Indigenous Vaccination is in progress throughout the country
About 37% of indigenous people over 18 years of age, served by the Subsystem of Indigenous Health Care (SASISUS) and the specificities of ADPF 709, have already received the first dose of the vaccine against COVID-19 in Brazil since the beginning of the vaccination campaign on January 19. The immunization of this population is carried out by the Multidisciplinary Indigenous Health Teams (EMSI) of the 34 Special Indigenous Health Districts (DSEI) - responsible for bringing basic health care to indigenous areas.
The Ministry of Health sent 907,200 doses of immunizers, including two doses per person, to the 34 DSEI. The vaccine distribution logistics follows the National Immunization Plan (PNI) and relies on the partnership of the Ministry of Defense and the State and Municipal Health Secretariats to transport the doses to the Districts. SESAI carries out the vaccination campaign in approximately six thousand villages with an operational strategy involving 14 thousand indigenous health professionals.
The Special Secretary of Indigenous Health, Robson Santos da Silva, explains that many villages are in a region of difficult access and a large logistics of air, river and road transport is needed, which also depends on favorable weather conditions for flights and travel. Furthermore, in the most remote areas, there is no cell phone signal or internet access, which makes it difficult to immediately register the insertion of the doses in the Information System of the PNI.
"In areas of the state of Acre, for example, the team takes up to nine days to reach the last village. Moreover, in many regions it is raining at this time of the year. There is no delay in vaccination, what happens, in some cases, is the delay in launching the data of the doses applied because of this logistics," explains the secretary of SESAI.
Data on applied doses and vaccination coverage of the indigenous population of the villages are being made available at LocalizaSUS, as well as that of other priority groups in this first phase. According to the Secretary of SESAI, there were no records of adverse events in the application of the immunizer among the indigenous population.
Brazil has approximately 755 thousand indigenous people registered in the Indigenous Health Care Subsystem (SasiSUS) and served by ADPF 709. 410 thousand of these are over 18 years old and can be immunized in this first lot. The 20 thousand health professionals of the Multidisciplinary Indigenous Health Teams of the 34 DSEI will also receive the immunizer.
Since last year, SESAI has been carrying out a work of awareness in the villages. The health professionals reinforce the importance of everyone being immunized, emphasize the non obligatory vaccination, and reaffirm that the vaccines are safe and have authorization from the National Sanitary Surveillance Agency (Anvisa) for emergency use.
Indigenous people in the urban or rural context will be immunized by municipal or state health services, according to the schedule of each location.