The Navajo Nation has more per-capita COVID-19 infections than any place outside of New York and New Jersey. In April, its rate of infection was 10 times higher than that of Arizona, which encircles most of the Nation. “If you're having to haul water from a well many miles down a dirt road, and bring it back to water the animals, and also use it for washing and cooking and things like that, it’s really hard to wash your hands with soap and water for 20 seconds,” said Daniel Derksen, director of the University of Arizona’s Center for Rural Health.