Pregnant women and their unborn babies dying in Brazil as COVID deaths set to pass 500k mark
Brazil is likely to pass the awful mark of 500,000 COVID-related deaths in the next two days. Only the United States has a higher number of dead across the world.
Currently averaging 2,500 deaths a day, Brazil’s P1 variant has long been identified as a highly virulent cause for concern, prompting travel bans to most countries.
But researchers in Sao Paulo, one of the worst-hit cities in the country, say the P1 variant has started infecting and killing pregnant women and their unborn children in startling numbers.
Thais Ferreira de Lomes and her three-month-old baby Ezequiel, who has just been released from hospital
Currently 42 pregnant women die every week from COVID-19; many more women are being intubated and their premature children delivered by caesarean section without consultation with obstetricians, according to medical researchers at the Brazilian Obstetric Observatory.
Dr Rossana Pulcineli Vieira Francisco from the observatory said: “The virus transmissibility is higher with this variant and I think the big problem is that the health system for maternal care in Brazil is very bad.
“In some states the patient starts treatment in one hospital, a general hospital, and when her condition starts to worsen, and she needs to deliver the baby, she will be transported while intubated because they’re not at the right hospital to do the delivery.”
This, she believes, is part of the reason Brazil is seeing a higher rate of maternal mortality.
She says obstetricians and intensivists should be working together to find the right outcomes for mother and child, otherwise it will be very difficult to stop maternal mortality during COVID.
“I think we have more cases because of the variant, and because our maternal health system is very fragile, we have this result.”
People queueing for a COVID vaccine jab in Sao Paulo, but overall rollout in Brazil is slow
I asked her if it’s a perfect storm.
“Yes”, she replied, “and I think our only chance to stop this is the vaccine.”
The data from her and her colleagues’ research reveals that last year 10 pregnant women were dying each week from COVID-19.
This year, with the emergence of the new variant, the new figure is more than 40 per week.
Poor medical care and facilities already contributed to a high death rate for pregnant women in Brazil of 55 per 100,000 women. In Britain the figure is just 9.7.
But Dr Francisco says their research so far indicates that with COVID-19 as a factor the new number could double to over 100 per 100,000 by the end of the year.
The high overall transmission of the P1 variant (it accounts for nine in 10 coronavirus cases in Sao Paulo) combined with an overwhelmed health service, puts pregnant women at extreme risk.
When her kidneys failed the doctors told Thais she wouldn’t live to see her third child
The practice of intubating pregnant women and delivering the baby while the mother is in a highly stressed condition is criticised by the researchers as a “bad outcome” for both the mother and her child.
For their part, doctors working in overstretched public hospitals prioritise the life of the mother over the child and without extensive experience of intubating anyone, let alone pregnant women, they have little choice but to deliver the baby while saving the mother.
In Jardim Almeida Prado, a poor neighbourhood in the south of the city of Sao Paulo, Thais Ferreira de Lomes looks down at her tiny three-month-old baby Ezequiel, who has just been released from hospital.
Ezequiel was born 12 weeks prematurely, after Thais was intubated.
Previously fit and healthy, like most people, Thais and her family thought she was in no danger when the first symptoms of COVID developed, but they were wrong.
When her kidneys failed, the doctors said she wouldn’t live to see her third child.
She’s still scarred by her near-death experience – her uncle had died of COVID when she first got sick.
“It was great to come home, see my family, and know that God gave me the opportunity to live again,” she tearfully told me.
“Seeing so many people dying, so many people dying like my uncle died with COVID. Many people are dying with COVID.”
Even though she is over the worst of her experience, she is scared for her and her children’s futures, and worries Ezequiel might still get coronavirus.
“Even today I’m afraid because he’s tiny, he was born prematurely. I told my mother-in-law that it’s hard for me to look at him and not think that something might happen.”
Dr Patricia Sella, who treated Ezequiel, says the P1 variant is infecting young pregnant women like she hasn’t seen before
At the Graiau Hospital, the maternity ward and its premature babies section where Ezequiel was cared for, are currently free of COVID cases, but doctors and nurses have no expectation that it is going to stay this way – other hospitals in the city are still treating infants with COVID-19 and their sick mothers.
Dr Patricia Sella, the medical coordinator for gynaecology – and the doctor who treated baby Ezequiel – says she has no doubt that the P1 variant, sweeping across the country, is infecting young pregnant women like she hasn’t seen before.
