Emily E. Haroz PhD, MA, MHS, Christopher G. Kemp PhD, MPH, Victoria M. O’Keefe PhD, MS, Katherine Pocock PA-C, David R. Wilson PhD, Loretta Christensen MD, MBA, MSJ, FACS, Melissa Walls MA, PhD, Allison Barlow PhD, and Laura Hammitt MD Emily E. Haroz, Christopher G. Kemp, Victoria M. O’Keefe, Melissa Walls, Allison Barlow, and Laura Hammitt are with the Center for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore MD.