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This 2018 photo shows Idaho's largest cultural fair, the Shoshone-Bannock Indian Festival, on the Fort Hall Indian Reservation. This year's annual gathering was canceled as the coronavirus pandemic alters powwow season across the U.S. for a second year. (Mark Trahant/Indian Country Today via AP

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In this undated photo, provided by Paul Apfelbeck, community health aide Nicole Gregory, right, administers a COVID-19 vaccine to Virginia Johnston at the Yukon-Koyukuk Elder Assisted Living Facility in Galena, Alaska. Alaska's highest vaccination rates among those 16 or older have been in some of its remotest, hardest-to-access communities, where the toll of past flu or tuberculosis outbreaks hasn't been forgotten. (Paul Apfelbeck/Galena Interior Learning Academy via AP)