Affichage des articles dont le libellé est Native Americans. Afficher tous les articles
Affichage des articles dont le libellé est Native Americans. Afficher tous les articles

samedi 11 avril 2026

I AM A PHYSICIAN-ANTHROPOLOGIST TO MANY INDIGENOUS TRIBES/PEOPLE AROUND THE WORLD

Psychosocial Stress, Inflammation, and Atherosclerosis: An Anthropological Reflection


That most feared of outcomes—the heart attack, or acute myocardial infarction (AMI)—rarely occurs out of the blue. From a biomedical standpoint, it is attributed to atherosclerosis: a gradual narrowing and injury of blood vessels over time. The usual culprits are well known—diabetes, hypertension, hypercholesterolemia, sedentary lifestyle, and obesity.













Yet over the decades, more than fifty “causes” have been proposed. Some, like trans fats, were once celebrated as heart-healthy before being condemned. When explanations fail, we often retreat into the vague language of “socioeconomic factors”—a polite euphemism for poverty and social instability. 




Today, biomedical thinking is increasingly centered on inflammation as both the initiating and propagating force in cardiovascular disease. Some researchers even argue that what we measure—cholesterol, for instance—may be less a cause than a downstream effect of this inflammatory state.




The Liminal Lives of Indigenous Communities




For those of us who have worked closely with Native American communities, another layer becomes impossible to ignore: chronic psychosocial destabilization.



Anthropologists such as Victor Turner described “liminal periods”—times of transition marked by uncertainty, vulnerability, and heightened error in judgment. In most societies, these are temporary (puberty, professional initiation, migration).



But for Indigenous peoples of the Americas, one could argue that liminality has become permanent—a condition sustained since first contact. This ongoing instability shapes not only social life but also biological outcomes.



Comparable patterns are seen among Australian Aboriginal communities and the San people of the Kalahari—ancient societies navigating imposed modernity. (I am Australian, so have visited remote indigenous communities. When I was reading Anthropology in London, I did some participant observations among the San people of the Kalahari. feel lucky to have done so)


From Stress to Biology: The Inflammatory Bridge





“Psychosocial stress” is often used loosely, but it encompasses both origins and manifestations:

  • Origins: depression, hostility, poverty, perceived racism, job insecurity, loss of agency, educational barriers

  • Manifestations: smoking, alcohol use, sedentary habits, and unhealthy eating patterns


These are not merely behaviors—they are expressions of distress.




We have long known that such stressors elevate inflammatory markers like CRP and IL-6. Acute emotional events—bereavement, chronic anxiety, even prolonged commuting—have measurable physiological effects, including immune suppression and increased cardiovascular risk.



A notable study in the Archives of Internal Medicine (2007) examined nearly 7,000 individuals and found that:

  • Higher levels of cynical distrust correlated with higher inflammatory markers

  • Chronic stress was strongly associated with elevated CRP and IL-6

  • Poverty and low education were linked to depression and distrust

  • Individuals with higher BMI and diabetes carried greater psychosocial burdens 

Interestingly, the effects varied across cultures—being less pronounced in Chinese participants—suggesting that cultural frameworks modulate biological stress responses.


Beyond Measurement: Asking the Right Questions

 This leads to a critical shift in clinical thinking.


Instead of asking:


“Why does this patient drink?”


We might ask:


“What in this patient’s life makes drinking necessary?”


This reframing applies across conditions—obesity, diabetes, hypertension. Without it, we risk treating laboratory values rather than human suffering.



Prescribing statins, metformin, or antihypertensives without addressing underlying distress is akin to sweeping dust under the carpet—the room appears clean, but the problem persists.


The Metabolic Expression of Social Instability



Among Native American communities, the most common clinical presentations include:

  • Type 2 diabetes

  • Obesity

  • Alcohol and ultra-processed food dependence

  • Behavioural and relational dysfunction


These are not isolated diseases—they are biological expressions of social and historical disruption.


