Situação da malária na tríplice fronteira entre Brasil, Colômbia e Peru

Abstract

O objetivo deste artigo é analisar a situação da vigilância da malária na tríplice fronteira entre Brasil, Colômbia e Peru. É um estudo qualitativo com aplicação de questionários em cidades da fronteira realizado em 2011. Os resultados foram analisados pela metodologia DOFA e apontaram diferenças significativas entre os sistemas de vigilância da malária na fronteira. Observou-se como debilidades a desarticulação entre atores responsáveis, a insuficiência de pessoal treinado, a alta rotatividade das equipes e a falta de médicos especialistas em malária nos hospitais locais. Verificou-se ainda o desconhecimento sobre a malária e suas formas de prevenção na população entrevistada. As fortalezas são a inserção de novos atores institucionais, a melhora da qualificação profissional, a distribuição de mosquiteiros impregnados e possibilidades de complementaridade entre os sistemas de vigilância a serem aproveitadas pela cooperação entre as equipes de saúde da fronteira, pois o controle da malária só pode ter sucesso tomando-se esta região em seu conjunto.

Factors associated with malaria in indigenous populations: A retrospective study from 2007 to 2016

“…Here the authors shed light on the factors associated with the occurrence of malaria in indigenous populations and cases that occurred in indigenous villages, as well as the description of the profile of deaths recorded by malaria in these populations in the state of Amazonas, by analyzing a period of 10 years (2007 to 2016). The predominance of malaria in indigenous males is similar to the results found in other studies conducted in the Amazon Region [2,[11][12][13][14], which justify such predominance based on indigenous behavior and a lifestyle based on extractivism and family farming, which is predominantly performed by men who consequently are more exposed to contact with the vector and the parasite [15,16].…”

Time trends and changes in the distribution of malaria cases in the Brazilian Amazon Region, 2004-2013

“…The complex scenario of malaria surveillance on the border between Brazil, Bolivia and Peru deserve special attention. Differences in malaria surveillance along the border, lack of trained personnel and malaria specialists, and lack of knowledge about malaria and its prevention among the local population are just a few issues that have been reported in the literature (Peiter et al 2013) and that contribute to on-going malaria transmission and incidence in the state.…”

Ride, shoot, and call: wildlife use among contemporary urban hunters in Três Fronteiras, Brazilian Amazon

“…The Cocama also live in the tri-border Amazon; in Brazil, they inhabit the Solimôes River, from the city of Anama to Tabatinga, Amazonas (da Silva 2009). The caboclo or Ribeirinho populations are a mix of indigenous groups and Europeans resulting in a fusion culture of institutionalized Catholic Church beliefs, myths, and indigenous cultural heritage (Galvâo 1967 In rural areas, the main economic activities are fishing and agriculture (cassava, maize, rice, beans, fruits, and some vegetables), nontimber forest product extraction (Brazil nut, guarana, açaí, hunting), and logging (Albán Morán et al 2004, Peiter et al 2013. Government subsidies (e.g., bolsa familia) now also contribute substantially to local economies.…”