Tuberculosis among the Xavante Indians of the Brazilian Amazon: an epidemiological and ethnographic assessment

dc.contributor.authorBasta, Paulo Cesar
dc.contributor.authorCoimbra Junior, Carlos Everaldo Alvares
dc.contributor.authorWelch, James R.
dc.contributor.authorAlves, Luiz Carlos CorrĂȘa
dc.contributor.authorSantos, Ricardo Ventura
dc.contributor.authorCamacho, Luiz Antonio Bastos
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de SaĂșde PĂșblica SĂ©rgio Arouca. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de SaĂșde PĂșblica SĂ©rgio Arouca. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de SaĂșde PĂșblica SĂ©rgio Arouca. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Centro de ReferĂȘncia Professor HĂ©lio Fraga. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationFundação 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, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de SaĂșde PĂșblica SĂ©rgio Arouca. Rio de Janeiro, RJ, Brasilen_US
dc.date.accessioned2019-10-15T12:02:48Z
dc.date.available2019-10-15T12:02:48Z
dc.date.issued2010
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.identifier10.3109/03014460903524451
dc.identifier1464-5033
dc.identifier.citationBASTA, 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.doi10.3109/03014460903524451
dc.identifier.issn1464-5033
dc.identifier.urihttps://repositorio.bvspovosindigenas.fiocruz.br/handle/bvs/1265
dc.language.isoeng
dc.publisherTaylor & Francisen_US
dc.rightsopen accessen_US
dc.subject.decsBrasilen_US
dc.subject.decsSaĂșde de PopulaçÔes IndĂ­genasen_US
dc.subject.decsÍndios Sul-Americanosen_US
dc.subject.decsEcossistema AmazĂŽnicoen_US
dc.subject.decsEpidemiologiaen_US
dc.subject.decsSistemas Locais de SaĂșdeen_US
dc.subject.decsAntropologia MĂ©dicaen_US
dc.subject.decsServiços de SaĂșde do IndĂ­genaen_US
dc.subject.decsVacina BCGen_US
dc.subject.decsTeste TuberculĂ­nicoen_US
dc.subject.otherBrasilen_US
dc.subject.otherÍndios Sul-Americanosen_US
dc.subject.otherSaĂșde de PopulaçÔes IndĂ­genasen_US
dc.subject.otherMato Grossoen_US
dc.subject.otherRegiĂŁo AmazĂŽnicaen_US
dc.subject.otherEpidemiologiaen_US
dc.subject.otherRegiĂŁo Centro-Oesteen_US
dc.subject.otherFUNASAen_US
dc.subject.otherDSEI Xavanteen_US
dc.subject.otherPolĂ­tica Nacional de Atenção Ă  SaĂșde dos Povos IndĂ­genasen_US
dc.subject.otherXavanteen_US
dc.subject.otherTuberculoseen_US
dc.subject.otherEtnografiaen_US
dc.subject.otherServiços de SaĂșdeen_US
dc.subject.otherVacina BCGen_US
dc.subject.otherRegistros MĂ©dicosen_US
dc.subject.otherTeste TuberculĂ­nicoen_US
dc.subject.otherAntropologia MĂ©dicaen_US
dc.subject.otherAvaliação Clínicaen_US
dc.subject.otherNotificação de Doençasen_US
dc.subject.otherDistrito SanitĂĄrio Especial IndĂ­genaen_US
dc.titleTuberculosis among the Xavante Indians of the Brazilian Amazon: an epidemiological and ethnographic assessmenten_US
dc.typeArticleen_US
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