Tribal Tobacco Policy Toolkit Community GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD 1770 Rand Road Rapid City, SD 57702 www.gptchb.org Administrative Offices Northern Plains Healthy Start Tel: (800) 745-3466 Tel: (605) 721-1922 Northern Plains Health Promotions Fax: (605) 721-1932 Northern Plains Tribal Epidemiology Center Fax: (605) 721-2876 Behavioral Health Center of Excellence Cheyenne River Anpetu Waste Tribal Advocate: Sioux Tribe The SD Tribal Tobacco Policy Toolkits were developed to assist tribal community advocates in Crow Creek Sioux Tribe the important conversations they have with their community members, tribal health, and tribal leadership on commercial tobacco policies. Commercial tobacco policies are very important Spirit Lake and will help ensure that our children are not the first generation of children that will die younger Dakota Nation than their parents. The U.S. Surgeon General’s report, “The Health Consequences of Involuntary Exposure to Flandreau Santee Sioux Tribe Tobacco Smoke,” shows indisputable scientific evidence that secondhand smoke causes premature death and serious disease in non-smokers. Secondhand smoke is a serious health hazard and there Lower Brule is no risk-free level of exposure. Sioux Tribe Commercial tobacco use is the number one cause of all cancers and emphysema, and is a leading preventable cause of heart disease and stroke among American Indians in South Dakota. Oglala Sioux Tribe Secondhand smoke exposure to infants and children is a major contributor to sudden infant death syndrome, asthma, ear infections and upper respiratory illnesses. Omaha Tribe In 2009, in South Dakota the median age of death for American Indians was 58 years of Nebraska compared to the rest of the population at 81 years of age. This is a 22 year difference! You might be wondering, why is there such a difference in age of death? Many of the leading causes of death Ponca Tribe of Nebraska among South Dakota tribal people are due to tobacco related illnesses like cancer, heart disease, complications of diabetes and SIDS. Rosebud The best way to protect our youth, elders and loved ones from tobacco-related diseases is for Sioux Tribe our tribes to adopt policies that prohibit smoking commercial tobacco in schools, tribal buildings, restaurants, parks, casinos and public places. We must advocate for our tribes to keep tobacco Sac & Fox Tribe sacred to honor health and eliminate commercial tobacco use. of the Mississippi Indians in Iowa As a community advocate you already realize the importance of empowering communities Santee Sioux Nation to make decisions that promote personal health and well-being. It is our hope that you will turn of Nebraska to the SD Tribal Tobacco Policy Toolkits as a concise and helpful resource in addressing commercial tobacco policy changes in your community. Wopila (Thank you) for all your hard work on this very Sisseton-Wahpeton Oyate important and sacred issue! Standing Rock Respectfully, Sioux Tribe Mandan, Hidatsa, Arikara Affiliated Tribes Trenton Indian Jerilyn Church, MSW Donald Warne, MD, MPH Service Area Executive Director Principal Investigator, Northern Plains Tribal Turtle Mountain Great Plains Tribal Chairmen’s Health Board Tobacco Technical Assistance Center Band of Chippewa Great Plains Tribal Chairmen’s Health Board Director, Master of Public Health College, Winnebago Tribe ** Great Plains Tribal Chairmen’s Health Board (GPTCHB) North Confidentiality Dakota Disclaimer: State University The information eged in this fax may be privil and confidential, of Nebraska intended only for the use of the addressee(s) above. Any unauthorized use on or disclosure of this informati is prohibited. If you have received this fax by mistake, please shred it immediately and contact the sender. ** Board Member, American Cancer Society Yankton Sioux Tribe We gratefully acknowledge the important contributions made by the U.S. Centers for Disease Control and Prevention (CDC), the Tobacco Technical Assistance Consortium (TTAC) and the SD American Indian Toolkits and Training Project Advisory Committee. Our program and this project are stronger as a result of these partnerships and sharing of lessons learned. The South Dakota Tobacco Control Program acknowledges the spiritual and ceremonial value that tobacco has in American Indian culture. We want to be perfectly clear that whenever the phrase tobacco-free is mentioned in these toolkits, we are referring to commercially produced tobacco products only and never the traditional tobacco of our Northern Plains American Indians. Foreward iii Acknowledgements This toolkit publication was produced by the South Dakota Department of Health Tobacco Control Program in collaboration with the following individuals: Valuable