Thursday, February 17, 2011

Diabetes and Native Americans

http://vltakaliseji.tripod.com/Vtlakaliseji/id2.html

among Native Americans. Complications from diabetes are major causes of death and health problems in most Native American populations. This information on Native Americans and Diabetes is taken from the American Diabetes Association.

What is Diabetes?

Diabetes is a disease that affects the body's ability to produce or respond to insulin, a hormone that allows blood glucose (blood sugar) to enter the cells of the body and be used for energy. Diabetes falls into two main categories: type 1, which usually occurs during childhood or adolescence, and type 2, the most common form of the disease, usually occurring after age 45.

Diabetes is a chronic disease that has no cure.

How Does it Affect Native Americans?

Prevalence :

Prevalence of type 2 diabetes among Native Americans in the United States is 12.2% for those over 19 years of age. One tribe in Arizona has the highest rate of diabetes in the world. About 50% of the tribe between the ages of 30 and 64 have diabetes.

Today, diabetes has reached epidemic proportions

Of equal concern is the fact that type 2, or adult-onset diabetes, is increasingly being discovered in Native American youth.

Diabetes Rapidly Increasing Among Native Americans, Alaskans

Reported in the December, 2000 issue of Diabetes Care: Diabetes has been growing in prevalence among Native Americans and Alaskan Natives,according to a recent study by the federal Centers for Disease Control and Prevention. The study found a nearly 30 percent increase in diabetes diagnoses among these populations between 1990 and 1997. During this time period prevalence among women was higher than among men, but the rate of increase was higher among men than women (37 percent v. 25 percent). The increase in prevalence was highest in Alaska, where it rose 76 percent during the 1990s, and lowest in the Northern Plains region of the United States, where it rose by 16 percent during this time period.

Obesity and Native Americans:

According to the National Institute for Diabetes and Digestive and Kidney Diseases, the "thrifty gene" theory proposes that African-Americans, Hispanic-Americans, Asian Americans and Native Americans inherited a gene from their ancestors which enabled them to use food more efficiently during "feast and famine" cycles. Today there are fewer such cycles; this causes certain populations to be more susceptible to obesity and to developing type 2 diabetes.

Native Americans and Diabetic Complications:

The serious complications of diabetes are increasing in frequency among Native Americans. Of major concern are increasing rates of kidney failure, amputations and blindness.

Ten to twenty-one percent of all people with diabetes develop kidney disease. In 1995, 27,900 people initiated treatment for end stage renal disease (kidney failure) because of diabetes. Among people with diabetes, the rate of diabetic end stage renal disease is six times higher among Native Americans.

Diabetes is the most frequent cause of non-traumatic lower limb amputations. The risk of a leg amputation is 15 to 40 times greater for a person with diabetes. Each year 54,000 people lose their foot or leg to diabetes. Amputation rates among Native Americans are 3-4 times higher than the general population.

Diabetic retinopathy is a term used for all abnormalities of the small blood vessels of the retina caused by diabetes, such as weakening of blood vessel walls or leakage from blood vessels. Diabetic retinopathy occurs in 18% of Pima Indians and 24.4% of Oklahoma Indians.

What is Needed?

In ideal circumstances, Native Americans with diabetes will have their disease under good control and be monitored frequently by a health care team knowledgeable in the care of diabetes.

Patient education is critical. People with diabetes can reduce their risk for complications if they are educated about their disease, learn and practice the skills necessary to better control their blood glucose levels, and receive regular checkups from their health care team.

People with diabetes, with the help of their health care providers, should set goals for better control of blood glucose levels, as close to the normal range as is possible for them. Health care team education is vital. Because people with diabetes have a multi-system chronic disease, they are best monitored and managed by highly skilled health care professionals trained with the latest information on diabetes to help ensure early detection and appropriate treatment of the serious complications of the disease. A team approach to treating and monitoring this disease serves the best interests of the patient.

Knowledge is power. Learn what you can, talk to your health care provider and use what you learn to help yourself beat this horrible disease.

Wednesday, February 2, 2011

It has been a long time

It is sometimes sad to see our soldiers die and be wounded so very young.

