From a distance, the small group lying on the sidewalk outside the city market could be confused with hundreds of homeless people spread through Boa Vista.

But they are Yanomami, an Indigenous people from the Amazon rainforest who traditionally live in relative isolation. Years of neglect during the previous government of far-right President Jair Bolsonaro led to a health crisis that got worse while illegal gold miners swarmed into their territory. Dozens of Yanomami ended up roaming in the region’s largest city.

The eldest ones in a group living in Boa Vista’s food market are a couple — Oma Yanomami, 46, and Bonita Yanomami, 35. Both are from the Koroasipiitheri community, only accessible by air. In September, they were medivaced to Boa Vista to accompany their 3-year-old son, who was ill with malaria.

Initially, they stayed in the Indigenous Health House known as Casai, a federal facility on the outskirts of Boa Vista, a sprawling city of 440,000 people and capital of Roraima state. But in the first few days, the family left the facility and began living on the streets.

“It was too crowded,” Oma Yanomami told The Associated Press Thursday in broken Portuguese while sitting on the dirty sidewalk. Beside him, his wife was asleep despite the heavy car traffic nearby. Both had sustained bruises and appeared in poor health.