http://www.cherokeephoenix.orgCherokee Nation citizen Stacie Guthrie receives a flu shot from licensed practical nurse Sharon Morton at the Gadugi Health Clinic in Tahlequah, Okla. JAMI CUSTER/CHEROKE PHOENIX
Cherokee Nation citizen Stacie Guthrie receives a flu shot from licensed practical nurse Sharon Morton at the Gadugi Health Clinic in Tahlequah, Okla. JAMI CUSTER/CHEROKE PHOENIX

Influenza hits CN but vaccines still available

Nationwide, during the week that ended on Jan. 12, 4.6 percent of patient visits reported to the U.S. Outpatient Influenza-like Illness Surveillance Network were due to influenza-like illness. This percentage is above the national baseline of 2.2 percent. CENTERS FOR DISEASE CONTROL By Jan. 12, the Centers for Disease Control reported that the flu had reached 48 states and influenza activity remained elevated in the United States. CENTERS FOR DISEASE CONTROL To help fight against influenza and inform people about the virus, Dr. Jorge Mera, of Cherokee Nation Health Services, provides a presentation on Jan. 18 in Tahlequah, Okla. TESINA JACKSON/CHEROKEE PHOENIX
Nationwide, during the week that ended on Jan. 12, 4.6 percent of patient visits reported to the U.S. Outpatient Influenza-like Illness Surveillance Network were due to influenza-like illness. This percentage is above the national baseline of 2.2 percent. CENTERS FOR DISEASE CONTROL
BY TESINA JACKSON
Former Reporter
02/01/2013 08:01 AM
TAHLEQUAH, Okla. – With more than 230 people testing positive for influenza within the Cherokee Nation, officials say tribal health clinics have vaccines available and urge people to get one.

Flu is a contagious respiratory illness caused by viruses. It causes mild to severe illness, and at times, leads to death. Some people, such as older people, young children and people with certain health conditions, are higher risks for flu complications.

“The flu is a virus and viruses are very, very smart you might say,” Dr. Roger Montgomery, CN medical director, said. “They change themselves every year and try to morph themselves so they can have a better success of causing illness. And there are also different strains out there, and so the CDC tries to come up with an idea of what strains of virus will cause illness each year and the vaccine has three different kinds of strains of virus in it.”

According to the Centers for Disease Control, this flu season has produced a high outbreak with more than 3,600 people hospitalized since October, most of them older than 65, and at least 20 children’s deaths.

By Jan. 12, the CDC reported the flu had reached 48 states and activity remained elevated. On average, 5 percent to 20 percent of the population gets influenza. This season, it’s hit more than 30 percent.

According to the Oklahoma State Department of Health, flu season began on Sept. 30. Since then there have been more than 500 related hospitalizations and eight related deaths in the state.

There are three types of flu viruses: A, B and C. Types A and B cause the epidemics that have up to 20 percent of the population sniffling, aching, coughing and running fevers. Type C also causes flu, but its symptoms are less severe.

The Type A virus constantly changes and is spread by infected people. Type B flu may cause a less severe reaction, but occasionally it can still be harmful. Type C viruses are milder than type A and B. People generally do not become extremely ill from them and they do not cause epidemics.

The flu usually starts suddenly and may include fever or feeling feverish/chills, cough, sore throat, runny or stuffy nose, muscle or body aches, headaches, fatigue and tiredness. Some people have vomiting and diarrhea, though it’s more common in children.

Some complications caused by flu are pneumonia, dehydration and worsening of chronic medical conditions such as heart or lung disease, asthma or diabetes. Children may get sinus problems or ear infections.

“The deaths that you see reported are not really from the virus itself. They’re from the super-imposed illness that occurs after they’ve had influenza that causes them to develop respiratory failure and pneumonia,” Montgomery said.

The flu spreads by droplets released by coughing and sneezing. Occasionally touching something with a virus on it and then touching the mouth or nose may cause infection. People with the flu can spread it to others up to about six feet away.

“That’s why we emphasize if you’re out there going to work, going to public places, touching objects that other people touch don’t take your hand and rub your nose without first washing your hands thoroughly and wash them frequently,” Montgomery said.

People with flu are contagious and can infect others beginning one day before getting symptoms. Adults remain contagious up to seven days after getting sick, and children can remain contagious even longer.

