həliʔil Program

About Lung Cancer and Indigenous People

The issue of lung cancer among Indigenous people in the U.S. and our region is complex, and several factors contribute to the problem:

• Tobacco use is linked to lung cancer, and within tribal nations, there is a higher rate of non-ceremonial tobacco use.
• Indigenous people experience barriers in accessing lung cancer screening and smoking cessation services.
• There are challenges accessing appropriate medical care if an Indigenous person develops lung cancer.

The həliʔil Program

As a result of this work, Fred Hutch established the həliʔil Program, which launched in fall 2019. The program focuses on:

• Promoting non-ceremonial tobacco cessation in tribal nations*
• Identifying barriers to lung cancer screening in Indigenous populations
• Reaching out to tribal nations and Indigenous groups in our region to promote lung cancer screening

*Through a gift generously granted to the həliʔil Program, all Fred Hutch cancer patients, caregivers and family members — regardless of their race or ethnicity — can receive free nicotine replacement therapy (NRT), lozenges and gum.

Collaborations

Through həliʔil, Fred Hutch and its partners are currently collaborating and engaging with tribal and community leaders, listening and learning as well as earning trust and building relationships. 

Some initiatives currently underway include focus groups and semi-structured interviews to better understand attitudes, beliefs and barriers to smoking cessation and screening, as well as how to overcome these barriers.

As the program continues to roll out, Fred Hutch will expand its reach and involvement in a number of ways, such as: 

• Facilitating and staffing health fairs, pow-wows and other community gatherings
• Connecting with community health representatives throughout Washington state
• Building more formal collaborations with organizations serving Indigenous people
• Offering training to Fred Hutch staff and providers in order to help build capacity and responsiveness to patients who identify as Indigenous

It's a Priority

The Fred Hutch 2019 Community Health Needs Assessment (CHNA) was developed to help understand how cancer impacts the Puget Sound region. In order to address the results of the CHNA, Fred Hutch put together a Community Benefit Implementation Plan that identified four major priority areas, including Indigenous health.