Swelling Ganges opens up India’s riverside graves

By Ritesh Shukla and Saurabh Sharma

PRAYAGRAJ, India (Reuters) – More corpses are washing up on the banks of the Ganges in India’s most populous state of Uttar Pradesh, as rains swell the river and expose bodies buried in shallow graves during the peak of the country’s latest wave of coronavirus infections.

Videos and pictures in May of bodies drifting down the river, which Hindus consider holy, shocked the nation and underlined the ferocity of the world’s biggest surge in infections.

Though cases have come down drastically this month, the Uttar Pradesh city of Prayagraj alone has cremated 108 bodies found in the river in the last three weeks, said a senior municipal official.

“These are those dead bodies which were buried very close to the river and have gone into it with the rise in its water levels,” Neeraj Kumar Singh told Reuters.

“The municipal corporation has deployed a team of 25 people who are working day and night on this front.”

Reuters saw more than a dozen riverside pyres burning a few miles from Prayagraj.

India, the world’s second most populous country, saw its health infrastructure crushed in April and May. Hospitals ran out of beds and life-saving oxygen and crematoriums became overwhelmed with the dead.

The government of Uttar Pradesh, home to 240 million people, acknowledged in May that bodies of COVID-19 victims were being dumped into rivers in a practice likely stemming from poverty and families abandoning victims for fear of the disease.

“Instructions have been passed to every district magistrate to cremate the dead bodies with proper respect,” said Uttar Pradesh government spokesperson Navneet Sehgal.

“There are dead bodies buried on the river bank and it is because of a local tradition.”

The state reported 224 COVID-19 infections overnight, taking its total caseload to 1.7 million, while total fatalities are at 22,366.

(Reporting by Ritesh Shukla in Prayagraj, Saurabh Sharma in Lucknow and Uday Sampath in Bengaluru; editing by Jonathan Oatis)

India says new COVID variant is a concern

By Uday Sampath Kumar and Bhargav Acharya

BENGALURU (Reuters) -India on Tuesday declared a new coronavirus variant to be of concern, and said nearly two dozen cases had been detected in three states.

The variant, identified locally as “Delta plus,” was found in 16 cases in the state of Maharashtra, Federal Health Secretary Rajesh Bhushan told a news conference.

The ministry said Delta plus showed increased transmissibility and advised states to increase testing.

On Monday, India vaccinated a record 8.6 million people as it began offering free shots to all adults, but experts doubted it could maintain that pace.

“This is clearly not sustainable,” Chandrakant Lahariya, an expert in public policy and health systems, told Reuters.

“With such one-day drives, many states have consumed most of their current vaccine stocks, which will affect the vaccination in days to follow.”

With the currently projected vaccine supply for the next few months, the maximum daily achievable rate is 4 to 5 million doses, Lahariya added.

The effort has so far covered about 5.5% of the 950 million people eligible, even though India is the world’s largest vaccine producer.

A devastating second wave during April and May overwhelmed health services, killing hundreds of thousands. Images of funeral pyres blazing in car parks raised questions over the chaotic vaccine rollout.

Since May, vaccinations have averaged fewer than 3 million doses a day, far less than the 10 million health officials say are crucial to protect the millions vulnerable to new surges.

VACCINE DRIVE FALTERING

Particularly in the countryside, where two-thirds of a population of 1.4 billion lives and the healthcare system is often overstretched, the drive has faltered, experts say.

Maintaining the pace will prove challenging when it comes to injecting younger people in such areas, Delhi-based epidemiologist Rajib Dasgupta said.

The capital is also facing difficulties. Authorities in New Delhi said more than 8 million residents had yet to receive a first dose and inoculating all adults there would take more than a year at the current pace.

India has been administering AstraZeneca’s vaccine, made locally by the Serum Institute of India, and a homegrown shot named Covaxin made by Bharat Biotech.

Last week, Serum Institute had said it planned to increase monthly production to around 100 million doses from July. Bharat now estimates it will make 23 million doses a month.

