Plagues, Pestilences and Diseases
Amazon Indians hit by deadly epidemic in Venezuela
By IAN JAMES
The Associated Press
Saturday, October 30, 2010; 3:51 PM
CARACAS, Venezuela -- Venezuelan health workers say an epidemic that
may be malaria has killed dozens of people, decimating three villages
of the Yanomami Indians, whose struggle for survival in a remote part
of the Amazon rain forest has attracted worldwide support.
Two indigenous health workers who visited the area told The Associated
Press on Friday that village chiefs told them that about 50 people have
died recently, many of them children.
"There are still many, many sick people," Andres Blanco said by
telephone from Puerto Ayacucho in southern Venezuela. Blanco, a
Yanomami health worker in a government program for the indigenous
communities, alerted regional officials this month after trekking for
days to visit three remote villages.
He returned by helicopter last weekend with a team of government
doctors who administered medication and confirmed that many survivors
are also infected with malaria.
A regional health official, Dr. Carlos Botto, said the initial accounts
and tests have shown there was some type of epidemic and evidence of
malaria. But he said the number of deaths remained unclear and further
tests were needed to determine if other diseases could be involved. He
said other officials were analyzing results of the five-day medical
mission.
"What's certain is that there was an epidemic with deaths," Botto said
in a telephone interview. He said the number of deaths reported by
those in the communities was just an estimate.
"The number could be lower, but in any case it's an important, alarming
number," said Botto, who leads a program focused on river blindness at
a government institute, the Amazon Center of Research and Control of
Tropical Diseases in Puerto Ayacucho.
Health Ministry officials in Caracas did not return repeated calls from
the AP seeking comment, nor did the government's epidemiologist in
Amazonas state.
Blanco said when he first reached the area on foot in mid-October,
leaders of the three tiny communities told him that 51 people - out of
roughly 200 who lived there - had died in recent months. Blanco said
there have been at least three more victims since.
"I've never seen it like this," said Shatiwe Luis Ahiwei, another
Yanomami health worker who assisted in the medical mission and said
about 100 more malaria cases had been identified in the area, more than
half of them the deadly falciparum strain. The sick have had symptoms
including high fever, shivering, vomiting and bloody diarrhea.
The Yanomami are one of the largest isolated indigenous groups in the
Amazon, with a population estimated at roughly 30,000 on both sides of
the Venezuela-Brazil border. They have maintained their language as
well as traditions including face paint and wooden facial ornaments
piercing their noses, cheeks and lips.
Their forest-dwelling society has long been a focus of studies by
anthropologists. Human rights and environmental activists have
championed the group's effort to preserve its culture and rain forest
in the face of pressures from the outside world - a struggle that led
to the 1983 musical "Yanomamo," which was adapted for television as
"Song of the Forest," narrated by the rock star Sting.
Isolation has left the Yanomami vulnerable to many illnesses such as
measles, yellow fever and hepatitis that have been spread by outsiders.
Indigenous rights activist Christina Haverkamp said that the government
response has been slow and inadequate, and that doctors need access to
helicopters to reach people in other areas where similar situations
have been reported.
"Many Yanomami are dying and need help," said Haverkamp, a German who
runs the organization Yanomami-Hilfe and has worked among the Yanomami
for two decades in Venezuela and Brazil.
Malaria is common in the Yanomami region, and Haverkamp said she has
caught it four times over the years. But she said she has never seen
such a serious outbreak.
"It's a catastrophe and also a scandal that they still don't ... have
it under control," she said.
Officials in President Hugo Chavez's government insist they have
improved and expanded medical care through a program called the
Yanomami Health Plan, investing in clinics and also training some of
the Yanomami to be health workers for their own villages.
American missionaries belonging to the group New Tribes Mission used to
aid sick villagers, but in 2005 Chavez expelled them, accusing them of
conducting espionage.
"With the missionaries, health care was better under control," at least
in areas where they worked, Haverkamp said.
Nationwide, the Health Ministry says 39,658 malaria cases have been
reported so far in 2010, an increase of about 42 percent compared to
the same period last year. The report does not list fatalities.
Haverkamp suggested the spike in the mosquito-borne illness among the
Yanomami may be due to an influx of malaria-infected Brazilian gold
miners working in illegal camps near indigenous settlements, and she
said the military should evict the miners.
Information about disease outbreaks has often proven difficult to
confirm among the Yanomami, in part because it is their custom not to
speak about the dead and also because many villages have only sporadic
contact with the outside world.
Last year, health officials reported six deaths among the Yanomami due
to respiratory illnesses that the officials suspected might have
included swine flu, but no tissue samples were analyzed in time to
confirm it.
The Yanomami typically cremate their dead. In funeral rituals, they mix
the ashes with mashed bananas and water, and drink it to honor the
deceased.
But Blanco said that due to the many deaths in the three villages -
Maiweteri, Pooshiteri and Awakau - some bodies had simply been left out
in the forest. He said he saw a few corpses.
"It was too much to burn all of them, as is our custom," Ahiwei said.