West sends plane-loads of medical aid to Covid-stricken India as morgues run out of stretchers amid 2,800 deaths a day, patients roam the streets in search of a hospital bed and bodies fall from overloaded ambulances

  • Overnight, India recorded 2,812. New infections in last 24-hours rose to 352,991 - another new global record
  • In Delhi alone, between April 19 and 24, 1,777 people died - a rate of one Covid-19 death every five minutes 
  • However, health experts say the death toll is likely far higher, with figures believed to be under-reported
  • On Sunday, Prime Minister Narendra Modi urged all citizens to get vaccinated and exercise cautionWestern countries are sending plane-loads of medical aid to India as the country's healthcare system collapses under a devastating second wave of coronavirus that is killing more than 2,800 people a day in the nation that is home to 1.3 billion people.

    Daily Covid-19 deaths hit a record peak of 2,812 on Monday as morgues ran out of stretchers forcing medical workers to use blankets to transport corpses, and relatives of coronavirus patients are wandering the streets of the capital in search of a hospital with available beds.

    Trees from parks in the worst-hit areas including Delhi and Bengaluru are set to be chopped down and used to burn bodies because crematoriums are unable to keep up with demand.

    And Indian social media videos have depicted other hellish scenes including a body falling from an overloaded ambulance, a son abandoning his Covid-stricken mother on the street, and healthcare workers dragging a body along the ground in a sheet because they don't have access to a stretcher.

    Meanwhile, oxygen is in short supply as countries including Britain, Germany and the United States have pledged to send urgent medical aid to help battle the second deadly wave 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 and a new global high for a fifth day running. In Delhi alone, 1,777 people died between April 19 and April 24 - a rate of over 12 deaths an hour, or one death every five minutes.

    Experts say the second wave will peak in May at up to 500,000 cases a day, meaning around 5,000 people could die every day at the current case fatality ratio of 1.14 percent.

    On Sunday, Prime Minister Narendra Modi urged all citizens to get vaccinated and said India had been hit by a Covid 'storm', weeks after boasting that the country had defeated Covid, while hospitals and doctors have put out urgent notices saying they are unable to cope with the rush of patients.

    Nearly all intensive care unit (ICU) beds used to treat Covid patients in three of India's most populated regions - Delhi, Mumbai and Ahmedabad - are full, meaning they are being forced to run away patients, leaving families to ferry people sick with coronavirus from hospital to hospital in search for treatment and patients dying on pavements outside.

    '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.

    News of the devastating situation in India comes as: 

    • Experts say that as India registered record daily-deaths, the true toll is likely even higher than official count 
    • Families in India have criticised authorities over treatment of their loved ones, either in hospital or deceased
    • Viral video from the country has shown body being dragged down the road by health workers to be cremated
    • Another showed a body calling out of an old ambulance as it was being transported to a crematorium 
    • Elsewhere, police brought charges against a man who left his covid-stricken mother to die on the roadside
    • India's Prime Minister Narendra Modi is facing mountain criticism as cases continue to spiral out of control
    • While some have blamed the second wave on the spread of a new 'double mutant' variant, experts have pointed to the premature relaxation of measures, large religious gatherings and crowded election rallies
    • On Saturday, Twitter complied with the government's request and prevented people in India from viewing more than 50 tweets that appeared to criticise the administration's handling of the pandemic
    • Lawmakers and human rights activists came out against the action, saying authorities were stifling dissent 
    • The southern Indian state of Karnataka, home to technology and outsourcing hub Bengaluru, also announced that it will impose a lockdown for 14 days starting from the evening of April 27 to contain virus outbreak
    • Neighbouring Bangladesh sealed its border with India for 14 days, its foreign ministry said on Monday 
    • Several cities have ordered curfews, while police have been deployed to enforce social distancing and masks
    Scenes from hell: Three healthcare workers in the eastern state of Bihar drag a body along the ground on its way to cremation, as the country faces a shortage of stretchers to carry the bodies of coronavirus victims. 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

