Resource Library

Public health emergencies, including infectious disease outbreaks and natural disasters, are issues that every community faces. To address these threats, it is critical for all jurisdictions to understand how law can be used to enhance public health preparedness, as well as improve collaboration and coordination across jurisdictions. This Resource Library is designed to provide relevant resources to Tribal Nations seeking to enhance their legal preparedness capacity. While most resources have a Tribal focus, some resources are included that are generally applicable to legal preparedness for public health emergencies and natural disasters.


2015 Indian Health Surveillance Report Sexually Transmitted

This report presents statistics and trends for sexually transmitted diseases (STDs) among American Indians and Alaska Natives (AI/AN) in the United States. U.S. Department of Health and Human Services (HHS), Indian Health Service (IHS), Centers for Disease Control and Prevention (CDC)(2018)

2016 Tribal-State Opioid Summit Final Report

This report summarizes the conversations, and policy and budget recommendations, for Tribes in Minnesota and the State of Minnesota that came out of the small group discussions at an opioid summit. Action plans were made in areas of prevention, intervention and treatments, prenatal exposure, prescription monitoring, law enforcement, and public safety. (March 9, 2017)

Best Practices In American Indian & Alaska Native Public Health

This report highlights the response and impact of Tribal Epidemiology Centers (TECs) to improve American Indian/Alaska Native (AI/AN) public health surveillance data availability and data quality. Tribal Epidemiology Centers (2013)

Drug, Opioid-Involved, and Heroin-Involved Overdose Deaths Among American Indians and Alaska Natives- Washington, 1999-2015

This report aims to understand regional impact of opioids in Tribal and urban AI/AN communities, specifically in Washington State. To address this data gap, death records from the Washington State Center for Health Statistics, corrected for misclassification of AI/AN race, were examined to identify trends and disparities in drug, opioid-involved, and heroin-involved overdose mortality rates for AI/AN and non-Hispanic whites in Washington. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report (December 21, 2018)

Evaluation and Assessment of H1N1 Outreach for Urban American Indians/ Alaska Natives

This report provides an evaluation and assessment of H1N1 outreach in the American Indian and Alaska Native (AI/AN) community in the Seattle/King County area. Urban Indian Health Institute (2010)

Legal Issues Concerning Identifiable Health Data Sharing Between State/Local Public Health Authorities And Tribal Epidemiology Centers In Selected U.S. Jurisdictions: A Report For The Council Of State And Territorial Epidemiologists (CSTE)

This report provides a foundation for examining potential privacy issues and solutions to further educate current and potential Tribal epidemiology centers’ partners about privacy implications of state laws in selected jurisdictions, as well as to facilitate public health data sharing. A report for the Council of State and Territorial Epidemiologists (CSTE) (2011)

National Policy Matrix: Cross-Jurisdictional Sharing Arrangements Between Tribes and Counties

This report describes information collected during interviews with the National Congress of American Indians (NCAI), the National Indian Health Board (NIHB), and each of the 12 Indian Health Service (IHS) Areas elated to their knowledge of cross-jurisdictional sharing arrangements between tribes and counties throughout the nation. California Tribal Epidemiology Center and the California Rural Indian Health Board, Inc. (October 2015)

Tribal Nations Opioid Summit Report

This report highlights an action plan made by the Minnesota Chippewa Tribe’s Tribal Executive Committee with Tribal members from White Earth, Bois Forte, Mille Lacs, Red Lake, Upper Sioux Community, and Lower Sioux Community. The report details concerns within these communities regarding the opioid epidemic. Minnesota Chippewa Tribe (2017)

The contents of this website have not been formally disseminated by the Centers for Disease Control and Prevention, ChangeLab Solutions, and the Center for Public Health Practice. The contents should not be construed to represent any agency/organization determination or policy. These website materials are for instructional use only and are not intended as a substitute for professional legal or other advice. While every effort has been made to verify the accuracy of these materials, legal authorities and requirements may vary from jurisdiction to jurisdiction and change over time. Always seek the advice of an attorney or other qualified professional with any questions you may have regarding a legal matter.