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Sick outside of Indian hospitals

Sick outside of Indian hospitals

In India, the second devastating wave of the coronavirus has seen a widespread shortage of oxygen in hospitals, crematoria, and drugs.

Here is a visual guide to what is happening and what the authorities are doing about it.

Record numbers of և deaths were recorded

The number of deaths in India արագ Deaths continue to rise rapidly, contributing to the new version.

On Monday, the country recorded a record number of cases, for the fifth time in a row, as the highest daily death rate.

Chart showing the increase in cases և deaths in India. Updated April 26.

Chart showing growing cases and deaths in India. Updated April 26.

But the actual number of deaths is likely to be higher than the number provided by the authorities, with many avoiding or trying to access it. Many deaths are also unreported in rural areas.

Doctors in the Indian capital, Delhi, have described how people die on the streets outside hospitals as the country struggles to cope.

In all, India has confirmed nearly 17 million infections and 192,000 deaths. Surgeons say they expect infection rates to continue to rise for two to three weeks.

There are very few critical care beds

The country has a chronic shortage of space in its intensive care units. Many sick families have to travel miles trying to find a bed for their loved one.

In Delhi, a district of about 20 million people, hospitals are full and new patients are being pushed back.

Some streets outside the medical institutions were full of seriously ill people. Their loved ones try to arrange stretchers and oxygen supplies for them when they ask the hospital management to find a place.

“We have been searching for the bed for three days,” a man told Reuters as the woman sat motionless on the sidewalk.

On Monday, the government announced that military medical facilities would be made available to civilians and that retired military personnel would assist at health facilities in Covid.

There is a lack of oxygen

All the hospitals in India are also short of oxygen ման in desperate need of supply, some had to put up signs warning of shortages.

The country now has the highest oxygen demand of any low-, low-, and above-average income, according to the PATH Oxygen Needs Tracker.

Map showing estimated oxygen needs in low-, middle-, and high-middle-income countries, with India being the highest

Map showing estimated oxygen needs in low-, middle-, and high-middle-income countries, with India being the highest

According to the PATH organization, which works with global institutions և business to solve health problems, the demand is growing every day by 6% -8%.

Chart showing India's growing oxygen needs. Data for April 23.

Chart showing India’s growing oxygen needs. Data for April 23.

Dr. Harjit Singh Bhati, who works in the Covid Department of Delhi Manipal Hospital, described how people breathe in the air on the street like “fish out of water”.

“They do not get oxygen, they die on the roads,” he said.

Typically, health facilities in India consume about 15% of their oxygen supply, leaving the rest for industrial use.

But in India’s second wave, nearly 90 percent of the country’s oxygen supply, 7,500 tons a day, is diverted to medical use, says Rajesh Bhushan, a senior health official.

To try to get supplies where they are needed, the government has now started “oxygen speed”. Trains transport trucks to places where there is a demand. The Indian Air Force is also supplying oxygen from military bases.

Map showing oxygen expressways

Map showing oxygen expressways

The government has announced that it will release oxygen reserves from the armed forces’ reserves, and has approved plans to boost supplies to more than 500 oxygen plants.

Train carriages have become medical departments

To overcome the shortage of beds, the Indian authorities are resorting to making wagons that have been turned into isolators.

Some 4,000 Indian Railway trainers, adapted in March 2020, are being recalled to help treat Covid patients with mild to moderate symptoms.

Annotated images of converted train carriages in India used as Covidian isolators

Annotated images of transformed wagons of India. They are used as Covidian isolators

Institutions that were not needed last year as severe blockade measures eased were able to provide an additional 64,000 temporary beds, Gopal Agarwal, a spokesman for Prime Minister Narendra Modi Bharatia Ata Anata, told the BBC.

Trains that can be transported to cities և city stations, where needed, have beds for patients, baths, power supply points պ oxygen supplies.

Indian Railways already has the experience of running hospitals by train. Launched in 1991, Lifeline Express travels around the country providing patients with diagnostic, medical and surgical treatment.

Gyms and stadiums have become hospitals

Gyms, stadiums and gymnasiums have also been converted into shift treatment centers to ease the pressure on hospitals.

Venus, such as Bangalore’s Koramangala Indoor Stadium, Indira Gandhi Sports Stadium in Guwahati, and Rada Soami Satsang Beas University in Delhi have been quarantined.

Some of the beds used are made of cardboard.

Cardboard beds at Sardar Patel Covid Care Center

Cardboard beds at Sardar Patel Covid Care Center

In a spate of events last year, the University of Delhi, owned by Radha Soami Satsang Beas, was transformed into a 10,000-bed Sardar Patel Covid Care Center with 1,000 “oxygenated” beds. It treated more than 11,000 people before it closed in February.

It is expected that this time the center, which has the size of 20 football fields, will start with about 2,500 beds, increasing to 5,000.

Blood paper, which uses the bases of a cardboard bed, says that emergency beds are made of high-strength corrugated board.

They are especially useful in the current crisis, as they are cheap, recyclable, can be packed for easy transport, and can be assembled in five minutes.

The dead organize mass burials

Due to the overcrowding of Indian funeral services, many people are forced to seek temporary burial facilities.

At least one institution in Delhi has applied to build bridges in the bus station to overcome the number of corpses.

Anlus burial pirates in Delhi, India

Anlus burial pirates in Delhi, India

Burial beaches in Delhi, India

Burial beaches in Delhi, India

Other sites are conducting mass cremation, with staff reportedly working around the clock in several cities.

In the northeast of Delhi, Singh Shunti, head of the nonprofit medical service at the crematorium, uses a car park next door to deal with an unprecedented number of bodies.

“It’s hard to watch,” he said.

A number of sources have also reported that wood is not enough for the pores.

Deli crematorium worker

Deli crematorium worker

Ay Ayant Malhotra, who was helping at a crematorium in Delhi, told the BBC he had never seen such a horrific situation.

“I can not believe we are in the capital of India. “People do not get oxygen, they die like animals.”

Authors Lucy Rogers, Dominic Bailey, Anna Lucia Gonzalez, Shadab Nazmi և Becky Dale.

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