Human Interest Navajo Nation Has Lost More Lives to COVID-19 Than 13 States Combined The nation has reportedly had 1,197 confirmed cases since March 17 By Rachel DeSantis Published on April 20, 2020 02:40PM EDT Share Tweet Pin Email Photo: Gina Ferazzi/Los Angeles Times via Getty The Navajo Nation is facing a unique set of challenges amid the coronavirus outbreak that has reportedly led to a death toll higher than that of 13 different states. The nation, which straddles the borders of Arizona, Utah and New Mexico, is home to about 175,000 people — and yet it has more cases of COVID-19 than eight states, according to The New York Times data. The nation’s first positive case was reported on March 17, and as of Monday, there have been 1,197 confirmed cases and 44 deaths, meaning the per capita infection rate is 10 times higher than neighboring Arizona, NBC News reported. The area has just 12 health care facilities across 27,000 square miles, and many Navajo citizens suffer chronic health issues like diabetes, heart disease and obesity, according to the outlet, which puts those who contract coronavirus at a higher risk of severe illness, the CDC has said. RELATED VIDEO: 99-Year-Old Man Raises $19 Million for Healthcare in the U.K. by Walking 100 Laps in His Garden Dr. Diana Hu, a pediatrician at one of the reserve hospitals, told NBC News that while the staff has been okay so far when it comes to PPE equipment and available beds, they’ve seen a deficit in the number of critical nursing staff, leading the most critical patients to be transferred elsewhere. “We have dietitians that are in the screening tent,” she said. “We have orthopedic surgeons that are doing triage.” 5-Year-Old Daughter of First Responders Becomes First Child to Die of Coronavirus in Michigan Dr. Jonathan Iralu of the Indian Health Service told CNN that in the nation’s largest ICU, there were just six rooms, and all were full, leading critically ill patients to be flown to places like Albuquerque for treatment. “It’s very upsetting for members of the Navajo Nation to leave their Nation,” he said. “But unfortunately it’s become a necessity.” Considering many residents have underlying health conditions and lack basic necessities such as as running water, Dr. Loretta Christensen, Chief Medical Officer of Navajo Area Indian Health Service, says they’re a particularly “vulnerable nation” unable to heed basic warnings. Florida Beach Packed with Visitors Within Hour of Reopening Despite Social Distancing Order “You’re telling people, ‘Wash your hands for 20 seconds multiple times a day,’ and they don’t have running water,” she told NBC News. “Or you’re saying, ‘Go buy groceries for two or three weeks and shelter in place and don’t come out,’ but people can’t afford groceries for two or three weeks. So it’s just a setup for frustration and concern by the population here.” The U.S. government funds tribal health care, and American Indian tribes were reportedly allotted $8 billion in the stimulus package signed in March. But President Jonathan Nez told NBC News that Navajo Nation has had to spend $4 million of its own since the outbreak began, as its traditional sources of revenue, like its casino and coal mine, have been shut down. As of Monday afternoon, there have been 753,317 cases and 36,109 deaths attributed to coronavirus in the United States, according to The New York Times. As information about the coronavirus pandemic rapidly changes, PEOPLE is committed to providing the most recent data in our coverage. Some of the information in this story may have changed after publication. For the latest on COVID-19, readers are encouraged to use online resources from CDC, WHO, and local public health departments. PEOPLE has partnered with GoFundMe to raise money for the COVID-19 Relief Fund, a GoFundMe.org fundraiser to support everything from frontline responders to families in need, as well as organizations helping communities. For more information or to donate, click here.