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 Many epidemiologists had hoped remote locations might protect the
tribes, but the virus, which first took hold in Brazil's
cosmopolitan state capitals of Sao Paulo and Rio de Janeiro, is
increasingly devastating these far-flung communities where basic
healthcare is often precarious.
For many indigenous it harks back to a dark past.
When Europeans first navigated the rivers of the Amazon rainforest,
their smallpox decimated local tribes. Later, rubber tappers, gold
miners and settlers brought malaria, measles and influenza. Now, it
is COVID-19.
Deaths among Brazil's indigenous populations rose to 182 by June 1,
from 28 at the end of April, according to the Articulation of
Brazil's Indigenous Peoples (APIB) - a national umbrella association
that brings together the country's 305 tribes.
In the village of Sororó in southeastern Pará, tribesman Itamaré
Surui said people were falling ill but the government had not
provided tests to confirm whether they have COVID-19.
"I am feeling dizzy with fever and stomach pains. Many are ill in
the village and we have no help," he said.
The official figures provided by Brazil's government put the number
of dead at 59, as they only classify indigenous deaths as those
occurring among tribes living on reservations but not those who have
migrated to cities.
Brazil's Health Ministry, which collates the data and provides
medical assistance to indigenous tribes, did not immediately respond
to a request for comment.
The numbers may be small compared to the rest of Brazil, which now
has the second largest outbreak in the world, but they are
significant because they show the virus has taken hold in vulnerable
communities where doctors fear the spread will prove devastating.
Erik Jennings, a doctor working with indigenous populations, said
the death toll provided a snapshot of what was happening weeks ago,
due to an underreporting of cases and the time it often takes for a
patient to pass away. "Today's reality is much worse," he said,
adding that a severe lack of testing made it hard to know exactly
how bad the situation was.
On Tuesday, the Pan American Health Organization said it was very
concerned about the rate of contagion among indigenous populations
in the Amazon.
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Douglas Rodrigues, another doctor, who has worked with indigenous tribes for 30
years, said he feared for the tribes in the rainforest state of Amazonas, where
the only public hospitals equipped with ventilators are located in Manaus, the
capital, and already are at full capacity. "In Amazonas, the disease is a death
sentence," he said.
Brazil's first indigenous reservation, the Xingu Park where 16 tribes live and
Rodrigues is based, blocked access to outsiders and has so far had no cases of
COVID-19. "But the danger is great because contamination is close by," he said.
The only intensive care units in the vast state of Amazonas are also located in
Manaus, where a wing for indigenous COVID-19 patients was opened last week.
But even there access for indigenous people is complicated. On Wednesday,
indigenous women protested outside the hospital because tribal shamans were not
being allowed in and they could not bring herbal medicines to a relative with
COVID-19.
In southern Pará, the state neighboring Amazonas, the virus has taken hold in
towns around the world's largest iron ore mine.
The Xikrin tribe in the area is suffering. Bep Karoti, a 64-year-old Xikrin
chief, died of COVID-19 on Sunday in the village of Cateté, which is an
eight-hour drive to the nearest city with intensive care facilities.
Two army trucks with soldiers arrived on Tuesday bringing test kits, face masks
and medical personnel after the chief's death, according to residents' posts on
social media.
The village of 900 indigenous people has 54 confirmed cases of COVID-19 so far,
and five deaths, the latest a child who died Wednesday morning.
"It is so sad. The child died with a bad infection in the lungs," Cateté
community leader Tekore Velho said in a message.
(Reporting by Anthony Boadle and Stephen Eisenhammer; Editing by Leslie Adler)
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