As Brazil’s public health emergency is intensifying, the government has also been facing criticisms over its lagging response to the economic impacts of the coronavirus (Covid-19) pandemic. There are concerns that help for the most vulnerable is insufficient; state governors are demanding more slack from the federal government as their revenues fall; and businesses complain that credit is hard to obtain, despite measures by the central bank (BCB) to pump cash into the financial system.
BCB president Roberto Campos Neto defended its prompt announcement of measures during an online event on 4 April. Since early March, the BCB has taken steps to guarantee liquidity to the tune of R$1.2tn (US$234.2bn). These include decreasing the rate of banks’ compulsory deposits and creating credit lines not just for the banking system, but also for companies. There is, however, no guarantee that the extra cash will then rapidly reach the businesses and individuals who need it. Concerns that money is stuck in the financial system have even been voiced by Economy Minister Paulo Guedes, who signalled on 4 April that the government is working on a way to resolve this.
The economic team led by Guedes has been facing its own share of criticisms over delays in putting into action measures which, opponents argue, are too timid and were announced too slowly in the first place. As of 2 April, the federal government had directed around R$700bn to mitigating Covid-19’s impact on Brazil’s health system and economy, of which R$224.6bn represents an extra real cost, according to figures outlined by the special finance secretary, Waldery Rodrigues. This real additional spending equates to around 3% of GDP, a negligible amount compared with the size of rescue packages announced by other governments.
The Brazilian government is expecting to lose R$5.3bn in revenue. Transfers to help shore up the finances of states and municipalities total R$16bn (although state governments are asking for more); contributions by the treasury to credit subsidies for small and medium sized enterprises (SMEs) amount to R$34bn; a universal basic income for informal and self-employed workers (dubbed the ‘coronavoucher’) will cost R$98.2bn; and a new programme to subsidise salaries, announced last week, has an estimated cost of R$51.2bn.
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States and municipalities
The federal government announced measures for states and municipalities amounting to R$88.2bn on 23 March (including credit, and the suspension of debt repayments). But a consortium of governors from Brazil’s south and south-eastern states (together representing around 70% of national GDP) appealed on 2 April to the federal government to increase its economic help, citing the sharp decline in their tax revenue. The federal congress is currently discussing a bill which would provide additional assistance; the president of the chamber of deputies, Rodrigo Maia, estimates this extra aid would cost the federal coffers R$35bn. Both Maia and Economy Minister Paulo Guedes favour the approval of existing legislative initiatives regarding the finances of states and municipalities, but these have met with opposition from lawmakers.
Demands for measures such as those outlined in the R$51.2bn ‘emergency programme for maintaining employment’, unveiled by the economy ministry on 1 April, had been growing for days. In a move aimed at protecting jobs and livelihoods, employers are now allowed to suspend workers’ contracts, while the government has committed to paying an unemployment benefit to furloughed employees, and to topping up the salaries of those who have seen their working hours cut (and pay reduced accordingly). The labour secretary, Bruno Dalcolmo, stressed that the programme was designed to be easily and rapidly implemented by employers.
Indeed, the execution of emergency measures has hit some logistical snags, as well as exposing the challenges faced by Brazilians who live on the margins of the formal financial system. For example, many of the people eligible to receive the R$600 coronavoucher do not have a CPF (an individual taxpayer identification number).
Public bank Caixa Econômica Federal has said it will create free digital bank accounts for individuals without a CPF to obtain their monthly benefit. Caixa president Pedro Guimarães also said that discussions on ways to assign these people a CPF are being had with the BCB. A mobile app and website were launched this week for informal workers to register for the coronavoucher, which started being distributed on 9 April to Caixa and Banco do Brasil account holders.
Balancing public health and the economy
President Jair Bolsonaro, who has spent the better part of the last month loudly criticising isolation measures while saying he wants to save jobs, lost another political battle on 6 April when Health Minister Luiz Henrique Mandetta gave reassurances that he would not be leaving his post. “A doctor doesn’t abandon their patient,” Mandetta said, putting paid to speculation that Bolsonaro was about to fire him. Pressure from the president’s military advisers was reportedly decisive in this outcome.
Yet on the very same day, the health ministry signalled a shift in its policy on isolation, more closely aligned with what Bolsonaro has been preaching and a sign that concern with the economic impact of isolation measures is growing. In its 6 April epidemiological update, it said that localities where the healthcare system remains at under 50% capacity could begin transitioning to selective social distancing from 13 April. Currently, most states in Brazil are enforcing what the federal health ministry defines as expanded social distancing – where the entire population is asked to stay at home and all non-essential activities are suspended.
For the sake of allowing the resumption of some economic activity, and gradually creating “herd immunity in a controlled manner”, the health ministry suggests the isolation of merely the most vulnerable in municipalities and states that have few cases and unburdened healthcare facilities. It is true that the outbreak is largely concentrated in a few states, and even cities.
The health ministry cites the states of São Paulo, Rio de Janeiro, Ceará, Amazonas, and the Federal District as close to crisis point. News site G1 has calculated that 20 Brazilian cities concentrate 73% of confirmed cases.
The Instituto Butantan, a biological research centre, projected on 6 April that the state of São Paulo, which currently concentrates around 40% of the country’s confirmed Covid-19 cases, will see 1,300 deaths from the disease by 13 April, and 110,000 total deaths over the next six months, and that is with the current strict isolation measures. The official count of fatalities stood at 428 on 8 April. São Paulo governor João Doria has extended a state-wide lockdown until 22 April, and announced the construction of a third field hospital in the eponymous state capital.
But Brazil is still far from the peak of its outbreak. Official figures stood at 15,927 confirmed cases and 800 deaths on 8 April, but health authorities acknowledge that real figures are certainly much higher. The number of fatalities is growing fast, and there is now no doubt that the disease has spread to communities in which it will be harder to contain, and where healthcare facilities are lacking or less well-prepared.
Rio de Janeiro city confirmed six deaths in four different favelas on 8 April, the same day that the first confirmed Covid-19 case in a prison was reported, in the northern state of Pará. Despite his ministry’s new isolation policy, Mandetta continues to stress that isolation measures are the most effective way of containing the virus, and has called for debates around possible treatments and cures for coronavirus not to be politicised.
Sourcing ventilators
The unequal distribution of intensive care beds is one concern in Brazil’s public health system (SUS), but another is the provision of ventilators. Brazil has 65,411 ventilators unevenly distributed across the country, of which around 70% are in the SUS. An estimate by the Universidade Federal do Rio de Janeiro (UFRJ) is that 20,000 ventilators will be needed to treat coronavirus patients over the next few weeks, too many for the usual national production rate of 2,000 ventilators per month to keep up.
On 8 April, Health Minister Luiz Henrique Mandetta announced that the government had signed a first contract for a value of R$322.5m (US$62.94m), for the production of 6,500 ventilators by a group of Brazilian companies, with firms such as aeroplane manufacturer Embraer, car manufacturer Fiat Chrysler, and national banks supporting firms from the medical equipment sector. Delivery of the first 2,000 ventilators is expected by the end of April.
Brazil remains heavily dependent on China for not only the provision of medical equipment, but also the pieces needed to produce it. A number of public universities across the country, including the Universidade de São Paulo (USP) and the Universidade Federal do Rio de Janeiro (UFRJ), are now working on prototypes to build ventilators at a lower cost, using pieces directly available on the Brazilian market.