    Scenes from hell: Three healthcare workers in the eastern state of Bihar drag a body along the ground on its way to cremation, as the country faces a shortage of stretchers to carry the bodies of coronavirus victims. 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

    In another video shared widely online, the body of a coronavirus victim was seen falling from an old ambulance drafted in to help with the crisis on Friday when it was being carried to a crematorium in Vidisha district of Madhya Pradesh. The body fell out the side-door of the ambulance as it turned a corner sharply. It wasn't clear how many bodies the vehicle was carrying

    In another video shared widely online, the body of a coronavirus victim was seen falling from an old ambulance drafted in to help with the crisis on Friday when it was being carried to a crematorium in Vidisha district of Madhya Pradesh. The body fell out the side-door of the ambulance as it turned a corner sharply. It wasn't clear how many bodies the vehicle was carrying

    Pictured: The body of a woman abandoned by her son in Kanpur. Police have said the man allegedly dumped his mother's body on the roadside after she tested positive for coronavirus

    Pictured: The body of a woman abandoned by her son in Kanpur. Police have said the man allegedly dumped his mother's body on the roadside after she tested positive for coronavirusPictured: 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

    Twitter removes 50 tweets critical of India's pandemic response 

    Twitter has been criticised for the removal of dozens of tweets seen to be critical of the Indian government's handling of the coronavirus pandemic is putting people's health at risk and quashing dissent.

    Lawmakers and human rights activists blasted the social media company on Monday after it withheld some tweets after a legal request by the Indian government,

    These included tweets from a lawmaker, a minister in the state of West Bengal, and a filmmaker.

    'Suppression of information and criticism of government is not only dangerous for India but it is putting people around the world at risk,' said Mirza Saaib Beg, a lawyer whose tweets were among those withheld.

    'Freedom of inquiry is an intrinsic part of freedom of speech and expression. These restrictions are further reflective of the weakening of all institutional spaces in India,' said Beg, who is studying at Britain's University of Oxford.

    India's ministry for information technology did not respond to a request for comment.

    The country's new coronavirus infections hit a record peak for a fifth day on Monday, rising to about 353,000 cases.

    There is mounting criticism that Prime Minister Narendra Modi's government and state authorities let their guard down earlier this year, allowing big religious and political gatherings to take place when cases fell to below 10,000 a day.

    'Questioning the government of India's decision to allow mass gatherings ... where people from all across the country gathered and violated COVID safety protocols ... cannot be called to be violating any laws of the country,' said Pawan Khera, a spokesman for the opposition Congress party, whose tweets were also withheld.

    The law cited in the government's Twitter request is the Information Technology Act, 2000, which allows authorities to order blocking of public access to information to protect 'sovereignty and integrity of India' and maintain public order.

    Requests from the government are reviewed under Twitter's rules and the local law, a spokeswoman for Twitter told Reuters.

    There is a 'lack of transparency' in the government's order, said the Internet Freedom Foundation, a digital rights group in Delhi.

    'What is clear is there are more directions being issued across social media platforms in India,' it said in a statement.

    Twitter has about 17.5 million users in India.

    A video shared widely online showed the body of a coronavirus victim falling from an old ambulance drafted in to help with the crisis on Friday when it was being carried to a crematorium in Vidisha district of Madhya Pradesh.

    According to The Times of India, the family saw the video and said they were shocked to see the body of their loved one falling out of the side door of the ambulance as it turned a corner sharply after leaving the Atal Bihari Vajpayee Government Medical College.

    It is not known how many bodies had been loaded into the old ambulance when the incident took place. 

    As the body was left on the road, the ambulance pulled over, and families of other coronavirus patients waiting outside the medical centre immediately started protesting about the treatment of their loved ones. 

    In some cases, families have spoken of not being told when their relatives have died, and others alleged that hospital administrators are not allowing them to see patients.

    'My relative has died, but the hospital is not providing any details. We don't even known whether he died this evening or yesterday itself. No one is telling us anything. We have been waiting for 4-5 hours outside the hospital,' Prakash Lodhi said to India Today.  

