(CNN) India reported 4,454 new Covid-19 fatalities on Monday and is now the third country in the world after Brazil and the United States to surpass more than 300,000 official deaths. It also added more than 220,000 new cases, marking the fourth consecutive day that the number of cases recorded in the country have declined.
The spiraling crisis has overwhelmed India's health care system in several states. Beds, oxygen and medical workers are in short supply. Some patients are dying in waiting rooms or outside overflowing clinics. At cremation grounds, bodies are piling up faster than workers can build new pyres.
While the outbreak is beginning to abate in major cities such as Delhi and Mumbai, its spread to rural areas is drawing concern. Meanwhile, an alarming uptick in deaths among Covid-19 survivors from a rare "black fungus" infection is underlining problems in India's health care system. And the country's vaccination drive is faltering, dogged by shortages at a time when it is needed most.
As the crisis has unfolded, Prime Minister Narendra Modi has been slammed by international media for not doing enough to prevent the catastrophe, and for downplaying the death toll. But, inside the country, telling the truth can get journalists in trouble -- India ranks among the lowest in the world for press freedom. Still, local media outlets are working tirelessly to get the real story out, doing some traditional shoe-leather journalism, Diksha Madhok writes. They're also fighting for transparency and accountability from a government that has tried to clamp down on criticism of Modi and his handling of the pandemic.
Q: How feasible is it for businesses to require proof of vaccination?
A: Businesses and organizations are in the midst of a messy, interim period, says Dr. Georges Benjamin, executive director of the American Public Health Association. And figuring out how to implement policies that apply to vaccinated and unvaccinated people can be challenging.
But from a public health standpoint, Benjamin says he doesn't view proof of vaccinations as the most efficient solution. The flimsy paper cards that typically signify that a person has been vaccinated against Covid-19 are easy to forge. And those checking vaccination status at the door often have no way of verifying that the proof being presented is real.
Benjamin encourages businesses to think critically about who their safety protocols are designed to protect, whether they'll be able to enforce them and whether the rules are accomplishing their objective.
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New information on Wuhan researchers' illness furthers debate on pandemic origins
A US intelligence report found that several researchers at China's Wuhan Institute of Virology fell ill in November 2019 and had to be hospitalized, a new detail about the severity of their symptoms that could fuel further debate about the origins of the coronavirus pandemic, according to two people briefed on the intelligence.
A State Department fact sheet released by the Trump administration in January said that the researchers had gotten sick in autumn 2019 but did not go as far as to say they had been hospitalized. China reported to the World Health Organization that the first patient with Covid-like symptoms was recorded in Wuhan on December 8, 2019. The Wall Street Journal first reported on the intelligence surrounding the earlier hospitalizations.
Importantly, the intelligence community still does not know what the researchers were actually sick with, said the people briefed, and continues to have low confidence in its assessments of the virus' precise origins beyond the fact that it came from China. The director of the Wuhan National Biosafety Lab told Chinese state media Monday the report was "a complete lie."
The women possibly at higher risk for Covid-19 that no one is talking about
More than a year into the pandemic, one study has found that some women are at higher risk for Covid-19 compared to others in their age and sex groups. These women, often young and otherwise healthy, have an underlying condition that isn't mentioned on any Covid-19 comorbidity list: polycystic ovary syndrome, or PCOS.
PCOS, which affects about one in 10 women of "childbearing age," is an imbalance of reproductive hormones that can lead to irregular menstrual cycles, high androgen levels and ovarian cysts. But it can also come with a host of other health problems, nearly all of which overlap Covid-19 comorbidities.
Despite how common PCOS is, as well as the serious complications it can come with, health experts say the condition has long been overlooked, misunderstood and under-researched, leaving patients to advocate for themselves or even educate practitioners to get treatment. And with very little research looking at whether women with PCOS are at higher risk for more severe Covid-19 or long-term symptoms, some fear the same is happening with public health policy around the pandemic.
Planning or attending a wedding during the pandemic?
Couples who have repeatedly postponed nuptials are finally able to hold weddings this summer, as Covid-19 and social distancing measures begin to lift in the US and elsewhere. But the virus still poses risks, especially to those who are unvaccinated. Here are some creative solutions to keep ceremonies safe: