■巴西土著人民面临的长期社会和健康不平等预示着COVID-19的有害影响。
■我们使用去识别,卫生部从2020年3月至2021年12月提供的公开数据,用于描述疫苗接种覆盖率,累积发病率,以及土著人民因COVID-19造成的累计死亡率。我们还将土著人民的疫苗接种覆盖率与老年人的疫苗接种覆盖率进行了比较,同时被纳入疫苗接种策略的优先组。最后,我们比较了土著人口与巴西普通人口的COVID-19发病率和死亡率.
■我们在34个土著地区的疫苗接种覆盖率中发现了重要的异质性,土著人民的总体覆盖率低于老年人。我们观察到,与巴西普通人群相比,土著人群的COVID-19累积发病率更高。尽管死亡率似乎较低,数据应谨慎解释,因为土著人口的年龄结构较年轻,病例和死亡报告较频繁.在COVID-19疫苗接种计划开始后,我们观察到巴西所有地区土著民族的发病率和死亡率均有所下降.
COVID-19大流行给弱势群体造成了沉重的损失。尽管社会和地理隔离对实施任何针对土著居民的疫苗接种计划提出了挑战,先前的经验表明,COVID-19疫苗接种策略缺乏有效性。缺乏协调一致的战略来加强疫苗和其他预防方法的重要性,为了保证获得可信的信息,并在极端情况下提供必要的资源,导致COVID-19疫苗接种覆盖率降低,发病率较高,以及巴西土著人民因COVID-19造成的可预防死亡。
■这项工作没有得到具体资金的支持。
UNASSIGNED: Chronic social and health inequities faced by indigenous peoples in Brazil foretell the detrimental impact of COVID-19.
UNASSIGNED: We use de-identified, publicly available data from the Ministry of Health from March/2020 - December/2021 to describe vaccination coverage, cumulative incidence, and cumulative mortality rates due to COVID-19 among indigenous peoples. We also compare vaccination coverage among indigenous peoples with that reported for older adults, who were simultaneously included as a priority group in the vaccination strategy. Finally, we compared COVID-19 incidence and mortality rates in the indigenous population with that reported for the general Brazilian population.
UNASSIGNED: We found important heterogeneities in vaccination coverage across the 34 indigenous districts, and a lower overall coverage among indigenous peoples compared to older adults. We observed higher COVID-19 cumulative incidence rates among indigenous populations compared to the general Brazilian population. Although mortality rates were seemingly lower, data should be interpreted with caution due to a younger age structure and more frequent underreporting of cases and deaths among indigenous populations. After the beginning of COVID-19 vaccination program, we observed a decrease in both incidence and mortality rates among indigenous peoples in all Brazilian regions.
UNASSIGNED: The COVID-19 pandemic has had a heavy toll on vulnerable populations. Although social and geographic isolation challenges the implementation of any vaccination program for indigenous populations, prior experience suggests that the COVID-19 vaccination strategy lacked effectiveness. The absence of a coordinated strategy to reinforce the importance of the vaccine and other prevention methods, to guarantee the access to trustworthy information, and to respond with the necessary resources in extreme situations, resulted in lower COVID-19 vaccination coverage, higher incidence rates, and preventable deaths due to COVID-19 among indigenous peoples in Brazil.
UNASSIGNED: This work was not supported by specific funding.