>> GOOD AFTERNOON AND WELCOME TO
THE NIH TRIBAL ADVISORY
COMMITTEE MEETING.
THANKS FOR THOSE JOINING
VIRTUALLY FOR WAITING.
WE'RE GETTING BACK INTO THE
ROOM.
I'M THE CONTRACTOR HELPING TO
SUPPORT THE TRIBAL ADVISORY
COMMITTEE AND AS USUAL, WE'LL
START WITH A ROLL CALL, WORKING
THROUGH THE NIH AREAS AND AT
LARGE CONFERRED WHEN I CALL YOUR
NAME, STATE WHO IS PRESENT AND
YOUR ORGANIZATION.
ALASKA AREA.
>> CAREY FREEMAN, PRESENT.
>> ALBUQUERQUE AREA.
WE HAVE DR LORETTO ON LINE.
>> KIMBERLY HANSEN PRESENT.
>> I'M WITH THE JOHN HOPKINS FOR
PUBLIC HEALTH.
>> GREAT PLAINS AREA.
>> [INDISCERNIBLE] PRESENT.
>> GREAT, THANK YOU, NASHVILLE
AREA.
I BELIEVE COUNCILWOMAN STOT HAD
RAY CONFLICT BUT WE HAVE HER
TECHNICAL ADVISER ON LINE.
NAVAJO.
OKLAHOMA AREA.
>> [INDISCERNIBLE] PRESENT.
>> BOB, ALTERNATE, PRESENT.
>> THANK YOU, PORTLAND AREA.
TUCSON AREA.
>> PRESENT.
>> THANK YOU.
>> [INDISCERNIBLE] PRESENT.
>> SORRY DR. SOLOMON.
NATIONAL AT LARGE -- I DON'T SEE
DEBBIE DANFORTH ON THE LINE, BUT
I BELIEVE WE HAVE HER TECHNICAL
ADVISER.
>> PRESENT.
>> GREAT.
THANK YOU.
SO WE HAVE EXACTLY ENOUGH FOR A
QUORUM.
SO THIS IS AN OFFICIAL MEETING
AND I WILL PASS IT OVER TO DR.
WALTERS.
>> K. Walters: GOOD AFTERNOON,
EVERYBODY.
WELCOME TO OUR TRIBAL ADVISORY
COMMITTEE MEETING.
I JUST WANTED TO SAY WELCOME
THOSE OF YOU WHO COULD NOT BE
HERE IN-PERSON.
WE'RE HAPPY TO BE ABLE TO HOLD
THIS MEETING THIS AFTERNOON.
WE LOOK FORWARD TO AN
OPPORTUNITY TO REALLY SHARE AND
DISCUSS KIND OF SOME STEPS
MOVING FORWARD ABOUT PRIORITY
SETTING FOR THIS UP COMING YEAR
AND BEGINNING THE STRATEGIC
PLANNING PROCESS WHICH I'M
EXCITED ABOUT.
AND I WOULD LIKE TO INTRODUCE
MR. BOBBY SAUNKEAH TO OPEN US UP
IN A BEAUTIFUL WAY.
>> B. Saunkeah: THANK YOU DR.
WALTERS.
GRACIOUS AND MERCIFUL FATHER WE
THANK YOU FOR BRINGING US
TOGETHER AS WE DISCUSS THIS FOR
THE TRIBAL PEOPLES.
WE ASK THAT YOU GIVE US PURPOSE
THAT WE LEARN FROM EACH OTHER
AND TEACH EACH OTHER AND TAKE
THESE LESSONS TO HEART.
WE ASK THAT YOU GUIDE US, WE SCW
THAT YOU GUARD US AND PROTECT US
IN OUR COMINGS AND GOINGS, WE
ASK THIS IN YOUR NAME AMEN.
>> THANK YOU DR. SAUNKEAH FOR
THE APPRAISER AND DR. WALTERS.
AS I SHARED EARLIER, WE
COMPLETED A DAY AND A HALF
REGARDING THE DATA SOVEREIGNTY
SO WE LOOK FORWARD TO SHARONS
MORE INFORMATION ON THAT.
ALSO WANT TO SHARE THAT WE HAVE
SOME GUESTS HERE IN THE AUDIENCE
TO OUR -- FROM NIHB AND --
ACTUALLY, DO YOU WANT TO
INTRODUCE YOURSELF?
>> BOBBY HAS THE MIIKKA AND HE'S
GOING TO SHARE IT ESPECIALLY FOR
THE PEOPLE WHO ARE ON LINE.
>> THIS IS CHRISTINA DIEGOO
SENIOR POLICY ANALYST.
>> I'M CAREY FIELD, ANOTHER
SENIOR POLICY ANALYST WITH THE
GOVERNMENT RELATIONS TEAM.
>> ACTUALLY, MICHAEL, IF YOU CAN
INTRODUCE YOURSELF.
EVERYONE IN THE ROOM.
>> MICHAEL HAHN OF THE RESEARCH
PROGRAM.
>> GOOD AFTERNOON, NAOMI FROM
THE RESEARCH PROGRAM WITH
MICHAEL HERE, I'M ASSOCIATE
DIRECTOR FOR TRAVEL, ENGAGEMENT
AND OUTREACH.
>> SPEAK LOUDLY INTO THE MIKE.
>> I'M ANGELA AND I SERVE MY
SABBATICAL HERE IN THE RESEARCH
OFFICE FOR THIS YEAR.
>> HI, KAYLA DAVIS WITH THE
TRIBAL HEALTH RESEARCH OFFICE.
>> ROBERTO [INDISCERNIBLE]
>> GOOD AFTERNOON, SHEILA
CALDWELL -- I'M DEPUTY OF HEALTH
FOR THE TRIBAL RESEARCH OFFICE.
>> LOOKS LIKE WE HAVE EVERYONE
INTRODUCE THEMSELVES.
I APPRECIATE THAT.
IF THAT'S IT FOR NOW, I'LL TURN
IT OVER TOLL CO-CHAIR DR.
MASSEAU.
ARE YOU THERE?
DR. MASSEAU, ARE YOU THERE?
>> I'M HERE.
>> DO YOU WANT TO SHARE AN
OPENING WELCOME?
>> I'M EXCITE 20D MEET WITH YOU
ALL AGAIN AND CONTINUE THE WORK
THAT WE DO.
I LOOK AT THE GOALS THAT WE HAVE
AND I THINK THERE IS A LOT OF
GOOD WORK WE CAN DO.
I WANT TO SAY THANK YOU AND
WELCOME TO EVERYBODY.
>> THANK YOU AND THANK YOU FOR
TAKING THE TIME TO JOIN US.
WE HAVE AN EXTENDED AGENDA
TODAY.
IT'S A 2½ HOUR SESSION AND WE'RE
LOOKING FORWARD TO THAT.
>> TURN IT OVER TO YOU DR.
WALTERS.
>> K. Walters: THANK YOU
COUNCILWOMAN FRIAS.
DO WE HAVE -- IS DR DR. JORGENSN
HERE YET?
DR. JORGENSEN.
WE WOULD WELCOME YOU TO BE ABLE
TO SHARE WITH US SOME
INFORMATION ABOUT THE OFFICE OF
SCIENCE, POLICY AND BIOSPECIMENS
UPDATE.
WE'RE GLAD TO HAVE YOU HERE
TODAY.
>> THANK YOU DR. WALTERS.
CAN YOU HEAR ME OKAY?
>> WE CAN HEAR YOU GREAT, THANK
YOU.
>> I'M DELIGHTED TO BE BACK HERE
JOINING US ALL HERE TODAY FOLLOW
UP FROM THE LAST CONVERSATION.
I'M GOING TO GO AHEAD AND SHARE
SOME SLIDES.
I HAVE GOT TO HAVE PERMISSION TO
SHARE THEM.
WELL, THE HOST IS GIVING ME
PERMISSION TO SHARE THE SLIDES,
I WANTED TO THANK YOU ALL FOR
ALLOWING ME TO COME BACK AND
DISCUSS THE WORK THAT WE'VE BEEN
DOING ON THE BIOSPECIMENS
COLLECTED.
I MET WITH YOU TO DISCUSS SOME
OF THE OPTIONS THAT WE DEVELOPED
AND THANKS TO YOUR VERY HELPFUL
FEEDBACK, REVISED OUR OPTIONS
BASED ON YOUR QUESTIONS AND
INSIGHT.
WE APPRECIATE THE OPPORTUNITY TO
BRING THIS BACK TO YOU ALL TO
MAKE SURE WE MET THE SPIRIT WITH
WHAT YOU REQUESTED BEFORE WE
MOVE THIS FORWARD FOR
CONSULTATION.
I'M GOING TO GO AHEAD NOW AND
SHARE MY SLIDES.
CAN YOU SEE THIS OKAY?
PERFECT.
ALL RIGHT.
THANK YOU ALL AGAIN.
WE'RE GOING TO TALK ABOUT THE
DISPOSITION OF BIOSPECIMENS
COLLECTED FROM TRIBAL
POPULATIONS AND IS THIS IS A
FOLLOW-UP.
FOR THOSE OF YOU UNABLE TO JOIN
FRUS THE LAST CONVERSATION, I
WANTED TO REMIND EVERYONE OF THE
CONTEXT OF THE WORK WE'RE DOING.
THIS WORK HAS BEEN DONE IN GREAT
CONNECTION AND PARTNERSHIP WITH
THE TRIBAL RESEARCH HEALTH
OFFICE TO THINK ABOUT THE WORK
THAT WE DO -- THE NIH FUNDED AND
CONDUCTED RESEARCH FOR THE
COLLECTION AND USE OF
BIOSPECIMENS BUT ALSO THE TRIBES
AND INDIGENOUS POPULATIONS AND
IS THOUGHT THROUGH ABOUT THE
SPECIMENS COLLECTED THINKING
ABOUT THE RESPECT FOR CULTURAL
SENSITIVITY.
OUR GOAL FOR NIH IS TO PROVIDE A
CONSISTENT SET OF OPTIONS THAT
ALL OF OUR INSTITUTES AND
CENTERS CAN SUPPORT SO WE CAN BE
CONSISTENT IN HOW WE MANAGE THIS
WORK.
AND HAVE THEM TRIBALLY
ACCEPTABLE OPTIONS FOR THE
TRANSFER.
THE WORD IS TRANSFER BUT WHAT WE
REALLY MEAN IS RETURN OF
BIOSPECIMENS FROM INTERNATIONAL
AND TRIBAL MEMBERS.
WHAT I'VE DONE IS UP DATED THE
PRESENTATION THAT I SHARED WITH
YOU LAST TIME WITH LANGUAGE HERE
IN RED TO SHOW YOU WHERE WE MADE
READVICES OR EDITS IN RESPONSE
TO THE RECOMMENDATIONS YOU MADE
IN OUR LAST MEETING.
AS I MENTIONED, THERE ARE
SEVERAL OPTIONS THAT WE'LL WALK
THROUGH THAT COULD BE OFFERED
TRIBES AND INTERNATIONAL AND
INDIGENOUS POPULATION.
THE NUMBER ONE OPTION IS THE
DIRECT RETURN OF THE
BIOSPECIMENS TO THE TRIBE.
THE TRIBE WILL ARRANGE THE
TRANSFER THE RETURN TO THEIR
TRIBE OR REQUEST AND I'M IN
POSITION TO ASSIST WITH THE
RETURN AS NEEDED OR REQUESTED
BUT THIS WILL BE IN RESPONSE TO
THE TRIBAL ARRANGEMENT.
IF THERE ARE CHALLENGES WITH
THAT, WE CAN OFFER AN INDIRECT
TRANSFER OR RETURN.
THE RETURN IS CLEAR THAT THAT'S
WHAT WE MEAN HERE IS
BIOSPECIMENS TO TRIBAL THIRD
PARTY ASSOCIATIONS THAT THE
TRIBE IDENTIFIES.
THE THIRD OPTION IS THE SAME.
AGAIN, A TRANSFER TO A
THIRD-PARTY ORGANIZATION OR
INSTITUTION THAT NIH
ORGANIZATIONS.
WE'LL ARRANGE THE TRANSFER OF
RETURN.
IN THE INSTANCES WHERE THERE IS
NOT A WELL-IDENTIFIED SOURCE OR
DIRECT QUF THE TRIBE OR A THIRD
FARYPT.
NIH COULD CONSULT WITH THE TRIBE
AND THE TRIBE COULD DESIGNATE
NIH TO BE THE STEWARD OR COULD
REQUEST THE DISPOSITION OF THE
BIOSPECIMENS IN A CULTURALLY
SENSITIVE MARN.
THERE ARE FIVE OPTIONS HERE.
AGAIN, I'M GOING TO HIGHLIGHT
THE FIRST OPTION THAT WE WANTED
TO MA MAKE ABUNDANTLY CLEAR TO
EVERYONE THAT THE OPTION IS
ALWAYS TO RETURN THE BIOSPECIMEN
TO THE TRIBE WHEN THEY HAVE THE
CAPABILITIES TO RECEIVE THEM.
THIS IS IN DIRECT RESPONSE TO
THE CONVERSATION LAST TAME TO
MAKE THIS ABUNDANTLY CLEAR AS AN
OPTION.
WE WORKED TO MODIFY THE SLIDES
BASED ON YOUR FEEDBACK AND THE
OPTIONS.
THE GOAL IS TO GO THROUGH TRIBAL
CONSULTATION NEXT.
I WARCHTED TO CLOSE THE LOOP
WITH YOU TO SO IF THIS
APPROPRIATELY ADDRESSED THE
CONCERNS AND INPUT YOU HAD WHEN
WE LAST MET AND ARE THESE GOOD
OPTIONS TO GO INTO TRIBAL
SOVEREIGNTY.
WITH THAT, I'LL WE OPEN IT FOR
DISCUSSION.
>> OKAY.
THEFLOOR IS OPEN FOR DISCUSSION.
COMMENTS OR QUESTIONS?
CAN YOU LEAVE THE SLIDES UP,
PLEASE.
>> I DO -- DOES ANYONE HAVE ANY
QUESTIONS?
I HAVE TO GO BACK O ON LINE TO E
IF WE HAVE ANY HANDS RAISED.
>> AGAIN, THE RED TEXT IS NEW
INFORMATION ADDED TO THE OPTIONS
THAT WE SHARED LAST TIME TO MAKE
IT ABUNDANTLY CLEAR THAT WE'RE
RETURNING THE SAMPLES BASED ON
FEEDBACK AND SEPARATING THIS
FIRST OPTION IS ON THE FIRST
LINE.
>> SO, DO YOU MIND MONITORING TO
SEE IF WE HAVE ANY QUESTIONS ON
LINE?
THANK YOU.
SO ONCE THIS IS -- WE REVIEWED
THIS THROUGH THE TAC.
IS THE PROCESS THEN TO SHARE IT
TO THE TRIBES THROUGH TRIBAL
CONSULTATION?
CORRECT.
THIS IS READY FOR CONSULTATION.
WE WANTED TO MIK SURE WE WERE
RESPONSIVE TO THE TAC REQUESTS
FOR CLARIFICATION IN THE AREAS
PRIMARILY IDENTIFIED IN RED, IS
THAT CORRECT DR. JORGENSEN?
CORRECT, THE FIRST OPTION IS
ALWAYS PART OF THE OPTIONS BUT
IT WAS SOMEWHAT BURIED IN THE
DOCUMENT.
THE USE OF THE WORD "TRANSFER"
VERSUS "RETURN" IS WHAT WE WERE
CONCERNED ABOUT HERE.
IF THE TRIBE ASKS FOR THE
BIOSPECIMENS, THE FIRST OPTION
IS TO RETURN TO THEM.
>> B. Saunkeah: THIS IS WOU BOBY
SAUNKEAH.
THANK YOU FOR UPDATING THESE.
IT SEEMS MUCH MORE CLEAR THAN IT
WAS IN THE PAST.
REGARDING THE FIRST ONE WHERE IT
TALKS ABOUT ASSISTING WITH THE
RETURN, IS THAT ALSO ASSUMING
SOME ASSISTANCE WITH THE COST?
