Flooding Forecast to Worsen in Brazil’s Poor South

People wait to be rescued by a Brazilian Army helicopter during an operation in conjunction with firefighters to rescue people trapped in their homes due to a flood, in Canoas, Porto Alegre, Brazil, 04 May 2024. EPA/Isaac Fontana
People wait to be rescued by a Brazilian Army helicopter during an operation in conjunction with firefighters to rescue people trapped in their homes due to a flood, in Canoas, Porto Alegre, Brazil, 04 May 2024. EPA/Isaac Fontana
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Flooding Forecast to Worsen in Brazil’s Poor South

People wait to be rescued by a Brazilian Army helicopter during an operation in conjunction with firefighters to rescue people trapped in their homes due to a flood, in Canoas, Porto Alegre, Brazil, 04 May 2024. EPA/Isaac Fontana
People wait to be rescued by a Brazilian Army helicopter during an operation in conjunction with firefighters to rescue people trapped in their homes due to a flood, in Canoas, Porto Alegre, Brazil, 04 May 2024. EPA/Isaac Fontana

More heavy rain is forecast for Brazil’s already flooded Rio Grande do Sul state, where many of those remaining are poor people with limited ability to move to less dangerous areas.

More than 15 centimeters (nearly 6 inches) of rain could fall over the weekend and will probably worsen flooding, according to the latest bulletin from Brazil’s national meteorology institute. It said there is also a high likelihood that winds will intensify and water levels rise in the Patos lagoon next to the state capital, Porto Alegre, and the surrounding area.

As of Saturday morning, heavy rains were falling in northern Rio Grande do Sul, while Porto Alegre and the southern part of the state were receiving drizzle.

Carlos Sampaio, 62, lives in a low-income community next to soccer club Gremio’s stadium in Porto Alegre. His two-story home doubles as a sports bar.

Even though the first floor is flooded, he said he won't leave, partly out of fear of looters in his high-crime neighborhood, where police carry assault rifles as they patrol its flooded streets. But Sampaio also has nowhere else to go, he told The Associated Press.

“I am analyzing how safe I am, and I know that my belongings aren't safe at all,” Sampaio said. “As long as I can fight for what is mine, within my abilities to not leave myself exposed, I will fight.”

At least 136 people have died in the floods since they began last week, and 125 more are missing, local authorities said Friday. The number of people displaced from their homes due to the torrential rains has surpassed 400,000, of whom 70,000 are sheltering in gyms, schools and other temporary locations.

“I came here on Monday — lost my apartment to the flood," Matheus Vicari, a 32-year-old Uber driver, said inside a shelter where he is staying with his young son. "I don’t spent a lot of time here. I try to be out to think about something else.”

Some residents of Rio Grande do Sul state have found sanctuary at second homes, including Alexandra Zanela, who co-owns a content agency in Porto Alegre.

Zanela and her partner volunteered when the floods began, but chose to move out after frequent electricity and water cuts. She headed to the beachfront city of Capao da Canoa — so far unaffected by flooding — where her partner’s family owns a summer home.

“We took a ride with my sister-in-law, took our two cats, my mother and a friend of hers and came here safely. We left the Porto Alegre chaos,” Zanela, 42, told the AP by phone. “It is very clear that those who have the privilege to leave are in a much safer position, and those living in the poorer areas of Porto Alegre have no option.”

In Brazil, the poor often live in houses built from less resilient materials such as wood and in unregulated areas more vulnerable to damage from extreme weather, such as low-lying areas or on steep hillsides.

“We cannot say that the worst is over,” Rio Grande do Sul Gov. Eduardo Leite said on social media Friday. The day before, he estimated that 19 billion reais ($3.7 billion) will be needed to rebuild the state.

The scale of devastation may be most comparable to Hurricane Katrina that hit New Orleans, Louisiana, in 2005, Sergio Vale, chief economist at MB Associates, wrote in a note Friday.

Rio Grande do Sul has the sixth highest GDP per capita among Brazil's 26 states and the federal district, according to the national statistics institute. Many of the statel's inhabitants descend from Italian and German immigrants.

“In the popular imagination, the population of Rio Grande do Sul is seen as white and well-off, but this is not the reality,” said Marília Closs, a researcher at the CIPO Platform, a climate think tank. “It’s very important to dispel this fiction, because it’s constructed with a political objective” to erase Black and poor residents, she said.

In Canoas, one of the hardest-hit cities in the state, Paulo Cezar Wolf’s small wooden house has been fully submerged, along with all his belongings. A truck driver, the Black man now lives in the back of a loaned truck with six of his neighbors, who all cook, eat and sleep there.

Wolf, 54, has considered leaving the rural region, where he has lived since childhood, but has nowhere else to go and doesn’t want to leave behind his four adult children.

“It is too late for someone like me to move somewhere else,” Wolf said, wearing a donated sweatshirt as he stood on a highway.

The meteorology institute predicts the arrival of a mass of cold and dry air will reduce the chance of rain beginning Monday. But it also means temperatures are set to drop sharply, to around freezing by Wednesday. That makes hypothermia a concern for those who are wet and lacking electricity.

Celebrities, among them supermodel Gisele Bündchen and pop star Anitta, have been sharing links and information about where and how to donate to help flood victims. Churches, businesses, schools and ordinary citizens around the country have been rallying to provide support.