    Officials have said they cannot possibly allow everyone to visit their loved ones in the overcrowded hospitals, and have said the reason for the delay in notifying loved ones of the death of their family member's is down to procedure being followed when handing a body over.  

    Elsewhere, 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. 

    The three healthcare workers are shown struggling with the body wrapped up in a bed sheet, as they pulled it out the back of a van and then along a dirt road towards where it would be cremated.

    In another incident, police have brought charges against a man who allegedly abandoned his mother by the roadside in Kanpur, Uttar Pradesh after she tested positive for Covid-19.

    Authorities were alerted to the incident when a video went viral on social media, showing the woman lying by the roadside. Local residents took her to a local hospital, where she died while being treated.

    On Sunday, Britain's Prime Minister Boris Johnson pledged to support India in its battle against the devastating Covid surge, and a shipment of 495 oxygen concentrators as well as ventilators were sent from Britain to help the crisis.

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

    The EU has pledged to meet on May 8 to discuss sending aid to India. 

    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.

    In Delhi alone, 1,777 people died between April 19 and April 24 - a rate of over 12 deaths an hour, or one death every five minutes.

    At least 52 people on ONE flight from Delhi to Hong Kong test positive for Covid-19  

    At least 52 people from a single flight have tested positive for Covid-19, despite all passengers presenting a negative coronavirus test before boarding.

    All of the passengers who tested positive flew into Hong Kong on a flight from Delhi, run by Indian airline Vistara on April 4.

    Hong Kong as a whole has been recording fewer daily new infections that the total number detected on the flight, since it brought a fourth wave of infections under control in January.

    A total of 188 passengers could have been on-board the flight, but Hong Kong authorities did not disclose how many people were on-board the plane.

    The positive results have surfaced during the mandatory three-week quarantine period enforced by Hong Kong. It is one of the strictest entry measures in the world.

    All passengers flying into the territory must present a negative test within 72 hours before departing. 

    Several cases have also been detected on flights arriving into Hong Kong from Mumbai, according to authorities.

    The territory has since banned all flights from India, Pakistan and Philippines from April 20 to May 3.

    The week prior (April 12 to 17) saw 677 deaths - about five deaths per hour - but experts have said the rising figures are not expected to stop, predicting that the second wave will peak in May at up to 500,000 cases a day, meaning around 5,000 people could die every day at the current case fatality ratio of 1.14 percent.

    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.  

    India's second wave has been devastating, and has been put down to a number of factors. 

    Many have blamed a new 'double mutant' variant, thought to be more infectious than the first, but others have pointed to the premature reopening of public places, large religious gatherings and crowded election rallies.

    O n June 18 last year, India recorded 11,000 cases. In the 60 days that followed, an average of 35,000 cases were seen per-day.

    On February 10 this year, at the start of the second wave, India confirmed 11,000 cases again. In the next 50 days, the daily average of new infections stayed at around 20,000 cases per-day. 

    But in the following 10 days after that, cases rose sharply - reaching 89,800 per-day - an exponential increase. 

    Experts say that the rapid increase shows that the second wave is spreading around the country mast faster than the first wave did. 

    Speaking to the broadcaster, Dr A Fathahudeen - who is part of Kerala state's Covid taskforce - said there were already signs in February, but that the country 'did not get out act together'.

    'I said in February that Covid had not gone anywhere and a tsunami would hit us if urgent actions were not taken. Sadly, a tsunami has indeed hit us now,' he added.

    'A false sense of normalcy crept in and everybody, including people and officials, did not take measures to stop the second wave.'  