BECAUSE I KNOW THERE ARE
CERTAINLY COSTS THERE ARE
INVOLVED WITH RETURNING
SPECIMENS.
THANK YOU.
>> I WOULD LIKE TO -- WE WOULD
NOT NEVER ADVISE ANY OF OUR
INSUBSTITUTES TO EMBARK UPON
THESE CONVERSATIONS WITHOUT
CONSULTING WITH THE TRIBAL
HEALTH SEARCH OFFICE SO I'M
GOING TO SHARE THAT WITH DR.
WALTERS.
>> K. Walters: I THINK THAT,
YES, THE GOAL AND INTENT IS TO
WORK AS QUICKLY AND CLOSELY WITH
TRIBES TO GET TRANSFER ENACTED.
THE UNDERSTATHE FUNDING ON THATT
IS YES, WE'RE GOING TO MAKE THAT
HAPPEN.
>> B. Saunkeah: BECAUSE I KNOW
WITH OTHER ADVISORY GROUPS THAT
THEY INCLUDE THAT COST --
CONSIDERING THE COST UP FRONT.
FRONT.
>> I THINK THE INTENT IS TO SAY
THAT WE'RE POISED TOA CYST WITH
THE RETURN, THAT IS IMPLIED.
>> THIS IS RAYMOND, REPRESENTING
THE ALBUQUERQUE AREA.
FROM A TRIBAL PERSPECTIVE,
TRIBAL LEADERS ARE GOING TO ASK,
WHERE ARE SOME OF THESE SPEN
MINUTES AT?
WHERE ARE THE DEPOSITORY FOR
SOME OF THESE AND HOW DO WE KNOW
HOW SOME OF OUR TRIBES ARE
INVOLVED IN SOME OF THESE AREAS?
YOU KNOW, THE GENERAL STATEMENTS
ARE GOOD, BUT I THINK IF
SOMEBODY FINDS OUT WHERE THEY
CAN IDENTIFY THEIR TRIBE, IF
THEY WANT THINGS RETURNED, WHERE
ARE THE SPECIMENS LOCATED?
IS IT IN THE SURROUNDING AREAS?
OR IS IT IN AN NIH DEPOSITORY?
I'M NOT SURE.
I WANTED TO POSE THAT QUESTION.
>> THANK YOU DR. LORENDA.
>> THIS MANY FOLK WANT TO KNOW E
LOCATION OF THE BIOSPECIMENS AND
HOW WE TRACK AND CAN RETURN
THOSE BIOSPECIMENS.
I THINK THIS IS ONE OF THE MOST
IMPORTANT THINGS IN THE LEGACY
AND PARTNERSHIP THAT NIH HAS
WITH SEARCH PARTICIPANTS.
IN THE PAST THERE ARE A LOT OF
BIOSPECIMENS THAT CAN BE
COLLECTED WITHOUT ACTUALLY
HAVING TO TRACK THESE ISSUES AND
NIH IS TAKING A DIFFERENT STANCE
HERE OVER THE LAST DECADE OR SO
TO BE ABLE TO ASK FOR PERMISSION
AND CONSENT IN HOLDING THEM SO
PEOPLE ARE PARTNER IN DONATING
THEIR SPECIMENS AND WE CAN SHARE
REGULAR UPDATES.
YOUR SPECIFIC QUESTION ON WHERE
THE BIOSPECIMENS ARE, THIS IS
DISCUSSED IN DETAIL.
WHICH ONES HAVE WE GAINED FROM
TRIBES AND ASK FOR CONSENT FROM
TRIBES?
THE RETURNS OF THE SPEN MINUTES
IS ONE OF OUR FIRST STEPS IN
THINKING ABOUT IT AGAIN.
AS WE KNOW THEY'RE CONTACTED
WITH THE TRIBES AND WE RETURN
THE BIOSPECIMENS FOR THE
INTEREST OF THE TRIBE.
>> THE TRIBAL HEALTH RESEARCH
OFFICE IS IN THE PROCESS OF
STARTING THE ADJOU JOURNEY OF
IDENTIFYING THE SPECIMENS.
IT'S GOING DOB A LENGTHY TASK.
IT'S NOT -- BECAUSE WE ARE
PRETTY MASSIVE.
THIS IS IN ANTICIPATION AS WELL
FOR THE REQUEST FROM HHS AND
DATA SHARING.
THAT'S ANOTHER ISSUE THAT'S COME
UP AS WELL.
WE'RE TRYING TO GET A JUMP ON
THAT SO WE HAVE SOME CLARITY.
>> ALL RIGHT, THANK YOU.
>> DR. JORGENSEN, WE HAVE A
QUESTION REGARDING THE SPECIMENS
WITH THIS PROPOSAL.
IS THIS PROPOSAL FOR INDIVIDUAL
SPECIMENS?
OR IS IT FOR TRIBAL GROUPS?
>> THAT'S AN EXCELLENT QUESTION.
I THINK THAT THE GOAL OF THE NIH
IS TO RESPECT PARTICIPANT VOICE
AND AUTONOMY AND IF THEY WOULD
LIKE TO HAVE THEIR SAMPLES BACK,
WE'LL ON THAT.
THIS ONE IN SPECIFIC IS ABOUT
RESPECTING TRIBAL SOVEREIGNTY
AND HAVING INPUT OF TRIBES HERE.
WHETHER THAT'S AN INDIVIDUAL
MEMBER OF A TRIBE OR A TRIBE
BROADLY, BOTH ARE TO BE
RESPECTED.
EXCELLENT QUESTION, THANK YOU.
>> AND IT COVERS WHAT NIH HAS
CURRENTLY AND FUTURE SPECIMENS?
>> TO BE FAIR, THIS IS REALLY
THE LANDING PAD FOR NEGOTIATIONS
AND THERE COULD BE OTHER OPTIONS
THAT MIGHT BE WHAT ARE OF
INTEREST.
WHAT OUR REAL GOAL IS, SINCE NIH
HAS 27 INSTITUTES AND CENTERS
WITH MANY PROGRAMS.
IF THEY WANT TO HAVE THESE
CONVERSATIONS, WE WANT TO MAKE
SURE IF YOU'RE TALKING TO ONE
PROGRAM, THEY DON'T OFFER ONE
SET OF OPTIONS AND ANOTHER
PROGRAM WITH OTHER OPTIONS.
WE WANT A TEMPLATE OPTION.
IF A TRIBE IS INTERESTED IN A
DIFFERENT MECHANISM OR A PROAP
THAT WE HAVEN'T THOUGHT OF HERE.
THIS IS WHERE WE CAN START OFF
AS THAT NEGOTIATING PIECE.
AND WORK WLGT TRIBAL HEALTH
RESEARCH OFFICE BEING ABLE TO
NAVIGATE A SUSTAINABLE SOLUTION
THAT MEETS THE INTERESTS OF THE
PARTIES.
>> SO IT'S WORKING WITH THE
SOVEREIGN AND HOW THEY WANT TO
DISPOSE OR -- ANY SPECIMENS,
RIGHTS?
>> CORRECT.
PORPLY, AGAIN, BECAUSE IDEALLY
WE WANT TO RESPECT THE CHOICE
OFFER THE INDIVIDUAL AND TRIBE
AND IN SOME INSTANCESES MAYBE
YOU WANT THOSE TO BE ABLE TO
CONTINUE FOR RESEARCH.
WE WANT THAT TO CONTINUE TO BE A
PATHWAY FORWARD.
IN THE INSTANCE THAT THEY WANT
TO HAVE THEIR SAMPLES BACK,
THERE ARE FEDERAL LAWS AND OTHER
THINGS ABOUT THE TRANSFERS OF
MATERIALS THAT WOULD BE BIOHAZ
RDZ SO WE W RDS.
HAZZARDS.
WE WANT TO SUPPORT THE LEGAL
OPTIONS SO WE CAN SAY QUESTION,
WE CAN GIVE THIS BACK TO THE
TRIBE.
IF THEY DON'T HAVE THE PROPER
RECEPTACLES, WE CAN ARRANGE FOR
ANOTHER DISPOSITION THAT IS
CULTURALLY APPROPRIATE WITH THE
TRIBE.
THERE ARE MULTIPLE OPTIONS FOR
HOLDING THE SAMPLES.
IF YOU DON'T WANT THE FEDERAL G.
TO HOLD IT, THAT IS WORKABLE OR
IF YOU WANT SOMEONE ELSE THAT
PATH IS AN OPTION TO BUT WE WANT
TO RESPECT THE CULTURAL
PREFERENCES.
>> DO WE HAVE ANY OTHER
QUESTIONS?
SO JUST A FOLLOW-UPEN THAT, HOW
WOULD IT BE HANDLED FOR DECEASE?
>> I THINK THAT'S AN EXCELLENT
QUESTION AND OBVIOUSLY, THE
ISSUE OF THE SOVEREIGNTY OF THE
TRIBES AND THE REQUEST OF THE
TRIBES CAN REPRESENT THE
INTEREST OF DECEASED MEMBERS
WHERE THEY WANT THE SAMPLES BACK
AND THOSE CAN BE NEGOTIATED AS
WELL.
>> BOBBY.
>> B. Saunkeah: THIS IS BOBBY
AGAIN.
DR. JORGENSEN YOU MENTIONED
ABOUT SPECIMENS POSSIBLY BEING
RETAINED FOR FUTURE PROJECTS.
ONCE THIS LIST IS COMPILED, WILL
THERE BE NEGOTIATION OR
SOMETHING ABOUT LIKE WELL MAYBE
AN INSTITUTE WANTS TO KEEP THOSE
FOR CERTAIN RESEARCH PURPOSES.
HOW WOULD THAT NEGOTIATION BE
HANDLHANDLED AND WHO WITH IF AN
INSTITUTE SAZ WE WANT TO KEEP
THE SAMPLES BECAUSE OF BYLAW BLH
BLAH.
WE TALKED ABOUT RECONSENTING FOR
BIOSPECIMENS AT LEAST WHERE I'M
FROM, IF YOU WANT TO USE THE
SPECIMENS FOR ANOTHER REASON,
YOU HAVE TO GET ANOTHER CONSENT.
WOULD THAT BE A RECONSENT
PROCESS IF IT WANTED TO BE USED
FOR SOMETHING DIFFERENT THAN THE
ORIGINAL USE OF THE SPECIMENS.
THIS COULD GET METE.
I APPRECIATE YOU TAKES THIS ON.
I'M SORRY FOR YOU HAVING TO MAKE
THIS LIST, BUT I THINK THIS IS
IMPORTANT.
I'M CURIOUS BECAUSE THIS IS
COMPLEX.
IT'S NOT REAL STRAIGHTFORWARD.
THANK YOU.
>> THANK YOU AND I'LL CERTAINLY
TURN IT OVER TO DR. WALTERS AS
WELL IN TERMS OF HOW SHE'S
ENVISIONING IT.
THE ANSWER IS, YES, IT'S GOER
GOING TO BE COMPLEX AND MESSY
AND YES, SO IS THE WORLD OF
HUMAN BEINGS AND HORCHING
PEOPLE'S PREFERENCES AND
CHOICES.
FROM OUR PERSPECTIVE, OF COURSE
WE WANT TO KEEP THE SAMPLES
BECAUSE WE COLLECTED THEM FOR
REASONS THAT ARE VALUABLE AND
ADVANCED RESEARCH.
TRYING TO WORK THROUGH HOW DO WE
PRESERVE RESEARCH BUT WE WON'T
PRESERVE RESEARCH AT THE
CONTRARY WILL OF THOSE WHO WILL
DONATED THEIR TIME.
I THINK THIS WILL BE COMPLEX AND
MESSY, BUT THE RIGHT THING TO DO
TO MAKE SURE PEOPLE ARE
RESPECTED WILLING PARTICIPANTS
IN RESEARCH AND CAN TRUST HOW
THEIR INFORMATION IS USED.
DR. BAWLTERS, IF YOU WOULD LIKE
TO EXPAND ON THAT.
>> K. Walters: YOU ANSWERED IT
BEAUTIFULLY.
I WANT TO EMPHASIZE WE'LL WORK
WITH DR. JORGENSEN THAT WILL WE
HONOR TRIBAL SOVEREIGNTY.
AS WE CREATE THE LISTS AND KNOW
THE EXTENT OF OUR REPOSITORIES.
THERE IS A DIFFERENCE BETWEEN
THE EX-PERSONAL RESEARCH WHERE
IT'S IN UNIVERSITIES OR OTHER
PLACES.
IN TERMS OF OUR OWN HOLDINGS, IT
GIVES US AN OPPORTUNITY TO
REFLECT AND WORK WITH TRIBES
CLOSELY TO ENSURE THAT OUR
INDIGENOUS DATA SOVEREIGNTY
POLICY ALIGNS WITH TRIBAL LAWS
AND ORDINANCES AND WE'LL WORK
CLOSELY WITH TRIBES TO DECIDE
WHAT TOE DO NEXT IF A DECISION
NEEDS TO BE MADE.
MOST TRIBES ARE AWARE OF
HOLDINGS.
BUT IF WE DISCOVER THAT THERE IS
NOT AN AWARENESS, WE'LL WORK
WITH THE TRIBES TO IDENTIFY WHAT
THE NEXT STEPS NEED TO BE.
AND I WOULD WORK CLOSELY WITH
DR. JORGENSEN AND HER OFFICE.
DOES THAT MAKE SENSE DR.
JORGENSEN?
>> DR. JORGENSEN: ABSOLUTELY WLT
WMENT THANK YOU.
>> K. Walters: COULD WE HAVE ANY
OTHER QUESTIONS FROM THE TAC?
>> AT THIS POINT WOULD YOU LIKE
TO GIVE THE TAC CONSENT FOR
FORMAL APPROVAL TO MOVE ON WITH
THE CONSULTATION?
>> K. Walters: YES.
>> H. Frias: OKAY, SO WE'LL ON
ON WITH THAT, MR. SAUNKEAH.
>> B. Saunkeah: IS THIS
CONSULTATION EXCLUSIVE FOR THIS
ISSUE?
>> K. Walters: YES.
AND REMEMBER WWW.CAN CONSULTS
THERE --AND REMEMBER, THERE ARE
REVISIONS THAT COULD COME OUT OF
THIS.
I BELIEVE THERE ARE 30 DAYS FOR
PUBLIC COMMENT WITH A FINAL
REPORT AFTER THAT AND MOVING
FORWARD.
>> H. Frias: WOULD YOU LIKE US
TO VOTE ON THIS?
ALL RIGHT.
SO IF THE TAC IS PREPARED TO
VOTE ON THIS TOPIC, CAN I GET A
MOTION FROM SOMEONE TO VOTE ON
APPROVING THE BIOSPECIMEN
OPTIONS FOR MOVING FORWARD FOR
TRIBAL CONSULTATION.
WE HAVE A MOTION BY KERRY
FREEMAN AND WE HAVE A SECOND BY
BOBBY SAUNKEAH.
IF WE CAN -- HOW WOULD YOU KEEP
RECORD?
CAN WE DO AN ALL IN FAVOR?
ALL THOSE IN FAVOR SAY AYE.
ANY NAYS?
I'M NOT HEARING ANY.
OKAY.
AND -- OKAY, MOTION CARRIES.
>> THANK YOU SO MUCH AND WE'LL
OBVIOUSLY KEEP YOU UPDATED FOR
CONSULTATION AND THANK YOU FOR
YOUR TIME.
WE BENEFITED FROM YOUR
DISCUSSION.
>> K. Walters: THANK YOU SO MUCH
DR. JORGENSEN, APPRECIATE IT.
>> H. Frias: DR. WALTERS, YOU'RE
OO UP NEXT WITH THE
PRESENTATION.
>> K. Walters: GREAT.
FANTASTIC.
LET'S SEE.
THERE I AM.
OKAY.
DO YOU WANT ME TO GO UP HERE?
OR I CAN JUST CARRY ON FROM
HERE.
THIS IS FINE.
