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Catherine Osborn is a journalist in Brazil.
The northeastern state of Piauí du Brasil responded to the novel coronavirus with a remarkably effective operation. In more than 190 cities, fitness staff who are part of Piauí’s “active research” program use an app and phone calls to monitor 19-year-old patients’ symptoms at home, then make home visits to take oxygen titrations and check on family circle members. Although several public hospitals in two border states have reached full capacity for extensive care in recent weeks, about 35% of Piauí’s ventilator-supplied beds in public hospitals were due to have last Tuesday.
Piauí’s reaction owes its strength to that of Brazil’s universal public aptitude formula, known as the Su (Sistema Único de Saúde). The SUS belongs to the whole country, but only a handful of cities and states have mobilized it well, control of the shape of the country, control of the shape of the fortress. lack.
President Jair Bolsonaro welcomed the pandemic by seeking to disarm its, distributes misinformation in the virus and undermines the foreign collaboration of physical aptitude. As a result, Brazil is now a global epicenter for the Coronavirus, with more than 61,000 dead. A country that was once admired for its formula for reactive aptitude and Fitness International Relations has become a pandemic outmake. But while the reaction to the country’s exercise to the global public fitness crisis has harmed its foreign reputation in the Physical Care Fund, Brazil remains in strong local leaders who have arrested the slide. His paintings suggest an existing national task that Bolsonaro can still.
The Public Aptitude formula of Brazil is ambitious in its reach and subfinence. His is the main physical care provider of 78% of the population, more than 163 million Brazilians, who have no personal insurance plans. And yet, the country spent only 3. 9% of national GDP on its public aptitude formula in 2017; The United Kingdom, which manages a similar design formula, has invested 7. 8% (the average between countries of cooperation and economic development (OECD) 6. 5%).
However, its 30 years of operation, its has presented many valuable facilities to the Brazilians, adding number one attention and monitoring a giant disease on scale. In addition, his used his ability to respond well to pandemics beyond: since the 1990s, for example, his provided an antiretroviral remedy loose for all Brazilians who were positive for HIV. In 2015, a style of congenital malformations gave the impression in the northeast of Brazil, and the epidemiologists of their tracked temporarily to the Zika virus and alerted foreign authorities.
Given the scope and agility of its, Fitness Mavens says that even after recent austerity cuts, a physically powerful reaction to Covid -19 may have established, if only one had been coordinated. Unfortunately, Bolsonaro began to interrupt the early plans of such reaction in mid -March. The tactics provided by US President Donald Trump, Bolsonaro and his main supporters criticized social distancing, flooded social networks minimizing the risk and praised the chloroquine as a remedy. Bolsonaro also undermined any reaction of the Mavens through the installation of more than 20 former army officials, maximum with little or no experience of public aptitude, in the maximum productive ranks of the Ministry of Health.
The state and city aptitude has been left to fill the leadership vacuum, with few resources at your disposal. His had recently reduced his workforce, federal emergency financing was rare and slowly slow coordination. Brazil did not have the commercial capate to produce mandatory medical supplies, such as respirators, tests and protective equipment. Regional inequalities have long marked the country’s physical conditioning system, and now stood out in relief: in the state of the Amazon Jungle, where at the beginning of the extensive care pandemic of the public hospital that consistency with captita, numbered under the national average and existed basically in an unmarried city, COVID-19 killed the national value better better.
However, for all Brazilian deficits, it has a potentially difficult asset in the SUI. The formula uses about 300,000 doctors, nurses and physical conditioning personnel throughout the country in number one care, the same personnel on which the Piauí Active Studies Program is based. “We do not want to rent touch tracers, like some countries,” said Miguel Nicolelis, who directs a clinical committee that advises nine Brazilian governors, adding the governor of Piauí. “We have an army. “
His can also qualify his vast capacity to trace the disease, which allows government researchers and public aptitude to map the instances of patients in patients. The Nicolelis Committee used this tool to comply with the spread of the Rural Brazil Coronavirus along the roads of the interstate highways, and the Department of Health of the State of Pernambuco uses it to publish instances of the street. Finally, his provided attention to COVID-19 to many thousands of Brazilians at no cost at no cost.
To the extent that Brazil has escaped from its reaction to the pandemic, it fails less in the ability of its physical condition formula than in the quality of its management. The majority of cities and states governments have not been able to mobilize their resources due to the lack of federal protocols and decisions to forget the recommendation of experts in physical conditioning. Business housing owners have struggled for local officials opposed to social disposition requirements, underemployed had trouble complying with them and the denial of Bolsonaro virus spread among the population. However, more and more, local politicians update their feet traction with technical assistance searches. In at least 4 different states of Piauí, governments have connected public aptitude personnel with the application used in the active studies program.
Not long ago, Brazil was known for its role in the sale of global equity in access to physical care. In reaction to the HIV / AIDS pandemic, for example, Brazil has helped take out a successful crusade for the World Trade Organization to authorize the breakdown of pharmaceutical patents on the occasion of an emergency, also known as the mandatory license. From 2005 to 2015, Brazil carried out systems that presented a wide technical education to fitness professionals in Latin and African countries for physical care systems in those countries. Brazil was also at the origin of some of the main commitments that the United Nations delimited in their 2019 statement on the universal coverage of physical conditioning.
Bolsonaro’s handling of the pandemic has done much to damage Brazil’s foreign stature in the health box. The populist president ignored the World Health Organization’s Covid-19 recommendations, threatened to withdraw from the organization, and tried to prevent the publication of cumulative data. Brazilian delegation that discovered that an alliance for the progression of the Covid-19 vaccine between heads of state, UN teams and philanthropic companies were introduced without their wisdom or participation.
Fortunately, Brazilian actors who leave the country’s executive branch, adding professionals of physical aptitude, non -governmental and ex -political organizations, are still dedicated to the diplomacy of public physical conditioning. Many of them organize reaction plans with foreign opposite numbers. A former Brazilian president, Fernando Henrique Cardoso, and a former Minister of Finance, Nelson Barbosa, have become loose members of a organization of more than 140 world leaders and the experts in physical conditioning that asks for a “patent patent, releases the position. The doctors of Fundação Oswaldo Cruz, the National Institute of Health Research in Brazil. Cruz also welcomed the scientists of nine countries. Latin Americans for Education in its COVVI-19 diagnostic laboratory.
While Covid-19 continues to devastate Brazil, deeply infiltrating the countryside, small cities and indigenous communities, Bolsonaro’s management turns out that they decided not to redirect their technique to clinical advice. But either at the local and foreign level, some Brazilians have returned on a road map for the reaction in crisis presented by the forces of the country, either through the vast physical care formula that has been based on rare resources or through their foreign commitment to physical equity. Civil society allies worked throughout the country’s public physical conditioning network in a war every hour to prevail these forces. In the end, he will take the collaboration of the public government so that these forces are successful.
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