERE I'M 572 00:25:51,009 --> 00:25:53,311 FROM, IF YOU WANT TO USE THE 573 00:25:53,311 --> 00:25:54,312 SPECIMENS FOR ANOTHER REASON, 574 00:25:54,312 --> 00:25:57,215 YOU HAVE TO GET ANOTHER CONSENT. 575 00:25:57,215 --> 00:25:59,885 WOULD THAT BE A RECONSENT 576 00:25:59,885 --> 00:26:02,387 PROCESS IF IT WANTED TO BE USED 577 00:26:02,387 --> 00:26:04,723 FOR SOMETHING DIFFERENT THAN THE 578 00:26:04,723 --> 00:26:06,591 ORIGINAL USE OF THE SPECIMENS. 579 00:26:06,591 --> 00:26:09,227 THIS COULD GET METE. 580 00:26:09,227 --> 00:26:11,296 I APPRECIATE YOU TAKES THIS ON. 581 00:26:11,296 --> 00:26:14,366 I'M SORRY FOR YOU HAVING TO MAKE 582 00:26:14,366 --> 00:26:16,334 THIS LIST, BUT I THINK THIS IS 583 00:26:16,334 --> 00:26:17,269 IMPORTANT. 584 00:26:17,269 --> 00:26:19,504 I'M CURIOUS BECAUSE THIS IS 585 00:26:19,504 --> 00:26:20,605 COMPLEX. 586 00:26:20,605 --> 00:26:23,108 IT'S NOT REAL STRAIGHTFORWARD. 587 00:26:23,108 --> 00:26:25,310 THANK YOU. 588 00:26:25,310 --> 00:26:27,212 >> THANK YOU AND I'LL CERTAINLY 589 00:26:27,212 --> 00:26:29,681 TURN IT OVER TO DR. WALTERS AS 590 00:26:29,681 --> 00:26:31,550 WELL IN TERMS OF HOW SHE'S 591 00:26:31,550 --> 00:26:32,183 ENVISIONING IT. 592 00:26:32,183 --> 00:26:34,619 THE ANSWER IS, YES, IT'S GOER 593 00:26:34,619 --> 00:26:36,354 GOING TO BE COMPLEX AND MESSY 594 00:26:36,354 --> 00:26:38,557 AND YES, SO IS THE WORLD OF 595 00:26:38,557 --> 00:26:41,526 HUMAN BEINGS AND HORCHING 596 00:26:41,526 --> 00:26:43,161 PEOPLE'S PREFERENCES AND 597 00:26:43,161 --> 00:26:43,695 CHOICES. 598 00:26:43,695 --> 00:26:45,897 FROM OUR PERSPECTIVE, OF COURSE 599 00:26:45,897 --> 00:26:48,633 WE WANT TO KEEP THE SAMPLES 600 00:26:48,633 --> 00:26:50,168 BECAUSE WE COLLECTED THEM FOR 601 00:26:50,168 --> 00:26:52,003 REASONS THAT ARE VALUABLE AND 602 00:26:52,003 --> 00:26:52,904 ADVANCED RESEARCH. 603 00:26:52,904 --> 00:26:56,942 TRYING TO WORK THROUGH HOW DO WE 604 00:26:56,942 --> 00:26:59,978 PRESERVE RESEARCH BUT WE WON'T 605 00:26:59,978 --> 00:27:01,880 PRESERVE RESEARCH AT THE 606 00:27:01,880 --> 00:27:04,749 CONTRARY WILL OF THOSE WHO WILL 607 00:27:04,749 --> 00:27:05,917 DONATED THEIR TIME. 608 00:27:05,917 --> 00:27:07,652 I THINK THIS WILL BE COMPLEX AND 609 00:27:07,652 --> 00:27:10,188 MESSY, BUT THE RIGHT THING TO DO 610 00:27:10,188 --> 00:27:12,791 TO MAKE SURE PEOPLE ARE 611 00:27:12,791 --> 00:27:13,425 RESPECTED WILLING PARTICIPANTS 612 00:27:13,425 --> 00:27:15,860 IN RESEARCH AND CAN TRUST HOW 613 00:27:15,860 --> 00:27:17,395 THEIR INFORMATION IS USED. 614 00:27:17,395 --> 00:27:20,799 DR. BAWLTERS, IF YOU WOULD LIKE 615 00:27:20,799 --> 00:27:22,100 TO EXPAND ON THAT. 616 00:27:22,100 --> 00:27:23,301 >> K. Walters: YOU ANSWERED IT 617 00:27:23,301 --> 00:27:27,238 BEAUTIFULLY. 618 00:27:27,238 --> 00:27:30,075 I WANT TO EMPHASIZE WE'LL WORK 619 00:27:30,075 --> 00:27:37,983 WITH DR. JORGENSEN THAT WILL WE 620 00:27:37,983 --> 00:27:39,050 HONOR TRIBAL SOVEREIGNTY. 621 00:27:39,050 --> 00:27:40,585 AS WE CREATE THE LISTS AND KNOW 622 00:27:40,585 --> 00:27:44,122 THE EXTENT OF OUR REPOSITORIES. 623 00:27:44,122 --> 00:27:46,157 THERE IS A DIFFERENCE BETWEEN 624 00:27:46,157 --> 00:27:47,926 THE EX-PERSONAL RESEARCH WHERE 625 00:27:47,926 --> 00:27:51,096 IT'S IN UNIVERSITIES OR OTHER 626 00:27:51,096 --> 00:27:51,997 PLACES. 627 00:27:51,997 --> 00:27:55,800 IN TERMS OF OUR OWN HOLDINGS, IT 628 00:27:55,800 --> 00:27:57,335 GIVES US AN OPPORTUNITY TO 629 00:27:57,335 --> 00:27:58,770 REFLECT AND WORK WITH TRIBES 630 00:27:58,770 --> 00:28:02,407 CLOSELY TO ENSURE THAT OUR 631 00:28:02,407 --> 00:28:03,708 INDIGENOUS DATA SOVEREIGNTY 632 00:28:03,708 --> 00:28:05,577 POLICY ALIGNS WITH TRIBAL LAWS 633 00:28:05,577 --> 00:28:07,846 AND ORDINANCES AND WE'LL WORK 634 00:28:07,846 --> 00:28:10,382 CLOSELY WITH TRIBES TO DECIDE 635 00:28:10,382 --> 00:28:13,551 WHAT TOE DO NEXT IF A DECISION 636 00:28:13,551 --> 00:28:14,753 NEEDS TO BE MADE. 637 00:28:14,753 --> 00:28:16,821 MOST TRIBES ARE AWARE OF 638 00:28:16,821 --> 00:28:17,255 HOLDINGS. 639 00:28:17,255 --> 00:28:19,457 BUT IF WE DISCOVER THAT THERE IS 640 00:28:19,457 --> 00:28:21,426 NOT AN AWARENESS, WE'LL WORK 641 00:28:21,426 --> 00:28:24,095 WITH THE TRIBES TO IDENTIFY WHAT 642 00:28:24,095 --> 00:28:31,069 THE NEXT STEPS NEED TO BE. 643 00:28:31,069 --> 00:28:33,605 AND I WOULD WORK CLOSELY WITH 644 00:28:33,605 --> 00:28:36,141 DR. JORGENSEN AND HER OFFICE. 645 00:28:36,141 --> 00:28:40,612 DOES THAT MAKE SENSE DR. 646 00:28:40,612 --> 00:28:41,479 JORGENSEN? 647 00:28:41,479 --> 00:28:44,883 >> DR. JORGENSEN: ABSOLUTELY WLT 648 00:28:44,883 --> 00:28:55,160 WMENT THANK YOU. 649 00:28:57,362 --> 00:28:58,530 >> K. Walters: COULD WE HAVE ANY 650 00:28:58,530 --> 00:29:07,605 OTHER QUESTIONS FROM THE TAC? 651 00:29:07,605 --> 00:29:08,940 >> AT THIS POINT WOULD YOU LIKE 652 00:29:08,940 --> 00:29:11,242 TO GIVE THE TAC CONSENT FOR 653 00:29:11,242 --> 00:29:13,178 FORMAL APPROVAL TO MOVE ON WITH 654 00:29:13,178 --> 00:29:17,615 THE CONSULTATION? 655 00:29:17,615 --> 00:29:18,083 >> K. Walters: YES. 656 00:29:18,083 --> 00:29:19,984 >> H. Frias: OKAY, SO WE'LL ON 657 00:29:19,984 --> 00:29:25,757 ON WITH THAT, MR. SAUNKEAH. 658 00:29:25,757 --> 00:29:26,891 >> B. Saunkeah: IS THIS 659 00:29:26,891 --> 00:29:30,061 CONSULTATION EXCLUSIVE FOR THIS 660 00:29:30,061 --> 00:29:30,395 ISSUE? 661 00:29:30,395 --> 00:29:32,564 >> K. Walters: YES. 662 00:29:32,564 --> 00:29:35,066 AND REMEMBER WWW.CAN CONSULTS 663 00:29:35,066 --> 00:29:41,439 THERE --AND REMEMBER, THERE ARE 664 00:29:41,439 --> 00:29:44,375 REVISIONS THAT COULD COME OUT OF 665 00:29:44,375 --> 00:29:44,943 THIS. 666 00:29:44,943 --> 00:29:48,346 I BELIEVE THERE ARE 30 DAYS FOR 667 00:29:48,346 --> 00:29:50,215 PUBLIC COMMENT WITH A FINAL 668 00:29:50,215 --> 00:29:51,416 REPORT AFTER THAT AND MOVING 669 00:29:51,416 --> 00:29:53,485 FORWARD. 670 00:29:53,485 --> 00:29:54,352 >> H. Frias: WOULD YOU LIKE US 671 00:29:54,352 --> 00:29:55,987 TO VOTE ON THIS? 672 00:29:55,987 --> 00:29:56,554 ALL RIGHT. 673 00:29:56,554 --> 00:29:58,623 SO IF THE TAC IS PREPARED TO 674 00:29:58,623 --> 00:30:02,127 VOTE ON THIS TOPIC, CAN I GET A 675 00:30:02,127 --> 00:30:04,562 MOTION FROM SOMEONE TO VOTE ON 676 00:30:04,562 --> 00:30:07,766 APPROVING THE BIOSPECIMEN 677 00:30:07,766 --> 00:30:09,501 OPTIONS FOR MOVING FORWARD FOR 678 00:30:09,501 --> 00:30:12,003 TRIBAL CONSULTATION. 679 00:30:12,003 --> 00:30:14,739 WE HAVE A MOTION BY KERRY 680 00:30:14,739 --> 00:30:17,375 FREEMAN AND WE HAVE A SECOND BY 681 00:30:17,375 --> 00:30:19,878 BOBBY SAUNKEAH. 682 00:30:19,878 --> 00:30:22,914 IF WE CAN -- HOW WOULD YOU KEEP 683 00:30:22,914 --> 00:30:23,148 RECORD? 684 00:30:23,148 --> 00:30:27,485 CAN WE DO AN ALL IN FAVOR? 685 00:30:27,485 --> 00:30:30,622 ALL THOSE IN FAVOR SAY AYE. 686 00:30:30,622 --> 00:30:34,959 ANY NAYS? 687 00:30:34,959 --> 00:30:36,761 I'M NOT HEARING ANY. 688 00:30:36,761 --> 00:30:40,265 OKAY. 689 00:30:40,265 --> 00:30:42,767 AND -- OKAY, MOTION CARRIES. 690 00:30:42,767 --> 00:30:46,070 >> THANK YOU SO MUCH AND WE'LL 691 00:30:46,070 --> 00:30:48,673 OBVIOUSLY KEEP YOU UPDATED FOR 692 00:30:48,673 --> 00:30:49,674 CONSULTATION AND THANK YOU FOR 693 00:30:49,674 --> 00:30:50,408 YOUR TIME. 694 00:30:50,408 --> 00:30:53,011 WE BENEFITED FROM YOUR 695 00:30:53,011 --> 00:30:56,181 DISCUSSION. 696 00:30:56,181 --> 00:30:57,315 >> K. Walters: THANK YOU SO MUCH 697 00:30:57,315 --> 00:31:01,085 DR. JORGENSEN, APPRECIATE IT. 698 00:31:01,085 --> 00:31:03,321 >> H. Frias: DR. WALTERS, YOU'RE 699 00:31:03,321 --> 00:31:05,190 OO UP NEXT WITH THE 700 00:31:05,190 --> 00:31:07,158 PRESENTATION. 701 00:31:07,158 --> 00:31:08,059 >> K. Walters: GREAT. 702 00:31:08,059 --> 00:31:09,561 FANTASTIC. 703 00:31:09,561 --> 00:31:10,461 LET'S SEE. 704 00:31:10,461 --> 00:31:11,229 THERE I AM. 705 00:31:11,229 --> 00:31:11,896 OKAY. 706 00:31:11,896 --> 00:31:14,299 DO YOU WANT ME TO GO UP HERE? 707 00:31:14,299 --> 00:31:16,067 OR I CAN JUST CARRY ON FROM 708 00:31:16,067 --> 00:31:16,801 HERE. 709 00:31:16,801 --> 00:31:17,769 THIS IS FINE. 710 00:31:17,769 --> 00:31:20,205 IS THIS A GOOD SPOT? 711 00:31:20,205 --> 00:31:20,638 OKAY. 712 00:31:20,638 --> 00:31:21,506 GREAT. 713 00:31:21,506 --> 00:31:24,876 NEXT SLIDE. 714 00:31:24,876 --> 00:31:27,312 SO, I JUST WANTED -- THIS IS FOR 715 00:31:27,312 --> 00:31:31,049 US TO START AND DR. SCHWETZ IS 716 00:31:31,049 --> 00:31:33,985 GOING TO COME IN AT 2:30 TO 717 00:31:33,985 --> 00:31:35,086 SHARE HER THOUGHTS WITH US FOR 718 00:31:35,086 --> 00:31:37,922 THE DAY. 719 00:31:37,922 --> 00:31:40,325 SHE IS IN ANOTHER MEETING, SO 720 00:31:40,325 --> 00:31:42,527 IT'S GOING TO BE A BLIP AND 721 00:31:42,527 --> 00:31:43,728 SHIFT OF PACE. 722 00:31:43,728 --> 00:31:46,464 BUT I JUST WANTED TO START OFF 723 00:31:46,464 --> 00:31:48,132 WITH TALKING A LITTLE BIT ABOUT 724 00:31:48,132 --> 00:31:50,935 HOW DO WE REFLECT ON STRATEGIC 725 00:31:50,935 --> 00:31:52,670 PLAN AND BUILDING OUT STRATEGIC 726 00:31:52,670 --> 00:31:56,341 PLAN AND REVISITING THE 727 00:31:56,341 --> 00:31:57,642 PRIORITIES THAT TAC SET. 728 00:31:57,642 --> 00:32:00,812 WE HAVE NEW TAC MEMBERS WHO 729 00:32:00,812 --> 00:32:02,447 HAVEN'T HAD A CHANCE TO WEIGH 730 00:32:02,447 --> 00:32:02,814 IN. 731 00:32:02,814 --> 00:32:09,220 WE WAMEN WANTED TO USE THIS AFTN 732 00:32:09,220 --> 00:32:10,555 TO DO THAT. 733 00:32:10,555 --> 00:32:11,756 I WANT TO SHARE WHAT I THINK 734 00:32:11,756 --> 00:32:13,191 ABOUT MOVING FORWARD INTO A 735 00:32:13,191 --> 00:32:14,859 STRATEGIC PLAN AND HOW 736 00:32:14,859 --> 00:32:16,160 PRIORITIES MIGHT FIT INTO THAT. 737 00:32:16,160 --> 00:32:19,764 AS A REMINDER, WHAT WE DO AT 738 00:32:19,764 --> 00:32:21,399 NIH, WE CAN TALK ABOUT A LOT OF 739 00:32:21,399 --> 00:32:22,734 COOL THINGS, BUT IF IT'S NOT 740 00:32:22,734 --> 00:32:24,802 GOING TO APPLY BECAUSE IT'S NOT 741 00:32:24,802 --> 00:32:26,437 FEASIBLE AT THE NIH, THEN IT'S 742 00:32:26,437 --> 00:32:28,840 NOT GOING TO BE A FEUTFUL 743 00:32:28,840 --> 00:32:29,607 CONVERSATION. 744 00:32:29,607 --> 00:32:32,343 I JUST WANTED TO CENTER BACK TO 745 00:32:32,343 --> 00:32:35,413 WHAT IS THE NIH AND WHAT DO WE 746 00:32:35,413 --> 00:32:36,848 DO. 747 00:32:36,848 --> 00:32:40,551 AS A REMINDER, THE TRIBAL HEALTH 748 00:32:40,551 --> 00:32:42,654 RESEARCH OFFICE, THERE ARE 27 749 00:32:42,654 --> 00:32:44,389 INSTITUTES AND CENTERS OF WHICH 750 00:32:44,389 --> 00:32:48,192 WE HELP TO COORDINATE AND 751 00:32:48,192 --> 00:32:49,928 COLLABORATE WITH CROSS THE NIH. 752 00:32:49,928 --> 00:32:51,462 NEXT SLIDE, PLEASE. 753 00:32:51,462 --> 00:32:55,233 THAT BASICALLY TRANSLATES INTO A 754 00:32:55,233 --> 00:32:56,401 48 BILLION-DOLLAR A YEAR 755 00:32:56,401 --> 00:32:57,168 ENTERPRISE. 756 00:32:57,168 --> 00:33:00,038 WE'RE THE LARGEST PUBLIC HEALTH 757 00:33:00,038 --> 00:33:01,873 FUNDING AGENCY IN THE WORLD. 758 00:33:01,873 --> 00:33:05,043 TO GIVE YOU AN IDEA, IT'S ABOUT 759 00:33:05,043 --> 00:33:06,711 RESEARCH AND RESEARCH WORKFORCE 760 00:33:06,711 --> 00:33:08,680 TRAINING AND DEVELOPMENT. 761 00:33:08,680 --> 00:33:11,416 AND SO 84% OF OUR FUNDING IS 762 00:33:11,416 --> 00:33:16,988 AWARDED FOR EXTRA RESEARCH GOING 763 00:33:16,988 --> 00:33:19,057 TO TRIBAL UNITS AND UNIVERSITIES 764 00:33:19,057 --> 00:33:20,191 DIRECTLY. 765 00:33:20,191 --> 00:33:22,694 IT'S ABOUT OO THOUSAND 766 00:33:22,694 --> 00:33:25,964 COMPETITIVE GRANTS FOR MORE THAN 767 00:33:25,964 --> 00:33:27,131 2,500 UNIVERSITIES INCLUDING 768 00:33:27,131 --> 00:33:29,600 TRIBAL UNIVERSITIES, MEDICAL 769 00:33:29,600 --> 00:33:31,602 SCHOOLS AND OTHER RESEARCH 770 00:33:31,602 --> 00:33:32,003 INSTITUTIONS. 771 00:33:32,003 --> 00:33:34,505 THAT'S A LOT OF DATA AND GRANTS. 772 00:33:34,505 --> 00:33:37,008 10% OF THE BUDGET SUPPORTS 773 00:33:37,008 --> 00:33:40,111 INTRAMURAL PROMPTS. 774 00:33:40,111 --> 00:33:40,445 PROJECTS. 775 00:33:40,445 --> 00:33:41,546 WE TALKED ABOUT SOME OF THE 776 00:33:41,546 --> 00:33:43,281 THINGS THAT ARE COMING UP THAT 777 00:33:43,281 --> 00:33:48,519 WE CAN DO FOR LIKE AN INTERNAL 778 00:33:48,519 --> 00:33:55,626 IRB FOR AMERICAN INDIA AND 779 00:33:55,626 --> 00:33:57,328 ALASKA NATIVE PROJECTS. 780 00:33:57,328 --> 00:34:00,164 THESE ARE ABOUT 6,000 SCIENTISTS 781 00:34:00,164 --> 00:34:02,900 HERE ON THE CAMPUS AT NIH AND 782 00:34:02,900 --> 00:34:07,138 MONTANA AT ROCKY MOUNTAIN LABS 783 00:34:07,138 --> 00:34:17,749 AND NIEHS IN NE NORTH CAROLINA. 784 00:34:18,516 --> 00:34:22,186 AN IDEA OF HOW NIH FUNDS SCIENCE 785 00:34:22,186 --> 00:34:25,123 TO BRING YOU UP TO SPEED ON 786 00:34:25,123 --> 00:34:26,657 THAT. 787 00:34:26,657 --> 00:34:28,226 A COMMUNITY TAPS A RESEARCHER 788 00:34:28,226 --> 00:34:29,727 FOR A PROJECT. 789 00:34:29,727 --> 00:34:31,629 IT COULD BE COMMUNE-BASED OR AT 790 00:34:31,629 --> 00:34:33,031 A UNIVERSITY. 791 00:34:33,031 --> 00:34:34,899 THEY PROPOSED A PROJECT IN 792 00:34:34,899 --> 00:34:36,968 RESPONSE TO WHAT IS CALLED A 793 00:34:36,968 --> 00:34:37,969 FUNDING OPPORTUNITY. 794 00:34:37,969 --> 00:34:40,471 AT NIH WE PROVIDE FUNDING 795 00:34:40,471 --> 00:34:42,273 OPPORTUNITIES THAT PEOPLE APPLY 796 00:34:42,273 --> 00:34:43,875 TO TO GET FUNDED TO CARRY OUT 797 00:34:43,875 --> 00:34:45,476 THEIR LESSON. 798 00:34:45,476 --> 00:34:45,943 RESEARCH. 799 00:34:45,943 --> 00:34:47,678 IT GOES THROUGH THE FIRST LEVEL 800 00:34:47,678 --> 00:34:50,948 OF REVIEW WHICH IS PEER REVIEW. 801 00:34:50,948 --> 00:34:52,717 WE TALKED ABOUT THE IMPORTANCE 802 00:34:52,717 --> 00:34:56,220 EVER SENSITIZING PEER REVIEW TO 803 00:34:56,220 --> 00:35:00,491 THE TRIBAL AND ALASKA NATIVE 804 00:35:00,491 --> 00:35:01,926 ISSUES. 805 00:35:01,926 --> 00:35:03,694 THAT COULD BE A PRIORITY FOR TO 806 00:35:03,694 --> 00:35:05,863 YOU THINK ABOUT. 807 00:35:05,863 --> 00:35:08,299 SCIENTISTS EVALUATE AND SCORE 808 00:35:08,299 --> 00:35:09,567 GRANT APPLICATIONS. 809 00:35:09,567 --> 00:35:11,202 IN RECENT TIMES WE HAVE AN 810 00:35:11,202 --> 00:35:13,805 OPPORTUNITY TO HAVE P AMERICAN 811 00:35:13,805 --> 00:35:17,075 INDIA AND ALASKA NATIVE LEADERS 812 00:35:17,075 --> 00:35:22,113 ON THE SPECIAL PANELS THAT NOT 813 00:35:22,113 --> 00:35:23,748 NECESSARILY TO BE WITH AN NIH 814 00:35:23,748 --> 00:35:25,016 FUNDED PERSON. 815 00:35:25,016 --> 00:35:25,983 THERE HAS BEEN OPPORTUNITY FOR 816 00:35:25,983 --> 00:35:27,085 THAT. 817 00:35:27,085 --> 00:35:29,153 BASED ON SCIENTIFIC AND 818 00:35:29,153 --> 00:35:30,621 TECHNICAL MERIT, IF THEY SCORED 819 00:35:30,621 --> 00:35:33,191 WELL ON THE APPLICATION, IT 820 00:35:33,191 --> 00:35:35,726 MOVES FORWARD TO THE NIH 821 00:35:35,726 --> 00:35:36,828 ADVISORY COUNSELS. 822 00:35:36,828 --> 00:35:39,230 THAT'S A SECOND LEVEL OF REVIEW. 823 00:35:39,230 --> 00:35:40,665 THERE THEY WILL REVIEW AND 824 00:35:40,665 --> 00:35:44,035 RECOMMEND FUNDING OF THE GRANTS 825 00:35:44,035 --> 00:35:45,803 MERITORIOUS AND IN LINE WITH THE 826 00:35:45,803 --> 00:35:47,238 OBJECTIVES OF THE INSTITUTES 827 00:35:47,238 --> 00:35:49,974 THAT HAVE PECUNIARIED THEM UP TO 828 00:35:49,974 --> 00:35:50,608 POTENTIALLY FUND. 829 00:35:50,608 --> 00:35:52,043 THEN IT GOES THROUGH THE 830 00:35:52,043 --> 00:35:53,678 DIRECTOR OF THE PARTICULAR 831 00:35:53,678 --> 00:35:54,212 INSTITUTE. 832 00:35:54,212 --> 00:35:55,413 THAT'S THE ONE THAT IS GOING IT 833 00:35:55,413 --> 00:35:58,116 MAKE THE FINAL DECISION OR CALL. 834 00:35:58,116 --> 00:35:59,684 AND THEY HAVE THE RIGHT TO DO 835 00:35:59,684 --> 00:36:00,551 THAT. 836 00:36:00,551 --> 00:36:02,086 AND SOMETIMES THEY'LL EVEN PULL 837 00:36:02,086 --> 00:36:05,590 UP A GRANT THAT DIDN'T QUITE 838 00:36:05,590 --> 00:36:08,526 MAKE THE PAY LINE OR SCORE WELL. 839 00:36:08,526 --> 00:36:11,596 IT'S SO IN LINE WITH THE 840 00:36:11,596 --> 00:36:14,031 INSTEWARTS A OBJECTIVES THEY'LL 841 00:36:14,031 --> 00:36:17,068 PULL IT UP AS A PILOT. 842 00:36:17,068 --> 00:36:19,737 THAT IS THE BASIC NIH GRANT 843 00:36:19,737 --> 00:36:20,037 PROCESS. 844 00:36:20,037 --> 00:36:21,906 THAT'S WHAT WE DO. 845 00:36:21,906 --> 00:36:24,108 WE PRODUCE RESEARCH GRANTS TO 846 00:36:24,108 --> 00:36:25,743 FUND SCIENTIFIC WORKFORCE 847 00:36:25,743 --> 00:36:27,245 DEVELOPMENT, TRAINING 848 00:36:27,245 --> 00:36:28,246 OPPORTUNITIES, RESEARCH 849 00:36:28,246 --> 00:36:29,547 INFRASTRUCTURE AND CONDUCTING 850 00:36:29,547 --> 00:36:30,448 ACTUAL RESEARCH. 851 00:36:30,448 --> 00:36:34,485 THAT COULD INCLUDE ANYTHING FROM 852 00:36:34,485 --> 00:36:36,254 QUALITATIVE METHODS AND RESEARCH 853 00:36:36,254 --> 00:36:39,390 TO VACCINE TRIALS ON MORE BASIC 854 00:36:39,390 --> 00:36:42,093 SCIENCE ALL THE WAY TO CLINICAL 855 00:36:42,093 --> 00:36:44,428 TRIALS AND BEHAVIORAL 856 00:36:44,428 --> 00:36:45,096 INTERVENTIONS OUT IN THE 857 00:36:45,096 --> 00:36:45,963 COMMUNITY. 858 00:36:45,963 --> 00:36:48,166 IT'S AN EXPANSIVE TYPE OF 859 00:36:48,166 --> 00:36:49,567 RESEARCH ENDEAVOR. 