On Tuesday, television channel CNBC-TV18 reported that phase-3 data for Covaxin showed an efficacy of 77.8%.

India may also soon have a mass rollout of Russia’s Sputnik V vaccine, and the government expects to import vaccines this year from major makers such as Pfizer.

Although new infections in India have dropped to their lowest in more than three months, experts say vaccinations should be stepped up because of the transmissibility of new variants.

Over the past 24 hours India reported 42,640 new infections, the lowest since March 23, and 1,167 deaths.

Infections now stand at 29.98 million, with a death toll of 389,302, health ministry data showed.

(Reporting by Uday Sampath Kumar and Bhargav Acharya, Ankur Banerjee in Bengaluru, Shilpa Jamkhandikar in Pune; Writing by Neha Arora; Editing by Clarence Fernandez, Angus MacSwan and Giles Elgood)

Delta COVID variant becoming globally dominant, WHO official says

GENEVA (Reuters) – The Delta variant of COVID-19, first identified in India, is becoming the globally dominant variant of the disease, the World Health Organization’s chief scientist said on Friday.

Soumya Swaminathan also voiced disappointment in the failure of CureVac’s vaccine candidate in a trial to meet the WHO’s efficacy standard, in particular as highly transmissible variants boost the need for new, effective shots.

Britain has reported a steep rise in infections with the Delta variant, while Germany’s top public health official predicted it would rapidly become the dominant variant there despite rising vaccination rates.

The Kremlin blamed a surge in COVID-19 cases on reluctance to have vaccinations and “nihilism” after record new infections in Moscow, mostly with the new Delta variant, fanned fears of a third wave.

“The Delta variant is well on its way to becoming the dominant variant globally because of its increased transmissibility,” Swaminathan told a news conference.

Coronavirus variants were cited by CureVac when the German company this week reported its vaccine proved only 47% effective at preventing disease, shy of the WHO’s 50% benchmark.

The company said it documented at least 13 variants circulating within its study population.

Given that similar mRNA vaccines from Pfizer and BioNTech and Moderna posted efficacy rates topping 90%, Swaminathan said the world had been expecting more from CureVac’s candidate.

“Just because it’s another mRNA vaccine, we cannot presume all mRNA vaccines are the same, because each one has a slightly different technology,” Swaminathan said, adding the surprise failure underscored the value of robust clinical trials to test new products.

WHO officials said Africa remains an area of concern, even though it accounts for only around 5% of new global infections and 2% of deaths.

New cases in Namibia, Sierra Leone, Liberia and Rwanda have doubled in the last week, WHO emergencies program head Mike Ryan said, while vaccine access remains miniscule.

“It’s a trajectory that is very, very concerning,” Ryan said. “The brutal reality is that in an era of multiple variants, with increased transmissibility, we have left vast swathes of the population, the vulnerable population of Africa, unprotected by vaccines.”

(Reporting by John Miller, writing by Giles Elgood, Editing by Catherine Evans and Michael Shields)

UK’s Johnson delays COVID reopening by a month, citing Delta variant risk

By Alistair Smout and William James

LONDON (Reuters) -Prime Minister Boris Johnson delayed his plans to lift most remaining COVID-19 restrictions by a month on Monday, warning that thousands more people might die if he did nothing because of the rapid spread of the more infectious Delta variant.

Under the final stage of a plan outlined by Johnson in February, he had hoped to lift most social restrictions on June 21, meaning pubs, restaurants, nightclubs and other hospitality venues could fully reopen.

That much-anticipated step was pushed back to July 19.

“I think it is sensible to wait just a little longer,” Johnson told a news conference. “As things stand, and on the evidence that I can see right now, I’m confident that we will not need more than four weeks.”

The extra time would be used to speed up Britain’s vaccination program – already one of the world’s furthest advanced – by shortening the recommended time between doses for those aged over 40 to eight weeks from 12 weeks.

The situation would be reviewed on June 28, which could allow the reopening to be brought forward, although Johnson’s spokesman said that was considered unlikely.

