Tag Archives: COVID-19

Britain reports highest deaths from COVID-19 since March as Johnson urges caution

By Alistair Smout and Paul Sandle

LONDON (Reuters) -Britain reported its highest number of deaths and people in hospital with coronavirus since March on Tuesday, with Prime Minister Boris Johnson urging caution despite a week of lower reported numbers of infection.

Britain reported 131 new deaths from COVID-19, the highest daily total since March 17, though it came after just 14 deaths were reported on Monday, suggesting the weekend might have impacted when deaths were reported.

The number of COVID-19 patients in British hospitals has also steadily risen to 5,918, also the highest since March, following a spike in cases earlier this month.

The number of new infections has fallen each day for the last seven days, though Johnson stressed the pandemic was not over.

“It is very, very important that we don’t allow ourselves to run away with premature conclusions about (lower case numbers),” Johnson told broadcasters, noting it would take a while for the lifting of restrictions in England to feed through to the data.

“People have got to remain very cautious and that remains the approach of the government.”

Johnson has lifted restrictions in England and is betting he can get one of Europe’s largest economies firing again because so many people are now vaccinated, a decision which marks a new chapter in the response to the novel coronavirus.

Imperial College epidemiologist Neil Ferguson said the effective end of Britain’s pandemic could be just months away as vaccines have so dramatically reduced the risk of hospitalization and death.

“We’re not completely out of the woods but the equation has fundamentally changed,” Ferguson, whose modelling of the virus’s likely spread at the outset of the pandemic in early 2020 alarmed governments across the world, told the BBC.

“I’m positive that by late September, October time we will be looking back at most of the pandemic.”

ON THE WAY DOWN

Johnson lifted COVID-19 restrictions in England on July 19. New daily cases in the current wave peaked two days earlier at 54,674 and have since fallen dramatically, to 23,511 new cases on Tuesday.

The closure of schools for summer, the end of the Euro 2020 soccer championships and warmer weather are among factors epidemiologists say might have reduced social mixing indoors and therefore cases, even as England’s economy has fully reopened.

Case numbers have been falling for longer in Scotland, where the recent peak in new infections was on July 1, than in England, corresponding to an earlier elimination from the Euros.

“Both of them seem to coincide in some ways with the end of activity in the Euro 2020 tournament,” Rowland Kao, an epidemiologist at the University of Edinburgh, told Reuters, adding that changes in testing patterns might mean that the sharpness of the drop is overstated in daily testing figures.

“(Cases) may go up again, because we’re only just going to be starting to see the effect of the complete release of restrictions associated with July 19 in England. So there may still be rises yet to come.”

Britain has one of the highest official fatality rates from COVID-19 in the world, with 129,303 deaths, but vaccinations and lockdowns have greatly slowed the rate since March.

Scotland’s National Clinical Director Jason Leitch said a gradual return to usual social activity would help smooth the end of the current wave, but that the next few weeks would be unpredictable.

“On the way down is always bumpier than the exponential rise on the way up,” he told Reuters.

(Reporting by Sarah Young and Alistair Smout; Additional reporting by Paul Sandle; Editing by Guy Faulconbridge, Janet Lawrence, Catherine Evans, William Maclean and Mike Harrison)

Factbox: Latest on the worldwide spread of the coronavirus

(Reuters) – The EU is on course to hit a target of fully vaccinating at least 70% of its adult population by the end of summer, given that same percentage of over-18s has now already received a first dose, the European Commission said.

DEATHS AND INFECTIONS

EUROPE

* Ireland became the latest European Union member state to commit to offering COVID-19 vaccines to children aged 12-15 as it opened its strongly subscribed program to 16 and 17-year old’s.

* Greece said children aged 12-15 could be vaccinated with Pfizer/BioNTech and Moderna shots.

ASIA-PACIFIC

* Tokyo’s 2,848 COVID-19 infections are the highest tally that the Olympic host city has reported since the pandemic began, officials said, as media reported that authorities had asked hospitals to prepare more beds for patients, with the Delta variant driving the surge.

* India will meet its target of supplying more than half a billion COVID-19 vaccine doses to its states by the end of this month, the health ministry said, but added not all doses may be administered by then.

* Moderna has pushed back its late-July vaccine shipment schedule for South Korea to August due to supply problems that will also affect other countries awaiting its shots, South Korean health officials said.

* Australia’s Victoria state will lift a strict lockdown, while neighboring New South Wales faces an extension of restrictions after daily new cases spiked to a 16-month peak.