Friday, February 29, 2008

Senate backs overhaul bill that 'will save lives'

I received this in my nursing news from the ANA so I wanted to share it.

http://seattlepi.nwsource.com/printer2/index.asp?ploc=t&refer=http://seattlepi.nwsource.com/local/352846_healthcare27.html

Senate backs overhaul bill that 'will save lives'

Last updated February 26, 2008 11:02 p.m. PT

By JUDY HOLLAND
P-I WASHINGTON BUREAU

WASHINGTON -- In the first major overhaul of the Indian Health Service in more than a decade, Congress moved Tuesday toward bolstering health-care screening, illness prevention and mental health benefits for Native Americans.

The Senate-approved legislation would infuse $35 billion over 10 years into the Indian Health Service to improve tribal health care for 1.8 million American Indians and Alaska Natives on reservations. The lawmakers voted 83-10 in favor of the legislation.

In recent years, the Indian Health Service has been funded at about $3 billion annually.

The bill would bolster mental health programs and patient screening for cancer and diabetes, expand disease prevention programs and recruit nurses and doctors to serve American Indian populations. It would also modernize and build health clinics and increase tribal access to Medicare and Medicaid.

The House is expected to take up the measure later this year.

Seattle is home to the largest urban Indian health clinic in the country.

The Seattle Indian Health Board on 12th Avenue South provides a full range of medical, dental, lab and pharmacy services along with programs aimed at drug and alcohol abuse to about 7,000 Native Americans each year.

Sen. Patty Murray, D-Wash., hailed passage of the measure as "a major step, something that the Indian tribes have really been pushing."

"It updates the law so they can do the kind of preventive care the rest of America has," Murray said.

The Indian Health Care Improvement Act, which was last reauthorized in 1992 and expired in 2000, will focus on preventive care that can stave off illnesses prevalent on reservations such as diabetes, cancer and heart disease, Murray said.

Sen. Byron Dorgan, D-N.D., chairman of the Senate Indian Affairs Committee, said the federal government has a responsibility to Native Americans after "we took their land, put them on reservations, signed treaties and made promises" we haven't kept, especially with regard to health care.

"This will save lives," Dorgan said.

Under treaties signed by the U.S. government and Indian tribes, the federal government is obligated to provide health care for Native Americans.

Sen. Maria Cantwell, D-Wash., said improved health care for Indian tribes is long overdue.

"It's been a neglected part of our health care delivery system," Cantwell said.

The Senate also approved on a vote of 56-38 an amendment by Sen. Gordon Smith, R-Ore., that would grant the Indian Health Service the authority to more evenly distribute funding for construction of its health facilities.

Smith complained about an "archaic formula" under which most of the funding for construction and modernization of tribal clinics goes to fewer than 10 states.

He said states that are not receiving construction dollars for Native American health facilities include New York, Texas, Michigan, California and Washington.

Cantwell said the Smith measure could benefit Northwestern tribes by steering more federal construction dollars their way.

"It's a positive step for a more adequate distribution of resources to the Northwest," Cantwell said.

The Senate also amended the bill to exclude most abortions at Indian health clinics and ban spending on programs that discourage gun ownership.

Tony Perkins, president of the conservative Family Research Council, applauded the anti-abortion provision, saying the majority of the Senate "has now shown they agree with most Americans that government funding of abortion is morally wrong."

A similar House bill is expected to come up in the Energy and Commerce Committee in the next few weeks, said Rep. Frank Pallone, D-N.J., who heads the health subcommittee of the panel. It must clear the House Ways and Means panel before heading to the floor.

Pallone predicts the measure "will move fairly quickly" to approval in the House.

Pallone, vice chair of the Native American Caucus, said health care for American Indians is "far inferior to that of the average American."

He said hospitals and clinics on reservations are in disrepair and have difficulty finding specialized physicians, dentists and podiatrists.

"There is a huge disparity between the health care they get and that of average Americans," Pallone said.

$35 BILLION

Amount over 10 years that the Senate-approved legislation would put into the Indian Health Service to boost tribal care.

1.8 MILLION

Number of American Indians and Alaska Natives on reservations who would be affected by the legislation. HEALTH CARE

BY THE NUMBERS

Sen. Patty Murray, D-Wash., cited these grim health-care statistics for Native Americans:

  • The infant mortality rate is 150 percent greater for Native Americans than Caucasians.

