India’s disaster hangs over countries facing COVID-19 surges

Countries worldwide wrestling with new coronavirus surges are trying to ensure they aren’t hit by an India-style disaster. They face many of the same risks, including large populations that have shirked restrictions and fragile health systems shaken under the strain.

In a province along the Nile in southern Egypt, hospitals have been flooded with COVID-19 patients, a main hot spot in a third spike swelling across the country. Doctors in Sohag province warn the health system there could collapse, even as the government rushes in new supplies.

A man runs to escape heat emitting from the multiple funeral pyres of COVID-19 victims at a crematorium in the outskirts of New Delhi, India, Thursday, April 29, 2021.
A man runs to escape heat emitting from the multiple funeral pyres of COVID-19 victims at a crematorium in the outskirts of New Delhi, India, Thursday, April 29, 2021.


A man runs to escape heat emitting from the multiple funeral pyres of COVID-19 victims at a crematorium in the outskirts of New Delhi, India, Thursday, April 29, 2021. (Amit Sharma/)

“My estimate is that there is no family in Sohag that does not have a corona case,” said Dr. Mahmoud Fahmy Mansour, head of the province’s doctors’ union. “We lost five physicians in one week.”

He said a scenario like India was a possibility, but “God willing, it is a very far possibility.”

Egypt isn’t alone in seeing mounting new infections. Worldwide, more cases have been reported in the past two weeks than in the entire first six months of the pandemic, World Health Organization director general Tedros Adhanom said.

India and Brazil accounted for a large part of that, “but there are many other countries all over the world that face a very fragile situation,” he said. “What is happening in India and Brazil could happen elsewhere unless we all take these public health precautions.”

India has been hit by a catastrophic surge of COVID-19 infections after its prime minister boasted of vanquishing the pandemic and following multiple massive crowding events. New cases and deaths skyrocketed nearly 30-fold during March and April. The health system has been overwhelmed, leaving patients desperate for oxygen and other supplies.

In this April 24, 2021, file photo, a patient receives oxygen inside a car provided by a Gurdwara, a Sikh place of worship, in New Delhi, India.
In this April 24, 2021, file photo, a patient receives oxygen inside a car provided by a Gurdwara, a Sikh place of worship, in New Delhi, India.


In this April 24, 2021, file photo, a patient receives oxygen inside a car provided by a Gurdwara, a Sikh place of worship, in New Delhi, India. (Altaf Qadri/)

Wealthier nations, as they immunize more of their populations, are finding room to open up. But countries where vaccination has been slow or minimal face grimmer prospects. They must grapple with whether to lock down to thwart new surges and risk damaging their economies — all with the possibility of an India-style tragedy looming.

In Turkey, new cases surged nearly six-fold from the beginning of March, reaching a peak of more than 60,000 a day. The government imposed a three-week national lockdown on April 29 but exempted many sectors, allowing millions to keep going to work.

Numbers have fallen, but medical experts are calling for a 28-day full closure of all nonessential services, while only some 10 million of its more than 80 million people have been fully vaccinated.

“These restrictions were not the restrictions we called for,” said Vedat Bulut, secretary-general of the independent Turkish Medical Association.

In Egypt, average daily new cases have doubled since early February to just over 1,000 a day and continue to rise, compared to earlier peaks of 1,400 to 1,600 a day last summer and in December, according to official numbers.

The scope of the pandemic has been difficult to judge in the country of 100 million, most of whom live in densely packed cities along the Nile. Official figures report 234,015 cases, including 13,714 dead — considered a significant undercount like elsewhere in the world.

Ashraf Sayed a resident of the town of Monshah, where a surge in coronavirus pandemic cases is taking place, looks at a market on the top of a residential building, in Sohag, Egypt on May 2, 2021. In Sohag province, health workers have grown desperate.
Ashraf Sayed a resident of the town of Monshah, where a surge in coronavirus pandemic cases is taking place, looks at a market on the top of a residential building, in Sohag, Egypt on May 2, 2021. In Sohag province, health workers have grown desperate.


Ashraf Sayed a resident of the town of Monshah, where a surge in coronavirus pandemic cases is taking place, looks at a market on the top of a residential building, in Sohag, Egypt on May 2, 2021. In Sohag province, health workers have grown desperate. (Mohamed El-Shahed/)

So far, more than 1 million people, or just 1% of Egypt’s population, have been vaccinated, Prime Minister Mustafa Madbouly said ths weeki.

In the crowded Palestinian enclave of the Gaza Strip, home to 2 million people, cases have risen swiftly. In March and April, infection rates surpassed 1,000 a day — the number Gaza previously recorded weekly. Daily deaths have doubled to a high of 20. The virus has killed more than 900 Gazans and sickened over 102,000, more than half of them this year.

“Hospitals are struggling to cope,” the international aid group Doctors Without Borders warned.

Pakistan is in the midst of a third wave, with single-day fatalities hitting their highest of the entire pandemic on April 28, with 201 deaths.

Health officials added hundreds more hospital beds. Oxygen production had already been nearly doubled to 800 tons a day compared to last year. Still, at the surge’s peak in recent weeks, it was using 90% of that production.

New cases have eased slightly this week from a running average of around 6,000 a day.

“Thank God, we have so far managed to cope with this huge increase because of proactively building capacity of the entire system,” Planning and Development Minister Asad Umar said.

But he warned the country of more than 200 million could face an India-level disaster unless people adhere to precautions that have been widely ignored. The government has rejected calls for a lockdown but warns that could change.

“Be careful. For yourself, and your loved ones,” he said in a tweet.

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