It was a clear morning in January 2023, when Gustavo Andrade, now officially president of Brazil, was preparing for one of the most important meetings of his government to date. The country, like the rest of the world, was still feeling the impacts of the COVID-19 pandemic. Faced with the challenge of caring for public health in the midst of a global crisis, Gustavo called on the Minister of Health, Dr. Maria Helena Alves, to discuss strategies for containing the virus and implementing preventive measures for the future.
As he entered the meeting room at the Planalto Palace, Gustavo greeted Maria Helena, who stood up when she saw him.
"Good morning, president. How are you?" she asked, with a professional smile.
"Good morning, minister. I'm fine, thank you. But we need to discuss the country's health, and that is my main concern right now," Gustavo replied firmly.
They both sat at the table, while aides watched in silence, taking notes.
"We have managed to vaccinate a large part of the population, but there are still gaps, especially in rural and poorer areas. We need to step up efforts to ensure that everyone has access to the vaccine, in addition to preparing the country for future pandemics. The health system needs to be resilient," Gustavo began, fixing his gaze on the minister.
Maria Helena agreed, adjusting her glasses as she leafed through some reports.
"You are right, President. The pandemic has exposed long-standing flaws in our health system. Although we have made significant progress, there are many areas, especially in the countryside, that lack adequate infrastructure. This includes hospitals, health clinics, and even basics, such as sanitation and access to drinking water. We need to improve the SUS and train more professionals."
Gustavo paused, reflecting for a moment.
"What about prevention? We cannot simply wait for another pandemic to happen. We need ongoing public health campaigns that educate people about hygiene, disease prevention, and the importance of seeking medical care. We also need to increase domestic production of medical equipment and medicines.
Maria Helena nodded.
"Yes, we need to prepare for the future. We can develop training programs for health professionals, strengthen the epidemiological surveillance system, and create rapid response units in each state. With continued investment, we can prevent something like COVID-19 from having the same impact in the future."
Gustavo looked at the minister seriously.
"You have my full support for this. We will direct more resources to health, but I want results. We also need transparency in the process so that the population knows what is being done."
Maria Helena smiled, sensing the determination in the president.
"With your leadership, Gustavo, I believe we can transform public health in Brazil." Discussion on Basic Sanitation
Right after the meeting with the Minister of Health, Gustavo left for another crucial meeting, this time with a team of engineers, infrastructure specialists and representatives of social movements. The topic of discussion would be the lack of basic sanitation in many regions of Brazil — a problem that, according to Gustavo, was unacceptable in the 21st century.
As soon as he entered the room, Gustavo greeted those present.
— Ladies and gentlemen, thank you for coming. We have a serious problem in Brazil that needs to be solved urgently. We still have millions of Brazilians living without access to adequate basic sanitation. This is an affront to human dignity, and I will not allow it to continue this way.
The team representatives nodded, and one of the engineers, Roberto Santana, took the floor.
— President, the sanitation problem is old, but the solutions are within our reach. We need massive investments in infrastructure, but more than that, we need good project management. There are regions of the country where the implementation of basic sanitation has simply stopped due to a lack of continuity in previous administrations.
Gustavo looked at Roberto.
"I understand that, Roberto. But what I want to know is how we can speed up this process. I don't want it to take decades. I want to see results in months."
"We can start by quickly mapping the most critical areas, prioritizing regions with a high incidence of diseases caused by the lack of sanitation, such as dengue and cholera. At the same time, we will mobilize efforts with city and state governments to ensure that projects do not get bogged down in bureaucracy," Roberto replied.
One of the representatives of the social movements, Ana Clara, intervened.
Sorry I missed chapters 26 and 27