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Conversations That Matter: The COVID-19 Listening Sessions Series

Based on the high level of engagement and enthusiasm for the 2 listening sessions that IREACH held December in partnership with the COVID-19 Vaccine Confidence Project, we will be holding 2 new sessions in mid-February to hear Native Hawaiian, Alaska Native and Native American thoughts, feelings, and views on COVID-19 vaccinations. The sessions will include a presentation by Salish-Kootenai vaccine expert Dr. Joshua MarceauStay tuned for further details about how to sign up for our upcoming IREACH Reaching Out: Conversations That Matter: COVID-19 Listening Sessions. Supported by the Reagan Udall Foundation on behalf of the FDA, the December 2020 COVID-19 Vaccine Confidence Project listening sessions included 26 participants representing a cross-section of tribal members from American Indian & Alaska Native communities across the U.S. The project focused on connecting with traditionally underrepresented communities and frontline workers to better understand perceptions about COVID vaccines, identify information people want as they think about getting vaccinated, and brainstorm about how to best provide key audiences with the information they need. Read the Executive Summary of the COVID-19 Vaccine Confidence Project here. » More ...

IREACH post-doctoral fellow Dr. Cassandra Nikolaus awarded KL2 career development grant

By Susan McLaughlin, IREACH

Dr. Cassandra Nikolaus has been awarded a KL2 Scholar in the Multidisciplinary Clinical Research Career Development Program at the University of Washington’s Institute of Translational Health Sciences (ITHS). Dr. Nikolaus’s research project is titled, “Characterizing the ‘real-world’ implementation of food security screening in healthcare settings.”

During the current economic downturn, food insecurity has intensified, with an estimated 54 million households now suffering from insufficient access to nutritious food. The consequences are far-reaching and include chronic disease development, poor disease self-management, diminished mental health, greater health care costs, and death. Understanding barriers to food insecurity screening to ensure that screening guidelines are implemented and food insecure patients are referred to assistance programs is of critical public health importance. We congratulate Dr. Nikolaus on advancing her research!

IREACH scientist Dr. Anna Zamora-Kapoor featured on podcast about effects of COVID-19 on women

By Susan McLaughlin, IREACH

Dr. Anna Zamora-Kapoor shares her expertise on women and health in a podcast about women’s invisible labor, as part of the WSU podcast series, Cougarosities. Joined by WSU sociologist Dr. Julie Kmec, Zamora-Kapoor discusses the impact of COVID-19 on women, who make up the majority of essential workers, ranging from grocery store clerks to health care professionals. Not only have these women continued to report to work throughout the pandemic, they also take on the majority of caregiving roles—child care, teaching from home, elder care, and more. Together, Dr. Zamora-Kapoor and Dr. Kmec tackle key questions of social policy, work-life balance, and race relations. Watch the podcast here, and learn more about the Cougarosities series here.

Dr. Zamora-Kapoor is an Assistant Professor at WSU with a joint appointment in the Department of Medical Education and Clinical Sciences and the Department of Sociology. She also serves as the Community Liaison for the WSU Health Equity Research Center.

Work by Dr. Dedra Buchwald and IREACH to stem spread of COVID-19 in urban American Indian and Alaska Native populations highlighted in Spokane Journal of Business

By Susan McLaughlin, IREACH

Due to the prevalence of diabetes, hypertension, obesity, multi-generational households and poor living conditions, American Indian and Alaska Native people living in urban settings may be dangerously vulnerable to COVID-19. For these individuals, the risk may be even greater because their access to health care facilities located on reservations is limited. But targeted testing in these communities has been virtually nonexistent, so the severity of the crisis remains unknown.

To meet this threat, a new multi-center project has been launched by IREACH director Dr. Dedra Buchwald, in collaboration with Dr. Rich MacLehose of the University of Minnesota and Dr. Spero Manson of the University of Colorado Anschutz Medical Campus. Funded by a $4.4 million grant from the National Institutes of Health, the project will partner with Urban Indian Health Programs in Albuquerque, Anchorage, Denver, Minneapolis, Seattle, and Wichita. Researchers will assess levels of testing and challenges that prevent urban American Indians and Alaska Natives from getting tested and vaccinated. The aim is to generate creative solutions and fund new resources to increase testing and limit the spread of COVID-19 in these vulnerable populations.

Read the article here.

