Between science and populism: the Brazilian response to COVID-19 from the perspective of the legal determinants of Global Health

Jameson Martins da Silva, Deisy de Freitas Lima Ventura

Abstract


A populist government has been held accountable for the 120 thousand preventable deaths in Brazil so far, due to the Covid-19 pandemic. Domestic law has played a major role in the pandemic response, both as an opposing force and as an instrument of populism and denialism. The international legal sphere has, for its turn, provided an alternative of resistance against the latter. This piece assesses the Brazilian response in the light of the Legal Determinants of Health framework, put forward by The Lancet-O'Neill Institute of Georgetown University Commission on Global Health and Law. The two first sections unfold the origins and contents of the legal determinants of health. The third offers a brief account of the Brazilian experience during the pandemic, stressing the far-right populist agenda of the federal government. The last section explores the legal aspects of the response, in its domestic and international dimensions. Lastly, we pinpoint some preliminary conclusions we may draw from the pandemic experience thus far, in particular by the interplay of populism and global health law.

Keywords


COVID-19, Bolsonaro, SUS, populism, international cooperation, global health (COVID-19, Bolsonaro, SUS, populismo, cooperação internacional, saúde global)

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References


AITH, Fernando Mussa Abujamra. Manual de direito sanitário com enfoque em vigilância em saúde. Brasília, DF: CONASEMS, 2019.

AMORIM NETO, Octavio; ALVES PIMENTA, Gabriel. The First Year of Bolsonaro in Office: Same Old Story, Same Old Song? Rev. Cienc. Polít., Santiago, 2020, Epub Aug 2020. Available at: http://dx.doi.org/10.4067/S0718-090X2020005000103, Access on: 30 Ago 2020.

BARBERIA, Lorena; GÓMEZ, Eduardo. Political and institutional perils of Brazil's COVID-19 crisis, The Lancet, Jul 2020, Available at: https://doi.org/10.1016/S0140-6736(20)31681-0, Access on: 30 Aug 2020.

BUSS, P. Brazilian international cooperation in health in the era of SUS. Science and Collective Health, 23:1881-90, 2018.

BUSS, P.; TOBAR, S. COVID-19 and opportunities for international cooperation in health. Cad. Saúde Pública, Rio de Janeiro, v. 36, n. 4, 2020.

COGGON, John; GOSTIN, Lawrence. Postscript: COVID-19 and the Legal Determinants of Health, Public Health Ethics, Volume 13, Issue 1, Apr 2020, p. 48–49, Available at: https://doi.org/10.1093/phe/phaa015, Access on: 30 Aug 2020.

CUETO, Marcos; BROW, Theodore; FEE, Elizabeth. The World Health Organization: A History (Global Health Histories). Cambridge University Press, 2019.

CUETO, Marcos. The Alma-Ata legacy, 40 years later. Trab. educ. saúde, v.16, n.3, p.845-848, 2018.

DOURADO, Daniel; RIBEIRO, Tatiane. Controvérsias sobre a cloroquina/hidroxicloroquina. Boletim Direitos na Pandemia n. 2. São Paulo, CEPEDISA-USP/Conectas Direitos Humanos, 23 Jul 2020.

FRIEDMAN, Eric; GOSTIN, Lawrence. The United Nations sustainable development goals: achieving the vision of global health with justice. Georgetown Public Policy Review v. 21, n. 1, 2016.

FUNCIA, Francisco Rózsa. Subfinanciamento e orçamento federal do SUS: referências preliminares para a alocação adicional de recursos. Ciência & Saúde Coletiva, v. 24, n. 12, pp. 4405-4415.

GOSTIN, L.; FRIEDMAN, E.; WETTER, S. Responding to COVID-19: How to navigate a Public Health Emergency Legally and Ethically. Hastings Center Report 50, 2020.

GOSTIN, L. et al. 70 years of human rights in global health: drawing on a contentious past to secure a hopeful future. The Lancet. 2019 Dec 22;392(10165):2731-2735.

GOSTIN, Lawrence et al. The legal determinants of health: harnessing the power of law for global health and sustainable development. The Lancet, 2019. Available at: https://doi.org/10.1016/S0140-6736(19)30233-8, Access on: 30 Apr 2019.

GOSTIN, Lawrence. Global Health Law. Cambridge: Harvard University Press, 2014.

GOSTIN, L et al. Towards a framework convention on global health. Bulletin of the World Health Organization, v. 91, n. 10, 790-793, 2013.

HERRERO, MB; TUSSIE, D. UNASUR Health: A quiet revolution in health diplomacy in South America. Glob. Soc. Policy. 2015;15(3):261-277.

KICKBUSCH, Ilona. Addressing the commercial determinants is critical to emerging economies. Ciênc. saúde coletiva, Rio de Janeiro, v. 20, n. 4, p. 968-969, Apr 2015.