“If you came in contact with the person who had the flu, you’ve contracted the virus,” Dr. Sohail Khan, of CN Health Services, said. “Within two days you will start to develop symptoms, and the important thing to remember is that you can be infectious for the next five to seven days.”

The best way to prevent the flu is vaccination. The vaccination rate for the American Indian/Alaskan Native population is 29 percent, according to Indian Health Services.

“I think as a group, because the prevalent of diabetes is so great, that it’s just recommended broadly that all Native Americans be vaccinated,” Montgomery said.

According to WebMD, the vaccine is highly effective for preventing the flu, though not 100 percent. People can get the flu despite getting vaccinated, although it’s usually less severe and resolves quicker. According to the CDC, vaccines given this year appear to be about 62 percent effective overall. Of people who got the flu, 32 percent were vaccinated.

“It can either completely eliminate you from having any symptoms at all or it can, the word we use is, attenuate,” Montgomery said. “It can lessen the severity of the duration of symptoms that you have.”

There are two types of vaccines: the shot and nasal spray. The shot is contains a dead virus that’s given with a needle. The shot given in the muscle is for people older than 6 months, including healthy people and people with chronic medical conditions. The shot given below the skin is for 18- to 64-year-olds.

The nasal spray vaccine contains live, weakened viruses. It’s for healthy people ages 2 to 49 who are not pregnant. Neither vaccine causes the flu.

It takes about two weeks for antibodies to develop that protect against infection for the entire year. Flu vaccines will not protect against illnesses caused by other viruses such as the common cold.

If positive for flu, there are antiviral drugs that can be used to treat the illness.

“The main one that most people have heard about is called Tamiflu,” Montgomery said. “It’s most effective if you start it within 48 hours of the onset of your symptoms.”

Annual vaccination is recommended for everyone regardless of past vaccination status or flu infection. Vaccination should begin in September or as soon as the vaccine is available and continue throughout the flu season, which can last as late as May.

To view a CN Health Services flu presentation, visit http://legislative.cherokee.org/StreamingEvents.aspx
and click on influenza presentation.

