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PREGNANT WOMEN AND NEW MOTHERS UPDATE
The OCAITHB Tribal Epidemiology Center is proud to let you know there's a new FREE service to help you out! Text4baby provides totally free text messages three times a week with info to help you through your pregnancy and baby's first year.
Tex4baby is a free mobile information service designed to promote maternal and child health. An educational program of the National Healthy Mothers, Healthy Babies Coalition (HMHB), text4baby provides pregnant women and new moms with information to help them care for their health and give their babies the best possible start in life. Women who sign up for the service by texting BABY to 511411 will receive free SMS text messages each week, timed to their due date or baby's date of birth.
Text4baby is made possible through a broad, public-private partnership that includes government, corporations, academic institutions, professional associations, tribal agencies and non-profit organizations. The mobile health platform is provided by Voxiva and free messaging services are generously provided by participating wireless service providers.
The Tribal Epi Center has Native American text4baby posters you can place in your WIC clinic, OB/GYN clinic, reception areas, etc. Also available are Native American text4baby promotional items to be given to your clients including: flyers, tear pads, and stickers that will encourage them to sign up for text4baby.
Fax the following form to Loren Tonemah @ (405) 951-3902.
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Name: | |
Tribe/Program: | |
Mailing address: | |
City, State Zip Code | |
Telephone: | |
TEXT4BABY PROMOTIONAL ITEMS | |
Native American text4baby POSTERS: 24" x 36" ___________
Native American text4baby flyers: ___________
Native American text4baby Tear pads ___________
Stickers: ___________ |
Healthy happy mothers and healthy happy babies are our goal!
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Babies Sleep Safest On Their Backs
Importance of sleeping position
One of the easiest ways to lower your baby's risk of SIDS is to always put him or her on the back to sleep, for naps and at night. Health care providers used to think that babies should sleep on their stomachs or sides, but research now shows that babies are less likely to die of SIDS when they sleep on their backs. Placing baby on his or her back to sleep is the number one way to reduce the risk for SIDS.
Did you know that about 1 in 5 SIDS deaths occur while an infant is in the care of someone other than a parent or usual caregiver?
Unaccustomed tummy sleeping is when a baby who is used to sleeping on her back with one caregiver is then placed to sleep on her tummy by another caregiver. Unaccustomed tummy sleeping greatly increases the risk of SIDS. In the United States, sudden infant death syndrome (SIDS) is the third leading cause of death in infants between one month and one year of age. American Indian/Alaskan Native babies are nearly two times as likely to die of SIDS as white babies. Since the American Academy of Pediatrics (AAP) recommendation promoting placing babies on their backs for naps and at bedtime, the number of infant deaths attributed to SIDS has been reduced by 50 percent.
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Babies who are used to sleeping on their backs
and then placed to sleep on their tummies are
18 times more likely to die from SIDS
than compared to babies who are placed to sleep
on their backs every time, with every caregiver. |
REMEMBER: Place babies to sleep on their backs every time, with every caregiver.
This means:
- Every night
- Every nap
- With babysitters, nannies, child care providers, relatives, birth parents, foster parents, and anyone else who may care for the baby
Other SIDS risk factors :
A mother increases the risk her baby will have SIDS if she:
- Gives birth at a young age
- Smokes during pregnancy
- Doesn't protect her infant from secondhand smoke
- Doesn't get adequate prenatal care
How to prevent SIDS:
- Remember "Back to Sleep." Don't place baby on her side or tummy to sleep.
- Offer a pacifier.
- Place baby on a firm mattress to sleep. Cover him with a sheet.
- Keep soft objects and loose bedding out of the crib. They can cover a baby's mouth and nose.
- Don't smoke during pregnancy. Also, protect your infant from secondhand smoke.
- Avoid overheating and swaddling. Keep temperature comfortable. Feel the back of your baby's neck to see if it feels too warm.
