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Sunday, April 14, 2024

History of radiation therapy

From Wikipedia, the free encyclopedia
https://en.wikipedia.org/wiki/History_of_radiation_therapy

The history of radiation therapy or radiotherapy can be traced back to experiments made soon after the discovery of X-rays (1895), when it was shown that exposure to radiation produced cutaneous burns. Influenced by electrotherapy and escharotics—the medical application of caustic substances—doctors began using radiation to treat growths and lesions produced by diseases such as lupus, basal cell carcinoma, and epithelioma. Radiation was generally believed to have bactericidal properties, so when radium was discovered, in addition to treatments similar to those used with x-rays, it was also used as an additive to medical treatments for diseases such as tuberculosis where there were resistant bacilli.

Additionally, because radiation was found to exist in hot spring waters which were reputed for their curative powers, it was marketed as a wonder cure for all sorts of ailments in patent medicine and quack cures. It was believed by medical science that small doses of radiation would cause no harm and the harmful effects of large doses were temporary.

The widespread use of radium in medicine ended when it was discovered that physical tolerance was lower than expected and exposure caused long term cell damage that could appear in carcinoma up to 40 years after treatment. The use of radiation continues today as a treatment for cancer in radiation therapy.

Early development of radiotherapy (1895–1905)

The imaging properties of x-rays were discovered, their practical uses for research and diagnostics were immediately apparent, and soon their use spread in the medical field. X-rays were used to diagnose bone fractures, heart disease, and phthisis. Inventive procedures for different diagnostic purposes were created, such as filling digestive cavities with bismuth, which allowed them to be seen through tissue and bone.

Discovery of the therapeutic potential of radiation

During early practical work and scientific investigation, experimenters noticed that prolonged exposure to x-rays created inflammation and, more rarely, tissue damage on the skin. The biological effect attracted the interest of Léopold Freund and Eduard Schiff, who, only a month or two after Röntgen's announcement, suggested they be used in the treatment of disease. At approximately the same time, Emil Grubbe, of Chicago was possibly the first American physician to use x-rays to treat cancer, beginning in 1896, began experimenting in Chicago with medical uses of x-rays. Escharotics by this time had already been used to treat skin malignancies through caustic burns, and electrotherapy had also been experimented with, in the aim to stimulate the skin tissue.

The first attempted x-ray treatment was by Victor Despeignes, a French physician who used them on a patient with stomach cancer. In 1896, he published a paper with the results: a week-long treatment was followed by a diminution of pain and reduction in the size of the tumor, though the case was ultimately fatal. The results were inconclusive, because the patient was concurrently being given other treatments. Freund's first experiment was a tragic failure; he applied x-rays to a naevus in order to induce epilation and a deep ulcer resulted, which resisted further treatment by radiation. The first successful treatment was by Schiff, working with Freund, in a case of lupus vulgaris. A year later, in 1897, the two published a report of their success and this provoked further experimentation in x-ray therapies. Thereafter they did a successful treatment of lupus erythematosus in 1898. The lesion took a common form of a 'butterfly-patch' which appeared on both sides of the face, and Schiff applied the irradiation to one side only, in order to compare the effects.

Within a few months, scientific journals were swamped with accounts of the successful treatment of different types of skin tissue malignancies with x-rays. In Sweden, Thor Stenbeck published results of the first successful treatments of rodent ulcer and epithelioma in 1899, later that year confirmed by Tage Sjögren. Soon afterwards, their findings were confirmed by a number of other physicians.

The nature of the active agent in therapeutic treatment was still unknown, and subject to wide dispute. Freund and Schiff believed it to because of electrical discharge, Nikola Tesla argued they were because of the ozone generated by the x-rays, while others argued that it was the x-rays themselves. Tesla's position was soon refuted, and only the other two theories remained. In 1900, Robert Kienböck produced a study based on a series of experiments that demonstrated that it was the x-rays themselves. Studies published in 1899 and 1900 suggested that the rays varied in penetration according to the degree of vacuum in the tube.

Niels Finsen and phototherapy

The Finsen hospital lamp, 1900. The projecting tubes can be adjusted so as to permit the focusing of the light, which is directed through a hollow lens that's kept pressed down upon the part under treatment. The nurses and patients are wearing dark glasses to protect the eyes from the light.

Niels Finsen, a Faroese-Danish physician, had by that time already pursued interest in the biological effects of light. He published a paper, Om Lysets Indvirkninger paa Huden ("On the effects of light on the skin") in 1893. Inspired by the discovery that x-rays could have therapeutic effects, he extended his research to examine directed light rays. In 1896, he published a paper on his findings, Om Anvendelse i Medicinen af koncentrerede kemiske Lysstraaler ("The use of concentrated chemical light rays in medicine"). Finsen discovered that lupus was amenable to treatment by ultraviolet rays when separated out by a system of quartz crystals, and thereafter created a lamp to sift out the rays. The so-called Finsen lamp became widely used in for phototherapy, and derivatives of it became used when experimenting with other types of radiotherapy. Modifications were made to Finsen's original design, and it found its most common forms in the Finsen-Reyn lamp and Finsen-Lomholt lamp .

By 1905, it was estimated that fully 50 percent of the cases of lupus were successfully healed by Finsen's methods. Finsen was soon awarded a Nobel Prize for his research.

Röntgenotherapy

X-ray apparatus used for treatment of epithelioma of the face, 1915. The tube is in a localizing shield, and a perforated sheet of metal is securely fashioned to the surface by adhesive plaster.

From initial therapeutic experiments, a new field of x-ray therapy was born, referred to as röntgenotherapy after Wilhelm Röntgen, the discoverer of x-rays. It was still unclear how the x-rays acted on the skin; however, it was generally agreed upon that the area affected was killed and either discharged or absorbed.

By 1900, there were four well established classes of problems that were treated by x-ray, based on a set of five classes initially outlined by Freund: 1. in hypertrichosis, for the removal of unwanted hair; 2. in the treatment of disease of hair and hair follicles in which it was necessary to remove hair; 3. in the treatment of inflammatory affections on the skin like eczema and acne; 4. and in the treatment of malignant affections on the skin in cases like lupus and epithelioma.

Additionally, x-rays were successfully applied to other appearances of carcinoma, trials were done in treating leukemia, and because of the supposed bactericidal properties, there were suggestions it could be used in diseases such as tuberculosis. Experiments were also done using x-rays to treat epilepsy, which had previously also experimentally been treated with electrical currents.

Further development and the use of radium (1905–1915)

Because of the excitement over the new treatment, literature about the therapeutic effects of x-rays often exaggerated the propensity to cure different diseases. Reports of the fact that in some cases treatment worsened some of the patients' conditions were ignored in favor of hopeful optimism. Henry G. Piffard referred to these practitioners as "radiomaniacs" and "radiografters". It was found that x-rays were only capable of producing a cure in certain cases of the basal cell type of epithelioma and exceedingly unreliable in malignant cancer, not making it a suitable replacement for surgery. In many cases of treatment, the cancer recurred after a period of time. X-ray experiments in pulmonary tuberculosis proved useless. Aside from the medical profession losing faith in the ability of x-ray therapy, the public increasingly viewed it as a dangerous type of treatment. This resulted in a period of pessimism about the use of x-rays, which lasted from about 1905 to 1910 or 1912.

Radium therapy

Small tubes containing radium salts are strapped to a woman's face to treat what was either lupus or rodent ulcer, 1905.

Soon after the discovery of radium in 1898 by Pierre and Marie Curie, there was speculation in whether the radiation could be used for therapy in the same way as that from x-rays. The physiological effect of radium was first observed in 1900 by Otto Walkhoff, and later confirmed by what famously known as the "Becquerel burn". In 1901, Henri Becquerel had placed a tube of radium in a waistcoat pocket where it had remained for several hours; a week or two after which there was severe inflammation of his skin underneath where the radium had been kept. Ernest Besnier, a dermatologist, examined the skin and expressed the opinion that it was due to the radium, leading to experiments by Curie which confirmed it. Besnier suggested the use of radium for therapy along the same purposes as x-rays and ultraviolet rays.

