‘We hold you sacred’: how a mobile drug unit is fighting the opioid crisis in the Cherokee Nation

Led by Native people, an Oklahoma program provides life-saving supplies and addiction care to remote tribal areas

Twice a week, Coleman Cox drives a white sprinter van full of life-saving supplies along winding rural Oklahoma roads from Tahlequah, the capital of the Cherokee Nation, to Vinita, a town of 5,000 about 70 miles (113km) north. It's a hot spot for drug use in the northern part of the reservation.

Cox, who's 38, is the director of the Cherokee Nation harm reduction program, an evidence-based public health strategy designed to mitigate the adverse effects of drug use, such as infectious diseases, overdose and death. The mobile unit was launched in September 2023 to bring harm-reduction supplies to remote areas of the reservation. Vinita is its first distribution site.