- Don't trust commercial products that claim to keep a baby sleeping in a safe position or to prevent SIDS. None of these have been proven to prevent SIDS.
- Keep baby out of your bed, but in the same room. The AAP, the SIDS Alliance and the U.S. Consumer Product Safety Commission all agree that the safest place for a baby to sleep is in their own crib. Bed-sharing or co-sleeping with your baby on the sofa may increase the risk for SIDS or suffocation. However, sleeping in the same room decreases the risk for SIDS.
Source: 1) Centers for Disease Control and Prevention, National Center for Health Statistics 2) American Academy of Pediatrics 3) OK2SHARE, Oklahoma State Department of Health, 4) National Institute of Child Health & Human Development
Can pacifiers protect your baby? In the past, it was felt that pacifiers may interfere with breast-feeding or cause later dental complications. But, there is no compelling evidence that this is true. In fact, research has shown a protective effect when pacifiers are given to babies before they fall asleep. There are several theories for this protection, but no clear reason has been found. The AAP now recommends giving babies pacifiers at bedtime and naptime. In fact, the American Academy of Pediatric Dentistry considers pacifier use normal and not likely to cause long-term problems as long as it ends by age 5.
When giving your baby a pacifier, follow these rules:
- Offer the pacifier when putting him to bed. If he pushes the pacifier out after falling asleep, don't reinsert it.
- Clean and replace pacifiers often.
- If baby is being breast-fed, don't offer the pacifier until she is one month old and used to breast-feeding.
Sign the pledge to place the baby in your care on her back!
The pledge is to be reviewed and signed by anyone who is providing care for a baby, including mothers, fathers, grandparents, brothers and sisters and child care providers.

Public Health Groups Seek to Reduce Infant Mortality in Oklahoma In an effort to make certain that babies born in Oklahoma have the best possible chance for a healthy outcome, the Oklahoma State Department of Health (OSDH) has launched a statewide public information initiative, "Preparing for a Lifetime, It's Everyone's Responsibility." More than twenty partner organizations have joined this initiative in a unified attempt to address the numerous issues associated with reducing infant mortality in Oklahoma.
In 2006, the Oklahoma infant mortality rate of 8.0 deaths per 1,000 births has consistently remained above the national rate since 1992. The top causes of infant death in Oklahoma include disorders related to low birth weight (less than 5 pounds, 8 ounces) and short gestation (less than 37 completed weeks of pregnancy), congenital defects (medical condition present at birth), and sudden Infant Death Syndrome (SIDS). Native American babies in Oklahoma are at a particularly high risk for infant mortality; in 2006, the AI/AN infant mortality rate was 10.6 per 1,000 births (unadjusted for racial misclassification).
As part of the initiative, state health officials are introducing a new toolkit that offers information, tips, and resources for anyone interested in helping reduce infant mortality. The toolkit complements similar resources available on the OSDH web site. In particular, the toolkit and web site are targeted to women of childbearing age, as well as, friends, family members and partners of pregnant mothers; anyone caring for an infant; health care providers; and others who want to help improve the health of mothers and babies.
Among the key messages offered in the toolkit include the following:
- Being healthy before and between pregnancies greatly improves the chances of having a healthy baby.
- Having a full-term pregnancy (at least 40 weeks) and breastfeeding offer a baby the best start in life.
- Getting tested and treated, if needed, for sexually transmitted diseases (STDs) promotes a healthy pregnancy and birth.
- Recognizing the signs and getting help for depression after pregnancy can improve the health for both mother and baby.
- Placing baby on the back to sleep and avoiding exposure to secondhand smoke decreases the chances of Sudden Infant Death Syndrome (SIDS).
- Correctly installing infant car seats and never leaving babies unattended help prevent injuries.
- Learning what to do if a baby will not stop crying may help prevent Shaken Baby Syndrome, also known as abusive head trauma.
For more information about the toolkit visit the OSDH website - "Preparing for a Lifetime, It's Everyone's Responsibility" at http://iio.health.ok.gov or call the Tribal Epi Center (405)951-6027.
