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AJPH First Look, published online ahead of print Jan 15, 2009
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April 2009, Vol 99, No. 4 | American Journal of Public Health 607-614
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.146522


HEALTH POLICY AND ETHICS

Public Health Legal Preparedness in Indian Country

Ralph T. Bryan, MD, Rebecca McLaughlin Schaefer, JD, MPH, Lemyra DeBruyn, PhD and Daniel D. Stier, JD

Ralph T. Bryan and Lemyra DeBruyn are with the Centers for Disease Control and Prevention, Albuquerque, NM. At the time of the study, Rebecca McLaughlin Schaefer was an intern at the Centers for Disease Control and Prevention, Atlanta. Daniel D. Stier is with the Centers for Disease Control and Prevention, Atlanta, GA.

Correspondence: Reprint requests should be sent to Ralph T. Bryan, DEDP/IHS, 5300 Homestead Rd NE, Albuquerque, NM 87110 (e-mail: rrb2{at}cdc.gov).

American Indian/Alaska Native tribal governments are sovereign entities with inherent authority to create laws and enact health regulations. Laws are an essential tool for ensuring effective public health responses to emerging threats.

To analyze how tribal laws support public health practice in tribal communities, we reviewed tribal legal documentation available through online databases and talked with subject-matter experts in tribal public health law. Of the 70 tribal codes we found, 14 (20%) had no clearly identifiable public health provisions. The public health–related statutes within the remaining codes were rarely well integrated or comprehensive.

Our findings provide an evidence base to help tribal leaders strengthen public health legal foundations in tribal communities.







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