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Delhi Reopens a Crack Amid Gloomy Financial Forecast for India

NEW DELHI — The Indian capital, which just weeks ago suffered the devastating force of the coronavirus, with tens of thousands of new infections daily and funeral pyres that burned day and night, is taking its first steps back toward normalcy.

Officials on Monday reopened manufacturing and construction activity, allowing workers in those industries to return to their jobs after six weeks of staying at home to avoid infection. The move came after a sharp drop in new infections, at least by the official numbers, and as hospital wards emptied and the strain on medicine and supplies has eased.

Life on the streets of Delhi is not expected to return to normal immediately. Schools and most businesses are still closed. The Delhi Metro system, which reopened after last year’s nationwide lockdown, has suspended service again.

But the city government’s easing of restrictions will allow people like Ram Niwas Gupta and his employees to begin returning to work — and, more broadly, to start to repair India’s ailing, pandemic-struck economy. Mr. Gupta, a construction company owner, must replace the migrant workers who fled Delhi when a second wave of the coronavirus struck in April, but he was confident that business would return to normal soon.

“Immediately we will not be able to start work, but slowly in six to 10 days we will be able to mobilize labor and material and start the work,” said Mr. Gupta, who is also the president of the Builders Association of India in Delhi.

At least one million people in Delhi’s construction sector will be able to return to job sites.

Even a small opening represents a gamble by city officials. Just 3 percent of India’s 1.4 billion people are fully vaccinated. Because of limited health infrastructure and public reporting, the state of the pandemic in rural areas — including some just outside Delhi — is largely unknown. Experts are already predicting a third wave while cautioning that the lull in Delhi may be just a respite, and not the end, of the second wave.

Six weeks ago, the number of new cases in Delhi was soaring, reaching a peak of 28,395 new recorded infections on April 20. Nearly one in three coronavirus tests came back positive. Hospitals, full beyond capacity, turned away throngs of people seeking treatment, with some patients dying just outside the gates. Cremation, the preferred last rite for Hindus, spilled over into empty lots, with so many bodies burned that Delhi’s skies turned an ash gray.

The nightmare in India’s capital appears to be over, at least for now, even as cases rise elsewhere in the country. The city reported 648 new cases on Monday, and about four-fifths of the intensive care unit beds were vacant.

Officials in Delhi, and around India, feel a need to strike a balance between pandemic precautions and economic viability.

On Monday, India released a new set of numbers that showed the country’s economy grew by 1.6 percent for the three-month period ending in March.

But economists say those numbers, which reflected activity before the full impact of the ferocious second wave, are likely unsustainable in the near future.

The Ministry of Statistics and Program Implementation also forecast that India’s gross domestic product would shrink by at least 7.3 percent over the financial year that began in April.

Experts point to two main reasons: India’s prolonged lockdowns and its vaccination rate, which has fallen to just over a million doses a day now from about 4 million last month because of the country’s limited vaccine manufacturing capacity.

Though the lockdowns have helped India slow the surge of infections, economists say restrictions might need to remain in place at least until about 30 percent of the country’s 1.4 billion people have received one vaccine shot.

“We estimate that India will reach the vaccine threshold by mid- to late August, and, accordingly, expect restrictions will be extended into the third quarter,” Priyanka Kishore, the head of India and Southeast Asia at Oxford Economics, said in a research briefing last week. “Consequently, we have lowered our 2021 growth forecast.”

She added that supply issues and vaccine hesitancy could prevent the country from reaching the 30 percent threshold by August, which could result in further economic decline.

One economist said that the impact of the country’s shrinking economy would be even more pronounced in rural areas.

“As things stand now, the scale, the speed and the spread of Covid has once again given a push back to the economy,” said Dr. Sunil Kumar Sinha, the principal economist at India Ratings and Research, a credit ratings agency. Dr. Sinha added that the country’s negative growth forecasts for the financial year were the lowest ever recorded.

The lockdown that began easing on Monday was nowhere near as severe as the nationwide lockdown imposed by India’s prime minister, Narendra Modi, last year, which pushed millions of people out of cities and into rural areas, often on foot because rail and other transportation had been suspended. Mr. Modi resisted calls by many epidemiologists, including Dr. Anthony Fauci, the director of the U.S. National Institute of Allergy and Infectious Diseases, to reinstitute similar curbs this year.

But in a nod to the chaos of last year’s lockdown, throughout the second wave, core infrastructure projects across the country, which employ millions of domestic migrant workers, were exempted from restrictions. More than 15,000 miles of Indian highway projects, along with rail and city Metro improvements, continued.

Most private construction sites, however, were closed down, placing workers like Ashok Kumar, a 36-year-old carpenter, in extremely precarious positions.

