Tribal Public Health Broadcast
Weekly News, Funding, Resources, and Upcoming Events in Indian Country

October 28, 2021
News
Coronavirus (COVID-19) Update: FDA Takes Additional Actions on the Use of a Booster Dose for COVID-19 Vaccines

On October 20, 2021, the U.S. Food and Drug Administration (FDA) took action to expand the use of a booster dose for COVID-19 vaccines in eligible populations. The agency is amending the Emergency Use Authorizations (EUAs) for COVID-19 vaccines to allow for the use of a single booster dose as follows:
  • The use of a single booster dose of the Moderna COVID-19 Vaccine that may be administered at least 6 months after completion of the first initial two doses in individuals:
  • 65 years of age and older
  • 18 through 64 years of age at high risk of severe COVID-19
  • 18 through 64 years of age with frequent institutional or occupational exposure to SARS-CoV-2
  • The use of a single booster dose of the Janssen (Johnson and Johnson) COVID-19 Vaccine may be administered at least 2 months after completion of the initial single-dose to individuals 18 years of age and older.
  • The use of each of the available COVID-19 vaccines as a heterologous (or “mix and match”) booster dose in eligible individuals following completion of primary vaccination with a different available COVID-19 vaccine.
  • To clarify that a single booster dose of the Pfizer-BioNTech COVID-19 Vaccine may be administered at least 6 months after completion of the initial two doses to individuals 18 through 64 years of age with frequent institutional or occupational exposure to SARS-CoV-2.

New HHS Actions Add to Biden Administration Efforts to Increase Access to Easy-to-Use Over the Counter COVID-19 Tests

U.S. Department of Health and Human Services (HHS) is taking several new actions as part of the Biden-Harris Administration’s commitment to increase access to COVID-19 testing. The National Institutes of Health (NIH) is investing $70 million from the American Rescue Plan to help bring more high-quality, at-home tests onto the market in the U.S. in coordination with the Food and Drug Administration (FDA). NIH’s new Independent Test Assessment Program (ITAP) will establish an accelerated pathway to support FDA evaluation of tests with potential for large-scale manufacturing. The program is an extension of the NIH Rapid Acceleration of Diagnostics (RADx) initiative. This new program will help distinguish manufacturers of high-quality tests and encourage them to bring those tests to the U.S. market, increasing overall supply and potentially lowering costs for people including American Indian/Alaska Native.
The FDA also authorizes additional over-the-counter rapid antigen COVID-19 test. This agency has granted an emergency use authorization for over-the-counter single-use testing for symptomatic adults and over-the-counter serial testing for all adults. Read more
Biden Administration Discloses New COVID Vaccine and Testing
Requirements for Travel Into the United States
 
The White House announced that vaccines will be required for international travelers coming into the United States (U.S.), with an effective date of November 8, 2021. For purposes of entry into the U.S., vaccines accepted will include the U.S. Food and Drug Administration (FDA) approved or authorized and the World Health Organization (WHO) Emergency Use Listing vaccines. The Centers for Disease Control and Prevention (CDC) has provided the comprehensive information for all travelers including U.S. Citizens, U.S. Nationals, U.S. Lawful Permanent Residents, and Immigrants, here.
Funding & Opportunities
NIHB is Seeking Comments on the PHICCS II Tool and Process
Deadline: 11:59 Pacific Time, Tomorrow! Friday, October 29, 2021.
 
NIHB is seeking input from Tribal partners and subject matter experts to improve the second Public Health in Indian Country Capacity Scan (PHICCS II ), slated for early 2022. The purpose of PHICCS is to periodically assess the capacity of Tribal health and Tribal public health organizations for delivering public health services. The COVID-19 pandemic has focused national attention on U.S. public health capacity and infrastructure. Your guidance is essential to ensure PHICCS II captures current Tribally-driven infrastructure needs and priorities.

