Johnnie Henry, president of the Navajo Nation’s Church Rock chapter house community center, hauls drinking water to neighbors in Gallup, N.M., May 7, 2020

Johnnie Henry, president of the Navajo Nation’s Church Rock chapter house community center, hauls drinking water to neighbors in Gallup, N.M., May 7, 2020 Morgan Lee/AP

Native American Tribes’ Pandemic Response Is Hamstrung by Many Inequities

Many Native American tribes are reporting high COVID-19 infection rates. State and federal agencies are impeding tribes' efforts to handle the pandemic themselves.

The SARS-CoV-2 virus is novel, but pandemic threats to indigenous peoples are anything but new. Diseases like measles, smallpox and the Spanish flu have decimated Native American communities ever since the arrival of the first European colonizers.

Now COVID-19 is having similarly devastating impacts in Indian country. Some reservations are reporting infection rates many times higher than those observed in the general U.S. population.

We are social scientists who study many aspects of environmental justice, including the politics of food access and food sovereignty, the impacts of extractive resource industries like uranium and fossil fuels, and how Indigenous communities navigate relationships with state and federal governments to maintain their traditional practices. As we see it, Native American communities face structural and historical obstacles related to settler colonial legacies that make it hard for them to counter the pandemic, even by drawing on innovative indigenous survival strategies.

History reverberates on Native lands

Native communities in North America have been disrupted and displaced for centuries. Many face long-standing food and water inequities that are further complicated by this pandemic.

On the Navajo reservation, which covers more than 27,000 square miles in Arizona, Utah and New Mexico, 76% of households already have trouble affording enough healthy food, and the nearest grocery store is often hours away. COVID-related restrictions have further curtailed access to food supplies.

Clean water for basic sanitary measures like hand-washing is also scarce. Native Americans are 19 times more likely to lack indoor plumbing than whites in the U.S. Nearly one-third of Navajo households lack access to running water.

Many health issues that can increase COVID-19 mortality rates occur at high levels among Native Americans. These underlying and preexisting conditions – things like hypertension, diabetes, obesity and cardiovascular disease – are linked to diet and stem from disruption and replacement of Indigenous food systems.

American Indians and Alaska Natives (AI/AN) experience higher rates of chronic diseases than non-Hispanic Whites. Urban Indian Health Institute; data from CDC, CC BY-ND

Meanwhile, housing shortages on reservations and homelessness in urban Native communities make social distancing to reduce COVID-19 transmission impossible.

High exposure rates

These factors have clear health impacts. On the Navajo reservation, for instance, through May 27, 2020, 4,944 people out of a population of 173,000 had tested positive for COVID-19, and 159 had died.

This infection rate per capita exceeds those in hot spots such as New York and New Jersey. Importantly, however, it may also reflect a much more proactive approach to testing on reservations than in many other jurisdictions.

The fact that elderly people are especially vulnerable to COVID-19 could worsen the pandemic’s effects in Indian Country. Elders are the keepers of traditional knowledge, tribal languages and culture – legacies whose loss already threatens the persistence of indigenous communities.

Elders also play key roles in preserving traditional plant and medicine knowledge. In the absence of COVID-19 interventions from Western medicine, many elders have been called on to perform healing practices, which increases their exposure risk.

Little help from federal and state governments

Many tribal members rely on the federal government’s Indian Health Service for health care. But lack of capacity at the agency has hampered its response. Budget shortfalls, inaccurate data, the challenges of providing rural health care and ongoing personnel shortages in IHS clinics are compounded by staff being pulled away to fight the virus in large cities.

And while many states have raised frustrations with the Trump administration’s unwillingness to distribute protective supplies from the dwindling national stockpile, IHS and tribal health care authorities never had access to the stockpile at all.

Although the federal government has begun distributing relief funds to IHS agencies, there have been serious problems with the accompanying supplies. The Navajo Nation has received faulty masks, and a Seattle Native health center asked for tests but received body bags instead.

Meanwhile, federally imposed limits on tribal sovereignty have obstructed tribal governments’ efforts to deal with the pandemic themselves. Federal and state governments are challenging tribes’ jurisdictional authority to close borders to tourists who may carry the virus. South Dakota’s governor has threatened legal action against two tribes who set up checkpoints to monitor incoming traffic on their reservations.

Environmental injustices on Native land

Energy development and resource extraction have had disproportionate impacts on tribes for many years. Today, many Native American leaders worry that ongoing energy production – an “essential” activity under federal guidelines will bring outsiders into close contact with reservation communities, worsening COVID risks.

