A surging coronavirus is ravaging parts of Latin America, setting records for cases and deaths Friday in some countries in the world's most unequal region even as the pandemic's march slows in much of Europe, Asia and the United States.
Latin America's two largest nations – Mexico and Brazil – reported record numbers of infections and deaths almost daily this week, fuelling criticism of their presidents, who have slow-walked shutdowns in an attempt to limit economic damage.
Brazil reported more than 330,000 confirmed cases as of Friday, surpassing Russia to become the nation with the second-highest number of infections, behind only the US, according to a tally kept by Johns Hopkins University.
Worldwide more than 5.2 million infections have been recorded and 340,000 deaths.
De Mello said his grandmother's death certificate reads "suspected of Covid-19", but the hospital didn't have the tests necessary to confirm it. That means her death was not counted in the official toll.
Experts said the surging deaths across Latin America showed the limits of government action in a region where millions have informal jobs and many police forces are weak or corrupt and unable to enforce restrictions. Infections also rose and intensive-care units were swamped in Peru, Chile and Ecuador, countries lauded for imposing early and aggressive business shutdowns and quarantines. Even in countries where cases are rising, many governments say they need to focus on jobs that are vanishing as quickly as the virus spreads.
US AND CHINA JOB SHOCK
In the United States and China, the world's two largest economies, unemployment is soaring. The chairman of the US Federal Reserve has estimated that as many as 1 in 4 Americans could be jobless. In China, analysts estimate around a third of the urban workforce is unemployed.
In the US, public health officials are warning people to follow social distancing and other anti-virus measures as they head into a three-day holiday weekend that honours the country's military dead. Millions are expected to emerge from lockdowns and head to beaches and parks, raising concerns about new outbreaks.
INDIA CONCERNS
Meanwhile, the virus is roaring through other countries far more ill-equipped to handle the pandemic. Scientists are worried that new cases will fan the embers of a second global wave of infections.
India has had its biggest single-day spike since the pandemic began, and Pakistan and Russia recorded their highest death tolls. Most new Indian cases are in Bihar, where thousands returned home from jobs in cities.
Russian state news agencies reported the authoritarian leader of the southern region of Chechnya was taken to a Moscow hospital with suspected Covid-19 symptoms. Ramzan Kadyrov has run predominantly Muslim Chechnya with an iron fist since 2007 and the Kremlin has relied on him to keep the North Caucasus region stable after two devastating separatist wars. The Chechen parliament speaker denied the reports, which cited an unidentified medical source.
Some Latin American leaders have downplayed the severity of the virus. Brazilian President Jair Bolsonaro has pushed back against state governors who tried to impose limits on people's movements and commerce. Opposition politicians and other detractors have called for Bolsonaro's impeachment and have alleged criminal mishandling of the response to the virus.
Mexican President Andres Manuel Lopez Obrador continued to travel the country after its first confirmed case. He let his health advisers take the lead on the crisis but kept insisting Mexico's strong family bonds and work ethic would pull it through.
Mexico reported its highest one-day death toll so far, with 479 new fatalities Friday, up from the previous high Wednesday of 424.
It also reported 2960 new cases, capping a week in which daily confirmed infections have hit close to that number. However, the Health Department acknowledges that the real number is probably several times higher because of Mexico's abysmally low testing rate.
At the San Cristobal Mausoleum in the Mexico City suburb of Ecatepec, manager Armando Sepulveda said his business has doubled in recent weeks.
"The crematoriums are saturated," Sepulveda said. "All of the ovens don't have that capacity."
He said families scour the city "in desperation" looking for help with funeral services because hospitals cannot hold the dead for long.
The Mexican government has moved to restart the economy, allow mining, construction and parts of the North American automotive supply chain to resume operations this week. Analysts predict a massive contraction in an economy that had already entered a recession before the pandemic.
The virus reaches from megacities deep into the Amazon jungle. The Colombian town of Leticia, which lies along the Amazon River at the border of Brazil and Peru, has nearly 1300 cases. Residents reeling from the illness and a loss of income are placing red cloth flags outside homes with tin roofs to show they are hungry.
Colombian authorities suggest Brazil is to blame for a sudden rise in infections, and President Ivan Duque has militarised the shared border. Colombia's Ministry of Health reported its biggest daily increases Friday, with 801 new confirmed infections and 30 deaths. Nearly 20,000 people have been diagnosed with the virus in a country that has been locked down for nearly two months.
In Chile, more than 90 per cent of intensive care beds were full last week in the capital, Santiago.
Ecuador's government instituted a 2pm to 5am curfew and other measures in March, but cases have swamped medical and mortuary services in the city of Guayaquil and now in the capital, Quito. Hundreds of people can be seen violating the curfew in Ecuador, many selling goods on the streets to earn enough to buy food.
News outlets showed images of patients slumped in wheelchairs receiving oxygen in Peru, where there are only 2.5 intensive-care beds per 100,000 people, one quarter of the global standard. The country had almost 109,000 confirmed cases and more than 3100 dead as of Thursday night. Doctors say most of the patients are shopkeepers, taxi drivers or street vendors.