860 00:36:49,567 --> 00:36:51,636 AND COVID IS A GOOD EXAMPLE OF 861 00:36:51,636 --> 00:36:55,039 WE HAD THE COVID OUTBREAK AND 862 00:36:55,039 --> 00:36:56,674 RAPID RESPONSE TO VACCINES. 863 00:36:56,674 --> 00:37:01,279 THAT WAS LED A LOT BY NIH. 864 00:37:01,279 --> 00:37:02,280 NEXT SLIDE. 865 00:37:02,280 --> 00:37:03,948 ANY QUESTIONS ON THAT SO FAR? 866 00:37:03,948 --> 00:37:06,651 JUST TO MAKE SURE WE'RE ALL ON 867 00:37:06,651 --> 00:37:07,952 THE SAISM PAGE. 868 00:37:07,952 --> 00:37:10,922 IT'S CONFUSING BECAUSE WE HEAR 869 00:37:10,922 --> 00:37:15,059 ABOUT OTHER GROUPS AND THEY 870 00:37:15,059 --> 00:37:19,430 PRODUCE PROGRAMS AND SERVICES OR 871 00:37:19,430 --> 00:37:21,299 SCFOANA, THEY PRODUCE SERVICES 872 00:37:21,299 --> 00:37:22,733 AND PROGRAMS, WE PRODUCE 873 00:37:22,733 --> 00:37:23,301 KNOWLEDGE. 874 00:37:23,301 --> 00:37:26,470 IT DOESN'T MEAN THE RESEARCH 875 00:37:26,470 --> 00:37:27,972 DOESN'T PRODUCE AN OPPORTUNITY 876 00:37:27,972 --> 00:37:29,974 TO TEST AN INNOVATIVE PROGRAM. 877 00:37:29,974 --> 00:37:32,710 IT CAN ACTUALLY DO THAT. 878 00:37:32,710 --> 00:37:35,079 WE CAN TEST I THINK A GOOD 879 00:37:35,079 --> 00:37:37,615 EXAMPLE WAS THE TACING MITING 880 00:37:37,615 --> 00:37:48,492 LMITE --TAC MEETING LAST YEAR OE 881 00:37:49,126 --> 00:37:53,197 PROGRAM WHERE WE DEVELOPED AN 882 00:37:53,197 --> 00:37:54,832 INTERVENTION BY WALKING THE 883 00:37:54,832 --> 00:37:58,436 TRAIL OF TEARS WITH THE WOMEN. 884 00:37:58,436 --> 00:38:00,972 THAT WAS AN NIH PROGRAM BECAUSE 885 00:38:00,972 --> 00:38:04,008 WE WERE TESTING TO SEE IF THE 886 00:38:04,008 --> 00:38:05,009 INTERVENTION WORKS IN OUR 887 00:38:05,009 --> 00:38:05,343 COMMUNITY. 888 00:38:05,343 --> 00:38:07,278 IF IT WORKS, THERE ARE 889 00:38:07,278 --> 00:38:09,513 OPPORTUNITIES FOR FURTHER 890 00:38:09,513 --> 00:38:12,483 FUNDING TO CONTINUE IT'S FUNDING 891 00:38:12,483 --> 00:38:14,218 STREAM. 892 00:38:14,218 --> 00:38:15,853 SO, YOU KNOW WE'RE PRODUCING 893 00:38:15,853 --> 00:38:16,187 KNOWLEDGE. 894 00:38:16,187 --> 00:38:19,924 WE MAY BE PRODUCING PROGRAMS OR 895 00:38:19,924 --> 00:38:22,627 VACCINES, THE TANGIBLE OUTCOMES 896 00:38:22,627 --> 00:38:24,495 THAT CAN HAVE DIRECT BENEFIT TO 897 00:38:24,495 --> 00:38:25,596 OUR COMMUNITIES. 898 00:38:25,596 --> 00:38:28,332 WE'RE ONE OF 16 OFFICES. 899 00:38:28,332 --> 00:38:30,534 AND OUR ROLE, THE TRIBAL HEALTH 900 00:38:30,534 --> 00:38:33,037 RESEARCH OFFICE'S ROLE IS TO BE 901 00:38:33,037 --> 00:38:37,308 THE HUB FOR ALL THINGS AMERICAN 902 00:38:37,308 --> 00:38:41,946 INDIAN AND ALASKA NATIVE AND 903 00:38:41,946 --> 00:38:42,780 EVEN HAWAIIAN. 904 00:38:42,780 --> 00:38:44,949 WE'RE TRYING TO UNDERSTAND OUR 905 00:38:44,949 --> 00:38:49,253 ROLE NOW THAT CONGRESS FUNDED 906 00:38:49,253 --> 00:38:54,792 NATIVE HAWAIIAN PACIFIC ISLANDER 907 00:38:54,792 --> 00:38:56,560 OFFICE WITH MIHD. 908 00:38:56,560 --> 00:38:59,063 UNTIL THEN, WOOF HE BEEN HOLDING 909 00:38:59,063 --> 00:39:02,466 THAT SPACE FOR NATIVES AS WELL. 910 00:39:02,466 --> 00:39:05,102 WE CONSULT AND COORDINATE AND 911 00:39:05,102 --> 00:39:07,338 COLLABORATE ACROSS THE 912 00:39:07,338 --> 00:39:08,205 INSTITUTES AND CENTERS. 913 00:39:08,205 --> 00:39:10,541 THE TRIBES TELL US AND YOU THE 914 00:39:10,541 --> 00:39:13,811 TAC TELL US, WHAT DO YOU THINK 915 00:39:13,811 --> 00:39:15,379 ARE THE MOST IMPORTANT 916 00:39:15,379 --> 00:39:17,081 PRIORITIES. 917 00:39:17,081 --> 00:39:18,182 AND WE CAN WORK WITH THE 918 00:39:18,182 --> 00:39:20,351 INSTITUTES AND CENTERS TO 919 00:39:20,351 --> 00:39:22,887 SUPPORT FUNDING TO MAKE THAT 920 00:39:22,887 --> 00:39:24,422 HAPPEN AND TESTING NEW PROGRAMS 921 00:39:24,422 --> 00:39:27,258 OR VACCINES, WHATEVER IT IS THAT 922 00:39:27,258 --> 00:39:28,926 WE THINK IS IMPORTANT FOR OUR 923 00:39:28,926 --> 00:39:29,994 COMMUNITY. 924 00:39:29,994 --> 00:39:32,630 ULTIMATE GOAL IS TO GROW 925 00:39:32,630 --> 00:39:36,133 INDIGENOUS HEALTH. 926 00:39:36,133 --> 00:39:38,002 INDIGENOUS HEALTH SOVEREIGNTY 927 00:39:38,002 --> 00:39:40,371 FOR THE HEALTH AND WELL-BEING OF 928 00:39:40,371 --> 00:39:43,007 OUR COMMUNITIES AND DOING THAT 929 00:39:43,007 --> 00:39:44,442 THROUGH CULTURALLY CREDIBLE 930 00:39:44,442 --> 00:39:47,511 SCIENCE. 931 00:39:47,511 --> 00:39:49,146 INDIGENOUS-DRIVEN SCIENCE, IN 932 00:39:49,146 --> 00:39:50,114 OTHER WORDS, BEING ABLE TO SENT 933 00:39:50,114 --> 00:39:57,588 YOU ARE OUR WORLD VIEWS AND 934 00:39:57,588 --> 00:39:59,657 BEHAVIORAL INTERVENTIONS AND ALL 935 00:39:59,657 --> 00:40:03,461 THE SOCIAL AND CULTURAL 936 00:40:03,461 --> 00:40:04,895 DETERMINANTS OF HEMENT THAT ARE 937 00:40:04,895 --> 00:40:07,598 FACTORS FOR US AS WELL AS 938 00:40:07,598 --> 00:40:09,033 IMPACTS OF TRAUMA AND ISSUES 939 00:40:09,033 --> 00:40:11,001 THAT HAVE IMPACTED OUR 940 00:40:11,001 --> 00:40:13,204 WELL-BEING SO BEHAVIORAL HEALTH 941 00:40:13,204 --> 00:40:15,606 IS A MAJOR FACTOR FOR OUR 942 00:40:15,606 --> 00:40:16,741 COMMUNITIES. 943 00:40:16,741 --> 00:40:18,576 WE HOPE AT THRO AT THAT WE'RE 944 00:40:18,576 --> 00:40:21,212 GOING TO HELP GROW CULTURAL 945 00:40:21,212 --> 00:40:23,581 CREDIBLE AND INDIGENOUS-DRIVEN 946 00:40:23,581 --> 00:40:24,715 SCIENCE. 947 00:40:24,715 --> 00:40:26,617 IT'S NOT IF YOU HAVE TO BE A IN 948 00:40:26,617 --> 00:40:33,524 AIVE PERSON AT THE HE HELM BUT 949 00:40:33,524 --> 00:40:35,626 HAVING IT BE FROM THE COMMUNITY 950 00:40:35,626 --> 00:40:37,027 FOR THE COMMUNITY TYPE OF 951 00:40:37,027 --> 00:40:39,663 APPROACH. 952 00:40:39,663 --> 00:40:42,299 JUST AS A REMINDER, WE DID 953 00:40:42,299 --> 00:40:48,005 CREATE THIS YEAR O OUR THROW 954 00:40:48,005 --> 00:40:49,440 VALUES. 955 00:40:49,440 --> 00:40:51,842 THROUGH CEDAR, WE HAD A GRAPHIC 956 00:40:51,842 --> 00:40:55,246 MADE AND IT'S NOT QUITE READY TO 957 00:40:55,246 --> 00:40:59,383 SHARE THAT. 958 00:40:59,383 --> 00:41:01,685 CEDAR IS A GREAT MEDICINE FOR 959 00:41:01,685 --> 00:41:03,087 MANY OF OUR TRIBES. 960 00:41:03,087 --> 00:41:05,189 WE THOUGHT THAT WOULD BE A GREAT 961 00:41:05,189 --> 00:41:06,824 REMINDER OFFER THE MEDICINE WORK 962 00:41:06,824 --> 00:41:08,492 THAT WE'RE DOING WHICH IS THIS 963 00:41:08,492 --> 00:41:11,962 IS MED K MEDICINE WORK. 964 00:41:11,962 --> 00:41:13,964 WE TRY TO HELP AND HEAL OUR 965 00:41:13,964 --> 00:41:16,667 COMMUNITIES. 966 00:41:16,667 --> 00:41:19,069 TESTIMONY INCLUDES MOVING BEYOND 967 00:41:19,069 --> 00:41:23,774 CONVENTIONAL APPROACHES TO 968 00:41:23,774 --> 00:41:25,309 SCIENCE FOR APPROACHES TO 969 00:41:25,309 --> 00:41:26,844 POPULATION HEALTH CHANGE. 970 00:41:26,844 --> 00:41:28,813 WE WANT RESEARCH CONDUCTED WITH 971 00:41:28,813 --> 00:41:31,115 THE HIGHEST ETHICS AND 972 00:41:31,115 --> 00:41:33,117 PRINCIPLES IN OUR COMMUNITIES. 973 00:41:33,117 --> 00:41:38,956 WE WANT THE HIGHEST STANDARDS OF 974 00:41:38,956 --> 00:41:41,826 PROFESSIONAL AND ETHICAL 975 00:41:41,826 --> 00:41:45,396 BEHAVIOR AND DEMONSTRATE 976 00:41:45,396 --> 00:41:48,132 TRANSPARENCY IN ALL OUR ACTIONS 977 00:41:48,132 --> 00:41:50,868 AND RECOGNIZING SELF-DETERMINE 978 00:41:50,868 --> 00:41:52,102 NATION IN COMMUNITIES AND 979 00:41:52,102 --> 00:41:53,637 ORPHANING SOVEREIGNTY. 980 00:41:53,637 --> 00:41:56,240 HOLE OURSELVES ACCOUNT -- 981 00:41:56,240 --> 00:41:57,475 HOLDING OURSELVES ACCOUNTABLE 982 00:41:57,475 --> 00:42:01,745 FOR THE WORK THAT WE DO. 983 00:42:01,745 --> 00:42:03,914 AND WE WANT TO MAKE SURE WE 984 00:42:03,914 --> 00:42:05,249 HONOR OUR COMMITMENT TO TRIBAL 985 00:42:05,249 --> 00:42:06,984 UNITS. 986 00:42:06,984 --> 00:42:08,419 THIS IS CRITICAL. 987 00:42:08,419 --> 00:42:10,154 ACCOUNTABILITY WAS ONE OF THE 988 00:42:10,154 --> 00:42:13,123 THEMES THAT CAME OUT OT. 989 00:42:13,123 --> 00:42:15,426 ACCOUNTABILITY ENGENDERS MORE 990 00:42:15,426 --> 00:42:20,097 TRUST AND STRENGTHEN TS 991 00:42:20,097 --> 00:42:20,998 PARTNERSHIPS. 992 00:42:20,998 --> 00:42:23,400 AND RESPECT AND RELATIONAL 993 00:42:23,400 --> 00:42:24,034 RESPONSIBILITIES. 994 00:42:24,034 --> 00:42:26,237 WE WANT TO RESPECT AND VALUE 995 00:42:26,237 --> 00:42:29,306 UNIQUE AND DIVERSE TALENTS THAT 996 00:42:29,306 --> 00:42:30,941 WE ALL HAVE. 997 00:42:30,941 --> 00:42:32,910 WE WANT THESE GIFTS BROUGHT TO 998 00:42:32,910 --> 00:42:34,211 THE TABLE TO HEAL OUR 999 00:42:34,211 --> 00:42:34,645 COMMUNITIES. 1000 00:42:34,645 --> 00:42:37,615 AND WE WANT TO FULFILL OUR 1001 00:42:37,615 --> 00:42:41,218 RESPONSIBILITIES WITH COMPASSION 1002 00:42:41,218 --> 00:42:45,823 AND HE C EQUANIMITY. 1003 00:42:45,823 --> 00:42:48,359 WE WANT TO HONOR OUR 1004 00:42:48,359 --> 00:42:49,193 RESPONSIBILITIES EACH DAY AND 1005 00:42:49,193 --> 00:42:52,830 RECOGNIZE THAT WE RECOGNIZE OUR 1006 00:42:52,830 --> 00:42:56,133 ANCESTORS PAST, PRESENT AND 1007 00:42:56,133 --> 00:43:00,170 FUTURE AND HAS IMPACT ACROSS 1008 00:43:00,170 --> 00:43:01,505 TIME AND SPACE. 1009 00:43:01,505 --> 00:43:03,040 THAT'S AN IMPORTANT REMINDER ON 1010 00:43:03,040 --> 00:43:04,441 WHAT WE DO. 1011 00:43:04,441 --> 00:43:08,612 NEXT SLIDE, PLEASE. 1012 00:43:08,612 --> 00:43:12,216 WE ARE SERVING 574 FEDERALLY 1013 00:43:12,216 --> 00:43:13,217 RECOGNIZED TRIBES. 1014 00:43:13,217 --> 00:43:15,386 WE'RE PROJECTED TO GROW, OF 1015 00:43:15,386 --> 00:43:18,455 COURSE, PRETTY RAPIDLY BY 2050. 1016 00:43:18,455 --> 00:43:21,759 WE HAVE DIVERSITY OF OUR 1017 00:43:21,759 --> 00:43:23,827 LANGUAGES AND WE HAVE SERVED 1018 00:43:23,827 --> 00:43:26,330 NATIVE HAWAIIANS AND CONTINUE TO 1019 00:43:26,330 --> 00:43:29,199 WORK WITH OUR NATIVE HAWAIIAN 1020 00:43:29,199 --> 00:43:32,169 BROTHERS AND SISTER AND THAT'S 1021 00:43:32,169 --> 00:43:33,938 IMPORTANT BECAUSE THE FEDERAL 1022 00:43:33,938 --> 00:43:37,107 GOVERNMENT HAS MANDATED THAT. 1023 00:43:37,107 --> 00:43:39,643 FEDERAL AGENCIES WORK WITH 1024 00:43:39,643 --> 00:43:41,378 NATIVE HAWAIIAN ORGANIZATIONS 1025 00:43:41,378 --> 00:43:45,616 BECAUSE THEY'RE RECOGNIZED AS 1026 00:43:45,616 --> 00:43:49,053 INDIGENOUS PEOPLE. 1027 00:43:49,053 --> 00:43:52,656 CONGRESSMAN DATED THAT. 1028 00:43:52,656 --> 00:43:59,730 CONGRESS MANDATED THAT. 1029 00:43:59,730 --> 00:44:02,266 MAJORITY OF US LIVE IN FIVE 1030 00:44:02,266 --> 00:44:02,933 STATES. 1031 00:44:02,933 --> 00:44:05,736 OVER HALF OF US LIVE IN THE MAIN 1032 00:44:05,736 --> 00:44:07,938 FIVE STATES AND THE STATES WITH 1033 00:44:07,938 --> 00:44:12,009 HIGHEST PERCENTAGE OF INDIGENOUS 1034 00:44:12,009 --> 00:44:13,410 PEOPLES, LARGEST TRIBES. 1035 00:44:13,410 --> 00:44:15,379 WE KNOW. 1036 00:44:15,379 --> 00:44:17,448 WE KNOW THAT 70% OF OUR 1037 00:44:17,448 --> 00:44:19,984 POPULATION LIVES IN URBAN AREAS 1038 00:44:19,984 --> 00:44:23,287 WHICH IS A UNIQUE CHALLENGE FOR 1039 00:44:23,287 --> 00:44:26,023 DATA SOVEREIGNTY. 1040 00:44:26,023 --> 00:44:31,595 I'M PUTTING THAT OUT THERE FOR 1041 00:44:31,595 --> 00:44:32,596 OUR PRIORITIES TODAY. 1042 00:44:32,596 --> 00:44:34,365 THIS IS WHERE OUR DEMOGRAPHICS 1043 00:44:34,365 --> 00:44:34,999 ARE STILL. 1044 00:44:34,999 --> 00:44:36,967 WE KNOW ABOUT OUR TRIBAL 1045 00:44:36,967 --> 00:44:38,802 GOVERNMENTS. 1046 00:44:38,802 --> 00:44:40,471 THE MANDATE TO HONOR TRUST 1047 00:44:40,471 --> 00:44:42,439 RELATIONSHIP AND OUR OFFICE IS 1048 00:44:42,439 --> 00:44:43,941 MANDATED TO DO THIS. 1049 00:44:43,941 --> 00:44:49,446 NEXT SLIGHT, PLEASE. 1050 00:44:49,446 --> 00:44:51,548 AND WE'RE REMINDED AND WE'RE 1051 00:44:51,548 --> 00:44:53,917 ACTUALLY LOOKING AT THIS 1052 00:44:53,917 --> 00:44:56,420 CLOSELY, AT ALL THE RESERVATIONS 1053 00:44:56,420 --> 00:44:58,022 AND TRUST LANDS BECAUSE WHEN WE 1054 00:44:58,022 --> 00:44:59,857 TALK ABOUT LAND AND LAND 1055 00:44:59,857 --> 00:45:01,025 JURISDICTION AND RIGHTS, THAT 1056 00:45:01,025 --> 00:45:04,795 INCLUDES IN OUR MIND AND THIS 1057 00:45:04,795 --> 00:45:06,230 CAME UP ESPECIALLY WITH SOME OF 1058 00:45:06,230 --> 00:45:09,299 OUR TRIBES THAT ARE CONNECTED TO 1059 00:45:09,299 --> 00:45:11,035 US THROUGH A NUMBER OF PROJECTS. 1060 00:45:11,035 --> 00:45:13,771 THERE ARE VILLAGES, PLACES THAT 1061 00:45:13,771 --> 00:45:15,406 TRIBES DESIGNATE AS TRIBAL AREAS 1062 00:45:15,406 --> 00:45:17,608 THAT ARE NOT ALWAYS RECOGNIZED 1063 00:45:17,608 --> 00:45:19,576 AS FEDERALLY JURISDICTION LANDS 1064 00:45:19,576 --> 00:45:20,711 OR AREAS. 1065 00:45:20,711 --> 00:45:25,616 THERE ARE UNIQUE SITUATIONS 1066 00:45:25,616 --> 00:45:28,152 ESPECIALLY IN RURAL AREA NOTICE 1067 00:45:28,152 --> 00:45:32,523 SOUTHWEST AND NEW DECISIONS IN 1068 00:45:32,523 --> 00:45:37,127 OKLAHOMA AND THE TRIBAL LANDS. 1069 00:45:37,127 --> 00:45:42,299 MOST OF OKLAHOMA HAS TRIBAL 1070 00:45:42,299 --> 00:45:44,868 LANDS. 1071 00:45:44,868 --> 00:45:49,039 I HAD BETTER CONTACT THE VARIOUS 1072 00:45:49,039 --> 00:45:49,907 TRIBES. 1073 00:45:49,907 --> 00:45:52,409 THERE ARE UNIQUE THINGS WITH THE 1074 00:45:52,409 --> 00:45:53,944 TRIBAL LAND ISSUE. 1075 00:45:53,944 --> 00:45:55,245 SWRUS KIND EVER TALKING ABOUT 1076 00:45:55,245 --> 00:45:57,347 SOME OF OUR HEALTH STATUS AND 1077 00:45:57,347 --> 00:45:58,882 THIS IS FOR YOUR CONSIDERATION 1078 00:45:58,882 --> 00:46:02,586 TODAY AND INFORMATION FOR THE 1079 00:46:02,586 --> 00:46:04,788 TAC. 1080 00:46:04,788 --> 00:46:06,523 I JUST WANT TO BE CLEAR THAT THE 1081 00:46:06,523 --> 00:46:08,392 DATA I'M ABOUT TO SHARE ABOUT 1082 00:46:08,392 --> 00:46:12,329 OUR TRIBAL HEALTH CANNOT BE 1083 00:46:12,329 --> 00:46:13,731 DECON CONTEXT TEURLIZED. 1084 00:46:13,731 --> 00:46:18,702 IT HAS TO BE IN THE CONTEXT OF 1085 00:46:18,702 --> 00:46:24,041 HISTORIC AND CHRONIC PROBLEMS 1086 00:46:24,041 --> 00:46:31,248 WE'VE BEEN ENDURING. 1087 00:46:31,248 --> 00:46:34,451 WE EXPERIENCE OVERCROWDED 1088 00:46:34,451 --> 00:46:37,387 HOUSING, HIGHEST NUMBER OF FOOD 1089 00:46:37,387 --> 00:46:40,891 DESERTS AND THE IMPACT IS FOOD 1090 00:46:40,891 --> 00:46:41,692 INSECURITY. 1091 00:46:41,692 --> 00:46:44,495 ONE IN FOUR OF OUR COMMUNITY IS 1092 00:46:44,495 --> 00:46:48,999 LIVING WITH INSECURE FOOD HOUSE 1093 00:46:48,999 --> 00:46:50,768 HOUSEHOLDS. 1094 00:46:50,768 --> 00:46:54,505 LACK OF LEKS. 1095 00:46:54,505 --> 00:46:55,372 ELECTRICITY. 1096 00:46:55,372 --> 00:46:59,209 THERE IS A LOT OF TOXIC DUMPING 1097 00:46:59,209 --> 00:47:00,878 IN OUR LANDS. 1098 00:47:00,878 --> 00:47:02,379 COMPOUNDING THAT CRISIS, A FEW 1099 00:47:02,379 --> 00:47:05,215 OF US ARE IN HIGHER EDUCATION, 1100 00:47:05,215 --> 00:47:08,519 WE GET THE OPPORTUNITY TO GET 1101 00:47:08,519 --> 00:47:11,021 ACCESS TO THAT AND WE'RE 1102 00:47:11,021 --> 00:47:13,223 UNDERREPRESENTED IN THE HEALTH 1103 00:47:13,223 --> 00:47:15,626 AND RESEARCH WORKFORCE. 1104 00:47:15,626 --> 00:47:20,097 14-POINT A% ACHIEVED COLLEGE 1105 00:47:20,097 --> 00:47:22,666 DEGREES IN CONTRAST TO 71% OF 1106 00:47:22,666 --> 00:47:24,601 THE POPULATION. 1107 00:47:24,601 --> 00:47:27,070 IF I HAD A THOUSAND PhD.S IN 1108 00:47:27,070 --> 00:47:35,379 THE ROOM, ONLY THREE WOULD BE 1109 00:47:35,379 --> 00:47:39,750 INDIGENOUS OR LASKIN NAITS. 1110 00:47:39,750 --> 00:47:41,952 THERE ARE VERY FEW OF US AT THE 1111 00:47:41,952 --> 00:47:43,487 TABLE FOR LEADING THIS EFFORT. 1112 00:47:43,487 --> 00:47:47,558 THAT MEANS THAT WE -- I HAVE I 1113 00:47:47,558 --> 00:47:49,226 PRIORITY ON THE WORKFORCE 1114 00:47:49,226 --> 00:47:53,130 DEVELOPMENT TO SAY, LET'S 1115 00:47:53,130 --> 00:47:54,998 PRODUCE 200, YOU KNOW, RESEARCH 1116 00:47:54,998 --> 00:47:56,533 SCIENTISTS WHO ARE OUT THERE 1117 00:47:56,533 --> 00:48:02,973 WITH NIH-FUNDED GRANTS IN THE 1118 00:48:02,973 --> 00:48:03,841 NEXT -- AMERICAN INDIAN IN THE 1119 00:48:03,841 --> 00:48:05,609 NEXT FIVE YEARS. 1120 00:48:05,609 --> 00:48:08,545 THIS LEADS TO CHRONIC DISEASE 1121 00:48:08,545 --> 00:48:09,079 BURDEN. 1122 00:48:09,079 --> 00:48:10,414 THE OTHER POPULATIONS HAVE SOME 1123 00:48:10,414 --> 00:48:14,685 OF THIS, BUT WE REALLY HAVE IT. 1124 00:48:14,685 --> 00:48:17,754 WE DON'T JUST HAVE ONE 1125 00:48:17,754 --> 00:48:20,290 EPIDEMICS, WE HAVE MULTIPLE 1126 00:48:20,290 --> 00:48:20,824 EPIDEMICS. 1127 00:48:20,824 --> 00:48:23,894 WE HAVE HYPER ATTENTION AND 1128 00:48:23,894 --> 00:48:24,228 DIABETES. 1129 00:48:24,228 --> 00:48:27,931 YOU CAN BE IN THE UPPER ECHELON 1130 00:48:27,931 --> 00:48:29,333 ECONOMICALLY AND YOU'RE STILL 1131 00:48:29,333 --> 00:48:31,301 GOING TO HAVE THOSE THINGS. 1132 00:48:31,301 --> 00:48:34,605 YOU CAN BE DIABETIC AND HEART 1133 00:48:34,605 --> 00:48:36,139 DISEASE. 1134 00:48:36,139 --> 00:48:38,475 WE'RE DEALING WITH MULTIPLE 1135 00:48:38,475 --> 00:48:41,912 SINNSYNERGISTIC EPIDEMICS THAT T 1136 00:48:41,912 --> 00:48:43,847 US AT GREAT RISK SO WHEN YOU 1137 00:48:43,847 --> 00:48:47,284 HAVE A PANDEMIC COMING AROUND, 1138 00:48:47,284 --> 00:48:50,454 WE GET HIT HARDEST. 1139 00:48:50,454 --> 00:48:51,221 NEXT SLIDE. 1140 00:48:51,221 --> 00:48:52,623 THAT'S THE CONTEXT FOR 1141 00:48:52,623 --> 00:48:53,423 UNDERSTANDING SOME OF THE DATA 1142 00:48:53,423 --> 00:48:55,592 THAT WE HAVE. 1143 00:48:55,592 --> 00:48:58,128 WE KNOW WE HAVE SOME OF THE 1144 00:48:58,128 --> 00:49:03,400 HIGHEST RATES OF MORTALITY. 