A Deadline Whizzes By and Indian Health Money Is Left Behind

Monday was a key deadline for the Affordable Care Act. In order to begin insurance coverage on January 1, 2014, people were supposed to sign up by December 23, 2013, for that shiny new policy.

(On Monday the White House announced the deadline is extended a stay. That’s a good thing for people trying to navigate the web site at the last minute.)

How many American Indians and Alaska Natives signed up for this new program? Who knows? But you’d think that something this important would have so much information posted about it that it would almost be annoying. There should be posters, flyers, signup fairs, reminders and banners. This should be a big deal.

Instead this deadline whizzed by, hardly making a sound in Indian country.

But this is why the deadline – and health insurance matters. From this point forward every American Indian and Alaska Native who signs up for some form of insurance, through a tribe or an employer, via Medicaid, or through these new Marketplace Exchanges, adds real money to the Indian health system.

How much funding? Healthcare reform expert Ed Fox estimates the total could exceed $2 billion. But what makes that $2 billion even more important is that it does not need to be appropriated by Congress.

Most of that funding stream will come from the expansion of Medicaid, the primary mechanism for expanding coverage under the Affordable Care Act. This is a particularly thorny problem for Indian country because only about half of the states with significant American Indian and Alaska Native populations have expanded Medicaid. That’s why it so important for Indian country to keep pressing for this critical funding source.

But even without the Medicaid expansion, many in Indian country are eligible for special considerations through the Marketplace exchanges. Most people won’t have to pay out-of-pocket costs like deductibles, copayments, and coinsurance depending on income. And American Indians and Alaska Natives have a sort of permanent open enrollment period, so the signup can occur anytime.

But, as Dr. Fox writes, “Unfortunately, fewer than 10 percent of those American Indians/Alaska Natives eligible for subsidies will purchase qualified health plans, even fewer American Indians/Alaska Natives likely if they currently receive services at an IHS-funded health program.”

So the problem remains that as long as one-in-three (non-elderly) American Indians and Alaska Natives are uninsured, there will not be enough money to pay for quality healthcare.

But the Affordable Care Act is an alternative. This is the deal: The Indian health system has never been fully funded. And that is not likely to change in our lifetime. No Congress or president in the history of this country has ever presented a budget that meets the health care needs of Indian country.

But the Affordable Care Act opens up a new way of tapping money, exchanging complexity and paperwork for more money that does not have to go through Congress. Money that can go directly and automatically into the Indian health system. According to the Kaiser Family Foundation, nine in ten American Indians and Alaska Natives qualify for some sort of assistance to get coverage.

The Affordable Care Act’s potential revenue stream is particularly important right now because the appropriations process in Congress is so completely broken.

But. Wait! American Indians and Alaska Natives have a treaty right to health care. There is no need to do anything, right?

Then I was re-reading my tribe’s treaty with the United States, the Fort Bridger Treaty of 1868. Article 10 says: “The United States hereby agrees to furnish annually to the Indians the physician, teachers, carpenter, miller, engineer, farmer, and blacksmith, as herein contemplated, and that such appropriations shall be made, from time to time, on the estimates of the Secretary of the Interior, as will be sufficient to employ such persons.”

And there is that word: “appropriations.” The process that Congress uses to spend money; a framework that has never even once considered full funding for Indian health.

I hear from many folks who say this is all too much. Let’s repeal the law and start over. Ok, then what? Repealing the law is not going to change the dismal funding of the Indian health system. Congress cannot even agree on regular spending, let alone something like that. But for all the complications, for all the confusion about web sites and paperwork, the Affordable Care Act opens up a check book with a couple billion dollars. We can watch deadlines whiz by. Or, we can say, there it is. Take it.

Mark Trahant is the 20th Atwood Chair at the University of Alaska Anchorage. He is a journalist, speaker and Twitter poet and is a member of The Shoshone-Bannock Tribes. Join the discussion about austerity. Comment on Facebook at: www.facebook.com/TrahantReports.

 

Read more at http://indiancountrytodaymedianetwork.com/2013/12/23/deadline-whizzes-and-indian-health-money-left-behind-152843

Keep germs off the guest list at holiday meals

Tis the season for food safety – fa-la-la-la-la, get flu shots, too!
 
Snohomish Health District
SNOHOMISH COUNTY, Wash. Nothing can ruin a party quite like food poisoning. According to the Centers for Disease Control and Prevention, there are 31 pathogens known to cause food-borne illness. Every year there are an estimated 48 million cases of illness, 128,000 hospitalizations, and 3,000 deaths in the United States due to food-borne diseases.
 
Keep all your guests healthy by following these food safety tips from the Snohomish Health District.
 