Mr. Kumar usually earns 700 rupees, about $10, per day, but has sat at home idly for the last 40 days, unable to pay rent to an increasingly impatient landlord. He hoped to be vaccinated before returning to close quarters with other workers, but hasn’t been able to secure a dose at one of the city’s public dispensaries, which have closed intermittently because of vaccine shortages.

“My first priority is my stomach,” Mr. Kumar said. “If my stomach is not filled I will die even before corona.”

Understand the Covid Crisis in India

In a meeting with the city’s disaster management authority on Friday, Delhi’s chief minister, Arvind Kejriwal, said the lockdown would be eased in phases according to economic need.

“Our priority will be the weakest economic sections, so we will start with laborers, particularly migrant laborers,” many of whom work in construction and manufacturing, Mr. Kejriwal said.

Millions of people in India are already in danger of sliding out of the middle class and into poverty. The country’s economy was fraying well before the pandemic because of deep structural problems and the sometimes impetuous policy decisions of Mr. Modi.

Epidemiologists in India generally approved of the Delhi government’s approach to lifting its lockdown, but cautioned that the low infection numbers may represent a reprieve — and not the end — of the capital’s terrifying second wave.

“It’s not a decision that can be questioned on the merit, but obviously they have to take the maximum care,” said Dr. K. Srinath Reddy, president of the Public Health Foundation of India.

India averaged 190,392 reported cases per day in the last week, a drop of more than 50 percent from the peak, on May 9. The death toll also fell, though less precipitously, to 3,709 on Sunday. The overall toll of 325,972 is widely considered to be a vast undercount.

As cases have fallen in Delhi, people have cautiously left their homes for evening strolls after the daytime summer heat has abated, or to pick up groceries from the normally bustling but now quiet neighborhood markets.

Elsewhere in India, the pandemic is far from over. Cases are rising in remote rural areas that have scant health infrastructure.

The state of Haryana, which borders Delhi and is home to the industrial hub of Gurugram, extended its tight lockdown by at least another week. And in southern Indian states where the daily case numbers remain high, official orders allowing manufacturing to resume have been met by resistance from workers.

“It is a question of life versus livelihood,” said M. Moorthy, general secretary of the workers union at the Renault Nissan auto plant in Chennai.

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UK instances of Covid variant recognized in India double in a single week

Hounslow, London, which has become one of the U.K.’s biggest hotspots for the variant of coronavirus first identified in India, on Thursday 27th May 2021.

Tejas Sandhu | MI News | NurPhoto | Getty Images

Cases of the Covid-19 variant first identified in India have more than doubled in England within one week, the country’s health authority said.

The number of cases of the strain had reached 6,959 by Wednesday, an increase of 3,535 cases from the previous week.

The B.1.617.2 variant, a highly contagious triple-mutant strain of the coronavirus, is likely to be more transmissible than the variant first identified in England last fall, Public Health England said Thursday.

Bolton, Bedford and Blackburn were the most affected areas in England, according to PHE, although it said there were small numbers of cases of the variant in most parts of the country.

Hospitalizations were also rising in some areas, PHE added, noting that most hospital admissions were in unvaccinated people.

Research published by PHE last week showed that two doses of Covid vaccines gives people high levels of protection against the B.1.617.2 strain.

Jenny Harries, CEO of the U.K. Health Security Agency, said in PHE’s weekly update that the public should continue to act with caution as Britain eases lockdown restrictions.

“We now know that getting both vaccine doses gives a high degree of protection against this variant and we urge everyone to have the vaccine,” she said.

“Make sure that you remain careful, work from home if you can, meet people outside where possible and remember ‘hands, face, space, fresh air’ at all times.”

The U.K. has begun to tentatively lift lockdown restrictions in recent months, with the government hoping to remove all measures by June 21.

However, Prime Minister Boris Johnson has warned that the country “may need to wait” for a complete return to normality, although he told the BBC on Thursday there was nothing “currently in the data” to suggest the June unlocking would be derailed.

Johnson announced earlier this month that the U.K. would accelerate second vaccine doses for the over-50s and clinically vulnerable in an effort to combat the spread of the B.1.617.2 strain.

More than 62.6 million vaccines had been given in the U.K. by May 26, with 73% of the adult population having received their first dose. Almost half of British adults have been fully vaccinated with both doses.

On May 22, 883 people were in hospital with Covid-19 in the U.K. — a huge drop from January’s peak of 39,249.

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Malaysia now has extra circumstances per million folks than India

SINGAPORE – Malaysia’s daily Covid-19 cases are increasing rapidly and have outperformed India in one critical respect, according to statistics website Our World in Data.

India has been experiencing a devastating second wave since April and has the second largest Covid case load in the world. The country’s daily number of cases, while declining, has increased with hundreds of thousands of infections – far more than the few thousand per day in Malaysia.

