1. Great Lakes Inter-Tribal Emergency Preparedness Team “Serving the Wisconsin & Michigan Tribes” Dwayne W. Jarman, DVM, MPH GLITC MI Emergency Preparedness Coordinator

2. Tribal Governments & Health Directors  Tribal governments responsible for decisions & disaster management impacting the tribe Sovereign & independent from each other Governmental resolution or letter of support  Less “on-the-spot” decisions  Tribal Health Directors Direct, contract, and community health services (+/- human services) May not be authorized to contract with other entities or approve activities

3. WI and MI Tribal Health & Technical Assistance (Skip)  100% (11 WI/ 12 MI) Tribes – PL 93-638 No IHS Hospital facilities Health Clinics & Contract Health Services  Urban Health Centers (2 WI, 1 MI)  Technical Assistance Bemidji Area IHS office (MN, WI, & MI)  No FTE’s to focus on preparedness Tribal Serving Organizations  Inter-Tribal councils (GLITC & ITC MI)

4. Funding  Wisconsin (’03 cont. – present) Tribal objectives (obj.) - support consortia obj.  Public Health Consortia agreements w/ Tribes  WI Tribal consolidated contracts GLITC – support tribal obj. completion  Michigan (’04 cont. – present) GLITC – completion of objectives at tribes  Additional funding through GLITC to tribes  1 of 12 Tribes direct funded with the State  WI and MI Tribal governments directed state contracting with GLITC

5. GLITC Emergency Preparedness Team (EPT) (Skip)  2 Emergency Prep Coordinators (WI & MI)  1 Surveillance Epidemiologist (WI)  1 Homeland Security Coordinator (WI)  1 Staff Assistant (2/3 WI & 1/3 MI)  Staff background: Emergency Management, Law Enforcement, Military, Nursing, Human and Veterinary Medicine, Epidemiology, Gen. Public Health

6. WI/MI Tribal Emergency Preparedness Accomplishments  Annual Preparedness Conference  Tribal specific trainings  GLITC Emergency Preparedness website  Regional and Tribal/County exercises  Formation of Tribal Emergency Management/Response Committees  Increased communication interoperability  Tribal participation in State systems HAN, TRAIN, & Electronic Surveillance  Increase inclusion in state meetings and steering committees

7. WI/MI Emergency Preparedness Challenges  Multi-factorial start-up delays  Funding equity (CDC, HRSA, HS) Direct funding may be sought  Geo-Political relationships (local & state)  Additional tribal preparedness activities Direct relationships with federal level  Impacts on Tribal Sovereignty not always clear on project onset

8. WI/MI Emergency Preparedness Recommendations  Bilateral vs. unilateral decision making Respect tribal governments and protocols  Sharing more vs. less program info w/ tribes Letter to Tribal government and Health Director Set up meetings with the tribes  Incorporating Tribal input decreases the work load  Flexibility in Tribal contracting process  Tribal vs. State directed preparedness staff may increase program success

9. Contact Information: Dwayne W. Jarman, DVM, MPH - OR - Carol Wright, RN, MS Great Lakes Inter-Tribal Council, Inc. 2932 Highway 47 North Lac du Flambeau, WI 54548 Ph: 715/588-3324 Fax: 715/588-3607 Email: djarman@glitc.org (Dwayne)djarman@glitc.org cwright@glitc.org (Carol)cwright@glitc.org Website: www.glitc.org/~eptwww.glitc.org/~ept