In Brazil, a dying man and a desperate search for an open bed

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An emergency doctor and her ambulance driver race from hospital to hospital in hard-hit Manaus.

As the rain picked up, the ambulance sped across the largest city in the Amazon. In the back, a 78-year-old man lay disoriented, unable to say who he was, slipping in and out of consciousness. Thehad reached his brain, emergency physician Alessandra Said realized. He was in danger of dying. They didn’t have much time.

As the coronavirus has swept the world, wealthy countries have been able to expand their health systems to accommodate surging need. Spain hired 52,000 more health-care workers. Germany added 12,000 intensive care beds. The United States deployed the USS Comfort into waters off New York City. Just when the systems appeared to be on the precipice, more resources were found.

A relative of Dulce Souza Cunha, an 86-year-old coronavirus patient who went into cardiac arrest, falls to her knees after Said’s team was unable to revive her. In the early days of the pandemic, while Brazilian President Jair Bolsonaro was dismissing the disease as a case of the sniffles, officials at the state and municipal levels started preparing for the most serious health crisis in a generation.

With shortages of equipment and doctors, health systems across Brazil have started to buckle. “We are experiencing two wars,” said Cássio Espírito Santo, an undersecretary of health in Amazonas state. “One is against the covid-19, and another to obtain equipment and supplies.”Limits on coronavirus testing in Brazil are hiding the true dimensions of Latin America’s largest outbreakAs her ambulance shot across Manaus, Said was witnessing that war anew.

She didn’t know that her father would then fall sick, too, and that she’d worry that if they had to go to a hospital, there wouldn’t be any that could take him.

 

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