1. Tobacco Use and American Indian Culture Cynthia Tainpeah

2. Tobacco is used in a variety of ways Smoked in pipes, rolled in dried cornhusks or placed in a fire as an offering Used for prayer and as medicine Tobacco is used as a gift Sacred use of tobacco is different for many tribes Some tribes do not use tobacco in a sacred way Sacred Use

3. Definition: Commercial Tobacco Any tobacco product other than that used by American Indians for the sole purpose of healing of the mind, body, and spirit. Includes: cigarettes whether hand rolled or rolled commercially, chew tobacco, cigars, snuff, and pipe tobacco.

4. Strategies Bi-directional education True Partnerships Flexibility

5. Second Wind: A stop smoking curriculum for American Indians Strategies Culturally Competent - Tailoring information, education, and making it relevant

6. Tobacco Growing Workshop

7. Awareness Campaign 2000

8. Muscogee (Creek) Nation of Oklahoma California Rural Indian Health Board Indigenous Peoples Task Force Tribal Support Centers SEARHC Cherokee Nation of Oklahoma Black Hill Health Center

9. Challenges  Convenience  Resources  Funding  Access

10. Tobacco Control Task Force Technical Assistance Fieldbook: Available Spring 2009 Website: http://www.ihs.gov/medicalprograms/epi/http://www.ihs.gov/medicalprograms/epi/ Email: Megan.Wohr@ihs.gov RESOURCES: Lisa D. Kerfoot Inter-Tribal Council of Michigan 2956 Ashmun St. Sault Ste. Maire, MI 49783 Phone: 906.632.6896 Email: lkerfoot@itcmi.orglkerfoot@itcmi.org Website: http://www.keepitsacred.comhttp://www.keepitsacred.com www.cdc.gov/tobacco