Sandra Rambler, a San Carlos Apache tribal elder, holds a photo of her mother talking with former Secretary of the Interior Ken Salazar during his visit to Oak Flat in 2009, in San Carlos, Arizona, U.S., March 31, 2021. "If they bring a bulldozer to Oak Flat, Resolution Copper, I'll be wearing my traditional dress and I'll be there. They can bulldoze me over my dead body," said Rambler. "This is our land. We're not immigrants. We're the original inhabitants of this country." Picture taken March 31, 2021. REUTERS/Caitlin O'Hara

Healthcare workers vaccinate tribal and non-tribal patients at the Chief Andrew Isaac Health Center in Fairbanks, Alaska, U.S., March 30, 2021. Picture taken March 30, 2021. REUTERS/Nathan Howard

The tribal village is seen along the Yukon River in Eagle, Alaska, U.S., March 31, 2021. Picture taken with a drone on March 31, 2021. REUTERS/Nathan Howard

Tribal and non-tribal patients wait in an observation area after receiving their (COVID-19) vaccines at the Chief Andrew Isaac Health Center in Fairbanks, Alaska, U.S., March 30, 2021. Picture taken March 30, 2021. REUTERS/Nathan Howard

A nurse works during a vaccination for tribal and non-tribal patients at the Chief Andrew Isaac Health Center in Fairbanks, Alaska, U.S., March 30, 2021. Picture taken March 30, 2021. REUTERS/Nathan Howard

A resident of the tribal village drives near the (COVID-19) vaccination site in Eagle, Alaska, U.S., March 31, 2021. Picture taken with a drone on March 31, 2021. REUTERS/Nathan Howard

First Chief of the Tribal Eagle Village Karma Ulvi greets a team of healthcare workers with the Tanana Chiefs Conference at a (COVID-19) vaccination site in Eagle, Alaska, U.S., March 31, 2021. Picture taken March 31, 2021. REUTERS/Nathan Howard

First Chief of the Tribal Eagle Village Karma Ulvi greets a sled dog team led by Steve Robbins, who crossed a frozen lake to help with vaccinations, in Eagle, Alaska, U.S., March 31, 2021. Picture taken March 31, 2021. REUTERS/Nathan Howard

A temporary gravesite, built after a 2009 flood that destroyed the tribe's historic cemetery, is seen in Eagle, Alaska, U.S., March 31, 2021. Tribal leaders credit their quick actions against COVID-19 to their memories of past pandemics that killed large percentages of the Alaskan Tribal population. Picture taken March 31, 2021. REUTERS/Nathan Howard

Marlys House reacts to her final dose of (COVID-19) vaccine with Tribal Elders Ethel Beck and Bertha Ulvi in Eagle, Alaska, U.S., March 31, 2021. Picture taken March 31, 2021. REUTERS/Nathan Howard

Nurse Practitioner Kim Sonderland administers a Moderna (COVID-19) vaccine to a tribal resident of Eagle, Alaska, U.S., March 31, 2021. Picture taken March 31, 2021. REUTERS/Nathan Howard

The tribal village is seen along the Yukon River during the coronavirus disease (COVID-19) pandemic in Eagle, Alaska, U.S., March 31, 2021. Picture taken with a drone on March 31, 2021. REUTERS/Nathan Howard

A tribal work crew packs their gear after building a quarantine shelter, intended for use in the case of a positive COVID-19 case in Eagle, Alaska, U.S., March 31, 2021. Picture taken March 31, 2021. REUTERS/Nathan Howard

Nurse Practitioner Kim Sonderland speaks with tribal villagers before beginning their (COVID-19) vaccines in Eagle, Alaska, U.S., March 31, 2021. Picture taken March 31, 2021. REUTERS/Nathan Howard

Marlys House reacts to her final dose of (COVID-19) vaccine with Tribal Elders Ethel Beck and Bertha Ulvi in Eagle, Alaska, U.S., March 31, 2021. Picture taken March 31, 2021. REUTERS/Nathan Howard

Obije Native American tribal members Ava Warrior-Graves (L) and he sister Malaysia Haro place tobacco leaves flowers at George Floyd Square while the fourth day of trial continues for Derek Chauvin, who is facing murder charges in the death of George Floyd, in Minneapolis, Minnesota, U.S., April 1, 2021. REUTERS/Octavio Jones

Obije Native American tribal members Ava Warrior-Graves (L) and he sister Malaysia Haro place tobacco leaves flowers at George Floyd Square while the fourth day of trial continues for Derek Chauvin, who is facing murder charges in the death of George Floyd, in Minneapolis, Minnesota, U.S., April 1, 2021. REUTERS/Octavio Jones

Obije Native American tribal members Ava Warrior-Graves (L) and he sister Malaysia Haro place tobacco leaves flowers at George Floyd Square while the fourth day of trial continues for Derek Chauvin, who is facing murder charges in the death of George Floyd, in Minneapolis, Minnesota, U.S., April 1, 2021. REUTERS/Octavio Jones