But Malaysia’s daily Covid infections per million people – for seven days – have surpassed India’s since Sunday, data from Our World in Data showed. Latest statistics showed that Malaysia reported 205.1 cases per million people on a 7-day rolling basis on Tuesday, compared to the 150.4 cases in India.

Malaysia’s population of around 32 million is much smaller than India’s 1.4 billion.

In general, the actual number of Covid-19 cases is higher than the number of cases reported worldwide, mainly due to a lack of testing. In India, several studies found that cases were likely to be severely underreported.

However, it is not the first time that Malaysia has overtaken India in this measure. Our World in Data showed that Malaysia’s daily cases per million people between November 15 last year and March 27 this year were also higher than India’s.

Malaysia, a country in Southeast Asia, has been grappling with a surge in coronavirus cases since the last few months of 2020. The government has tightened restrictions several times since then, but stopped short of a full lockdown.

The country reported a record rise of 7,478 coronavirus cases on Wednesday, leading to cumulative infections of more than 533,300, data from the Ministry of Health showed. More than 2,300 people have died and 700 infected people are in intensive care units, the ministry said on Tuesday.

Dr. Malaysia’s general manager of health, Noor Hisham Abdullah, said in a Twitter post Tuesday that the country’s daily Covid-19 cases “could follow an exponential trend” and spark a “vertical surge”.

Noor Hisham, a leader in Malaysia’s fight against Covid, also warned that “we must prepare for the worst” and urged people to stay home to break the chain of transmission.

The rapid increase is due to the fact that Malaysia – and many developing countries around the world – are struggling to secure supplies of Covid vaccines.

Malaysia has approved the use of Covid-19 vaccines developed by Pfizer-BioNTech, Oxford-AstraZeneca University and Chinese biotech company Sinovac. The government said it intends to vaccinate 80% of the population by the end of the year, but so far only about 5% have received at least one dose, data from Our World in Data showed.

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Argentina, Nepal and others see instances rising quickly like India

A patient receives oxygen while she waits outside a hospital in Kathmandu, Nepal on May 13, 2021. Government hospitals in the country lack beds for Covid-19 patients.

Sunil Pradhan | Anadolu Agency | Getty Images

India is currently at the epicenter of the global coronavirus pandemic — but it is not the only country with a worsening Covid-19 outbreak.

From Argentina in Latin America to Nepal in Asia, many other countries have also reported record increases in Covid cases in the last few weeks, according to data compiled by Johns Hopkins University.

Dr. Tedros Adhanom Ghebreyesus, director-general of the World Health Organization, has expressed concerns over the raging health crisis around the world.

“India remains hugely concerning … but it’s not only India that has emergency needs,” he said at a news briefing this month.

The increase in infections has come as progress of vaccinations remains uneven across the world. Generally, developed countries such as the U.S. and the U.K. are ahead in vaccinating their populations while poorer nations in Africa and parts of Asia are lagging due to limited supply of shots.

Here’s a look at some places where Covid cases are surging.

Argentina

  • Cumulative cases: More than 3.5 million as of May 23, according to Hopkins data.
  • Cumulative deaths: More than 74,000 as of May 23, Hopkins data showed.
  • Vaccination: Around 19.25% of population received at least one dose, according to Our World in Data.

Argentina has in the last few weeks reported record-breaking numbers of daily cases and deaths, leading authorities to impose fresh lockdown measures that will last until end-May.

The measures, which came into force over the weekend, include closing schools and non-essential businesses, as well as banning social, religious and sporting events, reported Reuters.  

Reported cases rapidly rose from below 5,000 a day in early-March to a record-high of more than 39,000 last Wednesday, Hopkins data showed. The number of deaths also surged from 112 on March 1 to a record 744 last Tuesday, according to the data.

The worsening outbreak has swamped Argentina’s health-care system, and President Alberto Fernandez was quoted as saying last Thursday that “we are living the worst moment since the pandemic began.”

Vaccination is progressing slowly in the country, with around 19% of the roughly 45 million population having received at least one dose, according to statistics site Our World in Data.

Nepal

  • Cumulative cases: More than 513,000 as of May 23, according to Hopkins data.
  • Cumulative deaths: More than 6,300 as of May 23, Hopkins data showed.
  • Vaccination: Around 7.3% of population received at least one dose, according to Our World in Data.

In Asia, surging Covid cases are overloading Nepal’s fragile health-care system.  

“Our medical infrastructure is in crisis. The oxygen supply-demand gap is huge. We also have no more vaccines,” Dr. Samir Kumar Adhikari, the health ministry’s chief spokesperson, reportedly said.

Nepal, a landlocked country with a population of roughly 29 million, shares a border with India which has been experiencing a devastating second wave. India is now the world’s second worst affected country by cases reported.

