LATEST REPORTED DAILY CASE COUNT: as of 08:33 a.m. GMT-8 on 05 May 2021, the Peruvian Ministry of Health (MINSA) has announced SARS-CoV-2 confirmed positive cases of 1,818,689 and 62,674 confirmed deaths due to COVID-19 throughout the country.
We're using this page to provide a chronological forum for updates on the novel coronavirus in Latin America and Perú - including travel restrictions, updates on HBI programs and projects, and general recommendations. Should you have specific questions about COVID-19 and the global pandemic - please check the U.S. Centers for Disease Control and Prevention and the World Health Organization websites.
DAILY UPDATE: A note about the daily case counts - the Peruvian government has stopped reporting daily cases of SARS-CoV-2 infections and COVID-19 deaths. We will do our best to keep track of the changing severity and complexity of the pandemic in Perú. However, between our website updates - should you have any questions or want more information regarding HBI's outreach efforts and response to the pandemic, please contact us at: info@hbint.org
Want to track cases in Perú? Tracking cases in Perú is becoming more and more challenging. The best reference for data (although often delayed in reporting by up to 2 days) is the MINSA website. See: https://covid19.minsa.gob.pe/sala_situacional.asp
April 15 - The government announced new measures that will be implemented on Monday, April 19. Pasted above are the infographics outlining the updates. The biggest change is the upgrading of Lima and Ica back to "Extreme" level. In addition, a facial shield - along with mask - are required malls, supermarkets, and stores. This new regulation is an additional attempt by the government to control the ongoing spread of the second wave. In addition to face covering regulations - the new restrictions include limits on store hours, mobility and out-of-home activities. The measures start on Monday and will last for a 3-week period.
April 12 - The presidential elections - as suspected - were conducted without a clear winner. The current candidates moving to a run-off offer a diverse range of ideology and leadership style. Over the coming months, Perú will be thrust further into political campaigns and election hoopla. We will keep posting updates and context as the run-off election proceeds. For now, stay connected with COVID, social justice activities, and our work on both our Blog and this webpage.
April 07 - To say the situation in Perú is complicated is a total understatement. This Sunday, April 11, the country enters into national elections. The consensus amongst pollsters is no candidate will win a majority and there will be a run-off election leading to a new president on July 28th (Peruvian National Independence Day). Add to the complexity, COVID cases are rising and Perú has taken over the top spot globally for "excess deaths due to COVID." Adding even more, a transportation strike in Lima is threatening to bring public transportation to a grinding halt in the largest city in the country. As if that is not enough, Perú follows a traditional elected bureaucratic model. Whomever wins the majority and takes over as the President of the Republic, will bring in a whole new cabinet, a new set of Ministers, and an entire bureaucratic apparatus. This will more than likely occur at the end of July - mere weeks before a projected "third wave" is expected to hit Perú in September. Without a solid and stable governance apparatus, things will be - chaotic, at best. For now, we continue to provide dedicated COVID relief services to the families in our projects. We're keeping the staff and boys at our Casa Girasoles safe, and we are planning for the future - building a number of different scenarios to best prepare.
March 25 - Cases continue to rise. And, although the restrictions have been lifted, the government is re-enacting measures over the Holy Week period. This includes:
March 15 - Monday, March 15 marks a period of downgrading in the level of alert for much of Perú. Lima, Arequipa, Ica, Cusco and a number of other regions have been downgraded to "very high" alert from "extreme." What this means from a practical, day-to-day living experience - more businesses are open, a lowering of the restrictions for inter-departmental travel and a lessening of the curfew. The new period will be in place until March 28 as the country continues the build-up to national elections. The region is holding its collective breath, as Brazil and Chile continue to struggling with surging cases and fractured health services delivery. The eyes of the world will be watching as the impact of the P1 variant continues and the threat to the region increases.
February 24 - In strong part as a reflection of the diminishment in SARS-CoV-2 case loads, the chief of the congressional cabinet announced a relaxation of the inmovilizaciones sociales obligatorias starting on Monday, 01 March. The easing of restrictions will allow more mobility in work, including Metropolitan Lima and Callao, but a curfew from 9 pm until 4 am, and a mandatory social immobilization on Sundays. The new mandates will be in place for 15 days, until Sunday March 14, and follow the same categorization of risk based on the level of case load in a defined geographic area. At a press conference at the Government Palace, the head of the Cabinet, Violeta Bermúdez, said these new measures will give people greater opportunities to work, but at the same time continue to provide a solid pathway for citizens to take care of themselves and their communities.
February 17 - The Peruvian government has extended the national state of emergency and the inmovilizaciones sociales obligatorias throughout the country until February 28. Travel between departments remains challenging and restrictions in a vast majority of areas include a nightly curfew, limited hours of operation for stores, restaurants and pharmacies, and closure of many government offices. The situation in Perú remains dire with health services under tremendous strain and a lack of access to ICU and hospital beds, as well as oxygen. On February 12, about 300 people died, intensive care services are 100% saturated, and hospital capacity is overwhelmed. The physical and psychological health of health professionals is concerning. According to the WHO in 2020 in Latin America almost 570,000 health workers were infected with COVID and more than 2,500 died from the virus. According to figures from the Medical College of Peru, the country ranks third in medical deaths in America, led by Mexico with 1,410 deceased doctors, Brazil with 238 and Peru 166 doctors deceased by COVID. Last week, the Minister of Health resigned, bringing the total number of 5 Ministers of Health to resign in just under one year.
