• Nathália Cristina Ribeiro

Brazil's Unified Health System Collapse

Updated: May 17

Health Care Management and Policies Brazil is going through the worst health and hospital crisis in history. ICU beds occupations reached chaotic levels in April. According to Fiocruz, in Rio Grande do Norte, Mato Grosso and the Federal District, the ICU beds reached 98% of their total capacity. In the wealthiest city in the country, São Paulo, the situation was no better: more than 640 public health care reported the low or non-existent stock intubation kits, which are essential materials for the COVID-19 treatment in severe cases.

Additionally to the pandemic, crisis and health challenges already known remain worrisome in the scenario of Brazil. In February, the Acre State already registered 1,683 dengue cases, an 190% increase over the same period last year. Also, Tuberculosis cases (TB) decreased by 9.5% in 2020. Scientists say that the decrease can result from focus redirect to the pandemic, which hampers the diagnosis of new TB cases.

Globally, health care management is critical in controlling the pandemic, and it can answer many of the challenges now faced. However, in Brazil, a committee to face the COVID-19 crisis was created only after a year of pandemic. Clearly, government spheres are unprepared to deal with the COVID-19 cases management, resulting in the absence of effective public policies for rational and productive access to health services, which affects the peripheral population most deeply black people native peoples.

Promoting health without investing in public policies are contradictory guidelines. Politicians have a fundamental role in these guidelines, mainly in the action or inaction of strategies that guarantee the population's health. It is essential to understand the Public Sphere in the country as a ​​Public Health area, thus being a political concept.

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