COVID-19 surging dangerously in Brazil, WHO Americas branch warns

BRASILIA (Reuters) – The coronavirus is surging “dangerously” across Brazil, the World Health Organization’s (WHO) regional director for the Americas, Carissa Etienne, warned on Tuesday, urging all Brazilians to adopt preventive measures to stop the spread.

“Unfortunately, the dire situation in Brazil is also affecting neighboring countries,” Etienne, director of the Pan American Health Organization (PAHO), said in a briefing.

Cases have risen in Venezuela’s Bolivar and Amazonas states, and in border regions of Peru and Bolivia, she said.

“The COVID-19 virus is not receding, nor is the pandemic starting to go away,” Etienne said.

In the Southern Cone, cases continue to spike in Chile, Paraguay and Uruguay, according to PAHO.

In Paraguay, a majority of intensive care unit (ICU) beds are occupied, and the health system is buckling under the pressure. Uruguay has reported more than 1,000 cases per day several times in the past few weeks, an alarming number given the size of the country.

In Central America, cases have declined in Panama, but in Guatemala the rise in hospitalizations is straining ICU bed capacity.

“Vaccines are coming but they are still several months away for most people in our region.” Etienne said.

The COVAX facility led by WHO and the Gavi coalition to provide equitable access to vaccines has delivered 2,161,800 doses to the region so far, including more than 1 million doses to Brazil last weekend.

PAHO expects over 100,000 vaccine doses to be delivered this week to El Salvador, Belize and Suriname, and 1.2 million additional doses have already been procured.

(Reporting by Anthony Boadle; Editing by Bill Berkrot)

Pandemic picking up speed in half of the Americas: PAHO director

By Anthony Boadle

BRASILIA (Reuters) – New coronavirus cases are picking up again in half of the countries in the Americas, the Pan American Health Organization (PAHO) said on Wednesday, calling on Brazil to protect its people in the face of record infections and deaths.

Brazil is now reporting the highest number of new infections in the region, PAHO director Carissa Etienne said. Several areas of Brazil are witnessing record-high infections, and hospital beds are nearly at capacity across more than half of Brazilian states.

Brazil on Tuesday reported a record 2,841 deaths in 24 hours, as the incoming health minister pledged to continue the controversial policies of far-right President Jair Bolsonaro, who has downplayed the severity of the disease.

“The situation in Brazil is a cautionary tale that keeping this virus under control requires continuous attention by public health authorities and leaders to protect people and health systems from the devastating impact of this virus,” Etienne said.

According to a Reuters tally, Latin America has recorded around 22.9 million coronavirus cases, and 722,000 deaths, almost double the toll of Asia and Africa combined.

The news out of North America was mixed as the vaccine rollout in the United States gained momentum. The United States and Mexico are reporting a drop in new infections, though cases in Canada are accelerating, particularly among young adults ages 20 to 39, Etienne said.

But she said vaccines are limited and supplies face a bottleneck, with only two manufacturers providing shots through the World Health Organization and Gavi coalition’s COVAX facility to provide equitable access for poorer nations.

So far, nearly 138 million doses of COVID-19 vaccines have been administered in the Americas, although just 28 million of those shots were given in Latin America and the Caribbean.

New infections are decelerating in the Caribbean, but some islands are seeing the number of COVID-19 deaths double, she said.

Cases were rising in Uruguay, Ecuador and Venezuela in the last week, while Paraguay’s health system issued an urgent warning as hospitals filled up with COVID-19 patients, Etienne said.

(Reporting by Anthony Boadle; Editing by Franklin Paul and Bill Berkrot)

Brazil hospitals pushed to limit as COVID-19 death toll soars

By Eduardo Simões and Rodrigo Viga Gaier

SAO PAULO (Reuters) – Hospitals in Brazil’s main cities are reaching capacity, health officials warned, as the country recorded the world’s highest COVID-19 death toll over the past week, triggering tighter restrictions on Thursday in its most populous state.