1145 00:49:03,400 --> 00:49:06,803 WE'RE GOING BACK TO THE I.C.S 1146 00:49:06,803 --> 00:49:08,872 AND SAY THIS IS WHERE WE WANT TO 1147 00:49:08,872 --> 00:49:09,973 FOCUS. 1148 00:49:09,973 --> 00:49:17,381 WE'LL PARTNER ON HEART DISEASE 1149 00:49:17,381 --> 00:49:19,483 IF YOU THINK THAT SHOULD BE OUR 1150 00:49:19,483 --> 00:49:20,017 FOCUS. 1151 00:49:20,017 --> 00:49:22,319 WE LEAD THE WAY IN EVERY AGE 1152 00:49:22,319 --> 00:49:23,687 CATEGORY. 1153 00:49:23,687 --> 00:49:28,592 WE HAVE 2½ TIMES RATE DEATH DUE 1154 00:49:28,592 --> 00:49:31,128 TO UNINTENTIONAL INJURIES. 1155 00:49:31,128 --> 00:49:33,230 THAT'S PARTLY BECAUSE OF THE 1156 00:49:33,230 --> 00:49:35,632 REMOTE LOCATIONS WHERE WE LIVE. 1157 00:49:35,632 --> 00:49:37,701 DIABETES, WE'VE TALKED A LITTLE 1158 00:49:37,701 --> 00:49:40,003 BIT ABOUT THAT. 1159 00:49:40,003 --> 00:49:42,406 WE'RE STILL STRUGGLING WITH 1160 00:49:42,406 --> 00:49:48,578 CHRONIC LIVER DISEASE AND 1161 00:49:48,578 --> 00:49:50,213 CIRRHOSIS. 1162 00:49:50,213 --> 00:49:52,716 WE SUFFER FROM THE LOWEST LIFE 1163 00:49:52,716 --> 00:49:53,784 EXPECTANCY RATE. 1164 00:49:53,784 --> 00:49:56,119 WE'RE AT AGE 65,000. 1165 00:49:56,119 --> 00:49:59,589 WE HAVEN'T BEEN THAT BAD SINCE 1166 00:49:59,589 --> 00:50:00,924 WORLD WAR II. 1167 00:50:00,924 --> 00:50:02,626 WE'RE NOW EXPECTED TO LAST TO 1168 00:50:02,626 --> 00:50:03,360 65. 1169 00:50:03,360 --> 00:50:04,995 THAT IS WORSE THAN ANY OTHER 1170 00:50:04,995 --> 00:50:06,863 POPULATION IN THIS COUNTRY AND 1171 00:50:06,863 --> 00:50:09,933 WE MOVE -- OUR DIAL WENT 1172 00:50:09,933 --> 00:50:11,134 BACKWARDS. 1173 00:50:11,134 --> 00:50:14,404 WE'RE BACK TO WORLD WAR II 1174 00:50:14,404 --> 00:50:14,705 STANDARDS. 1175 00:50:14,705 --> 00:50:18,241 WE HAVE THE HIGHEST DRUG 1176 00:50:18,241 --> 00:50:19,743 OVERDOSE RATE ESPECIALLY WITH 1177 00:50:19,743 --> 00:50:21,378 FENTANYL, METH, THESE ARE MAJOR 1178 00:50:21,378 --> 00:50:23,680 ISSUES IN THE INDIAN COUNTRY. 1179 00:50:23,680 --> 00:50:31,588 WE ALL KNOW THIS. 1180 00:50:31,588 --> 00:50:34,791 ESPECIALLY OPIOID-RELATED DEATHS 1181 00:50:34,791 --> 00:50:37,728 HAVE SHIFTED IN THE DECADE. 1182 00:50:37,728 --> 00:50:39,262 WE'RE LEADING. 1183 00:50:39,262 --> 00:50:42,766 OTHER GROUPS ARE PLATEAUING, BUT 1184 00:50:42,766 --> 00:50:50,307 WE'RE STILL CLIMBING. 1185 00:50:50,307 --> 00:50:52,409 AGAIN, CARDIOVASCULAR DISEASE 1186 00:50:52,409 --> 00:50:55,145 AND ENDOCRINE DISEASE IS A BIG 1187 00:50:55,145 --> 00:50:56,880 ISSUE, HYPERTENSION, HIGH 1188 00:50:56,880 --> 00:50:58,749 CHOLESTEROL. 1189 00:50:58,749 --> 00:51:00,717 WE'RE STILL HIGHER THAN OTHER 1190 00:51:00,717 --> 00:51:01,818 POPULATIONS. 1191 00:51:01,818 --> 00:51:04,554 NEXT ONE. 1192 00:51:04,554 --> 00:51:07,424 THESE ARE LIVING ON TRIBAL LANDS 1193 00:51:07,424 --> 00:51:09,059 VERSUS LIVING OFF TRIBAL LANDS. 1194 00:51:09,059 --> 00:51:11,595 IF YOU'RE WE WONDERING WHAT THE 1195 00:51:11,595 --> 00:51:12,996 COLOR CODING IS. 1196 00:51:12,996 --> 00:51:16,066 FOR THE MENTAL HEALTH SIDE, 1197 00:51:16,066 --> 00:51:18,168 PEOPLE LIVING OFF TRIBAL LANDS, 1198 00:51:18,168 --> 00:51:21,238 WE SEE HIGHER RATES OF ACCESS TO 1199 00:51:21,238 --> 00:51:23,874 MENTALITY HEALTH TREATMENT WHICH 1200 00:51:23,874 --> 00:51:25,108 SUGGESTS WE NEED TO KNOW WHAT 1201 00:51:25,108 --> 00:51:27,010 WE'RE DOING WITH BEHAVIORAL 1202 00:51:27,010 --> 00:51:29,913 HEALTH IN OUR TRIBAL COMMUNITIES 1203 00:51:29,913 --> 00:51:37,187 SO WE CAN GET PEOPLE ACCESS TO 1204 00:51:37,187 --> 00:51:38,522 HELP. 1205 00:51:38,522 --> 00:51:39,289 CANCER DISPARITIES. 1206 00:51:39,289 --> 00:51:41,491 THAT WAS ONE OF THE PRIORITIES 1207 00:51:41,491 --> 00:51:42,926 LOOKING AT PRIORITIES LIST. 1208 00:51:42,926 --> 00:51:48,498 CANCER HAS COME UP. 1209 00:51:48,498 --> 00:51:48,965 MOST 1210 00:51:48,965 --> 00:51:50,901 RECENTLY. 1211 00:51:50,901 --> 00:51:54,204 WHEN I WENT TO CONGRESS, 1212 00:51:54,204 --> 00:51:56,406 STAFFERS MADE A PRIORITY FOR 1213 00:51:56,406 --> 00:52:07,084 GETTING FUNDING FOR THE TRIBALS. 1214 00:52:15,792 --> 00:52:17,194 WE HAVE SOME OF THE HIGHEST 1215 00:52:17,194 --> 00:52:19,496 RATES OF CANCER AND SOME OF THE 1216 00:52:19,496 --> 00:52:22,332 PROBLEMS WITH GETTING ACCESS TO 1217 00:52:22,332 --> 00:52:23,900 EARLY DIAGNOSIS. 1218 00:52:23,900 --> 00:52:26,203 WE'RE LATE IN THE GAME FOR SOME 1219 00:52:26,203 --> 00:52:28,171 CANCERS IF WE CAN CATCH THEM 1220 00:52:28,171 --> 00:52:29,906 SOONER, WE CAN GET IN AND GET 1221 00:52:29,906 --> 00:52:30,807 HELP FASTER. 1222 00:52:30,807 --> 00:52:32,642 OF COURSE, WE HAVE HIGHER EPTS 1223 00:52:32,642 --> 00:52:38,448 WITH RESPECT TO LUNGS, STOMACH, 1224 00:52:38,448 --> 00:52:40,016 KIDNEY AND LEVER-RELATED 1225 00:52:40,016 --> 00:52:42,085 CANCERS. 1226 00:52:42,085 --> 00:52:46,123 WE HAVE EXPOSURE FACTORS TIED TO 1227 00:52:46,123 --> 00:52:49,826 CANCER RISK AS WELL. 1228 00:52:49,826 --> 00:52:56,099 EXPOSURE TO URANIUM IN THE 1229 00:52:56,099 --> 00:52:57,067 LUNGS. 1230 00:52:57,067 --> 00:52:59,603 NEXT SLIDE, PLEASE. 1231 00:52:59,603 --> 00:53:00,804 I WANT TO SAY ONE THING ABOUT 1232 00:53:00,804 --> 00:53:01,571 THAT. 1233 00:53:01,571 --> 00:53:07,878 WE'RE SEEING BREASTS CAN CANCER 1234 00:53:07,878 --> 00:53:10,413 RATES SKYROCKET AMONG NATIVE 1235 00:53:10,413 --> 00:53:11,615 WOMEN. 1236 00:53:11,615 --> 00:53:13,150 SUICIDE RATES CONTINUE TO PR 1237 00:53:13,150 --> 00:53:15,585 CYST AND BE A MAJOR ISSUE 1238 00:53:15,585 --> 00:53:17,420 ESPECIALLY SINCE POST COVID. 1239 00:53:17,420 --> 00:53:19,923 IT WAS AS A COUNTRY, YOUNGER 1240 00:53:19,923 --> 00:53:22,359 PEOPLE WERE STARTING TO DO 1241 00:53:22,359 --> 00:53:23,660 SELF-HARM. 1242 00:53:23,660 --> 00:53:27,731 IN INDIAN COUNTRY WE'RE STILL 1243 00:53:27,731 --> 00:53:28,698 DISPROPORTIONATELY BURDENED BY 1244 00:53:28,698 --> 00:53:29,466 THAT. 1245 00:53:29,466 --> 00:53:30,700 COMMUNITIES ARE SUFFERING AT 1246 00:53:30,700 --> 00:53:32,802 HIGHER RATES THAN OTHERS. 1247 00:53:32,802 --> 00:53:35,305 WE TEND TO HAVE CLUSTER 1248 00:53:35,305 --> 00:53:35,972 SUICIDES. 1249 00:53:35,972 --> 00:53:38,375 BECAUSE WE'RE IN SMALL 1250 00:53:38,375 --> 00:53:42,746 TIGHT-KNIT COMMUNITIES, IT'S NOT 1251 00:53:42,746 --> 00:53:45,715 UNCOMMON TO HAVE THREE OR FOUR 1252 00:53:45,715 --> 00:53:48,218 CLUSTER SUICIDES IN A SHORT 1253 00:53:48,218 --> 00:53:50,720 PERIOD OF TIME. 1254 00:53:50,720 --> 00:53:55,458 43.4 PER 100,000 AGE ADJUSTED 1255 00:53:55,458 --> 00:53:57,694 SUICIDE RATES COMPARED TO ER 1256 00:53:57,694 --> 00:53:59,930 POPULATIONS, MUCH HIGHER ON 1257 00:53:59,930 --> 00:54:01,264 AVERAGE. 1258 00:54:01,264 --> 00:54:02,799 SOME COMMUNITIES ALASKA AND 1259 00:54:02,799 --> 00:54:04,501 OTHERS HAD MUCH HIGHER RATES IN 1260 00:54:04,501 --> 00:54:06,436 TERMS OF THIS. 1261 00:54:06,436 --> 00:54:08,438 ONE OF THE ISSUES THAT HAVE COME 1262 00:54:08,438 --> 00:54:11,508 UPPUP I DON'T HAVE THE DATA FOR 1263 00:54:11,508 --> 00:54:14,211 THIS, THIS IS MORE ANECDOTAL, 1264 00:54:14,211 --> 00:54:17,180 THIS COMES FROM TRIBAL COMMUNITY 1265 00:54:17,180 --> 00:54:19,516 MEMBERS, THEY SAY WE DON'T KNOW 1266 00:54:19,516 --> 00:54:22,786 IF IT'S SUICIDE OR A DRUG 1267 00:54:22,786 --> 00:54:25,288 OVERDOSE. 1268 00:54:25,288 --> 00:54:27,924 PEOPLE ARE THINKING IT'S A PILL 1269 00:54:27,924 --> 00:54:30,227 OVERDOSE BUT IT MIGHT BE 1270 00:54:30,227 --> 00:54:32,862 FENTANYL OVERDOSE, UNINTENDED 1271 00:54:32,862 --> 00:54:33,430 SUICIDE. 1272 00:54:33,430 --> 00:54:35,398 THERE ARE QUESTIONS COMING UP ON 1273 00:54:35,398 --> 00:54:37,934 THAT IN SOME COMMUNITIES WHERE 1274 00:54:37,934 --> 00:54:42,272 THEY'RE CLASSIFIED AS SUICIDE 1275 00:54:42,272 --> 00:54:44,107 AND THEY WONDER WHETHER IT WAS 1276 00:54:44,107 --> 00:54:45,875 OR NOT. 1277 00:54:45,875 --> 00:54:49,212 WHAT HAPPENS HERE IN CLINICAL 1278 00:54:49,212 --> 00:54:51,248 TRIALS, OUR NATIVE PEOPLE ARE 1279 00:54:51,248 --> 00:54:52,582 REPRESENTED. 1280 00:54:52,582 --> 00:54:55,552 WHEN WE MAKE DECISIONS ON SAFETY 1281 00:54:55,552 --> 00:54:56,953 OF DRUGS AND THINGS LIKE THAT, 1282 00:54:56,953 --> 00:54:58,088 YOU NEED TO HAVE REPRESENTATION 1283 00:54:58,088 --> 00:54:59,055 IN THE STUDIES. 1284 00:54:59,055 --> 00:55:01,558 IF YOU DON'T BECAUSE THERE MIGHT 1285 00:55:01,558 --> 00:55:03,093 BE SOMETHING BIOLOGICALLY THAT 1286 00:55:03,093 --> 00:55:04,928 MAKE PEOPLE HAVE A DIFFERENT 1287 00:55:04,928 --> 00:55:15,105 RESPONSE. 1288 00:55:22,612 --> 00:55:24,447 >> THERE WERE A COUPLE OF AREAS 1289 00:55:24,447 --> 00:55:26,616 IN WHICH THERE WAS A 1290 00:55:26,616 --> 00:55:30,453 DIFFERENTIAL RESPONSE FOR ALASKA 1291 00:55:30,453 --> 00:55:31,688 NATIVES. 1292 00:55:31,688 --> 00:55:42,132 IN THEIR UP TAKE OF NOR -- 1293 00:55:42,599 --> 00:55:43,633 WARFARIN. 1294 00:55:43,633 --> 00:55:45,268 THERE WERE A FEW DIFFERENCES AND 1295 00:55:45,268 --> 00:55:48,138 A FEW OTHER STURDIES IN LOOKING 1296 00:55:48,138 --> 00:55:50,006 AT THAT BUT WARFARIN WAS ONE OF 1297 00:55:50,006 --> 00:55:52,609 THEM FOR SURE. 1298 00:55:52,609 --> 00:55:53,510 >> K. Walters: IT'S CRITICAL 1299 00:55:53,510 --> 00:55:56,346 THAT WE'RE PART OF THE CLINICAL 1300 00:55:56,346 --> 00:55:56,813 TRIALS. 1301 00:55:56,813 --> 00:55:59,082 I KNOW WE HAVE A LOT OF 1302 00:55:59,082 --> 00:56:02,052 NERVOUSNESS AROUND AND 1303 00:56:02,052 --> 00:56:02,919 UNDERSTANDABLY. 1304 00:56:02,919 --> 00:56:06,523 STUDIES THAT HAVE TO DO WITH 1305 00:56:06,523 --> 00:56:10,460 BIOLOGY AND DNA AND GENETIC 1306 00:56:10,460 --> 00:56:11,027 MATERIAL. 1307 00:56:11,027 --> 00:56:13,963 IF WE'RE NOT PART OF THE TRIALS, 1308 00:56:13,963 --> 00:56:18,802 WE WON'T KNOW HOW DRUGS CAN 1309 00:56:18,802 --> 00:56:19,235 IMPACT US. 1310 00:56:19,235 --> 00:56:22,739 IF YOU LOOK AT THIS FIGURE HERE, 1311 00:56:22,739 --> 00:56:25,475 WE ARE BASICALLY ABSENT. 1312 00:56:25,475 --> 00:56:27,243 ABSENT FROM CLINICAL TRIALS. 1313 00:56:27,243 --> 00:56:30,080 THAT INCLUDES BEHAVIORAL 1314 00:56:30,080 --> 00:56:31,648 CLINICAL TRIALS AS WELL. 1315 00:56:31,648 --> 00:56:34,250 THAT MEANS PEOPLE ARE IMPORTING 1316 00:56:34,250 --> 00:56:35,118 INTERVENTIONS INTO OUR 1317 00:56:35,118 --> 00:56:35,785 COMMUNITIES. 1318 00:56:35,785 --> 00:56:39,189 IT MAY OR MAY NOT HAVE CULTURAL 1319 00:56:39,189 --> 00:56:39,656 RELEVANCE. 1320 00:56:39,656 --> 00:56:42,025 WE NEED TO GET MORE FOLKS BEING 1321 00:56:42,025 --> 00:56:46,029 ABLE TO PARTICIPATE IN 1322 00:56:46,029 --> 00:56:46,763 APPROPRIATE WAYS. 1323 00:56:46,763 --> 00:56:54,971 NEXT SLIDE. 1324 00:56:54,971 --> 00:56:56,506 NEXT SLIDE. 1325 00:56:56,506 --> 00:56:57,907 HUGE IMPACT ON THESE THINGS. 1326 00:56:57,907 --> 00:56:59,576 SOME OF THE CRITICAL ISSUES FOR 1327 00:56:59,576 --> 00:57:04,848 US TO THINK ABOUT, ISSUES OF SIN 1328 00:57:04,848 --> 00:57:05,915 DEMICS. 1329 00:57:05,915 --> 00:57:09,219 INFANT MORTALITY AND M MATERNAL 1330 00:57:09,219 --> 00:57:11,788 MORTALITY WE HAVE THE HIGHEST 1331 00:57:11,788 --> 00:57:12,522 RATES. 1332 00:57:12,522 --> 00:57:16,393 WE DEAL WITH SYPHILIS OUTBREAKS 1333 00:57:16,393 --> 00:57:18,895 IN OUR COMMUNITY. 1334 00:57:18,895 --> 00:57:20,530 IT'S DISPROPORTIONATELY 1335 00:57:20,530 --> 00:57:21,731 IMPACTING OUR COMMUNITIES IN 1336 00:57:21,731 --> 00:57:24,167 PART BECAUSE WHEN COVID HIT, A 1337 00:57:24,167 --> 00:57:26,536 LOT OF COMMUNITIES THAT HAD 1338 00:57:26,536 --> 00:57:30,540 SEXUAL HEALTH AND REPRODUCTIVE 1339 00:57:30,540 --> 00:57:33,576 AND H.I.V. PREVENTION, ALL THOSE 1340 00:57:33,576 --> 00:57:36,546 DOLLARS GOT REDIRECTED TO COVID. 1341 00:57:36,546 --> 00:57:38,415 PEOPLE STOPPED DOING THAT WORK 1342 00:57:38,415 --> 00:57:43,119 AND NOW WE SEE STIS AND SYPHILIS 1343 00:57:43,119 --> 00:57:48,792 NOW ON THE UP SURGE. 1344 00:57:48,792 --> 00:57:50,894 SYPHILIS CAN BE DEADLY AND CAUSE 1345 00:57:50,894 --> 00:57:52,228 BIRTH DEFECTS IN CHILDREN. 1346 00:57:52,228 --> 00:57:53,430 IT'S A BIG ISSUE. 1347 00:57:53,430 --> 00:57:55,265 WE'LL SEE THAT IN INDIAN COUNTRY 1348 00:57:55,265 --> 00:57:58,601 RIGHT NOW BECAUSE IT'S HERE. 1349 00:57:58,601 --> 00:58:02,305 SO, IT'S A BIG, BIG ISSUE. 1350 00:58:02,305 --> 00:58:04,274 COVID-19 IS ALWAYS STILL AN 1351 00:58:04,274 --> 00:58:05,909 ISSUE ESPECIALLY LONG COVID. 1352 00:58:05,909 --> 00:58:07,911 WE DON'T KNOW WHAT THE IMPACT OF 1353 00:58:07,911 --> 00:58:09,112 LONG COVID IS ON OUR 1354 00:58:09,112 --> 00:58:09,779 COMMUNITIES. 1355 00:58:09,779 --> 00:58:12,949 WE DON'T KNOW THE HIGH RATES OF 1356 00:58:12,949 --> 00:58:14,517 GRIEF AND LOSS THAT OUR 1357 00:58:14,517 --> 00:58:18,621 COMMUNITY SUFFER EXAMINED THE -- 1358 00:58:18,621 --> 00:58:20,723 SUFFER AND IMPACT ON THE 1359 00:58:20,723 --> 00:58:22,125 MENTALITY HEALTH. 1360 00:58:22,125 --> 00:58:23,460 OTHER ISSUES FOR THE YOUNG 1361 00:58:23,460 --> 00:58:23,793 PEOPLE. 1362 00:58:23,793 --> 00:58:26,196 THERE ARE ASK A BUMPLE OF TOUGH 1363 00:58:26,196 --> 00:58:32,469 WE DON'T KNOW ABOUT. 1364 00:58:32,469 --> 00:58:34,404 H 1 N 1 CAN IMPACT OUR 1365 00:58:34,404 --> 00:58:34,971 COMMUNITIES TOO. 1366 00:58:34,971 --> 00:58:36,406 YOU MAY WANT TO THINK ABOUT 1367 00:58:36,406 --> 00:58:36,940 THAT. 1368 00:58:36,940 --> 00:58:42,645 AND WE TALKED ABOUT OPIOID 1369 00:58:42,645 --> 00:58:43,346 CRISIS. 1370 00:58:43,346 --> 00:58:47,917 TRAUMA ASK VIOLATE IS AN -- IS 1371 00:58:47,917 --> 00:58:49,452 AN ISSUE. 1372 00:58:49,452 --> 00:58:53,423 WE'LL HAVE A HEALING SUMMIT 1373 00:58:53,423 --> 00:58:54,924 APRIL 17TH TO THE 20TH. 1374 00:58:54,924 --> 00:58:56,493 WE WOULD LOVE FOR YOU TO BE 1375 00:58:56,493 --> 00:58:57,460 THERE FOR THIS. 1376 00:58:57,460 --> 00:58:59,462 IT'S GOING TO BE ABOUT RAY 1377 00:58:59,462 --> 00:59:00,864 HUNDRED PEOPLE THAT WE'RE 1378 00:59:00,864 --> 00:59:03,700 BRINGING IN WHO ARE SUBJECT 1379 00:59:03,700 --> 00:59:06,870 MATTER EXPERTS IN LOOKING AT THE 1380 00:59:06,870 --> 00:59:08,972 ROLE EVER INTERGENERATIONAL 1381 00:59:08,972 --> 00:59:12,041 TRAUMA EXPOSURE AND HOW IT 1382 00:59:12,041 --> 00:59:16,112 IMPACTS TO YOUR CELLULAR LEVEL, 1383 00:59:16,112 --> 00:59:19,849 MICRO BIOME AND BIOLOGY ALL THE 1384 00:59:19,849 --> 00:59:22,385 WAY TO SOCIAL AND FAMILY AND 1385 00:59:22,385 --> 00:59:24,020 SOCIETAL STRUCTURES. 1386 00:59:24,020 --> 00:59:27,056 WHAT IS THE BEST EVIDENCE OUT 1387 00:59:27,056 --> 00:59:29,492 THERE BUT WE BRING IN COMMUNITY 1388 00:59:29,492 --> 00:59:31,895 PARTNERS ON THE GROUND 1389 00:59:31,895 --> 00:59:34,831 ADDRESSING TRAUMA AND MENTALITY 1390 00:59:34,831 --> 00:59:38,468 HEALTH AND SURVIVORS OF BOARDING 1391 00:59:38,468 --> 00:59:41,004 SCHOOL ABOUT TALK ABOUT WHAT WE 1392 00:59:41,004 --> 00:59:42,639 SEE ON THE GROUND ASK IDENTIFY 1393 00:59:42,639 --> 00:59:45,174 THE GAPS AND HOW WE CAN PARTNER 1394 00:59:45,174 --> 00:59:46,676 TOGETHER TO CREATE FUNDING 1395 00:59:46,676 --> 00:59:49,879 INITIATIVES TO HELP COMMUNITIES, 1396 00:59:49,879 --> 00:59:51,748 AGAIN, PILOT PROGRAMS AND OTHER 1397 00:59:51,748 --> 00:59:53,683 INTERVENTIONS IN THEIR 1398 00:59:53,683 --> 00:59:56,019 COMMUNITIES TO ADDRESS THE 1399 00:59:56,019 --> 00:59:58,888 INTERGENERATIONAL TRAUMA. 1400 00:59:58,888 --> 01:00:00,823 ALSO, ADDRESSING 1401 01:00:00,823 --> 01:00:02,625 INTERGENERATIONAL LOVE AND A% 1402 01:00:02,625 --> 01:00:06,229 SES TRAM LOVE AND -- AN SES TRAM 1403 01:00:06,229 --> 01:00:09,732 LOVE&BUILDING BACK THINGS THAT 1404 01:00:09,732 --> 01:00:12,268 WERE STOLEN THROUGH US THROUGH 1405 01:00:12,268 --> 01:00:16,639 THE BOARDING SCHOOL EXPERIENCE. 1406 01:00:16,639 --> 01:00:20,777 HOW DOES LANGUAGE INTEGRATION 1407 01:00:20,777 --> 01:00:22,679 IMPROVE OUR WELL-BEING BY 1408 01:00:22,679 --> 01:00:24,113 IMPROVING LANGUAGE IN OUR 1409 01:00:24,113 --> 01:00:25,348 COMMUNITIES. 1410 01:00:25,348 --> 01:00:27,684 LOOKING AT POTENTIALLY FUNDING 1411 01:00:27,684 --> 01:00:29,819 NOT JUST DIRECT SERVICES AND 1412 01:00:29,819 --> 01:00:32,589 STUFF LIKE THAT BUT LOOKING AT 1413 01:00:32,589 --> 01:00:35,191 CREATING INTERVENTIONS WHERE WE 1414 01:00:35,191 --> 01:00:37,827 WORK, PLAY AND PRAY, EDUCATE AND 1415 01:00:37,827 --> 01:00:38,828 LEARN. 1416 01:00:38,828 --> 01:00:42,865 MORE SETTING-SPACED 1417 01:00:42,865 --> 01:00:44,200 INTERVENTIONS. 1418 01:00:44,200 --> 01:00:46,169 IT'S CREATIVE OPPORTUNITIES 1419 01:00:46,169 --> 01:00:47,470 WORKING WITH COMMUNITIES WHO ARE 1420 01:00:47,470 --> 01:00:49,005 ENGAGED IN THAT. 1421 01:00:49,005 --> 01:00:50,673 THE OTHER AREA THAT WE SEE 1422 01:00:50,673 --> 01:00:52,408 ANOTHER INCREASE IS DEMENTIA. 1423 01:00:52,408 --> 01:00:55,178 SOME OF THAT CONNECTED TO A 1424 01:00:55,178 --> 01:00:56,913 NUMBER OF FACTORS. 1425 01:00:56,913 --> 01:00:59,015 IT COULD BE CONNECTED TO 1426 01:00:59,015 --> 01:01:01,284 INJURIES AND DISPROPORTIONAL 1427 01:01:01,284 --> 01:01:03,920 AMOUNT OF BRAIN INJURIES IN OUR 1428 01:01:03,920 --> 01:01:05,989 COMMUNITY AND DOESN'T SHOW UP 1429 01:01:05,989 --> 01:01:08,324 UNTIL DEMENTIA LATER. 