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As Latin America Shuts Down to Fight Virus, Brazil and Mexico Are Holdouts As Latin America Shuts Down to Fight Virus, Brazil and Mexico Are Holdouts
(2 months later)
RIO DE JANEIRO — Most leaders in Latin America reacted to the arrival of the coronavirus in the region with speed and severity: Borders were shut. Flights were halted. Soldiers roamed deserted streets enforcing quarantines, and medical professionals braced for an onslaught of patients by building field hospitals.RIO DE JANEIRO — Most leaders in Latin America reacted to the arrival of the coronavirus in the region with speed and severity: Borders were shut. Flights were halted. Soldiers roamed deserted streets enforcing quarantines, and medical professionals braced for an onslaught of patients by building field hospitals.
But the presidents of Brazil and Mexico, who govern more than half of Latin America’s population — Jair Bolsonaro of Brazil and, to a lesser degree, his Mexican counterpart, Andrés Manuel López Obrador — have remained strikingly dismissive. They’ve scoffed at calls to shut down business and sharply limit public transportation, calling such measures far more devastating to people’s welfare than the virus.But the presidents of Brazil and Mexico, who govern more than half of Latin America’s population — Jair Bolsonaro of Brazil and, to a lesser degree, his Mexican counterpart, Andrés Manuel López Obrador — have remained strikingly dismissive. They’ve scoffed at calls to shut down business and sharply limit public transportation, calling such measures far more devastating to people’s welfare than the virus.
In a region with high poverty rates, where hundreds of millions of people live in close quarters, without access to proper sanitation or health care, experts say their approach could create an ideal breeding ground for the virus, with devastating consequences for public health, the economy and the social fabric.In a region with high poverty rates, where hundreds of millions of people live in close quarters, without access to proper sanitation or health care, experts say their approach could create an ideal breeding ground for the virus, with devastating consequences for public health, the economy and the social fabric.
“This is a recipe for social implosion in a region that was already in a state of social upheaval,” said Monica de Bolle, a senior fellow at the Peterson Institute for International Economics, who is originally from Brazil. “In a situation like this, things can break down really fast if there is a lack of trust in government and people feel very vulnerable.”“This is a recipe for social implosion in a region that was already in a state of social upheaval,” said Monica de Bolle, a senior fellow at the Peterson Institute for International Economics, who is originally from Brazil. “In a situation like this, things can break down really fast if there is a lack of trust in government and people feel very vulnerable.”
Mr. López Obrador, a leftist, has continued to wade into crowds and kiss babies. Ruling out travel restrictions, business closings or quarantine orders, last week Mr. López Obrador suggested Mexico would be spared by divine intervention as he held up two amulets he called “my bodyguards.”Mr. López Obrador, a leftist, has continued to wade into crowds and kiss babies. Ruling out travel restrictions, business closings or quarantine orders, last week Mr. López Obrador suggested Mexico would be spared by divine intervention as he held up two amulets he called “my bodyguards.”
“Do not panic, and please do not stop going out,” he said in a video Sunday night. “If you have the economic capacity, keep taking your families to restaurants, because that means strengthening the family and popular economy.”“Do not panic, and please do not stop going out,” he said in a video Sunday night. “If you have the economic capacity, keep taking your families to restaurants, because that means strengthening the family and popular economy.”
It was not until Tuesday that his government closed schools, prohibited gatherings of more than 100 people and told Mexicans to stay at home. By then, the Mexico City government had already moved to shut down much of public life.It was not until Tuesday that his government closed schools, prohibited gatherings of more than 100 people and told Mexicans to stay at home. By then, the Mexico City government had already moved to shut down much of public life.
But Mr. Bolsonaro, a far-right leader who has been in office a little more than a year, has remained defiant, continuing to dismiss the virus as a “measly cold” that does not warrant “hysteria.”But Mr. Bolsonaro, a far-right leader who has been in office a little more than a year, has remained defiant, continuing to dismiss the virus as a “measly cold” that does not warrant “hysteria.”
