Alto Rio Solimões DSEI implements 25 Indigenous Primary Care Units (UAPI) in Amazonas
The Alto Rio Solimões Indigenous Special Sanitary District (DSEI) is implementing 25 Indigenous Primary Care Units (UAPI) in the 13 Base Poles and 12 Indigenous Health Basic Units (UBSI) during this month of September. The UAPI provides shelter for suspected cases of Gripal Syndrome and early identification of cases of COVID-19 within the indigenous areas. All units will have oxygen therapy treatment to assist mild to moderate cases of COVID-19, which avoids the removal of patients to the city hospitals.
The DSEI has acquired 60 oxygen cylinders with flow meter, pressure regulators, catheters and masks for oxygen therapy. The organization Expedicionários da Saúde donated 53 air concentrators to complement the treatment at UAPI. In addition, the District has a river fleet prepared for the emergency and urgent removal of patients who need hospitalization in the hospital network of the cities. Ten ambulanchas - river ambulances - also equipped with oxygen were acquired, seven of which are already in use.
The UAPI equipment was transported by boat by the Indigenous Health Multidisciplinary Teams (EMSI) along the Solimões River and its tributaries. "Now the Base Pole will be able to treat patients with respiratory difficulty, which is one of the symptoms of COVID-19. This is very important, because some indigenous are not accepting the removal to the hospital, so we brought the oxygen therapy to the villages. The lethality rate is dropping, we are at 1.9% and this is possible thanks to the hard work of all the professionals at the Base Poles," says the coordinator of the DSEI Alto Rio Solimões, Weydson Pereira.
According to the coordinator, 95% of the access to the villages is fluvial, so the District concluded the delivery of a flying boat - a metal boat powered by outboard engine - to the 40 villages served by EMSI, during this month of August. The DSEI serves 240 villages and now all have boats at the disposal of the Indigenous Health Agents (AIS) to transport the population to the UBSI and Upper Solimões River Base Poles when necessary.
In addition to the infrastructure, the DSEI continues to work on the active search for Gripal Syndrome by touring the villages, taking guidance, doing tests for COVID-19 and monitoring confirmed cases. All the Base Poles and UBSI have a rapid test for COVID-19 available for the indigenous population.