🇧🇷🇧🇷🇧🇷 BRASIL: starting a new collapse foretold ⁉
after BQ.1** Sars-Cov2 has taken off in mid-July
🎯🎯🎯CAMPINAS/São Paulo going back to Emergency Hospitals ["Hospitais de Campanha"]
like in early pandemic times in 2020
as Public ICU beds🛌overwhelmed
▶▶▶100% occupied
🧶
🇧🇷🇧🇷🇧🇷 BRASIL: starting a new collapse foretold ⁉
And the country lost again [and again]
a window of opportunity to start
a Public Health management
as Ministry of Health data has already showed BQ.1** in 10 states on Nov 18th
Rio de Janeiro
São Paulo
Amazonas ...
🧶
🇧🇷🇧🇷🇧🇷 BRASIL: starting a new collapse foretold ⁉
🎯CAMPINAS/São Paulo
WITH📈increased positivity 28%
WITHOUT ▶ masks😷mandate back
City Covid Committee did not follow Science advice
and did not approve #BringBackMasks mandate
unlike Covid Committee of local University
🧶
🇧🇷🇧🇷🇧🇷 BRASIL: starting a new collapse foretold ⁉
Facing vaccine-escaping variants
▶masks mandate back on Nov 16th
at University of Campinas UNICAMP
after📈positivity 17% to 34%/1wk
Covid Committee approved 2 mandates
🔴masks in closed spaces [PFF2/surgical]
🔴2 boosters
🧶
🇧🇷🇧🇷🇧🇷 BRASIL: starting a new collapse foretold ⁉
▶ an increased📈number of cases
+120% throughout the country in October [22 states]
+ 740% Maranhão +575% Sergipe +488% Rondônia
+ 330% Rio de Janeiro +229% Paraíba
[Ministry of Health - November 11th]
🧶
🇧🇷🇧🇷🇧🇷 BRASIL: starting a new collapse foretold ⁉
📈cases +2.350% Piauí +294% Roraima
+145% E. Santo +119% Amapá
📈deaths +800% Bahia +700% Goiás
+449% São Paulo +200% E. Santo
[Oct 18th]
🧶
🇧🇷🇧🇷🇧🇷 BRASIL: starting a new collapse foretold ⁉
After a jump to 17% positivity last Oct
🎯Nov 22nd: 16 states📈deaths
daily cases Rio de Janeiro 12.394 Minas Gerais 4.389
🎯Nov 23rd: 18 states📈deaths
daily cases Rio de Janeiro 6.299 MG 3.960
São Paulo 2.821
🧶
🇧🇷🇧🇷🇧🇷 BRASIL: starting a new collapse foretold ⁉
Severe Acute Respiratory Syndrome [SRAG]/COVID
▶ highest activity cases
100% São Paulo Rio de Janeiro Paraíba Pernambuco Alagoas
▶ highest activity deaths
100% São Paulo 98% Rio de Janeiro
[FIOCRUZ/Nov19th]
🧶
🇧🇷🇧🇷🇧🇷 BRASIL: starting a new collapse foretold ⁉
Facing vaccine-escaping variants
▶masks mandate back on Nov 17th
at Escola Paulista de Medicina/UNIFESP
Covid Committee approved 2 mandates
🔴masks in closed spaces
🔴2 boosters
🧶
🇧🇷🇧🇷🇧🇷 BRASIL: starting a new collapse foretold ⁉
🎯CAMPINAS/SP watching the game with the VIRUS
🔽
24 hrs after announcing the 1st retour to
Covid Emergency Hospitals
with ICU beds 100% occupied
City Hall organizes a crowd ...to watch Football!!!
without masks, of course‼‼‼
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🇧🇷🇧🇷🇧🇷ANVISA: Masks Mandate
in planes✈✈✈ and airports👩✈️
⛔⛔⛔FORBIDDEN
😷 incorrect position on the face
😷 cloth masks
😷 plastic masks
😷 masks with exhalation valves
[including N95 or PFF2 masks]
😷 face shield without masks
🧶 gov.br/anvisa/pt-br/a…
🇧🇷🇧🇷🇧🇷ANVISA ▶▶▶ Masks 😷and Vaccines💉
authorized both Pfizer bivalents in Brasil 💉💉
BA.1 & BA.4/BA.5
[Pfizer has asked approval in August/September] globoplay.globo.com/v/11142116/
🧶
🇧🇷🇧🇷🇧🇷ANVISA ▶▶▶ Masks 😷and Vaccines💉
"A multinational Delphi consensus
to end the COVID-19 public health threat"
practical guidelines from nearly 400 experts
🎯sudden onset ▶painless diminution of vision in the right eye with acuity of finger counting at 50 cm
due to combined retinal artery and vein occlusion & optic disc edema [32-year-old]
🧶 ...
👁️👁️👁️We must talk about COVID & our eyes ‼‼‼
Delayed ophthalmic manifestations
🎯vasculitic retinal vein occlusion with
the diminution of vision in the left eye
10 days after he tested positive for SARS-CoV-2
[52-year-old patient]
🧶...
🎯🎯🎯#LongCovid ▶ a parallel pandemic
Their lives have been ruined by #LongCovid
🔽
"I got sick and I just never got better
it hit every system in my body
I don't feel like myself anymore
Exhaustion to the point where
you can't remember your kids names"
🚩Feb 2021: outbreak in Lombardia 🇮🇹
🔽🔽🔽
🚩a crèche + a kindergarten + the local main school
all submitted to a free screening
based on PCR testes🧪
of all individuals connected to the schools🏫 onlinelibrary.wiley.com/doi/10.1111/ir…
🏫🏫🏫 Schools: a horror chapter of Covid 19‼
🚩822 individuals tested for Sars-Cov2 infection
460 PCR positive & 51.5% symptomatic
🚩contact matrix: the highest contact rate reported
by individuals 10–20 years with the same age group
🏫🏫🏫 Schools: a horror chapter of Covid 19‼
🚩positive students: higher proportion of onward
transmission & a markedly higher n°. secondary cases
🚩20% + cases ▶75-80% of all secondary cases
🚩highest transmission: young children to adults and
between children of similar age