In recent weeks there has been fast growth in new cases caused by the Delta variant, first discovered in India. Health officials believe it is 60% more transmissible than the previous dominant strain and scientists have warned that it could trigger a third wave of infections.

The opposition Labor Party blamed the government for the delay, saying it had been too slow to close borders to travelers from India.

On Monday, Britain recorded 7,742 new COVID-19 cases and three deaths. Johnson said the number of cases was growing by about 64% per week and the number of people in hospitals’ intensive care units was rising.

“By being cautious now we have the chance in the next four weeks to save many thousands of lives by vaccinating millions more people,” he said.

Britain has officially reported almost 128,000 deaths since the start of the pandemic, the seventh highest number globally.

Monday’s decision was based on scientific modelling which showed that, if the reopening went ahead as planned, under some scenarios hospitalizations could match those in March last year when ministers feared the health system could be overwhelmed.

“The four week delay should reduce the peak – whatever it would be – by something between 30 and 50%,” the government’s Chief Scientific Adviser Patrick Vallance said.

Studies on Monday showed the Delta variant doubles the risk of hospitalization, but two doses of vaccine still provide strong protection.

Unlike in March 2020, the increase in hospitalizations was likely to be among younger people who require shorter treatment and are less at risk of dying.

Nevertheless, the risk of increased pressure on the health system meant that the tests the government set out for going ahead with the reopening had not been met.

Johnson sets COVID-19 restrictions for England, with devolved administrations in Scotland, Wales and Northern Ireland making their own policy.

NO NEW SUPPORT

There are no plans to extend new economic help to businesses as a result of the delay, Johnson said. He said current data on vaccines and infections showed no need to do so.

Britain’s furlough program supports just over 2 million jobs and is due to continue until the end of September. But from July employers will have to pay 10% of furloughed staff’s wages, rising to 30% in September.

The hospitality industry has also called for an extension of other sector-specific aid. The Society of London Theatre and UK Theatre said thousands of jobs were hanging in the balance.

Despite Monday’s delay, the government lifted some restrictions on the number of guests allowed to attend weddings, and will continue pilots of crowds at sporting events and theatrical shows.

Deutsche Bank estimated last week that a four-week delay would temporarily reduce gross domestic product by around 0.25% – a fraction of the historic 9.8% slump recorded in 2020.

It comes despite Britain having one of the fastest vaccine rollouts in the world. More than 41 million people have received their first shot and nearly 30 million have had both doses – about 57% of the adult population.

(Additional reporting by Sarah Young and David Milliken; Writing by Michael Holden; Editing by Giles Elgood and Alex Richardson)

Indian state sharply raises COVID-19 death toll prompting call for wide review

By Manas Mishra and Neha Arora

BENGALURU/ NEW DELHI (Reuters) – An Indian state has raised its COVID-19 death toll sharply higher after the discovery of thousands of unreported cases, lending weight to suspicion that India’s overall death tally is significantly more than the official figure.

Indian hospitals ran out of beds and life-saving oxygen during a devastating second wave of coronavirus in April and May and people died in parking lots outside hospitals and at their homes.

Many of those deaths were not recorded in COVID-19 tallies, doctors and health experts say.

India has the second-highest tally of COVID-19 infections in the world after the United States, with 29.2 million cases and 359,676 deaths, according to health ministry data.

But the discovery of several thousand unreported deaths in the state of Bihar has raised suspicion that many more coronavirus victims have not been included in official figures.

The health department in Bihar, one of India’s poorest states, revised its total COVID-19 related death toll to more than 9,429 from about 5,424 on Wednesday.

The newly reported deaths had occurred last month and state officials were investigating the lapse, a district health official said, blaming the oversight on private hospitals.

“These deaths occurred 15 days ago and were only uploaded now in the government portal. Action will be taken against some of the private hospitals,” said the official, who declined to be identified as he is not authorized to speak to the media.

Health experts say they believe both coronavirus infections and deaths are being significantly undercounted across the country partly because test facilities are rare in rural areas, where two-thirds of Indians live, and hospitals are few and far between.

