7. MALNUTRITION AND POOR HEALTHThe destruction <strong>of</strong> <strong>the</strong> Guarani’s forest an<strong>do</strong>ccupation <strong>of</strong> <strong>the</strong>ir lands by outsiders has meantthat hunting and fishing are no longer possible,and <strong>the</strong>re is barely enough land to plant crops. In2006, 90% <strong>of</strong> Guarani Kaiowá depended on foodbaskets (cesta básica) provided by <strong>the</strong> <strong>state</strong> for<strong>the</strong>ir survival. 58 This dependency on <strong>the</strong> <strong>state</strong>government and FUNASA for food is humiliatingfor <strong>the</strong> Guarani who were once self-sufficient andenjoyed a healthy diet.<strong>of</strong> malnutrition in Mato Grosso <strong>do</strong> Sul. 61 In2004, 21 children <strong>of</strong> Doura<strong>do</strong>s reserve died <strong>of</strong>malnutrition. 62 In 2005, 31 Guarani Kaiowá childrendied <strong>of</strong> malnutrition in Mato Grosso <strong>do</strong> Sul. 63 In2008, 24 children in Doura<strong>do</strong>s reserve sufferedfrom severe malnutrition and 200 from moderatemalnutrition. 64 This malnutrition suffered by <strong>the</strong>Guarani led <strong>the</strong> public prosecutor <strong>of</strong> Doura<strong>do</strong>s to<strong>state</strong> in 2005 that ‘Ethiopia is here’. 65Guarani Kaiowá, Amilton Lópes said to Survival‘it is essential for us to have more land to liveour lives in dignity. We depend on food basketsnow. They are insufficient and we want to beindependent and we want to grow and provideour own food’. 59In reference to <strong>the</strong> very basic food items <strong>the</strong>baskets contain (with no protein or vegetables),Marcos Homero Ferreira Lima <strong>of</strong> <strong>the</strong> MinistérioPúblico Federal declared that ‘in <strong>the</strong> basic foodbasket delivered by FUNAI, <strong>the</strong>re is no variety’. 60This failure to permit a balanced diet, as well as<strong>the</strong> unreliability <strong>of</strong> <strong>the</strong>ir deliverance has re<strong>sul</strong>tedin a high rate <strong>of</strong> malnutrition amongst <strong>the</strong> Guarani.Lack <strong>of</strong> land, overcrowding and poordiet has led to high rates <strong>of</strong> malnutritionand infant mortality for <strong>the</strong> Guarani.Data presented in 2008 by CIMI indicate that, infive years, 80 indigenous children died as a re<strong>sul</strong>tThis malnutrition is likely to be exacerbated by <strong>the</strong>pesticides which are used on <strong>the</strong> soya plantations13
and which can poison food. Dr. João Paulo BotelhoVieira Filho <strong>of</strong> <strong>the</strong> Escola Paulista de Medicina(School <strong>of</strong> Medicine) <strong>of</strong> <strong>the</strong> Federal University<strong>of</strong> São Paulo- UNIFESP, who has worked inindigenous health for many years, reported that‘it is very probable that <strong>the</strong> pesticides used in <strong>the</strong>frequent aerial spraying are contaminating <strong>the</strong>ground, <strong>the</strong> water and <strong>the</strong> food <strong>of</strong> <strong>the</strong> children’. 66In <strong>the</strong> region <strong>of</strong> Doura<strong>do</strong>s in <strong>the</strong> south <strong>of</strong> MatoGrosso <strong>do</strong> Sul, <strong>the</strong> number <strong>of</strong> children who diedbefore <strong>the</strong>ir first birthday was 64 per 1,000 bornalive in 2004. 67 Meanwhile, <strong>the</strong> national averagewas 30 per 1,000. 68Meanwhile, life expectancy <strong>of</strong> <strong>the</strong> Guarani ismuch lower than that <strong>of</strong> Brazilians as a whole.Life expectancy <strong>of</strong> <strong>the</strong> Guarani Kaiowá is 45 69whilst <strong>the</strong> life expectancy <strong>of</strong> Brazilians as awhole is 72 years. 