Indian Health Service (IHS) Director's Corner Blog updates on important issues affecting the Indian Health Service.en-usInjury Prevention Program Saved Lives of Two Children, October 27, 2016 ]]>On the afternoon of August 14, 2016, Ms. Ramon and Mr. Holloway were driving with their two young children to the store and their vehicle was struck at a traffic light where their car sustained significant damage after being side swiped by cross traffic. Both of the back tires were blown out, the axle was broken and the driver’s side doors were heavily damaged. Luckily, the children were secure in properly fitted and installed car seats. At the crash scene, their son was able to walk and jump around and their daughter was able to move freely as well. First responders reported the parents did a great job installing the car seats, making the parents feel proud, fortunate and extremely grateful.

Grateful for the services of Feliciano Cruz, Jr., a public health emergency preparedness and injury prevention coordinator with the Pascua Yaqui Tribe Exit Disclaimer: You Are Leaving, who had conducted a child passenger safety class attended by the parents and assisted the family to ensure everyone rides safe while in the car. The parents remarked that his instruction was very detailed and his advice stuck with them.

The Ramon and Holloway Family.
The Ramon and Holloway Family.

On October 11, IHS released the report, Indian Health Focus: Injuries 2015 Edition cataloging American Indian and Alaska Native-specific injury data. Injuries are the leading cause of death among American Indians and Alaska Natives between the ages of one and 44 years; especially among children. Unintentional injury deaths for American Indians and Alaska Natives decreased by 58 percent (1973-2008). Injuries cost IHS, tribes and contract health services approximately $350 million per year in the treatment of injuries and accounts for 44 percent of the years of potential life lost before age 65 for American Indian and Alaska Native populations.

The IHS Injury Prevention Program is the lead IHS program to address the injury disparities in American Indian and Alaska Native communities. Top program priorities include motor vehicle and unintentional elder fall prevention. The program’s approach is based on the same public health principles that have been applied to effectively control infectious diseases. Using the public health approach and focusing on the implementation of evidence-based injury prevention strategies can have significant public health impact and the program supports community-specific solutions.

The Pascua Yaqui Tribe of Arizona continues to build upon the IHS Injury Prevention funding they received ($50,000 annually, 2000-2005). Mr. Cruz, a member of the Pascua Yaqui Tribe, served as a former member of the IHS Injury Prevention Tribal Steering Committee member from 2004 to 2008 and has been a certified Child Passenger Safety Technician since 2000. The Pascua Yaqui Tribe was awarded funds from the IHS TIPCAP ($20,000 annually, 2015-2020) to expand their reach of injury prevention activities.

IHS’s collaborative partnership with the Tribe is one way we are proud to raise the health status of the Ramon/Holloway family and have them be able to spend another day as a family.

Read more about this program.

CAPT Nancy M. Bill, a member of the Navajo Nation, oversees the 12 national IHS regions serving the 567 federally recognized American Indian and Alaska Native tribes to ensure consultation, collaboration and partnership in injury prevention.

Tribal Epidemiology Centers Meet at IHS Headquarters, October 26, 2016 ]]>On October 18-20, the Indian Health Service (IHS) Division of Epidemiology and Disease Prevention hosted the Directors of the Tribal Epidemiology Centers (TECs) in their first meeting at Indian Health Service’s (IHS) headquarters in Rockville, Maryland.

The TECs met with leaders from the IHS Office of Public Health Support, the IHS Division of Behavioral Health, the Department of Justice, the Centers for Disease Control and Prevention’s National Center for Chronic Disease Prevention and Health Promotion, the National Institutes of Health (NIH) National Institute on Minority Health and Health Disparities, the NIH National Cancer Institute, the NIH National Institute on Drug Abuse and the NIH National Institute on General Medical Sciences.

Tribal Epidemiology Centers members meet at IHS Headquarters in Rockville, Maryland. .
Tribal Epidemiology Centers members meet at IHS Headquarters in Rockville, Maryland.

The TEC Directors discussed their shared mission, brainstormed on future collaborations, described funding gaps and community strengths, and made plans to expand their outreach to other federal agencies and organizations. Emerging issues included: the expansion of their technical assistance to the IHS Methamphetamine and Suicide Prevention Initiative and Domestic Violence Prevention Initiative grantees, possible TEC-supported responses to the threat of the Zika virus to American Indian and Alaska Native (AI/AN) communities, and the sustainability of funding for the core Public Health functions of the TEC program.

