
On a recent afternoon in Boa Vista, a lower-middle-class neighborhood of Sao Paulo, Brazil, Noranei Oliveira Miranda waited patiently on a small couch for the local community health workers to arrive. Her aging father, Dirceu, was seated next to her, not as patiently. Trembling and non-verbal, he reared up from the couch and reached in vain for the front door. She held him down with a pillow, her strong arms forming a seatbelt across his torso.
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