2021 DPHS COVID-19 Impact Report

Page 89

WHY BRAZIL IS NOW THE EPICENTER OF THE CORONAVIRUS PANDEMIC Written by Barbara Gutierrez Published on June 25, 2020 Category: Faculty, Event

In a webinar hosted by the Institute for Advanced Study of the Americas, experts discussed why the country has been impacted so deeply. The number of COVID-19 cases in Latin America has resulted in some experts saying the region has become the epicenter of the coronavirus pandemic. “But if Latin America is the epicenter of the pandemic, then Brazil is the epicenter of the epicenter,” said Felicia Knaul, director of the University of Miami Institute for Advanced Study of the Americas, who led a webinar called “COVID-19 in Brazil: one country, many epidemics” on Thursday afternoon. Knaul began the session by giving an overview of the region based on information by the Latin America COVID-19 Observatory, which was developed by faculty from the institute, the Miller School of Medicine, the College of Arts and Sciences, and the School of Communication in collaboration with research partners throughout Latin America. Knaul pointed out that Latin America has 51 percent of daily global deaths even though it holds only 9 percent of the population. Brazil has 22 percent of global deaths (53,895 deaths), second only to the United States. “These numbers are overwhelming

and unfortunately growing,” she said. While European countries—such as Spain and the United Kingdom—are seeing numbers tapering off, countries like Mexico and Brazil are surpassing the U.S. in deaths, she said. Deaths in Brazil are projected to reach 11,000 per day by early August, depending on how the population behaves and whether policymakers and health systems intervene with testing, she said. Brazil’s efforts against the virus have been hampered by political polarization and a president, Jair Bolsonaro, who continually downplays the virus and insists on going out in public without a mask. Cesar G. Victora, a Brazilian-born epidemiologist who has led Epicovid19, the first study to assess the prevalence of coronavirus in Brazil, gave a detailed report on a household analysis in 133 sentinel cities in Brazil. “We did not find one epidemic in Brazil but several epidemics in the country,” he said. The most affected areas were the cities and towns in the Amazon region, poor areas with limited access to health facilities. In the town of Manaus, cemeteries are full, he said. Michael Touchton, University of Miami associate professor of political science, who has studied governance and public health in Brazil and other

countries in Latin America, said the data from the Observatory shows a partisan pandemic. Some of the poorer states, with governors opposed to Bolsonaro, have the most stringent responses and insist on social distancing and mask wearing. Other states are reopening quickly, without requirements to wear masks or any other protective measures, and those states are not faring well, he said. Victora’s survey also revealed that the poor are much more affected by the virus than those in the upper echelons of society. Touchton reiterated Brazil’s position as the epicenter of the virus in the world. “We are seeing an absolutely devastating pandemic in Brazil,” Touchton said. As Brazil reopens, testing is low compared with other countries in the region. Peru and Chile test about five times higher, from a per capita standpoint. Many of the states that are reopening do not have the policies to protect the population. “So, the likelihood of the pandemic getting worse is very high,” Touchton said, adding that the political polarization has only compounded the problem. “Political polarization coupled with the pandemic is a recipe for disaster,” Touchton said.

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» New Grant Targets Global Health Protection Against the Spread of Infectious Diseases

2min
pages 100-101

» Frenk: Latin America, Caribbean Can Learn From Other Covid-19 Responses

4min
pages 98-99

» Experts Develop New Tool to Help Contain COVID-19 in Latin America

5min
pages 96-97

» A New Survey Sheds Light on ‘Vulnerable’ Cannabis Users

3min
pages 94-95

» COVID-19 Observatory: Bungled Response Compounds Misery in Brazil

5min
pages 92-93

sory Meeting

4min
pages 90-91

» Why Brazil Is Now the Epicenter of the Coronavirus Pandemic » Experts Discuss a Potential Global Public Health Convention in University of Miami-Led Advi-

3min
page 89

» Orthopaedic Trauma Units Across the Globe Greatly Impacted by COVID-19, Study Finds