The TECs recently celebrated their 20th year working to improve public health capacity and the availability of valid and reliable data in AI/AN populations. Currently, the TECs serve all 12 IHS Areas and the Urban Indian population and are recognized as Public Health authorities through the Indian Health Care Improvement Act.

The TECs are currently supported by IHS through a cooperative agreement to carry out seven core functions as articulated through consultation with Tribal leaders. These functions include:

  • data collection;
  • evaluation of systems that impact AI/AN health;
  • assisting tribes with identifying health objectives priorities and services;
  • making recommendations for targeted services;
  • making recommendations for improving health care delivery systems;
  • providing technical assistance to Indian tribes, tribal organizations, and urban Indian organizations; and
  • providing disease surveillance and assisting Indian tribes, tribal organizations, and urban Indian communities to promote public health.

To learn more about these programs, please visit: Exit Disclaimer: You Are Leaving or

Lisa Neel, MPH, a citizen of the Cherokee Nation, is a Public Health Advisor in the IHS Division of Epidemiology and Disease Prevention. Previously she was the program manager for the IHS National HIV/AIDS Program.

October is Domestic Violence Awareness Month, October 17, 2016 ]]>Domestic and intimate partner violence (IPV) is a significant public health problem that can have devastating effects on individuals, families and communities. American Indians and Alaska Natives experience rape, physical violence and stalking by an intimate partner at higher rates than the general U.S. population, however the impact of IPV is not fully appreciated as social barriers such as privacy, guilt, shame and fear inhibit reporting rates.

The Presidential Proclamation naming October 2016 as National Domestic Violence Awareness Month Exit Disclaimer: You Are Leaving supports healing from domestic violence and states that "we must ensure that survivors and their families have access to the resources, care and support they need to do so." The White House has established a new North American Working Group on Violence against Indigenous Women and Girls and the Indian Health Service (IHS) was pleased to participate in the first meeting of this working group which occurred at the White House on October 14, 2016.

IPV has been correlated with an increased risk of heart disease, asthma, chronic pain syndromes, gastrointestinal disorders, sexually transmitted infections, gynecological and pregnancy complications. There are emotional and psychological consequences such as depression, anxiety, eating disorders and post-traumatic stress disorder. Adverse health behaviors associated with IPV include high-risk sexual activity, alcohol and substance use and an increased risk for suicide.

The highest rates of IPV occur in women of childbearing age, but early screening and detection of IPV along with appropriate intervention may increase the safety of these women. The impact on children exposed to IPV has wide implications including increased risk for physical, sexual, emotional neglect, harm and death.

To respond to this public health problem and provide access to care, IHS issued its first standalone policy on Intimate Partner Violence. The purpose of the policy is to identify victims of IPV and intervene on their behalf within a system of medical care and referral that is patient-centered, culturally sensitive and trauma-informed. This policy establishes uniform clinical care guidelines for providers on identifying and responding to patients presenting to IHS healthcare facilities, with specific training on the forensic healthcare response to IPV.

IHS' work on IPV aligns with the priorities of the President. In June of this year President Obama traveled to Ottawa, Canada, for the North American Leaders' Summit (NALS), where he met with the Prime Minister of Canada, Justin Trudeau, and the President of Mexico, Enrique Peña Nieto, to discuss key priorities aimed at creating a safe and secure future for the citizens of all three countries. Among the many commitments announced at NALS was a tri-lateral commitment to address the scourge of violence against indigenous women and girls that exists across North America. The White House included that commitment under the "security and defense" initiative, to underscore that women's security is integral to national security.

Across Canada, the U.S. and Mexico, indigenous women and girls face alarmingly high levels of violence and often lack access to justice, health care and social services. In May 2016, the magnitude of this violence in the U.S. was driven home by a new report Exit Disclaimer: You Are Leaving from the National Institute of Justice with staggering statistics. The researchers found that more than 84 percent of Alaska Native and American Indian women had experienced some form of violence in their lifetimes: 66 percent experienced psychological violence, 56 percent experienced sexual violence, 55 percent experienced physical violence from an intimate partner and 49 percent experienced stalking. Despite the grave need for support and protection from this violence, 38 percent of Alaska Native and American Indian female victims were unable to access legal, medical and other services. Read more on the White House blog Exit Disclaimer: You Are Leaving

Domestic and sexual violence are issues that no one should have to experience but if we learn the warning signs, can provide support and are able to reach out to those that need it most, we can impact the cycle of violence.

