The pandemic “tsunami” of the past months hit and nearly collapsed India’s public health system on a large scale, in the period from mid-April to early June. In this context, thanks to careful preparation and sound resource investment strategy, southern Indian states like Tamil Nadu suffered less severe damage than other regions, according to the report. Financial Times . Prepare early for the bad scenario Jacob John, a doctor at a medical school in the city of Vellore, said the number of patients treated at the hospital where he worked at one time reached “uncontrollable thresholds”. At that time, the hospital’s 900 beds were filled, causing the facility to refuse to accept more patients and nearly drain its reserve of breathing air for treatment. But when a catastrophic second wave of disease hit Tamil Nadu and other southern states, places like Vellore were able to withstand the worst Covid-19 tragedy. The ability of these states to fight the epidemic is largely due to the planned and effective investment in the public health care system in the southern states. A woman has her blood pressure checked before getting a Covid-19 vaccine in Tamil Nadu, India. Photo: PTI. Experts say that in many other parts of India, the lack of investment and reconstruction for the public health system was exposed when the Covid-19 tsunami swept through. Tamil Nadu is recording about 22,000 coronavirus cases and nearly 500 deaths every day. Under that pressure, Tamil Nadu officials still managed to push back the wave of the epidemic. “The current situation is very difficult. We do not have enough intensive care beds and are forced to refuse to accept many patients,” said Dr. John. “I’m not saying we’re perfect, but when the wave is over, I’m sure the investments in the public health system will save lives.” Before the second Covid-19 storm made landfall, healthcare systems in many other parts of the country, including the capital New Delhi and Uttar Pradesh, India’s most populous state, were nearly completely collapsed. whole. Many patients die from lack of oxygen while the crematorium is overloaded, causing some families to choose to let their bodies float in the river. New Delhi fell before the pandemic, the number of deaths increased sharply, overloading the crematoriums. Photo: Reuters. Although the southern states of India have also “tasteed” the Covid-19 tragedy, experts say that these localities are resilient to cope with the recent outbreak of the disease. “Thanks to a well-developed healthcare infrastructure, the situation in the southern states is not as shocking as in many other places,” said Ratan Jalan, founder of Medium Healthcare Consulting. India’s southern states account for about 250 million of the country’s nearly 1.4 billion population. Kerala and Tamil Nadu are leaders in healthcare, with indicators such as infant mortality rates consistently low. Except for the state of Karnataka, other parts of South India have abundant medical supplies and many medical colleges. The Sustainable Development Report released by the United Nations and government think tanks in early June also ranks the southern states as having the best public health care systems in India. Authorities in these states also issued a blockade order in May. The strategy helped reduce the number of new Covid-19 cases, temporarily controlling the spread of the pathogen. However, Bangalore, the capital of Karnataka and India’s tech hub, still has a higher number of SARS-CoV-2 infections than other major cities. According to Ravi Mehta, an emergency worker at Apollo Hospital in Bangalore, when the hospital set up a new treatment ward at the end of April, all 30 beds were empty in just 90 minutes. When the treatment area was replenished with 70 beds, it was completely empty in less than 3 hours. Although the pressure has now eased, the hospital’s intensive care unit is still full, and is now used to treat patients with serious complications. Resource disparity States like Maharashtra in western India are also highly rated for their ability to respond to the Covid-19 “tsunami”. However, no state in the west really fights the epidemic as effectively as in the south, according to Financial Times . Kerala, where India’s first Covid-19 case was detected in 2020, is a rare state in the west with many bright spots in disease response. During the first wave of the Covid-19 epidemic, Kerala health officials controlled the spread of the disease and brought the number of corona virus infections to zero in a few days in May 2020. The number of Covid-19 cases in Kerala increased to more than 40,000 cases per day in May, but quickly dropped to the threshold of 20,000 cases per day, according to the report. Financial Times . Experts say the authorities of Kerala and Tamil Nadu have tackled the crisis by building networks of healthcare workers to help sick people find treatment. They have also created strategic systems to distribute resources such as oxygen and oxygen tanks, preventing severe shortages. The high number of infections in the southern states of India and at the same time reflect widespread testing, provide a full picture of the epidemic situation. Medical staff in Kerala, India take samples to test for Covid-19. Photo: Indian Express. On the other hand, the fact that the southern states better control the epidemic also exposes the inequality between rich and poor in the world’s No. 2 epidemic center. In May, at least 20 patients at a hospital in rural Karnataka died from lack of oxygen. In Goa, the southern tourist hub, many patients died from inadequate breathing air. PV Ramesh, a doctor and former senior civil servant in Andhra Pradesh, a state in southeastern India, said the Covid-19 crisis will force the whole country to acknowledge the failure of the medical system. public economy of this country. “This outbreak is still seen as an oxygen supply crisis rather than a management crisis (by health officials), Mr. Ramesh said. “As the wave of disease subsides, people will return to normalcy,” Ramesh said. went back to business as usual and didn’t learn any lessons.” Bringing the ashes of unclaimed Covid-19 victims to the Ganges River Indian volunteers collect ashes from crematoriums to organize funerals for Covid-19 victims in Haridwar city.