Becquerel for this purpose loaned some radium to Henri-Alexandre Danlos of the hôpital St. Louis in Paris in 1901. Danlos successfully treated a few cases of lupus with an admixture of radium and barium chloride. Further trials of radium therapy began, though at a much slower pace than did those using x-rays because radium was expensive and difficult to obtain.

Methods of application

Glass applicators for radium emanation, 1918
Illustration showing a tube for applying radium salts, 1918

Radium was soon seen as a way to treat disorders that were not affected enough by x-ray treatment because it could be applied in a multitude of ways in which x-rays could not. Different methods of applying radium had been tested, which fell into two categories: the use of radium emanation (now referred to as radon), and the use of radium salts.

One method using emanation was through inhalation, where it was mixed with air. Radium inhalation had been most studied in Germany, where regular inhalation institutes were established, and the goal was to target the lungs. That was done either to treat lung diseases, like tuberculosis, or to be absorbed through the surface of the lung to the blood, where it could circulate through the body. It was claimed that the beneficial effects produced by radium water baths were the result of inhalation of the vapors.

Another method of treatment was to condense the emanation at liquid air temperature on substances such as vasoline, glycerine, and lanoline, to apply externally to the part affected; or on quinine, bismuth, subnitrate, and arsenic, to be consumed or applied internally.

Radium emanation was also passed into glass or metal tubes or flat glass-tight applicators and applied in the same way as radium tubes. In other cases was also deposited on metal points or flat surfaces of metal using electrical devices, which had the same level of radioactivity as the parent radium, but lasted a shorter duration. One way of treatment was to then drive the deposits of radioactive material into tissue using galvanic current. It was also a method of applying radium emanation to a specially designed applicator constructed to suit the needs of the patient, who could later take it home.

Dilute solutions of radium salts were also made, meant to be used internally. Patients would be prescribed regular dosages. More rarely, the salts were also suspended in liquids to be injected in subcutaneous treatments, which could be applied locally to affected tissues. That was considered the most expensive method, because the radium used was irreparably lost.

As with radium emanation, solutions of free radium salts were also placed in tubes; in this case, the tubes were made from platinum. In metal tubes, the radium could be employed in a number of ways: externally; to the interior of the body in places like the mouth, nose, esophagus, rectum and vagina; and into the substance of a tumor through incisions.

Radium baths

In 1903, the discoverer of the electron, J. J. Thomson, wrote a letter to the journal Nature in which he detailed his discovery of the presence of radioactivity in well water. Soon after, others found that the waters in many of the world's most famous health springs were also radioactive. This radioactivity is due to the presence of radium emanation produced by the radium that is present in the ground through which the waters flow. In 1904, Nature published a study on the natural radioactivity of different mineral waters.

Inspired by this, using preparations of radium salts in bath water was suggested as a way for patients to be treated at home, as the radio-activity in the bathwater was permanent. Radium baths became used experimentally to treat arthritis, gout, and neuralgias.

Röntgenotherapy vs. radium therapy

X-ray treatment of tuberculosis in 1910

X-rays and radium were noted by physicians to have different advantages in different cases. The most marked effects produced with radium therapy were with lupus, ulcerous growths, and keloid, particularly because they could be applied more specifically to tissues than with x-rays. Radium was generally to be preferred when a localized reaction was desired, while for x-rays when a large area needed to be treated. Radium was also believed to be bactericidal, while x-rays were not. Because they could not be applied locally, x-rays were also found to have worse cosmetic effects than radium when treating malignancies. In certain cases, a combination of x-ray and radium therapy was suggested. In many skin diseases, the ulcers would be treated with radium and the surrounding areas with x-rays so it would positively affect the lymphatic systems.

Tuberculosis and iodo-radium therapy

After using radium in the surgical treatment of tuberculosis, researchers including Béla Augustin and A. de Szendeffy soon developed a treatment using radioactive methyholated iodine, which was patented under the name dioradin (formed from "iodine and radium") in 1911. Application of this treatment was referred to as iodo-radium therapy, and involved injecting dioradin intramuscularly. It seemed promising to the developers, because in several cases, fever and hemoptysis had disappeared. Inhalation of iodine alone had been an experimental treatment for tuberculosis in France between 1830 and 1870.

Commercialization, quackery, and the end of an era (1915–1935)

Advertisement for a scientifically developed radiation emanation activator. This particular device is suggested for use by Augustus Callé in a textbook on post-graduate medicine.

Widespread commercial exploitation of radium only began in 1913, by which time more efficient methods of extracting radium from pitchblende had been discovered and the mining of radium had taken off.

Commercial products

The Revigator "radioactive water crock" (1930s)
"Tho-radia" powder, based on radium and thorium, according to the formula of Dr Alfred Curie

The radium commonly used in bath salts, waters, and muds was in low-grade preparations, due to the expense, and their usefulness in curative solutions was questioned, since it had been agreed upon by physicians that radium could only be used successfully in high doses. It was believed that even radiation emanation at higher doses than were useful would cause no harm, because the radioactive deposits were found to have been absorbed and released in urine and waste within a period of three hours.

Radiation emanation activators

Radium emanation activators, apparatuses that would apply radium emanation to water, started being produced and marketed. Scientifically constructed emanators were sold to hospitals, universities, and independent researchers. Certain companies advertised that they would only give them out to others on a medical prescription and would guarantee the strength of radium in each dose.

Many products which imitated emanation activators were more broadly marketed to the public. One such product was the Revigator, a "radioactive water crock." A dispensing jar made of radium-containing ore, the idea was that radon produced by the ore would dissolve in the water overnight. It was advertised: "Fill jar every night. Drink freely ... when thirsty and upon arising and retiring, average six or more glasses daily." The American Medical Association (AMA) was concerned that the public was being fleeced by charlatans. In response, the AMA established guidelines (in effect from 1916 to 1929) that emanators seeking AMA approval had to generate more than 2 μCi (74 kBq) of radon per liter of water in a 24-hour period. Most devices on the market, including the Revigator, did not meet that standard.

Patent medicines

Many other quack cures and patent medicines were sold on the market. Radithor, a solution of radium salts, was claimed by its developer William J. A. Bailey to have curative properties. Many brands of toothpaste were laced with radium that was claimed to make teeth shine whiter, such as Doramad Radioactive Toothpaste. Ostensibly, this would be because the radium would kill the bacteria in a person's mouth. One item, called "Degnen's Radio-Active Eye Applicator" manufactured by the Radium Appliance Company of Los Angeles, California, was sold as a treatment for myopia, hypermetropia, and presbyopia. Face creams and powders were sold, with names like 'Revigorette' and 'Tho-radia'. It was also sold as a supplement to smoking cigarettes. Companies also marked radioactive pads and compresses for the treatment of illnesses.

Joachimsthal radium spa hotel

In light of the supposed curative properties of radioactivity, a spa was opened up in Joachimsthal, the place at which Madame Curie gathered some of her original samples of radium from spring waters. Radon inhalation rooms were set up, where air tubes carried the gas up from a processing tank in the basement; the visitor would then use it through an inhalation apparatus. Baths were set up which were also irradiated, and irradiated air was also filtered through a trumpet-like pipe for inhalation.

Public health concerns

Concerns about radium were brought up before the United States Senate by California Senator John D. Works as early as 1915. In a floor speech he quoted letters from doctors asking about the efficacy of the products that were marketed. He stressed that radiation had the effect of making many cancers worse, many doctors thought the belief that radium could be used to cure cancers at that stage of the development of therapy was a "delusion"—one doctor quoted cited a failure-to-success rate of 100 to 1—and the effects of radium water were undemonstrated.

Around the start of the 1920s, new public health concerns were sparked by the deaths of factory workers at a radioluminescent watch factory. In 1932, a well-known industrialist, Eben Byers died of radiation poisoning from the use of Radithor, a radium water guaranteed by the manufacturer to contain 2 μCi of radium. Cases sprung up of the development of carcinoma in patients who had used conventional radium therapy up to 40 years after the original treatments.

Robley D. Evans made the first measurements of exhaled radon and radium excretion from a former dial painter in 1933. At MIT he gathered dependable body content measurements from 27 dial painters. This information was used in 1941 by the National Bureau of Standards to establish the tolerance level for radium of 0.1 μCi (3.7 kBq).

