Reclaiming Indigenous Food Relationships: Improving Health with Culture

Reclaiming Indigenous Food Relationships: Improving Health with Culture


>>On behalf of the centers for Medicare
and Medicaid services, the Administration for Community Living and
the Indian Health Service, I would like to welcome everyone to the
long-term services and supports webinar series. My name is Julie Cahoon. I work for Kauffman and Associates. I will be the moderator for today’s webinar. Before we begin I would like to highlight
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policies of the Department of Health and Human Services or the Centers
for Medicare and Medicaid Services. With those announcements made I’d like
to welcome everyone to today’s webinar. Today’s webinar is titled “Reclaiming
Indigenous Food Relationships — Improving Health with Culture.” Our presenter today is Daanis Chosa. Daanis is a member of the
Bois Forte Band of Ojibwe. And she currently serves as the Prevention and Policy Coordinator for the
American Indian Cancer Foundation. I will now hand it over to Daanis
for an introduction to today’s topic.>>Thank you Julie for that intro. Again, my name is Daanis. I’m from the Bois Forte Band of Chippewa,
which is located in Northern Minnesota. I was originally from the
Keweenaw Bay Indian Community, which is a small Ojibwe community
in upper peninsula Michigan. So today we’ll be talking about the American
Indian Cancer Foundation’s [inaudible] resource, which is Reclaiming Indigenous
Food Relationships, which is designed to connect
cultural practices with health. Before getting into the resource
we’d like to share a little bit about the American Indian Cancer Foundation. AICAF is a national non-profit established
to address tremendous cancer inequities faced by American Indian and Alaska Natives. Our mission is to eliminate cancer burdens on
American Indian and Alaskan Native people through education and improved access to prevention,
early detection, treatment and survivor support. At AICAF our vision is a world
where cancer is no longer a leading cause of death for
American Indian and Alaska Natives. Through hard work, culturally
appropriate community-based programs, and policy change that affords
Native people access to the best prevention and treatment strategies, we see a day where American Indian communities
are free from the burdens of cancer. For American Indians we know that the
health disparities are unacceptable. The work ahead is more of
a work plan of building a strong and healthy future for our generations to come. Again, we believe that native
communities have the wisdom and the solutions to cancer inequities, but are often seeking the organizational
capacity, expert input and resources to do so. At the American Indian Cancer Foundation, we
focus our efforts in three strategic areas. On the first is bringing
attention to cancer burdens and solutions to American Indian communities. We will require champion
collaboration and partnerships that leverage community interest,
resources and investments. We engage tribes and mainstream health
organizations through presentations, exhibits, media, and social media. And we host fundraisers and awareness
events across Indian Country. The second is advancing capacity
through training and technical assistance and
just providing resources. We identify prevention and healing
approaches based on tribal teachings, sovereignty and self-determination. We develop and share model framework, training,
and resources for American Indian communities and health systems through
community education and outreach, clinical systems innovations,
and survivor support. And thirdly, identifying solutions
of reliable data and evidence. We do this by hosting community conversations to identify cancer priorities,
barriers and solutions. We collaborate to play reality
and community-based research and we support evaluation of cancer
prevention and screening efforts. And then also we do this by developing
and sharing relevant reports and presentations. Within the three strategic areas we
found the need to separate our programs. At AICAF our program areas are we have our
Survivorship Program, our Cancer Equity Program, the Prevention and Policy Program, Research Programs, Evaluation
Team, Communications and Marketing, Administration and Finance,
Partnership and Fundraising. I will get into opportunities for partnership with
our Prevention and Policy Program at AICAF. So our team, also known as the
Prevention and Policy Team, We partner with American Indian
and Alaskan Native Communities to implement all state systems
and environmental change strategies that promote healthy
norms, health equity and cancer prevention. We focus our efforts on tobacco, physical
activities, nutrition and healthy eating. There’s a list and overview of some
of the work that we do and some of the human resources that we offer. But we’ll get into more of
this within the next slide. And now below is our Policy
Team pictures. So at AICAF our prevention and policy
team, we partner with tribes with facilitated sessions discussions
to identify policy systems and environmental change
strategies in their community. They helped us to identify a strategy that they
would like to pursue to improve community health. We work with the community to
have facilitated conversations where we’re able to listen and create
strategies that address community priorities. We also offer family presentations and training on how
to implement PSE changing tribal communities. The image here to the right is an image
of a report that we created with the help of our graphic designer for one of the
tribal coalitions that we work with. We also call for Tribal Policy
Development and Implementation. We do this through policy drafting