Intensive care wards for treating COVID-19 patients have reached critical occupancy levels over 90% in 15 of 27 state capitals, according to biomedical center Fiocruz.

Porto Alegre in southern Brazil has no free intensive care units (ICUs) and occupancy hit 100% in two other state capitals, Fiocruz reported.

The Health Ministry on Wednesday reported a record 2,286 deaths from COVID-19 in the last 24 hours, as new infections rose by 79,876.

With more than 270,000 deaths, Brazil’s pandemic death toll over the past year trails only the United States. But over the past week, Brazil has averaged more than 1,600 deaths per day, ahead of some 1,400 in the United States, where the outbreak has ebbed.

As President Jair Bolsonaro rails against lockdowns and urges Brazilians out of their homes, governors and mayors have struggled to enforce restrictions, often pleading in vain with a population inured to the rising tide of the epidemic.

The far-right president attacked governors for the lockdowns again on Thursday, including Sao Paulo state’s move to ban soccer matches. He said they were increasing poverty with a medicine that was worse than the virus.

“How long can we stand this lockdown irresponsibility? You close everything and you destroy millions of jobs. Lockdown is not a cure,” Bolsonaro said in a remote talk to a business group with Economy Minister Paulo Guedes at his side.

Brazil’s two most populous cities, Sao Paulo and Rio de Janeiro, on Thursday moved to tighten measures as their hospitals struggled with a second wave of the virus, driven by a more contagious variant that emerged in the Amazon region.

While Europe and the United States ramp up vaccinations and bring down their caseloads, Brazil’s federal government is off to a slow start, with only 2% of the 210 million Brazilians fully inoculated so far.

In the nation’s capital Brasilia, which is under a nighttime curfew, public hospital ICU wards are 97% full and private ones are at 99%, forcing the city to again set up field hospitals as it had during a peak in cases last year.

On Thursday, Sao Paulo Governor João Doria announced a “new stage” of restrictions to enforce social distancing, arguing it is now the only weapon against the spread of the virus.

They include a curfew from 8:00 p.m. to 5:00 a.m., the suspension of religious services and sports events, including soccer matches, and people not being allowed to use beaches and parks.

“This is a tough, unpopular decision. No governor wants to stop the economic activities in their state,” Doria said at a news conference.

The state of Sao Paulo, home to some 44 million people, is currently allowing only essential stores such as supermarkets and pharmacies to receive shoppers.

The Sao Paulo health secretary said hospitals in more than half of the state’s municipalities are full and half the patients are under 50 years old.

Last year, the most serious cases were concentrated among elderly Brazilians.

(Reporting by Eduardo Simoes in Sao Paulo and Rodrigo Viga Gaier in Rio de Janeiro; Writing by Jamie McGeever and Anthony Boadle; Editing by Brad Haynes, Bill Berkrot and Jonathan Oatis)

North America sees drop in COVID-19 cases, Brazil surge worrying, says PAHO

By Anthony Boadle

BRASILIA (Reuters) – New COVID-19 cases continue to decline in North America, but in Latin America infections are still rising, particularly in Brazil where a resurgence has caused record daily deaths, the Pan American Health Organization (PAHO) warned on Wednesday.

“We are concerned about the situation in Brazil. It provides a sober reminder of the threat of resurgence: areas hit hard by the virus in the past are still vulnerable to infection today,” PAHO Director Carissa Etienne said in a briefing.

She said cases are on the rise in nearly every Brazilian state, with Amazonas state especially hard hit.

A new variant first discovered late last year has led to a surge in new infections there that have overwhelmed the health care system, which continues to experience widespread shortages of medical supplies, including oxygen, she said.

Brazil needs “very strict” public health measures to curb the surge that is overwhelming hospital ICU wards, PAHO’s incident manager Sylvain Aldighieri said.

Brazil reported a record 1,972 deaths from COVID-19 in 24 hours on Thursday. Brazil has the second-highest total number of deaths behind the United States.

The United States and Canada continue to see a drop in new cases of COVID-19, PAHO said.

