Abstract
With over 697 000 confirmed cases and 19 700 deaths as of July 6, 2020, India accounts for around 6% of global COVID-19 infections and 3·5% of COVID-19-attributable mortality, and is ranked third worldwide in terms of the number of infections. Although the proportion of the total population infected is low compared with other countries—0·05% versus 0·87% in USA, 0·73% in Brazil, 0·46% in Russia, and 0·4% in Italy1—India has a high risk of community transmission because of crowded living conditions, congested cities, a large slum-dwelling population, poor health-care facilities, low educational attainment, and high levels of poverty.
Highlights
With over 697 000 confirmed cases and 19 700 deaths as of July 6, 2020, India accounts for around 6% of global COVID-19 infections and 3·5% of COVID-19-attributable mortality, and is ranked third worldwide in terms of the number of infections
A relatively young age structure, high levels of comorbidities, and poor health-care facilities are leading to high premature mortality due to COVID-19 in India.[3]
The disease has begun to spread from large cities to smaller towns and rural areas, and if the disease spreads in proportions similar to in Mumbai or Delhi, the adverse health effects are likely to be severe for poorer people and those living in poorer regions of the country
Summary
With over 697 000 confirmed cases and 19 700 deaths as of July 6, 2020, India accounts for around 6% of global COVID-19 infections and 3·5% of COVID-19-attributable mortality, and is ranked third worldwide in terms of the number of infections. Deaths attributable to COVID-19 are largely premature, with around half of deaths occurring in people aged 40–64 years.[2] A relatively young age structure (less than 5% of the population is older than 70 years), high levels of comorbidities, and poor health-care facilities are leading to high premature mortality due to COVID-19 in India.[3] The disease has begun to spread from large cities to smaller towns and rural areas, and if the disease spreads in proportions similar to in Mumbai or Delhi, the adverse health effects are likely to be severe for poorer people and those living in poorer regions of the country.
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