1430 01:01:08,324 --> 01:01:09,726 IT COULD BE RELATED TO CANCER 1431 01:01:09,726 --> 01:01:12,295 AND MORE ENVIRONMENTAL EXPOSURES 1432 01:01:12,295 --> 01:01:13,930 LIKE CLIMATE CHANGE IMPACT AND 1433 01:01:13,930 --> 01:01:16,332 WHAT THAT IS HAPPENING ON OUR 1434 01:01:16,332 --> 01:01:17,867 COMMUNITY WELL-BEING. 1435 01:01:17,867 --> 01:01:21,871 THAT WOULD BE BIOPSYCHOSOCIAL 1436 01:01:21,871 --> 01:01:24,674 SPIRITUAL WELL-BEING AS WELL 1437 01:01:24,674 --> 01:01:27,644 WHEN WE'RE FORCED TO MOVE FROM 1438 01:01:27,644 --> 01:01:29,012 YOUR LAND TO OR COMMUNITIES. 1439 01:01:29,012 --> 01:01:30,647 THAT HAS A TOLL. 1440 01:01:30,647 --> 01:01:38,521 NOT BEING ABLE TO HARVEST OR DO 1441 01:01:38,521 --> 01:01:40,590 YOUR CULTURAL FARMING BECAUSE 1442 01:01:40,590 --> 01:01:42,125 YOU'RE IN DROUGHT CONDITIONS. 1443 01:01:42,125 --> 01:01:44,093 THAT HAS AN IMPACT ON COMMUNITY 1444 01:01:44,093 --> 01:01:45,895 HEALTH AND WELL-BEING. 1445 01:01:45,895 --> 01:01:47,530 THAT'S AN OVERVIEW OF THE ISSUES 1446 01:01:47,530 --> 01:01:49,365 I WANTED TO SHARE WITH YOU TO ON 1447 01:01:49,365 --> 01:01:50,733 UP A DISCUSSION TO TALK ABOUT 1448 01:01:50,733 --> 01:01:51,701 THIS TODAY. 1449 01:01:51,701 --> 01:01:54,037 AND I'M GOING TO STOP THERE. 1450 01:01:54,037 --> 01:01:57,240 I'LL TALK A LITTLE BIT LATER 1451 01:01:57,240 --> 01:01:58,574 ABOUT STRATEGIC PLAN IN THE FOUR 1452 01:01:58,574 --> 01:02:03,713 AREAS THAT I WOULD LIKE THE 1453 01:02:03,713 --> 01:02:11,788 STRATEGIC PLAN TO FOCUS ON. 1454 01:02:11,788 --> 01:02:13,256 GO TO THE NEXT SLIDE AND I'LL 1455 01:02:13,256 --> 01:02:13,589 ADDRESS THAT. 1456 01:02:13,589 --> 01:02:13,890 NEXT SLIDE. 1457 01:02:13,890 --> 01:02:14,457 AND I'M GOING TO CLOSE WITH 1458 01:02:14,457 --> 01:02:14,657 THAT. 1459 01:02:14,657 --> 01:02:15,291 OUR STRATEGIC PLAN THAT WE HAVE 1460 01:02:15,291 --> 01:02:15,525 IS DONE. 1461 01:02:15,525 --> 01:02:15,792 IT'S DONE. 1462 01:02:15,792 --> 01:02:17,593 WE ACTUALLY ARE STILL OPERATING 1463 01:02:17,593 --> 01:02:19,595 UNDER OUR 2024 ENDING CYCLE OF 1464 01:02:19,595 --> 01:02:20,963 THE STRATEGIC PLAN. 1465 01:02:20,963 --> 01:02:22,198 WE'RE READY FOR ONE. 1466 01:02:22,198 --> 01:02:24,867 I DIDN'T WANT TO START ONE IN 1467 01:02:24,867 --> 01:02:28,204 2024 BECAUSE IN 2029 THAT SOUNDS 1468 01:02:28,204 --> 01:02:30,506 ODD. 1469 01:02:30,506 --> 01:02:36,245 SO 25 25 -- 2025 TO 2030 SOUNDS 1470 01:02:36,245 --> 01:02:36,679 BETTER. 1471 01:02:36,679 --> 01:02:38,848 I'M THINKING OF IT BEING BROKEN 1472 01:02:38,848 --> 01:02:40,416 OUT INTO FOUR ELEMENTS AND USING 1473 01:02:40,416 --> 01:02:45,555 THE ELEMENTS OF AIR. 1474 01:02:45,555 --> 01:02:49,826 LAND -- AIR, LAND, WATER AND 1475 01:02:49,826 --> 01:02:50,193 FIRE. 1476 01:02:50,193 --> 01:02:51,961 THOSE ARE OUR FOUR ELEMENTS THAT 1477 01:02:51,961 --> 01:02:54,330 ARE GOING TO GUIDE OUR THINKING. 1478 01:02:54,330 --> 01:02:58,701 SO AIR IS FOR ADVANCING 1479 01:02:58,701 --> 01:02:59,402 INDIGENOUS RESEARCH. 1480 01:02:59,402 --> 01:03:01,904 LAND IS ABOUT CULTIVATING 1481 01:03:01,904 --> 01:03:03,539 CAPACITY WITH WORKFORCE TRAINING 1482 01:03:03,539 --> 01:03:04,674 AND DEVELOPMENT. 1483 01:03:04,674 --> 01:03:09,479 AND WATER IS ABOUT CONSULTATION 1484 01:03:09,479 --> 01:03:11,013 AND EXPANDING IN THAT. 1485 01:03:11,013 --> 01:03:17,153 AND FIRE IS BLAZING NEW PATHS. 1486 01:03:17,153 --> 01:03:18,988 I WANT TO THINK OF SOMETHING 1487 01:03:18,988 --> 01:03:22,258 OTHER THAN BLAZING. 1488 01:03:22,258 --> 01:03:24,193 I DON'T WANT TO BE LIKE A LAND 1489 01:03:24,193 --> 01:03:24,727 RUSH. 1490 01:03:24,727 --> 01:03:28,898 SOMETHING WITH FIRE. 1491 01:03:28,898 --> 01:03:30,433 MAYBE BREAK OUR CONTROLLED 1492 01:03:30,433 --> 01:03:31,667 BURNS. 1493 01:03:31,667 --> 01:03:36,806 BUT BASICALLY CREATING THESE 1494 01:03:36,806 --> 01:03:39,542 REGENERATING FOR A NEW PATHS FOR 1495 01:03:39,542 --> 01:03:40,409 NEW INITIATIVES. 1496 01:03:40,409 --> 01:03:42,979 THAT'S WHERE THE BOARDING SCHOOL 1497 01:03:42,979 --> 01:03:44,413 HEALING INITIATIVE WILL COME 1498 01:03:44,413 --> 01:03:45,581 ABOUT FROM THAT. 1499 01:03:45,581 --> 01:03:46,816 OTHER THINGS I'M GOING IT SEEK 1500 01:03:46,816 --> 01:03:48,451 YOUR GUIDANCE ON. 1501 01:03:48,451 --> 01:03:51,187 THAT'S THE BIG OVERVIEW TO HELP 1502 01:03:51,187 --> 01:03:52,388 STIMULATE AND THINK ABOUT WHAT 1503 01:03:52,388 --> 01:03:54,190 YOU MIGHT WANT TO TALK ABOUT FOR 1504 01:03:54,190 --> 01:03:58,961 SETTING PRIORITIES TODAY. 1505 01:03:58,961 --> 01:04:01,197 BEFORE WE GO FORWARD TO THAT, 1506 01:04:01,197 --> 01:04:03,399 HAS DR. SCHWETZ JOINED US ON 1507 01:04:03,399 --> 01:04:04,700 LINE OR IN-PERSON? 1508 01:04:04,700 --> 01:04:05,902 OKAY. 1509 01:04:05,902 --> 01:04:08,538 WHEN SHE GETS HERE, WE'LL 1510 01:04:08,538 --> 01:04:10,072 INTEGRATE HER ON IT. 1511 01:04:10,072 --> 01:04:17,213 I'LL STOP THERE. 1512 01:04:17,213 --> 01:04:18,614 OPPORTUNITIES. 1513 01:04:18,614 --> 01:04:20,716 AND WE HAVE CHARTS HERE WHERE WE 1514 01:04:20,716 --> 01:04:23,152 CAN TAKE NOTES SIPS WE'VE BEEN 1515 01:04:23,152 --> 01:04:24,987 BIG NOTETAKERS FOR THE LAST DAY 1516 01:04:24,987 --> 01:04:26,422 AND A HALF. 1517 01:04:26,422 --> 01:04:31,561 AND THEN WE'VE PROVIDED WITH YOU 1518 01:04:31,561 --> 01:04:34,297 THE PRIORITY ISSUES THAT THE TAC 1519 01:04:34,297 --> 01:04:36,165 HAD UP UNTIL 2022. 1520 01:04:36,165 --> 01:04:38,935 YOU HAVE A BACKGROUND ON THE 1521 01:04:38,935 --> 01:04:41,838 GOALS FOR THE ACTUAL SPECIFIC 1522 01:04:41,838 --> 01:04:43,973 THRO HIGH-LEVEL GOVERNMENT 1523 01:04:43,973 --> 01:04:48,578 ACTIONS FOR THRO. 1524 01:04:48,578 --> 01:04:49,879 AND OBJECTIVES 1525 01:04:49,879 --> 01:04:51,681 AND WE CAN REVIEW THOSE AS WELL 1526 01:04:51,681 --> 01:04:52,748 IF YOU LIKE. 1527 01:04:52,748 --> 01:04:55,952 THERE ARE THINGS TO THINK ABOUT. 1528 01:04:55,952 --> 01:04:57,887 WE CANNOT LOBBY FOR OUR FUNDING 1529 01:04:57,887 --> 01:04:59,789 OR INCREASE IN FUNDING. 1530 01:04:59,789 --> 01:05:02,124 WE'RE BLESSED TO BE FUNDED 1531 01:05:02,124 --> 01:05:03,226 THROUGH THE OFFICE OF THE 1532 01:05:03,226 --> 01:05:03,993 DIRECTOR. 1533 01:05:03,993 --> 01:05:07,430 SO WE'RE NOT FUNDED THROUGH 1534 01:05:07,430 --> 01:05:09,398 CONGRESSIONAL ACTION LIKE OUR 1535 01:05:09,398 --> 01:05:10,700 NATIVE HAWAIIAN OFFICES FOR 1536 01:05:10,700 --> 01:05:12,535 EXAMPLE. 1537 01:05:12,535 --> 01:05:23,012 IT'S A LITTLE BIT DIFFERENT. 1538 01:05:27,884 --> 01:05:29,552 DR. SCHWETZ WILL BE HERE 1539 01:05:29,552 --> 01:05:30,286 MOMENTARILY. 1540 01:05:30,286 --> 01:05:31,520 OKAY. 1541 01:05:31,520 --> 01:05:32,622 THAT'S FINE. 1542 01:05:32,622 --> 01:05:37,059 SO THOUGHTS, COMMENTS, BEFORE WO 1543 01:05:37,059 --> 01:05:43,532 PROCEED? 1544 01:05:43,532 --> 01:05:44,500 >> H. Frias: THANK YOU DR. 1545 01:05:44,500 --> 01:05:45,868 WALTERS. 1546 01:05:45,868 --> 01:05:47,703 DO WE HAVE ANY OTHER THOUGHTS OR 1547 01:05:47,703 --> 01:05:52,975 COMMENTS? 1548 01:05:52,975 --> 01:05:55,711 ANYONE ON THE TAC HAVE THEIR 1549 01:05:55,711 --> 01:06:04,353 HAND RAISED? 1550 01:06:04,353 --> 01:06:05,021 OKAY. 1551 01:06:05,021 --> 01:06:06,455 ONE OF THE THINGS THAT I WANTED 1552 01:06:06,455 --> 01:06:12,662 TO SHARE IS THAT, YOU KNOW, 1553 01:06:12,662 --> 01:06:15,998 SINCE THE BILL WAS ESTABLISHED, 1554 01:06:15,998 --> 01:06:22,071 THERE HAS BEEN A LOT OF WORK TO 1555 01:06:22,071 --> 01:06:24,040 GET OUR PRIORITIES AND TO 1556 01:06:24,040 --> 01:06:27,843 PRODUCE THIS MISSION. 1557 01:06:27,843 --> 01:06:31,580 THE TAC PUMPS MISSION OBJECTIVES 1558 01:06:31,580 --> 01:06:32,682 GOALS AND ACTIONS. 1559 01:06:32,682 --> 01:06:35,751 I REMEMBER WHEN YOU CAME ON 1560 01:06:35,751 --> 01:06:40,122 BOARD, IS IT ONLY A YEAR AGO? 1561 01:06:40,122 --> 01:06:41,257 >> K. Walters: A LITTLE OVER A 1562 01:06:41,257 --> 01:06:41,624 YEAR. 1563 01:06:41,624 --> 01:06:44,527 ALMOST A YEAR AND A HALF. 1564 01:06:44,527 --> 01:06:45,227 >> H. Frias: I REMEMBER WHEN YOU 1565 01:06:45,227 --> 01:06:47,129 CAME ON BOARD AND YOU PRESENTED 1566 01:06:47,129 --> 01:06:49,732 TO THE TAC PRETTY MUCH WHAT YOU 1567 01:06:49,732 --> 01:06:52,368 PRESENTED TODAY, IT'S JUST AN 1568 01:06:52,368 --> 01:06:52,902 UPDATED VERSION. 1569 01:06:52,902 --> 01:06:58,374 THERE WAS A SIGH OF RELIEF 1570 01:06:58,374 --> 01:06:59,342 BECAUSE THEY WERE CONNECTED TO 1571 01:06:59,342 --> 01:07:01,377 OUR MISSION, GOALS AND ACTIONS. 1572 01:07:01,377 --> 01:07:03,312 I JUST REMEMBER HAVING THAT 1573 01:07:03,312 --> 01:07:05,314 CONVERSATION WITH THE TAC AND 1574 01:07:05,314 --> 01:07:06,949 SAYING, DID YOU JUST READ OUR 1575 01:07:06,949 --> 01:07:07,416 MINDS? 1576 01:07:07,416 --> 01:07:08,851 BECAUSE THIS IS WHAT WE TALKED 1577 01:07:08,851 --> 01:07:10,486 ABOUT IN CAUCUS. 1578 01:07:10,486 --> 01:07:13,556 IT WAS GOOD TO SEE THAT WE WERE 1579 01:07:13,556 --> 01:07:13,990 ALIGNED. 1580 01:07:13,990 --> 01:07:17,860 BEFORE THAT, WE HAD SUBMITTED 1581 01:07:17,860 --> 01:07:20,396 THESE TO THE THRO OFFICE AND AT 1582 01:07:20,396 --> 01:07:26,669 THAT TIME, MOZE WAS WORKING ON A 1583 01:07:26,669 --> 01:07:30,373 RESPONSE FROM THE THRO OFFICE. 1584 01:07:30,373 --> 01:07:32,441 AND THERE WAS A MATRIX THAT HE 1585 01:07:32,441 --> 01:07:35,745 WAS CREATING. 1586 01:07:35,745 --> 01:07:38,180 AND NO, THIS WAS THE VOTING. 1587 01:07:38,180 --> 01:07:40,616 THIS WAS THE VOTING THAT WE DID 1588 01:07:40,616 --> 01:07:42,151 TO IDENTIFY OUR PRIORITIES 1589 01:07:42,151 --> 01:07:44,220 BECAUSE WE JUST PUT EVERYTHING 1590 01:07:44,220 --> 01:07:46,989 IN. 1591 01:07:46,989 --> 01:07:51,360 WE HAD VOTES -- WE HAD THE TAC 1592 01:07:51,360 --> 01:07:54,997 MEMBERS VOTE SO WE CAN WHITTLE 1593 01:07:54,997 --> 01:07:57,266 IT DOWN A LITTLE BIT. 1594 01:07:57,266 --> 01:07:59,402 HE WAS GOING TO REVIEW THIS 1595 01:07:59,402 --> 01:08:03,005 PART, THE MISSION AND GOALS. 1596 01:08:03,005 --> 01:08:05,508 BUT WE NEVER GOT THAT FEEDBACK. 1597 01:08:05,508 --> 01:08:07,610 WE NEVER RECEIVED ANYTHING BACK. 1598 01:08:07,610 --> 01:08:09,812 AND HE HASN'T BEEN WORKING HERE 1599 01:08:09,812 --> 01:08:14,984 FOR A WHILE. 1600 01:08:14,984 --> 01:08:17,586 IT'S JUST A WHIRLWIND. 1601 01:08:17,586 --> 01:08:19,255 WE NEVER GOT THE FEEDBACK. 1602 01:08:19,255 --> 01:08:23,192 AND I THINK THAT'S PART OF 1603 01:08:23,192 --> 01:08:26,595 THE -- WHAT NEEDS TO BE DONE IS 1604 01:08:26,595 --> 01:08:29,065 HOW WOULD WE GO ABOUT LOOKING AT 1605 01:08:29,065 --> 01:08:32,935 WHAT WE'VE DONE HERE AND 1606 01:08:32,935 --> 01:08:35,905 COMPARING IT TO WHAT YOU HAVE OR 1607 01:08:35,905 --> 01:08:37,339 STREAMLINING OR WORKING WITH THE 1608 01:08:37,339 --> 01:08:41,110 TAC TO SEE IF THIS IS STILL 1609 01:08:41,110 --> 01:08:44,046 RELEVANT AND THAT'S THE 1610 01:08:44,046 --> 01:08:44,814 CONVERSATION WE WERE HAVING 1611 01:08:44,814 --> 01:08:46,916 DURING THE CAUCUS WAS LIKE WHERE 1612 01:08:46,916 --> 01:08:48,417 DO WE GO FROM HERE? 1613 01:08:48,417 --> 01:08:50,486 BECAUSE WE HAVE NEW TAC MEMBERS 1614 01:08:50,486 --> 01:08:51,854 THAT WEREN'T A PART OF THIS 1615 01:08:51,854 --> 01:08:55,491 DISCUSSION. 1616 01:08:55,491 --> 01:08:55,991 >> K. Walters: RIGHT. 1617 01:08:55,991 --> 01:08:57,560 >> H. Frias: SO THOSE TYPES OF 1618 01:08:57,560 --> 01:09:00,429 THINGS OF HOW DO WE MOVE FORWARD 1619 01:09:00,429 --> 01:09:01,430 HERE. 1620 01:09:01,430 --> 01:09:02,064 >> K. Walters: TODAY, I WOULD 1621 01:09:02,064 --> 01:09:05,568 LOVE IF THE TAC IS COMFORTABLE 1622 01:09:05,568 --> 01:09:08,437 IS TO SPEND SOME TIME BRAINSTORM 1623 01:09:08,437 --> 01:09:10,406 EXAMINING USE THIS TIME TO 1624 01:09:10,406 --> 01:09:11,740 IDENTIFY -- TAKE A LOOK, I 1625 01:09:11,740 --> 01:09:13,142 SHARED WITH YOU A LOT OF 1626 01:09:13,142 --> 01:09:14,810 INFORMATION ON WHERE OUR HEALTH 1627 01:09:14,810 --> 01:09:16,345 STATUS IS RIGHT NOW. 1628 01:09:16,345 --> 01:09:17,780 A LITTLE BIT ON THE PRIORITIES 1629 01:09:17,780 --> 01:09:19,515 LIST ON WHAT YOU THOUGHT WAS 1630 01:09:19,515 --> 01:09:20,282 CRITICAL. 1631 01:09:20,282 --> 01:09:22,184 AND MAYBE JUST BRAINSTORM A 1632 01:09:22,184 --> 01:09:24,920 LITTLE BIT OF WHAT YOUR THINKING 1633 01:09:24,920 --> 01:09:27,423 MIGHT BE CRITICAL KEY AREAS. 1634 01:09:27,423 --> 01:09:29,758 I CAN EASILY TAKE THAT AND ALIGN 1635 01:09:29,758 --> 01:09:32,495 IT MORE TO KIND OFL -- WE CAN 1636 01:09:32,495 --> 01:09:34,096 PULL THAT OUT AND SAY THIS IS 1637 01:09:34,096 --> 01:09:40,636 HOW WE'D PROCEED PE TENSIONALL R 1638 01:09:40,636 --> 01:09:41,370 CONVERSATIONS. 1639 01:09:41,370 --> 01:09:44,440 I THINK WHAT WAS HARD INITIALLY 1640 01:09:44,440 --> 01:09:46,242 WAS TRYING TO DISTILL BECAUSE 1641 01:09:46,242 --> 01:09:50,379 THERE WERE A LOT OF OVERLAPPING 1642 01:09:50,379 --> 01:09:50,946 CATEGORIES. 1643 01:09:50,946 --> 01:09:54,683 WE WANTED TO FIGURE OUT WHICH 1644 01:09:54,683 --> 01:09:56,218 INSTITUTION THINGS BELONGED IN. 1645 01:09:56,218 --> 01:09:57,453 CERTAINLY WE CAN SEE WHICH ONE 1646 01:09:57,453 --> 01:09:59,955 OF THESE ARE RELEVANT TO THE 1647 01:09:59,955 --> 01:10:01,390 INTERESTS OF THE TAC. 1648 01:10:01,390 --> 01:10:02,591 AND THEN MOVE FORWARD FROM 1649 01:10:02,591 --> 01:10:03,592 THERE. 1650 01:10:03,592 --> 01:10:05,361 TODAY COULD BE A BEGINNING OFFER 1651 01:10:05,361 --> 01:10:10,432 THAT CONVERSATION. 1652 01:10:10,432 --> 01:10:12,735 >> CAN YOU PUM THE LAST SLIDE 1653 01:10:12,735 --> 01:10:15,371 THAT YOU HAD? 1654 01:10:15,371 --> 01:10:16,805 >> K. Walters: PULL UP THE LAST 1655 01:10:16,805 --> 01:10:26,916 SLIDE. 1656 01:10:27,283 --> 01:10:38,060 >> TH.THAT WAS FOR THE STRATEGI. 1657 01:10:39,595 --> 01:10:41,030 GOING BACKWARDS? 1658 01:10:41,030 --> 01:10:42,231 >> YES. 1659 01:10:42,231 --> 01:10:43,666 CRITICAL ISSUES. 1660 01:10:43,666 --> 01:10:44,500 >> K. Walters: THESE ARE SOME OF 1661 01:10:44,500 --> 01:10:45,734 THE ISSUES LOOKING AT SOME OF 1662 01:10:45,734 --> 01:10:47,303 THE DATA RIGHT NOW ALSO BASED ON 1663 01:10:47,303 --> 01:10:49,371 THE CALLS WE'RE GETTING AT OUR 1664 01:10:49,371 --> 01:10:51,807 OFFICE ABOUT NEEDING HELP FROM 1665 01:10:51,807 --> 01:10:53,008 TRIBAL COMMUNITIES AND ALSO 1666 01:10:53,008 --> 01:10:54,877 THESE ARE ALSO SOME ISSUES THAT 1667 01:10:54,877 --> 01:11:00,583 HAVE BEEN IDENTIFIED BY CONGRESS 1668 01:11:00,583 --> 01:11:02,117 MEN AND WOMEN AND SENATORS 1669 01:11:02,117 --> 01:11:03,886 CALLING THE OFFICE SAYING WE 1670 01:11:03,886 --> 01:11:05,421 NEED INFORMATION ON THIS FOR OUR 1671 01:11:05,421 --> 01:11:06,488 TRIBAL COMMUNITIES. 1672 01:11:06,488 --> 01:11:09,592 THIS IS ONE OF THE REASONS I 1673 01:11:09,592 --> 01:11:15,397 PULLED THIS OUT. 1674 01:11:15,397 --> 01:11:16,498 >> SO, THANK YOU FOR DOING THIS 1675 01:11:16,498 --> 01:11:18,767 BECAUSE I THINK WE'VE BEEN 1676 01:11:18,767 --> 01:11:21,103 TALKING ABOUT HOW TO HAVE THIS 1677 01:11:21,103 --> 01:11:22,605 CONVERSATION AND HOW DO WE 1678 01:11:22,605 --> 01:11:26,909 ESTABLISH A WORKING TAC AND 1679 01:11:26,909 --> 01:11:28,877 REALLY ABLE TO BUILD THAT 1680 01:11:28,877 --> 01:11:29,945 MOMENTUM. 1681 01:11:29,945 --> 01:11:31,814 FOR THE TAC MEMBERS, IF YOU LOOK 1682 01:11:31,814 --> 01:11:34,483 AT THIS LIST HERE, OF THE 1683 01:11:34,483 --> 01:11:39,855 CRITICAL ISSUES IN INDIAN 1684 01:11:39,855 --> 01:11:41,824 COUNTRY, IS THERE ANYTHING THAT 1685 01:11:41,824 --> 01:11:47,863 YOU WOULD LIKE TO ADD THAT IS -- 1686 01:11:47,863 --> 01:11:49,064 HOW WOULD WE START THE 1687 01:11:49,064 --> 01:11:50,266 DISCUSSION HERE? 1688 01:11:50,266 --> 01:11:51,467 IS THERE ANYTHING THAT YOU WOULD 1689 01:11:51,467 --> 01:11:52,668 LIKE TO ADD? 1690 01:11:52,668 --> 01:11:54,069 IS IT SOMETHING THAT YOU AGREE 1691 01:11:54,069 --> 01:11:54,970 WITH? 1692 01:11:54,970 --> 01:11:57,072 BECAUSE PART OF THE -- I 1693 01:11:57,072 --> 01:11:59,808 REMEMBER PART OF THE 1694 01:11:59,808 --> 01:12:09,018 CONVERSATION WAS ISSUES OR -- 1695 01:12:09,018 --> 01:12:10,753 ISSUES THAT TRIBES ARE 1696 01:12:10,753 --> 01:12:12,388 STRUGGLING WITH THAT DON'T 1697 01:12:12,388 --> 01:12:14,957 NECESSARILY REACH THE EAR OF 1698 01:12:14,957 --> 01:12:19,628 NIH. 1699 01:12:19,628 --> 01:12:21,263 SO, THERE COULD BE OTHER THINGS 1700 01:12:21,263 --> 01:12:26,101 HERE THAT ISN'T EVEN TYPICALLY 1701 01:12:26,101 --> 01:12:27,736 AN ITEM OF RESEARCH THAT SHOULD 1702 01:12:27,736 --> 01:12:32,174 BE RESEARCHED. 1703 01:12:32,174 --> 01:12:33,375 , THAT IS A 1704 01:12:33,375 --> 01:12:34,810 RESEARCH TOPIC AND BUILDING THE 1705 01:12:34,810 --> 01:12:38,547 KNOWLEDGE THAT YOU TALKED TO US 1706 01:12:38,547 --> 01:12:41,083 ABOUT BETTER UNDERSTANDING AND 1707 01:12:41,083 --> 01:12:42,217 CREATING INTERVENTIONS. 1708 01:12:42,217 --> 01:12:43,686 WE WERE HAVING A CONVERSATION AT 1709 01:12:43,686 --> 01:12:46,455 LUNCH TODAY AND THINKING ABOUT 1710 01:12:46,455 --> 01:12:50,059 CHILD WELFARE. 1711 01:12:50,059 --> 01:12:50,959 >> K. Walters: THAT'S GREAT. 1712 01:12:50,959 --> 01:12:54,129 THAT'S A GREAT SEGUE INTO 1713 01:12:54,129 --> 01:12:55,531 SOMETHING I WANTED TO RAISE. 1714 01:12:55,531 --> 01:12:57,433 THERE ARE TWO THINGS I WANT THE 1715 01:12:57,433 --> 01:12:59,501 TAC TO THINK ABOUT. 