  • Native Americans are 2.6 times more likely to be diagnosed with diabetes.

  • Life expectancy for Native Americans is nearly six years less than the rest of the U.S. population.

  • Suicide rate for Native Americans is 2.5 times higher than the national average.

  • Health care expenditures for Native Americans are less than half of what America spends for federal prisoners.

    © 1998-2008 Seattle Post-Intelligencer

  • Sunday, February 24, 2008

    Truth out articles, a new horizon to me

    http://www.truthout.org/docs_2006/053107A.shtml

    This article can be found in the Truth Out publication found online at the site above. It is not my writing and I only share the information to stimulate our thinking and strengthen our will to survive as a people and a culture.I may or may not agree, so do not find fault for my sharing it here. Form your own opinions, I only want the Native culture to be educated and this is another way I have found to share.

    Minnesota Case Fits Pattern in US Attorneys Flap
        By Tom Hamburger
        The Los Angeles Times

        Thursday 31 May 2007

    A prosecutor apparently targeted for firing had supported Native American voters' rights.

        Washington - For more than 15 years, clean-cut, square-jawed Tom Heffelfinger was the embodiment of a tough Republican prosecutor. Named U.S. attorney for Minnesota in 1991, he won a series of high-profile white-collar crime and gun and explosives cases. By the time Heffelfinger resigned last year, his office had collected a string of awards and commendations from the Justice Department.

        So it came as a surprise - and something of a mystery - when he turned up on a list of U.S. attorneys who had been targeted for firing.

        Part of the reason, government documents and other evidence suggest, is that he tried to protect voting rights for Native Americans.

        At a time when GOP activists wanted U.S. attorneys to concentrate on pursuing voter fraud cases, Heffelfinger's office was expressing deep concern about the effect of a state directive that could have the effect of discouraging Indians in Minnesota from casting ballots.

        Citing requirements in a new state election law, Republican Secretary of State Mary Kiffmeyer directed that tribal ID cards could not be used for voter identification by Native Americans living off reservations. Heffelfinger and his staff feared that the ruling could result in discrimination against Indian voters. Many do not have driver's licenses or forms of identification other than the tribes' photo IDs.

        Kiffmeyer said she was only following the law.

        The issue was politically sensitive because the Indian vote can be pivotal in close elections in Minnesota. The Minneapolis-St. Paul area has one of the largest urban Native American populations in the United States. Its members turn out in relatively large numbers and are predominantly Democratic.

        Heffelfinger resigned last year for personal reasons and says he had no idea he was being targeted for possible firing. But his stance fits a pattern that has emerged in the cases of several U.S. attorneys fired last year in states where Republicans wanted more vigorous efforts to legally challenge questionable voters.

        Politics have always played a role at Justice and other Cabinet-level departments. But, critics say, Bush administration strategists went beyond most of their predecessors - Democratic or Republican - in seeking ways to convert control of the federal government into advantages on election day.

        And the Heffelfinger episode has contributed to a backlash among some Minnesota Republicans. Sen. Norm Coleman, a Bush loyalist in the past who is facing reelection next year, has called on Atty. Gen. Alberto R. Gonzales to resign - largely as a result of the U.S. attorney firings and the revelations about Heffelfinger.

        A hint at why Heffelfinger's name was on termination lists that Justice Department officials and Bush political strategists put together emerged when Monica M. Goodling, the department's former White House liaison, testified last week before the House Judiciary Committee about the firings.

        Goodling said she had heard Heffelfinger criticized for "spending an excessive amount of time" on Native American issues.

        Her comment caused bewilderment and anger among the former U.S. attorney's supporters in Minnesota. And Heffelfinger said it was "shameful" if the time he spent on the problems of Native Americans had landed him in trouble with his superiors in Washington.

        But newly obtained documents and interviews with government officials suggest that what displeased some of his superiors and GOP politicians was narrower and more politically charged - his actions on Indian voting.

        About three months after Heffelfinger's office raised the issue of tribal ID cards and nonreservation Indians in an October 2004 memo, his name appeared on a list of U.S. attorneys singled out for possible firing.

