India battles rash of “black fungus” cases hitting COVID-19 patients

A doctor assists a Covid-19 coronavirus patient with Black Fungus, a deadly and rare fungal infection, as he receives treatments at the NSCB hospital in Jabalpur, on May 20, 2021. (File/AFP)
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Updated 20 May 2021
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India battles rash of “black fungus” cases hitting COVID-19 patients

  • Doctors believe that the use of steroids to treat severe COVID-19 could be causing the rash of cases
  • India on Thursday reported 276,110 new coronavirus infections over the previous 24 hours

BENGALURU: India has ordered tighter surveillance of a rare fungal disease hitting COVID-19 patients, officials said on Thursday, piling pressure on hospitals struggling with the world’s highest number of daily infections of the novel coronavirus.

Mucormycosis, or “black fungus” usually infects people whose immune system has been compromised, causing blackening or discoloration over the nose, blurred or double vision, chest pain, breathing difficulties and coughing blood.

Doctors believe that the use of steroids to treat severe COVID-19 could be causing the rash of cases because those drugs reduce immunity and push up sugar levels.

Health Secretary Lav Agarwal said in a letter to state governments that mucormycosis had emerged as a new challenge for COVID-19 patients on steroid therapy and those with pre-existing diabetes.

“This fungal infection is leading to prolonged morbidity and mortality among COVID-19 patients,” he said in the letter reviewed by Reuters on Thursday.

He gave no numbers of the Mucormycosis cases nationwide but Maharashtra, one of the states worst hit in the second wave of coronavirus infections, has reported 1,500 cases of it.

Agarwal asked state governments to declare it as a “notifiable disease” under the Epidemics Act, meaning they have to identify and track every case.

India on Thursday reported 276,110 new coronavirus infections over the previous 24 hours, slightly higher than a day earlier but well below the 400,000 high seen at the beginning of this month in a devastating second wave.

The total caseload stands at 25.77 million, the world’s second highest after the United States. Deaths rose by 3,874 overnight, taking the total tally 287,122.

But with hospitals and crematoria overflowing and the health system overwhelmed, it is widely accepted that the official figures grossly underestimate the real impact of the epidemic, with some experts saying infections and deaths could be five to 10 times higher.

The second wave has penetrated deep into the countryside and the additional burden of mucormycosis has hit a rural health system ill-equipped to cope.

SP Kalantari, a doctor based in Sevagram, a town in Maharashtra, said that a team including ear, nose, and throat surgeons, ophthalmologists and neurologists was needed to treat mucormycosis.

“Unfortunately, this kind of team does not exist in rural areas,” Kalantari said.


Drunk driver gets 24 years to life in prison for killing 4 people at July 4 barbecue in NYC park

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Drunk driver gets 24 years to life in prison for killing 4 people at July 4 barbecue in NYC park

  • Judge April A. Newbauer sentenced Hyden on Friday to 24 years to life in prison
  • The crash happened less than an hour after Hyden was refused entry to a nearby party boat and clashed with security

NEW YORK: Halena Herrera can’t cross a street without thinking about the pickup truck that barreled toward her, killing her best friend and three other people, at a New York City park two Fourth of Julys ago.
Daniel Hyden was drunk at the wheel as the Ford F-150 jumped a curb, bulldozed a chain-link fence and plowed into a group of friends and relatives who were holding a holiday barbecue at Corlears Hook Park in Manhattan. The truck stopped just feet from Herrera, its momentum halted by bodies trapped underneath.
Judge April A. Newbauer sentenced Hyden on Friday to 24 years to life in prison in the deaths of Ana Morel, 43; Lucille Pinkney, 59; her son, Herman Pinkney, 38; and Herrera’s best friend, Emily Ruiz, 30.
Seven people were hurt, including Herrera, who was hit in the face by debris.
“Learning that the only reason I lived was because four other people were dying under the car is still very hard to deal with,” Herrera told reporters after Hyden’s sentencing in state court in Manhattan.
“I’m glad that at least now there’s some sense of justice,” she said. “It doesn’t help much. It doesn’t bring anything back, but it’s good to have it over with, so I’m happy for that.”
Diamond Pinkney, Lucille’s son and Herman’s brother, said seeing Hyden sentenced was a “big relief.” The driver, a substance abuse counselor who wrote a 2020 book about coping with addiction, “knew what he did, he knew the possibility he could’ve caused and he did it,” Pinkney said.
Hyden, 46, from Monmouth, New Jersey, described it as an “accident” in his courtroom apology. He was convicted in November at a non-jury trial of murder, aggravated vehicular homicide and other charges.
“I’m processing how deeply disturbed and deeply hurt I was and still am. And I’m still processing the amount of people I hurt with my actions,” he said, standing in a room packed with victims, relatives of the people he killed and about two-dozen officers.
Hyden said he had broken his sobriety after his own sister was killed by a drunk driver in New Jersey in 2021. At the time of his crash in July 2024, he was preparing to speak at that driver’s sentencing, he said.
“What kind of human being would put other human beings through the same thing he was going through?” Hyden asked.
Herrera scoffed at Hyden’s newfound shame, telling reporters afterward: “He has shown no remorse from the very beginning, so for him to sit there and say that he’s sorry is just — I don’t believe any of it.”
The crash happened less than an hour after Hyden was refused entry to a nearby party boat and clashed with security. Police officers who responded to the boat incident testified that they didn’t witness anything warranting arrest, so they walked Hyden to a park bench and left.
He then got behind the wheel of the pickup truck, prosecutors said, accelerating through a stop sign at 39 mph (63 kph), speeding through a construction zone and zooming over sidewalk at up to 54 mph (87 kph) before reaching the park.
Hyden was pressing the gas pedal down fully and didn’t hit the brakes until half a second before he hit the crowd, prosecutors said. He then tried to put the vehicle in reverse, but witnesses pulled the keys from the ignition to stop him.
Hyden’s lawyer suggested he had a foot injury that complicated his driving.
“While this prison sentence will not reverse the fatalities, injuries, and trauma, I hope this sentencing brings a measure of comfort for those who were impacted by this mass casualty event,” Manhattan District Attorney Alvin Bragg said in a statement. “If you are intoxicated, do not get behind the wheel — it risks the lives of others, and you will be prosecuted.”
Herrera and Pinkney both said they want Hyden to remain in prison for the rest of his life so he does not have a chance to hurt anyone else.
Herrera, who is studying to be a therapist, said she has had bouts of depression and struggles with post-traumatic stress — the horror of that night infecting her daily activities. But, she said, she has to stay strong for her 7-year-old son.
“Every day, I’m worried that something else can happen,” Herrera said. “You know of it — you know that death happens, you know that accidents happen and things happen. But to live it is a different thing.”
“So, now it’s like: Am I going to get hit by a car crossing the street? Is something going to happen to me?”