Cuba, the Bahamas, Saint Lucia and Guadeloupe are facing a rise in infections, and in South America Paraguay, Uruguay and Chile are reporting an increase in new cases, while Peru and Bolivia are finally seeing declines, PAHO said,

Vaccines have begun to arrive in Latin America through the COVAX facility led by the World Health Organization to provide equitable access to shots, with 28.7 million doses allocated to the region over the next three months.

But PAHO warned that vaccine supply is limited, due to manufacturing constraints and high demand, and some countries will have to wait several months until they receive theirs.

According to a Reuters tally, Latin America has recorded around 22.3 million coronavirus cases, and 704,000 deaths, almost double the death toll of Asia and Africa combined.

(Reporting by Anthony Boadle, Editing by Franklin Paul and Lisa Shumaker)

Brazil women suffer in silence as COVID-19 sparks domestic terror

By Pilar Olivares

RIO DE JANEIRO (Reuters) – During the early months of Brazil’s COVID-19 pandemic, Rio de Janeiro police detective Fernanda Fernandes was certain that cases of domestic abuse were rising, but there was little she could do about it as few women came forward to file a report.

“Women (were) unable to escape their abusers while stuck at home,” said Fernandes, who runs the Specialized Delegation for Support of Women (DEAM) in Rio’s sprawling Duque de Caxias suburb. The number of complaints has, however, risen as the outbreak has ebbed, and more women have left their homes to lodge complaints with police, she said.

Around the world, police and prosecutors, victim support teams and women’s movements, as well as the United Nations, have reported rising domestic violence during coronavirus-related lockdowns. The pandemic in Brazil has left many couples jobless, adding to domestic tensions, Fernandes said.

The economy slumped 4.1% last year and Brazil’s recovery is likely to remain tepid as the country grapples with a brutal fresh wave of infections.

Brazil recorded 649 femicides during the first half of 2020, according to figures from the Brazilian Forum for Public Safety, up 2% from the same period in 2019. But other crimes against women such as assault and rape, which usually require victims to file a police report, fell during that period, the Forum noted.

“The decrease in the registration of some crimes in this period is more a reflection of the difficulties and obstacles women encountered during the pandemic to report abuse, than a sign of a reduction in cases,” it said in its latest October report.

Fabiana Antunes, a shopkeeper, said that she finally gathered the courage to go to police in May after the latest attack by her abusive former partner, an illustrator whom she met five years ago.

A year into their relationship, he began to drink more, forbade her from seeing friends, and became violent, she said. She left him two years later, but they were still living under the same roof at the onset of the pandemic, when his mood soured.

“The pandemic – the fact of being stuck at home – made everything worse,” she said.

In May, he struck her in the stomach during a fight, Antunes said, and she contacted the police. A judge issued a restraining order against Antunes’ ex-partner, who moved out, according to Fernandes and court documents.

Yet Antunes still worries. Her ex-partner drew sketches which she showed to Reuters – of a woman who looks like her murdered by a man wielding a cleaver.

Aldefran Melo da Silva, her ex-partner, said Antunes had previously been proud to feature in his artistic work. He confirmed the restraining order had been issued but denied wrongdoing.

“We had normal marital discussions, but without any physical or verbal aggression,” he said. “I never hit her.”

NATIONAL CAMPAIGN

Fernandes – whose team in Duque de Caixas handled 4,121 cases of domestic violence in 2019, the most of any DEAM team in Rio state – has held Facebook Live sessions to brief the local community on the need to report signs of domestic abuse.

Part of the challenge, she said, is convincing some women abuse is unacceptable. Others fail to grasp the danger of their situation as they do not believe their partners are capable of killing them.

Taylaine Alves, a 19-year-old mother of two, was severely burned in a 2019 attack and later died in hospital from her injuries. Alves’ boyfriend was charged and is in prison awaiting trial. His lawyer from the public defender’s office declined to comment.

“We mothers never forget,” said Jozilene Pereira Alves. “Life goes on, but a piece of me is dead.”

