As part of the National High Blood Pressure Education Program effort, the conference explored the impact of high blood pressure (hypertension) on Native Americans. Participants, including health professionals, health service consumers, and volunteers providing health services to Native Americans, discussed these issues: traditional Native American treatment of hypertension; training and utilization of ancillary health personnel in hypertension control; resources available for hypertension control; development of protocols for screening, treatment and control of hypertension by the Indian Health Service; hypertension from the paramedical viewpoint; and current research efforts. Two resulting recommendations were that Native American and Alaskan Native high blood pressure control projects be implemented, both on and off reservations, and that curriculum materials on chronic disease management and detection be developed for outreach workers. The report contains the keynote address concerning the use of ancillary health personnel in community-based high blood pressure programs and two presentations, one concerning the role of the Health Services Administration in state high blood pressure grants for reaching hard-to-reach population and the other concerning the implementation of Native American recommendations about high blood pressure. Also included is the text of a panel discussion on historical/traditional research and current research concepts. Fourteen recommendations are listed. (BRR)