,,ii #aah? ,,congress #b;d ,session ,s4 #dcfe ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #af1 #bjbd,ms4 ,murk[ski introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,indian ,affairs ,a ,,bill ,to provide public heal? vet]9>y s]vices to ,indian ,tribes & ,tribal organizations = rabies prev5tion1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,vet]9>y ,s]vices to ,improve ,public ,heal? 9 ,rural ,communities ,act4 #b4 ,f9d+s2 ,s5se ( ,congress 7a7 ,f9d+s ,congress f9ds t-- 7#a7 human1 animal1 & environm5tal heal? are int]dep5d5t 9 ,native communities1 ,alaska ,native villages1 & on ,indian res]vations1 & holi/ic approa*es to ! well-be+ ( all individuals w lead to improv$ heal? outcomes & enhanc$ resili5ce2 7#b7 uncontroll$ animal populations & a lack ( vet]9>y c>e 9 ,native communities1 ,alaska ,native villages1 & on ,indian res]vations increase ! risk ( p>asites & zoonotic diseases1 dog bites1 food insecurity1 & m5tal heal? issues among ,alaska ,natives & ,am]ican ,indians2 7#c7 dog bites & o!r injuries are common 9 rural areas 9 ! ,/ate ( ,alaska1 ) ! ,norton ,s\nd ,heal? ,corporation report+ an av]age ( #hg bites p] ye> 9 ! ,b]+ ,/rait region betwe5 #bjaf & #bjbc1 & ! ,yukon-,kuskokwim ,heal? ,corporation report+ an av]age ( #ih bites p] ye> 9 ! ,yukon-,kuskokwim ,delta region betwe5 #bjjh & #bjag2 7#d7 ,alaska ,native *ildr5 h ! highe/ incid5ce ( hospitalization = dog bites 9 ! ,indian ,heal? ,s]vice sy/em2 7#e7 9 #bjba1 ,/4 ,lawr5ce ,isl&1 ,alaska1 exp]i5c$ co-occurr+ outbreaks ( rabies & can9e di/emp]2 7#f7 can9e di/emp] is almo/ #ajj p]c5t fatal 9 m>9e mammals1 :i* ! p ( ! ,native ,villages ( ,savoonga & ,gambell rely on heavily z a food s\rce2 7#g7 rabies is enzootic 9 arctic & r$ fox populations 9 ! nor!rn & we/]n coa/al regions ( ! ,/ate ( ,alaska2 7#h7 wildlife outbreaks occur cyclically1 & !re h be5 increas$ human exposures to rabid animals betwe5 #bjbj & #bjbc2 7#i7 rabies transmission is a significant ?reat 9 ,alaska ,native communities & villages2 & 7#aj7 z ( #bjbd1 ! ,indian ,heal? ,s]vice does n employ or use public heal? vet]9>ians to combat zoonotic disease outbreaks or to g5]ally advance public heal? prep>$ness = ,native communities1 ,alaska ,native villages1 or ,indian res]vations1 includ+ by provid+ spay & neut] s]vices & vacc9ations = animals4 7b7 ,s5se ( ,congress ,x is ! s5se ( ,congress t ! ,indian ,heal? ,s]vice ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices is uniquely suit$ to emp[] ,indian ,tribes & ,tribal organizations to address zoonotic disease ?reats 9 ! communities !y s]ve by provid+ public heal? vet]9>y s]vices ?r\gh a ,"o ,heal? approa* t recognizes ! int]connection betwe5 p1 animals1 plants1 & _! %>$ environm5t4 #c4 ,public heal? vet]9>y s]vices ,title ,,ii ( ! ,indian ,heal? ,c>e ,improvem5t ,act is am5d$ by ins]t+ aft] section #bbc 7#be ,u4,s4,c4 #afbav7 ! foll[+3 #bbd4 ,public heal? vet]9>y s]vices 7a7 ,def9itions ,9 ?is section3 7#a7 ,public heal? vet]9>y s]vices ,! t]m public heal? vet]9>y s]vices includes any ( ! foll[+3 7,a7 spay+ & neut]+ s]vices = dome/ic animals2 7,b7 diagnoses2 7,c7 surveillance2 7,d7 epidemiology2 7,e7 control2 7,f7 prev5tion2 7,g7 elim9ation2 7,h7 vacc9ation2 & 7,i7 any o!r relat$ s]vice or activity t r$uces ! risk ( zoonotic disease transmission or antimicrobial resi/ance 9 humans1 food1 or animals4 7#b7 ,zoonotic disease ,! t]m zoonotic disease means a disease or infection t may be transmitt$ naturally f v]tebrate animals to humans1 or f humans to v]tebrate animals4 7b7 ,au?orization = vet]9>y s]vices ,! ,secret>y1 act+ ?r\gh ! ,s]vice1 may exp5d funds1 directly or pursuant to ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecja et seq471 = public heal? vet]9>y s]vices to prev5t & control ( zoonotic disease infection & transmission 9 ,s]vice areas :]e ! risk = disease occurr5ce 9 humans & wildlife is endemic4 7c7 ,public heal? (fic]s ,9 provid+ public heal? vet]9>y s]vices "u subsection 7b71 ! ,secret>y %all deploy vet]9>y public heal? (fic]s f ! ,commission$ ,corps ( ! ,public ,heal? ,s]vice to ,s]vice areas4 7d7 ,coord9ation ,! ,secret>y1 act+ ?r\gh ! ,s]vice1 %all c>ry out ?is section 9 coord9ation )-- 7#a7 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion2 & 7#b7 ! ,secret>y ( ,agriculture4 7e7 ,report ,! ,secret>y %all submit to ! ,committee on ,indian ,affairs ( ! ,s5ate1 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 ! ,committee on ,natural ,res\rces ( ! ,h\se ( ,repres5tatives1 & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a bi5nial report on ! use ( funds1 ! assignm5t & deploym5t ( vet]9>y public heal? (fic]s f ! ,commission$ ,corps ( ! ,public ,heal? ,s]vice1 data relat$ to ! monitor+ & disease surveillance ( zoonotic diseases1 & relat$ s]vices provid$ "u ?is section4 4 #d4 ,,aphis wildlife s]vices /udy on oral rabies vacc9es 9 ,arctic regions ( ! ,unit$ ,/ates ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,agriculture %all conduct a feasibility /udy-- 7#a7 on ! deliv]y ( oral rabies vacc9es to wildlife res]voir species t are directly or indirectly connect$ to ! transmission ( rabies to ,tribal memb]s liv+ 9 ,arctic regions ( ! ,unit$ ,/ates2 & 7#b7 t-- 7,a7 evaluates ! efficacy ( ! vacc9es describ$ 9 p>agraph 7#a72 & 7,b7 makes recomm5dations to improve ! deliv]y ( ^? vacc9es4 #e4 ,"o ,heal? framework ,section #bbce7;b7 ( ! ,prep>e = & ,respond to ,exi/+ ,viruses1 ,em]g+ ,new ,?reats1 & ,p&emics ,act 7#db ,u4,s4,c4 #cjj;hh-#cg7;b77 is am5d$ by /rik+ & ! ,secret>y ( ! ,int]ior & ins]t+ 1 ! ,secret>y ( ! ,int]ior1 & ! ,director ( ! ,indian ,heal? ,s]vice4