India: Morgues run out of stretchers as deaths hit 2,800 a day


India’s new coronavirus deaths reached a record peak on Monday as the country’s morgues ran out of stretchers, patients were seen wandering the streets in search of hospital beds, and trees from city parks were set be used to burn bodies.

Meanwhile, vital life-saving oxygen is in short supply and countries including Britain, Germany and the United States have pledged to send urgent medical aid to help battle the crisis that is collapsing India’s tattered healthcare system.

India recorded 2,812 Covid deaths overnight and infections in the last 24 hours rose to 352,991 on Monday – a record peak for a fifth day running – after the country’s Prime Minister on Sunday urged all citizens to get vaccinated.

Pictured: Burning pyres in a make-shift crematorium in Delhi, India, on April 24, 2021. India's new coronavirus deaths reached a record peak on Monday as the country's morgues ran out of stretchers, patients were seen wandering the streets in search of hospital beds, and trees from city parks were set be used to burn bodies

Pictured: Burning pyres in a make-shift crematorium in Delhi, India, on April 24, 2021. India’s new coronavirus deaths reached a record peak on Monday as the country’s morgues ran out of stretchers, patients were seen wandering the streets in search of hospital beds, and trees from city parks were set be used to burn bodies

Overcrowded hospitals in Delhi and elsewhere are being forced to turn away patients after running out of supplies of oxygen and beds, leaving families to ferry people sick with coronavirus from hospital to hospital searching for treatment. 

India’s capital has been cremating so many bodies that authorities in the region are receiving requests to start cutting down trees in Dheli’s parks to be used as kindling. 

‘Currently the hospital is in beg-and-borrow mode and it is an extreme crisis situation,’ said a spokesman for the Sir Ganga Ram Hospital in the capital, New Delhi.

On Sunday, Prime Minister Narendra Modi urged all citizens to get vaccinated and exercise caution, while hospitals and doctors have put out urgent notices saying they were unable to cope with the rush of patients.

In some of the worst-hit cities, including New Delhi, bodies were being burnt in makeshift facilities offering mass services.

Television channel NDTV broadcast images of three health workers in the eastern state of Bihar pulling a body along the ground on its way to cremation, as stretchers ran short.

Relatives and municipal workers prepare to bury the body of a person who died of COVID-19 in Gauhati, India, Sunday, April 25, 2021. vital life-saving oxygen is in short supply and countries including Britain, Germany and the United States pledged to send urgent medical aid to help battle crisis collapsing India's tattered healthcare system

Relatives and municipal workers prepare to bury the body of a person who died of COVID-19 in Gauhati, India, Sunday, April 25, 2021. vital life-saving oxygen is in short supply and countries including Britain, Germany and the United States pledged to send urgent medical aid to help battle crisis collapsing India’s tattered healthcare system

‘If you’ve never been to a cremation, the smell of death never leaves you,’ Vipin Narang, a political science professor at Massachusetts Institute of Technology (MIT) in the United States, said on Twitter.

‘My heart breaks for all my friends and family in Delhi and India going through this hell.’

On Sunday, President Joe Biden said the United States would send raw materials for vaccines, medical equipment and protective gear to India. Germany joined a growing list of countries pledging to send supplies.

India, with a population of 1.3 billion, has a tally of 17.31 million infections and 195,123 deaths, after 2,812 deaths overnight, health ministry data showed, although health experts say the death count is probably far higher.

The scale of the second wave knocked oil prices on Monday, as traders worried about a fall in fuel demand in the world’s third-biggest oil importer. 

Politicians, especially Modi, have faced criticism for holding rallies attended by thousands of people, packed close together in stadiums and grounds, despite the brutal second wave of infections.

India, with a population of 1.3 billion, has a tally of 17.31 million infections and 195,123 deaths, after 2,812 deaths overnight, health ministry data showed, although health experts say the death count is probably far higher. Pictured: A graph showing new Covid-19 deaths per-day

India, with a population of 1.3 billion, has a tally of 17.31 million infections and 195,123 deaths, after 2,812 deaths overnight, health ministry data showed, although health experts say the death count is probably far higher. Pictured: A graph showing new Covid-19 deaths per-day 

Coronavirus infections in India over the last 24 hours rose to 352,991 on Monday - a record peak for a fifth day running

Coronavirus infections in India over the last 24 hours rose to 352,991 on Monday – a record peak for a fifth day running

Several cities have ordered curfews, while police have been deployed to enforce social distancing and mask-wearing.

Still, about 8.6 million voters were expected to cast ballots on Monday in the eastern state of West Bengal, in the penultimate part of an eight-phase election that will wrap up this week.

Voting for local elections in other parts of India included the most populous state of Uttar Pradesh, which has been reporting an average of 30,000 infections a day.

