Solstice ANMC receives celebration top designation Page 6 for pediatric care Page 12 THE Telegraph THE QUARTERLY NEWSPAPER OF THE NATIVE TRIBAL HEALTH CONSORTIUM October - December 2018 Tradition of investing in our people

Education and development for our Alaska Native workforce in ANTHC’s 20 years 1998 – PRESENT Since ANTHC’s inception, our Tribal leadership has internship program was a part of our work since the During 2018, ANTHC is continuously recognized that the next step in true ownership beginning, offering hands-on experience for future celebrating its 20th year of of our health care system is to prepare our young people for Alaska Native engineers. The program gave Alaska Native operations. ANTHC has marked the health careers of the future. undergraduate and graduate students the opportunity to new achievements to improve ANTHC’s Tribal management has put the hiring and work with Environmental Health and Engineering staff on Alaska Native health care development of Alaska Native employees at the forefront to current projects. Many of these interns have come back to through our Board-led Tribal better serve our people and continues to offer new ways to ANTHC as full-time employees. self-governance and leadership. enhance our workforce to prepare for the emerging health Alaska Native students have also worked in the Alaska If you have stories to share about needs of Alaska Native people. Native Medical Center in internship positions. Students ANTHC or the history of the Early internship and scholarship programs provided are able to learn directly from health care professionals Alaska Tribal Health System, send training and educational assistance in critical ANTHC an email to [email protected]. See Page 2, Tradition service areas. Our Environmental Health and Engineering

Follow ANTHC on Instagram...... 2 Fall home maintenance checklist...... 8 Great American Smokeout is Nov. 15...... 3 Eek in-home water...... 9 ANMC Pharmacy helps opioid efforts...... 4 Flu season health tips...... 10 Engineering interns at ANTHC...... 5 Recipe: bean soup...... 11 2 October - December 2018 The Mukluk Telegraph The Mukluk Telegraph October - December 2018 3

Tradition ANTHC’s Board of Directors has put the hiring and HEALTHY PEOPLE AND PREVENTION Continued from page 1 development of Alaska Native employees at the forefront to and gain practical experience toward future career Great American Smokeout is November 15: opportunities in the Alaska Tribal Health System. better serve our people and to prepare our workforce for The Consortium offers thousands of dollars in the emerging health needs of Alaska Native people. scholarships and internships for Alaska Native Tobacco-free campuses across students seeking to enter the health care field because expanding to provide care and careers closer to Pacific University has opened new scholarship we believe in investing in the future of our workforce the U-Med District celebrate home, and opening pathways for other health care programs to encourage study in areas that meet the and next generation of Tribal health leaders. education and careers. needs of our Alaska Tribal Health System. Other opportunities for Alaska Native people Each year, on the third Thursday When Alaska Native employees begin working While investing in workforce development takes wanting to enter health care include the Indian of November, the American Cancer for ANTHC, we continue to grow their capabilities time to see the returns, ANTHC is ensuring that the Health Service Summer Externship Program and Society and tobacco prevention to better serve ANTHC patients and customers. next generation of Tribal health leaders will be ready volunteer job shadow opportunities for students. The advocates across the nation celebrate Starting in 2005, ANTHC began formalizing to continue to advance Alaska Native health. Community Health Aide/Practitioner Program trains the Great American Smokeout. education, development and training programs to people to provide primary care in their villages, as n For more information on scholarship opportunities from The Great American Smokeout is build capacity for Alaska Native health professional ANTHC, visit ANTHC.org/scholarship-opportunities. well as similar programs for dental health aides a day to encourage current tobacco development. This year, a partnership with Alaska and behavioral health aides. These programs are users to make a plan to quit, or to go completely tobacco-free for that HEALTHY TRADITIONS day. The American Cancer Society began celebrating the Great American Smokeout in the 1970s primarily as a ANTHCToday shares positive way to encourage people to quit. Since then, the event has evolved and many organizations and communities now Alaska Native images on Instagram use it as a way to celebrate tobacco-free workplace policies and community- wide, smoke-free workplace laws. When policies such as these are put in place, evidence indicates that current tobacco users are more likely to quit.

