COVID in India

Cremating COVID victims in East Delhi 

The New York Times writes about the unfolding pandemic catastrophe in India. There are some similarities with the US, e.g., politicians downplay the death toll, but also some differences, e.g., a new double mutant strain of the virus. The NYT writes:

Fatalities have been overlooked or downplayed, understating the human toll of the country’s outbreak, which accounts for nearly half of all new cases in a global surge.

India’s coronavirus second wave is rapidly sliding into a devastating crisis, with hospitals unbearably full, oxygen supplies running low, desperate people dying in line waiting to see doctors — and mounting evidence that the actual death toll is far higher than officially reported.

Each day, the government reports more than 300,000 new infections, a world record, .... But experts say those numbers, however staggering, represent just a fraction of the real reach of the virus’s spread, which has thrown this country into emergency mode.

The sudden surge in recent weeks, with an insidious newer variant possibly playing a role, is casting increasing doubt on India’s official Covid-19 death toll of nearly 200,000, with more than 2,000 people dying every day.

Interviews from cremation grounds across the country, where the fires never stop, portray an extensive pattern of deaths far exceeding the official figures. Nervous politicians and hospital administrators may be undercounting or overlooking large numbers of dead, analysts say. And grieving families may be hiding Covid connections as well, out of shame, adding to the confusion in this enormous nation of 1.4 billion.

“It’s a complete massacre of data,” said Bhramar Mukherjee, an epidemiologist at the University of Michigan who has been following India closely. “From all the modeling we’ve done, we believe the true number of deaths is two to five times what is being reported.”

At one of the large cremation grounds in Ahmedabad, a city in the western Indian state of Gujarat, bright orange fires light up the night sky, burning 24 hours a day, like an industrial plant that never shuts down. Suresh Bhai, a worker there, said he had never seen such a never-ending assembly line of death.

But he has not been writing down the cause of death as Covid-19 on the thin paper slips that he hands over to the mournful families, even though the number of dead is surging along with the virus.

“Sickness, sickness, sickness,” Mr. Suresh said. “That’s what we write.”

When asked why, he said it was what he had been instructed to do by his bosses, who did not respond to requests for comment.

Doctors worry that the runaway surge is being at least partly driven by the emergence of a virus variant known as the “double mutant,” B.1.617, because it contains genetic mutations found in two other difficult-to-control versions of the coronavirus. One of the mutations is present in the highly contagious variant that ripped through California earlier this year. The other mutation is similar to one found in the South African variant and believed to make the virus more resistant to vaccines.

Still, scientists caution it is too early to know for sure how pernicious the new variant emerging in India really is.

Over 13 days in mid-April, Bhopal officials reported 41 deaths related to Covid-19. But a survey by The New York Times of the city’s main Covid-19 cremation and burial grounds, where bodies were being handled under strict protocols, revealed a total of more than 1,000 deaths during the same period.

“Many deaths are not getting recorded and they are increasing every day,” said Dr. G.C. Gautam, a cardiologist based in Bhopal. He said that officials were doing this because “they don’t want to create panic.”

This virus appears to evolve rapidly. If it turns out that a new mutant that arises anywhere can evade vaccines and is equally or more lethal, the world just might be forced to do another pandemic response all over gain. If a bad combination of mutations arises, that new variant could start a whole new pandemic. An October 2020 estimate of the pandemic cost in the US alone is $16 trillion. All of that would seem to be a very good argument for a more intense global effort to get all people vaccinated as soon as possible.