Many people have fallen ill and died at home without being tested for the coronavirus.

‘WIDESPREAD PROBLEM’

As crematoriums struggled to handle the wave of deaths over the past two months, many families placed bodies in the holy Ganges river or buried them in shallow graves on its sandbanks.

Those people would likely not have been registered as COVID victims.

“Under-reporting is a widespread problem, not necessarily deliberate, often because of inadequacies,” Rajib Dasgupta, head of the Centre of Social Medicine and Community Health at New Delhi’s Jawaharlal Nehru University, told Reuters.

“In the rural context, whatever states may say or claim, testing is not simple, easy or accessible,” Dasgupta said.

Overall, India’s cases and deaths have fallen steadily in the past weeks after a surge from mid-March.

The official total of cases stood at 29.2 million on Thursday after rising by 94,052 in the previous 24 hours, while total fatalities were at 359,676, according to data from the health ministry.

The New York Times estimated deaths based on death counts over time and infection fatality rates and put India’s toll at 600,000 to 1.6 million.

The government dismissed those estimates as exaggerated. But the main opposition Congress party said that other states must follow Bihar’s example and conduct a review of deaths over the past two months.

“This proves beyond a doubt government has been hiding COVID deaths, ” said Shama Mohamed, a spokeswoman for Congress, adding that an audit should also be ordered in the big states of Uttar Pradesh, Madhya Pradesh and Gujarat.

(Reporting by Manas Mishra in Bengaluru and Neha Arora in New Delhi; Editing by Sanjeev Miglani)

WHO issues COVID-19 warning to Europe before summer travels

COPENHAGEN (Reuters) – The World Health Organization on Thursday urged Europeans to travel responsibly during the summer holiday season and warned the continent was “by no means out of danger” in the battle against COVID-19 despite a steady decline of infection rates in recent weeks.

“With increasing social gatherings, greater population mobility, and large festivals and sports tournaments taking place in the coming days and weeks, WHO Europe calls for caution,” the WHO’s European head Hans Kluge told a press briefing.

“If you choose to travel, do it responsibly. Be conscious of the risks. Apply common sense and don’t jeopardize hard-earned gains,” Kluge said.

Over the last two months, new COVID-19 cases, deaths and hospitalizations have declined, prompting 36 out of 53 countries in the region to start easing restrictions.

The number of reported COVID-19 infections last week came in at 368,000, a fifth of weekly cases reported during a peak in April this year, Kluge said.

“We should all recognize the progress made across most countries in the region, we must also acknowledge that we are by no means out of danger,” he added.

Kluge said the so-called Delta variant, which was first identified in India, was a matter of concern. This variant, he said, “shows increased transmissibility and some immune escape is poised to take hold in the region while many among vulnerable populations, above the age of 60, remain unprotected.”

Countries should learn from the resurgence in cases seen over the summer last year, even as vaccinations are being rolled out across the region.

With just 30% in the region having received their first dose of vaccines, this would not be enough to prevent another wave of the virus, he said.

(Reporting by Nikolaj Skydsgaard and Matthias Blamont; Editing by Alex Richardson)

Delta coronavirus variant believed to have 60% transmission advantage: UK epidemiologist

LONDON (Reuters) – The Delta coronavirus variant of concern, first identified in India, is believed to be 60% more transmissible than the Alpha variant which was previously dominant in Britain, a prominent UK epidemiologist said on Wednesday.

British Prime Minister Boris Johnson has said that England’s full reopening from COVID-19 lockdown, penciled in for June 21, could be pushed back due to the rapid spread of the Delta variant.

Neil Ferguson of Imperial College London told reporters that estimates of Delta’s transmission edge over Alpha had narrowed, and “we think 60% is probably the best estimate”.

Ferguson said that modelling suggested any third wave of infections could rival Britain’s second wave in the winter – which was fueled by the Alpha variant first identified in Kent, south east England.

But it was unclear how any spike in hospitalizations would translate into a rise in deaths, as more detail was needed on how well the vaccine protects against serious illness from Delta.