Proper planning. Make sure your kitchen has everything you need for safe food handling, including two cutting boards (one for raw meats and seafood and the other for ready-to-eat foods), a food thermometer, shallow containers for cooling and storage, paper towels and soap. Store foods in the refrigerator at 41°F or below or in the freezer at 0°F or below. Check the temperature of both the refrigerator and freezer with a refrigerator thermometer.
 
Safe shopping. At the grocery store, bag raw meat, poultry and seafood separate from ready-to-eat foods like fruit, vegetables and bread. Don’t buy bruised or damaged produce, or canned goods that are dented, leaking, bulging or rusted, as these may become a breeding ground for harmful bacteria. Buy cold foods last and bring foods directly home from the store. Always refrigerate perishable foods, such as raw meat or poultry, within two hours. Thaw frozen turkey in the refrigerator or under cold-running water. Never defrost the turkey at room temperature.
 
Working in the kitchen. Got extra helpers in the kitchen? Make sure everyone washes their hands thoroughly with warm water and soap for 20 seconds before and after handling food, visiting the restroom, or changing a baby’s diapers. Keep all work surfaces sanitized, too. Spray or wipe on a solution of 1 tsp of unscented bleach per gallon of cold water.
When baking holiday treats, remember that no one should eat raw cookie dough or brownie batter containing raw eggs. Make eggnog with pasteurized eggs and pasteurized milk, or simply buy it ready-made with those ingredients. Adding a nip of brandy or whiskey will not kill the germs. When making homemade eggnog, be sure to cook the mixture to 165°F, then refrigerate.
 
Cook. Food is safely cooked when it reaches a high enough internal temperature to kill the
harmful bacteria that cause illness. Cook your turkey to a minimum of 165°F as measured with a food thermometer, including the stuffing. The healthiest method is to prepare and cook the stuffing separately – outside the bird. Test the bird’s temp in the thickest part of the thigh, the breast, and the inside. Don’t let the tip of the thermometer rest against bone.
 
Potluck contributions. Remember to keep hot foods hot (135°F or higher) and cold foods cold (41°F or below). To help keep foods hot wrap dishes in foil, cover them in heavy towels, or put them in insulated containers designed to keep food hot. For cold foods, put them in a cooler with ice or freezer packs, or use an insulated container with a cold pack so they remain at 41°F or lower, especially if traveling for more than half an hour.
 
Buffet, anyone? If you set up food in a buffet line, take care to put spoons in each dish for self-service, and assist children in filling their plates. No fingers allowed!
 
Wrap it up! Throw away all perishable foods, such as meat, poultry, eggs and casseroles, left at room temperature longer than two hours. Refrigerate or freeze other leftovers in shallow, air-tight containers and label with the date it was prepared. Reheat leftovers to 165°F. Divide large amounts of leftovers into shallow containers for quicker cooling in the refrigerator. Keeping a constant refrigerator temperature of 41°F or below is one of the most effective ways to reduce the risk of an at-home food-borne illness.
Eat cooked turkey and stuffing within 3-4 days and gravy in 1-2 days. Cooked turkey keeps up to 4 months in the freezer. Reheat leftovers to 165°F as measured with a food thermometer, and bring gravy and sauces to a boil before serving. Microwaved leftovers shouldn’t have cold spots (bacteria can survive). Cover food, stir and rotate for even cooking.
Following these food safety steps at your house will make the meal a happy memory for everyone. Happy, healthy holidays from the Snohomish Health District!
 
Additional resources:
Free kit
The Holiday Food Safety Success Kit at www.holidayfoodsafety.org provides food safety advice and meal planning in one convenient location. The kit includes information on purchasing, thawing and cooking a turkey; a holiday planner with menus, timelines, and shopping lists; and dozens of delicious (and food-safe) recipes. The kit also has arts and crafts activities and downloads for kids so they can join the holiday fun.
 
U.S. Food and Drug Administration
1-888-SAFEFOOD: For questions about safe handling of the many foods that go into a delicious holiday meal, including eggs, dairy, fresh produce and seafood.
* Typical symptoms of food-borne illness are vomiting, diarrhea, and cramps which can start hours to days after contaminated food or drinks are consumed. The symptoms usually are not long-lasting in healthy people—a few hours or a few days—and usually go away without medical treatment. But food-borne illness can be severe and even life-threatening to anyone, especially those most at risk such as infants and young children, pregnant women, older adults, people with HIV/AIDS, cancer or any condition or medication that weakens the immune system.

Creating the First Native American Food Hub in the U.S.

