RÉSUMÉ
Recomenda à Fundação Nacional do Índio (FUNAI) a reinstalação da Coordenação Técnica Local (CTL) que atendia o Povo Kanamari antes do corte de cargos pelo qual passou a FUNAI uma vez que tal ação influencia de maneira direta nos indicadores de saúde, sendo determinantes do processo saúde-doença.
Sujet(s)
Organismes d'aide sociale , Gouvernement fédéral , Services de santé pour autochtones/législation et jurisprudenceSujet(s)
Humains , Surveilance de Santé , Droit à la santé , Système de Santé Unifié , Alimentation en eau/législation et jurisprudence , Accidents du travail/législation et jurisprudence , Brésil , Santé environnementale , Erreurs médicales/tendances , Fédéralisme , Sécurité alimentaire , Règlement sanitaire international , Manipulation des aliments/législation et jurisprudence , Blessures par piqûre d'aiguille , Développement Régional , Services de santé pour autochtones/législation et jurisprudenceRÉSUMÉ
A homologação contínua da terra indígena Raposa Serra do Sol, localizada em Roraima, a fim de garantir e fortalecer o direito à saúde, a terra e, conseqüentemente, à sobrevivência dessa população.
Sujet(s)
Facteurs Culturels , Droit Sanitaire , Services de santé pour autochtones/législation et jurisprudenceRÉSUMÉ
Inequitable access to healthcare has a profound impact on the health of marginalised groups that typically suffer an excess burden of infectious disease morbidity and mortality. The Yanomami are traditionally semi-nomadic people living in widely dispersed communities in Amazonian Venezuela and Brazil. Only communities living in the vicinity of a health post have relatively constant access to healthcare. To monitor the improvement in the development of Yanomami healthcare a cross-sectional survey of 183 individuals was conducted to investigate malaria and anaemia prevalence in communities with constant and intermittent access to healthcare. Demographic and clinical data were collected. Malaria was diagnosed by microscopy and haemoglobin concentration by HemoCue. Prevalence of malaria, anaemia, splenomegaly, fever and diarrhoea were all significantly higher in communities with intermittent access to healthcare (anaemia 80.8% vs. 53.6%, P<0.001; malaria 18.2% vs. 6.0%, P=0.013; splenomegaly 85.4% vs.12.5%, P<0.001; fever 50.5% vs. 28.6%, P=0.003; diarrhoea 30.3% vs.10.7% P=0.001). Haemoglobin level (10.0 g/dl vs. 11.5 g/dl) was significantly associated with access to healthcare when controlling for age, sex, malaria and splenomegaly (P=0.01). These findings indicate a heavy burden of anaemia in both areas and the need for interventions against anaemia and malaria, along with more frequent medical visits to remote areas.
Sujet(s)
Anémie/épidémiologie , Réforme des soins de santé/normes , Accessibilité des services de santé/normes , Services de santé pour autochtones/normes , Paludisme/épidémiologie , Adolescent , Anémie/diétothérapie , Études transversales , Femelle , Services de santé pour autochtones/législation et jurisprudence , Humains , Paludisme/traitement médicamenteux , Mâle , Grossesse , Complications hématologiques de la grossesse/épidémiologie , Complications parasitaires de la grossesse/épidémiologie , Amélioration du niveau sanitaire/normes , Population de passage et migrants , Venezuela/épidémiologieRÉSUMÉ
Recomenda adoção das providências cabíveis para a revogação do Decreto nº 1141 de 19 de maio de 1994, tendo em vista que a Lei nº 9649, de 27 de maio de 1998, em seu Art. 14, inciso XVIII, alínea C, dispõe que "saúde ambiental e ações de promoção, proteção e recuperação da saúde individual e coletiva, inclusive, a dos trabalhadores e dos índios, sejam assuntos de competência do Ministério da Saúde".