Toward a Broader View of Health in the Anthropocene: The COVID-19 Syndemic and the Clash of Cosmographies in Mato Grosso do Sul, Brazil

R. Dias-Scopel, D. Scopel, E. J. Langdon
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Abstract

The continual expansion of developmental frontiers has impacted dramatically upon Indigenous health in Brazil. When the COVID-19 pandemic struck in Mato Grosso do Sul, its Indigenous populations were already living in circumstances of environmental degradation, food insecurity, racism, and structural violence. The synergistic interaction between the SARS-CoV-2 virus, other pathogens, and biosocial factors resulted in what Singer (2010) terms as ‘syndemics’. In the case of Mato Grosso do Sul, it brought about a substantial increase in the disease burden of Indigenous Peoples, where child malnutrition, obesity, hypertension, respiratory and parasitic diseases, and maternal mortality appear at higher rates than in the non-Indigenous population. This Research Article discusses the coping and participatory strategies that were employed by Indigenous Peoples early in the pandemic. Efforts by Indigenous Peoples to address the pandemic reveal ‘a clash’ between Indigenous and Colonial cosmographies with regard to notions of the body and health. Considering the Indigenous perspective on the relation between territoriality and health, the analysis highlights asymmetries of power and embodied vulnerabilities and the limits of the Anthropocene as a global perspective.
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走向人类世更广泛的健康观:新冠肺炎综合征与巴西南马托格罗索岛的宇宙学冲突
发展边界的不断扩大对巴西土著人的健康产生了巨大影响。当新冠肺炎疫情在南马托格罗索州爆发时,其土著居民已经生活在环境退化、粮食不安全、种族主义和结构性暴力的环境中。严重急性呼吸系统综合征冠状病毒2型病毒、其他病原体和生物社会因素之间的协同作用导致了Singer(2010)所说的“综合征”。在南马托格罗索州,它大大增加了土著人民的疾病负担,那里的儿童营养不良、肥胖、高血压、呼吸道和寄生虫病以及孕产妇死亡率似乎高于非土著人口。这篇研究文章讨论了土著人民在疫情早期采用的应对和参与策略。土著人民应对疫情的努力揭示了土著和殖民地在身体和健康概念方面的宇宙观之间的“冲突”。考虑到土著人对领土和健康之间关系的看法,该分析强调了权力的不对称性和具体的脆弱性,以及人类世作为一个全球视角的局限性。
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