    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

    The percentage change in daily Covid infections by Indian state today compared to at their peak, most of which were recorded last year

    The percentage change in daily Covid infections by Indian state today compared to at their peak, most of which were recorded last year

    Pictured: A patient breathes with the help of oxygen provided by a Gurdwara, a place of worship for Sikhs, inside an auto rickshaw parked under a tent along the roadside amid Covid-19 coronavirus pandemic in Ghaziabad on April 26, 2021

    Pictured: A patient breathes with the help of oxygen provided by a Gurdwara, a place of worship for Sikhs, inside an auto rickshaw parked under a tent along the roadside amid Covid-19 coronavirus pandemic in Ghaziabad on April 26, 2021

    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

    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

    Pictured: A patient breathes with the help of oxygen provided by a Gurdwara, a place of worship for Sikhs, under a tent installed along the roadside amid Covid-19 coronavirus pandemic in Ghaziabad on April 26, 2021

    Pictured: A patient breathes with the help of oxygen provided by a Gurdwara, a place of worship for Sikhs, under a tent installed along the roadside amid Covid-19 coronavirus pandemic in Ghaziabad on April 26, 2021

    Pictured: A man lies down outside while breathing with the help of oxygen. Supplies of life-saving medical oxygen are running low in many places in the country, with demand high in hospitals due to the coronavirus crisis

    Pictured: A man lies down outside while breathing with the help of oxygen. Supplies of life-saving medical oxygen are running low in many places in the country, with demand high in hospitals due to the coronavirus crisis

    Health officials are scrambling to expand critical care units and stock up on dwindling supplies of oxygen. Hospitals and patients alike are struggling to procure scarce medical equipment that is being sold at an exponential markup

    Health officials are scrambling to expand critical care units and stock up on dwindling supplies of oxygen. Hospitals and patients alike are struggling to procure scarce medical equipment that is being sold at an exponential markupPoliticians, 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. 

    Several cities in India 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. 

    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. 

    The crisis unfolding in India is most visceral in its graveyards and crematoriums, and in heartbreaking images of gasping patients dying on their way to hospitals due to lack of oxygen.

    Burial grounds in the Indian capital New Delhi are running out of space and bright, glowing funeral pyres light up the night sky in other badly hit cities.

    '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.' In central Bhopal city, some crematoriums have increased their capacity from dozens of pyres to more than 50. Yet, officials say, there are still hours-long waits.

    At the city's Bhadbhada Vishram Ghat crematorium, workers said they cremated more than 110 people on Saturday, even as government figures in the entire city of 1.8 million put the total number of deaths at just 10.

    'The virus is swallowing our city's people like a monster,' said Mamtesh Sharma, an official at the site.

    The unprecedented rush of bodies has forced the crematorium to skip individual ceremonies and exhaustive rituals that Hindus believe release the soul from the cycle of rebirth.

    'We are just burning bodies as they arrive,' said Sharma. 'It is as if we are in the middle of a war.'

    The head gravedigger at New Delhi's largest Muslim cemetery, where 1,000 people have been buried during the pandemic, said more bodies are arriving now than last year. 'I fear we will run out of space very soon,' said Mohammad Shameem. 

    People wearing protective face masks wait to receive a vaccine for the coronavirus disease (COVID-19) at a vaccination centre in Mumbai, India, April 26, 2021. On Sunday, Prime Minister Narendra Modi urged all citizens to get vaccinated and exercise caution

    People wearing protective face masks wait to receive a vaccine for the coronavirus disease (COVID-19) at a vaccination centre in Mumbai, India, April 26, 2021. On Sunday, Prime Minister Narendra Modi urged all citizens to get vaccinated and exercise caution

    A health worker collects a nasal swab sample from a man to test for the Covid-19 coronavirus in Amritsar on April 26, 2021

    A health worker collects a nasal swab sample from a man to test for the Covid-19 coronavirus in Amritsar on April 26, 2021

    Pictured: Umar Farooq mourns next to the body of his mother, who died of Covid-19 coronavirus, before her burial at a graveyard in Srinagar on April 26, 2021

    Pictured: Umar Farooq mourns next to the body of his mother, who died of Covid-19 coronavirus, before her burial at a graveyard in Srinagar on April 26, 2021

    A woman receives receives a dose of COVISHIELD, a coronavirus disease (COVID-19) vaccine manufactured by Serum Institute of India, as others wait for their turn at a vaccination centre in Mumbai, India, April 26, 2021

    A woman receives receives a dose of COVISHIELD, a coronavirus disease (COVID-19) vaccine manufactured by Serum Institute of India, as others wait for their turn at a vaccination centre in Mumbai, India, April 26, 2021

    Pictured: People stand in queues to get their Covid-19 coronavirus vaccine at a vaccination centre in Mumbai on April 26, 2021

    Pictured: People stand in queues to get their Covid-19 coronavirus vaccine at a vaccination centre in Mumbai on April 26, 2021

    INDIA'S GROWING OXYGEN PROBLEMS 

    Are hospitals running out of oxygen?