AMERICAS

* The Centers for Disease Control and Prevention (CDC) is set to announce revised mask guidance for fully vaccinated Americans in the wake of rising COVID-19 cases.

* Argentina’s government has signed a deal with U.S. pharmaceutical company Pfizer to acquire 20 million doses of vaccines to be delivered this year, Health Minister Carla Vizzotti told reporters.

MIDDLE EAST AND AFRICA

* Saudi Arabia will impose a three-year travel ban on citizens travelling to countries on the kingdom’s ‘red list’ under efforts to curb the spread of coronavirus and its new variants, state news agency SPA said.

* Nigeria expects to take delivery of 29 million doses of Johnson & Johnson vaccine in August, allowing it to ramp up its vaccination program just as a third wave of infections takes hold, the health minister said.

* Israel is considering giving a third shot of the Pfizer/BioNTech vaccine to its elderly population even before FDA approval to help fend off the Delta variant.

MEDICAL DEVELOPMENTS

* Antibodies triggered by Sinovac Biotech’s vaccine decline below a key threshold from around six months after a second dose for most recipients, although a third shot could have a strong booster effect, according to a lab study.

* Russia has given the green light for clinical trials combining a shot from AstraZeneca and Britain’s Oxford University with Russia’s Sputnik V vaccine to go ahead.

* Moderna is in talks with U.S. regulators to expand the size of an ongoing trial testing its vaccines in children aged between five and 11.

ECONOMIC IMPACT

* World stocks fell after investors sold Chinese internet giants for a third straight day, while real U.S. bond yields hit record lows on worries about the economic outlook ahead of a Federal Reserve meeting.

* The International Monetary Fund maintained its 6% global growth forecast for 2021, upgrading its outlook for the United States and other wealthy economies but cutting estimates for a number of developing countries struggling with surging COVID-19 infections.

(Compiled by Veronica Snoj and Ramakrishnan M.; Editing by Grant McCool, Maju Samuel, Sriraj Kalluvila and Gareth Jones)

U.S. CDC recommends vaccinated Americans wear masks indoors in many cases

By David Shepardson and Julie Steenhuysen

WASHINGTON (Reuters) -Americans fully vaccinated against COVID-19 should go back to wearing masks in indoor public places in regions where the coronavirus and especially the Delta variant are spreading rapidly, U.S. authorities said on Tuesday.

The U.S. Centers for Disease Control and Prevention (CDC) also recommended all students and teachers at kindergarten through 12th grade schools wear masks regardless of vaccination status. The CDC said children should return to full-time, in-person learning in the fall with proper prevention strategies.

The changes mark a reversal of the CDC’s announcement in May that prompted millions of vaccinated Americans to shed their face coverings.

The United States leads the world in the daily average number of new infections, accounting for one in every nine cases reported worldwide each day. The seven-day average for new cases has been rising sharply and stands at 57,126, still about a quarter of the pandemic peak.

“In areas with substantial and high transmission, CDC recommends that fully vaccinated individuals wear a mask in public indoor settings to help prevent spread of Delta and protect others,” the agency said.

The CDC said that 63% of U.S. counties had high transmission rates that warranted mask wearing. The Delta variant is highly transmissible.

In May, the agency advised that fully vaccinated people do not need to wear masks outdoors and can avoid wearing them indoors in most places, guidance the agency said would allow life to begin to return to normal.

Dr. David Doudy, an epidemiologist at Johns Hopkins University, said the CDC guidance was motivated by a change in infection patterns. “We’re seeing this doubling in the number of cases every 10 days or so,” he said.

‘A NECESSARY PRECAUTION’

American Federation of Teachers President Randi Weingarten praised the new CDC mask guidance in a statement, saying it was needed “to deal with the changing realities of virus transmission.”

She called it “a necessary precaution until children under 12 can receive a COVID vaccine and more Americans over 12 get vaccinated.”

The new CDC recommendations are not binding and many Americans, especially in Republican-leaning states, may choose not to follow them. At least eight states bar schools from requiring masks.

Dr. Isaac Weisfuse, a medical epidemiologist and adjunct professor at Cornell University Public Health, said resistance was likely among some people. “I think we will get blowback because I think people might view it as backtracking,” he said.

On Monday, the Biden administration confirmed it will not lift any existing international travel restrictions, citing the rising number of COVID-19 cases and the expectation that they will continue to rise in the weeks ahead.