The owners of the Keystone XL oil pipeline have announced that they intend to continue construction, which will bring an influx of workers along the proposed route through Montana, South Dakota and Nebraska. The Rosebud Sioux Tribe in South Dakota and Fort Belknap Indian community in Montana have filed for a temporary restraining order, and a key permit for the pipeline was revoked in April 2020, but work continues at the U.S.-Canada border.

Construction is accelerating on the southern border wall, which bisects the Tohono O’odham reservation in Arizona and Mexico. The Trump administration has increased patrols at the border, despite the tribe’s concern that the patrols’ presence is spreading coronavirus on the reservation.

Wild-caught salmon is an iconic Alaska product, but some local leaders want to restrict salmon fishing in 2020 to minimize coronavirus transmission. Alaska State Archives, CC BY-ND

And in Bristol Bay, Alaska, a salmon fishing season that brings in thousands of temporary workers is set to open in June because the federal government has also deemed commercial fishing “essential critical infrastructure.” Many local Native villages depend on the fishery for income, but have nonetheless pleaded with state regulators to cancel the season. The regional hospital has just four beds for possible COVID-19 patients.

Bold action in Native communities

Native communities are taking decisive action to reduce the spread of COVID-19. They’re imposing aggressive quarantine measures like lockdowns, curfews and border closures. Communities are ramping up health care capacity and elder support services, and banishing nontribal members who violate travel restrictions.

Other strategies include helping hunters provide traditional foods to their communities, mobilizing to support tribal health care workers, and linking the pandemic and the climate crisis. Looking ahead to a post-COVID future, we believe one priority should be attending to front-line environmental justice struggles that center tribes’ sovereignty to act on their own behalf at all times, not just during national crises.

The Conversation

This article is republished from The Conversation under a Creative Commons license. Read the original article.

X
This website uses cookies to enhance user experience and to analyze performance and traffic on our website. We also share information about your use of our site with our social media, advertising and analytics partners. Learn More / Do Not Sell My Personal Information
Accept Cookies
X
Cookie Preferences Cookie List

Do Not Sell My Personal Information

When you visit our website, we store cookies on your browser to collect information. The information collected might relate to you, your preferences or your device, and is mostly used to make the site work as you expect it to and to provide a more personalized web experience. However, you can choose not to allow certain types of cookies, which may impact your experience of the site and the services we are able to offer. Click on the different category headings to find out more and change our default settings according to your preference. You cannot opt-out of our First Party Strictly Necessary Cookies as they are deployed in order to ensure the proper functioning of our website (such as prompting the cookie banner and remembering your settings, to log into your account, to redirect you when you log out, etc.). For more information about the First and Third Party Cookies used please follow this link.

Allow All Cookies

Manage Consent Preferences

Strictly Necessary Cookies - Always Active

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Sale of Personal Data, Targeting & Social Media Cookies

Under the California Consumer Privacy Act, you have the right to opt-out of the sale of your personal information to third parties. These cookies collect information for analytics and to personalize your experience with targeted ads. You may exercise your right to opt out of the sale of personal information by using this toggle switch. If you opt out we will not be able to offer you personalised ads and will not hand over your personal information to any third parties. Additionally, you may contact our legal department for further clarification about your rights as a California consumer by using this Exercise My Rights link

If you have enabled privacy controls on your browser (such as a plugin), we have to take that as a valid request to opt-out. Therefore we would not be able to track your activity through the web. This may affect our ability to personalize ads according to your preferences.

Targeting cookies may be set through our site by our advertising partners. They may be used by those companies to build a profile of your interests and show you relevant adverts on other sites. They do not store directly personal information, but are based on uniquely identifying your browser and internet device. If you do not allow these cookies, you will experience less targeted advertising.

Social media cookies are set by a range of social media services that we have added to the site to enable you to share our content with your friends and networks. They are capable of tracking your browser across other sites and building up a profile of your interests. This may impact the content and messages you see on other websites you visit. If you do not allow these cookies you may not be able to use or see these sharing tools.

If you want to opt out of all of our lead reports and lists, please submit a privacy request at our Do Not Sell page.

Save Settings
Cookie Preferences Cookie List

Cookie List

A cookie is a small piece of data (text file) that a website – when visited by a user – asks your browser to store on your device in order to remember information about you, such as your language preference or login information. Those cookies are set by us and called first-party cookies. We also use third-party cookies – which are cookies from a domain different than the domain of the website you are visiting – for our advertising and marketing efforts. More specifically, we use cookies and other tracking technologies for the following purposes:

Strictly Necessary Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Functional Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Performance Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Sale of Personal Data

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.

Social Media Cookies

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.

Targeting Cookies

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.