1716 01:12:59,501 --> 01:13:01,704 ONE IS WE CREATE INITIATIVES 1717 01:13:01,704 --> 01:13:04,006 WITH OTHER I.C.S TO TRY TO FIND 1718 01:13:04,006 --> 01:13:04,907 A PARTICULAR AREA. 1719 01:13:04,907 --> 01:13:07,643 WE ALSO WORK ACROSS THE HHS TO 1720 01:13:07,643 --> 01:13:10,679 TRY TO BREAK DOWN SILOS TO SEE 1721 01:13:10,679 --> 01:13:12,715 IF THERE ARE OPPORTUNITIES TO 1722 01:13:12,715 --> 01:13:15,117 FUND ACROSS AGENCIES. 1723 01:13:15,117 --> 01:13:17,286 THIS AREA OF CHILD WITH FAIR IS 1724 01:13:17,286 --> 01:13:18,187 ONE OF THEM. 1725 01:13:18,187 --> 01:13:23,559 WE HAVE ACF AND ANA DOING THE 1726 01:13:23,559 --> 01:13:26,628 CHILD WELFARE STUFF AND THEY DO 1727 01:13:26,628 --> 01:13:29,732 THINGS ON LANGUAGE AND REDUCING 1728 01:13:29,732 --> 01:13:30,933 SUICIDE. 1729 01:13:30,933 --> 01:13:33,035 THAT IS GOOD AND IMPORTANT AND 1730 01:13:33,035 --> 01:13:35,204 WE'RE DOING STUFF ON CHILD AND 1731 01:13:35,204 --> 01:13:36,305 FAMILY AND CHILD DEVELOPMENT 1732 01:13:36,305 --> 01:13:37,539 OVER HERE. 1733 01:13:37,539 --> 01:13:42,678 WHY AREN'T WE CONFERSING ACROSS 1734 01:13:42,678 --> 01:13:44,346 AND DOING SOME OF THE WORK 1735 01:13:44,346 --> 01:13:45,114 TOGETHER. 1736 01:13:45,114 --> 01:13:48,283 ONE OF THE THINGS THAT IS 1737 01:13:48,283 --> 01:13:50,252 ALIGNED WITH -- OFFICE OF 1738 01:13:50,252 --> 01:13:52,221 RESEARCH AND HEALTH FOR WOMEN IS 1739 01:13:52,221 --> 01:13:54,590 INTERESTED AND ANA IS INTERESTED 1740 01:13:54,590 --> 01:14:00,696 WHICH IS LOOKING AT HIGH IMPACT 1741 01:14:00,696 --> 01:14:02,998 POPULATIONS, MMIP FOR EXAMPLE. 1742 01:14:02,998 --> 01:14:05,868 WHAT ARE SOME OF THE PRECURSORS 1743 01:14:05,868 --> 01:14:09,071 TO ENDING UP IN MMIP STATUS? 1744 01:14:09,071 --> 01:14:11,206 HOW DO WE PREVENT THAT? 1745 01:14:11,206 --> 01:14:14,143 ONE OF THE AREAS OF POTENTIAL 1746 01:14:14,143 --> 01:14:15,544 VULNERABILITY THERE ARE KIDS WHO 1747 01:14:15,544 --> 01:14:18,414 ARE IN FOSTER CARE WHO ARE 1748 01:14:18,414 --> 01:14:19,748 MATURING OUT OF CARE AND THERE 1749 01:14:19,748 --> 01:14:23,152 IS NO TRANSITIONAL OPPORTUNITY. 1750 01:14:23,152 --> 01:14:27,322 AND THESE YOUNG PEOPLE LITERALLY 1751 01:14:27,322 --> 01:14:32,728 GET PREYED UPON FOR SEX AND DRUG 1752 01:14:32,728 --> 01:14:35,864 TRAFFIC RITE OUT OF CARE. 1753 01:14:35,864 --> 01:14:38,200 BEST-CASE SCENARIO IF THEY'RE IN 1754 01:14:38,200 --> 01:14:40,202 ANY TFT SYSTEMS IS TRAUMA ASK 1755 01:14:40,202 --> 01:14:42,304 OTHER KINDS OF ISSUES AND 1756 01:14:42,304 --> 01:14:44,706 FURTHER TRAUMA THAT WE DON'T 1757 01:14:44,706 --> 01:14:46,608 WANT THESE YOUNG PEOPLE TO HAVE. 1758 01:14:46,608 --> 01:14:49,678 THAT'S ONE OF THE THINGS -- 1759 01:14:49,678 --> 01:14:54,650 THAT'S WHY ANGELA DAVE IS HERE 1760 01:14:54,650 --> 01:14:55,684 WITH US. 1761 01:14:55,684 --> 01:14:57,686 SHE WANTS TO LEARN MORE ABOUT 1762 01:14:57,686 --> 01:14:59,988 NIH AND HOW WE CAN BETTER PAIR 1763 01:14:59,988 --> 01:15:04,026 THESE. 1764 01:15:04,026 --> 01:15:05,894 SO THAT'S AN EXPERIMENTAL 1765 01:15:05,894 --> 01:15:07,229 PROGRAM WE HAVE STARTED THROUGH 1766 01:15:07,229 --> 01:15:10,866 THRO IS TO SUPPORT THESE 1767 01:15:10,866 --> 01:15:13,836 OPPORTUNITIES SO ANGELIQUE SAID 1768 01:15:13,836 --> 01:15:18,307 I'LL BE YOUR EXPERIMENT. 1769 01:15:18,307 --> 01:15:19,408 THAT'S AN EXAMPLE OF SOMETHING 1770 01:15:19,408 --> 01:15:21,743 THAT YOU CAN BE CREATIVE. 1771 01:15:21,743 --> 01:15:25,347 TAC, YOU CAN SAY BREAK DOWN SOME 1772 01:15:25,347 --> 01:15:28,116 SILOS AROUND ISSUES. 1773 01:15:28,116 --> 01:15:32,387 HISTORICAL TRAUMA OR 1774 01:15:32,387 --> 01:15:34,289 INTERGENERATIONAL TRAUMA OR 1775 01:15:34,289 --> 01:15:35,457 BOARDING SCHOOL TRAUMA. 1776 01:15:35,457 --> 01:15:39,294 WE SHOULD BE WORKING WITH NIMH 1777 01:15:39,294 --> 01:15:45,367 TO DEAL WITH EU SITEALIT SUICIDF 1778 01:15:45,367 --> 01:15:47,135 THIS. 1779 01:15:47,135 --> 01:15:50,005 WE SHOULD WORKING WITH D, J 1780 01:15:50,005 --> 01:15:52,107 POTENTIALLY TO DEAL WITH 1781 01:15:52,107 --> 01:15:53,542 CORRECTIONS AND THERE ARE SOME 1782 01:15:53,542 --> 01:15:58,680 THINGS THAT WE CAN BE CREATIVE. 1783 01:15:58,680 --> 01:16:00,616 >> WE HAVE ONE COMMENT AND I 1784 01:16:00,616 --> 01:16:02,484 JUST WANT TO ENCOURAGE THE TAC 1785 01:16:02,484 --> 01:16:04,887 MEMBERS THAT ARE ON LINE, JUST 1786 01:16:04,887 --> 01:16:06,154 RAISE YOUR HAND AND WE WILL GET 1787 01:16:06,154 --> 01:16:07,089 TO YOU. 1788 01:16:07,089 --> 01:16:09,992 ALSO FOR THE TECHNICAL ADVISERS. 1789 01:16:09,992 --> 01:16:12,728 YOU CAN ALSO COMMENT AND SHARE 1790 01:16:12,728 --> 01:16:23,038 YOUR THOUGHTS TOO. 1791 01:16:33,515 --> 01:16:36,251 >> [OFF MIC] 1792 01:16:36,251 --> 01:16:36,919 NEVER MIND. 1793 01:16:36,919 --> 01:16:40,556 CARRY ON, WE'LL MAKE IT WORK. 1794 01:16:40,556 --> 01:16:42,858 >> SO I JUST WANTED TO TOUCH 1795 01:16:42,858 --> 01:16:49,264 BASE QUICKLY ON THE NMIT. 1796 01:16:49,264 --> 01:16:52,534 WE DID OUR FIRST ASSIGNMENT AND 1797 01:16:52,534 --> 01:16:56,238 WE DID PRESENT THE SUBGROUP THAT 1798 01:16:56,238 --> 01:16:59,207 I WAS PART OF WAS MMIP. 1799 01:16:59,207 --> 01:17:03,278 WE DID PRESENT THOSE FINDINGS TO 1800 01:17:03,278 --> 01:17:08,650 ALEXANDER MAYORKIS. 1801 01:17:08,650 --> 01:17:11,820 EVERYTHING YOU TALKED ABOUT WHAT 1802 01:17:11,820 --> 01:17:14,222 RO WAS WHAT WE NEEDED. 1803 01:17:14,222 --> 01:17:15,991 I DON'T KNOW IF THERE IS A WAY 1804 01:17:15,991 --> 01:17:17,225 TO GET THAT INFORMATION. 1805 01:17:17,225 --> 01:17:20,395 THERE IS SUPPOSED TO BE A 1806 01:17:20,395 --> 01:17:27,169 WRITTEN REPORT SOMEWHERE. 1807 01:17:27,169 --> 01:17:28,470 >> K. Walters: AGAIN, THIS IS 1808 01:17:28,470 --> 01:17:31,239 WITH THE TAC, TAC WOULD SAY WE 1809 01:17:31,239 --> 01:17:33,241 HIGHLY RECOMMEND THAT YOU PURSUE 1810 01:17:33,241 --> 01:17:35,744 DOING SOME OF THIS WORK WITH 1811 01:17:35,744 --> 01:17:37,446 CHILD WELFARE SYSTEMS AND 1812 01:17:37,446 --> 01:17:39,514 PARENTING AND SOME OF THIS WORK 1813 01:17:39,514 --> 01:17:40,816 ON INTERGENERATIONAL TRAUMA OR 1814 01:17:40,816 --> 01:17:42,417 WHATEVER. 1815 01:17:42,417 --> 01:17:45,887 FOSTER CARE, YOUTH AND DO WORK 1816 01:17:45,887 --> 01:17:48,123 ACROSS NOT JUST NIH, BUT 1817 01:17:48,123 --> 01:17:52,160 CROSSING OVER INTO ACF. 1818 01:17:52,160 --> 01:17:54,296 >> AND WORKING WITH OBVIOUSLY 1819 01:17:54,296 --> 01:17:58,233 OTHER TRIBAL ADVISORY COUNCILS 1820 01:17:58,233 --> 01:18:01,903 TOO BECAUSE WE'RE WITH THE 1821 01:18:01,903 --> 01:18:02,571 DEPARTMENT OF HOMELAND SECURITY. 1822 01:18:02,571 --> 01:18:04,840 ALL OF THOSE CHILD WELFARE 1823 01:18:04,840 --> 01:18:06,174 ISSUES ARE COVERED WITH 1824 01:18:06,174 --> 01:18:07,709 RECOMMENDATIONS. 1825 01:18:07,709 --> 01:18:10,746 INSTEAD OF DUPLICATING THE WORK, 1826 01:18:10,746 --> 01:18:17,219 WORK SMARTER NOT HARDER. 1827 01:18:17,219 --> 01:18:17,853 >> K. Walters: 100%. 1828 01:18:17,853 --> 01:18:21,189 WE WANT TO DO BETTER WHOLE OF 1829 01:18:21,189 --> 01:18:22,924 GOVERNMENT APPROACHES IS WE'RE 1830 01:18:22,924 --> 01:18:24,893 NOT EXHAUSTING OUR TRIBES AND 1831 01:18:24,893 --> 01:18:32,100 WE'RE BETTING SYNCHRONIZED. 1832 01:18:32,100 --> 01:18:42,577 WE'RE BETTER SYNCHRONIZED. 1833 01:18:46,348 --> 01:18:46,815 >> B. Saunkeah: THERE WAS 1834 01:18:46,815 --> 01:18:48,083 SOMEBODY ON THE VIDEO THAT 1835 01:18:48,083 --> 01:18:49,718 WANTED TO TALK. 1836 01:18:49,718 --> 01:18:53,255 I APPRECIATE DR. WALTERS, THAT 1837 01:18:53,255 --> 01:18:54,456 OPPORTUNITY TO WORK ACROSS 1838 01:18:54,456 --> 01:18:55,424 AGENCIES. 1839 01:18:55,424 --> 01:18:58,827 BECAUSE WE DON'T KNOW THAT. 1840 01:18:58,827 --> 01:19:01,730 AS THESE TOPICS DO COME UP, WE 1841 01:19:01,730 --> 01:19:06,368 WORK A LOT IN MY DEPARTMENT WITH 1842 01:19:06,368 --> 01:19:11,306 ACES AND PACES AND POSITIVE 1843 01:19:11,306 --> 01:19:12,340 CHILDHOOD EVENTS. 1844 01:19:12,340 --> 01:19:13,341 WE'RE GETTING YOUNGER AND 1845 01:19:13,341 --> 01:19:14,643 YOUNGER IN THE WORK THAT WE'RE 1846 01:19:14,643 --> 01:19:22,517 DOING NOW. 1847 01:19:22,517 --> 01:19:25,520 AS WE COME UP ACROSS THE ISSUES, 1848 01:19:25,520 --> 01:19:27,355 WE DON'T KNOW THAT WE CAN DOT 1849 01:19:27,355 --> 01:19:34,062 CROSS COLLABORATIONS. 1850 01:19:34,062 --> 01:19:35,630 IT WOULD BE GOOD TO KNOW WE CAN 1851 01:19:35,630 --> 01:19:38,734 WORK WITH SO-AND ON SO, THAT 1852 01:19:38,734 --> 01:19:42,571 WOULD BE HELPFUL BA BECAUSE WE 1853 01:19:42,571 --> 01:19:44,172 DON'T KNOW. 1854 01:19:44,172 --> 01:19:46,908 ON THIS LIST, IT TALKS ABOUT THE 1855 01:19:46,908 --> 01:19:48,343 CENTERS NOT MENTIONED AT THE END 1856 01:19:48,343 --> 01:19:49,177 LAIR. 1857 01:19:49,177 --> 01:19:53,615 I'M WONDERING IF, AGAIN, WHY 1858 01:19:53,615 --> 01:19:54,382 THEY'RE NOT MENTIONED. 1859 01:19:54,382 --> 01:19:57,152 IS IT BECAUSE WE DON'T HAVE -- 1860 01:19:57,152 --> 01:20:00,088 WE DIDN'T BRING UP THOSE HEALTH 1861 01:20:00,088 --> 01:20:00,322 TOPICS? 1862 01:20:00,322 --> 01:20:03,992 OR ARE THEY NOT AWARE THE HEALTH 1863 01:20:03,992 --> 01:20:06,495 NEEDS IN INDIAN COUNTRY AND 1864 01:20:06,495 --> 01:20:08,363 PERHAPS IF THEY WERE A LITTLE 1865 01:20:08,363 --> 01:20:10,432 MORE AWARE, THEY COULD SAY HEY, 1866 01:20:10,432 --> 01:20:11,767 WE CAN WORK WITH YOU IN THIS 1867 01:20:11,767 --> 01:20:12,534 PARTICULAR AREA. 1868 01:20:12,534 --> 01:20:15,704 I CAN'T BELIEVE THE NHGRI IS NOT 1869 01:20:15,704 --> 01:20:18,240 ON THERE. 1870 01:20:18,240 --> 01:20:22,210 THE NATIONAL INSTITUTE OF AGING. 1871 01:20:22,210 --> 01:20:26,581 >> NIA SYNC S. 1872 01:20:26,581 --> 01:20:27,349 >> B. Saunkeah: WHY AREN'T THEY 1873 01:20:27,349 --> 01:20:29,684 ON THIS LIST AND HOW CAN WE GET 1874 01:20:29,684 --> 01:20:32,387 THEM TO BE MORE INVOLVED. 1875 01:20:32,387 --> 01:20:35,123 MAYBE THEY COULD SAY HEY, WE'D 1876 01:20:35,123 --> 01:20:38,426 LOVE TO WORK WITH TRIBES OR 1877 01:20:38,426 --> 01:20:40,195 INDIGENOUS PEOPLES IN THIS 1878 01:20:40,195 --> 01:20:40,729 PARTICULAR AREA. 1879 01:20:40,729 --> 01:20:43,965 THIS IS WHAT WE HAVE TO OFFER OR 1880 01:20:43,965 --> 01:20:46,034 COME TALK TO US AND SAY WHAT ARE 1881 01:20:46,034 --> 01:20:48,336 YOUR NEEDS. 1882 01:20:48,336 --> 01:20:50,539 BECAUSE WHEN I ALWAYS HAVE A 1883 01:20:50,539 --> 01:20:54,176 HARD TIME SAYING NIEHS. 1884 01:20:54,176 --> 01:20:57,179 I HAVE TO SLOW WAY DOWN. 1885 01:20:57,179 --> 01:20:59,414 WHEN WE WENT THERE, I WAS AMAZED 1886 01:20:59,414 --> 01:21:02,784 TO FIND THE SCOPE AND BREADTH OF 1887 01:21:02,784 --> 01:21:04,753 THEIR WORK. 1888 01:21:04,753 --> 01:21:06,822 THIS IS PUBLIC HEALTH. 1889 01:21:06,822 --> 01:21:09,124 A LOT OF TRIBES ARE MUCH MORE 1890 01:21:09,124 --> 01:21:10,926 INTO PUBLIC HEALTH THAN 1891 01:21:10,926 --> 01:21:11,359 RESEARCH. 1892 01:21:11,359 --> 01:21:12,460 IT'S SOMETHING WE UNDERSTAND AND 1893 01:21:12,460 --> 01:21:13,361 WORK IN. 1894 01:21:13,361 --> 01:21:17,866 I WAS VERY, VERY PLEASED TO FIND 1895 01:21:17,866 --> 01:21:19,601 OUT HOW MUCH PUBLIC HEALTH WORK 1896 01:21:19,601 --> 01:21:20,735 THAT INSTITUTE DOES. 1897 01:21:20,735 --> 01:21:22,237 I THINK TRIBES ACROSS THE 1898 01:21:22,237 --> 01:21:23,905 COUNTRY WOULD LOVE TO WORK WITH 1899 01:21:23,905 --> 01:21:25,640 THAT PARTICULAR INSTITUTE IF 1900 01:21:25,640 --> 01:21:28,243 THEY WERE AWARE OF KIND OF WHAT 1901 01:21:28,243 --> 01:21:29,711 THEY COULD ASK ABOUT. 1902 01:21:29,711 --> 01:21:31,646 WHAT KIND OF THINGS THEY COULD 1903 01:21:31,646 --> 01:21:32,714 SAY THESE ARE THE PROBLEMS THAT 1904 01:21:32,714 --> 01:21:33,448 WE HAVE. 1905 01:21:33,448 --> 01:21:35,317 I THINK THOSE INSUBSTITUTES 1906 01:21:35,317 --> 01:21:38,820 COULD HELP US. 1907 01:21:38,820 --> 01:21:48,997 THANK YOU. 1908 01:21:52,834 --> 01:21:54,502 >> TO PIGGYBACK ON THAT A LITTLE 1909 01:21:54,502 --> 01:21:58,573 BIT IS THE IDEA, I KNOW WE 1910 01:21:58,573 --> 01:22:01,276 BROUGHT IT UP AT THE LAST NIH 1911 01:22:01,276 --> 01:22:04,145 TAC MEETING, THE IDEA OF 1912 01:22:04,145 --> 01:22:06,715 ENVIRONMENTAL AND CLIMATE CHANGE 1913 01:22:06,715 --> 01:22:11,319 IMPACTS AS OPPOSED TO -- NOT AS 1914 01:22:11,319 --> 01:22:13,822 OPPOSED BUT AS IT LINKS TO 1915 01:22:13,822 --> 01:22:18,793 POTENTIAL HELP WITH THE EPA, THE 1916 01:22:18,793 --> 01:22:20,228 CDC, INTERSECTIONS HAPPENING 1917 01:22:20,228 --> 01:22:25,166 BETWEEN THE ENVIRONMENT, 1918 01:22:25,166 --> 01:22:28,970 CULTURAL SHIFTS HAPPENING. 1919 01:22:28,970 --> 01:22:31,172 WHEN YOU'RE IN OREGON, THE IDEA 1920 01:22:31,172 --> 01:22:34,342 OF INVASIVE SPECIES NOT BEING 1921 01:22:34,342 --> 01:22:40,282 LIKE THE NORM, BUT BEING 1922 01:22:40,282 --> 01:22:45,520 REINTRODUCED AS A DIFFERENT TERS 1923 01:22:45,520 --> 01:22:48,056 THAT MAYBE THE POPULATIONS CAN 1924 01:22:48,056 --> 01:22:50,125 GAIN SOME TYPE OF KNOWLEDGE OR 1925 01:22:50,125 --> 01:22:51,626 UNDERSTANDING OR USE OUT OF 1926 01:22:51,626 --> 01:22:54,796 INSTEAD OF LIKE KILLING 1927 01:22:54,796 --> 01:22:57,299 SOMETHING CONTINUOUSLY. 1928 01:22:57,299 --> 01:22:59,067 I GUESS WHERE I'M GOING WITH 1929 01:22:59,067 --> 01:23:00,535 THIS IS THE FEDERAL GOVERNMENT 1930 01:23:00,535 --> 01:23:03,305 HAS A LOT OF AWESOME AGENCIES. 1931 01:23:03,305 --> 01:23:05,373 AND HOW DO WE GET YOU GUYS TO 1932 01:23:05,373 --> 01:23:07,309 TALK TO EACH OTHER? 1933 01:23:07,309 --> 01:23:09,778 HERE IS THE NIH AND THE CDC AND 1934 01:23:09,778 --> 01:23:12,314 EPA THAT ALL HAVE FUNDING TUNES 1935 01:23:12,314 --> 01:23:15,750 FOR -- FUNDING OPPORTUNITIES FOR 1936 01:23:15,750 --> 01:23:15,984 TRIBES. 1937 01:23:15,984 --> 01:23:17,619 IS THERE A WAY TO MASH THAT 1938 01:23:17,619 --> 01:23:19,587 TOGETHER A LITTLE BIT TO GIVE, 1939 01:23:19,587 --> 01:23:21,823 ONE, THE TRIBES A LITTLE MORE 1940 01:23:21,823 --> 01:23:23,792 MONEY TO MAC AN IMPACT. 1941 01:23:23,792 --> 01:23:28,396 AND TWO, TO ACTUALLY SHOW ON A 1942 01:23:28,396 --> 01:23:37,839 NATIONAL SCALE THE LYNCHAGES LIT 1943 01:23:37,839 --> 01:23:40,709 WOULD HAPPEN ACROSS I NATION AND 1944 01:23:40,709 --> 01:23:42,677 IMPACT THE PUBLIC HEALTH STUFF 1945 01:23:42,677 --> 01:23:52,821 AS WELL. 1946 01:23:54,456 --> 01:23:55,757 >> LET ME ADDRESS TWO THINGS. 1947 01:23:55,757 --> 01:23:59,027 I WANTED TO ADDRESS BOBBY'S 1948 01:23:59,027 --> 01:24:09,537 QUESTION ABOUT NHGRI AND NIA. 1949 01:24:11,272 --> 01:24:13,775 NGHRI APPROACHED US AROUND THE 1950 01:24:13,775 --> 01:24:16,945 ISSUES OF EP GENETICS AND 1951 01:24:16,945 --> 01:24:17,712 INTERGENERATIONAL TRAUMA AND 1952 01:24:17,712 --> 01:24:19,581 WORKING WITH TRIBAL COMMUNITIES 1953 01:24:19,581 --> 01:24:21,583 AROUND THAT ISSUE TO LOOK AT THE 1954 01:24:21,583 --> 01:24:24,085 IMPACT AT THE CELLULAR LEVEL OF 1955 01:24:24,085 --> 01:24:26,287 TRAUMA IN OUR COMMUNITIES. 1956 01:24:26,287 --> 01:24:30,125 AND ALSO THE RESILIENCE. 1957 01:24:30,125 --> 01:24:31,993 HOW ARE WE DOING WITH RESPECT 1958 01:24:31,993 --> 01:24:38,033 THIS THAT BUT NHGRI WOULD LOVE 1959 01:24:38,033 --> 01:24:41,069 LOVE TO WORK WITH US AND NIA. 1960 01:24:41,069 --> 01:24:44,039 I'VE TALKED FOLKS FROM NIA AND 1961 01:24:44,039 --> 01:24:44,706 THEY'VE BEEN INTERESTED. 1962 01:24:44,706 --> 01:24:46,608 THERE IS INTEREST THERE. 1963 01:24:46,608 --> 01:24:49,644 IT'S A MATTER OF CAPITALIZING 1964 01:24:49,644 --> 01:24:53,214 AND PROVIDING OPPORTUNITIES. 1965 01:24:53,214 --> 01:24:53,815 >> B. Saunkeah: IN THE LAST 1966 01:24:53,815 --> 01:24:56,017 COUPLE OF DAYS, WE HEARD A LOT 1967 01:24:56,017 --> 01:25:01,489 ABOUT THE MICRO BIOME. 1968 01:25:01,489 --> 01:25:04,225 WHERE WOULD THAT FIT IN WITH 1969 01:25:04,225 --> 01:25:08,430 THESE INSTITUTES? 1970 01:25:08,430 --> 01:25:16,438 THE MICRO BIOME WORK? 1971 01:25:16,438 --> 01:25:18,440 >> K. Walters: I WOULD TURN THIS 1972 01:25:18,440 --> 01:25:22,010 OVER TO DR. SCHWETZ SO WE COULD 1973 01:25:22,010 --> 01:25:24,312 "MASH" TOGETHER THE DIFFERENT 1974 01:25:24,312 --> 01:25:25,747 OPTIONS TO LEVERAGE RESOURCES 1975 01:25:25,747 --> 01:25:29,017 AND FUNDINGS FOR THINGS. 1976 01:25:29,017 --> 01:25:39,360 ALSO NO THINKING ACROSS THE VARS 1977 01:25:39,360 --> 01:25:41,429 AGENCIES. 1978 01:25:41,429 --> 01:25:43,965 >> WITH MICRO BIOME -- FIRST OF 1979 01:25:43,965 --> 01:25:47,502 ALL, HI, EVERYONE. 1980 01:25:47,502 --> 01:25:50,905 I APOLOGIZE FOR BEING VERY LATE. 1981 01:25:50,905 --> 01:25:55,643 I HAD A MEETING WITH MY BOSS. 1982 01:25:55,643 --> 01:25:58,213 ONE OF THOSE SMALL MEETINGS THAT 1983 01:25:58,213 --> 01:26:01,349 YOU CAN'T GET OUT OF EASILY. 1984 01:26:01,349 --> 01:26:02,884 ANYWAY, SO AGAIN, I APOLOGIZE 1985 01:26:02,884 --> 01:26:04,152 FOR BEING LATE. 1986 01:26:04,152 --> 01:26:06,187 JUST TO JUMP IN AND ANSWER SOME 1987 01:26:06,187 --> 01:26:08,523 OF THE QUESTIONS AND TOPICS THAT 1988 01:26:08,523 --> 01:26:13,161 I'VE HEARD RAISED. 1989 01:26:13,161 --> 01:26:16,030 WITH MICRO BIOMES SPECIFICALLY, 1990 01:26:16,030 --> 01:26:18,600 A FEW YEARS AGO, I TOTALLY AGREE 1991 01:26:18,600 --> 01:26:21,136 WITH YOU THAT THE COMMUNITY WAS 1992 01:26:21,136 --> 01:26:23,505 AMPED UP JENLY ABOUT THE MICRO 1993 01:26:23,505 --> 01:26:23,738 BIOME. 