Immokalee, Florida, known as America’s tomato capital, sits on the eastern side of Collier County in Southwest Florida. It’s home to about 25,000 farmworkers, most of whom are Latino and Haitian immigrants. Immokalee has an extremely high rate of poverty, and its farmworkers often live with 10 to 12 people in single-wide trailer homes.

In May, there were 44 positive cases of Covid-19 in Immokalee. Now, just a month later, there are 870.

Physician and medical anthropologist Dr. Seth Holmes has performed dozens of tests in Immokalee and said that roughly half of them have been positive. According to Holmes, agricultural workers in Immokalee may have one of the highest rates of Coronavirus infection globally.  

Holmes left California, where he teaches at the University of California, Berkeley, about a month ago to volunteer in Immokalee. He’s worked with migrant communities for the bulk of his career. He wrote the book “Fresh Fruit, Broken Bodies” on how market forces, anti-immigrant sentiment, and racism affect the health and healthcare of migrant farmworkers.  

Farmworkers were deemed essential workers by the federal government in its response to COVID-19. Still, their crowded living and working conditions combined with a lack of health services have made it nearly impossible for them to protect themselves from the pandemic in Immokalee and beyond. America’s farmworkers are risking their lives to feed us. 

Collier County also happens to be home to one of the wealthiest communities in the country according to a Bloomberg analysis. The gulf side Port Royal area in Naples is awash with multimillion-dollar mansions, one of which is owned by Senator Rick Scott, a Florida Republican. According to a study by the Keystone Research Center it’s the most unequal metro in Florida, ranking third in income inequality in the country. 

Doctors Without Borders visited Immokalee at the end of April as part of their global response to COVID-19 for vulnerable populations. They soon realized that efforts to contain and test for the virus were severely lacking. Testing kits distributed from the state and county were scarce, leading to canceled pop-up clinics and sporadic testing. Farmworkers said that they were often left wondering when and where testing would be available. 

Testing in Immokalee was finally expanded to three days a week by the Collier Department of Health (DOH) on May 31. By contrast, drive-thru testing has been available daily in surrounding municipalities since early May.  

“We have had to beg for everything we’ve received, and it’s not enough,” said Lupe Gonzalo, a senior staff member with the Coalition of Immokalee Workers (CIW), a worker-based human rights organization. Gonzalo has lived in the community for 20 years and picked tomatoes in Immokalee’s fields for 12. 

Experts and community members fear that the slow trickle of resources allocated to Immokalee isn’t sufficient as positive cases surge. 

“Someone who I had tested told me that everyone in his family had tested positive and that it was because he had been exposed to someone at work,” Holmes said. “Four of his family members are in the hospital in Naples, and his uncle who’s in his mid-30s just died.” Holmes added that most people in Immokalee know someone who has gotten sick or died from COVID-19.  

Florida Governor Ron DeSantis was criticized for being slow to enact stay-at-home orders when compared to other states, and Florida is among the first to reopen its economy. The CIW made urgent pleas to DeSantis in the early days of the pandemic, emphasizing the need for a field hospital so that those infected could isolate and receive adequate medical care. Most of the town’s farmworkers can’t afford to own a vehicle, and there is no access to public transportation to the closest hospital, which is nearly an hour away in Naples. 

The community never received a field hospital or anyplace to isolate in town, but the county DOH said that patients can isolate for free in a Naples hotel “if determined they cannot safely isolate in their home.” The county also claimed that they have agreements with transportation companies to take them to and from the hotel. 

“The DOH has been saying for a while that hotels in Naples are an option for Immokalee residents that need to self-isolate, and they’ve offered to help with transportation. But they’ve only given us vague statements about handling it on a ‘case-by-case’ basis,” a spokesperson for the CIW said. 

Collier County has claimed that it’s doing contact tracing, but farmworkers who have tested positive for the virus said they haven’t seen any signs of the practice.

“We know that contact tracing is essential to quelling a pandemic,” Holmes said. “What I hear from farmworkers I’ve met, is that when they get a call that tells them they’re positive, they’re not asked any contact tracing questions. Several of them have said that they’re not given any information about what they should do.” 

Holmes said that he offered to do free contact tracing for the county at the beginning of May, but that he has yet to hear back from the county.  “I think the people of Immokalee have a sense that they aren’t a priority,” Holmes said.

Past crises have highlighted similar inequities in this Florida county. For instance, Immokalee was among the hardest hit by Hurricane Irma in Southwest Florida. As aid was rushed to nearby coastal zones, Immokalee was left to fend for itself. Stagnant water inundated entire neighborhoods, several were without homes and most were left without power for more than two weeks. Similar patterns are repeating themselves now.

“If you want to focus on the economy and focus on reopening, you have to focus on the people that make Florida’s agricultural economy function,” Holmes said.