India Using Train Cars to Treat COVID Patients as Hospitals Run Out of Beds

India recorded more than 320,000 new cases of coronavirus infections Tuesday, pushing the country's total past 17.6 million and increasing the strain on its health care systems.

Hospitals are experiencing shortages of oxygen and space in intensive care units. Many people are being forced to turn to makeshift facilities for mass burials and cremations.

Authorities are converting train cars into isolation wards. In March, Piyush Goyal, India's railways minister, tweeted images of converted train cars that would hold patients.

Preparing to Combat Coronavirus: In a novel initiative, Railways has converted train coaches into isolation wards for COVID-19 patients 🛌

Now, Railways will offer clean, sanitised & hygienic surroundings for the patients to comfortably recover. #IndiaFightsCorona

— Piyush Goyal (@PiyushGoyal) March 28, 2020

"Now, the railways will offer clean, sanitized and hygienic surroundings for the patients to comfortably recover," Goyal said.

Trains are also transporting much-needed oxygen supplies across the country.

The situation has become so dire that Dr. V.K. Paul, the head of a government committee on medical emergency preparedness, urged Indians on Monday to wear masks at home to prevent the spread of the virus.

For more reporting from the Associated Press, see below.

India COVID Train
A worker arranges beddings as others spray disinfectants inside a train carriage converted into an isolation ward for COVID-19 patients during a government-imposed nationwide lockdown as a preventive measure against COVID-19 in Howrah, India, near Kolkata. Dibyangshu SARKAR/AFP via Getty Images

Tuesday ended a five-day streak of recording the largest single-day increases in any country throughout the pandemic, but the decline likely reflects lower weekend testing rather than reduced spread of the virus.

The Health Ministry also reported another 2,771 deaths in the past 24 hours, with roughly 115 Indians succumbing to the disease every hour. The latest fatalities pushed India's deaths to 197,894, behind the U.S., Brazil and Mexico. Experts said even these figures are probably an undercount.

Foreign Ministry spokesman Arindam Bagchi tweeted photos Tuesday of the first shipment of medical aid India received from Britain. It included 100 ventilators and 95 oxygen concentrators.

Other nations, including the U.S., Germany, Israel and Pakistan, have also promised medical aid. The countries have said they will supply oxygen, diagnostic tests, treatments, ventilators and protective gear to help India's crisis, which World Health Organization Director-General Tedros Adhanom Ghebreyesus called "beyond heartbreaking."

The surge, spurred by new variants of the coronavirus, has undermined the government's claims of victory over the pandemic.

India has also called on its armed forces to help. India's chief of Defense Staff, General Bipin Rawat, said oxygen supplies will be released from armed forces reserves and its retired medical personnel will join health facilities to ease the pressure on doctors.

France is sending breathing machines, ICU gear and eight oxygen generators in a shipment expected to be sent later this week. Each generator can equip a hospital of 250 beds for several years, French President Emmanuel Macron's office said.

France will also send breathing machines, pumps and containers of liquid medical oxygen aimed at helping up to 10,000 patients per day, according to the French Foreign Ministry.

The White House was moving to share raw materials for the AstraZeneca vaccine by diverting some U.S. orders to the Serum Institute of India. White House COVID-19 coordinator Jeff Zients told AP that the administration was working on other requests for personal protective equipment, tests and oxygen supplies.

In other developments in the Asia-Pacific region:

  • Japan will set up a large vaccination center in Tokyo and Osaka beginning in late May in a bid to speed up its snail-paced inoculation campaign so that at least the elderly people will finish their second shots by the end of July, officials said Tuesday. Chief Cabinet Secretary Katsunobu Kato told reporters a Tokyo vaccination center will be set up as early as May 24 to give shots for about three months. Details for the Osaka center are still being decided. Each will use the Moderna vaccine, whose approval by the health ministry is expected in May. Inoculations so far have covered only about 1% of Japanese people. Japan started its third state of emergency in Tokyo, Osaka and two neighboring areas Sunday to curb a rapid resurgence of the virus three months ahead of the Tokyo Olympics.
  • Sri Lanka on Tuesday closed schools in the capital and suburbs for four days and made work-from-home plans for state workers to contain a growing outbreak. After weeks of reporting fewer than 300 new cases daily, Sri Lanka confirmed 997 during the past 24 hours. Most were in the Colombo district that includes the capital. Health officials have warned of an expected increase because people engaged in crowded celebrations and shopping during the traditional new year festival that fell on April 14. From Tuesday, half of state employees would be called to offices while the balance would work from home. Already, the government has imposed lockdowns on nearly a dozen of villages in different parts of the country.
  • Philippine officials are assessing whether to extend a monthlong lockdown in the Manila region amid a grim spike in cases or relax it to fight a recession, joblessness and hunger. The country has recorded more than 1 million cases, including more than 16,800 deaths. A spike last month prompted President Rodrigo Duterte's administration to reimpose a lockdown in the Manila region, where several hospitals reported being overwhelmed. Cabinet officials and medical experts are to meet Tuesday to recommend whether to continue the lockdown, and Duterte might announce the decision Wednesday.
  • Australia will halt flights from India for two weeks due to its virus surge. Prime Minister Scott Morrison also announced Australia will give India 509 ventilators and 100 oxygen concentrators with tanks as well as personal protection equipment. Morrison said further aid would follow. Morrison announced last week plans to reduce the number of Australian citizens and permanent residents returning from India by 30%. But the number of travelers testing positive in Australian hotel quarantine jumped from 90 to 143 in a week, Morrison said.
  • South Korean President Moon Jae-in has met with the CEO of Maryland-based Novavax and promised to push for swift approval of the company's coronavirus vaccine that will be produced through a local biotech firm. South Korean officials hope that SK Bioscience's manufacture of the Novavax vaccine will help ease concerns over possible supply shortages in coming months. According to officials, SK Bioscience is contracted to manufacture 40 million doses of Novavax vaccine this year. Production could begin in June and as many as 20 million shots could be delivered through September, all of which will be used locally, they said. SK Bioscience is already producing vaccine developed by AstraZeneca at its factory in the southern town of Andong. South Korea hopes to obtain 190 million doses of coronavirus vaccines this year through deals with pharmaceutical companies and the World Health Organization-backed COVAX program. Around 2.4 million South Koreans have received their first doses as of Tuesday. Officials hope to vaccinate 70% of the country's 51 million people by November.

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