Coutard method

At the International Congress of Oncology in Paris in 1922, Henri Coutard, a French radiologist working with the Institut Curie, presented evidence that laryngeal cancer could be treated without disastrous side-effects. Coutard was inspired by the observations of Claudius Regaud, who found that a single dose of x-rays sufficient enough to produce severe skin damage and tissue destruction in a rabbit, if administered in fractions, over a course of days, would sterilize the rabbit but have no effect on subcutaneous tissues.

By 1934, Coutard had developed a protracted, fractionated process that remains the basis for current radiation therapy. Coutard's dosage and fractionation were designed to create a severe but recoverable acute mucosal reaction. Unlike previous physicians, who believed that cancerous cells were more affected by radiation, he assumed that the population of cancerous cells had the same sensitivity for regeneration as normal cells. Coutard reported a 23% cure rate in the treatment of head and neck cancer. In 1935, hospitals everywhere began following his treatment plan.

Radiation therapy today (1935–present)

"Radiation therapy" defined as the utilization of electromagnetic or particle radiation in medical therapy has 3 main branches, including external beam radiation therapy (teletherapy), locoregional ablative therapy (such as brachytherapy (sealed source radiation therapy), selective internal radiotherapy (SIRT), radiofrequency ablation, microwave ablation, and optical therapy), and systemic therapy (i.e. radiopharmaceutical therapy, such as radioligand therapy and unsealed source therapy)). There are three branches of radiology dealing with these three therapeutic domains: Radiation Oncology (teletherapy and brachytherapy), Interventional Radiology / Interventional Oncology (selective internal radiation therapy (SIRT), locoregional ablative therapy using RF ablation and microwave ablation), and Nuclear Radiology / Nuclear Medicine (using radiopharmaceutical therapy (RPT) and systemic unsealed sources).

Particle therapy is a special case of "radiation therapy" in which "emitted atomic particles" (such as electrons, protons, or neutrons) are used for energy delivery in therapy. Particle therapy is heavily used in Nuclear Radiology / Nuclear Medicine (radiopharmaceutical therapeutic agents are based on alpha particles, beta particles, or auger electrons), and to some extent in Radiation Oncology (external electron therapy and recent emerging modalities for external proton therapy). Nuclear Radiology / Nuclear Medicine specializes in the internal delivery of particle therapy whereas Radiation Oncology specializes in the external and locoregional delivery of particle therapy.

Intraoperative radiation therapy or IORT is a special type of radiation therapy that is delivered immediately after surgical removal of cancer. This method has been employed in breast cancer (TARGeted Intra-operative radiation Therapy or TARGIT), brain tumors, and rectal cancers.

Radioactive iodine, which has been used to treat thyroid diseases since 1941, survives today primarily in the treatment of thyrotoxicosis (hyperthyroidism) and some types of thyroid cancer that absorb iodine. Treatment involves the important iodine isotope iodine-131 (131I), often simply called "radioiodine" (though technically all radioisotopes of iodine are radioiodines; see isotopes of iodine).

Navajo Nation

From Wikipedia, the free encyclopedia
Navajo Woman at a waterfall c. 1920

The Navajo Nation (Navajo: Naabeehó Bináhásdzo), also known as Navajoland, is a Native American reservation of Navajo people in the United States. It occupies portions of northeastern Arizona, northwestern New Mexico, and southeastern Utah. The seat of government is located in Window Rock, Arizona.

At roughly 17,544,500 acres (71,000 km2; 27,413 sq mi), the Navajo Nation has the largest land area held by a Native American tribe in the United States, exceeding that of ten U.S. states. It is one of the few reservations whose lands overlap the nation's traditional homelands.

In 2010, the reservation was home to 173,667 out of 332,129 Navajo tribal members; the remaining 158,462 tribal members lived outside the reservation, in urban areas (26 percent), border towns (10 percent), and elsewhere in the U.S. (17 percent). In 2020, the number of tribal members increased to 399,494, surpassing the Cherokee Nation as the largest tribal group by enrollment.

The U.S. gained ownership of what is today Navajoland in 1848 following the Mexican-American War. The reservation was first established in 1868 within New Mexico Territory, initially spanning roughly 3.3 million acres; it subsequently straddled what became the Arizona–New Mexico border in 1912, when the states were admitted to the union. Unlike many reservations in the U.S., it has since expanded several times since its formation, therefore reaching its current boundaries in 1934.

Terminology

In English, the official name for the area was "Navajo Indian Reservation", as outlined in Article II of the 1868 Treaty of Bosque Redondo. On April 15, 1969, the tribe changed its official name to the "Navajo Nation", which is displayed on its seal. In 1994, the Tribal Council rejected a proposal to change the official designation from "Navajo" to "Diné", a traditional name for the people. Some people said that Diné represented the people in their time of suffering before the Long Walk, and that Navajo is the appropriate designation for the future. In the Navajo language, Diné means "the People", a term many indigenous nations identify within their respective languages. Among the Navajo populace, both terms are employed. In 2017, the Navajo Nation Council rejected legislation to change the name to "Diné Nation", citing potential "confusion and frustration among Navajo citizens and non-Navajos".

In Navajo, the geographic entity with its legally defined borders is known as Naabeehó Bináhásdzo. This contrasts with Diné Bikéyah and Naabeehó Bikéyah for the general idea of "Navajoland". Neither of these terms should be confused with Dinétah, the term used for the traditional homeland of the Navajo. This is located in the area among the four sacred Navajo mountains of Dookʼoʼoosłííd (San Francisco Peaks), Dibé Ntsaa (Hesperus Mountain), Sisnaajiní (Blanca Peak), and Tsoodził (Mount Taylor).

History

The Navajo people's tradition of governance is rooted in their clans and oral history. The clan system of the Diné is integral to their society. The system has rules of behavior that extend to the manner of refined culture that the Navajo people call "walking in beauty". The philosophy and clan system were established long before the Spanish colonial occupation of Dinétah, through to July 25, 1868, when Congress ratified the Navajo Treaty with President Andrew Johnson, signed by Barboncito, Armijo, and other chiefs and headmen present at Bosque Redondo, New Mexico.

The Navajo people have continued to transform their conceptual understandings of government since signing the Treaty of 1868. Social, cultural, and political academics continue to debate the nature of modern Navajo governance and how it has evolved to include the systems and economies of the "western world".

Reservation and expansion

Border changes and expansions of the Navajo Reservation from 1868 to 1934
Map of the Navajo Nation shown within the Four Corners region of the Southwestern United States
1904 photograph of a young Navajo man

In the mid-19th century, primarily in the 1860s, most of the Navajo were forced to abandon their homes due to a series of military campaigns by the U.S. Army conducted with a scorched-earth policy and sanctioned by the U.S. government. The Army burned their homes and agricultural fields, and stole or killed livestock, to weaken and starve the Navajo into submission. In 1864, the main body of Navajo, numbering 8,000 adults and children, were marched 300 miles on the Long Walk to imprisonment in Bosque Redondo. The Treaty of 1868 established the "Navajo Indian Reservation" and the Navajo people left Bosque Redondo for this territory.

The borders were defined as the 37th parallel in the north; the southern border as a line running through Fort Defiance; the eastern border as a line running through Fort Lyon; and in the west as longitude 109°30′.

As drafted in 1868, the boundaries were defined as:

the following district of country, to wit: bounded on the north by the 37th degree of north latitude, south by an east and west line passing through the site of old Fort Defiance, in Canon Bonito, east by the parallel of longitude which, if prolonged south, would pass through old Fort Lyon, or the Ojo-de-oso, Bear Spring, and west by a parallel of longitude about 109º 30' west of Greenwich, provided it embraces the outlet of the Canon-de-Chilly [Canyon de Chelly], which canyon is to be all included in this reservation, shall be, and the same hereby, set apart for the use and occupation of the Navajo tribe of Indians, and for such other friendly tribes or individual Indians as from time to time they may be willing, with the consent of the United States, to admit among them; and the United States agrees that no persons except those herein so authorized to do, and except such officers, soldiers agents, and employees of the Government, or of the Indians, as may be authorized to enter upon Indian reservations in discharge of duties imposed by law, or the orders of the President, shall ever be permitted to pass over, settle upon, or reside in, the territory described in this article.