vision, guidance and recommendations were provided by the following toolkit Advisory committee members: • Ruth Cedarface (Oglala), Oglala Lakota College • Shirley Crane (Lower Brule), Lower Brule Tribal Health Department • Barb Danley (Sisseton), Enemy Swim Day School • Leanne Eagleman (Standing Rock), Crow Creek Indian Health Service & Lower Brule Community College • Diane Long Fox (Lower Brule), Hunkpati Investments • Marcella LeBeau (Cheyenne River), Former Nurse & Tribal Council Member • Leah Lincoln (Sisseton), Tribal Health Department • Michelle Powers (Yankton), Yankton Indian Health Service • Jennifer Schoelerman (Cheyenne River), Timber Lake School • Fran Vogel (Crow Creek), Crow Creek Tribal School Additional input and resources were provided by the following toolkit and training Project team members: • Rae O’Leary (Cheyenne River), Missouri Breaks • Richard Mousseau (Oglala Lakota), Northern Plains Health Promotion Programs, Great Plains Tribal Chairmen’s Health Board • Vanessa Tibbitts, (Oglala Lakota), Northern Plains Health Promotion Programs, Great Plains Tribal Chairmen’s Health Board • Maylynn Warne, (Pawnee, Santa Ana Pueblo) Northern Plains Health Promotion Programs, Great Plains Tribal Chairmen’s Health Board • Scarlett Bierne, South Dakota Department of Health Tobacco Use Prevention and Control Program • DeEtta Dugstad, South Dakota Department of Health Coordinated School Health • Amy Fink, South Dakota Department of Health Tobacco Use Prevention and Control Program • Derrick Haskins, South Dakota Department of Health Tobacco Use Prevention and Control Program • Jim McCord, South Dakota Department of Health Tobacco Use Prevention and Control Program the south dakota toolkit and training Project was facilitated and developed by: • Janet Love, Tobacco Technical Assistance Consortium, Rollins School of Public Health, Emory University • Debra Morris, Tobacco Technical Assistance Consortium, Rollins School of Public Health, Emory University • Cheryl Ferguson, Policy Matters • Hot Pink Ink, Rapid City, South Dakota For more information or additional copies, please contact: South dakota department of Health, Tobacco Control Program 615 east 4th Street, Pierre, Sd 57501-1700 605-773-3737 http://doh.sd.gov/tobacco/ Foreward v tAble oF contents – community introduction................................................................................................................................................................................................i Acknowledgements: sd American indian toolkits and training Project Advisory committee..................................................v section 1: use of sacred tobacco..................................................................................................................................................................1-1 section 2: the big Picture....................................................................................................................................................................................2-1 section 3: strategies that work......................................................................................................................................................................3-1 section 4: lay of the land – Assessing the current status of commercial tobacco Policies within tribal communities.......................................................................4-1 section 5: overview of tribal governance systems......................................................................................................................5-1 section 6: organizing for success and Partnership development for Healthy tribal communities...........................................................................................................................................6-1 section 7: taking Action – Advocacy & Policy Promotion.......................................................................................................7-1 section 8: Resources.................................................................................................................................................................................................8-1 Appendices Foreward vii Section 1: Use of sacred Tobacco Use of sacred Tobacco Stories of tobacco’s origins are as varied as For tribes throughout North America, the use of the Tribes that used tobacco, but these stories traditional tobacco for spiritual, ceremonial, and all have a single common theme: Tobacco is medicinal purposes goes back thousands of years. There are many types of what is called “tobacco.” sacred and ought to be used with respect. The most commonly known form is tobacco derived from the tobacco plant (Nicotiana tabacum). This type of tobacco is commercially