“In 2021 we observed an increase in pregnant women affected by COVID, likely because of the new strain.
“In 2020, in our hospital mainly, we had a very small number of pregnant women with COVID, but this year we have at least one pregnant woman hospitalised with COVID every week,” she explained to me, standing in the hospital’s neonatal intensive care unit.
She puts this down to the high infection rate of the P1 variant.
“So, actually, I think that with the change in the strain, we saw that the inflammatory process, [and] the vasculitis caused by the virus is much greater, right, and that ended up changing, bringing it to pregnant women.
“[Pregnant women] already have decreased lung compliance due to the pregnancy itself and the evolution of the pregnancy. With the COVID infection, this ends up getting worse.
“What we observed is that this strain ended up infecting pregnant women who do not have any other pre-existing conditions, so they do not have hypertension, and do not have diabetes during pregnancy. We observed that there was an increase and an increase in severity of the cases.”
Douglas Silverio with his sons, Pedro, 5, and Bento, 3, and their sister, Maria Helena
In the middle-class suburb of Jardim America, Douglas Silverio proudly shows off the latest addition to his family, three-month-old Maria Helena.
She has two elder brothers Pedro, five, and Bento, three, who run around their home playing with toys while their grandmother prepares lunch.
She now lives with the family because her daughter and the children’s mother, Vanessa, is dead; killed by COVID-19.
Vanessa was just 33 when coronavirus struck.
Within five days she deteriorated and was intubated, and Maria Helena was delivered by caesarean section, coincidentally on her dad’s birthday.
Vanessa never recovered.
“I told my sons, ‘let’s say goodbye to her’.
“Pedro, who is five years old, cried too, and he said, ‘goodbye mother, you are going to heaven’.
“The youngest one did not understand what happened. And it was crazy, that was a crazy time, because we had prayed a lot for the baby, a lot of prayers from our family, but I was not ready to bury my wife in this process.”
Vanessa Silverio, 33, seen with husband Douglas, died from COVID while pregnant and her daughter was delivered by caesarean section
On the day Douglas held mass for his wife’s death, baby Maria Helena was released from hospital.
He wants everyone to fear COVID and to listen to the warnings about the disease.
“I miss my wife. And she was my friend, we had a lot of plans together.
“I get scared when I see on the streets some pregnant women without masks. I say to them please take care of yourself.”
The entire medical profession in Brazil now acknowledges that the only way to fight the virus and to stop the country being a petri dish for creating COVID-19 variants that will continue to threaten the world, is for the country’s vaccination programme to speed up and reach all members of society.
The rollout is currently very slow and so far has only started to include 56-year-olds in Sao Paulo.
Many in the profession directly blame the country’s president, Jair Bolsonaro, for the country’s poor response to the pandemic.
He still refuses to take the vaccine, has continuously played down the danger of coronavirus and still discourages the use of face masks anywhere.
The identification of the virus as a specific threat to young pregnant women has set off the alarm bells here that COVID-19 variants are attacking younger and younger members of society, who were previously thought to be relatively safe from serious illness.
Virginia Giuffre, who accused Prince Andrew of sexual assault, has died aged 41.
In a statement to Sky’s US partner network NBC News on Friday, her family said she took her own life in Neergabby, Australia, where she had been living for several years.
“It is with utterly broken hearts that we announce that Virginia passed away last night at her farm in Western Australia,” her family said.
“She lost her life to suicide, after being a lifelong victim of sexual abuse and sex trafficking.
“Virginia was a fierce warrior in the fight against sexual abuse and sex trafficking. She was the light that lifted so many survivors.
“In the end, the toll of abuse is so heavy that it became unbearable for Virginia to handle its weight.”
Ms Giuffre sued the Duke of York for sexual abuse in August 2021, saying Andrew had sex with her when she was 17 and had been trafficked by his friend, the billionaire paedophile Jeffrey Epstein.
The duke has repeatedly denied the claims, and he has not been charged with any criminal offences.
In March 2022, it was announced Ms Giuffre and Andrew had reached an out-of-court settlement – believed to include a “substantial donation to Ms Giuffre’s charity in support of victims’ rights”.
Prince Andrew has denied all claims of wrongdoing. File pic: Reuters
‘An incredible champion’
Sigrid McCawley, Ms Giuffre’s attorney, told NBC News that she “was much more than a client to me; she was a dear friend and an incredible champion for other victims”.
