TY - JOUR
T1 - Voluntary collective isolation as a best response to COVID-19 for indigenous populations? A case study and protocol from the Bolivian Amazon
AU - Kaplan, Hillard S.
AU - Trumble, Benjamin C.
AU - Stieglitz, Jonathan
AU - Mamany, Roberta Mendez
AU - Cayuba, Maguin Gutierrez
AU - Moye, Leonardina Maito
AU - Alami, Sarah
AU - Kraft, Thomas
AU - Gutierrez, Raul Quispe
AU - Adrian, Juan Copajira
AU - Thompson, Randall C.
AU - Thomas, Gregory S.
AU - Michalik, David E.
AU - Rodriguez, Daniel Eid
AU - Gurven, Michael D.
N1 - Publisher Copyright:
© 2020 Elsevier Ltd
PY - 2020/5/30
Y1 - 2020/5/30
N2 - Indigenous communities worldwide share common features that make them especially vulnerable to the complications of and mortality from COVID-19. They also possess resilient attributes that can be leveraged to promote prevention efforts. How can indigenous communities best mitigate potential devastating effects of COVID-19? In Bolivia, where nearly half of all citizens claim indigenous origins, no specific guidelines have been outlined for indigenous communities inhabiting native communal territories. In this Public Health article, we describe collaborative efforts, as anthropologists, physicians, tribal leaders, and local officials, to develop and implement a multiphase COVID-19 prevention and containment plan focused on voluntary collective isolation and contact-tracing among Tsimane forager-horticulturalists in the Bolivian Amazon. Phase 1 involves education, outreach, and preparation, and phase 2 focuses on containment, patient management, and quarantine. Features of this plan might be exported and adapted to local circumstances elsewhere to prevent widespread mortality in indigenous communities.
AB - Indigenous communities worldwide share common features that make them especially vulnerable to the complications of and mortality from COVID-19. They also possess resilient attributes that can be leveraged to promote prevention efforts. How can indigenous communities best mitigate potential devastating effects of COVID-19? In Bolivia, where nearly half of all citizens claim indigenous origins, no specific guidelines have been outlined for indigenous communities inhabiting native communal territories. In this Public Health article, we describe collaborative efforts, as anthropologists, physicians, tribal leaders, and local officials, to develop and implement a multiphase COVID-19 prevention and containment plan focused on voluntary collective isolation and contact-tracing among Tsimane forager-horticulturalists in the Bolivian Amazon. Phase 1 involves education, outreach, and preparation, and phase 2 focuses on containment, patient management, and quarantine. Features of this plan might be exported and adapted to local circumstances elsewhere to prevent widespread mortality in indigenous communities.
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U2 - 10.1016/S0140-6736(20)31104-1
DO - 10.1016/S0140-6736(20)31104-1
M3 - Article
C2 - 32422124
AN - SCOPUS:85085335000
SN - 0140-6736
VL - 395
SP - 1727
EP - 1734
JO - The Lancet
JF - The Lancet
IS - 10238
ER -