Patricia Nez Henderson, MD, MPH Black Hills Center for American - PowerPoint PPT Presentation

Patricia Nez Henderson, MD, MPH Black Hills Center for American Indian Health

Ceremonial Tobacco Commercial Tobacco  Used for prayer and  Ceremonial use healing  Casual use  Used as an offering  Profitable enterprises  Presented as a sign of  Tobacco-sponsored respect events  Plays significant role  Native images for in creation stories promotion

Tobacco in Indian Country

 Despite high prevalence of smoking, few tribes and tribal communities have passed and implemented comprehensive tobacco policies.  Challenges of passing tobacco polices in Indian country include: ▪ Lack of funds ▪ Lack of tobacco advocates ▪ Revenues from Tobacco Sells ▪ Tobacco industry

 Exploiting an untapped market: Tribal Gaming  Upping the tobacco industry bottom line: Tribal tobacco Outlets, Sponsorships  Engaging in cultural thievery and misrepresentation: Use of Native images and concepts

Bilagáana bi’ Na’toh ba’át’e’ hóló Nicotine Tar Acetone Arsenic Cadmium Carbon Hydrogen Cigarette smoke monoxide cyanide Contains > 4,000 chemicals including 40 known cancer causing agents

“TEAM Navajo”  Black Hills Center for  State of Arizona and New American Indian Health Mexico T obacco Programs  SNTEPP  New Mexico Cancer Center  SNTEPP Advisory Board  American Cancer Society  Navajo Division of Health  Arizona Non-Smokers Rights  Navajo Nation Speakers  New Mexico Non-Smokers Office Rights  Dine’ Haataalii Association  Southwest T obacco Coalition  Azee Bee Nahagha of Dine’  American Nonsmokers’ Rights Nation  Campaign T obacco Free Kids  Navajo Faith Based  Robert Wood Johnson Organizations Foundation  Navajo Chapter Communities  CDC

Use of Indigenous knowledge and practices Tobacco Industry Navajo Organizations Dine’ Haataalii Association Azee Bee Nahagha of Dine’ Nation Gaming Industry Navajo Faith Based Organizations Navajo Nation Government Other Tribal BCHAIH/ Tobacco SNTEPP Organizations State of Arizona New Mexico New Mexico ASC ANR RWJ CDC Cancer Center Utah Use of Best practices

The Navajo Nation Commercial Tobacco Free Act 2008

Commercial Tobacco Religious or Public Space Ceremonial Use Smoking Place of Private Residences Employment Smokeless Tobacco Private Vehicles with Private Vehicles Child or Children Secondhand Smoke

Bates number 2072277904

Commercial Tobacco Religious or Public Space Ceremonial Use Smoking Place of Private Residences Employment Smokeless Tobacco Private Vehicles with Private Vehicles Child or Children Secondhand Smoke

Niha’áłchíní (Our Navajo Children)

Towards A Healthier Navajo Nation  Promoting Community Tobacco free events  Pow-wows  Rodeos  Ceremonial gatherings  Walks/Runs  Radio shows  Billboards  Newspapers/Radio Ads  Art Contest

Towards A Healthier Navajo Nation

 Delegates Reactions  “Kill the Bill”  Next Steps  Reintroducing to Council or  Taking it back to the People  More education!

“W ith Sovereignty Comes Responsibility, Responsibility of the Health of Our People” Contact Information: Patricia Nez Henderson phenderson@bhcaih.org