http://www.cherokeephoenix.orgCherokee Nation Public Health educator Sonya Davidson, left, opens a box of donated garden kits with Monica Howe, Woodall Public Schools garden and food nutrition organizer, as part of the school’s Healthy Leadership Award in food nutrition participation on Oct. 17 at Woodall Public Schools in Tahlequah, Oklahoma. LINDSEY BARK/CHEROKEE PHOENIX
Cherokee Nation Public Health educator Sonya Davidson, left, opens a box of donated garden kits with Monica Howe, Woodall Public Schools garden and food nutrition organizer, as part of the school’s Healthy Leadership Award in food nutrition participation on Oct. 17 at Woodall Public Schools in Tahlequah, Oklahoma. LINDSEY BARK/CHEROKEE PHOENIX

CN Community Health promotes preventative health

Margie Burkhart, Cherokee Nation Public Health supervisor for primary prevention, right, meets with the Comprehensive Cancer Coalition to discuss goals and objectives for a five-year cancer control plan on Oct. 18 at the Cherokee Public Health building in Tahlequah, Oklahoma. The coalition is one of the preventative health efforts offered by the CN’s Community Health Promotion program. LINDSEY BARK/CHEROKEE PHOENIX
Margie Burkhart, Cherokee Nation Public Health supervisor for primary prevention, right, meets with the Comprehensive Cancer Coalition to discuss goals and objectives for a five-year cancer control plan on Oct. 18 at the Cherokee Public Health building in Tahlequah, Oklahoma. The coalition is one of the preventative health efforts offered by the CN’s Community Health Promotion program. LINDSEY BARK/CHEROKEE PHOENIX
BY LINDSEY BARK
Reporter
10/24/2017 08:15 AM
TAHLEQUAH, Okla. – The Cherokee Nation’s Community Health Promotion program is working to promote preventative health in communities in the tribe’s 14-county jurisdiction.

As part of the tribe’s Public Health and Health Services, the CHP program informs Cherokees about taking preventative health measures so that in the long run chronic diseases such as obesity, diabetes and heart disease will be at a minimum among them.

“Our program strengthens community health efforts to help communities prevent disease and promote healthy living. We strive to make healthy living easier,” Julie Deerinwater, Public Health program coordinator, said.

The program aims to accomplish this via sub-programs, partnerships and resources in the communities. Approximately 20 public health educators are trained and located throughout the CN to implement strategies to improve community health.

“We focus more on large groups of people and programs. We focus on…things that impact environments,” Deerinwater said. “Those educators are kind of the boots on the ground and they establish the local partnerships. So they’ve worked with schools. They’ve worked with community coalitions a lot, and they’ve worked to establish partnerships with businesses.”

The CHP program also works with schools on reviewing and revising tobacco-free campus policies and creating healthier food options.

Woodall Public Schools is an example of a community-based preventative health partnership in which students have learned to plant a garden and learn about healthier food options. The school received a Healthy Leadership Award and classroom garden kits to further educate students on growing healthy food.

Sonya Davidson, Public Health educator, works with WPS in implementing food nutrition at the school by collecting pre-and-post body mass index information on students. She said with the award, students must choose to focus on physical activity or nutrition.

“We provide them with funds to either implement physical activity or the nutrition component, and we come back at the end and reevaluate everything to see how implementing those programs affected the children,” Davidson said.

Monica Howe, WPS garden and food nutrition organizer, said she’s seeing students become more conscientious about their food choices. “I know that they’re more aware of good food choices when they say the word ‘junk food’ and they know it’s not exactly the best choice for them.”

WPS has also implemented a tobacco-free campus policy.

“Once those are implanted and in place, it really protects not only those students but the staff and a lot of our community members that utilize those school buildings for other community events because they serve as community hubs. So with tobacco-free environments, you’re really protecting people from second-hand smoke,” Deerinwater said.

CHP programs offer other preventative health services such as the Comprehensive Cancer Coalition. The coalition is part of the Oklahoma Strategic Tribal Alliance for Health and it meets monthly to discuss goals for a five-year cancer control plan.

Margie Burkhart, Public Health supervisor for primary prevention, said the coalition is divided into groups to cover different areas for cancer control such as prevention, screening and early detection, tobacco use and exposure, quality of life, data and evaluation and media.

“The community coalitions have been the link to kind of align plans. So a lot of the health issues we see in the communities, they’re the same issues that coalitions are working on that affect us all,” Deerinwater said.

Deerinwater said some people may not understand what community health or public health is.

