Navajo Nation and Other Native American Reservations Hit Hard by Covid-19
cybercoastal.com
cybercoastal.com
PDF http://www.nccah-ccnsa.ca/Publications/Lists/Publications/At...
Huh? That doesn't sound right.... and indeed looking at your source it isn't... but in some sense it looks like it might actually be worse than that
> Indigenous people accounted for 27.8% of all hospital admissions reported to PHAC during the first wave, but only 6.1% of hospital admissions during the second wave (Helferty et al., 2010).
Less than a third of hospitalizations were indigenous people (both genders), it seems, and later
> Rolland Harris et al. (2012), for example, found that Indigenous women accounted for 16.2% of hospitalized cases, [... continued below]
So indigenous women are 1/6th of hospitalizations (which makes sense with 1/3rd of hospitalization being indigenous people). But
> [... direct continuation of previous quote] 18.2% of ICU cases, and 50% of fatalities attributed to H1N1 influenza of those reporting ethnicity across Canada when both waves of the pandemic were combined.
Indigenous women were half of the total deaths???
I feel like something weird must be going on with these statistics.
How is this relevant? All it talks about is the government sending body bags with nothing related to infection/hospitalization/death rates.
The casino had a very limited reopen with a lot of social distancing rules, but not a whole lot of enthusiasm from workers since most make more on unemployment than working. Basically, opened for the fishing crowd.
I would imagine the two main causes are housing and IHS. Let's face it Indian Health Service is not that good and actively a problem under the best of circumstances. A politician who actually believes in government provided health care could go a long ways to proving it by making IHS work. Search for "don't get sick after June" for a documentary on the subject. They did two very credible attempts to kill a couple of family members and misdiagnosing AIDS without waiting for test results didn't help my friends marriage one bit. I do admit to still being a might bit bitter over having to have three operations to fix a botched root canal.
The second is housing. Housing is scarce on many reservations which means large family groupings. Now, I understand some visitors from DC think its great that families live together like "the old days", but its not great, or cultural, and it sucks. Overcrowding isn't fun and not having access to the normal (e.g. mortgage from bank) with going through the tribe or a special program is really an issue. A former college president lived in his parents basement until he and his wife could afford to buy a house outright (well, a mobile that they moved). Its gotten better in recent years (better federal program), but large crowded houses get infected fairly fast.
The National Guard has been doing mass testing in ND and did do one on the reservation. It looked well organized and they were pushing a lot of people through. I was told later (we had the window blinds to the parking lot closed to avoid any privacy violations) that they had no positives.
I do wonder about the statistical differences between reservations and versus the general population. I am not always confident on the reported statistics.
Did they have even worse governance than the US generally? Or dense living conditions? Or particularly vulnerable age profiles? I get that they're not generally wealthy, but probably wealthier than places like Vietnam and Mongolia which contained the spread very well.
a) you can afford to live there, as an extremely economically disadvantaged group.
b) your tribe is in one place, instead of scattered, which makes it possible to continue to have a group identity and
c) you have at least limited autonomy.
I know people in tribes that have been shafted by the BIA and refused official recognition or land. It hurts. See the documentary "Promised Land" [0] for their account.
B) It is good to be with your folks, I agree, even when forced into captivity together
C) their autonomy is violated essentially at whim by the fed, state, and local governments since the reservation system was created. You can see this happening now with Gov Noam in South Dakota and the Lakota
Additionally, native nations in fact have tried to set their own lockdown and travel policies. State governments have threatened them for doing so.[1]
[0]. "For Native Americans, Health Care Is A Long, Hard Road Away" - https://www.npr.org/sections/health-shots/2016/04/13/4738483...
[1]. "'I’m protecting my people': Tribal citizens defend coronavirus checkpoints amid threat from state" - https://www.indianz.com/News/2020/05/11/im-protecting-my-peo...
Reservations basically operate with only the local government. Imagine your town trying to source all the required goods themselves while there's a supply shortage.
That said, I've only been on reservations in the Midwest. Other tribes may not face the same terrible conditions.
Yes, they're all different; laws, customs, landscape, tribal government, etc; more than most people might imagine.
It's also not like the nation can just isolate from the rest of the country. Much of the nation lives and/or works off of the reservation in nearby towns and cities. Bear in mind that by-and-large, the Navajo are not living a traditional subsistence lifestyle anymore. They simply don't have the land or resources to do that so the reservations are not self-sufficient.
My mother-in-law works at a hospital adjacent to a large reservation. They're treating large numbers of natives.
She says people from the reservation refuse to practice any social distancing or wear PPE.
Yes, they do have their own lockdown policies. On a drive in western NC this past month, we had to turn around as the Qualla Boundary was blocked by tribal police.
Vitamin D deficiency is a strong factor, not for getting Covid-19, but for bad outcomes.
It's especially common for people with dark skin, since that blocks the ability of producing Vitamin D from sunlight.
If that's part of what's happening to the Navajo, I don't know, but you should probably eat Vitamin D pills, especially during this indoor lockdown, and if if you have dark skin.
"There is no strong scientific evidence to show that very high intakes (ie, mega supplements) of vitamin D will be beneficial in preventing or treating COVID-19."
Strong scientific evidence usually takes a lot longer than that to establish.
Also: I'm not advocating "very high" doses. A normal daily supplement dose should be just fine.
It's not good for people to be just advising "eat vitamin D" though.
People should consult a doctor to determine a) to what extent they are deficient (or not), and b) that they have no health issues that make taking vitamin D dangerous.
"Get outside more", is temporarily bad advice: "eat vit-d instead" is temporarily good advice.
Your doctor has more important things to do.
https://youtu.be/4_ZJ8YDOX6g?t=1771
Vitamin D insufficiency has been strongly correlated to COVD-19 deaths and severe symptoms in various locations, although obviously more data is still needed to prove causation.
Either way unless you work outside you should probably be on 5000 IU of Vitamin D a day just to compensate for sunlight deprivation.
It might be a strong factor - this isn't yet demonstrated conclusively by enough peer reviewed studies yet, so it shouldnt be described as conclusive. Thankfully, there a long history of vitamin D supplementation, so unlike hydroxychloroquine, it isn't likely to increase death rates. At worst it might just do nothing.
Also, a number of common foods contain or are supplemented with vitamin D. Assuming that somebody has no fundamental issues with vitamin D absorption from food, a typical healthy diet that includes some of those foods should be sufficient to keep a person out of vitamin D deficiency, with no pill-based supplement needed.
A "typical healthy diet" can provide even less vit D since much of the vit D consumed it from fortified milk and breakfast cereals.
I think a lot of people would benefit from boosters right now. As you say, it does no harm.
The Navajo have been in the general area (the US forcibly moved them, but the latitudes are similar) of where they are now for a long time. Their skin tone should be well-adapted to the region, unless they're not going outside.
If they're living a regular American lifestyle, which often produces Vitamin D deficiency even for the palest white people, they will be affected even more.
But I mostly intended this as general advice for the HN readership.