workshops and policy template creation. We also use policy development and review. And through our partnerships we’re able to connect with legal aid and foreign
policy ordinance and resolution drafting. We work with the Public Health Law Center
fairly closely to do this work. And then we are also able to provide
technical assistance when it comes to presenting tribal policies to Tribal Councils. We also provide ongoing and available
support in coalition building in community engagement strategy development
to create buy-ins in the community. And this is an event that community had with
our popular comedian within Indian Country. His name is Bobby Wilson. He’s part of the 1491s comedic group. Specific to cancer prevention our team is able
to provide presentations and resources. We’ve done presentations at tribal
community events and have attended Tribal Health fairs across the nation to provide more education
and resources to the community members across Indian Country. We also assist with making the case for change
to the tribal leaders by providing data and information on health and prevention. We are able to help design surveys that
gather community input and opinions as well. And finally we create, or we can help review
grant proposals before they’re submitted to funding. So that was a background on the Technical
Assistance and Support that the prevention and policy community provides at AICAF. Next, before we dive into the framework I’d
like to share more background information on why the framework was developed, the process, and also look for
contributors to the problem. So these files were designed by
the help of our graphic designer. We saw the need to develop a series of
slides that talk about our Indigenous worldview, root causes applying
to these and health equity. So at AICAF especially on our prevention and policy
team we understand the need to assess our ways of life as native people and start an
Annual initiative. Our Indigenous worldview has always been
non-linear when compared to the Western worldview. Our Indigenous worldview is more about
interrelatedness, balance and sustainability. Our life ways are rooted and culture and
founded in respect to all living things. Indigenous people often collective
in nature versus individualistic, and our collective cultures emphasize
family and work group above individual needs. Where individualism means is
more about personal achievements. Strengthening and understanding this connection creates
opportunity for us at AICAF to be healthier as Native people. This is a worldview that we provide
our daily work life into that. For greater achievements and health
potential, we need to acknowledge and understand the adverse social determinants of health that
have hindered our ability to achieve health equity as native people. These social determinants of health include
historical and intergenerational trauma that was passed on through colonization,
genocide, stress and disruption in childhood development,
poor access to healthy foods, services, employment, education
and transportation. Many of these adverse social determinants
of health lead to adverse childhood experiences such as household
dysfunction, abuse, and neglect. We know these adverse experiences also lead
to misbehavior behaviors such lack of physical activities, unhealthy eating,
commercial tobacco use, and addiction. We know that these behavior risk factors lead to
poor health outcomes and ultimately early death. At AICAF we realize we need an option
approach to achieving health equity. Which means we need to support more
possible and social dependence of health, such as social and economic opportunities and increased access to healthy foods and sacred
medicine, safe physical activity spaces, health care, education, clothing, mobile transportation and the Internet. Another key piece to achieving
full health potential is by breaking that cycle of trauma
that American Indians face often. This includes protective factors such as
cultural connectedness, a sense of belonging, resiliency, or practicing healthy coping skills. By nurturing stable relationships, provide
culturally tailored family education, connecting families to community
system resources, or providing for breastfeeding allows us to
help prevent adverse childhood experiences. And finally by incorporating a balance
lifestyle including physical, mental, emotional and spiritual balance we are able to achieve health equity
and achieve our full health potential as Native people in communities. So as a result of colonization
and historical trauma, American Indians face tremendous inequities
in cancer and other chronic diseases. And we also suffer some of the
highest rates of chronic disease and have the lowest life
expectancy in the United States. As you can see in the image to the left, cancer
death rates for American Indians and Alaska Natives has increased over a
20 year span while decreasing for the white population
over the same time frame. American Indians and Alaska
Natives are often on the worst end of every health indicator reported, for example access to healthcare,
environmental qualities, substance abuse and among other things. So this framework was created for provide
traditional Indigenous cultural practices and include traditions and strategies
for prevention and health promotion. Prior to colonization, Indigenous
communities were healthy and thriving. Colonization and cultural
genocide of Indigenous people in the United States devastated our
traditional school systems and natural physical activities, healthy diet,
and spiritual connection to the land. These devastating American Indian and
Alaska Natives way of life resulted in changes to the way that American
Indians eat, live, work, and play. Traditional cultural practices related
to growing, harvesting, cooking, and serving foods were lost and
replaced with high processed unhealthy food as the only option in
