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                                                                                       Updated April15, 2021

Latin America and the Caribbean: Impact of COVID-19


The Coronavirus Disease 2019 (COVID-19) pandemic is
having widespread economic, social, and political effects
on Latin America and the Caribbean. As of April 14, 2021,
the region had almost 26.7 million confirmed cases (19.3%
of cases worldwide) and over 846,000 deaths (28.4% of
deaths worldwide). Brazil, Mexico, Colombia, Argentina,
and Peru had the highest numbers of deaths in the region,
and Brazil and Mexico had highest death tolls worldwide
after the United States. The regional rankings change when
examining deaths per 100,000 population-using this
measurement, Peru had thehighest rate in the region,
followed by Brazil, Mexico, Panama, and Colombia (see
Table 1). A University of Washington COVID-19
projection model (updatedApril8, 2021) forecast deaths in
the region couldreach 1.2 million by August 1, 2021.

The Pan American Health Organization (PAHO) warned in
early March 2021 that a Brazilian variant of the virus was
more contagious andcould affect neighboring countries. In
its weekly briefing on April 14, 2021, PAHOreported that
the virus was continuing to spread in the Americas,
particularly in South America, which it described as the
current epicenter of the pandemic. The recent spike in the
Amazon  has led to increases in neighboring countries, with
Brazil, Colombia, Venezuela, Peru, and some parts of
Bolivia seeing a sharp rise in cases. In the Caribbean, cases
were rising in Cuba and some smaller overseas territories.
Accordingto PAHO's  director, weekly case averages and
deaths are higher than in 2020. She noted that despite
ongoing transmis sionin many places, social distance
restrictions are being relaxed.

PAHOhas   played a majorrole in supporting countries in
their pandemic responses. When the pandemic began to
surge in the region in 2020, the PAHO director expressed
concern about the poor and other vulnerable groups at
greatest risk, including those living in the Amazon Basin,
particularly indigenous communities; women, who make up
70%  of the health workforce in the Americas; people of
African descent; migrants in temporary settlements; and
prisoners in crowded jails.

The rollout of vaccines in the region has been slow, with
some exceptions; there is concern that widespread vaccine
acces s in some countries could be delayed until 2022. As of
April 9, according to PAHO, Chile was the leader in the
region, with 37% of its population having received a first
dose. Several Caribbean countries that received vaccine
donations fromIndia-Antigua and Barbuda, Barbados,
and Dominica-had  vaccinated more than 20% of their
populations with a first dose. Many countries in the region,
however, have vaccinated far smaller percentages of their
populations. For example, as of April9, 2021, Argentina
had vaccinated 9.3% of its population with a first dose,


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Brazil had 8.9%, Mexico 5.8%, Colombia 4.2%, and Peru
1.9%.

PAHOhas   helpedcountries prepare for vaccinerolloutand
facilitated access to vaccines through the COVAX Facility,
a mechanismdeveloped  by globalhealth organizations for
pooled procurement and distribution of vaccines; 22
countries in the regionhave signed agreements to access
vaccines through the facility. In addition, 10 countries in
the region-Bolivia, Dominica, El Salvador, Grenada,
Guyana, Haiti, Honduras, Nicaragua, St. Lucia, and St.
Vincent and the Grenadines-are eligible to benefit from
the COVID-19  Vaccines Advance Market Commitment
(COVAX   AMC),  launched by Gavi, the Vaccine Alliance,
to provide donor-funded vaccines for low- and middle-
income economies worldwide. PAHO  maintains that by the
end of2021, vaccines provided through COVAXs should
cover about 20% of each country's population.

Table  I. COVID-1 9 Cases, Deaths, and Mortality
Rates in Latin American/Caribbean  (LAC)  Countries
(countries with more than 2,000 deaths, as of April 14, 2021)

                    Cases                Deaths per
    County       (millions)     Deaths       100,000

  Brazil             13.674     361,884       171.47
  Mexico             2.291      210,812       165.24
  Colombia           2.586       66,819       132.74
  Argentina          2.604       58,542       1 30.27
  Peru                1.668      55,812       171.67
  Chile               1.094      24,548       129.53
  Ecuador             .351       17,400       100.15
  Bolivia             .285       12,519       108.74
  Guatemala           .207        7,089       42.69
  Panama              .360        6,177       145.46
  Paraguay            .242        5,040        71.54
  Honduras            .198        4,905        50.33
  Dom. Rep.           .259        3,402        31.68
  Costa Rica          .225        3,044        60.31
  El Salvador         .067        2,060        31.92
  Total LAC         26.656      846,394          -
  United States     31.421      564,402       171.95
Source: Johns Hopkins University School of Medicine, Coronavirus
Resource Center, Mortality Analyses, April 1 5, 2021, updated daily,
at https://coronavirus.jh u.edu/data/mortality.
.congress.gov

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