Socioenvironmental determinants of American tegumentary leishmaniasis in the Wajapi indigenous land
Interdisciplinary research; Health of indigenous populations; Health evaluation; Leishmaniasis
For generations, human societies have developed-in the light of culture, and cosmology-knowledge and explanatory models about the processes of health and disease on a collective scale, which, with some similarity and with due care-can be related by Analogy to what we call modern epidemiological science. Epidemiology becomes the object of conflict in contexts in which the health-disease process is understood from other epistemologies and forms of the construction of reality, as for the elaboration of public health policies and disease control among populations Indigenous peoples, or any intercultural context in which different visions of the health-disease process are present. Thus, under a collective plan, there arises the need to create definitions of the health and disease process capable of covering the different perspectives involved. This study adopts as a starting point an epidemiological investigation of an outbreak of American tegumentary leishmaniasis (LTA) leads-