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India reports 366,161 new COVID-19 cases
India's COVID-19 tally rose to 22,662,575 on Monday, as 366,161 new cases were registered across the country in the past 24 hours, said the health ministry.
Besides, as many as 3,754 deaths have taken place in the country since Sunday morning, taking the total death toll to 246,116, added the ministry.
This is the first time after four consecutive days when the number of cases fell below 400,000 in 24 hours, and first time after two consecutive days when the number of deaths in a day fell below the 4,000-mark.
Also Read:As cases grow, India’s vaccination campaign falters
There are still 3,745,237 active cases in the country, with an increase of 8,589 active cases through Sunday. A total of 18,671,222 people have been cured and discharged from hospitals so far across the country.
The COVID-19 figures continue to peak in the country, as the federal government has ruled out a complete lockdown to contain the worsening situation though some states have imposed night curfews or partial lockdowns.
Delhi has been put under a third successive lockdown till May 17. Some school exams have been cancelled or postponed in the wake of COVID-19 situation.
The number of daily active cases has been on the rise over the past few weeks. In January the number of daily cases in the country had come down to below-10,000.
Over 170 million vaccination doses (170,176,603) have been administered across the country since India kicked off a nationwide vaccination drive on Jan. 16.
Also Read:India's surge hits southern states, prompts more lockdowns
Online registration began last Wednesday for vaccinating people aged above 18. This is the third phase of COVID-19 vaccination, which began on May 1.
Meanwhile, the Indian government has ramped up COVID-19 testing facilities across the country, as over 303 million tests have been conducted so far.
As many as 303,750,077 tests have been conducted till Sunday, out of which 1,474,606 tests were conducted on Sunday alone, said the latest data issued by the Indian Council of Medical Research (ICMR) on Monday.
As cases grow, India’s vaccination campaign falters
Since India opened vaccinations to all adults this month, hoping to tame a disastrous coronavirus surge sweeping across the country, the pace of administering the shots has dropped with states saying they only have limited stock to give out.
Cases meanwhile are still rising at record pace in the world’s second-most populous nation. Alongside a slowdown in vaccination, states have gone to court over oxygen shortages as hospitals struggle to treat a running line of COVID-19 patients.
On Sunday, India reported 403,738 confirmed cases, including 4,092 deaths. Overall, India has over 22 million confirmed infections and 240,000 deaths. Experts say both figures are undercounts.
India’s Supreme Court said Saturday it would set up a national task force consisting of top experts and doctors to conduct an “oxygen audit” to determine whether supplies from the federal government were reaching states.
Also Read: India's disaster hangs over countries facing COVID-19 surges
Complaints of oxygen shortages have dominated the top court recently, which stepped in earlier this week to make sure the federal government provided more medical oxygen to hospitals in capital New Delhi.
The country’s massive vaccination drive kicked off sluggishly in January when cases were low and exports of vaccines were high, with 64 million doses going overseas. But as infections started to rise in March and April, India’s exports drastically slowed down so doses went to its own population, reaching daily record highs. So far, around 10% of India’s population have received one shot while just under 2.5% have got both.
At its peak in early April, India was administering a record high of 3.5 million shots a day on average. But this number has consistently shrunk since, reaching an average of 1.3 million shots a day over the past week. Between April 6 and May 6, daily doses have dropped by 38%, even as cases have tripled and deaths have jumped sixfold, according to Bhramar Mukherjee, a biostatistician at the University of Michigan who has been tracking India’s epidemic.
One reason for the drop in shots is that there are just not enough available, experts say. Currently, India’s two vaccine makers produce an estimated 70 million doses each month of the two approved shots — AstraZeneca, made by the Serum Institute of India, and another by Bharat Biotech.
Vaccine supply has remained nearly the same throughout, but the target population eligible has increased by threefold, said Chandrakant Lahariya, a health policy expert. “In the beginning, India had far more assured supply available than the demand, but now the situation has reversed,” he added.
In Kerala state, the drive to inoculate all adults is crawling along because “our single biggest problem is the very slow arrival of supplies,” said the state’s COVID-19 officer, Amar Fetle.