Though the treaty had provided for one hundred miles by one hundred miles in the New Mexico Territory, the size of the territory was 3,328,302 acres (13,470 km2; 5,200 sq mi)—slightly more than half. This initial piece of land is represented in the design of the Navajo Nation's flag by a dark-brown rectangle.

As no physical boundaries or signposts were set in place, many Navajo ignored these formal boundaries and returned to where they had been living prior to the U.S. occupation. A significant number of Navajo had never lived in the Hwéeldi (near Fort Sumner). They remained or moved near the Little Colorado and Colorado rivers, on Naatsisʼáán (Navajo Mountain), and some lived with Apache bands.

The first expansion of the territory occurred on October 28, 1878, when President Rutherford Hayes signed an executive order pushing the reservation boundary 20 miles to the west. Further additions followed throughout the late 19th and early 20th century (see map). Most of these additions were achieved through executive orders, some of which were confirmed by acts of Congress. For example, President Theodore Roosevelt's executive order to add the region around Aneth, Utah in 1905 was confirmed by Congress in 1933.

The eastern border was shaped primarily as a result of allotments of land to individual Navajo households under the Dawes Act of 1887. This experiment was designed to assimilate Native Americans into mainstream American culture. The federal government proposed to divide communal lands into plots assignable to heads of household – tribal members – for their subsistence farming, in the pattern of small family farms common among Americans. This was intended to extinguish tribal land claims for such territory. The land allocated to these Navajo heads of household was initially not considered part of the reservation. Further, the federal government determined that land "left over" after all members had received allotments was to be considered "surplus" and available for sale to non-Native Americans. The allotment program continued until 1934. Today, this patchwork of reservation and non-reservation land is called the "checkerboard area". It resulted in the loss of much Navajo land.

In the southeastern area of the reservation, the Navajo Nation has purchased some ranches, which it refers to as its Nahata Dził, or New Lands. These lands are leased to Navajo individuals, livestock companies, and grazing associations.

In 1996, Elouise Cobell (Blackfeet) filed a class action lawsuit against the federal government on behalf of an estimated 250,000–500,000 plaintiffs, Native Americans whose trust accounts did not reflect an accurate accounting of money owed them under leases or fees on trust lands. The settlement of Cobell v. Salazar in 2009 included a provision for a nearly $2 billion fund for the government to buy fractionated interests and restore land to tribal reservations. Individuals could sell their fractionated land interests on a voluntary basis, at market rates, through this program if their tribe participated.

Through March 2017, under the Tribal Nations Buy-Back Program, individual Navajo members received $104 million for purchase of their interests in land; 155,503 acres were returned to the Navajo Nation for its territory by the Department of Interior under this program.

Clan governance

In the traditional Navajo culture, local leadership was organized around clans, which are matrilineal kinship groups. Children are considered born into the mother's family and gain their social status from her and her clan. Her eldest brother traditionally has a strong influence on rearing the children.

The clan leadership have served as a de facto government on the local level of the Navajo Nation.

Rejection of Indian Reorganization Act

In 1933, during the Great Depression, the Bureau of Indian Affairs (BIA) attempted to mitigate environmental damage due to over-grazing on reservations. Significant pushback was given by the Navajo, who did not feel that they had been sufficiently consulted before the measures were implemented. BIA Superintendent John Collier's attempt to reduce livestock herd size affected responses to his other efforts to improve conditions for Native Americans. The herds had been central to Navajo culture, and were a source of prestige.

Also during this period, under the Indian Reorganization Act (IRA) of 1934, the federal government was encouraging tribes to revive their governments according to constitutional models shaped after that of the United States. Because of the outrage and discontent about the herd issues, the Navajo voters did not trust the language of the proposed initial constitution outlined in the legislation. This contributed to their rejection of the first version of a proposed tribal constitution.

In the various attempts since, members found the process to be too cumbersome and a potential threat to tribal self-determination. The constitution was supposed to be reviewed and approved by BIA. The earliest efforts were rejected primarily because segments of the tribe did not find enough freedom in the proposed forms of government. In 1935 they feared that the proposed government would hinder development and recovery of their livestock industries; in 1953 they worried about restrictions on development of mineral resources.

They continued a government based on traditional models, with headmen chosen by clan groups.

Navajo Nation and federal government jurisdictions

Tségháhoodzání, the "Window Rock"

The Navajo Nation must submit all proposed laws to the United States Secretary of the Interior for Secretarial Review, through the Bureau of Indian Affairs (BIA).

Most conflicts and controversies between the federal government of the United States and the Nation are settled by negotiations outlined in political agreements. The Navajo Nation Code consists of codified rules and laws of the Navajo Nation. The Navajo Nation Code has 26 titles, covering subjects from the Navajo Nation Government to Commerce and Trade to Water. The 2010 version is available on the Navajo Nation Office of Legislative Services, as well as a section for amendments beginning from January 2014 to December 2022.

There is a map that outlines the boundaries of the Navajo Nation, available on the Navajo Land Department's Website. Also, see Dine Land Use's website for the history of the Navajo Nation's land base. Lands within the boundaries of the Navajo Nation are composed of Public, Tribal Trust, Tribal Fee, Bureau of Land Management (BLM), Private, State, and BIA Indian Allotment Lands. Within the Arizona and Utah portions of the Navajo Nation, there are a few private and BIA Indian Allotments in comparison to New Mexico's portion, which consists of a checkerboard pattern of all the aforementioned lands. The Eastern Agency, as it is referred to, consists of primarily Tribal Fee, BIA Indian Allotments, and BLM Lands. Although there are more Tribal Fee Lands in New Mexico, the Navajo Nation government intends to convert most or all Tribal Fee Lands to Tribal Trust, which has some benefits according to the Bureau of Indian Affairs.

Government

Vice President Myron Lizer, Congressman Tom O'Halleran and President Jonathan Nez in 2020

The Title II Amendment of 1989 established the Navajo Nation government as a three-part system (changes to the judicial branch had already begun in 1958). Two branches are independent of the council (where all government decision making was centralized before the change).

The president and vice-president are elected every four years. The Executive nominates judges of the District Courts, and the Supreme Court. The nation consists of several divisions, departments, offices, and programs as established by law.

Constitution

In 2006, a committee for a "Navajo Constitution" began advocating for a Navajo constitutional convention. The committee's goal was to have representation from every chapter on the Navajo Nation represented at a constitutional convention. The committee proposed the convention be held in the traditional naachid/modern chapter house format, where every member of the nation wishing to participate may do so through their home chapters. The committee was formed by former Navajo leaders Kelsey Begaye, Peterson Zah, Peter MacDonald, Ivan Gamble (a writer/social activist), and other local political activists.

Judiciary branch

Prior to Long Walk of the Navajo, judicial powers were exercised by peace chiefs (Hózhǫ́ǫ́jí Naatʼááh) in a mediation-style process. While the people were held at Bosque Redondo, the U.S. Army handled severe crimes. Lesser crimes and disputes remained in the purview of the villages' chiefs. After the Navajo return from Bosque Redondo in 1868, listed criminal offenses were handled by the US Indian Agent of the Bureau of Indian Affairs with support of the U.S. Army, while lesser disputes remained under Navajo control.

In 1892, BIA Agent David L. Shipley established the Navajo Court of Indian Offenses and appointed judges. Previously, judicial authority was exercised by the Indian Agent.

In 1950, the Navajo Tribal Council decided that judges should be elected. By the time of the judicial reorganization of 1958, the council had determined that, due to problems with delayed decisions and partisan politics, appointment was a better method of selecting judges.

The president makes appointments, subject to confirmation by the Navajo Nation Council; however, the president is limited to the list of names vetted by the Judiciary Committee of the council.

The current judicial system for the Navajo Nation was created by the Navajo Tribal Council on 16 October 1958. It established a separate branch of government, the "Judicial Branch of the Navajo Nation Government", which became effective 1 April 1959. The Navajo Court of Indian Offenses was eliminated; the sitting judges became judges in the new system. The resolution established "Trial Courts of the Navajo Tribe" and the "Navajo Tribal Court of Appeals", which was the highest tribal court and its only appellate court.

In 1978, the Navajo Tribal Council established a "Supreme Judicial Council", a political body rather than a court. On a discretionary basis, it could hear appeals from the Navajo Tribal Court of Appeals. Subsequently, the Supreme Judicial Council was criticized for bringing politics directly into the judicial system and undermining "impartiality, fairness and equal protection".