Courtesy USDA Rural DevelopmentUSDA Rural Development State Director Terry Brunner (center) presents a certificate of obligation honoring the successful application of funds to create the first ever Native American food hub in the nation to the Ten Southern Pueblos Council made up by the governors of each Pueblo. The presentation was made to the governors and their representatives during presentation ceremonies at Sandia Pueblo.
Courtesy USDA Rural Development
USDA Rural Development State Director Terry Brunner (center) presents a certificate of obligation honoring the successful application of funds to create the first ever Native American food hub in the nation to the Ten Southern Pueblos Council made up by the governors of each Pueblo. The presentation was made to the governors and their representatives during presentation ceremonies at Sandia Pueblo.

Source: Indian Country Today Media Network

Native farmers’ business should receive a nice boost in the near future, thanks to a recent grant and certificate of obligation given to the Acoma Business Enterprise, LLC to develop a business plan for a food hub.

USDA Rural Development State Director Terry Brunner presented the certificate to the Acoma Business Enterprise during the ceremony held at the Southern Pueblos Council monthly meeting.

“The Obama Administration is working hard to create economic opportunities in rural tribal communities,” Brunner said. “This strategic investment will help Native farmers find new markets for their products and offers a path to sustainable farming in the 21st century.”

The $75,000 grant for this project was made available through the Rural Business Enterprise Grant (RBEG) program (RBEG), which promotes development of small and emerging businesses in rural areas. Specifically the RBEG funding will be used to develop a comprehensive business plan and marketing study to create a Native Food Hub, which will be the first of its kind in the nation.

The need to develop a marketing plan came about because the Native American farmers found at the end of the growing season they usually had an abundance of produce that was not being sold or utilized.  A food hub will ideally offer a location where native producers can deliver their goods for processing and distribution to market.

The Acoma Business Enterprises was requested by the 10 Southern Pueblo Council to apply for the funding because of the company’s capacity to create the plan and administer the implementation of the marketing of the produce grown in the 10 pueblos.

The RBEG program may also be used to help fund distance learning networks and employment-related adult education programs. Eligible applicants for the program include public bodies, nonprofit corporations and federally recognized Indian Tribes. Since the beginning of the Obama Administration, the RBEG program has helped create or save more than 73,000 rural jobs, provided over copy70.9 million in economic development assistance, improved manufacturing capability, and expanded health care and educational facilities, and has either expanded or helped establish almost 41,070 rural businesses and community projects.

President Obama’s plan for rural America has brought about historic investment and resulted in stronger rural communities. Under the President’s leadership, these investments in housing, community facilities, businesses and infrastructure have empowered rural America to continue leading the way – strengthening America’s economy, small towns and rural communities. USDA’s investments in rural communities support the rural way of life that stands as the backbone of our American values.

 

Read more at http://indiancountrytodaymedianetwork.com/2013/12/16/creating-first-native-american-food-hub-us-152733

These American Families Live Without Running Water

12/06/2013

George McGraw The Huffington post

When most people think of dirty water, they think of places like rural Africa. But water poverty affects hundreds-of-thousands of Americans too.

One shocking example? Nearly 40 percent of the 173,000 Navajo in the U.S. don’t have a tap or a toilet at home. (For non-Native Americans, that number is just .6 percent).

Water poverty affects everything: health, education, personal security, economic growth. 44 percent of Navajo children live below the poverty line, twice the national average, held there by issues like water insecurity. But poverty isn’t the only problem here. Since these communities are just hours from major cities like Los Angeles and Albuquerque, poverty is linked to crime, depression and substance abuse.

Life without water in the U.S. doesn’t look very different from life in rural South Sudan. Every morning, thousands of Navajo men, women and children set out to find water. Many make the trip by car, which can be costly. Some can’t drive, forcing them to walk miles to livestock troughs contaminated with bacteria and even uranium.

Lindsey Johnson is one of the many Navajo elders facing water poverty. She lives with ten of her family members in a small trailer without electricity or running water in Smith Lake, New Mexico. Since she was a child, Mrs. Johnson has relied on neighbors’ taps, local ponds… even snow for every drop of water she uses. Now nearly 80 years old, her struggle to find clean water hasn’t changed much since she was a child.

Today, Mrs. Johnson and 250 other families within a 70-mile radius receive some water by truck. The lone water truck in Smith Lake is operated by St. Bonaventure — a Catholic mission — and it can’t reach every home. By the middle of the month, most families are forced to collect extra water from other (often unsafe) sources. The water that arrives is stored in buckets or barrels outside, prone to contamination in the summer and freezing in the winter.

This holiday season, DIGDEEP Water is partnering with St. Bonaventure to bring reliable clean water access to over 250 homes through the Navajo Water Project.