Modi’s plea on vaccinations came after inoculations peaked at 4.5 million doses on April 5, but have since averaged about 2.7 million a day, government figures show.

Several states, including Maharashtra, the richest, halted vaccinations in some places on Sunday, saying supplies were not available.

Supply has fallen short of demand as the inoculation campaign was widened this month, while companies struggle to boost output, partly because of a shortage of raw material and a fire at a facility making the AstraZeneca dose.

Pictured: Municipal workers prepare to bury the body of a person who died of COVID-19 in Gauhati, India, Sunday, April 25, 2021. Overcrowded hospitals in Delhi and elsewhere are being forced to turn away patients after running out of supplies of oxygen and beds

Pictured: Municipal workers prepare to bury the body of a person who died of COVID-19 in Gauhati, India, Sunday, April 25, 2021. Overcrowded hospitals in Delhi and elsewhere are being forced to turn away patients after running out of supplies of oxygen and beds

Hospitals in Modi’s home state of Gujarat are among those facing an acute shortage of oxygen, doctors said.

Just seven ICU beds of a total of 1,277 were available in 166 private hospitals designated to treat the virus in the western state’s largest city of Ahmedabad, data showed.

‘The problem is grim everywhere, especially in smaller hospitals, which do not have central oxygen lines and use cylinders,’ said Mona Desai, former president of the Ahmedabad Medical Association.

WHAT DO WE KNOW ABOUT THE INDIA VARIANT? 

Real name: B.1.617

When and where was it discovered? The variant was first reported as being of concern by the Indian government in late March. 

The first cases in India appear to date back to October 2020 and it was first detected in Britain in February, 2021. 

It had been detected in 21 countries as of April 19, according to Public Health England’s Sharon Peacock.

How many people in the UK have been infected with it? Matt Hancock revealed there had been 103 cases so far.

But Public Health England’s latest report, published on April 15, says 77. These were detected in England and Scotland.

What mutations does it have? It has 13 mutations that separate it from the original Covid virus that emerged in China – but the two main ones are named E484Q and L452R.

Scientists suspect these two alterations can help it to transmit faster and to get past immune cells made in response to older variants. 

Is it more infectious and can it evade vaccines? 

The L452R mutation is also found on the Californian variant (B.1.429), discovered in December, even though the two evolved independently.

L452R is believed to make the American strain about 20 per cent more infectious. 

The Indian variant’s E484Q mutation is very similar to the one found in the South African and Brazil variants known as E484K, which can help the virus evade antibodies.

The South African variant is thought to make vaccines about 30 per cent less effective at stopping infections, but it’s not clear what effect it has on severe illness.  

Professor Peacock said there was ‘limited’ evidence of E484Q’s effect on immunity and vaccines. 

Lab studies have suggested it may be able to escape some antibodies, but to what degree remains uncertain.

Should we be worried?

Scientists are unsure how transmissible or vaccine-resistant the Indian variant is because the E484Q mutation is new and not well understood.

The fact it appears to have increased infectivity should not pose an immediate threat to the UK’s situation, because the current dominant Kent version appears equally or more transmissible. 

It will take a variant far more infectious strain than that to knock it off the top spot.

However, if the Indian version proves to be effective at slipping past vaccine-gained immunity, then its prevalence could rise in Britain as the immunisation programme squashes the Kent variant. 

The UK currently classes the Indian strain as a ‘Variant Under Investigation’, a tier below the Kent, South African and Brazilian variants. 

Experts studying Britain’s Covid variants said the Indian variant was unlikely to ever take off in the UK because its mutations were ‘not top tier’.

Dr Jeffrey Barrett, director of the Covid-19 Genomics Initiative at the Wellcome Sanger Institute, said it’s still not clear if India’s third wave has been caused by the new variant, or if it emerged at the same time by coincidence. 

His comments have been echoed by PHE’s Professor Peacock, who said today: ”It is not clear at the present time whether B.1.617 is the main driver for the current wave.

‘The question is whether this is associated with the variant, with human behaviour (for example, the presence of large gatherings, and/or lack of preventive measures including hand washing, wearing masks and social distancing) or whether both are contributing.’

How deadly is it?

Again, scientists still don’t know for sure – but they are fairly certain it won’t be more deadly than the current variants in circulation in Britain.  

This is because there is no evolutionary benefit to Covid becoming more deadly. 

The virus’s sole goal is to spread as much as it can, so it needs people to be alive and interacting with others for as long as possible to achieve this. 

And, if other variants are anything to go by, the Indian strain should not be more lethal.

There is still no evidence to show dominant versions like the Kent and South African variants are more deadly than the original Covid strain – even though they are highly transmissible.  

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