Ms. Smith, a member of the Cherokee Nation, leads IHS, a nationwide health care delivery program responsible for providing preventive, curative and community health care to approximately 2.2 million American Indians and Alaska Natives.

Being a Health Advocate is a Family Trait, October 13, 2016 ]]>Pursuing a career in the health field was a no brainer for Ruscilla “Bree” Tiger-Riggan. A second generation Indian Health Service employee, Bree works as a Public Health Analyst for the Indian Health Service Nashville Area Office where most of her work is focused on reconciling claims through the Catastrophic Health Emergency Fund or CHEF.

A nurse by trade, Bree joined IHS in 2014 after working in the obstetrics department at Baptist Hospital in Nashville, Tenn. Bree’s grandmother and great-grandmother were also nurses. Bree’s father, Mike Tiger, served as the executive officer, deputy director, and area director for the IHS Nashville Area Office from 1982 through 2004, respectively. Mr. Tiger retired from IHS in 2004 and accepted the position as the treasurer for the Seminole Tribe of Florida. He retired from the Seminole Tribe of Florida in 2014.

Ruscilla "Bree" Tiger-Riggan is a Public Health Analyst and CHEF Coordinator for the IHS Nashville Area Office.
Ruscilla "Bree" Tiger-Riggan is a Public Health Analyst and CHEF Coordinator for the IHS Nashville Area Office.

Much like her family tree, Bree has dedicated her career to helping people in need – as a nurse and as a health advocate. Bree spends much of her time working the Purchased/Referred Care department to locate funding for Service Units to treat patients who may have to go outside the IHS system to receive care. Bree expresses that her work with tribes in the Nashville Area is humbling and she is very passionate about the cases she works on.

Bree was recently recognized by the Direct Service Tribes Advisory Committee with a Special Certificate of Recognition and Appreciation for her work with CHEF requests. CHEF requests are processed at the Area Office and sent to IHS Headquarters. In 2015, The Nashville Area had 47 cases for $2.4 million; and 46 cases for $2.5 million in 2016.

Bree credits her successful career path to the women in her family who are caring and nurturing, and strong and educated. Bree is a member of the Eastern Band of Cherokee Indians and a descendant of the Seminole Tribe of Florida. She is married and has two daughters. Bree enjoys spending time with her family in North Carolina and Florida.

Martha Ketcher, a member of the Cherokee Nation, is the Director of the Indian Health Service Nashville Area. As Director of the Nashville Area, Ms. Ketcher is responsible for providing leadership and partnering with 29 Tribes in 14 states for the overall administration of a health care system which includes ambulatory clinics, P.L. 93-638 contracting and self-governance.

It's Never Too Late to Smile Again, October 12, 2016 ]]>Josh, a 29-year-old male came into the Micmac Family Health Clinic during the winter of 2016. He had not received regular dental care for many years and therefore had a long list of issues and was very apprehensive about receiving dental care. He told the dental team that he had suffered dental pain for years and was embarrassed and ashamed about the condition of his mouth. Josh said he covered his mouth when he smiled and had been ridiculed over the years by his peers because of the condition of his teeth.

Josh received a comprehensive dental exam and treatment plan upon his initial visit and had many questions about what could be done to eliminate his pain and to improve the look of his smile. The Micmac dental team taught Josh about the mechanical function of his teeth, which provided him with an improved understanding of the overall importance of maintaining his oral health. After a thorough discussion of his treatment plan, which was intensive and required a huge commitment on his part, Josh was motivated and decided to move forward with his strategy. Josh’s treatment plan included multiple extractions (he was referred to an oral surgeon), numerous restorative procedures, periodontal treatment, and the fabrication of upper and lower partial dentures.

Josh and his wife, Hilary have many reasons to smile thanks to the Micmac Dental team.
Josh and his wife, Hilary have many reasons to smile thanks to the Micmac Dental team.

The Micmac dental team assisted Josh in coordinating appointments between the clinic and his outside specialists. After healing from his surgical extractions the majority of his severe pain was relieved, however, lingering, dull pain remained along with his hesitation to speak or smile in public because now he had missing teeth on top of some remaining tooth decay. Encouragement from the Micmac dental team to continue with his dental treatment was key to Josh getting his smile back. Josh placed his trust in the team and continued forward with the treatment plan.

