The biggest threat to Brazil's ability to successfully combat the spread of the coronavirus and tackle the unfolding public health crisis is the country's president, Jair Bolsonaro, according to the British medical journal The Lancet.
In an editorial, the Lancet said his disregard for and flouting of lockdown measures is sowing confusion across Brazil, which is now recording record numbers of COVID-19 cases and deaths, and is fast emerging as one of the world's coronavirus hot spots.
Bolsonaro, a former army captain, is becoming increasingly hamstrung by political crisis following his recent sacking of popular Health Minister Luiz Henrique Mandetta and the resignation of Justice Minister Sergio Moro, The Lancet said.
Such disarray at the heart of the administration is a deadly distraction in the middle of a public health emergency and is also a stark sign that Brazil's leadership has lost its moral compass, if it ever had one, the editorial said.
The challenge is ultimately political, requiring continuous engagement by Brazilian society as a whole. Brazil as a country must come together to give a clear answer to the 'So what?' by its President. He needs to drastically change course or must be the next to go, the editorial said.
A report by Imperial College London published on Friday showed that the epidemic is not yet controlled and will continue to grow in Brazil, in stark contrast to parts of Europe and Asia, where enforced lockdowns have been more successful.
While the Brazilian epidemic is still relatively nascent on a national scale, our results suggest that further action is needed to limit spread and prevent health system overload, the Imperial College report said.