When Abigail Echo-Hawk first started her job as director of the Urban Indian Health Institute, she felt compelled to open the bottom drawer of a file cabinet in the corner of her office. Among a dozen files inside, she noticed one labeled “Sexual Violence.” Echo-Hawk had stumbled upon a copy of questions from a 2010 survey, co-produced by the health institute and the Centers for Disease Control and Prevention, documenting experiences of sexual violence among Native-American women living in Seattle. The survey findings alone are shocking: 94 percent of the 148 women interviewed, all of whom identified as American Indian or Alaska Native, reported they had been raped or were coerced into sex at least once in their lives. And more than half the women — 53 percent — were homeless at the time they were surveyed. But also surprising was the fact the survey results had been kept under wraps for six years by the time Echo-Hawk discovered them in her desk in 2016.