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Tom Phillips in Rio de Janeiro It was midway through February when André Machado realized Brazil’s coronavirus catastrophe was racing into a bewildering and remorseless new phase. “The floodgates opened and the water came gushing out,” recalled the infectious disease specialist from the Our Lady of the Conception hospital in Porto Alegre, one of the largest cities in southern Brazil. © Photograph: André Penner/AP Coronavirus patients in a field hospital set up inside a sports coliseum in Santo André, on the outskirt of São Paulo, Brazil, on 4 March. Since then, Machado’s hospital, like health centres up and down the country, has been engulfed by a deluge of jittery, gasping patients – many of them previously healthy and bafflingly young. Among the recent admissions was a heavily pregnant 37-year-old who was brought in complaining of breathing difficulties and a cough. Doctors performed an emergency C-section to deliver the baby in a desperate bid to take the pressu

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