“Her courage pushed me to fight harder, and her strength was awe-inspiring,” she said. “The world has lost an amazing human being today.”
“Rest in peace, my sweet angel,” she added.
Dini von Mueffling, Giuffre’s representative, also told the outlet: “Virginia was one of the most extraordinary human beings I have ever had the honour to know.
“Deeply loving, wise, and funny, she was a beacon to other survivors and victims. She adored her children and many animals.
“She was always more concerned with me than with herself. I will miss her beyond words. It was the privilege of a lifetime to represent her.”
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Ms Giuffre said at the end of March she had four days to live after a car accident, posting on social media that “I’ve gone into kidney renal failure”. She was discharged from hospital eight days later.
Raised mainly in Florida, she said she was abused by a family friend early in life, which led to her living on the streets at times as a teenager.
She said that in 2000, she met Ghislaine Maxwell, a British socialite who was convicted in 2021 on federal sex trafficking and conspiracy charges and was sentenced to 20 years in prison.
Ms Giuffre said Maxwell then introduced her to Epstein and hired her as his masseuse, and said she was sex trafficked and sexually abused by him and associates around the world.
‘I am now a survivor’
After meeting her husband in 2002, while taking massage training in Thailand at what she said was Epstein’s behest, she moved to Australia and had a family.
She founded the sex trafficking victims’ advocacy charity SOAR in 2015, and is quoted on its website as saying: “I do this for victims everywhere.
“I am no longer the young and vulnerable girl who could be bullied. I am now a survivor, and nobody can ever take that away from me.”
:: Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.
World
Fighter jets, a naval destroyer and guns on show: The ‘unprecedented’ security operation for Pope’s funeral
As the line of mourners moves slowly along behind him, Ciriaco Sarnelli peers at me from beneath the immaculate brim of his cap.
The military police chief looks, by any standards, magnificent – shoulders back and proudly wearing the black uniform of the Carabinieri.
“Our history goes back more than 200 years,” he says. “We remember our past, and our place. The only people with black uniforms are the priests, the judges and the Carabinieri.”
He leaves the rest unsaid – the Carabinieri sit at the heart of Italian cultural life.
Ciriaco Sarnelli, Carabinieri military police chief
Pope latest: Security ramping up ahead of funeral
Once, they defended the borders of a young nation. Now, they have a new challenge that has its own weighty burden – to keep St Peter’s Square safe during the funeral of Pope Francis.
This is no easy task. Hundreds of thousands will descend upon the Vatican for the event.
Many of the world’s best-known politicians and dignitaries will be welcomed into St Peter’s Basilica.
Inside will be Donald Trump, Sir Keir Starmer, Joe Biden, Emmanuel Macron, Prince William and dozens upon dozens of other dignitaries.
Outside will be the Carabinieri.
They won’t be alone – there are thousands of other police officers due to be assigned to protect the event – but the Carabinieri are affiliated to the military; the most highly-trained officers on duty.
Read more:
How Pope Francis’s funeral will unfold
Pope’s doctor reveals pontiff’s last regret
A member of the security personnel wields an anti-drone gun for the Pope’s funeral
“This is an extraordinary operation,” says Sarnelli, as we look out over the crowd. “So we have employed some special units that belong to Carabinieri – the bomb squad, a dogs unit, snipers and helicopters. We want to assure the people who are arriving here that they can take part in this event in the best way, in a secure way.”
He says they are ready for “common crimes” – like pickpockets in the crowd – but also “the biggest, terrifying events”.
He says there is “excellent coordination” with police forces from other countries.
Around him, his officers are smiling, chatting to tourists and Romans alike.
The security here is overt but friendly, even if I’m told there are also plenty of plain-clothed officers mingling within the crowd.
Guns and grins both on show.
A police helicopter circles above. In the port of Rome, a naval destroyer has been primed for action; there are fighter jets ready to take off.
You can watch full coverage of the funeral live on Sky News on Saturday
Huge crowds have come from around the world to see the Pope’s body
If the impression is relaxed, the reality is different. The classic swan.
All the strands are pulled together from one place and, what’s more, it offers a perfect view of Vatican City.
From where I’m standing, I can see the front of St Peter’s Basilica, the side, and the roads around it. I can see the crowds coming in, and the crowds going out.