There is also a physiological pathway: chronic stress activates the hypothalamic-pituitary-adrenal (HPA) axis, contributing to insulin resistance, visceral fat accumulation, and metabolic disease. When combined with modern dietary toxins—high-fructose corn syrup, processed fats—the effect is amplified.



Disease vs. Illness: A Necessary Distinction


Anthropology reminds us:

  • Disease is what physicians diagnose

  • Illness is what patients experience


These are not always aligned.



Every patient carries an explanatory model shaped by culture, history, and personal experience. When these models diverge from biomedical frameworks, misunderstanding—and often non-adherence—follows.


Curing vs. Healing


Modern medicine excels at curing—controlling glucose, lowering cholesterol, reducing blood pressure.


But healing is different.


Healing requires:

  • Listening

  • Contextual understanding

  • Engagement with the patient’s social world


Traditional healing systems often succeed here—not because they reject biology, but because they embrace the person as a whole.




A Global Pattern


What we observe in Indigenous communities is not isolated.

As countries industrialize—Brazil, India, China—the same pattern emerges:

  • Rising diabetes

  • Increasing cardiovascular mortality

  • Widening inequality


These are not merely “diseases of lifestyle.” They are diseases of rapid social transformation.


Final Reflection


I have long held that obesity and diabetes are, at their core, social illnesses with biological consequences.


No amount of biomedical intervention alone can reverse them.


But there is hope.


The gradual integration of:

  • culturally grounded healing

  • anthropological insight

  • and modern medical care


may offer a path forward—not only for Native American communities, but for a world undergoing profound social change.




Postscript


Curing treats the symptom. Healing addresses the suffering.


And perhaps our task, as physicians, is to learn how to do both.



The River Beneath the Numbers

Psychosocial Stress, Inflammation, and the Anthropology of Disease


Still Water / Hidden Flow

The heart appears still—like water in the Everglades. But beneath, unseen currents move slowly over years.

A heart attack rarely comes out of nowhere. We attribute it to diabetes, hypertension, cholesterol. Increasingly, however, we understand that inflammation is the common pathway.


The Narrowing Path

Atherosclerosis is not an event. It is a gradual narrowing—of vessels, of choices, of possibilities.

Over decades, medicine has identified many causes. When explanations fail, we retreat into “socioeconomic factors”—often a euphemism for deeper instability.


Liminal Ground

Between water and land lies the hammock—a liminal space.

Anthropologist Victor Turner described “liminal periods”—times of uncertainty when individuals are more vulnerable. For many Indigenous communities, this state has not been temporary—it has endured.


Marks of Stress

Stress leaves marks—on landscapes, on bodies, on lives.

Psychosocial stress becomes behavior: smoking, alcohol, sedentary life, poor diet—and then biology: inflammation, obesity, diabetes.


The Unseen Fire

Inflammation is a quiet fire. It does not announce itself—until it does.

We prescribe medications—but often we are treating numbers, not people. Like sweeping dust under the carpet.


Listening

Before the prescription pad—there is a moment we often miss.

Disease is what physicians diagnose.
Illness is what patients experience.

We are very good at curing.
We are still learning how to heal.


“We measure disease. We must learn to hear illness.”


Sudah Yehuda Kovesh Shaheb
Consultant Endocrinologist & Medical Anthropologist

jeudi 25 novembre 2021

ON THIS DAY OF MOURNING WHICH AMERICANS CALL THANKSGIBING, BLESSED TO HAVE A CUBANITA MAKING CORTADITO AND PABLO'S POEMS


 Today is the Day of Mourning for the Native Americans.

I wanted to be alone. The roads were empty. I went to Ricky's cafe and sat under a photograph of Eiffel tower (rather symbolic of my new love for France and Francophone countries)

A Cubanita stood behind the coffee machine at Ricky's Cafe.

She had long wavy hair. I had never seen her before at Ricky's Cafe.

Cortadito por favor, estilo de la Havana, bien caliente, Gracias

A cortadito please, the way they make it in Havana, very hot, thank you 

She looks at me with a faint smile 

I go and sit down below the photo of Tour Eiffel..