January 28 - On January 27th, the Peruvian government announced a new tired approach to increased inmovilizaciones sociales obligatorias throughout the country. The new measures (see graphics above) will take effect on Sunday, 31 January and are scheduled to last until 14 February. What these measures will mean for the areas designated as "extreme level" is a return to many of the quarantine restrictions of early 2020. We are working with our team on the ground to appropriately plan with the communities and people we serve to have access to the food, medications, and resources they will need throughout the expanded quarantine. We will keep you posted regarding any changes and updates.
January 20, 2021 - The U.S. inaugurated a new president, and Perú finds itself struggling to come to terms with a second wave of COVID infections. In spite of a forecasted second wave of SARS-CoV-2 infections for past 3-4 months, Perú is in the midst of rapidly escalating cases and a faltering healthcare infrastructure. Starting on Tuesday, 19 January the union representing all the physicians working at EsSalud run hospitals and clinics are around Perú, announced that doctors will be going on a hunger strike to protest the lack of government investment in responding to the pandemic. Perú, like a number of other Latin American countries, were devastated by the first wave of the virus in early 2020. The second wave is forecasted to have equally damaging impact on communities and healthcare infrastructure. With much of the world moving toward the first phase of vaccination, Perú lags behind due to a number of complex issues. The Perú government is currently in negotiations to purchase 1 million doses from the Chinese pharmaceutical company, SinoPharm. Its hard to imagine these 1-million does will have much impact in a county of over 32-million with with expanding social, economic and infrastructure challenges.
December 23 - Perú has gone over 1 million reported SARS-CoV-2 cases today. Things are moving back "normal." The change is a function of the governments loosening of the quarantine requirements. This is good news. It does, however, mean that people are letting down their guard and getting lax on physical distancing, facial coverings, and isolating. As Perú moves into the summer months (December - March) there will more than likely be a rebound of cases. This will lead to a second wave in March as the country moves back into fall and winter - and a probable shutdown by the government. One of the tricky things about Perú and the pandemic - as the virus has made its way through the population, the government has been less and less reliable about reporting prevalence rates and case counts. This has made it hard to know for certain where things are in terms of risk. As such, far too many people are relying on anecdotes and observations, in-lieu of empiric data.
December 15 - The weather is shifting toward summer in the southern hemisphere and the change is bringing a reopening for much of Latin America. The long moths of quarantine and restrictions are giving way to movement toward life as "normal." However, things are anything but normal. Tracking the number of COVID cases reported through MINSA, it appears cases in Perú have dramatically decreased. . . but not really. In fact, as reported in a recent EsSalud press release and RPP news article, COVID cases are increasing in certain districts. This is not surprising. If all forecasts are true, Perú will enter a second wave of infections sometime in late January. This will bring a new set of challenges. The government and health authorities are evaluating a number of different scenarios to slow the progression of the virus, this includes a possible modification in the mandatory curfew (currently 12 pm) and enforcing quarantine measures in high endemic areas through the Holiday Season.
October 02 - On September 25, the government of Perú extended the current state of emergency through October 31. The 11:00 pm to 4:00 am curfew and restrictions on the use of most vehicles on Sundays remain in effect in most of Peru with the exception of the following regions where there is a quarantine and a mandatory daily curfew from 8:00 pm to 4:00 am: Apurímac (Abancay); Huamanga (Ayacucho); and Huánuco (Huánuco). In addition, the all-day Sunday curfew will continue is the regions of Cusco, Puno, Moquegua, and Tacna. In the above quarantine areas, only one person per family will be allowed to leave the home during non- quarantine hours. In all of Peru, children under the age of 12 (formerly under 14) must remain at home and are allowed out of the house for 60 minutes each day. (the following update was copied from an email update provided by the U.S. Embassy of Lima).
September 22 - The Peruvian Ministry of Economy and Finance announced the deployment of Phase IV of the "reopening of the economy is to begin on October 1." Although details of the reopening are not fully outlined, it is expected that international flights will resume and include passenger flights from the U.S., Spain, Chile, Argentina and Mexico. Also on 9/22, the government announced a reinstallation of the mandatory nighttime curfew with "obligatory immobilization" from 11 pm until 4 am in most parts of the country and all day "immobilization" on Sundays. For the provinces of Cusco, Moquegua, Puno and Tacna - the mandatory social immobilization is from 8 pm until 4 am, and all day on Sundays. It is uncertain when these new social restrictions will end. And, with a case load that seems to have reached a high-plateau - the reopening of the Peruvian economy in Phase IV seems like a very challenging proposition without a concerted public health structure and plan.
August 28 - The Peruvian government extended the State of Emergency and quarantine until September 30, 2020. This will include a nightly curfew in some locations of the country, and a mandatory Sunday curfew for all citizens.
August 13 - President Martin Vizcarra announced a return to quarantine and mandatory social immobilization for a number of regions in Perú, including Arequipa, parts of Lima, and Ica. President Vizcarra noted the increasing cases and the challenges the health system is having containing the pandemic. He said, "It is preferable to go back a step to generate the responsibility of all." This is a sound public health decision. It is a decision that puts the health and welfare of the Peruvian people above politics. It is, however, a decision that will have continued devastating impacts in the lives of people living in the experience of poverty. We'll be continuing to support outreach and relief efforts. Stay connected with our work on the HBI Blog.