Also Read: India's virus surge pressures Modi to impose strict lockdown
In New Delhi, many are waiting for hours outside vaccination centers - but only after they’ve been able to book a slot.
For Gurmukh Singh, a marketing professional in the city, this has been impossible. “It gets really frustrating, having so many hospitals and vaccine centers around but not being able to get access because they are all pre-booked,” he said.
Experts also point to a new policy change by the government, which has upended how doses are being distributed.
Previously, all of the stock was bought by the federal government and then administered to the population through both public and private health facilities.
But from May 1, all available stock has been divided into two, with 50% purchased by the government going to public health centers to inoculate those above 45. The remaining half is being purchased by states and the private sector directly from manufacturers at set prices to give adults below 45.
This has led to lags as states and private hospitals, still adjusting to new rules, struggle to procure supplies on their own.
“You have now taken it out of a fairly efficient system where every dose was still centrally-controlled,” said Jacob John, a professor of community medicine at Christian Medical College, Vellore. “But with market forces at play and unprepared states burdened with such a daunting task, the efficiency of the system has fallen.”
Also Read: India's govt eases hospital oxygen shortage as demand jumps
Things could change in the coming months as the government last month gave an advance to Serum Institute of India and Bharat Biotech, which could help boost manufacturing. And last week, India received its first batch of Sputnik V vaccines. Russia has signed a deal with an Indian pharmaceutical company to distribute 125 million doses.
But with vaccines currently in short supply, there are worries that those most in need are missing out. The goal should be to prioritize preventing deaths, which means fully vaccinating the elderly and vulnerable first, said Dr. Gagandeep Kang, a microbiologist at Christian Medical College, Vellore.
“You need to give it (earlier) to people who are more likely to die first,” Kang said.
Death toll soars to 50 in school bombing in Afghan capital
The death toll in a horrific bombing at a girls’ school in the Afghan capital has soared to 50, many of them pupils between 11 and 15 years old, the Interior Ministry said Sunday.
The number of wounded in Saturday’s attack has also climbed to more than 100, said Interior Ministry spokesman Tariq Arian.
Three explosions outside the school entrance struck as students were leaving for the day, he said. The blasts occurred in a mostly Shiite neighborhood in the west of the capital. The Taliban denied responsibility, condemning the attack.
Also Read:Bomb kills at least 30 near girls’ school in Afghan capital
The first explosion came from a vehicle packed with explosives, followed by two others, said Arian, adding that the casualty figures could still rise.
In the capital rattled by relentless bombings, Saturday’s attack was among the worst. Criticism has mounted over lack of security and growing fears of even more violence as the U.S. and NATO complete their final military withdrawal from Afghanistan.
The attack targeted Afghanistan’s ethnic Hazaras who dominate the western Dasht-e-Barchi neighborhood, where the bombings occurred. Most Hazaras are Shiite Muslims
The area has been hit by violence against minority Shiites and most often claimed by the Islamic State affiliate operating in the country. No one has yet claimed Saturday’s bombings.
Bomb kills at least 30 near girls’ school in Afghan capital
A bomb exploded near a girls’ school in a majority Shiite district of west Kabul on Saturday, killing at least 30 people, many of them young pupils between 11 and 15 years old. The Taliban condemned the attack and denied any responsibility.
Ambulances evacuated the wounded as relatives and residents screamed at authorities near the scene of the blast at Syed Al-Shahda school, in the Dasht-e-Barchi neighborhood, Interior Ministry spokesman Tariq Arian said. The death toll was expected to rise further.
The bombing, apparently aimed to cause maximum civilian carnage, adds to fears that violence in the war-wrecked country could escalate as the U.S. and NATO end nearly 20 years of military engagement.
Residents in the area said the explosion was deafening. One, Naser Rahimi, told The Associated Press he heard three separate explosions, although there was no official confirmation of multiple blasts. Rahimi also said he believed that the sheer power of the explosion meant the death toll would almost certainly climb.