A calf is seen next to the ruins of the Ndebele village, comprising the once colorful homesteads and an ancient open-air museum established to preserve the tribal culture at Botshabelo, meaning "Place of Refuge or sanctuary", outside Middleburg in the Mpumalanga province, South Africa, March 24, 2021. REUTERS/Siphiwe Sibeko

A general view of the ruins of the Ndebele village, comprising the once colorful homesteads and an ancient open-air museum established to preserve the tribal culture at Botshabelo, meaning "Place of refuge or sanctuary", outside Middleburg in the Mpumalanga province, South Africa, March 24, 2021. REUTERS/Siphiwe Sibeko

A general view of the ruins of the Ndebele village comprising the once colorful homesteads and an ancient open-air museum established to preserve the tribal culture at Botshabelo, meaning "Place of refuge or sanctuary", outside Middleburg in the Mpumalanga province, South Africa, March 24, 2021. REUTERS/Siphiwe Sibeko

Rita Bridwell cheers out of her window after receiving the first dose of the Moderna COVID-19 vaccine at a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

Monette Drange administers the first dose of the Moderna COVID-19 vaccine to Jesse Saenz at a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

Rita Bridwell cheers out of her window after receiving the first dose of the Moderna COVID-19 vaccine at a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

Workers prepare vaccine doses at a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

Workers administer the Moderna COVID-19 vaccine at a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

A medical worker administers the first dose of a Moderna COVID-19 vaccine at a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

Robert Nicholas looks over at his wife Jane as Monette Drange administers the first dose of the Moderna COVID-19 vaccine at a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

Bev Belgau, who got in line with her husband Ron at 10pm the previous evening, receives her first dose of the Moderna COVID-19 vaccine at a free coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

A worker monitors traffic flow at a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

A box of the Moderna COVID-19 vaccine vials is illuminated by a red light at a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

People wait in their vehicles for fifteen minutes after receiving the vaccine in case of adverse effects at a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

A healthcare worker draws a dose of the Moderna COVID-19 vaccine from a vial at a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson TPX IMAGES OF THE DAY

An LED sign at the Trinity United Methodist Church displays a message as hundreds line up early to wait for a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

A medical worker prepares a Moderna COVID-19 vaccine at a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

A man waits to use a portable restroom outside of Trinity United Methodist Church as people wait for a a free drive-through coronavirus disease (COVID-19) vaccine clinic, run by the Jamestown S'Klallam Tribe, to open in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

Barbara Tuley, 84, who arrived at 4am to secure a spot, receives paperwork from Shelly Tweter at a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

People in their cars line up to wait for a free drive-through coronavirus disease (COVID-19) vaccine clinic run by the Jamestown S'Klallam Tribe to open in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

Workers in neon vests hand out paperwork to hundreds of people in their vehicles, many who waited overnight, at a free drive-through coronavirus disease (COVID-19) vaccine clinic run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

Vaccination record cards for patients are seen on a paperwork table at a free drive-through coronavirus disease (COVID-19) vaccine clinic run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

Betty Nelson, 81, who got in line at 6 a.m., reads on her tablet while waiting for a coronavirus disease (COVID-19) vaccine clinic run by the Jamestown S'Klallam Tribe to open in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson TPX IMAGES OF THE DAY

Volunteers Sharman Richardson and Sue Jamieson hand off paperwork as they prepare to open a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

Members of the Sequim Good Governance League offer "Caffeine for the Vaccine" as people wait in line for a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

People walk back to their vehicles as hundreds line up overnight for a free drive-through coronavirus disease (COVID-19) vaccine clinic for people 70 and older and their spouse or partner, run by the Jamestown S'Klallam Tribe in Sequim, Washington, U.S. January 23, 2021. The tribe, which is sharing its excess vaccines with Sequim residents, was able to begin the first-come, first-served site earlier than other locations in the state due to its tribal sovereignty. REUTERS/Lindsey Wasson

A pro-government tribal fighter stands at a position where he fights against the Houthis in Marib, Yemen October 2, 2020. REUTERS/Ali Owidha

A pro-government tribal fighter stands at a position where he fights against the Houthis in Marib, Yemen October 2, 2020. REUTERS/Ali Owidha

A pro-government tribal fighter sits in a position where he fights against the Houthis in Marib, Yemen October 2, 2020. REUTERS/Ali Owidha

A pro-government tribal fighter charges a mortar canon at a position where he fights against the Houthis in Marib, Yemen October 2, 2020. REUTERS/Ali Owidha

Adivasi tribals are see during a celebration on the occasion of International Day of the World's Indigenous People, in a forest in Mumbai, India, August 9, 2020. REUTERS/Francis Mascarenhas

Adivasi tribals dance during a celebration on the occasion of International Day of the World's Indigenous People, in a forest in Mumbai, India, August 9, 2020. REUTERS/Francis Mascarenhas

