“…The situation is similar with respiratory diseases like influenza, which display seasonal outbreaks, especially in the cooler autumn and winter months. With the spatial and temporal coincidence of these diseases, the Brazilian Unified National Health System (SUS), which already presented deficiencies in clinical care for dengue and other diseases, was forced to quickly expand its physical infrastructure, purchase equipment and supplies, build field hospitals, train healthcare professionals, and increase its testing capacity 6,7,8,9,10,11,12 . Still, the impact of COVID-19 on the public healthcare system appears most acutely in the high demand for hospitalization, exhausting the supply of intensive care beds and mechanical ventilators in some regions of Brazil 13 .…”