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Brazil has the second highest coronavirus death toll in the world, and the country is struggling with a new variant of the virus and a devastating second wave.
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Manaus, in the Amazon rainforest, is at the epicenter.
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It's where the new strain was found.
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Its hospitals can hardly cope.
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Brazil has started vaccinating people, but any relief from this virus fills a very long way off from Manaus.
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Here's our South America correspondent Katie Watson.
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This is not the first time announce has been brought to its knees in the cemetery, a reminder of the first wave where digging mass graves was the only way to keep up with the number of people dying.
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The biggest city in the Amazon people here feel for gotten again on the second wave is worse.
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Last week, the city's overwhelmed hospitals ran out of oxygen supplies is still patchy.
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Now people queue at local gas companies in the hope of keeping their loved ones alive.
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Don't despair, says this company representative.
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Cylinders are now being delivered across the city, but Elke is terrified.
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She's had to leave her mother at home with no oxygen to come here.
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She only has this one cylinder I eat by Balala talks you have to obey.
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Local volunteers like Marcel have stepped in to help bring oxygen to those who need it.
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He's looking after five people making daily oxygen runs, but it's taking its toll.
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They won't just for the no vote oxygen photo because it asked me.
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Okay, so somebody it was just to check out What does the for the Oh hell no.
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This is not fixed up.
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Doctors are concerned.
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The new variant found in the Amazon region is overwhelming.
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Already packed hospitals.
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Normally there are eight beds in here, one patient to each room.
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But in the past few days, doctors had to double that.
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Each patient now shares their 16 beds and they still have to find space to grow.
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Jamie is the oldest here, 77.
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His survival, says his son Fabio is down to luck.
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The rest of the ward is full of young people.
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This woman's 23 next to her, a man in his thirties.
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It's shocked doctors here, here in my house, we have the center here now, But in other parts of Brazil this new strain we're gonna go.
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So thank God the vaccinations already started.
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There's concern, though, that vaccines aren't getting to those who need them.
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But as we prepare to leave some good news, Jamie reacts to his family for the first time since he became ill, a rare glimpse of hope in otherwise dark times here.
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Katie Watson, BBC News in my House.