Hundreds of delegates are arriving at the United Nations this week for the world鈥檚 largest gathering of Indigenous peoples. But they arrive against an increasingly hostile global backdrop, facing an artificial intelligence boom driving new extraction on ancestral lands, a U.S. administration that has made it increasingly difficult for Global South delegates to secure visas to attend, and the twin challenges of climate change and green energy projects that have frequently run afoul of Indigenous land rights.
This year鈥檚 United Nations Permanent Forum on Indigenous Issues is focused on the grim topic of survival in the midst of war, with its official theme 鈥淓nsuring Indigenous Peoples鈥� health, including in the context of conflict.鈥� Experts emphasize that Indigenous peoples already face health inequities from colonialism and climate change, and these harms are compounded by armed conflicts and militarization that risk ecological degradation and further displacement of Indigenous peoples from their lands. Experts say that health for Indigenous peoples is directly tied to the environment, land, and sovereignty, and can鈥檛 be siloed into clinical discussions about medicine or public health. Warfare isn鈥檛 the only concern 鈥� advocates are seeing the extraction of critical minerals for the green transition drive Indigenous rights violations, and are echoing a long-standing call to make climate financing directly available to their communities, instead of through state or foreign intermediaries.
But before diplomatic conversations can even begin, many delegates must confront the practical barrier of visa restrictions put in place by the Trump Administration. Mariana Kiimi Ortiz Flores, who is Na 脩uu Savi from Mexico and works as an advocacy assistant at Cultural Survival, said last year, her organization prepared Indigenous representatives from Africa to attend the forum, but their visa applications were denied, and this year, one of their Indigenous staff members from South America was denied her visa as well.
鈥淚t鈥檚 getting harder and harder to access the United States, not only because of the visa (issues),鈥� said Flores. 鈥淧eople from the Global South, especially Indigenous peoples that have a certain look like brown skin and certain characteristics, we feel threatened because of the general climate of insecurity and hate speech against Latin people and Indigenous peoples.鈥�
Last year, Flores鈥� organization helped Indigenous leaders from Bolivia attend the forum to protest mining in their traditional lands. They left the forum after being harassed by the leader of a political party in Bolivia, and, coupled with health issues, have decided not to return. 鈥淭he forum is meant to be for Indigenous peoples, but we really felt that that鈥檚 not what鈥檚 happening anymore and that at the end of the day the states are the ones who have more power over our lives,鈥� Flores said. 鈥淭his struggle of defending their land against this extractive industry is really affecting them not only physically but also mentally, spiritually.鈥�
That comprehensive toll is one of the central focuses of a key report by Geoffrey Roth, a Standing Rock Sioux descendant, former vice chair of the Permanent Forum, and board chair of the Indigenous Determinants of Health Alliance, an international Indigenous health advocacy nonprofit. 鈥淵ou can鈥檛 separate human health from the health of the environment, or our culture, or our language,鈥� Roth said. 鈥淚ndigenous people view health from a holistic perspective.鈥�
In his report, Roth outlines the Indigenous determinants of health, ranging from land tenure and governance authority that strengthen Indigenous well-being to risk indicators like land dispossession and exclusion from decision-making. Roth argues that fragmented approaches to Indigenous health frequently embraced by the U.N. system and state governments fail to adequately address health problems and underlying causes.
For example, biodiversity policies that ignore Indigenous rights miss opportunities to restore Indigenous land tenure that can both improve ecosystem outcomes and strengthen access to traditional foods. Mental health interventions that ignore state-sanctioned Indigenous language erasure overlook the potential to improve Indigenous mental well-being through language revitalization. 鈥淚ndigenous health is not just about healthcare, it鈥檚 about land, culture, food systems, and community,鈥� Roth said.
The Coquille Indian Tribe in Oregon adopted the Indigenous determinants of health by ordinance last year, and Roth has been working with them as chairman of their executive health board to incorporate the determinants of health across their agencies. 鈥淭hey understand that when they take elders out on a monthly basis to do fishing activities, that is health for those elders,鈥� he said. 鈥淚t鈥檚 continuing their tradition as Coquille people, and it improves the mental health, behavioral health of those elders that are able to participate in that, let alone the food they catch.鈥�
Roth also calls on the U.N. to recognize the value of Indigenous midwifery, which has been frequently banned in favor of Western practices, forcing Indigenous women into conventional institutions where they often face racism and 鈥渙bstetric violence,鈥� such as procedures performed without their consent. 鈥淚ndigenous people have been doing this for thousands of years, not only midwifery, but also caring for the environment and caring for our culture and preserving these food systems,鈥� he said.
In another report to UNPFII, former Permanent Forum chair Hindou Oumarou Ibrahim, who is Indigenous Mbororo from Chad, warns that AI acts as a double-edged sword for Indigenous communities. While she urges governments to help Indigenous peoples develop AI tools to revitalize endangered languages and monitor their territories, she also warns of a looming era of digital extractivism as generative AI systems and tech companies actively scrape cultural content, such as medicinal knowledge, traditional stories, and even genetic data.
