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India finds itself in the throes of a humanitarian disaster. Until March 2021, case numbers were low in most parts of the country, leading many to think that the worst was over. Much like in Brazil though, jingoism, overconfidence and false reassurance from the political elite negated hard-won progress. Mass gatherings have acted as state-sanctioned super-spreader events. More infectious variants and a sluggish uptake of vaccines are also fuelling the current surge. These are the triggers, but there are more deep-rooted issues at the heart of the current crisis. India is an inherently high-risk country for an epidemic. The country holds 1.4 billion people, living in crowded areas with extensive community networks and limited facilities for sanitation, isolation and healthcare.

Vageesh jainAcademic clinical fellow in public health medicineClinical fellowPublic health medicineCreative commonsவாகீஷ ஜெயின்மருத்துவ சகபொது ஆரோக்கியம் மருந்துபடைப்பு காமன்ஸ்