Though the state of Arizona is now among the globe’s hotspots for COVID-19, the most dire and long-lasting outbreak in the state is on the Navajo Nation, a vast reservation mostly sitting in the northeast corner of the state. Nearly five percent of the tribal population has tested positive for the disease caused by the novel coronavirus, and the outcomes for indigenous people have been ugly, as a result of comorbidities among many Navajo people that match up with the most dire pre-existing conditions for COVID patients, including hypertension and diabetes. Navajo Nation’s case fatality rate was nearly five percent as of June 27, more than five times the national average.