Behavioral Neuroscience Laboratory, University of South Santa Catarina, Tubarão, Santa Catarina, Brazil.
Postgraduate Program in Health Sciences, University of South Santa Catarina, Tubarão, Santa Catarina, Brazil.
J Racial Ethn Health Disparities. 2022 Jun;9(3):960-966. doi: 10.1007/s40615-021-01035-2. Epub 2021 Apr 12.
Due to social and geographical isolation, indigenous people are more vulnerable to adverse conditions; however, there is a lack of data on the epidemics' impact on these populations. Thus, this article's objective was to describe the epidemiological situation of COVID-19 in indigenous communities in Brazil.
This descriptive observational study was carried out in indigenous communities in the municipality of Amaturá (Amazonas, Brazil). Individuals from the Alto Rio Solimões Special Indigenous Sanitary District (DSEI) who met the Sars-Cov-2 infection case definitions during the period between January and August 2020 were included. For case notification, the definitions adopted by the Ministry of Health of Brazil and by the Special Secretariat for Indigenous Health were considered.
Out of the entire population served by the Alto Rio Solimões DSEI (n = 2890), 109 indigenous people were suspected of having been infected with Sars-Cov-R during the study period; a total of 89 cases were actually confirmed (rate: 3.08 cases/100,000 inhabitants). Most patients diagnosed with COVID-19 were female (56.2%), with a mean age of 32.4 (± 23.6) years. Predominant symptoms were fever (76.4%), dry cough (64%), and headache (60.7%). Complications occurred in 7.9% of the patients; no deaths were reported.
These results enhance the observation that indigenous populations, even if relatively isolated, are exposed to COVID-19. The disease cases assessed showed a favorable evolution, which does not mean reducing the need for caring of this population.
由于社会和地理隔离，原住民更容易受到不利条件的影响；然而，关于大流行对这些人群的影响的数据却很缺乏。因此，本文旨在描述巴西原住民社区的 COVID-19 流行病学情况。
这是一项在巴西阿马祖拉市（亚马逊州）原住民社区进行的描述性观察研究。该研究纳入了 2020 年 1 月至 8 月期间符合 Sars-Cov-2 感染病例定义的 Alto Rio Solimões 特殊原住民卫生区（DSEI）个体。为了进行病例通报，采用了巴西卫生部和原住民卫生特别秘书处采用的定义。
在 Alto Rio Solimões DSEI 服务的所有人群（n=2890）中，在研究期间有 109 名原住民疑似感染 Sars-Cov-R；实际上总共确诊了 89 例（发病率：3.08/100000 居民）。确诊的 COVID-19 患者大多数为女性（56.2%），平均年龄为 32.4（±23.6）岁。主要症状为发热（76.4%）、干咳（64%）和头痛（60.7%）。7.9%的患者出现并发症；无死亡报告。
这些结果表明，即使相对隔离，原住民人口也容易受到 COVID-19 的影响。评估的病例显示出有利的发展，这并不意味着降低对该人群的护理需求。