1994 01:26:23,738 --> 01:26:28,743 I DON'T KNOW IF THE PARALLELS 1995 01:26:28,743 --> 01:26:31,412 WERE WITH THAT. 1996 01:26:31,412 --> 01:26:34,282 THAT PROGRAM HAS SINCE WRAPPED, 1997 01:26:34,282 --> 01:26:36,718 BUT THERE ARE VARIOUS DIFFERENT 1998 01:26:36,718 --> 01:26:40,321 INSTITUTES AND CENTERS ACROSS 1999 01:26:40,321 --> 01:26:43,658 NIH WITH THE MICRO BIOME WHETHER 2000 01:26:43,658 --> 01:26:50,865 IT'S LOOKING AT THE ORGANISMS 2001 01:26:50,865 --> 01:26:54,169 THEMSELVES, NIAID AND I COULD GO 2002 01:26:54,169 --> 01:26:55,904 DOWN THE LIST. 2003 01:26:55,904 --> 01:26:57,539 MAYBE IT'S NOW TAKING SOME OF 2004 01:26:57,539 --> 01:27:01,876 THE AREAS AND RAN WITH IT IN 2005 01:27:01,876 --> 01:27:02,944 THEIR SPECIFIC FIELDS. 2006 01:27:02,944 --> 01:27:05,413 BUT I DO THINK THERE IS A LOT 2007 01:27:05,413 --> 01:27:07,315 MORE CROSS-COORDINATION. 2008 01:27:07,315 --> 01:27:09,284 THERE IS MORE CROSS-COORDINATION 2009 01:27:09,284 --> 01:27:11,786 THAT WE CAN DEFINITELY DO TO GET 2010 01:27:11,786 --> 01:27:13,688 AT YOUR BROADER POINTS AND THE 2011 01:27:13,688 --> 01:27:15,857 POINTS I THINK I HEARD YOU RAISE 2012 01:27:15,857 --> 01:27:18,293 HOW WE CAN AS A FEDERAL AGENCY 2013 01:27:18,293 --> 01:27:20,695 WORK BETTER IN AND OF OURSELVES 2014 01:27:20,695 --> 01:27:25,233 CROSS ALL OUR DIFFERENT OFFERSES 2015 01:27:25,233 --> 01:27:26,401 AND ACROSS THE FEDERAL 2016 01:27:26,401 --> 01:27:31,105 GOVERNMENT. 2017 01:27:31,105 --> 01:27:34,242 INTERNALLY WITHIN NIH AND HHS 2018 01:27:34,242 --> 01:27:36,211 IT'S EASY FOR US TO WORK 2019 01:27:36,211 --> 01:27:37,645 TOGETHER BECAUSE OF SOME OF OUR 2020 01:27:37,645 --> 01:27:39,180 AUTHORITIES AND RESTRICTIONS ON 2021 01:27:39,180 --> 01:27:40,848 THE MONEY THAT WE HAVE. 2022 01:27:40,848 --> 01:27:44,252 WHEN WE PULL IN OTHER FEDERAL 2023 01:27:44,252 --> 01:27:47,522 AGENCIES BESIDES HHS, WE LIKE TO 2024 01:27:47,522 --> 01:27:50,325 SAY OPERATING DIVISIONS, IT GETS 2025 01:27:50,325 --> 01:27:53,828 I LITTLE TRICKIER AND IT BECOMES 2026 01:27:53,828 --> 01:27:56,231 KIND OF AN EXERCISE IN 2027 01:27:56,231 --> 01:27:58,967 NEGOTIATING HOW BEST WE CAN EACH 2028 01:27:58,967 --> 01:28:01,636 PLAY AN INDIVIDUAL ROLE. 2029 01:28:01,636 --> 01:28:03,838 IT'S HARDER FOR US TO GIVE 2030 01:28:03,838 --> 01:28:05,473 ANOTHER AGENCY MONEY TO ABLE TO 2031 01:28:05,473 --> 01:28:06,874 WORK ON A PARTICULAR PROJECT AT 2032 01:28:06,874 --> 01:28:15,049 THAT WE MI MIGHT BE INTERESTED N 2033 01:28:15,049 --> 01:28:16,584 AND VICE VERSA. 2034 01:28:16,584 --> 01:28:18,186 WE TALK ABOUT DOING EFFORTS 2035 01:28:18,186 --> 01:28:19,587 AROUND BOARDING SCHOOL 2036 01:28:19,587 --> 01:28:20,054 INITIATIVE. 2037 01:28:20,054 --> 01:28:22,257 I KNOW THAT IS SOMETHING THAT 2038 01:28:22,257 --> 01:28:23,791 YOU EITHER HAVE TALKED ABOUT 2039 01:28:23,791 --> 01:28:29,097 TODAY OR WILL BE TALKING ABOUT. 2040 01:28:29,097 --> 01:28:32,467 OBJECT. 2041 01:28:32,467 --> 01:28:34,102 IT'S A CHALLENGE TO FIGURE OUT 2042 01:28:34,102 --> 01:28:36,004 HOW TO DO THE SHARING OF UPONY 2043 01:28:36,004 --> 01:28:36,804 ISSUE. 2044 01:28:36,804 --> 01:28:39,007 THEN WE OFTEN RELY ON HAVING TO 2045 01:28:39,007 --> 01:28:41,409 CARVE OUT THE DIFFERENT NICHES 2046 01:28:41,409 --> 01:28:45,280 THAT WE'RE ABLE TO DO. 2047 01:28:45,280 --> 01:28:48,016 WE SUPPORT RESEARCH RELATED TO 2048 01:28:48,016 --> 01:28:49,450 BIOMEDICAL OUTCOMES AND IMPACTS 2049 01:28:49,450 --> 01:28:51,886 AND UNDERSTANDING THOSE. 2050 01:28:51,886 --> 01:28:55,189 AND DOI, THEY HAVE THEIR 2051 01:28:55,189 --> 01:28:56,190 PARTICULAR BENT ON THEIR 2052 01:28:56,190 --> 01:28:57,058 MISSION. 2053 01:28:57,058 --> 01:28:59,927 AND SO WE'RE IN THE PROCESS NOW 2054 01:28:59,927 --> 01:29:01,429 WITH THAT INITIATIVE IN 2055 01:29:01,429 --> 01:29:03,498 PARTICULAR TO TRY TO WORK 2056 01:29:03,498 --> 01:29:06,100 THROUGH HOW WE CAN HAVE 2057 01:29:06,100 --> 01:29:07,535 INTERSECTIONS THAT MAKE SENSE. 2058 01:29:07,535 --> 01:29:09,837 WITHOUT BEING ABLE TO JUST WRITE 2059 01:29:09,837 --> 01:29:12,106 SOMEONE A CHECK WHICH IS 2060 01:29:12,106 --> 01:29:14,042 SOMETIMES WOBT MOST SIMPLE WAY. 2061 01:29:14,042 --> 01:29:17,879 AND TO YOUR POINT WHERE WE COULD 2062 01:29:17,879 --> 01:29:19,614 COMBINE AWARD AMOUNTS TO GIVE 2063 01:29:19,614 --> 01:29:20,982 BIGGER AWARDS TO ABLE TO 2064 01:29:20,982 --> 01:29:22,650 ORGANIZATIONS. 2065 01:29:22,650 --> 01:29:24,619 IT'S NOT ALWAYS STRAIGHTFORWARD. 2066 01:29:24,619 --> 01:29:27,822 IF WE COULD LEARN TO DO THIS IN 2067 01:29:27,822 --> 01:29:29,957 A REALLY PRODUCTIVE AND INITIATE 2068 01:29:29,957 --> 01:29:32,226 WAY, THAT WOULD BE THE HOLY 2069 01:29:32,226 --> 01:29:35,496 GRAIL ACROSS THE FEDERAL 2070 01:29:35,496 --> 01:29:41,035 GOVERNMENT, TRUST ME. 2071 01:29:41,035 --> 01:29:42,236 >> K. Walters: IT'S NOT SO SAY 2072 01:29:42,236 --> 01:29:44,439 IT'S NOT POSSIBLE, BUT WE 2073 01:29:44,439 --> 01:29:46,841 HAVEN'T FIGURED OUT -- THERE IS 2074 01:29:46,841 --> 01:29:47,942 WORK TO BE DONE THERE. 2075 01:29:47,942 --> 01:29:49,644 >> IT TAKES TIME. 2076 01:29:49,644 --> 01:29:51,913 IT'S NOTES STRAIGHTFORWARD AS 2077 01:29:51,913 --> 01:29:56,751 WE'D LIKE IT TO BE. 2078 01:29:56,751 --> 01:29:57,618 >> K. Walters: JUST TO WRAP UP 2079 01:29:57,618 --> 01:30:02,156 THIS PART OF IT AND THEN TURN TO 2080 01:30:02,156 --> 01:30:09,831 DR. SWEAT SCHWETZ' COMMENTS TOD. 2081 01:30:09,831 --> 01:30:12,667 WE ASKED THE TAC TO WEIGH IN ON 2082 01:30:12,667 --> 01:30:14,736 PRIORITIES, THEY HAD A LIST OF 2083 01:30:14,736 --> 01:30:17,004 PRIORITIES THEY DEVELOPED IN 2084 01:30:17,004 --> 01:30:20,375 2022 AND THEY WERE WE REVIEWING 2085 01:30:20,375 --> 01:30:21,909 THAT AND GIVING US FEEDBACK 2086 01:30:21,909 --> 01:30:25,546 BASED ON THE CONVERSATION WE HAD 2087 01:30:25,546 --> 01:30:28,716 BASED ON MORTALITY AND ALL OF 2088 01:30:28,716 --> 01:30:30,518 THAT DATA. 2089 01:30:30,518 --> 01:30:33,388 AND ALSO THINKING A LITTLE BIT 2090 01:30:33,388 --> 01:30:36,758 ABOUT STRUCTURALLY AND MORE 2091 01:30:36,758 --> 01:30:37,892 CREATIVELY, IS THERE RESEARCH 2092 01:30:37,892 --> 01:30:38,993 TRAINING AND DEVELOPMENT 2093 01:30:38,993 --> 01:30:39,327 PROGRAMS. 2094 01:30:39,327 --> 01:30:41,095 THAT CAME UP TODAY ABOUT WANT 2095 01:30:41,095 --> 01:30:42,997 MORE TRAINING OPPORTUNITIES. 2096 01:30:42,997 --> 01:30:44,198 THAT WOULD BE ANOTHER AREA THAT 2097 01:30:44,198 --> 01:30:45,666 YOU MIGHT WANT TO DIRECT AND 2098 01:30:45,666 --> 01:30:48,970 SAY, HEY, WE NEED MORE TRAINING 2099 01:30:48,970 --> 01:30:51,038 OPPORTUNITIES FOR NATIVE 2100 01:30:51,038 --> 01:30:53,408 SCIENTISTS IN TRIBAL COLLEGES OR 2101 01:30:53,408 --> 01:30:53,674 SOMETHING. 2102 01:30:53,674 --> 01:30:56,711 THERE IS MORE STRUCTURAL 2103 01:30:56,711 --> 01:30:59,647 OPPORTUNITIES AS WELL AS 2104 01:30:59,647 --> 01:31:02,283 SUBSTANTIVE AREAS WE WANT TO 2105 01:31:02,283 --> 01:31:03,551 FOCUS ON. 2106 01:31:03,551 --> 01:31:04,886 THAT'S THE FEEDBACK THAT WE'RE 2107 01:31:04,886 --> 01:31:05,420 LOOKING FOR. 2108 01:31:05,420 --> 01:31:07,188 THAT'S WHERE WE STOP FOR NOW AND 2109 01:31:07,188 --> 01:31:10,491 WELCOME. 2110 01:31:10,491 --> 01:31:12,059 >> LET ME GET THIS THING GOING 2111 01:31:12,059 --> 01:31:12,827 AGAIN. 2112 01:31:12,827 --> 01:31:14,362 I DIDN'T MEAN TO INTERRUPT THE 2113 01:31:14,362 --> 01:31:15,596 FLOW OF THE DISCUSSIONS. 2114 01:31:15,596 --> 01:31:16,864 IT SOUNDS LIKE THEY'VE BEEN 2115 01:31:16,864 --> 01:31:17,465 GREAT. 2116 01:31:17,465 --> 01:31:18,800 AND I LOOK FORWARD TO HEARING 2117 01:31:18,800 --> 01:31:19,801 MORE ABOUT IT. 2118 01:31:19,801 --> 01:31:23,271 I DID GET A LITTLE RUNDOWN 2119 01:31:23,271 --> 01:31:25,273 YESTERDAY ON SOME OF THE 2120 01:31:25,273 --> 01:31:28,709 DISCUSSIONS FROM THE INDIGENOUS 2121 01:31:28,709 --> 01:31:32,447 DATA SOVEREIGNTY POLICY NEEDING. 2122 01:31:32,447 --> 01:31:34,081 AND I WAS SO HAPPY THAT WE WERE 2123 01:31:34,081 --> 01:31:35,983 ABLE TO MAKE THIS WORK SO PEOPLE 2124 01:31:35,983 --> 01:31:37,218 COULD COME IN-PERSON. 2125 01:31:37,218 --> 01:31:40,721 THE IN-PERSON MEETINGS, SO FEW 2126 01:31:40,721 --> 01:31:42,623 AND FAR BETWEEN BUT THEY CAN BE 2127 01:31:42,623 --> 01:31:43,191 RICH WITH DISCUSSION. 2128 01:31:43,191 --> 01:31:46,694 WE HAD ONE LAST WEEK WITH MY 2129 01:31:46,694 --> 01:31:47,662 COUNCIL. 2130 01:31:47,662 --> 01:31:50,198 THAT'S THE FIRST ONE THEY'VE HAD 2131 01:31:50,198 --> 01:31:51,499 IN FOUR YEARS. 2132 01:31:51,499 --> 01:31:54,168 IT WAS SO MUCH BETTER THAN ZOOM. 2133 01:31:54,168 --> 01:31:55,903 I LOVE ZOOM, BUT THE DISCUSSIONS 2134 01:31:55,903 --> 01:31:58,439 I THINK THAT WE HAVE IN-PERSON 2135 01:31:58,439 --> 01:32:00,808 ARE MUCH MORE MEANINGFUL AND 2136 01:32:00,808 --> 01:32:01,342 ENGAGING. 2137 01:32:01,342 --> 01:32:03,311 I'M GLAD THAT YOU ALL COULD BE 2138 01:32:03,311 --> 01:32:05,279 HERE AND COME TO BETHESDA FOR 2139 01:32:05,279 --> 01:32:07,849 THAT. 2140 01:32:07,849 --> 01:32:09,917 IT SOUNDS LIKE YOU ALL HONED IN 2141 01:32:09,917 --> 01:32:11,552 ON A FEW THINGS FROM THAT 2142 01:32:11,552 --> 01:32:13,855 MEETING RELATED TO BUILDING AND 2143 01:32:13,855 --> 01:32:14,989 MAINTAINING RELATIONSHIPS AND 2144 01:32:14,989 --> 01:32:16,524 CULTURAL TRAINING. 2145 01:32:16,524 --> 01:32:18,426 I KNOW ONE THING THAT CAME UP IS 2146 01:32:18,426 --> 01:32:20,461 THAT CONSENT IS THE PROCESS NOT 2147 01:32:20,461 --> 01:32:23,531 AN EVENT. 2148 01:32:23,531 --> 01:32:27,068 AND IT'S -- I HAD TO CHUCKLE A 2149 01:32:27,068 --> 01:32:29,403 LITTLE BIT BECAUSE AS I WAS 2150 01:32:29,403 --> 01:32:31,038 READING SUMMARY BECAUSE I WAS 2151 01:32:31,038 --> 01:32:32,974 SENT A SUMMARY YESTERDAY WHILE I 2152 01:32:32,974 --> 01:32:35,710 WAS AT ANOTHER MEETING BUT THE 2153 01:32:35,710 --> 01:32:37,645 EXACT SAME LINE HAD COME UP LIKE 2154 01:32:37,645 --> 01:32:39,614 10 MINUTES BEFORE AND IT WAS ON 2155 01:32:39,614 --> 01:32:41,215 A VERY DIFFERENT TOPIC. 2156 01:32:41,215 --> 01:32:42,950 I THINK THERE IS A LOT OF 2157 01:32:42,950 --> 01:32:44,185 ALIGNMENT AROUND THAT IDEA 2158 01:32:44,185 --> 01:32:46,587 ACROSS THE BOARD. 2159 01:32:46,587 --> 01:32:48,623 SOMETHING AT THAT REAL RESONATED 2160 01:32:48,623 --> 01:32:50,892 WITH ME AND I THINK PROBABLY 2161 01:32:50,892 --> 01:32:52,760 WITH EVERYONE HERE AT NIH THAT 2162 01:32:52,760 --> 01:32:54,629 WE WANT TO CONTINUE TO 2163 01:32:54,629 --> 01:32:55,563 EMPHASIZE. 2164 01:32:55,563 --> 01:32:58,232 I KNOW YOU GUYS HAVE A IN THE 2165 01:32:58,232 --> 01:33:01,602 MORE THAT -- HAVE A LOT MORE 2166 01:33:01,602 --> 01:33:04,572 THAT YOU HAVE PLANNED SO I DON'T 2167 01:33:04,572 --> 01:33:07,041 WANT TO TAKE UP A LOT OF TIME. 2168 01:33:07,041 --> 01:33:08,976 JOHN IS GOING TO PRESENT AT THE 2169 01:33:08,976 --> 01:33:11,679 NEXT TAC MEETING TO STALK A 2170 01:33:11,679 --> 01:33:14,315 LITTLE BIT MORE ABOUT SOME OF 2171 01:33:14,315 --> 01:33:16,717 THE PROGRAMS THAT HIS OFFICE IS 2172 01:33:16,717 --> 01:33:17,285 LAUNCHING. 2173 01:33:17,285 --> 01:33:19,554 WITHIN I MENTIONED AT THE LAST 2174 01:33:19,554 --> 01:33:22,924 VIRTUAL TAC MEETING. 2175 01:33:22,924 --> 01:33:27,862 WE DID NOT PICK THE NAME. 2176 01:33:27,862 --> 01:33:30,865 NEXT ONE -- THIS OTHER ONE I'LL 2177 01:33:30,865 --> 01:33:32,633 MENTION BRIEFLY. 2178 01:33:32,633 --> 01:33:35,603 AS I LOOK AROUND THE ROOM, I 2179 01:33:35,603 --> 01:33:37,004 THOUGHT IT'S FITTING. 2180 01:33:37,004 --> 01:33:41,142 IT'S CALLED TURTLE. 2181 01:33:41,142 --> 01:33:45,079 TRIBAL GRADUATE TO UNDERGRADUATE 2182 01:33:45,079 --> 01:33:45,980 RESEARCH PROGRAMS. 2183 01:33:45,980 --> 01:33:47,815 IT'S THE TRAINING PROGRAM AS THE 2184 01:33:47,815 --> 01:33:50,518 NAME IMPLIED TO BE ABLE TO BRING 2185 01:33:50,518 --> 01:33:52,820 INIAL RESEARCHERERS AND PROVIDE 2186 01:33:52,820 --> 01:33:53,588 TRAINING OPPORTUNITIES. 2187 01:33:53,588 --> 01:33:56,924 INTEREST IS GOING TO BE A T-34 2188 01:33:56,924 --> 01:34:01,862 WHICH FOCUSES ON UNDERGRADS AND 2189 01:34:01,862 --> 01:34:04,799 A T-32 WHICH IS MORE OF THE 2190 01:34:04,799 --> 01:34:06,467 DOCTORAL LEVEL. 2191 01:34:06,467 --> 01:34:08,369 THOSE WILL BE OPEN. 2192 01:34:08,369 --> 01:34:10,538 IT OPENED A COUPLE WEEKS AGO AND 2193 01:34:10,538 --> 01:34:14,508 WILL BE OUT UNTIL JANUARY. 2194 01:34:14,508 --> 01:34:15,309 NEXT YEAR. 2195 01:34:15,309 --> 01:34:17,511 JOHN WILL BE HERE AND HE'LL TALK 2196 01:34:17,511 --> 01:34:20,715 TO YOTO YOU MORE ABOUT THOSE PRS 2197 01:34:20,715 --> 01:34:22,783 AND YOU CAN ASK HIM THE QUOS 2198 01:34:22,783 --> 01:34:27,822 THAT YOU ALL -- HIM QUESTIONS 2199 01:34:27,822 --> 01:34:32,693 THAT YOU ALL HAVE. 2200 01:34:32,693 --> 01:34:37,665 WE EVER THE INTERINDIAN BOARDING 2201 01:34:37,665 --> 01:34:40,901 SCHOOL AND INTERGENERATIONAL 2202 01:34:40,901 --> 01:34:42,036 TALKS THAT WE WILL HE HAVE. 2203 01:34:42,036 --> 01:34:43,471 THAT IS GOING TO HAPPEN IN 2204 01:34:43,471 --> 01:34:45,506 DECEMBER AND I'M LOOKING FORWARD 2205 01:34:45,506 --> 01:34:46,941 TO BEING ABLE TO HOST THAT 2206 01:34:46,941 --> 01:34:48,576 MEETING AND HAVE DISCUSSIONS ON 2207 01:34:48,576 --> 01:34:51,012 THAT TOPIC AND TRY TO PLAN OUT 2208 01:34:51,012 --> 01:34:54,448 WHAT WE MIGHT WANT TO DO TO 2209 01:34:54,448 --> 01:34:56,217 FURTHER RESEARCH IN THAT AREA. 2210 01:34:56,217 --> 01:34:58,285 THOSE ARE ALL THAT I HAD. 2211 01:34:58,285 --> 01:35:00,087 I DON'T KNOW IF THERE IS 2212 01:35:00,087 --> 01:35:02,857 ANYTHING ELSE -- 2213 01:35:02,857 --> 01:35:04,992 >> KERBY IS THE IRB GRANT THAT 2214 01:35:04,992 --> 01:35:06,260 WE WERE TALKING ABOUT EARLIER 2215 01:35:06,260 --> 01:35:07,328 TODAY. 2216 01:35:07,328 --> 01:35:17,838 I SHOULD HAVE MENTIONED THAT. 2217 01:35:18,639 --> 01:35:20,207 TRBI,. 2218 01:35:20,207 --> 01:35:21,942 >> INSTITUTIONAL REVIEW BOARD 2219 01:35:21,942 --> 01:35:25,312 ESTABLISHMENT AND ENHANCEMENT. 2220 01:35:25,312 --> 01:35:33,854 >> THAT'S TERBEEE. 2221 01:35:33,854 --> 01:35:34,422 >> BOBBY. 2222 01:35:34,422 --> 01:35:35,423 >> B. Saunkeah: I HAD A COMMENT 2223 01:35:35,423 --> 01:35:36,657 ABOUT THAT. 2224 01:35:36,657 --> 01:35:38,526 I'M GLAD YOU EXPLAINED WHAT IT 2225 01:35:38,526 --> 01:35:40,294 WAS BECAUSE I SPELLED IT WRNG IN 2226 01:35:40,294 --> 01:35:41,495 THE FIRST PLACE. 2227 01:35:41,495 --> 01:35:42,563 I'M EXCITED ABOUT THAT 2228 01:35:42,563 --> 01:35:43,864 PARTICULAR OPPORTUNITY BECAUSE 2229 01:35:43,864 --> 01:35:49,203 WE HAVE A PRETTY 2230 01:35:49,203 --> 01:35:50,738 WELL-ESTABLISHED RIB. 2231 01:35:50,738 --> 01:35:52,473 WE ONLY DO THAT PART TIME. 2232 01:35:52,473 --> 01:35:55,176 WE DON'T HAVE ANY DEDICATED 2233 01:35:55,176 --> 01:35:56,610 STAFF TO SPEND ON THAT. 2234 01:35:56,610 --> 01:35:58,112 WE DON'T FEEL LIKE WE'RE DOING 2235 01:35:58,112 --> 01:36:00,281 THE JOB THAT WE CAN ACTUALLY DO 2236 01:36:00,281 --> 01:36:02,817 IN THIS ARENA INCLUDING TAC 2237 01:36:02,817 --> 01:36:03,818 WORK. 2238 01:36:03,818 --> 01:36:05,219 THAT'S GOOD TO SEE THAT. 2239 01:36:05,219 --> 01:36:06,921 MY COMMENT ABOUT THAT IS THAT'S 2240 01:36:06,921 --> 01:36:08,889 A COMPETITIVE PROCESS, RIGHT? 2241 01:36:08,889 --> 01:36:11,058 AND I KEEP THINKING BACK TO THE 2242 01:36:11,058 --> 01:36:15,029 TEXT AND THAT FUNDING GIVEN TO 2243 01:36:15,029 --> 01:36:19,233 THE CENTER THAT WILL IS 2244 01:36:19,233 --> 01:36:20,367 UNRESTRICTED FUNDING FOR 2245 01:36:20,367 --> 01:36:21,102 RESEARCH. 2246 01:36:21,102 --> 01:36:23,537 YOU DON'T HAVE TO HAVE A 2247 01:36:23,537 --> 01:36:23,771 PROJECT. 2248 01:36:23,771 --> 01:36:25,206 YOU CAN DO WHATEVER YOU WANT 2249 01:36:25,206 --> 01:36:26,240 WITH IT. 2250 01:36:26,240 --> 01:36:30,044 YOU'RE EVEN ELIGIBLE FOR 2251 01:36:30,044 --> 01:36:31,679 SUPPLEMENTAL FINDING. 2252 01:36:31,679 --> 01:36:35,483 FOR TRIBES, WE GET A COMPETITIVE 2253 01:36:35,483 --> 01:36:36,117 MECHANISM. 2254 01:36:36,117 --> 01:36:38,319 I'M WONDERING WHY WE CAN'T HAVE 2255 01:36:38,319 --> 01:36:42,256 THAT TYPE OF MECHANISM FOR 2256 01:36:42,256 --> 01:36:44,191 TRIBES WHERE IT'S UNRESTRICTED 2257 01:36:44,191 --> 01:36:45,493 AND YOU CAN DO WHATEVER YOU FEEL 2258 01:36:45,493 --> 01:36:47,795 LOOK YOU NEED TO DO WITH IT. 2259 01:36:47,795 --> 01:36:49,597 INSTEAD OF HAVING TO COMPETE 2260 01:36:49,597 --> 01:36:52,233 AGAINST OTHER TRIBES. 2261 01:36:52,233 --> 01:36:55,102 AND SO, IT DOESN'T SEEM QUITE 2262 01:36:55,102 --> 01:36:55,870 EQUITABLE TO ME. 2263 01:36:55,870 --> 01:37:06,046 THANK YOU. 2264 01:37:08,549 --> 01:37:14,321 >> AS YOU MONGSED -- MENTIONED, 2265 01:37:14,321 --> 01:37:15,756 HAS COMING UP BEFORE. 2266 01:37:15,756 --> 01:37:18,092 IT HAS TO TO WITH THE ORIGINAL 2267 01:37:18,092 --> 01:37:20,327 PROCESS TO MAKE THE AWARD IS A 2268 01:37:20,327 --> 01:37:21,428 COMPETITIVE PROCESS. 