Chefes de UTIs ligam ‘kit covid’ a maior risco de morte no Brasil
Heads|of|ICUs|link|kit|covid|at|highest|risk|of|death|in|Brazil
ICU chiefs say 'covid kit' is the biggest risk of death in Brazil.
Uma das principais estratégias do governo federal na pandemia foi apostar no chamado
One|of|main|strategies|of the|government|federal|in the|pandemic|was|to bet|on|called
One of the federal government's main strategies during the pandemic was to bet on the so-called
"kit covid" ou "tratamento precoce", que inclui medicamentos como cloroquina e ivermectina.
kit|covid|or|treatment|early|that|includes|medications|such as|chloroquine|and|ivermectin
"covid kit" or "early treatment," which includes medications like chloroquine and ivermectin.
Mas, segundo médicos que chefiam UTIs de hospitais de referência, a defesa e o uso desses
But|according to|doctors|who|head|ICUs|of|hospitals|of|reference|the|defense|and|the|use|of these
However, according to doctors who head ICUs in reference hospitals, the defense and use of these
medicamentos sem eficácia comprovada contra a doença têm contribuído para aumentar
medications|without|efficacy|proven|against|the|disease|have|contributed|to|increase
medications without proven efficacy against the disease have contributed to increasing
o número de mortes de pacientes graves.
the|number|of|deaths|of|patients|severe
the number of deaths of severe patients.
Eu sou Nathalia Passarinho, repórter da BBC News Brasil, e hoje vou explicar de que maneira
I|am|Nathalia|Passarinho|reporter|of|BBC|News|Brazil|and|today|I will|explain|of|what|way
I am Nathalia Passarinho, a reporter for BBC News Brazil, and today I will explain how
o uso do chamado "kit covid" afeta lá na ponta o trabalho dos profissionais da linha de frente,
the|use|of|called|kit|covid|affects|there|in|end|the|work|of the|professionals|of the|line|of|front
the use of the so-called "covid kit" affects the work of frontline professionals,
que tratam de pacientes nas UTIs.
that|treat|of|patients|in the|ICUs
who treat patients in ICUs.
De acordo com médicos de hospitais como o Albert Einstein, Hospital das Clínicas, Emílio
According|to|with|doctors|from|hospitals|like|the|Albert|Einstein|Hospital|of the|Clinics|Emílio
According to doctors from hospitals like Albert Einstein, Hospital das Clínicas, Emílio
Ribas e da Associação de Medicina Intensiva Brasileira, o uso desses medicamentos sem
Ribas|and|of|Association|of|Medicine|Intensive|Brazilian|the|use|of these|medications|without
Ribas and the Brazilian Association of Intensive Medicine, the use of these medications without
eficácia científica impacta de três maneiras a mortalidade por covid:
efficacy|scientific|impacts|in|three|ways|the|mortality|by|covid
scientific efficacy impacts mortality from covid in three ways:
Provocando efeitos colaterais sérios em pacientes graves, retardando a procura por atendimento
Causing|effects|side|serious|in|patients|severe|delaying|the|search|for|care
Causing serious side effects in severe patients, delaying the search for medical care
médico e, por fim, desviando recursos que poderiam ser usados, por exemplo, com remédios para
doctor|and|by|end|diverting|resources|that|could|be|used|by|example|with|medicines|for
and, finally, diverting resources that could be used, for example, for intubation medications and
intubação e leitos de UTI.
intubation|and|beds|of|ICU
ICU beds.
Vamos a cada um desses três pontos.
Let's go|to|each|one|of these|three|points
Let's go to each of these three points.
Bom, desde o início da pandemia, o presidente Jair Bolsonaro vem defendendo o uso de cloroquina
Well|since|the|beginning|of the|pandemic|the|president|Jair|Bolsonaro|has been|defending|the|use|of|chloroquine
Well, since the beginning of the pandemic, President Jair Bolsonaro has been advocating the use of chloroquine
e outras substâncias, como o vermífugo ivermectina e o antibiótico azitromicina
and|other|substances|such as|the||ivermectin|and|the|antibiotic|azithromycin
and other substances, such as the dewormer ivermectin and the antibiotic azithromycin
como tratamento para a covid.
as|treatment|for|the|covid
as treatment for covid.