Rahimi said the explosion went off as the girls were streaming out of the school at around 4:30 p.m. local time. Authorities were investigating the attack but have yet to confirm any details.
One of the students fleeing the school recalled the attack. the screaming of the girls, the blood.
“I was with my classmate, we were leaving the school, when suddenly an explosion happened, “ said 15-year-old Zahra, whose arm had been broken by a piece of shrapnel.
“Ten minutes later there was another explosion and just a couple of minutes later another explosion,” she said. “Everyone was yelling and there was blood everywhere, and I couldn’t see anything clearly.” Her friend died.
While no one has claimed responsibility for the bombing, the Afghan Islamic State affiliate has targeted the Shiite neighborhood before.
The radical Sunni Muslim group has declared war on Afghanistan’s minority Shiite Muslims. Washington blamed IS for a vicious attack last year in a maternity hospital in the same area that killed pregnant women and newborn babies.
In Dasht-e-Barchi, angry crowds attacked the ambulances and even beat health workers as they tried to evacuate the wounded, Health Ministry spokesman Ghulam Dastigar Nazari said. He implored residents to cooperate and allow ambulances free access to the site.
Images circulating on social media purportedly showed bloodied school backpacks and books strewn across the street in front if the school, and smoke rising above the neighborhood.
At one nearby hospital, Associated Press journalists saw at least 20 dead bodies lined up in hallways and rooms, with dozens of wounded people and families of victims pressing through the facility.
Outside the Muhammad Ali Jinnah Hospital, dozens of people lined up to donate blood, while family members checked casualty posted lists on the walls.
Both Arian and Nazari said that at least 50 people were also wounded, and that the casualty toll could rise. The attack occurred just as the fasting day came to an end.
No one immediately claimed responsibility for the attack, and Taliban spokesman Zabihullah Mujahid told reporters in a message that only the Islamic State group could be responsible for such a heinous crime. Mujahid also accused Afghanistan’s intelligence agency of being complicit with IS, although he offered no evidence.
The Taliban and the Afghan government have traded accusations over a series of targeted killings of civil society workers, journalists and Afghan professionals. While IS has taken responsibility for some of those killings, many have gone unclaimed.
Afghan President Ashraf Ghani issued a statement condemning the attack, blaming the Taliban even as they denied it. He offered no proof.
IS has previously claimed attacks against minority Shiites in the same area, last year claiming two brutal attacks on education facilities that killed 50 people, most of them students.
Even as the IS has been degraded in Afghanistan, according to government and US officials, it has stepped-up its attacks particularly against Shiite Muslims and women workers.
Earlier the group took responsibility for the targeted killing of three women media personnel in eastern Afghanistan.
The attack comes days after the remaining 2,500 to 3,500 American troops officially began leaving the country. They will be out by Sept. 11 at the latest. The pullout comes amid a resurgent Taliban, who control or hold sway over half of Afghanistan.
The top U.S. military officer said Sunday that Afghan government forces face an uncertain future and possibly some “bad possible outcomes” against Taliban insurgents as the withdrawal accelerates in the coming weeks.
Supreme Court steps in to resolve India's oxygen crisis
The inability of Prime Minister Narendra Modi's government to stem the severe medical oxygen crisis in India has forced the country's top court to apparently step into the shoes of the executive.
The Supreme Court on Saturday set up a 12-member National Task Force to assess the availability of oxygen across India and help resolve the crisis at the earliest amid a huge surge in Covid-19 cases in the country.
"The rationale for constituting a Task Force at a national level is to facilitate public health response to the pandemic based on scientific and specialised domain knowledge. We expect leading experts in the country shall associate with the Task Force, as members and resource persons," the court said.
Also read: India's surge hits southern states, prompts more lockdowns
"This will facilitate a meeting of minds and the formulation of scientific strategies to deal with an unprecedented human crisis," a two-judge bench said.
In fact, several hospitals in India are currently facing an acute shortage of oxygen as the country witnesses a ferocious second wave of Covid. In the past one month, at least 100 patients have died at different hospitals in the country due to an acute shortage of oxygen.