“It’s well within possibility that we could see another third wave at least comparable in terms of hospitalizations,” he said.

“I think deaths probably would be lower, the vaccines are having a highly protective effect… still it could be quite worrying. But there is a lot of uncertainty.”

Britain has seen over 127,000 deaths within 28 days of a positive COVID-19 test, but has given more than three-quarters of adults a first dose of COVID-19 vaccine.

Public Health England has shown that the Delta variant reduces the effectiveness of Pfizer and AstraZeneca shots among those who have only received one shot, though protection is higher for those who have received both doses.

Ferguson said that up to a quarter of the Delta variant’s transmissibility edge over Alpha might come from its immune escape from vaccines, saying it was “a contribution but not an overwhelming contribution” to its advantage.

(Reporting by Alistair Smout; editing by Sarah Young and James Davey)

Nepal worries future coronavirus wave will hit children hard

By Gopal Sharma

KATHMANDU (Reuters) – Nepal asked its hospitals on Friday to reserve beds for children for fear another surge in coronavirus infections will hit them hard, something officials in neighboring India are also preparing for.

The move came as the government approved for emergency use the COVID-19 vaccine made by Sinovac Biotech of China.

Prime Minister K.P. Sharma Oli’s government has been criticized by experts for its handling of the ongoing second wave in Nepal, which has led to an acute shortage of oxygen, hospital beds and medicines.

“Hospitals and medical institutions must set aside at least 20% of beds for children, who are likely to suffer the most in the potential third and fourth waves of coronavirus,” the Ministry of Health and Population said in a statement.

“Hospitals must also ensure the availability of enough oxygen.”

Daily infections in the Himalayan nation are hovering around 5,000 after hitting a peak of more than 9,000 in early May. Nepal had reported fewer than 100 daily cases in March. It has reported 581,560 infections in total and 7,731 deaths.

Donors have rushed aid including oxygen, protective gear, drugs and face masks to the country, which is also struggling to secure vaccines after neighboring India stopped exports to meet its local demand.

Santosh K.C., a spokesman for the Department of Drug Administration, said “conditional permission for the emergency use” had been given for the coronavirus vaccine (Corona Vac) made by Sinovac Biotech of China, the fifth shot to be approved by Nepal.

Earlier it had approved two Indian-made vaccines – AstraZeneca’s and COVAXIN – China’s Shinopharm and Russia’s Sputnik V for emergency use in the Himalayan nation.

Nepal has provided at least 3.1 million vaccinations to its people so far.

(Reporting by Gopal Sharma; editing by Jonathan Oatis)

Analysis-India’s vaccine inequity worsens as countryside languishes

By Krishna N. Das, Abhirup Roy and Rajendra Jadhav

NEW DELHI/SATARA, India (Reuters) – Urban Indians are getting COVID-19 shots much faster than the hundreds of millions of people living in the countryside, government data shows, reflecting rising inequity in the nation’s immunization drive.

In 114 of India’s least developed districts – collectively home to about 176 million people – authorities have administered just 23 million doses in total.

That’s the same number of doses as have been administered across nine major cities — New Delhi, Mumbai, Kolkata, Chennai, Bengaluru, Hyderabad, Pune, Thane and Nagpur — which combined have half the population.

The disparity was even stronger last month, after the government allowed private sales of vaccines for adults aged under 45 years, an offer which favored residents of cities with larger private hospital networks. For the first four weeks of May, those nine cities gave 16% more doses than the combined rural districts, data from the government’s Co-WIN vaccination portal shows.

“My friends from the city were vaccinated at private hospitals,” said Atul Pawar, a 38-year-old farmer from Satara, a rural western district of Maharashtra, India’s wealthiest state. “I am ready to pay, but doses are not available and district borders are sealed because of the lockdown.”

The Ministry of Health and Family Welfare did not respond to a request for comment.

India has administered more than 222 million doses since starting its campaign in mid-January – only China and the United States have administered more – but it has given the required two doses to less than 5% of its 950 million adults.