Brazil introduced tough penalties for domestic abuse in 2006 with the Maria Da Penha law – named after a woman left paraplegic after being shot by her husband in her sleep.

However, it was not until 2015 that Brazil officially recognized femicide as a crime – years after most other countries in the region, including Colombia, Chile, Argentina and Mexico.

Paulo Cesar da Conceicao, who runs a rehabilitation center for men involved in domestic violence, called CR Homem, said most abusers struggle to accept their responsibility, blaming their victims for provoking them.

Conceicao said that, in group sessions, his team guide conversations to help men to see their own responsibility for domestic abuse.

“The men arrive in the group very closed and resistant, and we try to break that down,” he said.

Daniela Gasparin, 38, says she lives in fear of her former partner, who was jailed after attacking her with a knife on a bus in the city of Boituva, in Sao Paulo state. Her ex-boyfriend was arrested and convicted in the case.

“Even if he is in jail, I’m still scared he will get out and come after me,” said Gasparin. “This is a love I cannot understand. How can a person love and also try to kill?”

(Reporting by Pilar Olivares; Additional reporting by Gabriel Stargardter; Editing by Daniel Flynn and Rosalba O’Brien)

‘We’ve lost so many’: Brazil starts vaccinating Amazon river dwellers

By Bruno Kelly

MANACAPURU, Brazil (Reuters) – Health workers sped along the Amazon river this week to start vaccinating riverside communities, bringing hope to a region hard hit by COVID-19 and now facing a lethal surge driven by a new Brazilian variant of coronavirus.

Wearing protective masks and gowns, they traveled by open motorboat from Manacapuru, a town two hours from the jungle city of Manaus, where hospitals ran out of beds and oxygen last month and cemeteries could not dig graves fast enough to deal with Brazil’s highest death rate.

“I am happy you’ve come. We have lost so many old people and young ones too,” said 83-year-old Maria Araujo after receiving a dose of a British vaccine made by India’s Serum Institute.

“This has given us hope that things will change, they will improve,” she said. Brazil is scrambling to get access to more vaccines to fight the world’s most deadly coronavirus outbreak outside the United States. So far, it has vaccinated 2 million people, mostly health workers and elderly Brazilians, with vaccines made by China’s Sinovac Biotech Ltd and AstraZeneca Plc.

More than 9.2 million Brazilians have been infected by the virus and 225,000 have died. In Manaus, the capital of Amazonas state with 2.1 million inhabitants, more than 5,500 have died, or 261 per 100,000, the highest rate in Brazil, according to Health Ministry data.

Researchers say the aggressive surge in Manaus is largely due to a new variant of the virus discovered there, called P1, which has quickly become the dominant variant, leading scientists to believe it is more contagious. Genome sequencing indicates that 91% of new COVID-19 cases in January in Amazonas state involved the new variant, said Felipe Naveca, a virologist at the ILMD/Fiocruz Amazônia biomedical research center. That is up from 51% of cases sequenced in December and none in November.

The variant was first detected early last month on four travelers who arrived in Japan coming from the Amazon. Scientists have not yet determined whether P1, derived from the B.1.1.28 lineage of SARS-CoV-2, is more lethal than earlier variants. Naveca said it clearly spreads faster, although cases also increased due to less social distancing over the holiday season.

(Reporting by Bruno Kelly; Writing by Anthony Boadle; Editing by Brad Haynes and Lisa Shumaker)

COVID-19 cases falling in U.S., Canada, but still rising in Mexico, Colombia, Brazil: PAHO

BRASILIA (Reuters) – COVID-19 infections are finally decreasing in the United States and Canada after weeks of unrelenting rise, but in Mexico cases and deaths continue to increase, particularly in states that drew tourism in the holiday season, the Pan American Health Organization said on Wednesday.

In South America, Colombia reported the highest incidence of cases, followed by Brazil, where the city of Manaus is still seeing exponential increases in both cases and deaths, PAHO director Carissa Etienne said. Three new variants have been detected in 20 countries of the Americas, though their frequency is still limited, she said in a briefing.