        "I have come to the conclusion that his expressed concern for Indian voting rights is at least part of the reason that Tom Heffelfinger was placed on the list to be fired," said Joseph D. Rich, former head of the voting section of the Justice Department's civil rights division. Rich, who retired in 2005 after 37 years as a career department lawyer - 24 of them in Republican administrations - was closely involved in the Minnesota ID issue. He played no role in drafting the termination lists, which were prepared by political appointees.

        Justice Department officials refused Tuesday to confirm whether particular U.S. attorneys may or may not have been on one of the termination lists prepared by D. Kyle Sampson, the former chief of staff to Gonzales. But Dean Boyd, a department spokesman, did say that "the Justice Department and the attorney general have been and remain committed to working on issues of importance to Native Americans."

        Boyd cited cases in which Justice Department lawyers have gone to court to uphold Indian voting rights.

        Suspicion of Indian voter fraud was strong among Republicans in the upper Midwest in advance of the 2004 election. The GOP blamed what it said was fraud on Indian reservations for the narrow victory of South Dakota Democratic Sen. Tim Johnson over Republican candidate John Thune in 2002.

        It was in this environment, Rich says, that he got an Oct. 19, 2004, e-mail from an assistant U.S. attorney in Minnesota named Rob Lewis, informing him about possible voter discrimination against Indians.

        Described as a matter of "deep concern" to Heffelfinger, the issue arose from Kiffmeyer's directive in the fall of 2004 that tribal ID cards could not be used for voter identification off reservations

        About 32,000 Indians live off-reservation in Minnesota, mostly in the Twin Cities.

        In the e-mail - which Rich described to The Times - Lewis wrote that Kiffmeyer's memo had sparked "concerns regarding possible disparate impact among the state's substantial Indian population."

        "Disparate impact" is a term used in civil rights litigation to describe a circumstantial case of discrimination.

        After reviewing the matter, Rich recommended opening an investigation.

        In response, he said, Bradley Schlozman, a political appointee in the department, told Rich "not to do anything without his approval" because of the "special sensitivity of this matter."

        Rich responded by suggesting that more information be gathered from voting officials in the Twin Cities area, which includes Minnesota's two most populous counties.

        A message came back from another Republican official in the department, Hans von Spakovsky, saying Rich should not contact the county officials but should instead deal only with the secretary of state's office.

        Von Spakovsky indicated, Rich said, that working with Kiffmeyer's office reduced the likelihood of a leak to the news media.

        The orders from Schlozman and Von Spakovsky, who wielded unusual power in the civil rights division, effectively ended any department inquiry, Rich said.

        "It was apparent to me that because of these extremely tight and unusual restrictions on the investigation that this matter had political implications," Rich said in an interview.

        Rich is now working for the Lawyers' Committee for Civil Rights Under Law, which was formed at the request of President Kennedy in 1963 to combat discrimination.

        Schlozman, who served briefly as U.S. attorney in Missouri and brought a voting fraud case shortly before election day last year, was not available for comment, Justice Department officials said. Von Spakovsky, now at the Federal Election Commission, said through a spokesman that he could not comment.

        Kiffmeyer also did not respond to requests for comment.

        With the Justice Department inquiry going nowhere, lawyers for the Indians asked the federal courts to intervene. A few days before the November 2004 election, federal District Judge James Rosenbaum ordered that tribal identification cards be accepted at the polls.

        After Heffelfinger resigned, the Justice Department replaced him with someone more attuned to the administration's views.

        On his way out, Heffelfinger recommended that Joan Humes, the No. 2 person in the office, be named interim U.S. attorney. But Humes was rejected by the Justice Department - in part, Goodling testified, because she was known to be a "liberal."

        The job went to a conservative Justice Department employee, Rachel Paulose. She had Ivy League credentials, brief experience as a prosecutor, and as a private lawyer had helped bring election lawsuits on behalf of the Minnesota GOP. She declined to comment for this article.

        One of Paulose's first acts in office was to remove Lewis, who had written the 2004 e-mails to Washington expressing concern about Native American voting rights in Minnesota, from overseeing voting rights cases.

        For his part, Heffelfinger said, he took Goodling at her word and believed that he was on the termination lists for his zeal in confronting problems facing Indian country. But Heffelfinger said he did not know whether voting rights in particular affected his standing with Washington.

        "I was just flagging an issue and giving an opinion," he said. "I think that's the kind of analysis a U.S. attorney is supposed to do."