Bristol Bay Area Health Corporation or BBAHC is a 16 bed critical access / tribal health hospital located in Dillingham Alaska. In 2023, we marked 50 years of tribal health care operation and management for the people of Bristol Bay. However, the history of organized health care in Bristol Bay is much longer. Prior to the coming of the Russians in 1818, the primary health care provider was the “angalkuk” or shaman. Doctors first came into Bristol Bay when the canneries opened in 1885. In 1904, Dr. Joseph Herman Romig opened a hospital in Carmel. It remained open in 1913 when Dr. Linus Hiram French relocated the hospital to Kanakanak and took over one of two school buildings. In 2013, Kanakanak Hospital marked 100 years of providing health care to the people of Bristol Bay. Over the past 100 years, the people of Bristol Bay have not only endured and survived life in a harsh climate and rugged terrain, they also suffered greatly from epidemics such as the Influenza Epidemic which reached Bristol Bay in 1919 and caused the death of thousands of people in western Alaska.