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Your 2020, a COVID-19 killed almost 200,000 Brazilians. Many deaths would have been avoided if instead of a chain of command, Bolsonaro presided over a government. In a government, the diversity of ideas is stimulated and decisions are generated in an atmosphere of debate.
It is not what happens in the federal government, who commands who can, there obeys who has judgment. But that does not mean that Bolsonaro has taken responsibility for his decisions, on the contrary, he is dressed in excuses. The first was that the STF delegated the fight against the pandemic to the States.
The last, that companies must run after the government, begging to sell vaccines. If the deaths were prevented, this is due to the action of the population, doctors and nurses, mayors, governors, the legislature and the judiciary, and it occurred against the will of the president.
But now, with the approval by England, Argentina and India of the vaccine developed by AstraZeneca / Oxford, and the beginning of its use in the new year, the excuses are over. From January 1, 2021 onward, the success of the Brazilian vaccination program is fully under the control of the president’s chain of command.
The federal government, through Fiocruz, chose to put all its files on the AstraZeneca / Oxford vaccine. And he decided, instead of buying doses of the vaccine, to sign a technology transfer contract. Under this contract, Fiocruz receives the active ingredient of the vaccine in large volumes, which will be fractionated, packaged, labeled and packaged at Fiocruz’s own facilities, resulting in 100 million doses by June 2021.
In a second stage, starting in July, Fiocruz assumed the responsibility of locally producing the active ingredient of the vaccine, guaranteeing the rest of the necessary doses and the total independence of Brazil. To do this, it assumed the responsibility of building and certifying new factories, buying the vials and everything necessary to deliver the doses of the vaccine to the Ministry of Health.
Choosing to put all the cards in the AstraZeneca / Oxford vaccine was a risky decision, which seemed to have run into obstacles when the results of the first three vaccines came out. The Pfizer and Moderna vaccines showed greater efficacy, 95%, compared to 70% effectiveness, on average, for the AstraZeneca vaccine. Some flaws in the phase 3 study led me to imagine that some regulatory agencies might need time to approve the vaccine. I was wrong.
The point is that England analyzed the data presented by AstraZeneca and issued an emergency license for the vaccine. Argentina and India did the same. The English government is already receiving the doses it bought, packaged and ready to use next week. This means that AstraZeneca has a dossier that has been submitted to the government of England, Argentina and India and has been approved. The chain of command did not deliver the file (Fiocruz) nor did it examine the file (Anvisa).
If this has already happened in Argentina and India, one wonders why it has not yet happened in Brazil. The deadline for Fiocruz to deliver the order to Anvisa is January 15. And Fiocruz intends to deliver the first doses of the vaccine to the Ministry of Health on February 16. A month and a half after England received ready doses of AstraZeneca, and a month after AstraZeneca’s delivery of the active ingredient to Fiocruz (scheduled for January 9). Weren’t the factories ready? Have they not been certified? Bottles missing? We do not know.
Sooner or later, Fiocruz will deliver the first doses of vaccine, 3.5 million, but the delivery rate in the following months is still unknown and we do not know what fraction of the population plans to vaccinate the chain of command every day. during 2021. To vaccinate the population in 2021, it is necessary to inoculate approximately 500 thousand people per day. Remember that number and check your progress every day.
The vaccination rate depends on the Ministry of Health. The National Immunization Program (PNI) is federal, and our luck is that the AstraZeneca vaccine does not require any special transport and storage conditions and therefore fits like a glove in the PNI. . There is no excuse for vaccination not to start quickly and go quickly. If there is not enough vaccine, if syringes are missing, if control of who was vaccinated fails, if it does not reach the corners of Brazil, there is no excuse.
President Bolsonaro decided to install a command and control system, generally used by military personnel in war operations. We can even argue that the fight against SARS-CoV-2 is a war, but in military systems the general gives the orders, the others must obey without question, as confirmed in color and live by the general who is our Minister of Defense. Health.
What we must not forget is that in a system where orders are issued by a single leader and followed by all others, the responsibility for the success or failure of the operation rests solely with the commander. So whatever the outcome of our vaccination program in 2021, it is good to remember that the responsibility from now on rests with Bolsonaro. No more excuses.
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