MORE DETAILS • ANTHC’s Tobacco Prevention Program: anthc.org/tobacco inside their workplaces. When the acted to protect their residents authority to enact local smoke-free • Call the ANMC Tobacco Quit new statewide law went into effect, from secondhand smoke, including workplace ordinances. Additionally, Line at (907) 729-4343 all Alaskans became protected from Anchorage, Juneau, Utqiagvik, Nome, thousands of Alaskans live in areas • The Great American Smokeout: secondhand smoke and e-cigarette Palmer, Skagway, Haines, Dillingham with no local government at all. cancer.org aerosol on the job. and Unalaska. Additionally, 135 of Thanks to the work of many tobacco Passage of the bill comes after Alaska’s federally recognized Tribes prevention advocates, including two decades of work at the local have also passed smoke-free Tribal the Alaska Native Tribal Health The Great American Smokeout level and five years in the state policies. Consortium, all Alaskans will have falls on Thursday, Nov. 15 this year. legislative process. Bethel was the first For much of the rest of the state, health protections while on the job. Encourage someone you know to use community in Alaska to pass a though, a statewide law is the only way the date to make a plan to quit, or plan smoke-free workplace law back to ensure protection. Boroughs such as in advance and then quit smoking that in 1998. Since that time, many Kenai Peninsula, Fairbanks North Star In Alaska, we use social media to Instagram, a growing platform, we are traditional foods, our art and music, show off the Alaska Native Health day. By quitting – even for one day – communities across the state have and Mat-Su do not have governmental connect with friends and family, share gaining followers for sharing our vision and participating in community and Campus in Anchorage, various smokers will be taking an important photos and recipes, update loved ones that Alaska Native people are the wellness activities. wellness programs and initiatives, step toward a healthier life and on how we’re doing, and watch videos healthiest people in the world. One highlight in particular along with staff and the people who reducing their cancer risk. of puppies and babies. A newer account and channel, is a weekly hashtag that blends make ANTHC tick. The Alaska Native Health Campus Thank you to our sponsors, At ANTHC, we’re connecting @ANTHCToday visually highlights traditional values with Alaska If you’re on Instagram, follow us and and our peers in the University- with our followers to share stories our Alaska Native people living Native health and wellness. Each share your own vision of Alaska Native Medical (U-Med) District in Anchorage supporters and players! of our work and Alaska Native positive and healthy lifestyles. Tuesday, @ANTHCToday features a health and wellness! people. On Facebook (facebook.com/ Instagram followers will see photos #TraditionalTuesday post that shares recognize the importance of not using ANTHCToday), we share news, events, and videos of our Native people from realistic, positive images of Alaska tobacco through our tobacco-free safety tips, services and general all over the state living cultural values Native people living our traditions. campus policies. The Alaska Native goings-on at the Consortium. On through eating and preparing our Additionally, we use Instagram to Health Campus has been 100 percent tobacco-free since 2006. In 2017, the U-Med District became tobacco-free THE MUKLUK TELEGRAPH CONTACT US SUBSCRIPTIONS with the Alaska Pacific University The Mukluk Telegraph is the official newspaper of the Alaska Alaska Native Tribal Health Consortium Want to receive the Mukluk Telegraph in being the latest campus to join the Native Tribal Health Consortium. Attention: Mukluk Telegraph the mail? Write to [email protected] Dr. Barry Grey Baron’s Aces The paper is published quarterly and distributed at no charge 4000 Ambassador Drive, Anchorage, Alaska 99508 and we’ll add you to our mailing list. movement. to patients, employees and partners of ANTHC statewide. Phone: (907) 729-1899 The Mukluk Telegraph is available About Alaska’s new smoke- online at anthc.org/news. Have a suggestion or a compliment for the Mukluk Telegraph? E-mail: [email protected] free workplace law (SB 63) We would love to hear from you. E-mail the ANTHC Marketing Web: anthc.org/news Department at [email protected]. On October 1, 2018, all Alaska workplaces became smoke-free thanks Proceeds from the golf classic benefited the Lori Lange Memorial Toy Fund to the passage of a new statewide law, at Alaska Native Medical Center. MISSION which prohibits tobacco use. Providing the highest quality health services in partnership with our people and the Alaska Tribal Health System To learn more or give to the Toy Fund please visit Prior to passage, only half of Alaska inspiringgoodhealth.org VISION residents were protected by local laws Alaska Native people are the healthiest people in the world from exposure to secondhand smoke