The community-led project includes a new 2000 ft. well and storage facility. For the first time ever, families will benefit from free, trucked water delivery in an amount that meets international human rights standards. The project will also provide emergency access to water on site.

When finished, the Navajo Water Project will provide every home with an elevated water tank and solar heating element, using gravity to feed sinks and toilets all year long. As with every DIGDEEP system, the project is community-led and unique to the people it serves. The active participation of families, Navajo Chapters and regulators will ensure its long-term sustainability.

DIGDEEP is the only international water organization operating here in the US, and the Navajo Access Project is just the first of its kind. We’re proud to empower communities like Mrs. Johnson’s to defend their human right to water. It’s a stark reminder to Americans everywhere that water poverty isn’t as far away as you think.

Visit navajowaterproject.org to join the fight for clean water here at home.

Administration takes steps to ensure Americans signing up through the Marketplace have coverage and access to the care they need on January 1

Source: U.S. Department of Health and Human Services
Today, the Department of Health and Human Services (HHS) Secretary Kathleen Sebelius announced additional steps to help ensure consumers who are seeking health insurance through the Health Insurance Marketplace smoothly transition to coverage that best fits their needs.  HHS continues to look for additional steps to take to make this process easier for consumers.
The steps taken today include:
  • Requiring insurers to accept payment through December 31 for coverage that will begin January 1, and urging issuers to give consumers additional time to pay their first month’s premium and still have coverage beginning Jan. 1, 2014.
  • Giving people enrolled in the federal Pre-existing Condition Insurance Plan (PCIP) the chance to extend their coverage through Jan. 31, 2014 if they have not already selected a new plan. PCIP is a transitional bridge program that provides people with health conditions who could otherwise be shut out of the insurance market or charged more because of their pre-existing condition quality, affordable health insurance until options become available in the Marketplaces.  The additional month gives this vulnerable population additional time to enroll in a plan and ensure continuity of coverage.
  • Formalizing the previously announced decision giving individuals until December 23, instead of December 15, to sign up for health insurance coverage in the Marketplaces that would begin January 1.
  • Strongly encouraging insurers to treat out-of-network providers as in-network to ensure continuity of care for acute episodes or if the provider was listed in their plan’s provider directory as of the date of an enrollee’s enrollment.
  • Strongly encouraging insurers to refill prescriptions covered under previous plans during January.
“We are providing additional flexibility to consumers across the country to ensure they have access to coverage options that begin on January 1, 2014,” said Secretary Sebelius.  “The Department is committed to providing consumers with the information they need to pick the coverage option that works for them and their families.”
Other ways the administration is working to provide consumers with a smooth transition to coverage include:
  • Working with health insurers on options to smooth this transition such as allowing people who come in after December 23 to get coverage starting January 1 or sooner than February 1;
  • Working with insurers and consumers to make sure that they know whether their doctor or prescriptions are covered before they choose a plan, and how to get care they need during the transition (e.g., receiving a drug not covered by your plan if your doctor deems it medically necessary);
  • Educating consumers who recently received cancellation notices about the possible option to extend their old policy or enroll in a new plan; and
  • Continuing outreach to consumers who began the application process through the Marketplace and experienced technical difficulties.
HHS is committed to meeting consumers where they are in the health coverage process, helping them access and shop for quality, affordable insurance. 
Consumers with questions are encouraged to call the call center at 1-800-318-2596 or visit HealthCare.gov where they can Find Local Help.

Nearly 365,000 Americans selected plans in the Health Insurance Marketplace in October and November

1.9 million customers made it through the process but have not yet selected a plan; an additional 803,077 assessed or determined eligible for Medicaid or CHIP

Source: Health and Human Services

Health and Human Services (HHS) Secretary Kathleen Sebelius announced today that nearly 365,000 individuals have selected plans from the state and federal Marketplaces by the end of November. November alone added more than a quarter million enrollees in state and federal Marketplaces. Enrollment in the federal Marketplace in November was more than four times greater than October’s reported federal enrollment number.

Since October 1, 1.9 million have made it through another critical step, the eligibility process, by applying and receiving an eligibility determination, but have not yet selected a plan.  An additional 803,077 were determined or assessed eligible for Medicaid or the Children’s Health Insurance Program (CHIP) in October and November by the Health Insurance Marketplace.

“Evidence of the technical improvements to HealthCare.gov can be seen in the enrollment numbers.  More and more Americans are finding that quality, affordable coverage is within reach and that they’ll no longer need to worry about barriers they may have faced in the past – like being denied coverage because of a pre-existing condition,” Secretary Kathleen Sebelius said. “Now is the time to visit HealthCare.gov, to ensure you and your family have signed up in a private plan of your choice by December 23 for coverage starting January 1. It’s important to remember that this open enrollment period is six months long and continues to March 31, 2014.”