tesina-jackson@cherokee.org


918-453-5000, ext. 6139

Health

BY LINDSEY BARK
Reporter
04/20/2018 08:30 AM
TAHLEQUAH – Northeastern State University’s Oklahoma College of Optometry goes back 39 years in its relationship with the Cherokee Nation and in providing Cherokees eye care. NSUOCO works with nine CN clinics, also known as Rural Eye Programs, in Tahlequah, Sallisaw, Stilwell, Jay, Salina, Vinita, Nowata, Muskogee and Ochelata and services 40,000 to 60,000 patients annually. Its first graduating class was in 1983 and has since averaged 28 graduates annually from its four-year doctorate program. The NSU campus clinic contains 20 exam rooms and specialty clinics for dry eye, contact lenses, low vision, vision therapy and infant vision clinic. If a REP is unable to provide a type of eye care, patients are sent to the NSU clinic for further evaluation and treatment. Nate Lighthizer, NSUOCO Continuing Medical Education director and doctor of optometry, said the college has seen patients from 2 months old to 102 years old. “We all have different vision needs. That’s one of the beauties of having a college is we have 35 faculty members that are either here, in (W.W.) Hastings (Hospital) or in the REPs, and a lot them have different interests. We have doctors that specialize in infant vision and vision therapy. They’re the expert in the 6-month-old and the 2-, 3-, 4-, 5-year-old. Other doctors, they’re the expert in the 80-year-olds,” Lighthizer said. He said students begin in “didactically heavy” classes, building foundations and learning about systemic diseases, eye diseases, procedures when giving primary care, looking at the eye with microscopes and other program aspects. He said students begin seeing patients at the end of the second year and into the third year. CN citizen and fourth-year student Seth Rich said he applied for the NSU program because of the experience it would give him treating patients by the time he graduates. “I’m from this area, so I wanted to serve basically in the population that I grew up in. Here at NSU we see more patients compared to any other optometry school by the time we graduate. We have more patient interactions that any other optometry school is going to have and more clinical experience because we start seeing patients a year early than most other schools,” he said. Rich said he also has experience using the REPs and seeing the eye care needs among Cherokees. “We deal with a lot of diabetic patients here at Cherokee Nation, and that has a really large effect on the eyes. Being able to be in this area and serve a population that has a huge need for us is a big deal because I personally have a lot of family ties to this area want to be in a community where I feel like I’m going to be contributing and giving back and helping the overall health of the population with health and exams,” he said. Rich said the program prepares students to “go out into the real world” and treat patients of any need. “I feel very confident going out into the population and serving basically anybody that walks in the door.” CN citizen Tara Comingdeer Fields, who is in her first year at NSUOCO, said she chose the program because of her area ties. “It’s not specifically just Cherokee Indians that I want to serve, but overall Native Americans. My background is I grew up in a traditional family, so the medicines and traditions that we did just kind of stuck with me, and now I want to help people.” Comingdeer Fields and Rich are recipients of Indian Health Services scholarships for optometry and will work under an IHS contract upon graduation. Lighthizer said CN citizens make up between 10 to 15 percent of the NSUOCO’s students and that it’s usually rewarding for a Cherokee to grow up using CN eye care services and then go through the program and become a provider. “It’s just a very mutually beneficial relationship between Cherokee Nation to be able to have all of these patients seen and then obviously for the education for students to be able to see patients and hone their skills.”
BY STAFF REPORTS
04/19/2018 04:00 PM
SANTA ANA PUEBLO, N.M. – The Notah Begay III (NB3) Foundation, with a grant from the Comcast Foundation and in partnership with Cultivating Coders, is accepting applications for a national competition for Native youth to design a mobile app focusing on improving the health and nutrition of Native youth – designed by Native youth. The competition is open to individuals or teams of Native youth, ages 13-18, experienced in coding, design and digital media and/or mobile technology. Participants must submit a completed application with supporting documents that includes a four-page outline and video of the app. Contest applications will be accepted until July 1. Learn about the contest criteria, eligibility and application process at: <a href="http://www.nb3foundation.org/healthy-kids-healthy-futures-app-contest/" target="_blank">http://www.nb3foundation.org/healthy-kids-healthy-futures-app-contest/</a>. “The NB3 Foundation recognizes that more and more Native youth are using their mobile devices and APPs to track their physical activity, nutrition and even water intake. This competition is an integral step for the Foundation in the direction of connecting youth with technology to build healthier lifestyles,” NB3 Foundation President and CEO Justin Kii Huenemann, said. The contest’s intent is to engage and challenge creative and tech-savvy Native youth from across Indian Country to think creatively, culturally and digitally about their diet, nutrition, exercise and fitness; and turn that knowledge into a solution or problem-solving mobile app that may be used by the NB3 Foundation. A panel of NB3 Foundation staff and experts will choose a first-, second- and third-place winners. The first-place winner will proceed to work with Cultivating Coders, a software company and social enterprise focused on priming the next generation of coders to develop, design and implement their own solutions to address their local challenges, to further develop the app into a minimum viable product. For more information or questions about the application process, email Simone Duran, NB3 Foundation program assistant, at <a href="mailto: simone@nb3f.org">simone@nb3f.org</a> or call 505-867-0775, ext. 104.