70The high rates <strong>of</strong> malnutrition and infant mortalityand <strong>the</strong> low life expectancy <strong>of</strong> <strong>the</strong> Guarani areano<strong>the</strong>r re<strong>sul</strong>t <strong>of</strong> <strong>the</strong> poor diet and sanitaryconditions re<strong>sul</strong>ting from <strong>the</strong> overcrowdedsettlements and <strong>the</strong> lack <strong>of</strong> land.Malnutrition and lack <strong>of</strong> health care is mostextreme amongst <strong>the</strong> communities living on <strong>the</strong>roadside. In <strong>the</strong>ir recent declaration, <strong>the</strong>community <strong>of</strong> Kurusu Mba <strong>state</strong>d that ‘It hasbeen almost four years since we have beenliving on <strong>the</strong> side <strong>of</strong> Highway MS 289… whereour families, our children, are only drinkingdirty water. We are not able to continue withor subsistence agriculture, we have no healthservices and no prospects for <strong>the</strong> future. Wehave been thrown into this fate, stripped <strong>of</strong> allour dignity and living a supposed ‘life’ whichin fact is death for us’. 72A <strong>state</strong>ment by <strong>the</strong> Guarani Kaiowá IndigenousRights Commission says that ‘death andstarvation are due to many factors, amongwhich is <strong>the</strong> loss <strong>of</strong> land, which leads to <strong>the</strong>break up <strong>of</strong> our economy, <strong>of</strong> our way <strong>of</strong>producing food and feeding ourselves, and<strong>of</strong> our families... We were a free people wholived surrounded by abundance. Today welive dependent on <strong>the</strong> government’s aid. Wefeel that this policy is paternalistic and <strong>do</strong>esnot enable us to go back and produce ourown food’. 73Meanwhile, <strong>the</strong> health services available to <strong>the</strong>Guarani are scarce and wholly inadequate. ILOConvention 169 <strong>state</strong>s in Article 25.1 that‘governments shall ensure that adequate healthservices are made available to <strong>the</strong> peoplesconcerned, or shall provide <strong>the</strong>m with resourcesto allow <strong>the</strong>m to design and deliver such servicesunder <strong>the</strong>ir own responsibility and control, so that<strong>the</strong>y may enjoy <strong>the</strong> highest attainable standard <strong>of</strong>physical and mental health’.The laws <strong>of</strong> Brazil’s Ministry <strong>of</strong> Health recognisethat ‘access to food is a fundamental human right’,and that ‘it is imperative that we act to reduce <strong>the</strong>inequalities and make every effort to allowindigenous peoples to have an equal chance<strong>of</strong> living a healthy life and having <strong>the</strong>ir right t<strong>of</strong>ood guaranteed’. 71The government’s External Commission on deaths<strong>of</strong> indigenous children <strong>of</strong> Mato Grosso and MatoGrosso <strong>do</strong> Sul observes that ‘Having analysed <strong>the</strong>reality <strong>of</strong> <strong>the</strong> Guarani Kaiowá in <strong>the</strong> IndigenousReserve <strong>of</strong> Doura<strong>do</strong>s, it is clear that <strong>the</strong> problems<strong>of</strong> malnutrition, suicide, alcoholism, <strong>the</strong> searchfor work in <strong>the</strong> factories and ranches <strong>of</strong> <strong>the</strong> area,begging in urban areas and low self-esteem are<strong>the</strong> re<strong>sul</strong>t <strong>of</strong> <strong>the</strong> lack <strong>of</strong> land where <strong>the</strong> GuaraniKaiowá can practice <strong>the</strong>ir culture, agriculturaland ancestral activities.’ 74‘We have been thrown into this fate, stripped<strong>of</strong> all our dignity and living a supposed ‘life’which in fact is death for us.’Guarani community <strong>of</strong> Kurusu Mba, Brazil14