Anaemia and malaria in Yanomami communities with differing access to healthcare

Transactions of the Royal Society of Tropical Medicine and Hygiene
P GrenfellL Vivas

Abstract

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 splenomega...Continue Reading

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Citations

Dec 17, 2009·Malaria Journal·Wolfram G MetzgerMagda Magris
May 14, 2010·Transactions of the Royal Society of Tropical Medicine and Hygiene·A C CabralF A Carvalho-Costa
Nov 7, 2015·BMC Health Services Research·Carole Zen RuffinenAdele Schwartz Benzaken
Aug 25, 2016·Travel Medicine and Infectious Disease·G Dennis Shanks
Sep 9, 2011·Memórias do Instituto Oswaldo Cruz·Juan Pablo QuinteroSócrates Herrera Valencia
Dec 3, 2011·Nutrition Reviews·Amina Z KhambaliaStanley H Zlotkin
Feb 6, 2014·PLoS Neglected Tropical Diseases·Peter J Hotez
Mar 23, 2021·American Journal of Human Biology : the Official Journal of the Human Biology Council·Alicia M DeLouizeLawrence S Sugiyama

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