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16 Apr, 6 tweets, 2 min read
So what has gone wrong in Brazil with regards to the #COVID19 response?

Continued from yesterday’s thread...

So far, there's been no national and centrally coordinated efficient response to this pandemic. Prevention measures like limiting non-essential movements/activities, wearing masks and promoting physical distancing and increased hygiene measures – are not implemented.
As COVID-19 spreads uncontrolled, medical facilities run low on essential supplies.  There are shortages of oxygen, PPE, medical devices and medications used to intubate critically ill patients- WHILE a worsening scenario is expected for the coming weeks and months.
The Brazilian authorities’ negligence is costing lives.  

Science and evidenced based medicine have been undermined. This is not just a problem of disinformation, there is a seeming lack of political will to control this pandemic.
Public health messages have become associated with political messages and as a doctor I can’t accept that.

Wearing a mask is not a political stance. It is, in part, what is needed to slow down the spread of the virus.
This is what I’ve heard over and over again from my colleagues responding to this emergency: this disease needs to be taken seriously by the authorities, they must listen to science.

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More from @DrChristou

Christos Christou Profile picture
15 Apr
The failed #COVID19 response in Brazil has caused a humanitarian catastrophe.

Each week there’s a grim new record of deaths and infections - the hospitals are overflowing and yet there is still NO coordinated centralised response.
Over the past year, Brazilian authorities have overseen the unmitigated spread of #COVID19. Their refusal to adapt evidence-based public health measures has sent far too many to an early grave.
Health workers are physically, mentally and emotionally exhausted and have been left alone to pick up the pieces of a failed government response. @MSF colleagues working by their side are also seeing preventable deaths and unnecessary suffering.
Read 6 tweets
Christos Christou Profile picture
14 Apr
Join us for the MSF paediatric days tomorrow and Friday

This is an event for field staff, policy makers and academia to exchange ideas, align efforts, inspire and share frontline research to advance urgent paediatric issues of direct concern for the humanitarian field.
Why discuss paediatrics today? Because:
- under 5 years old mortality remains worrying, with about 15,000 kids suffering premature death every day
- the proportion of neonatal mortality is growing
- neglected diseases and neglected social patterns continue to affect children
In this edition we will take a closer look at:
- Community based models of care for neonatal and child health
- Paediatric tuberculosis;
- Antimicrobial Resistance and Stewardship in Paediatric Care
- Collateral damage of Covid19 on child health
Read 4 tweets
Christos Christou Profile picture
3 Dec 20
Nine months into the COVID-19 pandemic, the sprint to respond to this global health crisis has turned into a marathon.

Between June and August alone, @MSF ran COVID-19 related activities in 250 projects in 63 countries.

Here's an overview of what that was like:
Despite our long history of managing health emergencies, this pandemic came with new challenges and tough choices.

Our focus is on people’s urgent needs. But who needs our help first? Where can we have the biggest impact?

These questions became even more complex with COVID-19.
Our response continued to have two main pillars:

- confronting COVID-19 with dedicated interventions
maintaining existing lifesaving medical services.

- finding the right balance between these competing urgent health needs was often difficult & remains a major challenge.
Read 8 tweets
Christos Christou Profile picture
14 Oct 20
Yesterday, I took part in an international online conference highlighting the challenges, solutions and consequences of the COVID-19 pandemic. #конференцияРАНХиГС

Thank you to @MINZDRAV_RF & @RANEPA for organizing
Here is the main message I shared based on @MSF’s experience; our concerns are actually very simple and can be summarized in one word: solidarity.
Controlling the COVID-19 #pandemic requires global action and solidarity. We can only succeed all together.

At MSF, we welcome the global political will to coordinate the response ensuring an equitable access to drugs, diagnostics and vaccines.
Read 11 tweets
Christos Christou Profile picture
9 Sep 20
#Moria camp in Greece has been burned to the ground.

This was not unexpected. This is not something we can say we didn’t see coming. And this is not something authorities can say wasn’t preventable.
Migrants and asylum seekers have been deliberately trapped in inhumane living conditions for the past five years.

How would 5 years of freezing cold winters, no access to water or sanitation, and living in overcrowded conditions with no personal space make you feel?
Think about it.

The living conditions people have been forced to endure can only lead to despair and tensions.
Read 9 tweets
Christos Christou Profile picture
27 Nov 19
The situation on the Greek Islands is only getting worse.

During my visit to Samos and Lesbos, I witnessed the human suffering that European policies are producing on vulnerable people.

The extent of this emergency is unacceptable.

My message to European leaders today:
After hearing that more than a quarter of our child patients are inflicting themselves self-harm, that they are losing appetite, willingness to play, I wonder how you, European leaders, can continue to tolerate and perpetrate that.
One woman, a kid and a 9-month-old baby have died only in the last three months for the unsafe and appalling conditions in Moria and the lack of adequate care.

They were looking for safety in Europe, they found death in a European reception center.
Read 8 tweets

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