Please use this identifier to cite or link to this item: http://ds.saudeindigena.icict.fiocruz.br/handle/bvs/1265
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dc.contributor.authorBasta, Paulo Cesar-
dc.contributor.authorCoimbra Junior, Carlos E. A.-
dc.contributor.authorWelch, James R.-
dc.contributor.authorAlves, Luiz Carlos Corrêa-
dc.contributor.authorSantos, Ricardo Ventura-
dc.contributor.authorCamacho, Luiz Antonio Bastos-
dc.date.accessioned2019-10-15T12:02:48Z-
dc.date.available2019-10-15T12:02:48Z-
dc.date.issued2010-
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.issn1464-5033-
dc.identifier.urihttp://ds.saudeindigena.icict.fiocruz.br/handle/bvs/1265-
dc.language.isoeng-
dc.publisherTaylor & Francisen_US
dc.rightsopen accessen_US
dc.subject.otherBrasilen_US
dc.subject.otherÍndios Sul-Americanosen_US
dc.subject.otherSaúde de Populações Indígenasen_US
dc.subject.otherMato Grossoen_US
dc.subject.otherRegião Amazônicaen_US
dc.subject.otherEpidemiologiaen_US
dc.subject.otherRegião Centro-Oesteen_US
dc.subject.otherFUNASAen_US
dc.subject.otherDSEI Xavanteen_US
dc.subject.otherPolítica Nacional de Atenção à Saúde dos Povos Indígenasen_US
dc.subject.otherXavanteen_US
dc.subject.otherTuberculoseen_US
dc.subject.otherEtnografiaen_US
dc.subject.otherServiços de Saúdeen_US
dc.subject.otherVacina BCGen_US
dc.subject.otherRegistros Médicosen_US
dc.subject.otherTeste Tuberculínicoen_US
dc.subject.otherAntropologia Médicaen_US
dc.subject.otherAvaliação Clínicaen_US
dc.subject.otherNotificação de Doençasen_US
dc.subject.otherDistrito Sanitário Especial Indígenaen_US
dc.titleTuberculosis among the Xavante Indians of the Brazilian Amazon: an epidemiological and ethnographic assessmenten_US
dc.typeArticleen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Centro de Referência Professor Hélio Fraga. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio 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 Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasilen_US
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.doi10.3109/03014460903524451-
dc.subject.decsBrasilen_US
dc.subject.decsSaúde de Populações Indígenasen_US
dc.subject.decsÍndios Sul-Americanosen_US
dc.subject.decsEcossistema Amazônicoen_US
dc.subject.decsEpidemiologiaen_US
dc.subject.decsSistemas Locais de Saúdeen_US
dc.subject.decsAntropologia Médicaen_US
dc.subject.decsServiços de Saúde do Indígenaen_US
dc.subject.decsVacina BCGen_US
dc.subject.decsTeste Tuberculínicoen_US
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