(Reporting by Anthony Boadle, Editing by Franklin Paul)

Global COVID-19 cases surpass 100 million as nations tackle vaccine shortages

By Shaina Ahluwalia and Roshan Abraham

(Reuters) – Global coronavirus cases surpassed 100 million on Wednesday, according to a Reuters tally, as countries around the world struggle with new virus variants and vaccine shortfalls.

Almost 1.3% of the world’s population has now been infected with COVID-19, the disease caused by the novel coronavirus, and more than 2.1 million people have died.

One person has been infected every 7.7 seconds, on average, since the start of the year. Around 668,250 cases have been reported each day over the same period, and the global fatality rate stands at 2.15%.

The worst-affected countries – the United States, India, Brazil, Russia and the United Kingdom – make up more than half all reported COVID-19 cases but represent 28% of the global population, according to a Reuters analysis.

It took the world 11 months to record the first 50 million cases of the pandemic, compared to just three months for cases to double to 100 million.

Around 56 countries have begun vaccinating people for the coronavirus, administering at least 64 million doses. Israel leads the world on per capita vaccinations, inoculating 29% of its population with at least one dose.

UNITED STATES

With over 25 million cases, the United States has 25% of all reported COVID cases although it accounts for just 4% of the world’s population. The United States leads the world in the daily average number of new deaths reported, accounting for one in every five deaths reported worldwide each day. With just under 425,00 fatalities, the United States has reported almost twice as many deaths as Brazil, which has the second-highest death toll in the world.

As the worst-affected region in the world, Europe is currently reporting a million new infections about every four days and has reported nearly 30 million since the pandemic began. Britain on Tuesday reached 100,000 deaths.

The Eastern European region, including countries like Russia, Poland and Ukraine, contribute to nearly 10% of all global COVID-19 cases.

Despite securing deals for vaccine supplies early on, many European countries are facing delays in shipments from both Pfizer Inc and AstraZeneca Plc.

ASIA AND AFRICA

In India, the nation with the second-highest number of cases, infections are decreasing, with almost 13,700 new infections reported on average each day – around 15% of its peak. Prime Minister Narendra Modi said on Friday India was completely self-reliant on coronavirus vaccine supplies as the world’s second-most populous country inoculated more than 1 million people within a week of starting its campaign.

China, which recently marked the first anniversary of the world’s first coronavirus lockdown in the central city of Wuhan, is facing its worst wave of local cases since March last year.

As richer nations race ahead with mass vaccination campaigns, Africa is still scrambling to secure supplies as it grapples with concerns about more-infectious variants of the virus first identified in South Africa and Britain.

According to the Reuters tally, African countries have nearly 3.5 million cases and over 85,000 deaths.

The South African variant, also known as 501Y.V2, is 50% more infectious and has been detected in at least 20 countries.

U.S. President Joe Biden will impose a ban on most non-U.S. citizens entering the country who have recently been in South Africa starting Saturday in a bid to contain the spread of a new variant of COVID-19.

Australia and New Zealand have fared better than most other developed economies during the pandemic through swift border closures, lockdowns, strict hotel quarantine for travelers and widespread testing and social distancing.

“We have the virus under control here in Australia, but we want to roll out the vaccine,” Australian Treasurer Josh Frydenberg told a news conference on Sunday.

(Reporting by Shaina Ahluwalia and Roshan Abraham in Bengaluru; Editing by Lisa Shumaker and Jane Wardell)

Brazil vaccinations start as country faces vaccine ingredient shortfall

By Eduardo Simões

SAO PAULO (Reuters) – Brazil kicked off a nationwide COVID-19 immunization program on Monday by distributing doses of a vaccine from China’s Sinovac Biotech following an emergency use authorization, although the pace of vaccination will depend on delayed imports.

After weeks of setbacks, many Brazilians cheered the first wave of inoculations, from bustling clinics in Sao Paulo to a spectacular shot planned at the foot of the Christ Redeemer statue overlooking Rio de Janeiro.