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 4 October - December 2018 The Mukluk Telegraph The Mukluk Telegraph October - December 2018 5

ALASKA NATIVE MEDICAL CENTER HEALTH TRAINING AND EDUCATION ANMC Pharmacy fill life-saving ANTHC’s Environmental Health and Engineering interns gain real-world engineering experience kits for Project HOPE ANTHC is committed to summer, she traveled to Kokhanok to from UAA traveled to Kiana, White strengthening our Alaska Native help assess water treatment options for Mountain, Kotlik and Alakanuk to ANMC Pharmacy and the Aurora and American Indian workforce and the upcoming water plant there, and install and troubleshoot sensors for Borealis Branch of Commissioned developing future Alaska Tribal Health she conducted research on a project remote monitoring systems in those Officers Association partnered to System leaders by offering a number of to replace the water storage tank in communities’ water treatment plants. join Project HOPE (Harm reduction, summer internships. Kwigillingok. The sensors send measurement data to Overdose Prevention and Education) ANTHC Environmental Health and Berntsen, who grew up in Anchorage a website and trigger alerts if anything to help advance the Surgeon General’s Engineering interns are contributing and has family in Old Harbor, plans to is out of the ordinary, potentially saving initiative to equip individuals with their talents toward the organizational return to UAA in the fall to pursue her communities money by catching small the potentially lifesaving medication, vision that Alaska Native people are master’s degree. She is undecided on problems before they become big. naloxone. This summer, 43 U.S. Public the healthiest people in the world. whether to study Arctic, geotechnical Eastham says the remote monitoring Health Service Commissioned Corps Three interns are busy working on a or water engineering, but knows she internship aligns with his long- Officers gathered to make 273 Project variety of projects, from helping design wants to work with Alaska’s smaller term goals of working on innovative HOPE overdose response kits. a new water storage tank to readying communities going forward. engineering design projects and According to the Alaska Department homes for water and sewer service. Intern Michael Eastham (right) Michael Eastham, who grew up traveling the world. of Health and Social Services (DHSS) Henry Horner grew up in Kobuk and ANTHC supervisor Timothy in Wasilla and has family roots in Internships and other job website, too much of an opioid Eby (left) and knows firsthand the importance of Angoon, interned with the Tribal opportunities with ANTHC can be can affect parts of the brain that clean, accessible water. He remembers Utility Support department. The found at anthc.org/anthc-job- control breathing, causing breath to as a young child when his house got traveled to Shungnak to assess the old mechanical engineering sophomore openings. become very slow or stop altogether. who wants one. Keep an eye out for running water. That’s why Horner, fluoride system for future use. Narcan® (naloxone) temporarily details later on our distribution plan.” MORE DETAILS who graduated this spring from the Horner’s plans include completing blocks or reverses the effects of People at risk from opioid overdose Project HOPE is a state-based program; the State of Alaska’s DHSS is University of Alaska Anchorage with as much field work as possible in the opioids. In most cases the results are can receive a Project HOPE overdose 2018 ANTHC Annual Meeting working with community organizations to distribute or administer a bachelor degree in civil engineering, next few years, then taking that real- immediate, stopping the effects of response kit, which includes: Narcan® in Alaska. To learn more about this program, visit the Alaska DHSS chose to apply for the Alaska Rural world knowledge and transitioning to the overdose and allowing the person n Two doses of Narcan® (naloxone), a Division of Public Health website at: dhss.alaska.gov/dph/Director/ Utility Collaborative internship. A engineering design. to breathe again allowing time to drug that temporarily blocks or reverses Pages/heroin-opioids/default.aspx. large part of his work this summer Corissa Berntsen also graduated seek emergency medical assistance. the effects of opioids involved traveling, coincidently, to his from UAA’s civil engineering program The use of naloxone is supported by n Sanitary gloves Anyone interested in having a may be a cost associated. Individuals hometown to prepare other homes for this spring and worked in ANTHC’s many organizations, including the naloxone overdose response kit can should check with their insurance plan n Brochure on Narcan® administration water and sewer service lines. He also engineering design department. This Office of National Drug Control Policy visit a retail pharmacy and request a kit regarding the cost/copay. n Carrying case and the World Health Organization. without a prescription, although there Narcan® has no potential for abuse and will have no effect if accidentally administered or self-administered. Save the date for the tenth annual “Growing awareness and availability of naloxone is crucial in the public ANMC Health Fair at AFN! health’s response for combating Daily the ongoing opioid epidemic,” said prize CDR Kara King, ANTHC Director of drawings! Pharmacy. “We as pharmacists need to ensure that we are educating ourselves on identifying high-risk individuals for opioid overdose, are equipped and knowledgeable on how to use naloxone, and that we are ready to respond to Monday, December 3 at noon help save a life.” The ANMC Health Fair at AFN will feature a flu shot clinic, blood pressure checks, Interns Corissa Berntsen (left) and Henry Horner (right) Project HOPE has three principles: Dena’ina Center, Anchorage, AK prevent dependence on opioid drugs; tobacco cessation services, healthy eating and lifestyle tips, and much more! reduce addiction by recognizing Alaska Tribal Conference on Every day, ANTHC staff provide life-changing health and treating it; and reverse the life- services and improve access to care for Alaska Native threatening effects of an overdose. Environmental Management people around our state. Please join ANTHC’s Board of “Our Surgeon General, Vice Admiral SAFE, HEALTHY AND SUSTAINABLE ALASKA COMMUNITIES Jerome Adams, challenged each and Directors and leadership team to learn more about our every officer to carry naloxone and be work at the ANTHC Annual meeting. ready to respond to this public health epidemic, so partnering with Project SAVE THE DATE To help offset travel costs, a $500 travel reimbursement HOPE was the perfect way to equip our will be issued to each Tribal government represented. Alaska officers,” said ANTHC Inpatient Thursday, October 18 and Friday, October 19 November 27-30, 2018 Pain Pharmacist and Commissioned For more information, call (907) 729-1915 or visit anthc.org. Corps Officer Aimee Young, who Second floor of the Dena’ina Civic and Convention Center ATCEMAK.COM | [email protected] | (907) 729-3496 or (907) 729-3492 helped organize the kit-making event. “We plan on having another round in which we are going to increase our Anchorage Downtown Hilton number of kits drastically, allowing us to give to staff and pretty much anyone Anchorage, Alaska

