19th Interministerial Mission carries out more than 5K consultations at DSEI Alto Rio Solimões (AM)
Tabatinga (AM) - At 8 a.m. the first vans begin to arrive at the Umariaçu I Base Pole with indigenous people from neighboring villages to consult with pediatricians, gynecologists, infectologists, general practitioners, nurses and veterinarians who participate in the 19th Interministerial Mission to combat the COVID-19, which operated at the DSEI Alto Rio Solimões (AM) between December 8 and 13.
Little by little, the indigenous people go through the screening, where they weigh themselves, measure the blood pressure, body temperature and explain with which specialist they wish to consult. The Indigenous Health Multidisciplinary Team (EMSI) distributes facial masks and alcohol gel for hands to be sanitized.
During the six days of action, more than 5,6 thousand consultations were carried out by teams from the Ministry of Health, through the Special Indigenous Health Secretariat (SESAI), and the Ministry of Defense, through the Armed Forces, at the Umariaçu I, Umariaçu II, Campo Alegre, Vila Betânia and São Sebastião Base Poles.
It was to support the EMSI professionals and strengthen the health of the Sanitary District that the medical specialists of the Armed Forces were sent to the villages. With the consultations at the Base Poles, the indigenous people avoid moving 1,106 km from Tabatinga to Manaus to receive specialized assistance.
The comfort in receiving the professionals in the village itself animated the indigenous Nazaré Guedes. "We have been waiting a long time for this consultation with a gynecologist. Today I did the preventive and I am happy. That way I will know if I am well or not. If not, we will follow a treatment. We hope that this action always come back", she celebrated that one year ago she was waiting to do the Pap test.
Those who have locomotion difficulty and cannot go to the Base Poles are not left without assistance. A part of the EMSI and Armed Forces doctors move around the villages going from house to house to follow the progress of diabetic, hypertensive and wheelchair users.
These home patients are mostly elderly and often speak only the Ticuna language. Therefore, an Indigenous Health Agent (AIS) goes with the doctors to do the translation.
"I visit every day the elderly, hypertensive, pregnant women and children under 1 year. Many seniors do not speak Portuguese and I help to translate," explained the AIS Enete Araújo.
During the visits, the general practitioner Lieutenant Florian met “Seu Demétrio”, a 70-year-old who suffers from the sequels of a stroke and lives bedridden. " He was feeling a lot of back pain and burning to urinate, which are signs of urinary inection. I left the prescription of an antibiotic, which he can take at the post," he said.
All patients at the Base Poles have the right to take medications free of charge in internal pharmacies. Just show up with the medical request and ask the pharmacist. If the indigenous person does not understand what is written in the request, the AIS accompanies him and does the translation. For this action, 52 thousand items, among medicines and personal protective equipment (PPE) were delivered to the five Base Poles. At the end of the day, the patients return home with medications and guides for future exams.
Security and respect
All health and communication professionals who participated in the 19th Interministerial Mission conducted the COVID-19 (RT-PCR) and serological rapid test (IgG and IgM) tests. The teams only leave for the villages after all the results have turned negative.
Upon arrival at the airport of destination, luggage is disinfected with sanitary water jets so that any possible organism does not thrive. To arrive in the villages, the professionals still need to pass through a sanitary barrier of the Special Secretariat of Indigenous Health (SESAI) and National Indigenous Foundation (FUNAI).
Indigenous from the Security Guard are volunteers and supervise who enters and leaves the villages. All people need to be wearing masks so they do not take contamination to the indigenous lands.
"We are protecting our indigenous area and our community from contamination due to COVID-19 disease. You cannot go in without a mask," emphasized Moreno Leopoldo Ramos, the indigenous security guard.
The Umariaçu II chief, Trindade Bernaldino Fidelis, was informed of the action by the technical advisor of SESAI, Carlos Colares, and granted authorization for professionals to enter and work in the indigenous area. "Now I am satisfied because right here you have assistance. We came and we were assisted", he celebrated. Taking advantage of the occasion, the chief Trindade tested herself for COVID-19, which gave the negative result. All the actions of SESAI respect the local leaders and their cultures.