With only one ventilator, the remote Brazilian Amazon town of Santo Antonio do Ica has little choice but to send anyone with a severe case of COVID-19 to the city of Manaus some 550 miles away. But that involves a harrowing flight on a small plane.
“They managed to isolate the remote areas for a bit, but now has invaded the remote areas, and there are a lot of patients getting worse who need to be brought to the capital,” said Siqueira. “If we leave them there, they would die.”Flying to Manaus is a gamble. The altitude and pressure during the trip can strain already damaged lungs, and a patient’s condition can deteriorate in a matter of minutes. The day before this trip, Siqueira lost a COVID-19 patient just 35 minutes after taking off.
Most medical personnel in Amazonas state are concentrated in the swamped hospitals of its capital. There was only one doctor working in Santo Antonio do Ica until Anancy Lasmar, the mayor’s niece, returned to her hometown to help. The town has only one ventilator. On Tuesday, state health authorities reported for the first time fewer infections in Manaus — home to nearly half of the state’s population — than in the rest of Amazonas. The numbers are reflected in the waiting list of patients requesting medical evacuations that has tripled in recent days, Siqueira said.
Mayor Lasmar, 53, always one to chat and joke with locals like a natural politician, smiled and waved at well-wishers who had gathered at the airport as he boarded the plane. But he couldn’t muster a complete sentence as he struggled to breathe. Minutes into the flight, Castelo Branco’s heart rate skyrocketed, forcing Siqueira to inject a cocktail of drugs. The loss of a patient on the prior day’s flight was fresh in his memory, and he didn’t want a repeat.
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