August 10 - On Sunday, August 09, Perú recorded its highest one day deaths from the coronavirus. The increasing number of cases and deaths appears to represent a "rebound effect" driven by the partial lack of confinement of the population, according to the Ministry of Health. The government is considering measures - including a nationwide quarantine mandated for the entire day on Sundays - to help curb community transmission.
July 28 - Today is the Peruvian Independence Day - and, counter to most every other year, the celebrations are more somber and toned down. Why? Today is day 135 of the extended quarantine and the government has requested the country avoid travel and shelter-in-place. Although there are still a fair number of revelers the vast majority of the country is following the recommendations and advice of the Ministry of Health and the Federal Government. As Perú celebrates Fiestas Patrias and prepares for their bicentennial in 2021 - the country is challenged with a sobering reminder that the promises of wealth and middle-income status were but fleeting ideals. The impact of the pandemic seems clearly poised to wreck havoc on the Peruvian economy for generations to come. CEPAL released their annual report that shows an overall increase in both poverty and extreme poverty - with a doubling of the number of people living in the experience of extreme poverty. Where does this news take Perú as they face an uncertain end to the impact of the virus and an equally uncertain pathway to regaining economic prowess? No one really knows. However, one thing is certain - the people of Perú will prevail. The intelligence and shear innovation that exists throughout every level and layer of the country will be the resilience the economy and society needs to heal from the trauma of this devastating situation. And, we will continue to walk in solidarity and support with Peruvian colleagues and partners.
June 30 - With a country-wide relaxing of the quarantine (NB: the quarantine officially ends July 1 early in the morning) people are searching to find their new normal. Many areas in the country (Ica as a for example) continue to maintain strict measures of quarantine, but other parts of the country have seen a drastic relaxation to the extreme measures that have been instituted in the country for well over 100 days. What happens next? Not one knows for sure. Most certainly cases will rise. There is no way around the inevitable community transmissions. However, Perú is doing everything they can to identify a clear path for more testing, case tracing, and supportive healthcare services. we continue to follow a strict protocol at the Casa Girasoles and with our entire team. We are working to maintain the health and safety of all our staff. We will continue to monitor the situation and determine the best course of action based on all available data. We will keep you posted on this web-page.
June 22 - Starting over a week ago, the Peruvian government has been moving steadily to reopen the economy. This includes the opening of commercial shopping districts, restaurants, and major roadways in the city of Lima. With over 90 days of extreme quarantine the economy will slowly reawaken. This will require an active monitoring of cases and big decisions around how to best move forward with the converging concerns of COVID-19 and the cough and cold (flu) season of Latin America.
June 12 - The New York Times publishes an article that demonstrates the expanding impact of the COVID-19 pandemic on Perú. The article, part of a series of articles gaining traction in international wire services about Latin America and the impact of COVID, points to the inequalities of the Peruvian social-economic-political systems. It describes a Perú that has worked hard to prepare itself to enter the "middle income" world of promising global economies and rapid investment. And, it describes the challenges that have made Perú so vulnerable to the huge devastation of the pandemic. One thing the article fails to describe is the amazing resilience and intelligence of the Peruvian people. For, if any nation will rise from the ashes of the pandemic - it is Perú. Please keep Perú in your thoughts. If you are able, please help us to bring desperately needed resources to underserved communities. Check out our work during the pandemic and thanks for all the support: COVID relief and emergency food fund
May 22 - In response to a growing number of cases, in-spite of extreme social distancing and curfew efforts, COVID-19 continues to disproportionately impact Perú. As such, and in response to a need to "bend the curve" and preserve the strained health system - the Government of Perú announced an extension of the State of Emergency until June 30. The President announced that a decree will be published with new measures for a "new social coexistence." He said the quarantine will continue, but some activities will be relaxed. He indicated that from Monday, May 25, the curfew will begin at 9:00 p.m. throughout the country, with the exception of eight regions. Needless-to-say, there is a mixed reception to the extended quarantine. We'll continue to cover the quarantine and the impact of the pandemic in Perú.
May 15 - The Peruvian government released preliminary guidance and indications on the "reopening" of the economy and general commerce and civil life. The tiered implementation will include a similar plan to other countries in the region with the last openings occurring in higher social contact sectors like tourism and events. The government announced - through the release of a slide deck (see below), the last phase of the openings will be the borders. "The closure of borders continues and we plan to lift it in the last stage that would be in October and is subject to the opening of borders in other countries. We have to align the origin and destination of flights and the protocols that passengers and airlines have to follow," announced the Minister of Transport and Communications, Carlos Lozada on May 15, in a televised interview covered the news agency Perú21.
May 08 - In an attempt to flatten the curve and bring greater stability to the health system, the Peruvian government has announced a two week extension of the compulsory immobilization and social quarantine. The extension will include an expansion of the curfew until 8 pm and include allowing banks and grocery stores to expand their hours of operations to provide more customer social distancing. In addition, the Federal government will be working with the regional governors and the municipal mayors to reorganize markets and shopping to further reduce congregations and group gatherings.
May 01 - Today is Labor Day around the world. The Peruvian government just announced the new case numbers and infections continue to rise. The government continues to respond to the challenge and announced an increase in the allowable withdrawal from state-backed retirement accounts. In addition, the government is investing in the production of mechanical ventilators and continued enforcement of the mandatory social isolation and country-wide quarantine This weekend will be an important litmus test to determine next steps for the country with regard to relaxing the social isolation measures and re-opening parts of the economy.
