{"id":5740,"date":"2020-12-14T11:55:56","date_gmt":"2020-12-14T16:55:56","guid":{"rendered":"https:\/\/www.indianz.com\/News\/?p=5740"},"modified":"2020-12-14T11:58:10","modified_gmt":"2020-12-14T16:58:10","slug":"indian-country-today-covid-19-hits-rosebud-sioux-tribe-hard","status":"publish","type":"post","link":"https:\/\/indianz.com\/News\/2020\/12\/14\/indian-country-today-covid-19-hits-rosebud-sioux-tribe-hard\/","title":{"rendered":"Indian Country Today: COVID-19 hits Rosebud Sioux Tribe hard"},"content":{"rendered":"<img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1920\" data-attachment-id=\"5742\" data-permalink=\"https:\/\/indianz.com\/News\/2020\/12\/14\/indian-country-today-covid-19-hits-rosebud-sioux-tribe-hard\/rosebudsioux\/\" data-orig-file=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2020\/12\/14\/rosebudsioux-scaled.jpg\" data-orig-size=\"2560,1920\" data-comments-opened=\"0\" data-image-title=\"rosebudsioux\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2020\/12\/14\/rosebudsioux-1024x768.jpg\" src=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2020\/12\/14\/rosebudsioux-scaled.jpg\" alt=\"rosebudsioux\" class=\"alignnone size-full wp-image-5742\" \/>\r\n<figcaption class=\"figure-caption\">Welcome to the Rosebud Indian Reservation. Photo: <a href=https:\/\/www.flickr.com\/photos\/jstephenconn\/4116431242\/>J. Stephen Conn<\/a>\r\n<\/figcaption>\r\n<div class=\"h3-responsive font-weight-bold\">&#8216;Level of suffering is unlike anything we\u2019ve ever seen before&#8217;<\/div>\r\n<div class=\"h5-responsive sub\">Already in crisis mode, reservation health care buckles under COVID-19 burden<\/div>\r\n<div class=\"byline\">By Mary Annette Pember <a href=\"https:\/\/twitter.com\/mapember\"><I aria-hidden=true class=\"fab fa-twitter\"><\/I><\/a><\/div>\r\n<div class=\"source\">Indian Country Today<\/div>\r\n<div class=\"source-website\"><a href=\"https:\/\/indiancountrytoday.com\/\">indiancountrytoday.com<\/a><\/div>\r\n<p><\/p>\r\nInitially the death and suffering driven by the <a href=\/covid19\/>COVID-19 virus<\/a> seemed far away from the Plains of South Dakota.\r\n<p><\/p>\r\nLike the news of wars and natural disasters from distant foreign places, it seemed like a big city problem where people live chock-a-block in high rises and ride densely packed mass transit.\r\n<p><\/p>\r\n\u201cIt was hard to fathom what people went through back in the spring,\u201d says Angel Wilson, nurse practitioner at the Rosebud Hospital on the Rosebud Reservation. \u201cI could read about it and say how horrifying it was for them, but it was still far away.\u201d\r\n<p><\/p>\r\nNow, however, the virus has arrived on South Dakota\u2019s eight reservations, in a state that in recent weeks routinely tops the list of COVID-19 hotspots. And it has hit hard, overwhelming hospitals and requiring some patients to be flown out of state, often with limited means for returning home.\r\n<p><\/p>\r\nMany Native patients also suffer underlying health conditions such as diabetes, high blood pressure and obesity.\r\n<p><\/p>\r\n\u201cWhen people here get sick, they get really sick,\u201d says Wilson, a citizen of the Rosebud Sioux Tribe. \u201cThe level of suffering is unlike anything we\u2019ve ever seen before.\u201d\r\n<p><\/p>\r\n<div class=\" content_cards_card content_cards_domain_www-facebook-com\">\n\t\t\t<div class=\"content_cards_image\">\n\t\t\t\t<a class=\"content_cards_image_link\" href=\"https:\/\/www.facebook.com\/permalink.php?story_fbid=191518712630409&#038;id=109978670784414\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/indianz.com\/News\/wp-content\/plugins\/content-cards\/skins\/default\/content-cards-placeholder.png\" alt=\"Facebook\">\t\t\t\t<\/a>\n\t\t<\/div>\n\t\n\t<div class=\"content_cards_title\">\n\t\t<a class=\"content_cards_title_link\" href=\"https:\/\/www.facebook.com\/permalink.php?story_fbid=191518712630409&#038;id=109978670784414\">\n\t\t\tFacebook\t\t<\/a>\n\t<\/div>\n\t<div class=\"content_cards_description\">\n\t\t<a class=\"content_cards_description_link\" href=\"https:\/\/www.facebook.com\/permalink.php?story_fbid=191518712630409&#038;id=109978670784414\">\n\t\t\t\t\t<\/a>\n\t<\/div>\n\t<div class=\"content_cards_site_name\">\n\t\t<img decoding=\"async\" src=\"https:\/\/static.xx.fbcdn.net\/rsrc.php\/y1\/r\/ay1hV6OlegS.ico\" alt=\"www.facebook.com\" class=\"content_cards_favicon\"\/>\t\twww.facebook.com\t<\/div>\n<\/div>\r\n<p><\/p>\r\n<div class=\"h5-responsive sub\">Depression, fear<\/div>\r\nUsing the formal language of a medical professional, Wilson describes the challenges of caring for \u201chigh acuity\u201d patients, or those with greater needs.