The Temporary Battle Against COVID-19 Taught This N.C. Native Community How to Combat a Longstanding Epidemic


The Eastern Band of Cherokee Indians reacted to COVID-19 with aggressive measures that yielded fewer illnesses than in neighboring counties, and no deaths, all without outside help. But one of their preventive measures – roadblocks severely limiting access to the Qualla Boundary, the band's territory – led to a surge in overdose deaths from fentanyl-laced heroin, because drug dealers responded with fewer shipments of more potent drugs. Overdoses eventually subsided with the roadblock lifted. The unintended consequence taught lessons about self-governance and unseen risks from within, not just from outside.

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