Hindu woman performs prayer during the Navaratri festival at a temple in Amritsar, India Narinder Nanu/AFP via Getty Images
Coronavirus cases are surging in many countries, with the highest number of new cases now being reported in Asia. India alone reported 161,736 new cases on 12 April. In the Indian city of Surat, parts of gas furnaces used for cremations melted after being used non-stop. Meanwhile, millions have been gathering for festivals across the country.
The surge appears to be driven mainly by the more transmissible B.1.1.7 variant from the UK, which is , according to pathogen-tracking project Nextstrain. Another 16 per cent of cases are due to the B.1.351 variant that evolved in South Africa.
India鈥檚 daily case numbers are currently the Only the US has ever reported more daily cases, peaking at around 250,000 in January. However, India has a larger population. It is聽reporting around 100 cases per million people per day, which is lower than the rate declared by many other countries, including the US, Germany and Canada.
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Then again, India may be detecting a much lower proportion of cases than Western countries. It聽has reported around 13 million cases in total, but and modelling suggest the actual figure could be more than 450 million, says Gautam Menon at Ashoka University in Sonepat.
Experts had been puzzled by India鈥檚 lack of a second wave. The reason why it is happening now isn鈥檛 entirely clear. Many first-wave restrictions have been relaxed and聽people may not be adhering as聽closely to those that remain. However, Menon says his models suggest this alone can鈥檛 explain the rapid rise in cases. He thinks new, more transmissible variants are mainly to blame. Another idea is that immunity acquired during the first wave is waning. All three factors could be involved.
鈥淚 don鈥檛 think cases will peak for聽at least another two or three weeks,鈥 says Menon. He is also worried that numbers are rising across the entire country at once. 鈥淭his may reflect the importance of reinfections,鈥 he says. 鈥淪hould that be the case, we may be in for an extended period in which cases will rise or stay at the same level.鈥
Because India does relatively little genetic sequencing of virus samples, it is hard to know what part new variants are playing in the rise. Sequencing does show a rapid increase in the B.1.1.7 variant, suggesting it is at least partly fuelling the resurgence.
There have also been alarming headlines about 鈥淚ndia鈥檚 double mutant鈥, a variant now named B.1.617 that has also been seen in聽other countries, including the聽UK and US. Along with other mutations, B.1.617 has two in the part of the virus鈥檚 spike protein that binds to human cells, which may help it dodge antibodies. These mutations aren鈥檛 unique, though: variants with both mutations have evolved more than once.
B.1.617 has been reported by the聽Goa Chronicle to have caused a聽sudden increase of cases in the state of Maharashtra, but it has been present since September and still accounts for only a minority of cases. For comparison, B.1.1.7 was first detected in the UK in September and now accounts for聽98 per cent of cases in the UK.
Cases are also surging in Bangladesh, from around 400 a day in February to 7201 on 12 April. Here, though, the B.1.351 variant appears to dominate.
In many countries, vaccination procurement has been difficult and roll-outs are proceeding too slowly to curb the rise in cases. India has given just 5 per cent of its population one dose of a vaccine. In other countries, including Bangladesh and Sri Lanka, less than 5 per cent of the population have received their first dose.
The standout in the region is Bhutan, where nearly all adults have received one dose of the Oxford/AstraZeneca vaccine.
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