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SIDS Linked to Low Levels of Serotonin
The brains of infants who die of Sudden Infant Death Syndrome (SIDS) produce low levels of serotonin, a brain chemical that conveys messages between cells and plays a vital role in regulating breathing, heart rate, and sleep, reported researchers funded by the National Institutes of Health. SIDS is the death of an infant before his/her first birthday that cannot be explained after a complete autopsy, an investigation of the scene and circumstances of the death, and a review of the medical history of the infant and of his/her family. According to the National Center for Health Statistics, SIDS is the third leading cause of infant death, claiming more than
2,300 lives in 2006.
The researchers theorize that this newly discovered serotonin abnormality may reduce infants' capacity to respond to breathing challenges, such as low oxygen levels or high levels of carbon dioxide. These high levels may result from re-breathing exhaled carbon dioxide that accumulates in bedding while sleeping face down.
For this study, senior author Hannah C. Kinney, M.D., of Harvard Medical School and Children's Hospital Boston, and her colleagues examined small samples of tissue from the medulla, a region at the base of the brain that regulates basic functions such as body temperature, breathing, blood pressure, and heart rate. The researchers analyzed brain tissue from infants who died from SIDS and controls who died of other causes. Included in the analysis were 35 infants who died of SIDS, 5 infants who died unexpectedly of other causes, and 5 infants who were hospitalized and died for reasons associated with a lack of oxygen.
The researchers found that serotonin levels were 26 percent lower in tissue from infants who died of SIDS than in tissue from the group of infants who had otherwise died unexpectedly. Measurements of tryptophan hydroxylase, an enzyme needed to make serotonin, also were 22 percent lower.

"It's no one single factor but a culmination of abnormalities that result in the death," Dr. Kinney said. In fact, in 88 percent of the SIDS cases they examined, the researchers found two or more risk factors, such as the infant's sleep position, an illness, or exposure to cigarette smoke.
Kinney hopes these findings will one day lead to a test that measures infants' serotonin levels in the blood or other tissues that reflect brain serotonin levels. Such a test might make it possible to identify those at the highest risk for SIDS so that additional steps could be taken to protect them. In the near term, the findings will provide the basis for the development of animal models with serotonin deficiencies, to mimic what occurs in SIDS in human beings.
Information on reducing the risk of Sudden Infant Death Syndrome is available on the NICHD Web site http://www.nichd.nih.gov/health/topics/Sudden_Infant_Death_Syndrome.cfm |
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Immunization Awareness 
Immunization awareness is to increase awareness about immunizations across the life span, from infants to the elderly. This is the perfect time to remind family, friends, co-workers, and those in the community to catch up on their vaccinations. Parents are enrolling their children in school, students are entering college, and healthcare workers are preparing for the upcoming flu season.
Immunization is one of the most significant public health achievements of the 20th century. Vaccines have eradicated smallpox, eliminated wild poliovirus in the United States and significantly reduced the number of cases of measles, diphtheria, rubella, pertussis, and other diseases. But despite these efforts, people in the U.S. still die from these and other vaccine-preventable diseases. Vaccines offer safe and effective protection from infectious diseases. By staying up-to-date on the recommended vaccines, individuals can protect themselves, their families and friends, and their communities from serious, life-threatening infections. So make sure you and your family is up to date.
Source: Center for Disease Control and Prevention
Infant Mortality Awareness 
Oklahoma's infant mortality rate of 8.0 deaths per 1,000 births has consistently remained above the national rate since 1992. The top causes of infant death in Oklahoma include disorders related to low birth weight (less than 5 pounds, 8 ounces) and short gestation (less than 37 completed weeks of pregnancy), congenital defects (medical condition present at birth), and Sudden Infant Death Syndrome (SIDS), which is the sudden and unexplained death of an infant. African American and Native American babies in Oklahoma are at particularly higher risk for infant mortality than whites.