Nos primeiros meses de 2020, era natural a especulação sobre esses remédios
In|first|months|of|was|natural|the|speculation|about|these|medicines
In the first months of 2020, it was natural to speculate about these medications.
já que estudos preliminares ainda estavam sendo conduzidos.
already|since|studies|preliminary|still|were|being|conducted
since preliminary studies were still being conducted.
A covid era novidade e não se sabia qual o melhor tratamento.
The|covid|was|new|and|not|it|knew|what|the|best|treatment
Covid was new and it was not known what the best treatment was.
Só que, mais de um ano depois, diversas pesquisas já demonstraram que remédios como cloroquina
Only|that|more|of|one|year|later|several|studies|already|have demonstrated|that|medications|such as|chloroquine
However, more than a year later, several studies have already shown that drugs like chloroquine
e ivermectina não são eficazes contra a covid.
and|ivermectin|not|are|effective|against|the|covid
and ivermectin are not effective against covid.
Mesmo assim, o presidente Bolsonaro continua defendendo o uso.
Even|so|the|president|Bolsonaro|continues|defending|the|use
Even so, President Bolsonaro continues to advocate for their use.
Muitos têm sido salvos no Brasil com esse atendimento imediato.
Many|have|been|saved|in|Brazil|with|this|care|immediate
Many have been saved in Brazil with this immediate care.
Neste prédio mesmo [o Palácio do Planalto], mais de 200 pessoas contraíram a covid e
In this|building|itself|the|Palace|of|Planalto|more|than|people|contracted|the|covid|and
In this very building [the Palácio do Planalto], more than 200 people contracted covid and
quase todas, pelo que eu tenha conhecimento, inclusive eu, buscou esse tratamento imediato
almost|all|for|what|I|have|knowledge|including|I|sought|that|treatment|immediate
almost all, as far as I know, including myself, sought this immediate treatment
com uma cesta de produtos como a ivermectina, a hidroxicloroquina, a anitta, a azitromicina,
with|a|basket|of|products|such as|the|ivermectin|the|hydroxychloroquine|the|anitta|the|azithromycin
with a basket of products such as ivermectin, hydroxychloroquine, anitta, azithromycin,
vitamina D, entre outros , e tiveram sucesso.
vitamin|D|among|others|and|had|success
vitamin D, among others, and were successful.
Mas não é bem assim, segundo especialistas em UTI com quem eu conversei.
But|not|is|quite|like that|according to|specialists|in|ICU|with|whom|I|talked
But it's not quite like that, according to ICU specialists I spoke with.
O médico Ederlon Rezende, que é ex-presidente da Associação de Medicina Intensiva Brasileira,
The|doctor|Ederlon|Rezende|who|is|||of the|Association|of|Medicine|Intensive|Brazilian
Doctor Ederlon Rezende, who is a former president of the Brazilian Intensive Care Medicine Association,
me contou que entre 80% e 85% das pessoas infectadas pelo coronavírus vão ser assintomáticas
to me|told|that|between|and|of the|people|infected|by the|coronavirus|will|be|asymptomatic
told me that between 80% and 85% of people infected with the coronavirus will be asymptomatic
ou desenvolver sintomas leves da doença.
or|develop|symptoms|mild|of|disease
or develop mild symptoms of the disease.
Para esses pacientes, usar o "kit covid" não vai ajudar em nada.
For|these|patients|using|the|kit|covid|not|will|help|in|anything
For these patients, using the "covid kit" won't help at all.
Também pode não prejudicar, se a pessoa não tomar doses excessivas, não desenvolver
Also|can|not|harm|if|the|person|not|takes|doses|excessive|not|develop
It may also not harm, if the person does not take excessive doses, does not develop
efeitos colaterais nem tiver doenças que possam se agravar com esses medicamentos.
effects|side|nor|have|diseases|that|may|themselves|worsen|with|these|medications
side effects, nor have diseases that could worsen with these medications.
Mas, para os 15% ou 20% restantes, que precisam de internação, essas drogas podem prejudicar
But|for|the|or|remaining|who|need|of|hospitalization|these|drugs|can|harm
But, for the remaining 15% or 20%, who need hospitalization, these drugs can harm
o tratamento no hospital e contribuir para a morte.
the|treatment|in the|hospital|and|contribute|to|the|death
the treatment in the hospital and contribute to death.
