{"id":50041388,"date":"2021-03-12T11:47:26","date_gmt":"2021-03-12T11:47:26","guid":{"rendered":"https:\/\/stage.dialogochino.net\/?p=41388"},"modified":"2023-06-02T16:57:43","modified_gmt":"2023-06-02T15:57:43","slug":"41388-perus-indigenous-peoples-struggle-to-survive-covid-19","status":"publish","type":"post","link":"https:\/\/dialogue.earth\/en\/justice\/41388-perus-indigenous-peoples-struggle-to-survive-covid-19\/","title":{"rendered":"Peru\u2019s indigenous peoples struggle to survive Covid-19"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">When the Covid-19 pandemic arrived in <\/span><a href=\"http:\/\/stage.dialogochino.net\/es\/countries\/peru-es\/\"><span style=\"font-weight: 400;\">Peru<\/span><\/a><span style=\"font-weight: 400;\"> in March 2020, it hit the city of Lima first. The virus seemed far from the Amazon, a region that seriously lacks public services and where many i<\/span><span style=\"font-weight: 400;\">ndigenous communities<\/span><span style=\"font-weight: 400;\"> live in inaccessible areas.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, even in the capital, the virus quickly affected the Amazon community that inhabits the Cantagallo neighbourhood, near the city centre. It is a settlement with precarious houses, without water and sanitation services, inhabited mainly by Shipibo-Konibo migrants from the Ucayali region.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many are artisans and their income depends on what they can sell each day, so when quarantine was declared on March 15, it was difficult for them to cover their expenses. When the first death was reported in the neighbourhood, the police established a cordon, making access to water, food and health services even more difficult.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">News of people killed by Covid-19 in Cantagallo quickly reached the Amazon city of Pucallpa, capital of Ucayali, on the other side of the Andes. There is a relatively large Shipibo Konibo community there.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although the virus had not yet reached Pucallpa, Shimpukat Soria, an artist better known by his stage name, Shimpu, heard that a fellow artist in Cantagallo had fallen ill and died from Covid-19. Knowing that people there were already in quarantine, with no possibility of going out to seek remedies, he got to work.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">He and other Shipibo youths from Pucallpa collected leaves from a shrub known as matico, which has long been used by his people to treat wounds and reduce inflammation. They sent a shipment to Cantagallo, which by then was isolated because the spread of infections.<\/span><\/p>\n<h2>Affected indigenous communities<\/h2>\n<p><span style=\"font-weight: 400;\">Latin America has had some of the highest rates of Covid-19 infections and deaths in the world, but the pandemic has been especially devastating among <\/span><a href=\"http:\/\/stage.dialogochino.net\/es\/es-es\/9827-indigenas-de-la-amazonia-piden-delimitacion-antes-del-ferrocarril\/\"><span style=\"font-weight: 400;\">Amazonian indigenous communities<\/span><\/a><span style=\"font-weight: 400;\">. Scattered along rivers, with little access to clean water and sanitation, and often without even basic health centers, these communities rely heavily on traditional medicine.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">By December 2020, more than 73,000 cases had been reported among indigenous peoples in the Amazon regions of the nine countries that share the basin, and more than 2,100 had died, according to reports compiled by the Catholic Church and the Coordinator of Indigenous Organizations of the Amazon Basin (COICA).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The actual number is probably higher since many cases and deaths are not reported, says Gregorio D\u00edaz, one of the COICA coordinators. In fact, indigenous peoples are largely invisible in national statistics. Only well into the first wave of the pandemic did Peru begin to take note of patients\u2019 ethnic origin.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For indigenous peoples, the loss is severe. The virus tends to be most deadly in people aged over 50 and threatens to take a disproportionate toll on indigenous elders.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ilda Ahuanari died on May 10 in the port of Nauta, on the Mara\u00f1\u00f3n River, 100 kilometres from Iquitos at the end of the only paved highway in the Loreto region. She was 78. Ahuanari, a Kukama woman, helped revive interest in the Kukama language in Nauta and neighboring towns after the younger generation had stopped using it.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Shimpukat believes that the only way to deal with the coronavirus in indigenous communities is to combine traditional practices with Western medicine. Health experts, including those at the <\/span><a href=\"https:\/\/www.paho.org\/es\/noticias\/15-7-2020-ops-acuerda-con-organizaciones-indigenas-coica-trabajar-juntos-para-luchar\"><span style=\"font-weight: 400;\">Pan American Health Organization<\/span><\/a><span style=\"font-weight: 400;\"> (PAHO), agree, but the idea has been slow to take hold.<\/span><\/p>\n<h2>A quick but drastic reaction<\/h2>\n<p><span style=\"font-weight: 400;\">Covid-19 caught Peru off guard. However, the government reacted quickly and drastically. The first confirmed case was reported on March 6 and a few days later, on March 15, the then president Mart\u00edn Vizcarra announced total lockdown, confining all except essential workers to their homes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But this had unintended consequences. About 70% of Peruvian workers are employed in the informal economy and often earn just enough in one day to survive it. When their meagre savings ran out, and government help was slow to arrive, they were forced to go out and look for work, violating lockdown regulations.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Such was the case in Iquitos, the largest Amazon city in Peru and the largest urban area in the Amazon that is not accessible by road. By the time the government had declared a national lockdown, the coronavirus was probably already quietly spreading through crowded slums adjacent to ports and around city limits.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Regional Health Directorate was caught unprepared and hastily responded, reserving the regional public hospital for Covid-19 patients. However, that hospital and other health centres were understaffed even before the pandemic, and the region soon began operating with around half the usual number of doctors.