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This report is a comprehensive, strategic assessment of the threat posed to Native American communities by drug trafficking organizations (DTOs), criminal groups, and gangs and the illicit drugs they distribute on reservations throughout the United States. This report examines the operations, capabilities, and vulnerabilities of drug traffickers who exploit Indian Country and the difficulties faced by federal, state, and tribal law enforcement officials in combating drug trafficking in Native American communities. It also identifies drug abuse patterns and trends most common to Indian Country, highlighting the illicit drugs posing the greatest threat to Native Americans in the United States. This assessment provides a national-level perspective of the drug-related problems facing reservations throughout the country. It also provides a more particularized regional perspective of the drug-related issues that law enforcement, public health, and tribal officials confront in Native American communities.

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