TY  - JOUR
A1  - Bauer, Hannah
A1  - Concha Mendoza, Gustavo Andrés
A1  - Kreienbrock, Lothar
A1  - Hartmann, Maria
A1  - Frickmann, Hagen
A1  - Kann, Simone
T1  - Prevalence of common diseases in Indigenous people in Colombia
JF  - Tropical Medicine and Infectious Disease
N2  - The Indigenous tribe called the Wiwa lives retracted in the Sierra Nevada de Santa Marta, Colombia. Little is known about their health status and whether the health care system in place covers their needs. In 2017 and 2018, a permanent physician was in charge for the Wiwa. Diseases and complaints were registered, ranked, and classified with the ICD-10 coding. Datasets from the Indigenous health care provider Dusakawi, collected from local health points and health brigades travelling sporadically into the fields for short visits, were compared. Furthermore, a list of provided medication was evaluated regarding the recorded needs. The most common complaints found were respiratory, infectious and parasitic, and digestive diseases. The top ten diagnoses collected in the health points and in the health brigade datasets were similar, although with a different ranking. The available medication showed a basic coverage only, with a critical lack of treatment for many severe, chronic, and life-threatening diseases. Most of the detected diseases in the Indigenous population are avoidable by an improvement in health care access, an expansion of the provided medication, and an increase in knowledge, hygiene, and life standards.
KW  - Chagas disease
KW  - indigenous
KW  - public health
KW  - Colombia
KW  - Sierra Nevada
KW  - neglected groups
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-278953
SN  - 2414-6366
VL  - 7
IS  - 6
ER  - 
TY  - JOUR
A1  - Kann, Simone
A1  - Bruennert, Daniela
A1  - Hansen, Jessica
A1  - Concha Mendoza, Gustavo Andrés
A1  - Crespo Gonzalez, José José
A1  - Armenta Quintero, Cielo Leonor
A1  - Hanke, Miriam
A1  - Hagen, Ralf Matthias
A1  - Backhaus, Joy
A1  - Frickmann, Hagen
T1  - High prevalence of intestinal pathogens in Indigenous in Colombia
JF  - Journal of Clinical Medicine
N2  - Background: Intestinal infections remain a major public health burden in developing countries. Due to social, ecological, environmental, and cultural conditions, Indigenous peoples in Colombia are at particularly high risk. Materials: 137 stool samples were analyzed by microscopy and real-time-Polymerase Chain Reaction (RT-PCR), targeting protozoan parasites (Giardia intestinalis, Entamoeba histolytica, Cryptosporidium spp., and Cyclospora cayetanensis), bacteria (Campylobacter jejuni, Salmonella spp., Shigella ssp./enteroinvasive E. coli (EIEC), Yersinia spp., enterohemorrhagic E. coli (EHEC), enteropathogenic E. coli (EPEC), enterotoxin-producing E. coli (ETEC), enteroaggregative E. coli (EAEC), and Tropheryma whipplei), and helminths (Necator americanus, Strongyloides stercoralis, Ascaris lumbricoides, Ancylostoma spp., Trichuris. trichiura, Taenia spp., Hymenolepis nana, Enterobius vermicularis, and Schistosoma spp.). Microscopy found additional cases of helminth infections. Results: At least one pathogen was detected in 93% of the samples. The overall results revealed protozoa in 79%, helminths in 69%, and bacteria in 41%. G. intestinalis (48%), Necator/hookworm (27%), and EAEC (68%) were the most common in each group. Noteworthy, T. whipplei was positive in 7% and T. trichirua in 23% of the samples. A significant association of one infection promoting the other was determined for G. intestinalis and C. jejuni, helminth infections, and EIEC. Conclusions: The results illustrate the high burden of gastrointestinal pathogens among Indigenous peoples compared to other developing countries. Countermeasures are urgently required.
KW  - protozoa infections
KW  - helminthes
KW  - bacterial infections
KW  - gastrointestinal infection
Y1  - 2020
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-211289
SN  - 2077-0383
VL  - 9
IS  - 9
ER  -