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BBC News By Pablo Uchoa image captionShortages of oxygen hit the Brazilian city of Manaus amid a sharp rise of Covid-19 cases Before the clinic ran out of oxygen, Maria Auxiliadora da Cruz had been showing encouraging signs of progress against Covid-19. On 14 January, her oxygen levels had been above the normal level of 95% but, within hours of being deprived of that vital resource, her stats plummeted to 35%. At this point, patients would normally be given intubation and oxygen by machine. Instead, the 67-year-old retired nurse died. It was horrible, her grieving daughter-in-law Thalita Rocha told the BBC. It was a catastrophe. Many elderly patients began to deteriorate and turn blue.

Rio de janeiroEstado do rioUnited statesOswaldo cruzRio grande do sulBrasil vinicius lemosPablo uchoaJesem orellanaLisa smithThalita rochaWorld serviceWorld health organizationOswaldo cruz foundationLatin americaMaria auxiliadoraCare response coordination