Lucas-Pipkorn Samantha, Tuomi Ashley
Great Lakes Inter-Tribal Epidemiology Center, Great Lakes Inter-Tribal Council, Minneapolis, Minnesota (Ms Lucas-Pipkorn); and American Indian Health and Family Services of Southeastern MI, Detroit, Michigan (Dr Tuomi).
J Public Health Manag Pract. 2017 Sep/Oct;23 Suppl 5 Supplement, Environmental Public Health Tracking:S28-S31. doi: 10.1097/PHH.0000000000000597.
National and state surveillance systems identify American Indians/Alaska Natives inconsistently and often inaccurately within their data sets. Consequently, communities may not be represented with data at the level of geography needed. Collecting and presenting environmental and health-related data to the public are done by state Tracking Networks. Great Lakes Inter-Tribal Epidemiology Center (GLITEC) conducted a groundbreaking 2014 Tribal Environmental Health Tracking pilot project that engaged tribes, an urban Indian community, 3 state health departments, a Tribal Epidemiology Center (TEC), and a federal agency. Two other TECs-the Albuquerque Area Southwest Tribal Epidemiology Center (AASTEC) and Northwest Tribal Epidemiology Center (NW EpiCenter)-are now modeling GLITEC's project. They will forge active partnerships with at least one tribe and build relationships with state Tracking programs, explore environmental priorities, identify health outcomes of greatest concern for each community, and determine whether environmental or health inquiries can be addressed through state Tracking data. The Tribal Environmental Health Tracking pilot project provides an example of how state public health Tracking programs can be responsive to data inequities, build relationships between tribes/urban Indian communities, and increase their competency for working with indigenous communities.
国家和州的监测系统在其数据集中对美国印第安人/阿拉斯加原住民的识别不一致，而且常常不准确。因此，在所需的地理层面上，社区可能无法通过数据得到体现。向公众收集和展示环境及健康相关数据由州追踪网络负责。大湖部落间流行病学中心（GLITEC）在2014年开展了一个开创性的部落环境卫生追踪试点项目，该项目涉及部落、一个城市印第安社区、3个州卫生部门、一个部落流行病学中心（TEC）以及一个联邦机构。另外两个部落流行病学中心——阿尔伯克基地区西南部落流行病学中心（AASTEC）和西北部落流行病学中心（NW EpiCenter）——现在正在模仿GLITEC的项目。它们将与至少一个部落建立积极的伙伴关系，并与州追踪项目建立联系，探索环境优先事项，确定每个社区最关注的健康结果，并判断环境或健康问题能否通过州追踪数据得到解决。部落环境卫生追踪试点项目提供了一个范例，展示了州公共卫生追踪项目如何应对数据不平等问题，在部落/城市印第安社区之间建立关系，并提高其与原住民社区合作的能力。