April 23 - Peruvian President Martín Vizcarra announced the extension of the state of emergency and the obligatory social quarantine for two additional weeks, with an expected end-date on Sunday, May 10.
April 08 - The government, in a live national message from the president, announced the mobility and social isolation restrictions will continue through April 26. In the past 24 hours, there have been 1,388 new cases and over 1,000 people were arrested for not respecting the quarantine orders. Thursday, April 9 (Holy Thursday) and Friday, April 10 (Good Friday) are national holidays and the government has mandated all citizens remain in a shelter-in-place.
April 02 - The government announced new restrictions on mobility and social isolation. Starting Friday, 03 April, "men will only be able to circulate on Mondays, Wednesdays and Fridays; and women Tuesday, Thursday and Saturday. On Sundays the restriction will [apply to everyone]. The measure will last 10 days and aims to slow down the rise of the COVID-19 propagation curve more quickly."
April 02 - A new website developed by a group of engineers and data scientists from one of Perú's most respected universities allows for real-time tracking of COVID-19 in the country: https://covid19.orcebot.com
March 30 - Cases of confirmed COVID-19 continue to expand in Peru (with Loreto having the highest number of positive cases outside of Lima). Equally alarming, cases are growing rapidly throughout Latin America. The tragic loss of life is being felt in ever country. The economic impact will have lasting influence on the continent. We've found the Americas Society/Council of the Americas website to have the most comprehensive tracking of COVID-19 cases in South America. For the most recent updates: https://www.as-coa.org/articles/where-coronavirus-latin-america
75March 29 - Regions in Perú with reported cases of COVID-19 include: Lima, Loreto, Callao, Lambayeque, Piura, Cusco, Arequipa, Junín, La Libertad, Tumbes, Ancash, Ica, Huánuco, San Martín, Ayacucho, Cajamarca, Madre de Dios, Pasco, Tacna
March 27 - The Peruvian government is continuing their efforts to deploy resources and monetary support to the most marginalized in the country. This includes S/. 200 million for municipalities to deliver food baskets to the poorest communities; and a plan to send cash reliefs in the form of a one time payment of S/. 380 to 800,000 people living in extreme poverty. This is a remarkable undertaking for the Peruvian government.
March 26 - In a nationally televised press conference, the President of Perú extended the State of Emergency and compulsory social immobilization until April 12.
March 21 - The Peruvian government will open flights until midnight on March 21 for Peruvian citizens stranded in other countries around the world to return to Lima. It is unclear if flights will be permitted to leave from Perú to other locations.
March 20 - The second day of compulsory social isolation, with Perú in a lock-down National State of Emergency.
March 18 - The Peruvian government put in place a mandatory curfew from 8 p.m. until 5 a.m. Only necessary personnel - medical, food suppliers media, police and the armed forces - can be on the streets.
March 15 - President Vizcarra appeared on national television and announced an extraordinary "state of national emergency" - including a total closure of the borders (by land, sea and river; this does not include cargo), 15 obligatory days of "social isolation," and a restriction on movement outside of the home for anything more than food or medicine. The Peruvian National Police are beginning to detain people who are in violation of the social isolation mandate.
On March 14 - The Peruvian government announced the suspension of flights to- and from-Europe and Asia for a period of 30-days. As has been previously reported, cases have been identified in Lima, Ancash, Piura, Cusco, Lambayeque, Loreto, La Libertad, Arequipa, Ica, and Huánuco.
March 13 - All incoming and outgoing flights to Asia and Europe have been suspended. Schools are closed around Perú; and the government has instituted a restriction on the gathering of groups larger than 300 people. A multi-sectorial commission of the government is considering further restrictions - including closing all borders. Ecuador closed their border with Perú on 15 March.
March 11 - The President of Perú released an Emergency Decree, published in the official newspaper El Peruano. The decree helps to shore up public health and emergency response and states that "those who enter the national territory [Perú] from countries with an epidemiological history will be subject to isolation for 14 days." Currently the United States is not specifically listed as one of the countries requiring a mandatory 14-day quarantine. Countries specifically listed include: China, France, Italy, and Spain.
For information on the impact of the pandemic in other Latin America nations - check out the Council of the Americas website, although information is not updated everyday. Check out updates at: https://www.as-coa.org/articles/where-coronavirus-latin-america
For more information on HBI's recommendations, please read the following briefing document from the Health Bridges Medical Director, Dr. Robert Gehringer. Please contact the Health Bridges team with questions about your planned service learning projects or travel with HBI.
We're using this page to provide a chronological forum for updates on the novel coronavirus in Latin America and Perú - including travel restrictions, updates on HBI programs and projects, and general recommendations. Should you have specific questions about COVID-19 and the global pandemic - please check the U.S. Centers for Disease Control and Prevention and the World Health Organization websites.