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 6 October - December 2018 The Mukluk Telegraph The Mukluk Telegraph October - December 2018 7

Left: Defying gravity at the Solstice top of the world. Below: During the celebration of Nalukataq, the bounty is shared throughout celebration the day with community members. at the top of the world On June 21, the community of Utqiaġvik (formerly Barrow) gathered for Nalukataq, the spring festival celebration. There was not a cloud in the sky as the harvest was shared by four whaling captains on a memorable summer solstice. Lifted by 24 hours of sunlight, the celebration included a community feast, blanket toss and dance in the high school gymnasium.

A participant performs a backflip during the blanket toss.

Above: Mikigaq, fermented whale, has a tangy and sweet taste. Right: A community member getting tossed high in the sky during a blanket toss eclipses the sun on the summer solstice.

Young Leon Brower wants a closer look at the drummers during the Nalukataq community dance. One of the courses served during Nalukataq was mikigaq, fermented whale. Ron, Native name Qiilu, from the whaling boat Panigiutkuayaat enjoys the Nalukataq celebration in Utqiaġvik.

Above: Passing on tradition, Christian Paul (right) teaches his son a lesson on how to use a bow drill.

Right: Solomon, a local Utqiaġvik artist, shows off a carving during Nalukataq.

Trina Brower (left), Leon (middle) and Christian Paul (right) pose for a picture on the Arctic Ocean beach in front of the famous whale bone arch..

Nalukataq concluded with a community dance. Candy and participants soar across the excited crowd during the blanket toss celebration.