A preocupação são os 15% que necessitam de uma hospitalização
The|concern|are|the|who|need|of|a|hospitalization
The concern is the 15% who require hospitalization.
e metade desses acaba vindo para a UTI.
and|half|of these|ends up|coming|to|the|ICU
and half of them end up coming to the ICU.
Esses pacientes que vêm para a UTI que têm a forma mais grave é onde mais preocupa o uso prévio desses medicamentos,
These|patients|who|come|to|the|ICU|who|have|the|form|most|severe|is|where|most|worries|the|use|prior|of these|medications
These patients who come to the ICU with the more severe form are where the prior use of these medications is most concerning,
porque é nesses pacientes que os efeitos adversos dessas drogas se manifestam com maior frequência
because|it is|in these|patients|that|the|effects|adverse|of these|drugs|themselves|manifest|with|greater|frequency
because it is in these patients that the adverse effects of these drugs manifest more frequently
e podem ter impacto sim na sobrevida deles.
and|can|have|impact|yes|on|survival|their
and can indeed impact their survival.
Os médicos chamam a atenção para o risco de a hidroxicloroquina causar arritmia cardíaca,
The|doctors|call|the|attention|to|the|risk|of|the|hydroxychloroquine|causing|arrhythmia|cardiac
Doctors point out the risk of hydroxychloroquine causing cardiac arrhythmia,
um dos efeitos colaterais possíveis desse remédio, que normalmente é usado para pacientes
one|of|effects|side|possible|of this|medicine|that|normally|is|used|for|patients
one of the possible side effects of this medication, which is normally used for patients
com lúpus e malária.
with|lupus|and|malaria
with lupus and malaria.
Numa pessoa que evolui para quadro grave de covid, isso pode fatal, já que a doença
In a|person|who|evolves|to|condition|severe|of|covid|this|can|fatal|already|that|the|disease
In a person who progresses to a severe case of covid, this can be fatal, since the disease
causada pelo coronavírus também afeta o coração, promovendo inflamações do músculo
caused|by|coronavirus|also|affects|the|heart|promoting|inflammations|of|muscle
caused by the coronavirus also affects the heart, promoting inflammation of the muscle
cardíaco e trombose nos vasos e tecidos.
cardiac|and|thrombosis|in the|vessels|and|tissues
tissue and thrombosis in the vessels and tissues.
Já a ivermectina, se tomada em excesso ou combinado com outros medicamentos, como é
Already|the|ivermectin|if|taken|in|excess|or|combined|with|other|medications|as|is
Ivermectin, if taken in excess or combined with other medications, such as
o caso da cloroquina, pode provocar insuficiência renal.
the|case|of|chloroquine|can|cause|failure|renal
chloroquine, can cause kidney failure.
Ederlon Rezende também diz que tem tido problemas com pacientes que precisam ser sedados para
Ederlon|Rezende|also|says|that|has|had|problems|with|patients|who|need|to be|sedated|for
Ederlon Rezende also says that he has been having problems with patients who need to be sedated for
intubação e que acordam da sedação com uma confusão mental mais acentuada por causa
intubation|and|who|wake up|from|sedation|with|a|confusion|mental|more|pronounced|due to|cause
intubation and who wake up from sedation with more pronounced mental confusion due to
do uso abusivo de ivermectina antes de chegar ao hospital.
of|use|abusive|of|ivermectin|before|of|arriving|at|hospital
the abusive use of ivermectin before arriving at the hospital.
O uso abusivo de ivermectina, que é uma droga que também penetra no cérebro quando ele
The|use|abusive|of|ivermectin|which|is|a|drug|that|also|penetrates|in the|brain|when|it
The abusive use of ivermectin, which is a drug that also penetrates the brain when it
está inflamado, e ela deprime mais ainda o cérebro e piora ainda mais a qualidade desse despertar.
is|inflamed|and|it|depresses|more|even|the|brain|and|worsens|even|more|the|quality|of that|awakening
is inflamed, further depresses the brain and worsens the quality of that awakening.
Essa também tem sido intercorrência frequente nos pacientes que usaram de maneira abusiva e desnecessária.