KICKBUSCH, Ilona; ALLEN, Luke; FRANZ, Christian. The commercial determinants of health. The Lancet, v. 4, n. 12, p. 895-896, 2016.

LANA, RM et al. Emergência do novo coronavírus (SARS-CoV-2) e o papel de uma vigilância nacional em saúde oportuna e efetiva. Cad. Saúde Pública, Rio de Janeiro , v. 36, n. 3, e00019620, 2020 . Epub Mar 13, 2020.

LANCET. Covid-19: Learning from experience. Editorial, 395 (10229), 2020.

LANCET. COVID-19 in Brazil: “So what?” Editorial, May 09, 2020 Available at: https://doi.org/10.1016/S0140-6736(20)31095-3, Access on: 28 Aug 2020.

LOTTA, G; WENHAM, C.; NUNES, J, PIMENTA, DN. Community health workers reveal COVID-19 disaster in Brazil. The Lancet, 396(10248):365-366, 2020.

LUCYK, Kelsey; McLAREN, Lindsay. Taking stock of the social determinants of health: A scoping review. Plos One, v. 12, n. 5, 2017.

MACHADO, Eloísa; SANTOS, Juliana. Incitação ao genocídio dos povos indígenas e ataques sistemáticos aos direitos socioambientais. Boletim Direitos na Pandemia n. 4. CEPEDISA-USP/Conectas Direitos Humanos, Aug 2020.

ORTEGA, Francisco; ORSINI, Michael. Governing COVID-19 without government in Brazil: Ignorance, neoliberal authoritarianism, and the collapse of public health leadership, Global Public Health, v.15, n. 9, p.1257-1277, 2020.

PELLEGRINI FILHO, Alberto. Conferência Mundial sobre Determinantes Sociais da Saúde. Cad. Saúde Pública, vol. 27, n.11, pp.2080-2082, 2011.

PEREIRA, Jane Reiss; OLIVEIRA, Renan; COUTINHO, Carolina. Regulação do discurso de ódio: análise comparada em países do Sul Global. Revista de Direito Internacional, Brasília, v. 17, n. 1, p.195-228, 2020.

PINZON-RONDON, Ângela Maria et al. Association of rule of law and health outcomes: an ecological study. BMJ Open. e007004, 2015.

RIBEIRO, Helena; MENDES, Viviana; WALDMAN, Eliseu. In the COVID-19 pandemic in Brazil, do brown lives matter? The Lancet, Jul 2020, Available at: https://doi.org/10.1016/S2214-109X(20)30314-4, Access on 30 Aug 2020.

RIGGIROZZI, Pía, Coronavirus y el desafio para la gobernanza regional em América Latina, Fundación Carolina, 2020, Available at: https://www.fundacioncarolina.es/wp-content/uploads/2020/03/AC-12.2020.pdf, Access on: 27 Aug 2020.

ROSA et al. Migrantes e refugiados na pandemia: discriminação e violação de direitos humanos, Boletim Direitos na Pandemia n. 1. São Paulo, CEPEDISA-USP/Conectas Direitos Humanos, Jul 2020.

SALMON, Jean. Rapport introductif. In: MEHDI, Rostane; MALJEAN-DUBOIS, Sandrine, La société internationale et les grandes pandémies, Paris: Pedone, 2007.

VENTURA et. al. Editorial. Boletim Direitos na Pandemia n. 4. CEPEDISA-USP/Conectas Direitos Humanos, Aug 2020.

VENTURA et al. Genocídio dos Povos Indígenas. Boletim Direitos na Pandemia n. 2. São Paulo, CEPEDISA-USP/Conectas Direitos Humanos, Jul 2020.

VENTURA, Deisy; AITH, Fernando; RACHED, Danielle. “The Emergency of the new Coronavirus and the “Quarantine Law” in Brazil”. Revista Direito e Práxis, Ahead of print, Rio de Janeiro, 2020, Available at: https://doi.org/10.1590/2179-8966/2020/49180, Access on 10 Apr 2020.

VENTURA, et al. Challenges of the COVID-19 pandemic: for a Brazilian research agenda in global health and sustainability. Reports in Public Health, v. 36, n. 4, 2020.

VENTURA, Deisy; NUNES, João. Apresentação. Lua Nova, São Paulo, n. 98, p. 7-16, Aug 2016.

World Health Organization (WHO). Closing the gap in a generation. Available at: http://www.who.int/social_determinants/final_report/csdh_finalreport_2008.pdf, Access on Dec 2017.




DOI: https://doi.org/10.5102/rdi.v17i2.6687

ISSN 2236-997X (impresso) - ISSN 2237-1036 (on-line)

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