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CTEC: Welcome

Our Tasks:

To generate epidemiological resources for American Indians in California

Improving Health Information
Improving Health Services
Improving Health Resources


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 - Click to Download


CTEC membership is defined by signed Data Sharing Agreements with Indian Health Programs.  The Data Sharing Agreement allows access to pertinent data to improve the available information available to our member Indian Health Programs.
 
 

For more detailed information please contact us:

California Tribal Epidemiology Center

4400 Auburn Blvd, 2nd Floor
Sacramento, CA 95842
Phone: (916) 929-9761
Fax: (916) 929-7246

Outreach 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

The California Tribal Epidemiology Center (CTEC) was established in 2005 to assist in collecting and interpreting health information for American Indian Alaska Natives in California. CTEC receives core funding from the Indian Health Services and operates on other grants and contracts to provide a full complement of staff. Our mission is to work directly with tribes and tribal health programs to monitor the health status of Indian people in California, and develop effective public health services that respect cultural values and traditions of our communities. 

 

Member Indian Health Programs

Central Valley Indian Health
Chapa-De Indian Health Program
Consolidated Tribal Health
Feather River Tribal Health
Greenville Rancheria Tribal Health
Indian Health Council, Inc
Karuk Tribal Health*
Lake County Tribal Health Consortium
MACT Health Board, Inc*
Mathiesen Memorial Clinic
Northern Valley Indian Health, Inc
Pit River Health Services Inc.*
Redding Rancheria Indian Health Service*
Riverside/San Bernardino County Indian Health, Inc
Round Valley Indian Health
Santa Ynez Tribal Health Program
Shingle Springs Tribal Health Program*
Sonoma County Indian Health*
Toyiabe Indian Health Project, Inc*
Tule River Indian Health *
United Indian Health Service, Inc*
Warner Mountain Indian Health Program*
 
The asterisk * indicates a CRIHB Member Program

CTEC: Advisory Council

Community Representatives        

Diane Holliday
Blue Lake Rancheria

Elizabeth Lara-O’Rourke
Yurok/Hupa/Chilula

Nelson Pinola, Chairperson
Manchester Point Arena Band of Pomo


Medical Provider Representatives 

Margeret Alspaugh, MD, PhD
Greenville Tribal Health Program

Linwood Killam, MHA
Riverside San Bernardino County Indian Health, Inc

Christine Romero, PHN
Southern Indian Health Council, Inc

Technical Representatives

Ellen Gold, PhD
University of California, Davis 

Gerry Oliva, MD, MPH
University of California, San Francisco

Diane Weiner, Phd
Boston University 

Non-voting, IHS designee, Christine Brennan, MPH


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


Community Health Profiles For Tribal Health Programs

 

Provides Facts and Figures on the health of American Indians for each Tribal Health Program in California

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 Bernardino Community Health Profile
- May 2010

MACT Health Profile - Available upon request 

CTEC, in collaboration with the California Department of Public Health (CDPH), Environmental Health Investigations Branch, California Breathing Asthma Program, implemented the comprehensive Tribal Asthma Survey Project (TASP).  This survey gathered information on asthma and housing conditions.  Participants were recruited from Indian events such as Pow-Wows, Big Times, health fairs, and community gatherings throughout California over a 7-month period, between October 2009 and May 2010. There were a total of 610 surveys collected from October 2009-May 2010.


Tribal Asthma Survey Project (TASP)

Tribal Asthma Survey Project (TASP) Summary Report 
Click to Download

Tribal Asthma Survey Project (TASP) Technical Report
Click to Download

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


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


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 Report: 2008-2010

Click to Download


 

CTEC Priorities Results: 2008-2010

 

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


CTEC Feedback Publication Form


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


For more detailed information please contact us:

California Tribal Epidemiology Center

4400 Auburn Blvd, 2nd Floor
Sacramento, CA 95841
Phone: (916) 929-9761
Fax: (916) 929-7246

Outreach 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

CTEC strives to develop 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 partnering 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.


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

Outreach 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.

 

  • The California Tribal Epidemiology Center (CTEC) has been seeking input from American Indian community members, as well as Indian Health Clinic staff, as to what the most important health concerns are in their respective communities. In a survey, people were asked to rank their top 10 health concerns from a list of 27 health topics. An ‘other’ option was provided for people to fill in if a concern was not listed. The California Tribal Epidemiology Center (CTEC) has been seeking input from American Indian community members, as well as Indian Health Clinic staff, as to what the most important health concerns are in their respective communities. In the Health Priorities Survey, people were asked to rank their top 10 health concerns from a list of 27 health topics. CTEC has collected 594 surveys as of August 2010, at consultations with CTEC-member tribal health programs, and at various California Indian conferences and gatherings.

 

 

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

 

 

 

 

  Richelle Harklerode, MPH, CHES, CPH
  Epidemiologist
  Email:
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  Phone: 916.929.9761 Ext #1603
  Project Contact:
         Community Health Profiles

         Indian Health Priorities Survey
         Tribal Infectious Disease Project
         Yurok Tribe Community Health Profile

 

 

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

       STD Surveillance Linkage

 

 

 

Virginia Myers
(Yurok/Karuk)
Outreach Program Coordinator
Email:
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Phone: 916.929.9761 Ext #1602
Project Contact:

      Tribal Epidemiology Center Consortium (TECC)
      Tribal Resolutions
      Data Sharing Agreements

 

 

 


 Lan Le
 CDC Public Health Associate
 Email:
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 Phone: 916.929.9761 Ext #1601
 Project Contact:

 

 

 

 

 

 

 



 

 

 

 

 
 

 

 

 
 

   
                                                  


 

 

 

 

 

 

 

 

 

 


 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

  
 

 

 
 

 

 

 

  • Partnerships/Donations+

     Become part of the advocacy movement that represents
    "healthcare for all American Indian/Alaska Natives". 
    The California Rural Indian Health Board offers
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    Current Partners with CRIHB 

    Partnership Categories

     

     

     

  • Call To Action+

    Want to get involved? Be sure to check out our "Call To Action" section and keep up to date on the important health issues affecting you and your family. You'll find important information on upcoming and ongoing legislative action, advocacy campaigns, and important Indian healthcare policy alerts. Read Federal Issues Updates or States Issues Updates.

  • Breaking News+


    America Reaffirms Health Care for Indian Country
    National Indian Health Board

    Washington, DC – The United States’ 564 federally‐recognized tribes claim victory with today’s
    historic passage of the Patient Protection and Affordable Care Act. The House passed the Senate’s
    health care reform bill by a vote of 219 to 212 which includes the reauthorization of the Indian Health
    Care Improvement Act (IHCIA), placing in effect health care legislation that American Indians and
    Alaska Natives have been requesting from Congress for the past ten years.
    Read More.....



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    Full Members: $15 per book
    Associate Members: $20 per book

    Non Members: $30 per book
    If you would like to order a copy, please send an email to nita.patel@crihb.net

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