Lon Kightlinger, MSPH, Ph.D.

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Partnership for Good Health Aberdeen Area Tribal
Chairmens Health Board Consumer Conference
800-738-2301 605-773-3737

• Lon Kightlinger, MSPH, Ph.D.
• South Dakota Dept of Health 27 October 2005

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Races in South Dakota 2004 population estimate
770,883
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South Dakota population age distribution
lt1
2
1
6
3
8
9
5
8
14
White
American Indian
13
16
13
12
19
15
26
14
6
12
Percent of race groups population, 2000 census
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Some Problems

• All the same problems as any other place in South
  Dakota, magnified.
• Health disparities
• Geographic isolation of Reservations
• Off the Interstate, no commercial airports.
• Short-term physicians.
• Multiple jurisdictions for funding and authority.
• Poverty.
• Communication (all in English).

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Partnership Context

• Tribal jurisdiction and tribal sovereignty.
• Everyone living in South Dakota is a resident of
  South Dakota.
• All disease and health events are interrelated.
• Look for health disparities.
• SD Dept of Health serves all residents of SD.
• Reducing Health Disparities guiding principal
  of SD-DOH
• Normal, inclusive and seamless.
• Counties and Tribes
• NEW in 2004 Northern Plains Tribal Epidemiology
  Center.
• Handshake agreements not many formal MOUs.
• Cooperation, patience and forbearance.
• Tribal epi needs Top priority for SD-DOH.

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Leading causes of death, South Dakota
SEERStat Age-adjusted rate, 1998-2002
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Years of potential life lost before age 75 years
by race, SD and USA (Age-adjusted YPLL before
age 75 years per 100,000 population)
CDC. 2003 State Health Profiles
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Infant mortality disparity, South Dakota, median
1999 2003, (Infant deaths per 1000 live births)
9
Overweight school children by race, South Dakota,
2003-2004 school year
44
35
32
30
Overweight 95th percentile BMI-for-age and
gender At risk of overweight 85th -94th
percentile BMI-for-age and gender
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Infectious disease incidence by race, South
Dakota
2004 cases Presently living with
HIV/AIDS 2003 WNV neuroinvasive cases
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South Dakota current adult and high school smokers
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Partnerships between SD Dept of Health and Tribes

• Birth Registry
• Death Registry
• Cancer Registry
• Immunization Registry
• Women-Infants-Children (WIC)
• 32 American Indian children
• Adult Behavioral Risk Factor Surveillance Survey
  (BRFSS)

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Partnerships between SD Dept of Health and Tribes

• Bioterrorism preparedness.
• Reportable infectious diseases all reported to
  SD-DOH by passive surveillance
• Active surveillance visits to IHS hospitals.
• Disease control and prevention activities.
• HIV/AIDS Prevention.
• Tuberculosis control.
• Sexually transmitted infection prevention.
• Other infectious disease control

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Partnerships between SD Dept of Health and Tribes

• Youth Risk Behavioral Survey (YRBS) (DoE)
• Youth Tobacco Survey (YTS)
• School weight/height survey
• Healthy South Dakota
• Work group for nutrition and physical activity
• Tobacco Control
• Dental services (CareMobile)

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5 of clients Am Indian
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South Dakota adult white and Indian health and
nutrition
BRFSS 2003
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Credible health information and inspiration to
help South Dakotans Live Better and Grow
Stronger
Website
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Health Behaviors Affecting Weight

• Increase Fruits and Vegetables to 5 A Day
• Decrease Calories
• Increase Physical Activity
• Decrease TV viewing
• Increase Breastfeeding

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Partnerships between SD Dept of Health and Tribes

• Comprehensive Cancer Control
• Diabetes Strategic Planning Coalition
• All Women Count! (WISEWOMAN)
• 18 of women served are Native American.
• Mobile Mammography Van (starts 1 Dec 05)
• Enrollment and cost of services

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Dental CareMobile
Visits Eagle Butte, Marty, Takini, Porcupine and
Crow Creek
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Partnerships between SD Dept of Health and
Tribes in Pandemic Influenza preparedness
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Get your flu shot
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Wakpa Sica Reconciliation Place
Cardinal virtues woksape (wisdom), woohitika
(bravery), wowacintanka (fortitude),
wacantognaka (generosity). 
Lon Kightlinger, MSPH, Ph.D. State Epidemiologist
South Dakota Dept of Health 615 E. 4th Street,
Pierre, SD 57501 [phone] lon.kightlinger_at_sta
te.sd.us