The HHS issue brief highlights the following key findings, which are among many newly available data reported today on national and state-level enrollment-related information:

  • November’s federal enrollment number outpaced the October number by more than four times.
  • Nearly 1.2 million Americans, based only on the first two months of open enrollment, have selected a plan or had a Medicaid or CHIP eligibility determination;
    • Of those, 364,682 Americans selected plans from the state and federal Marketplaces; and
    • 803,077 Americans were determined or assessed eligible for Medicaid or CHIP by the Health Insurance Marketplace.
  • 39.1 million visitors have visited the state and federal sites to date.
  • There were an estimated 5.2 million calls to the state and federal call centers.

The report groups findings by state and federal marketplaces.  In some cases only partial datasets were available for state marketplaces.  The report features cumulative data for the two month period because some people apply, shop, and select a plan across monthly reporting periods.  These counts avoid potential duplication associated with monthly reporting.  For example, if a person submitted an application in October, and then selected a Marketplace plan in November, this person would only be counted once in the cumulative data.

 

To read today’s report visit: http://aspe.hhs.gov/health/reports/2013/MarketPlaceEnrollment/Dec2013/ib_2013dec_enrollment.pdf

 

To hear stories of Americans enrolling in the Marketplace visit: http://www.hhs.gov/healthcare/facts/blog/2013/12/americans-enrolling-in-the-marketplace.html.

House Farm Bill Provision would make eating fish more dangerous

As featured on eNews Park Forest.com, Dec 5, 2013

Washington, DC–(ENEWSPF)–December 5, 2013.  It’s farm bill debate time—again. And as conferee members saddle up to the negotiation table to attempt yet another meeting of the minds before the winter recess, most of the public watching and waiting for word on a resolution are focused on issues like food stamps and milk.

What most are not waiting for and has not been at the forefront of the media and public discussion concerning the pending farm bill negotiations are the small but dangerous provisions of the House bill concerning the Federal Water Pollution Control Act (expanded and overhauled as the Clean Water Act (CWA) in 1972) and the U.S. Environmental Protection Agency’s (EPA) ability to regulate pesticides used near, over, and in water. It should be.

fishing-207x300Seeking to nullify the Sixth Circuit’s ruling in National Cotton Council v. EPA and the resulting general permit, sections 12323 and 100013 amend CWA to exclude pesticides from the law’s standards and its permitting requirements. Known as the National Pollution Discharge Elimination System (NPDES), CWA requires all point sources, which are discernible and discreet conveyances, to obtain either individual or general permits. Whether a point source must obtain an individual or general permit depends on the size of the point source and type of activity producing the pollutants. Regardless of whether it is a general permit or individual permit, an entity cannot pollute without a permit and in most cases can only permit in the amounts (called effluent limitations) and ways prescribed in the permit.

Separate, but inextricably linked to the NPDES program, are CWA’s water quality standards, under which states are responsible for designating waterbody uses (such as swimmable or fishable) and setting criteria to protect those uses. If a water body fails to meet the established criteria for its use, then it is deemed impaired and the states, or EPA, if the state fails to act, must establish a Total Maximum Daily Load (TMDL), a kind of pollutant diet. The system comes full circle in that impaired waters with TMDLs can be integrated into the NPDES permits.

Neither CWA nor the NPDES program are perfect, but one need look no further than the fish we eat to understand the important role that this critical environmental framework plays in limiting human exposure to pesticides and other toxins.

CWA, Fish, and the Pesticide Connection

In the recently released Environmental Health Perspectives’ article, Meeting the Needs of the People: Fish Consumption Rates in the Pacific Northwest, the complexities of the CWA, its NPDES progam, and its water quality standards criteria are laid out in a disturbing tale of environmental justice and failing bureaucracies.

In short, Native Americans in the Pacific Northwest eat a lot of fish. It’s part of their culture and a way of life preserved in their legal and tribal rights, but they are facing increasing health risks due to the toxic chemicals in those fish. The solution to this problem seems fairly straight-forward: reduce the toxins in the water so that the levels in the fish are safe to eat. It’s a solution envisioned by CWA and its web of regulatory protections, however, as the article explains, “One of the variables used to calculate ambient water quality criteria is fish consumption rate.”

While the takeaway from the article is somewhat defeating and shows the far-reaching weaknesses of existing risk assessment methodologies, the underpinnings of the article —the connection between a water body’s water quality criteria, an entities NPDES permit, and the safety of the fish we put in our mouths— cannot be dismissed as irrelevant tales of woe. Whether the system is functioning perfectly or not, the point is that a system exists that contemplates the risks inherent to consuming toxin-laced fish and has the potential to protect the general consuming public.