The Health Ministry gave states the green light to start immunizing at 5 p.m. (2000 GMT). Although some began administering shots before that, the majority of Brazil’s 26 states had yet to receive vaccine shipments as of Monday evening, delaying the start of vaccinations for the elderly and frontline health workers.

Minutes after federal health agency Anvisa approved the Sinovac vaccine on Sunday, Monica Calazans, a 54-year-old nurse in Sao Paulo, became the first person to be inoculated in the country, as Sao Paulo Governor Joao Doria looked on.

President Jair Bolsonaro, a COVID-19 skeptic who has refused to take a vaccine himself, had faced fierce criticism for the lack of immunization in Brazil, which has lost more than 200,000 lives to COVID-19 – the pandemic’s worst death toll outside the United States.

On Sunday, Anvisa approved emergency use of the Sinovac vaccine and one from AstraZeneca Plc, although a plan to get 2 million doses of the AstraZeneca vaccine was hamstrung by a lack of export approval from India.

That was one of several hurdles threatening to slow Brazil’s already lagging immunization efforts, as local manufacturing partners for both vaccine makers wait on active ingredients from abroad in order to fill and finish doses for distribution.

The Butantan Institute run by Sao Paulo state needs another shipment of Sinovac’s ingredients by the end of the month in order to hit its target of 46 million doses by April, the head of the institute told a news conference.

The federally-funded Fiocruz biomedical center in Rio de Janeiro is still awaiting its first shipment of ingredients for AstraZeneca’s vaccine, pending Chinese export approval.

Health Minister Eduardo Pazuello scolded Doria on Sunday for what he called an illegal “marketing ploy” for allowing vaccinations to begin in Sao Paulo prior to the official rollout.

Bolsonaro, who had taunted Doria over the disappointing 50% efficacy of the Sinovac vaccine in Brazilian trials, added an indirect criticism on Monday.

“So it’s been approved for use in Brazil. It is Brazil’s vaccine. It doesn’t belong to any governor,” he told supporters outside the presidential palace.

(Reporting by Eduardo Simoes; Additional reporting by Lisandra Paraguassu and Sabrina Valle; Editing by Brad Haynes and Bill Berkrot)

As coronavirus stalks Brazil’s Amazon, many die untreated at home

By Bruno Kelly and Gabriel Araujo

MANAUS (Reuters) – Shirlene Morais Costa died at her home in the northern Brazilian city of Manaus on Monday, likely the latest victim of a devastating new wave of COVID-19 that has returned to this isolated city deep in the Amazon rainforest.

The 53-year-old went to hospital with a cough and a fever, both symptoms of the coronavirus, but was sent home, according to her stepfather, Esteliano Lopes Filho, 74.

“Her death was swift… We called the ambulance, but it only arrived after she was dead,” he said. “We’re seeing death after death… It really is a terrible calamity.”

Brazil is home to the world’s second deadliest coronavirus outbreak after the United States, and Manaus was one of the first Brazilian cities to creak under a spiraling death and caseload from the first wave of the pandemic last year.

So many were infected that some scientists thought the city of 2 million people might have been approaching herd immunity. But that projection has proved well wide of the mark.

The state of Amazonas, where nearly 6,000 people have died from COVID-19, is now suffering a devastating second wave that is pushing emergency services to breaking point. Many people, like Morais Costa, are dying at home.

Beds for COVID-19 patients in the state reached an occupancy rate of over 98% this week, according to data from the Amazonas state health department. Occupancy in temporary facilities that provide assistance to critical patients for later referral to other points of the health network was at 131%.

There are currently 1,391 patients hospitalized with COVID-19 in the state, in addition to a further 603 people hospitalized with suspected cases, the data shows.

Last week, refrigerated containers were placed outside the main hospitals in Manaus for the first time since the pandemic’s April peak. The containers are used to store bodies as the city’s healthcare and burial services again become overwhelmed.

(Editing by Gabriel Stargardter and Rosalba O’Brien)