Acidentes envolvendo indígenas brasileiros atendidos em serviços de urgência e emergência do Sistema Único de Saúde

Souza, Edinilsa Ramos de; Njaine, Kathie; Mascarenhas, Márcio Dênis Medeiros; Oliveira, Maria Conceição de

doi:10.1590/1413-812320152112.26582016

Cited by 5 publications

(5 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Only little information is available about snakebites in the Brazilian indigenous population, and underreporting of cases is likely, due to limited access to health care in remote areas of the Amazon, where travel involves covering large distances by boat [48,49]. It is observed that late care is the main risk factor for a poor clinical prognosis.…”

Section: Discussionmentioning

confidence: 99%

Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping

et al. 2021

View full text Add to dashboard Cite

Snakebite envenoming affects close to 2.7 million people globally every year. In Brazil, snakebites are reported to the Ministry of Health surveillance system and cases receive antivenom free of charge. There is an urgent need to identify higher risk areas for antivenom distribution, and to develop prevention activities. The objective of this study is to provide an overview of the epidemiological situation of snakebite envenoming in Brazil and explore possible drivers; as well as to create a flowchart tool to support decision-makers identify higher risk areas. An ecological-type study was carried out using data by municipality (2013–2017). Study parts: 1) Create a geocoded database and perform a descriptive and cluster analysis; 2) Statistical analysis to measure the association of snakebite and possible environmental and socioeconomic drivers; 3) Develop a flowchart to support decision-makers and the application of this tool in one state (Rio Grande do Sul) as an example. An average of 27,120 snakebite cases per year were reported at the country level. Clusters of municipalities with high numbers of snakebites are mostly found in the Amazon Legal Region. The negative binomial regression model showed association with the snakebite case count: the type of major habitat, tropical or non-tropical; temperature; percentage of urbanization; precipitation; elevation; GDP per capita; a weaker relation with forest loss; and with venomous snake richness. The state where the instrument was applied reported 4,227 snakebites in the period. Most municipalities were considered as medium risk and 56/496 as high risk according to the tool created. Snakebite cases are distributed across the entire country with the highest concentration in the Legal Amazon Region. This creates a complex situation both for better understanding of the association of environmental and socioeconomic factors with snakebites and for the distribution and maintenance of antivenom to remote areas. Research into types of antivenom with a longer shelf life without the need for refrigeration is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping

et al. 2021

View full text Add to dashboard Cite

show abstract

“…In response to the large global burden of disease due to snakebite and the global crisis in antivenom production that has left millions of vulnerable people with no or difficult access to the antivenom, the World Health Organization (WHO)'s Strategic and Technical Advisory Group for Neglected Tropical Diseases recommended the reclassification of snakebite envenomation as a high priority Neglected Tropical Disease (NTD) at the WHO's Because indigenous groups live largely in rural, and oftentimes remote areas and work in high-risk environments such as subsistence farming, hunting, and gathering, they are frequently among the reported victims of snakebite and might be at greater risk of accidents with these animals than other population groups [26,27]. We believe that indigenous groups are more exposed to snakebites than other population groups; however, to date, this burden has not been measured adequately, and very few studies have taken race and ethnicity into account in their analysis of snakebite in Brazil [28,29].…”