DAILY UPDATE: A note about the daily case counts - the Peruvian government has stopped reporting daily cases of SARS-CoV-2 infections and COVID-19 deaths. We will do our best to keep track of the changing severity and complexity of the pandemic in Perú. However, between our website updates - should you have any questions or want more information regarding HBI's outreach efforts and response to the pandemic, please contact us at: info@hbint.org
Want to track cases in Perú? Tracking cases in Perú is becoming more and more challenging. The best reference for data (although often delayed in reporting by up to 2 days) is the MINSA website. See: https://covid19.minsa.gob.pe/sala_situacional.asp
April 15 - The government announced new measures that will be implemented on Monday, April 19. Pasted above are the infographics outlining the updates. The biggest change is the upgrading of Lima and Ica back to "Extreme" level. In addition, a facial shield - along with mask - are required malls, supermarkets, and stores. This new regulation is an additional attempt by the government to control the ongoing spread of the second wave. In addition to face covering regulations - the new restrictions include limits on store hours, mobility and out-of-home activities. The measures start on Monday and will last for a 3-week period.
April 12 - The presidential elections - as suspected - were conducted without a clear winner. The current candidates moving to a run-off offer a diverse range of ideology and leadership style. Over the coming months, Perú will be thrust further into political campaigns and election hoopla. We will keep posting updates and context as the run-off election proceeds. For now, stay connected with COVID, social justice activities, and our work on both our Blog and this webpage.
April 07 - To say the situation in Perú is complicated is a total understatement. This Sunday, April 11, the country enters into national elections. The consensus amongst pollsters is no candidate will win a majority and there will be a run-off election leading to a new president on July 28th (Peruvian National Independence Day). Add to the complexity, COVID cases are rising and Perú has taken over the top spot globally for "excess deaths due to COVID." Adding even more, a transportation strike in Lima is threatening to bring public transportation to a grinding halt in the largest city in the country. As if that is not enough, Perú follows a traditional elected bureaucratic model. Whomever wins the majority and takes over as the President of the Republic, will bring in a whole new cabinet, a new set of Ministers, and an entire bureaucratic apparatus. This will more than likely occur at the end of July - mere weeks before a projected "third wave" is expected to hit Perú in September. Without a solid and stable governance apparatus, things will be - chaotic, at best. For now, we continue to provide dedicated COVID relief services to the families in our projects. We're keeping the staff and boys at our Casa Girasoles safe, and we are planning for the future - building a number of different scenarios to best prepare.
March 25 - Cases continue to rise. And, although the restrictions have been lifted, the government is re-enacting measures over the Holy Week period. This includes:
- 24-hour curfew during April 1-4, 2021 with the exception of one person per family permitted outside for pedestrian shopping.
- Grocery stores, bodegas, supermarkets, and pharmacies will be open for walk-in customers from 4:00 a.m. to 6:00 p.m.
- Restaurants will be open for delivery from 11:00 a.m. to 11:00 p.m.
- 24-hour drugstore delivery will be available.
- The use of bicycles for grocery shopping will be allowed.
- Personal vehicles are prohibited.
- Public transportation and taxis with authorization are permitted.
- Domestic interprovincial land and air transportation will be suspended from April 1 - 3, 2021. Domestic travel will only be allowed on April 4. International arrivals and departures will operate. International travelers should plan their connecting transfers accordingly.
March 15 - Monday, March 15 marks a period of downgrading in the level of alert for much of Perú. Lima, Arequipa, Ica, Cusco and a number of other regions have been downgraded to "very high" alert from "extreme." What this means from a practical, day-to-day living experience - more businesses are open, a lowering of the restrictions for inter-departmental travel and a lessening of the curfew. The new period will be in place until March 28 as the country continues the build-up to national elections. The region is holding its collective breath, as Brazil and Chile continue to struggling with surging cases and fractured health services delivery. The eyes of the world will be watching as the impact of the P1 variant continues and the threat to the region increases.
February 24 - In strong part as a reflection of the diminishment in SARS-CoV-2 case loads, the chief of the congressional cabinet announced a relaxation of the inmovilizaciones sociales obligatorias starting on Monday, 01 March. The easing of restrictions will allow more mobility in work, including Metropolitan Lima and Callao, but a curfew from 9 pm until 4 am, and a mandatory social immobilization on Sundays. The new mandates will be in place for 15 days, until Sunday March 14, and follow the same categorization of risk based on the level of case load in a defined geographic area. At a press conference at the Government Palace, the head of the Cabinet, Violeta Bermúdez, said these new measures will give people greater opportunities to work, but at the same time continue to provide a solid pathway for citizens to take care of themselves and their communities.
February 17 - The Peruvian government has extended the national state of emergency and the inmovilizaciones sociales obligatorias throughout the country until February 28. Travel between departments remains challenging and restrictions in a vast majority of areas include a nightly curfew, limited hours of operation for stores, restaurants and pharmacies, and closure of many government offices. The situation in Perú remains dire with health services under tremendous strain and a lack of access to ICU and hospital beds, as well as oxygen. On February 12, about 300 people died, intensive care services are 100% saturated, and hospital capacity is overwhelmed. The physical and psychological health of health professionals is concerning. According to the WHO in 2020 in Latin America almost 570,000 health workers were infected with COVID and more than 2,500 died from the virus. According to figures from the Medical College of Peru, the country ranks third in medical deaths in America, led by Mexico with 1,410 deceased doctors, Brazil with 238 and Peru 166 doctors deceased by COVID. Last week, the Minister of Health resigned, bringing the total number of 5 Ministers of Health to resign in just under one year.
January 28 - On January 27th, the Peruvian government announced a new tired approach to increased inmovilizaciones sociales obligatorias throughout the country. The new measures (see graphics above) will take effect on Sunday, 31 January and are scheduled to last until 14 February. What these measures will mean for the areas designated as "extreme level" is a return to many of the quarantine restrictions of early 2020. We are working with our team on the ground to appropriately plan with the communities and people we serve to have access to the food, medications, and resources they will need throughout the expanded quarantine. We will keep you posted regarding any changes and updates.