Last week, 24 patients on life support lost their lives at a government medical facility in the southern state of Karnataka after it allegedly ran out of the life-saving gas.
Also read: 24 die in southern India hospital due to oxygen shortage The deaths occurred at the general hospital in Karnataka's Chamarajanagar district, some 200km from state capital Bengaluru. Officials had said that several Covid patients on life support were among the deceased at the hospital.
On May 1, some 12 people, including a Covid-positive doctor, lost their lives at Batra Hospital in the national capital after it ran out of the life-saving gas.
"Supply came at 1.30pm (a second tanker reached at around 4pm). But we were out of oxygen for 1 hour and 20 mins. By the time supplies came, 12 people, including a doctor, were dead. Most of them were Covid patients on life support," the hospital had said in a statement.
Also read: 12 die as Delhi hospital runs out of oxygen
On April 24, Jaipur Golden Hospital, a dedicated Covid medical facility in Delhi, announced the death of 25 Covid patients in 24 hours due to "low-supply oxygen" to critical patients on ventilator.
And a day before, another leading hospital in Delhi also said in a statement that 25 patients lost their lives in 24 hours due to an acute shortage of oxygen. "25 sickest patients have died in the last 24 hours. Oxygen will last another two hours. Major crisis likely. Lives of 60 sickest patients at risk, need urgent intervention," Sir Ganga Ram Hospital had said.
It may also be mentioned here that as many as 24 Covid patients on ventilator at a government hospital in the western state of Maharashtra had earlier died after their oxygen supply ran out following leakage of the life-supporting gas from a tanker. The tanker was brought to Zakir Hussain Municipal Hospital in Nashik district to replenish the cylinders.
South Korea, US discuss joint responses to falling Chinese rocket debris
South Korea and the United States on Friday discussed ways to jointly respond to remnants of a Chinese rocket expected to crash into Earth this weekend, the Air Force said.
According to Yonhap news agency, the Long March 5B rocket was launched last week carrying a module of China's first permanent space station into orbit. But a large piece of debris is expected to plunge back in an uncontrolled re-entry on around Saturday (U.S. time), according to the U.S. Space Command.
To explore ways to jointly deal with the case, South Korea's Air Force and the US-led Combined Space Operations Centre (CSPOC) held a video conference and shared their surveillance data and analysis.
The conference was also attended by military members from Germany and Japan, according to the Air Force
"We cannot completely rule out the possibility of rocket pieces falling onto the Korean Peninsula," Lt Col Choi Seong Hwan of the Korea Space Operations Centre said.
"We maintain a staunch readiness by maximising our space surveillance capabilities and working closely with the SpoC and other related agencies to be fully prepared for any scenarios," he added.
The US command said that the rocket's exact point of descent cannot be pinpointed until within hours of its re-entry." Experts said debris would fall into the sea but they might reach populated areas.
Doctors in Nepal warn of major crisis as virus cases surge
Across the border from a devastating surge in India, doctors in Nepal warned Friday of a major crisis as daily coronavirus cases hit a record and hospitals were running out of beds and oxygen.
Nepal reported 9,070 new confirmed cases on Thursday, compared to 298 a month ago. The number of fatalities also reached its highest with 58 on Wednesday and 54 on Thursday, for a total of 3,529.
“Right now there are no beds available today in any hospital that is treating COVID patients,” said Dr. Jyotindra Sharma, chief of Hospital for Advanced Medicine & Surgery in Kathmandu. “Even if any beds were made available, there is a huge scarcity of oxygen and we are not at the peak of this crisis.”
At the hospital, one of the leading facilities in Nepal for treating COVID-19 patients, extra beds were crammed to accommodate more people. They’ve all been taken and the only way to get admitted is through a waiting list.
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“In the extreme situation, people could be dying in the streets,” Sharma said, adding it’s “just not possible to immediately increase the capacity of the hospitals.”
At the government-run Tribhuvan University Teaching Hospital, several COVID-19 patients were lying in beds set up on the veranda and hooked to oxygen cylinder. They’re the lucky ones. Others were turned away because there’s not enough space or equipment.