2269 01:37:21,428 --> 01:37:23,898 BUT ONCE THOSE AWARDS ARE MADE, 2270 01:37:23,898 --> 01:37:25,232 IT BECOMES DIFFERENT AND SOME OF 2271 01:37:25,232 --> 01:37:26,534 THAT IS SPECIFIC TO THE 2272 01:37:26,534 --> 01:37:27,201 AUTHORITIES AND LEGISLATION 2273 01:37:27,201 --> 01:37:32,740 AROUND THAT WHICH ARE UNIQUE IN 2274 01:37:32,740 --> 01:37:33,741 A WAY. 2275 01:37:33,741 --> 01:37:35,476 THAT DOESN'T MEAN TRR NOT OTHER 2276 01:37:35,476 --> 01:37:37,111 WAYS THAT WE CAN GET MORE 2277 01:37:37,111 --> 01:37:39,079 CREATIVE ON HOW WE DO THE WARDS 2278 01:37:39,079 --> 01:37:41,682 TO TRIBES TO BE ABLE TO PROVIDE 2279 01:37:41,682 --> 01:37:43,083 THEM AN OPPORTUNITY TO HAVE 2280 01:37:43,083 --> 01:37:51,458 RESOURCES. 2281 01:37:51,458 --> 01:37:53,494 MAYBE I HEARD IT EARLIER TODAY 2282 01:37:53,494 --> 01:37:55,896 AND TRANSLATING IT INTO THIS 2283 01:37:55,896 --> 01:37:58,232 MEETING, BUT ONE OF THE WAYS 2284 01:37:58,232 --> 01:38:01,702 THAT WE'RE TRYING OUT 2285 01:38:01,702 --> 01:38:03,204 BASICALLY -- I WOULDN'T SAY 2286 01:38:03,204 --> 01:38:05,072 QUITE SIMILAR APPROACH, BUT A 2287 01:38:05,072 --> 01:38:09,677 MORE FLEXIBLE APPROACHES ON OUR 2288 01:38:09,677 --> 01:38:13,681 PROGRAM FOCUSED ON SUBSTANCE 2289 01:38:13,681 --> 01:38:14,548 USE. 2290 01:38:14,548 --> 01:38:16,584 WE'LL LEARN HONOR TO YOU WE CAN 2291 01:38:16,584 --> 01:38:18,152 NAVIGATE SOME OF THE ISSUES IN 2292 01:38:18,152 --> 01:38:19,420 TRIBAL COMMUNITIES AND BEING 2293 01:38:19,420 --> 01:38:22,489 ABLE TO PROVIDE FUNDS FROM HOW 2294 01:38:22,489 --> 01:38:24,191 THEIR WORK IS DOING SO THEY GET 2295 01:38:24,191 --> 01:38:28,128 TO BE ONE OF THOSE PROGRAMS THAT 2296 01:38:28,128 --> 01:38:31,899 IS OUT AHEAD AND WE'LL SEE IF WE 2297 01:38:31,899 --> 01:38:35,502 CAN FIGURE OUT WAYS TO ADOPT 2298 01:38:35,502 --> 01:38:38,973 OTHER PROCESSES AND AWARDS. 2299 01:38:38,973 --> 01:38:40,407 KARINA THAT'S SOMETHING WE 2300 01:38:40,407 --> 01:38:42,943 SHOULD TALK ABOUT FURTHER AND 2301 01:38:42,943 --> 01:38:43,177 EXPLORE. 2302 01:38:43,177 --> 01:38:44,111 >> K. Walters: I THINK THIS IS 2303 01:38:44,111 --> 01:38:47,948 GOING TO COME UP WITH THE NEXT 2304 01:38:47,948 --> 01:38:50,117 AND DATA SHARING ISSUE IS 2305 01:38:50,117 --> 01:38:50,351 RAISED. 2306 01:38:50,351 --> 01:38:52,086 THIS WILL BE AN ON-GOING 2307 01:38:52,086 --> 01:38:52,519 QUESTION. 2308 01:38:52,519 --> 01:38:54,054 THERE ARE LARGER QUESTIONS I 2309 01:38:54,054 --> 01:38:55,222 THINK AT THE TRIBAL LEVEL THAT 2310 01:38:55,222 --> 01:38:57,558 PEOPLE ARE RAISING AROUND PUBLIC 2311 01:38:57,558 --> 01:39:01,395 HEALTH AUTHORITY WITH TAC AND 2312 01:39:01,395 --> 01:39:02,596 SOVEREIGNTY ISSUES. 2313 01:39:02,596 --> 01:39:05,399 THAT IS IMPLIED IN WHAT YOU'RE 2314 01:39:05,399 --> 01:39:05,833 SAYING. 2315 01:39:05,833 --> 01:39:09,003 >> THAT IS RECOMPETED AT SOME 2316 01:39:09,003 --> 01:39:13,274 POINT. 2317 01:39:13,274 --> 01:39:16,644 >> K. Walters: WHERE NIH IS 2318 01:39:16,644 --> 01:39:18,145 INVOLVED, IT IS A COMPETITIVE 2319 01:39:18,145 --> 01:39:19,213 PROCESS ACTUALLY. 2320 01:39:19,213 --> 01:39:21,048 WE'LL GO THROUGH TRIBAL 2321 01:39:21,048 --> 01:39:21,682 CONSULTATION BEFORE MOVING 2322 01:39:21,682 --> 01:39:23,417 FORWARD. 2323 01:39:23,417 --> 01:39:26,053 SO THAT WAS THE ISSUE THAT WAS 2324 01:39:26,053 --> 01:39:27,254 NOT ADDRESSED IN THE WAY IT 2325 01:39:27,254 --> 01:39:28,289 SHOULD HAVE BEEN IN THE FIRST 2326 01:39:28,289 --> 01:39:28,923 ROUND. 2327 01:39:28,923 --> 01:39:31,458 SO WE GOT PLANS IN PLACE FOR 2328 01:39:31,458 --> 01:39:34,962 SURE WITH THAT. 2329 01:39:34,962 --> 01:39:37,698 AND ALSO I WANT TO ACKNOWLEDGE 2330 01:39:37,698 --> 01:39:40,067 TOO, WE'RE RAISING AN ISSUE TIED 2331 01:39:40,067 --> 01:39:42,202 TO THE EXECUTIVE ORDER AS WELL 2332 01:39:42,202 --> 01:39:45,339 AROUND BUDGETS AND STUFF. 2333 01:39:45,339 --> 01:39:47,207 WE'RE -- WE DO SIT ON SOME OF 2334 01:39:47,207 --> 01:39:55,716 THE MEETINGS FOR THE EO 1412 AND 2335 01:39:55,716 --> 01:39:57,451 WE'RE LOOKING AT THAT IN TERMS 2336 01:39:57,451 --> 01:39:59,920 HOW DOES THRO INTEGRATE BETTER 2337 01:39:59,920 --> 01:40:02,122 RESPONSE TO THAT AT THE NIH. 2338 01:40:02,122 --> 01:40:04,091 WE'LL WORK CLESLY WITH DR. 2339 01:40:04,091 --> 01:40:06,994 SCHWETZ ABOUT THAT -- CLOSELY 2340 01:40:06,994 --> 01:40:14,668 WITH DR. SCHWETZ ABOUT THAT. 2341 01:40:14,668 --> 01:40:24,745 AND TURTLE, KARINA HELPED WORK 2342 01:40:24,745 --> 01:40:25,512 ON THAT. 2343 01:40:25,512 --> 01:40:27,881 OTHER QUESTIONS OR COMMENTS? 2344 01:40:27,881 --> 01:40:29,650 YOU NEVER KNOW IF I'LL CALL YOU 2345 01:40:29,650 --> 01:40:37,191 OUT. 2346 01:40:37,191 --> 01:40:43,030 DO WE HAVE ANYBOD ANYBODY ON LI? 2347 01:40:43,030 --> 01:40:46,033 WE DON'T HAVE IT ON OUR SCREEN. 2348 01:40:46,033 --> 01:40:51,705 DR. LORETTO, DO YOU HAVE A 2349 01:40:51,705 --> 01:40:52,506 COMMENT? 2350 01:40:52,506 --> 01:40:53,874 >> YES, I THINK GOING BACK TO 2351 01:40:53,874 --> 01:41:00,147 THE CRITICAL ISSUES OF CONCERNS 2352 01:41:00,147 --> 01:41:00,914 WITHIN TRIBES. 2353 01:41:00,914 --> 01:41:03,417 WE DON'T AWMS TALK ABOUT IT, BUT 2354 01:41:03,417 --> 01:41:06,186 WE REPRESENT CERTAIN AREAS AND 2355 01:41:06,186 --> 01:41:09,456 THE ALBUQUERQUE AREA OFFICE, 2356 01:41:09,456 --> 01:41:11,225 LATELY AND I THINK THERE IS A 2357 01:41:11,225 --> 01:41:14,395 LOT OF WORK GENERATED THROUGH 2358 01:41:14,395 --> 01:41:15,696 BEHAVIORAL HEALTH BECAUSE WE SEE 2359 01:41:15,696 --> 01:41:21,068 A LOT OF TRAUMA AND VIOLENCE AND 2360 01:41:21,068 --> 01:41:24,772 IT'S SAD TO SAY A LARGE OF IT 2361 01:41:24,772 --> 01:41:27,641 STEMS FROM THE LACK OF HOUSING 2362 01:41:27,641 --> 01:41:30,310 IN OUR COMMUNITIES. 2363 01:41:30,310 --> 01:41:36,116 IT FOLLOWS THAT TRAIL UP TO, YOU 2364 01:41:36,116 --> 01:41:39,987 KNOW, THE VIOLENCE AND TRAUMA OF 2365 01:41:39,987 --> 01:41:42,222 TOO MANY FAMILY MEMBERS LIVING 2366 01:41:42,222 --> 01:41:43,957 IN A HOUSEHOLD. 2367 01:41:43,957 --> 01:41:48,328 THERE IS ALCOHOL INVOLVED. 2368 01:41:48,328 --> 01:41:51,698 WE'RE HAVING FENTANYL PROBLEM AS 2369 01:41:51,698 --> 01:41:52,299 WELL TOO. 2370 01:41:52,299 --> 01:41:54,201 THERE ARE A LOT OF THINGS 2371 01:41:54,201 --> 01:41:56,837 FALLING UNDER THE UMBRELLA OF 2372 01:41:56,837 --> 01:41:57,604 BEHAVIORAL HEALTH. 2373 01:41:57,604 --> 01:42:00,207 IT'S SOMETHING THAT I THINK 2374 01:42:00,207 --> 01:42:02,142 WE'RE SEEING MORE IN OUR 2375 01:42:02,142 --> 01:42:03,077 PARTICULAR AREA THAN IN THE 2376 01:42:03,077 --> 01:42:03,444 PAST. 2377 01:42:03,444 --> 01:42:05,679 I WANTED TO BRING THAT OUT. 2378 01:42:05,679 --> 01:42:07,414 I DON'T KNOW ON A NATIONAL LEVEL 2379 01:42:07,414 --> 01:42:09,783 HOW THINGS ARE. 2380 01:42:09,783 --> 01:42:12,886 BUT WE KIND OF RELATE IT TO A 2381 01:42:12,886 --> 01:42:14,588 LOT OF THESE THINGS BECAUSE OF 2382 01:42:14,588 --> 01:42:17,224 THE LACK OF HOUSING IN OUR 2383 01:42:17,224 --> 01:42:18,058 TRIBAL COMMUNITIES. 2384 01:42:18,058 --> 01:42:23,230 THANK YOU. 2385 01:42:23,230 --> 01:42:28,035 >> THANK YOU DR. LORETTO. 2386 01:42:28,035 --> 01:42:29,670 THAT RELATES TO OUR EARLIER 2387 01:42:29,670 --> 01:42:31,305 DISCUSSION ON IDENTIFYING SOME 2388 01:42:31,305 --> 01:42:32,406 OF THE CONCERNS AND ISSUES THAT 2389 01:42:32,406 --> 01:42:35,008 YOU SEE IN INDIAN COUNTRY THAT 2390 01:42:35,008 --> 01:42:36,777 YOU WOULD LIKE TO HAVE NIH 2391 01:42:36,777 --> 01:42:40,481 POTENTIALLY ADDRESS. 2392 01:42:40,481 --> 01:42:44,284 SO NOTED. 2393 01:42:44,284 --> 01:42:46,153 >> H. Frias: I DO WANT TO THANK 2394 01:42:46,153 --> 01:42:52,459 YOU, DR. SCHWETZ FOR JOINING US. 2395 01:42:52,459 --> 01:42:55,529 I IT MEANS A LOT THAT YOU TAKE 2396 01:42:55,529 --> 01:42:57,631 THE TIME TO BE HERE AND MEET 2397 01:42:57,631 --> 01:42:58,265 WITH TAC. 2398 01:42:58,265 --> 01:43:00,100 ONE OF THE QUESTIONS RAISED WAS 2399 01:43:00,100 --> 01:43:01,869 WITH THE RESEARCH THAT WE'RE 2400 01:43:01,869 --> 01:43:05,472 TALKING ABOUT CREATING, YOU 2401 01:43:05,472 --> 01:43:10,544 KNOW, OPPORTUNITIES FOR -- TO 2402 01:43:10,544 --> 01:43:12,446 COLLABORATE WITH THE AREAS 2403 01:43:12,446 --> 01:43:14,448 THROUGHOUT HHS. 2404 01:43:14,448 --> 01:43:20,120 ONE OF THE QUESTIONS THAT DR. 2405 01:43:20,120 --> 01:43:22,456 WALTERS SHARED THAT WE'RE DYING 2406 01:43:22,456 --> 01:43:25,359 YOUNGER. 2407 01:43:25,359 --> 01:43:26,426 WE'RE GETTING WORSE IN A LOT OF 2408 01:43:26,426 --> 01:43:28,729 SITUATION KFERLD THE RESEARCH 2409 01:43:28,729 --> 01:43:29,796 QUESTION IS WHY. 2410 01:43:29,796 --> 01:43:32,065 WHEN WE'VE MADE SO MANY 2411 01:43:32,065 --> 01:43:34,368 TECHNICAL ADVANCES, SO MANY 2412 01:43:34,368 --> 01:43:38,172 ADVANCES IN HEALTH RESEARCH AND 2413 01:43:38,172 --> 01:43:39,907 EVERYTHING, YET, WE STILL 2414 01:43:39,907 --> 01:43:43,510 CONTINUE TO FALL BEHIND. 2415 01:43:43,510 --> 01:43:47,481 SO IT'S THE BIG QUESTION OF HOW 2416 01:43:47,481 --> 01:43:53,020 DO WE ADDRESS THIS BASIC 2417 01:43:53,020 --> 01:43:54,321 QUESTION. 2418 01:43:54,321 --> 01:43:56,190 IT ALSO GOES AROUND SOME OF THE 2419 01:43:56,190 --> 01:43:58,258 DISCUSSION THAT WE HAD IN OUR 2420 01:43:58,258 --> 01:44:00,727 WORKING GROUP EARLIER TODAY AND 2421 01:44:00,727 --> 01:44:04,298 THE DATA SOVEREIGNTY DURING THE 2422 01:44:04,298 --> 01:44:08,402 DATA SOVEREIGNTY GATHERING WAS 2423 01:44:08,402 --> 01:44:11,471 THAT THE INVESTMENT IN THE 2424 01:44:11,471 --> 01:44:12,039 OFFICE. 2425 01:44:12,039 --> 01:44:16,910 THE INVESTMENT IN EVEN TO 2426 01:44:16,910 --> 01:44:19,780 ELEVATE THIS OFFICE AND TO 2427 01:44:19,780 --> 01:44:23,016 REALLY LOOK AT SET-ASIDES FROM 2428 01:44:23,016 --> 01:44:24,851 THE DIFFERENT DEPARTMENTS THAT 2429 01:44:24,851 --> 01:44:29,690 ARE SPECIFIC TO RESEARCH IN 2430 01:44:29,690 --> 01:44:32,526 TRIBAL COMMUNITIES. 2431 01:44:32,526 --> 01:44:37,831 SO THAT WE CAN START ADDRESSING 2432 01:44:37,831 --> 01:44:41,301 THESE CORE ISSUES OF HOW DOES IT 2433 01:44:41,301 --> 01:44:43,604 MAKE SENSE THAT EVERYTHING ELSE 2434 01:44:43,604 --> 01:44:47,941 IS ADVANCING AND HEALTHCARE AND 2435 01:44:47,941 --> 01:44:51,578 THE PROGRESS, YET WE'RE FALLING 2436 01:44:51,578 --> 01:44:52,112 BEHIND? 2437 01:44:52,112 --> 01:44:54,381 WE'RE STILL AT THOSE STATS WHERE 2438 01:44:54,381 --> 01:44:56,383 IT'S NOT GETTING ANY BETTER FOR 2439 01:44:56,383 --> 01:44:56,917 US. 2440 01:44:56,917 --> 01:45:01,688 WHERE IS THE DISCONNECT? 2441 01:45:01,688 --> 01:45:03,824 >> THAT'S A HUGE, HUGE CHALLENGE 2442 01:45:03,824 --> 01:45:05,959 RIGHT NOW. 2443 01:45:05,959 --> 01:45:07,694 THIS DOESN'T MAKE IT ANY BETTER, 2444 01:45:07,694 --> 01:45:10,330 BUT I THINK OVERALL AS A 2445 01:45:10,330 --> 01:45:12,833 COUNTRY, WE'RE NOT DOING GREAT 2446 01:45:12,833 --> 01:45:15,769 TO BEGIN WITH. 2447 01:45:15,769 --> 01:45:18,805 OUR HEALTH STATS ARE DECLINING, 2448 01:45:18,805 --> 01:45:20,340 THEY'RE NOT IMPROVING IN MANY, 2449 01:45:20,340 --> 01:45:21,008 MANY AREAS. 2450 01:45:21,008 --> 01:45:25,379 I THINK THEY'RE EXACERBATED FOR 2451 01:45:25,379 --> 01:45:26,346 AIN POPULATIONS. 2452 01:45:26,346 --> 01:45:32,686 WE SEE THAT MAJ DISPARITY THAT I 2453 01:45:32,686 --> 01:45:34,955 THINK YOU'RE FOCUSING ON. 2454 01:45:34,955 --> 01:45:37,024 WE NEED TO DO A LOT BETTER 2455 01:45:37,024 --> 01:45:38,792 OVERALL JUST IN JEN. 2456 01:45:38,792 --> 01:45:41,194 BUT IN PARTICULAR, I THINK THERE 2457 01:45:41,194 --> 01:45:43,130 ARE MANY MAJOR HEALTH CONCERNS 2458 01:45:43,130 --> 01:45:45,098 WITH THE AIN POPULATIONS WHERE 2459 01:45:45,098 --> 01:45:49,102 WE SEE THE DISTINCT DISPARITIES. 2460 01:45:49,102 --> 01:45:50,203 TAKING PARTICULAR STEPS TO 2461 01:45:50,203 --> 01:45:51,538 ADDRESS THEM IS GOING TO BE 2462 01:45:51,538 --> 01:45:52,105 IMPORTANT. 2463 01:45:52,105 --> 01:45:53,940 THAT'S WHERE THAT WHOLE 2464 01:45:53,940 --> 01:45:55,342 GOVERNMENT APPROACH THAT WE WERE 2465 01:45:55,342 --> 01:45:56,376 TALKING ABOUT BEFORE. 2466 01:45:56,376 --> 01:45:58,945 HOW DO WE COORDINATE BETTER AND 2467 01:45:58,945 --> 01:46:01,014 MORE EFFECTIVELY ACROSS THE 2468 01:46:01,014 --> 01:46:02,015 FEDERAL GOVERNMENT BECOMES 2469 01:46:02,015 --> 01:46:02,983 IMPORTANT. 2470 01:46:02,983 --> 01:46:06,019 ACROSS HHS WITH THE HEALTH 2471 01:46:06,019 --> 01:46:08,088 CHALLENGES THAT OUR HIGHEST 2472 01:46:08,088 --> 01:46:08,655 PRIORITY. 2473 01:46:08,655 --> 01:46:10,157 SO I DON'T KNOW THAT WE HAVE A 2474 01:46:10,157 --> 01:46:13,160 GOOD ANSWER, BUT BECAUSE IT'S A 2475 01:46:13,160 --> 01:46:14,194 BIG QUESTION. 2476 01:46:14,194 --> 01:46:16,630 AND WE'VE BEEN TRYING THINGS 2477 01:46:16,630 --> 01:46:18,565 OVER THE YEARS AND I'M NOT SURE 2478 01:46:18,565 --> 01:46:20,967 HOW SUCCESSFUL WE'VE BEEN. 2479 01:46:20,967 --> 01:46:22,936 I THINK TRYING TO LAUNCH NEW 2480 01:46:22,936 --> 01:46:24,371 PROGRAMS LIKE SOME OF THEM THAT 2481 01:46:24,371 --> 01:46:29,710 WE'VE TALKED ABOUT TODAY, FOR 2482 01:46:29,710 --> 01:46:33,380 YOU PROVIDING INFORMATION ON 2483 01:46:33,380 --> 01:46:38,785 THRO AND NIH WITH RESPECT TO AIN 2484 01:46:38,785 --> 01:46:40,420 RESPECTED ISSUES THAT WE NEED TO 2485 01:46:40,420 --> 01:46:42,456 BE THINKING ABOUT WITH TRIBAL 2486 01:46:42,456 --> 01:46:43,890 COMMUNITIES IS CRITICAL IT 2487 01:46:43,890 --> 01:46:45,459 MAKING PROGRESS AND MAKING 2488 01:46:45,459 --> 01:46:47,828 INROADS THERE. 2489 01:46:47,828 --> 01:46:50,530 SO WE ALL HAVE A LOT OF WORK TO 2490 01:46:50,530 --> 01:46:51,965 DO AND I DON'T HAVE A GOOD 2491 01:46:51,965 --> 01:46:52,733 ANSWER FOR YOU. 2492 01:46:52,733 --> 01:46:54,801 YOU HAVE OUR COMMITMENT TO 2493 01:46:54,801 --> 01:46:56,670 CONTINUE TO DO THAT. 2494 01:46:56,670 --> 01:47:00,407 CORRINE AND I WILL CONTINUE TO 2495 01:47:00,407 --> 01:47:01,808 BRAINSTORM WAYS THAT WE CAN 2496 01:47:01,808 --> 01:47:03,243 ELEVATE NOT JUST THE WORK OF THE 2497 01:47:03,243 --> 01:47:04,478 OFFICE, AT THAT IS ONE THING, 2498 01:47:04,478 --> 01:47:06,713 BUT WHAT WE WANT TO DO IS 2499 01:47:06,713 --> 01:47:09,449 HIGHLIGHT THE IMPORTANCE OF THE 2500 01:47:09,449 --> 01:47:10,717 WORK AT LARGE THAT THEY'RE DOING 2501 01:47:10,717 --> 01:47:13,353 AND THE IMPACT THAT THAT HAS ON 2502 01:47:13,353 --> 01:47:15,589 TRIBAL OPPORTUNITIES AND TRIBAL 2503 01:47:15,589 --> 01:47:17,557 HEALTH OR AT LEAST HAS THE 2504 01:47:17,557 --> 01:47:18,859 POTENTIAL ANYWAY. 2505 01:47:18,859 --> 01:47:22,295 THAT'S A LONG-WINDED ANSWER. 2506 01:47:22,295 --> 01:47:24,931 WE VALUE YOUR INPUT AND FEEDBACK 2507 01:47:24,931 --> 01:47:28,635 TO HELP US FIGURE THIS OUT. 2508 01:47:28,635 --> 01:47:30,837 >> I HAD A COMMENT OR 2509 01:47:30,837 --> 01:47:32,305 OBSERVATION ON THE BOARDING 2510 01:47:32,305 --> 01:47:33,473 SCHOOL INITIATIVE. 2511 01:47:33,473 --> 01:47:36,176 I KNOW THAT'S A HUGE DEAL AND 2512 01:47:36,176 --> 01:47:40,547 I'M NOT QUITE SURE YET WHAT THE 2513 01:47:40,547 --> 01:47:42,215 NIH'S APPROACH AND FOCUS HOW DO 2514 01:47:42,215 --> 01:47:44,151 YOU GET INTO THIS ISSUE AND WHAT 2515 01:47:44,151 --> 01:47:46,019 DO YOU HOPE TO GET OUT OF IT. 2516 01:47:46,019 --> 01:47:47,187 I'M INTERESTED IN KIND OF 2517 01:47:47,187 --> 01:47:50,490 HEARING MORE ABOUT THAT. 2518 01:47:50,490 --> 01:47:52,225 I WANTED TO NOTE THAT 2519 01:47:52,225 --> 01:47:53,994 NATIONALLY, A LOT OF CHURCHES 2520 01:47:53,994 --> 01:47:56,930 ARE LOOKING AT THESE ISSUES AS 2521 01:47:56,930 --> 01:47:57,464 WELL. 2522 01:47:57,464 --> 01:48:02,836 I'M A CLERGY IN THE EPISCOPAL 2523 01:48:02,836 --> 01:48:05,105 CHURCH AND THE NATIONAL CHURCH, 2524 01:48:05,105 --> 01:48:07,607 A TOP PRIORITY IS LOOKING AT THE 2525 01:48:07,607 --> 01:48:08,975 HEALING ASPECTS OF THE BOARDING 2526 01:48:08,975 --> 01:48:09,709 SCHOOLS. 2527 01:48:09,709 --> 01:48:11,211 I'M ON A NATIONAL COMMITTEE TO 2528 01:48:11,211 --> 01:48:14,414 LOOK AT THOSE THROUGH THE 2529 01:48:14,414 --> 01:48:15,148 EPISCOPAL CHURCH. 2530 01:48:15,148 --> 01:48:18,084 WE SEND OUT LETTERS TO THE 2531 01:48:18,084 --> 01:48:22,155 BISHOPS AND PARISHES AND FINDING 2532 01:48:22,155 --> 01:48:24,524 OUT WHICH BOARDING SCHOOLS WE 2533 01:48:24,524 --> 01:48:26,693 MITE HAVE HAD A ROLE IN AND WHAT 2534 01:48:26,693 --> 01:48:28,228 KIND OF INFORMATION WE MIGHT 2535 01:48:28,228 --> 01:48:29,229 HAVE IN THOSE. 2536 01:48:29,229 --> 01:48:31,731 SO DIGGING THROUGH THOSE 2537 01:48:31,731 --> 01:48:31,998 ARCHIVES. 2538 01:48:31,998 --> 01:48:35,735 THIS IS A NATIONAL EFFORT FOR 2539 01:48:35,735 --> 01:48:38,271 THE EPISCOPAL CHURCH AND I KNOW 2540 01:48:38,271 --> 01:48:39,673 OTHER CHURCHES ARE DOING IT AS 2541 01:48:39,673 --> 01:48:40,040 WELL. 2542 01:48:40,040 --> 01:48:41,675 IT WILL BE INTERESTING TO SEE 2543 01:48:41,675 --> 01:48:45,378 HOW NIH AND OTHER RELIGIOUS-TYPE 2544 01:48:45,378 --> 01:48:48,648 DENOMINATIONS ARE LOOKING AT THE 2545 01:48:48,648 --> 01:48:50,083 SAME -- IT WILL BE A DIFFERENT 2546 01:48:50,083 --> 01:48:52,452 LENS OF COURSE, BUT IT WILL BE 2547 01:48:52,452 --> 01:48:55,555 INTERESTING TO SEE HOW THESE 2548 01:48:55,555 --> 01:48:59,159 PARALLEL AND WORK TOGETHER AND 2549 01:48:59,159 --> 01:49:00,093 NOT DUPLICATE EFFORTS. 2550 01:49:00,093 --> 01:49:02,929 WE HAVE THE SAME GOAL EVEN 2551 01:49:02,929 --> 01:49:04,464 THOUGH IT'S A DIFFERENT 2552 01:49:04,464 --> 01:49:05,131 BACKGROUND. 