This|also|has|been|complication|frequent|in the|patients|who|used|in a|manner|abusive|and|unnecessary
This has also been a frequent occurrence in patients who have used it abusively and unnecessarily.
E mesmo outros efeitos colaterais mais leves da cloroquina e da ivermectina, que não causam
And|even|other|effects|side|more|mild|of|chloroquine|and|of|ivermectin|that|not|cause
And even other milder side effects of chloroquine and ivermectin, which do not cause
qualquer preocupação numa pessoa saudável, podem prejudicar e muito o tratamento de um
any|worry|in a|person|healthy|can|harm|and|greatly|the|treatment|of|a
any concern in a healthy person, can greatly hinder the treatment of a.
doente grave, que já está com funcionamento de órgãos comprometidos e com dificuldade
patient|severe|who|already|is|with|functioning|of|organs|compromised|and|with|difficulty
seriously ill, who already has compromised organ function and difficulty
para respirar.
to|breathe
breathing.
O que acontece é que não muda a taxa de intubação, né? Essas medicações... e acaba trazendo
What|that|happens|is|that|not|changes|the|rate|of|intubation|right|These|medications|and|ends up|bringing
What happens is that it doesn't change the intubation rate, right? These medications... and it ends up bringing
mais efeito colateral.
more|side|effect
more side effects.
Você pode ter mais hepatite, mais insuficiência renal, então acaba complicando mais por efeito
You|can|have|more|hepatitis|more|||||||by|effect
You may have more hepatitis, more renal failure, so it ends up complicating more due to the effect
colateral.
collateral
collateral.
Dá diarreia, antibiótico dá diarreia, acaba tendo mais infecção, porque selecionou a flora
It causes|diarrhea|antibiotic|causes|diarrhea|ends up|having|more|infection|because|selected|the|flora
It causes diarrhea, antibiotics cause diarrhea, leading to more infections because it selected the flora
intestinal…
intestinal
intestinal…
e
Mais recentemente, Bolsonaro passou a citar bastante a Nitazoxanida, conhecida pelo nome
and|More|recently|Bolsonaro|started|to|cite|quite a lot|the|Nitazoxanide|known|by the|name
and more recently, Bolsonaro has been mentioning Nitazoxanide a lot, known by the trade name
comercial Annita.
commercial|Annita
Annita.
O problema é que, além de não haver qualquer evidência científica da eficácia contar covid, as pessoas
The|problem|is|that|in addition|of|not|to have|any|evidence|scientific|of the|efficacy|counting|covid|the|people
The problem is that, besides there being no scientific evidence of the effectiveness of treating covid, people
passaram a tomar esse vermífugo junto com outro, a ivermectina, que eu já mencionei antes,
started|to|take|this||together|with|another|the|ivermectin|that|I|already|mentioned|before
started taking this dewormer along with another one, ivermectin, which I mentioned before,
intoxicando o organismo.
intoxicating|the|body
intoxicating the body.
Estão tomando doses cavalares e tudo junto, sabe?
They are|taking|doses|excessive|and|everything|together|you know
They are taking massive doses and everything together, you know?
A interação entre os remédios também não é legal.
The|interaction|between|the|medications|also|not|is|good
The interaction between the medications is also not good.
Estão tomando ivermectina, azitromicina, Anitta junto com a ivermectina.
They are|taking|ivermectin|azithromycin|Anitta|together|with|the|ivermectin
They are taking ivermectin, azithromycin, Anitta along with ivermectin.
Isso é um absurdo.
This|is|an|absurd
This is absurd.
Tomar dois vermífugos?
Take|two|
Taking two dewormers?
Outro problema foi a inclusão recente, no "kit covid", de corticoides.
Another|problem|was|the|inclusion|recent|in the|kit|covid|of|corticosteroids
Another problem was the recent inclusion of corticosteroids in the "covid kit."
É verdade que pesquisas mostram que eles ajudam a reduzir a mortalidade de pacientes
It|true|that|research|show|that|they|help|to|reduce|the|mortality|of|patients
It is true that research shows they help reduce mortality in patients.
graves, ou seja, aqueles que precisam de ventilação mecânica por máscaras ou intubação.
severe|or|that is|those|who|need|of|ventilation|mechanical|by|masks|or|intubation
severe, that is, those who need mechanical ventilation through masks or intubation.
