A deadly second wave of coronavirus infections is devastating India, leaving millions of people infected and putting stress on the country’s already overtaxed health care system.

Officially, by the end of April, more than 17.9 million infections had been confirmed and more than 200,000 people were dead, but experts said the actual figures were likely much higher. In the same period, India was responsible for more than half of the world’s daily Covid-19 cases, setting a record-breaking pace of more than 300,000 a day.

For the most up-to-date figures, The New York Times is tracking the latest case counts here.

Months ago, India appeared to be weathering the pandemic. After a harsh initial lockdown, the country did not see an explosion in new cases and deaths comparable to those in other countries.

So far, the evidence is inconclusive, and researchers caution that other factors could explain the viciousness of the outbreak.

Overwhelmed by new cases, Indian hospitals cannot cope with the demand, and patients in many cities have been abandoned to die.

Clinics across the country have reported an acute shortage of hospital beds, medicines, protective equipment and oxygen.

Some in Delhi say they have paid at least 10 times the usual price for oxygen, and the news media have carried reports of cylinders being looted from hospitals.

India is one of the world’s leading vaccine manufacturers, but it has struggled to inoculate its citizens.

Less than 10 percent of Indians have gotten even one dose. Now, the country’s pain may be felt around the world, especially in poorer countries.

India had planned to ship out millions of doses. But given its stark vaccination shortfall, exports have essentially been shut down, leaving other nations with far fewer doses than they had expected.

Charities, volunteers and businesses in India and beyond are trying to help the country’s Covid victims and frontline workers.

(Before giving money to an organization, make sure you feel comfortable with it. In the United States, sites like Guidestar and Charity Navigator grade nonprofits on their effectiveness and financial health.)

Here are a few ways to help.



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