A thousand deaths a day.
Since late May, three months after Brazil's first reported case of the coronavirus, it has recorded more than 1,000 daily deaths on average in a gruesome plateau that has yet to tilt downward.
On Thursday evening, the federal health ministry reported that the country had passed 2 million confirmed cases of virus infections and 76,000 deaths.
Even as cases wane somewhat in the biggest and hardest-hit Brazilian cities, the virus is peaking in new locations across the largest country in Latin America.
Experts blame denial of the virus' deadly potential by President Jair Bolsonaro and lack of national coordination combined with scattershot responses by city and state governments, with some reopening earlier than health experts recommended.
An interim health minister untrained in the field is presiding over pandemic response. Bolsonaro himself is sick with COVID-19 after repeatedly flouting social distance recommendations and undermining local leaders’ restrictions on activity.
Brazil’s roughly 7,000 COVID-19 deaths in each of the last seven weeks is equal to several airplanes packed with Brazilians crashing every day, former health minister Luiz Henrique Mandetta told The Associated Press.
“People have become callous,” Mandetta said. “When you say, ‘Yesterday there were 1,300 deaths,’ people say, ‘OK, then it didn’t go up. It was 1,300 people the day before, too.’”
Brazil's nearly 2 million cases is second only to the United States and experts believe the number to be an under count due to widespread lack of testing. A model created by professors from several Brazilian academic institutions, based on the number of confirmed deaths, estimates Brazil has had 10 million infections.
“The virus would have been difficult to stop anyway. But this milestone of 2 million cases, which is very underestimated, shows this could have been different,” said Dr. Adriano Massuda, a health care administration specialist and professor at the Getulio Vargas Foundation, a Sao Paulo university. “There’s no national strategy for testing, no measures from the top, ... too little effort to improve basic care so we find serious cases before they become too serious, no tracking.”
The virus has begun reaching cities and states previously spared, offsetting declines elsewhere. The number of deaths has been ebbing in states including Rio de Janeiro and Amazonas, where people were buried in mass graves in the capital, Manaus. In the last two weeks, 10 of Brazil's 26 states and its Federal District saw increases, with two southern states’ average daily death tolls doubling.
Bolsonaro has consistently downplayed COVID-19's severity, saying strict social distancing measures that sacrifice jobs and income will ultimately be more harmful than the virus itself, and calling on supporters to encourage their local leaders to lift restrictions on activity. Many mayors and governors have struggled to hold the line.
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India crossed 1 million coronavirus cases on Friday, third only to the United States and Brazil, prompting concerns about its readiness to confront an inevitable surge that could overwhelm hospitals and test the country’s feeble health care system.
A surge of 34.956 new cases in the past 24 hours took the national total to 1,003,832.
The Health Ministry also reported a record number of 687 deaths for a total of 25,602. It said 635,757 people have recovered and the recovery rate was continuing to improve at 63%.
The grim milestone comes at a time when several Indian states are imposing focused lockdowns to stem the outbreak amid frantic efforts by local governments to protect the economy.
So far, three states — Maharashtra, Delhi and Tamil Nadu — have accounted for more than half of total cases. But in India’s vast countryside, which is much less prepared and with weaker health care, the pandemic is clearly growing.
“The acceleration in cases remains the main challenge for India in the coming days,” said Dr. Ashish Jha, director of the Harvard Global Health Institute, adding that a vast majority of cases were still being missed.
The continuing surge has forced authorities to reinstate lockdowns in some cities and states.
In Bangalore, a city that prides itself as the center of of Indian technology innovation, the government ordered a weeklong lockdown that began Tuesday evening after the cases surged exponentially.
In Bihar, an eastern state with a population of 128 million and a fragile health system, a two-week lockdown was announced Thursday.
In Uttar Pradesh, the most populous state with more than 200 million people, authorities have started placing residents under strict weekend curfews, which will remain in place until the end of the month.
Other local governments are increasingly focusing on smaller lockdowns that shield the economy. Nearly a dozen states have imposed restrictions on “containment zones” — areas that can be as small as a few houses or a street.
Dr. Anant Bhan, a global health researcher, said that India was likely to see “a series of peaks,” as the infection spread in rural areas. He pointed out that the capital of New Delhi and the financial capital, Mumbai, had already seen surges, while infections have now shifted to smaller cities.
India’s response to the virus was initially sluggish and then it bought time by locking down its entire population of 1.4 billion people when Prime Minister Narendra Modi imposed a nationwide lockdown for three weeks on March 24.
“If (the) situation is not handled in these 21 days, the country and your family could go back 21 years,” Modi said then in a televised address to Indians, many of whom were still unaware of the scale of the crisis in the country.
The nationwide lockdown, then extended for five more weeks, came at an enormous economic cost amid an unprecedented humanitarian crisis when millions of impoverished migrant workers were forced to return to the countryside due to job losses and hunger.