India continues to shatter case records as it awaits international aid.

https://www.nytimes.com/2021/04/26/world/india-continues-to-shatter-case-records-as-it-awaits-international-aid.html

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India’s coronavirus crisis deepened on Monday with the number of new reported cases setting a global record for the fifth consecutive day, as countries, companies and members of the large diaspora pledged to send oxygen and other critical aid.

India’s health ministry reported almost 353,000 new cases and 2,812 deaths on Monday, and enormous funeral pyres continued to burn in the worst-affected cities. Experts say that India’s reported overall toll of more than 195,000 deaths could be a vast undercount.

The aid from foreign nations and companies is unlikely to plug enough holes in India’s sinking health care system to fully stop the deadly crisis that is underway. And the health emergency has global implications for new infections worldwide, as well as for countries relying on India for the AstraZeneca vaccine.

In New Delhi, where Covid-19 patients have died after hospitals ran out of oxygen, the government extended a lockdown by another week.

India’s Supreme Court last week ordered the government to come up with a “national plan” for distributing oxygen supplies.

The problems in India’s hospitals go beyond oxygen shortages. In the western state of Gujarat, more than a dozen patients were evacuated from a hospital on Sunday night after an air-conditioning unit caught fire, the Press Trust of India reported, the third accident involving virus patients in India in the past seven days.

Last Friday in another western state, Maharashtra, a hospital fire also caused by an air-conditioning unit killed 15 patients. Two days earlier, at least 22 patients died in a hospital in the city of Nashik, also in Maharashtra, after a leak cut off oxygen supplies.

The Biden administration, under intense pressure to address the devastating virus crisis in India, intends to share up to 60 million doses of the AstraZeneca vaccine with other nations, so long as the doses clear a safety review conducted by the Food and Drug Administration, officials said Monday.

AstraZeneca’s vaccine, unlike those of Pfizer, Moderna and Johnson & Johnson, has also not been granted emergency use authorization by the F.D.A. The administration would not specify which countries will receive the vaccine, and Jen Psaki, the White House press secretary, cautioned at a news conference that the donations of doses would not happen right away.

Previously, the administration said on Sunday that it had removed impediments to the export of raw materials for vaccines and would also supply India with therapeutics, test kits, ventilators and personal protective gear. Britain, France and Germany have also promised to send medical equipment to India, a key producer of vaccines for lower-income countries.

“Just as India sent assistance to the United States as our hospitals were strained early in the pandemic, we are determined to help India in its time of need,” President Biden said on Twitter on Sunday.

Two Indian-American businessmen — the Microsoft chief executive, Satya Nadella, and the Google chief, Sundar Pichai — have both said that their companies will provide financial assistance to India.

“Devastated to see the worsening Covid crisis in India,” Mr. Pichai wrote on Twitter, pledging $18 million to aid groups working in the country.

At a news conference on Monday, Dr. Tedros Adhanom Ghebreyesus, the director general of the World Health Organization, called the situation in India “beyond heartbreaking.”

“W.H.O. is doing everything we can, providing critical equipment and supplies, including thousands of oxygen concentrators, prefabricated mobile field hospitals and laboratory supplies,” Dr. Tedros said, adding that the organization has deployed 2,600 staff to India to provide surveillance and vaccination help.

Linda Qiu contributed reporting.