Josh’s full-mouth rehabilitation was completed only because of his dedication to nine months of dental visits to the Micmac Dental Clinic – 17 visits in all plus more visits to the specialists. The Micmac Dental team was also dedicated and persistent in motivating Josh with friendly phone calls and post card reminders, helping him to achieve his ultimate goal.

The dental team was just as invested as Josh was in eliminating the pain and creating his winning smile. Upon completion of his treatment plan, Josh expressed his gratitude through tears of joy and pride, hugs and smiles. He said the dental team had “surpassed his expectations” of what he thought was possible. He could not stop smiling or admiring his smile in the mirror. To witness his emotional and physical transformation along with his improved quality of life was a special day for the whole Micmac Dental team. Not only was Josh was able to reach his initial goal of living pain free and being able to smile, he gained essential functions that he didn’t know he’d been missing. Josh is a ‘success story’ for many reasons, most notably because the quality of his life and health has been significantly improved by having access to dental care at Micmac Service Unit.

Theresa Cochran is the HSA and CEO for the Micmac Service Unit in Presque Isle, Maine. She is a member of the Aroostook Band of Micmacs and has worked for the community since October 2001 as a Tribal employee, a federal employee since October 2006 and CEO of the Micmac Service Unit since 2012.

Sacramento Urban Health Center Achieves Accreditation, October 5, 2016 ]]>I’m pleased to announce that the Sacramento Native American Health Center Exit Disclaimer: You Are Leaving, Inc. (SNAHC) was recently accredited by the Accreditation Association for Ambulatory Health Care Exit Disclaimer: You Are Leaving (AAAHC) and also received Patient Centered Health Home Certification. This center is one of 42 non-profit programs nationwide that make up the IHS Urban Indian Health Programs family.

AAAHC and similar accrediting organizations evaluate ambulatory surgery centers, office-based surgery centers, endoscopy centers, large medical and dental practices, student health centers, military health care clinics, and other kinds of health care facilities.

Ambulatory health care organizations seeking accreditation by AAAHC undergo extensive self-assessment and a thorough on-site evaluation by experienced physicians, nurses, and health administrators. The evaluation is consultative and educational, focusing on best practices to help improve care and services.

The Sacramento Native American Health Center, Inc. is a non-profit 501 (c)(3) Federally Qualified Health Center, located in midtown Sacramento. The health center is committed to enhancing quality of life by providing a culturally competent, holistic, and patient centered continuum of care.

Accreditation is an important part of improving quality for Urban Indian health programs and good for patients because demonstrates a commitment to patient safety and quality health care. 

Learn more about the IHS Urban Indian Health Program.

Sherriann Moore, an enrolled member of the Rosebud "Sicangu" Lakota Tribe in South Dakota, is the Acting Director of the Office of Urban Indian Health Programs. The IHS Office of Urban Indian Health Program supports contracts and grants to programs funded under Title V of the Indian Health Care Improvement Act.

New "Global Recruitment" Plan to Streamline IHS Job Postings, September 29, 2016 ]]>IHS is streamlining the recruitment process with a new Global Recruitment initiative. Global Recruitment will make it easier for health professionals to find and apply for jobs thus allowing hiring officials to fill critical vacancies faster. This new recruitment strategy is a top priority for the Office of Human Resources and IHS senior leadership.

The first Global Recruitment job announcement will be posted on October 3rd for Medical Officer (Family Practice) positions.

Currently, every IHS vacancy across the country is posted as a separate job advertisement. In early September, for example, Exit Disclaimer: You Are Leaving listed 68 IHS Medical Officer job opportunity announcements for family practice physicians.

Using a single global job announcement, those 68 vacancies would be consolidated into one, listing the participating IHS locations and salary ranges. Additionally, Public Health Service Commissioned Corps Officers will be able to apply outside of USAJOBS through a simplified email process. (USAJOBS includes only federal job listings; tribal and urban Indian program jobs will still be listed at

Global Recruitment allows for efficiencies in hiring for both human resources and hiring managers, reduces redundancy for commonly recruited positions and attracts a greater pool of qualified candidates. Applicants will only need to apply to one job announcement and will be able to identify those areas they are interested in working by simply checking off locations.

After the first Medical Officer (Family Practice) job announcement, the Global Recruitment team will continue rolling out global job opportunity announcements in other high-demand health professions. Please check back on October 3rd for links to apply!