In a national address Tuesday night, Mr. Bolsonaro dismissed measures taken by governors and mayors as a “scorched earth” approach. Mr. Bolsonaro, who is 65, also said that if he were to get the virus, he would recover easily because of his “athletic background.”In a national address Tuesday night, Mr. Bolsonaro dismissed measures taken by governors and mayors as a “scorched earth” approach. Mr. Bolsonaro, who is 65, also said that if he were to get the virus, he would recover easily because of his “athletic background.”
While he spoke, Brazilians across the political spectrum banged pots outside their windows in what has become a nightly protest of his cavalier attitude, with some crying, “Out with Bolsonaro!”While he spoke, Brazilians across the political spectrum banged pots outside their windows in what has become a nightly protest of his cavalier attitude, with some crying, “Out with Bolsonaro!”
As of Wednesday morning, Brazil had 2,271 confirmed cases, a sixfold increase from a week ago, and 47 deaths.As of Wednesday morning, Brazil had 2,271 confirmed cases, a sixfold increase from a week ago, and 47 deaths.
Most leaders in Latin America had regarded the new virus as a faraway problem — one unlikely to raise havoc in the region during the austral summer — until the first case was diagnosed in Brazil in late February. Since then, the coronavirus has spread briskly in the region, with Brazil, Ecuador and Chile having the most diagnosed cases.Most leaders in Latin America had regarded the new virus as a faraway problem — one unlikely to raise havoc in the region during the austral summer — until the first case was diagnosed in Brazil in late February. Since then, the coronavirus has spread briskly in the region, with Brazil, Ecuador and Chile having the most diagnosed cases.
As the pandemic guts the global economy and jams supply chains across the world, Latin America is uniquely vulnerable to an economic collapse.As the pandemic guts the global economy and jams supply chains across the world, Latin America is uniquely vulnerable to an economic collapse.
The region was already struggling to absorb a diaspora of millions of Venezuelans who fled the country’s humanitarian and political crisis.The region was already struggling to absorb a diaspora of millions of Venezuelans who fled the country’s humanitarian and political crisis.
Economic growth in Latin America and the Caribbean last year was a dismal 0.1 percent, dragged down by the low price of commodities and a wave of social upheaval that roiled Venezuela, Peru, Ecuador, Bolivia and Chile.Economic growth in Latin America and the Caribbean last year was a dismal 0.1 percent, dragged down by the low price of commodities and a wave of social upheaval that roiled Venezuela, Peru, Ecuador, Bolivia and Chile.
The public health impact will also probably be devastating. A large share of the population in Latin America lives in the type of dense urban enclaves where the virus appears to spread with the most ease. An estimated 490 million people lack proper sanitation.The public health impact will also probably be devastating. A large share of the population in Latin America lives in the type of dense urban enclaves where the virus appears to spread with the most ease. An estimated 490 million people lack proper sanitation.
While the outbreak is not expected to peak in the region for at least another month, already there have been jarring signs of strife.While the outbreak is not expected to peak in the region for at least another month, already there have been jarring signs of strife.
In Colombia, at least 23 inmates were killed over the weekend during riots staged by prisoners who said the authorities weren’t doing enough to shield them from the pandemic. In Brazil, meanwhile, hundreds of prisoners broke free last week during a coordinated mutiny across four prisons in the state of São Paulo. Many were later recaptured.In Colombia, at least 23 inmates were killed over the weekend during riots staged by prisoners who said the authorities weren’t doing enough to shield them from the pandemic. In Brazil, meanwhile, hundreds of prisoners broke free last week during a coordinated mutiny across four prisons in the state of São Paulo. Many were later recaptured.
In some poor Rio de Janeiro neighborhoods, drug trafficking gangs, which hold more sway there than the state, this week announced strict curfew orders that were relayed by text message and loudspeakers.In some poor Rio de Janeiro neighborhoods, drug trafficking gangs, which hold more sway there than the state, this week announced strict curfew orders that were relayed by text message and loudspeakers.