    The main problem is that medical oxygen is not reaching hospital beds in time. This delay is a product of where production units are located, a stretched distribution network, and what critics have said is bad planning.

    Several hospitals in Delhi, which has no significant oxygen production capacity, made frantic public calls this week seeking emergency supplies.

    With COVID-19 cases also swamping its neighbouring states like Haryana and Uttar Pradesh, oxygen facilities there are over-stretched attempting to meet local demand.

    To fulfill Delhi's current needs, additional medical oxygen now has to be trucked in from industrial zones in eastern India.

    Why are oxygen deliveries getting delayed?

    The facilities from where Delhi will now receive oxygen are spread across seven states, some more than 625 miles (1,000km) away, according to a court document.

    Given the hazardous nature of the substance, all liquid oxygen must be transported in a limited number of specialised tankers, requiring advance planning to ensure deliveries are made on time, a gas industry source told Reuters.

    In recent days, as a scramble for oxygen among states worsened, local officials in some regions disrupted movement of tankers in a bid to keep supplies for themselves.

    In part due to such blockades, Delhi only received about 177 tonnes of oxygen on Wednesday against its allocation of 378 tonnes, an official said.

    But the industry source said that Delhi had also dragged its feet on planning ahead, without factoring in the time it takes to move oxygen cross-country by road.

    'This problem wouldn't have happened if they had acted 2-3 weeks ago,' the source said.

    Delhi's government did not respond to questions about the planning.

    Does India have enough oxygen?

    India has a daily production capacity of at least 7,100 tonnes of oxygen, including for industrial use, which appears to be enough to meet current demand.

    This week, the government allocated 6,822 tonnes of liquid oxygen per day to 20 of the country's worst-affected states, compared to their combined demand of 6,785 tonnes, Prime Minister Narendra Modi's office said on Thursday.

    India's total medical oxygen demand was just 3,842 tonnes as of April 12, as the surge in cases really took hold.

    States are typically allocated supplies by an inter-ministerial group of bureaucrats mandated to monitor and facilitate the flow of essential medical kit during the pandemic.

    Modi's office has noted that the availability of liquid medical oxygen had increased by about 3,300 tonnes in the past few days, with steel plants and other industrial units diverting their production.

    What is India doing to solve the crisis? 

    The federal government has activated the Indian railways to move multiple tankers from refilling plants to where it is most needed.

    Working with industrial gas major Linde India and others, the government is also using the Air Force's cargo planes to fly empty tankers to production hubs. Refilled oxygen tankers will then move back by road.

    The armed forces are importing 23 mobile oxygen generation plants from Germany.

    Several other industries are offering oxygen to hospitals, while salt-to-software conglomerate Tata Group is importing 24 specialised containers to transport liquid oxygen.

    The government has issued orders to convert argon and nitrogen tankers into oxygen ones.

    But as some experts predict a trebling of daily infections in a few weeks, India will have to dramatically ramp up both oxygen production and distribution systems.

    The situation is equally grim at unbearably full hospitals, where desperate people are dying in line, sometimes on the roads outside, waiting to see doctors.

    Health officials are scrambling to expand critical care units and stock up on dwindling supplies of oxygen. Hospitals and patients alike are struggling to procure scarce medical equipment that is being sold at an exponential markup.

    The crisis is in direct contrast with government claims that 'nobody in the country was left without oxygen,' in a statement made Saturday by India's Solicitor General Tushar Mehta before Delhi High Court.

