BRASIL: starting a new collapse foretold after BQ.1** Sars-Cov2 has taken off in mid-July CAMPINAS/São Paulo going back to Emergency Hospitals ["Hospitais de Campanha"] like in early pandemic times in 2020 as Public ICU bedsoverwhelmed 100% occupied

BRASIL: starting a new collapse foretold And the country lost again [and again] a window of opportunity to start a Public Health management as Ministry of Health data has already showed BQ.1** in 10 states on Nov 18th Rio de Janeiro São Paulo Amazonas ...

BRASIL: starting a new collapse foretold CAMPINAS/São Paulo WITHincreased positivity 28% WITHOUT masksmandate back City Covid Committee did not follow Science advice and did not approve #BringBackMasks mandate unlike Covid Committee of local University

BRASIL: starting a new collapse foretold Facing vaccine-escaping variants masks mandate back on Nov 16th at University of Campinas UNICAMP afterpositivity 17% to 34%/1wk Covid Committee approved 2 mandates masks in closed spaces [PFF2/surgical] 2 boosters

BRASIL: starting a new collapse foretold an increasednumber of cases +120% throughout the country in October [22 states] + 740% Maranhão +575% Sergipe +488% Rondônia + 330% Rio de Janeiro +229% Paraíba [Ministry of Health - November 11th]

BRASIL: starting a new collapse foretold cases +2.350% Piauí +294% Roraima +145% E. Santo +119% Amapá deaths +800% Bahia +700% Goiás +449% São Paulo +200% E. Santo [Oct 18th]

BRASIL: starting a new collapse foretold After a jump to 17% positivity last Oct Nov 22nd: 16 statesdeaths daily cases Rio de Janeiro 12.394 Minas Gerais 4.389 Nov 23rd: 18 statesdeaths daily cases Rio de Janeiro 6.299 MG 3.960 São Paulo 2.821

BRASIL: starting a new collapse foretold Severe Acute Respiratory Syndrome [SRAG]/COVID highest activity cases 100% São Paulo Rio de Janeiro Paraíba Pernambuco Alagoas highest activity deaths 100% São Paulo 98% Rio de Janeiro [FIOCRUZ/Nov19th]

BRASIL: starting a new collapse foretold Facing vaccine-escaping variants masks mandate back on Nov 17th at Escola Paulista de Medicina/UNIFESP Covid Committee approved 2 mandates masks in closed spaces 2 boosters

BRASIL: starting a new collapse foretold CAMPINAS/SP watching the game with the VIRUS 24 hrs after announcing the 1st retour to Covid Emergency Hospitals with ICU beds 100% occupied City Hall organizes a crowd ...to watch Football!!! without masks, of course

BRASIL: starting a new collapse foretold BQ.1 and BQ.1.* the reasoncases & deaths In the last days an explosion of new cases & deaths throughout the country starting a new challenge to the Private and Public Health Care [SUS] with simultaneouslyBQ.1*...

BRASIL: starting a new collapse foretold After the first cases in São Paulo/Oct 17th Amazonas/Oct 20th and Rio de Janeiro/Nov 5th BQ.1 + BQ.1.* increasedfrom 5,4% to 64,8% [Fiocruz Genomic Network] with +274% positive tests in labs and pharmacies [October]

BRASIL: starting a new collapse foretold The Brazilian squad with "flu-like ilness" and The World CUP is a great candidate to be THE superspreader event of the year!!! Blangladesh!...

BRASIL: starting a new collapse foretold "New COVID cases jumped last week by 230% from early November... a new wave just as the soccer-crazed nation is gathering en masse to follow the World Cup" https://thepeninsulaqatar.com/article/23/11/2022/world-cup-gatherings-may-fuel-brazils-latest-covid-wave-experts-warn…

BRASIL: starting a new collapse foretold After first cases São Paulo Amazonas Rio de Janeiro BQ.1 + BQ.1.* increased5,4% to 64,8% [FIOCRUZ] increasednumber of cases +120% throughout the country +740% Maranhão +575% Sergipe +488% Rondônia +330% Rio d Janeiro

BRASIL: starting a new collapse foretold growth of cases at all ages!!! November 2022 deaths 22nd 16 states 23rd 18 states 29th 16 states daily cases 22nd Rio de Janeiro 12.394 Minas Gerais 4.389 23rd RJ 6.299 MG 3.960 29th RJ 12.006 MG 5.571

