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Seeking 'Indian-acceptable' ways to fight hypertension

JAMA. 1985;254(14):1877-1878. doi:10.1001/jama.1985.03360140023004.
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Although accidents remain the major cause of death among Native American men, the number of deaths due to heart disease is moving toward that No. 1 position.

According to the latest Indian Health Service mortality rate charts, however, heart disease already is the foremost cause of death among American Indian and Alaska Native women. For this reason, says Geoffrey E. Woo-Ming, MD, MPH, of the Indian Health Service in Sacramento, Calif (who spoke at a National Conference on High Blood Pressure Control held recently in Chicago), Indian Health Service physicians and workers are going to have to devote more attention to the early diagnosis, prevention, and treatment of one of its risk factors—hypertension.

According to Rosemond Goins, RN, of the South Dakota United Indian Association in Rapid City, elevated blood pressure levels are usually detected by chance by care providers in Indian medical facilities. "Patients come in with diabetes or


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