“We are under-prepared, under-resourced, and under-capacitated to perform any thing that is expected,” said Dr. Bishal Dhakal, who has been working with coronavirus patients since the beginning of the pandemic.
A lockdown was imposed last month in major cities and towns, and Nepal this week stopped both domestic and international flights.
The government has pledged several times to increase the number of hospital beds and boost the treatment and preventive measures. However, there has not been any significant change.
Nepal began its vaccination campaign in January with 1 million doses of the AstraZeneca shots donated by India, but it had been suspended because of India’s refusal to allow exports as its crisis worsened.
The vaccination resumed when China donated 800,000 doses, and Nepal is negotiating with Russia for supplies of the Sputnik V shots.
Packed trains, drinking: Japanese impatient over virus steps
Trains packed with commuters returning to work after a weeklong national holiday. Frustrated young people drinking in the streets because bars are closed. Protests planned over a possible visit by the Olympics chief.
As the coronavirus spreads in Japan ahead of the Tokyo Olympics starting in 11 weeks, one of the world’s least vaccinated nations is showing signs of strain, both societal and political.
The government — desperate to show a worried public it is in control of virus efforts even as it pushes a massive sporting event that a growing number of Japanese oppose hosting in a pandemic — on Friday announced a decision to expand and extend a state of emergency in Tokyo and other areas through May 31.
For Prime Minister Yoshihide Suga, the emergency declaration is both a health measure and a political tightrope walk as domestic criticism rises of Japan’s seeming determination to hold the Olympics at any cost.
“I understand there are concerns about hosting the Olympics,” Suga said. He said foreign athletes and other participants will be strictly separated from the Japanese public and that “it is possible to hold a safe and secure Olympics while protecting the people’s lives and health.”
Suga said a donation of vaccines by Pfizer Inc. to the International Olympic Committee for athletes will be “a big contribution” to a safe games.
A speculated mid-May visit by International Olympic Committee President Thomas Bach has become “extremely difficult” because of the extension of the emergency, Japanese organizing chief Seiko Hashimoto said at a news conference Friday.
The government has also been criticized over its snail-paced vaccination rollout, which has fully covered less than 1% of the population since inoculations began in mid-February.
Suga pledged on Friday to speed up inoculations so all 36 million elderly Japanese can be fully vaccinated by the end of July. He set a daily target of 1 million shots, more than 20 times the current daily average, but did not explain how that would be possible amid a dire shortage of medical workers who can give vaccinations.
Japan has avoided implementing a hard lockdown to curb infections, and past states of emergency have had little teeth, with people and businesses free to ignore the provisions. These measures have since been toughened, but they come as citizens show increased impatience and less desire to cooperate, making it possible that the emergency declaration will be less effective.
The current state of emergency in Tokyo and Osaka, Kyoto and Hyogo prefectures in the west was scheduled to end Tuesday. Suga said his government has decided to extend it in those areas and expand it to Aichi in central Japan and Fukuoka in the south.
On Friday, two days after “Golden Week” holiday makers returned to their daily routine, Tokyo logged 907 new cases of coronavirus infections, up sharply from 635 when the state of emergency began in the capital last month, but far above the target of 100 that some experts recommend.
Officials and experts say significantly fewer people may have been tested for the virus during the holiday, when many testing centers and hospitals were closed, and caution the numbers during and right after the holiday period may not reflect reality.
During the holidays, significantly more people than last year were seen at tourist spots in Kyoto and Nara despite stay-at-home requests. With drinking places closed, younger people carrying canned beer and snacks gathered in parks and streets in downtown Tokyo. When the holiday ended, many defied requests for remote work and returned to their offices on packed trains.
The extension deepens uncertainties over a speculated May 17 visit by International Olympics Committee President Thomas Bach, and whether Japan can safely host the Olympics postponed from last year and currently scheduled for July 23-Aug. 8.
Despite criticism for being slow to take virus measures, Suga has been reluctant to hurt the already pandemic-damaged economy and pledged to keep the state of emergency “short and intensive,” though experts said just over two weeks would be too short to effectively slow the infections and even the extension may be insufficient.