From Fish Back to the Farm Bill

What does not have this ability is the Federal, Insecticide, Rodenticide, and Act (FIFRA). It is this federal framework, however, on which supporters of the House provision hang their hats and point to as the already-in-place protective standard capable of preventing water pollution from pesticides. Beyond Pesticides has debunked this argument in more ways than one. Other environmental advocacy groups have also pointed out that the sky has not fallen since EPA’s implementation of the general pesticide permit under CWA.

The Clean Water Act is intended to ensure that every community, from tribe to urban neighborhood, has the right to enjoy fishable and swimmable bodies of water. There is a lot of work still to be done to improve the nation’s waters and protect the health of people dependent on those waters.  Without the Clean Water Act, there are no common sense backstops or enforcement mechanisms for reducing direct applications of pesticides to waterways. It may not be perfect, but it is better than nothing, which would be the effect of the House farm bill. We can’t afford to lose these protections.

Tell your Senators to oppose any efforts to undermine the Clean Water Act.

 

For more information, read our factsheet, Clearing up the Confusion Surrounding the New NPDES General Permit and visit our Threatened Waters page.

Sources:  Environmental Health Perspectives, Natural Resources Defense Council, U.S. Environmental Protection Agency, http://www.beyondpesticides.org/

All unattributed positions and opinions in this piece are those of Beyond Pesticides.

Winona LaDuke: Keep USDA Out of Our Kitchens

By Tanya H. Lee, ICTMN

Native American author, educator, activist, mother and grandmother Winona LaDuke, Anishinaabekwe, is calling on tribes to relocalize food and energy production as a means of both reducing CO2 emissions and of asserting tribes’ inherent right to live in accordance with their own precepts of the sacredness of Mother Earth and responsibility to future generations.

She said during a recent presentation on climate change at Harvard University, “We essentially need tribal food and energy policies that reflect sustainability. Tribes [as sovereign nations] have jurisdiction over food from seed to table and we need to take it or else USDA will take it…. The last thing you want is USDA telling you how to cook your hominy, that you can’t use ashes in it …. I am the world-renowned, or reservation-wide renowned, beaver tamale queen. So who’s going to come to my house and [inspect the beaver]? I don’t want USDA in my food. I want us to exercise control over our food and not have them saying we can’t eat what we traditionally eat.”

LaDuke was talking about tribal food sovereignty.

Winona LaDuke of White Earth, Jackie Francke of First Nations Development Institute and Julie Garreau, executive director of the Cheyenne River Youth Project, at the first meeting of the NAFSA founding council. (Courtesy First Nations Development Institute)
Winona LaDuke of White Earth, Jackie Francke of First Nations Development Institute and Julie Garreau, executive director of the Cheyenne River Youth Project, at the first meeting of the NAFSA founding council. (Courtesy First Nations Development Institute)

Neither the United States Department of Agriculture nor the Food and Drug Administration is likely to turn up in your family’s kitchen, but federal policies have a lot to say about what food products are allowed to get into that kitchen in the first place. Antibiotics and growth hormones in the meat supply, vast harvests of corn, rice or wheat cultivated from the same genetic stock, genetically modified organisms—be they corn or soy or fish–and preservatives added to food during processing are primarily under the control of the USDA and FDA. As are the regulations about what foods can be served by tribes at day care centers, schools and senior centers, not to mention those on how food intended for commercial markets must be grown and processed.

Of particular concern right now is the 2011 federal Food Safety Modernization Act, which increases regulation and oversight of food production in an effort to prevent contamination. If the rules pertaining to the law are not changed in response to public comments, some of the federal government’s regulatory and inspection responsibilities will devolve to state governments, a direct threat to tribal sovereignty, according to First Nations Community Development Institute Senior Program Officer Raymond Foxworth, Navajo. “The [historic] loss of food system control in Indian Country is highly correlated with things like the loss of land, the loss of some aspects of culture related to agricultural processes, and … some pretty negative health statistics [including obesity, diabetes and lifespan]. It’s our belief that food sovereignty is one solution to combat some of these negative effects, be it the negative health statistics, the loss of culture or the loss of land.”

Harley Coriz, director of the Santo Domingo Senior Center, inside of the center's new greenhouse. (Courtesy First Nations Development Institute)
Harley Coriz, director of the Santo Domingo Senior Center, inside of the center’s new greenhouse. (Courtesy First Nations Development Institute)

The institute has been instrumental in establishing the Native American Food Sovereignty Alliance under its Native American Food System Initiative. The alliance will be a national organization focused on networking, best practices and policy issues. The founding members of NAFSA “have been working on trying to pressure the FDA into initiating tribal consultations related to FSMA.”