BY STAFF REPORTS
04/17/2018 08:00 AM
VINITA – The Cherokee Nation’s Behavioral Health is using federal grants to train law enforcement, youth workers and health officials to better handle mental illness. Behavioral Health special projects officer Tonya Boone, a certified instructor, has led eight classes, including her most recent adult mental health first-aid class at the CN Vinita Health Center. “I was certified in August of 2017 and have since certified around 150 individuals,” Boone said. More than 20 people from CN Health Services and surrounding health care agencies were involved in the most recent training in Vinita. During the eight-hour course, participants memorized a five-step action plan and were taught how to identify mental health risk factors, offer support and be effective communicators. Only about 5,000 instructors nationwide are certified to teach mental health first aid, including six from the CN. Behavioral Health Clinic Administrator Joni Lyon said for her team of certified instructors it is about more than training. It’s about making a difference in the lives of those who may be suffering from a mental illness or substance abuse. “We are invested in providing education and information for our communities regarding mental health and substance abuse,” Lyon said. “Our department acknowledges that Cherokee Nation is not exempt from these types of issues and wants to ensure our communities are provided with appropriate information and education to assist persons seeking services in their community.” All five courses, funded through a Substance Abuse and Mental Health Service Administration grant and the Indian Health Service, teach specific risk factors and warning signs of mental illness and how they relate to an emergency situation. Instructors can be certified in any of the courses and certifications must be renewed every three years. So far in 2018, the tribe has certified more than 100 participants in mental health first aid and was expected to offer four classes relating to youth at the Jack Brown Youth Treatment Center in Tahlequah in April. Behavioral Health offers various services to all federally recognized tribal citizens, including specialized services for women, individual and group therapy for mental health and substance abuse, relapse prevention, children and family treatment and parenting classes. In addition to counseling, the department handles psychological testing for children and adults. For CN citizens living within the tribe’s jurisdictional boundaries, referral services for substance abuse and psychiatric stabilization are also available. For more information on mental health first-aid training, visit <a href="http://www.mentalhealthfirstaid.com" target="_blank">www.mentalhealthfirstaid.com</a>.
BY TRAVIS SNELL
Assistant Editor – @cp_tsnell
04/11/2018 02:30 PM
TAHLEQUAH – According to a Cherokee Nation email, Dr. Charles Grim has been promoted from interim executive director of the tribe’s Health Services to executive director. “I am proud to announce that Dr. Charles Grim will assume the permanent duties as Cherokee Nation’s executive director of Cherokee Nation Health Services,” Principal Chief Bill John Baker stated in the April 9 email. “Without a doubt, Dr. Grim’s experience, leadership and expertise have paved the way for continued growth to better meet the diverse health care needs of the Cherokee Nation.” Grim had been serving as the interim executive director since November after former Executive Director Connie Davis resigned to spend more time with her family. Davis had served in that role since 2012. According to the email, Grim takes control of the largest health care system in Indian Country that services 14 counties in northeast Oklahoma and more than 1.2 million patient visits annually to eight health centers and the W.W. Hastings Hospital. “I feel very honored to be appointed this role and for the opportunity to continue to lead a team that I have held close to my heart for a number of years,” Grim said. “As both an employee and a Cherokee Nation citizen, I appreciate Chief Baker and his vision for the future of the tribe’s health care system and I look forward to what we will all accomplish together for the health of our Cherokee Nation citizens.” Grim, a CN citizen, is a retired assistant Surgeon General and rear admiral in the Commissioned Corps of the U.S. Public Health Services. During his career, Grim has received a Lifetime Achievement Award from the Oklahoma Area Indian Health Service, Health Leader of the Year from Commissioned Officers Association of U.S. Public Health Service, Community Leadership Award from the CN, as well as multiple U.S. Public Health Service medals and citations, including the U.S. Surgeon General’s Exemplary Service Medallion. Since 2013, Grim has served as Health Services deputy director, in which he was second in command of Hastings Hospital, the health centers, Emergency Medical Services, finance and billing services, facilities management, the Jack Brown Youth Regional Treatment Center and a host of public health and community health services and programs. Prior to that, Grim served as Health Services senior director of for more than three years. Preceding his CN employment, Grim spent 26 years working for IHS in clinical, administrative and executive leadership positions. In 2002, President George W. Bush appointed him as director of IHS with a unanimous Senate confirmation. During that time he administered a nationwide multi-billion dollar health care delivery program, with 12 administrative regional offices and over 16,000 employees. He graduated from the University of Oklahoma College of Dentistry and received a master’s degree in public health at the University of Michigan. Grim is expected to oversee Health Services when it opens the 469,000-square-foot Hastings Hospital expansion next year, which will be the largest IHS health center constructed. “Better health care has been the primary objective for my administration since taking office. We have vastly expanded our provider system to serve more communities and tribal citizens than ever before,” Baker stated. “We continue to improve health care by providing more and better services. As an administrator, Dr. Grim is uniquely qualified to ensure we provide the best health care possible in order to create healthier and more productive families.”
