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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Bauer, Hannah Frickmann, Hagen Concha, Gustavo Kreienbrock, Lothar Hartmann, Maria Warnke, Philipp Hagen, Ralf Matthias Molitor, Ernst Hoerauf, Achim Kann, Simone |
| Abstract | Background Colombian indigenous Wiwas are exposed to a variety of partly complex medical conditions with a predominance of infectious diseases. The study provided here aims at verifying of falsifying previous suspicions on therapeutic shortcomings and neglect of disease categories. Material and methods Local diagnoses within various subpopulations of indigenous Wiwas obtained by a study physician and local health brigades and health points between 2017 and 2018 were coded following the ICD 10 classification from 2019. Proportions of diagnoses per ICD-10 sub-chapter were evaluated to find diseases and to rank the occurrence of diagnoses in the population of indigenous people. Thereafter, the available medication provided by the indigenous health care provider Dusakawi for the treatment of the indigenous patients was analyzed in regard of its sufficiency to cover the recorded diseases. Results The majority of the diseases found in the communities cannot at all (32%) or only partially (56%) be treated according to available guidelines. Only few (12%), predominantly infectious diseases, were covered completely by the provided medication. Notably, there are some ICD chapters with diseases that do only rarely appear at all in the gained datasets, e.g., complications during birth, mental disorders or cancer. Conclusions An expansion and revision of the medical supply for the indigenous population of the Sierra Nevada de Santa Marta is needed. An emergency kit for medical brigades and health points should be provided and in place. Awareness for neglected diseases needs to be created. |
| Related Links | https://archpublichealth.biomedcentral.com/counter/pdf/10.1186/s13690-024-01338-w.pdf |
| Ending Page | 14 |
| Page Count | 14 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 20493258 |
| DOI | 10.1186/s13690-024-01338-w |
| Journal | Archives of Public Health |
| Issue Number | 1 |
| Volume Number | 82 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2024-07-31 |
| Access Restriction | Open |
| Subject Keyword | Public Health Medicine Health Policy Health Services Research Health Informatics Epidemiology Health services Indigenous Therapeutics Medical neglect Medicine/Public Health |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health |
| Journal Impact Factor | 3.2/2023 |
| 5-Year Journal Impact Factor | 3.3/2023 |
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