We invite you to offer comments through two opportunities:
  • Provide feedback on the PHICCS I tool, including emergent topics and strategies to increase ease-of-use. Your comments will help us revise and improve the PHICCS II tool. Provide Comments on the tool here.
  • Recommend how NIHB can best include Tribal voices and ensure PHICCS is relevant to Tribal public health infrastructure efforts. Your comments will help us improve PHICCS II outreach efforts. Provide Comments on the Process here.
 
Learn more about PHICCS, including the PHICCS 2019 Report, Frequently Asked Questions and the PHICCS II timeline here.
 
Contact Nina Martin, nmartin@nihb.org, or 202-548-7299 for more information.
NIHB is Requesting Applications to Support American Indian and Alaska Native maternal health though Tribal-Led Maternal Mortality Review Committees
Deadline extended!

NIHB is requesting applications for a new opportunity for supporting maternal American Indian and Alaska Native maternal health through Tribal-led MMRCs. NIHB anticipates funding for up to 12 proposals from Tribes, Tribal consortia, and Tribal organizations for up to $7,500 each. Through this opportunity, grantees will participate in a self-assessment over an 8-month period to explore key components of Tribal-led MMRCs and assess their readiness to establish and sustain a Tribal-led MMRC. Tribal-led MMRCs that respect American Indian and Alaska Native (AI/AN) culture may result in identification of meaningful and effective maternal mortality prevention strategies for AI/AN communities. The intended outcomes for the Tribal-led MMRC Self-Assessment project include: Understanding the unique needs of Tribes for maintaining a successful MMRC, increasing knowledge capacity in AI/AN maternal mortality prevention efforts, and increasing partnerships among Tribes and Tribal organizations. To download the application packet and read more about the project, click here
Tribes Eligible to Apply for 2022 AmeriCorps State and National Public Health Funding
Applications due November 8, 2021 at 5:00pm EST

The American Rescue Plan Act invested $400 million to recruit, train, and support the next generation of public health leaders. Federally-recognized Tribes and Tribal organizations [see Section C of the Notice of Funding Opportunity (NOFO)] are eligible to apply. These funds are meant to provide additional capacity and support to advance equitable health outcomes, and provide workforce development and training. Tribes can propose programming focused on both COVID-19 and non-COVID-19 efforts.

To assist applicants, AmeriCorps hosted several technical assistance webinars, including an overview of the NOFO, introductions to AmeriCorps and Public Health AmeriCorps, and best practices in performance measures and budget development.

You can read more, including the NOFO and access webinar recordings and slides here.
The National Indian Health Board is Hiring!

The National Indian Health Board (NIHB) is seeking qualified candidates for the following open positions in the Public Health Policy and Programs Department based in Washington, DC.

  • Communications Director
  • Director of Congressional Relations
  • Congressional Relations Associate
  • Policy Analyst
  • Policy Research Analyst
  • Policy Center Communications Coordinator
  • Public Health Project Coordinator (Environmental Health)
  • Public Health Project Associate (Infectious Disease)
  • Public Health Project Associate (Maternal and Child Health)
  • Public Health Project Associate (Maternal Mortality Review Committee)
  • Public Health Social Media Communications Specialist
  • Public Health Administrative Assistant

Job descriptions are available here.
Resources
Indian Country ECHO Launching New Website on November 1st

In honor of Native American Heritage Month, and to celebrate being awarded a prestigious 2021 Outstanding Service Award by the National Indian Health Board, Indian County ECHO is launching a vibrant new website.

New website features include:
  • Ask a Clinical Question Tool - Quality clinical advice is now just a click away! Using our Clinical Question Tool, you will receive a rapid response to your pressing clinical questions. Simply click on the chat box, located on the lower right hand of each page of the new website, and submit your question.
  • MyECHO - This personalized ECHO account allows you to save useful resources and keep track of upcoming trainings you are interested in attending.
  • Quick Links to Online Clinics - Late for an ECHO? Don't sweat it. Now just visit our homepage and click on the ticker on the top of the page. It will take you directly to clinics taking place.
 