To find out how to participate, please email Global Recruitment at

Lisa Gyorda is the Acting Director of the Office of Human Resources for the Indian Health Service where she is responsible for providing strategic guidance and leadership for all aspects of the human resources function. Ms. Gyorda is a member of the Oglala Sioux Tribe of the Pine Ridge Reservation.

A Toolkit for Native Youth and Their Health Care Future, September 29, 2016 ]]>Much of our native youth in tribal communities visit an Indian Health Service (IHS) facility for their health care needs - just like their parents, grandparents, and other family members. For some, the only health care system they are familiar with is IHS. With the passing of the Affordable Care Act (ACA) in 2010, the law opened up more options and benefits for American Indian and Alaska Native adults and children through the Health Insurance Marketplace and Medicaid Expansion. But, what should native youth know about the ACA and why should they know it?

Through the IHS National Indian Health Outreach and Education (NIHOE) funding, the National Indian Health Board (NIHB) created a new "Affordable Care Act Toolkit for Native Youth." The toolkit includes posters, brochures, and a video highlighting the benefits for youth through the ACA, like free immunizations and preventive screenings; the ability to stay on a parent's insurance until age 26; and continuing to use IHS with their new coverage.

The toolkit materials feature participants from the 2015 NIHB Youth Summit held in Washington, DC. The youth were filmed visiting with Members of Congress, interacting with policy officials, and learning about tribal health care reform from top leaders. The video also includes some of the youth in their home communities reflecting on their experiences in the nation's capital and the importance of quality health care for themselves and their families.

Poster targeting Native youth about the Affordable Care Act
Poster targeting Native youth about the Affordable Care Act

It's important to educate native youth about their health care options through the Marketplace, Medicaid, or other federal health programs. For our IHS patients, having coverage means having more options. This is particularly important for our youth as they are our future leaders and investing in their health now also means investing in their future healthy lifestyle choices. IHS and NIHB are committed to advancing positive healthy outcomes for all American Indian and Alaska Native youth.

The objectives of this new toolkit are: to introduce native youth to the benefits of the Affordable Care Act, Medicaid, and health insurance coverage; encourage native youth to learn more about concepts of the Affordable Care Act, Medicaid, and health insurance coverage from their local IHS Patient Benefits Coordinator or enrollment assistor entities; and engage native youth to become advocates and resources for tribal health care reform for a healthier Indian Country.

To learn more about the Affordable Care Act Toolkit for Native Youth, visit the IHS Affordable Care Act website. For information about the ACA benefits for American Indians and Alaska Natives, visit the Marketplace Tribal Resources website Exit Disclaimer: You Are Leaving

Raho Ortiz is the Director of the Division of Business Enhancement in the Office of Resource Access and Partnerships with the Indian Health Service. He provides national oversight and guidance for IHS business offices and provides the IHS with advice regarding reimbursement policy and procedures for Medicare, Medicaid and Marketplace health plans. He is Navajo and Acoma Pueblo.

Dental Externs Gain Valuable Experience in the Field, September 27, 2016 ]]>For many students in dental school there is a requirement to fulfill an internship between their third and fourth year. The Indian Health Service’s Division of Oral Health (DOH) Dental Externship Program can provide that experience at 26 facilities across the United States. Externships can last from two weeks to as long as six weeks between May and September each year.

Externs are able to perform examinations, cleanings and minor extractions.
Externs are able to perform examinations, cleanings and minor extractions.

This successful program has been operating since 2000. Last year, more than 130 students were placed in locations such as the Samuel Simmonds Memorial Hospital in Barrow, Alaska; the San Carlos Hospital in San Carlos, Arizona and the St. Regis Mohawk Health Services in Hogansburg, New York. The purpose is to give students a comprehensive experience in a professional dental office setting while giving dental exams, filling cavities, consulting with patients and performing minor oral surgeries including extractions and root canals. The other part of the experience is the chance to enjoy local recreational activities, Native cultural events and the natural beauty of the rural and sometimes remote sites.

This competitive online application process begins in January and includes an essay which has potential applicants explaining why they want to extern at the Indian Health Service, what led them to want a career in dentistry and more on their personal background. Other considerations include overall GPA, a resume and choosing their three areas of placement preference.