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 8 October - December 2018 The Mukluk Telegraph The Mukluk Telegraph October - December 2018 9

HEALTHY HOMES AND COMMUNITIES HEALTHY HOMES AND COMMUNITIES Connecting with the community in Eek on water and sanitation Fall home maintenance checklist “My first words were, ‘It’s so nice to have running also designing upgrades to the water treatment plant, Fall is a great time to do essential maintenance to your water!’” said Eek Elder Xenia Black about having a new maintenance shop and closure of the honey home before winter comes. As the days get colder and you’re running water for the first time. “Before, I had to bucket lagoon. spending more time indoors, go through this checklist to keep tell my son to haul water and do laundry, and he had To kick-off the construction season, ANTHC’s your home healthy and your family happy! to do it with a wheelbarrow. It’s nice to wash dishes, National Tribal Water Center collaborated with make coffee, and do lots of laundry. I don’t have to the Eek construction team to host an event for the ❑ Declutter your home in preparation for winter. Pests like to call my niece and nephew to come and take me to community in early May. The construction kick- hide in clutter. Clean it up and there’s nowhere for them to the laundromat.” off event had nearly 130 attendees and was an hide. Additionally, moisture can gather where there’s clutter. The occasion is meaningful, since the house she opportunity for community members to meet the Reduce your risk for mold by removing clutter and moving furniture at least one foot away from walls. is living in was her mother’s house. Generations of construction team, hear updates on the project, and people who grew up in Eek without running water share questions or concerns. ❑ Make sure your fans are working. now will have in-home water service. In addition to the community event, staff of ❑ Clean the filters on your HRV (heat-recovery ventilator), if you Last year in Eek, about 40 houses received first- the National Tribal Water Center spent a day with have one. time water and sewer service, which included new students at the Eek School. The classroom activities or upgraded interior plumbing for kitchens and included teaching younger students about the water ❑ Check and clean out any clogged exhaust filters outside of bathrooms. The project also installed a new raw cycle and watercolor painting, explaining source your house. water intake, built a water circulation building and water and water treatment with a water filter activity, ❑ Check your home for points of access for rodents and other made interior plumbing improvements in homes. and sharing postsecondary education opportunities small animals. This year, ANTHC Environmental Health and and ANTHC career opportunities with high school ❑ Inside your home, check for signs of moisture. Is there Engineering connected an additional 32 houses to students. condensation on the walls, windows or in the bathroom? If the water and sewer system. ANTHC engineers are so, it’s important to leave your mechanical fans on, your fresh 80 air vent or qinak open to get fresh air moving throughout the home. If the moisture doesn’t go away and you can’t open your windows, consider purchasing a dehumidifier.

❑ Check for water leaks in your bathroom and kitchen.

❑ Check for clogs and leaks in your rain gutters.

❑ If you have a wood stove, make sure you have a covered storage area for the wood that you burn so that it stays dry.

❑ Check your chimney for built-up matter and creosote. Creosote, a byproduct of fire, can catch on fire if there’s too MyHealth is a secure health management tool that much buildup in the chimney. allows you to access your medical information and ❑ Make sure your carbon monoxide (CO) and fire detectors are working. The most CO poisonings and deaths occur in the contact your primary or specialty clinic providers winter when homes are tightly sealed. Change batteries if online or by mobile device. need be. These detectors should last five years, but it’s best to buy new detectors at the five-year mark. With MyHealth, you can: ❑ Buy a smoking jacket to wear outside if you smoke. By wearing that outside and taking it off when you go inside, • View and request appointments smoke particles will not travel indoors. Never smoke indoors; Seeking research study participants • Connect with your provider and care team ventilation will not get rid of the smoke particulates. If you are considering quitting, contact ANTHC Tobacco Prevention Fiber study for Alaska Native People • Get test results Program at (907) 729-4343 or [email protected]. n For more information on how to make your homes healthy, contact To sign up for a MyHealth account, please speak with ANTHC Air and Healthy Homes Program at [email protected] or visit ANTHC.org/healthy-homes. the front desk staff, your nurse or provider, or visit one of the Customer Experience Information Desks in the ANMC hospital or Healthy Communities Building. For more information or to log in visit anmc.org/myhealth. THE H EALTHY ALASKA NATIVES FOUNDATION IS P LEASED TO ANNOUNCE THE

We are seeking participants for a study to see how well a fiber supplement works to 12 th promote colon health. If interested, call the ANMC Colorectal Cancer Screening Clinic at (907) 729-5730.