“We want the best for the population,” said one order, distributed by text message. “If the government doesn’t have the capacity to handle this, organized crime will.”“We want the best for the population,” said one order, distributed by text message. “If the government doesn’t have the capacity to handle this, organized crime will.”
As the first confirmed coronavirus cases in Brazil’s poor neighborhoods, or favelas, were reported over the weekend, residents who earn meager wages and contend with rampant violence, lack of sanitation and cramped quarters braced for new and terrifying circumstances.As the first confirmed coronavirus cases in Brazil’s poor neighborhoods, or favelas, were reported over the weekend, residents who earn meager wages and contend with rampant violence, lack of sanitation and cramped quarters braced for new and terrifying circumstances.
Daniela Santos, a 32-year-old maid who lives in the Vila Paciência favela in western Rio de Janeiro, is doing her best to take shelter in the single-room home she shares with her three daughters and granddaughter. Her fear of the virus is compounded by a more ordinary threat: keeping the girls fed.Daniela Santos, a 32-year-old maid who lives in the Vila Paciência favela in western Rio de Janeiro, is doing her best to take shelter in the single-room home she shares with her three daughters and granddaughter. Her fear of the virus is compounded by a more ordinary threat: keeping the girls fed.
Last week Ms. Santos’s bosses told her to stop going to work until further notice, without offering to keep paying her salary.Last week Ms. Santos’s bosses told her to stop going to work until further notice, without offering to keep paying her salary.
“When I run out of food, what will I do?” she asked. “I don’t have work or savings. I have nothing. We are abandoned.”“When I run out of food, what will I do?” she asked. “I don’t have work or savings. I have nothing. We are abandoned.”
Updated June 2, 2020
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
More than 40 million people — the equivalent of 1 in 4 U.S. workers — have filed for unemployment benefits since the pandemic took hold. One in five who were working in February reported losing a job or being furloughed in March or the beginning of April, data from a Federal Reserve survey released on May 14 showed, and that pain was highly concentrated among low earners. Fully 39 percent of former workers living in a household earning $40,000 or less lost work, compared with 13 percent in those making more than $100,000, a Fed official said.
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
Mr. Bolsonaro has spoken with exasperation about the coronavirus since January, calling it a “fantasy” that was being blown out of proportion by political rivals and the press to weaken his government.Mr. Bolsonaro has spoken with exasperation about the coronavirus since January, calling it a “fantasy” that was being blown out of proportion by political rivals and the press to weaken his government.
Even after several of his top aides tested positive for the virus after traveling to Florida on an official trip that included a dinner with President Trump at Mar-a-Lago, Mr. Bolsonaro continued to argue that public “panic” posed a bigger threat than the virus.Even after several of his top aides tested positive for the virus after traveling to Florida on an official trip that included a dinner with President Trump at Mar-a-Lago, Mr. Bolsonaro continued to argue that public “panic” posed a bigger threat than the virus.
As medical experts at home and abroad were urging social distancing, particularly among the elderly and other vulnerable people, the president encouraged mass rallies by supporters on March 15 — and even greeted several dozen people outside his home in Brasília, shaking hands and taking selfies.As medical experts at home and abroad were urging social distancing, particularly among the elderly and other vulnerable people, the president encouraged mass rallies by supporters on March 15 — and even greeted several dozen people outside his home in Brasília, shaking hands and taking selfies.
As counterparts in Peru, El Salvador, Argentina, Chile and Venezuela took radical steps to limit the contagion last week, Mr. Bolsonaro went to war with the governors of Rio de Janeiro and São Paulo, the country’s two largest states, who were taking unilateral action to sharply limit people’s movement.As counterparts in Peru, El Salvador, Argentina, Chile and Venezuela took radical steps to limit the contagion last week, Mr. Bolsonaro went to war with the governors of Rio de Janeiro and São Paulo, the country’s two largest states, who were taking unilateral action to sharply limit people’s movement.
“Life goes on,” Mr. Bolsonaro said last Tuesday. “There’s no need to be hysterical.”“Life goes on,” Mr. Bolsonaro said last Tuesday. “There’s no need to be hysterical.”
