Testing for SARS-CoV-2 at the core of voluntary collective isolation: Lessons from the indigenous populations living in the Amazon region in Ecuador.

Esteban Ortiz-Prado; Ismar A Rivera-Olivero; Byron Freire-Paspuel; Rachel Lowe ORCID logo; Tannya Lozada; Aquiles R Henriquez-Trujillo; Miguel Angel Garcia-Bereguiain; UDLA COVID-19 Team; UDLA COVID-19 Team; (2021) Testing for SARS-CoV-2 at the core of voluntary collective isolation: Lessons from the indigenous populations living in the Amazon region in Ecuador. International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 105. pp. 234-235. ISSN 1201-9712 DOI: 10.1016/j.ijid.2021.02.039
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Voluntary collective isolation has been proposed to be the best response to COVID-19 for indigenous populations. While the potential value of voluntary collective isolation is appealing, the feasibility of this approach needs empirical evidence to support it as the best response to protect indigenous communities from COVID-19. This paper describes our experience during SARS-CoV-2 surveillance among Waorani communities in the Ecuadorian Amazonian region, from June to September 2020. We found that self-isolation strategies failed to contain the spread of SARS-CoV-2 from main urban areas to remote and isolated comunities.


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