Many people in Nepal blamed returning migrant workers from India for the rapid rise in Covid-19 cases, reported NBC News. Many of the returning Nepalese had lost their jobs and income when parts of India went into lockdown to curb the second wave of infections there, the report said.  

That caused Nepal’s daily cases to accelerate from below 200 at the start of April to a record-high of more than 9,300 in mid-May, Hopkins data showed.

Nepal is scrambling to secure Covid vaccines. The country started vaccinating its people in January with the AstraZeneca vaccine provided by India and Covax, a global alliance aimed at fairly distributing vaccines, reported Reuters. However, the South Asian nation has run out of shots with the Serum Institute of India yet to deliver the doses that Nepal ordered, the report said.

India has halted exports of Covid vaccines as it prioritizes its domestic needs.

Bahrain

  • Cumulative cases: More than 218,000 as of May 23, according to Hopkins data.
  • Cumulative deaths: At least 820 as of May 23, Hopkins data showed.
  • Vaccination: Around 51.8% of population received at least one dose, according to Our World in Data.

Among countries with surging coronavirus cases, Bahrain stood out as one of the few that have vaccinated a relatively large proportion of its population.

Reported cases in Bahrain jumped from around 600 a day in early-March to above 2,000 a day last week, according to Hopkins data.

Bahrain has approved several Covid vaccines for use, including Pfizer-BioNTech, China National Pharmaceutical Group or Sinopharm, and Russia’s Sputnik vaccine.

The country’s latest outbreak has contributed to concerns about the effectiveness of vaccines from Sinopharm and Sputnik. That’s especially so as other highly vaccinated countries — such as Israel and the U.K. — which rely mostly on western-developed shots, are reporting a decline in cases.

China, on its part, appeared to suggest last month that Chinese vaccines “don’t have very high protection rates.” The official who made the remark later tried to walk back on those comments, and said he was misunderstood.

But within Bahrain, the number of deaths reported daily — while increasing — has largely remained low even as infections are rising rapidly.

Taiwan

  • Cumulative cases: More than 4,300 as of May 23, according to Hopkins data.
  • Cumulative deaths: At least 23 as of May 23, Hopkins data showed.
  • Vaccination: Around 0.14% of population received at least one dose, according to Our World in Data.

Before the latest resurgence, Taiwan was widely applauded for its success in containing the spread of Covid-19 without a full lockdown.

The island with a population of roughly 24 million recorded just 1,128 cases — of which a large majority were imported — and 12 deaths by end-April, Hopkins data showed. But the number of daily cases surged past 200 in the last week, the data showed.

Such numbers remain a lot smaller compared to most countries and territories around the world, but are a milestone for Taiwan where daily life had largely continued as normal before the latest spike.

Some media reports blamed Taiwan’s complacency for the renewed outbreak.

Taiwanese authorities had relaxed quarantine requirements for airline crew members in mid-April; and a hotel near Taoyuan International Airport was found housing flight crews on quarantine with other visitors — which led to a cluster of infections in the latest outbreak.

Authorities have since imposed new social-distancing rules that limited social gatherings, closed some businesses and tightened border restrictions.

Taiwan, which has one of the lowest vaccination rates globally, is also trying to ramp up efforts to vaccinate its population.

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Provide chains could return to China amid Covid resurgence in India, Vietnam

The Covid-19 resurgence in some parts of Asia could lead to a change in fortunes for China, according to an economist.

Previously, the U.S.-China trade war caused companies to move their supply chains out of China, shifting their production and distribution networks for products and services. As a result, countries like Vietnam and India benefited as companies moved to set up shop in their countries.

But the situation appears to be changing, and supply chains could pivot back to China as cases spike in India and Vietnam, according to Zhang Zhiwei, chief economist at Pinpoint Asset Management.

Read more about China from CNBC Pro

“Before the pandemic, we saw factories moving out of China — Samsung, Foxconn these big name companies — setting up factories in Vietnam, India,” he told CNBC’s “Street Signs Asia” on Monday.

The spike in cases in those two countries has forced factories owned by Taiwanese contract manufacturer Foxconn, a major Apple supplier, to shut down facilities in India and Vietnam, he said.

“This could put the relocation of supply chains on hold for quite some time. The key issue here is that international travel is suspended, so multinational companies can’t send their staff to India and Vietnam to set up new factories,” Zhang added.

Cases in India surged to record-breaking highs in April and shows little signs of abating significantly —economists have predicted the South Asian economy will likely contract this quarter.

In Vietnam, the northern province of Bac Giang on Tuesday ordered four industrial parks — including three that house production facilities of Taiwan’s Foxconn — to temporarily shut down due to an outbreak of Covid-19.

The situation could benefit China, Zhang suggested. However, he pointed out that the extent of how much China could stand to gain will depend on how long the situation in India and Vietnam continues for.

