India saw record cases on Friday, as Red Cross warned the virus was spreading at ‘an alarming rate’ across South Asia.

India’s cases of novel coronavirus crossed the million mark, the Ministry of Health data showed on Friday, as authorities struggle to check the spread of the pandemic across the world’s second-most populous nation.

Health ministry data released on Friday put the total cases recorded at 1,003,382, a jump of almost 35,000, with 25,602 deaths after an increase of 687 – both new daily records.

The coronavirus infections topped one million in just three days after crossing 900,000.

India, home to some of the planet’s most densely packed cities, is the third nation to hit a million cases after the United States and Brazil, although the numbers of deaths in those two countries are far higher.

But the spike in infections in recent weeks has forced local authorities across the country to reimpose restrictions that had only recently been lifted, with the eastern state of Bihar going into two-week lockdown.

‘Spreading at an alarming rate’

The lockdown in the eastern state with a population of 125 million started as India reported more than 36,000 infections and 684 deaths in the previous 24 hours – both by far the highest in a single day – as the Red Cross warned the virus was spreading at “an alarming rate” across South Asia.

“While the world’s attention has been focused on the unfolding crisis in the United States and South America, a concurrent human tragedy is fast emerging in South Asia,” said the organisation, adding that India, Pakistan and Bangladesh are together fast becoming the next epicentre of the virus.

“COVID-19 is spreading at an alarming rate in South Asia, home to a quarter of humanity,” it said on Thursday.

Until now India’s main hotspots have been the megacities of Mumbai and New Delhi, but recently smaller cities and rural areas – where 70 percent of Indians live – have begun to raise the alarm.

Goa on Thursday evening became the latest state to go under lockdown, imposing a three-day shutdown and a nightime curfew until August 10.

Chief Minister Pramod Sawant said too many people were “stepping out to meet people at parties” and there was a low level of “awareness and sensitivity”.

The coastal tourist region followed Bihar, one of India’s most impoverished states and home to 125 million people, in reintroducing curbs after IT hub Bangalore did so earlier in the week.

Other areas have also brought back restrictions including parts of badly-hit Tamil Nadu and Kerala – previously lauded as a success story – as well as Assam.

Hospitals reeling under workload

But the situation on the ground in Bihar underscored the challenges in keeping the pandemic in check.

The streets of state capital Patna were still teeming with traffic and people after the lockdown began, many ignoring social distancing advice and not wearing masks.

“The lockdown is not being fully enforced,” local businessman Ranjeet Singh complained.

With per capita spending on health care among the lowest in the world, India’s hospitals are reeling.

Frontline staff, especially in rundown state-run hospitals, are working punishingly long shifts with often shoddy protective equipment.

“COVID patients often get delirious. They refuse to eat, pull away their tubes and even get violent with us,” Showkat Nazir Wani, a doctor at one hospital in Uttar Pradesh state told AFP.

Many experts say India is not testing enough people or properly recording fatalities, meaning the true caseload is likely much higher.

The tally is “almost certainly underestimated”, Gautam Menon, a professor of physics and biology at India’s Ashoka University, told AFP.

“We feel it might be underestimated by a factor of maybe something like 20 to 30… And maybe that number could be even larger. We have no idea at the moment.”

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