Lydia Jennings, citizen of the Pascua Yaqui Tribe (Yoeme) and Huichol (Wix谩ritari), is an assistant professor of environmental studies at Dartmouth College. She said her advocacy for Indigenous data sovereignty 鈥� the movement ensuring communities retain the right to own and control their own data 鈥� began after a troubling discovery. She noticed a mining company had pulled information about Indigenous cultural practices from an environmental impact statement and was using it on its website to promote a mining project. 鈥淭hat was very alarming to me,鈥� she said. 鈥淗ow much information do we share in efforts to protect our sacred homelands? And what are the ways that we can govern how and who uses that data?鈥�
Like Ibrahim, she says AI can be an opportunity for tribes, noting some might be interested in hosting data centers or using AI to help with language preservation or synthesizing information. However, she remains wary of how much Indigenous data AI systems may be co-opting without consent, as well as the severe risks that massive data centers pose to tribal lands and water resources. 鈥淲ho has the power and how do we redistribute that power?鈥� she asked. 鈥淚t can be a tool to power and a tool to harm, but how do we choose to wield it?鈥�
Jennings said there鈥檚 a growing movement to incorporate best practices of Indigenous data sovereignty on multiple levels, ranging from academic research to national and international policies.
Another focus of this year鈥檚 Permanent Forum is the climate crisis. In a February report focusing on nomadic peoples, experts warned that rigid state borders and exclusionary 鈥渇ortress conservation鈥� models are curbing the traditional mobility of pastoralists, hunter-gatherers, and seafarers, even as they deal with the fallout of both climate change and increasing lack of access to ancestral lands and waters.
The authors argue that mobility is a deliberate, knowledge-based climate adaptation strategy that state policymakers are actively erasing, citing an example of the Tuareg people in the Sahara Desert. 鈥淲hile the desert knows no borders, contemporary militarized frontiers increasingly restrict ancestral routes and undermine pastoral systems and access to services, rendering these lived realities of Indigenous Peoples invisible in official data and policy frameworks,鈥� the authors describe.
That echoes sentiments expressed by Samante Anne, who is Indigenous Maasai from Kenya and recently spoke at a virtual panel on pastoralists鈥� legal rights on behalf of the Mainyoito Pastoralists Integrated Development Organization. Anne said although 60 percent of land in Kenya is considered communal, land is increasingly being subdivided for developments and claimed for carbon offset projects that limit pastoralists鈥� access to land and movement.
鈥淢obility has everything to do with us adapting to climate change,鈥� Anne said. 鈥淢obility has everything to do with ensuring our livelihoods are secure, our food security is good.鈥�
Making progress on Indigenous health, artificial intelligence, and territorial rights is complicated by a persistent trend within the U.N.: lumping Indigenous peoples together with 鈥渓ocal communities.鈥� In official policies and initiatives, the two groups are frequently merged under the acronym 鈥淚PLCs鈥濃�擨ndigenous Peoples and Local Communities. But while local communities represent a broad category of stakeholders, Indigenous peoples hold distinct, legally recognized rights under international law. Roth from the Indigenous Determinants of Health Alliance said he recently confronted this issue at the World Health Organization when the agency categorized an Indigenous initiative merely as an 鈥渆quity鈥� issue.
鈥淭his is not an equity issue,鈥� Roth said he told the agency. 鈥淲e are not just another one of your minority populations. We are rights holders, and this needs to be approached from a rights-based approach.鈥�
鈥淐onflating us with other populations really diminishes our rights and diminishes our ability to maintain our health in our communities,鈥� Roth said. This grouping also actively hinders participation, Roth said, pointing to the U.N. Convention on Biological Diversity鈥檚 IPLC working group as an example.
鈥淚鈥檝e tried to participate in that group several times, and as an Indigenous person, I don鈥檛 feel welcome and I鈥檓 not able to participate,鈥� he said. 鈥淭hese (IPLC) institutions are a way to lessen or dilute the voice of Indigenous peoples in these global mechanisms, and that, to me, is unacceptable.鈥�
He is far from the only one who feels that way. In 2023, the U.N.鈥檚 three top Indigenous rights bodies 鈥� the Permanent Forum, the Special Rapporteur on the Rights of Indigenous Peoples, and the Expert Mechanism on the Rights of Indigenous Peoples 鈥� issued a joint statement demanding that U.N. environmental treaties stop using the IPLC acronym entirely. 鈥淚ndigenous Peoples should not be grouped with an undefined set of communities that may have very different rights and interests,鈥� they wrote.
For advocates on the ground, that debate is just one part of a growing disillusionment with the U.N. system itself. Cultural Survival鈥檚 Mariana Kiimi Ortiz Flores said that the institution has suffered from a willingness by member states to simply disregard its laws.
鈥淭he United Nations as an international institution has been losing its influence and its power,鈥� said Flores. But despite its bureaucratic hurdles, visa denials, and geopolitical hostility, she said she鈥檚 among the many Indigenous peoples determined to show up this week.
鈥淚f we as Indigenous peoples don鈥檛 do it,鈥� said Flores, 鈥淣o one else will speak for us and defend us.鈥�
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