The alliance, in the works for more than a decade, recently got start-up funding from the W.K. Kellogg Foundation. FNCDI contracted with the Taos County Economic Development Corp. to coordinate its establishment. Directors Pati Martinson and Terrie Bad Hand convened a group of 16 people who have been working on food systems at the grassroots level to form a founding council. That group had its first face-to-face meeting in October.

Among the founding council members is Dana Eldridge, Navajo, formerly on the staff at Diné College and now an independent consultant and would-be farmer, who has done extensive work in analyzing food systems for the Navajo Nation. One of her main concerns is genetically modified organisms. GMOs, she says, threaten both the ownership of Native seeds and the spiritual aspects of food. “Corn is very sacred to us—it’s our most sacred plant. We pray with corn pollen–in our Creation story we’re made of corn—so what does it mean that this plant has been turned into something that actively harms people?”

Children at the Akwesasne Freedom School in New York near the Canadian border work in the their gardens in a farm-to-school project led by Kanenhi:io Ionkwaiontonhake. Much of the food grown in the gardens goes directly to the school for meals. Two teachers even instruct the older kids in the pre-K through grade 8 school in how to can and store their food, according to Elvera Sargent, Mohawk, who has been at the school since 1995 and who is a member of the NAFSA founding council. (Courtesy Akwesasne Freedom School)
Children at the Akwesasne Freedom School in New York near the Canadian border work in the their gardens in a farm-to-school project led by Kanenhi:io Ionkwaiontonhake. Much of the food grown in the gardens goes directly to the school for meals. Two teachers even instruct the older kids in the pre-K through grade 8 school in how to can and store their food, according to Elvera Sargent, Mohawk, who has been at the school since 1995 and who is a member of the NAFSA founding council. (Courtesy Akwesasne Freedom School)

Eldridge says food sovereignty is also important because it is a way to begin to address the trauma colonization has inflicted on Native people. “What I’ve learned during this food research is you can’t produce food by yourself. You need people, you need family, you need community and relationships, so a lot of it is about rebuilding community and reconnecting with the land and I think that’s a very important healing process for our people.”

The Taos County Economic Development Corp. has found that one way to keep USDA and FDA out of your kitchen is to invite them in. When regulators amped up their enforcement of regulations in relation to Native commercial food enterprises in northern New Mexico, TCEDC built a 5,000-square-food commercial kitchen where people could process their crops and learn directly from USDA inspectors what the regulations were. Says Martinson, “The food center was our way of modeling and bringing forward local healthy food through helping those people become actual businesses and entrepreneurs.” In 2006, TCEDC added a mobile slaughtering unit. Housed in a tractor trailer truck, the MSU travels out to small ranches where USDA inspectors oversee the slaughter of livestock—”bison, beef, sheep, goats and the occasional yak,” says Bad Hand–intended for commercial sale. The meat is then brought back to the center for cutting and packaging, again under federal oversight.

There is an irony to all this federal oversight of food production in sovereign Native nations, says Martinson. Traditional Native food growing, harvesting and processing principles kept people healthy for millennia before USDA even existed. The food contamination that FSMA is intended to prevent is a consequence of the industrialization of food production. “All these scares that you hear about, e. coli or salmonella making people really sick, if you trace those back, they come from huge packing plants, from industry.

A young girl at Cochiti Youth Experience (at Cochiti Pueblo) working in the garden. (Courtesy First Nations Development Institute)
A young girl at Cochiti Youth Experience (at Cochiti Pueblo) working in the garden. (Courtesy First Nations Development Institute)

“One of the things that I think Native people recognize and have passed down culturally is that you need to have human beings within food production ecosystems for all of those reasons—safety, quality, a relationship with your food. The principles of safe food are indigenous and inherent in Native communities,” Martinson says.

The answer to “What’s for dinner?” has profound implications for the well-being of Native American tribes. Tribal food sovereignty could mean the difference between continuing to retain (or regain) language, land, religious precepts, traditional lifeways and physical, mental, emotional and spiritual health or losing them.

 

Read more at http://indiancountrytodaymedianetwork.com/2013/11/29/winona-laduke-keep-usda-out-our-kitchens-152496

Cranberries Were a Native American Superfood

timthumbBy Toyacoyah Brown, powwows.com

The Algonquin, Chippewa, and Cree, among others, gathered wild cranberries where they could find them in what is now Maine, Massachusetts, New Jersey, and Wisconsin, all the way west to Oregon and Washington, and north to areas of British Columbia and Quebec, according to Devon Mihesuah, a professor at the University of Kansas and an enrolled citizen of the Choctaw Nation. The berry was called sassamenesh (by the Algonquin) and ibimi (by the Wampanoag and Lenni-Lenape), which translates literally as “bitter” or “sour berries.” Cranberries were used for everything from cooking to dyes for textiles to medicines.

