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Floods in southern Brazil put the public health system in check

Floods in southern Brazil have pushed the precarious public health system to the limit, with hospitals surrounded by water, patients being transferred to haste and dozens of outpatient clinics affected by this climate catastrophe, which so far leaves 156 dead and 94 missing.

The rains that have hit the state of Rio Grande do Sul since the end of April have submerged a large part of the municipality of Canoas, one of the most affected. Two-thirds of the population was evacuated and one of the city’s hospitals is still surrounded by water.

At the Hospital of Pronto Socorro Diputado Nelson Marchezan the water has almost completely blocked the entrance of visitors. A refrigerator floats around. “He’s lost,” in the words of Mayor Jairo Jorge.

The impact on the regional health structure has been tremendous.

According to initial calculations by the Brazilian Institute of Geography and Statistics and the Federal University of Rio Grande do Sul, at least 801 health posts in 123 cities were totally or partially flooded.

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Some basic care units are completely destroyed. For this reason, several field hospitals have been set up urgently, some managed by the Armed Forces.

“We have a fairly large volume (of patients),” Cecilia Soster, a nurse responsible for the field hospital built in Porto Alegre, tells EFE.

The Army installed another one in the town of São Leopoldo, where about half of the health posts are closed.

“We are doing an average of 100-120 consultations per day,” says Lieutenant-Conel Frederico Fuhrmeister, the doctor who coordinates the unit.

In addition, in the first days of the disaster there was no drinking water and there were serious problems with the supply of medicines because many roads were closed and the international airport of Porto Alegre, the regional capital, closed, with the forecast that it will only work again from September.

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Organ transplants were paralyzed for two weeks and resumed again thanks to the use of helicopters borrowed by other states.

“It is the biggest climate catastrophe experienced in Rio Grande do Sul. Many healthcare services have been affected,” Roberta Vanacôr, head of Epidemiological Surveillance of Rio Grande do Sul, tells EFE.

Faced with this, the Ministry of Health announced on Friday a package of 66.5 million reais (13 million dollars / 12 million euros) to reactivate flooded hospitals, increase health surveillance and expand the number of beds, among other actions.

On the other hand, large floods also lead to the possible appearance of outbreaks of diseases caused by waters contaminated by animals or even pesticides, something that worries the health authorities.

“We have many agricultural areas with reserves of agrotoxics that have been flooded,” warns Carlos Machado, of the Center for Studies and Research of Emergencies and Disasters in Health of the Fiocruz institute.

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The possible appearance of cases of hepatitis A, acute diarrhea and leptospirosis is also feared. Vanacôr reveals that they have already received “suspicious samples” of this disease that is transmitted by contact with water contaminated by the urine of infected animals.

Respiratory syndromes are also worrying, not counting the impact on mental health. Regarding influenza, they have been arrested to vaccinate the more than 77,000 people who have had to leave their homes and today live in shelters.

The crowds and low temperatures of this time of year in this region are the perfect breeding ground for respiratory infections.

But it also adds that Brazil is going through the worst dengue epidemic since there are records, with almost five million cases and about 2,800 deaths since the beginning of the year, according to official data.

The Aedes aegypti mosquito, transmitter of the disease, proliferates in places with accumulated water and 90% of the municipalities of Rio Grande do Sul are affected by the floods.

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Vanacôr clarifies that the cold shortens the life cycle of the mosquito, but warns that just a sequence of milder temperatures is enough for there to be an increase in dengue cases.

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International

Austrian man arrested in Croatia with deceased woman as passenger in his car

A 65-year-old Austrian citizen was arrested at a border checkpoint in Croatia after attempting to enter the country in his car with a deceased woman sitting as a passenger, police announced on Tuesday.

The man was detained in a routine check in late November in Gunja, a border area separating Bosnia from Croatia, the police told AFP. Suspicious because they saw “no consciousness or movement” from the passenger, Croatian officers called a doctor, who confirmed the death of the 83-year-old woman, also Austrian, according to her identification.

The woman’s relationship to the suspect is unknown. She had died in Bosnia, and the man intended to repatriate her body to Austria to “avoid the formalities related to transporting a corpse,” according to the police. Croatian media reported that the man was her legal guardian.

Once her death was confirmed, a funeral service took charge of the body.

 

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International

Colombian nationals arrested for human trafficking and disappearance of migrant boat

 

Colombian authorities arrested two nationals accused of the illegal trafficking of migrants to the United States and of endangering lives due to the disappearance of a boat with 40 people aboard, U.S. Department of Justice officials reported on Tuesday.

Hernando Manuel de la Cruz Rivera Orjuela, 52, and Luis Enrique Linero Pinto, 40, both Colombian citizens, were arrested on December 13 in Colombia at the request of the United States for their alleged involvement in a “transnational human trafficking operation,” the department said in a statement.

According to the charges, the detainees were transporting migrants to San Andrés Island in the Caribbean, where they would then be taken by boat to Nicaragua. The goal was to reach the United States through Central America and Mexico.

The accused are said to have advised the migrants on how to reach San Andrés Island, where they personally received them, arranged accommodations, and “took them to the boats that transported them to Nicaragua so they could enter the United States illegally,” the statement reads.

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“These defendants put several migrants on the boat that disappeared off the coast of Nicaragua in 2023,” said Deputy Attorney General Nicole M. Argentieri, head of the U.S. Department of Justice’s Criminal Division, as cited in the statement.

Both men are “directly and personally responsible for the illicit trafficking of migrants on that vessel,” according to the indictment dated October 23.

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International

Homemade landmine explosion in Michoacán kills two soldiers, injures five

Two soldiers were killed and five others were injured by the explosion of homemade landmines planted by a criminal group in a mountainous area of the Mexican state of Michoacán (west), the Secretary of Defense reported on Tuesday.

The attack occurred on Monday morning in the municipality of Cotija, a border area between Michoacán and the state of Jalisco, when the military was conducting a reconnaissance mission after receiving information about an armed camp in the area, explained Secretary General Ricardo Trevilla.

“At that moment, an improvised explosive device detonated. Unfortunately, two soldiers lost their lives, and five others were injured,” the military leader detailed. The affected soldiers were airlifted to hospitals in the region by a military helicopter, while the rest of the team continued with the reconnaissance of the area.

Trevilla stated that before the explosion, the military unit had located the dismembered bodies of three people, and upon continuing the mission, they confirmed the camp was abandoned.

Asked about the individuals responsible for placing the explosives, the general suggested they could be criminals linked to the local group Cárteles Unidos, which operates in Michoacán and uses these tactics in their territorial dispute with the Jalisco New Generation Cartel, one of the most powerful criminal organizations in the country.

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