January 20, 2021 - The U.S. inaugurated a new president, and Perú finds itself struggling to come to terms with a second wave of COVID infections. In spite of a forecasted second wave of SARS-CoV-2 infections for past 3-4 months, Perú is in the midst of rapidly escalating cases and a faltering healthcare infrastructure. Starting on Tuesday, 19 January the union representing all the physicians working at EsSalud run hospitals and clinics are around Perú, announced that doctors will be going on a hunger strike to protest the lack of government investment in responding to the pandemic. Perú, like a number of other Latin American countries, were devastated by the first wave of the virus in early 2020. The second wave is forecasted to have equally damaging impact on communities and healthcare infrastructure. With much of the world moving toward the first phase of vaccination, Perú lags behind due to a number of complex issues. The Perú government is currently in negotiations to purchase 1 million doses from the Chinese pharmaceutical company, SinoPharm. Its hard to imagine these 1-million does will have much impact in a county of over 32-million with with expanding social, economic and infrastructure challenges.
December 23 - Perú has gone over 1 million reported SARS-CoV-2 cases today. Things are moving back "normal." The change is a function of the governments loosening of the quarantine requirements. This is good news. It does, however, mean that people are letting down their guard and getting lax on physical distancing, facial coverings, and isolating. As Perú moves into the summer months (December - March) there will more than likely be a rebound of cases. This will lead to a second wave in March as the country moves back into fall and winter - and a probable shutdown by the government. One of the tricky things about Perú and the pandemic - as the virus has made its way through the population, the government has been less and less reliable about reporting prevalence rates and case counts. This has made it hard to know for certain where things are in terms of risk. As such, far too many people are relying on anecdotes and observations, in-lieu of empiric data.
December 15 - The weather is shifting toward summer in the southern hemisphere and the change is bringing a reopening for much of Latin America. The long moths of quarantine and restrictions are giving way to movement toward life as "normal." However, things are anything but normal. Tracking the number of COVID cases reported through MINSA, it appears cases in Perú have dramatically decreased. . . but not really. In fact, as reported in a recent EsSalud press release and RPP news article, COVID cases are increasing in certain districts. This is not surprising. If all forecasts are true, Perú will enter a second wave of infections sometime in late January. This will bring a new set of challenges. The government and health authorities are evaluating a number of different scenarios to slow the progression of the virus, this includes a possible modification in the mandatory curfew (currently 12 pm) and enforcing quarantine measures in high endemic areas through the Holiday Season.
October 02 - On September 25, the government of Perú extended the current state of emergency through October 31. The 11:00 pm to 4:00 am curfew and restrictions on the use of most vehicles on Sundays remain in effect in most of Peru with the exception of the following regions where there is a quarantine and a mandatory daily curfew from 8:00 pm to 4:00 am: Apurímac (Abancay); Huamanga (Ayacucho); and Huánuco (Huánuco). In addition, the all-day Sunday curfew will continue is the regions of Cusco, Puno, Moquegua, and Tacna. In the above quarantine areas, only one person per family will be allowed to leave the home during non- quarantine hours. In all of Peru, children under the age of 12 (formerly under 14) must remain at home and are allowed out of the house for 60 minutes each day. (the following update was copied from an email update provided by the U.S. Embassy of Lima).
September 22 - The Peruvian Ministry of Economy and Finance announced the deployment of Phase IV of the "reopening of the economy is to begin on October 1." Although details of the reopening are not fully outlined, it is expected that international flights will resume and include passenger flights from the U.S., Spain, Chile, Argentina and Mexico. Also on 9/22, the government announced a reinstallation of the mandatory nighttime curfew with "obligatory immobilization" from 11 pm until 4 am in most parts of the country and all day "immobilization" on Sundays. For the provinces of Cusco, Moquegua, Puno and Tacna - the mandatory social immobilization is from 8 pm until 4 am, and all day on Sundays. It is uncertain when these new social restrictions will end. And, with a case load that seems to have reached a high-plateau - the reopening of the Peruvian economy in Phase IV seems like a very challenging proposition without a concerted public health structure and plan.
August 28 - The Peruvian government extended the State of Emergency and quarantine until September 30, 2020. This will include a nightly curfew in some locations of the country, and a mandatory Sunday curfew for all citizens.
August 13 - President Martin Vizcarra announced a return to quarantine and mandatory social immobilization for a number of regions in Perú, including Arequipa, parts of Lima, and Ica. President Vizcarra noted the increasing cases and the challenges the health system is having containing the pandemic. He said, "It is preferable to go back a step to generate the responsibility of all." This is a sound public health decision. It is a decision that puts the health and welfare of the Peruvian people above politics. It is, however, a decision that will have continued devastating impacts in the lives of people living in the experience of poverty. We'll be continuing to support outreach and relief efforts. Stay connected with our work on the HBI Blog.
August 10 - On Sunday, August 09, Perú recorded its highest one day deaths from the coronavirus. The increasing number of cases and deaths appears to represent a "rebound effect" driven by the partial lack of confinement of the population, according to the Ministry of Health. The government is considering measures - including a nationwide quarantine mandated for the entire day on Sundays - to help curb community transmission.
