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A30     world news
                   Diaranson 21 aPriL 2021

                           No place for you': Indian hospitals buckle amid virus surge



                                                                                    creating micro-containment zones to
                                                                                    control outbreaks instead.          Laboratories were unprepared for the
                                                                                                                        steep rise in demand for testing that
                                                                                    New Delhi, the capital, is rushing to  came with the current surge, and ev-
                                                                                    convert  schools  into  hospitals.  Field  eryone was “caught with their pants
                                                                                    hospitals  in  hard-hit  cities  that  had  down,” said A. Velumani, the chair-
                                                                                    been  abandoned  are  being  resusci-  man and managing director of Thy-
                                                                                    tated. India is trying to import oxy-  rocare,  one  of  India's  largest  private
                                                                                    gen and has started to divert oxygen  testing labs. He said the current de-
                                                                                    supplies from industry to the health  mand was three times that of last year.
                                                                                    system.
                                                                                                                        India's  massive  vaccination  drive  is
                                                                                    It remains to be seen whether these  also  struggling.  Several  states  have
                                                                                    frantic  efforts  will  be  enough.  New  flagged shortages, although the feder-
                                                                                    Delhi's government-run Sanjay Gan-  al government has claimed there are
                                                                                    dhi  Hospital  is  increasing  its  beds  enough stocks.
                                                                                    for  COVID-19  patients  from  46  to
                                                                                    160. But R. Meneka, the official co-  India said last week that it would al-
                                                                                    ordinating  the  COVID-19  response  low the use of all COVID-19 shots
                                                                                    at the hospital, said he wasn't sure if  that have been greenlit by the World
                                                                                    the facility had the capacity to provide  Health Organization or regulators in
            (AP)  —  Seema  Gandotra,  sick  tagious  variants,  including  one  first  oxygen to that many beds.       the United States, Europe, Britain or
            with the coronavirus, gasped for  detected  in  India.  More  than  a  year                                 Japan.  On  Monday,  it  said  it  would
            breath  in  an  ambulance  for  10  into  the  pandemic,  global  deaths  The government-run hospital at Bu-  soon expand vaccinations to include
            hours as it tried unsuccessfully to  have passed 3 million and are climb-  rari, an industrial hub in the capitals'  every  adult  in  the  country,  an  esti-
            find an open bed at six hospitals  ing  again,  running  at  nearly  12,000  outskirts,  only  had  oxygen  for  two  mated 900 million people. But with
            in  India's  sprawling  capital.  By  per day on average. At the same time,  days  Monday,  and  found  that  most  vaccines in short global supply, it isn't
            the time she was admitted, it was  vaccination campaigns have seen set-  vendors in the city had run out, said  clear  when  Indian  vaccine  makers
            too late, and the 51-year-old died  backs in many places — and India's  Ramesh Verma, who coordinates the  will have the capacity to meet these
            hours later.                        surge has only exacerbated that: The  COVID-19 response there.          goals.  Indian  vaccine  maker  Bharat
                                                country is a major vaccine producer                                     Biotech said it was scaling up to make
            Rajiv Tiwari, whose oxygen levels be-  but was forced to delay deliveries of  “Every minute, we keep getting hun-  700 million doses each year.
            gan falling after he tested positive for  shots  to  focus  on  its  domestic  de-  dreds of calls for beds,” he said.
            the virus, has the opposite problem:  mand.                                                                 Meanwhile,  Shahid  Malik,  who
            He  identified  an  open  bed,  but  the                                Kamla  Devi,  a  71-year-old  diabetic,  works at a small supplier of oxygen,
            resident of Lucknow in Uttar Pradesh  Bhramar Mukherjee, a biostatistician  was rushed to a hospital in New Del-  said the demand for medical oxygen
            can't get to it. “There is no ambulance  at  the  University  of  Michigan  who  hi when her blood sugar levels fell last  had increased by a factor of 10. His
            to take me to the hospital,” he said.  has  been  tracking  India’s  pandemic,  week. On returning home, her levels  phone has been ringing continuously
                                                said India failed to learn from surges  plummeted again but this time, there  for  two  days.  By  Monday,  the  shop
            Such  tragedies  are  familiar  from  elsewhere and take anticipatory mea-  were  no  beds.  She  died  before  she  still had oxygen but no cylinders.
            surges  in  other  parts  of  the  world  sures.                        could be tested for the virus. “If you
            — but were largely unknown in In-                                       have corona(virus) or if you don't, it  He answered each call with the same
            dia, which was able to prevent a col-  When new infections started dipping  doesn't matter. The hospitals have no  message: “If you have your own cyl-
            lapse  in  its  health  system  last  year  in  September,  authorities  thought  place for you,” said Dharmendra Ku-  inder,  come  pick  up  the  oxygen.  If
            through a harsh lockdown. But now  the worst of the pandemic was over.  mar, her son.                       you don’t, we can’t help you.”
            they are everyday occurrences in the  Health Minister Harsh Vardhan even
            vast country, which is seeing its larg-  declared  in  March  that  the  country
            est surge of the pandemic so far and  had  entered  the  “endgame”  —  but
            watching its chronically underfunded  he was already behind the curve: Av-
            health system crumble.              erage  weekly  cases  in  Maharashtra
                                                state, home to the financial capital of
            Tests  are  delayed.  Medical  oxygen  Mumbai, had tripled in the previous
            is  scarce.  Hospitals  are  understaffed  month.
            and overflowing. Intensive care units
            are full. Nearly all ventilators are in  Mukherjee  was  among  those  who
            use, and the dead are piling up at cre-  had urged authorities to take advan-
            matoriums and graveyards. India re-  tage of cases being low earlier in the
            corded  over  250,000  new  infections  year  to  speed  up  vaccinations.  In-
            and over 1,700 deaths in the past 24  stead,  officials  dithered  in  limiting
            hours alone, and the U.K. announced  huge  gatherings  during  Hindu  fes-
            a travel ban on most visitors from the  tivals  and  refused  to  delay  ongoing
            country this week. Overall, India has  elections in the eastern West Bengal
            reported more than 15 million cases  state,  where  experts  fear  that  large,
            and some 180,000 deaths — and ex-   unmasked crowds at rallies will fuel
            perts say these numbers are likely un-  the spread of the virus.
            dercounted.
                                                Now  India's  two  largest  cities  have
            “The  surge  in  infections  has  come  imposed  strict  lockdowns,  the  pain
            like  a  storm  and  a  big  battle  lies  of which will fall inordinately on the
            ahead,”  Prime  Minister  Narendra  poor.  Many  have  already  left  major
            Modi said in an address to the nation  cities,  fearing  a  repeat  of  last  year,
            Tuesday night.                      when an abrupt lockdown cost mil-
                                                lions  of  migrant  workers  their  jobs
            India's  wave  of  cases  is  contribut-  in cities and forced many to walk to
            ing to a worldwide rise in infections  their home villages or risk starvation.
            as  many  places  experience  deepen-
            ing crises, such as Brazil and France,  In his speech, Prime Minister Modi
            spurred  in  part  by  new,  more  con-  urged  states  to  avoid  lockdowns  by
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