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 Chota is grappling with raging infections, sharpened by a lack of
intensive care unit beds and medical resources. It is on Peru's
'extreme alert' list along with a handful of other rural provinces -
all far from wealthy urban centers.
As developed countries from the United States to Europe edge back
towards normality with fast vaccine roll-outs, Latin America is
still in the tight grip of COVID-19 with daily cases and deaths in
the region topping global charts.
Peru this week almost tripled its official death toll to over
180,000 using revised figures, making it by far the highest in the
world per capita and underscoring the havoc the virus has wreaked on
the resource-rich continent.
Chota, a town of some 40,000 people in the region of Cajamarca, is
reached on roads, at times unpaved, that snake through lush hills.
The nearest ICU bed is a three-hour drive away.
"This is the worst moment. Many people have died," Daniel Idrogo,
the secretary general of the local Chota government, told Reuters.
"The hospital has collapsed."
Outside that hospital, desperate relatives begged for better care as
family members waited inside. Chances of getting a ventilator were
slim, and ICU beds were non-existent. Even the nearest centers that
have them are 96% occupied, OpenCovid Peru data show.
"I've lived this in the flesh, because my sister died from
COVID-19," said Betty Campos Ochoa, who works at Chota's small
hospital, the only one in the town. "Several colleagues have died
and I've had neighbors who have died."
The overall death toll in Chota is unclear but Feliciano Altamirano
Guevara, a Catholic priest in the town, said around half a dozen
Masses a day are being celebrated for the dead or ill.
'NO SOLUTION'
Chota is one of 16 rural Peruvian provinces that are in the worst
shape, underscoring a divide between those with access to hospital
beds and equipment in big cities like Lima and vast hinterlands
where poverty has spiked higher under the pandemic.
The copper-rich country is set to vote in crossroads elections on
Sunday. The narrow favorite to win is a socialist candidate: an
outsider hailing from a humble background as a teacher in the same
northern region of Cajamarca.
Peru's coronavirus crisis raises a challenge for whoever wins the
election, with a stalled vaccine campaign and social spending to
alleviate poverty and improve healthcare key issues for many voters.
The race is still neck-and-neck.
Despite strict lockdowns, with curfews that last to this day, Peru's
weak and unequal healthcare system has meant many patients have died
without receiving care, the key reason for the country's sharp
revision upwards of its death count.
"High-income countries have been able to register most COVID-19
deaths in part because they have great access to testing," said
Mateo Prochazka, a Peruvian epidemiologist who was part of the
recent government review.
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 All in all, more than one in
every 200 Peruvians are estimated to have died
from COVID-19, in many cases due to collapsed
hospitals, as well as a critical lack of
ventilators and oxygen tanks, which led to price
surges that left many Peruvian families deep in
debt. In the Cajamarca region,
only three hospitals have ICU beds, despite a population of over 1
million. Like Chota, seven other hospitals in Cajamarca have no ICU
beds at all, according to numbers from regional health authorities.
While all Peru has suffered badly, Cajamarca has just a fifth of the
hospital bed capacity relative to its population size of the country
as a whole, according to government and World Health Organization
data.
That affects people like the mother of Enrique Peralta Linares, who
was hospitalized due to COVID-19 on Sunday in Chota's hospital.
Doctors say she needs a ventilator and an ICU bed, but they have
access to neither.
"The doctors keep telling us that we need a ventilator, but there
are no ventilators available in Chota, and that is really worrying
us," Peralta Linares said outside the hospital. "There is no
solution for us."
DEATHS UNCOUNTED
Peru, and towns like Chota, reflect the wider crisis facing
countries around South America - as well as the worrying fact that
many deaths may be going uncounted.
Uruguay and Paraguay currently have the world's worst daily average
death toll per capita; Argentina, with some 80,000 deaths and
battling a dangerous wave of cases, is not far behind. Infections
are spreading fast in Colombia and Bolivia, while regional giant
Brazil is nearing 470,000 deaths.
Peru, which hiked its death toll after analyzing so-called excess
deaths, has the worst total per-capita death rate in the world, more
than twice that of Brazil and several times higher than that of
India, both badly hit themselves by the virus.
Residents of Chota say the town has undergone collective trauma due
to the pandemic in ways that nobody in the area had ever lived
through before.
"We suffer because every single day we have five, six, seven
Masses," said priest Altamirano Guevara. "They are all about
illness, all about death."
(Reporting by Marcelo Rochabrun in Chota, Peru; Additional reporting
by Pedro Fonseca in Rio de Janeiro and Anuron Kumar Mitra in
Bengaluru; Editing by Adam Jourdan and Alistair Bell)
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