Tuberculosis among the Xavante Indians of the Brazilian Amazon: an epidemiological and ethnographic assessment
dc.contributor.author | Basta, Paulo Cesar | |
dc.contributor.author | Coimbra Junior, Carlos Everaldo Alvares | |
dc.contributor.author | Welch, James R. | |
dc.contributor.author | Alves, Luiz Carlos CorrĂȘa | |
dc.contributor.author | Santos, Ricardo Ventura | |
dc.contributor.author | Camacho, Luiz Antonio Bastos | |
dc.creator.affilliation | Fundação Oswaldo Cruz. Escola Nacional de SaĂșde PĂșblica SĂ©rgio Arouca. Rio de Janeiro, RJ, Brasil | en_US |
dc.creator.affilliation | Fundação Oswaldo Cruz. Escola Nacional de SaĂșde PĂșblica SĂ©rgio Arouca. Rio de Janeiro, RJ, Brasil | en_US |
dc.creator.affilliation | Fundação Oswaldo Cruz. Escola Nacional de SaĂșde PĂșblica SĂ©rgio Arouca. Rio de Janeiro, RJ, Brasil | en_US |
dc.creator.affilliation | Fundação Oswaldo Cruz. Centro de ReferĂȘncia Professor HĂ©lio Fraga. Rio de Janeiro, RJ, Brasil | en_US |
dc.creator.affilliation | Fundação Oswaldo Cruz. Escola Nacional de SaĂșde PĂșblica SĂ©rgio Arouca. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Museu Nacional. Rio de Janeiro, RJ, Brasil | en_US |
dc.creator.affilliation | Fundação Oswaldo Cruz. Escola Nacional de SaĂșde PĂșblica SĂ©rgio Arouca. Rio de Janeiro, RJ, Brasil | en_US |
dc.date.accessioned | 2019-10-15T12:02:48Z | |
dc.date.available | 2019-10-15T12:02:48Z | |
dc.date.issued | 2010 | |
dc.description.abstracten | _Despite broad availability of a national tuberculosis (TB) control program that has proved effective in Brazil, TB remains a major cause of morbidity and mortality among indigenous peoples. AIM_ We report the results of an interdisciplinary investigation of TB epidemiology, healthcare services, and ethnomedicine among the Xavante Indians of Central Brazil. SUBJECTS AND METHODS_ Fieldwork components included clinical assessment of TB (479 subjects, 89.3% of the population = 1 year of age), analysis of medical health records, and ethnographic research. RESULTS_ We found TB to constitute a major health risk, with moderately high annual risk of infection (0.94%), moderate prevalence of infection, high percentage of X-ray images suggestive of TB (14.2% in subjects _ or = 10 years of age), and a relatively low percentage of individuals with reactive TB skin tests (16.6% of reactions _ or = 10 mm) despite high BCG vaccine coverage. We also found a high rate of TB patients showing no evidence of prior infection. Ethnographic interviews show that Xavante and biomedical health perspectives are simultaneously divergent in their etiologies but pragmatically compatible. CONCLUSION_ Ineffective diagnosis procedures compromise the efficacy of existing TB prevention efforts and threaten to undermine otherwise favorable institutional and cultural conditions_ | en_US |
dc.identifier | 10.3109/03014460903524451 | |
dc.identifier | 1464-5033 | |
dc.identifier.citation | BASTA, Paulo Cesar et al. Tuberculosis among the Xavante Indians of the Brazilian Amazon: an epidemiological and ethnographic assessment. Annals of Human Biology, v. 37, n. 5, p. 643-657, 2010. | en_US |
dc.identifier.doi | 10.3109/03014460903524451 | |
dc.identifier.issn | 1464-5033 | |
dc.identifier.uri | https://repositorio.bvspovosindigenas.fiocruz.br/handle/bvs/1265 | |
dc.language.iso | eng | |
dc.publisher | Taylor & Francis | en_US |
dc.rights | open access | en_US |
dc.subject.decs | Brasil | en_US |
dc.subject.decs | SaĂșde de PopulaçÔes IndĂgenas | en_US |
dc.subject.decs | Ăndios Sul-Americanos | en_US |
dc.subject.decs | Ecossistema AmazĂŽnico | en_US |
dc.subject.decs | Epidemiologia | en_US |
dc.subject.decs | Sistemas Locais de SaĂșde | en_US |
dc.subject.decs | Antropologia MĂ©dica | en_US |
dc.subject.decs | Serviços de SaĂșde do IndĂgena | en_US |
dc.subject.decs | Vacina BCG | en_US |
dc.subject.decs | Teste TuberculĂnico | en_US |
dc.subject.other | Brasil | en_US |
dc.subject.other | Ăndios Sul-Americanos | en_US |
dc.subject.other | SaĂșde de PopulaçÔes IndĂgenas | en_US |
dc.subject.other | Mato Grosso | en_US |
dc.subject.other | RegiĂŁo AmazĂŽnica | en_US |
dc.subject.other | Epidemiologia | en_US |
dc.subject.other | RegiĂŁo Centro-Oeste | en_US |
dc.subject.other | FUNASA | en_US |
dc.subject.other | DSEI Xavante | en_US |
dc.subject.other | PolĂtica Nacional de Atenção Ă SaĂșde dos Povos IndĂgenas | en_US |
dc.subject.other | Xavante | en_US |
dc.subject.other | Tuberculose | en_US |
dc.subject.other | Etnografia | en_US |
dc.subject.other | Serviços de SaĂșde | en_US |
dc.subject.other | Vacina BCG | en_US |
dc.subject.other | Registros MĂ©dicos | en_US |
dc.subject.other | Teste TuberculĂnico | en_US |
dc.subject.other | Antropologia MĂ©dica | en_US |
dc.subject.other | Avaliação ClĂnica | en_US |
dc.subject.other | Notificação de Doenças | en_US |
dc.subject.other | Distrito SanitĂĄrio Especial IndĂgena | en_US |
dc.title | Tuberculosis among the Xavante Indians of the Brazilian Amazon: an epidemiological and ethnographic assessment | en_US |
dc.type | Article | en_US |