# Presentation: 542485

## Great Lakes Inter-Tribal Emergency Preparedness Team“Serving the Wisconsin & Michigan Tribes”

**Dwayne W. Jarman, DVM, MPH **
**GLITC MI Emergency Preparedness Coordinator**

**Notes:**

Please mail or fax comments to:

Dwayne Jarman 
GLITC Emergency Preparedness Coordinator
P.O. Box 9, 2932 Highway 47 N
Lac du Flambeau, WI  54538
Fax: 715/588-3607

## 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

## 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)

## 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

## 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

## 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

## 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

## 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

## 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](mailto:djarman@glitc.org)_ (Dwayne)
- 	       _[cwright@glitc.org](mailto:cwright@glitc.org)_ (Carol)
- Website: _[www.glitc.org/~ept](http://www.glitc.org/~ept)_