    The breakdown is a stark failure for a country whose prime minister only in January had declared victory over COVID-19, and which boasted of being the 'world's pharmacy,' a global producer of vaccines and a model for other developing nations.

    Caught off-guard by the latest deadly spike, the federal government has asked industrialists to increase the production of oxygen and other life-saving drugs in short supply. 

    But health experts say India had an entire year to prepare for the inevitable - and it didn't.

    Dr. Krutika Kuppalli, assistant professor of medicine in the division of infectious diseases at the Medical University of South Carolina, said the Indian government has been 'very reactive to this situation rather than being proactive.'

    She said the government should have used the last year, when the virus was more under control, to develop plans to address a surge and 'stockpiled medications and developed public-private partnerships to help with manufacturing essential resources in the event of a situation like this.'

    'Most importantly, they should have looked at what was going on in other parts of the world and understood that it was a matter of time before they would be in a similar situation,' Kuppalli said.

    Kuppalli called the government's premature declarations of victory over the pandemic a 'false narrative,' which encouraged people to relax health measures when they should have continued strict adherence to physical distancing, wearing masks and avoiding large crowds.

    Neighbouring Bangladesh sealed its border with India for 14 days, its foreign ministry said on Monday, though trade will continue. Air travel has been suspended since Bangladesh imposed a lockdown on April 14 to combat record infections and deaths.

    'The borders should not reopen until the situation in India improves,' virologist and government adviser Nazrul Islam told Reuters. 

    'If the highly contagious Indian variant enters the country, the situation can't be controlled in any way.'

    The southern Indian state of Karnataka, home to technology and outsourcing hub Bengaluru, also announced that it will impose a lockdown for 14 days starting from the evening of April 27 in an effort to contain the surge infection, the state's chief minister said on Monday.

    Karnataka is the latest region to enter a lockdown after similar curbs in many parts of India, which is battling a massive second wave of infections that has pressured its health system.

    Bengaluru, a city of 12 million, reported more than 20,000 new infections on Sunday, its highest single-day tally so far and second only to the capital, Delhi. 

    Prime Minister Narendra Modi is facing mounting criticism for allowing Hindu festivals and attending mammoth election rallies that experts suspect accelerated the spread of infections.

    His Hindu nationalist government is trying to quell critical voices.

    On Saturday, Twitter complied with the government's request and prevented people in India from viewing more than 50 tweets that appeared to criticise the administration's handling of the pandemic. 

    The targeted posts include tweets from opposition ministers critical of Modi, journalists and ordinary Indians.

    Lawmakers and human rights activists said on Monday that the removal of the tweets was putting people's health at risk and quashing dissent. 

    Dr. Anant Bhan, a bioethics and global health expert, has been critical of the government's handling of the crisis, and has said that the significance of the new variant has been over-played.

    'It's not the virus variants and mutations which are a key cause of the current rise in infections,' he said. 'It's the variants of ineptitude and abdication of public health thinking by our decision makers.'  

    Multiple funeral pyres of those who died of COVID-19 burn at a ground that has been converted into a crematorium for the mass cremation of coronavirus victims, in New Delhi, India, Saturday, April 24, 2021

    Multiple funeral pyres of those who died of COVID-19 burn at a ground that has been converted into a crematorium for the mass cremation of coronavirus victims, in New Delhi, India, Saturday, April 24, 2021

    A man performs the last rites of his relative as pyres of Covid-19 deceased people burn at a crematorium in New Delhi

    A man performs the last rites of his relative as pyres of Covid-19 deceased people burn at a crematorium in New Delhi

    With crematoriums overflowing in the country, families have been forced to burn their relatives on wooden pyres instead

     With crematoriums overflowing in the country, families have been forced to burn their relatives on wooden pyres instead

    The surge has also been fuelled by a 'double mutant' variant, thought to be more infectious, but Dr Jameel believes 'too much' has been made of the mutation.

    Instead, he claims the spiralling infection rates were impacted by the lack of messaging for people to take vaccinations in January and February when case numbers were down.