many regions, which is in contributing to the higher chronic illness present today. Tribal communities and organizations
are increasingly collaborating with state and federal agencies to recognize and support culturally
centered intervention to address health and inequities, for example [inaudible] country. One example of the National Tribal
Behavior Health Agenda released in the December 2016, which the
cultural in declaration, which is to ensure that cultural wisdom and traditional practices are taken
into account and supported as fundamental elements of programs, policies, and activities that are designed, or
contribute improvements in behavioral health. We at AICAF implemented the
[inaudible] to engage community partner in creating a framework based on the cultural wisdom in declaration
for connecting our culture, food, and [inaudible] prevention
within Native communities. The cultural wisdom declaration was an important
turning point for this framework because it states that will build and implement
our cultural wisdom as a mainstream to promote health and well
being in our communities through rituals and ceremonies among
other traditional practices. We also think that we will
integrate authentic cultural and preventions along existing healthcare, prevention efforts to ensure
a culturally tailored and culturally relevant approach to help promotion and healthcare delivery for
American Indian and Alaska Native people, which is very important in
the work that we do AICAF. At the beginning of this project they tackled
piled a review of existing data and resources to incorporate the clinical
work that is currently happening in Indian Country and to ensure
that we weren’t recreating the wheel. This included a literature review of
over 60 publications and resources, looking at our existing AICAF data and reports such as work
for health equity reports, our healthy Native foods report,
our commuting elders report, some of the listening discussion data that we complied among other
resources that we have at AICAF. We also looked at the current
food funding was in our region, just over which funding are being utilized. They’re planning an Indigenous food relationship
framework to address resulting from the annual 2016 Native Nutrition Conference
that is health in Indianapolis. In particular the need for guiding paradigms
and decolonizing a re-Indigenous approach for translating researches
of policy and practice in [inaudible] Indigenous Nutrition Initiative. So the culture of this plan of this
framework and many [inaudible] culture exists, the group thought it was very important
to develop a shared definition of culture. They came up with this publishing. “The learned and shared value,
beliefs, norms, language and lifetime practices of a particular group that guides
thinking, decisions, and actions in patterned ways and is transmitted to
succeeding generations. There are four central underlying
foundations rooted in Indigenous culture upon
which the framework is done. The four foundations are planting
seeds and knowledge, eating Indigenous, Cultural practices and resources. When all four are present and in balance,
people are able to achieve their best possible. These four were identified
because they represented as needed to reclaim our connection with [inaudible]. Within each of these foundations are layers, which include the stages of
life, the changing seasons, the aspects of health, and the healthy
outcomes, which means all are related, which we’ll discuss a little bit later. At the end of each section of the framework
our discussion questions are presented to encourage thoughtful conversation
while engaging with the framework. It is important that there is an open and honest
discussion on how normalizing healthy eating that improve individuals community life. We have also included a [inaudible] within
the framework to help capture the major themes and thoughts that arise from the
various discussions and questions. The appropriate questions for this section
are general questions before we dive deeper in the framework and its layers. These questions are have you
identified people in community with the skills and resources to help you? What cultural resources can you draw upon? What financial resources can you draw upon? And are tribal leaders and community
members of all ages invested in your ideas? If not, what needs to happen
to get their support? The staging of life is the first
layer within the framework, but it’s important to note that you can
begin at any layer within this framework. In Indigenous cultures we know that every person
has a role and a purpose, which gives us meaning to life and contributes more to a
sense of belonging and well being. Roles and responsibilities included in culture
are shared through intergenerational teachings, storytelling, experiential
learning and mentoring. [Inaudible] and practices, [inaudible] wisdom,
the seven generations mindset got us thinking about the future while connected with the past. This layer outlines the roles
that elder and adults use and [inaudible] four foundations [inaudible]. They include strategies for babies,
youth, adults and elders that are Indigenous cultural ways to help
promotion and prevent disease prevention. The stages of life strategies shown
here are the elders strategies. As you can see, each strategy is
categorized between more of the foundations. There red circle represents cultural practices. The blue circle represents resources. The green circle represent
planting seeds and knowledge, and the orange represent eating Indigenous. We can do things like invite elders to share
traditional teaching customs and stories with younger generations and
teaching elders for community events. This can include elders in program
planning to connect them to gardening, recruit elders to teach traditional seed
