“It’s as if everybody’s on the same train heading towards a cliff-edge and someone says: ‘Look out! There’s a cliff!’ And the passengers shout: ‘Oh no there isn’t!’ And the train driver says: ‘Yeah, there’s nothing there!’” said Ivan França Junior, an epidemiologist from the University of São Paulo’s faculty of public health. “My sadness stems from seeing avoidable deaths that we are not going to avoid.”