WHO, India VOC, global concern

https://www.who.int

https://www.bbc.co.uk/news/world-asia...

Same status as UK, South Africa and Brazil

Spreads more easily than other variants

Required more study

More than 30 countries

May be some evidence of reduced neutralization

India

Link between variant and second wave

Cases, + 366,161

Deaths, + 3,754

Andhra Pradesh, 11 deaths overnight, oxygen tanker delayed

Under reported deaths

https://www.dw.com/en/india-bodies-of...

https://www.bbc.co.uk/news/world-asia...

11th April, Ahmedabad, 69 body bags, 20 deaths reported

16th April, visited 21 cremation grounds, 200 bodies, 25deaths reported

5th May, 500, 83

Gujarat, possibly x 10

35 – 40 bodies recovered from Ganges in Bihar, from Uttar Pradesh

Vaccination

Two doses, 34.8 million (2.5%)

Joint Statement on Widespread Use of Ivermectin in India for Prevention and Early Treatment

https://covid19criticalcare.com

https://covid19criticalcare.com/video...

The Evidence-Based Medicine Consultancy

Frontline Covid Critical Care Alliance

British Ivermectin Recommendation Development (BiRD) panel

Re-purposed existing drugs

Ivermectin, a safe medicine which has been used for nearly 40 years to treat parasitic infections

3.7 billion people have been treated with Ivermectin for parasitic infections and it has been found to be extremely safe

New evidence shows that it has potent antiviral and anti-inflammatory properties as well

urge the Indian Government and all states in India to adopt Ivermectin as a matter of urgency as a front line prophylaxis and treatment for Covid-19

All India Institute of Medical Sciences and Indian Council of Medical Research have urgently responded with a recommendation to use Ivermectin in mild outpatient illness

We also recommend that Ivermectin be used as covid-19 prophylaxis

on a large scale through mass distribution of Ivermectin in the dose of 0.2mg/kg (12mg for a 60 kg person)

weekly to adults to decrease transmission amongst the general population in the current crisis

We believe this will save thousands of lives and reduces the suffering of millions.

Dr. Tess Lawrie, Dr Shashikanth Manikappa, Dr Pierre Kory

Mucormycosis

https://www.cdc.gov/fungal/diseases/m...

https://emedicine.medscape.com/articl...

Mucor mould

Typically, 2 weeks after recovery

Stuffy and bleeding nose

Periorbital swelling and pain in the eye

Drooping of eyelids

Blurred vision leading to loss of vision

Black discharge from the nose

Prevent

Manage diabetes

Correct use and monitoring of steroids

Manage blood sugar throughout treatment

Treat

Anti-fungal intravenous injection

3,500 rupees ($48) a dose

Administered every day up to eight weeks

Dr Hegde, Bengaluru

The strain of the virus appears to be virulent, sending blood sugars soaring to very high levels.

And strangely, the fungal infection is affecting a lot of young people

Nepal

https://www.dw.com/en/covid-19-specia...

Airport closed

Migrant workers return from India

Cases increased in border towns first

Already circulating in Kathmandu valley

Valley has remained an epicentre

Then half a million left on same day

PM advocated herbal cures

Political rallies, religious festivals, massive weddings

57 times more daily cases than last month

Patients treated outside hospitals

Indian COVID, Philippines

https://www.dw.com/en/coronavirus-dig...

Returning workers from UAE and Oman

Nigeria
Population 200 million
Vaccine deliveries down
4 million doses arrived so far
Johnson & Johnson arriving later this year
Poor compliance
https://www.theguardian.com/world/liv...
Government reimposed some lockdown restrictions
Very limited testing, unreported numbers