In December 1985, the Navajo Tribal Council passed the Judicial Reform Act of 1985, which eliminated the Supreme Judicial Council. It redefined the "Navajo Tribal Court of Appeals" as the "Navajo Nation Supreme Court", and redefined "Trial Courts of the Navajo Tribe" as "District Courts of the Navajo Nation". Navajo courts are governed by Title 7, "Courts and Procedures", of the Navajo Tribal Code.

From 1988 to 2006, there were seven judicial districts and two satellite courts. As of 2010, there are ten judicial districts, centered respectively in Alamo (Alamo/Tó'hajiilee), Aneth, Chinle, Crownpoint, Dilkon, Kayenta, Ramah, Shiprock, Tuba City and Window Rock. All of the districts also have family courts, which have jurisdiction over domestic relations, civil relief in domestic violence, child custody and protection, name changes, quiet title, and probate. As of 2010, there were 17 trial judges presiding in the Navajo district and family courts.

Executive branch

The Navajo Nation Presidency, in its current form, was created on December 15, 1989, after directives from the federal government guided the Tribal Council to establish the current judicial, legislative, and executive model. This was a departure from the system of "Council and Chairmanship" from the previous government body.

Conceptual additions were made to the language of Navajo Nation Code Title II, and the acts expanded the new government on April 1, 1990. Qualifications for the position of president include fluency in the Navajo language (this has seldom been enforced and in 2015 the council changed the law to repeal this requirement). Term limits allow only two consecutive terms.

Legislative branch

Navajo Nation Council Chamber, a National Historic Landmark

The Navajo Nation Council, formerly the Navajo Tribal Council, is the legislative branch of the Navajo Nation. As of 2010, the Navajo Nation Council consists of 24 delegates, representing the 110 chapters, elected every four years by registered Navajo voters. Prior to the November 2010 election, the Navajo Nation Council consisted of 88 representatives. The Navajo voted for the change in an effort to have a more efficient government and to curb tribal government corruption associated with council members who established secure seats.

Chapters

In 1927, agents of the U.S. federal government initiated a new form of local government entities called Chapters, modeled after jurisdictional governments in the US such as counties or townships. Each chapter elected officers and followed parliamentary procedures.

By 1933, more than 100 chapters operated across the Navajo Nation. The chapters served as liaisons between the Navajo and the federal governments, respectively. They also acted as voting precincts for the election of tribal council delegates. They served as forums for local tribal leaders but the chapters had no authority within the structure of the Navajo Nation government.

In 1998, the Navajo Tribal Council passed the "Local Governance Act" (LGA), which expanded the political roles of the existing 110 chapters. It authorized them to make decisions on behalf of the chapter members and to take over certain roles previously delegated to the council and executive branches. This included entering into intergovernmental agreements with federal, state and tribal entities, subject to approval by the Intergovernmental Relations Committee of the council. As of 2006, 44 chapters were LGA certified.

Administrative divisions

Agencies and chapters

The Navajo Nation is divided into five agencies. The seat of government is located at the Navajo Governmental Campus in Window Rock/Tségháhoodzání. These agencies are composed of several chapters each, and reflect the five Bureau of Indian Affairs (BIA) agencies created in the early formation of the Navajo Nation.

The five agencies within the Navajo Nation are Chinle Agency in Chinle, Arizona; Eastern Navajo Agency in Crownpoint, New Mexico; Western Navajo Agency in Tuba City, Arizona; Fort Defiance Agency in Fort Defiance, Arizona; and Shiprock Agency in Shiprock, New Mexico. The BIA agencies provide various technical services under direction of the BIA's Navajo Area Office at Gallup, New Mexico.

Agencies are divided into chapters as the smallest political unit, similar to municipalities or small U.S. counties. The Navajo capital city of Window Rock is located in the chapter of St. Michaels, Arizona.

The Navajo Nation also operates executive offices in Washington, DC to facilitate government-to-government relations and for lobbying services and congressional relations.

Departments and divisions

Law enforcement

Navajo law enforcement consists of approximately 300 tribal police officers; only three are non-Native.

Certain classes of crimes, such as capital cases, are prosecuted and adjudicated in Federal courts. However, the Navajo Nation operates its own divisions of law enforcement via the Navajo Division of Public Safety, commonly referred to as the Navajo Nation Police (formerly Navajo Tribal Police). Law enforcement functions are also delegated to the Navajo Nation Department of Fish and Wildlife: Wildlife Law Enforcement and Animal Control Sections; Navajo Nation Forestry Law Enforcement Officers; and the Navajo Nation EPA Criminal Enforcement Section; and Navajo Nation Resource Enforcement (Navajo Rangers).

Other local, state and federal law enforcement agencies routinely work on the Navajo Nation, including the BIA Police, National Park Service U.S. Park Rangers, U.S. Forest Service Law Enforcement and Investigations, Bureau of Land Management Law Enforcement, Drug Enforcement Administration (DEA), US Marshals, Federal Bureau of Investigation as well as other Native American units such as the Ute Mountain Agency and the Hopi Agency plus Arizona Highway Patrol, Utah Highway Patrol, New Mexico Department of Public Safety (State Police and Highway Patrol), Apache County Sheriff's Office, Navajo County Sheriff's Office, McKinley County Sheriff's Office.

Other agencies
  • Transportation
  • Health
  • Education
  • Navajo Nation Parks & Recreation

Regional Commissions

Regional government functions are carried out by the "District Grazing Committees" and "Off-Reservation Land Boards", "Major Irrigation Projects Farm Boards", and "Agency Councils".

Politics

Notable Navajo politicians

  • Henry Chee Dodge, first chairman of Navajo Tribal Council (1922–1928, 1942–1946)
  • Tom B. Becenti, tribal judge and chapter official from Eastern Navajo Agency. WWII veteran. He is known to have helped develop the Navajo Tribal Court System while preserving traditional Navajo Fundamental Law.
  • Peter MacDonald, Navajo Tribal chairman convicted for cause (1971–1983, 1987–1989)
  • Jacob (JC) Morgan, first chairman elected by the tribe, serving 1938–1942
  • Lilakai Julian Neil, first woman elected to Navajo Tribal Council, serving 1946–1951
  • John Pinto, New Mexico state senator (1977–2019), code talker and military veteran, teacher and National Education Association organizer
  • Amos Frank Singer, early Council delegate from Kaibito and designer of Navajo Seal
  • Joe Shirley Jr., oversaw the reduction in seats on the Navajo Council
  • Annie Dodge Wauneka, Navajo Tribal councilwoman and philanthropist (1951–1978)
  • Peterson Zah, chairman and first president of the Navajo Nation (1983–1987, 1991–1995)

2015 presidential election

On August 25, 2014, the Navajo Nation held primary elections for the Office of President. Joe Shirley Jr. and Chris Deschene had the two highest vote counts. In the weeks following, two other primary candidates sued in tribal court, invoking a never-used 1990s law that required candidates to be fluent in the Navajo language. They asked for an assessment of the leading candidates' language skills.

On October 23, 2014, the Office of Hearings and Appeals of the tribe held the first hearing on the complaint filed against Deschene. The meeting was presided by chief hearing officer Richie Nez. The court body ruled in favor of Dale Tsosie and Hank Whitethorne, the former primary candidates, and issued a default ruling against Deschene, who had refused to participate in assessment.

Later that day, the Navajo Supreme Court, in a special session on the matter, enforced the ruling from the lower Court body and ordered that the Navajo government remove Deschene from the presidential ballot because of his lack of Navajo language skills.

The High Court ruled that the presidential election scheduled for November 4 (12 days later) would be postponed, and ordered that it be held by the end of January 2015. Chief Justice Herb Yazzie and Associate Justice Eleanor Shirley ruled for the 2–1 majority; Justice Irene Black wrote in her dissent that the technicality must be sent back to the lower court for correction there. The decision did not outline who would act as executive at the end of the current president's term (January 2015).

In the early hours of October 24, 2014 the Navajo Council passed legislative Bill 0298-14 amending the Navajo Nation Code. The legislation repealed the language requirement of the qualifications sections for president. This enabled Chris Deschene's participation in the election.