Mas, no restante da população, o uso pode provocar problemas sérios.
But|in|remaining|of|population|the|use|can|cause|problems|serious
But, in the rest of the population, its use can cause serious problems.
Para o paciente que tem um covid leve, pouco sintomático ou assintomático, o corticoide pode até baixar a imunidade
For|the|patient|who|has|a|covid|mild|slightly|symptomatic|or|asymptomatic|the|corticosteroid|may|even|lower|the|immunity
For the patient with mild, mildly symptomatic, or asymptomatic covid, corticosteroids can even lower immunity
e propiciar outras doenças.
and|to cause|other|diseases
and lead to other diseases.
E muitas vezes eles davam esse corticoide junto com antibiótico.
And|many|times|they|gave|this|corticosteroid|together|with|antibiotic
And many times they would give this corticosteroid along with antibiotics.
Se, por azar, o covid piora e o doente vai ter uma infecção agora, ele vai ter uma infecção
If|by|chance|the|covid|worsens|and|the|patient|will|have|an|infection|now|he|will|have|an|infection
If, by chance, the covid worsens and the patient has an infection now, he will have a
mais grave porque ele está tomando remédio imunossupressor e ele vai ter uma bactéria resistente a esse
more|serious|because|he|is|taking|medication|immunosuppressant|and|he|will|have|a|bacteria|resistant|to|this
more severe infection because he is taking immunosuppressive medication and he will have a resistant bacteria to this
antibiótico que você já queimou, que você já usou inadequadamente.
antibiotic|that|you|already|burned||||used|inappropriately
antibiotic that you have already burned out, that you have already used inappropriately.
O supervisor da UTI do Instituto Emílio Ribas, Jaques Sztajnbok, também diz que o uso "preventivo"
The|supervisor|of|ICU|of|Institute|Emílio|Ribas|Jaques|Sztajnbok|also|says|that|the|use|preventive
The supervisor of the ICU at the Emílio Ribas Institute, Jaques Sztajnbok, also says that the "preventive"
de azitromicina e corticoide, como defendido pelos que advogam pelo "kit covid", causa
of|azithromycin|and|corticosteroid|as|defended|by those|who|advocate|for|kit|covid|cause
use of azithromycin and corticosteroids, as advocated by those who support the "covid kit", causes
mais mortalidade do que protege.
more|mortality|than|what|protects
more mortality than it protects.
Se você dá corticoide para paciente com covid antes da necessidade, ele terá um desempenho
If|you|gives|corticosteroid|to|patient|with|covid|before|of the|necessity|he|will have|a|performance
If you give corticosteroids to a patient with covid before the need, they will perform
pior.
worse
worse.
Ele morrerá mais do que se tivesse sido adequadamente tratado.
He|will die|more|than|if|he|had|been|adequately|treated
They will die more than if they had been properly treated.
Agora, vamos às contribuições indiretas do "kit covid" para as mortes no Brasil, segundo
Now|let's go|to the|contributions|indirect|of|kit|covid|to|the|deaths|in|Brazil|according to
Now, let's look at the indirect contributions of the "covid kit" to the deaths in Brazil, according to
médicos de UTIs.
doctors|of|ICUs
ICU doctors.
A primeira delas, é a "falsa segurança" que esses medicamentos produzem, retardando
The|first|of them|is|the|false|security|that|these|medications|produce|delaying
The first of these is the "false sense of security" that these medications produce, delaying
a procura por atendimento médico.
the|search|for|medical care|doctor
the search for medical attention.
Começou a surgir notícia de que tal medicamento salva vida, tal medicamento previne...
Started|the|to emerge|news|of|that|such|medication|saves|life|such|medication|prevents
News began to emerge that such medication saves lives, such medication prevents...
Então alguns prefeitos, quando o paciente tinha covid, davam um saquinho de um "kit covid".
So|some|mayors|when|the|patient|had|covid|would give|a|small bag|of|a|kit|covid
So some mayors, when the patient had covid, would give a little bag of a "covid kit."
