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CTEC: Welcome

Our Mission:

"To improve American Indian health in California to the highest level by engaging American Indian communities in collecting and interpreting health information to establish health priorities, monitor health status, and develop effective public health services that respect cultural values and traditions of the communities."

CTEC Brochure - Click to Download
CTEC Newsletters


Our Tasks:

To generate epidemiological resources for American Indians in California

Improving Health Information
Improving Health Services
Improving Health Resources


 

 
 

For more detailed information please contact us:

California Tribal EpiCenter

4400 Auburn Blvd, 2nd Floor
Sacramento, CA 95842

Phone: (916) 929-9761
Fax: (916) 929-7246

Epidemiology Program Coordinator: Virginia Myers

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Phone: (916) 929-9761 Ext #1602

 

 


CTEC: About Us

CTEC is a collaboration of tribal health organizations and the tribes that joined together to operate those organizations to address the need for epidemiological services for Indians in California.

In the fall of 2005 CTEC began with three founding partner organizations representing 51 tribes. By the end of 2006, CTEC had 21 member tribal health organizations representing 85 tribes through the Health Data Sharing Agreements they signed.

Founding Partners


Member Tribal Programs & Date Last Agreement Signed

Central Valley Indian Health Services
10/01/2007
Consolidated Tribal Health Board
11/21/2005
Feather River Tribal Health*
11/23/2005
Greenville Rancheria Tribal Health
10/10/2007
Indian Health Council, Inc
12/05/2007
Karuk Tribal Health*
10/11/2007
Lake County Tribal Health Consortium
10/16/2007
MACT*
12/6/2005
Modoc Indian Health Project
8/21/2006
Northern Valley Indian Health, Inc
09/26/2007
Pit River Health Services Inc.*
1/3/2006
Redding Rancheria Indian Health*
11/19/2007
Riverside/San Bernardino County Indian Health
11/29/2007
Round Valley Indian Health Center
11/08/2007
Santa Ynez Tribal Health Program
11/29/2007
Shingle Springs Tribal Health*
3/15/2006
Sonoma County Indian Health*
12/14/2007
Toyiabe Indian Health Program*
12/18/2007
Tule River Indian Health Center, Inc.*
11/09/2007
United Indian Health Services*
10/02/2007
Warner Mountain Indian Health*
12/14/2007
 
 
The asterisk * indicates a CRIHB Member Program
 

For more detailed information please contact us:

California Tribal EpiCenter

4400 Auburn Blvd, 2nd Floor
Sacramento, CA 95842

Phone: (916) 929-9761
Fax: (916) 929-7246


 

 

 

CTEC: Improving Health Information

Indian Health Services (IHS) data bases and California state health data bases both underestimate the deaths and hospitalizations of American Indians in California for different reasons. By linking IHS and state health data bases to each other, the CTEC has been able to correct the underestimations of health needs for American Indians who use Tribal Health Programs

Report Series: American Indian Community Health Profiles

California Community Health Profile September 2009

Provides Facts and Figures on the health of American Indians in California

Click to Download






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Community Health Profiles For Tribal Health Programs
Provides Facts and Figures on the health of American Indians in California




CTEC Feedback Publication Form

 

Central Valley Community Health Profile - April 2010
Round Valley Community Health Profile - Dec 2009
Feather River Community Health Profile - March 2010
Sonoma County Indian Health Project Profile - Nov 2009
Indian Health Council Community Profile - May 2010 Redding Community Health Profile - Feb 2010
Greenville Community Health Profile - March 2010 Santa Ynez Community Health Profile - May 2010
Karuk Tribal Health Program Profile - Nov 2009
Shingle Springs Community Health Profile - May 2010
Lake County Tribal Health Clinic Profile - Nov 2009 Toiyabe Community Health Profile - May 2010
Northern Valley Indian Health Profile - Dec 2009
Tule River Community Health Profile - March 2010
Pit River Community Health Profile - March 2010
United Indian Health Services Profile - Oct 2009
Redding Community Health Profile - Feb 2010 Warner Mountain Community Health Profile - Feb 2010
Riverside-San Bernadino Community Health Profile - May 2010
 