saving and stewardship practices and share our harvest with elders in the community
and with the elders nutrition program. The discussion questions for
the stages of life are — how can the food you eat contribute
to health at each stage of life? How does food availability and quality
impact health throughout the ages? How does our relationship to the components
of the root system change as we grow older? What are the teachings we have about our
roles related to food in each stage of life? The second layer of the framework is made up of
the changing seasons, which vary by location. But for the purpose of this framework, spring,
summer, fall, and winter have been identified. Each treatment brings new opportunities. This layer guide give recommended
activities for connecting with people in core foundation of the
root systems for health. We’ll find on the chart the changing seasons
layer strategies for this summer season. Strategies listed here include identifying
what is needed and make an action plan to reclaim tribal food sovereignty,
with respect to our ancestors, engage tribal leadership to support
community health and food initiatives. Contribute to expanding local food economy, for example selling produce,
starting farmers market, and engaging community members to sell
Indigenous foods and pass on teachings. Harvesting and enjoying seasonal garden
produce, wild berries, fruits and roots. The discussion questions for this section or what are your community’s seasonal
traditions around food and storytelling? How is food prepared in the community? How are these practices shared
among people and through time? What food stories do you know, and what
is being done to preserve and share them? How can the community’s relationship to
food promote health in different seasons? In this layer the four parts of the
medicine wheel are representative of the aspects of health, which include physical, mental,
emotional, and spiritual. This layer guides users all aspects of health with cultural practices,
resources, planting seeds, planting knowledge and eating
indigenous foods and food source. The leads to the emotional strategies
for the aspect of health layers. Strategies include fostering a
healthy emotional connection to food. Honoring your emotional well-being
by building a support network. Hot and attend social gatherings
with healthy food. Nurture connections with the land and foster a
sense of belonging by learning how to garden. Connect with others by cooking
fun and healthy meals together. The discussion questions for the aspects of health layer are what does a
healthy community look like to you? What more do you need to make your
vision of a healthy community a reality? What food resources exist in your community? How can they be used to create more
positive change in normalize healthy eating? How can you ensure that your vision of a
healthy community is designed to be sustainable? The recorded teaching Mitakye
Oyasin means we are all connected. People, plants, and animals are all
related and we take of each other. This teaching helps us understand that
we can achieve health and balance. With one aspect of health,
for example mental, physical, emotional and spiritual is
off, all become off balance. Like the teaching, this framework is
designed to connect the stages of life, the changing seasons and our
aspects of health in a holistic way to achieve good health through food. The framework reminds us that
our culture reflects values, our qualities, and our abilities. So to determine if using
this framework is of value to your community consider
the following questions — Did this framework help people identify and
share insights about your traditions of culture? What connections between culture,
food and health were shared? Were all people who assembled around this
framework able to share their thoughts? And what changes do you expect to occur in
response to engagement with tis framework? The image in the background is one of
the travel communities in Minnesota that we provide technical assistance to for
their Tribal Health and Wellness [inaudible]. How can you apply the framework
in your tribal community? Well the framework support in Native
communities in their efforts to rely on culturally informed health promotion activities
related to food while demonstrating the value of a need for culturally centered
approach to approving health outcomes. You can do this framework in several
ways that makes sense to your community. For example one way for this framework
is to hold community conversations to review the framework with stakeholders
which could include community vendors, local food and health advocates
and your travel [inaudible]. The discussion questions that were
provided earlier at the end each of section to guide your discussion. This will allow you to gain more insight on how you can leverage your travel communities
cultural food ways to advance the health and wellness of your community group. Use this framework as a tool to frame
how healthy eating is a way to heal intergenerational trauma and understand
how instilling healthy eating behaviors in young people make [inaudible]
resiliencies to adverse childhood experiences. You can also use the framework as a
guide to justify implementing culture as prevention strategies for major refunding agencies who traditionally
do not fund this type of work. This can help educate funders on the
importance of culture and prevention to promote health in our native communities. We can incorporate the framework
as a health education [inaudible] by also using cultural ways to be healthy. We can make the framework as a tool
to help any new staff to familiarize to American Indian Community
and generate some new ideas. With the framework you can utilize
the strategies aspects of culture into your community prevention activities. Keep in mind that you may all
