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AutorKempton, Joeseph William
AutorPérissé, André Reynaldo Santos
AutorHofer, Cristina Barroso
AutorVasconcellos, Ana Claudia Santiago de
AutorViana, Paulo Victor de Sousa
AutorLima, Marcelo de Oliveira
AutorJesus, Iracina Maura de
AutorHacon, Sandra de Souza
AutorBasta, Paulo Cesar
Fecha de acceso2023-08-07T14:02:20Z
Fecha de disponibilización2023-08-07T14:02:20Z
Fecha de publicación2021
ReferenciaKEMPTON, Joeseph William et al. An Assessment of Health Outcomes and Methylmercury Exposure in Munduruku Indigenous Women of Childbearing Age and Their Children under 2 Years Old. International Journal of Environmental Research and Public Health, v. 18, n. 19, p. 1-23, Sept. 2021.en_US
ISSN1661-7827en_US
URIhttps://www.arca.fiocruz.br/handle/icict/59903
PromociónThis research was funded by the Vice-Presidency of Environment, Care and Health Promotion (VPPAS) of Fundação Oswaldo Cruz through (Fiocruz) Decentralized Execution of Resources Document No. 175/2018, Process: 25000.209221/2018-18, signed between the Fiocruz and the Special Department for Indigenous Health, both under the Ministry of Health. The non-governmental organization WWF-Brazil offered financial support to disseminate the results of the research.
Idiomaengen_US
EditorMDPIen_US
Derechos de autoropen accessen_US
TítuloAn Assessment of Health Outcomes and Methylmercury Exposure in Munduruku Indigenous Women of Childbearing Age and Their Children under 2 Years Olden_US
Tipo del documentoArticleen_US
DOI10.3390/ijerph181910091
Resumen en InglésIn line with the 1000-day initiative and the Sustainable Development Goals (SDG) 2 and 3, we present a cross-sectional analysis of maternal health, infant nutrition, and methylmercury exposure within hard-to-reach indigenous communities in the state of Pará, Brazilian Amazon. We collected data from all women of childbearing age (i.e., 12-49) and their infants under two years old in three Munduruku communities (Sawré Muybu, Sawré Aboy, and Poxo Muybu) along the Tapajos River. We explored health outcomes through interviews, vaccine coverage and clinical assessment, and determined baseline hair methylmercury (H-Hg) levels. Hemoglobin, infant growth (Anthropometric Z scores) and neurodevelopment tests results were collected. We found that 62% of women of childbearing age exceeded the reference limit of 6.0 μg/g H-Hg (median = 7.115, IQR = 4.678), with the worst affected community (Sawré Aboy) registering an average H-Hg concentration of 12.67 μg/g. Half of infants aged under 24 months presented with anemia. Three of 16 (18.8%) infants presented H-Hg levels above 6.0 µg/g (median: 3.88; IQR = 3.05). Four of the 16 infants were found to be stunted and 38% of women overweight, evidencing possible nutritional transition. No infant presented with appropriate vaccination coverage for their age. These communities presented with an estimated Infant Mortality Rate (IMR) of 86.7/1000 live births. The highest H-Hg level (19.6 µg/g) was recorded in an 11-month-old girl who was found to have gross motor delay and anemia. This already vulnerable indigenous Munduruku community presents with undernutrition and a high prevalence of chronic methylmercury exposure in women of childbearing age. This dual public health crisis in the context of wider health inequalities has the potential to compromise the development, health and survival of the developing fetus and infant in the first two critical years of life. We encourage culturally sensitive intervention and further research to focus efforts.
AfiliaciónFaculty of Medicine. St Mary's Hospital. Imperial College London. London W2 1PG, UK.en_US
AfiliaciónFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.en_US
AfiliaciónUniversidade Federal do Rio de Janeiro. Faculdade de Medicina. Instituto de Pediatria e Puericultura Martagão Gesteira. Rio de Janeiro, RJ, Brasil.
AfiliaciónFundação Oswaldo Cruz. Escola Politécnica de Saúde Joaquim Venâncio. Laboratório de Educação Profissional em Vigilância em Saúde. Rio de Janeiro, RJ, Brasil.
AfiliaciónFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Centro de Referência Professor Hélio Fraga. Rio de Janeiro, RJ, Brasil.
AfiliaciónInstituto Evandro Chagas. Secretaria de Vigilância em Saúde. Seção de Meio Ambiente. Levilândia, AP, Brasil.
AfiliaciónInstituto Evandro Chagas. Secretaria de Vigilância em Saúde. Seção de Meio Ambiente. Levilândia, AP, Brasil.
AfiliaciónFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.
AfiliaciónFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Endemias Samuel Pessoa. Rio de Janeiro, RJ, Brasil.
Palavras clave en InglêsAmazon
Palavras clave en InglêsChildbearing women
Palavras clave en InglêsEnvironmental health
Palavras clave en InglêsIndigenous people
Palavras clave en InglêsMercury exposure
Palavras clave en InglêsNutrition
Palavras clave en InglêsVaccine coverage
e-ISSN1660-4601
xmlui.metadata.dc.subject.ods02 Fome zero e agricultura sustentável
xmlui.metadata.dc.subject.ods03 Saúde e Bem-Estar
xmlui.metadata.dc.subject.ods05 Igualdade de gênero


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