Three days later, his health minister, Luiz Henrique Mandetta, who is a doctor, warned that the country’s public health care system would “collapse” by the end of April at the rate the virus was spreading.Three days later, his health minister, Luiz Henrique Mandetta, who is a doctor, warned that the country’s public health care system would “collapse” by the end of April at the rate the virus was spreading.
Mr. Bolsonaro’s actions have set off a withering political backlash — even from former allies. Janaína Paschoal, a state lawmaker who was on Mr. Bolsonaro’s shortlist for vice-presidential candidates, last week called for his removal from office.Mr. Bolsonaro’s actions have set off a withering political backlash — even from former allies. Janaína Paschoal, a state lawmaker who was on Mr. Bolsonaro’s shortlist for vice-presidential candidates, last week called for his removal from office.
Last week, a few lawmakers presented an impeachment request over the president’s conduct.Last week, a few lawmakers presented an impeachment request over the president’s conduct.
Sâmia Bomfim, one of the legislators pressing for his impeachment, said Mr. Bolsonaro’s handling of the crisis had been deeply confounding.Sâmia Bomfim, one of the legislators pressing for his impeachment, said Mr. Bolsonaro’s handling of the crisis had been deeply confounding.
“Sometimes I get the impression that they’re setting in motion social chaos so they can impose a state of siege and deploy repressive force,” said Ms. Bomfim, a leftist from São Paulo. “I have doubts about whether this is incompetence or a deliberate strategy, but I’m afraid of both.”“Sometimes I get the impression that they’re setting in motion social chaos so they can impose a state of siege and deploy repressive force,” said Ms. Bomfim, a leftist from São Paulo. “I have doubts about whether this is incompetence or a deliberate strategy, but I’m afraid of both.”
In Mexico, health care experts say Mr. López Obrador’s attitude is reckless and warn that failure to take swift steps now will deepen the humanitarian and economic toll of the virus.In Mexico, health care experts say Mr. López Obrador’s attitude is reckless and warn that failure to take swift steps now will deepen the humanitarian and economic toll of the virus.
“Our health system could be overwhelmed, like what is happening in Italy and when you reach that point, you have an uncontrollable situation that could lead to social chaos,” said José Ángel Córdova Villalobos, a former health minister who led the efforts to fight the 2009 H1N1 pandemic in Mexico, which were widely seen as a success.“Our health system could be overwhelmed, like what is happening in Italy and when you reach that point, you have an uncontrollable situation that could lead to social chaos,” said José Ángel Córdova Villalobos, a former health minister who led the efforts to fight the 2009 H1N1 pandemic in Mexico, which were widely seen as a success.
Mr. López Obrador, a populist firebrand who rose to power by appealing to Mexico’s poor, appears reluctant to take the kind of steps his counterparts have adopted, fearing the calamitous impact they would have on informal workers and others who are barely getting by now.Mr. López Obrador, a populist firebrand who rose to power by appealing to Mexico’s poor, appears reluctant to take the kind of steps his counterparts have adopted, fearing the calamitous impact they would have on informal workers and others who are barely getting by now.
But analysts warn that drastic steps will be required eventually.But analysts warn that drastic steps will be required eventually.
“It is a dangerous bet to postpone this as much as possible,” said Jesús Silva-Herzog, a professor at the School of Government at the Tecnológico de Monterrey university. “Maybe when they decide to do it, it will be too late.”“It is a dangerous bet to postpone this as much as possible,” said Jesús Silva-Herzog, a professor at the School of Government at the Tecnológico de Monterrey university. “Maybe when they decide to do it, it will be too late.”
Manuela Andreoni reported from Rio de Janeiro, Letícia Casado from Brasília and Azam Amed from Mexico City. Paulina Villegas contributed reporting from Mexico City.Manuela Andreoni reported from Rio de Janeiro, Letícia Casado from Brasília and Azam Amed from Mexico City. Paulina Villegas contributed reporting from Mexico City.