The health care system in the Brazilian Amazon city of Manaus was already strained before the coronavirus pandemic.
Now it is buckling under an onslaught of COVID-19 patients. Ventilators are in critically short supply, doctors bemoan a lack of protective gear, and gravediggers are increasingly overwhelmed.
The concern is that Manaus could provide a grim glimpse of what lies ahead for Brazil, particularly as President Jair Bolsonaro flouts recommendations for people to stay home, and instead tells people to get back to work.
In cities like Manaus, lack of compliance with social distancing measures is pushing the health care system to a breaking point.