    He added: 'In all the euphoria, in all the patting of our backs that we have done so well, we are out of it, we weren't. We were just as susceptible as anybody else.

    'So if there is a lesson here to be learned, it's that you have to be on your guard. You have to prepare. We should have been stocking up on oxygen. 

    'We should have been messaging clearly for people to take vaccines in the months of January and February when the cases were down. If that happened at scale at that time, then we wouldn't be facing this situation today. 

    'So many things have gone wrong but instead of crying over spilled milk I think it's important to learn some lessons, get some good data, and plan for the future because this is not the end of it.' 

    Relatives wearing PPE kit mourning next to pyres of people who have died from Covid-19 at a crematorium in New Delhi

    Relatives wearing PPE kit mourning next to pyres of people who have died from Covid-19 at a crematorium in New Delhi

    Burning pyres of Covid-19 victims at a crematorium in New Delhi, April 24

    Burning pyres of Covid-19 victims at a crematorium in New Delhi, April 24

    Burning pyres of Covid-19 victims at a crematorium in New Delhi, April 24

    Burning pyres of Covid-19 victims at a crematorium in New Delhi, April 24

    India's surging Covid second wave has so overwhelmed crematoriums that grieving families are being forced to burn victims in their own gardens. Pictured: A crematorium in Delhi

    India's surging Covid second wave has so overwhelmed crematoriums that grieving families are being forced to burn victims in their own gardens. Pictured: A crematorium in Delhi

    In Delhi, 348 deaths were recorded on Friday, one every four minutes, and in the southern state of Karnataka, the government has been forced to allow families to cremate or bury victims in their own farms, land or gardens

    In Delhi, 348 deaths were recorded on Friday, one every four minutes, and in the southern state of Karnataka, the government has been forced to allow families to cremate or bury victims in their own farms, land or gardens

    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

    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

    Last week, the Supreme Court told the Indian government to produce a national plan for the supply of oxygen and essential drugs for the treatment of coronavirus patients.

    Ministers said today they would exempt vaccines, oxygen and other oxygen-related equipment from customs duty for three months, in a bid to boost availability.

    In addition, Modi's emergency assistance fund, dubbed PM CARES, in January allocated some £19million ($27million) to set up 162 oxygen generation plants inside public health facilities in the country.

    But three months on, only 33 have been created, according to the federal Health Ministry.

    Despite this, the Defense Ministry is set to fly 23 mobile oxygen generating plants into India from Germany within a week to be deployed at army-run hospitals catering to Covid-19 patients. 

    Each plant will be able to produce 2,400 litres of oxygen per hour, a government statement said yesterday. 

    The latest comes as Boris Johnson pledged to support India in its battle against the devastating Covid surge which has brought the country to its knees. 

    The UK is 'looking at what we can do to help' after India reported a record-breaking number of new cases in a single day for four days in a row.

    Mr Johnson said: 'We're looking at what we can do to help and support the people of India, possibly with ventilators. 

    'Thanks to the ventilator challenge, the huge efforts of British manufacturers, we're better able now to deliver ventilators to other countries. 

    'But also possibly with therapeutics, dexamethasone, other things, we'll look at what we can do to help.' 

    Meanwhile, U.S. President Joe Biden said the United States was 'determined to help India in its time of need,' immediately making available supplies of vaccine-production material, therapeutics, tests, ventilators and protective equipment. 

    A British Airways flight loaded with 600 pieces of medical equipment took off from London Heathrow bound for New Delhi on Sunday evening

    A British Airways flight loaded with 600 pieces of medical equipment took off from London Heathrow bound for New Delhi on Sunday evening

    The package included 495 oxygen concentrators as well as ventilators. The equipment is set to arrive in the Indian capital early on Tuesday morning

    The package included 495 oxygen concentrators as well as ventilators. The equipment is set to arrive in the Indian capital early on Tuesday morning

    So far 132 cases of the Indian variant have been detected in Britain, around half of which are in London. 

    The variant contains two mutations in the virus's spike protein, which could help it spread more easily and evade vaccines. 