To learn more about Indian Country ECHO and to join the movement to bring quality healthcare to Indian Country, visit IndianCountryECHO.org or email echo@npaihb.org
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CDC Digital Media Toolkit: 2021-22 Flu Season

The flu is one of the most widely known respiratory infections that people fight worldwide, especially once the weather starts getting colder. Last year, rates of flu infections decreased worldwide because precautions taken against COVID-19, such as wearing a mask and physical distancing, were also effective against the flu. However, this year could be different as people return to their usual activities and precautions are relaxed. The Centers for Disease Control and Prevention’s (CDC) seasonal flu vaccination campaign materials are available to assist partners in communicating about the importance of vaccination. The digital toolkit includes details on events/activities, sample social media and newsletter content, graphics, web assets, and media prep material. The material is downloadable, shareable, and some of the material is customizable. Find the toolkit and learn more here.
FDA Updates on Hand Sanitizers Consumers Should Not Use

The U.S. Food and Drug Administration (FDA) announced that some hand sanitizers have been recalled. The FDA recommends stopping using more than 250 hand sanitizers right away. Use this step-by-step search guide to find out if the hand sanitizer you are using is on the list.
Dual Epidemics of COVID-19 and Overdose Highlight Impact of Structural Racism                                                                             
The United States remains in the grip of two public health emergencies: COVID-19 and an epidemic of drug-related harm. Both are marked by tens of thousands of preventable deaths – and both disproportionately impact American Indian/ Alaska native (AI/AN), Black, Latino/a, people, as well as other people of color. Both Black and Hispanic people have been hospitalized for COVID-19 at 2.8 times the rate of White people, while AI/ANs have been hospitalized at rates 3.5 times higher. Compared to White people, rates of COVID-19 deaths are 2.4 times higher among AI/ANs, 2.3 times higher among Hispanic or Latino/a Americans, and 2 times higher among Black people. These differences are far greater than the underlying and already disturbing disparities in mortality rates by race and ethnicity.

There are many reasons for these disparities, nearly all of which can be traced to the impacts of systemic racism. COVID-19 has exacerbated existing racial and ethnic disparities. Addressing the structural racism that drive inequality in access to economic opportunity, educational attainment, and other factors that ultimately drive health disparities must be a key public health priority – both during the dual COVID and overdose epidemics and beyond. Read more.
Indian Country ECHO: CHAP Learning Collaborative
 
The Community Health Aid Program (CHAP) ECHO Learning Collaborative is designed to bridge the gap between traditional practices and modern standards of care through bringing together several types of practitioners, including Dental Health Aide Therapists (DHATs), Behavioral Health Aides and Practitioners (BHA/Ps), and Community Health Aides and Practitioners (CHA/Ps). Sessions are open to all, but advanced registration is recommended. Sign up and view past sessions here!
Request Technical Assistance on Injury Surveillance and Prevention Data Policies and Key Issues

National Indian Health Board (NIHB) is offering technical assistance to support Tribal injury surveillance and prevention efforts. Topics include but are not limited to analyzing state policies that may impact data sharing or establishing data sharing partnership agreements.

For questions and more information, contact Nina Martin (nmartin@nihb.org, 202-548-7299).
The HHS COVID-19 Community Corps - Resources About COVID-19 Vaccine Boosters

The Department of Health and Human Services (HHS) COVID-19 Community Corps Team has developed the NEW Boosters resource page that includes guides, infographics, and social media posts to share them online them for your communities. Read more.
Centers for Disease Control and Prevention (CDC)

  • Updated: Who Is Eligible for a COVID-19 Vaccine Booster Shot? Read more.
  • Updated: COVID-19 Data Tracker. Find maps and charts tracking cases, deaths, and trends of COVID-19 in the United States, updated daily by 8 pm ET
  • Updated: Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Approved or Authorized in the United States. Read more.
  • Updated: COVID-19 Testing Overview. Read more.
NIHB COVID-19 Contact
The National Indian Health Board is committed to serving Tribal Nations in response to the coronavirus outbreak. We welcome your requests and feedback. Contact Courtney Wheeler at cwheeler@nihb.org or 202-507-4081.
Courtney Wheeler, MPH
Program Manager, Public Health Policy and Programs
CDC’s Coronavirus Self Checker
 
