title: Pandemic influenza preparedness and vulnerable populations in tribal communities.
abstract: American Indian and Alaska Native (AIAN) governments are sovereign entities with inherent authority to establish and administer public health programs within their communities and will be critical partners in national efforts to prepare for pandemic influenza. Within AIAN communities, some subpopulations will be particularly vulnerable during an influenza pandemic because of their underlying health conditions, whereas others will be at increased risk because of limited access to prevention or treatment interventions.We outline potential issues to consider in identifying and providing appropriate services for selected vulnerable populations within tribal communities. We also highlight pandemic influenza preparedness resources available to tribal leaders and their partners in state and local health departments, academia, community-based organizations, and the private sector.
authors.affiliation: Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA. Amy.Groom@ihs.gov
authors.forename: Amy V
authors.initials: AV
authors.lastname: Groom
authors.forename: Cheyenne
authors.initials: C
authors.lastname: Jim
authors.forename: Mic
authors.initials: M
authors.lastname: Laroque
authors.forename: Cheryl
authors.initials: C
authors.lastname: Mason
authors.forename: Joe
authors.initials: J
authors.lastname: McLaughlin
authors.forename: Lisa
authors.initials: L
authors.lastname: Neel
authors.forename: Terry
authors.initials: T
authors.lastname: Powell
authors.forename: Thomas
authors.initials: T
authors.lastname: Weiser
authors.forename: Ralph T
authors.initials: RT
authors.lastname: Bryan
mesh_terms: D000368:Aged; D004196:Disease Outbreaks / Q000517:prevention & control*; D006297:Health Services Accessibility; D006801:Humans; D007198:Indians, North American; D007251:Influenza, Human / Q000208:ethnology* / Q000401:mortality; D004930:Inuit; D015995:Prevalence; D014481:United States / Q000453:epidemiology; D016549:United States Indian Health Service; D035862:Vulnerable Populations