I always carry a book of Poems, lately has been Pablo Neruda's  Winter Garden. Jardin de Invierno..


so powerful were the words that i felt such a joy swelling inside me, and I felt so much love in my heart.

from one poem:  Animal of Light

it is small, it is wide, scarce and is everything.

My eyes from looking into so many eyes

and my mouth from so many kisses.

from having swallowed the smoke

of those trains that vanished

the old merciless stations

and the dust of countless bookshops,

the man I am, the mortal, weary 

of eyes, of kisses, of smoke, of roads,

tired of books thicker than the earth.


And today, deep in that lost forest

he hears the rustling of the enemy and flees 

not from the others but from himself ,

from the interminable conversation,

from the choir that used to sing with us

and from the meaning of life 



All those poor souls in all parts of the world, if you are unhappy today, think of all the good things in your life , past and present and a hope for a future and then look inside yourself: the source of unhappiness lay there 


vendredi 7 mai 2021

WHAT IS MORE DANGEROUS? COCA COLA OR AL QAEDA ?

 Since the 1980s, in the USA, obesity and diseases related to that have been on the increase. Despite the enormous amount of money spent on TREATMENT (Americans are less interested in PREVENTION), the morbidity and mortality shows no decline.

They have successfully exported their way of eating to many countries wanting to imitate the USA and thus now, India is the Diabetes Capital, China soon will be Obesity Capital and no one is spared, even poor little Cambodia.

Yuval is a public intellectual and an influential thinker. I hold him in high esteem and almost prophetic, in a curious way, Bob Marley was a prophet.  (Listen to Bob singing, War). Yuval is thinking of a time in the future which all of us have to prepare.

In yogic way of thinking, You are your own worst enemy, can be applied to what is happening now. People are killing themselves, in a slow suicide, with the choice of their food. 



When the quality of nutrition in the USA began to decline, the vulnerable, either physiological or socioeconomical, began to suffer first. None of the Indigenous people were overweight or obese before intense contact with the European settlers in the early part of the 20th Century: Diabetes, Hypertension and other diseases that "civilization" brought them were unknown.

I remember an Indigenous elder telling me: First they poisoned us, now they are poisoning themselves.

In a very short period of time, the obesity began spreading upwards along the socio economical status. Now the majority of Americans are overweight or Obese.


Who can forget my good friend Georgia G from the HCank people, who taught me so much of the wisdom of her people. She said to me: I can walk into the Indian Health Clinic and get lots of Anti Cholesterol medicine, anti Kidney disease medicine etc etc, but I cannot get advise or any help with FOOD that is causing these diseases among us. 

During this period of isolation due to Covid, I have had the chance to comfort a lot of my friends around the world. Here the Eastern Philosophy had helped me. The source of your unhappiness is within you, Be Humble, Be Grateful, Be Compassionate, to make yourself and to make others happy.

But in the developed world, people are slowly killing themselves. This generation of Americans will not live as long as their parents, thanks to Spiritual, Emotional and Physical Disruption of their lives which are so interrelated.

I will ask them to read Omar Khayyam of Nishapur, 11th Century

Oh, threats of Hell and Hopes of Paradise!
One thing at least is certain — This Life flies;
One thing is certain and the rest is Lies;
The Flower that once has blown for ever dies.

HERE IS ANOTHER ONE OF HIS VERSES:
“Hell and heaven are in heaven,” say the bigots.
Having looked into myself, I was convinced of the lie:
Hell and heaven are not circles in the palace of the universe,
Hell and heaven are two halves of the soul.



DO not return to Dust for the wrong reason

Take care of yourself, your inner self first 

Be Humble, Be Grateful, Be Compassionate

When you are balanced inside, enjoy being in the present

and everything else would follow..


mercredi 2 septembre 2020

WHO ARE THE TRUE WARRIORS IN THESE DIVIDED TIMES ? SITTING BULL HAD THE ANSWER

 Who is deemed to be a WARRIOR?