The UN refugee agency is distributing blankets and mattresses. It is sending additional items, such as emergency shelters, kitchen sets, blankets, solar lamps and hygiene kits, from its stockpiles in northern Brazil and elsewhere in the region.

On Thursday, Brazil’s federal government announced a package of 50.9 billion reais ($10 billion) for employees, beneficiaries of social programs, the state and municipalities, companies and rural producers in Rio Grande do Sul.

The same day, the Brazilian air force parachuted over two tons of food and water to areas that are inaccessible due to blocked roads. The navy has sent three vessels to help those affected, among them the Atlantic Multipurpose Aircraft Ship, which it said is considered the largest warship in Latin America. It arrived on the state's coast Saturday.

The US has sent $20,000 for personal hygiene kits and cleaning supplies and will be providing an additional $100,000 in humanitarian assistance through existing regional programs, White House national security spokesman John Kirby said Friday.

Weather across South America is affected by the El Niño climate phenomenon, a naturally occurring event that periodically warms surface waters in the equatorial Pacific. In Brazil, El Niño has historically caused droughts in the north and intense rainfall in the south, and this year the effects have been particularly severe.

Scientists say extreme weather is happening more frequently due to climate change, caused by the burning of fossil fuels that emit planet-warming greenhouse gas emissions, and overwhelmingly agree the world needs to drastically cut the burning of coal, oil and gas to limit global warming.

But there is a need for social policy responses, too, said Natalie Unterstell, president of Talanoa Institute, a Rio de Janeiro-based climate policy think tank.

“Providing an effective response to climate change in Brazil requires us to combat inequalities,” Unterstell said.



Blood Tests Allow 30-year Estimates of Women's Cardio Risks, New Study Says

A woman jogs in a park in Saint-Sebastien-sur-Loire near Nantes, France January 19, 2024. REUTERS/Stephane Mahe/File Photo Purchase Licensing Rights
A woman jogs in a park in Saint-Sebastien-sur-Loire near Nantes, France January 19, 2024. REUTERS/Stephane Mahe/File Photo Purchase Licensing Rights
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Blood Tests Allow 30-year Estimates of Women's Cardio Risks, New Study Says

A woman jogs in a park in Saint-Sebastien-sur-Loire near Nantes, France January 19, 2024. REUTERS/Stephane Mahe/File Photo Purchase Licensing Rights
A woman jogs in a park in Saint-Sebastien-sur-Loire near Nantes, France January 19, 2024. REUTERS/Stephane Mahe/File Photo Purchase Licensing Rights

Women’s heart disease risks and their need to start taking preventive medications should be evaluated when they are in their 30s rather than well after menopause as is now the practice, said researchers who published a study on Saturday.

Presenting the findings at the European Society of Cardiology annual meeting in London, they said the study showed for the first time that simple blood tests make it possible to estimate a woman’s risk of cardiovascular disease over the next three decades.

"This is good for patients first and foremost, but it is also important information for (manufacturers of) cholesterol lowering drugs, anti-inflammatory drugs, and lipoprotein(a)lowering drugs - the implications for therapy are broad," said study leader Dr. Paul Ridker of Brigham and Women’s Hospital in Boston, Reuters reported.

Current guidelines “suggest to physicians that women should generally not be considered for preventive therapies until their 60s and 70s. These new data... clearly demonstrate that our guidelines need to change,” Ridker said. “We must move beyond discussions of 5 or 10 year risk."

The 27,939 participants in the long-term Women’s Health Initiative study had blood tests between 1992 and 1995 for low density lipoprotein cholesterol (LDL-C or “bad cholesterol”), which are already a part of routine care.

They also had tests for high-sensitivity C-reactive protein (hsCRP) - a marker of blood vessel inflammation - and lipoprotein(a), a genetically determined type of fat.

Compared to risks in women with the lowest levels of each marker, risks for major cardiovascular events like heart attacks or strokes over the next 30 years were 36% higher in women with the highest levels of LDL-C, 70% higher in women with the highest levels of hsCRP, and 33% higher in those with the highest levels of lipoprotein(a).

Women in whom all three markers were in the highest range were 2.6 times more likely to have a major cardiovascular event and 3.7 times more likely to have a stroke over the next three decades, according to a report of the study in The New England Journal of Medicine published to coincide with the presentation at the meeting.

“The three biomarkers are fully independent of each other and tell us about different biologic issues each individual woman faces,” Ridker said.

“The therapies we might use in response to an elevation in each biomarker are markedly different, and physicians can now specifically target the individual person’s biologic problem.”

While drugs that lower LDL-C and hsCRP are widely available - including statins and certain pills for high blood pressure and heart failure - drugs that reduce lipoprotein(a) levels are still in development by companies, including Novartis , Amgen , Eli Lilly and London-based Silence Therapeutics.

In some cases, lifestyle changes such as exercising and quitting smoking can be helpful.

Most of the women in the study were white Americans, but the findings would likely “have even greater impact among Black and Hispanic women for whom there is even a higher prevalence of undetected and untreated inflammation,” Ridker said.

“This is a global problem,” he added. “We need universal screening for hsCRP ... and for lipoprotein(a), just as we already have universal screening for cholesterol.”