“While the health care services focus on getting the individual healthy and helping them, they may be sick and getting them better. We are out in the community and Cherokee Nation values preventative services,” she said. “We’re really trying to help shape our communities to where it makes healthy living easy so that our citizens can have a healthy quality of life.”

For more information, visit www.cherokeepublichealth.org.
About the Author
Lindsey Bark grew up and resides in the Tagg Flats community in Delaware County. She graduated from Northeastern State University in 2012 with a bachelor’s degree in mass communication, emphasizing in journalism. She started working for the Cherokee Phoenix in 2016.
 
Working for the Cherokee Phoenix, Lindsey hopes to gain as much knowledge as she can about Cherokee culture and people. She is a full-blood Cherokee and a citizen of the United Keetoowah Band.
 
Her favorite activities are playing stickball and pitching horseshoes. She is a member of the Nighthawks Stickball team in Tahlequah and enjoys performing stickball demonstrations in various communities. She is also a member of the Oklahoma Horseshoe Pitchers Association and competes in sanctioned tournaments throughout the state.
 
Previously a member of the Native American Journalists Association, she has won three NAJA awards and hopes to continue as a member with the Cherokee Phoenix.
lindsey-bark@cherokee.org • 918-772-4223
Lindsey Bark grew up and resides in the Tagg Flats community in Delaware County. She graduated from Northeastern State University in 2012 with a bachelor’s degree in mass communication, emphasizing in journalism. She started working for the Cherokee Phoenix in 2016. Working for the Cherokee Phoenix, Lindsey hopes to gain as much knowledge as she can about Cherokee culture and people. She is a full-blood Cherokee and a citizen of the United Keetoowah Band. Her favorite activities are playing stickball and pitching horseshoes. She is a member of the Nighthawks Stickball team in Tahlequah and enjoys performing stickball demonstrations in various communities. She is also a member of the Oklahoma Horseshoe Pitchers Association and competes in sanctioned tournaments throughout the state. Previously a member of the Native American Journalists Association, she has won three NAJA awards and hopes to continue as a member with the Cherokee Phoenix.