Dr. Shigeru Omi, head of a government taskforce, cautioned officials Friday that a hasty lifting of the emergency would only invite an immediate resurgence.
The ongoing emergency is Japan’s third and came only a month after an earlier measure ended in the Tokyo area.
Less stringent, quasi-emergency measures will be expanded to eight prefectures from the current six, where bars and restaurants are required to close early.
Japan has had about 621,000 cases including about 10,600 deaths since the pandemic began.
Medical systems in hardest-hit Osaka have been under severe pressure from a COVID-19 outbreak there that is hampering ordinary health care, experts say. A number of patients died at home recently after their conditions worsened while waiting for vacancies at hospitals.
Past emergency measures authorized only non-mandatory requests. The government in February toughened a law on anti-virus measures to allow authorities to issue binding orders for nonessential businesses to shorten their hours or close, in exchange for compensation for those who comply and penalties for violators.
Shutdown requirements will be eased somewhat. Bars, karaoke studios and most other entertainment facilities will be required to remain closed until the end of May, but department stores will be able to operate for shorter hours and stadiums and concert halls will be allowed to have up to 5,000 people or half their capacity.
Wearing masks, staying home and other measures for the general public remain non-mandatory requests.
India's disaster hangs over countries facing COVID-19 surges
Countries worldwide wrestling with new coronavirus surges are trying to ensure they aren’t hit by an India-style disaster. They face many of the same risks, including large populations that have shirked restrictions and fragile health systems shaken under the strain.
In a province along the Nile in southern Egypt, hospitals have been flooded with COVID-19 patients, a main hot spot in a third spike swelling across the country. Doctors in Sohag province warn the health system there could collapse, even as the government rushes in new supplies.
“My estimate is that there is no family in Sohag that does not have a corona case,” said Dr. Mahmoud Fahmy Mansour, head of the province’s doctors’ union. “We lost five physicians in one week.”
He said a scenario like India was a possibility, but “God willing, it is a very far possibility.”
Long reluctant to impose new lockdowns, Egypt’s government announced its strictest restrictions in months on Wednesday. It ordered cafés, restaurants, stores and malls to close at 9 p.m. and banned large gatherings for two weeks, as well as shutting down beaches and parks during the upcoming Eid el-Fitr holiday at the end of the holy month of Ramadan.
Also read: India's govt eases hospital oxygen shortage as demand jumps
Egypt isn’t alone in seeing mounting new infections. Worldwide, more cases have been reported in the past two weeks than in the entire first six months of the pandemic, World Health Organization director general Tedros Adhanom said.
India and Brazil accounted for a large part of that, “but there are many other countries all over the world that face a very fragile situation,” he said. “What is happening in India and Brazil could happen elsewhere unless we all take these public health precautions.”
India has been hit by a catastrophic surge of COVID-19 infections after its prime minister boasted of vanquishing the pandemic and following multiple massive crowding events. New cases and deaths skyrocketed nearly 30-fold during March and April. The health system has been overwhelmed, leaving patients desperate for oxygen and other supplies.
Wealthier nations, as they immunize more of their populations, are finding room to open up. But countries where vaccination has been slow or minimal face grimmer prospects. They must grapple with whether to lock down to thwart new surges and risk damaging their economies — all with the possibility of an India-style tragedy looming.
In Turkey, new cases surged nearly six-fold from the beginning of March, reaching a peak of more than 60,000 a day. The government imposed a three-week national lockdown on April 29 but exempted many sectors, allowing millions to keep going to work.
Numbers have fallen, but medical experts are calling for a 28-day full closure of all non-essential services, while only some 10 million of its more than 80 million people have been fully vaccinated.
“These restrictions were not the restrictions we called for,” said Vedat Bulut, secretary-general of the independent Turkish Medical Association.
In Egypt, average daily new cases have doubled since early February to just over 1,000 a day and continue to rise, compared to earlier peaks of 1,400 to 1,600 a day last summer and in December, according to official numbers.