HealtheLife Mobile Device App Benefit for Alaska Tribal Health • March 23, 2019 Access your MyHealth portal on your smartphone or other mobile devices. In your The Alaska Native Tribal Health Consortium and Southcentral Foundation jointly own app store search: HealtheLife. The HealtheLife and manage the Alaska Native Medical Center under the terms of Public Law 105- mobile app gives you real-time and easy For information on how to become a sponsor, donor or volunteer, please contact 907-729-5652 or [email protected] 83.These parent organizations have established a Joint Operating Board to ensure access to your MyHealth online portal. unified operation of health services provided by the Medical Center.

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 10 October - December 2018 The Mukluk Telegraph The Mukluk Telegraph October - December 2018 11

HEALTHY PEOPLE AND PREVENTION Safe HEALTH ADVOCACY Continued from page 10

Need a timer? Hum the “Happy Birthday” song from Why should Alaska Native and American Indian people Keep yourself and those around care about health insurance? beginning to end twice; rinse your hands well under clean, running water; and dry your hands using a clean Health insurance can provide you and your family more options. Coverage means you can help expand services available at our Alaska Tribal hospitals and health clinics. towel or air dry them. you safe this flu season Buying an insurance plan can also provide you access to care if you are on vacation away from your If you don’t have clean, running water available to wash Tribal health facility. You’ll have peace of mind when you have more health care options for you and As cold and flu season is upon us, it’s treats; and after touching garbage. and apply soap; lather your hands by under your nails; scrub your hands for your hands, use an alcohol-based hand sanitizer that your loved ones in case of unexpected health costs. Many American Indian and Alaska Native people time to take precautionary measures How should you wash your hands? rubbing them together with the soap. at least 20 seconds. contains at least 60 percent alcohol. To effectively use a qualify for health insurance through Medicaid, Denali KidCare and the Health Insurance Marketplace. to keep ourselves and those around Wet your hands with clean, running Be sure to lather the backs of your hand sanitizer, apply the product to the palm of one hand us healthy and safe from infection. water (warm or cold), turn off the tap, hands, between your fingers, and See Page 11, Safe (read the label to learn the correct amount); rub your Are you covered? Where can I get more Ensuring you get a flu shot, using hands together; and rub the product over all surfaces of The Tribally-Sponsored Health Insurance Program information and sign up? antibiotics responsibly and only when your hands and fingers until your hands are dry. (T-SHIP) provides health insurance for you and Visit anthc.org/tship to find the contact in your needed, and proper hand hygiene will Following these tips this time of year will help to your family if you qualify. area. T-SHIP staff will see if you are eligible and help protect you and those around you. ensure a safe winter season for you and those around you. help you with enrollment. Get your flu vaccine as soon as it is available from your local health FIGHT THE FLU care provider. It is important for all people to get vaccinated for the flu to protect ourselves, as well as our WITH CLEAN HANDS! family, coworkers and community. The most effective way to prevent seasonal flu is to get vaccinated, but In addition, influenza poses a greater risk to certain people such as pregnant good health habits like covering your cough and washing your hands women, children and Elders – they can help stop the spread of germs and protect you from the flu. Here are all at high risk for flu-related are six simple and effective steps to proper handwashing. complications. Many Tribal health organizations are running flu clinics across Alaska. Please check with your local facility for times and dates near you. Anchorage residents can go to the ANMC Anchorage Native Primary Care Center to receive a flu vaccine. Flu shots will also be available Oct. 18 and 19 at the ANMC Health Fair during the Alaska Federation of Natives annual convention at the Dena’ina Center in Anchorage. Something else to keep in mind this time of year is the safe use of BEYOND antibiotics. A common misconception REINDEER BEAN SOUP • Substitute reindeer with your favorite is that colds, influenza, most DIRECTIONS: meat such as moose, caribou, venison, sore throats, and bronchitis are INGREDIENTS: *bison or *beef. treatable with antibiotics. Colds and SMOKED*2 tablespoons vegetableSALMON oil PASTA 1. Open canned beans and rinse. • Add canned or frozen *mixed influenza are caused by viruses, not *1 medium red onion, chopped 2. Preheat vegetable oil in large pot on vegetables, Indian potato, *yellow/ by bacteria, and cannot be treated *5 carrots, sliced medium-high heat. white onion, beach greens, dandelion with antibiotics. Most sore throats *5 celery stalks, diced 3. Sear reindeer meat until all sides greens, wild chives, chickweed or caramelize. and bronchitis are also caused by a *1 pound reindeer meat, cubed fiddleheads. 4. Add all remaining ingredients. virus, but you may need to visit your 4 quarts beef broth • Experiment with dried beans instead 5. Bring to a boil, reduce heat to low, provider to determine for sure and *4 cans of beans, your choice of canned beans. NOTE: Dry beans *1 can diced tomatoes simmer for 1-3 hours. must be soaked and cooked before whether or not you need medication *5 cups potatoes, chopped using. to treat the infection. 2 teaspoons garlic powder, or to taste • Replace potatoes with *rice or *pasta Due to overuse, antibiotic resistance Salt and pepper, to taste noodles. Add them during the last is one of the world’s biggest public hour of cooking. health threats and decreasing the • Create your own broth by boiling inappropriate use of antibiotics is the bones or vegetables to use as a base. primary solution to address this threat. * INDICATES FDPIR FOOD This time of year, it is also important to practice proper hand hygiene. You should always wash your hands before, This recipe is from the 2018-2019 Basics and Beyond calendar for Food Distribution Program on Indian Reservations (FDPIR) participants and during, and after preparing food; eligible families, created by ANTHC’s Health Promotion Program. Every recipe in the calendar includes a “beyond” section that provides before eating food; before and after tips on how to transform and enhance basic recipes by adding more fruits and vegetables, traditional foods and other healthy FDPIR food options to create delicious, flavorful meals, snacks, condiments and more. caring for someone who is sick; before and after treating a cut or wound; after using the toilet; after changing diapers or cleaning up a child who has used the toilet; after blowing your nose, Our vision is that Alaska Native people are the healthiest coughing, or sneezing; after touching For more health tips and information, visit anthc.org. an animal, animal feed, or animal people in the world. Learn more at www.anthc.org. waste; after handling pet food or pet