Rakesh and Dakshina invited 161 guests to their wedding ceremony on the plane. Rakesh and Dakshina, from Madurai, India decided to get married, but due to restrictions and regulations to prevent the Covid-19 epidemic, the couple came up with the idea of ​​​​having a wedding ceremony on an airplane. The couple made this a reality when chartering a plane and holding a wedding ceremony on a flight from Madurai to Bangalore on May 23. The flight took off from Madurai International Airport at 7 a.m., although the guest list far exceeded the state government’s limit for maximum gatherings at an event. The video shows the flight filled with guests as the couple stood in front of the aisle and performed the ceremony. The groom can be seen placing a traditional ornament around the bride’s neck while attendees cheer and toss flowers at them. The flight was packed with people. Rakesh and Dakshina officially performed the ceremony as soon as the plane flew over Madurai Meenakshi Amman Temple. After the wedding on the plane, the couple went to a hotel in Bangalore for a small reception. All passengers on board, who are their relatives, have had RT-PCR tests and tested negative. However, many guests chose not to wear masks and did not keep a safe distance. The police have received information about the incident and are considering whether to open an investigation into violations of regulations on prevention of the Covid-19 epidemic.

But these days, traffic is sparse, with only occasional trucks or motorbikes passing by. The once noisy atmosphere no longer appeared. Unpleasant silence crept across India as the COVID-19 crisis erupted, partly due to local closures of factories, and partly because many people here fear infection. Contrary to that quiet, fighting activities are increasingly explosive: ambulances race to the next patient, ordinary people frantically criss-crossing the city in search of medicine, oxygen, and beds sick. After a year of relative calm, the country of nearly 1.4 billion people is grappling with a powerful last-minute storm. With the number of new cases still exceeding 300,000 per day, India regularly accounts for around 50% of all new cases worldwide. Vijayawada International Airport was bustling with only a handful of passengers, and flights were also few. (Photo: ST) Problems from tests At the end of April, in the corner of the Artemis hospital compound in Gurgaon, a man repeatedly fell and had to be helped by those around him as he stood in line waiting for an RT-PCR test. The man was seated in a chair but collapsed. He was brought to the front of the queue but was too weak to last long. As hospital staff led the man toward the main building, he resisted, pointing to an elderly man sitting in the corner. Turns out this person came here not to do an RT-PCR test for himself but for his father. Meanwhile, at the front, the doctor in charge, overwhelmed by the number of samples to be taken, shouted at a patient for breaking in. Most people in line will wait at least two hours to be checked in. And it takes at least 48 hours to get results. Crowds of testing people create congestion at facilities. (Photo: ST) Unlike the first wave that affected the elderly, the second wave made many young people sick. Middle-aged parents have to bring children with coughs and fevers to testing centers. Prolonged delays have unfortunate consequences. Without quick and reliable test results, people won’t be able to get the care they need and could end up passing the virus on to many others. Mr. Claudien Jacob understood the situation all too well. He lost his 71-year-old mother on April 29 at home in Bangalore, when she was bedridden. She was hot with fever and her oxygen saturation level gradually decreased. By the time they were able to have a lab technician come to their home to collect an RT-PCR sample, other household members had also developed typical symptoms of COVID-19. But without the test, she wouldn’t have a hospital bed. On April 29, at 7 a.m., she took her last breath. At 7:30 a.m., Mr. Jacob’s phone beeped with her test result: positive. He has yet to receive his test results. “I’m dead tired, but no one else is doing this, so I went to the cemetery. I still haven’t had time to feel that my mother is dead.” A grieving family sends off a loved one who died of COVID-19 while keeping their distance. (Photo: ST) In March 2020, during the first pandemic outbreak, India instituted a strict 21-day lockdown. While bad for the economy, this also helps expand infrastructure from hospital beds to testing facilities. The number of tests has been increased from less than 100 to more than 1.4 million per day. The number of labs doing testing has also increased from 14 at the beginning of last year to more than 2,400 this year. But that’s still not enough. Survival battle Now, it’s common for Indians to see people rushing to find the basic necessities that were always assumed hospitals would have. Never before have citizens had to hunt for oxygen as often as they do now. Looking out the window, it’s not difficult to see someone rushing with an oxygen tank on the car to bring to the patient. Hospitalization – is a matter of will, wealth, relationships and of course luck. Indians now joke that before the pandemic, people panicked when a loved one was taken to the hospital’s intensive care unit, but now they’re happy. The journey to getting a bed is like a competitive sport. Common scene on Indian streets. (Photo: ST) Survival is not easy either. People safe from COVID-19 and their families talk about loneliness and stress. Families are not allowed to see patients in COVID-19 wards or intensive care units. In absolute isolation, all one could hear was the single, heavy breathing. But anyway, they are still considered “lucky” people. Coping with trauma Outside the Old Seemapuri crematorium in Delhi, Jitender Singh Shunty, founder of Shaheed Bhagat Singh Sewa Dal – a non-profit organization – drinks his first tea at 2pm. He said he felt like fainting and had to rest despite having very little time. Mr. Shunty helped cremate unclaimed bodies and dispose of the ashes in the Hindu tradition, receiving many calls. “Yes, we will come and prepare for the funeral. Don’t worry”, he told a desperate person on the phone. He received more than 400 calls a day, and lived in the car for days. He has a fleet of 18 ambulances and has lost one driver, Arif Khan, to the pandemic. These two were rejected by 4 hospitals in one day. (Photo: ST) Ordinary men and women have become superheroes during the pandemic. A driver in Bhopal sells his wife’s jewelry to convert the car into a makeshift ambulance. Another person in Mumbai sells his SUV for 2.2 million rupees to buy oxygen tanks for everyone. In Kerala, an elderly man donated almost all of his savings of Rs 200,000 to COVID-19 relief efforts. A nursing mother in Bangalore donates breast milk to a premature baby whose mother has died from the epidemic. And it is these moments that are a temporary respite from the horror that is unfolding. A nurse cares for a child who has recently recovered from COVID-19. (Photo: ST)