Ciencia & saude coletivaPub Date : 2024-12-01Epub Date: 2024-06-03DOI: 10.1590/1413-812320242912.09392024
Angela Oliveira Casanova, Verônica Marchon-Silva, Martha Suárez-Mutis, Maria Luiza Silva Cunha, Michele Souza E Souza, Paulo César Peiter, Marcelly de Freitas Gomes, Marly Marques da Cruz
{"title":"Health surveillance among indigenous populations in the context of COVID-19: a scoping review.","authors":"Angela Oliveira Casanova, Verônica Marchon-Silva, Martha Suárez-Mutis, Maria Luiza Silva Cunha, Michele Souza E Souza, Paulo César Peiter, Marcelly de Freitas Gomes, Marly Marques da Cruz","doi":"10.1590/1413-812320242912.09392024","DOIUrl":"10.1590/1413-812320242912.09392024","url":null,"abstract":"<p><p>The study aimed to identify protection strategies used by Indigenous peoples during the COVID-19 pandemic. Analyzing 56 articles from 2020 to May 2021 across four areas -community organization, governance, communication, and territorial approaches - it found that structural vulnerabilities shaped their responses. The spread of the virus was influenced by environmental, social, and cultural factors. Indigenous groups employed diverse strategies like collective decision-making and traditional knowledge. Challenges included data suppression and barriers to ethnic identification. The study emphasizes the need for greater Indigenous autonomy in data management and effective coordination among government, civil society, and Indigenous organizations.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e09392024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-12-01Epub Date: 2024-06-19DOI: 10.1590/1413-812320242912.10262024
Victor André Martins de Miranda, Ana Boross Queiroga Belizario, Marcio Florentino Pereira
{"title":"Meeting of Knowledges: Critical Interculturality and Collective Health.","authors":"Victor André Martins de Miranda, Ana Boross Queiroga Belizario, Marcio Florentino Pereira","doi":"10.1590/1413-812320242912.10262024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.10262024","url":null,"abstract":"<p><p>The National Policy for the Care of Indigenous Peoples (NPCIP) faces an enormous challenge in operationalization regarding the training and qualification of health professionals to work in an intercultural context. In this article, we open a dialogue with the proposal of a Meeting of Knowledges (MK) as a teaching and learning strategy capable of promoting a critical intercultural education. We seek to reflect on the possible impact of MK in the health field for transforming the university environment, as well as healthcare for Indigenous communities, towards an entrenched, democratic, pluriepistemic, and transdisciplinary perspective.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e10262024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Outsiders at Medical School: Indigenous experiences in medical courses at Brazilian federal universities.","authors":"Willian Fernandes Luna, Mariana Paladino, Eliana Goldfarb Cyrino","doi":"10.1590/1413-812320242912.14582023","DOIUrl":"https://doi.org/10.1590/1413-812320242912.14582023","url":null,"abstract":"<p><p>In recent decades, affirmative actions have enabled Indigenous people to access medical school, historically occupied by white people with high family incomes. This research analyzed experiences of otherness by Indigenous people in federal medical schools. This qualitative, exploratory study adopted interviews and conversation circles, with the participation of 40 students from 15 courses. We established four categories of analysis: encounter between \"strangers\" and the medical school; differences and inequalities; relationships with students and teachers; and conflicts and transformations. We noticed that medical schools are unwelcoming to Indigenous people, with racism, intolerance, and tutelage, when their differences become inequalities, resulting from structural processes in these Brazilian institutions. The Indigenous presence in medical courses reveals social inequalities, causes conflicts, and initial transformations, pointing out paths for plurality and social justice, and possibilities for medical education with visibility and actions for the health of Indigenous peoples.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e14582023"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-12-01Epub Date: 2024-04-18DOI: 10.1590/1413-812320242912.06462024
Alexandra De Pinho, Débora F Calheiros, Fernanda S Almeida, Patrícia Zerlotti, Mariana Cereali, Alberto Feiden, Franciele F Machado, Renato Zanella
{"title":"Pesticides and violations of human rights to health and food sovereignty in Guarani Kaiowá communities in MS, Brazil.","authors":"Alexandra De Pinho, Débora F Calheiros, Fernanda S Almeida, Patrícia Zerlotti, Mariana Cereali, Alberto Feiden, Franciele F Machado, Renato Zanella","doi":"10.1590/1413-812320242912.06462024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.06462024","url":null,"abstract":"<p><p>Brazil, one of the world's largest agricultural producers and consumers of pesticides, has expanded its agricultural area in the southern region of Mato Grosso do Sul, intensifying environmental contamination and increasing the vulnerability of indigenous populations. This research assessed the presence of pesticides in the waters of two indigenous communities in MS, Retomada Guyraroká and Aldeia Jaguapiru. Between 2021 and 2022, three sampling campaigns of surface, supply, and rainwater were conducted, considering the agricultural calendar. The study followed the LARP/UFSM protocol. In total of 22 active ingredients (AIs) were found, among these, 41% cause serious health effects, and 68% are banned in the European Union. Fipronil, 2,4-D, Atrazine are the among the most frequent IA found. Results show that these communities are exposed to pesticides, violating their rights to health and food sovereignty.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e06462024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-12-01Epub Date: 2024-05-21DOI: 10.1590/1413-812320242912.08532024
