La malaria en el embarazo constituye un problema de salud pública a nivel mundial. Con el objetivo de analizar la situación de malaria durante el embarazo y sus efectos, se realizó un estudio epidemiológico descriptivo de tipo transversal donde fueron seguidas un total de 449 embarazadas en la parroquia San Isidro, municipio Sifontes, estado Bolívar, Venezuela, durante los años 2005 y 2006. La incidencia de malaria en embarazadas fue de 27,4%: 87% por Plasmodium vivax, 12,2% por Plasmodium falciparum y 0,8% por infecciones mixtas. Estas infecciones ocurrieron mayormente en el segundo trimestre (41,5%). El 71.5% de las embarazadas con malaria presentaron síntomas de la enfermedad y 26,2% presentaron anemia. Se registró una mayor proporción de abortos en las embarazadas infectadas con P. vivax. De los datos obtenidos de 91 nacimientos, 3,3% correspondieron a recién nacidos de bajo peso. Se registró un caso de malaria placentaria (0,8%) por P. vivax. Se observó una asociación entre recibir la quimioprofilaxis y el adecuado peso del recién nacido (X²=41 23gl. p< 0,0001), independientemente de la regularidad del tratamiento. La administración rutinaria de quimioprofilaxis antimalárica contra P. vivax durante el embarazo, puede estar justificada en áreas endémicas. Es recomendable el diagnóstico y tratamiento oportuno durante la consulta prenatal en las zonas de transmisión de la malaria.

Malaria in pregnancy constitutes a world-wide public health problem. With the objective of studying malaria in pregnancy, a cross-sectional, descriptive epidemiological study was carried out on 449 women, in mining areas of the San Isidro parish, municipality Sifontes, state of Bolívar, Venezuela, during 2005-2006. The Malaria incidence in pregnant women was 27.4%: 87% for Plasmodium vivax, 12.2% Plasmodium falciparum and 0.8% mixed infections. These infections appeared mainly during the second trimester (41.5%). Of the women studied, 71.5% presented symptoms and 26.2% had anemia. A higher proportion of abortions occurred among infected mothers with Plasmodium vivax (3/5); and there were 3.3% low-birth-weight neonates. A case of placental malaria (0.8%) for Plasmodium vivax was registered. An association was observed between mothers receiving chemoprophylaxis and the adequate weight of newborns (X² = 41 23gl. p < 0.0001), independently of the regularity of treatment. It is concluded that the routine administration of antimalarial quimioprophilaxis against P. vivax to pregnant women, could be justified in endemic areas. It is advisable to establish the routine diagnosis and opportune treatment during the prenatal practice in the transmission areas of malaria.

Este trabalho consiste em uma etnografia sobre as noções de corporalidade e pessoa entre os Jodï, um grupo ameríndio (~ 900 pessoas) da Serra Maigualida na Guayana venezuelana. Oferece-se, aqui, uma interpretação etnográfica sinótica de aspectos significativos dos discursos mitológicos e ritos hodï que permitem especular acerca da protologia e escatologia humanas, ilustradas em algumas práticas (predação, caça e espacialização do tempo). Este texto associa suas premissas teóricas ao perspectivismo, explorando três dinâmicas Jodï: 1) A espacialidade do tempo primordial e do atual; 2) O valor do som e seu contraponto com o silêncio e 3) A noção de alteridade consubstanciada com animais, artrópodos, plantas e fungos, a ponto de tornar difusos os limites discretos da pessoa. Pretende-se estabelecer linhas causais entre as idéias e práticas Jodï para comprender suas condutas ecológicas.

The present work is an ethnography of notions of corporality and personhood among the Jodï, (a Native American group of around 900 people) in the Serra Maigualida in the Guyana region of Venezuelan. Here, we offer a synoptic ethnographic interpretation of the significant aspects of the mythological discourses and hodï rites which permit speculation regarding human protology and eschatology as illustrated by certain practices (predation, hunting and the spatialization of time). The theoretical premises utilized here, associated with perspectivism, explore three Jodï dynamics: 1) The spatial distribution of primordial and current time; 2) The value of sound and its counterpoint, silence; and 3) The notion of alterity as consubstantiated with animals, arthopods, plants and funguses to such a degree that the very borders of personhood become fuzzed. It is this article's objective to establish causal linkages between Jodï ideals and practices in order to better comprehend that people's ecological conduct.