Cauca is a remote and mountainous region on Colombia’s Pacific coast with limited state presence, where ethnic Indigenous communities have a long history of organizing themselves. “Everyone knows that if that disease reaches us, there is no possibility of survival because there is no medical infrastructure,” said Lisifrey Ararat, a leader from the town of Suárez.
For Ararat and other leaders, the lack of hospitals, telecommunications, roads, and infrastructure in their region puts their communities at higher risk—forcing them to make difficult decisions such as placing biosecurity checkpoints and sealing off outsiders. Such measures have increased tensions with armed groups which fight to control the region, and further isolated the communities from basic health services and food supplies.