ready be implementing some of these strategies within your community. With that help with framework
and strategies provided for a few ideas and generate new thinking, which will serve as a catalyst
in raising awareness and decolonizing or Indigenizing approaches for translating [inaudible] and policy practice and guidance while creating
Indigenous nutrition initiatives. This is a quote that we like to
share from one of our partners. It says, “If take care of today,
tomorrow will take care of itself.” Which is included [inaudible]. Now we’ll talk about some of the success stories
that we heard from communities with framework. The first is part of our Health and Wellness
Coalition that we helped perform in one of the travel communities that we work with. They provide [inaudible]. She went through some health issues in her early
20s but realized she needed a lifelong change. Through motivation in large
part stemmed from tragedies that she endured including the
loss of several loved ones. She recognized that she need to get
back through indigenous ways of living. So she began nourishing her
body with traditional plants and began eating how her ancestors ate. She uses the framework to ensure
a healthier community based on traditions and ways that we all ready know. She says that, “This framework will save
our minds, bodies, sprits, and emotions, like it has me and many others
in our community.” And this is more of a personal health. One of our members says,
“This framework is being used as a broader educational tool,
as well as a [inaudible].” This plan concentrates students to
think about different knowledge systems and to exam the building blocks
connected to other situations. Before the framework was connected all this
class was taught by using stages of life, just circle based on tornado waves
[inaudible] developed by the [inaudible]. What the planning Indigenous was decided that
there was a real life exempt which was present. The health administration of the framework and [inaudible] the future more
centrally within [inaudible]. She says, “It’s not just an exercise,
AICAF is using it for cancer prevention.” And tradition in another part of
Minnesota that we work with said that “The correlation between
commercialized food and cancer is undeniable and if we
can lessen that impact on our health, positive benefits would seem
to naturally fall into place.” She provides nutrition, education
and help bring general evaluations of regular visits over dominant education. She believes having the [inaudible] 12
Framework has given her more direction, while reclaiming Indigenous food
relationships framework is often submitted at events where members
demonstrate cooking and is also pictured at food showcase of traditional food. At AICAF we create several of our
own prevention and policy resources. We have a plethora that are located
on our website, a lot of them related to cancer prevention and among several cancers. We have breast cancer information,
breastfeeding info graphics, [inaudible] info graphics among other things. What was in our Prevention and Policy
team we have or Ordering Nutrition and Indigenous Foods Guidelines and Checklist. On the goal of this resource that referred
to normalized healthy and indigenous eating and foods among American Indians and often
in Native communities across the Nation. Healthy eating plays an important role
of obese prevention and we set the school of one solution is considered work having our
communities free from the burdens of cancers. Just below the [inaudible] really anyone can
do and for anyone that needs to be ordering or surveying food for our meeting or gathering. For the resource the first section is
the serving guidelines and checklists. It covers everything from serving sizes,
portion services, and food preparation. You can see here the guideline is on the left. The guideline that is on the
left is a checklist on the right. For example if you have a [inaudible],
look for the course line in section. The guideline reads, Ensure dimensions
are not larger than 2 inches by 2 inches. For fresh fruits for half
or more of the desserts or choose desserts that are
100 calories or less. This is another report that we created. This is our healthy eating for strong
Native Communities info graphic. We have several different forms of this. We have healthy eating. We have traditional tobacco one for communities
and then we have a visible opportunity. [Inaudible] Native communities. So this info graphic details the
great healthy eating, healthy systems and environmental change strategies
through tribal communities. So if you’re looking for more
ideas related to healthy eating, this would be a healthy resource for you. And again, like I said we have a traditional
tobacco one and a physical activity one that [ Inaudible ] So for social work these are just some of the
strategies that are within the healthy eating, for stores in communities resources. For example on reservation
tribal community it says, “Enact policy requiring healthy
advertising and marketing at checkout area.” And “Increase taxes on unhealthy options
and decrease taxes on healthy options.” So then we have strategies for tribal clinic. This one says, “Offer culturally
appropriate nutritional counseling, including breastfeeding education.” And “Initiate fruit and vegetable
prescription program with vouchers redeemable at stores and the farmers markets.” So that’s all that we have for right now. And just to remind you there are [inaudible]
indigenous schools relationships framework is available on our website at AICAF.org. [Inaudible] and distribute copies
of this material and we’re also able to provide hard copies if needed. Reach out if you have any
questions regarding that. And our contact info is right there.>>Great. Thank you Daanis Chosa for