IS THIS A GOOD SPOT?
OKAY.
GREAT.
NEXT SLIDE.
SO, I JUST WANTED -- THIS IS FOR
US TO START AND DR. SCHWETZ IS
GOING TO COME IN AT 2:30 TO
SHARE HER THOUGHTS WITH US FOR
THE DAY.
SHE IS IN ANOTHER MEETING, SO
IT'S GOING TO BE A BLIP AND
SHIFT OF PACE.
BUT I JUST WANTED TO START OFF
WITH TALKING A LITTLE BIT ABOUT
HOW DO WE REFLECT ON STRATEGIC
PLAN AND BUILDING OUT STRATEGIC
PLAN AND REVISITING THE
PRIORITIES THAT TAC SET.
WE HAVE NEW TAC MEMBERS WHO
HAVEN'T HAD A CHANCE TO WEIGH
IN.
WE WAMEN WANTED TO USE THIS AFTN
TO DO THAT.
I WANT TO SHARE WHAT I THINK
ABOUT MOVING FORWARD INTO A
STRATEGIC PLAN AND HOW
PRIORITIES MIGHT FIT INTO THAT.
AS A REMINDER, WHAT WE DO AT
NIH, WE CAN TALK ABOUT A LOT OF
COOL THINGS, BUT IF IT'S NOT
GOING TO APPLY BECAUSE IT'S NOT
FEASIBLE AT THE NIH, THEN IT'S
NOT GOING TO BE A FEUTFUL
CONVERSATION.
I JUST WANTED TO CENTER BACK TO
WHAT IS THE NIH AND WHAT DO WE
DO.
AS A REMINDER, THE TRIBAL HEALTH
RESEARCH OFFICE, THERE ARE 27
INSTITUTES AND CENTERS OF WHICH
WE HELP TO COORDINATE AND
COLLABORATE WITH CROSS THE NIH.
NEXT SLIDE, PLEASE.
THAT BASICALLY TRANSLATES INTO A
48 BILLION-DOLLAR A YEAR
ENTERPRISE.
WE'RE THE LARGEST PUBLIC HEALTH
FUNDING AGENCY IN THE WORLD.
TO GIVE YOU AN IDEA, IT'S ABOUT
RESEARCH AND RESEARCH WORKFORCE
TRAINING AND DEVELOPMENT.
AND SO 84% OF OUR FUNDING IS
AWARDED FOR EXTRA RESEARCH GOING
TO TRIBAL UNITS AND UNIVERSITIES
DIRECTLY.
IT'S ABOUT OO THOUSAND
COMPETITIVE GRANTS FOR MORE THAN
2,500 UNIVERSITIES INCLUDING
TRIBAL UNIVERSITIES, MEDICAL
SCHOOLS AND OTHER RESEARCH
INSTITUTIONS.
THAT'S A LOT OF DATA AND GRANTS.
10% OF THE BUDGET SUPPORTS
INTRAMURAL PROMPTS.
PROJECTS.
WE TALKED ABOUT SOME OF THE
THINGS THAT ARE COMING UP THAT
WE CAN DO FOR LIKE AN INTERNAL
IRB FOR AMERICAN INDIA AND
ALASKA NATIVE PROJECTS.
THESE ARE ABOUT 6,000 SCIENTISTS
HERE ON THE CAMPUS AT NIH AND
MONTANA AT ROCKY MOUNTAIN LABS
AND NIEHS IN NE NORTH CAROLINA.
AN IDEA OF HOW NIH FUNDS SCIENCE
TO BRING YOU UP TO SPEED ON
THAT.
A COMMUNITY TAPS A RESEARCHER
FOR A PROJECT.
IT COULD BE COMMUNE-BASED OR AT
A UNIVERSITY.
THEY PROPOSED A PROJECT IN
RESPONSE TO WHAT IS CALLED A
FUNDING OPPORTUNITY.
AT NIH WE PROVIDE FUNDING
OPPORTUNITIES THAT PEOPLE APPLY
TO TO GET FUNDED TO CARRY OUT
THEIR LESSON.
RESEARCH.
IT GOES THROUGH THE FIRST LEVEL
OF REVIEW WHICH IS PEER REVIEW.
WE TALKED ABOUT THE IMPORTANCE
EVER SENSITIZING PEER REVIEW TO
THE TRIBAL AND ALASKA NATIVE
ISSUES.
THAT COULD BE A PRIORITY FOR TO
YOU THINK ABOUT.
SCIENTISTS EVALUATE AND SCORE
GRANT APPLICATIONS.
IN RECENT TIMES WE HAVE AN
OPPORTUNITY TO HAVE P AMERICAN
INDIA AND ALASKA NATIVE LEADERS
ON THE SPECIAL PANELS THAT NOT
NECESSARILY TO BE WITH AN NIH
FUNDED PERSON.
THERE HAS BEEN OPPORTUNITY FOR
THAT.
BASED ON SCIENTIFIC AND
TECHNICAL MERIT, IF THEY SCORED
WELL ON THE APPLICATION, IT
MOVES FORWARD TO THE NIH
ADVISORY COUNSELS.
THAT'S A SECOND LEVEL OF REVIEW.
THERE THEY WILL REVIEW AND
RECOMMEND FUNDING OF THE GRANTS
MERITORIOUS AND IN LINE WITH THE
OBJECTIVES OF THE INSTITUTES
THAT HAVE PECUNIARIED THEM UP TO
POTENTIALLY FUND.
THEN IT GOES THROUGH THE
DIRECTOR OF THE PARTICULAR
INSTITUTE.
THAT'S THE ONE THAT IS GOING IT
MAKE THE FINAL DECISION OR CALL.
AND THEY HAVE THE RIGHT TO DO
THAT.
AND SOMETIMES THEY'LL EVEN PULL
UP A GRANT THAT DIDN'T QUITE
MAKE THE PAY LINE OR SCORE WELL.
IT'S SO IN LINE WITH THE
INSTEWARTS A OBJECTIVES THEY'LL
PULL IT UP AS A PILOT.
THAT IS THE BASIC NIH GRANT
PROCESS.
THAT'S WHAT WE DO.
WE PRODUCE RESEARCH GRANTS TO
FUND SCIENTIFIC WORKFORCE
DEVELOPMENT, TRAINING
OPPORTUNITIES, RESEARCH
INFRASTRUCTURE AND CONDUCTING
ACTUAL RESEARCH.
THAT COULD INCLUDE ANYTHING FROM
QUALITATIVE METHODS AND RESEARCH
TO VACCINE TRIALS ON MORE BASIC
SCIENCE ALL THE WAY TO CLINICAL
TRIALS AND BEHAVIORAL
INTERVENTIONS OUT IN THE
COMMUNITY.
IT'S AN EXPANSIVE TYPE OF
RESEARCH ENDEAVOR.
AND COVID IS A GOOD EXAMPLE OF
WE HAD THE COVID OUTBREAK AND
RAPID RESPONSE TO VACCINES.
THAT WAS LED A LOT BY NIH.
NEXT SLIDE.
ANY QUESTIONS ON THAT SO FAR?
JUST TO MAKE SURE WE'RE ALL ON
THE SAISM PAGE.
IT'S CONFUSING BECAUSE WE HEAR
ABOUT OTHER GROUPS AND THEY
PRODUCE PROGRAMS AND SERVICES OR
SCFOANA, THEY PRODUCE SERVICES
AND PROGRAMS, WE PRODUCE
KNOWLEDGE.
IT DOESN'T MEAN THE RESEARCH
DOESN'T PRODUCE AN OPPORTUNITY
TO TEST AN INNOVATIVE PROGRAM.
IT CAN ACTUALLY DO THAT.
WE CAN TEST I THINK A GOOD
EXAMPLE WAS THE TACING MITING
LMITE --TAC MEETING LAST YEAR OE
PROGRAM WHERE WE DEVELOPED AN
INTERVENTION BY WALKING THE
TRAIL OF TEARS WITH THE WOMEN.
THAT WAS AN NIH PROGRAM BECAUSE
WE WERE TESTING TO SEE IF THE
INTERVENTION WORKS IN OUR
COMMUNITY.
IF IT WORKS, THERE ARE
OPPORTUNITIES FOR FURTHER
FUNDING TO CONTINUE IT'S FUNDING
STREAM.
SO, YOU KNOW WE'RE PRODUCING
KNOWLEDGE.
WE MAY BE PRODUCING PROGRAMS OR
VACCINES, THE TANGIBLE OUTCOMES
THAT CAN HAVE DIRECT BENEFIT TO
OUR COMMUNITIES.
WE'RE ONE OF 16 OFFICES.
AND OUR ROLE, THE TRIBAL HEALTH
RESEARCH OFFICE'S ROLE IS TO BE
THE HUB FOR ALL THINGS AMERICAN
INDIAN AND ALASKA NATIVE AND
EVEN HAWAIIAN.
WE'RE TRYING TO UNDERSTAND OUR
ROLE NOW THAT CONGRESS FUNDED
NATIVE HAWAIIAN PACIFIC ISLANDER
OFFICE WITH MIHD.
UNTIL THEN, WOOF HE BEEN HOLDING
THAT SPACE FOR NATIVES AS WELL.
WE CONSULT AND COORDINATE AND
COLLABORATE ACROSS THE
INSTITUTES AND CENTERS.
THE TRIBES TELL US AND YOU THE
TAC TELL US, WHAT DO YOU THINK
ARE THE MOST IMPORTANT
PRIORITIES.
AND WE CAN WORK WITH THE
INSTITUTES AND CENTERS TO
SUPPORT FUNDING TO MAKE THAT
HAPPEN AND TESTING NEW PROGRAMS
OR VACCINES, WHATEVER IT IS THAT
WE THINK IS IMPORTANT FOR OUR
COMMUNITY.
ULTIMATE GOAL IS TO GROW
INDIGENOUS HEALTH.
INDIGENOUS HEALTH SOVEREIGNTY
FOR THE HEALTH AND WELL-BEING OF
OUR COMMUNITIES AND DOING THAT
THROUGH CULTURALLY CREDIBLE
SCIENCE.
INDIGENOUS-DRIVEN SCIENCE, IN
OTHER WORDS, BEING ABLE TO SENT
YOU ARE OUR WORLD VIEWS AND
BEHAVIORAL INTERVENTIONS AND ALL
THE SOCIAL AND CULTURAL
DETERMINANTS OF HEMENT THAT ARE
FACTORS FOR US AS WELL AS
IMPACTS OF TRAUMA AND ISSUES
THAT HAVE IMPACTED OUR
WELL-BEING SO BEHAVIORAL HEALTH
IS A MAJOR FACTOR FOR OUR
COMMUNITIES.
WE HOPE AT THRO AT THAT WE'RE
GOING TO HELP GROW CULTURAL
CREDIBLE AND INDIGENOUS-DRIVEN
SCIENCE.
IT'S NOT IF YOU HAVE TO BE A IN
AIVE PERSON AT THE HE HELM BUT
HAVING IT BE FROM THE COMMUNITY
FOR THE COMMUNITY TYPE OF
APPROACH.
JUST AS A REMINDER, WE DID
CREATE THIS YEAR O OUR THROW
VALUES.
THROUGH CEDAR, WE HAD A GRAPHIC
MADE AND IT'S NOT QUITE READY TO
SHARE THAT.
CEDAR IS A GREAT MEDICINE FOR
MANY OF OUR TRIBES.
WE THOUGHT THAT WOULD BE A GREAT
REMINDER OFFER THE MEDICINE WORK
THAT WE'RE DOING WHICH IS THIS
IS MED K MEDICINE WORK.
WE TRY TO HELP AND HEAL OUR
COMMUNITIES.
TESTIMONY INCLUDES MOVING BEYOND
CONVENTIONAL APPROACHES TO
SCIENCE FOR APPROACHES TO
POPULATION HEALTH CHANGE.
WE WANT RESEARCH CONDUCTED WITH
THE HIGHEST ETHICS AND
PRINCIPLES IN OUR COMMUNITIES.
WE WANT THE HIGHEST STANDARDS OF
PROFESSIONAL AND ETHICAL
BEHAVIOR AND DEMONSTRATE
TRANSPARENCY IN ALL OUR ACTIONS
AND RECOGNIZING SELF-DETERMINE
NATION IN COMMUNITIES AND
ORPHANING SOVEREIGNTY.
HOLE OURSELVES ACCOUNT --
HOLDING OURSELVES ACCOUNTABLE
FOR THE WORK THAT WE DO.
AND WE WANT TO MAKE SURE WE
HONOR OUR COMMITMENT TO TRIBAL
UNITS.
THIS IS CRITICAL.
ACCOUNTABILITY WAS ONE OF THE
THEMES THAT CAME OUT OT.
ACCOUNTABILITY ENGENDERS MORE
TRUST AND STRENGTHEN TS
PARTNERSHIPS.
AND RESPECT AND RELATIONAL
RESPONSIBILITIES.
WE WANT TO RESPECT AND VALUE
UNIQUE AND DIVERSE TALENTS THAT
WE ALL HAVE.
WE WANT THESE GIFTS BROUGHT TO
THE TABLE TO HEAL OUR
COMMUNITIES.
AND WE WANT TO FULFILL OUR
RESPONSIBILITIES WITH COMPASSION
AND HE C EQUANIMITY.
WE WANT TO HONOR OUR
RESPONSIBILITIES EACH DAY AND
RECOGNIZE THAT WE RECOGNIZE OUR
ANCESTORS PAST, PRESENT AND
FUTURE AND HAS IMPACT ACROSS
TIME AND SPACE.
THAT'S AN IMPORTANT REMINDER ON
WHAT WE DO.
NEXT SLIDE, PLEASE.
WE ARE SERVING 574 FEDERALLY
RECOGNIZED TRIBES.
WE'RE PROJECTED TO GROW, OF
COURSE, PRETTY RAPIDLY BY 2050.
WE HAVE DIVERSITY OF OUR
LANGUAGES AND WE HAVE SERVED
NATIVE HAWAIIANS AND CONTINUE TO
WORK WITH OUR NATIVE HAWAIIAN
BROTHERS AND SISTER AND THAT'S
IMPORTANT BECAUSE THE FEDERAL
GOVERNMENT HAS MANDATED THAT.
FEDERAL AGENCIES WORK WITH
NATIVE HAWAIIAN ORGANIZATIONS
BECAUSE THEY'RE RECOGNIZED AS
INDIGENOUS PEOPLE.
CONGRESSMAN DATED THAT.
CONGRESS MANDATED THAT.
MAJORITY OF US LIVE IN FIVE
STATES.
OVER HALF OF US LIVE IN THE MAIN
FIVE STATES AND THE STATES WITH
HIGHEST PERCENTAGE OF INDIGENOUS
PEOPLES, LARGEST TRIBES.
WE KNOW.
WE KNOW THAT 70% OF OUR
POPULATION LIVES IN URBAN AREAS
WHICH IS A UNIQUE CHALLENGE FOR
DATA SOVEREIGNTY.
I'M PUTTING THAT OUT THERE FOR
OUR PRIORITIES TODAY.
THIS IS WHERE OUR DEMOGRAPHICS
ARE STILL.
WE KNOW ABOUT OUR TRIBAL
GOVERNMENTS.
THE MANDATE TO HONOR TRUST
RELATIONSHIP AND OUR OFFICE IS
MANDATED TO DO THIS.
NEXT SLIGHT, PLEASE.
AND WE'RE REMINDED AND WE'RE
ACTUALLY LOOKING AT THIS
CLOSELY, AT ALL THE RESERVATIONS
AND TRUST LANDS BECAUSE WHEN WE
TALK ABOUT LAND AND LAND
JURISDICTION AND RIGHTS, THAT
INCLUDES IN OUR MIND AND THIS
CAME UP ESPECIALLY WITH SOME OF
OUR TRIBES THAT ARE CONNECTED TO
US THROUGH A NUMBER OF PROJECTS.
THERE ARE VILLAGES, PLACES THAT
TRIBES DESIGNATE AS TRIBAL AREAS
THAT ARE NOT ALWAYS RECOGNIZED
AS FEDERALLY JURISDICTION LANDS
OR AREAS.
