This report by the Women’s Earth Alliance and Native Youth Sexual Health Network examines case studies from across Indigenous lands of the United States and Canada, including the Dine/Navajo Nation, Lubicon Lake Nation, Grassy Narrows First Nation, Ohkey Owingeh Pueblo, the Akwesasne Mohawk Nation, and others – asking why and how Indigenous women in frontline communities are being impacted by intense environmental racism, and sexual and gendered violence due to expansion of extractive and toxic industries in their homelands. It also examines community-based strategies being implemented to resist impacts to health, safety and the land. Photo credit: WEA