Então, em alguns locais as pessoas mais crédulas achavam que tomando aquilo não iam pegar
So|in|some|places|the|people|more|gullible|thought|that|taking|that|not|would|catch
So, in some places, the more gullible people thought that by taking that they wouldn't catch
covid nunca . Então muitos demoraram para procurar assistência.
covid|never|So|many|took|to|seek|assistance
covid ever. So many took a long time to seek assistance.
Entre os riscos de se procurar ajuda muito tarde está a intubação tardia.
Among|the|risks|of|oneself|seeking|help|very|late|is|the|intubation|late
Among the risks of seeking help too late is late intubation.
A pessoa com covid pode acabar lesionando seriamente o pulmão pelo próprio esforço
The|person|with|covid|can|end up|injuring|seriously|the|lung|by the|own|effort
A person with covid can end up seriously injuring their lungs due to the effort
feito para respirar, a ponto de o problema não poder ser revertido com ventilação
made|to|breathe|to|point|of|the|problem|not|able|be|reversed|with|ventilation
made to breathe, to the point that the problem cannot be reversed with ventilation.
mecânica e intubação.
mechanics|and|intubation
mechanics and intubation.
A pneumologista Carmen Valente Barbas, que
The|pulmonologist|Carmen|Valente|Barbas|who
The pulmonologist Carmen Valente Barbas, who
coordena equipes no Albert Einstein e no Hospital das Clínicas, explica que a insuficiência respiratória
coordinates|teams|at|Albert|Einstein|and|at|Hospital|of the|Clinics|explains|that|the|insufficiency|respiratory
coordinates teams at Albert Einstein and at the Hospital das Clínicas, explains that acute respiratory failure
aguda pode evoluir rapidamente para a morte.
acute|can|evolve|rapidly|to|the|death
can quickly progress to death.
Outra coisa que estão fazendo: ficando com falta de ar em casa.
Another|thing|that|are|doing|becoming|with|shortness|of|breath|in|home
Another thing they are doing: staying at home with shortness of breath.
Isso é um perigo também.
This|is|a|danger|also
This is a danger too.
Ou alugando oxigênio para ficar em casa.
Or|renting|oxygen|to|stay|in|home
Or renting oxygen to stay at home.
Porque é uma doença que evolui muito rápido.
Because|is|a|disease|that|evolves|very|quickly
Because it is a disease that evolves very quickly.
Quando você tem uma deficiência respiratória aguda com falta de oxigênio, você não deve
When|you|have|a|deficiency|respiratory|acute|with|lack|of|oxygen|you|should not|must
When you have an acute respiratory deficiency with lack of oxygen, you should not
ficar com oxigênio em casa, porque você pode evoluir muito rápido com necessidade
stay|with|oxygen|at|home|because|you|can|evolve|very|quickly|with|need
stay with oxygen at home, because you can evolve very quickly with need.
de ventilação mecânica invasiva, intubação, e se você ficar em casa, você não tem esse
of|ventilation|mechanical|invasive|intubation|and|if|you|stay|at|home|you|not|have|this
of invasive mechanical ventilation, intubation, and if you stay at home, you don't have this
recurso, você pode evoluir rápido e morrer em casa.
resource|you|can|evolve|quickly|and|die|at|home
resource, you can deteriorate quickly and die at home.
Ou morrer na porta do pronto socorro.
Or|die|at|door|of|emergency|care
Or die at the emergency room door.
Vamos agora ao terceiro impacto do kit covid nas mortes:
Let's|now|to|third|impact|of|kit|covid|on the|deaths
Now let's go to the third impact of the covid kit on deaths:
O gasto de dinheiro e tempo em remédios sem eficácia comprovada, que poderiam ser usados
The|spending|of|money|and|time|on|medications|without|efficacy|proven|that|could|be|used
The spending of money and time on medications without proven efficacy, which could have been used
na compra de equipamentos, vacinas e na produção de um protocolo nacional com orientações
in the|purchase|of|equipment|vaccines|and|in the|production|of|a|protocol|national|with|guidelines
in the purchase of equipment, vaccines, and in the production of a national protocol with guidelines
para o atendimento de pacientes graves com covid.
for|the|care|of|patients|severe|with|covid
for the treatment of severe covid patients.
