Monterey Herald

Brazil still debating COVID virus drug

The official COVID-19 death toll in Brazil is about to hit 500,000, the second-highest in the world.

- By David Biller and Débora Álvares

BRASILIA, BRAZIL >> As Brazil hurtles toward an official COVID-19 death toll of 500,000 — second-highest in the world — science is on trial inside the country and the truth is up for grabs.

With the milestone likely to be reached this weekend, Brazil’s Senate is publicly investigat­ing how the toll got so high, focusing on why President Jair Bolsonaro’s far-right government ignored opportunit­ies to buy vaccines for months while it relentless­ly pushed hydroxychl­oroquine, the malaria drug that rigorous studies have shown to be ineffectiv­e in treating COVID-19.

The nationally televised hearings have contained enough scientific claims, countercla­ims and outright falsehoods to keep factchecke­rs busy.

The skepticism has extended to the death toll itself, with Bolsonaro arguing the official tally from his own Health Ministry is greatly exaggerate­d and some epidemiolo­gists saying the real figure is significan­tly higher — perhaps hundreds of thousands higher.

Dr. Abdel Latif, who oversees an intensive care unit an hour from Sao Paulo, said the fear and desperatio­n caused by the coronaviru­s have been compounded by misinforma­tion and opinions from self-styled specialist­s and a lack of proper guidance from the government.

“We need real humane public health policy, far from the political fight and based on science and evidence,” he said.

Brazil’s reported death toll is second only to that of the U.S., where the number of lives lost has topped 600,000. Brazil’s population of 213 million is two-thirds that of the U.S.

Over the past week, official data showed some 2,000 COVID-19 deaths per day in Brazil, representi­ng one-fifth the global total and a jump public health experts warn may reflect the start of the country’s third wave.

Bolsonaro has waged a 15-month campaign to downplay the virus’s seriousnes­s and keep the economy humming. He dismissed the scourge early on as “a little flu” and has scorned masks. He was not chastened by his own bout with COVID-19. And he kept touting hydroxychl­oroquine long after virtually all others, including President Donald Trump, ceased doing so.

As recently as last Saturday, Bolsonaro received cheers upon telling a crowd of supporters that he took it when infected.

“The next day,” he declared, “I was cured.”

He pushed hydroxychl­oroquine so consistent­ly that the first of his four health ministers during the pandemic was fired and the second resigned because they refused to endorse broad prescripti­on of the medicine, they told the Senate investigat­ing committee.

The World Health Organizati­on stopped testing the drug in June 2020, saying the data showed it didn’t reduce deaths among hospitaliz­ed patients. The same month, the U.S. Food and Drug Administra­tion revoked emergency authorizat­ion for the drug amid mounting evidence it isn’t effective and could cause serious side effects.

Neverthele­ss, the notion that medicines like hydroxychl­oroquine work against COVID-19 is one of the main things the fact-checking agency Aos Fatos has been forced to debunk continuall­y for the past year, according to Tai Nalon, its executive director.

“This didn’t change, mostly because there is a lack of accountabi­lity of doctors and other medical authoritie­s who propagate this sort of misinforma­tion, and the government supports it,” Nalon said. “Basically it takes only the president to make any factchecki­ng efforts not useless, but less effective.”

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 ?? JEFFERSON BERNARDES — THE ASSOCIATED PRESS FILE ?? A health worker pauses in the ICU unit for COVID-19 patients at the Hospital das Clinicas in Porto Alegre, Brazil.
JEFFERSON BERNARDES — THE ASSOCIATED PRESS FILE A health worker pauses in the ICU unit for COVID-19 patients at the Hospital das Clinicas in Porto Alegre, Brazil.

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