According to Mihesuah, who also runs the American Indian Health and Diet Project, the Native Americans ate cranberries as fresh fruit, dried the fruit and formed them into cakes to store, and made tea out of the leaves. The Inuktitut of eastern Canada used the cranberry leaves as a tobacco substitute. There were also a range of nonculinary uses for the berry, says Mihesuah. Cree boiled the fruit and used it to dye porcupine quills for clothing and jewelry. Chippewa used cranberries as bait to trap the snowshoe hare.

And harnessing the nutritional power of the fruit—cranberries are extremely high in antioxidants and are thought to help prevent heart disease—Iroquois and Chippewa used cranberries for an assortment of medicinal purposes: as “blood purifiers,” as a laxative, and for treating fever, stomach cramps, and a slew of childbirth-related injuries.

Read more about Native Americans and cranberries on National Geographic.

Shared responsibilities: Celebrate World AIDS Day in Everett, Dec. 1

Events in Everett Sunday afternoon; free HIV tests by appointment for at-risk people Dec.2, 4, & 6
Source: Snohomish Health District
SNOHOMISH COUNTY, Wash. – The public is welcome to free events in downtown Everett to commemorate World AIDS Day 2013 on Sunday, Dec. 1. Three community partners will sponsor a memorial walk and program that afternoon to build awareness of the impact HIV/AIDS has on our community. All activities take place at the Snohomish Health District, 3020 Rucker Ave., Everett, Wash. Testing opportunities are available at the Health District Dec. 2-6.
 
Sunday, Dec. 1
1 p.m. Remembrance walk leaves the Snohomish Health District, 3020 Rucker Ave., goes to AIDS Memorial of Snohomish County at 3021 Wetmore Ave., Everett
 2 p.m. Return to the Health District for a program, music, and light refreshments
 
The afternoon program includes remarks by Rev. Julie Montague from Everett Unity Church, and comments from Snohomish County residents living with HIV/AIDS. The program also features music by local musicians Terri Anson and Savannah Woods. The program is free and open to the public.
 
Local sponsors include Snohomish Health District, Snohomish County Gay Men’s Task Force, and AIDS Project Snohomish County. For information about AIDS Project Snohomish County, please contact Jeannine Fosca at 425.923.7656 or Dancing_lively@yahoo.com.
 
World AIDS Day events remember those lost to AIDS, support those living with the disease, reinforce the need to combat stigma, discrimination and intolerance, and underscore the need for routine HIV screening.
 
“The medical community has made great advances in treating HIV/AIDS in recent years,” said Dr. Gary Goldbaum, Health Officer and Director of the Snohomish Health District. “However, there still is no cure. Early treatment is critical to both help those who are infected and to prevent spread to others. Screening is key”
 
An estimated one in five Americans infected with HIV is unaware of it. According to the Washington State Department of Health, 1,130 people in Snohomish County have been diagnosed with HIV since 1982. Screening for tuberculosis is also recommended for HIV-positive people.
 
Monday, Dec. 2
9 a.m.-noon, 1-5 p.m. — Free rapid-tests for HIV offered to anyone at risk of the disease, the Health District, 3020 Rucker Ave., Suite 108. Call for appointment: 425.339.5298.
 
Tuesday, Dec. 3
3-6 p.m., special health event for gay and bisexual men – tests available for HIV, Hepatitis C, and syphilis; also vaccinations for Hepatitis A and B. Come to the Health District, 3020 Rucker Ave., Suite 106, Everett. No appointment needed.
 
Wednesday, Dec, 4
9 a.m.-noon, 1-5 p.m. — Free rapid-tests for HIV offered to anyone at risk of the disease, the Health District, 3020 Rucker Ave., Suite 108. Call for appointment: 425.339.5298.
 
Friday, Dec. 6
 9 a.m.-noon, 1-5 p.m. — Free rapid-tests for HIV offered to anyone at risk of the disease, the Health District, 3020 Rucker Ave., Suite 108. Call for appointment: 425.339.5298.
 
Established in 1959, the Snohomish Health District works for a safer and healthier community through disease prevention, health promotion, and protection from environmental threats. For information about our HIV/AIDS education and outreach services, and to make an appointment call 425.339.5298. Please visit our Facebook page and website: www.snohd.org.