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Floods in Brazil have caused hundreds of deaths
Floods in Brazil have caused 536 deaths in 5 cities (Itaipava, Friburgo, Teresopolis, Sumidouro, Petropolis and Sao Jose do Vale do Rio Preto). This is the worst tragedy since 1967. Every year summer rains causes problems especially in Sao Paulo and mountains region of Rio de Janeiro. Nowadays the tragedy it’s getting bigger dimensions. The Army and National Safety Force had send help to rescue victims but the access to these regions it is not so easy due to the interruption of traffic (some routes and bridges were destroyed) and the electricity it’s not available. More than 2.500 people cannot go back their homes due to the risk of landslide. Episodes of pillage had happened in Teresopolis. The local authorities had send around 26 gravediggers, 9 helicopters, 30 cars, trucks, 650 men, and electricity sources to these regions. Two provisory emergency hospitals with mobile CT scanner are working in tends to assist the victims and identify the cases that need critical care. Critical cases must be sent to bigger hospitals in Teresopolis. At Nova Friburgo’s provisory emergency care we have 6 doctors, 11 assistants, 4 nurses. At Teresopolis’s provisory emergency care we have 10 doctors, 4 assistants and 2 nurses.Helicopters have being used to access isolated regions, rescue victims and to identify areas at risk of landslide to evacuate them. Special equipments, gravediggers and trucks were sent to remove barriers and allow that the rescue team can arrive at the affected areas. The strategy it is to rescue victims and avoid that inhabitants could stay in danger areas.At the first moment the main health problems are traumatic lesions, submersion, exposure to electric current, contact with venomous animals and tetanus. After the rain it is expected some typical diseases like diarrhoeas, viral hepatitis, leptospirosis, typhoid fever and also a increasing of dengue incidence. Generally immunization it is offered in these occasions and special recommendations related to water and food contamination is done, but the main problem stays as a challenge to public intervention. Most of affected people were those living in places in risk of landslide, and generally they are in deprived situations. I have been living in Rio de Janeiro for so many years that we can always expect this kind of problems every summer. It is always the same: the rain, the landslides, deaths, traumas, hepatitis, leptospirosis, diarrhoeas and thousands of people losing their homes.

Interventions linked to urbanism must take place if we want to avoid new catastrophic episodes like this. Dilma, the new president, had told today that urbanism must be a priority. I hope we will really try to change this “natural history of summer rain destruction in southwest of Brazil".

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Odysseus wrote:
We are thankful to have your first hand account of the tragic loss of life in Brazil. This site is blessed in its diversity. Countries in the Southern Hemisphere now face death and destruction by summer mud and water where those in the Northern Hemisphere face ice and snow and not that long ago, volcanoes.

We have seen Brazil on television in Australia and note your high death toll and mainly the poor.

In a global community, we are so interconnected. We all share with those who suffer as next time it may be our turn again. Regardless of the country, the anguish is the same and the look on the face of people universal.
15/1/2011 8:29 AM GMT on bmj.com
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DR_CS wrote:
Our thoughts are with you and with anyone affected by flooding from anywhere in the world. x
17/1/2011 1:30 PM GMT on bmj.com
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Thank you for your messages. In fact, the problem its bigger than we could imagine. Today we have almost 700 deaths, 14.000 had lost their homes and many unities of health care have been destroyed. We had send vaccines to this region and we hope the program to manage natural disasters could take place, but we know that even the geography of cities had changed by the flooding and this make difficult to rescue victims and try to access affected areas. In Brazil we have not only a natural disaster, but also a cumulative heritage of negligence. Every year we can expect the same, but we don't have too many initiatives to protect people that are living in dangerous places. This tragedy profs that health care goes beyond... its more that built health care unities during a year where we will have elections. Urbanization, environment and social support must be considered if we really want to consider equity in public policies.
18/1/2011 7:03 PM GMT on bmj.com