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New estimates of the coronavirus cases and deaths show Peru having twice as many than estimated before. Peru has the world's highest mortality rate per capita in the world. Most of the jobs were pushed into the informal sector in the last 2 decades. This is also true of Columbia and other Latin American countries. During the first and second wave of the coronavirus these people in informal jobs were the hardest hit having little access to health care. In Colombia the result of the stress from the pandemic and the other problems have led to street demonstrations and violence. The president Ivan Duque lacking public support faces violent street protests. Duque who is from former president Uribe's party won the electon in a runoff with a former leftist guerilla leader Gustav Petro who was Mayor of Bogota. Uribe and Duque had not supported the peace agreement with the rebel left movement in Colombia negotiated by presiddent Santos.  In Peru the election is between Mrs. Fujimori from the Fujimori family and a Marxist politician Castillo. The problems in the informal economy during the pandemic have led to the election of Castillo as the next president. Many of Latin America's problems from Brazil to neighboring countries remain unresolved even as Asian countries have moved forward, with lack of basic access to sanitation, tap water, health care and education, and lacking basic infrastructure. The pandemic has shown the weakness in decades of development in Latin America.   ...

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This graphical presentation, a fascinating look in the NYT shows how the different epidemics, natural disasters and other events compare over the world over the last century. It shows that using a normal mortality rate for a city the worst was Philadelphia in the 1918 spanish flu epidemic. How does this one compare with today's coronavirus pandemic would be a reader question. New York is shown at 5.8 X, Bergamo in Italy at 6.7 X and Philadelphia at 7.3 X. This means New York suffered about 6 times the deaths compared to a normal year. Fifteen thousand people lost their lives in Philadelphia in 1918. As one can see New York went through a lot. The race riots and curfews added to the difficulties the city has faced. When you get past 5.0 X it is only when there is famine or war that one sees this level of deaths. Bergamo in Italy suffered the worst in Europe. Madrid was hit hard at 4.6 X. 14,000 people died in Madrid in the month between mid March to mid April, with a normal deaths in the city at 3000 for a month. In Latin America Lima, Peru, did worse in the coronavirus at 3.99 X, that exceeded New York city in the Spanish flu virus of 1918 at 3.97 X. For New York city this means the coronavirus was at 5.8 X a bigger impact on the city for the mid March to mid April period compared to October 1918. More than 8000 people died in Lima compared to a normal 3000.  Guayaquil, Ecuador is at 5.50 X hit very hard. In Europe Paris is at 2.6 X, and London at 3.0 X, Barcelona at 3.0 X.  By comparison Hurricane Katrina hit New Orleans and it is at 2.4 X showing that what these cities in Europe went through was like a hurricane going through the cities.  ...

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Gujarat has a mortality rate of 6.2% compared to 2.8% for India. In total number of confirmed cases Gujarat comes fourth after Maharashtra, Tamilnadu and Delhi, with 21,500 cases. Most of the deaths are in the city of Ahmedabad and mostly at the city's large Civil Hospital. This report in the BBC says the deaths can be attributed to the reluctance of people in the city to go to the Government Civil Hospital because the quality of care is not good. Many patients come to the Civil Hospital only after failing to find a bed at other private hospitals. This means the patients condition is getting worse as he is not admitted rightaway but days afterwards when his condition has deteriorated. The weak health infrastructure of the state and the lack of quality care at the Ahmedabad Government Civil Hospital say experts has led to increasing number of deaths in Gujarat from coronavirus. Gujarat has been known for its improvements in transportation and roads infrastructure. This has not happened with health infrastructure. This situation is being seen also in China where not enough money is being invested for quality health care. Ahmedabad's Government Civil Hospital is one of the largest in Asia providing low cost care to a large population. ...