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Kevin Allis
“We cannot ignore the elevated risks faced by Indian Country from this virus,“ said NCAI CEO Kevin Allis. “The federal government’s chronic underfunding of its treaty and trust responsibilities to American Indians and Alaska Natives must end – lives are at risk.” American Indian and Alaska Natives (AI/ANs) experience higher rates of the underlying medical conditions that increase the risk of severe illness and death caused by COVID-19 as compared to the general U.S. population. According to the Center for Disease Control and Prevention (CDC), those at highest risk for complications associated with COVID-19 are the elderly (age 60+) and those with chronic diseases or who are immunocompromised, which include:
- Heart disease
- Lung disease including asthma or chronic obstructive pulmonary disease
- Endocrine disorders such as diabetes
- Chronic kidney disease
- Chronic liver disease
- Compromised immune system; taking immunosuppression medications

- 16 percent of American Indian and Alaska Native households in tribal areas are overcrowded compared to 2 percent for the United States.
- Among the 213 largest tribal areas, the quarter with the highest levels of overcrowding—all more than 18 percent— was mostly in the poorest regions—the Plains, Arizona/New Mexico, and Alaska.
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