[voyager2]

Having lived on reservations, Navajo Nation being one of them, I'd opine that the co-morbidities are the main contributing factor. The diabetes rates on the rez are many times that of the US population as are the rates of alcoholism. Also households are very often multi-generational and more crowded than in the US.

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.

[prpl]

I grew up in Farmington, this was my first thought, but also the rate of homelessness off the rez has always been very high (also with the same comorbidities), throw in the drop in oil price over the last 5 years, you have an area with additional economic depression.