Health and Healthcare Systems

This is how COVID-19 is affecting indigenous people

Indigenous person Miqueias Moreira Kokama, wears a protective face mask with words that read:"Indigenous lives matter", during a visit to his father's grave, indigenous Chief Messias Kokama, who passed away due to the coronavirus disease (COVID-19), at the Parque Taruma cemetery in Manaus, Brazil, May 26, 2020. REUTERS/Bruno Kelly - RC2IWG9QOGAR

Image: REUTERS/Bruno Kelly - RC2IWG9QOGAR

John Letzing
Digital Editor, Economics, World Economic Forum
  • Indigenous people endure socio-economic marginalization that makes them especially vulnerable to pandemics, according to the UN.
  • There are concerns that indigenous COVID-19 cases are being undercounted.

This past Wednesday, when some previously hard-hit countries were able to register daily COVID-19 infections in the single digits, the Navajo Nation – a 71,000 square-kilometre expanse of the western US – reported 54 new cases of what’s referred to locally as “Dikos Ntsaaígíí-19.”

That brought the total number of reported cases in the designated home of the Navajo people to 5,533, as the number of known deaths reached 252. For an area with an estimated population of 172,875, that translates into an infection rate more than five times that of the US as a whole. The Navajo Nation is not an isolated example. Around the world, COVID-19 still poses a disproportionate threat to indigenous communities even as it recedes elsewhere.

According to the United Nations, indigenous peoples’ traditional lifestyles can create greater risks of spreading infection when they involve large gatherings to mark events like harvests, or living in multi-generational housing with elderly family members. The indigenous also suffer from a relatively high degree of socio-economic marginalization that makes them more vulnerable. This dynamic is not new.

One study found that in New Zealand the Māori death rate during the 1918 flu pandemic was more than seven times higher than the rate for people of European ethnicity, and was more than six times higher during the 1957 “Asian flu.”

The Navajo Nation government issued a stay-at-home order as COVID-19 spread, implemented a curfew, and mandated the use of masks in public. But it has struggled with issues including the fact that nearly a third of the homes in the area (detailed in the map below) lack running water for hand washing.

The Navajo Nation covers the corners of three different states.
The Navajo Nation covers the corners of three different states. Image: Google Maps

In Brazil, an advocacy group reported last month that the COVID-19 mortality rate among indigenous people was nearly twice that of the country as a whole. Prior to that, a mapping service had published an analysis showing that villages in the Amazon are on average 315 kilometres away from the nearest intensive care bed in the Brazilian public health system – and more than half of the villages analysed were more than 200 kilometres away from any intensive care unit.

Brazil is just one of the countries in the World Health Organization’s Americas region with significant and remote indigenous populations deemed vulnerable to the pandemic. The WHO said the region recently accounted for half of the 10 countries in the world reporting the highest new number of cases over a 24-hour span.

Image: World Economic Forum

There are exceptions, however. Some of the world’s indigenous populations appear not to be overly impacted by COVID-19. In New Zealand, for example, the Māori accounted for 9% of reported cases as of 4 June, but represent more than 16% of the country’s population. And in Canada, government figures have not indicated an unusual infection rate for indigenous people – though there are concerns that indigenous cases in the country are being undercounted.

For more context, here are links to further reading from the World Economic Forum’s Strategic Intelligence platform:

  • COVID-19 is not the only thing indigenous people in Brazil have to worry about. According to this report, indigenous lands in the country are being devastated as the outside world has been distracted by the pandemic. (The Conversation)
  • Perhaps no community in North America has been more shaped by infectious disease than Native tribes, according to this report. (Christian Science Monitor)
  • In Colombia, the killing of indigenous leaders increased after a coronavirus-related lockdown in March made them easier to locate in isolation, according to this report. (LSE)
  • In some countries consultations with indigenous people are now being abruptly suspended in order to force through megaprojects relating to agribusiness, mining, dams and infrastructure, according to a UN independent expert. (Ecosystem Marketplace)
  • Mining sites, deemed an essential business during the pandemic, are placing indigenous communities in Canada and several other countries at high risk of infection, according to this report. (YaleE360)
  • The Secoya community fled by canoe to isolate themselves from the outbreak in the central wetlands of Lagarto Cocha in Ecuador, only to suffer 15 confirmed cases and two deaths among its population of 744, according to this report. (The New Humanitarian)
  • Well ahead of government action, indigenous federations across the Amazon launched extensive campaigns to mitigate the pandemic and its socie-economic consequences, according to this report. (The Conversation)

On the Strategic Intelligence platform, you can find visualizations and feeds of expert analysis related to COVID-19, Global Health and hundreds of additional topics. You’ll need to register to view.

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