India reports another 400,000+ cases, 4000+ death day

A sustained level of horribleness

And its not correct

True number surely closer to 25,000 deaths, 2-5 million infections today

Lots of ways to estimate but here& #39;s a simple one

Look at the crematoriums

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During non-pandemic year 2019

About 27,000 Indians died on typical day

Crematoriums handle that level of deaths every day

Additional 4,000 deaths won& #39;t knock them off their feet

Crematoriums across the country reporting 2-4X normal business

2/4
So best estimate 55K to 80K people dying daily in India

If you assume baseline deaths of 25-30K

COVID likely causing additional 25K to 50K deaths daily

Not 4,000

What about infections?

Lets start with Infection Fatality Ratio (IFR)

In India, at least 1% right now

3/5
You might say -- woah, that& #39;s high

In US its about 0.6% and India has a younger population

BUT

Indian healthcare system has collapsed,

People dying for lack of oxygen

So IFR of 1% is reasonable, may even too low

Which would put daily infections at 2.5 to 5M / day

4/5
So here& #39;s the bottom line

India can& #39;t be experiencing 4K deaths a day

If it were, it would barely be blip in the background

Instead, seeing crematoriums running 24/7 and running out of firewood

Means the # of deaths from COVID at least closer to 25K, may be much more

5/6
There& #39;s an old saying in global health

You can ignore, fail to test for, or undercount whatever disease you want

But you can& #39;t ignore the dead

In India, the dead are telling us the disease is much worse than the official statistics

And we have to listen

Fin
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