  _________________________________________________________

Report Series: American Indian Health in California

Disparities in Deaths for American Indian and Alaska Natives Who Use Tribal Health Programs

The leadings causes of deaths:

  1. Diseases of the heart
2. Cancers
3. Unintentional Injuries
4. Diabetes

Click to Download




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Disparities in Hospitalizations for American Indian and Alaska Natives Who Use Tribal Health Programs

Little is known about the health status of American Indians and Alaska Natives in California. In this report we found that 60% of their hospitalization were misclassified in other race categories. After correcting for misclassification through a linkage study we are able to produce more reliable information.

Click to Download



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Disparities in Serious Morbidity of American Indian and Alaska Natives Who Use Tribal Health Programs

The purpose of this report is to use state health hospitalizaton data that has been corrected for misclassification of AIAN in order to determine the extent of disparities in health status for certain chronic disease, behavior and injury-caused morbidity serious enough to warrant a hospital admission.

Click to Download


 

Fact Sheet Series: American Indian Health in California

CTEC Priorities Results - October 2009

Provides results from the Indian Health Priorities Survey. CTEC will focus on the health issues of highest concern in our communities for the coming years.

Click to Download

_______________________________________

CTEC Priorities Behavioral Results - October 2009

Provides results from the Indian Health Priorities Survey on Behavioral Health in our communities.

Click to Download
_______________________________________

CTEC Priorities Chronic Diseases Results - October 2009

Provides results from the Indian Health Priorities Survey on the issue of Chronic Diseases in Indian Country.

Click to Download
_______________________________________

CTEC Priorities Injuries Results - October 2009

Provides results from the Indian Health Priorities Survey on the topic of Injuries in our communities.

Click to Download
_______________________________________
 CTEC Priorities Access Results - October 2009

Provides results from the Indian Health Priorities Survey on Access to Healthcare in Indian Country.

Click to Download
_______________________________________

How can the most important health issues facing American Indians be identified?

The aim of this fact sheet is to update tribal communities of American Indians living in California with reliable information on what are the leading causes of deaths.

Click to Download
_______________________________________

The Health Needs of American Indians in California

AIAN go to the hospital more than whites for Chronic Diseases:

Diabetes - 3.23 times higher rate
Asthma - 1.85 times higher rate
Cerebrovascular Disease - 1.19 times higher rate
Heart Disease - 1.15 times higher rate

Click to Download
_______________________________________

Issue Brief Series (To be released at a later date)


For more detailed information please contact us:

California Tribal EpiCenter

4400 Auburn Blvd, 2nd Floor
Sacramento, CA 95842

Phone: (916) 929-9761
Fax: (916) 929-7246

Epidemiology Program Coordinator: Virginia Myers

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Phone: (916) 929-9761 Ext #1602

 

 


CTEC: Improving Health Services

Developing effective public health services that respect cultural values and traditions of the communities.

 
  • Establishing health priorities with communities
  • Monitoring health status with good information
  • Investigating health problems and health hazards
  • Conducting evaluations and research on health programs and policies
  • Assessing Health Promotion and Disease Prevention

Assessing Health Promotion and Disease Prevention

 




CTEC conducted a needs assessment and capacities survey with all the tribal health programs of their needs and capacities for improving health promotion and disease prevention to develop partnerships for future projects.

Click to Download Report PDF


Prevention of Unintentional Injuries

 


High death rates from injuries and poisonings have led to work with Northwest and Southwest Tribal EpiCenters to develop tool-kits with Tribal Health Programs that build on cultural traditions of the communities to enhance injury prevention efforts.


Treatment for Diseases of the Heart

 


High death rates from heart disease have led to a study with the University of California San Francisco, of whether American Indians who use Tribal Health Programs in California have adequate access to life-saving cardiac procedures.