THERE ARE UNIQUE SITUATIONS
ESPECIALLY IN RURAL AREA NOTICE
SOUTHWEST AND NEW DECISIONS IN
OKLAHOMA AND THE TRIBAL LANDS.
MOST OF OKLAHOMA HAS TRIBAL
LANDS.
I HAD BETTER CONTACT THE VARIOUS
TRIBES.
THERE ARE UNIQUE THINGS WITH THE
TRIBAL LAND ISSUE.
SWRUS KIND EVER TALKING ABOUT
SOME OF OUR HEALTH STATUS AND
THIS IS FOR YOUR CONSIDERATION
TODAY AND INFORMATION FOR THE
TAC.
I JUST WANT TO BE CLEAR THAT THE
DATA I'M ABOUT TO SHARE ABOUT
OUR TRIBAL HEALTH CANNOT BE
DECON CONTEXT TEURLIZED.
IT HAS TO BE IN THE CONTEXT OF
HISTORIC AND CHRONIC PROBLEMS
WE'VE BEEN ENDURING.
WE EXPERIENCE OVERCROWDED
HOUSING, HIGHEST NUMBER OF FOOD
DESERTS AND THE IMPACT IS FOOD
INSECURITY.
ONE IN FOUR OF OUR COMMUNITY IS
LIVING WITH INSECURE FOOD HOUSE
HOUSEHOLDS.
LACK OF LEKS.
ELECTRICITY.
THERE IS A LOT OF TOXIC DUMPING
IN OUR LANDS.
COMPOUNDING THAT CRISIS, A FEW
OF US ARE IN HIGHER EDUCATION,
WE GET THE OPPORTUNITY TO GET
ACCESS TO THAT AND WE'RE
UNDERREPRESENTED IN THE HEALTH
AND RESEARCH WORKFORCE.
14-POINT A% ACHIEVED COLLEGE
DEGREES IN CONTRAST TO 71% OF
THE POPULATION.
IF I HAD A THOUSAND PhD.S IN
THE ROOM, ONLY THREE WOULD BE
INDIGENOUS OR LASKIN NAITS.
THERE ARE VERY FEW OF US AT THE
TABLE FOR LEADING THIS EFFORT.
THAT MEANS THAT WE -- I HAVE I
PRIORITY ON THE WORKFORCE
DEVELOPMENT TO SAY, LET'S
PRODUCE 200, YOU KNOW, RESEARCH
SCIENTISTS WHO ARE OUT THERE
WITH NIH-FUNDED GRANTS IN THE
NEXT -- AMERICAN INDIAN IN THE
NEXT FIVE YEARS.
THIS LEADS TO CHRONIC DISEASE
BURDEN.
THE OTHER POPULATIONS HAVE SOME
OF THIS, BUT WE REALLY HAVE IT.
WE DON'T JUST HAVE ONE
EPIDEMICS, WE HAVE MULTIPLE
EPIDEMICS.
WE HAVE HYPER ATTENTION AND
DIABETES.
YOU CAN BE IN THE UPPER ECHELON
ECONOMICALLY AND YOU'RE STILL
GOING TO HAVE THOSE THINGS.
YOU CAN BE DIABETIC AND HEART
DISEASE.
WE'RE DEALING WITH MULTIPLE
SINNSYNERGISTIC EPIDEMICS THAT T
US AT GREAT RISK SO WHEN YOU
HAVE A PANDEMIC COMING AROUND,
WE GET HIT HARDEST.
NEXT SLIDE.
THAT'S THE CONTEXT FOR
UNDERSTANDING SOME OF THE DATA
THAT WE HAVE.
WE KNOW WE HAVE SOME OF THE
HIGHEST RATES OF MORTALITY.
WE'RE GOING BACK TO THE I.C.S
AND SAY THIS IS WHERE WE WANT TO
FOCUS.
WE'LL PARTNER ON HEART DISEASE
IF YOU THINK THAT SHOULD BE OUR
FOCUS.
WE LEAD THE WAY IN EVERY AGE
CATEGORY.
WE HAVE 2½ TIMES RATE DEATH DUE
TO UNINTENTIONAL INJURIES.
THAT'S PARTLY BECAUSE OF THE
REMOTE LOCATIONS WHERE WE LIVE.
DIABETES, WE'VE TALKED A LITTLE
BIT ABOUT THAT.
WE'RE STILL STRUGGLING WITH
CHRONIC LIVER DISEASE AND
CIRRHOSIS.
WE SUFFER FROM THE LOWEST LIFE
EXPECTANCY RATE.
WE'RE AT AGE 65,000.
WE HAVEN'T BEEN THAT BAD SINCE
WORLD WAR II.
WE'RE NOW EXPECTED TO LAST TO
65.
THAT IS WORSE THAN ANY OTHER
POPULATION IN THIS COUNTRY AND
WE MOVE -- OUR DIAL WENT
BACKWARDS.
WE'RE BACK TO WORLD WAR II
STANDARDS.
WE HAVE THE HIGHEST DRUG
OVERDOSE RATE ESPECIALLY WITH
FENTANYL, METH, THESE ARE MAJOR
ISSUES IN THE INDIAN COUNTRY.
WE ALL KNOW THIS.
ESPECIALLY OPIOID-RELATED DEATHS
HAVE SHIFTED IN THE DECADE.
WE'RE LEADING.
OTHER GROUPS ARE PLATEAUING, BUT
WE'RE STILL CLIMBING.
AGAIN, CARDIOVASCULAR DISEASE
AND ENDOCRINE DISEASE IS A BIG
ISSUE, HYPERTENSION, HIGH
CHOLESTEROL.
WE'RE STILL HIGHER THAN OTHER
POPULATIONS.
NEXT ONE.
THESE ARE LIVING ON TRIBAL LANDS
VERSUS LIVING OFF TRIBAL LANDS.
IF YOU'RE WE WONDERING WHAT THE
COLOR CODING IS.
FOR THE MENTAL HEALTH SIDE,
PEOPLE LIVING OFF TRIBAL LANDS,
WE SEE HIGHER RATES OF ACCESS TO
MENTALITY HEALTH TREATMENT WHICH
SUGGESTS WE NEED TO KNOW WHAT
WE'RE DOING WITH BEHAVIORAL
HEALTH IN OUR TRIBAL COMMUNITIES
SO WE CAN GET PEOPLE ACCESS TO
HELP.
CANCER DISPARITIES.
THAT WAS ONE OF THE PRIORITIES
LOOKING AT PRIORITIES LIST.
CANCER HAS COME UP.
MOST
RECENTLY.
WHEN I WENT TO CONGRESS,
STAFFERS MADE A PRIORITY FOR
GETTING FUNDING FOR THE TRIBALS.
WE HAVE SOME OF THE HIGHEST
RATES OF CANCER AND SOME OF THE
PROBLEMS WITH GETTING ACCESS TO
EARLY DIAGNOSIS.
WE'RE LATE IN THE GAME FOR SOME
CANCERS IF WE CAN CATCH THEM
SOONER, WE CAN GET IN AND GET
HELP FASTER.
OF COURSE, WE HAVE HIGHER EPTS
WITH RESPECT TO LUNGS, STOMACH,
KIDNEY AND LEVER-RELATED
CANCERS.
WE HAVE EXPOSURE FACTORS TIED TO
CANCER RISK AS WELL.
EXPOSURE TO URANIUM IN THE
LUNGS.
NEXT SLIDE, PLEASE.
I WANT TO SAY ONE THING ABOUT
THAT.
WE'RE SEEING BREASTS CAN CANCER
RATES SKYROCKET AMONG NATIVE
WOMEN.
SUICIDE RATES CONTINUE TO PR
CYST AND BE A MAJOR ISSUE
ESPECIALLY SINCE POST COVID.
IT WAS AS A COUNTRY, YOUNGER
PEOPLE WERE STARTING TO DO
SELF-HARM.
IN INDIAN COUNTRY WE'RE STILL
DISPROPORTIONATELY BURDENED BY
THAT.
COMMUNITIES ARE SUFFERING AT
HIGHER RATES THAN OTHERS.
WE TEND TO HAVE CLUSTER
SUICIDES.
BECAUSE WE'RE IN SMALL
TIGHT-KNIT COMMUNITIES, IT'S NOT
UNCOMMON TO HAVE THREE OR FOUR
CLUSTER SUICIDES IN A SHORT
PERIOD OF TIME.
43.4 PER 100,000 AGE ADJUSTED
SUICIDE RATES COMPARED TO ER
POPULATIONS, MUCH HIGHER ON
AVERAGE.
SOME COMMUNITIES ALASKA AND
OTHERS HAD MUCH HIGHER RATES IN
TERMS OF THIS.
ONE OF THE ISSUES THAT HAVE COME
UPPUP I DON'T HAVE THE DATA FOR
THIS, THIS IS MORE ANECDOTAL,
THIS COMES FROM TRIBAL COMMUNITY
MEMBERS, THEY SAY WE DON'T KNOW
IF IT'S SUICIDE OR A DRUG
OVERDOSE.
PEOPLE ARE THINKING IT'S A PILL
OVERDOSE BUT IT MIGHT BE
FENTANYL OVERDOSE, UNINTENDED
SUICIDE.
THERE ARE QUESTIONS COMING UP ON
THAT IN SOME COMMUNITIES WHERE
THEY'RE CLASSIFIED AS SUICIDE
AND THEY WONDER WHETHER IT WAS
OR NOT.
WHAT HAPPENS HERE IN CLINICAL
TRIALS, OUR NATIVE PEOPLE ARE
REPRESENTED.
WHEN WE MAKE DECISIONS ON SAFETY
OF DRUGS AND THINGS LIKE THAT,
YOU NEED TO HAVE REPRESENTATION
IN THE STUDIES.
IF YOU DON'T BECAUSE THERE MIGHT
BE SOMETHING BIOLOGICALLY THAT
MAKE PEOPLE HAVE A DIFFERENT
RESPONSE.
>> THERE WERE A COUPLE OF AREAS
IN WHICH THERE WAS A
DIFFERENTIAL RESPONSE FOR ALASKA
NATIVES.
IN THEIR UP TAKE OF NOR --
WARFARIN.
THERE WERE A FEW DIFFERENCES AND
A FEW OTHER STURDIES IN LOOKING
AT THAT BUT WARFARIN WAS ONE OF
THEM FOR SURE.
>> K. Walters: IT'S CRITICAL
THAT WE'RE PART OF THE CLINICAL
TRIALS.
I KNOW WE HAVE A LOT OF
NERVOUSNESS AROUND AND
UNDERSTANDABLY.
STUDIES THAT HAVE TO DO WITH
BIOLOGY AND DNA AND GENETIC
MATERIAL.
IF WE'RE NOT PART OF THE TRIALS,
WE WON'T KNOW HOW DRUGS CAN
IMPACT US.
IF YOU LOOK AT THIS FIGURE HERE,
WE ARE BASICALLY ABSENT.
ABSENT FROM CLINICAL TRIALS.
THAT INCLUDES BEHAVIORAL
CLINICAL TRIALS AS WELL.
THAT MEANS PEOPLE ARE IMPORTING
INTERVENTIONS INTO OUR
COMMUNITIES.
IT MAY OR MAY NOT HAVE CULTURAL
RELEVANCE.
WE NEED TO GET MORE FOLKS BEING
ABLE TO PARTICIPATE IN
APPROPRIATE WAYS.
NEXT SLIDE.
HUGE IMPACT ON THESE THINGS.
SOME OF THE CRITICAL ISSUES FOR
US TO THINK ABOUT, ISSUES OF SIN
DEMICS.
INFANT MORTALITY AND M MATERNAL
MORTALITY WE HAVE THE HIGHEST
RATES.
WE DEAL WITH SYPHILIS OUTBREAKS
IN OUR COMMUNITY.
IT'S DISPROPORTIONATELY
IMPACTING OUR COMMUNITIES IN
PART BECAUSE WHEN COVID HIT, A
LOT OF COMMUNITIES THAT HAD
SEXUAL HEALTH AND REPRODUCTIVE
AND H.I.V. PREVENTION, ALL THOSE
DOLLARS GOT REDIRECTED TO COVID.
PEOPLE STOPPED DOING THAT WORK
AND NOW WE SEE STIS AND SYPHILIS
NOW ON THE UP SURGE.
SYPHILIS CAN BE DEADLY AND CAUSE
BIRTH DEFECTS IN CHILDREN.
IT'S A BIG ISSUE.
WE'LL SEE THAT IN INDIAN COUNTRY
RIGHT NOW BECAUSE IT'S HERE.
SO, IT'S A BIG, BIG ISSUE.
COVID-19 IS ALWAYS STILL AN
ISSUE ESPECIALLY LONG COVID.
WE DON'T KNOW WHAT THE IMPACT OF
LONG COVID IS ON OUR
COMMUNITIES.
WE DON'T KNOW THE HIGH RATES OF
GRIEF AND LOSS THAT OUR
COMMUNITY SUFFER EXAMINED THE --
SUFFER AND IMPACT ON THE
MENTALITY HEALTH.
OTHER ISSUES FOR THE YOUNG
PEOPLE.
THERE ARE ASK A BUMPLE OF TOUGH
WE DON'T KNOW ABOUT.
H 1 N 1 CAN IMPACT OUR
COMMUNITIES TOO.
YOU MAY WANT TO THINK ABOUT
THAT.
AND WE TALKED ABOUT OPIOID
CRISIS.
TRAUMA ASK VIOLATE IS AN -- IS
AN ISSUE.
WE'LL HAVE A HEALING SUMMIT
APRIL 17TH TO THE 20TH.
WE WOULD LOVE FOR YOU TO BE
THERE FOR THIS.
IT'S GOING TO BE ABOUT RAY
HUNDRED PEOPLE THAT WE'RE
BRINGING IN WHO ARE SUBJECT
MATTER EXPERTS IN LOOKING AT THE
ROLE EVER INTERGENERATIONAL
TRAUMA EXPOSURE AND HOW IT
IMPACTS TO YOUR CELLULAR LEVEL,
MICRO BIOME AND BIOLOGY ALL THE
WAY TO SOCIAL AND FAMILY AND
SOCIETAL STRUCTURES.
WHAT IS THE BEST EVIDENCE OUT
THERE BUT WE BRING IN COMMUNITY
PARTNERS ON THE GROUND
ADDRESSING TRAUMA AND MENTALITY
HEALTH AND SURVIVORS OF BOARDING
SCHOOL ABOUT TALK ABOUT WHAT WE
SEE ON THE GROUND ASK IDENTIFY
THE GAPS AND HOW WE CAN PARTNER
TOGETHER TO CREATE FUNDING
INITIATIVES TO HELP COMMUNITIES,
AGAIN, PILOT PROGRAMS AND OTHER
INTERVENTIONS IN THEIR
COMMUNITIES TO ADDRESS THE
INTERGENERATIONAL TRAUMA.
ALSO, ADDRESSING
INTERGENERATIONAL LOVE AND A%
SES TRAM LOVE AND -- AN SES TRAM
LOVE&BUILDING BACK THINGS THAT
WERE STOLEN THROUGH US THROUGH
THE BOARDING SCHOOL EXPERIENCE.
HOW DOES LANGUAGE INTEGRATION
IMPROVE OUR WELL-BEING BY
IMPROVING LANGUAGE IN OUR
COMMUNITIES.
LOOKING AT POTENTIALLY FUNDING
NOT JUST DIRECT SERVICES AND
STUFF LIKE THAT BUT LOOKING AT
CREATING INTERVENTIONS WHERE WE
WORK, PLAY AND PRAY, EDUCATE AND
LEARN.
MORE SETTING-SPACED
INTERVENTIONS.
IT'S CREATIVE OPPORTUNITIES
WORKING WITH COMMUNITIES WHO ARE
ENGAGED IN THAT.
THE OTHER AREA THAT WE SEE
ANOTHER INCREASE IS DEMENTIA.
