San Diego Union-Tribune (Sunday)
BRAZIL FACING COLLAPSE OF HEALTH SYSTEM
Nation closes in on tallying 4,000 deaths per day
Brazil currently accounts for one-quarter of the entire world’s daily COVID-19 deaths, far more than any other single nation, and health experts are warning that the nation is on the verge of even greater calamity.
The nation’s seven-day average of 2,400 deaths stands to reach 3,000 within weeks, experts say. That’s nearly the worst level seen by the U.S., though Brazil has two-thirds its population. Spikes of daily deaths could soon hit 4,000; on Friday there were 3,650.
Having glimpsed the abyss, there is growing recognition shutdowns are no longer avoidable — not just among experts, but also many mayors and governors. Restrictions on activity they implemented last year were half-hearted and consistently sabotaged by President Jair Bolsonaro, who sought to stave off economic ruin. He remains unconvinced of any need for clampdown, which leaves local leaders pursuing a patchwork of measures to prevent the death toll from spiraling further.
It may be too late, with a more contagious variant rampaging across Brazil. For the first time, new daily cases topped 100,000 on Thursday, with many more uncounted. Miguel Nicolelis, professor of Neurobiology at Duke University who advised several Brazilian governors and mayors on pandemic control, anticipates the total death toll reaching 500,000 by July and exceeding that of the U.S. by year-end.
“We have surpassed levels never imagined for a country with a public health care system, a history of efficient immunization campaigns and health workers who are second to none in the world,” Nicolelis said. “The next stage is the health system collapse.”
The system is already buckling, with almost all states’ intensive care units near or at capacity. Dr. Jose Antonio Curiati, a supervisor at Sao Paulo’s Hospital das Clinicas, the biggest hospital complex in Latin America, said its beds are full, but patients keep arriving. The city’s oxygen supply isn’t guaranteed, and stocks of sedatives required for intubation in intensive care units will soon run out.
On March 17 in northeastern Piaui state, nurse Polyena Silveira wept beside a COVID-19 patient who died on the floor for lack of beds at her public hospital. A photo capturing the moment went viral and served as a national wake-up call.
“When he was gone, I had two minutes to feel sorry before moving to the next patient,” Silveira, 33, said. “In eight years as a nurse, I’d never felt as much pain as that night. I’m near my limit, physically and mentally.”
Brazil’s state-run science and technology institute, Fiocruz, on Tuesday called for a 14-day lockdown to reduce transmission by 40 percent. Natalia Pasternak, a microbiologist who presides over the Question of Science Institute, pointed to a local example of success: The midsize city of Araraquara in Sao Paulo state last month implemented lockdown and has seen its cases and deaths recede.
Pasternak declined to estimate Brazil’s looming daily death toll but said the trend is for continued growth if nothing is done.
“(Mayors and governors) are trying to implement preventative measures, but separately and in their own ways,” Pasternak said. “This isn’t the best approach, but it’s better than nothing.”