\r\n<p><\/p>\r\n\u201cWe often have to send them to other facilities with more resources,\u201d she says. Patient acuity is a parameter used in allocating nursing staff.\r\n<p><\/p>\r\nWilson pauses her clinical assessment.\r\n<p><\/p>\r\n\u201cI cry at work,\u201d she says quietly.\r\n<p><\/p>\r\nBorn and raised on the reservation, Wilson has worked at the Rosebud hospital for the bulk of her career. She knows most of its patients.\r\n<p><\/p>\r\n\u201cIf I don\u2019t know them personally, I know their parents or family; emotionally, it\u2019s been really hard,\u201d she said.\r\n<p><\/p>\r\nWilson recently attended the funeral of her adoptive mother, who died from COVID-19.\r\n<p><\/p>\r\n\u201cShe was 81, a powerful person who had a big impact on people, \u201calways happy and praying for everybody,\u201d she said.\r\n<p><\/p>\r\n<div class=\"embed-responsive embed-responsive-16by9\"><iframe class=\"embed-responsive-item\" frameborder=\"0\" id=\"mapportal\" scrolling=\"no\" src=\"https:\/\/maps.ihs.gov\/portal\/apps\/StoryMapBasic\/index.html?appid=5411113222c74d23bf09d6fa8c5909fd\"><\/iframe><\/div>\r\n<div class=mb-2><figcaption class=\"figure-caption\">COVID-19 Cases by IHS Area: Source: <a href=https:\/\/arcg.is\/1iGieS0>Indian Health Service<\/a><\/figcaption><\/div>\r\n<P><\/P>\r\n\u201cIt feels like we are losing a lot of the older generation; they\u2019re going so quickly, and a lot of our culture and language is going with them,\u201d Wilson said.\r\n<p><\/p>\r\n\u201cPeople are just so scared, you know? I think there\u2019s a lot of depression right now.\u201d\r\n<p><\/p>\r\nAcross the country, Native Americans have been hit hardest by the virus. According to the Centers for Disease Control, they are five times more likely to be hospitalized from COVID-19 than Whites.\r\n<p><\/p>\r\nIn South Dakota, Natives make up nearly 25 percent of statewide COVID-19 related hospitalizations despite being only about 9 percent of the population.\r\n<p><\/p>\r\nRealizing their citizens are at greater risk and have fewer health care resources, many tribal leaders in South Dakota have taken aggressive action to prevent spread of the virus, such as mandating masks, closing schools and government buildings and periodically enacting curfews, shutdowns and checkpoints on reservations roads.\r\n<p><\/p>\r\n<div class=row><div class=col-8>\r\n<img loading=\"lazy\" decoding=\"async\" width=\"1242\" height=\"1355\" data-attachment-id=\"5747\" data-permalink=\"https:\/\/indianz.com\/News\/2020\/12\/14\/indian-country-today-covid-19-hits-rosebud-sioux-tribe-hard\/angelwilson\/\" data-orig-file=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2020\/12\/14\/angelwilson.jpg\" data-orig-size=\"1242,1355\" data-comments-opened=\"0\" data-image-title=\"angelwilson\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2020\/12\/14\/angelwilson-939x1024.jpg\" src=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2020\/12\/14\/angelwilson.jpg\" alt=\"angelwilson\" class=\"alignnone size-full wp-image-5747\" \/><\/div>\r\n<div class=\"col-4 align-self-end\">\r\n<figcaption class=\"figure-caption\">Angel Wilson, nurse practitioner at Rosebud Hospital, an Indian Health Service facility on the Rosebud Sioux Reservation in South Dakota. Photo courtesy Angel Wilson<\/figcaption><\/div><\/div>\r\n<p><\/p>\r\n<div class=\"h5-responsive sub\">Constant state of crisis<\/div>\r\nMany Indian Health Service facilities effectively function in a constant state of crisis during normal circumstances. Chronically underfunded and overwhelmed, the agency falls far behind other federal health programs; Medicare is funded at about three times more per patient than the Indian Health Service.\r\n<p><\/p>\r\nPublic health investigators on the Pine Ridge Reservation estimate that about two out of 10 people who test positive end up being hospitalized.\r\n<p><\/p>\r\nMost Indian Health Service facilities in South Dakota are unable to care for seriously ill COVID-19 patients, who must be transferred often by air, sometimes hundreds of miles to hospitals in other states.\r\n<p><\/p>\r\n\u201cThere don\u2019t seem to be any beds in South Dakota at this point,\u201d said Wilson.\r\n<p><\/p>\r\n\u201cThey\u2019ve (Indian Health Service) actually done a good job of keeping patients here when they can, but we have limited resources as far as nursing staff,\u201d she said. \u201cA couple of weeks ago, we were begging for places to take patients.