The best definition I have heard is from the American Indians. My UmonHon Indian teacher said to me: The duty of the Warrior is to protect the village, protect women and children. and here is the definition of that great Indian warrior SITTING BULL.

In these polemic times, both the Progressive Left and the Fascist Right in the USA have usurped the term and like many other concepts, have begun to fit the word into their ideologies.

Sadhguru from India , referred to the doctors and nurses and front line responders in this pandemic time as COVID WARRIORS..Far more appropriate use of the word than the usage in the divisive and poisonous atmosphere of the USA at the moment.

Like everything else in history, this bad dream would also pass and the world would wake up to a brighter dawn..

OJALA 

Ojala the spanish word meaning Let it be so , thought to have been derived from Inshallah..in Arabic.


mardi 1 septembre 2020

BEAUTY OF MIAMI IS NOT THE GLITTER AND GLAMOUR AND THE LATIN BLING.. BUT WHAT NATURE CAN PROVIDE .. HAVE TO LOOK FOR IT

 I realized this sojourn in Miami compels to appreciate the beauty of Miami

a friend of mine, whom I call the Optimistic Optometrist or I and I, sent me photos of dawn over the mangroves of Miami.



I was getting ready to go to the National Park





The place had a lonely feeling to it . The european settlement at the edge of the water and the park had no one about, all houses seemed shuttered, the end of summer holidays I suppose .

Lucky are the few who live in this tranquility year around, mainly the original inhabitants of this park and the River of Grass as they refer to this area, occasional settlers and also people who work for National parks service.

Standing in front of the Big Cypress Park Offices, was talking to an officer belonging to the Service, a recent transplant from Oklahoma (a San Antonio native) and I expressed gratitude for such beauty of the mangroves, palm trees and the walkways and the ancient beauty of this place.

When I met La petite poete de Cote Sauvage, she let me into a secret and introduced me to Carlos, fluent in English, Spanish and French. I will write about him on another occasion, now only to mention his penchant for Panama Hats. He had migrated to Brussels but each winter he returned to the Everglades National Park in Florida to spend time with his family. I was looking for him or at least a message from him. He had gone to Brasil and a few minutes ago I got word that Carlos is out on a date with a Brasilian lady and that he wanted to talk to me about romance.

More on Carlos, later..


enjoying the beauty of what Miami has to offer..


vendredi 29 mai 2020

THE DEATH OF AN INDIAN IN THE AMAZONAS KADDISH FOR ANTONIO AND THE OCAINA ..AS SOON AS I CAN TRAVEL TO LETICIA

I have been thinking of Leticia on the Colombian Amazon, bordering with Tabatinga in Brasil as well as across the stream from Santa Rosa in Peru. I really want to be there, but this is not the time. The communities of Nazareth and Puerto Narino are closed. I promise you dear friends, I will be there as soon as I am allowed to come.


I knew the city of Leticia very well and I have many friends among the Ticuna Indians. I was very sad hearing about the death of Antonio Bolivar and I wrote a blog at that time.

Today I was happy to read an article on The New Yorker by Camila Osorio. I hope they would forgive me for reproducing the article in full. Felt so sad that the deputy from the Amazonas begging in his video: Please Mr President, Amazonas is also Colombia, if you dont help us, it may be the end of us . He, a young man, died on 8 May 2020 of Corona virus.. Please read this story by Camila Osorio.
The Death of Antonio Bolívar, an Indigenous Elder in the Amazon Rainforest
May 27, 2020 

