SHOTS CAN HELP YOU AVOID THE FLU WHAT IS INFLUENZA ("FLU")? Influenza (or "flu") is a vital infection of the nose, throat, bronchial tubes, and lungs that can make someone of any age ill. Usually the flu occurs in the United States from about November to April. If you get the flu, you usually have fever, chills, cough, and sore ness and aching in your back, arms and legs. Although most people are ill for only a few days, some persons have a much more serious illness and may need to go to the hospital. Many people die each year in the United States from the flu or related complications. WHO SHOULD GET A FLU SHOT? Because influenza is usually mild and most people recover fully, health officials emphasize the use of vaccine for the elderly and people with other health problems most likely to be seriously ill or to die from the flu or its complications. For example, people who after light exercise become short of breath due to disease affecting their heart or lungs, and people who have low resistance to infection, are likely to be more seriously affected by the flu. Groups who are at increased risk for serious illness with the flu and who public health authorities feel should be vaccinated if possible are: Health people over 65 years of age. People of any age who during the past year have regularly seen a doctor or have been admitted to a hospital for treatment of kidney disease, cystic fibrosis, diabetes, anemia ("low blood"), or severe asthma. People who have a type of cancer or immunological disorder (or use certain types of medications) that lower the body's normal resistance to infections. Children or long-term treatment with aspirin who, if they catch the flu, may be at risk of getting Reye Syndrome ( a childhood disease that causes coma, liver damage, and death). WARNING-SOME PEOPLE SHOULD CHECK " WITH A DOCTOR BEFORE GETTING A FLU SHOT: Persons who should not be given the flu shot include those with an allergy to eggs that causes dangerous reactions if they eat eggs. Anyone who has been paralyzed with Guillain Barre Syndrome, as well as women who might be or are pregnant, should get advice from their doctor about special risks that might exist in their cases. Persons who are ill and have a fever should delay vaccination until the fever and other temporary symp toms have gone. Carol Terp.RNC Community Health Nurse Weekly Diabetes Prevention and Manage ment Classes begin October 20, 1988 at 2:00 p.m. at the Tribal Office DIABETES AND AMERICAN INDIANS FACTS ABOUT DIABETES: -One in every 20 Americans has diabetes -Diabetes, with it's complications, is the number three cause of death by disease in the United States. -People with diabetes are twice as prone to heart disease and stroke. -Diabetes causes 40,000 leg and foot amputations, which represents one half of all amputations performed annually. WHO IS MOST LIKELY TO GET DIABETES? -People who are overweight -People with diabetic relatives -People over age 40 -American Indians, Hispanics and Blacks are more prone to diabetes than other groups. Whether or not you are in one of these high risk categories, we encourage you to participate in the Diabetes classes. Diabetes occurs much more frequently in the American Indian populations than in the general United States population. In some tribes, its effects about one-half the adult population. Complications of the disease among Indians are also occurring at an unusually early age with excessive mortality in the early and mid-adult years. The burdens of this disease, both for the patient and the health care system, are growing rapidly. There have been dramatic increases in diabetes-related kidney failure, blindness and amputations. In recognition of this problem, we urge not only those who have the disease, but also family members, friends and any other interested person to attend our DIABETES PREVEN TION AND MANAGEMENT CLASSES. Learn what you can do to prevent the complications. Carol Terp, RNC Tribal Health Nurse HOUSING ASSISTANCE Since housing assistance funding is not adequate to meet the needs of tribal members at this time and the near future does not look much better for increased funding, I urge tribal members needing housing to pursue other programs. One program worth looking into for tribal members is the United States Department of Agriculture (USDA) Farmers Home Administration (FmHA). FmHA distributes an informative booklet titled "USDA Programs of Interest to American Indians" that may help you to obtain information related to your housing needs. It should be available at your county FmHA office. Following is a description of an FmHA program listed in the booklet. This program should be very beneficial to tribal members wishing to purchase housing outside metropolitan areas. RURAL HOUSING LOAN PROGRAM (From FmHA Booklet) PAGE 6 Assistance Available: Loan funds may be used to buy, build, repair, or relocate homes and to buy minimum adequate sites. Funds may also be used to provide adequate and safe water supply, sewage disposal facilities, and storm shelters, and to pay expenses of obtaining plans and loan closing costs. Loans may also be made to install plumbing, repair roofs, and remove health and safety hazards. Interest rates are established periodically and can be obtained by contacting local FmHA Offices. Interest credit may be granted on loans to low-income families to reduce the effective rate to as low as 1 percent. Cosigners may be used, and the repayment period may extend up to 33 years. For repair and rehabilitation loans where the amount of the loan will not exceed' $10,000, loans may be amortized over a period of 25 years as follows: For borrowers whose adjusted annual income is not more than $5,000, $7,000, or $10,000, interest credit may be calculated to reduce the effective interest rate to 1, 2, and 3 percent, respectively. Loans for regular housing purposes may be made to an applicant with a leasehold interest in the land only when the lease is for at least 50 years. In certain instances where small repair loans are involved, the lease may be for a shorter period but in any case, the length of the lease must be 1 12 times the repayment periods of the loan. How to Apply - The following are eligible to apply by contacting the local county FmHA office: (1) low- and moderate income Indian families who are without adequate housing and related facilities and who will become the owner-occupant of a home located on a site owned by the applicant or on which the applicant has an acceptable long-term lease. To obtain more information about these programs contact your local county office. Some realtors also deal in FmHA repo properties and are familiar with the FmHA programs and can be very helpful in helping you purchase a home. If you are really interested in home ownership I urge you to give these programs a try, you may be surprised at how little money you need to move into a new home. If you have any questions or problems making contact, please feel free to call the tribal housing office at 879 5211 and we will do our best to assist you. Good Luck! Dave Bailey " 4 -. .wrtftgfetfi,., 9 ,4 Elementary grade students help plant tree for National Indian Youth Heritage Day.