Placements for externs are available throughout the U.S. in tribal communities.
Placements for externs are available throughout the U.S. in tribal communities.

“Part of my job is to work closely with the externs to facilitate their travel, hotel and housing needs, and answer any questions,” said Gabrielle Bellini, administrative support assistant in DOH. “We want to make the process easy and enjoyable so that the participants will become “program ambassadors” for this life-changing experience. Word of mouth and social media have been invaluable as far as getting students to apply year after year.”

Read more about this unique program, including a colorful guide of the participating locations [PDF - 5.6 MB]. Join our dental professional LISTSERV list. Receive our newsletters to get all the up to date information on jobs and this externship opportunity and follow us on Facebook Exit Disclaimer: You Are Leaving

Dr. Timothy Lozon, DDS, has served as a U.S. Public Health Service Commissioned Corps dental officer for nearly 30 years. He has led the IHS Division of Oral Health since 2010.

World Environmental Health Day, September 23, 2016 ]]>September 26, 2016 is World Environmental Health Day Exit Disclaimer: You Are Leaving This day is recognized around the globe to honor the important work of environmental health professionals.

The IHS Division of Environmental Health Services (DEHS) delivers a comprehensive environmental health program to more than 2.2 million American Indians and Alaska Natives (AI/AN) in 35 states. A group of 282 federal and tribal Environmental Health professionals accomplish this work.

CDR Vince Garcia prepares mosquito specimens for West Nile virus testing.
CDR Vince Garcia prepares mosquito specimens for West Nile virus testing.

DEHS staff provide direct services and technical assistance to tribes, collect data for action at the community level, identify and control risk factors that affect the health of the community, implement and evaluate local environmental health projects and interventions, advocate at the federal and regional levels, and build the capacity of tribes to manage their own environmental health programs.

DEHS has identified five national focus areas that serve as our national priorities:

  • Children’s environment
  • Safe drinking water
  • Food safety
  • Vector borne and communicable diseases
  • Healthy homes 

In addition, there are two specialty programs within the DEHS program, Community Injury Prevention and Institutional Environmental Health. 

Orlana Schmidt identifying any safety issues during a playground survey.
Orlana Schmidt identifying any safety issues during a playground survey.

Community Injury Prevention Program - DEHS staff provide expertise in the prevention of both unintentional injury (i.e., motor vehicle crashes, falls) and intentional injury (i.e., suicide, assaults). The Injury Prevention Program places priority on epidemiology, training, partnership building and the implementation of proven intervention strategies to reduce injuries. In 2016, DEHS provided nearly $900,000 to fund tribal cooperative agreement programs and projects to prevent injuries due to motor vehicle crashes and elderly falls.

Institutional Environmental Health Program - The Institutional Environmental Health program provides occupational safety and industrial hygiene services, accreditation consultation and a variety of safety training to IHS and Tribal healthcare facilities. DEHS also provides technical support services in community institutions.

Examples of services provided by DEHS staff to aid in the elimination of environmentally related diseases and injuries are:


  • Monitor over 19,000 establishments, including:
    • Food establishments to improve food safety for consumers
    • Healthcare facilities to increase safety, infection control and accreditation compliance
    • Children’s environments (e.g., Head Start programs, schools, day cares) to identify and reduce hazardous environmental conditions to children
    • Homes to identify and reduce environmental hazards for all occupants
    • Complex institutions (e.g., correctional facilities, casinos and recreational facilities) to identify and reduce environmental hazards
    • Water and waste water systems to ensure safe drinking water and safe disposal of waste water
    • Conduct vector borne and communicable disease and injury surveillance and investigation

Policy Development

  • Work with tribal councils and health departments to pass policy and laws that keep people safe (e.g., fire safety, motor vehicle occupant restraint, healthy housing, animal control)


  • Provide technical assistance to tribal establishment operators, tribal leaders and others to prevent unhealthy conditions
  • Provide training on issues such as food and water safety, safe housing, emergency preparedness and response, community collaboration, injury prevention and vector borne and communicable diseases
  • Develop the capacity of tribal communities to manage their own environmental health programs

The work of the DEHS program is important, extensive and impactful. Please join me on World Environmental Health Day to recognize our environmental health professionals. If you would like more information about the IHS Environmental Health Program, please visit our website.

CAPT Kelly Taylor is the Director of the Division of Environmental Health Services for the Indian Health Service. She has served American Indians and Alaska Natives for over 26 years.