Antonio Bolívar, who appeared in an acclaimed Colombian film, “was one of the last original Ocaina,” his son said.Photograph by Mauricio Duenas Castaneda / ZUMA
On the last Sunday of April, in the small city of Leticia, Colombia, a thirty-eight-year-old security guard named Cristian Bolívar was at work when he received a phone call from his wife, who had some bad news. “Your dad is still very ill,” she said. Antonio Bolívar, at seventy-five, was a respected indigenous elder, and for three days he had been suffering chills and a high fever, which the family had been trying to lower with liquids, soothing baths, and acetaminophen. By that Sunday afternoon, he was also having trouble breathing. “I left my post right away,” Cristian told me. He rode his motorbike to his father’s small wooden house. Antonio’s temperature had reached a hundred and four degrees, so Cristian called an ambulance, which, he said, took three hours to arrive. Antonio turned to Cerina, his partner of twenty-eight years, and said, “Sweetheart, I am just going to the doctor to get some antibiotics. I’ll be right back.”
Leticia is situated in the Amazon rainforest, at the southern tip of Colombia, bordering Brazil and Peru, the two countries with the highest number of covid-19 cases in Latin America. The number of reported cases in the Amazon had been increasing since mid-March, especially in Manaus, Brazil, and Iquitos, Peru. In Manaus, a city of more than two million, which has been recording up to a hundred and thirty fatalities a day (up from its normal toll of twenty to thirty-five), the dead are being buried in mass graves. In Iquitos, which has a population of half a million people, hospitals do not have enough beds. The three countries are divided by the Amazon, but the river towns are closely connected to one another. “The sugar we buy is from Peru, and the rice we eat is from Brazil,” a doctor on the Colombian side told me.
The governments of the three countries have announced plans to protect those living in the Amazon, but so far few measures have been implemented. (President Jair Bolsonaro’s reckless response in Brazil is making the process more difficult for the other countries.) The first confirmed patient in Leticia was reported just a week before Antonio Bolívar got sick. Within a month, there were more than a thousand confirmed cases. The city, with a population of about fifty thousand, has only a small private clinic and a public facility, the San Rafael hospital; between them, there are barely more than a hundred beds and eleven ventilators. There is no I.C.U. in Leticia, and doctors have to send patient samples all the way to Bogotá to be tested for covid-19.
Antonio Bolívar was admitted to San Rafael that Sunday night. Cristian and Cerina went to the hospital each day but were not allowed to see him. “They told me he was doing fine, eating well and joking with the staff,” Cristian said. But, on the night of April 30th, a neighbour came to the house and told him, “Your father just passed away.” She had seen the news on social media.
Bolívar had not been tested for covid-19, but, given his symptoms, the doctors believed that he had been infected by the coronavirus. They told Cristian that Antonio had gone into cardiorespiratory arrest, and they could not revive him. The following morning, a hearse took his casket to the town cemetery, where the mayor had ordered the building of more vaults. Cristian rode behind on his motorbike, to the entry of the cemetery, and watched as a forensic team buried his father. The indigenous communities in Leticia and the surrounding areas were under quarantine, so no other mourners were present. “That was the saddest part,” Cerina told me. “I used to tell him, when he was still alive, that if he passed away, I would throw him a big funeral, like the one he deserved.”
Antonio Bolívar had been a celebrity in the Amazon since 2016, when he appeared in “Embrace of the Serpent,” a movie by the Colombian director Ciro Guerra. (It can be streamed on the platform that took the region’s name: Amazon Prime.) Set in the early twentieth century, the movie portrays the exploitation of indigenous groups by rubber companies and Capuchin missionaries. Bolívar played Karamakate, a member of a fictional group called the Cohiuano, which had been almost completely wiped out. The Times’ review noted that “he is no innocent, noble savage but an angry, morally complex individual with a heart full of grief.”
In his first scene, Karamakate is drawing what looks like a jaguar on a large rock by a river, wearing a loincloth and a necklace made of crocodile teeth. His calm expression changes when Evan (Brionne Davis), a botanist, arrives in a small canoe. (The movie is inspired by the travel diaries of the American botanist Richard Evans Schultes and the German ethnographer Theodor Koch-Grunberg.) Evan wants Karamakate to help him find a rare medicinal plant, the yakruna. “You devote your life to plants?” Karamakate asks him. “That’s the most reasonable thing I’ve heard a white say.”
Karamakate agrees to help Evan in exchange for some coca leaves, to cook into mambe, which some indigenous groups chew for spiritual and medicinal reasons. “I forgot mambe existed. Now I don’t know how to make it,” he admits. Karamakate, it turns out, is on a quest: he has not just forgotten how to make mambe; he has lost a spiritual connection with nature. “These rocks used to talk to me,” he says. “They answered my questions. The line is broken. My memories are gone. Rocks, trees, animals, they all went silent. . . . Now I am empty.”
The film was an international success. It won awards at Cannes and Sundance, and became the first Colombian film ever nominated for an Oscar. (Bolívar attended the ceremony in Los Angeles, and videos show him on the red carpet wearing an elegant black suit, a necklace, and a headdress made of colorful feathers.) But perhaps what’s most striking about the film is how much Karamakate’s life resembles Bolívar’s. “When we realized that he was going to act with us, we shaped the character to him, to his experience, to his knowledge,” Guerra told me recently.


