Indigenous Lands of Roraima receive 3.9 thousand medical services and 4 tons of medical supplies
The task force carried out services in specialties such as pediatrics, gynecology and infectology. Supplies and equipment such as masks, gloves, alcohol gel, tests and medicines was delivered.
The mission of reinforcement in the fight against Covid-19 in indigenous populations of the state of Roraima came to an end after five days of assistance in the villages Yanomami and Raposa Serra do Sol. Teams from the Ministry of Health, through the Special Secretariat of Indigenous Health (SESAI), the Ministry of Defense and the National Indian Foundation (FUNAI) brought medical care and supplies to communities in the border areas.
In total, 3,858 medical consultations were performed among the indigenous population during the action. Approximately four thousand tons of supplies were also delivered, including masks, gloves, tests for Covid-19, medicines, among others. The communities served were Auaris, Waikás, Surucucu, Maturuca, Ticoça and Flexal, which together have over 9,500 indigenous people served by the Yanomami and Leste Roraima Indigenous Special Health Districts (DSEI).
"The objective of this action was to strengthen the health care already provided by SESAI to indigenous communities during the pandemic. We took medicines to reinforce the stock of DSEIs and individual protection equipment to keep health professionals and the indigenous population protected from the circulation of the virus," said Indigenous Health Special Secretary Robson Santos da Silva. This is the fifth inter-ministerial mission to bring medical care and strengthen the fight against Covid-19 among the indigenous population.MEDICAL CARE
Of the 3,858 services performed in the region, 253 were provided in the Yanomami villages, among the specialties of pediatrics, gynecology, general practice and infectology. There were also 598 nursing procedures, among triages, exams and drug deliveries. In addition to the care with health professionals, all the Base Centers of Auaris, Waikás and Surucucu also received medical supplies.
In the indigenous land Raposa Terra do Sol, covered by the Leste Roraima DSEI, 1,548 services were provided, including pediatrics, gynecology, general practice and infectology. There were also 1,621 nursing procedures, among triages, exams and drug deliveries. The Maturuca and Flexal Base Centers also received supplies such as surgical masks, 70% alcohol, hospital apron, gloves, caps and facial protectors, in addition to rapid tests.
In all, 21 health professionals from the Armed Forces strengthened their service to the indigenous people of the region, working in partnership with the Indigenous Health Multidisciplinary Teams from the Ministry of Health. Currently, the region has 1,762 health professionals from SESAI providing Primary Care to Indigenous people in the villages, 725 of them at the DSEI Yanomami and 1,037 at the Leste Roraima DSEI. They are health and sanitation agents, endemic agents, doctors, pharmacists, nurses, psychologists, nutritionists, nursing technicians, among the professionals in the area.
As a safety measure for indigenous peoples, the entire mission team performed the RT-PCR (molecular) test for Covid-19. The shipment was only allowed with the negative result for the disease, after screening performed by health professionals.SUPPLIES
In total, 87,600 surgical masks were delivered; 1,400 units of alcohol 70%; 5,300 rapid tests; 1000 hospital aprons; 300 facial protectors; 87,600 caps; 400 overalls; 1,600 respiratory protection masks; 1000 gloves and 297,000 tablets of drugs such as prednisone and paracetamol.
In the DSEI Yanomami the indigenous population is approximately 28,000 people. There are two ethnic groups (Yanomami and Yekuana) and 366 villages in a territory of 96.6 thousand m². The local population has 78 Indigenous Health Basic Units (UBSI); 37 Base Centers and 1 Indigenous Health House (CASAI). In the Leste Roraima DSEI there are approximately 52 thousand indigenous people from seven ethnic groups in an area of 69.7 thousand km². There are 285 UBSI, 34 Base Centers and 1 CASAI assisting the indigenous population.FOOD BASKET DISTRIBUTION
The National Indian Foundation, responsible for the territorial, social and cultural protection of indigenous areas, sent 426 food baskets to six communities in the Yanomami and Raposa Serra do Sol indigenous lands this week alone. Nine thousand baskets, more than 200 tons of food, have already been delivered in the month of May. The goal is to provide basic food for the villages, since in this period of pandemic the recommendation to the indigenous people is not to leave their communities and not allow people who are not from the village to enter.
The delivery of baskets has the support of the Brazilian Army and the Ministry of Health/SESAI in the hygienization of the baskets and in the transportation of food.OTHER ACTIONS
Throughout the pandemic period, the Ministry of Health has developed strategies to improve care and one of the most recent is the creation of the Indigenous Primary Care Unit (UAPI). The units will strengthen the primary care services for indigenous health in the care of this population, providing the reception of suspected cases of Gripal Syndrome (GS) and early identification of cases of Covid-19. In addition, indigenous wards have been installed in hospitals in Manaus (AM) and Macapá (AP), Vale do Javari, Pará (Belém, Marabá, Santarém) and Roraima (Boa Vista).
A National Contingency Plan for Human Coronavirus Infection in Indigenous Peoples has also been drawn up, detailing how health teams should act in each case. The DSEI also prepared their respective District Contingency Plans for the different situations facing Covid-19, respecting the characteristics of each people and their specific needs. All this planning and advance study results in fast and efficient services directly executed in the villages.
In all cases, the DSEI teams have acted as planned and carried out the isolation of infected persons, suspected cases and the transfer to the state and municipal public network of patients requiring specialized support in hospitals. To this end, SESAI employs a large fleet of vehicles, boats and aircraft to safely take indigenous people to the nearest cities that provide the necessary care.
To provide rapid response in emergency situations, the Secretariat authorized the hiring of 34 rapid response teams to act on each DSEI. The teams, made up of doctors, nurses and nursing technicians, are available 24 hours a day to leave for Indian territory that may present a sudden increase in cases, thus reinforcing the work of the multidisciplinary Indian health teams that are already operating normally in the villages.
by Nicole Beraldo, Agência Saúde
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