Death and denial in Brazil’s Amazon capital

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Death and denial in Brazil’s Amazon capital
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Mass graves in a city in Brazil's Amazon sparked anger among families of the deceased. Why did their loved ones’ bodies have to be buried in such a way, they asked, if there was no evidence the deaths were caused by COVID-19? RenataBritoAP felipedana

MANAUS, Brazil — As the white van approached Perfect Love Street, one by one chatting neighbors fell silent, covered their mouths and noses and scattered.

As ambulances zip through Manaus with sirens blaring and backhoes dig rows of new graves, the muggy air in this city by the majestic Amazon River feels thicker than usual with such pervasive denial. Manaus has seen nearly triple the usual number of dead in April and May. He has resisted U.S. and European-style lockdowns to contain the virus’ spread, saying such measures aren’t worth the economic wreckage. He fired his first Health Minister for supporting quarantines, accepted the resignation of a second one after less than a month on the job, and said that the interim minister, an army general with no background in health or medicine, will remain in charge of the pandemic response “for a long time.

The new sickness made its way to Manaus in March, in the middle of the rainy season. At least that’s when health officials first became aware of it in the capital of Amazonas state, which is at once remote and international. One precarious road connects the city to the rest of Brazil, and other municipalities are hours away by boat. But tropical fauna and flora normally draw tourist cruises up the Amazon, and business people fly in from around the world, to visit its free trade zone.

Das Graças was among those who had hoped that her father could have a proper sendoff. But it wasn’t to be. The white-suited men informed her that his coffin would be sealed, a precaution taken now regardless of cause of death. He would be sent to the public cemetery’s refrigerated container to await burial.

Overwhelmed emergency services have encountered similar reluctance to acknowledge viral risk. Ambulance doctor Sandokan Costa said patients often omit the mention of COVID-19 symptoms, putting him and his colleagues at greater risk. “What has most struck me is people’s belief that the pandemic isn’t real.”

Amazonas Gov. Wilson Lima, a Bolsonaro ally, downplayed the virus at first. “There’s huge hysteria and panic,” Lima said March 16, three days after the first virus case in Manaus was confirmed in a woman who had traveled from Europe. That same day he declared a state of emergency, but his first measures were limited—cancellation of events organized by the state, suspension of classes and prison visits. For the rest, he recommended avoiding crowds and good hand washing.

But even with vast under-reporting, Amazonas state has the highest number of deaths by COVID-19 per capita in the country with more than 1,700 fatal victims. “Even if I had stopped it , if I had closed the city for 30 days, no one goes in and no one goes out. At some point I would have had to open and at some point the virus would have gotten here,” he said.

“Every day there are different messages coming from the federal government that clash with measures by the cities and states, and with what science says” said Manaus-based physician Adele Benzaken.

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