The scope of the pandemic has been difficult to judge in the country of 100 million, most of whom live in densely packed cities along the Nile. Official figures report 234,015 cases, including 13,714 dead — considered a significant undercount like elsewhere in the world.
In Sohag province, health workers have grown desperate. One doctor who chairs a major hospital there said the real figures are likely 10 times the Health Ministry rate of 400-450 new cases a week.
“The ministry is like an ostrich burying its head in the sand,” he said, speaking on condition of anonymity for fear of reprisals.
Mustafa Salem, a Sohag lawmaker, said he has received dozens of calls from people desperate to find ventilators or intensive care unit beds.
When Ismail Abdallah fell ill last month, his family rushed him to a clinic, where without being tested he was told it was pneumonia.
Also read: India receives 10,000 vials of Remdisivir from Bangladesh
Two days later, the 50-year-old farmer and father of seven had trouble breathing. At the hospital, he was confirmed with COVID-19, and his family scrambled to find a bed in packed ICUs.
“There were no available beds in the free ward,” said a relative, Amr Mahrous. “We struggled to find a bed in the paid ward.”
After two weeks in isolation at a hospital, Abdullah died last week.
The Health Ministry has beefed up facilities in the province, sending oxygen generators and ventilators and increasing the number of ICUs. It deployed more physicians and doubled medical teams to follow up with those isolated at home. Two vaccination centers have been set up and more are planned, and 100 teams mobilized to raise awareness.
The Health Ministry listed Sohag among five hot spots in the country —- including Cairo, a metropolis of some 20 million people.
Health officials attribute the new spike to widespread ignoring of precautions. Throughout Egypt, mask wearing and social distancing are rare. Some cafes still serve waterpipes, shared among customers, despite government bans. Wedding parties and funerals still take place, and people crowd into marketplaces.
In Islamic Cairo, the capital’s historic center, families go to communal prayers during the holy month of Ramadan. Tens of thousands gather at night in the bazaar’s narrow streets, shopping or sitting in cafes. Few wear face masks.
Hajah Fatima, 57, came from the southern province of Beni Sueif with her family and had “iftar,” the meal ending the daytime fast, in a café next to the revered Al-Hussein Shrine.
“It’s a custom,” she said. “Corona? Nothing will happen to us except what God has decreed.”
So far, more than 1 million people, or just 1% of Egypt’s population, have been vaccinated, Prime Minister Mustafa Madbouly said Wednesday.
In the crowded Palestinian enclave of the Gaza Strip, home to 2 million people, cases have risen swiftly. In March and April, infection rates surpassed 1,000 a day — the number Gaza previously recorded weekly. Daily deaths have doubled to a high of 20. The virus has killed more than 900 Gazans and sickened over 102,000, more than half of them this year.
“Hospitals are struggling to cope,” the international aid group Doctors Without Borders warned this week.
The territory’s Hamas rulers closed mosques and restaurants and imposed a nighttime curfew at the beginning of Ramadan to slow the outbreak. But it decided to lift those restrictions for the final 10 days of the holy month, alarming health officials.
“We are concerned by the large-scale easing of the measures,” said Rami Abadllah, head of epidemiology at the Health Ministry.
Amid concerns over India, Kenya, which is coming down from a recent peak, halted flights with the country for two weeks, while Nigeria suspended flights with India, Brazil and Turkey, fearing new virus strains could come in as it tries to bring down cases, particularly in Lagos, home to some 20 million people.
In South Africa, with by far the largest number of COVID-19 cases and deaths in Africa, officials warn of a new surge as the Southern Hemisphere’s winter approaches.
Pakistan is in the midst of a third wave, with single-day fatalities hitting their highest of the entire pandemic on April 28, with 201 deaths.
Health officials added hundreds more hospital beds. Oxygen production had already been nearly doubled to 800 tons a day compared to last year. Still, at the surge’s peak in recent weeks, it was using 90% of that production.
New cases have eased slightly this week from a running average of around 6,000 a day.
“Thank God, we have so far managed to cope with this huge increase because of proactively building capacity of the entire system,” Planning and Development Minister Asad Umar said.
