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The etiology and pathogenesis of different diseases are discussed, and genetic and environmental risk factors are considered. The book also compares the incidence of disease among Native Americans and non-Native Americans, examines variations among Native Americans belonging to different geographical, cultural and linguistic groups, and reviews control and prevention strategies. On a broader level, the purpose of this book is to integrate the approaches of anthropology and epidemiology in order to demonstrate the interaction of biology and culture on disease causation, distribution, and control.
American Indian affairs are much in the public mind today—hotly contested debates over such issues as Indian fishing rights, land claims, and reservation gambling hold our attention. While the unique legal status of American Indians rests on the historical treaty relationship between Indian tribes and the federal government, until now there has been no comprehensive history of these treaties and their role in American life. Francis Paul Prucha, a leading authority on the history of American Indian affairs, argues that the treaties were a political anomaly from the very beginning. The term "treaty" implies a contract between sovereign independent nations, yet Indians were always in a position of inequality and dependence as negotiators, a fact that complicates their current attempts to regain their rights and tribal sovereignty. Prucha's impeccably researched book, based on a close analysis of every treaty, makes possible a thorough understanding of a legal dilemma whose legacy is so palpably felt today.
Disease processes among American Indians and Alaska Natives often have distinct manifestations that need to be considered by clinicians and health policy makers involved with these populations. Equally important, all aspects of Indian life—including health—are governed by the special relationship between Indian tribes and the U.S. federal government. For American Indian Health, Everett R. Rhoades has gathered a distinguished group of scholars and practitioners to present a comprehensive assessment of the health of American Indian peoples today and the delivery of health services to them.
The report reveals that the Native American health care system created by the federal government has used only limited and incremental responses to the health care challenges faced by Native Americans.