The Centers for Disease Control and Prevention (CDC) has a great tool to help you make decisions on when to seek testing and medical care. Tribal members who are 13 and older, and parents and caregivers of children ages 2 to 12 can use the tool to help decide when to seek testing or medical care if they suspect they or someone they know has contracted COVID-19 or has come into close contact with someone who has COVID-19. Tribal members can use the on-line tool to find recommended actions and resources based on their response to questions in the Self-checker tool. 
Events
The FINAL COVID-19 Health Equity Task Force Public Meeting
Today! Thursday, October 28, 2021, 1:00-4:00 PM ET

The final COVID-19 Health Equity Task Force meeting will be live streamed. Chair, Dr. Marcelle Nunez-Smith will present the COVID-19 Health Equity Task Force final report. The report holds the specific recommendations the Task Force has generated throughout many months. To join the meeting, click here.

If Tribal citizens wish to provide a public comment during the meeting, please send an email with your name and affiliation to COVID19HETF@hhs.gov

To learn more about the Task Force, click here.

For those interested, the full recording of the seventh COVID-19 Health Task Force Meeting listed below, please use the following links:
Covid-19 Vaccination During Pregnancy: What You Need to Know
Today! Thursday, October 28, 2021, 1:00-2:00 PM ET

The American College of Obstetricians and Gynecologists (ACOG) is hosting a webinar on Covid-19 Vaccination During Pregnancy: What You Need to Know to engage women’s health care clinicians to increase vaccine confidence and demand in their communities. During this webinar, participants will hear presentations from the Centers for Disease Control and Prevention (CDC), ACOG, and the Association of Immunization Managers (AIM). The purpose of this webinar is to increase the understanding of current CDC and ACOG findings and recommendations regarding the use of COVID-19 vaccines during pregnancy, increase clinicians' understanding of the role they can play in increasing vaccine confidence and demand, and familiarize clinicians with the process of becoming a COVID-19 vaccine provider.


For questions, please contact immunization@acog.org.
Webinar: Abuse of AI/AN Elders and Vulnerable Adults: What LTSS Program Staff Should Know
November 3, 2021, at 2:00pm ET

The Centers for Medicare and Medicaid Services (CMS) hosting a webinar on November 3, 2021, starting at 2:00pm ET. This webinar is designed to teach long-term services and supports (LTSS) program staff about abuse and exploitation of American Indian and Alaska Native (AI/AN) elders and vulnerable adults. Attendees will learn more about the signs of abuse, relevant investigating agencies and their responses, and prevention efforts.

If you have questions for the presenters, you can let them know beforehand by emailing ltssinfo@kauffmaninc.com

To register for the webinar, click here
Webinar- The State of the Science on the COVID-19 Pandemic and the Importance of Community Health Workers in the Promotion of Vaccines, Community Health and Resiliency                                              
Wednesday, November 3, 2021, 4:00 - 5:00 PM ET

The John Hopkins Center for American Indian Health is hosting a webinar on the State of the Science on the COVID-19 Pandemic and the Importance of Community Health Workers in the Promotion of Vaccines, Community Health and Resiliency. Presenters are Dr. Nina Mayer Ritchie from Johns Hopkins Center for American Indian Health; Michelle Archuleta from the National Community Health Representative Consultant and Community Health Team Lead, Indian Health Service; and Tara Stowbunenko, Family Spirit Program and Cheryl Ground, CHR Program and Family Spirit Program Supervisor, Blackfeet Community. Register here.
University of North Dakota Indigenous Health PhD Q&A Session
November 4, 2021 at 2:00pm ET