Also read: On the ground and afar, diaspora boosts India’s virus fight
But he warned the country of more than 200 million could face an India-level disaster unless people adhere to precautions that have been widely ignored. The government has rejected calls for a lockdown but warns that could change.
“Be careful. For yourself, and your loved ones,” he said in a tweet.
India's virus surge pressures Modi to impose strict lockdown
With coronavirus cases still surging to record levels, Indian Prime Minister Narendra Modi is facing growing pressure to impose a harsh nationwide lockdown amid a debate whether restrictions imposed by individual states are enough.
Many medical experts, opposition leaders and some of the Supreme Court judges have suggested the lockdown seems to be the only option with the virus raging in cities and towns, where hospitals are forced to turn patients away while relatives scramble to find oxygen. Crematoriums and burial grounds are struggling to handle the dead.
On Friday, India recorded a new record of 414,188 confirmed cases in the past 24 hours, Its tally has risen to more than 21.4 million since the pandemic began with faint hopes of the curve going down quickly. The Health Ministry also reported 3,915 additional deaths, bringing the total to 234,083. Experts believe both figures are an undercount.
The official daily death count has stayed over 3,000 for the past 10 days.
Over the past month, nearly a dozen out of India’s 28 federal states have announced less stringent restrictions than the nationwide lockdown imposed for two months in March last year.
Also read: India's govt eases hospital oxygen shortage as demand jumps
Modi, who held consultations with top elected leaders and officials of the worst-hit states on Thursday, has so far left the responsibility for fighting the virus to poorly equipped state governments.
Dr. Randeep Guleria, a government health expert, said a complete, aggressive lockdown is needed in India just like last year, especially in areas where more than 10% of those tested have contracted COVID-19.
Srinath Reddy, president of the Public Health Foundation of India, a public-private consultancy, acknowledged that different states were experiencing different intensities of the epidemic, but said a “coordinated countrywide strategy” was still needed.
According to Reddy, decisions need to be based on local conditions but should be closely coordinated by the center. “Like an orchestra which plays the same sheet music but with different instruments,” he said.
Anthony Fauci, President Joe Biden’s chief medical adviser, also suggested that a complete shutdown in India may be needed two to four weeks to help ease the surge of infections.
“As soon as the cases start coming down, you can vaccinate more people and get ahead of the trajectory of the outbreak of the pandemic,” Fauci said in an interview with the Indian television CNN News18 news channel on Thursday. He did not provide specifics of what a shutdown should entail.
Also read: India receives 10,000 vials of Remdisivir from Bangladesh
He said it appears there are at least two types of virus variants circulating in India. He said B117, which is the U.K. variant, tends to be concentrated in New Delhi and that the 617 variant is concentrated in the worst-hit western Maharashtra state.
“Both of those have increasing capability of transmitting better and more efficiently than the original Wuhan strain a year ago,” Fauci said.
Modi imposed a two-month stringent lockdown last year on four hours’ notice. It stranded tens of millions of migrant workers who were left jobless and fled to villages with many dying along the way. Experts say the decision helped contain the virus and bought time for the government.
India’s economy contracted by 23% in April-June quarter last year and showed recovery as the restrictions were eased. The International Monetary Fund’s projection of 12.5% growth in 2021-22 financial year, beginning April, is expected to suffer again with the surge in infections.
Modi’s policy of selected lockdowns is being supported by some experts, including Vineeta Bal, a scientist at the National Institute of Immunology. She said different states have different needs, and local particularities need to be taken into account for any policy to work.
In most instances, in places where health infrastructure and expertise are good, localized restrictions at the level of a state, or even a district, are a better way to curb the spread of infections, said Bal. “A centrally mandated lockdown will just be inappropriate,” she said.
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Dr. Yogesh Jain Ganiyari of the Peoples Health Support Group, a low-cost public health program in the central state of Chhattisgarh, said that scientifically, lockdowns are the most effective way of curbing infections.
“But we don’t live in a lab. We need to take into account the humanitarian aspect,” said Ganiyari. “Those who look at lockdowns just as disease control mechanisms are heartless. You have to think about the people.”