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巴西原住民人口中 COVID-19 大流行的演变。

COVID-19 pandemic evolution in the Brazilian Indigenous population.

机构信息

Laboratory of Cell and Molecular Tumor Biology and Bioactive Compounds, São Francisco University, Avenida São Francisco de Assis, 218. Jardim São José, Bragança Paulista, São Paulo, 12916-900, Brazil.

Laboratory of Human and Medical Genetics, São Francisco University, Avenida São Francisco de Assis, 218. Jardim São José, Bragança Paulista, São Paulo, 12916-900, Brazil.

出版信息

J Racial Ethn Health Disparities. 2022 Jun;9(3):921-937. doi: 10.1007/s40615-021-01031-6. Epub 2021 Mar 29.

Abstract

INTRODUCTION

The COVID-19 pandemic has affected several neglected populations such as the Indigenous peoples, which have suffered a high impact from the pandemic.

OBJECTIVES

To analyze the impact on the health and disease process according to the COVID-19 evolution in the Brazilian Indigenous population.

METHODS

Data was collected from press releases by the Health Ministry and a descriptive analysis of the numbers of Indigenous individuals infected with the SARS-CoV-2 in Brazil was carried out.

RESULTS

In February 2021, there were 41,855 confirmed cases of Indigenous individuals infected by the SARS-CoV-2, including 4,387 active cases, 36,809 recovered cases, and 549 deaths. The Brazilian Indigenous population is distributed in over 300 ethnic groups and, due to the high number of deaths by the COVID-19, many of these groups are endangered. The elderly are the most affected age group, and they play a fundamental role among the Indigenous population for transmitting their customs mainly orally. Indigenous populations do not have proper access to transport to specialized health centers, since many areas are inaccessible and other cases require air or river transportation, which many times results in late assistance. When managing the COVID-19, it is important to emphasize the need for social isolation to prevent the virus from spreading among the Indigenous groups, mainly due to their contact with other ethnic groups represented by missionaries, hunters, and wood explorers, among others.

CONCLUSION

The adoption of practices that can reduce the virus transmission among the Indigenous population and provide them with better access to treatment, mainly for the elderly, must be prioritized in Brazil.

摘要

引言

COVID-19 大流行影响了一些被忽视的人群,如原住民,他们受到大流行的严重影响。

目的

分析巴西原住民人口中 COVID-19 演变对健康和疾病进程的影响。

方法

从卫生部发布的新闻稿中收集数据,并对巴西感染 SARS-CoV-2 的原住民个体数量进行描述性分析。

结果

2021 年 2 月,巴西有 41855 例确诊的原住民感染 SARS-CoV-2,包括 4387 例活跃病例、36809 例康复病例和 549 例死亡病例。巴西原住民人口分布在 300 多个族群中,由于 COVID-19 死亡人数众多,许多族群濒临灭绝。老年人是受影响最大的年龄组,他们在原住民中发挥着重要作用,主要通过口头传承他们的习俗。原住民无法获得前往专门医疗中心的适当交通服务,因为许多地区难以到达,其他病例则需要空运或河运,这往往导致援助延迟。在管理 COVID-19 时,必须强调社会隔离的必要性,以防止病毒在原住民群体中传播,这主要是因为他们与传教士、猎人、木材勘探者等代表其他族群的人接触。

结论

巴西必须优先采取措施,减少原住民人群中病毒的传播,并为他们提供更好的治疗机会,特别是针对老年人。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acdc/8006870/1bfc87444ac8/40615_2021_1031_Fig1_HTML.jpg

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