Vicente Piratapuia, 69, of the Piratapuia tribe had a high fever and could hardly breathe, but he refused to leave his home on the outskirts of the Amazon rainforest's biggest city. It took a stern word from a trained nurse in his community to convince him he would die if he refused a ride with her to the emergency room. Vanderlecia Ortega dos Santos, or Vanda to her neighbors, has volunteered to provide the only frontline care protecting her indigenous community of 700 families from the COVID-19 outbreak ravaging the Brazilian city of Manaus. It is an uphill battle. The ramshackle settlement of descendants from 35 different tribes, called Parque das Tribos, lacks plumbing and electricity in most homes. Ambulances regularly refuse to pick up the seriously ill because there is no public health clinic nearby. As the coronavirus pandemic has begun spreading across Brazil, indigenous people who live in and around cities have been caught in a dangerous limbo. The country's indigenous health service, Sesai, focuses its resources on those living on tribal reservations. Sesai has reported 10 indigenous deaths from the pandemic on native lands, but indigenous umbrella organization APIB estimated this week it has taken the life of at least 18 indigenous Brazilians if fatalities in urban areas are counted. The real number of cases in often remote villages across Brazil's vast hinterland is difficult to ascertain. REUTERS/Bruno Kelly SEARCH "CORONAVIRUS INDIGENOUS NURSE" FOR THIS STORY. SEARCH "WIDER IMAGE" FOR ALL STORIES. TPX IMAGES OF THE DAY. Matching text: HEALTH-CORONAVIRUS/BRAZIL-INDIGENOUSNURSE

Vicente Piratapuia, 69, of the Piratapuia tribe had a high fever and could hardly breathe, but he refused to leave his home on the outskirts of the Amazon rainforest's biggest city. It took a stern word from a trained nurse in his community to convince him he would die if he refused a ride with her to the emergency room. Vanderlecia Ortega dos Santos, or Vanda to her neighbors, has volunteered to provide the only frontline care protecting her indigenous community of 700 families from the COVID-19 outbreak ravaging the Brazilian city of Manaus. It is an uphill battle. The ramshackle settlement of descendants from 35 different tribes, called Parque das Tribos, lacks plumbing and electricity in most homes. Ambulances regularly refuse to pick up the seriously ill because there is no public health clinic nearby. As the coronavirus pandemic has begun spreading across Brazil, indigenous people who live in and around cities have been caught in a dangerous limbo. The country's indigenous health service, Sesai, focuses its resources on those living on tribal reservations. Sesai has reported 10 indigenous deaths from the pandemic on native lands, but indigenous umbrella organization APIB estimated this week it has taken the life of at least 18 indigenous Brazilians if fatalities in urban areas are counted. The real number of cases in often remote villages across Brazil's vast hinterland is difficult to ascertain. REUTERS/Bruno Kelly SEARCH "CORONAVIRUS INDIGENOUS NURSE" FOR THIS STORY. SEARCH "WIDER IMAGE" FOR ALL STORIES. TPX IMAGES OF THE DAY. Matching text: HEALTH-CORONAVIRUS/BRAZIL-INDIGENOUSNURSE

Relief worker Kim Smith (R) helps another volunteer load supplies into a pickup truck at a farm, used as a base for aid to Navajo families quarantined in their homes due to the coronavirus disease (COVID-19) in Hogback, Shiprock, New Mexico, U.S., April 7, 2020. Picture taken April 7, 2020. REUTERS/Andrew Hay

A road sign made by a local student asks residents to keep their "TtAAs" or "butts", in The Navajo language, home during the severe coronavirus disease (COVID-19) outbreak in the Navajo reservation, in Shiprock, New Mexico, U.S., April 8, 2020. Picture taken April 8, 2020. REUTERS/Andrew Hay

Relief workers pose at a farm, used as a base for aid to Navajo families quarantined in their homes due to the coronavirus disease (COVID-19) in Hogback, Shiprock, New Mexico, U.S., April 7, 2020. Picture taken April 7, 2020. REUTERS/Andrew Hay

A relief worker talks to a family as he drops off firewood at their home, as part of an effort to help Navajos stay at home to slow the coronavirus disease (COVID-19) outbreak in Shiprock, New Mexico, U.S., April 7, 2020. Picture taken April 7, 2020. REUTERS/Andrew Hay

A mural warns residents of the danger of coronavirus disease (COVID-19) outbreak on the Navajo reservation, in Shiprock, New Mexico, U.S., April 8, 2020. Picture taken April 8, 2020. REUTERS/Andrew Hay

Relief workers prepare supplies at a farm, used as a base for aid to Navajo families quarantined in their homes due to the coronavirus disease (COVID-19) in Hogback, Shiprock, New Mexico, U.S., April 7, 2020. Picture taken April 7, 2020. REUTERS/Andrew Hay

Navajo Nation Council Delegate Amber Crotty digs her vegetable patch at her house, as she stays at home during the coronavirus disease (COVID-19) outbreak in the Navajo Nation reservation, in Sheep Springs, New Mexico, U.S., April 7, 2020. Picture taken April 7, 2020. REUTERS/Andrew Hay

A pickup truck carrying food and towing a trailer filled with firewood pulls up to a homestead to bring supplies to a Navajo family, whose father died hours earlier from coronavirus disease (COVID-19), south of Shiprock, New Mexico, U.S., April 7, 2020. Picture taken April 7, 2020. REUTERS/Andrew Hay