The following Monday, the Navajo Board of Election Supervisors (NBES) met but took no action to implement the court directives. Counsel for NBES motioned the High Court for further instruction. The next day, the Navajo Nation Election Board commissioner, Wallace Charley (joined later by Kimmeth Yazzie, Navajo Election Administration) announced that Deschene's name would remain on the ballot. Though he had vowed to continue, Deschene resigned from the race on October 30.

On October 29, Navajo President Ben Shelly vetoed the bill repealing the language requirement. The Navajo general election was held. Joe Shirley Jr. had the majority of votes by the unofficial tally.

The Navajo Council scheduled a primary and general election for June and August 2015. On Monday, January 5, 2015, President Shelly vetoed the language fluency bill. On January 7, five assistant attorneys-general filed petition with the Navajo Nation Supreme Court for clarification on the question of the presidential vacancy issue. Through a controversial agreement and resolution, the Court and the Council appointed Ben Shelly to act as interim President.

In the special election, businessman Russell Begaye was elected as president and Jonathan Nez as vice-president. In May 2015, they were sworn in. Begaye supports encouraging native language use among the Navajo, who have the most members of nearly any tribe who speak their native language. Approximately half of the Nation's 340,000 members speak Navajo. Begaye came to office supporting the Grand Canyon Escalade, a proposed project to increase tourism at the canyon, as well as initiatives to develop a rail port to export crops and coal from the reservation and to pursue clean coal technology.

Infrastructure

The Navajo Tribal Utility Authority provides utility services for houses. By 2019 it was conducting a campaign to electrify remaining houses without electricity. As of 2019 about 15,000 houses, with 60,000 residents, did not have electricity; at that time the authority electrified, on an annual basis, 400–450 houses. The Navajo Nation has 13 grocery stores, 12 health facilities, 170 hospital beds, 13 intensive care unit beds, 52 isolation rooms, and 28 ventilators.

Coconino County installed a Wi-Fi hotspot between the Page Magistrate Court Buildings and Coconino County Health and Human Services Northern Region Office at 467 Vista Ave. in Page, Arizona. While remaining in a vehicle, this hotspot, named CountyWi-Fi, is freely accessible and does not require a network password. Northern Arizona University (NAU), with clearance from Navajo and Hopi officials, extended free Wi-Fi signals to parking lots on the Navajo Nation for any college and K-12 student. Coconino County offers assistance for rent and utilities based on income eligibility. Assistance may be granted for electric, gas, wood, water, propane, rental, or utility deposits when moving.

International cooperation

In December 2012, Ben Shelly led a delegation of Navajo overseas to Israel, where they toured the country as representatives for the Navajo people. In April 2013, Shelly's aide, Deswood Tome, led a delegation of Israeli agricultural specialists on a tour of resources on the Navajo Nation. The visit by Israelis was criticized by some indigenous people who believe that Palestinians in Israel have a status similar to their own.

Geography

Map showing populated places on the Navajo Nation and surrounding area
Navajo. Seven riders on horseback and dog trek against background of canyon cliffs. Edward S. Curtis (1904)

The land area of the Navajo Nation is over 27,000 square miles (70,000 km2), making it the largest Indian reservation in the United States; it is approximately 8,000 km2 larger than the state of West Virginia.

Adjacent to or near the Navajo Nation are the Southern Ute of Colorado, and the Ute Mountain Ute Tribe of Colorado, Utah, and New Mexico, both along the northern borders; the Jicarilla Apache Tribe to the east; the Zuni Pueblo and White Mountain Apache to the south; and the Hualapai Bands in the west. The Navajo Nation's territory fully surrounds the Hopi Indian Reservation.

In the 1980s, a conflict over shared lands peaked when the Department of the Interior attempted to relocate Navajo residents living in what is still referred to as the Navajo–Hopi Joint Use Area. The litigious and social conflict between the two tribes and neighboring communities ended with "The Bennett Freeze" Agreement, completed in July 2009 by President Barack Obama. The agreement lessened the contentious land disagreement by providing a 75-year lease to Navajo who had land claims dating to before the US occupation of the territory.

Situated on the Navajo Nation are Canyon de Chelly National Monument, Monument Valley, Rainbow Bridge National Monument, the Shiprock monadnock, and the eastern portion of the Grand Canyon. Navajo Territory in New Mexico is popularly referred as the "Checkerboard" area because it is interrupted by Navajo and non-Native fee ownership of numerous plots of land. In this area, Navajo lands are intermingled with fee lands, owned by both Navajo and non-Navajo, and federal and state lands under various jurisdictions. Three large non-contiguous sections located in New Mexico are also under Navajo jurisdiction: these are the Ramah Navajo Indian Reservation, the Alamo Navajo Indian Reservation, and the Tohajiilee Indian Reservation near Albuquerque.

Climate

Much of the Navajo Nation is situated on the Colorado Plateau. The large variation in altitude (3,080 to 10,346 feet; 939 to 3,153 m) throughout the Navajo Nation produces considerable variations in climate, from an arid, desert climate, accounting for 55% of the area, through an intermediate steppe region, to the cold, sub-humid climate of the mountainous 8% of the area. Average daily temperatures range from 43 to 60 °F (6 to 16 °C), with a low of 4 °F (−16 °C) in mountainous regions and a high of 110 °F (43 °C) in the desert. Average rainfall is 16–27 inches (410–690 mm) at higher elevations, and 7–11 inches (180–280 mm) in the desert.

Daylight saving time

The Navajo Nation observes daylight saving time (DST) on its Arizona land as well as on its Utah and New Mexico lands. But the rest of Arizona, including the Hopi Reservation, an enclave within the Arizona portion of the Nation, have opted out of DST.

Demographics

Navajo woman and child, c. 1880–1910
Navajo girl Canyon de Chelly, (1941) Ansel Adams
A Navajo man on horseback in Monument Valley

On the 2010 census 166,826 residents identified as Navajo or other Native American, 3,249 as White/European American, 401 Asian or Pacific Islanders, 208 African American, and the remainder identify as some other group or more than one ancestry. The 2010 census recorded 109,963 individuals who report speaking a language at home that is neither Asian nor Indo-European. DiscoverNavajo.com reports that 96% of the Navajo Nation is American Indian, and 66% of Navajo tribe members live on Navajo Nation.

The average family size was 4.1, and the average household was home to 3.5 persons. The average household income in 2010 was $27,389.

Nearly half of the enrolled members of the Navajo tribe live outside the nationʼs territory, and the total enrolled population is 300,048, as of July 2011. As of 2016, 173,667 Diné lived on tribal lands.

Education

Historically, the Navajo Nation resisted compulsory western education, including boarding schools, as imposed by the government in the aftermath of the Long Walk. Navajo families and society have provided traditional and home education with considerable scope and depth since before the US annexation.

Continued education, and retention of Navajo students in school are significant priorities. Major problems faced by the Nations relates to helping students build competitive GPAs and to prevent a very high drop-out rate among high school students. Over 150 public, private, and Bureau of Indian Affairs schools serve Nation students from kindergarten through high school. Most schools are funded from the Navajo Nation under the Johnson O'Malley program.

The Nation runs community Head Start Programs, the only educational program fully operated by the Navajo Nation government. Post-secondary education and vocational training are available on and off the territory.

The Navajo Nation operates Tséhootsooí Diné Bi'ólta', a Navajo-language immersion school for grades K–8 in Fort Defiance, Arizona. Located on the Arizona-New Mexico border in the southeastern quarter of the Navajo Nation, the school strives to revitalize Navajo among children of the Window Rock Unified School District. Tséhootsooí Diné Bi'ólta' has thirteen Navajo language teachers who instruct only in the Navajo language. Five English language teachers instruct in the English language. Kindergarten and first grade are taught completely in the Navajo language, while English is incorporated into the program during third grade, when it is used for about 10% of instruction.

Primary and secondary education

The Nation has access to six systems of primary and secondary academic institutions that serve Navajo students, including:

Diné College – Tsaile campus

The Ned A Hataałi Center at Diné College's Tsaile campus

The Navajo Nation operates Diné College, a two-year tribal community college, with its main campus at Tsaile in Apache County, Arizona. The college also operates seven sub-campuses throughout the nation. The Navajo Nation Council founded the college in 1968 as the first tribal college in the United States. Since then, tribal colleges have been established on numerous reservations and now total 32. Diné College has 1,830 students enrolled, of which 210 are students seeking transfer to four-year institutions in order to earn bachelor's degrees.