Section: Introductionmentioning

confidence: 99%

Snakebites in Rural Areas of Brazil by Race: Indigenous the Most Exposed Group

Schneider

Vuckovic

Montebello

et al. 2021

IJERPH

View full text Add to dashboard Cite

Animal stings are environmental hazards that threaten millions annually and cause a significant socioeconomic impact. Snakebite envenoming affects 2.7 million people globally every year, mostly the poorest and rural communities, with approximately 27,000 annual cases in Brazil. This study’s objective is to identify the most exposed racial group for snakebites in rural areas of Brazil and analyze possible differences in the outcome of an accident. A retrospective epidemiological study was conducted using a database of rural snakebite cases from Brazil’s Ministry of Health (2017). Descriptive analysis and a regression model were performed to examine the association of bad outcomes after a snakebite with several covariables. While mixed-race individuals presented the highest number of cases (61.79%), indigenous and white populations were the racial groups with the highest and lowest exposure rates (194.3 and 34.1 per 100,000 population, respectively). The fatality rate was 3.5 times higher in the indigenous population compared to the white population. In the multivariable model, the number of hours between the accident and health care received and the case classification suggested an association with a bad outcome. Snakebite is prominent in Brazil, particularly among indigenous groups. Antivenom is available in the Brazilian Health System; however, efforts need to be made for decentralization.

show abstract

“…[6][7][8] The rare cases of epilepsy in adulthood in the neurological clinic were probably associated with the uncommon, acquired causes of the disease in the geographically isolated Waiwai tribe, where violence is minimal, and traffic accidents are absent, as well as traumatic brain injury, and cerebrovascular diseases. 25,26 The prevalence of febrile seizures in our Waiwai indigenous sample was higher than in non-indigenous populations and lower than in non-isolated indigenous people, such as the Guaymi (44%). 7,27 Perinatal hypoxia, psychomotor development abnormalities, and related comorbidities did not differ from the general epileptic population.…”

Section: Discussionmentioning

confidence: 62%

“… 6 7 8 The rare cases of epilepsy in adulthood in the neurological clinic were probably associated with the uncommon, acquired causes of the disease in the geographically isolated Waiwai tribe, where violence is minimal, and traffic accidents are absent, as well as traumatic brain injury, and cerebrovascular diseases. 25 26 …”

Section: Discussionmentioning

confidence: 99%

The challenges to control epilepsy in an isolated indigenous tribe in Brazil's Amazon: 15 years of follow-up

2023

View full text Add to dashboard Cite

Background Epilepsy is a common neurological disease that affects people all over the world, but it is rarely described in indigenous peoples. Objective To study the epilepsy characteristics and risk factors for seizure control in people from an isolated indigenous population. Methods This is a retrospective and historical cohort study conducted from 2003 to 2018 (15 years), at a neurology outpatient clinic, of 25 Waiwai tribes' indigenous individuals with epilepsy, inhabitants of an isolated forest reserve in the Amazon. Clinical aspects, background, comorbidities, exams, treatment, and response were studied. Factors that impacted seizure control over 24 months were identified using Kaplan-Meier curves and Cox and Weibull regression models. Results The majority of cases started in childhood, with no difference regarding gender. Focal epilepsies were predominant. Most patients had tonic-clonic seizures. A quarter of them had a family history, and 20% had referred febrile seizures. There was intellectual disability in 20% of patients. Neurological examination and psychomotor development were altered in one third of the participants. The treatment controlled 72% of the patients (monotherapy in 64%). Phenobarbital was the most prescribed anti-seizure medication, followed by carbamazepine and valproate. The most relevant factors that impacted seizure control over time were abnormal neurological exam and family history. Conclusion Family history and abnormal neurological exam were predicted risk factors for refractory epilepsy. Even in an isolated indigenous tribe, the partnership between the indigenous people and the multidisciplinary team ensured treatment adherence. The public healthcare system must guarantee modern anti-seizure medications, mainly for this vulnerable population, which has no other source of treatment.

show abstract

Acidentes envolvendo indígenas brasileiros atendidos em serviços de urgência e emergência do Sistema Único de Saúde

Abstract: We analyzed the accidents with Brazilian indigenous treated at urgent and emergency services of the Unified Health System (SUS

Cited by 5 publications

References 12 publications

Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping

Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping

Snakebites in Rural Areas of Brazil by Race: Indigenous the Most Exposed Group

The challenges to control epilepsy in an isolated indigenous tribe in Brazil's Amazon: 15 years of follow-up

Contact Info

Product

Resources

About