\u201d\r\n<p><\/p>\r\nAccording to Ralph Young, emergency medical operations manager for the Rosebud Sioux Tribe, patients are being transferred to Nebraska, Montana and Colorado.\r\n<p><\/p>\r\n\u201cVery ill patients are airlifted to facilities out of state,\u201d Young said.\r\n<p><\/p>\r\nPatients who recover are then discharged from faraway hospitals.\r\n<p><\/p>\r\n\u201cThat\u2019s when the trouble starts for us.\u201d\r\n<p><\/p>\r\n\u201cMost of our patients are poverty stricken; they don\u2019t have any family or resources to help bring them back home, so EMS picks them up,\u201d Young said.\r\n<p><\/p><div class=\"mt-1 mb-1\"><ins class=\"adsbygoogle\" style=\"display:block; text-align:center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-8411603009680747\" data-ad-slot=\"6394965691\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div><p><\/p>\r\nThe roundtrip drive to Billings, Montana, for instance, takes two days; drivers must stay overnight and then bring patients back to the reservation. Drivers must wear complete protective gear for the return trip, according to Young.\r\n<p><\/p>\r\n\u201cWe have no choice; what are we going to do, force them to walk home?\u201d\r\n<p><\/p>\r\n\u201cWe\u2019re overwhelmed; normally we\u2019re staffed at only about 60 percent of what we should be; our workload during the pandemic has doubled and tripled,\u201d Young said.\r\n<p><\/p>\r\nSince emergency medical operations is an existing program, it doesn\u2019t qualify for CARES funding, though the Indian Health Service has helped with supplies and staff.\r\n<p><\/p>\r\nThe job has taken a toll on workers.\r\n<p><\/p>\r\n\u201cWe\u2019ve had about 12 staff either get the virus or have to quarantine because of exposure,\u201d Young said.\r\n<p><\/p>\r\n\u201cI just hope we can get a break when this is over.\u201d\r\n<p><\/p>\r\nUnlike her parents who grew up during the Depression, Wilson notes that she has never experienced the level of pain and loss caused by the virus.\r\n<p><\/p>\r\n\u201cWe weren\u2019t rich growing up, but I\u2019ve never been through anything like this; I\u2019m scared for my family.\u201d\r\n<p><\/p>\r\n\u201cBut, we\u2019re survivors, like our ancestors; Native people have come through a lot, and we\u2019re going to get through this too.\u201d\r\n<p><\/p>\r\n<HR><EM>Mary Annette Pember, a citizen of the Red Cliff Ojibwe tribe, is a national correspondent for Indian Country Today. Follow Pember on <a href=https:\/\/twitter.com\/mapember>Twitter @mapember<\/a>. Based in Cincinnati, Ohio. Pember loves film, books and jingle dress dancing.<\/em><HR>\r\n<P><\/P>\r\nThis article originally <a href=https:\/\/indiancountrytoday.com\/news\/level-of-suffering-is-unlike-anything-we-ve-ever-seen-before-WY2942zekU6r16L6AS0Tqg>appeared on Indian Country Today<\/a> LLC, a nonprofit, public media enterprise. ICT does not charge for subscriptions and tribal media (or any media, for that matter) can use the publication\u2019s content for free. <a href=https:\/\/support.indiancountrytoday.com\/>Contribute to the nonprofit<\/a> Indian Country Today.\r\n<p><\/p>\r\nNote: The Associated Press contributed to ICT&#8217;s report.","protected":false},"excerpt":{"rendered":"Initially the death and suffering driven by the COVID-19 virus seemed far away from the Plains of South Dakota.","protected":false},"author":1,"featured_media":5742,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_vp_format_video_url":"","_vp_image_focal_point":[],"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[19,1],"tags":[400,5,129,210,130,249,69,544,98],"class_list":["post-5740","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-national","tag-colorado","tag-coronavirus","tag-ict","tag-ihs","tag-mary-annette-pember","tag-montana","tag-nebraska","tag-rosebud-sioux","tag-south-dakota","no-wpautop"],"jetpack_shortlink":"https:\/\/wp.me\/pcoJ7g-1uA","jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/indianz.com\/News\/wp-content\/uploads\/2020\/12\/14\/rosebudsioux-scaled.jpg","_links":{"self":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/posts\/5740","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/comments?post=5740"}],"version-history":[{"count":0,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/posts\/5740\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/media\/5742"}],"wp:attachment":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/media?parent=5740"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/categories?post=5740"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/tags?post=5740"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}