{"id":798,"date":"2020-11-30T06:00:02","date_gmt":"2020-11-30T11:00:02","guid":{"rendered":"https:\/\/nyujournalismprojects.org\/gdjfall20\/?p=798"},"modified":"2020-11-30T10:46:34","modified_gmt":"2020-11-30T15:46:34","slug":"catarinas-draft","status":"publish","type":"post","link":"https:\/\/nyujournalismprojects.org\/gdjfall20\/index.php\/2020\/11\/30\/catarinas-draft\/","title":{"rendered":"Catarina&#8217;s Draft"},"content":{"rendered":"<p>As much of the country was contemplating whether or not to have a Thanksgiving gathering, residents of New Mexico were once again bracing for a stay-at-home order, starting in the second half of November, as COVID cases soared and hospitals reached near capacity.<\/p>\n<p>While the whole state is dealing with a second wave, the pandemic has affected native americans in New Mexico at an alarming rate. This population represents a total of about 11% of the state total, yet they account for 17.26% of all COVID-19 cases.<\/p>\n<p>The numbers become even more chilling when looking at the total number of deaths, as the percentage of Native American and Alaska Natives (AIAN) is almost half. Even by national standard that is notably high: the US average number of COVID-19 AIAN deaths per 100 people is 85, but that number jumps to 290 when looking at New Mexico alone.<\/p>\n<div id=\"viz1605500028859\" class=\"tableauPlaceholder\" style=\"position: relative;\"><noscript><a href='#'><img alt=' ' src='https:\/\/public.tableau.com\/static\/images\/Ca\/CasesinNewMexicobyRace\/Cases\/1_rss.png' style='border: none' \/><\/a><\/noscript><object class=\"tableauViz\" style=\"display: none;\" width=\"300\" height=\"150\"><param name=\"host_url\" value=\"https%3A%2F%2Fpublic.tableau.com%2F\" \/><param name=\"embed_code_version\" value=\"3\" \/><param name=\"site_root\" value=\"\" \/><param name=\"name\" value=\"CasesinNewMexicobyRace\/Cases\" \/><param name=\"tabs\" value=\"no\" \/><param name=\"toolbar\" value=\"yes\" \/><param name=\"static_image\" value=\"https:\/\/public.tableau.com\/static\/images\/Ca\/CasesinNewMexicobyRace\/Cases\/1.png\" \/><param name=\"animate_transition\" value=\"yes\" \/><param name=\"display_static_image\" value=\"yes\" \/><param name=\"display_spinner\" value=\"yes\" \/><param name=\"display_overlay\" value=\"yes\" \/><param name=\"display_count\" value=\"yes\" \/><param name=\"language\" value=\"pt\" \/><param name=\"filter\" value=\"publish=yes\" \/><\/object><\/div>\n<p><script type='text\/javascript'>                    var divElement = document.getElementById('viz1605500028859');                    var vizElement = divElement.getElementsByTagName('object')[0];                    vizElement.style.width='100%';vizElement.style.height=(divElement.offsetWidth*0.75)+'px';                    var scriptElement = document.createElement('script');                    scriptElement.src = 'https:\/\/public.tableau.com\/javascripts\/api\/viz_v1.js';                    vizElement.parentNode.insertBefore(scriptElement, vizElement);                <\/script><\/p>\n<div id=\"viz1605500050401\" class=\"tableauPlaceholder\" style=\"position: relative;\"><noscript><a href='#'><img alt=' ' src='https:\/\/public.tableau.com\/static\/images\/De\/DeathsinNewMexicobyRace\/Deaths\/1_rss.png' style='border: none' \/><\/a><\/noscript><object class=\"tableauViz\" style=\"display: none;\" width=\"300\" height=\"150\"><param name=\"host_url\" value=\"https%3A%2F%2Fpublic.tableau.com%2F\" \/><param name=\"embed_code_version\" value=\"3\" \/><param name=\"site_root\" value=\"\" \/><param name=\"name\" value=\"DeathsinNewMexicobyRace\/Deaths\" \/><param name=\"tabs\" value=\"no\" \/><param name=\"toolbar\" value=\"yes\" \/><param name=\"static_image\" value=\"https:\/\/public.tableau.com\/static\/images\/De\/DeathsinNewMexicobyRace\/Deaths\/1.png\" \/><param name=\"animate_transition\" value=\"yes\" \/><param name=\"display_static_image\" value=\"yes\" \/><param name=\"display_spinner\" value=\"yes\" \/><param name=\"display_overlay\" value=\"yes\" \/><param name=\"display_count\" value=\"yes\" \/><param name=\"language\" value=\"pt\" \/><param name=\"filter\" value=\"publish=yes\" \/><\/object><\/div>\n<p><script type='text\/javascript'>                    var divElement = document.getElementById('viz1605500050401');                    var vizElement = divElement.getElementsByTagName('object')[0];                    vizElement.style.width='100%';vizElement.style.height=(divElement.offsetWidth*0.75)+'px';                    var scriptElement = document.createElement('script');                    scriptElement.src = 'https:\/\/public.tableau.com\/javascripts\/api\/viz_v1.js';                    vizElement.parentNode.insertBefore(scriptElement, vizElement);                <\/script><\/p>\n<p>\u201cI feel like it&#8217;s almost criminal to let them die at such a high rate,\u201d Jagdish Khubchandani, Professor of Public Health at New Mexico State University said.