Miami Herald

Oxygen shortage in Amazon city forces mass transfer of patients

- BY MAURICIO SAVARESE AND DAVID BILLER

Dozens of COVID-19 patients in the Amazon rainforest’s biggest city will be flown out of their state as the local health system collapses, authoritie­s announced Thursday as dwindling stocks of oxygen tanks meant some people were starting to die breathless at home.

Doctors in Manaus, a city of 2 million people, were choosing which patients to treat, and at least one of the city’s cemeteries asked mourners to line up to enter and bury their dead. Patients in overloaded hospitals waited in despair throughout the day as oxygen cylinders arrived to save some but came too late for others.

The strains prompted Amazonas state’s government to say it would transport 235 patients who depend on oxygen but aren’t in intensive-care units to five other states and the federal capital, Brasilia.

“I want to thank those governors who are giving us their hand in a human gesture,” Amazonas Gov. Wilson Lima said at a news conference on Thursday.

“All of the world looks at us when there is a problem as the Earth’s lungs,” he said, alluding to a common descriptio­n of the Amazon. “Now, we are asking for help. Our people need this oxygen.”

Many other governors and mayors elsewhere in the country offered help amid a flood of social-media videos in which distraught relatives of COVID-19 patients in

Manaus asked followers to buy oxygen for them.

Brazilian Vice President Hamilton Mourao said on Twitter that the country’s air force had taken more than eight tons of hospital items, including oxygen cylinders, beds and tents to Manaus.

Federal prosecutor­s in the city, however, asked a judge to put pressure on President Jair Bolsonaro’s administra­tion to step up its support.

The prosecutor­s said the main air force plane in the region for oxygen-supply transporta­tion “needs repair, which brought a halt to the emergency influx.”

Neither the air force nor the federal health ministry answered a request for comments from The Associated Press.

The U.S Embassy in Brasilia confirmed it had received a request from local authoritie­s to give support to the initiative, without providing details.

Manaus authoritie­s recently called on the federal government to reinforce their dwindling stock of oxygen needed to keep COVID-19 patients breathing. The city’s 14-day death toll is approachin­g the peak of last year’s first wave of the coronaviru­s pandemic, according to official data.

In that first peak, Manaus consumed about 1 million cubic feet of oxygen per day, and now the need has more than doubled, according to White Martins, the company that provides oxygen to Manaus’ public hospitals.

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