Treatment for Cancer

 


High death rates from cancer have led to a study with Northwest Tribal EpiCenter and the Fred Hutchinson Cancer Research Center, on cancer care and outcomes of American Indians in California, Oregon and Washington to determine whether cultural traditions of the communities play a role in treatment effectiveness.


For more detailed information please contact us:

California Tribal EpiCenter

4400 Auburn Blvd, 2nd Floor
Sacramento, CA 95842

Phone: (916) 929-9761
Fax: (916) 929-7246

Epidemiology Program Coordinator: Virginia Myers

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Phone: (916) 929-9761 Ext # 1602

 

CTEC: Improving Health Resources

Tool Kits

What health promotion and disease prevention tools work with Indian communities in California?

CTEC is building capacity to produce and share culturally adapted Tool Kits for use by California Tribal Health Programs and their communities.


Data Systems

What are the greatest health needs of the Indian communities of California and are they changing over time?

CTEC has developed the capacity to collect and analyze existing health data bases to determine the health and health status of AIAN in Indian communities in California by developing a collaborative with the California Area Office of the Indian Health Service, the California Center for Health Statistics, and the University of California San Francisco, Institute for Health Policy Studies.


Surveys

What do Indian communities in California want and need in terms of health promotion, disease prevention and health emergency preparedness?

CTEC is building capacity to design and conduct both in-person interview and other types of surveys with Indian communities in California.
  • Survey of Health Promotion and Disease Prevention Strengths and Needs of Tribal Health Programs. In 2007 CTEC conducted a survey of all Tribal Health Programs in California to better understand the efforts they were already making in health promotion and disease prevention and could offer expertise to CTEC, as well as the areas in which they could develop new efforts in collaboration with CTEC. Funded by the Centers for Disease Control and Prevention, this survey was done in collaboration with Northwest Tribal EpiCenter and the Southwest Plains Inter-Tribal EpiCenter.
  • Survey of Adult AIAN in California for their tobacco use and cessation efforts. CTEC generated the population information needed for the California Native Tobacco Survey sample designed by epidemiologist Deborah Morton PhD of the University of California San Diego.

Evaluation

CTEC is building the capacity to design and conduct evaluations of the effectiveness of health promotion, disease prevention and health emergency preparedness.

  • Evaluation of the Tobacco Education and Prevention Technical Support (TEPTS) project of the Family and Community Health Department funded by the Centers for Disease Control and Prevention is being redesigned and conducted by CTEC.
 

CTEC: Contact Us

California Tribal EpiCenter

4400 Auburn Blvd, 2nd Floor 

Sacramento, CA 95842 

Phone: (916) 929-9761 

Fax: (916) 929-7246

 

Click Here for Map & Directions




 










     California Tribal Epidemiology Department

Kristal Chichlowska, PhD, MPH
(Colville/Spokane)
CTEC Director
Email:
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Phone: 916.929.9761 Ext #1600

   

Rebecca Garrow, MPH
Research Associate
Email:
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Phone: 916.929.9761 Ext #1901
Project Contact: Tribal Asthma Survey Project (TASP)



Richelle Harklerode, MPH, CHES, CPH
Associate Epidemiologist
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Phone: 916.929.9761 Ext #1603
Project Contact:
       Community Health Profiles

      
Indian Health Priorities Survey
Thomas Kim, MD, MPH
Medical Epidemiologist
Email:
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Phone: 916.929.9761 Ext #1012
Project Contact:
       Immunization Data Exchange
       Influenza Preparedness and Response Support
       AIAN Influenza Hospitalizations and Mortality  
 

Virginia Myers, BA
(Yurok/Karuk)
Epidemiology Program Coordinator
Email:
This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Phone: 916.929.9761 Ext #1602
Project Contact: Tribal Epidemiology Center    
                                     Consortium (TECC)



 

 

 

 

 
 

 

 

 
 

   
                                                  


 

 

 

 

 

 

 

 

 

 


 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

  
 

 

 
 

 

 

 

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    health care reform bill by a vote of 219 to 212 which includes the reauthorization of the Indian Health
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