Right now, export growth in China is between 20% to 40% a month, he said. If the factories in India and Vietnam return to production very soon, China’s exports would be expected to slow down in the second half of the year as companies move their manufacturing to those two countries.

“But if supply chain (in India and Vietnam) is disrupted for a long time, we could see this kind of 20%, 30% export growth (in China) to continue into next year,” Zhang said.

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Two doses of Covid vaccines present safety in opposition to India variant

A healthcare worker holds syringes with the Moderna and Pfizer vaccines against the coronavirus disease (COVID-19) at a vaccination centre, in El Paso, Texas, May 6, 2021.

Jose Luis Gonzalez | Reuters

A new study has found that two doses of either the Pfizer-BioNTech or AstraZeneca-University of Oxford vaccine give effective protection against the Covid variant first discovered in India, however it underscored the need for two doses, as both vaccines were significantly less effective after only one shot.

The study, led by Public Health England, also found that two doses of one of those vaccines were similarly as effective at protecting against the variant that first emerged in the U.K. and has since become a dominant strain in the West.

Dr. Jenny Harries, CEO of the U.K. Health Security Agency, told the BBC that the study provided the “first real-world evidence of vaccine effectiveness” against the variant first identified in India.

Conducted between April and May, the research found that the Pfizer-BioNTech vaccine was 88% effective against symptomatic disease from the B.1.617.2 Covid variant — a subtype of a variant that emerged in India last fall which has since spread to Europe — two weeks after the second dose. The vaccine was 93% effective two weeks after the second dose against the B.1.1.7 variant. which was first discovered in the U.K. last fall.

Meanwhile, two doses of the AstraZeneca vaccine were found to be 60% effective against symptomatic disease from the B.1.617.2 variant from India, compared with 66% effective against the strain from the U.K.

“Vaccine effectiveness against symptomatic disease from the B.1.617.2 variant is similar after 2 doses compared to the B.1.1.7 (Kent) variant dominant in the U.K., and we expect to see even higher levels of effectiveness against hospitalisation and death,” the study authors wrote. The results were published Saturday as a preprint and the study has not yet been peer-reviewed.

PHE said the difference in effectiveness between the vaccines after two doses “may be explained by the fact that rollout of second doses of AstraZeneca was later than for the Pfizer-BioNTech vaccine, and other data on antibody profiles show it takes longer to reach maximum effectiveness with the AstraZeneca vaccine.”

However, both vaccines were only 33% effective against symptomatic disease from B.1.617.2 three weeks after the first dose. In the same time frame, they were found to be 50% effective against the B.1.1.7 variant.

Variant of concern

The variant first discovered in India has been blamed for causing a dramatic third wave of infections in the country, overwhelming hospitals and causing thousands of deaths this spring. There were concerns that Covid vaccines could be rendered less effective by the variant so the latest data should help allay those worries.

The India variant has been detected in numerous other countries now, according to the World Health Organization, which dubbed it a “variant of concern” in early May.

The PHE study analyzed data from 1,054 people, of all age groups and several ethnicities, confirmed as having the B.1.617.2 variant through genomic sequencing. The data was collected from April 5 and hence covers the period since the B.1.617.2 variant (one of three variant subtypes found in India) emerged in parts of the U.K.

“As with other variants, even higher levels of effectiveness are expected against hospitalisation and death. There are currently insufficient cases and follow-up periods to estimate vaccine effectiveness against severe outcomes from the B.1.617.2 variant. PHE will continue to evaluate this over the coming weeks,” the study’s authors added.

Responding to the study, the U.K.’s health secretary, Matt Hancock, described the findings as “groundbreaking – and proves just how valuable our Covid-19 vaccination programme is in protecting the people we love.”

The U.K. has given more than 22 million people two doses of a Covid vaccine, while 72% of the population (or almost 40 million people) have had one shot, government data shows.

Hancock said the latest data emphasized “how important the second dose is to secure the strongest possible protection” against Covid-19 and its variants.

Separate PHE analysis indicated that the country’s Covid-19 vaccination program has so far prevented 13,000 deaths and around 39,100 hospitalizations in older people in England, up to May 9.

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Covid variant from India might grow to be dominant within the UK

A patient and paramedic outside ambulance at the Royal London Hospital, London during England’s third national lockdown to contain the spread of the coronavirus. Picture date: Thursday January 21, 2021.

Yui Mok – PA Pictures | PA pictures | Getty Images

LONDON – The variant of coronavirus, which first appeared in India, could become the dominant strain of the virus in the UK in a matter of days, scientists have warned.

Great Britain is noticing a rapid spread of the Covid variant “B.1.617”, which first appeared in India last October and is considered to be responsible for a wave of infections that has hit the South Asian nation in recent months.