6min
pages 87-88

» COVID-19 is Ravaging Latin America

3min
page 86

» Scientific Evidence And Global Collaboration Can Help End The Pandemic

2min
page 85

» Violence Against Women, Children Escalates During Pandemic

3min
page 84

» COVID-19 Lessons From Peru and Argentina

6min
pages 82-83

» Caribbean Nations Explore New Ideas, Directions to Recover From Pandemic

2min
page 80

» Panel: Pandemic Intensified Need for Palliative Care in Latin America

4min
pages 78-79

» Cancer Patients in Mexico Face Dire Scenario in Wake of COVID-19

5min
pages 72-73

» Julio Frenk: Empowered Who Needed to Battle Pandemics

2min
page 81

» Miller School Professors Develop Model to Correct COVID-19 Sampling Bias » New Study First to Use Pandemic Stress Index to Document the Effects of COVID-19 on Lat-

4min
pages 74-75

inx Sexual Minority Men

4min
pages 76-77

» Report Confirms Pandemic-Related Spikes in Domestic Violence

2min
page 71

Makers

2min
page 70

» New Panel to Advocate for a Global Public Health Convention for the 21st Century

6min
pages 66-67

» Public Health Leaders Discuss Steps Needed to Empower Women » Dr. Felicia Knaul: Access to Pain Relief Medicines in Mexico Should Be a Priority for Policy

5min
pages 68-69

» Personal Perspectives on the Covid-19 Crisis in India

7min
pages 64-65

» Additional Student and Alumni National Impact

3min
pages 60-61

» New Miller School-Led Lancet Study on Redefining the Future of Pandemics

2min
page 63

» Methamphetamine Use and HIV Create Perfect Storm for COVID-19 Transmission

3min
page 59

» Strategies to Help the Hard of Hearing During COVID-19 Precautions

3min
pages 56-58

Study Finds

6min
pages 54-55

current Threats

4min
pages 50-51

» Quality of Indoor Air Plummeted in Some Homes During COVID-19 Shutdown » Syringe Service Programs Across the U.S. Have Been Impacted by the COVID-19 Pandemic,

2min
page 53

work

2min
page 52

» Miller School Public Health Researchers Study COVID-19 Antibodies in First Responders » Dr. Adam Carrico Receives NIH Grant to Study Risk for COVID-19 Amid Methamphetamine Use

2min
pages 47-48

And HIV

3min
page 49

COVID-19

2min
page 46

cine Considerations Project

6min
pages 42-43

During COVID-19

3min
pages 44-45

» Study Finds U.S. First Responders Have Mixed Feelings About COVID-19 Vaccine

2min
page 37

Cells

6min
pages 38-39

Area, Study Finds

3min
pages 40-41

and Frontline Workers

2min
page 35

» COVID-19 Has Led to the Reformation and Reinvigoration of the Public Health Workforce

2min
page 36

» Additional Student And Alumni Local Impact

8min
pages 29-33

» Sylvester Researchers to Collaborate with Miami-Dade County on Coronavirus Testing

2min
page 27

» Mindfulness During Uncertain Times

1min
page 28

» U-TRACE Initiative to Address COVID-19 Public Health Crisis

2min
page 26

» A Pandemic Strikes, and an Academic Community Responds

9min
pages 23-25

» Student Garners Reflections on the Importance of Public Health

2min
page 22

» COVID-19 Vaccine Trials Exhibit Early Success

8min
pages 17-19

» Course Explores Global Health and Disparities During the Pandemic

4min
pages 20-21

» UHealth Pediatric Mobile Teams Surpass 10,000 COVID-19 Tests

2min
page 16

» Mobile Clinic Takes Vaccines to Underserved Aeas

5min
pages 12-13

MESSAGE FROM THE CHAIR

3min
pages 6-7

» Battles Being Waged to Overcome Vaccine Hesitancy

6min
pages 9-10

Future

3min
page 11

munities

2min
page 15
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