What’s perhaps most striking about the film “Embrace of the Serpent” is how much the life of the character played by Antonio Bolívar resembled his own.Photograph from Alamy
Bolívar “was one of the last original Ocaina,” Cristian explained. In the late nineteenth century, the Ocaina were an indigenous group in the western Amazon region of Putumayo. Researchers estimate that, by 1909, there were at least two thousand people who identified as Ocainas. Now there are just two hundred, and only fifty who speak the Ocaina language. The Ocaina, along with six other indigenous groups, call themselves “the People of the Center,” and they share a tragic history. At the end of the nineteenth century and the beginning of the twentieth, a British rubber company enslaved, tortured, and killed many of them. “It must always be borne in mind that the Indian is no party to the contract,” Roger Casement, an Irish diplomat working on a special report for the British government, wrote, in 1910. “He is compelled by brutal and wholly uncontrolled force—by being hunted and caught—by floggings, by chaining up, by long periods of imprisonment and starvation, to agree to ‘work’ for the Company.”


“Only a few Ocainas remained after that,” the anthropologist Juan Alvaro Echeverri told me. Although most of the survivors live in Peru now, a few remain in the Colombian Amazon. Antonio Bolívar was orphaned at a very young age, and lived in Leticia with the Witoto, another group belonging to the People of the Center. But he identified as an Ocaina, despite the fact that, like Karamakate, he was forgetting his roots. “He had no one to speak his language with,” Echeverri, who knew Bolívar, told me. He recalled that one of the few women who still spoke the Ocaina language fluently in Leticia would sometimes try to speak with Bolívar, but all he could say to her was “I can’t understand.” Bolívar’s knowledge of botanical traditions, however, was intact. Cristian recalled that the only time his father grounded him was when he cut all the leaves off one of his medicinal plants. Luis Ernesto González, a friend of Bolívar’s, remembers talking with him about a fishing method that employed barbasco, a poisonous plant.
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Friends and colleagues describe Bolívar as having a particular relation to the rainforest. “I ask the world to please stop drilling oil in the Amazon,” he said, in a speech at Cannes. Last year, he appeared in the Netflix series “Green Frontier,” which chronicles the struggles of an indigenous couple to protect their culture. He asked his acting coach, Ana Isabel Velásquez, to “respect nature” before each scene. “We would talk to the river or the trees, telling them, ‘I am coming in. I promise I will be respectful,’ ” she told me last week. “It was something short, but we needed to ask permission, to get some protection.” She would do it mentally, and he would do it sometimes chewing mambe. “We need this for the scene to be perfect,” he told her.
Nelly Kuiru, a forty-three-year-old Witoto woman, opened a film school in Leticia, and she told me that Bolívar was one of the first to volunteer to help with her project. “He was there to guide us,” she said. “Elders like him are the ones telling us the stories that we write. They guide us on what we should be saying, on how we should be saying it.” In their last conversations, she said, “He would say ‘We have to fight to not lose our identity as a people, to not disappear like my own people did.’ ”
Juan Pablo Chiquiza is a twenty-five-year-old native of Leticia who recently graduated from medical school in Bogotá. With two other doctors, he is in charge of attending to almost ten thousand people, many of whom belong to twenty-two indigenous communities in Colombia’s Amazon forest. Chiquiza is based in the village of Puerto Nariño, a two-hour boat ride upriver from Leticia. “The first time I got here, I thought this looked like a prison,” he told me, about the village’s only hospital. A public facility, it has nine beds for adult patients, four for children, and six oxygen tanks. Mold grows on the walls, and the ceiling is falling in in some places. When we spoke, two covid-19 cases had been confirmed in Puerto Nariño; one of the people who tested positive was an indigenous man in his eighties. Chiquiza was able to send him by boat to San Rafael hospital, in Leticia, but the man died soon after he arrived. “We suspect many more here have the virus,” Chiquiza said. (A week later, he told me that at least twenty-six new cases had been reported.)