Center for Diné Studies

The college includes the Center for Diné Studies. Its goal is to apply Navajo Sa'ah Naagháí Bik'eh Hózhóón principles to advance quality student learning through Nitsáhákees (thinking), Nahat'á (planning), Iiná (living), and Siihasin (assurance) in study of the Diné language, history, and culture. Students are prepared for further studies and employment in a multi-cultural and technological world.

Navajo Technical University (NTU)

Located in Crownpoint, New Mexico, Navajo Technical University is a tribal university offering various vocational, technical, and academic degrees and certificates. NTU was opened in 1979 as the Navajo Skill Center, intended to provide opportunity to unemployed people of the Navajo Nation. The center has since been renamed multiple time in response to growth and its changing programs.

In 1985 it was renamed Crownpoint Institute of Technology and in 2006 as Navajo Technical College. In 2013 it was named as a "university" in recognition of its program expansion, under resolution codified by the Navajo Nation Council.

Environmental and health concerns

Uranium mining

Extensive uranium mining took place in areas of the Navajo Nation from the 1940s, and stringent worker and environmental safety laws were not passed and enforced until the early 1960s.

Studies have proven uranium mining created severe environmental consequences for miners and nearby residents. Several types of cancer occur at much higher rates than the national average in these locations. Especially high are the rates of reproductive-organ cancers in teenage Navajo girls, averaging seventeen times higher than the average of girls in the United States. In 1990, Congress passed the Radiation Exposure Compensation Act.

Residents of the Red Water Pond Road area have requested relocation to a new, off-grid village to be located on Standing Black Tree Mesa. Cleanup is underway on the Northeast Church Rock Mine Superfund site. They proposed this as an alternative to the EPA-proposed relocation of residents to Gallup.

Navajo neurohepatopathology

The Navajo are uniquely affected by a rare and life-threatening autosomal recessive multi-system disorder called Navajo Neurohepatopathology (NNH). This genetic condition is estimated to occur in 1 of every 1,600 live births. The most severe symptoms include neuropathy and liver dysfunction (hepatopathy), both of which may be moderate and progressive or severe and fatal, as it often is in cases that develop in infants (before 6 months of age) or children (1–5 years). Other symptoms include corneal anesthesia and scarring, acral mutilation, cerebral leukoencephalopathy, failure to thrive, and recurrent metabolic acidosis, with intercurrent infections.

Diabetes

Diabetes mellitus is a major health problem among the Navajo, Hopi and Pima tribes, whose members are diagnosed at a rate about four times higher than the age-standardized U.S. estimate. Medical researchers believe increased consumption of carbohydrates, coupled with genetic factors, play significant roles in the emergence of this chronic disease among Native Americans.

Severe combined immunodeficiency

One in every 2,500 children in the Navajo population inherits severe combined immunodeficiency (SCID). This genetic disorder results in births of children with virtually no immune system. In the general population, the genetic disorder is much rarer, affecting one in 100,000 children. The disorder is sometimes known as "bubble boy disease". This condition is a significant cause of illness and death among Navajo children. Research reveals a similar genetic pattern among the related Apache.

In a December 2007 Associated Press article, Mortan Cowan, director of the Pediatric Bone Marrow Transplant Program at the University of California, San Francisco, noted that, although researchers have identified about a dozen genes that cause SCID, the Navajo/Apache population has the most severe form of the disorder. This is due to the mutations in the gene DCLRE1C, which leads to a defective copy of the protein Artemis. Without the gene, children's bodies are unable to repair DNA or develop disease-fighting cells.

COVID-19 pandemic

The COVID-19 pandemic reached the Navajo Nation on March 17, 2020. On March 20, a stay-at-home order was issued after 14 cases of the coronavirus were confirmed, with an 8 p.m. to 5 a.m. curfew enforced. Beginning April 12, a 57-hour weekend curfew was declared. At that point, there were 698 confirmed cases of coronavirus, including 24 deaths, among members of the Navajo Nation living in New Mexico, Arizona and Utah. On April 19, the Navajo Department of Health issued an emergency public health order mandating the use of masks outside the home, in addition to existing orders for sheltering in place and for nightly and weekend curfews.

By April 20, the Navajo Nation had the third-highest infection rate in the United States, after New York and New Jersey. As of May 18, 2020, the Navajo Nation surpassed New York as most affected U.S. region per capita, with 4,071 positive COVID-19 tests and 142 fatalities recorded.

On April 25, the Nation announced that it was joining 10 other tribes in a lawsuit against the U.S. Secretary of the Treasury, over what the plaintiffs said was an unfair allocation of money to the tribes under the Coronavirus Aid, Relief, and Economic Security Act (CARES Act). On May 5, $600 million of aid money was delivered to the Navajo Nation, a month after the legislation was signed into law.

As of February 2, 2022, there are 50,428 confirmed cases of COVID-19, with 1,619 deaths from the virus.

Water rights and protection

Water rights for the Navajo Nation have been a source of environmental conflict for decades, as Navajo lands have provided energy and water for residents of neighboring states while many of the Navajo do not have electricity or running water in their homes. Beginning in the 1960s, coal mining by Peabody coal at Black Mesa withdrew more than 3 million gallons of water/day from the Navajo aquifer, reducing the number of springs on the reservation. The Navajo Generating Station also consumed about 11 billion gallons of water per year to provide power for the Central Arizona Project that pumps water from Lake Havasu into Arizona.

Native American tribes along the Colorado River were left out of the 1922 Colorado River Compact that divided water among the states, forcing tribes to negotiate settlements with the states for water. The Navajo negotiated water settlements with New Mexico and Utah in 2009 and 2020 respectively, but had not reached an agreement with Arizona in 2023.

On June 22, 2023, the US Supreme Court ruled in Arizona v. Navajo Nation that the federal government of the United States has no obligation to ensure that the Navajo Nation has access to water. The court ruled that the 1868 treaty establishing the Navajo Reservation reserved necessary water to accomplish the purpose of the Navajo Reservation but did not require the United States to take affirmative steps to secure water for the Tribe.

Additionally, environmental crises, such as the 2015 Gold King Mine waste water spill have had lasting impact on the Nation's access to clean water.

Economy

Number of sheep (Dibé) present on the Navajo Nation

The Navajo economy and culture have long been based on the raising of sheep and goats. Navajo families process the wool and sell it for cash or spin it into yarn and weave blankets and rugs for sale. The Navajo are also noted for their skill in creating turquoise and silver jewelry. Navajo artists have other traditional arts, such as sand painting, sculpture, and pottery.

Sheep remain an important aspect of Navajo culture and economy.

The Navajo Nation has created a mixture of industry and business that has provided the Navajo with alternative opportunities to traditional occupations. The Nation's median cash household income is around $20,000 per year. However, using federal standards, unemployment levels fluctuate between 40 and 45%. About 40% of families live below the federal poverty rate.

Economic development within the Navajo Nation has fluctuated over its history but has largely remained limited. One obstacle to investment has been the incompatibility of its two land management systems. Tribal lands are held in common and leased to individuals for specific purposes, such as home construction or for livestock grazing. Financial institutions outside of tribal lands require assets, including land, to be used as collateral when potential borrowers seek capital. Since individuals do not own the land outright, financial institutions have little recourse if borrowers' default on their loans. Additionally, the wide-ranging bureaucracy involving elements of the U.S. Department of Interior, the Bureau of Indian Affairs, and the tribal government has created a complex network that is cumbersome and time-consuming for investors and businesses to navigate.