a wonderful presentation and a lot of great information that you shared. So at this time we’ll go ahead and open up
the floor for questions from the audience. If you have any questions from Daanis
about the content that she shared, type in the questions to the Q & A pass located
at the bottom right side of your screen. So we do have a question at this time and
the question is this individual is interested in hosting a healthy meeting thus
forming healthy meeting plus events for policy making within their organization. Daanis is this something that your
organization would be able to assist with before their representation
of their policy?>>OK. Those are definitely
things that we are able to provide technical assistance
with in processing that. We actually just recently network
we’re currently doing with a few of the tribal communities that we work with.>>Great, and again for contact for that what
they just need to do is go to the website or is there someone specifically
that they could connect with?>>Yeah, that definitely will be
our prevention and policy team. Myself, I think I’m — I’m
not sure if I provided my personal email or not my — my work
email on there on the homepage or not, but that’s something I can share.>>OK, great. For who I am speaking so
everyone knows the welcome pass, which is directly above the Q
& A pass, I went and entered in Daanis’ email address there for you. So that should be available for you
to connect with Daanis directly. So the next question is how long does it take
you to implement this program and framework?>>For framework? I know that it took about probably a year. The thing that’s important
to gauge if your community or like wherever you plan
to utilize this framework. If they’re basically ready for it then it
takes a lot of that line that I was talking about earlier on in this presentation
but specific for this program.>>OK, so it took over a year to
develop the framework and then when you apply the framework for a community that’s dependent on specific [inaudible] level?>>Yes, and like I said with one
of the communities that we did work with that does use this framework
is a community that has a health and wellness coalition currently formed. So we work with them quite frequently
and for them to be able to utilize this framework they were ready they
had coalition that was ready to you know, help promote it and utilize it.>>And the next question is related to the
taxing of [inaudible] as you mentioned, so the question is could you review what happened with the Navajo Nation in Arizona when
they [inaudible], what do you know about that?>>I’m not quite familiar with that.>>OK, I’ll move on to the next question. Where did the American Indian Inequities
Cancer Burden specifics some from?>>All right, so we compiled
a lot of data from — so we have a cancer burden
booklet that we created. It’s actually the title of the
American Indian Cancer Burden, Cancer American Indian all Commutative and
this was the information was gathered for the disparities and cancer and mortality
and incidents among American Indians in Alaska natives in the United
States, which was published by the American Journals Public [inaudible]. So a lot of that data that we
have we compiled it to a booklet that has very specific regional
data for American Indians. And that’s available on our
website at AICAF.org.>>OK, our next question is can
you tell more about how a community or organization is gone about
implementing fruit and veggie descriptions that are redeemable
in stores or farmer’s markets?>>Sure, they’re not just more of examples
that we utilize with some available from such as the [inaudible] Health board has some good health and wellness
grants that I believe that send some of these [inaudible] some of
them by [inaudible] changes. So this is basically something
that you would kind of have to work with to whoever is sitting
on the Farmer’s markets. And then has [inaudible] in creating in all
some place of, you know, a voucher that kind of like eliminates the [inaudible]. So definitely have to find out more
detailed information on how that is done. But that’s something that
is definitely [inaudible].>>OK, great. All right so we have time
for a few more questions. Again, if you have any questions
for Daanis please text those into the Q & A pod located at the
bottom of right of your screen. OK, so are there any last remarks
that you would like to share with our audience today before we close?>>Just that again we have our
planning to build relationships and other resources available
on our website and if you reach out to me via email with a
[inaudible] question maybe we can talk through some things and see what
we can do for you or for anybody else.>>OK, so [inaudible] down there a little bit. We do have a question here that I think
would be very interesting to know about. Has your organization worked with dietary
departments, entitlements in home?>>Actually we have not. Not yet anyways.>>OK. And another question that
has been asked is have you worked with any Oregon community within your work?>>Again, not yet but that is something
definitely that we are open to. We are a national organization so
we are definitely trying to offer as many tribal communities
within all of the states overall. Absolutely.>>That sounds great. OK, so I guess in a quick closing I’d like
to thank Daanis for sharing her time today and sharing information about the work that the American Indian Cancer Foundation
does related to traditional foods and health. In closing I would like to remind everyone that
today’s webinar was recorded and that’s audio and presentation slides will be
made available online at the end of tribal technical assistance center website. Thank you again for joining today’s webinar. Our session is now concluded.

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