Despair and anguish have gripped India as the desperate search for oxygen, hospital beds and medicine continues unabated, with the country’s health-care system buckling under the deadly second wave of the coronavirus pandemic.In the capital New Delhi, where a more transmissible coronavirus variant has infected entire families, sick family members are desperately seeking medical help for those more severely ill at home or are frantically racing to locate scarce drugs and oxygen cylinders for which a thriving black market has emerged.It’s a city that now depends on family, friends and social media to navigate through its worst-ever health crisis. People are scared to even open windows and doors for fear of catching the virus, and lonely funerals are being held at crematoriums that are working into the night as the death toll climbs relentlessly.49-year-old Leena Roy, her husband, son and elderly parents all tested positive for COVID-19 last week. As her mother’s condition worsened, they joined the desperate search for a hospital bed. Her doctor finally located one in a small nursing home in a Delhi suburb whose owner he knew.Patients breathe with the help of oxygen masks inside a banquet hall temporarily converted into a Covid-19 coronavirus ward in New Delhi, India, April 27, 2021.After being unable for two days to contact doctors treating her mother, Roy dragged herself there despite running a high fever. She could not meet with any doctor, though, because they all were too busy. Her mother later told her the hospital is so overwhelmed that doctors and nurses have no time to make regular rounds of patients.After the experience, Roy decided to treat her 85-year-old father at home. She then began another difficult hunt — locating a nurse who could administer an intravenous drip and hunting for a home oxygen supply. “I made 40 calls yesterday to try and locate an attendant for her. But nobody could provide me one,” says her friend, Suhasini Sood. “She has paid nearly $ 1,000 for an oxygen concentrator but is not sure when it will arrive. The dealer who was supposed to deliver it asked if he could give it to someone who needed it more critically.”As reports of patients dying at two hospitals that ran out of oxygen panicked the city, oxygen concentrators, which can make oxygen at home, have become the most sought-after devices for those who can afford them.People with breathing problems due to the COVID-19 wait to receive oxygen support for free at a Gurudwara (Sikh temple) in Ghaziabad, India, April 27, 2021.Hospitals overstretched and labs overwhelmedIn overstretched hospitals, everything from ambulances to nursing staff are running short. Patients sick with the virus are ferrying family members who turn critical to the hospital. And overwhelmed laboratories are unable to cater to the huge demand for tests for the virus or for chest scans and blood tests needed to determine the severity of the infection, leaving people unsure of what treatment they need.Crematoriums and cemeteries are buckling under the pressure as numbers climb relentlessly of those falling victim to the virus. In New Delhi, city crematoriums are building additional makeshift platforms in parking lots and surrounding parks to cremate the dead.In this aerial picture burning pyres of victims who lost their lives due to the Covid-19 coronavirus are seen at a cremation ground in New Delhi, India, April 26, 2021.Role of social mediaAmid mounting despair, social media has become one of the city’s most sought-after helplines as thousands of volunteers and groups post information on Twitter, Instagram and WhatsApp regarding the availability of beds, oxygen cylinders, medical attendants or even food deliveries for the sick to help those putting out desperate pleas.One among the countless messages in Twitter calling for help in the face of the pandemic in India, April 26, 2021.Among them is Network Capital, a business networking group of young professionals that has come together on three WhatsApp groups and a platform called Discord to help in the hour of crisis.“Wherever we hear of availability of beds or oxygen cylinders, it is immediately verified and posted,” says Deepika Khurana, one of the about 1,000 volunteers. “Every lead that works out for someone has been the result of thousands of strangers down the chain diligently linking other people with resources.”Exhausted workers, who bring dead bodies for cremation, sit on the rear step of an ambulance inside a crematorium, in New Delhi, India, April 24, 2021.Volunteers work into the night to gather information. People attending to their family members in hospitals contribute updates. It is not easy. “Even if you update a sheet at 10.30 a.m. on bed availability, it may not be valid by 10.40 a.m.,” according to Khurana. “The unfortunate reality of getting a hospital bed in Delhi today is that you have to land up in a hospital and demand attention.”Experts blame India’s dire situation on a decades-long lack of sufficient attention and spending on public health, and they say the belief the country would not face a second wave made it complacent about variants of the virus. “We missed the variants that began circulating in India in December and lacked the perception of the havoc they could wreck,” says Jacob John, a virologist and public health expert.“Now we are fighting a war without a war room,” he says. “All patients who are not seriously ill should be treated at home and only the critically ill should be in hospitals to alleviate the crisis of shortage of beds. But that is not happening.” 

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