Masks became a political issue in the United States under former President Donald Trump, who resisted mandating face coverings. President Joe Biden has embraced masks and mandated them for transit hubs days after taking office.

(Reporting by David Shepardson; Additional reporting by Nandita Bose; Editing by Rosalba O’Brien, Bill Berkrot and Cynthia Osterman)

People with allergic reaction to mRNA vaccines can get 2nd dose; Delta viral load over 1,000 times higher

By Nancy Lapid

(Reuters) – The following is a roundup of some of the latest scientific studies on the novel coronavirus and efforts to find treatments and vaccines for COVID-19.

Most with allergy to first mRNA shot can get second dose

Most people with allergic reactions to the first dose of an mRNA COVID-19 vaccine from either Pfizer/BioNTech or Moderna can safely receive the second dose, a new study shows. The rates of allergic reactions to these vaccines have been reported to be as high as 2%, with anaphylaxis, the most serious kind, occurring in up to 2.5 of every 10,000 vaccine recipients, the researchers said. They reviewed data on 189 adults with first-dose reactions to one of these vaccines, such as flushing, dizziness or lightheadedness, tingling, throat tightness, hives, and wheezing or shortness of breath. Most of these adults – 84% – received the second dose of the vaccine, with about a third taking an antihistamine beforehand. All of them tolerated the second dose, including those with first-dose anaphylactic reactions. Any potentially allergic symptoms that developed after the second dose were mild and easily controlled, the researchers reported on Monday in JAMA Internal Medicine. “Complete two-dose vaccination has become even more important with the Delta variant and we suspect there are many more people who did not get their second shot because of allergic symptoms,” said coauthor Dr. Matthew Krantz from Vanderbilt University. “Our data suggest that most patients with immediate and potentially allergic reactions to mRNA COVID-19 vaccines tolerate a second dose,” his team concluded.

Delta viral load 1,000 times higher than original virus

Chinese researchers tracking a recent COVID-19 outbreak in China found that people infected with the Delta variant carry 1,260 times more virus in their noses compared to those infected in the first wave of the pandemic. The higher load means the virus spreads far more easily from person to person, increasing infections and hospitalizations, they reported ahead of peer review in a paper first posted on medRxiv earlier in July and updated on Friday. The interval between when people were exposed to infected individuals and when they themselves were diagnosed decreased from an average of 6 days in 2020 to 4 days during the Delta outbreak, the researchers found. The Delta variant is “outcompeting all other viruses because it just spreads so much more efficiently,” said Shane Crotty of the La Jolla Institute for Immunology in San Diego, who was not involved in the Chinese study. In the United States, Delta accounts for about 83% of new infections, with unvaccinated people representing nearly 97% of severe cases.

Popular antacids not linked to severe COVID-19 outcomes

Widely-used antacid medications known as proton pump inhibitors (PPIs) are not linked with severe COVID-19 outcomes, a new study found. Researchers with the U.S. Veterans Affairs Health Care System analyzed data on nearly 15,000 veterans with positive COVID-19 tests, about 42% of whom were using PPIs such as Procter & Gamble’s Prilosec (omeprazole), Takeda Pharmaceuticals’ Prevacid (lansoprazole), and AstraZeneca’s Nexium (esomeprazole). After taking patients’ underlying COVID-19 risk factors into account, the risk of becoming sick enough to need mechanical ventilation or to die within two months of diagnosis was no different between regular PPI users and non-users, the researchers reported on Sunday on medRxiv ahead of peer review. “With respect to COVID-19,” the researchers concluded, “patients and providers should feel safe to continue to use PPIs at the lowest effective dose for approved indications.”

(Reporting by Nancy Lapid and Julie Steenhuysen; Editing by Bill Berkrot)

COVID-19 crisis has led to food crisis, says Italy’s Draghi

By Maytaal Angel

LONDON (Reuters) -The world must ensure access to food supplies as forcefully as it moved to ensure access to vaccines, Italian Prime Minister Mario Draghi said at the opening of the United Nations Food Systems Pre-Summit in Rome.

“The health crisis (COVID-19) has led to a food crisis,” he said, citing data showing malnutrition in all its forms has become the leading cause of ill health and death in the world.

The U.N.’s first ever Food Systems Summit will take place in September, with the aim of delivering progress on the body’s 2030 sustainable development goals (SDGs).

According to the latest U.N. data, the world’s food system, which involves cutting down forests to plant crops, is responsible for a third of global greenhouse gas emissions, making it a leading cause of climate change.

