Porto Velho DSEI prepares CASAI for isolation of patients with COVID-19
In the municipality of Guajará Mirim (RO), the Porto Velho Indigenous Special Sanitary District (DSEI) has structured an Indigenous Health House (CASAI) to receive patients with COVID-19 who need isolation. The site has an Indigenous Health Multidisciplinary Team (EMSI) available 24 hours to monitor the symptoms.
The Porto Velho DSEI serves a population of approximately 13,000 indigenous people. The Rapid Response Team (ERR) is visiting the villages in search of people with flu-like symptoms of COVID-19. Light cases are being isolated in the villages themselves in lodgings installed in schools and cultural centers. Moderate cases are being referred to CASAI where they are under observation. In case of emergency, EMSI should remove the patient to the medium or high complexity network of the municipal or state hospital.
The mental health care of indigenous patients with COVID-19 is also a concern of the Special Secretariat of Indigenous Health (SESAI) of the Ministry of Health. The technical guidelines on mental health were passed on by SESAI to the 34 Districts. The actions of Psychologists are important at this time of pandemic to avoid the depression that isolation can cause. "This service is done in person with a psychologist in CASAIS and remotely in villages that have Internet. This action aims to improve the quality of life and give the necessary support to patients," explains the coordinator of the Porto Velho DSEI, Luiz Tagliani.
The District is also supporting the National Indian Foundation (FUNAI) in the sanitation and delivery of food baskets to the villages. The goal of FUNAI is to provide basic food during this period of pandemic so that indigenous people can avoid leaving their communities to seek food in the cities.
The partnership between Municipality, State and Union is important for several health actions. The Porto Velho DSEI provided an ambulancha - a river boat - for emergency transport of indigenous and non-indigenous people from riverside communities. The partnership will also take the fight against malaria, whose disease is endemic in the Amazon region. Together with the municipal and state health departments, visits will be made to the villages to spray against the mosquito that transmits the disease, quick tests and medical treatment.