BRASIL: starting a new collapse foretold FIOCRUZ/Nov 29th Severe Acute Respiratory Syndrome [SRAG] COVID 95% of fatal cases highest activity cases 100% Brasília São Paulo Rio de Janeiro highest activity deaths Paraíba 95% Pernambuco 85%

BRASIL: starting a new collapse foretold cases and deaths deaths Nov 29th 16 states Dec 2nd 17 states daily cases Nov 29th RJ 12.006 MG 5.571 RS 5.085 Dec 2nd MG 5.700 RJ 5.278 SP 4.919

BRASIL: starting a new collapse foretold cases and deaths deaths Dec 3rd 18 states daily cases Dec 3rd SP 5.126 Santa Catarina 4.308 Positivity 23% - Nov 5th 32% - Nov 12th 41% - Nov 19th 33% - Nov 26th

BRASIL: starting a new collapse foretold cases and deaths RiO de JANEiRO November 14% new cases/14 days 31-32% positivity RATs 33-40% positivity PCR December 28 - 98% RATs+ 28 - 86% PCR+

BRASIL: starting a new collapse foretold São PAULO Dec 2nd 46% positivity last week+35% new cases +7% hospitalizations +77% Campinas +133% HC/UNICAMP +250% PMESP +475% Penitentiary Hospitals +15% ICUhosp +200% HC/Ribeirão Preto +350% HC/SP +600% SJC

BRASIL: starting a new collapse foretold BA.5.* lineagesfade down to 21% BQ.*grew strongly in Nov to dominance 73% led by BQ.1.1 "Cerberus" at 55% Daily cases are now over 6X higher at 130/1M Daily deaths are now over 3X higher at 4/1M tks @Mike Honey

BRASIL2022 +21% increasedhospitalizationof babies < 2 y/o +13% increasedhospitalization btw 3-4 y/o 0-5 years old 2021 9.181 hospitalizations 2022 11.144 hospitalizations

BRASIL2022 babies < 1 year old 26 hospitalizations/1st week October 193 hospitalizations/1st week November babies < 1 to 5 years old 61 hospitalizations/1st week October 134 hospitalizations/1st week November

BRASIL increasedcases hospitalizationsand deaths throughout the country!!! ABRAFARMA RATs [rapid tests] September 22: 5.550+results October 22: 7.986 + November 22: 87.968 + BR positivity35% or even more Acre: 54% Sergipe: 49% Bahia: 48%

BRASIL increasedcases hospitalizationsand deaths throughout the country!!! RATs: performance w/dominant Omicron variants FALSE negative for symptomatic people 22% for asymptomatic people 61% RATs numbers probably reflect only the tip of the iceberg

BRASIL increasedcases hospitalizationsand deaths throughout the country!!! cases Mato Grosso: +700% Maranhão: +564% Goiás: +235% Rondônia & Rio Grande Sul: +168% deaths Mato Grosso: +1.500% Rio Grande Norte: +1.200% Alagoas: +367% Espírito Santo: +360%

BRASIL increasedcases hospitalizationsand deaths throughout the country! BRASíLiA:collapse Dec/22 transmission rate>1,5 1st +1.496 new cases 2nd +2.150 new cases 14th+2.607 16th +1.685 Highest incidence in childhood<2 y/o Occup ICU 93% general 68% COVID

BRASIL FIOCRUZ reports caseshosp & deaths throughout the country Nov 19th Severe Acute Respiratory Syndrome [SRAG]/COVID highest activity cases 100% São Paulo Rio de Janeiro Paraíba Pernambuco highest activity deaths 100% São Paulo 98% Rio Janeiro

BRASIL FIOCRUZ reports caseshosp & deaths throughout the country Nov 29th [SRAG]/COVID 95% of fatal cases highest activity cases 100% Brasília São Paulo Rio de Janeiro highest activity deaths Paraíba 95% Pernambuco 85%

BRASIL FIOCRUZ reports caseshosp & deaths since November Dec 12th [SRAG] COVID 97% fatal cases highest activity cases 100% Brasília São Paulo Bahia Minas Gerais Ceará RN PE AL highest activity deaths Rio Grande Sul Minas Gerais São Paulo

BRASIL increasedcases hospitalizationsand deaths throughout the country!!! Genomic surveillance Dec 22 FIOCRUZ Gerstung-Lab BQ.1.1 41,4% 55,0% BQ.1.* 10,3% 40,4% XBB 0,1% XBB.1 0,9%