B.1.617 has three sublines, each with slightly different mutations, according to the World Health Organization. Variant B.1.617 was named a “variant of concern” by the WHO last week and on May 7 the UK named subline B.1.617.2 a variant of concern. Since then, the UK has seen almost double cases caused by the variant.

On Monday, UK Health Secretary Matt Hancock informed UK lawmakers that 2,323 cases of variant B.1.617.2 had been confirmed in the UK, up from 1,313 last Thursday. He said 483 of those cases were spotted in coronavirus outbreaks in the northern English cities of Bolton and Blackburn, where he said it has become the dominant burden as cases there doubled in the past week and “increased across all age groups.” “- although hospital stays were stable. There are now 86 local authorities with five or more confirmed cases, Hancock added.

The UK has introduced “surge vaccinations” in the hardest hit areas to protect as many people as possible from the virus and variant, which initial evidence suggests is more transmissible.

Early data shows that the Covid vaccines currently in use are still effective against the new variant, a government official said on Monday, although there is now a race to vaccinate younger age groups and anyone who has not previously accepted the vaccine.

There are already concerns within the government that the UK’s target date for ending all restrictions on social contact, June 21, may be reconsidered amid the proliferation of the new variant.

Experts are sounding the alarm that it is likely that the variant is already anchored. Paul Hunter, a professor of medicine at the University of East Anglia, told the Guardian newspaper on Monday that the India variant could overtake a more transmissible variant of Covid (known as B.1.1.7)) This occurred in the UK last fall and has become a dominant strain in the country and other parts of the world.

“There is no evidence that the recent rapid increase in the B.1.617.2 variant shows any signs of slowing,” he told the newspaper. “This variant will overtake (the Kent variant) and become the dominant variant in the UK for the next few days if it has not already done so.”

How serious is it

That the variant poses potential problems for the UK, a country with a high Covid vaccination rate (nearly 70% of the adult population had at least one dose of vaccine and nearly 40% had two doses), is not a good sign for other countries that are continuing their vaccination programs lag behind, especially in Europe.

The WHO has said that the Indian variant has been discovered in all European countries. By May 11, variant B.1.617 had been discovered in 44 countries in all six WHO regions, the organization announced in its last weekly update.

A panel of experts noted in the British Medical Journal on Monday that “there are many things we know and many things we do not know about variant B.1.617.2” but that “we know enough to say that this is new variant could be very serious. “

“We know that it is spreading rapidly (doubling roughly every week in the UK and nearly tripling from 520 to 1,313 cases last week) that it is establishing itself in a number of areas across the country,” wrote Dr. Stephen Reicher of the University of St. Andrews and Dr. Susan Michie and Dr. Christina Pagel from University College London, who are experts in advisory groups (SAGE and Independent SAGE) that provide scientific advice to the government.

“Compared to the dominant variant B.1.1.7, we know that B.1.617.2 is very likely to be more transmissible and possibly better transmitted between people who are fully vaccinated,” they added.

“We don’t yet know how much of the faster transmission is due to the characteristics of the variant itself as opposed to the characteristics of the infected, and … we do not yet know if and to what extent the new variant undermines the ability of vaccines to protect us from infection, hospitalization and death, or prevent us from passing infections on to others, “they added.

They found that SAGE’s worst-case scenario modeling suggests that if B.1.617.2 were 40-50% more transferable than variant B.1.1.7, it would lead to an increase in hospital admissions that could be worse than January 2021, “and also escapes The more vaccines, the higher the level could be.”

For now, however, they warned that “we don’t know enough to know exactly how serious it would be if it became the dominant line in the UK”.

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India Covid disaster exhibits public well being neglect, issues, underinvestment

A family waits in an ambulance with a patient who tests positive for COVID-19 to be admitted to hospital in Kolkata, India on May 10, 2021.

Debarchan Chatterjee | NurPhoto | Getty Images

World attention is now turning to India, the epicenter of the global pandemic, as the country battles a deadly second wave of Covid-19.

The unfolding human tragedy has exposed the deeply ingrained problems of the Indian health system after decades of neglect and underinvestment.

The crisis has brought India’s public health system to its knees. Scenes of hospitals running out of beds and people desperate for life-saving oxygen or critical medical care for their loved ones have made international headlines.

Low health care allocations

Since its independence in 1947, health has not been seen as an economically productive expense in the country for a long time – as opposed to investing in industry, agriculture and service sectors, K Srinath Reddy, president of the Public Health Foundation of India, told CNBC.

“For several decades, India’s health systems have not received the respect and resources they deserve. Public health funding has stagnated at around 1% of GDP and out-of-pocket health spending has been over 60% even in recent years” he said in an email. “The central government, as well as most of the state governments, had low budget allocations for health.”

India’s health spending is comparatively much lower than in many other countries.

The US spent almost 17% of its gross domestic product on public health care in 2018, while France and Germany spent more than 11% of GDP this year, according to the World Bank.

