April 23 coronavirus news

In the face of a massive public health crisis, Prime Minister Narendra Modi has stayed largely silent on the fierce second wave of Covid-19 until recent weeks. In intermittent statements throughout April, he acknowledged the "alarming" rise in cases, but was slow to take containment measures besides ordering states to increase testing and tracking, and asking the public to stay vigilant.

It wasn't until Tuesday that Modi finally emphasized the urgency of the situation, but by then, India's outbreak was already the world's biggest in terms of absolute daily numbers. Nearly 28% of all new cases worldwide in the past week have come from India, according to the World Health Organization.

Experts and health care workers say the second wave advanced so rapidly because the public let its guard down after the first wave subsided. This complacency was exacerbated by government officials, like Modi and his health minister, celebrating the country's apparent recovery. Leaders allowed a massive weeks-long Hindu pilgrimage to proceed with millions of attendees traveling across numerous states.

The anger has also been heightened this time by Modi flying out to hold political rallies with thousands in attendance for the upcoming elections in four states and one union territory.

As cases skyrocketed, several of the competing parties stepped back from the campaign trail. Modi's party announced it would also limit its rallies to "small public gatherings," -- with a cap of 500 people.

This week, Modi canceled his campaign trip to West Bengal to instead attend high-level Covid meetings.

But Modi and the BJP's rallies throughout March and April, and their late action, undermine his message to the public for greater vigilance, said Harsh Mander, writer and human rights activist.

"There's a blaming on ordinary people," he told CNN. "But what we have seen is that the prime minister has actually gathered large masses of people, none of them wearing masks and keeping any kind of distancing in political gatherings."

Read the full story here:

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As bodies pile up, India's leaders face rising public anger over second Covid-19 wave

CNN's Aditi Sangal and Esha Mitra contributed to this report.

Four prefectures in Japan will go into a state of emergency starting Sunday, Prime Minister Yoshihide Suga said in a cabinet meeting Friday.

Tokyo, Osaka, Kyoto and Hyogo prefectures will be under a state of emergency through until May 11, much shorter than previous orders which lasted 7 and 10 weeks.

Japan is in the midst of a fourth wave and there are elevated restrictions currently across 10 prefectures -- mainly covering Tokyo and Osaka metropolitan areas.

Under the state of emergency, large commercial spaces like shopping malls will be barred from operating, except to provide essential items and services. Establishments that serve alcohol will be asked to close and dry establishments are to close from 8 p.m. or face a fine.

Pakistan is going to be calling in its army to help the police in “enforcing” Covid-19 guidelines in the country, Prime Minister Imran Khan said in a televised address to the nation on Friday.

Khan said he doesn’t want to lock down the country “to save the livelihoods of the poorest in the country” but due to “a very few number” of people following coronavirus safety guidelines, there could soon be a situation where there will be “no other option” than to enforce a lockdown. 

A fresh series of restrictions will include closing outdoor dining and gyms and changing market opening hours. Schools up to grade 12 will remain closed until after Eid al-Fitr, which marks the end of the holy month of Ramadan, in mid-May.

The announcement comes as Pakistan faces an oxygen shortage, with the national health system facing mounting pressure.

Speaking alongside Khan on Friday, Asad Umar, the head of the National Command Operation Center on coronavirus (NCOC) said that 90% of the country’s oxygen supply has now been used and that an “emergency” situation is pending.

According to the Ministry of Health, the positivity rate of infection acr has been, on average, consistently above 10 percent on average across the country and the health system is currently under pressure. 

Pakistan currently has 101,818 active cases, which is higher than the peak reached in the summer of 2020.

Germany's new “emergency brake” rules to curb the spread of coronavirus for areas with high infection rates will come into force Saturday, Health Minister Jens Spahn said Friday.

The controversial new law gives the national government power to impose lockdowns on states for the first time, ending the patchwork of state-by-state measures. 

The federally imposed shutdown will affect almost all of Germany, with only a few municipalities having low enough levels of transmission to avoid the restrictions.

Spahn’s announcement comes a day after the bill passed the upper house of Parliament.  

At the moment Germany's new infection rate is 164 per 100,000 residents.

Speaking at the same press conference as Spahn, Lars Schaade, Deputy Head of Germany's health agency the Robert Koch Institute, said that “infection numbers are still too high,” however “coronavirus case numbers do not appear to be rising as fast.”

But Spahn said Germany's vaccination campaign is gathering pace. 

As of Friday, 18.5 million people have been vaccinated, Spahn said.

Around 22% of Germans have now received their first dose of the coronavirus vaccine and nearly 7% received their second coronavirus vaccine shot.

On Friday, Germany recorded 27,543 new coronavirus infections – a rise of 1,712 cases compared to the same day last week, according to RKI data.

The country's coronavirus deaths stood at 265 within the last 24 hours, bringing the total tally of deaths to 81,158.

At least 13 patients died after a fire broke out at 3 a.m. local time in a hospital dedicated to Covid-19 patients in Virar, a city north of Mumbai in Maharashtra state, a hospital official said on Friday.

"Suddenly sparks fell from the AC (Air Conditioner) and within two minutes it was on fire," said Dr. Dilip Shah, CEO of Vijay Vallabh hospital.

A short-circuit in an air conditioning unit of the Intensive Care Unit (ICU) ward caused the fire, initial reports showed, according to Maharashtra State Government Cabinet Minister Eknath Shinde, who visited the hospital Friday.