“We are off track to achieve the SDGs,” said U.N. Secretary General António Guterres, who first announced his plan to convene the Food Systems Summit in October 2019, before COVID-19 dramatically slowed progress towards SDGs like zero hunger.

After remaining virtually unchanged for five years, world hunger and malnutrition rose last year by around 118 million people to 768 million, with most of the increase likely due to the COVID-19 pandemic, according to a major U.N. report.

On internationally traded markets, world food prices were up 33.9% year-on-year in June, according to the U.N food agency’s price index, which measures a basket of cereals, oilseeds, dairy products, meat and sugar.

There is increased diplomatic momentum to tackle hunger, malnutrition and the climate crisis this year with summits like the current one, but the challenge is huge.

Guterres said the pre-summit will assess progress towards achieving the SDGs by transforming global food systems, which, he noted, are also responsible for 80% of the world’s biodiversity loss.

(Reporting by Maytaal Angel; Editing by Giles Elgood and Steve Orlofsky)

How the Delta variant upends assumptions about the coronavirus

By Julie Steenhuysen, Alistair Smout and Ari Rabinovitch

(Reuters) – The Delta variant is the fastest, fittest and most formidable version of the coronavirus that causes COVID-19 the world has encountered, and it is upending assumptions about the disease even as nations loosen restrictions and open their economies, according to virologists and epidemiologists.

Vaccine protection remains very strong against severe disease and hospitalizations caused by any version of the coronavirus, and those most at risk are still the unvaccinated, according to interviews with 10 leading COVID-19 experts.

But evidence is mounting that the Delta variant, first identified in India, is capable of infecting fully vaccinated people at a greater rate than previous versions, and concerns have been raised that they may even spread the virus, these experts said.

As a result, targeted use of masks, social distancing and other measures may again be needed even in countries with broad vaccination campaigns, several of them said.

Israel recently reinstated mask-wearing requirements indoors and requires travelers to quarantine upon arrival.

U.S. officials are considering whether to revise mask guidance for the vaccinated. Los Angeles County, the most populous in the United States, is again requiring masks even among the vaccinated in indoor public spaces.

“The biggest risk to the world at the moment is simply Delta,” said microbiologist Sharon Peacock, who runs Britain’s efforts to sequence the genomes of coronavirus variants, calling it the “fittest and fastest variant yet.”

Viruses constantly evolve through mutation, with new variants arising. Sometimes these are more dangerous than the original.

The major worry about the Delta variant is not that it makes people sicker, but that it spreads far more easily from person to person, increasing infections and hospitalizations among the unvaccinated.

Public Health England said on Friday that of a total of 3,692 people hospitalized in Britain with the Delta variant, 58.3% were unvaccinated and 22.8% were fully vaccinated.

In Singapore, where Delta is the most common variant, government officials reported on Friday that three quarters of its coronavirus cases occurred among vaccinated individuals, though none were severely ill.

Israeli health officials have said 60% of current hospitalized COVID-19 cases are in vaccinated people. Most of them are age 60 or older and often have underlying health problems.

In the United States, which has experienced more COVID-19 cases and deaths than any other country, the Delta variant represents about 83% of new infections. So far, unvaccinated people represent nearly 97% of severe cases.

Dr. Monica Gandhi, an infectious diseases doctor at the University of California, San Francisco, said many vaccinated people are “so disappointed” that they are not 100% protected from mild infections. But the fact that nearly all Americans hospitalized with COVID-19 right now are unvaccinated “is pretty astounding effectiveness,” she said.

‘TEACHING US A LESSON’

“There is always the illusion that there is a magic bullet that will solve all our problems. The coronavirus is teaching us a lesson,” said Nadav Davidovitch, director of Ben Gurion University’s school of public health in Israel.

The Pfizer Inc/BioNTech vaccine, one of the most effective against COVID-19 so far, appeared only 41% effective at halting symptomatic infections in Israel over the past month as the Delta variant spread, according to Israeli government data. Israeli experts said this information requires more analysis before conclusions can be drawn.

“Protection for the individual is very strong; protection for infecting others is significantly lower,” Davidovitch said.

A study in China found that people infected with the Delta variant carry 1,000 times more virus in their noses compared with the original version first identified in Wuhan in 2019.

“You may actually excrete more virus and that’s why it’s more transmissible. That’s still being investigated,” Peacock said.

Virologist Shane Crotty of the La Jolla Institute for Immunology in San Diego noted that Delta is 50% more infectious than the Alpha variant first detected in the UK.

