Health care in Brazil's Amazonas state in 'collapse' as Covid-19 infections surge

Nurses talk in front of the 28 de Agosto Hospital in Manaus, Amazonas state, on January 14, 2021, as the city faces a shortage of oxygen supplies and hospital bed space.

(CNN)Brazil's President Jair Bolsonaro said Friday that "all means" are being made available to help the country's largest state, Amazonas, where hospitals are running out of beds and oxygen tanks amid soaring coronavirus infections.

His claim came a day after Brazilian Health Minister Eduardo Pazuello described the healthcare system in the Amazonas state capital, Manaus, as being in "collapse."
"I would say yes, there is a collapse in healthcare in Manaus. The line to get a hospital bed has grown a lot, today we have about 480 people waiting in line. And the reality is that there is a lower supply of oxygen -- not an interruption, but a lower supply of oxygen," he said during a Facebook live with Bolsonaro on Thursday.
    Doctors and nurses have been quoted in local news reports as saying patients are dying of asphyxiation in the city's hospitals because of a lack of oxygen.
      Bolsonaro posted on his official Facebook page Friday that "all means have been made available to the population of Manaus."
      Pazuello has been in Manaus for three days, the President said, and the federal government has provided "oxygen, supplies and patient transfers to federal hospitals."
      The Brazilian air force delivered six cylinders of liquid oxygen, totaling 9,300 kilograms, to Manaus early Friday. It also flew out nine patients and five doctors from Manaus to the city of Teresina, in the northeastern state of Piauí.
        Speaking in Brasilia, Brazilian Vice President Hamilton Mourão said there was no way to foresee the collapse in the public health system and blamed a new variant of coronavirus that is circulating in the city.
        "You cannot predict what would happen with this strain that is occurring in Manaus. Totally different from what had happened in the first half," said Mourão.
        Last September, research led by the Oswaldo Cruz Foundation (Fiocruz) recommended a lockdown after confirming that Manaus was experiencing a second wave of the disease. The government of Amazonas denied the second wave of Covid cases at that time.
        Manaus, globally known as the gateway to the Amazon region, also suffered badly in the first wave of the pandemic between April and May, when its public health and funeral systems collapsed.
        Gravediggers bury a Covid-19 victim while surrounded by relatives at the Nossa Senhora Aparecida cemetery in Manaus on January 13, 2021.
        Brazil's Covid-19 death toll is the second highest in the world, behind only that of the United States. According to data from Johns Hopkins University, there have been more than 207,000 deaths from Covid-19 in Brazil and more than 8.3 million reported cases of coronavirus.
        A Human Rights Watch (HRW) report published Wednesday accused Bolsonaro of having "tried to sabotage public health measures aimed at curbing the spread of Covid-19" earlier in the pandemic.
        The Amazonas state government announced emergency measures Thursday -- including a nighttime curfew, ban on mass transit and the airlifting of patients to other Brazilian states -- as it grapples with the latest crisis.
        "Today we are in the most critical moment of the pandemic, one that has no precedent in the state of Amazonas. We are facing a lot of difficulty in getting medical supplies. And as everyone is following, our main difficulty now has been getting oxygen," Amazonas Gov. Wilson Lima told a news conference Thursday.
        Demand for oxygen is up fivefold over the past 15 days, according to the state government.
        Some 235 patients will be airlifted to five other Brazilian states, the state government tweeted Thursday. It said the transfers were necessary due to the state's oxygen shortages.
        Venezuelan Foreign Minister Jorge Arreaza said Thursday he had spoken with Lima and had offered immediately to send oxygen tanks. "Latin American solidarity above all!" he tweeted. Lima responded: "The people of Amazonas thank you!"

        Minister: Vaccinations to start 'in January'

        Covid-19 vaccinations have yet to get underway in Brazil, despite its strong track record on national vaccination programs.
        Speaking Thursday, Pazuello said Brazil would begin to inoculate people in January but did not specify a date.