    India was added to the UK's travel 'red list' yesterday, prompting a last-minute scramble for flights to Heathrow.

    The British Prime Minister had also cancelled a trip to New Delhi over the weekend where he had hoped to secure millions of vaccine doses.

    Government scientists said border measures are not enough to prevent the spread of new variants, but they can delay it. 

    One senior source said there were likely to be 'many more' cases of the Indian variant in the UK than the 132 detected so far.

    They added: 'It does look like it's more transmissible but we don't know if it is more transmissible than the Kent variant and we don't have any data on vaccine efficacy.' 

    People carry oxygen cylinders after refilling them in a factory amid a shortage of medical supplies due to the surging second wave

    People carry oxygen cylinders after refilling them in a factory amid a shortage of medical supplies due to the surging second wave

    A patient wearing an oxygen mask is seen inside an ambulance waiting to enter a COVID-19 hospital for treatment in Ahmedabad

    A patient wearing an oxygen mask is seen inside an ambulance waiting to enter a COVID-19 hospital for treatment in Ahmedabad

    A worker disinfects nozzles of oxygen cylinders as they are refilled in a factory before they are returned to hospitals amid the crisis

    A worker disinfects nozzles of oxygen cylinders as they are refilled in a factory before they are returned to hospitals amid the crisis

    India has set a world record for the highest number of daily Covid infections for a fourth day in the row with 349,691 infections as the country struggles to contain the surging second wave

    India has set a world record for the highest number of daily Covid infections for a fourth day in the row with 349,691 infections as the country struggles to contain the surging second wave

    Across the northern border, authorities in Nepal were grappling to contain the rapid rise of COVID-19 cases with experts fearing that thousands of people in the Himalayan state have caught the more infectious mutant strains emerging out of India.

    Nepal, which shares a long porous border with India, reported 3,032 new infections on Sunday, the highest daily surge recorded this year. It took the total caseload since the pandemic first struck Nepal to 300,119, and there have so far been 3,164 deaths, according to government data.

    'We have detected the UK variant and the double mutant variant detected in India,' Krishna Prasad Paudel, the director of Nepal's Epidemiology and Disease Control Department Paudel told Reuters, adding that experts were checking for other variants too. 

    Nepal launched its vaccination campaign in January and gave shots to 1.9 million people, all provided by India and China. But health experts feared that continuation of the vaccination drive was uncertain after officials had failed to procure more vaccine shots from India or any other source.

    Over 90 developing nations, including Nepal, rely on India, home to the Serum Institute, the world's largest vaccine maker, for the doses to protect their own populations, but India has now prioritised its own needs as a second wave of the epidemic there has run out of control.

    'The virus is mutating very fast...what started in India has now entered Nepal too,' said Rabindra Pandey, a public health expert, adding that if the trend continued for a week then new patients will be unable to find any beds as hospitals were already stretched.

    Wedged between China and India, Nepal shares a 1,751-kilometre (1,094 miles) border with its southern neighbour India. The border was closed for some time during a lockdown last year, when the first wave of the epidemic struck, but it has since been reopened.

    Nepal's former king Gyanendra and his wife, who tested positive for the virus after returning from India where they attended a religious festival, were undergoing treatment at a private facility in Kathmandu.

    'The situation is really frightening,' said Prakash Thapa, a doctor at Bheri hospital in Nepalgunj, a city in the southwest plains bordering India.

    He said the hospital was inundated with coronavirus patients requiring intensive care and ventilators.

    'This time even children and young people are brought in critical condition and patients are even sleeping on the floor and corridors,' he said.

    Nepal's ruling Communist party has been embroiled in a power struggle for months, and Prime Minister K.P. Sharma Oli has been criticised for his response to the crisis.

    Foreign Minister Pradeep Gyawali told reporters on Sunday that despite the surge in cases a national level lockdown was not required.

    Nepal's economy contracted for the first time in four decades in the last fiscal year due to a months-long lockdown to contain the COVID-19 pandemic.

    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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