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The city of Manaus made world headlines last April when a first wave of the coronavirus swept through the city. Now that city, and the entire state of Amazonas, is being swept by a second wave of the pandemic, which is shaping up to be far worse than the first. Indigenous people are especially vulnerable, with their mortality rate from COVID-19 at least 16% higher than the Brazilian average. Now, São Gabriel da Cachoeira, located 852 kilometers (529 miles) from Manaus, near the Colombia-Venezuela frontier, is being heavily impacted. São Gabriel has a large Indigenous population, and while it escaped the worst of the first wave of the pandemic, its meagre health system resources are now being overwhelmed. The state of Amazonas lacks sufficient hospital beds, its ICUs are overrun, and medical facilities lack sufficient oxygen.

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