“It’s outcompeting all other viruses because it just spreads so much more efficiently,” Crotty said.

Genomics expert Eric Topol, director of the Scripps Research Translational Institute in La Jolla, California, noted that Delta infections have a shorter incubation period and a far higher amount of viral particles.

“That’s why the vaccines are going to be challenged. The people who are vaccinated have got to be especially careful. This is a tough one,” Topol said.

In the United States, the Delta variant has taken hold just as many Americans – vaccinated and not – have stopped wearing masks indoors.

“It’s a double whammy,” Topol said. “The last thing you want is to loosen restrictions when you’re confronting the most formidable version of the virus yet.”

The development of highly effective vaccines may have led many people to believe that once vaccinated, COVID-19 posed little threat to them.

“When the vaccines were first developed, nobody was thinking that they were going to prevent infection,” said Carlos del Rio, a professor of medicine and infectious disease epidemiology at Emory University in Atlanta. The aim was always to prevent severe disease and death, del Rio added.

The vaccines were so effective, however, that there were signs they also prevented transmission against prior coronavirus variants.

“We got spoiled,” he said.

(Reporting by Julie Steenhuysen in Chicago, Alistair Smout in London, Ari Rabinovitch and Maayan Lubell in Jerusalem; Editing by Will Dunham and Bill Berkrot)

Biden administration releases COVID funds to boost local economies

WASHINGTON (Reuters) -The Biden administration on Thursday released $3 billion in COVID-19 rescue funds aimed at helping localities bolster their economies in the wake of the pandemic, calling on communities to seek funding for a range of revitalization projects.

The funding, authorized by the $1.9 trillion American Rescue Plan Act, is part of President Joe Biden’s “Build Back Better” agenda to rebuild the nation after the novel coronavirus triggered widespread shutdowns and led to more than 600,000 U.S. deaths so far. The Democrat-backed bill was passed in March.

New funding will be available to communities nationwide through six programs run through the Department of Commerce targeting jobs, for instance, in tourism, the agency said in a statement.

“This investment will ensure that they have the resources to recover from the pandemic and will help create new jobs and opportunities, including through the development or expansion of a new industry sector,” the Commerce Department said.

Commerce Secretary Gina Raimondo told reporters the initiative could create as many as 300,000 jobs “in the near term.”

Of the total funding, $1 billion will be allocated for up to 30 localities that apply for money for up to eight community projects such as building infrastructure or training workers, it said.

There is also $100 million “specifically for Indigenous communities, which were disproportionately impacted by the pandemic,” the department added.

State and local governments, universities and colleges, nonprofit organizations, unions and tribes may apply for the funds, which must be awarded by September 2022, the Commerce Department said. For-profit companies and individuals are excluded.

Some $300 million in funding will also be set aside to aid hard-hit communities dependent on coal and other energy-sector work.

(Reporting by Susan Heavey; Additional reporting by Jeff Mason and Trevor Hunnicutt; Editing by Steve Orlofsky and Leslie Adler)

U.S. life expectancy falls to lowest level in almost 20 years due to COVID-19 – CDC

By Dania Nadeem

(Reuters) – Life expectancy in the United States fell by a year and a half in 2020 to 77.3 years, the lowest level since 2003, primarily due to the deaths caused by the COVID-19 pandemic, a U.S. health agency said on Wednesday.

It is the biggest one-year decline since World War Two, when life expectancy fell 2.9 years between 1942 and 1943, and is six months shorter than its February 2021 estimate, the U.S. Centers for Disease Control and Prevention (CDC) said.

“Life expectancy has been increasing gradually every year for the past several decades,” Elizabeth Arias, a CDC researcher who worked on the report, told Reuters. “The decline between 2019 and 2020 was so large that it took us back to the levels we were in 2003. Sort of like we lost a decade.”

Deaths from COVID-19 contributed to nearly three-fourths, or 74%, of the decline and drug overdoses were also a major contributor, the CDC said.

The CDC’s National Center for Health Statistics (NCHS) last week released interim data showing that U.S. drug overdose deaths rose nearly 30% in 2020.

The latest CDC report is based on provisional mortality data for January through December of 2020.

Racial, gender and ethnic disparities worsened during the period, the report said. Life expectancy for Black people fell by 2.9 years to 71.8 in 2020, the lowest level since 2000. Life expectancy for Hispanic males dropped 3.7 years to 75.3, the largest decline of any group.

