• Parte de Records of the Office of the Chief of Staff (Clinton Administration), Lynn Cutler's Files

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TABLE 4 MORTALITY RATES FOR LEADING CAUSES - INDIAN MALES/FEMALES 1990-92 AND U.S. ALL RACES PER 100,000 POPULATION Cause of Death Males Females U.S All All Causes 620.0 427.2 513.7 Diseases of Heart 138.5 90.6 143.2 Accidents 118.8 40.1 31.0 Malignant Neoplasms 79.5 76.8 134.5 Suicide 26.7 11.4 Homicide 22.0 10.9 Chronic liver disease/Cirrhosis 25.7 20.3 8.3 Diabetes Mellitis 21.3 27.6 11.8 Pneumonia/Influenza 22.5 17.2 13.4 Cerebrovascular diseases 21.3 24.7 26.8 IHS Trends Report 1995 infant mortality rate exceeds the U.S. All Races which are beyond the scope of standard health rate by 26 percent. coverage systems. Comprehensive, community Environmental health remains a serious based, preventive and culturally sensitive sys- problem in remote reservations and Alaska, tems which empower individuals and communi- with 50 percent of the Alaska Native villages ties to overcome health problems is necessary. lacking sanitary water and sewer systems. To IHS, tribal and urban delivery systems provide a make a healthier and safer environment for framework for Indian communities to assume Indian families to truly achieve improved health the leadership in culturally relevant health status, will require public health resources promotion and disease prevention efforts. TABLE 5 INDIAN INFANT MORTALITY RATES (CY 1990-92) BY IHS AREA Population Infant Rate Neonatal Postneonatal U.S. All Races 8.9 5.6 3.3 California 4.6 1.5 3.1 Oklahoma 4.9 2.6 2.3 Albuquerque 7.1 3.5 3.5* Navajo 9.4* 4.6 4.8* Portland 9.7* 4.2 5.5* Bemidji 10.2* 3.1 7.0* Phoenix 10.8* 5.5 5.2* Nashville 10.8* 6.2* 4.7* Alaska 12.6* 5.1 7.5* Billings 12.8* 6.0* 6.8* Tucson 13.4* 5.8* 7.6* Aberdeen 15.8* 6.9* 8.9* *Exceeds U.S. All Races Rate IHS Regional Differences in Indian Health 1995 33