And I can see an anxious policeman drumming his fingers.
But we are not in St Peter’s and not even in the Vatican.
This is the high-security control room on the fifth floor of Rome’s police headquarters.
And from here, you can see everything.
The control room from where security officials can see across the Italian capital
An array of screens are in front of us and, watching them, men and women, huddled over screens and all wearing contrasting uniforms.
Some are military, some national police, some wear the clothes of firefighters. A few are in plain clothes and there is even a man wearing the badge of the prison officers’ service.
This centre is a hub for collaboration and decision-making and it brings together every service that is involved in ensuring the safety and security of the funeral.
There is a Carabinieri officer here, as well as the Guardia di Finanza national police and the Roman force. The government’s secret intelligence service is represented here, too.
Elisabetta Accardo is from Rome’s police department. We talk against the gentle hubbub in the control room, colleagues pointing at screens and agreeing plans.
Elisabetta Accardo, Rome Police control room spokeswoman
I ask when Italy last had to deal with a security operation on this scale, and she laughs. “Hundreds of years,” she says.
“It is unprecedented. The level of security is at the maximum.” She describes the plan as “structured three-dimensional security”.
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It is a plan that has been long in the making, but which has been reshaped over the past few days to react to the whims of the Pope’s final wishes.
It is, after all, more than a century since a pope was buried outside the walls of the Vatican.
You get the impression that the people designing the security plan could rather have done without having to add an hour-long procession through Rome into the plan.
But so be it.
By Saturday night, it will be done. Rome can start to get back to normal; the foreign leaders will be on their way home.
And the Rome police will breathe just a little bit easier.
World
Kremlin blames Ukraine for car bomb killing of Russian general near Moscow – as Trump envoy meets Putin
The Kremlin has blamed Ukraine for a car bomb that killed a Russian general near Moscow hours before Donald Trump’s envoy was due to meet Vladimir Putin in the capital.
The death of Lieutenant General Yaroslav Moskalik is the second such fatal attack on a top Russian military officer in four months.
Russia’s top criminal investigation agency said he was killed by an explosive device placed in his car in Balashikha, just outside the capital.
Follow the latest updates on the Ukraine war
Yaroslav Moskalik. Pic: Russian Ministry of Defence
Moskalik was a deputy head of the main operational department in the General Staff of the Russian armed forces.
“The Kyiv regime once again simply shows its true nature. The Kyiv regime continues to be involved in terrorist activity on the territory of our country,” Kremlin spokesman Dmitry Peskov said.
He didn’t offer any evidence.
“It shows once again that, despite the peace talks, we must be on guard and understand the nature of this regime.”
Ukraine has not responded to the killing.
Investigators work at the scene where Lt Gen Yaroslav Moskalik was killed. Pic: AP
Investigative committee spokesperson Svetlana Petrenko said the explosive device was rigged with shrapnel, adding that investigators were at the scene.
Videos showed a vehicle burning in the courtyard of an apartment building and a body covered in a sheet could be seen on the pavement nearby.
It comes after Lieutenant General Igor Kirillov was killed in December when a bomb hidden on an electric scooter parked outside his apartment building exploded as he left for his office.
Russian authorities blamed Ukraine for the killing of Kirillov, and Ukraine’s security agency acknowledged that it was behind that attack.
Kirillov was the chief of Russia’s radiation, biological and chemical protection forces, the special troops tasked with protecting the military from the enemy’s use of nuclear, chemical or biological weapons and ensuring operations in a contaminated environment.
His assistant also died in the attack.
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Talks bring Russia and US ‘closer together’
Friday’s bombing came as Mr Trump’s envoy Steve Witkoff met Mr Putin in Moscow to discuss a US-brokered peace plan for Ukraine.
The talks allowed Russia and the United States to “further bring their positions closer together” on “a number of international issues”, a Kremlin aide said.
The two sides discussed “the possibility of resuming direct negotiations between representatives of the Russian Federation and Ukraine”, Yuri Ushakov said.
The talks in Moscow lasted for three hours and were “constructive and useful”, he added.
Speaking on a flight to Italy for the Pope’s funeral, the US president said he hadn’t been fully briefed on Mr Witkoff and Mr Putin’s meeting – but added it was a “pretty good meeting”.
The meeting was their fourth encounter since February.
Russia and Ukraine have not held direct talks since the early weeks of the war, which began in February 2022.
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