Health

BY ASSOCIATED PRESS
07/19/2018 04:00 PM
OKLAHOMA CITY (AP) – The federal Centers for Medicare and Medicaid Services has approved Oklahoma’s Medicaid program for a first-in-the-nation drug pricing experiment that supporters say could save taxpayer dollars and provide patients with the most effective medications for their ailments. Under the “value-based purchasing” program approved in late June, the state and a pharmaceutical company would agree to a set payment if its medication works as advertised, but only a fraction of that if the drug is not as effective as promised. “When a company signs an agreement, we hope that they’re going to agree to only have us pay for the therapy that works .... and if it doesn’t work we should get a rebate on it,” said Nancy Nesser, pharmacy director for the Oklahoma Health Care Authority, which administers the Medicaid program in the state. “One thing we’ve learned is that some companies don’t really stand behind their drugs, and it’s kind of scary,” Nesser said. “We’re paying a premium for them and they’re not willing to say that they will work.” The companies are not required to take part, but Nesser said several, which she declined to identify, have shown interest and discussions are underway with three. She said she hopes the program can begin by Aug. 1. “This is a good thing,” said Matt Salo, executive director of the nonpartisan National Medicaid Directors Association, which represents state programs. “It paves the way for states and other payers to start really thinking about how to do value-based purchasing for prescription drugs.” The federal waiver would allow Oklahoma to get around a potential obstacle to value-based contracts. A possible pitfall is Medicaid’s “best price” requirement, which says if any purchaser gets a really good deal on a drug, then Medicaid has to get that lower price too. Some interpret that to apply to value-based deals as well, Salo said. That means that if a drug didn’t work too well, and a state paid only 10 percent of the original price, then every other Medicaid program could get the drug for that rock-bottom price, too. “This seems to allow for paying less for a failed treatment without triggering the ‘best price’ requirement,” Salo said. Oklahoma spent about $650 million on prescription drugs in the fiscal year that ended June 30, Nesser said, and the change could save “a couple of million, maybe.” Medicaid patients, primarily children who do not pay for prescriptions and the elderly, whose costs are fixed, would see no pocketbook impact, according to Oklahoma Health Care Authority spokeswoman Jo Stainsby. “The change we’re looking for is improved health outcomes,” Stainsby said. Oklahoma is “taking the lead” in working to bring down the cost of medications, the AARP director for the state, Sean Voskuhl, said. “It is a great example of how states can implement change in the absence of reform at the federal level,” Voskuhl said.
BY ASSOCIATED PRESS
07/13/2018 12:45 PM
OKLAHOMA CITY (AP) — Oklahoma Gov. Mary Fallin on July 11 signed into place strict emergency rules for medical marijuana that pot advocates say are intentionally aimed at delaying the voter-approved use of medicinal cannabis. The term-limited Republican governor signed the rules just one day after her appointees on the state’s Board of Health adopted them at an emergency meeting after last-minute changes to ban the sale of smokable marijuana and require a pharmacist at every pot dispensary. Those late additions to the rules infuriated longtime medical marijuana advocates who helped get the measure on the ballot in June, when nearly 57 percent of Oklahoma voters approved it. Her quick signature also came just as medical pot advocates were rallying supporters to urge her to reject them. “People are completely angry. They voted for (State Question) 788 and now you have the health department and our governor pull these shenanigans?” said Isaac Caviness, president of Green the Vote, a marijuana advocacy group that pushed for the passage of the state question. “It’s a slap in the face to all activists. It’s a slap in the face to all Oklahomans who voted on 788.” Groups that opposed legalizing medical marijuana – including ones that represent doctors, pharmacists, hospitals and chambers of commerce – earlier this week called for new restrictions on the industry, including a ban on the sale of smokable pot and the pharmacist restriction. The board approved the two provisions against the advice of the health department’s general counsel, who said the rules likely were beyond the agency’s legal authority. Marijuana advocates say they’re considering legal action against the board. In a statement on July 11, Fallin said she thinks the rules were the best way to quickly set up a regulatory framework for medical marijuana. “I know some citizens are not pleased with these actions,” Fallin said. “But I encourage everyone to approach this effort in a constructive fashion in order to honor the will of the citizens of Oklahoma who want a balanced and responsible medical marijuana law.”
BY STAFF REPORTS
07/12/2018 12:30 PM
TAHLEQUAH – According to the U.S. Centers for Disease Control, the most effective way to avoid getting sick from viruses spread by mosquitoes when at home and during travel is to prevent mosquito bites. “Mosquito bites can be more than just annoying and itchy. They can spread viruses that make you sick or, in rare cases, cause death,” the CDC website states. “Although most kinds of mosquitoes are just nuisance mosquitoes, some kinds of mosquitoes in the United States and around the world spread viruses that can cause disease.” The CDC states that mosquitoes bite during the day and night, live indoors and outdoors and search for warm places as temperatures begin to drop. Some will hibernate in enclosed spaces such as garages, sheds and under (or inside) homes to survive cold temperatures. Except for the southernmost states in North America, mosquito season starts in the summer and continues into fall. <strong>Mosquito-borne viruses in the continental U.S.