Rural India is home to more than two-thirds of the country’s 1.35 billion people. While urban areas account for a disproportionately large share of the confirmed COVID-19 cases, those concerned about the spread of the virus in the countryside say statistics undercount cases in villages, where testing is less comprehensive.

The health system in several regions in India collapsed in April and May as the country reported the world’s biggest jump in coronavirus infections, increasing pressure on the immunization program.

Prime Minister Narendra Modi’s government offers vaccines to vulnerable people, healthcare workers and those aged over 45 for free. Since last month, individual states have also been expected to procure vaccines for younger adults, or to provide them commercially through the private sector.

Poorer states say this leaves their residents more vulnerable. The eastern state of Jharkhand, where nearly all districts are categorized as poor, this week urged Modi to give it free vaccines for all age groups.

In many states the doses for those under 45 are available mostly or entirely in urban areas. Some officials say this is intentional, as the infection spreads more easily in crowded cities.

“It’s because of high-positivity” in urban areas, said Bijay Kumar Mohapatra, health director of the eastern state of Odisha, explaining the state’s decision to prioritize cities.

Major international and domestic firms such as Microsoft, Pepsi, Amazon, Reliance Industries, Adani Group and Tata Motors have organized inoculations for their employees, in many cases in partnership with private hospitals. Most of these companies and the huge private hospitals that serve them are located in urban centers.

Vaccination rates in rural areas have also been depressed because of patchier internet access to use the complex online system for signing up for shots, and possibly because of greater hesitancy among villagers than among city dwellers.

“LUCRATIVE DEALS”

India’s Supreme Court criticized the government’s handling of the vaccination program this week and ordered it to provide a breakdown of shots given in rural and urban areas.

“Private hospitals are not equally spread out” across the country and “are often limited to bigger cities with large populations”, the top court said in its order dated May 31.

“As such, a larger quantity will be available in such cities, as opposed to the rural areas,” it said. Private hospitals may prefer to sell doses “for lucrative deals directly to private corporations who wish to vaccinate their employees”.

Dr. Rajib Dasgupta, head of the Centre of Social Medicine and Community Health at New Delhi’s Jawaharlal Nehru University, said the risk of inequity was that parts of India would build up immunity disproportionately.

“It can leave the rural population relatively more vulnerable.”

(Reporting by Krishna N. Das, Abhirup Roy and Rajendra Jadhav; Additional reporting by Prasanta Kumar Dutta, Jatindra Dash, Sumit Khanna, Rupam Nair; Graphics by Tanvi Mehta; Editing by Peter Graff)

Delta variant dominant in UK, may increase risk of hospitalization

LONDON (Reuters) -The Delta variant of concern first identified in India is now dominant in Britain and might have an increased risk of hospitalization compared to the Alpha variant, Public Health England said on Thursday.

There were 5,472 new cases of the Delta variant reported in latest weekly figures, taking the total confirmed cases of the variant to 12,431, PHE said, adding it had overtaken Alpha, the variant first identified in England’s Kent, as Britain’s dominant variant.

The Delta variant is also thought to be more transmissible than Alpha, and Prime Minister Boris Johnson has warned that it could derail plans for lockdown restrictions in England to end on June 21.

“With this variant now dominant across the UK, it remains vital that we continue to exercise caution particularly while we learn more about transmission and health impacts,” said Jenny Harries, Chief Executive, UK Health Security Agency.

PHE said that early evidence suggested there may be an increased risk of hospitalization for Delta, also known as B.1.617.2, compared to Alpha, known as B.1.1.7, but more data was needed in order to have more confidence in that finding.

PHE said there continued to be a “substantially increased growth rate for Delta compared to Alpha” but did not update on the transmissibility advantage of the variant.

Officials have previously said that Delta could be from a few percentage points to 50% more transmissible than the Alpha variant, and the extent of that advantage could determine whether restrictions can be lifted on June 21.

(Reporting by Alistair Smout and William James; Editing by Kate Holton)