There were a total of 70 patients at the hospital -- of which 17 were in the ICU. The four surviving patients have been moved to another hospital.

"We are making arrangements to shift all patients immediately, we need to save their lives," Minister Shinde said.

The incident comes two days after 24 Covid-19 patients died waiting for oxygen at Zakir Hussain Hospital in the Nashik district of Maharashtra after an accidental oxygen leakage, according to Suraj Mandhare, a senior Nashik district official. 

A high-level committee has been set up to probe the incident and experts are being consulted to ensure such accidents are not repeated, Maharashtra's Health Minister Rajesh Tope told reporters Thursday. 

More than 50 vaccination centers in Mumbai are not operating on Friday due to a "limited supply of vaccine," the Mumbai Municipal Corporation, BMC, announced on Twitter.

Another 18 sites would be functional until supplies last, it added.

The corporation released a list of vaccination sites in the city, marking those that were not functional.

Some background: As the second wave of Covid-19 cases sweeps India, this is not the first time that Mumbai has had to suspend vaccination drives.

India produces more than 60% of all vaccines sold globally, and is home to the Serum Institute of India (SII), the world's largest vaccine maker. However, as vaccine shortage becomes a problem in the face of this crisis, the Indian government and SII have shifted focus to prioritizing their own citizens.

After writing on Twitter that it had less than an hour's worth of oxygen left for its Covid-19 patients on Friday morning, Max Healthcare, a prominent Indian hospital group, said two of its hospitals in the capital received emergency supplies, but that they would only last two hours.

Public and health officials in New Delhi have been raising the alarm about the acute shortage of oxygen supplies at hospitals, despite the increased allocation of those supplies amid the devastating second wave of the pandemic.

Max Healthcare is one of the medical groups that successfully petitioned the Delhi High Court to divert oxygen supplies to hospitals on Wednesday. The central government has since placed a temporary ban on the use of oxygen for industrial activities and diverted the supplies for medical care. 

Sunil Saggar, CEO of the Shanti Mukand hospital in New Delhi, told local media that six private hospitals in Delhi ran out of oxygen on Thursday, including the Shanti Mukand.

A Thursday press statement from the prime minister’s office said that Indian Prime Minister Narendra Modi held a meeting on Thursday to review oxygen supplies, noting that the demands of 20 Indian states had been met.

The statement added that the government was able to allocate 6,822 metric tons of oxygen, when only 6,785 metric tons had been requested.

The government had been warned of the country’s oxygen shortages back in November when consumption quickly increased during the first phase of the pandemic. 

A parliamentary committee highlighted that oxygen use for medical purposes had increased from 1000 metric tons a day to 3000 metric tons during the pandemic’s previous peak.

Industrial use of oxygen counted for 6000 metric tons before the pandemic, according to the committee's report.

As India's second deadly wave continues to surge, crematorium grounds in Delhi have been overwhelmed -- with families turning to makeshift mass cremation sites.

The scenes underscore the severity of India's second wave, acutely felt in the capital.

In total, Delhi has recorded a total of 956,348 cases of coronavirus and 13,193 deaths, according to the city's health authority.

On Thursday, Delhi recorded 306 new Covid-19 deaths, according to the Delhi Health Department's evening bulletin. 

With a shortage of hospital and ICU beds, oxygen supply and testing, India’s healthcare system is buckling. Cities across the country are reporting far larger numbers of cremations and burials under coronavirus protocols than official Covid-19 death tolls, according to crematorium and cemetery workers, media and a Reuters review of government data.

Nationwide, 332,730 new cases of coronavirus were reported on Friday, bringing the total to more than 16 million cases, according to a CNN tally of figures from the Indian Ministry of Health.

The second wave of the coronavirus pandemic in India has devastated lives and completely overwhelmed hospitals and medical resources.

A new global record: India reported 332,730 new Covid-19 cases on Friday, the highest number of daily cases globally for the second day in a row. This brings India's total to more than 16 million cases, according to a CNN tally of figures from the Indian Ministry of Health. The country has added over 1 million cases in four days.

India also reported its highest single-day death toll since the pandemic began, with 2,263 deaths Friday. 

Shortage of oxygen: At least six private hospitals in the Indian capital New Delhi ran out of oxygen Thursday, according to the city's deputy chief minister Manish Sisodia. He added that supplies had not reached New Delhi, even after the central government allocated 480 metric tonnes of oxygen for the capital.

Health care infrastructure strained: As of Friday morning, there were only 25 ICU beds available in the capital, a Delhi government dashboard showed. The Delhi High Court also revoked a government order on Thursday that required Covid-19 testing labs to provide results in less than 36 hours. The court noted that labs are "refusing and turning away people" due to this and stated that "there is no reason to now require generation of reports positively within 36 hours, particularly when the pandemic is four times larger than what it was last year." 

A black market for medicines has emerged: With Covid-19 cases soaring in India, demand has spiked for Remdesivir. But as hospitals face shortages, black market traders are charging up to 10 times the recommended retail price for for the antiviral drug, despite no clarity on its effectiveness in treating the virus.

Vaccinations: India has administered 135 millions doses of the Covid-19 vaccine as of Thursday, according to Indian health minister Dr. Harsh Vardhan. Currently, India is only vaccinating its health care workers, front line workers and people aged 45 and above. Starting May 1, it will open up vaccination to everyone 18 and older, which will be its biggest cohort. It is indicated that either this age group will have to get vaccines from state government or buy them from private providers.