Abstract
More than 13.6 million Brazilians live in large poor communities known as favelas. Historically, these territories suffer due to social rights insufficiency and violent conflicts orchestrated by the police and the drug cartels. In this context, the dismantling of the public health care system and denialism of the pandemic by the federal government increases the vulnerability within the favelas during the COVID-19 crisis. Although the federal government failed to take up measures to control the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a criminal organization that dominates the trafficking of drugs in several Brazilian favelas, known as Comando Vermelho, instead dictated those protective actions. This study aimed to discuss the ethical aspects of the relationship between primary health care professionals and the drug cartels in order to promote health care in the favelas.
Highlights
In Brazil, large urban communities with high rates of poverty are known as favelas, in which over 13.6 million Brazilians have witnessed the inception of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic and its continuous growth
Acknowledging the established relationship between drug cartels, civil society, and public institutions and considering community orientation as an attribute of primary health care (PHC), it is suitable for PHC personnel to consider dialogue with local criminal organizations in order to minimize the crisis damage and reinforce the ethical primacy of social justice
In Rio, the high number of PHC teams that work in favelas implement a range of different care and access models in each Basic Health Unit (BHU)
Summary
In Brazil, large urban communities with high rates of poverty are known as favelas, in which over 13.6 million Brazilians have witnessed the inception of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic and its continuous growth. Aunque el gobierno federal no haya implementados medidas para contener la transmisión del SARS-Cov-2, una organización criminal que domina el tráfico de drogas en varias favelas brasileñas, conocida como Comando Vermelho, dictó las acciones de protección.
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