Malaria is an acute febrile infectious disease that represents an important public health problem in the Brazilian amazon region. The present study described the socio-epidemiological and spatial characteristics of malaria in a population from the Tapajós mining areas, Pará, Brazilian Amazon. A cross-sectional study, including individuals from Itaituba city, an area under mining activity influence, was conducted. The geographic coordinates were obtained in the field using the Global Positioning System (GPS) Garmin 78csx; for spatial analysis, we used the Kernel Density Estimator with the application of scanning statistics with the SaTScan software. Of the 908 individuals, 311 were positive for malaria. Most of the malaria cases were associated with male individuals, gold miners and with a monthly income of 4-6 salaries. Binary logistic regression analysis demonstrated that gold miners were nearly five times more likely to acquire malaria. In addition, a context of risk for sexually transmitted infections, substance abuse and poor support conditions was observed, worsening the healthcare scenario in this endemic area for malaria. The spatial distribution of malaria cases is irregular in the municipality with hotspot areas located in the Amana Flona that coincide with areas of illegal mining and high human mobility. Finally, the presented socio-epidemiological and spatial distribution data may aid in the development of more effective control measures for malaria in the area.

Objetivo: Analisar a produção científica sobre os cuidados de enfermagem no perioperatório dos Transplantes de células-tronco hematopoiéticas. Métodos: Estudo bibliográfico, descritivo, tipo revisão integrativa. Realizou-se a busca dos dados entre os meses de fevereiro a março de 2019 nas Bases de dados da Literatura Latino-Americana e do Caribe em Ciências da Saúde, Base de Dados de Enfermagem e da Literatura Internacional em Ciências da Saúde, publicados no período de 2010 a 2019. A análise dos dados se deu por Análise de conteúdo de Bardin. Resultados: a amostra foi dividida em quatorze artigos para análise divididos em três categorias temáticas: cuidado elementar, cuidado técnico e cuidado atinente. Mostrou-se a importância dos cuidados de enfermagem aos pacientes em perioperatório de células-tronco hematopoiéticas. Sabe-se que o tratamento de transplante de células-tronco hematopoiéticas (TCTH), é bastante complexo e por isso necessita de uma assistência de enfermagem especializada feita por um profissional de enfermagem que o faça com responsabilidade, competências e provido de conhecimentos técnico-científico. Considerações finais: Conclui-se que este estudo possibilita reflexõescomo selecionar e implementar estratégias a serem desenvolvida pelos enfermeiros, propiciando o conhecimento das técnicas utilizadas para melhorar os cuidados perioperatórios aos pacientes em transplante de células-tronco hematopoiéticas.

The indigenous people of Brazil present several cases and deaths, affecting 158 peoples, with high vulnerability and limited access to health services. The objective is to investigate the clinical characteristics of severe acute respiratory syndrome by COVID-19 in indigenous peoples of Brazil. The epidemiological study, descriptive, from the data of the platform opendataSUS referring to the SIVEP-GRIPE in the period 01/01/2020 until 31/08/2020. Profile variables, signs and symptoms, and risk/comorbidities factors. The data were analyzed by Bioestat 5.3. 1,207 cases and 470 deaths. Profile: male gender (59.48%) mean age 53. Signs and symptoms: fever (74.23%), cough (77.71%), sore throat (35.62%), dyspnea (69.34%), respiratory discomfort (62.80%), O2 saturation <95% (56.42%); and associated with mortality: dyspnea (80.0%) and O2 saturation <95% (69.36%). Risk factors and comorbidities (45.89%) were associated with deaths (54.04%). Comorbidities: Chronic Cardiovascular Disease (18.97%) and Diabetes Mellitus (18.97%), and associated with deaths: Chronic Cardiovascular Disease (24.46%). There was significance in the survivors vaccinated for influenza (26.18%). The public and health policies of Brazil should be directed to control the dissemination of COVID-19 in this population, that COVID-19 evolves in the same intensity, however, the indigenous have vulnerabilities that can enhance the impact of the pandemic in this population.