Um levantamento feito pelo repórter André Shalders aqui na BBC News Brasil mostrou que os gastos
A|survey|conducted|by|reporter|André|Shalders|here|at the|BBC|News|Brazil|showed|that|the|expenses
A survey conducted by reporter André Shalders here at BBC News Brazil showed that the spending
do governo Bolsonaro com cloroquina, hidroxicloroquina, Tamiflu, ivermectina, azitromicina e nitazoxanida
of|government|Bolsonaro|with|chloroquine|hydroxychloroquine|Tamiflu|ivermectin|azithromycin|and|nitazoxanide
of the Bolsonaro government on chloroquine, hydroxychloroquine, Tamiflu, ivermectin, azithromycin, and nitazoxanide
somaram quase R$ 90 milhões até janeiro deste ano.
totaled|almost|Brazilian Reais|million|by|January|of this|year
totaled almost R$ 90 million by January of this year.
Enquanto isso, médicos e associações farmacêuticas alertam que o estoque de medicamentos necessários
Meanwhile|this|doctors|and|associations|pharmaceutical|warn|that|the|stock|of|medications|necessary
Meanwhile, doctors and pharmaceutical associations warn that the stock of necessary medications
para intubação está perto de acabar.
for|intubation|is|close|to|finish
for intubation is close to running out.
E, passado um ano da pandemia, o Ministério da Saúde não produziu até agora um documento
And|past|one|year|of the|pandemic|the|Ministry|of the|Health|not|produced|until|now|a|document
And, a year into the pandemic, the Ministry of Health has not yet produced a document
com informações para os profissionais de saúde seguirem no tratamento de pacientes
with|information|for|the|professionals|of|health|to follow|in the|treatment|of|patients
with information for healthcare professionals to follow in the treatment of patients
graves com covid.
severe|with|covid
severe with covid.
O médico infectologista Fernando Bozza, que é pesquisador da Fiocruz, é autor de uma
The|doctor|infectious disease specialist|Fernando|Bozza|who|is|researcher|of the|Fiocruz|is|author|of|a
The infectious disease doctor Fernando Bozza, who is a researcher at Fiocruz, is the author of a
pesquisa que mostrou que 80% dos pacientes intubados com covid no Brasil morreram no
research|that|showed|that|of the|patients|intubated|with|covid|in|Brazil|died|in
study that showed that 80% of intubated patients with COVID in Brazil died last
ano passado.
year|last
year.
A título de comparação, a média global de mortalidade é de 50%.
As|title|of|comparison|the|average|global|of|mortality|is|of
By way of comparison, the global mortality average is 50%.
Não se investiu em se disseminar a informação dos tratamentos que tinham evidência, por exemplo
Not|reflexive pronoun|invested|in|reflexive pronoun|disseminating|the|information|of the|treatments|that|had|evidence|for|example
There was no investment in disseminating information about treatments that had evidence, for example.
da utilização de esteroides nos pacientes que necessitam de oxigênio, numa identificação
of|use|of|steroids|in the|patients|who|need|of|oxygen|in a|identification
of the use of steroids in patients who require oxygen, in an identification
mais precoce dos pacientes com insuficiência respiratória, da utilização de estratégias
earlier|premature|of|patients|with|insufficiency|respiratory|of|use|of|strategies
earlier identification of patients with respiratory failure, of the use of strategies
mais precoces de ventilação não invasiva, ventilação em prona, quer dizer o paciente
earlier|early|of|ventilation|non|invasive|ventilation|in|prone|wants|to say|the|patient
earlier non-invasive ventilation, prone ventilation, meaning the patient
ventilado de barriga para baixo, nas medidas de controle de infecção, e assim por diante,
ventilated|from|belly|face|down|in the|measures|of|control|of|infection|and|so|by|forward
ventilated face down, in infection control measures, and so on,
na boa prática.
in|good|practice
in good practice.
Por hoje é isso.
For|today|is|that
That's it for today.
Se você gostou do vídeo, compartilhe e se inscreva no nosso canal do YouTube.
If|you|liked|of|video|share|and|(reflexive pronoun)|subscribe|on|our|channel|of|YouTube
If you liked the video, share it and subscribe to our YouTube channel.
E se tiver dúvidas, comente aqui!
And|if|you have|questions|comment|here
And if you have any questions, comment here!
Até a próxima!
Until|the|next
See you next time!
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openai.2025-01-22
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