A few years ago, as Narendra Modi came into power, I worked on an investigative report about India hiding its malaria deaths. In traveling from tribal Odisha to the Indian national health ministry in New Delhi, my colleague and I watched thousands of cases disappear: some malaria deaths, first noted in handwritten local health ledgers, never appeared in central government reports; other malaria deaths were magically transformed into deaths of heart attack or fever. The discrepancy was massive: India reported 561 malaria deaths that year. Experts predicted the actual number was as high as 200,000.
Now, with Covid ravaging the country, desperate Indians have taken to Twitter to ask for oxygen cylinders or beg hospitals for an open bed. The crisis has been exacerbated by the government’s concealment of critical information. Between India’s long history of hiding and undercounting illness deaths and its much more recent history of restraining and suppressing the press, Modi’s administration has made it impossible to find accurate information about the virus’s hold in the country. Blocking that information will only hurt millions within the country. It will also stymie global efforts to stop the Covid-19 pandemic, and new variants of the virus, at India’s border.
Epidemiologists in India and abroad estimate that the country’s official reported Covid-19 death toll – around 222,000 at time of publication – accounts for only a fraction of the real number. The director of the US-based Institute of Health Metrics and Evaluation has estimated that India is only detecting 3-4% of actual cases. Other experts point to total excess deaths in cities such as Mumbai as proof that there could be 60% to 70% more deaths from Covid-19 than the government is admitting to.
There are various reasons India could be cooking the books on Covid deaths. For one, the utter failure of the public health system makes it difficult to account for the millions of bodies passing through hospitals, clinics and those dying in their own home. Despite having become one of the largest economies in the world, Indian state and federal governments spend a dismal amount on healthcare, with an investment of less than 1% of its GDP, one of the lowest rates in the world.
But systemic failure is only one part of the puzzle. The reigning party of the Indian government touted its success in curbing the virus very early in the pandemic, and has never let go of that narrative. [Continue reading…]