Self-employed Navajo workers and Navajo entrepreneurs are often involved in the grey economy. For instance, artisans staff roadside shops and cater to American and international tourists, travelers passing through Navajo Nation, and to the Navajo people themselves. Other Navajo workers find employment in the nearby cities and towns of Page, Arizona; Flagstaff, Arizona; Farmington, New Mexico; Gallup, New Mexico; Cortez, Colorado; and other towns along the I-40 corridor. Commute times vary for these workers. Because of the remoteness of some Navajo communities, they can last up to several hours. Economic push-pull factors have led a sizeable portion of the workforce to temporarily or permanently relocate to these border towns or to large metropolitan areas further away, such as Phoenix, Arizona; Albuquerque, New Mexico; Los Angeles, California; Chicago, Illinois; Denver, Colorado; and Salt Lake City, Utah. With nearly half of all Navajo tribal members living off the reservation, it is more difficult for the tribe to build social capital there and to draw from those people's talents.

Navajo college students and graduates studying at universities in cities and towns outside the reservation may elect to stay there rather than relocate to the Navajo Nation because of the relative abundance of employment opportunities, connections with other classmates, and higher quality of life. This phenomenon contributes to human capital flight or "the brain drain", where highly skilled or highly educated individuals are attracted or pushed to a location with different or more economic opportunities. They are not incorporated into the community and local economy of origin.

The tribe has grown peaches (Prunus persica) since the 1700s. In the late 1800s the Bureau of Indian Affairs began to discourage traditional methods of peach growing. Wytsalucy (2019) genotyped some of the trees and distinguished them from those grown elsewhere. Wytsalucy's analysis illuminates the different course that Navajo breeding of peach has taken from peach breeding elsewhere.

Natural resources

Mining – especially of coal and uranium – provided significant income to both the Navajo Nation and individual Navajos in the second half of the 20th century. Many of these mines have closed. But in the early 21st century, mining still provides significant revenues to the tribe in terms of leases (51% of all tribal income in 2003). Navajos are among the 1,000 people employed in mining.

Coal

The volume of coal mined on the Navajo Nation land has declined in the early 21st century.

Peabody Energy's Black Mesa coal mine, a controversial strip mine, was shut down in December 2005 because of its adverse environmental impacts. It lost an appeal in January 2010 to reopen.

The Black Mesa mine fed the 1.5 GW Mohave Power Station at Laughlin, Nevada, via a slurry pipeline that used water from the Black Mesa aquifer. The nearby Kayenta Mine used the Black Mesa & Lake Powell Railroad to move coal to the former Navajo Generating Station (2.2 GW) at Page, Arizona. The Kayenta mine provided the majority of leased revenues for the tribe. The Kayenta mine also provided wages to those Navajo who were among its 400 employees.

The Chevron Corporation's P&M McKinley Mine was the first large-scale, surface coal mine in New Mexico when it opened in 1961. It closed in January 2010.

The Navajo Mine opened in 1963 near Fruitland, New Mexico, and employs about 350 people. It supplies sub-bituminous coal to the 2 GW Four Corners Power Plant via the isolated 13-mile Navajo Mine Railroad. Parts of the Navajo Nation, through the Navajo Transitional Energy Company, acquired the mine and three mines in Montana and Wyoming.

Uranium

The uranium market, which was active during and after the Second World War, slowed near the end of that period. The Navajo Nation has suffered considerable environmental contamination and health effects as a result of poor regulation of uranium mining in that period. As of 2005, the Navajo Nation has prohibited uranium mining altogether within its borders.

Oil and natural gas

There are developed and potential oil and gas fields on the Navajo Nation. The oldest and largest group of fields is in the Paradox Basin in the Four Corners area. Most of these fields are located in the Aneth Extension in Utah, but there are a few wells in Colorado, New Mexico and Arizona. The first well was drilled in the Aneth Extension in 1956. In 2006 the Paradox Basin fields were injected with water and carbon dioxide to increase declining production. There are also wells in the Checkerboard area in New Mexico that are on leased land owned by individual Navajo.

The selling of leases and oil royalties have changed over the years. The Aneth Extension was created from Public Domain lands as part of a 1933 exchange with the federal government for lands flooded by Lake Powell. Congress appointed Utah as trustee on behalf of Navajos living in San Juan County, Utah for any potential revenues that came from natural resources in the area. Utah initially created a 3-person committee to make leases, receive royalties and improve the living conditions for Utah Navajo. As the revenues and resulting expenditures increased, Utah created the 12-member Navajo Commission to do the operational work. The Navajo Nation and Bureau of Indian Affairs are also involved.

Several Navajo organizations deal with oil and gas. The Utah Diné Corporation is a nonprofit organization established to take over from the Navajo Commission. The Navajo Nation Oil and Gas Company owns and operates oil and natural gas interests, primarily in New Mexico, Colorado, and Utah. Federally incorporated, it is wholly owned by the Navajo Nation.

Renewables

In early 2008, the Navajo Nation and Houston-based International Piping Products entered into an agreement to monitor wind resources, with the potential to build a 500-megawatt wind farm some 50 miles (80 km) north of Flagstaff, Arizona. Known as the Navajo Wind Project, it is proposed as the second commercial wind farm in Arizona after Iberdrola's Dry Lake Wind Power Project between Holbrook and Overgaard-Heber. The project is to be built on Aubrey Cliffs in Coconino County, Arizona.

In December 2010, the President and Navajo Council approved a proposal by the Navajo Tribal Utility Authority (NTUA), an enterprise of the Navajo Nation, and Edison Mission Energy to develop an 85-megawatt wind project at Big Boquillas Ranch, which is owned by the Navajo Nation and is located 80 miles west of Flagstaff. The NTUA plans to develop this into a 200-megawatt capacity at peak. This has been planned as the first majority-owned native project; NTUS was to own 51%. An estimated 300–350 people will construct the facility; it will have 10 permanent jobs. In August 2011, the Salt River Project, an Arizona utility, was announced as the first utility customer. Permitting and negotiations involve tribal, federal, state and local stakeholders. The project is intended not only as a shift to renewable energy but to increase access for tribal members; an estimated 16,000 homes are without access to electricity.

The wind project has foundered because of a "long feud between Cameron [Chapter] and Window Rock [central government] over which company to back". Both companies pulled out. Negotiations with Clipper Windpower looked promising, but that company was put up for sale after the recession.

Parks and attractions

Narbona Pass Chuska Mountains
Aerial view looking south across Arizona's Painted Desert with part of the Navajo Reservation in the foreground

Tourism is important to the Navajo Nation. Parks and attractions within traditional Navajo lands include:

Navajo Tribal Parks

The Navajo Nation has four Tribal Parks, which bring tourists and revenue to the Tribe.

Navajo Nation Parks & Recreation also operates Tseyi Heritage Cottonwood Campground at Canyon de Chelly, Camp Asaayi at Bowl Canyon, and the Navajo Veterans Memorial Park.

Art and crafts

Navajo Women by Andy Tsihnahjinnie. Oil on fiberboard, 1934

An important small business group on the Navajo Nation is handmade arts and crafts industry. A survey conducted by the Arizona Hospitality Research & Resource Center reported that the Navajo nation made $20,428,039 from the art and crafts trade in 2011.

Since the introduction of sheep into the New World, Navajos have traditionally made use of either the vertical loom or the back strap loom (belt loom) to weave yarns. The early weaving practice was such that unprocessed wool was chiefly used to make blankets and which still retained its lanolin and suint (sweat), and which could repel water, on the one hand, but which left an unpleasant odor to the finished woolen product, on the other. Today, modern techniques have replaced the old, and wool is preprocessed and treated with an alkali substance. By 1900, the weaving of traditional Navajo blankets had been replaced by rug-making.

Diné Development Corp.

The Diné Development Corporation was formed in 2004 to promote Navajo business and seek viable business development to make use of casino revenues.

Media

Navajo Times

The Navajo Nation is served by various print media operations. The Navajo Times used to be published as the Navajo Times Today. Created by the Navajo Nation Council in 1959, it has been privatized. It continues to be the newspaper of record for the Navajo Nation. The Navajo Times is the largest Native American-owned newspaper company in the United States.

KTNN

Established as a Navajo Nation Enterprise in 1985, KTNN is a commercial radio station that provides information and entertainment, and is located on AM 660.

Other newspapers

Other newsprint groups also serve the Navajo Nation. The media outlets include the Navajo/Hopi Observer, serving Navajo, Hopi and towns of Winslow and Flagstaff, and the Navajo Post, a web-based with print outlet that serves urban Navajos from its offices at Tempe. Non-Navajo papers such as the Gallup Independent also serve Navajo audiences.

Operator (computer programming)

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