Escola Bahiana de Medicina e Saúde Pública, Curso de Medicina, Salvador, BA, Brasil.
Fundação Oswaldo Cruz-Fiocruz, Instituto Gonçalo Moniz, Laboratório Avançado de Saúde Pública, Salvador, BA, Brasil.
Mem Inst Oswaldo Cruz. 2021 Jun 21;116:e210071. doi: 10.1590/0074-02760210071. eCollection 2021.
In the space of four decades, Brazil has faced two serious pandemics: human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and Coronavirus disease 2019 (COVID-19). The country's response to HIV/AIDS was coordinated by several stakeholders and recognised the importance of scientific evidence in guiding decision-making, and a network offering monitoring and antiretroviral treatment was provided through coordinated efforts by the country's universal health system. Conversely, the lack of a centrally coordinated strategy and misalignment between government ministries regarding the COVID-19 pandemic response, together with the denial of scientific evidence, promotion of ineffective treatments and insufficient vaccination efforts, have all led to the uncontrolled spread of infection, the near-total collapse of the health system and excess deaths.
在短短四十年间，巴西经历了两次严重的大流行：人类免疫缺陷病毒/获得性免疫缺陷综合征（HIV/AIDS）和 2019 冠状病毒病（COVID-19）。巴西应对 HIV/AIDS 的举措由多个利益攸关方协调，认识到科学证据在指导决策方面的重要性，并通过国家全民健康系统的协调努力，建立了提供监测和抗逆转录病毒治疗的网络。相反，COVID-19 大流行应对措施缺乏中央协调战略，政府各部门之间定位不一致，再加上对科学证据的否定、推广无效治疗方法以及疫苗接种力度不足，这些都导致了感染的失控传播、卫生系统几乎完全崩溃和超额死亡。