</strong> West Nile virus is the most common virus spread by mosquitoes in the continental United States. People can also get sick from less common viruses spread by mosquitoes such as La Crosse encephalitis or St. Louis encephalitis. In rare cases these can cause severe disease or even be deadly. Most people infected with these viruses do not have symptoms, or have only mild symptoms like fever, headache, nausea, and vomiting. • West Nile is a virus most commonly spread to people by mosquito bites. In North America, cases of WNV occur during mosquito season, which starts in the summer and continues through fall. There are no vaccines to prevent or medications to treat WNV. Fortunately, most people infected with WNV do not have symptoms. About 1 in 5 people who are infected develop a fever and other symptoms. About 1 out of 150 infected people develop a serious, sometimes fatal, illness. • Most cases of Saint Louis encephalitis virus or SLEV disease have occurred in eastern and central states. Most people infected with SLEV have no apparent illness. Initial symptoms of those who become ill include fever, headache, nausea, vomiting and tiredness. Severe neuroinvasive disease (often involving encephalitis, an inflammation of the brain) occurs more commonly in older adults. In rare cases, long-term disability or death can result. There is no specific treatment for SLEV infection. Care is based on symptoms. • Most cases of La Crosse encephalitis virus or LACV disease occur in the upper Midwestern and mid-Atlantic and southeastern states. Many people infected have no apparent symptoms. Among people who become ill, initial symptoms include fever, headache, nausea, vomiting and tiredness. Some who become ill develop severe neuroinvasive disease (disease that affects the nervous system). Severe LACV disease often involves encephalitis and can include seizures, coma and paralysis. Severe disease occurs most often in children under the age of 16. In rare cases, long-term disability or death can result from La Crosse encephalitis. There is no specific treatment for LACV infection. Care is based on symptoms. • The Zika virus is still a problem in many parts of the world. Puerto Rico and U.S. Virgin Islands are areas with risk. Many areas in the United States have the kind of mosquitoes that can spread Zika. It can cause birth defects in babies born to women who were infected during pregnancy. The CDC recommends pregnant women and their partners and couples considering pregnancy know the risks and take prevention steps. <strong>Prevention</strong> • Use insect repellent: When used as directed, Environmental Protection Agency-registered insect repellents are proven safe and effective, even for pregnant and breastfeeding women. Use an EPA-registered insect repellent with DEET, Picaridin, IR3535, Oil of lemon eucalyptus, Para-menthane-diol or 2-undecanone. • Cover up: Wear long-sleeved shirts and long pants. • Keep mosquitoes outside: Use air conditioning or window and door screens. If you are not able to protect yourself from mosquitoes inside your home or hotel, sleep under a mosquito bed net.
BY STAFF REPORTS
07/06/2018 08:00 AM
TAHLEQUAH – Tribal Councilor Wanda Hatfield is one of two new appointees to the Oklahoma City Indian Clinic board of directors. The board is comprised entirely of Native Americans. Hatfield, a Cherokee Nation citizen, joined the board earlier this year along with Gena Timberman, a Choctaw Nation citizen. “It is an honor to be appointed to the leadership committee of a health institution like the Oklahoma City Indian Clinic, one of the largest and most successful urban Indian clinics in the country. So many Cherokee Nation citizens reside in central Oklahoma and utilize the health and wellness services provided by OKCIC,” Hatfield said. “As a member of the Cherokee Nation Tribal Council, I have advocated for more and better access to quality health care for our citizens, and in my new position I will be just as committed to improved health care opportunities for all Native people in the Oklahoma City area.” Hatfield will serve a three-year term, overseeing the clinic’s finances and directing the strategic plan along with 11 other board members. “Councilor Hatfield has been a champion for American Indian health care and will expand her responsibilities in this new role. She has helped Cherokee Nation Health Services connect and collaborate with other institutions that provide quality care to Indian people, including the Children's Center Rehabilitation Hospital and especially the Oklahoma City Indian Clinic,” Secretary of State Chuck Hoskin Jr. said. “Growing up in Adair County, she knows the health care challenges we face in rural Oklahoma, and as a retired school teacher in the Oklahoma City area, she has a unique grasp of the things our urban tribal citizens need.” Hatfield grew up in the Cherry Tree community near Stilwell in Adair County and attended Stilwell High School. She later received a bachelor’s degree in education from the University of Oklahoma and was an educator at Mid-Del School District in Midwest City for 28 years. She is also a member of Cherokee Nation Businesses advisory board and the Indian Education advisory boards for Mid-Del and Moore schools. “Both of our new board members embody the spirit of the Native American community that we serve,” Robyn Sunday-Allen, OKCIC CEO and Cherokee Nation citizen, said. “Their expertise and individual talents bring energy and fresh ideals to the table. We are honored to have them join our board.” The clinic sees more than 18,000 patients from over 200 federally recognized tribes each year.
BY ASSOCIATED PRESS
06/28/2018 12:00 PM