SOME OF THAT CONNECTED TO A
NUMBER OF FACTORS.
IT COULD BE CONNECTED TO
INJURIES AND DISPROPORTIONAL
AMOUNT OF BRAIN INJURIES IN OUR
COMMUNITY AND DOESN'T SHOW UP
UNTIL DEMENTIA LATER.
IT COULD BE RELATED TO CANCER
AND MORE ENVIRONMENTAL EXPOSURES
LIKE CLIMATE CHANGE IMPACT AND
WHAT THAT IS HAPPENING ON OUR
COMMUNITY WELL-BEING.
THAT WOULD BE BIOPSYCHOSOCIAL
SPIRITUAL WELL-BEING AS WELL
WHEN WE'RE FORCED TO MOVE FROM
YOUR LAND TO OR COMMUNITIES.
THAT HAS A TOLL.
NOT BEING ABLE TO HARVEST OR DO
YOUR CULTURAL FARMING BECAUSE
YOU'RE IN DROUGHT CONDITIONS.
THAT HAS AN IMPACT ON COMMUNITY
HEALTH AND WELL-BEING.
THAT'S AN OVERVIEW OF THE ISSUES
I WANTED TO SHARE WITH YOU TO ON
UP A DISCUSSION TO TALK ABOUT
THIS TODAY.
AND I'M GOING TO STOP THERE.
I'LL TALK A LITTLE BIT LATER
ABOUT STRATEGIC PLAN IN THE FOUR
AREAS THAT I WOULD LIKE THE
STRATEGIC PLAN TO FOCUS ON.
GO TO THE NEXT SLIDE AND I'LL
ADDRESS THAT.
NEXT SLIDE.
AND I'M GOING TO CLOSE WITH
THAT.
OUR STRATEGIC PLAN THAT WE HAVE
IS DONE.
IT'S DONE.
WE ACTUALLY ARE STILL OPERATING
UNDER OUR 2024 ENDING CYCLE OF
THE STRATEGIC PLAN.
WE'RE READY FOR ONE.
I DIDN'T WANT TO START ONE IN
2024 BECAUSE IN 2029 THAT SOUNDS
ODD.
SO 25 25 -- 2025 TO 2030 SOUNDS
BETTER.
I'M THINKING OF IT BEING BROKEN
OUT INTO FOUR ELEMENTS AND USING
THE ELEMENTS OF AIR.
LAND -- AIR, LAND, WATER AND
FIRE.
THOSE ARE OUR FOUR ELEMENTS THAT
ARE GOING TO GUIDE OUR THINKING.
SO AIR IS FOR ADVANCING
INDIGENOUS RESEARCH.
LAND IS ABOUT CULTIVATING
CAPACITY WITH WORKFORCE TRAINING
AND DEVELOPMENT.
AND WATER IS ABOUT CONSULTATION
AND EXPANDING IN THAT.
AND FIRE IS BLAZING NEW PATHS.
I WANT TO THINK OF SOMETHING
OTHER THAN BLAZING.
I DON'T WANT TO BE LIKE A LAND
RUSH.
SOMETHING WITH FIRE.
MAYBE BREAK OUR CONTROLLED
BURNS.
BUT BASICALLY CREATING THESE
REGENERATING FOR A NEW PATHS FOR
NEW INITIATIVES.
THAT'S WHERE THE BOARDING SCHOOL
HEALING INITIATIVE WILL COME
ABOUT FROM THAT.
OTHER THINGS I'M GOING IT SEEK
YOUR GUIDANCE ON.
THAT'S THE BIG OVERVIEW TO HELP
STIMULATE AND THINK ABOUT WHAT
YOU MIGHT WANT TO TALK ABOUT FOR
SETTING PRIORITIES TODAY.
BEFORE WE GO FORWARD TO THAT,
HAS DR. SCHWETZ JOINED US ON
LINE OR IN-PERSON?
OKAY.
WHEN SHE GETS HERE, WE'LL
INTEGRATE HER ON IT.
I'LL STOP THERE.
OPPORTUNITIES.
AND WE HAVE CHARTS HERE WHERE WE
CAN TAKE NOTES SIPS WE'VE BEEN
BIG NOTETAKERS FOR THE LAST DAY
AND A HALF.
AND THEN WE'VE PROVIDED WITH YOU
THE PRIORITY ISSUES THAT THE TAC
HAD UP UNTIL 2022.
YOU HAVE A BACKGROUND ON THE
GOALS FOR THE ACTUAL SPECIFIC
THRO HIGH-LEVEL GOVERNMENT
ACTIONS FOR THRO.
AND OBJECTIVES
AND WE CAN REVIEW THOSE AS WELL
IF YOU LIKE.
THERE ARE THINGS TO THINK ABOUT.
WE CANNOT LOBBY FOR OUR FUNDING
OR INCREASE IN FUNDING.
WE'RE BLESSED TO BE FUNDED
THROUGH THE OFFICE OF THE
DIRECTOR.
SO WE'RE NOT FUNDED THROUGH
CONGRESSIONAL ACTION LIKE OUR
NATIVE HAWAIIAN OFFICES FOR
EXAMPLE.
IT'S A LITTLE BIT DIFFERENT.
DR. SCHWETZ WILL BE HERE
MOMENTARILY.
OKAY.
THAT'S FINE.
SO THOUGHTS, COMMENTS, BEFORE WO
PROCEED?
>> H. Frias: THANK YOU DR.
WALTERS.
DO WE HAVE ANY OTHER THOUGHTS OR
COMMENTS?
ANYONE ON THE TAC HAVE THEIR
HAND RAISED?
OKAY.
ONE OF THE THINGS THAT I WANTED
TO SHARE IS THAT, YOU KNOW,
SINCE THE BILL WAS ESTABLISHED,
THERE HAS BEEN A LOT OF WORK TO
GET OUR PRIORITIES AND TO
PRODUCE THIS MISSION.
THE TAC PUMPS MISSION OBJECTIVES
GOALS AND ACTIONS.
I REMEMBER WHEN YOU CAME ON
BOARD, IS IT ONLY A YEAR AGO?
>> K. Walters: A LITTLE OVER A
YEAR.
ALMOST A YEAR AND A HALF.
>> H. Frias: I REMEMBER WHEN YOU
CAME ON BOARD AND YOU PRESENTED
TO THE TAC PRETTY MUCH WHAT YOU
PRESENTED TODAY, IT'S JUST AN
UPDATED VERSION.
THERE WAS A SIGH OF RELIEF
BECAUSE THEY WERE CONNECTED TO
OUR MISSION, GOALS AND ACTIONS.
I JUST REMEMBER HAVING THAT
CONVERSATION WITH THE TAC AND
SAYING, DID YOU JUST READ OUR
MINDS?
BECAUSE THIS IS WHAT WE TALKED
ABOUT IN CAUCUS.
IT WAS GOOD TO SEE THAT WE WERE
ALIGNED.
BEFORE THAT, WE HAD SUBMITTED
THESE TO THE THRO OFFICE AND AT
THAT TIME, MOZE WAS WORKING ON A
RESPONSE FROM THE THRO OFFICE.
AND THERE WAS A MATRIX THAT HE
WAS CREATING.
AND NO, THIS WAS THE VOTING.
THIS WAS THE VOTING THAT WE DID
TO IDENTIFY OUR PRIORITIES
BECAUSE WE JUST PUT EVERYTHING
IN.
WE HAD VOTES -- WE HAD THE TAC
MEMBERS VOTE SO WE CAN WHITTLE
IT DOWN A LITTLE BIT.
HE WAS GOING TO REVIEW THIS
PART, THE MISSION AND GOALS.
BUT WE NEVER GOT THAT FEEDBACK.
WE NEVER RECEIVED ANYTHING BACK.
AND HE HASN'T BEEN WORKING HERE
FOR A WHILE.
IT'S JUST A WHIRLWIND.
WE NEVER GOT THE FEEDBACK.
AND I THINK THAT'S PART OF
THE -- WHAT NEEDS TO BE DONE IS
HOW WOULD WE GO ABOUT LOOKING AT
WHAT WE'VE DONE HERE AND
COMPARING IT TO WHAT YOU HAVE OR
STREAMLINING OR WORKING WITH THE
TAC TO SEE IF THIS IS STILL
RELEVANT AND THAT'S THE
CONVERSATION WE WERE HAVING
DURING THE CAUCUS WAS LIKE WHERE
DO WE GO FROM HERE?
BECAUSE WE HAVE NEW TAC MEMBERS
THAT WEREN'T A PART OF THIS
DISCUSSION.
>> K. Walters: RIGHT.
>> H. Frias: SO THOSE TYPES OF
THINGS OF HOW DO WE MOVE FORWARD
HERE.
>> K. Walters: TODAY, I WOULD
LOVE IF THE TAC IS COMFORTABLE
IS TO SPEND SOME TIME BRAINSTORM
EXAMINING USE THIS TIME TO
IDENTIFY -- TAKE A LOOK, I
SHARED WITH YOU A LOT OF
INFORMATION ON WHERE OUR HEALTH
STATUS IS RIGHT NOW.
A LITTLE BIT ON THE PRIORITIES
LIST ON WHAT YOU THOUGHT WAS
CRITICAL.
AND MAYBE JUST BRAINSTORM A
LITTLE BIT OF WHAT YOUR THINKING
MIGHT BE CRITICAL KEY AREAS.
I CAN EASILY TAKE THAT AND ALIGN
IT MORE TO KIND OFL -- WE CAN
PULL THAT OUT AND SAY THIS IS
HOW WE'D PROCEED PE TENSIONALL R
CONVERSATIONS.
I THINK WHAT WAS HARD INITIALLY
WAS TRYING TO DISTILL BECAUSE
THERE WERE A LOT OF OVERLAPPING
CATEGORIES.
WE WANTED TO FIGURE OUT WHICH
INSTITUTION THINGS BELONGED IN.
CERTAINLY WE CAN SEE WHICH ONE
OF THESE ARE RELEVANT TO THE
INTERESTS OF THE TAC.
AND THEN MOVE FORWARD FROM
THERE.
TODAY COULD BE A BEGINNING OFFER
THAT CONVERSATION.
>> CAN YOU PUM THE LAST SLIDE
THAT YOU HAD?
>> K. Walters: PULL UP THE LAST
SLIDE.
>> TH.THAT WAS FOR THE STRATEGI.
GOING BACKWARDS?
>> YES.
CRITICAL ISSUES.
>> K. Walters: THESE ARE SOME OF
THE ISSUES LOOKING AT SOME OF
THE DATA RIGHT NOW ALSO BASED ON
THE CALLS WE'RE GETTING AT OUR
OFFICE ABOUT NEEDING HELP FROM
TRIBAL COMMUNITIES AND ALSO
THESE ARE ALSO SOME ISSUES THAT
HAVE BEEN IDENTIFIED BY CONGRESS
MEN AND WOMEN AND SENATORS
CALLING THE OFFICE SAYING WE
NEED INFORMATION ON THIS FOR OUR
TRIBAL COMMUNITIES.
THIS IS ONE OF THE REASONS I
PULLED THIS OUT.
>> SO, THANK YOU FOR DOING THIS
BECAUSE I THINK WE'VE BEEN
TALKING ABOUT HOW TO HAVE THIS
CONVERSATION AND HOW DO WE
ESTABLISH A WORKING TAC AND
REALLY ABLE TO BUILD THAT
MOMENTUM.
FOR THE TAC MEMBERS, IF YOU LOOK
AT THIS LIST HERE, OF THE
CRITICAL ISSUES IN INDIAN
COUNTRY, IS THERE ANYTHING THAT
YOU WOULD LIKE TO ADD THAT IS --
HOW WOULD WE START THE
DISCUSSION HERE?
IS THERE ANYTHING THAT YOU WOULD
LIKE TO ADD?
IS IT SOMETHING THAT YOU AGREE
WITH?
BECAUSE PART OF THE -- I
REMEMBER PART OF THE
CONVERSATION WAS ISSUES OR --
ISSUES THAT TRIBES ARE
STRUGGLING WITH THAT DON'T
NECESSARILY REACH THE EAR OF
NIH.
SO, THERE COULD BE OTHER THINGS
HERE THAT ISN'T EVEN TYPICALLY
AN ITEM OF RESEARCH THAT SHOULD
BE RESEARCHED.
, THAT IS A
RESEARCH TOPIC AND BUILDING THE
KNOWLEDGE THAT YOU TALKED TO US
ABOUT BETTER UNDERSTANDING AND
CREATING INTERVENTIONS.
WE WERE HAVING A CONVERSATION AT
LUNCH TODAY AND THINKING ABOUT
CHILD WELFARE.
>> K. Walters: THAT'S GREAT.
THAT'S A GREAT SEGUE INTO
SOMETHING I WANTED TO RAISE.
THERE ARE TWO THINGS I WANT THE
TAC TO THINK ABOUT.
ONE IS WE CREATE INITIATIVES
WITH OTHER I.C.S TO TRY TO FIND
A PARTICULAR AREA.
WE ALSO WORK ACROSS THE HHS TO
TRY TO BREAK DOWN SILOS TO SEE
IF THERE ARE OPPORTUNITIES TO
FUND ACROSS AGENCIES.
THIS AREA OF CHILD WITH FAIR IS
ONE OF THEM.
WE HAVE ACF AND ANA DOING THE
CHILD WELFARE STUFF AND THEY DO
THINGS ON LANGUAGE AND REDUCING
SUICIDE.
THAT IS GOOD AND IMPORTANT AND
WE'RE DOING STUFF ON CHILD AND
FAMILY AND CHILD DEVELOPMENT
OVER HERE.
WHY AREN'T WE CONFERSING ACROSS
AND DOING SOME OF THE WORK
TOGETHER.
ONE OF THE THINGS THAT IS
ALIGNED WITH -- OFFICE OF
RESEARCH AND HEALTH FOR WOMEN IS
INTERESTED AND ANA IS INTERESTED
WHICH IS LOOKING AT HIGH IMPACT
POPULATIONS, MMIP FOR EXAMPLE.
WHAT ARE SOME OF THE PRECURSORS
TO ENDING UP IN MMIP STATUS?
HOW DO WE PREVENT THAT?
ONE OF THE AREAS OF POTENTIAL
VULNERABILITY THERE ARE KIDS WHO
ARE IN FOSTER CARE WHO ARE
MATURING OUT OF CARE AND THERE
IS NO TRANSITIONAL OPPORTUNITY.
AND THESE YOUNG PEOPLE LITERALLY
GET PREYED UPON FOR SEX AND DRUG
TRAFFIC RITE OUT OF CARE.
BEST-CASE SCENARIO IF THEY'RE IN
ANY TFT SYSTEMS IS TRAUMA ASK
OTHER KINDS OF ISSUES AND
FURTHER TRAUMA THAT WE DON'T
WANT THESE YOUNG PEOPLE TO HAVE.
THAT'S ONE OF THE THINGS --
THAT'S WHY ANGELA DAVE IS HERE
WITH US.
SHE WANTS TO LEARN MORE ABOUT
NIH AND HOW WE CAN BETTER PAIR
THESE.
SO THAT'S AN EXPERIMENTAL
PROGRAM WE HAVE STARTED THROUGH
THRO IS TO SUPPORT THESE
OPPORTUNITIES SO ANGELIQUE SAID
I'LL BE YOUR EXPERIMENT.
THAT'S AN EXAMPLE OF SOMETHING
THAT YOU CAN BE CREATIVE.
TAC, YOU CAN SAY BREAK DOWN SOME
SILOS AROUND ISSUES.
HISTORICAL TRAUMA OR
INTERGENERATIONAL TRAUMA OR
BOARDING SCHOOL TRAUMA.
WE SHOULD BE WORKING WITH NIMH
TO DEAL WITH EU SITEALIT SUICIDF
THIS.
WE SHOULD WORKING WITH D, J
POTENTIALLY TO DEAL WITH
CORRECTIONS AND THERE ARE SOME
THINGS THAT WE CAN BE CREATIVE.