July 28 - Today is the Peruvian Independence Day - and, counter to most every other year, the celebrations are more somber and toned down. Why? Today is day 135 of the extended quarantine and the government has requested the country avoid travel and shelter-in-place. Although there are still a fair number of revelers the vast majority of the country is following the recommendations and advice of the Ministry of Health and the Federal Government. As Perú celebrates Fiestas Patrias and prepares for their bicentennial in 2021 - the country is challenged with a sobering reminder that the promises of wealth and middle-income status were but fleeting ideals. The impact of the pandemic seems clearly poised to wreck havoc on the Peruvian economy for generations to come. CEPAL released their annual report that shows an overall increase in both poverty and extreme poverty - with a doubling of the number of people living in the experience of extreme poverty. Where does this news take Perú as they face an uncertain end to the impact of the virus and an equally uncertain pathway to regaining economic prowess? No one really knows. However, one thing is certain - the people of Perú will prevail. The intelligence and shear innovation that exists throughout every level and layer of the country will be the resilience the economy and society needs to heal from the trauma of this devastating situation. And, we will continue to walk in solidarity and support with Peruvian colleagues and partners.
June 30 - With a country-wide relaxing of the quarantine (NB: the quarantine officially ends July 1 early in the morning) people are searching to find their new normal. Many areas in the country (Ica as a for example) continue to maintain strict measures of quarantine, but other parts of the country have seen a drastic relaxation to the extreme measures that have been instituted in the country for well over 100 days. What happens next? Not one knows for sure. Most certainly cases will rise. There is no way around the inevitable community transmissions. However, Perú is doing everything they can to identify a clear path for more testing, case tracing, and supportive healthcare services. we continue to follow a strict protocol at the Casa Girasoles and with our entire team. We are working to maintain the health and safety of all our staff. We will continue to monitor the situation and determine the best course of action based on all available data. We will keep you posted on this web-page.
June 22 - Starting over a week ago, the Peruvian government has been moving steadily to reopen the economy. This includes the opening of commercial shopping districts, restaurants, and major roadways in the city of Lima. With over 90 days of extreme quarantine the economy will slowly reawaken. This will require an active monitoring of cases and big decisions around how to best move forward with the converging concerns of COVID-19 and the cough and cold (flu) season of Latin America.
June 12 - The New York Times publishes an article that demonstrates the expanding impact of the COVID-19 pandemic on Perú. The article, part of a series of articles gaining traction in international wire services about Latin America and the impact of COVID, points to the inequalities of the Peruvian social-economic-political systems. It describes a Perú that has worked hard to prepare itself to enter the "middle income" world of promising global economies and rapid investment. And, it describes the challenges that have made Perú so vulnerable to the huge devastation of the pandemic. One thing the article fails to describe is the amazing resilience and intelligence of the Peruvian people. For, if any nation will rise from the ashes of the pandemic - it is Perú. Please keep Perú in your thoughts. If you are able, please help us to bring desperately needed resources to underserved communities. Check out our work during the pandemic and thanks for all the support: COVID relief and emergency food fund
May 22 - In response to a growing number of cases, in-spite of extreme social distancing and curfew efforts, COVID-19 continues to disproportionately impact Perú. As such, and in response to a need to "bend the curve" and preserve the strained health system - the Government of Perú announced an extension of the State of Emergency until June 30. The President announced that a decree will be published with new measures for a "new social coexistence." He said the quarantine will continue, but some activities will be relaxed. He indicated that from Monday, May 25, the curfew will begin at 9:00 p.m. throughout the country, with the exception of eight regions. Needless-to-say, there is a mixed reception to the extended quarantine. We'll continue to cover the quarantine and the impact of the pandemic in Perú.
May 15 - The Peruvian government released preliminary guidance and indications on the "reopening" of the economy and general commerce and civil life. The tiered implementation will include a similar plan to other countries in the region with the last openings occurring in higher social contact sectors like tourism and events. The government announced - through the release of a slide deck (see below), the last phase of the openings will be the borders. "The closure of borders continues and we plan to lift it in the last stage that would be in October and is subject to the opening of borders in other countries. We have to align the origin and destination of flights and the protocols that passengers and airlines have to follow," announced the Minister of Transport and Communications, Carlos Lozada on May 15, in a televised interview covered the news agency Perú21.
May 08 - In an attempt to flatten the curve and bring greater stability to the health system, the Peruvian government has announced a two week extension of the compulsory immobilization and social quarantine. The extension will include an expansion of the curfew until 8 pm and include allowing banks and grocery stores to expand their hours of operations to provide more customer social distancing. In addition, the Federal government will be working with the regional governors and the municipal mayors to reorganize markets and shopping to further reduce congregations and group gatherings.
May 01 - Today is Labor Day around the world. The Peruvian government just announced the new case numbers and infections continue to rise. The government continues to respond to the challenge and announced an increase in the allowable withdrawal from state-backed retirement accounts. In addition, the government is investing in the production of mechanical ventilators and continued enforcement of the mandatory social isolation and country-wide quarantine This weekend will be an important litmus test to determine next steps for the country with regard to relaxing the social isolation measures and re-opening parts of the economy.
April 23 - Peruvian President Martín Vizcarra announced the extension of the state of emergency and the obligatory social quarantine for two additional weeks, with an expected end-date on Sunday, May 10.