In a comparison of India with the other BRICS countries – Brazil, Russia, India, China and South Africa – India spent the least on health care in 2018. Brazil spent 9.5% of its GDP on health care that year, South Africa spent 8.1%, Russia 5.3% and China spent 5.35%.

India is now the second worst infected country in the world, just behind the United States.

The South Asian nation has reported more than 300,000 new infections per day in the past few weeks. According to the Ministry of Health, cumulative Covid infections reached almost 24.7 million on Sunday with more than 270,284 deaths.

However, health experts warn that the numbers are likely to be grossly underreported and the true extent of Covid infections and the number of people may never be officially known.

In a recent report by Fitch Solutions, the research firm said that despite several health reforms, India remains ill-positioned to tackle the rapid spread of the pandemic.

“With 8.5 hospital beds per 10,000 inhabitants and 8 doctors per 10,000, the country’s health sector is not prepared for such a crisis. Furthermore, the significant inefficiency, dysfunction and acute shortages of health systems in the public sector do not exist to meet the growing needs of the population “added the report.

The numbers are grim for a country like India with 1.4 billion people, which makes up 18% of the world’s population.

Lack of political will

India’s second wave started around February and accelerated through March and April. The virus spread quickly due to complacency with wearing masks at religious festivals and political rallies that drew large crowds in different parts of the country.

While the pandemic has highlighted the structural weaknesses of India’s public health system, those issues have always been there, Chandrakant Lahariya said. a Expert in medical public policy and health systems based in New Delhi.

I believe that after the long and excruciating pandemic, the political will is now stronger.

Chandrakant Lahariya

Expert in medical public order and health systems

He said this was mainly due to a lack of political will from successive political parties and the government, which had the power not to make public health a priority.

“Public health has never been a political priority or an election agenda,” he said. “Through the hands-off approach, the government has been sending a kind of message that health is an individual responsibility. People are unaware that elected governments and political leaders should be accountable and accountable to ensuring health services.”

This is where the problem arises, noted Lahariya.

“It has allowed the private health sector to grow by leaps and bounds while the public sector remains underfunded and underperforming,” he said in an email. “Now we are in this situation.”

Few Indians have health insurance

India’s private hospitals are largely commercialized and for-profit, and focus on treating disease. What makes matters worse is that the majority of Indians do not have health insurance and pay for health care out of their own pocket.

According to the Fitch report, more than 80% of the Indian population still has no significant health insurance coverage and around 68% have limited or no access to essential medicines.

While a pandemic can overwhelm almost any health system, including the best-equipped, the current situation in India was not inevitable, noted Vageesh Jain, a trained public health doctor in the UK

“The fundamental problem remains that the commercially operated private hospital system does not aim to provide long-term care to people to prevent and control disease,” said Jain, who is currently working with Public Health England on health protection in response to Covid-19.

Given the complex and multi-agency solutions, it is difficult to address such issues in any context, he added.

“But it is especially difficult in India, where there may be other quick public policy wins that are more deserving of immediate attention,” he argued.

A wake-up call for India?

India’s Prime Minister Narendra Modi has been widely criticized for failing to act earlier to suppress the virus resurgence.

In a rare reprimand, the British medical journal The Lancet recently beat up the Modi government for squandering early successes in controlling Covid and “presiding over a self-inflicted national disaster”.

“I believe that the political will is now stronger after the long and excruciating pandemic,” said Reddy of the Public Health Foundation of India. He added that the latest central budget and the Finance Commission’s recommendations are positive indicators.

The devastating situation caused by the ongoing wave is likely to be forgotten. But it must not be forgotten.

When the budget was announced in February, Indian Finance Minister Nirmala Sitharaman proposed that spending on health and wellbeing in India should more than double to $ 30.1 billion (rupees 2.2 trillion).

This includes strengthening national institutions and creating new institutions to identify and cure new diseases. There is also a new federal system in place to develop the country’s capacity for primary, secondary and tertiary care.

However, whether the crippling crisis will be a wake-up call for India to take its public health seriously remains to be seen, experts say.

“With this ongoing pandemic, the memories of the public and policymakers will last stronger and longer. Even after the pandemic has ended, it is a constant reminder that if We don’t invest, the economy will continue to slide on the banana peels of public health failure in public health and in strong health systems, “Reddy said.

Lahariya added that India has seen many public health disasters and emergencies. But most have resulted in very little, if any, changes in health systems.

“The time has come for India to have solid accountability of citizens to elected leaders. Questions should be asked of the people who elect them. Then only we can expect change,” he said.

“The devastating situation caused by the ongoing wave is likely to be forgotten. But it should not be forgotten.”

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Health

UK lifts lockdown however India Covid variant threatens June 21 easing

Busy bars and restaurants on Old Compton Street, Soho, in London in April 2021.