>> WE HAVE ONE COMMENT AND I
JUST WANT TO ENCOURAGE THE TAC
MEMBERS THAT ARE ON LINE, JUST
RAISE YOUR HAND AND WE WILL GET
TO YOU.
ALSO FOR THE TECHNICAL ADVISERS.
YOU CAN ALSO COMMENT AND SHARE
YOUR THOUGHTS TOO.
>> [OFF MIC]
NEVER MIND.
CARRY ON, WE'LL MAKE IT WORK.
>> SO I JUST WANTED TO TOUCH
BASE QUICKLY ON THE NMIT.
WE DID OUR FIRST ASSIGNMENT AND
WE DID PRESENT THE SUBGROUP THAT
I WAS PART OF WAS MMIP.
WE DID PRESENT THOSE FINDINGS TO
ALEXANDER MAYORKIS.
EVERYTHING YOU TALKED ABOUT WHAT
RO WAS WHAT WE NEEDED.
I DON'T KNOW IF THERE IS A WAY
TO GET THAT INFORMATION.
THERE IS SUPPOSED TO BE A
WRITTEN REPORT SOMEWHERE.
>> K. Walters: AGAIN, THIS IS
WITH THE TAC, TAC WOULD SAY WE
HIGHLY RECOMMEND THAT YOU PURSUE
DOING SOME OF THIS WORK WITH
CHILD WELFARE SYSTEMS AND
PARENTING AND SOME OF THIS WORK
ON INTERGENERATIONAL TRAUMA OR
WHATEVER.
FOSTER CARE, YOUTH AND DO WORK
ACROSS NOT JUST NIH, BUT
CROSSING OVER INTO ACF.
>> AND WORKING WITH OBVIOUSLY
OTHER TRIBAL ADVISORY COUNCILS
TOO BECAUSE WE'RE WITH THE
DEPARTMENT OF HOMELAND SECURITY.
ALL OF THOSE CHILD WELFARE
ISSUES ARE COVERED WITH
RECOMMENDATIONS.
INSTEAD OF DUPLICATING THE WORK,
WORK SMARTER NOT HARDER.
>> K. Walters: 100%.
WE WANT TO DO BETTER WHOLE OF
GOVERNMENT APPROACHES IS WE'RE
NOT EXHAUSTING OUR TRIBES AND
WE'RE BETTING SYNCHRONIZED.
WE'RE BETTER SYNCHRONIZED.
>> B. Saunkeah: THERE WAS
SOMEBODY ON THE VIDEO THAT
WANTED TO TALK.
I APPRECIATE DR. WALTERS, THAT
OPPORTUNITY TO WORK ACROSS
AGENCIES.
BECAUSE WE DON'T KNOW THAT.
AS THESE TOPICS DO COME UP, WE
WORK A LOT IN MY DEPARTMENT WITH
ACES AND PACES AND POSITIVE
CHILDHOOD EVENTS.
WE'RE GETTING YOUNGER AND
YOUNGER IN THE WORK THAT WE'RE
DOING NOW.
AS WE COME UP ACROSS THE ISSUES,
WE DON'T KNOW THAT WE CAN DOT
CROSS COLLABORATIONS.
IT WOULD BE GOOD TO KNOW WE CAN
WORK WITH SO-AND ON SO, THAT
WOULD BE HELPFUL BA BECAUSE WE
DON'T KNOW.
ON THIS LIST, IT TALKS ABOUT THE
CENTERS NOT MENTIONED AT THE END
LAIR.
I'M WONDERING IF, AGAIN, WHY
THEY'RE NOT MENTIONED.
IS IT BECAUSE WE DON'T HAVE --
WE DIDN'T BRING UP THOSE HEALTH
TOPICS?
OR ARE THEY NOT AWARE THE HEALTH
NEEDS IN INDIAN COUNTRY AND
PERHAPS IF THEY WERE A LITTLE
MORE AWARE, THEY COULD SAY HEY,
WE CAN WORK WITH YOU IN THIS
PARTICULAR AREA.
I CAN'T BELIEVE THE NHGRI IS NOT
ON THERE.
THE NATIONAL INSTITUTE OF AGING.
>> NIA SYNC S.
>> B. Saunkeah: WHY AREN'T THEY
ON THIS LIST AND HOW CAN WE GET
THEM TO BE MORE INVOLVED.
MAYBE THEY COULD SAY HEY, WE'D
LOVE TO WORK WITH TRIBES OR
INDIGENOUS PEOPLES IN THIS
PARTICULAR AREA.
THIS IS WHAT WE HAVE TO OFFER OR
COME TALK TO US AND SAY WHAT ARE
YOUR NEEDS.
BECAUSE WHEN I ALWAYS HAVE A
HARD TIME SAYING NIEHS.
I HAVE TO SLOW WAY DOWN.
WHEN WE WENT THERE, I WAS AMAZED
TO FIND THE SCOPE AND BREADTH OF
THEIR WORK.
THIS IS PUBLIC HEALTH.
A LOT OF TRIBES ARE MUCH MORE
INTO PUBLIC HEALTH THAN
RESEARCH.
IT'S SOMETHING WE UNDERSTAND AND
WORK IN.
I WAS VERY, VERY PLEASED TO FIND
OUT HOW MUCH PUBLIC HEALTH WORK
THAT INSTITUTE DOES.
I THINK TRIBES ACROSS THE
COUNTRY WOULD LOVE TO WORK WITH
THAT PARTICULAR INSTITUTE IF
THEY WERE AWARE OF KIND OF WHAT
THEY COULD ASK ABOUT.
WHAT KIND OF THINGS THEY COULD
SAY THESE ARE THE PROBLEMS THAT
WE HAVE.
I THINK THOSE INSUBSTITUTES
COULD HELP US.
THANK YOU.
>> TO PIGGYBACK ON THAT A LITTLE
BIT IS THE IDEA, I KNOW WE
BROUGHT IT UP AT THE LAST NIH
TAC MEETING, THE IDEA OF
ENVIRONMENTAL AND CLIMATE CHANGE
IMPACTS AS OPPOSED TO -- NOT AS
OPPOSED BUT AS IT LINKS TO
POTENTIAL HELP WITH THE EPA, THE
CDC, INTERSECTIONS HAPPENING
BETWEEN THE ENVIRONMENT,
CULTURAL SHIFTS HAPPENING.
WHEN YOU'RE IN OREGON, THE IDEA
OF INVASIVE SPECIES NOT BEING
LIKE THE NORM, BUT BEING
REINTRODUCED AS A DIFFERENT TERS
THAT MAYBE THE POPULATIONS CAN
GAIN SOME TYPE OF KNOWLEDGE OR
UNDERSTANDING OR USE OUT OF
INSTEAD OF LIKE KILLING
SOMETHING CONTINUOUSLY.
I GUESS WHERE I'M GOING WITH
THIS IS THE FEDERAL GOVERNMENT
HAS A LOT OF AWESOME AGENCIES.
AND HOW DO WE GET YOU GUYS TO
TALK TO EACH OTHER?
HERE IS THE NIH AND THE CDC AND
EPA THAT ALL HAVE FUNDING TUNES
FOR -- FUNDING OPPORTUNITIES FOR
TRIBES.
IS THERE A WAY TO MASH THAT
TOGETHER A LITTLE BIT TO GIVE,
ONE, THE TRIBES A LITTLE MORE
MONEY TO MAC AN IMPACT.
AND TWO, TO ACTUALLY SHOW ON A
NATIONAL SCALE THE LYNCHAGES LIT
WOULD HAPPEN ACROSS I NATION AND
IMPACT THE PUBLIC HEALTH STUFF
AS WELL.
>> LET ME ADDRESS TWO THINGS.
I WANTED TO ADDRESS BOBBY'S
QUESTION ABOUT NHGRI AND NIA.
NGHRI APPROACHED US AROUND THE
ISSUES OF EP GENETICS AND
INTERGENERATIONAL TRAUMA AND
WORKING WITH TRIBAL COMMUNITIES
AROUND THAT ISSUE TO LOOK AT THE
IMPACT AT THE CELLULAR LEVEL OF
TRAUMA IN OUR COMMUNITIES.
AND ALSO THE RESILIENCE.
HOW ARE WE DOING WITH RESPECT
THIS THAT BUT NHGRI WOULD LOVE
LOVE TO WORK WITH US AND NIA.
I'VE TALKED FOLKS FROM NIA AND
THEY'VE BEEN INTERESTED.
THERE IS INTEREST THERE.
IT'S A MATTER OF CAPITALIZING
AND PROVIDING OPPORTUNITIES.
>> B. Saunkeah: IN THE LAST
COUPLE OF DAYS, WE HEARD A LOT
ABOUT THE MICRO BIOME.
WHERE WOULD THAT FIT IN WITH
THESE INSTITUTES?
THE MICRO BIOME WORK?
>> K. Walters: I WOULD TURN THIS
OVER TO DR. SCHWETZ SO WE COULD
"MASH" TOGETHER THE DIFFERENT
OPTIONS TO LEVERAGE RESOURCES
AND FUNDINGS FOR THINGS.
ALSO NO THINKING ACROSS THE VARS
AGENCIES.
>> WITH MICRO BIOME -- FIRST OF
ALL, HI, EVERYONE.
I APOLOGIZE FOR BEING VERY LATE.
I HAD A MEETING WITH MY BOSS.
ONE OF THOSE SMALL MEETINGS THAT
YOU CAN'T GET OUT OF EASILY.
ANYWAY, SO AGAIN, I APOLOGIZE
FOR BEING LATE.
JUST TO JUMP IN AND ANSWER SOME
OF THE QUESTIONS AND TOPICS THAT
I'VE HEARD RAISED.
WITH MICRO BIOMES SPECIFICALLY,
A FEW YEARS AGO, I TOTALLY AGREE
WITH YOU THAT THE COMMUNITY WAS
AMPED UP JENLY ABOUT THE MICRO
BIOME.
I DON'T KNOW IF THE PARALLELS
WERE WITH THAT.
THAT PROGRAM HAS SINCE WRAPPED,
BUT THERE ARE VARIOUS DIFFERENT
INSTITUTES AND CENTERS ACROSS
NIH WITH THE MICRO BIOME WHETHER
IT'S LOOKING AT THE ORGANISMS
THEMSELVES, NIAID AND I COULD GO
DOWN THE LIST.
MAYBE IT'S NOW TAKING SOME OF
THE AREAS AND RAN WITH IT IN
THEIR SPECIFIC FIELDS.
BUT I DO THINK THERE IS A LOT
MORE CROSS-COORDINATION.
THERE IS MORE CROSS-COORDINATION
THAT WE CAN DEFINITELY DO TO GET
AT YOUR BROADER POINTS AND THE
POINTS I THINK I HEARD YOU RAISE
HOW WE CAN AS A FEDERAL AGENCY
WORK BETTER IN AND OF OURSELVES
CROSS ALL OUR DIFFERENT OFFERSES
AND ACROSS THE FEDERAL
GOVERNMENT.
INTERNALLY WITHIN NIH AND HHS
IT'S EASY FOR US TO WORK
TOGETHER BECAUSE OF SOME OF OUR
AUTHORITIES AND RESTRICTIONS ON
THE MONEY THAT WE HAVE.
WHEN WE PULL IN OTHER FEDERAL
AGENCIES BESIDES HHS, WE LIKE TO
SAY OPERATING DIVISIONS, IT GETS
I LITTLE TRICKIER AND IT BECOMES
KIND OF AN EXERCISE IN
NEGOTIATING HOW BEST WE CAN EACH
PLAY AN INDIVIDUAL ROLE.
IT'S HARDER FOR US TO GIVE
ANOTHER AGENCY MONEY TO ABLE TO
WORK ON A PARTICULAR PROJECT AT
THAT WE MI MIGHT BE INTERESTED N
AND VICE VERSA.
WE TALK ABOUT DOING EFFORTS
AROUND BOARDING SCHOOL
INITIATIVE.
I KNOW THAT IS SOMETHING THAT
YOU EITHER HAVE TALKED ABOUT
TODAY OR WILL BE TALKING ABOUT.
OBJECT.
IT'S A CHALLENGE TO FIGURE OUT
HOW TO DO THE SHARING OF UPONY
ISSUE.
THEN WE OFTEN RELY ON HAVING TO
CARVE OUT THE DIFFERENT NICHES
THAT WE'RE ABLE TO DO.
WE SUPPORT RESEARCH RELATED TO
BIOMEDICAL OUTCOMES AND IMPACTS
AND UNDERSTANDING THOSE.
AND DOI, THEY HAVE THEIR
PARTICULAR BENT ON THEIR
MISSION.
AND SO WE'RE IN THE PROCESS NOW
WITH THAT INITIATIVE IN
PARTICULAR TO TRY TO WORK
THROUGH HOW WE CAN HAVE
INTERSECTIONS THAT MAKE SENSE.
WITHOUT BEING ABLE TO JUST WRITE
SOMEONE A CHECK WHICH IS
SOMETIMES WOBT MOST SIMPLE WAY.
AND TO YOUR POINT WHERE WE COULD
COMBINE AWARD AMOUNTS TO GIVE
BIGGER AWARDS TO ABLE TO
ORGANIZATIONS.
IT'S NOT ALWAYS STRAIGHTFORWARD.
IF WE COULD LEARN TO DO THIS IN
A REALLY PRODUCTIVE AND INITIATE
WAY, THAT WOULD BE THE HOLY
GRAIL ACROSS THE FEDERAL
GOVERNMENT, TRUST ME.
>> K. Walters: IT'S NOT SO SAY
IT'S NOT POSSIBLE, BUT WE
HAVEN'T FIGURED OUT -- THERE IS
WORK TO BE DONE THERE.
>> IT TAKES TIME.
IT'S NOTES STRAIGHTFORWARD AS
WE'D LIKE IT TO BE.
>> K. Walters: JUST TO WRAP UP
THIS PART OF IT AND THEN TURN TO
DR. SWEAT SCHWETZ' COMMENTS TOD.
WE ASKED THE TAC TO WEIGH IN ON
PRIORITIES, THEY HAD A LIST OF
PRIORITIES THEY DEVELOPED IN
2022 AND THEY WERE WE REVIEWING
THAT AND GIVING US FEEDBACK
BASED ON THE CONVERSATION WE HAD
BASED ON MORTALITY AND ALL OF
THAT DATA.
AND ALSO THINKING A LITTLE BIT
ABOUT STRUCTURALLY AND MORE
CREATIVELY, IS THERE RESEARCH
TRAINING AND DEVELOPMENT
PROGRAMS.
THAT CAME UP TODAY ABOUT WANT
MORE TRAINING OPPORTUNITIES.
THAT WOULD BE ANOTHER AREA THAT
YOU MIGHT WANT TO DIRECT AND
SAY, HEY, WE NEED MORE TRAINING
OPPORTUNITIES FOR NATIVE
SCIENTISTS IN TRIBAL COLLEGES OR
SOMETHING.
THERE IS MORE STRUCTURAL
OPPORTUNITIES AS WELL AS
SUBSTANTIVE AREAS WE WANT TO
FOCUS ON.
THAT'S THE FEEDBACK THAT WE'RE
LOOKING FOR.
THAT'S WHERE WE STOP FOR NOW AND
WELCOME.
>> LET ME GET THIS THING GOING
AGAIN.
I DIDN'T MEAN TO INTERRUPT THE
FLOW OF THE DISCUSSIONS.
IT SOUNDS LIKE THEY'VE BEEN
GREAT.
AND I LOOK FORWARD TO HEARING
MORE ABOUT IT.
I DID GET A LITTLE RUNDOWN
YESTERDAY ON SOME OF THE
DISCUSSIONS FROM THE INDIGENOUS
DATA SOVEREIGNTY POLICY NEEDING.
AND I WAS SO HAPPY THAT WE WERE
ABLE TO MAKE THIS WORK SO PEOPLE
COULD COME IN-PERSON.
THE IN-PERSON MEETINGS, SO FEW
AND FAR BETWEEN BUT THEY CAN BE
RICH WITH DISCUSSION.
