Voluntary collective isolation as a best response to COVID-19 for indigenous populations? A case study and protocol from the Bolivian Amazon
Voluntary collective isolation as a best response to COVID-19 for indigenous populations? A case study and protocol from the Bolivian Amazon
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DOI：
10.1016/s0140-6736(20)31104-1
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发表时间：
2020-05-30
期刊：
影响因子：
168.9
通讯作者：
Gurven, Michael D.
中科院分区：
文献类型：
--
作者：
Kaplan, Hillard S.;Trumble, Benjamin C.;Gurven, Michael D.
世界各地的土著社区有着共同的特点，使他们特别容易受到COVID-19的并发症和死亡的影响。它们还具有复原力，可用来促进预防工作。原住民社区如何最好地减轻COVID-19的潜在破坏性影响？在玻利维亚，将近一半的公民声称自己是土著人，但没有为居住在土著社区领土上的土著社区制定具体的准则。在这篇公共卫生文章中，我们描述了人类学家，医生，部落领袖和地方官员的合作努力，以制定和实施多阶段的COVID-19预防和遏制计划，重点是玻利维亚亚马逊地区Tsimane觅食园艺家的自愿集体隔离和接触者追踪。第一阶段涉及教育、外展和准备，第二阶段侧重于遏制、病人管理和隔离。这项计划的特点可以推广，并根据其他地方的当地情况加以调整，以防止土著社区的大规模死亡。
Indigenous communities worldwide share common features that make them especially vulnerable to the complications of and mortality from COVID-19. They also possess resilient attributes that can be leveraged to promote prevention efforts. How can indigenous communities best mitigate potential devastating effects of COVID-19? In Bolivia, where nearly half of all citizens claim indigenous origins, no specific guidelines have been outlined for indigenous communities inhabiting native communal territories. In this Public Health article, we describe collaborative efforts, as anthropologists, physicians, tribal leaders, and local officials, to develop and implement a multiphase COVID-19 prevention and containment plan focused on voluntary collective isolation and contact-tracing among Tsimane forager-horticulturalists in the Bolivian Amazon. Phase 1 involves education, outreach, and preparation, and phase 2 focuses on containment, patient management, and quarantine. Features of this plan might be exported and adapted to local circumstances elsewhere to prevent widespread mortality in indigenous communities.