Adriana Romano Athila
{"title":"The indigenous \"Bolsa Família\" (Family Allowance): monetarization, income redistribution, and the social life of the Rikbaktsa, Brazilian Amazon.","authors":"Adriana Romano Athila","doi":"10.1590/1413-812320242912.08532024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.08532024","url":null,"abstract":"<p><p>Primarily since the early 2000s, Indigenous peoples in Brazil have become beneficiaries of social security and income transfer policies, such as the program known as Bolsa Família (Family Allowance). Few field studies have evaluated the magnitude and significance of monetarization in Indigenous social lives and economies. To this end, between 2019 and 2020, the present work conducted an ethnographic study and survey in two villages of the Rikbaktsa people in the Brazilian Amazon. The quantitative results showed the social dissemination of money from governmental Programs and other activities, producing marked income classes. Important transactions were not captured, considered as \"helps\" that could not be denied by those with a given amount of money. Like an Indigenous \"Bolsa Família\", hybrid resources were redistributed in a heated-up village market, counteracting socioeconomic differences and unequal conditions. The discussion takes place in a globally unfavorable sociopolitical context that exacerbates historical inequalities expressed in the living and health conditions of Indigenous peoples. This research contributes to the production of data and the proposal of culturally sensitive methodologies to estimate and enable the governance of public policies for/by Indigenous people, which are recommended to reverse these inequities.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e08532024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-12-01Epub Date: 2024-06-19DOI: 10.1590/1413-812320242912.10332024
Ricardo Weibe Tapeba, Ana Lucia de Moura Pontes, Ricardo Ventura Santos, Diádiney Helena de Almeida, Luiza Garnelo
{"title":"\"From the territorial grounds\": an interview with Weibe Tapeba, secretary of Indigenous Health at the Ministry of Health.","authors":"Ricardo Weibe Tapeba, Ana Lucia de Moura Pontes, Ricardo Ventura Santos, Diádiney Helena de Almeida, Luiza Garnelo","doi":"10.1590/1413-812320242912.10332024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.10332024","url":null,"abstract":"<p><p>In this interview, Weibe Tapeba, secretary of Indigenous Health at the Ministry of Health in the Lula Government, discusses the process of reorganizing the Secretariat of Indigenous Health (SESAI) and Indigenous protagonism in the new administration. Among the points highlighted by the interviewee are the assessment of the Indigenous health scenario within the current political context of the Ministry of Health, dialogues with Indigenous movement organizations, as well as collaboration with research and educational institutions. The interview highlights the importance of developing strategies aimed at restructuring SESAI and improving Indigenous health public policy in Brazil through extensive coordination, involving planning, management, funding, and Indigenous social participation with Social Control. The secretary emphasizes the need for political cooperation within the federal government to promote the development of a policy of \"comprehensive care in Indigenous territories,\" arguing that the concept of primary health care needs to be expanded to ensure that the principles of SUS are effectively guaranteed to Indigenous peoples in Brazil.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e10332024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-12-01Epub Date: 2024-04-26DOI: 10.1590/1413-812320242912.07012024
Marcela Alves Abrunhosa, Felipe Rangel de Souza Machado, Ana Lúcia de Moura Pontes, Ricardo Ventura Santos
{"title":"First Indigenous Health Forum: Construction and spreading of the Indigenous Health Agenda in the 1990s.","authors":"Marcela Alves Abrunhosa, Felipe Rangel de Souza Machado, Ana Lúcia de Moura Pontes, Ricardo Ventura Santos","doi":"10.1590/1413-812320242912.07012024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.07012024","url":null,"abstract":"<p><p>The Indigenous Health Conferences (IHC) have been the political spaces for expressing and consolidating ideas and proposals. However, in 1993, the \"First Indigenous Health Forum\" was held a few months before the second IHC. With a historical approach, this paper aimed to understand the organization and impacts of this Forum in the construction of Brazilian Indigenous Health policies during the 1990s. We analyzed an unpublished set of documents organized as a Dossier by Dr. István Varga and deposited in the University of São Paulo's library. We discuss that a strong connection with the First Indigenous Health Forum was established between the first and second IHC. The argumentative structures and proposals formulated in the First Indigenous Health Forum were reinforced during the subsequent events culminating in the Second IHC.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e07012024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-12-01Epub Date: 2024-04-09DOI: 10.1590/1413-812320242912.06082024
Douglas A Rodrigues, Vanessa Moreira Haquim, Lalucha Mazzucchetti, Pablo Natanael Lemos, Sofia Beatriz Machado de Mendonça