April 08 - The government, in a live national message from the president, announced the mobility and social isolation restrictions will continue through April 26. In the past 24 hours, there have been 1,388 new cases and over 1,000 people were arrested for not respecting the quarantine orders. Thursday, April 9 (Holy Thursday) and Friday, April 10 (Good Friday) are national holidays and the government has mandated all citizens remain in a shelter-in-place.
April 02 - The government announced new restrictions on mobility and social isolation. Starting Friday, 03 April, "men will only be able to circulate on Mondays, Wednesdays and Fridays; and women Tuesday, Thursday and Saturday. On Sundays the restriction will [apply to everyone]. The measure will last 10 days and aims to slow down the rise of the COVID-19 propagation curve more quickly."
April 02 - A new website developed by a group of engineers and data scientists from one of Perú's most respected universities allows for real-time tracking of COVID-19 in the country: https://covid19.orcebot.com
March 30 - Cases of confirmed COVID-19 continue to expand in Peru (with Loreto having the highest number of positive cases outside of Lima). Equally alarming, cases are growing rapidly throughout Latin America. The tragic loss of life is being felt in ever country. The economic impact will have lasting influence on the continent. We've found the Americas Society/Council of the Americas website to have the most comprehensive tracking of COVID-19 cases in South America. For the most recent updates: https://www.as-coa.org/articles/where-coronavirus-latin-america
75March 29 - Regions in Perú with reported cases of COVID-19 include: Lima, Loreto, Callao, Lambayeque, Piura, Cusco, Arequipa, Junín, La Libertad, Tumbes, Ancash, Ica, Huánuco, San Martín, Ayacucho, Cajamarca, Madre de Dios, Pasco, Tacna
March 27 - The Peruvian government is continuing their efforts to deploy resources and monetary support to the most marginalized in the country. This includes S/. 200 million for municipalities to deliver food baskets to the poorest communities; and a plan to send cash reliefs in the form of a one time payment of S/. 380 to 800,000 people living in extreme poverty. This is a remarkable undertaking for the Peruvian government.
March 26 - In a nationally televised press conference, the President of Perú extended the State of Emergency and compulsory social immobilization until April 12.
March 21 - The Peruvian government will open flights until midnight on March 21 for Peruvian citizens stranded in other countries around the world to return to Lima. It is unclear if flights will be permitted to leave from Perú to other locations.
March 20 - The second day of compulsory social isolation, with Perú in a lock-down National State of Emergency.
March 18 - The Peruvian government put in place a mandatory curfew from 8 p.m. until 5 a.m. Only necessary personnel - medical, food suppliers media, police and the armed forces - can be on the streets.
March 15 - President Vizcarra appeared on national television and announced an extraordinary "state of national emergency" - including a total closure of the borders (by land, sea and river; this does not include cargo), 15 obligatory days of "social isolation," and a restriction on movement outside of the home for anything more than food or medicine. The Peruvian National Police are beginning to detain people who are in violation of the social isolation mandate.
On March 14 - The Peruvian government announced the suspension of flights to- and from-Europe and Asia for a period of 30-days. As has been previously reported, cases have been identified in Lima, Ancash, Piura, Cusco, Lambayeque, Loreto, La Libertad, Arequipa, Ica, and Huánuco.
March 13 - All incoming and outgoing flights to Asia and Europe have been suspended. Schools are closed around Perú; and the government has instituted a restriction on the gathering of groups larger than 300 people. A multi-sectorial commission of the government is considering further restrictions - including closing all borders. Ecuador closed their border with Perú on 15 March.
March 11 - The President of Perú released an Emergency Decree, published in the official newspaper El Peruano. The decree helps to shore up public health and emergency response and states that "those who enter the national territory [Perú] from countries with an epidemiological history will be subject to isolation for 14 days." Currently the United States is not specifically listed as one of the countries requiring a mandatory 14-day quarantine. Countries specifically listed include: China, France, Italy, and Spain.
For information on the impact of the pandemic in other Latin America nations - check out the Council of the Americas website, although information is not updated everyday. Check out updates at: https://www.as-coa.org/articles/where-coronavirus-latin-america
For more information on HBI's recommendations, please read the following briefing document from the Health Bridges Medical Director, Dr. Robert Gehringer. Please contact the Health Bridges team with questions about your planned service learning projects or travel with HBI.
General Information on Coronavirus and COVID-19
U.S. Centers for Disease Control and Prevention:
https://www.cdc.gov/coronavirus/2019-ncov/index.html
Mass General Global Health (a teaching hospital of Harvard Medical school):
https://globalhealth.massgeneral.org/covid-19/
Pan-American Health Organization:
https://www.paho.org/hq/index.php?lang=en
World Health Organization:
https://www.who.int/emergencies/diseases/novel-coronavirus-2019
World Health Organization Situation Reports:
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/
U.S. State Department Travel Advisories:
https://travel.state.gov/content/travel/en/traveladvisories/traveladvisories.html/
U.S. Centers for Disease Control and Prevention:
https://www.cdc.gov/coronavirus/2019-ncov/index.html
Mass General Global Health (a teaching hospital of Harvard Medical school):
https://globalhealth.massgeneral.org/covid-19/
Pan-American Health Organization:
https://www.paho.org/hq/index.php?lang=en
World Health Organization:
https://www.who.int/emergencies/diseases/novel-coronavirus-2019
World Health Organization Situation Reports:
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/
U.S. State Department Travel Advisories:
https://travel.state.gov/content/travel/en/traveladvisories/traveladvisories.html/