<\/p>\n<p>Systemic issues that lead to poor healthcare and lack of access to basic services have put these communities at a disadvantage from the outset of the COVID-19 pandemic.<\/p>\n<p>\u201cPandemics are not made in a day. Pandemics are made in decades. And preparedness is also not done in a day,\u201d Khubchandani said. \u201c[New Mexico] was a poor state before the pandemic, one of the poorest with such a diverse population that had chronically underfunded health systems. I think what we have is the sin of the past punishing us now. We have never prepared to deal with the pandemic nationwide. And with these populations, we didn&#8217;t have the outreach, the extension, the messaging methodology.\u201d<\/p>\n<p>To understand the devastating effects of the pandemic on the AIAN population, Khubchandani says we have to look at both pre causation factors and pandemic response issues.<\/p>\n<p>\u201cMuch of what&#8217;s happening now with these populations and New Mexico is because of the historic underfunding and being historically marginalized,\u201d Khubchandani said. \u201cThese are people who have very poor air quality. They don&#8217;t have water to wash their hands. They don&#8217;t have the resources and the money to buy materials, and they are getting sicker at a younger age, dying at a younger age than the national average. In part, because they have so many medical complications: high amount of diabetes, hypertension\u2026 which is related to poverty, the type of occupations.\u201d<\/p>\n<p>Access to healthcare is harder, not only because of geographic factors, for many who live in more remote areas, but also cultural reasons. This means many of the COVID patients from AIAN communities who reach the hospital will already be in a more severe condition.<\/p>\n<p>\u201cImagine if you have fever right now and you have to go 15 miles to see a doctor, most likely we&#8217;ll just let it go,\u201d Khubchandani said. \u201cMost of them seem to be living in areas where there&#8217;s no healthcare. So it could be an urban neglected area or a tribal area where there&#8217;s no health care. And then it&#8217;s hard to reach out to the community. They have their own clanship and clan systems where they heal each other. Traditional medicine outreach has been weak.\u201d<\/p>\n<p>Communication is also a major issue, Khubchandani warned. \u201cNot everyone understands English. Not everyone understands the seriousness of the pandemic,\u201d he said, pointing out Texas \u2014 \u201ca state with a large proportion of Hispanic people\u201d \u2014 as an example. \u201cThey don&#8217;t even care to translate messages into Spanish or other languages or plan special communication strategies.\u201d<\/p>\n<p>While Khubchandani believes New Mexico has fared somewhat good in terms of communication, there is still a lot to be desired, especially when it comes to reaching out to people living in remote areas, who for example might not have a cellphone or speak English.<\/p>\n<p>Entities such as the Indian health service, which falls within the Department of Health and Human Services, play a crucial role in this outreach, but their jobs are hindered by the resources they lack.<\/p>\n<p>\u201cThey have tried to do some word of the mouth, local flyers and local info, but it&#8217;s not been aggressive enough,\u201d Khubchandani said. \u201cThey have to be very aggressive. But that&#8217;s a difficult population to reach out to.\u201d<\/p>\n<p>Still, the professor believes that, while it\u2019s one of the poorest states in the country, New Mexico\u2019s overall response to the pandemic, on a larger scale has been exemplary when compared to other states \u2014 especially given that it\u2019s working with very limited responses. The governor\u2019s action has been stern, taking extreme measure when needed.<\/p>\n<p>\u201cI think New Mexico again is a role model, (&#8230;) given so many pre existing disadvantages, whereas I think there are places that had so much advantage and they messed up,\u201d he said. \u201cWe have hard populations to reach out to. Navajo nations are not easy to deal with. But still they did what they could.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>As much of the country was contemplating whether or not to have a Thanksgiving gathering, residents of New Mexico were once again bracing for a stay-at-home order, starting in the second half of November, as COVID cases soared and hospitals reached near capacity. 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