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In a few weeks, the hospital was overwhelmed. Corridors and waiting rooms were turned into makeshift wards. When there were no beds left, patients lay on mats on the floor, each attached by a flexible tube to an oxygen cylinder. Some people reported that the bodies wrapped in sheets piled up faster than they could be removed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Then Iquitos ran out of oxygen. The hospital&#8217;s oxygen generating plant was only partially operational when the pandemic struck, and demand quickly exceeded capacity. Desperate relatives of critically ill patients queued for hours in front of the city&#8217;s two private generating plants.<\/span><\/p>\n<div class='cdo-shortcode--image'><\/p>\n<p><figure id=\"attachment_41413\" aria-describedby=\"caption-attachment-41413\" style=\"width: 2000px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-41413 size-full\" src=\"https:\/\/dialogue.earth\/content\/uploads\/2021\/03\/ritual_ayahuasca-scaled.jpeg\" alt=\"\" width=\"2000\" height=\"1333\"><figcaption id=\"caption-attachment-41413\" class=\"wp-caption-text\">A shaman performs a ritual in an indigeneous community in Peru (image Sebasti\u00e1n Casta\u00f1eda)<\/figcaption><\/figure><\/p>\n<p><\/div>\n<p><span style=\"font-weight: 400;\">True to the law of supply and demand, the price of an oxygen cylinder that would have cost about US$150 in January had skyrocketed to $1,000 by May. Essential medicines, also in short supply, became prohibitively expensive.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Strangely, the official case count increased little and the death toll remained stable for days at around 90. However, those figures were an illusion. In part, the low case count was due to a lack of test kits: only cases that tested positive were officially counted, and with kits in short supply and time of the essence, doctors treated anyone with symptoms as if they were a patient of Covid-19.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The low death toll had another explanation: all but one of the members of the hospital&#8217;s Epidemiology Unit were ill with the virus, so there were no staff to update the records.<\/span><\/p>\n<h2>Organised indigenous communities<\/h2>\n<p><span style=\"font-weight: 400;\">Left to their own devices, the indigenous communities organised. In some communities, families left their homes and went into the forest, building shelters where they hoped to overcome the pandemic with food that they hunted, fished or cultivated in small gardens.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other communities tried to close themselves off from outsiders, but that proved difficult as family members who had migrated to the cities sought to return home when money and food were scarce<\/span><\/p>\n<blockquote><p>Traditional medicine is not a pill. It is a way of treating oneself integrally, where herbs are another element of the worldview<\/p><\/blockquote>\n<p><span style=\"font-weight: 400;\">The pandemic took longer to reach Pucallpa, even though the city has a land link with the densely populated Peruvian coast. But authorities did not use that time to learn from the Iquitos experience and prepare for a wave of patients, and the Pucallpa hospital was soon overwhelmed too.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many indigenous people were reluctant to go to the hospital, so Shimpukat and the other young people who had sent matico leaves to Cantagallo also organised. They began promoting traditional remedies, not only matico leaves, but also ginger, onion, garlic and eucalyptus for those fighting the disease at home. A Catholic parish lent them space to set up a shelter.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Members of the organisation use a combination of traditional medicine and Western medicine, treating symptoms in an attempt to prevent people becoming hospitalised.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Luis Guti\u00e9rrez Alberoni, a pediatrician specialising in intercultural health who has worked in with PAHO said: \u201cTraditional medicine is not a pill. It is a way of treating oneself integrally, where herbs are another element of the worldview. &#8220;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even in cities like Iquitos and Pucallpa, indigenous people seek traditional medicine first and consider Western medicine to be complementary, Guti\u00e9rrez adds.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In his view, closing the gap between the two requires dialogue. Western medical professionals and health authorities, in particular, must listen to and learn from healers and members of indigenous communities in order to bridge the gap between the two forms of healthcare.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">After the first wave of the pandemic, the healthcare shelter for the indigenous groups was momentarily empty. However, by mid-December of last year, he was back with patients, which for Shumpukat could herald a second wave of infections.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Indeed, since January, the number of infections in Peru has increased dramatically, reaching August\u2019s death rate in just six weeks.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The figures in the jungle are correspondingly high. In Loreto, the incidence of Covid-19 cases rose from 6 to 60 per 100,000 inhabitants in the month of January. Again, there is a sense of desperation due to the shortage of medical oxygen.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Shipukat argues: &#8220;What we are looking for is support, that we are considered a fundamental part of the Regional Health Directorate, and that they include us as traditional doctors, to continue our work.&#8221;<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">This publication is part of a journalistic project led by Periodistas por el Planeta (PxP) in Latin America. Creative Commons License.<\/span><\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The coronavirus pandemic had a devastating effect on the indigenous Amazonian communities of Peru who have very limited access to public health services<\/p>\n","protected":false},"author":50000563,"featured_media":50041407,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[50039900],"tags":[20000838,551,555],"hashtags":[],"country":[50002601],"class_list":["post-50041388","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-justice","tag-covid-19","tag-health","tag-indigenous-peoples","country-peru"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.0 (Yoast SEO v26.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Peru\u2019s indigenous peoples struggle to survive Covid-19 | Dialogue 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