Why This Work Matters
Vaccines have been a powerful tool to reduce infectious disease inequities experienced by Indigenous peoples. Tribal communities in the Southwest U.S. have been longstanding partners in clinical trials that have helped not only their communities, but generated evidence for vaccines recommended nationally and globally.
Our research helps ensure that vaccines are supported by local evidence, culturally grounded partnerships, and pathways to equitable access.
Vaccine Research and Trial Capabilities
The Center for Indigenous Health Infectious Disease Prevention Team partners with communities to understand and prevent infectious diseases across the lifespan. This work began in the 1980s when Dr. Raymond Reid, one of the first Navajo physicians trained in public health, and Dr. Mathu Santosham (CIH Director Emeritus) led landmark studies in partnership with the White Mountain Apache Tribe that proved the efficacy of oral rehydration solution to prevent severe dehydration and death related to gastroenteritis. This was followed by pivotal studies that proved the efficacy of vaccines against Haemophilus influenzae type B (Hib), Streptococcus pneumoniae, and rotavirus disease, which affected Native children at higher rates.
Our vaccine work includes surveillance, clinical trials, impact evaluations, and implementation studies that inform vaccine policy and support equitable health outcomes.
Vaccine Research Areas
Epidemiology
We conduct epidemiologic studies to describe disease burden, transmission, bacterial carriage prevalence, and risk and protective factors for carriage and disease in Indigenous communities.
Clinical Trials
We partner with communities to evaluate vaccine candidates and other interventions through rigorously conducted clinical trials.
Impact Evaluations
We assess the real-world effects of vaccines and other interventions on disease burden and health outcomes.
Immunization Policy and Implementation
We use research findings to inform vaccine policy and support effective, equitable implementation.