Oklahoma ranks 6th in the United States on infant mortality.
Source: Oklahoma State Department of Health |
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Tribal Epidemiology Project Updates
Health Disparities Grant
Improving health equity is a continuous struggle for American Indian and Alaska Native (AI/AN) people. Decreasing the number of incomplete reports, as well as, correcting racial misclassification in existing data are ways in which the Oklahoma City Area Inter Tribal Health Board Tribal Epidemiology Center (TEC) fights for health equity for our community. Addressing these issues is important because incomplete reporting of data and racial misclassification can lessen funding levels for tribal programs that provide access to care and prevention & control measures.
A major goal of the Health Disparities grant specific to the Data Enhancement Project is to assess the impact that racial misclassification has on the morbidity and mortality rates of cancer and select communicable diseases. The OCAITHB is partnering with the Oklahoma City Area Indian Health Service (OCA-IHS), Oklahoma Central Cancer Registry (OCCR), Oklahoma State Department of Health (OSDH), and the Oklahoma University Health Sciences Center College of Public Health (OUHSC COPH) on the Data Enhancement Project. Together we are developing strategies to fix these problems.
A completed linkage of cancer data between the OCCR and OCA-IHS has found that misclassification is an issue. In order to combat the issue, the OCCR on an annual basis currently completes yearly linkages with the IHS database to enhance correct racial classification. The TEC has been presenting results of the study to various organizations in support of the data linkage, as well as, strategizing with partners to identify possible ways to decrease misclassification within these data systems.
A linkage project for communicable disease data is currently being completed and will hopefully provide helpful insight into the status of AI/AN data in these data systems as well.
Methamphetamine and Suicide Prevention Initiative
The Oklahoma City Area Inter-Tribal Health Board has received funding to provide technical assistance and to conduct the evaluation of the Methamphetamine and Suicide Prevention Initiative for the Oklahoma City Service Area. Twenty-three grantees have received funding to address the methamphetamine and suicide issues in their tribal community. The outcome measures for the grant include:
- Increasing the number of meth users who receive treatment
- Lowering the incidence of suicidal activities
- Reducing the incidence of meth abuse,
- Establishing a baseline of the number of youth that participate in evidence-based programs,
- Establishing trained suicide response teams, and
- Increasing tele-behavioral health encounters.
The OCAITHB's Tribal Epidemiology Center is currently developing a local evaluation tool to assist with evaluation for the programs that do not have a designated evaluator. The OCAITHB has been facilitating the communication between the programs and OCA-IHS, and holds area wide conference calls to update programs on the National MSPI activities, to inform them of the reporting requirements, and to provide a question and answer session for the programs. With 23 different programs, there are many innovative ideas and approaches to methamphetamine and suicide prevention, as well as different partnerships and collaborations that are being formed, all with the common goal of reducing the burden of methamphetamine and suicide in communities.
Pandemic Influenza
Grant funding was awarded to the TEC from the Oklahoma State Department of Health to provide trainings to the Oklahoma tribal members in Emergency Preparedness & Response, and to provide assistance in developing or updating an All-Hazards/Pandemic Influenza Response Plan. This year the TEC provided 2-days of training, at three separate workshops in order to accommodate tribal schedules and geographic regions. Representatives from 32 tribal entities attended the training. At time of publication, 2010 Pandemic Influenza Response Plans have been approved for 31 tribal entities, and the Oklahoma City Indian Clinic and the Indian Health Care Resource Center of Tulsa.
Our tribal personnel responsible for emergency response were provided a forum to network with other professionals working in emergency preparedness and response. Attendees gained knowledgeable about the various roles and responsibilities within their tribal organization during an emergency event or incident.
Tribal members received training in National Incident Management System (NIMS). NIMS provides knowledge about interoperability and compatibility among Federal, State, tribal, and local capabilities. NIMS includes a core set of concepts, principles, and terminology and provides a consistent nationwide approach for tribal governments, Federal, State, local, and the private sector; and nongovernmental organizations to work effectively and efficiently together to prepare for, respond to, and recover from domestic incidents, regardless of cause, size, or complexity.