The University of North Dakota’s doctoral degree in Indigenous Health is the first of its kind in the United States or Canada. This program provides a deeper understanding of the unique health issues facing Indigenous populations. With an evidence-based approach to public health, this program prepares students to join the elite group of forward-thinking, culturally aware experts. UND is setting new standards in the fight against Indigenous disease disparities worldwide. Program leaders are hosting a Q&A webinar about the program on Thursday, November 4th at 2pm EST. Register here.
Ask Your Burning Questions: COVID-19 Vaccines and Booster Shots
Date changed, now November 5, 2021, at 2:00-3:00pm ET

The National Indian Health Board (NIHB), is hosting the first event in the COVID-19 Ask Me Anything (AMA) Series. American Indians and Alaska Natives (AI/ANs) across the country are getting a COVID vaccine for various reasons -- going back to school, playing sports, and protecting their family and communities. Native youth and parents, young people, and Tribal community members are invited to join the AMA to ask any questions they might have about COVID-19 vaccines or booster shots to an expert from the CDC.
 
Speaker:
 
Dr. Kimberley Fox, MD, MPH
Co-Lead, COVID-19 Vaccine Task Force
Centers for Disease Control and Prevention
 

This AMA is focused on knowledge sharing and helping Tribal communities dispel any myths about COVID-19 vaccines and booster shots. Submit questions ahead of time with this form so presenter(s) have time to review them. Please come prepared to ask questions or share your own insights and experiences.
 
This AMA will be free and streamed live on Zoom and Facebook. Register here.
 
For questions, please contact Darby Galligher at dgalligher@nihb.org
Save the Date: Recovery and Healing Conference
Wednesday, November 10, 2021 at 10:30 am ET- 7:00 pm ET
 
The Center for Disaster Philanthropy is partnering with We are Warriors Emergency Operations Center and Great Plains Tribal Leaders Health Board to host a virtual Recovery & Healing Conference on Nov. 10, 2021, 8:30 a.m. to 5:00 p.m. MT. The conference will help Tribal leaders, nonprofit organizations, emergency managers, community leaders, disaster responders and funders understand:
  • The basic tenets of disaster recovery.
  • Long-term recovery groups and how they function in Native communities.
  • The importance of healing, strategies for healing and stories of healing. 
 
Additional event details and registration information coming soon! 
Save the Date! Don't Miss Your Shot: COVID-19 Youth Summit
Friday, November 19, 2021, from 11:00am-6:00pm ET

The National Indian Health Board (NIHB) is excited to announce the 2021 Don't Miss Your Shot: COVID-19 Youth Summit. The Youth Summit will be virtually held on Friday, November 19, 2021.
 
NIHB is hosting Don’t Miss Your Shot: COVID-19 Youth Summit to provide opportunities for American Indian and Alaska Native (AI/AN) youth, their parents/caregivers, and those that work with AI/AN youth with the tools necessary to have effective COVID-19 vaccine conversations and to address vaccine misinformation.
 
This Youth Summit is targeted towards AI/AN youth, parents/caregivers, and those that work with AI/AN youth. 

Additional event details and registration information coming soon!
Clinical Investigator Training Course (CITC) Update
December 7-8, 2021

The U.S. Food and Drug Administration’s (FDA) announced that the Clinical Investigator Training Course (CITC) that were conducted in person for more than ten years, and unfortunately, due to the COVID-19 pandemic was postponed in 2020; this year also, it will be an abbreviated, virtual update rather than a full course. The agency is hopeful that the full course will resume in 2022.

This year virtual training will be:
  • Day 1: Tuesday, December 7, 1:00 PM - 5:00 PM ET
  • Day 2: Wednesday, December 8, 1:00 PM - 4:30 PM ET

This publication is supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $9,600,000, and by the Indian Health Service (IHS) of HHS as part of a financial assistance award totaling $266,000, with up to 75 percent funded by CDC, up to 15 percent funded by IHS, and up to 10 percent funded by other governmental and non-governmental source(s). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.