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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

U.S. Senate Rejects Budget, Bringing Government Closer to Shutdown Amid DHS Dispute

The U.S. Senate voted on Thursday against a budget proposal in a move aimed at pressuring changes at the Department of Homeland Security (DHS), following the killing of two civilians during a deployment of immigration agents in Minneapolis.

All Senate Democrats and seven Republican lawmakers voted against the bill, which requires 60 votes to advance, pushing the country closer to a partial government shutdown that would cut funding for several agencies, including the Pentagon and the Department of Health.

The rejection came as Senate leaders and the White House continue negotiations on a separate funding package for DHS that would allow reforms to the agency. Proposed measures include banning Immigration and Customs Enforcement (ICE) agents from wearing face coverings and requiring them to use body-worn cameras during operations.

The vote took place just hours after President Donald Trump said he was “close” to reaching an agreement with Democrats and did not believe the federal government would face another shutdown, following last year’s record stoppage.

“I don’t think the Democrats want a shutdown either, so we’ll work in a bipartisan way to avoid it. Hopefully, there will be no government shutdown. We’re working on that right now,” Trump said during a Cabinet meeting at the White House.

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Trump Says Putin Agreed to One-Week Halt in Attacks on Ukraine Amid Extreme Cold

U.S. President Donald Trump said on Thursday that he secured a commitment from Russian President Vladimir Putinto halt attacks against Ukraine for one week, citing extreme weather conditions affecting the region.

“Because of the extreme cold (…) I personally asked Putin not to attack Kyiv or other cities and towns for a week. And he agreed. He was very pleasant,” Trump said during a Cabinet meeting broadcast by the White House.

Trump acknowledged that several advisers had questioned the decision to make the call.
“A lot of people told me not to waste the call because they wouldn’t agree. And he accepted. And we’re very happy they did, because they don’t need missiles hitting their towns and cities,” the president said.

According to Trump, Ukrainian authorities reacted with surprise to the announcement but welcomed the possibility of a temporary ceasefire.
“It’s extraordinarily cold, record cold (…) They say they’ve never experienced cold like this,” he added.

Ukrainian President Volodymyr Zelensky later commented on the announcement, expressing hope that the agreement would be honored.

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Storm Kristin Kills Five in Portugal, Leaves Nearly 500,000 Without Power

Storm Kristin, which battered Portugal with heavy rain and strong winds early Wednesday, has left at least five people dead, while nearly half a million residents remained without electricity as of Thursday, according to updated figures from authorities.

The revised death toll was confirmed to AFP by a spokesperson for the National Emergency and Civil Protection Authority (ANPEC). On Wednesday, the agency had reported four fatalities.

Meanwhile, E-Redes, the country’s electricity distribution network operator, said that around 450,000 customers were still without power, particularly in central Portugal.

Emergency services responded to approximately 1,500 incidents between midnight and 8:00 a.m. local time on Wednesday, as the storm caused widespread disruptions.

The Portuguese government described Kristin as an “extreme weather event” that inflicted significant damage across several regions of the country. At the height of the storm, as many as 850,000 households and institutions lost electricity during the early hours of Wednesday.

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Several municipalities ordered the closure of schools, many of which remained shut on Thursday due to ongoing adverse conditions.

Ricardo Costa, regional deputy commander of the Leiria Fire Brigade, said residents continue to seek assistance as rainfall persists.
“Even though the rain is not extremely intense, it is causing extensive damage to homes,” he noted.

In Figueira da Foz, a coastal city in central Portugal, strong winds toppled a giant Ferris wheel, underscoring the severity of the storm.

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