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This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: AJPH.2008.157453v1 99/S2/S271    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Google Scholar Articles by Groom, A. V. Articles by Bryan, R. T. PubMed PubMed Citation Articles by Groom, A. V. Articles by Bryan, R. T. Related Collections Other Chronic Disease Health Law Other Health Service Delivery Native Americans Influenza

Amy V. Groom, MPH, Cheyenne Jim, MS, Mic LaRoque, MD, Cheryl Mason, MPH, Joe McLaughlin, MD, MPH, Lisa Neel, MPH, Terry Powell, Thomas Weiser, MD, MPH and Ralph T. Bryan, MD

Amy V. Groom and Cheyenne Jim are with the Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, and the Division of Epidemiology and Disease Prevention, Indian Health Service, Albuquerque, NM. Mic LaRoque is with the Gallup Indian Medical Center, Indian Health Service, Gallup, NM. Cheryl Mason is an independent project consultant in Santa Fe, NM. Lisa Neel is a project consultant in Washington, DC. Joe McLaughlin is with the Alaska Section of Epidemiology, Anchorage. Terry Powell is with the Alaska Area Institutional Review Board, Anchorage. Thomas Weiser is with the Portland Area Office, Indian Health Service, Portland, OR. Ralph T. Bryan is with the Office of Minority Health and Health Disparities, Office of the Chief of Public Health Practice, Office of the Director, Centers for Disease Control and Prevention, Atlanta.

Correspondence: Correspondence should be sent to Amy V. Groom, IHS Division of Epidemiology and Disease Prevention, 5300 Homestead Road, NE, Albuquerque, NM 87110 (e-mail: Amy.Groom{at}ihs.gov). Reprints are available at http://www.ajph.org; click on the "Reprints/E-prints" link.

American Indian and Alaska Native (AIAN) governments are sovereign entities with inherent authority to establish and administer public health programs within their communities and will be critical partners in national efforts to prepare for pandemic influenza. Within AIAN communities, some subpopulations will be particularly vulnerable during an influenza pandemic because of their underlying health conditions, whereas others will be at increased risk because of limited access to prevention or treatment interventions.We outline potential issues to consider in identifying and providing appropriate services for selected vulnerable populations within tribal communities. We also highlight pandemic influenza preparedness resources available to tribal leaders and their partners in state and local health departments, academia, community-based organizations, and the private sector.

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