WE HAD ONE LAST WEEK WITH MY
COUNCIL.
THAT'S THE FIRST ONE THEY'VE HAD
IN FOUR YEARS.
IT WAS SO MUCH BETTER THAN ZOOM.
I LOVE ZOOM, BUT THE DISCUSSIONS
I THINK THAT WE HAVE IN-PERSON
ARE MUCH MORE MEANINGFUL AND
ENGAGING.
I'M GLAD THAT YOU ALL COULD BE
HERE AND COME TO BETHESDA FOR
THAT.
IT SOUNDS LIKE YOU ALL HONED IN
ON A FEW THINGS FROM THAT
MEETING RELATED TO BUILDING AND
MAINTAINING RELATIONSHIPS AND
CULTURAL TRAINING.
I KNOW ONE THING THAT CAME UP IS
THAT CONSENT IS THE PROCESS NOT
AN EVENT.
AND IT'S -- I HAD TO CHUCKLE A
LITTLE BIT BECAUSE AS I WAS
READING SUMMARY BECAUSE I WAS
SENT A SUMMARY YESTERDAY WHILE I
WAS AT ANOTHER MEETING BUT THE
EXACT SAME LINE HAD COME UP LIKE
10 MINUTES BEFORE AND IT WAS ON
A VERY DIFFERENT TOPIC.
I THINK THERE IS A LOT OF
ALIGNMENT AROUND THAT IDEA
ACROSS THE BOARD.
SOMETHING AT THAT REAL RESONATED
WITH ME AND I THINK PROBABLY
WITH EVERYONE HERE AT NIH THAT
WE WANT TO CONTINUE TO
EMPHASIZE.
I KNOW YOU GUYS HAVE A IN THE
MORE THAT -- HAVE A LOT MORE
THAT YOU HAVE PLANNED SO I DON'T
WANT TO TAKE UP A LOT OF TIME.
JOHN IS GOING TO PRESENT AT THE
NEXT TAC MEETING TO STALK A
LITTLE BIT MORE ABOUT SOME OF
THE PROGRAMS THAT HIS OFFICE IS
LAUNCHING.
WITHIN I MENTIONED AT THE LAST
VIRTUAL TAC MEETING.
WE DID NOT PICK THE NAME.
NEXT ONE -- THIS OTHER ONE I'LL
MENTION BRIEFLY.
AS I LOOK AROUND THE ROOM, I
THOUGHT IT'S FITTING.
IT'S CALLED TURTLE.
TRIBAL GRADUATE TO UNDERGRADUATE
RESEARCH PROGRAMS.
IT'S THE TRAINING PROGRAM AS THE
NAME IMPLIED TO BE ABLE TO BRING
INIAL RESEARCHERERS AND PROVIDE
TRAINING OPPORTUNITIES.
INTEREST IS GOING TO BE A T-34
WHICH FOCUSES ON UNDERGRADS AND
A T-32 WHICH IS MORE OF THE
DOCTORAL LEVEL.
THOSE WILL BE OPEN.
IT OPENED A COUPLE WEEKS AGO AND
WILL BE OUT UNTIL JANUARY.
NEXT YEAR.
JOHN WILL BE HERE AND HE'LL TALK
TO YOTO YOU MORE ABOUT THOSE PRS
AND YOU CAN ASK HIM THE QUOS
THAT YOU ALL -- HIM QUESTIONS
THAT YOU ALL HAVE.
WE EVER THE INTERINDIAN BOARDING
SCHOOL AND INTERGENERATIONAL
TALKS THAT WE WILL HE HAVE.
THAT IS GOING TO HAPPEN IN
DECEMBER AND I'M LOOKING FORWARD
TO BEING ABLE TO HOST THAT
MEETING AND HAVE DISCUSSIONS ON
THAT TOPIC AND TRY TO PLAN OUT
WHAT WE MIGHT WANT TO DO TO
FURTHER RESEARCH IN THAT AREA.
THOSE ARE ALL THAT I HAD.
I DON'T KNOW IF THERE IS
ANYTHING ELSE --
>> KERBY IS THE IRB GRANT THAT
WE WERE TALKING ABOUT EARLIER
TODAY.
I SHOULD HAVE MENTIONED THAT.
TRBI,.
>> INSTITUTIONAL REVIEW BOARD
ESTABLISHMENT AND ENHANCEMENT.
>> THAT'S TERBEEE.
>> BOBBY.
>> B. Saunkeah: I HAD A COMMENT
ABOUT THAT.
I'M GLAD YOU EXPLAINED WHAT IT
WAS BECAUSE I SPELLED IT WRNG IN
THE FIRST PLACE.
I'M EXCITED ABOUT THAT
PARTICULAR OPPORTUNITY BECAUSE
WE HAVE A PRETTY
WELL-ESTABLISHED RIB.
WE ONLY DO THAT PART TIME.
WE DON'T HAVE ANY DEDICATED
STAFF TO SPEND ON THAT.
WE DON'T FEEL LIKE WE'RE DOING
THE JOB THAT WE CAN ACTUALLY DO
IN THIS ARENA INCLUDING TAC
WORK.
THAT'S GOOD TO SEE THAT.
MY COMMENT ABOUT THAT IS THAT'S
A COMPETITIVE PROCESS, RIGHT?
AND I KEEP THINKING BACK TO THE
TEXT AND THAT FUNDING GIVEN TO
THE CENTER THAT WILL IS
UNRESTRICTED FUNDING FOR
RESEARCH.
YOU DON'T HAVE TO HAVE A
PROJECT.
YOU CAN DO WHATEVER YOU WANT
WITH IT.
YOU'RE EVEN ELIGIBLE FOR
SUPPLEMENTAL FINDING.
FOR TRIBES, WE GET A COMPETITIVE
MECHANISM.
I'M WONDERING WHY WE CAN'T HAVE
THAT TYPE OF MECHANISM FOR
TRIBES WHERE IT'S UNRESTRICTED
AND YOU CAN DO WHATEVER YOU FEEL
LOOK YOU NEED TO DO WITH IT.
INSTEAD OF HAVING TO COMPETE
AGAINST OTHER TRIBES.
AND SO, IT DOESN'T SEEM QUITE
EQUITABLE TO ME.
THANK YOU.
>> AS YOU MONGSED -- MENTIONED,
HAS COMING UP BEFORE.
IT HAS TO TO WITH THE ORIGINAL
PROCESS TO MAKE THE AWARD IS A
COMPETITIVE PROCESS.
BUT ONCE THOSE AWARDS ARE MADE,
IT BECOMES DIFFERENT AND SOME OF
THAT IS SPECIFIC TO THE
AUTHORITIES AND LEGISLATION
AROUND THAT WHICH ARE UNIQUE IN
A WAY.
THAT DOESN'T MEAN TRR NOT OTHER
WAYS THAT WE CAN GET MORE
CREATIVE ON HOW WE DO THE WARDS
TO TRIBES TO BE ABLE TO PROVIDE
THEM AN OPPORTUNITY TO HAVE
RESOURCES.
MAYBE I HEARD IT EARLIER TODAY
AND TRANSLATING IT INTO THIS
MEETING, BUT ONE OF THE WAYS
THAT WE'RE TRYING OUT
BASICALLY -- I WOULDN'T SAY
QUITE SIMILAR APPROACH, BUT A
MORE FLEXIBLE APPROACHES ON OUR
PROGRAM FOCUSED ON SUBSTANCE
USE.
WE'LL LEARN HONOR TO YOU WE CAN
NAVIGATE SOME OF THE ISSUES IN
TRIBAL COMMUNITIES AND BEING
ABLE TO PROVIDE FUNDS FROM HOW
THEIR WORK IS DOING SO THEY GET
TO BE ONE OF THOSE PROGRAMS THAT
IS OUT AHEAD AND WE'LL SEE IF WE
CAN FIGURE OUT WAYS TO ADOPT
OTHER PROCESSES AND AWARDS.
KARINA THAT'S SOMETHING WE
SHOULD TALK ABOUT FURTHER AND
EXPLORE.
>> K. Walters: I THINK THIS IS
GOING TO COME UP WITH THE NEXT
AND DATA SHARING ISSUE IS
RAISED.
THIS WILL BE AN ON-GOING
QUESTION.
THERE ARE LARGER QUESTIONS I
THINK AT THE TRIBAL LEVEL THAT
PEOPLE ARE RAISING AROUND PUBLIC
HEALTH AUTHORITY WITH TAC AND
SOVEREIGNTY ISSUES.
THAT IS IMPLIED IN WHAT YOU'RE
SAYING.
>> THAT IS RECOMPETED AT SOME
POINT.
>> K. Walters: WHERE NIH IS
INVOLVED, IT IS A COMPETITIVE
PROCESS ACTUALLY.
WE'LL GO THROUGH TRIBAL
CONSULTATION BEFORE MOVING
FORWARD.
SO THAT WAS THE ISSUE THAT WAS
NOT ADDRESSED IN THE WAY IT
SHOULD HAVE BEEN IN THE FIRST
ROUND.
SO WE GOT PLANS IN PLACE FOR
SURE WITH THAT.
AND ALSO I WANT TO ACKNOWLEDGE
TOO, WE'RE RAISING AN ISSUE TIED
TO THE EXECUTIVE ORDER AS WELL
AROUND BUDGETS AND STUFF.
WE'RE -- WE DO SIT ON SOME OF
THE MEETINGS FOR THE EO 1412 AND
WE'RE LOOKING AT THAT IN TERMS
HOW DOES THRO INTEGRATE BETTER
RESPONSE TO THAT AT THE NIH.
WE'LL WORK CLESLY WITH DR.
SCHWETZ ABOUT THAT -- CLOSELY
WITH DR. SCHWETZ ABOUT THAT.
AND TURTLE, KARINA HELPED WORK
ON THAT.
OTHER QUESTIONS OR COMMENTS?
YOU NEVER KNOW IF I'LL CALL YOU
OUT.
DO WE HAVE ANYBOD ANYBODY ON LI?
WE DON'T HAVE IT ON OUR SCREEN.
DR. LORETTO, DO YOU HAVE A
COMMENT?
>> YES, I THINK GOING BACK TO
THE CRITICAL ISSUES OF CONCERNS
WITHIN TRIBES.
WE DON'T AWMS TALK ABOUT IT, BUT
WE REPRESENT CERTAIN AREAS AND
THE ALBUQUERQUE AREA OFFICE,
LATELY AND I THINK THERE IS A
LOT OF WORK GENERATED THROUGH
BEHAVIORAL HEALTH BECAUSE WE SEE
A LOT OF TRAUMA AND VIOLENCE AND
IT'S SAD TO SAY A LARGE OF IT
STEMS FROM THE LACK OF HOUSING
IN OUR COMMUNITIES.
IT FOLLOWS THAT TRAIL UP TO, YOU
KNOW, THE VIOLENCE AND TRAUMA OF
TOO MANY FAMILY MEMBERS LIVING
IN A HOUSEHOLD.
THERE IS ALCOHOL INVOLVED.
WE'RE HAVING FENTANYL PROBLEM AS
WELL TOO.
THERE ARE A LOT OF THINGS
FALLING UNDER THE UMBRELLA OF
BEHAVIORAL HEALTH.
IT'S SOMETHING THAT I THINK
WE'RE SEEING MORE IN OUR
PARTICULAR AREA THAN IN THE
PAST.
I WANTED TO BRING THAT OUT.
I DON'T KNOW ON A NATIONAL LEVEL
HOW THINGS ARE.
BUT WE KIND OF RELATE IT TO A
LOT OF THESE THINGS BECAUSE OF
THE LACK OF HOUSING IN OUR
TRIBAL COMMUNITIES.
THANK YOU.
>> THANK YOU DR. LORETTO.
THAT RELATES TO OUR EARLIER
DISCUSSION ON IDENTIFYING SOME
OF THE CONCERNS AND ISSUES THAT
YOU SEE IN INDIAN COUNTRY THAT
YOU WOULD LIKE TO HAVE NIH
POTENTIALLY ADDRESS.
SO NOTED.
>> H. Frias: I DO WANT TO THANK
YOU, DR. SCHWETZ FOR JOINING US.
I IT MEANS A LOT THAT YOU TAKE
THE TIME TO BE HERE AND MEET
WITH TAC.
ONE OF THE QUESTIONS RAISED WAS
WITH THE RESEARCH THAT WE'RE
TALKING ABOUT CREATING, YOU
KNOW, OPPORTUNITIES FOR -- TO
COLLABORATE WITH THE AREAS
THROUGHOUT HHS.
ONE OF THE QUESTIONS THAT DR.
WALTERS SHARED THAT WE'RE DYING
YOUNGER.
WE'RE GETTING WORSE IN A LOT OF
SITUATION KFERLD THE RESEARCH
QUESTION IS WHY.
WHEN WE'VE MADE SO MANY
TECHNICAL ADVANCES, SO MANY
ADVANCES IN HEALTH RESEARCH AND
EVERYTHING, YET, WE STILL
CONTINUE TO FALL BEHIND.
SO IT'S THE BIG QUESTION OF HOW
DO WE ADDRESS THIS BASIC
QUESTION.
IT ALSO GOES AROUND SOME OF THE
DISCUSSION THAT WE HAD IN OUR
WORKING GROUP EARLIER TODAY AND
THE DATA SOVEREIGNTY DURING THE
DATA SOVEREIGNTY GATHERING WAS
THAT THE INVESTMENT IN THE
OFFICE.
THE INVESTMENT IN EVEN TO
ELEVATE THIS OFFICE AND TO
REALLY LOOK AT SET-ASIDES FROM
THE DIFFERENT DEPARTMENTS THAT
ARE SPECIFIC TO RESEARCH IN
TRIBAL COMMUNITIES.
SO THAT WE CAN START ADDRESSING
THESE CORE ISSUES OF HOW DOES IT
MAKE SENSE THAT EVERYTHING ELSE
IS ADVANCING AND HEALTHCARE AND
THE PROGRESS, YET WE'RE FALLING
BEHIND?
WE'RE STILL AT THOSE STATS WHERE
IT'S NOT GETTING ANY BETTER FOR
US.
WHERE IS THE DISCONNECT?
>> THAT'S A HUGE, HUGE CHALLENGE
RIGHT NOW.
THIS DOESN'T MAKE IT ANY BETTER,
BUT I THINK OVERALL AS A
COUNTRY, WE'RE NOT DOING GREAT
TO BEGIN WITH.
OUR HEALTH STATS ARE DECLINING,
THEY'RE NOT IMPROVING IN MANY,
MANY AREAS.
I THINK THEY'RE EXACERBATED FOR
AIN POPULATIONS.
WE SEE THAT MAJ DISPARITY THAT I
THINK YOU'RE FOCUSING ON.
WE NEED TO DO A LOT BETTER
OVERALL JUST IN JEN.
BUT IN PARTICULAR, I THINK THERE
ARE MANY MAJOR HEALTH CONCERNS
WITH THE AIN POPULATIONS WHERE
WE SEE THE DISTINCT DISPARITIES.
TAKING PARTICULAR STEPS TO
ADDRESS THEM IS GOING TO BE
IMPORTANT.
THAT'S WHERE THAT WHOLE
GOVERNMENT APPROACH THAT WE WERE
TALKING ABOUT BEFORE.
HOW DO WE COORDINATE BETTER AND
MORE EFFECTIVELY ACROSS THE
FEDERAL GOVERNMENT BECOMES
IMPORTANT.
ACROSS HHS WITH THE HEALTH
CHALLENGES THAT OUR HIGHEST
PRIORITY.
SO I DON'T KNOW THAT WE HAVE A
GOOD ANSWER, BUT BECAUSE IT'S A
BIG QUESTION.
AND WE'VE BEEN TRYING THINGS
OVER THE YEARS AND I'M NOT SURE
HOW SUCCESSFUL WE'VE BEEN.
