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A series of articles in The Hindu newspaper estimated that the number of additional deaths during the pandemic (known as „excess mortality”) was about four times higher than in previous years than the official COVID death rate in Chennai, Kolkata and Mumbai and the state of Gujarat could be up to ten times higher. However, it is not clear what proportion of this is due to COVID and what is due to other factors such as overcrowding of medical facilities, lockdown, etc. [524] A report by the Center for Global Development states that the second wave of COVID-19 in India is the „worst tragedy since partition.” The report, which is based on serological surveys, household data and official data, highlighted significant under-coverage of deaths, with estimates totalling between about 1 million and 6 million deaths, with key estimates ranging from 3.4 to 4.9 million deaths. [525] [526] The Indian government delivered approximately 65.5 million doses of Covid vaccines to 95 countries between January 20, 2021 and the end of March 2021. 10.5 million doses were distributed, while the remaining commercial and COVAX commitments were distributed. [265] More than 70% of India`s population, that is, more than 740 million people in India live in rural areas. [465] The proportion of COVID cases in rural and semi-rural India increased from 40% in mid-July 2020 to 67% in August 2020. [466] This increase in Covid cases has been largely attributed to the migration of COVID-infected migrant workers from urban areas to their villages of origin. [466] [467] One of the problems exacerbating the situation in rural and semi-rural areas is the severe lack of human resources in the health sector.

[466] During the second wave, migrants from urban areas also returned, indicating the sharp increase in job creation by MGNREGS. [468] As of May 2021, more than half of the cases in Maharashtra and Uttar Pradesh came from rural areas. [469] Another indicator of the situation in villages is the rush of villagers to seek health care in semi-urban and urban areas: „About 30 to 35 percent of patients in Bhopal hospitals come from villages and small towns within a 200 km radius. It`s the same story in Indore. [470] On May 16, 2021, a UP government official confirmed the report that bodies of people who had succumbed to the virus in rural areas had been thrown into the Ganges for lack of money. Some of them were established before the pandemic, such as the National Technical Advisory Group on Immunization (NTAGI), India`s Apex Advisory Body on Immunization[231] and the Integrated Disease Surveillance Programme (IDSP) of the National Centre for Disease Control. [232] The PSDI was already introduced on January 17, 2020. [233] [234] Some of them were formed after the pandemic began, such as the CIR COVID-19 Task Force. [235] The National Expert Group on COVID-19 Vaccine Administration (NEGVAC), established in August 2020, would lead the national vaccine administration strategy. [161] In October 2020, the NEGVAC recommendation led to the establishment of a three-step mechanism at the state level for the implementation of the vaccination strategy. [162] The general response was led by the Prime Minister and his office; Between January 2020 and May 2021, it held at least 67 review meetings.

[232]. . The government continues to set the fare, determine routes and decide on the number of flights. [330]. After the lockdown in Hubei, state-owned airline Air India flew to Wuhan to evacuate Indian citizens, especially students, who were stranded there. .