Bryan Ralph T, Schaefer Rebecca McLaughlin, DeBruyn Lemyra, Stier Daniel D
Centers for Disease Control and Prevention, Albuquerque, NM, USA.
Am J Public Health. 2009 Apr;99(4):607-14. doi: 10.2105/AJPH.2008.146522. Epub 2009 Jan 15.
American Indian/Alaska Native tribal governments are sovereign entities with inherent authority to create laws and enact health regulations. Laws are an essential tool for ensuring effective public health responses to emerging threats. To analyze how tribal laws support public health practice in tribal communities, we reviewed tribal legal documentation available through online databases and talked with subject-matter experts in tribal public health law. Of the 70 tribal codes we found, 14 (20%) had no clearly identifiable public health provisions. The public health-related statutes within the remaining codes were rarely well integrated or comprehensive. Our findings provide an evidence base to help tribal leaders strengthen public health legal foundations in tribal communities.
美国印第安/阿拉斯加原住民部落政府是拥有制定法律和颁布卫生法规固有权力的主权实体。法律是确保对新出现的威胁做出有效公共卫生应对的重要工具。为了分析部落法律如何支持部落社区的公共卫生实践,我们查阅了通过在线数据库获取的部落法律文件,并与部落公共卫生法领域的专家进行了交谈。在我们找到的70部部落法典中,有14部(20%)没有明确可识别的公共卫生条款。其余法典中与公共卫生相关的法规很少得到很好的整合或全面。我们的研究结果提供了一个证据基础,以帮助部落领导人加强部落社区的公共卫生法律基础。