The Navajo Nation how has the highest coronavirus infection rate in the United States.
, director of the Center for Indigenous Health Research and Policy at Oklahoma State University, tellsthat indigenous people face a concentration of risk factors at the individual, systemic, and policy level that put them at greater threat for poor health outcomes.
"Many Native communities are in rural areas where there is an extreme shortage of health care providers, the health care systems are underfunded, you have to drive a very far distance to get medical care," she says. "In extreme cases, you have very rural communities with no electricity or running water. All of those risk factors lead to poor health, and we have them all."
Jernigan says that historical context also comes into play — Native people have agreements with the U.S. government in the form of treaties that exchange land for services, including medical care, such as the"However, unfortunately and sadly, the U.S. government has not held up their end of the agreement by appropriately and adequately funding the Indian Health Service," she says.
"State health departments and their epidemiologists don’t regularly communicate with Native nations," she says. "And few Native nations actually have their own epidemiologists. Without epidemiologists and constant communication where the disease is, where and how it is spreading, you cannot properly plan."
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