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Communities of color are not more susceptible to coronavirus, but because of years of unequal access to healthcare, clean water and nutritious food, they are at greater risk of developing complications. According to the Centers for Disease Control and Prevention (CDC), Native Americans experience diabetes three times more than any other racial or ethnic group in the United States, and have the highest rates of asthma. Before the pandemic, the federal health system serving Native Americans was already chronically underfunded.

“We are a small population of people because of genocide. No other reason,” said Echo-Hawk. “If you eliminate us in the data, we don’t exist. We don’t exist for the allocation of resources.”

in January, the CDC released its most comprehensive study to date on race and maternal mortality rates, but American Indians and Alaskan Natives were not included. When the Urban Indian Health Institute did its own research, it found Native women living in cities were 4.5 times more likely to die during pregnancy and childbirth than white women.

According to some studies, Native Americans have a 50% chance of being listed as the wrong race on medical records, as well as birth and death certificates.

The Indian Health Services (IHS), a chronically underfunded federal healthcare system that serves 2.5 million tribal citizens in 37 states, has been publishing testing results daily during the coronavirus outbreak.

“Health disparities are nice words for systematic racism … it’s the residual effects of the founding of this country,” social demographer Desi Rodriguez-Lonebear (Cheyenne) told the Guardian. But Rodriguez-Lonebear said it was not enough to just include Native Americans in demographic data; the data also needs to include tribal affiliation. For tribal governments, she said, “being able to identify who your citizens are in these big data sets is so vital to being able to understand the impact of the virus on your tribe”.

Unlike states and counties, tribes cannot rely on healthcare systems to tell them when their citizens are sick or dying and must collect the data themselves

The only public national coronavirus database reporting tribal affiliation is being run by the independent Native newspaper, Indian Country Today, whose team of 16 people has been adding the positive Covid-19 cases and deaths they can verify to a daily report on their website.

“With what we’re seeing right now, there will absolutely be a gross undercount of the effects of Covid on American Indian and Alaska Native peoples,” she said. “We have an opportunity to prepare for the next wave.”

Accurate information about the 1918 flu is difficult enough to come by in most countries, but in colonies like Kenya, the archival record is especially complicated. Much of what exists is the perspective of colonial officers constructing a racist political state. So the archives talk about how black people resisted many of the efforts at quarantine, portraying them as irrational when in fact barring movement was one way the British created pools of forced labor.

Al Jazeera English has carved a global niche for deepening reporting from places outside centers of power, and Africa Is a Country publishes critical takes on key issues. But digital archives are notoriously transient and even the most visible websites can disappear with the flick of a switch.

When the official record of a community’s history tells them that their ancestors did nothing when faced with near certain death, they tend to believe it and act like its true

A 2019 article estimated that at the Kenyan Coast—the most urbanized and settled region of the fledgling country—the Spanish flu killed 25.3 of every 1,000 people, less than the international average but one of the most deadly recorded outbreaks in the territory.

The relative weakness of African media outlets means that the complexities and nuances of what is happening away from power is rarely described, let alone analyzed

Ethnic cantonment was the cornerstone of colonial oppression in Kenya, and severe punishments for leaving designated ethnic areas were a crucial part of turning free black men and women into prison labor.

European colonizers brought with them rinderpest, commonly known as cattle plague, which destroyed much of the indigenous cattle population, and jiggers, a small flea-like pest that burrows into feet, crippling the infected person and sometimes leading to gangrene. Bruce Berman and John Lonsdale, two historians specializing in Kenya’s colonial era, estimate that the Maasai community, one of the most militant groups resisting the British in East Africa, may have lost up to 40 percent of its population. The pandemics and outbreaks in that first decade of the 20th century decimated populations and made it impossible to mount any coordinated military resistance.

the record describes ignorant Africans disregarding the interventions of noble Europeans. Resistance to quarantine and enforced cantonment is framed as a rejection of public health initiatives, not part of a broader resistance to the restrictions on freedom of movement placed on the African population

The consequences of these incomplete archives still reverberate anywhere governments are drawing lessons from colonial public health practices. The violence in countries like India, Kenya, South Africa, Uganda, and other settler colonies echoes the violence of the colonial state in part because the successor independence governments read the violent colonial interventions as logical and necessary. The archive presents violent policing response as a natural and necessary part of a public health crisis response, and the successor governments don’t question that.

The illusion that some violence is necessary to achieve public health goals because the “native” is inherently resistant to logic is inherited from colonizers and sustained because the archive is rarely critically interrogated.

variolation, a precursor to modern-day vaccination in which healthy people were exposed to the blood of infected people to develop resistance to it, was recorded in Kenya, South Sudan, Nigeria, and other parts of the continent. Community health systems existed and were often strong, but the colonizing forces had no interest in them, as they were keen to promote the idea of superior European health systems

This is the task for journalists covering Africa and Covid-19: Hold space for communities that those in power would rather not hear. It is a tremendous challenge. Very few African countries have media markets that can pay for quality, independent investigative and documentary journalism. Many are dependent on Western donor governments to sustain their public health coverage, and this tips the scale in favor of stories that make those organizations look good. Other outlets operate as PR vehicles for their home governments and by extension for the countries that are their strong allies. Few foreign outlets are interested in true partnership with African journalists, and for the few critical journalists the erosion of press freedom across the continent is devouring whatever space they have to work.