Native American scholar Dr. Cheryl Ellenwood to expand the Tribal Nation Building Leadership programs at Washington State University

30 November 2020

Dr. Ellenwood will join WSU’s Center for Native American Research and Collaboration (CNRC) and the Institute for Research and Education to Advance Community Health (IREACH) tasked with the mission of expanding Tribal Nation Building Leadership programs aimed at developing Native American students’ leadership skills and knowledge based on tribal principles and values. Ellenwood will work with the Director of the CNRC, Dr. Zoe Higheagle Strong, and the Director of IREACH, Dr. Dedra Buchwald, to develop initiatives and courses that support the recruitment, college persistence, and graduation of Native American students. The goal is not only to help students succeed in their college and career pathways, but also to return and serve the economic, educational, and health needs of their tribal and urban Indian communities.

With a doctorate in Public Administration and Management from the University of Arizona and a masters in American Indian Studies from UCLA, Dr. Ellenwood brings expertise in organizational theory, Indigenous-led and minority-led organizations, and community development. A citizen of the Nez Perce Nation, she grew up in Kamiah, Idaho on Nez Perce lands and is a graduate of the Na-ha-shnee summer camp, a program that gives Native American high school students real-life WSU experience. She has long experience mentoring Native American adolescent and young adults and is well-versed in community and organizational system factors that impact Native American college and career pathways.

Dr. Ellenwood’s experience engaging and working with communities position her to meaningfully consult and collaborate with tribal members and leaders, whose guidance informs all aspects of CNRC and IREACH’s work. Together, CNRC and IREACH are dedicated to ethical, community-based service and research that honor and respect the sovereign rights and tribal protocols of American Indian and Alaska Native peoples.

Dr. Ellenwood is fiercely committed to improving the lives and prospects of Indigenous peoples and communities. “Much of my work is about creating healthy communities,” she says. “With the Native students I mentor, I’m equipping them with tools to combat Native erasure. From projects that include hard to reach populations to research agendas, we need to be including and promoting American Indians.”

WSU’s Lonnie Nelson evaluating COVID vaccines for impact on indigenous populations

From WSU INSIDER

Lonnie Nelson’s work improving the health and well-being of indigenous peoples has earned him grant funding, awards and citations as an academic researcher at Washington State University Health Sciences.

It’s also brought him to a position of vital importance right now: evaluating potential COVID-19 vaccines for how they will be perceived and accepted by Native American and indigenous populations. He was invited to sit on a panel of a dozen scientific experts by the National Institute of Allergy and Infectious Diseases; similar panels of have been convened for other populations that have been disproportionately affected by COVID-19.

Nelson was a natural choice for the panel, said Michele Andrasik of the Fred Hutchinson Cancer Research Center in Seattle, who’s leading community engagement efforts for the COVID-19 Prevention Trials Network.

“It’s no surprise his name came up several times” when seeking recommendations for panelists, Andrasik said. “Lonnie has a longstanding and unwavering commitment to Native and indigenous populations.”

Nelson said the panel has reviewed a handful of vaccines so far. The group’s most common feedback: to try to make the vaccine one dose rather than two.

“If it’s two doses, it makes access a nightmare for people who are under-resourced,” he said.

He also suggests delivery of a vaccine, when it’s ready, should be done in collaboration with members of Native communities – the same approach he has taken as a researcher.

“If you’re trying to develop any kind of intervention you need to work with people in the community where it’s going to be implemented, or it’s very likely not going to be successful,” he said.

Nelson is co-director of Partnerships for Native Health at WSU, one of the largest research centers focused on Native health in the United States, which is housed within the Initiative for Research and Education to Advance Community Health (IREACH). Research studies include examining the causes and prevalence of disease within the American Indian/Alaska Native population and developing culturally appropriate and feasible interventions.

His mother was a nurse in the Indian Health Service and he’s an American Indian with origins in the Eastern Band of Cherokee Indians. “My friends, family, all the people I cared about growing up were from the Native community,” Nelson said.

He and other IREACH researchers joined WSU from the University of Washington in 2015. Since then, Nelson alone has generated $19.6 million in research activity.

He recently received the Largest New Team Grant award from the WSU Office of Research in recognition of a $9.67 million grant to study Alzheimer’s disease and related dementias in the Native population, with Nelson as the principal investigator.

Last year, before he gained tenure, he was one of two researchers receiving WSU’s Pacesetter Award for pre-tenure faculty who “set new achievement standards in obtaining grants, publications and citations.”

“Dr. Nelson’s work is crucial to help improve the health and well-being of American Indian and Alaska Native adults,” said Celestina Barbosa-Leiker, vice chancellor for research at WSU Health Sciences. “His work will assist in decreasing health disparities and lack of access to healthcare that disproportionately impact American Indian and Alaska Native populations.”

Said Julie Postma, associate dean for research at the College of Nursing, “Dr. Nelson’s work is laudable and contributes to the College of Nursing’s commitment to research that advances health equity.”

Nelson attributes his success as an academic researcher to good training and persistence.

“If you look at the list of my grants submitted that were not funded, it’s a longer list than those that were funded,” he noted.

He also said it’s important to be “pro-social,” a term he prefers to networking.

“Make those friendships, make those connections,” he said. “Think of it as making friends with people who have similar interest and expertise and want to do good things for communities.”

Story by Addy Hatch, WSU College of Nursing

Project aims to increase COVID-19 testing for Native populations

WSU Insider
Oct. 12, 2020

SPOKANE, Wash. –  American Indian and Native Alaskan populations have been hit hard by the pandemic—exactly how hard, no one can say for sure, since there is a lack of information and testing in these communities.

A new project led by Dr. Dedra Buchwald, a physician and professor with WSU’s Elson S. Floyd College of Medicine, has received a $4.4 million National Institutes of Health grant to help address that knowledge gap and bring resources to curb the COVID-19 crisis within these populations.

“Many things come together to make American Indians and Native Alaskans particularly vulnerable to COVID-19, and at the same time, make them hesitant to participate in efforts to get tested and get vaccinated,” said Buchwald, who is also the director of the Institute for Research and Education to Advance Community Health or IREACH.

This grant is one of four recently received by College of Medicine researchers to help deal with aspects of COVID-19 crisis. The others include:

  • A competitive effort headed up by April Needham of the University Center for Innovation will challenge entrepreneurs from Eastern Washington and Northern Idaho to come up with ideas to improve the personal protective equipment (PPE) manufacturing process. The project received a $300,000 grant from the federal CARES (Coronavirus Aid, Relief and Economic Security) act and administered by the Economic Development Administration.
  • A project led by Dr. Patrik Johansson, an associate professor in the Elson S. Floyd College of Medicine’s Department of Medical Education and Clinical Sciences and an IREACH faculty member, received nearly $100,000 from Empire Health Foundation to study the impact of COVID-19 pandemic on the well-being of rural and American Indian cancer patients in Washington state.
  • Ofer Amram, assistant professor in nutrition and exercise physiology, will lead an effort to evaluate the impact of deferred preventative care for cancer in the era of COVID-19. This project also received a grant from Empire Health Foundation of nearly $100,000.
Dedra Buchwald portrait in white lab coat
Dedra Buchwald

The National Institutes of Health grant is intended to help address health disparities among underserved and especially vulnerable Native populations in urban settings. An estimated 71% of American Indians and Native Alaskans live in urban areas. Buchwald said these populations have many risk factors, including a high prevalence of diabetes, hypertension, obesity, multi-generational households and poor living conditions. Many also struggle with poverty and limited access to quality health care and education.

This is complicated by a distrust in the federal government and health care systems, given the long history of atrocities committed against Native peoples, such as the deliberate dispersal of blankets laden with smallpox and sterilization of Native women without true consent.

In the new project, called COVID-19 Epidemiology, Research, Testing and Services or CONCERTS, researchers from WSU, University of Colorado and University of Minnesota will partner with Urban Indian Health Programs in six major cities with large Native populations: Albuquerque, N.M.; Anchorage, Ala.; Denver, Minneapolis, Seattle and Wichita, Kan.

The partners will work to understand who has been tested already and what challenges exist to getting people tested and ultimately vaccinated. The grant will also fund new resources for each site to help promote testing depending on their locally determined needs. Some sites might need PPE or testing kits while others may want to establish a testing drive-through site or send out case workers or COVID navigators to make contact with individuals.

Most of the people working on this project at the health programs will be from the tribal communities they serve, Buchwald said.

“American Indian and Native Alaskan people are more knowledgeable about what is going on in their communities than outside researchers, and we want to make sure that we have good trusting relationships,” she said. “Our partners are really key to encouraging more people to get tested, and in the future, vaccinated, if determined to be desirable.”

New Project Aims To Increase Covid Testing For Native Americans

Spokane Public Radio, Doug Nadvornick reporting
Oct. 12, 2020

Native people are among the least likely to be tested for the coronavirus. There are several reasons for that, including lack of access to health care.

A team led by a Washington State University medical professor has won a federal grant to reach out to Native American communities and try to increase testing.

Dr. Dedra Buchwald says Native people have several things going against them when it comes to Covid. Listen here.