# Public health challenges in Acre, Brazil > Live situation record from CLSTR: https://clstr.news/situations/public-health-challenges-in-acre-brazil > Updated: 2026-08-21T10:48:26.000Z. Sources: 2. Developments: 2. The state of Acre is experiencing multifaceted public health challenges involving financial instability, disease outbreaks, and vaccination deficits. Initially, the state's health services faced a significant funding crisis. Reports indicated that Hospital Santa Juliana was facing approximately R$ 30 million in debt due to three months of delayed government transfers, while the Acre State Health Secretariat (Sesacre) faced a potential R$ 300 million deficit. In response to these structural issues, the state implemented new protocols for palliative care to manage patients with life-threatening illnesses. Subsequent reports highlighted rising clinical risks, with Acre maintaining a high-risk status for severe acute respiratory syndrome (SRAG) despite national trends. Additionally, health officials described the low coverage of Covid-19 vaccinations among pregnant women as an “extremely preocupante” (extremely worrying) scenario, noting that coverage reached only 34.86%, far below the 90% target. ## Timeline ### 2026-08-21: Acre faces respiratory disease alerts and low vaccine coverage Acre faces high alert levels for severe respiratory diseases and an “extremely worrying” low Covid-19 vaccination rate among pregnant women, reaching only 34.86% of the 90% target. 2 sources. https://clstr.news/cluster/acre-faces-respiratory-disease-alerts-and-low-vaccine-coverage ### 2026-08-11: Acre health services face funding crisis and new care protocols Acre's health sector faces a financial crisis, with Hospital Santa Juliana reporting R$ 30 million in delayed payments, while the state implements a new palliative care protocol. 9 sources. https://clstr.news/cluster/acre-healthcare-faces-crisis-as-hospital-santa-juliana-reports-r-30-million-debt --- Cite as: Public health challenges in Acre, Brazil. CLSTR, https://clstr.news/situations/public-health-challenges-in-acre-brazil