SOPA pictures | LightRocket | Getty Images

The UK continued easing restrictions on its economy and social contact on Monday, but the spread of the variant of Covid, which first appeared in India, threatens a total lifting of the measures.

From Monday, pubs, bars and restaurants will be able to serve customers inside. Museums, cinemas and theaters can be reopened; and exercise classes and indoor sports can be resumed. In addition, up to six people or two households can socialize indoors, and gatherings of up to 30 people are allowed outdoors.

International travel can also be resumed on Monday if people are allowed to participate in foreign holidays. Countries have been put on a “green”, “amber” or “red” list – with different quarantine rules for returning to the UK – determined by their infection rate.

While the reopening is a sigh of relief for the hospitality, leisure and travel industries, the lifting of restrictions will be tempered by a surge in Covid cases attributed to a variant of the coronavirus that first emerged in India.

British Prime Minister Boris Johnson called for a cautious approach to the reopening, warning that the proliferation of the new variant could threaten further easing on June 21 in hopes that all restrictions on social contact would be lifted.

On Friday, Johnson said there is currently no evidence that the variant is dodging Covid vaccines used across the country, but that the new variant “could seriously disrupt our progress … and I must stress that we will do this. ” whatever it takes to protect the public. “

He said the variant was more transmissible than other strains but cautioned it wasn’t clear by how much. UK Chief Medical Officer Chris Whitty speaks next to Johnson, added that there was “confidence” that the strain was “more transferable” than other variants already circulating in the country.

In cases rise

The new variant is also believed to be more transferable than a variant that first launched in the UK last fall. This became the dominant strain in the country, along with the US and parts of Europe.

On Sunday, the UK reported just over 1,900 new cases, bringing the total number of infections registered in the UK to 4,450,777. As of Sunday, 15,918 cases had been reported in the past seven days, an 8.6% increase over the May 3-9 period, according to government figures.

This surge in cases has led the government to change its vaccination strategy. Those over 50 and those at risk will receive their second dose eight weeks after the first dose rather than 12 weeks according to the previous vaccination strategy.

It was announced on Friday that the UK would be running vaccinations and testing in areas where the new variant of Covid, first discovered in India, is spreading.

To date, nearly 70% of the UK adult population have received a first dose of a coronavirus vaccine, while just over 38% have received two doses. This UK reached the milestone on Sunday of giving 20 million people a second dose of a Covid shot.

UK Health Secretary Matt Hancock said the government would make a decision on June 14 whether to finally lift the restrictions a week later. Speaking to Sky News on Sunday, Hancock said variants are one of the “greatest risks to this opening”.

“Because of the speed of transmission, it can really spread like wildfire among the unvaccinated groups. So it is important to vaccinate as many people as possible, especially those most susceptible to hospitalization.”

– CNBC’s Matt Clinch contributed to this story.

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Health

Boris Johnson says variant from India extra transmissible

British Prime Minister Boris Johnson speaks during a televised press conference at 10 Downing Street on February 22, 2021 in London, England.

Leon Neal | Getty Images News | Getty Images

LONDON – British Prime Minister Boris Johnson warned on Friday that the variant of the coronavirus, first discovered in India, has the potential to prevent the easing easing currently underway in the country.

The UK is now set to accelerate the second dose of vaccine for those over 50 and clinically at risk due to concerns about the Indian variant.

At a news conference on Friday, Johnson said the variant was more transmissible than other strains but warned it was not clear by how much. The English chief physician Chris Whitty speaks alongside Johnson, added that there is “confidence” that it is “more transferable” than the variants already circulating in the country.

Whitty said, “Earlier this week we said we thought it was as transferable as B.1.1.7 and possibly even more. There is now confidence … that this variation is more transferable than B.1.1.7 . “

The B.1.1.7 variant, known as the UK or Kent strain, has an unusually high number of mutations and is associated with more efficient and faster transmission of the coronavirus. British scientists first discovered this mutation in September last year, and it was the dominant strain in the United States by April

Johnson added that there is currently no evidence that the variant would dodge the vaccines that are being used across the country.

“But I have to measure myself with you, this new variant could seriously disrupt our progress,” said Johnson.

“And I have to emphasize that we will do everything we can to protect the public.”

Data on the new variant, released Thursday by Public Health England, showed the number of cases across the UK had increased from 520 last week to 1,313 this week, with most cases in North West England and some clusters concentrated in London.

The introduction of vaccines in the UK was one of the fastest in the world. Almost 70% of the adult population received at least one shot. Vaccines are available to anyone over the age of 38, but the government has said they could be made available to younger people in multi-generational households.

The next phase of England’s exit from the lockdown is slated for Monday, when the conviviality, hospitality and indoor entertainment will resume.

– CNBC’s Elliot Smith contributed to this article.