Tribal members also received Incident Command Structure (ICS) 100 training. ICS is used during all kinds of emergencies and is applicable to small as well as large and
complex incidents. ICS is used by various jurisdictions and functional agencies, both public and private, to organize field-level incident management operations. ICS allows tribal personnel and community responders to adopt an integrated organizational structure that matches the complexities and demands of incidents without being hindered by jurisdictional boundaries. ICS allows all involved to know their roles and work together.
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General Information
I'm pleased to announce that we are accepting applications for the Villers Fellowship for Health Care Justice and the Wellstone Fellowship for Social Justice.
The Villers Fellowship
The Villers Fellowship for Health Care Justice was created in 2005 by Philippe Villers, Founder and President of Families USA. Each year, the Villers Fellow works in our health policy department and assists our organization's efforts to improve access to health coverage for all Americans, especially for low-income and other vulnerable communities. Specifically, the Villers Fellow will conduct research on a range of health care policy issues and write and contribute to publications that are relevant to health reform implementation and other health policy issues.
In creating the fellowship, Mr. Villers aspired to develop a network of young leaders who share a passion for health care justice. The ideal candidate will demonstrate a commitment to health care justice work following their year as a fellow. Additionally, in order to encourage the development of future leaders, Villers Fellows must commit to mentoring at least one person over the course of their careers.
The application deadline for the Villers Fellowship is January 14, 2011.
You can find more information, including a downloadable application form, on our website: http://www.familiesusa.org/about/the-villers-fellowship.html.
If you have any questions about the Villers Fellowship for Health Care Justice or would like to request hard copies of the application brochure, please contact Melissa Rosenblatt at villersfellowship@familiesusa.org.
The Wellstone Fellowship
The Wellstone Fellowship for Social Justice is designed to foster the advancement of social justice through participation in health care advocacy work that focuses on the unique challenges facing many low-income and minority communities. Through this fellowship, Families USA hopes to expand the pool of talented social justice advocates from underrepresented economic, racial, and ethnic minority groups, including from the American Indian and Alaska Native, Asian American, Black/African American, Latino, and Native Hawaiian and Pacific Islander communities. The Wellstone Fellow plays an integral role in the work of Families USA's Field and Minority Health Initiatives Departments.
The Wellstone Fellow's primary responsibilities include assisting in the organization of conferences and trainings for advocates, community leaders, and journalists; drafting talking points, blogs, policy briefs fact sheets, and other publications; and developing content for the Families USA website and email lists. During the year, the Fellow will learn about health reform implementation, minority health, Medicaid, Medicare, and other important health policy issues. At the same time, the Wellstone Fellow will develop an understanding of the tactics and strategies used in state-based consumer health advocacy organizations and will work directly with our network of state consumer health advocates and organizations.
The ideal candidate must demonstrate an interest in health care policy as a tool for reducing racial and ethnic health disparities and in using organizing and advocacy skills to achieve social change. Applicants should also demonstrate a commitment to contributing to social justice advocacy following their year of hands-on experience as a fellow.
You can find more information, including a downloadable application form, on our website: http://www.familiesusa.org/about/wellstone-fellowship.html.
The application deadline for the Wellstone Fellowship is January 31, 2011.
If you have any questions about the Wellstone Fellowship for Social Justice or would like to request hard copies of the application brochure, please contact me at wellstonefellowship@familiesusa.org.
Both fellowships are year-long, full-time, salaried positions at our office in Washington, DC. Each year, one candidate will be selected for each fellowship. Selected fellows will receive a compensatory package that includes an annual salary of $38,000 and excellent health care benefits.
I encourage you to forward this announcement to anyone you think would be interested in these exciting opportunities.
Sincerely, Melissa Rosenblatt Director, Internship and Fellowship Program
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