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A woman passes by a spray of disinfectant solution at a railway station entrance in Osasco, Sao Paulo State, Brazil on Monday. Photo: Reuters

Coronavirus: Brazil likely to have 12 times more cases than reported, study finds

  • Death rate in country much higher than expected, suggesting many infections not being counted
  • Researchers say cases could hit 60,000 within a week in worst-case scenario

Brazil is likely to have 12 times more cases of the new coronavirus than are being officially reported by the government, with too little testing and long waits to confirm the results, according to a study released on Monday.

Researchers at a consortium of Brazilian universities and institutes examined the ratio of cases resulting in deaths through April 10 and compared it with data on the expected death rate from the World Health Organisation.

The much higher-than-expected death rate in Brazil indicates there are many more cases of the virus than are being counted, with the study estimating only 8 per cent of cases are being officially reported.

The government has focused on testing serious cases rather than all suspected cases, according to the consortium, known as the Centre for Health Operations and Intelligence. The centre and medical professionals have also complained of long wait times to get test results.

Health Minister Luiz Henrique Mandetta has said that it is difficult to distribute tests in Brazil because of the size of the country but acknowledges that testing needs to improve.

Officially, Brazil’s coronavirus death toll rose to 1,328 on Monday, while the number of confirmed cases hit 23,430, according to health ministry data.

As of last Thursday, Brazil had around 127,000 suspected cases and had carried out just short of 63,000 tests, ministry figures indicate. A health ministry official on Monday said more than 93,000 tests are still being processed for results.

Year to date, the number of hospitalisations for severe respiratory symptoms has been over three times higher than usual for the time of year, but only 12% of those have been confirmed as COVID-19, the severe respiratory disease caused by the new coronavirus.

“The high degree of under-notification could give a false impression about control of the disease, and consequently, could lead to a decline in containment measures,” the centre said.

Brazil looks to build ventilators as China orders fall through

The outbreak has stoked tension in the Brazilian government, with right-wing President Jair Bolsonaro downplaying risks of the virus and urging the country to return to normal, while his health minister, state governors and local officials urge stricter measures.

The centre has thus far been accurate in predicting the evolution of the virus in Brazil, with the number of confirmed coronavirus cases through March 30 falling within the range that the researchers previously predicted.

The researchers are now predicting that by April 20 the number of cases will grow to 25,164 in its most optimistic scenario and 60,413 cases in its most pessimistic.

This article appeared in the South China Morning Post print edition as: Infections set to be 12 times official number: study
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