2553 01:49:05,131 --> 01:49:06,967 BUT I'LL BE INTERESTED TO SEE 2554 01:49:06,967 --> 01:49:08,835 WHAT THE NIH APPROACH IS BECAUSE 2555 01:49:08,835 --> 01:49:11,104 I'M FAMILIAR WITH WHAT MY 2556 01:49:11,104 --> 01:49:11,671 CHURCH'S APPROACH IS. 2557 01:49:11,671 --> 01:49:14,708 IT WILL BE INTERESTING TO FOR ME 2558 01:49:14,708 --> 01:49:17,544 TO SEE HOW THEY PARALLEL. 2559 01:49:17,544 --> 01:49:19,613 >> YOU HAVE AN EXPERT TO MY LEFT 2560 01:49:19,613 --> 01:49:21,615 HERE. 2561 01:49:21,615 --> 01:49:23,783 BUT JUST TO TAKE YOUR POINT, I 2562 01:49:23,783 --> 01:49:25,752 THINK WE DO WANT TO MAKE SURE 2563 01:49:25,752 --> 01:49:26,953 THAT WE CAN LEARN FROM THOSE 2564 01:49:26,953 --> 01:49:29,022 EFFORTS. 2565 01:49:29,022 --> 01:49:31,825 SO AS WE WORK ON THE PLAN TO 2566 01:49:31,825 --> 01:49:34,594 HOST THAT MEETING, BUT WE'LL 2567 01:49:34,594 --> 01:49:39,733 MAYBE WE SHOULD ENGAGE HIM IN 2568 01:49:39,733 --> 01:49:40,133 DISCUSSION. 2569 01:49:40,133 --> 01:49:40,600 >> ABSOLUTELY. 2570 01:49:40,600 --> 01:49:43,737 I CAN BRING YOU ALL UP TO SPEED 2571 01:49:43,737 --> 01:49:44,237 NOW. 2572 01:49:44,237 --> 01:49:45,505 IT'S WORKING QUICKLY. 2573 01:49:45,505 --> 01:49:47,474 WE GOT OUR CONTRACT IN PLACE. 2574 01:49:47,474 --> 01:49:48,875 YOU CAN'T GO LIVE UNTIL THE 2575 01:49:48,875 --> 01:49:50,410 CONTRACT IS IN PLACE. 2576 01:49:50,410 --> 01:49:51,945 SO IT IS NOW. 2577 01:49:51,945 --> 01:49:56,550 AND SO, AS OF LAST WEEK 2578 01:49:56,550 --> 01:49:57,617 ACTUALLY. 2579 01:49:57,617 --> 01:49:59,252 IT'S VERY NEW. 2580 01:49:59,252 --> 01:50:01,555 WE'LL HOLD A BOARDING SCHOOL 2581 01:50:01,555 --> 01:50:02,522 HEALING SUMMIT. 2582 01:50:02,522 --> 01:50:04,724 THAT IS IN COLLABORATION WITH 2583 01:50:04,724 --> 01:50:06,893 AND NATIONAL NATIVE BOARDING 2584 01:50:06,893 --> 01:50:08,762 SCHOOL HEALING COALITION WITH 2585 01:50:08,762 --> 01:50:10,830 DEB PARKER AND THEIR GROUP. 2586 01:50:10,830 --> 01:50:12,532 YOU GUYS ARE WORKING WITH HER AS 2587 01:50:12,532 --> 01:50:13,199 WELL. 2588 01:50:13,199 --> 01:50:18,238 SHE'S LIKE THE CORE, HE'S THE -- 2589 01:50:18,238 --> 01:50:19,439 SHE'S THE HUB. 2590 01:50:19,439 --> 01:50:22,075 THEY FINISHED THEIR VOLUME ONE 2591 01:50:22,075 --> 01:50:24,444 REPORT IS AND WORKING ON VOLUME 2592 01:50:24,444 --> 01:50:24,778 TWO. 2593 01:50:24,778 --> 01:50:35,255 IF YOU LOOK AT PAGE, IT SAY 2594 01:50:36,089 --> 01:50:40,193 SAYS WE'RE GETTING A JUMP ON 2595 01:50:40,193 --> 01:50:41,494 THAT. 2596 01:50:41,494 --> 01:50:44,698 WITH LOOK AT INDIVIDUAL FAMILY 2597 01:50:44,698 --> 01:50:46,333 COMMUNITY AND LEVEL 2598 01:50:46,333 --> 01:50:48,034 INTERVENTIONS TO ADDRESS 2599 01:50:48,034 --> 01:50:49,302 POPULATION HEALTH AROUND ANY 2600 01:50:49,302 --> 01:50:51,638 KIND EVER BOARDING SCHOOL TRAUMA 2601 01:50:51,638 --> 01:50:54,374 OR INTERGENERATIONAL TRAUMA. 2602 01:50:54,374 --> 01:50:56,443 ALSO BUILDING IN POSITIVE THINGS 2603 01:50:56,443 --> 01:50:58,411 TOO. 2604 01:50:58,411 --> 01:50:59,679 WHAT ARE SOME OF THE THINGS THAT 2605 01:50:59,679 --> 01:51:03,083 WE CAN CAPITALIZE ON AND BUILD 2606 01:51:03,083 --> 01:51:04,484 INTERVENTIONS AROUND SUPPORTING 2607 01:51:04,484 --> 01:51:08,888 HEALTH AND RESILIENCE AND MOVING 2608 01:51:08,888 --> 01:51:11,091 FORWARD AND HAVING A SENSE EVER 2609 01:51:11,091 --> 01:51:12,058 INDIGENOUS FUTURES. 2610 01:51:12,058 --> 01:51:14,561 THIS BOARDING SCHOOL SUMMIT IS 2611 01:51:14,561 --> 01:51:16,096 GOING TO BE THE LAUNCH OF 2612 01:51:16,096 --> 01:51:17,297 LOOKING AT THAT. 2613 01:51:17,297 --> 01:51:19,833 BRINGING TOGETHER ABOUT 100 2614 01:51:19,833 --> 01:51:25,839 FOLKS INCLUDING THE EXPERTS WE 2615 01:51:25,839 --> 01:51:27,641 TALKED ABOUT EARLIER LOOKING AT 2616 01:51:27,641 --> 01:51:30,677 WHERE THE STATE OF SCIENCE 2617 01:51:30,677 --> 01:51:31,711 AROUND INTERGENERATIONAL TRAUMA 2618 01:51:31,711 --> 01:51:35,382 AND BOARDING SCHOOL TRAUMA AND 2619 01:51:35,382 --> 01:51:37,751 INTERGENERATIONAL HEALTH. 2620 01:51:37,751 --> 01:51:41,655 THE BRINGING TOTE THE SURVIVORS 2621 01:51:41,655 --> 01:51:43,423 THAT ARE ABLE TO AND WILLING IT 2622 01:51:43,423 --> 01:51:52,098 TALK PICKLY. PUBLICLY. 2623 01:51:52,098 --> 01:51:56,269 AND WE'RE INVITING OTHER HEALTH 2624 01:51:56,269 --> 01:51:58,338 HHS AGENCIES TO BE AT THE TABLE 2625 01:51:58,338 --> 01:52:00,740 TO LISTEN DEEPLY. 2626 01:52:00,740 --> 01:52:03,710 THE GOAL IS TO HAVE A WHOLE 2627 01:52:03,710 --> 01:52:05,111 GOVERNMENT O APPROACH COMING OUT 2628 01:52:05,111 --> 01:52:08,381 OF THAT WHERE NIH WILL HAVE OUR 2629 01:52:08,381 --> 01:52:10,550 OWN SET OF STRATEGY IT'S WE'LL 2630 01:52:10,550 --> 01:52:13,186 WANT TO DO BASED ON THE TWO AND 2631 01:52:13,186 --> 01:52:14,621 A HALF-DAY MEETING. 2632 01:52:14,621 --> 01:52:16,523 WE HAVE AT THE TABLE WHO ARE 2633 01:52:16,523 --> 01:52:17,724 COMMITTED TO COMING AND EXCITED 2634 01:52:17,724 --> 01:52:20,026 TO PARTNER IN THIS ENDEAVOR. 2635 01:52:20,026 --> 01:52:21,695 MY BOSS HERE DOESN'T KNOW THIS 2636 01:52:21,695 --> 01:52:25,632 YET SO I'M GOING TO INFORM HER. 2637 01:52:25,632 --> 01:52:29,569 >> HOT OFFER THE PRESS. 2638 01:52:29,569 --> 01:52:34,607 >> K. Walters: ACF, ANA, OMH AND 2639 01:52:34,607 --> 01:52:37,711 CDC HAVE ALL SAID WE'RE ON BOARD 2640 01:52:37,711 --> 01:52:41,448 TO BE HERE AND PART OF THIS AND 2641 01:52:41,448 --> 01:52:42,549 DOI HOPEFULLY. 2642 01:52:42,549 --> 01:52:45,385 SO THE GOAL IS TO HAVE EVERYBODY 2643 01:52:45,385 --> 01:52:46,686 SITTING AT THE TABLE LISTENING 2644 01:52:46,686 --> 01:52:47,687 DEEPLY. 2645 01:52:47,687 --> 01:52:49,255 WE'LL HAVE BREAK HUNDRED OUTS 2646 01:52:49,255 --> 01:52:52,625 FOR THE FEDERAL PARTNERS TO 2647 01:52:52,625 --> 01:52:54,928 BRING UP THEIR INITIATIVES THEY 2648 01:52:54,928 --> 01:52:58,832 WANT TO WORK ON AND WHEN WE HOPE 2649 01:52:58,832 --> 01:53:01,134 ON THE NIH SIDE TWO AND A HALF 2650 01:53:01,134 --> 01:53:02,902 DAYS OF MEETINGS. 2651 01:53:02,902 --> 01:53:04,771 THE FUNCTION OF THE MEETINGS 2652 01:53:04,771 --> 01:53:06,306 WILL BE LIVE STREAMED BY DAY FOR 2653 01:53:06,306 --> 01:53:07,707 THE PANELS AND CONVERSATIONS 2654 01:53:07,707 --> 01:53:11,010 THAT PARKER WANTS TO DO 2655 01:53:11,010 --> 01:53:12,078 LIGHTNING ROUND COMMUNICATIONS 2656 01:53:12,078 --> 01:53:16,149 WHERE WE HIT THE HOT TOPICS AND 2657 01:53:16,149 --> 01:53:17,150 ISSUES. 2658 01:53:17,150 --> 01:53:18,318 PARENTING AND POSITIVE 2659 01:53:18,318 --> 01:53:19,052 PARENTING. 2660 01:53:19,052 --> 01:53:21,221 ISSUES OF MATERNAL AND CHILD 2661 01:53:21,221 --> 01:53:27,060 CARE. 2662 01:53:27,060 --> 01:53:28,361 TRAUMA EXPERTS AND ALL THAT 2663 01:53:28,361 --> 01:53:29,262 HAVE. 2664 01:53:29,262 --> 01:53:30,797 THEN MOVING INTO THE NEXT 2665 01:53:30,797 --> 01:53:32,732 EVENING SESSIONS WHICH ARE NOT 2666 01:53:32,732 --> 01:53:34,467 GOING TO BE LIVE STREAMED WHERE 2667 01:53:34,467 --> 01:53:36,336 WE'LL HAVE BREAK ON OUTS AND 2668 01:53:36,336 --> 01:53:38,204 TALKING CIRCLES WHERE WE CAN PUT 2669 01:53:38,204 --> 01:53:41,808 OUR HEADS AND HEARTS AND MINDS 2670 01:53:41,808 --> 01:53:42,308 TOGETHER. 2671 01:53:42,308 --> 01:53:44,110 WE HAVE TWO AND A HALF DAYS 2672 01:53:44,110 --> 01:53:44,744 OFFER THAT. 2673 01:53:44,744 --> 01:53:46,913 THE LAST DAY IS GOING TO BE 2674 01:53:46,913 --> 01:53:48,548 COMING TOGETHER AND MAKING SURE 2675 01:53:48,548 --> 01:53:51,718 THAT EVERYONE INTEREST 2676 01:53:51,718 --> 01:53:59,826 PRACTITIONERS AND POLICYMAKERS, 2677 01:53:59,826 --> 01:54:02,095 NIHB AFTER THEY JUMP ON BOARD, 2678 01:54:02,095 --> 01:54:03,997 THAT THEY'RE GOING IT WANT TO 2679 01:54:03,997 --> 01:54:08,668 SEE TSAYTHIS IS WHAT WE'RE GOINO 2680 01:54:08,668 --> 01:54:10,537 THIS. 2681 01:54:10,537 --> 01:54:12,605 WE KNOW VARIOUS ORGANIZATIONS 2682 01:54:12,605 --> 01:54:15,341 ARE GOING TO DO THIS AND WE'RE 2683 01:54:15,341 --> 01:54:17,710 GOING TO HAVE A MORE 2684 01:54:17,710 --> 01:54:23,950 SYNCHRONIZED APPROACH. 2685 01:54:23,950 --> 01:54:26,452 NEXT STEP IS TO COME TOGETHER 2686 01:54:26,452 --> 01:54:28,488 AND CREATE KIND OF A REPORT ON 2687 01:54:28,488 --> 01:54:29,989 THE GOVERNMENT END OF THINGS TO 2688 01:54:29,989 --> 01:54:32,959 HAVE MORE CLAB RATED APPROACH ON 2689 01:54:32,959 --> 01:54:36,362 APPROACH TO THIS MAYBE A VOLUME 2690 01:54:36,362 --> 01:54:39,399 III OR SOMETHING LIKE THAT. 2691 01:54:39,399 --> 01:54:42,535 ON THE NIH SIDE, WE HOPE TO HAVE 2692 01:54:42,535 --> 01:54:43,970 INITIATIVES COME OUT OF THIS. 2693 01:54:43,970 --> 01:54:46,139 WHAT ARE SOME OF THE RESEARCH 2694 01:54:46,139 --> 01:54:47,106 INITIATIVES THAT NEED TO BE 2695 01:54:47,106 --> 01:54:48,007 DONE. 2696 01:54:48,007 --> 01:54:49,242 IT COULD BE SOMETHING LIKE 2697 01:54:49,242 --> 01:54:51,845 SPECIAL INITIATIVE THAT A BUNCH 2698 01:54:51,845 --> 01:54:55,548 OF I.C.s GET ON BOARD TO DO TO 2699 01:54:55,548 --> 01:55:00,186 REDUCE SUICIDEA SUICIDEALITY THH 2700 01:55:00,186 --> 01:55:01,054 LANGUAGE PRESERVATION. 2701 01:55:01,054 --> 01:55:02,121 THAT IS SPECIFIC. 2702 01:55:02,121 --> 01:55:03,990 WE HOPE TO HAVE ACTUAL 2703 01:55:03,990 --> 01:55:05,191 INITIATIVES THAT ALLOW 2704 01:55:05,191 --> 01:55:07,160 COMMUNITIES TO BE ABLE TO GET 2705 01:55:07,160 --> 01:55:08,595 FUNDING TO DO SOME OF THE 2706 01:55:08,595 --> 01:55:09,996 INNOVATIONS AND TESTING SOME OF 2707 01:55:09,996 --> 01:55:11,531 THE MODELS THAT ARE MAKING A 2708 01:55:11,531 --> 01:55:12,498 DIFFERENCE IN OUR COMMUNITIES 2709 01:55:12,498 --> 01:55:13,833 AND SEE WHAT WORKS. 2710 01:55:13,833 --> 01:55:16,302 SO THE COMMUNITIES CAN GROW FROM 2711 01:55:16,302 --> 01:55:22,041 THAT AS WELL. 2712 01:55:22,041 --> 01:55:24,544 KERRY. 2713 01:55:24,544 --> 01:55:27,881 >> SO I THINK THERE IS A 2714 01:55:27,881 --> 01:55:29,482 FANTASTIC OPPORTUNITY EMBEDDED 2715 01:55:29,482 --> 01:55:30,984 WITHIN THIS. 2716 01:55:30,984 --> 01:55:34,387 LISTENING TO BOBBY TALK ABOUT 2717 01:55:34,387 --> 01:55:36,322 RELIGIOUS ORGANIZATIONS. 2718 01:55:36,322 --> 01:55:38,291 IF WE'RE TALKING ABOUT THE 2719 01:55:38,291 --> 01:55:40,693 FEDERAL GOVERNMENT AND ALL THEIR 2720 01:55:40,693 --> 01:55:42,462 AGENCIES ACROSS THE BOARD THAT 2721 01:55:42,462 --> 01:55:46,966 ARE INTERESTED IN YOU KNOW, 2722 01:55:46,966 --> 01:55:50,003 PARTICIPATING, AND THEN YOU CAN 2723 01:55:50,003 --> 01:55:52,538 DOVETAIL IT WITH NGOS AND 2724 01:55:52,538 --> 01:55:53,172 NON-PROFITS WITHIN THE 2725 01:55:53,172 --> 01:55:57,443 COMMUNITIES SO THAT EVERY EVERYS 2726 01:55:57,443 --> 01:56:00,146 IN ALIGNMENT AND WORKING FOR THE 2727 01:56:00,146 --> 01:56:01,247 SAME GOAL. 2728 01:56:01,247 --> 01:56:03,549 IT COULD LOOK LIKE DIFFERENT 2729 01:56:03,549 --> 01:56:04,784 FUNDING STREAMS AND TRAINING 2730 01:56:04,784 --> 01:56:05,752 OPPORTUNITIES. 2731 01:56:05,752 --> 01:56:09,222 IT COULD LOOK LIKE SCHOLARSHIPS 2732 01:56:09,222 --> 01:56:11,958 FOR COMMUNITIES THAT ARE HIT 2733 01:56:11,958 --> 01:56:16,529 HARDEST BY THESE ISSUES AND THEN 2734 01:56:16,529 --> 01:56:21,034 HOW DO YOU HOLISTICALLY FIX IT 2735 01:56:21,034 --> 01:56:27,440 OR WORK ON GETTING TO YOUR GOAL. 2736 01:56:27,440 --> 01:56:30,176 BUT THERE IS ALSO OPPORTUNITIES 2737 01:56:30,176 --> 01:56:33,680 LIKE TO STEP COMPLETELY OUTSIDE 2738 01:56:33,680 --> 01:56:35,982 OUR BEHAVIORAL HEALTH SERVICES 2739 01:56:35,982 --> 01:56:40,553 AND PUBLIC HEALTH CONFERSES ANDD 2740 01:56:40,553 --> 01:56:42,555 TALKING ABOUT MAYBE NON-PROFITS 2741 01:56:42,555 --> 01:56:44,857 THAT FOCUS MAYBE ON HOUSING OR 2742 01:56:44,857 --> 01:56:49,329 FOLKS THAT FOCUS ON FOOD 2743 01:56:49,329 --> 01:56:51,965 SECURITIES AND FOOD DESERT 2744 01:56:51,965 --> 01:56:54,567 IMPACTS ON COMMUNITIES. 2745 01:56:54,567 --> 01:56:57,537 ACROSS THE LIFESPAN TYPES OF 2746 01:56:57,537 --> 01:56:59,839 SITUATIONS WHERE BEFORE BIRTH, 2747 01:56:59,839 --> 01:57:02,342 THROUGHOUT CHILDHOOD, ADULTHOOD 2748 01:57:02,342 --> 01:57:05,211 AND DEATH AND WHAT THAT LOOKS 2749 01:57:05,211 --> 01:57:07,246 LIKE FOR COMMUNITIES THAT HAVE 2750 01:57:07,246 --> 01:57:10,516 NOT BEEN ALLOWED TO HAVE THE 2751 01:57:10,516 --> 01:57:12,618 CEREMONIES WITH THOSE LIFE 2752 01:57:12,618 --> 01:57:13,252 STAGES. 2753 01:57:13,252 --> 01:57:15,555 LIKE HOW DO YOU BRING THIS BACK? 2754 01:57:15,555 --> 01:57:18,758 IF YOU'RE AN ENTIRE GENERATION 2755 01:57:18,758 --> 01:57:24,731 WENT AWAY AND DIDN'T GET TO HEAR 2756 01:57:24,731 --> 01:57:26,466 THAT, HOW DO YOU BRING THAT BACK 2757 01:57:26,466 --> 01:57:27,333 FOR HEALING. 2758 01:57:27,333 --> 01:57:29,602 THERE IS A FANTASTIC OPPORTUNITY 2759 01:57:29,602 --> 01:57:31,504 TO PULL IN SOME AGENCIES THAT 2760 01:57:31,504 --> 01:57:32,839 MAYBE DIDN'T THINK THEY NEEDED 2761 01:57:32,839 --> 01:57:38,945 TO BE INVOLVED. 2762 01:57:38,945 --> 01:57:40,813 >> THAT SOUNDS GREAT. 2763 01:57:40,813 --> 01:57:42,749 I'M OPEN TO WHATEVER AGENCIES 2764 01:57:42,749 --> 01:57:50,523 YOU WANT TO SUGGEST. 2765 01:57:50,523 --> 01:57:54,560 >> I'M SORRY BUT I HAVE TO RUN. 2766 01:57:54,560 --> 01:57:56,429 TRUST ME, THIS IS GOING TO BE 2767 01:57:56,429 --> 01:57:58,464 WAY MORE FUN THAN THE MITING I'M 2768 01:57:58,464 --> 01:57:59,232 ABOUT TO JOIN. 2769 01:57:59,232 --> 01:58:01,401 I WOULD LOVE TO STAY WITH YOU 2770 01:58:01,401 --> 01:58:02,435 GUYS. 2771 01:58:02,435 --> 01:58:04,704 IT'S LOVELY TO HAVE THE 2772 01:58:04,704 --> 01:58:05,805 OPPORTUNITY TO TALK WITH YOU 2773 01:58:05,805 --> 01:58:06,672 ALL. 2774 01:58:06,672 --> 01:58:07,974 >> THANK YOU. 2775 01:58:07,974 --> 01:58:09,842 >> THANK YOU SO MUCH FOR 2776 01:58:09,842 --> 01:58:12,245 INVITING ME AND APOLOGIES FOR MY 2777 01:58:12,245 --> 01:58:12,478 POPPING? 2778 01:58:12,478 --> 01:58:14,547 AND OUT HERE. 2779 01:58:14,547 --> 01:58:16,215 I APPRECIATED THE ARE 45 MINUTES 2780 01:58:16,215 --> 01:58:20,953 I WAS ABLE TO SPEND WITH YOU. 2781 01:58:20,953 --> 01:58:21,854 >> K. Walters: THANK YOU. 2782 01:58:21,854 --> 01:58:23,389 APPRECIATE IT DR. SCHWETZ. 2783 01:58:23,389 --> 01:58:25,358 IN LINE WITH THAT CREATIVE 2784 01:58:25,358 --> 01:58:27,760 THINKING AND I HEAR THE JUICES 2785 01:58:27,760 --> 01:58:29,595 AND THE WHEELS ARE TURNING. 2786 01:58:29,595 --> 01:58:32,465 I HEAR MANY WHEELS TURNING OVER 2787 01:58:32,465 --> 01:58:33,433 HERE. 2788 01:58:33,433 --> 01:58:37,136 IS THERE OTHER THINGS YOU WOULD 2789 01:58:37,136 --> 01:58:37,370 SUGGEST? 2790 01:58:37,370 --> 01:58:40,073 LIKE IF YOU GUYS HONESTLY, THIS 2791 01:58:40,073 --> 01:58:41,841 COULD BE A BIG THING THAT WE CAN 2792 01:58:41,841 --> 01:58:42,608 DO. 2793 01:58:42,608 --> 01:58:45,244 IN MANY WAYS BOARDING SCHOOL IS 2794 01:58:45,244 --> 01:58:48,514 A PROXY FOR A LOT OF THINGS. 2795 01:58:48,514 --> 01:58:52,351 IT'S A CONTAINER TRA HOLDS A LOT 2796 01:58:52,351 --> 01:58:54,220 OF INTERGENERATIONAL TRAUMA, A 2797 01:58:54,220 --> 01:58:57,723 LOT ABOUT FEDERAL POLICIES THAT 2798 01:58:57,723 --> 01:59:01,327 HAVE BEEN HARMFUL. 2799 01:59:01,327 --> 01:59:03,963 AND EVEN WITH THE NET CONTAINER 2800 01:59:03,963 --> 01:59:06,165 ARE THE WAYS THAT WEAVE HE 2801 01:59:06,165 --> 01:59:08,501 PERSISTED AND STILL MANAGED TO 2802 01:59:08,501 --> 01:59:10,236 THRIVE AND HAVE OTHER WAYS. 2803 01:59:10,236 --> 01:59:11,537 BUT OPPORTUNITIES FOR GROWING 2804 01:59:11,537 --> 01:59:13,306 BACK OR TAKING BACK OR 2805 01:59:13,306 --> 01:59:17,210 CONTINUING TO REVITALIZE LIKE 2806 01:59:17,210 --> 01:59:19,979 FOOD SOVEREIGNTY FOR EXAMPLE IS 2807 01:59:19,979 --> 01:59:22,148 TIED TO BOARDING SCHOOLS. 2808 01:59:22,148 --> 01:59:24,317 FOOD RATIONS WERE WITHHELD IF 2809 01:59:24,317 --> 01:59:26,819 YOU DIDN'T SEND YOUR CHILDREN TO 2810 01:59:26,819 --> 01:59:27,487 BOARDING SCHOOL. 2811 01:59:27,487 --> 01:59:29,655 THAT IS FOOD SOVEREIGNTY RIGHT 2812 01:59:29,655 --> 01:59:30,857 THERE. 2813 01:59:30,857 --> 01:59:32,191 FOOD SOVEREIGNTY COULD BE A PART 2814 01:59:32,191 --> 01:59:35,328 OF THAT. 2815 01:59:35,328 --> 01:59:38,197 PTSD AND TRAUMA AND HEALTH, 2816 01:59:38,197 --> 01:59:40,166 PHYSICAL AND SEXUAL ASSAULTS 2817 01:59:40,166 --> 01:59:42,568 THAT YOUNG PEOPLE ENDURED. 2818 01:59:42,568 --> 01:59:44,537 BUT ALSO THAT THE PARENTS 2819 01:59:44,537 --> 01:59:45,938 ENDURED AND HAVING THEIR 2820 01:59:45,938 --> 01:59:48,007 CHILDREN TAKEN FROM THEM. 2821 01:59:48,007 --> 01:59:49,775 PARENTING PRACTICES AND 2822 01:59:49,775 --> 01:59:50,977 PEOPLE -- YOUNG PEOPLE ARE 2823 01:59:50,977 --> 01:59:52,278 LEADING THIS MOVEMENT RIGHT NOW 2824 01:59:52,278 --> 01:59:55,781 ACROSS THE COUNTRY. 2825 01:59:55,781 --> 02:00:02,455 WE HAVE MIDWIFERY AND DULA 2826 02:00:02,455 --> 02:00:05,057 PRACTICES. 2827 02:00:05,057 --> 02:00:07,260 SO, I THINK THE MORE CREATIVE WE 2828 02:00:07,260 --> 02:00:09,762 GET, THE BETTER IT'S GOING TO BE 2829 02:00:09,762 --> 02:00:10,663 FOR OUR COMMUNITIES. 2830 02:00:10,663 --> 02:00:12,632 I THINK OUR JOB IS TO FIGURE OUT 2831 02:00:12,632 --> 02:00:15,034 HOW TO MAKE THAT WORK. 2832 02:00:15,034 --> 02:00:17,436 INSTITUTIONALLY HERE. 2833 02:00:17,436 --> 02:00:19,505 BUT I INVITE THAT CREATIVITY. 2834 02:00:19,505 --> 02:00:21,507 I THINK THAT IS EXCITING. 2835 02:00:21,507 --> 02:00:31,584 AND