FEATURE Portsmouth, UK CORONAVIRUS PANDEMIC BMJ: first published as 10.1136/bmj.n1227 on 20 May 2021. Downloaded from
[email protected] Cite this as: BMJ 2021;373:n1227 http://dx.doi.org/10.1136/bmj.n1227 Covid-19: How the Brazil variant took hold of South America Published: 20 May 2021 Brazil has long been a pariah in the pandemic, but the consequences of its failure to control SARS-CoV-2 are manifesting across Latin America, writes Luke Taylor Luke Taylor freelance journalist When Brazil’s pandemic spiralled out of control in conditions created by recent relaxations of health March 2021, leaders across South America scrambled measures. to limit the regional fallout. From Colombia to Countries such as Chile and Uruguay, previously Uruguay, flights were grounded, land borders were considered models of how to manage the pandemic closed, and regional sports tournaments were effectively, have lost control of it. Uruguay recorded cancelled in an effort to stop the spread of the more the lowest number of cases per capita in South transmissible P.1 variant that had brought one of the America in 2020 as a result of widespread testing, region’s strongest health systems to the brink of swift contact tracing, and strong public compliance collapse.1 with social distancing (fig 1).2 But on 22 April 2021 it However, those actions have not prevented the spread recorded 22.17 daily deaths per 100 000 people, the of P.1, with the variant exploiting the favourable highest rate in the region (fig 2). http://www.bmj.com/ Fig 1 | Numbers of covid-19 cases in six South American countries, March 2020 to May 2021 on 23 September 2021 by guest.