BY STAFF REPORTS
04/07/2018 12:00 PM
OKLAHOMA CITY – Oklahoma City Indian Clinic commemorated “Diabetes Alert Day” on March 27 to promote the seriousness of diabetes, particularly when it is left undiagnosed or untreated. One-in-three American adults are at risk for developing Type 2 diabetes, a serious disease that can lead to complications like kidney failure, heart disease, stroke, blindness and amputations. Type 2 diabetes doesn’t have to be permanent. It can be prevented or delayed with healthy lifestyle modifications. The first step is learning about the disease’s risks. “Early detection and treatment of diabetes decreases the risk of developing complications of diabetes," said Robyn Sunday-Allen, CEO of OKCIC. A simple and quick 60-second test located on the American Diabetes Association website can help a person determine if he or she is at risk for developing Type 2 diabetes. American Indian and Alaska Native adults are 2.3 times more likely to be diagnosed with diabetes compared with non-Hispanic whites. Because of this diabetes epidemic, OKCIC has a specific program titled “Special Diabetes Program for Indians,” to provide Native Americans with diabetes treatment and prevention services. Through this grant-funded program OKCIC is able to educate, diagnose and assist patients with their diabetes management through lifestyle changes and intervention. Common signs of diabetes and symptoms include: urinating more than usual, feeling very thirsty, feeling hungry even after eating, feeling tired, having blurred vision, having frequent infections or slow-healing cuts and sores and having tingling, pain or numbness in the hands or feet. Oklahoma City Indian Clinic was established in 1974 to provide excellent health care and wellness services to American Indians in central Oklahoma. The clinic staff cares for more than 18,000 patients from more than 200 federally recognized tribes every year. American Indians can receive a range of services, including medical, dental, pediatrics, prenatal, pharmacy, optometry, physical fitness, nutrition, family programs and behavioral health services. For more information, call 405-948-4900 or visit <a href="http://www.okcic.com" target="_blank">www.okcic.com</a>.
BY STACIE BOSTON
Reporter – @cp_sguthrie
04/04/2018 04:30 PM
SALINA – After passing the 1-year-old mark, children’s environments play a bigger role in eating patterns as diets alter. Tonya Swim, Cherokee Nation clinical dietitian, said as children reach “school age” well-rounded meals are important for muscle and brain growth. <strong>1 to 5 years</strong> Swim said children between 1 and 2 years old eat because of hunger, and at this time their palates change. Around the 2-year-old mark, Swim said children’s appetites “slow down.” “Parents may be concerned at that age that their child’s not eating, but that’s just a normal part of the life stage at that point,” she said. Swim said when children hit the 3- to 4-year-old mark their environments becomes “bigger” influences on their eating patterns. “The only difference is around age 3 or 4 is whenever the environment that the child is in starts to become a bigger influence on their eating patterns rather than that hunger cue,” she said. “That’s where setting a good example for children around that age (is important) because they’re going to want to eat what we eat.” <strong>5 to 8 years</strong> In this age group, which Swim said is “school age,” the focus is ensuring children eat nutritious snacks as their calories increase. “They’re going to need a little more calories than the 1- to 5-year-olds, and then the calories kind of bump up again at the next range.” Swim said breakfast is important for children’s diets as it helps their bodies and brains gain energy to “focus.” “Breakfast is one of the most important meals of the day for school-aged children. That’s what gives their body and their brain the energy to focus. So we want to encourage a nutritious breakfast for school-aged kids,” she said. “That’s going to be a whole grain. It’s going to be a lean protein, an egg, breakfast ham. Those are some lean proteins that we would like to encourage them to have.” She said it’s important to also have well-rounded meals and snacks. “It’s making sure that those whole grains are at every meal. It’s making sure that they have a variety of fruits and vegetables at meals and snacks, the low-fat dairy so that they get their calcium, their potassium, magnesium. An 8-ounce serving of low fat milk at meals is good. String cheese, yogurt parfaits, those can be good snack ideas,” she said. <strong>Extra tips</strong> Don’t use food for praise or punishment, and establish set meal and snack times. “We don’t want to use food for praise or punishment because that can start to develop a negative relationship with food,” Swim said. “Establishing set times for meals and snacks can be very important. Especially family meal times, that’s really important for helping to develop social skills.’ Children may start to develop “picky” eating habits. Introduce new foods in small portions at the beginning of meals. “Don’t give up just because the kid says, ‘I don’t like it.’ We don’t want to give up. We want to keep trying every few days or every week. Try not to bribe them with other foods,” Swim said. “Then again being that good example, tasting the new food yourself.” Physical activity is also important at these ages, she said. “We need to balance the calories that are going in our bodies with the calories that we expend through exercise to help maintain a healthy weight.” Swim said if parents or guardians have concerns they should contact their pediatricians.