OKLAHOMA CITY (AP) – The head of Oklahoma’s health agency said on June 27 there’s a framework in place to get the medical marijuana industry rolling in the state soon, despite concerns from Gov. Mary Fallin that a statewide vote “opens the door” for recreational use. Oklahoma voters easily approved a state question on June 26 allowing cannabis to be used as medicine in the traditionally conservative state. The measure says applications for a medical marijuana license must be available on the agency’s website within 30 days of the measure’s passage. A regulatory office to receive applications for medical marijuana licenses, recipients and dispensary growers must be operating within 60 days. Interim Health Commissioner Tom Bates said the Oklahoma Department of Health has been developing proposed rules and regulations in case the medical marijuana program was approved by voters since he was named to the post on April 1. He said the agency is prepared “to implement a medical marijuana model as required by the state question.” “We do have a lot to take care of in a tight timeframe,” Bates said. Bates said state health officials would meet July 10 to consider emergency rules for the new Oklahoma Medical Marijuana Authority. Application information and requirements will be available on the agency’s website by July 26, and applications will be accepted by Aug. 25. Oklahoma’s was the first marijuana question on a state ballot in the U.S. in 2018, with elections scheduled for later this year in Michigan and Utah. Voters in neighboring Arkansas legalized the drug for medical use in 2016, but Oklahoma is among the most conservative states to approve its use. Voters came out in droves in Oklahoma to weigh in on the issue, which made it onto the ballot through a signature drive. The Oklahoma State Election Board says more votes were cast on the marijuana question than in the 2014 general election. In Oklahoma City, 33-year-old Meaghan Hunt said she cast her vote in favor of legalization because she views marijuana as another form of treatment for patients with various ailments. She said she wants them to have as many options as possible. She also believes state coffers could benefit from the cash marijuana crops would deliver. “I’d like to see more taxable revenue coming into our state and if that’s an opportunity to collect taxes, all the better — hopefully for education,” Hunt said. The term-limited Fallin said before the vote that she would call lawmakers into a special session to develop rules to regulate the industry, but she toned down her comments after the election results were clear. “I believe, as well as many Oklahomans, this new law is written so loosely that it opens the door for basically recreational marijuana,” Fallin, a Republican, said in a statement. GOP state Senate leader Greg Treat said he doesn’t think members of his party, the majority, are interested in a special session. “Whatever we do will just to be so make sure we don’t overturn the will of the people,” the president pro tempore-designate told reporters on June 27. Attitudes have shifted sharply on marijuana in recent decades in Oklahoma, especially among young people, said Bill Shapard, a pollster who has surveyed Oklahomans on the issue for more than five years. “I’ve found almost half of all Republicans support it,” Shapard said. Oklahoma’s tough-on-crime ideology also has come at a cost, with the state’s skyrocketing prison population consuming a larger share of the state’s limited funding. In 2016, voters approved a state question to make any drug possession crime a misdemeanor, despite opposition to that proposal from law enforcement and prosecutors.
BY KENLEA HENSON
Former Reporter
06/22/2018 04:00 PM
COMPETITION, Mo. – As the 2018 “Remember the Removal” cyclists made their way to Tahlequah, Oklahoma, and the end of their three-week journey, one may have noticed the riders’ various ages. Although Cherokee Nation cyclists range in ages 16 to 24, the Eastern Band of Cherokee Indians gears its “RTR” bike ride towards improving its citizens’ health. The ages for EBCI cyclists this year ranged from 17 to 62. After finishing day 12 of riding, the older EBCI riders reflected on the nearly 1,000-mile trek to Oklahoma and why they wanted to take it. At age 62, Jan Smith said she took on the challenge to honor her ancestors. She said as an EBCI citizen she receives benefits that help her, and for that, her ancestors deserved some appreciation. “There’s people that paid for that (benefits). They’re the ones that struggled, and if they hadn’t been resilient then I wouldn’t be able to reap those benefits I have,” Smith said. “It’s just a small, small way to pay them back.” Like all cyclists who make the journey, a lot of preparation goes in months before the ride begins to ensure their physical endurance can stand against the strain they place on their bodies. Smith knew her age would work against her, so she started training early. “The first training ride I went to was like 10 miles, and I did terrible, and I thought I have to get in better shape. So I started training and eating better,” she said. “I probably worked out five to six days a week. It takes a lot of hard work.” The consecutive days of riding for hours at a time have been hard on Smith, but she said seeing some of the significant sites along the way have been worth it. EBCI cyclist Lori Owle said she rode ride to learn about the Trail of Tears history firsthand. However, the 47-year-old admitted the physical aspect has been difficult. “Before each ride I get knots in my stomach because of the unknown, but once you complete the day you get a sense of completion,” she said. On day nine, a deer hit Owle and knocked off of her bike. After three hours in the emergency room and three stitches in her finger, she was back on her bike the next day. She said being one of the “older riders” was hard, but that the younger riders were a “blessing.” “My main thought was it was us older riders that would need to watch over the young riders and make sure they don’t get hurt, but then it was me that got hurt,” she said. “They take good care of me, and I think the ride has developed patience in them. It’s really good to know that the younger generation has that kind of compassion.” For EBCI cyclist Bo Taylor participating in the ride had been a goal he worked toward for two years. The 48-year-old was selected for the 2017 ride, but a training accident two days before the ride began left him with nine broken ribs. He said he was determined to ride this year. “What I’ve always said about Cherokees is that we always get back up no matter what happens,” Taylor said. Once his ribs healed, he trained on spin bikes and eventually got back on his bike. He said his favorite moment this year was climbing the Cumberland Gap in eastern mountainous Tennessee without stopping. “For an old dude, knowing I can still do things is good. Two years ago I couldn’t do what I am doing now, so it’s been an awesome journey. I’ve found out a lot about myself.”