{"title":"Xingu Indigenous Territory: nutritional and metabolic profile of indigenous people evaluated between 2017 and 2019.","authors":"Douglas A Rodrigues, Vanessa Moreira Haquim, Lalucha Mazzucchetti, Pablo Natanael Lemos, Sofia Beatriz Machado de Mendonça","doi":"10.1590/1413-812320242912.06082024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.06082024","url":null,"abstract":"<p><p>The study evaluates the nutritional and metabolic profile of the adult population of the Xingu Indigenous Territory by gender and base hub. It was developed in 18 villages from 2017 to 2019. Anthropometry and clinical, physical examinations were conducted in loco in individuals over 18. A total of 1,598 Indigenous people were evaluated, with a mean age of 36.7 years. Of these, 50.6% were male, 53.2% lived in the Leonardo Base hub, 22.7% in Diauarum, 12.3% in Pavuru and 11.8% in Wawi. Women had a higher prevalence (p < 0.05) than men, respectively, of underweight (2.0% vs. 0.1%), normal weight (46.1% vs. 37.4%), central obesity (63.4% vs. 21 .8%), low HDL cholesterol (77.7% vs. 72.9%) and Metabolic Syndrome (29.0% vs. 23.5%). In comparison, men had a higher prevalence (p < 0.05) than women, respectively, of overweight (46.3% vs. 37.5%), high triglycerides (34.5% vs. 28.2%) and high blood pressure levels (13.1% vs. 8.6%). The Leonardo and Wawi base hubs had the worst nutritional and cardiometabolic results. Overall, subjects had a high frequency of noncommunicable diseases and cardiometabolic risk. Urgent measures need to be taken to control this situation.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e06082024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-12-01Epub Date: 2024-06-27DOI: 10.1590/1413-812320242912.11072024
Felipe Guimarães Tavares, José Rodolfo Mendonça de Lucena, Andrey Moreira Cardoso
{"title":"Excess weight and associated factors among Xavante Indigenous adults, Central Brazil.","authors":"Felipe Guimarães Tavares, José Rodolfo Mendonça de Lucena, Andrey Moreira Cardoso","doi":"10.1590/1413-812320242912.11072024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.11072024","url":null,"abstract":"<p><p>Considered an important public health problem among Indigenous peoples in Brazil, obesity is a risk factor for Noncommunicable Diseases (NCDs) and conditions. The present study aimed to describe the occurrence of excess weight, obesity, and associated factors in Xavante Indigenous adults, through a nutritional survey carried out in the population ≥ 15 years of age living in the Pimentel Barbosa and Wedezé Indigenous Lands, Mato Grosso, Central Brazil, during the period of June to August 2011. Eight of the 10 villages in the territory were investigated. Anthropometric, bioimpedance and socioeconomic data were collected. This study counted on 495 participants, corresponding to 94.1% of the target population. The prevalence of overweight and obesity was 65.9% (male: 63.2%; female: 68.6%) and 19.8% (male: 21.3%; female: 18.2%), respectively. In the multiple regression model, the prevalence of excess weight was higher among women, in higher age groups and education levels, in individuals living in group 2 of the villages, and in households with low consumption of farmed foods. An increase in the age group aged 20 to 49 years and in individuals living in households with a low consumption of food from hunting, fishing, and gathering presented the highest prevalence of obesity.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e11072024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-12-01Epub Date: 2024-06-03DOI: 10.1590/1413-812320242912.09412024
Ângela Oliveira Casanova, Verônica Marchon-Silva, Ana Cristina Reis, Marcelly de Freitas Gomes, Bruna Campos De Cesaro, Rafaela Barros Chagas de Souza, Maria Luiza Silva Cunha, Marly Marques da Cruz
{"title":"Government and community strategies in Pernambuco, Brazil, to face COVID-19.","authors":"Ângela Oliveira Casanova, Verônica Marchon-Silva, Ana Cristina Reis, Marcelly de Freitas Gomes, Bruna Campos De Cesaro, Rafaela Barros Chagas de Souza, Maria Luiza Silva Cunha, Marly Marques da Cruz","doi":"10.1590/1413-812320242912.09412024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.09412024","url":null,"abstract":"<p><p>This case study analyzed arrangements and strategies of the network actors in the Special Indigenous Sanitary District (DSEI) Pernambuco's territory to guarantee the right to health of Indigenous populations during the COVID-19 pandemic. This work was carried out through document analysis, workshops, and field research. The Contingency Plan for COVID-19 in Indigenous Peoples of DSEI Pernambuco included surveillance actions, laboratory and pharmaceutical assistance, communication, and management. With the modeling of this document, it was noticed that actions aimed at local specificities were not integrated: in its initial design, at the national level, the voice of Indigenous leaders was not heard when formulating this plan. By contrast, the actions of these leaders and their mobilization to mitigate the effects of the pandemic on the Indigenous population stands out. Contextual factors were cited as facilitators and obstacles to the plan's implementation; the local sociotechnical network mapping also made it possible to identify strategic actors and actants in the face of the COVID-19 pandemic and verify their performance or ineffectiveness. The findings of this study reflect recurrent problems in the organization of the Indigenous health system.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e09412024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}