Chiquiza didn’t know Bolívar, but, after Bolívar’s death, the “Green Frontier” production team got in touch with him. They wanted to help the people of the Amazon who had worked on the series, and asked Chiquiza what he needed. “To be honest, what we need is a new hospital,” he told me. But the team sent N95 masks and basic supplies, such as soap and disinfectant. With those supplies, and others sent by friends and small business owners, the hospital has been able to get by. “Eighty per cent of what we have right now comes from donations,” Chiquiza told me. (He has since received protective equipment for doctors and two stretchers from the state health department.) One of his main concerns is how to isolate patients, especially as most people in the communities live in houses with no interior walls. “We have to isolate the whole family, and we have to assume that everyone is a positive case.”
Another man in the village has been trying to figure out strategies to protect the Amazon communities. Rosendo Ahué is a Tikuna and a leader of the National Indigenous Organization of Colombia, which has been trying to keep track of how the virus is affecting each of more than a hundred different indigenous groups in the country. (Ahué himself recently tested positive for covid-19, and has been isolating with his wife in Puerto Nariño.) So far, the organization has identified more than five hundred confirmed covid-19 cases in two dozen communities; about seventy-eight per cent of them are in the Amazon. To stop the spread of the virus, the organization started calling on communities to stay in their territory, control the flow of people in and out, and isolate elders when possible. “We have been taking the recommendations from Western science and using it with our indigenous knowledge,” Ahué told me. (They have been buying acetaminophen and ginger drinks and lemon tea.) “We have also asked people not to visit sacred places right now,” he said. “And we don’t name the disease. I say, ‘There is a pandemic,’ or ‘it’s a disease.’ But I don’t name it, because the elders told us not to call it. It would be a way for it to come here faster.”
Nelly Kuiru has also been trying to find ways to help. She recently started a crowdfunding campaign to provide food and medicine specifically for the elders. “When an elder passes away, a whole world of knowledge disappears, and our planet grows poor,” the campaign Web site reads. The fear of losing an elder in the Amazon is not just the fear of losing a loved one; it’s the fear of losing a culture, an identity as a group, and a way of looking at the world. The linguist Doris Fagua, who has worked for years with the People of the Center, has seen cultures disappear, when a dominant culture imposes itself, or change, when indigenous people marry outside their group. “There’s always been some mixture, and from there new cultures arise,” she told me. “But what we are witnessing right now is an accelerated loss.”
Bolívar’s death was first publicly announced on Colombian radio, by Camilo Suárez, an indigenous state legislator known as “the deputy of the jungle.” Just a week later, Suárez himself passed away, after exhibiting what seemed to be symptoms of covid-19. In a five-minute video he recorded days before his death, on a street corner in Leticia, he asked the President of Colombia to acknowledge the emergency in the Amazon. “We don’t have the infrastructure or the equipment to treat cases,” he said. The government has started to send protective equipment, more doctors, and specialists to run a laboratory for covid-19 tests. But, if cases keep increasing, it might not be enough. Toward the end of the video, Suárez says, “If you don’t bring attention here, I think we could disappear.”
Camila Osorio is a member of The New Yorker’s editorial staff.


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