Disparity in life expectancy between men and women also widened in 2020, with women now expected to live 80.2 years, or 5.7 years longer than men – six months more than foreseen in 2019.

The data represents early estimates based on death certificates received, processed, and coded but not finalized by the NCHS.

(Reporting by Dania Nadeem; Additional reporting by Trisha Roy in Bengaluru; editing by Caroline Humer and Steve Orlofsky)

U.S extends travel restrictions at Canada, Mexico land borders through Aug. 21

By David Shepardson

WASHINGTON (Reuters) – U.S. land borders with Canada and Mexico will remain closed to non-essential travel until at least Aug. 21, the U.S. Homeland Security Department said on Wednesday.

The 30-day extension came after Canada announced Monday it will start allowing fully-vaccinated U.S. visitors into the country on Aug. 9 for non-essential travel after the COVID-19 pandemic forced an unprecedented 16-month ban that many businesses complained was crippling them.

One difficult question for the Biden administration is whether it would follow Canada’s lead and require all visitors to be vaccinated for COVID-19 before entering the United States, sources briefed on the matter told Reuters.

The White House plans a new round of high-level meetings to discuss the travel restrictions and the potential of mandating COVID-19 vaccines, but no decisions have been made, the sources said.

In early June, the White House launched interagency working groups with the European Union, Britain, Canada, and Mexico to look at how to eventually to lift restrictions.

Businesses in Canada and the United States, particularly the travel and airline industries, pushed for an end to restrictions on non-essential travel between the two countries, which were imposed in March 2020 at the beginning of the pandemic.

Since then, the land border has been closed to all non-essential travel. However, the United States has allowed Canadians to fly in, while Canada has not allowed Americans to do the same.

The United States has continued to extend the restrictions on Canada and Mexico on a monthly basis since March 2020.

Airlines and others have urged the administration to lift restrictions covering most non-U.S. citizens who have recently been in Britain, the 26 Schengen nations in Europe without border controls, Ireland, China, India, South Africa, Iran and Brazil.

(Reporting by David Shepardson; Editing by Steve Orlofsky)

India’s excess deaths during pandemic up to 4.9 million, study shows

By Ankur Banerjee and Neha Arora

(Reuters) -India’s excess deaths during the COVID-19 pandemic could be as high as 4.9 million, a new study shows, providing further evidence that millions more may have died from coronavirus than the official tally.

The report by the Washington-based Center for Global Development, co-authored by India’s former chief economic adviser Arvind Subramanian, included deaths from all causes since the start of the pandemic through June this year.

India’s official tally of more than 414,000 deaths is the world’s third highest after the United States and Brazil, but the study adds to growing calls from experts for a rigorous nationwide audit of fatalities.

A devastating rise in infections in April and May, driven largely by the more infectious and dangerous Delta variant, overwhelmed the healthcare system and killed at least 170,000 people in May alone, official data show.

“What is tragically clear is that too many people, in the millions rather than hundreds of thousands, may have died,” the report said, estimating between 3.4 million and 4.9 million excess deaths during the pandemic.

But it did not ascribe all excess deaths to the pandemic.

“We focus on all-cause mortality, and estimate excess mortality relative to a pre-pandemic baseline, adjusting for seasonality,” the authors said.

The health ministry did not immediately respond to a Reuters email seeking comment.

Some experts have said excess deaths are the best way to measure the real toll from COVID-19.

“For every country, it’s important to capture excess mortality – the only way to prepare the health system for future shocks and to prevent further deaths,” Soumya Swaminathan, the chief scientist of the World Health Organization, said on Twitter.

The New York Times said the most conservative estimate of deaths in India was 600,000 and the worst-case scenario several times that. The government has dismissed those figures.

Health experts blame the undercounting largely on scarce resources in the vast hinterland home to two-thirds of India’s population of nearly 1.4 billion, and also many deaths at home without being tested.

India has reported a decline in daily infections from a May peak, with Tuesday’s 30,093 new cases making up its lowest daily count in four months.

Prime Minister Narendra Modi’s government has also been criticized for a messy vaccination campaign that many say helped worsen the second wave of infections.

Just over 8% of eligible adult Indians have received both vaccine doses.

In July, the government administered fewer than 4 million daily doses on average, down from a record 9.2 million on June 21, when Modi flagged off a free campaign to inoculate all 950 million adults.

(Reporting by Ankur Banerjee in Bengaluru and Neha Arora in New Delhi; Editing by Clarence Fernandez and Giles Elgood)