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<p class="xmsonormal"><span style="color:black">Hello,</span><o:p></o:p></p>
<p class="xmsonormal"><span style="color:black"> </span><o:p></o:p></p>
<p class="xmsonormal"><span style="color:black">As we emerge from COVID, the US as a whole and Indian Country, in particular, are seeing surges in the ‘syndemic’ of interrelated disease states of sexually transmitted infections, hepatitis C virus, HIV and substance
use disorder. Staff serving American Indian and Alaska Native people are invited to participate in a <b>free 2 day in-person training on October 5<sup>th</sup> – 6<sup>th</sup></b> to address the syndemic – with follow up virtual ECHO clinics to continue learning,
knowledge sharing and support. CE will be provided:</span><o:p></o:p></p>
<p class="xmsonormal"><span style="color:black"> </span><o:p></o:p></p>
<p class="xmsonormal" style="margin-left:.5in"><b><span style="color:black">What:</span></b><span class="xapple-converted-space"><span style="color:black"> </span></span><span style="color:black"><a href="https://www.indiancountryecho.org/ets-october2023/" title="https://www.indiancountryecho.org/ets-october2023/">Ending
the Syndemic Clinical Training</a></span><o:p></o:p></p>
<p class="xmsonormal" style="margin-left:.5in;font-variant-caps:normal;orphans:auto;text-align:start;widows:auto;word-spacing:0px">
<b><span style="color:black"> </span></b><o:p></o:p></p>
<p class="xmsonormal" style="margin-left:.5in;font-variant-caps:normal;orphans:auto;text-align:start;widows:auto;word-spacing:0px">
<b><span style="color:black">When:</span></b><span class="xapple-converted-space"><span style="color:black"> </span></span><span style="color:black"><a href="https://www.indiancountryecho.org/event/ending-the-syndemic-training-portland/" title="https://www.indiancountryecho.org/event/ending-the-syndemic-training-portland/">October
5<sup>th</sup><span class="xapple-converted-space"><span style="text-decoration:none"> </span></span>– October 6<sup>th</sup>, 2023</a></span><o:p></o:p></p>
<p class="xmsonormal" style="margin-left:.5in;font-variant-caps:normal;orphans:auto;text-align:start;widows:auto;word-spacing:0px">
<b><span style="color:black"> </span></b><o:p></o:p></p>
<p class="xmsonormal" style="margin-left:.5in;font-variant-caps:normal;orphans:auto;text-align:start;widows:auto;word-spacing:0px">
<b><span style="color:black">Where:<span class="xapple-converted-space"> </span></span></b><span style="color:black">Ilani Resort (1 Cowlitz Wy, Ridgefield, WA 98642)</span><o:p></o:p></p>
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<b><span style="font-size:12.0pt;color:black"> </span></b><o:p></o:p></p>
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<b><span style="font-size:12.0pt;color:black">Who Should Attend:<span class="xapple-converted-space"> </span></span></b><span style="font-size:12.0pt;color:black">Tribal leaders, decision-makers, administration, physicians, advanced practice providers, pharmacists,
nurses, behavioral health specialists, nurses, chemical dependency counselors, peer support specialists, medical assistants, community health representatives, tribal community health providers or others interested in learning new skills to effectively address
the syndemic are invited to attend.<span class="xapple-converted-space"> </span></span><o:p></o:p></p>
<p class="xmsonormal" style="margin-left:.5in;font-variant-caps:normal;orphans:auto;text-align:start;widows:auto;word-spacing:0px">
<b><span style="color:black"> </span></b><o:p></o:p></p>
<p class="xmsonormal" style="margin-left:.5in;font-variant-caps:normal;orphans:auto;text-align:start;widows:auto;word-spacing:0px">
<b><span style="color:black">To Learn More & Register:<span class="xapple-converted-space"> </span></span></b><span style="color:black;background:aqua"><a href="https://www.indiancountryecho.org/ets-october2023/">https://www.indiancountryecho.org/ets-october2023/</a></span><o:p></o:p></p>
<p class="xmsonormal" style="margin-left:.5in;font-variant-caps:normal;orphans:auto;text-align:start;widows:auto;word-spacing:0px">
<b><span style="color:black"> </span></b><span style="color:black"> </span><o:p></o:p></p>
<p class="xmsonormal"><span style="color:black">We have attached the training flyer for your consideration. Please consider attending or inviting a member of your team to join as we continue efforts to effectively put policy and practice into place to address
the syndemic in Indian Country.</span><o:p></o:p></p>
<p class="xmsonormal"> <o:p></o:p></p>
<p class="xmsonormal"><span style="color:black">We look forward to collaborating with each of you and your care teams to address the syndemic and provide comprehensive support and treatment for HCV, HIV, STIs, and SUD.<span class="xapple-converted-space"> </span></span><span style="color:#201F1E">If
you have any questions, please feel free to contact our team at </span><a href="mailto:echo@npaihb.org" target="_blank" title="mailto:echo@npaihb.org">echo@npaihb.org</a><span class="xapple-converted-space"><span style="color:#201F1E"> </span></span><span style="color:#201F1E">.</span><o:p></o:p></p>
<p class="xmsonormal"><span style="color:#201F1E"> </span><o:p></o:p></p>
<p class="xmsonormal"><span style="color:#201F1E">Many thanks, </span><o:p></o:p></p>
<div>
<p class="xmsonormal"> <o:p></o:p></p>
<p class="xmsonormal"> <o:p></o:p></p>
<p class="xmsonormal"><b><span style="font-size:11.0pt;color:black">The Indian Country ECHO Team
</span></b><o:p></o:p></p>
<p class="xmsonormal"><span style="font-size:11.0pt;color:black">Northwest Portland Area Indian Health Board</span><o:p></o:p></p>
<p class="xmsonormal"><span style="font-size:11.0pt;color:black">2121 SW Broadway, Suite 300</span><o:p></o:p></p>
<p class="xmsonormal"><span style="font-size:11.0pt;color:black">Portland, Oregon 97201</span><o:p></o:p></p>
<p class="xmsonormal"><span style="font-size:11.0pt;color:black">Fax: 888-462-3246</span><o:p></o:p></p>
<p class="xmsonormal"><span style="font-size:11.0pt;color:#4F6228"><a href="mailto:echo@npaihb.org">echo@npaihb.org</a>
</span><o:p></o:p></p>
<p class="xmsonormal"><span style="font-size:11.0pt;color:black"> </span><o:p></o:p></p>
<p class="xmsonormal"><a href="https://www.indiancountryecho.org/" title="https://www.indiancountryecho.org/"><span style="font-size:11.0pt;color:windowtext;text-decoration:none"><img border="0" width="183" height="67" style="width:1.9027in;height:.7013in" id="x_Picture_x0020_2" src="cid:image001.png@01D9B4E6.797663E0" alt="cidimage001.png@01D7369C.068D4A80"></span></a><o:p></o:p></p>
<p class="xmsonormal"><span style="font-size:11.0pt"> </span><o:p></o:p></p>
<p class="xmsonormal"><i><span style="font-size:9.0pt;color:black">NPAIHB serves the 43 federally-recognized tribes of Oregon, Washington and Idaho; and is located within the traditional and ancestral homelands of the Multnomah, Kathlamet, Clackamas, Tumwater,
Watlala bands of the Chinook, the Tualatin, Kalapuya and many other indigenous nations of the Willamette and Columbia River regions.</span></i><o:p></o:p></p>
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