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ALASKA NATIVE MEDICAL CENTER ANMC hospital receives verification as a Level II Pediatric Trauma Center

The Alaska Native Medical Center College of Surgeons in 1987, the and surgical specialties at ANMC, as Center for a period of one year. was recently verified as a Level II COT’s Consultation/Verification well as our incredible staff of pediatric In addition to the verification as Pediatric Trauma Center by the Program for Hospitals promotes the therapists, child life specialists, nurses, a Level II Pediatric Trauma Center, Verification Review Committee development of trauma centers in and other staff dedicated to providing ANMC has also been recognized as a (VRC), an ad hoc committee of the which participants provide not only the highest-quality pediatric care Comprehensive Pediatric Emergency Committee on Trauma (COT) of the the hospital resources necessary available in Alaska. Center, the highest certification in American College of Surgeons (ACS). for trauma care, but also the entire Verified trauma centers must the Pediatric Facility Recognition This achievement recognizes ANMC’s spectrum of care to address the needs meet the essential criteria that Program, since 2015. This recognition dedication to providing optimal care of all injured patients. This spectrum ensure trauma care capability and means that ANMC provides the for injured pediatric patients. encompasses the prehospital phase institutional performance, as outlined highest quality pediatric care in “Injury is the leading cause of through the rehabilitation process. by the ACS COT in its current Alaska and ensures our hospital death and disability for Alaska Native ANMC offers a wide range of Resources for Optimal Care of the is appropriately prepared for the children,” said Dr. Frank Sacco, pediatric trauma care services and Injured Patient manual. emergency care of children. ANMC Chief of Surgery. “As a Level admits between 100-125 pediatric An on-site review of ANMC was Together, these two recognitions II Pediatric Trauma Center, ANMC trauma patients each year. ANMC conducted by a team of reviewers ensure ANMC provides the highest- provides the highest level of care provides specialty care for pediatric experienced in the field of trauma. quality emergency and trauma care for available in Alaska for injured children burn patients, which allows many Using the current Resources for Alaska’s youngest patients. and their families. Our comprehensive children who would otherwise have to Optimal Care of the Injured Patient trauma program is meant to ensure the travel to Seattle, the ability to be treated manual as a guideline, the team best outcomes for children of all ages.” right here at home. Care for a seriously determined that ANMC met the Established by the American injured child is supported by all medical criteria as a Level II Pediatric Trauma

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM