Abstract
This article describes the burden of illness of Indians eligible for services from the Indian Health Service (IHS) and discusses strategies for reducing morbidity and mortality related to those conditions. To improve health to an extent that parallels the IHS's past achievements, the illnesses that now are prevelant among Indians require changes in personal and community behavior rather than intensified medical services. Analysis of these conditions leads to the conclusion that much of the existing burden of illness can be reduced or eliminated. IHS is responding to this challenge by continuing to ensure Indians' access to comprehensive health care services, by increasing educational efforts aimed at prevention, and by enlisting the support of other government and private organizations in activities that have as their purpose treating diseases if intervention will lessen morbidity and mortality (such as diabetes and hypertension) and encouraging of dietary changes, cessation of smoking, exercise, reduction in alcohol consumption, and other healthy behavior.
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Selected References
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- Angus D. E., Manga P. National health strategies: time for a new "new perspective". Can J Public Health. 1986 Mar-Apr;77(2):81–85. [PubMed] [Google Scholar]
- Dean A. G., Shultz J. M., Gust S. W., Harty K. C., Moen M. E. Minnesota plan for nonsmoking and health: multidisciplinary approach to risk factor control. Public Health Rep. 1986 May-Jun;101(3):270–277. [PMC free article] [PubMed] [Google Scholar]
- Foege W. H., Amler R. W., White C. C. Closing the gap. Report of the Carter Center Health Policy Consultation. JAMA. 1985 Sep 13;254(10):1355–1358. doi: 10.1001/jama.254.10.1355. [DOI] [PubMed] [Google Scholar]
- May P. A. Alcohol and drug misuse prevention programs for American Indians: needs and opportunities. J Stud Alcohol. 1986 May;47(3):187–195. doi: 10.15288/jsa.1986.47.187. [DOI] [PubMed] [Google Scholar]
- May P. A., Hymbaugh K. J., Aase J. M., Samet J. M. Epidemiology of fetal alcohol syndrome among American Indians of the Southwest. Soc Biol. 1983 Winter;30(4):374–387. doi: 10.1080/19485565.1983.9988551. [DOI] [PubMed] [Google Scholar]