I THINK TRYING TO LAUNCH NEW
PROGRAMS LIKE SOME OF THEM THAT
WE'VE TALKED ABOUT TODAY, FOR
YOU PROVIDING INFORMATION ON
THRO AND NIH WITH RESPECT TO AIN
RESPECTED ISSUES THAT WE NEED TO
BE THINKING ABOUT WITH TRIBAL
COMMUNITIES IS CRITICAL IT
MAKING PROGRESS AND MAKING
INROADS THERE.
SO WE ALL HAVE A LOT OF WORK TO
DO AND I DON'T HAVE A GOOD
ANSWER FOR YOU.
YOU HAVE OUR COMMITMENT TO
CONTINUE TO DO THAT.
CORRINE AND I WILL CONTINUE TO
BRAINSTORM WAYS THAT WE CAN
ELEVATE NOT JUST THE WORK OF THE
OFFICE, AT THAT IS ONE THING,
BUT WHAT WE WANT TO DO IS
HIGHLIGHT THE IMPORTANCE OF THE
WORK AT LARGE THAT THEY'RE DOING
AND THE IMPACT THAT THAT HAS ON
TRIBAL OPPORTUNITIES AND TRIBAL
HEALTH OR AT LEAST HAS THE
POTENTIAL ANYWAY.
THAT'S A LONG-WINDED ANSWER.
WE VALUE YOUR INPUT AND FEEDBACK
TO HELP US FIGURE THIS OUT.
>> I HAD A COMMENT OR
OBSERVATION ON THE BOARDING
SCHOOL INITIATIVE.
I KNOW THAT'S A HUGE DEAL AND
I'M NOT QUITE SURE YET WHAT THE
NIH'S APPROACH AND FOCUS HOW DO
YOU GET INTO THIS ISSUE AND WHAT
DO YOU HOPE TO GET OUT OF IT.
I'M INTERESTED IN KIND OF
HEARING MORE ABOUT THAT.
I WANTED TO NOTE THAT
NATIONALLY, A LOT OF CHURCHES
ARE LOOKING AT THESE ISSUES AS
WELL.
I'M A CLERGY IN THE EPISCOPAL
CHURCH AND THE NATIONAL CHURCH,
A TOP PRIORITY IS LOOKING AT THE
HEALING ASPECTS OF THE BOARDING
SCHOOLS.
I'M ON A NATIONAL COMMITTEE TO
LOOK AT THOSE THROUGH THE
EPISCOPAL CHURCH.
WE SEND OUT LETTERS TO THE
BISHOPS AND PARISHES AND FINDING
OUT WHICH BOARDING SCHOOLS WE
MITE HAVE HAD A ROLE IN AND WHAT
KIND OF INFORMATION WE MIGHT
HAVE IN THOSE.
SO DIGGING THROUGH THOSE
ARCHIVES.
THIS IS A NATIONAL EFFORT FOR
THE EPISCOPAL CHURCH AND I KNOW
OTHER CHURCHES ARE DOING IT AS
WELL.
IT WILL BE INTERESTING TO SEE
HOW NIH AND OTHER RELIGIOUS-TYPE
DENOMINATIONS ARE LOOKING AT THE
SAME -- IT WILL BE A DIFFERENT
LENS OF COURSE, BUT IT WILL BE
INTERESTING TO SEE HOW THESE
PARALLEL AND WORK TOGETHER AND
NOT DUPLICATE EFFORTS.
WE HAVE THE SAME GOAL EVEN
THOUGH IT'S A DIFFERENT
BACKGROUND.
BUT I'LL BE INTERESTED TO SEE
WHAT THE NIH APPROACH IS BECAUSE
I'M FAMILIAR WITH WHAT MY
CHURCH'S APPROACH IS.
IT WILL BE INTERESTING TO FOR ME
TO SEE HOW THEY PARALLEL.
>> YOU HAVE AN EXPERT TO MY LEFT
HERE.
BUT JUST TO TAKE YOUR POINT, I
THINK WE DO WANT TO MAKE SURE
THAT WE CAN LEARN FROM THOSE
EFFORTS.
SO AS WE WORK ON THE PLAN TO
HOST THAT MEETING, BUT WE'LL
MAYBE WE SHOULD ENGAGE HIM IN
DISCUSSION.
>> ABSOLUTELY.
I CAN BRING YOU ALL UP TO SPEED
NOW.
IT'S WORKING QUICKLY.
WE GOT OUR CONTRACT IN PLACE.
YOU CAN'T GO LIVE UNTIL THE
CONTRACT IS IN PLACE.
SO IT IS NOW.
AND SO, AS OF LAST WEEK
ACTUALLY.
IT'S VERY NEW.
WE'LL HOLD A BOARDING SCHOOL
HEALING SUMMIT.
THAT IS IN COLLABORATION WITH
AND NATIONAL NATIVE BOARDING
SCHOOL HEALING COALITION WITH
DEB PARKER AND THEIR GROUP.
YOU GUYS ARE WORKING WITH HER AS
WELL.
SHE'S LIKE THE CORE, HE'S THE --
SHE'S THE HUB.
THEY FINISHED THEIR VOLUME ONE
REPORT IS AND WORKING ON VOLUME
TWO.
IF YOU LOOK AT PAGE, IT SAY
SAYS WE'RE GETTING A JUMP ON
THAT.
WITH LOOK AT INDIVIDUAL FAMILY
COMMUNITY AND LEVEL
INTERVENTIONS TO ADDRESS
POPULATION HEALTH AROUND ANY
KIND EVER BOARDING SCHOOL TRAUMA
OR INTERGENERATIONAL TRAUMA.
ALSO BUILDING IN POSITIVE THINGS
TOO.
WHAT ARE SOME OF THE THINGS THAT
WE CAN CAPITALIZE ON AND BUILD
INTERVENTIONS AROUND SUPPORTING
HEALTH AND RESILIENCE AND MOVING
FORWARD AND HAVING A SENSE EVER
INDIGENOUS FUTURES.
THIS BOARDING SCHOOL SUMMIT IS
GOING TO BE THE LAUNCH OF
LOOKING AT THAT.
BRINGING TOGETHER ABOUT 100
FOLKS INCLUDING THE EXPERTS WE
TALKED ABOUT EARLIER LOOKING AT
WHERE THE STATE OF SCIENCE
AROUND INTERGENERATIONAL TRAUMA
AND BOARDING SCHOOL TRAUMA AND
INTERGENERATIONAL HEALTH.
THE BRINGING TOTE THE SURVIVORS
THAT ARE ABLE TO AND WILLING IT
TALK PICKLY. PUBLICLY.
AND WE'RE INVITING OTHER HEALTH
HHS AGENCIES TO BE AT THE TABLE
TO LISTEN DEEPLY.
THE GOAL IS TO HAVE A WHOLE
GOVERNMENT O APPROACH COMING OUT
OF THAT WHERE NIH WILL HAVE OUR
OWN SET OF STRATEGY IT'S WE'LL
WANT TO DO BASED ON THE TWO AND
A HALF-DAY MEETING.
WE HAVE AT THE TABLE WHO ARE
COMMITTED TO COMING AND EXCITED
TO PARTNER IN THIS ENDEAVOR.
MY BOSS HERE DOESN'T KNOW THIS
YET SO I'M GOING TO INFORM HER.
>> HOT OFFER THE PRESS.
>> K. Walters: ACF, ANA, OMH AND
CDC HAVE ALL SAID WE'RE ON BOARD
TO BE HERE AND PART OF THIS AND
DOI HOPEFULLY.
SO THE GOAL IS TO HAVE EVERYBODY
SITTING AT THE TABLE LISTENING
DEEPLY.
WE'LL HAVE BREAK HUNDRED OUTS
FOR THE FEDERAL PARTNERS TO
BRING UP THEIR INITIATIVES THEY
WANT TO WORK ON AND WHEN WE HOPE
ON THE NIH SIDE TWO AND A HALF
DAYS OF MEETINGS.
THE FUNCTION OF THE MEETINGS
WILL BE LIVE STREAMED BY DAY FOR
THE PANELS AND CONVERSATIONS
THAT PARKER WANTS TO DO
LIGHTNING ROUND COMMUNICATIONS
WHERE WE HIT THE HOT TOPICS AND
ISSUES.
PARENTING AND POSITIVE
PARENTING.
ISSUES OF MATERNAL AND CHILD
CARE.
TRAUMA EXPERTS AND ALL THAT
HAVE.
THEN MOVING INTO THE NEXT
EVENING SESSIONS WHICH ARE NOT
GOING TO BE LIVE STREAMED WHERE
WE'LL HAVE BREAK ON OUTS AND
TALKING CIRCLES WHERE WE CAN PUT
OUR HEADS AND HEARTS AND MINDS
TOGETHER.
WE HAVE TWO AND A HALF DAYS
OFFER THAT.
THE LAST DAY IS GOING TO BE
COMING TOGETHER AND MAKING SURE
THAT EVERYONE INTEREST
PRACTITIONERS AND POLICYMAKERS,
NIHB AFTER THEY JUMP ON BOARD,
THAT THEY'RE GOING IT WANT TO
SEE TSAYTHIS IS WHAT WE'RE GOINO
THIS.
WE KNOW VARIOUS ORGANIZATIONS
ARE GOING TO DO THIS AND WE'RE
GOING TO HAVE A MORE
SYNCHRONIZED APPROACH.
NEXT STEP IS TO COME TOGETHER
AND CREATE KIND OF A REPORT ON
THE GOVERNMENT END OF THINGS TO
HAVE MORE CLAB RATED APPROACH ON
APPROACH TO THIS MAYBE A VOLUME
III OR SOMETHING LIKE THAT.
ON THE NIH SIDE, WE HOPE TO HAVE
INITIATIVES COME OUT OF THIS.
WHAT ARE SOME OF THE RESEARCH
INITIATIVES THAT NEED TO BE
DONE.
IT COULD BE SOMETHING LIKE
SPECIAL INITIATIVE THAT A BUNCH
OF I.C.s GET ON BOARD TO DO TO
REDUCE SUICIDEA SUICIDEALITY THH
LANGUAGE PRESERVATION.
THAT IS SPECIFIC.
WE HOPE TO HAVE ACTUAL
INITIATIVES THAT ALLOW
COMMUNITIES TO BE ABLE TO GET
FUNDING TO DO SOME OF THE
INNOVATIONS AND TESTING SOME OF
THE MODELS THAT ARE MAKING A
DIFFERENCE IN OUR COMMUNITIES
AND SEE WHAT WORKS.
SO THE COMMUNITIES CAN GROW FROM
THAT AS WELL.
KERRY.
>> SO I THINK THERE IS A
FANTASTIC OPPORTUNITY EMBEDDED
WITHIN THIS.
LISTENING TO BOBBY TALK ABOUT
RELIGIOUS ORGANIZATIONS.
IF WE'RE TALKING ABOUT THE
FEDERAL GOVERNMENT AND ALL THEIR
AGENCIES ACROSS THE BOARD THAT
ARE INTERESTED IN YOU KNOW,
PARTICIPATING, AND THEN YOU CAN
DOVETAIL IT WITH NGOS AND
NON-PROFITS WITHIN THE
COMMUNITIES SO THAT EVERY EVERYS
IN ALIGNMENT AND WORKING FOR THE
SAME GOAL.
IT COULD LOOK LIKE DIFFERENT
FUNDING STREAMS AND TRAINING
OPPORTUNITIES.
IT COULD LOOK LIKE SCHOLARSHIPS
FOR COMMUNITIES THAT ARE HIT
HARDEST BY THESE ISSUES AND THEN
HOW DO YOU HOLISTICALLY FIX IT
OR WORK ON GETTING TO YOUR GOAL.
BUT THERE IS ALSO OPPORTUNITIES
LIKE TO STEP COMPLETELY OUTSIDE
OUR BEHAVIORAL HEALTH SERVICES
AND PUBLIC HEALTH CONFERSES ANDD
TALKING ABOUT MAYBE NON-PROFITS
THAT FOCUS MAYBE ON HOUSING OR
FOLKS THAT FOCUS ON FOOD
SECURITIES AND FOOD DESERT
IMPACTS ON COMMUNITIES.
ACROSS THE LIFESPAN TYPES OF
SITUATIONS WHERE BEFORE BIRTH,
THROUGHOUT CHILDHOOD, ADULTHOOD
AND DEATH AND WHAT THAT LOOKS
LIKE FOR COMMUNITIES THAT HAVE
NOT BEEN ALLOWED TO HAVE THE
CEREMONIES WITH THOSE LIFE
STAGES.
LIKE HOW DO YOU BRING THIS BACK?
IF YOU'RE AN ENTIRE GENERATION
WENT AWAY AND DIDN'T GET TO HEAR
THAT, HOW DO YOU BRING THAT BACK
FOR HEALING.
THERE IS A FANTASTIC OPPORTUNITY
TO PULL IN SOME AGENCIES THAT
MAYBE DIDN'T THINK THEY NEEDED
TO BE INVOLVED.
>> THAT SOUNDS GREAT.
I'M OPEN TO WHATEVER AGENCIES
YOU WANT TO SUGGEST.
>> I'M SORRY BUT I HAVE TO RUN.
TRUST ME, THIS IS GOING TO BE
WAY MORE FUN THAN THE MITING I'M
ABOUT TO JOIN.
I WOULD LOVE TO STAY WITH YOU
GUYS.
IT'S LOVELY TO HAVE THE
OPPORTUNITY TO TALK WITH YOU
ALL.
>> THANK YOU.
>> THANK YOU SO MUCH FOR
INVITING ME AND APOLOGIES FOR MY
POPPING?
AND OUT HERE.
I APPRECIATED THE ARE 45 MINUTES
I WAS ABLE TO SPEND WITH YOU.
>> K. Walters: THANK YOU.
APPRECIATE IT DR. SCHWETZ.
IN LINE WITH THAT CREATIVE
THINKING AND I HEAR THE JUICES
AND THE WHEELS ARE TURNING.
I HEAR MANY WHEELS TURNING OVER
HERE.
IS THERE OTHER THINGS YOU WOULD
SUGGEST?
LIKE IF YOU GUYS HONESTLY, THIS
COULD BE A BIG THING THAT WE CAN
DO.
IN MANY WAYS BOARDING SCHOOL IS
A PROXY FOR A LOT OF THINGS.
IT'S A CONTAINER TRA HOLDS A LOT
OF INTERGENERATIONAL TRAUMA, A
LOT ABOUT FEDERAL POLICIES THAT
HAVE BEEN HARMFUL.
AND EVEN WITH THE NET CONTAINER
ARE THE WAYS THAT WEAVE HE
PERSISTED AND STILL MANAGED TO
THRIVE AND HAVE OTHER WAYS.
BUT OPPORTUNITIES FOR GROWING
BACK OR TAKING BACK OR
CONTINUING TO REVITALIZE LIKE
FOOD SOVEREIGNTY FOR EXAMPLE IS
TIED TO BOARDING SCHOOLS.
FOOD RATIONS WERE WITHHELD IF
YOU DIDN'T SEND YOUR CHILDREN TO
BOARDING SCHOOL.
THAT IS FOOD SOVEREIGNTY RIGHT
THERE.
FOOD SOVEREIGNTY COULD BE A PART
OF THAT.
PTSD AND TRAUMA AND HEALTH,
PHYSICAL AND SEXUAL ASSAULTS
THAT YOUNG PEOPLE ENDURED.
BUT ALSO THAT THE PARENTS
ENDURED AND HAVING THEIR
CHILDREN TAKEN FROM THEM.
PARENTING PRACTICES AND
PEOPLE -- YOUNG PEOPLE ARE
LEADING THIS MOVEMENT RIGHT NOW
ACROSS THE COUNTRY.
WE HAVE MIDWIFERY AND DULA
PRACTICES.
SO, I THINK THE MORE CREATIVE WE
GET, THE BETTER IT'S GOING TO BE
FOR OUR COMMUNITIES.
I THINK OUR JOB IS TO FIGURE OUT
HOW TO MAKE THAT WORK.
INSTITUTIONALLY HERE.
BUT I INVITE THAT CREATIVITY.
I THINK THAT IS EXCITING.
AND