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.


Zelensky says peace proposals to end the war in Ukraine could be presented to Russia within days

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Zelensky says peace proposals to end the war in Ukraine could be presented to Russia within days

  • But issues like the status of Ukrainian territory occupied by Russia remain unresolved. US-led peace efforts are gaining momentum
  • But Russian President Vladimir Putin may resist some proposals including security guarantees for Ukraine
KYIV: Ukrainian President Volodymyr Zelensky says proposals being negotiated with US officials for a peace deal to end his country’s nearly four-year war with Russia could be finalized within days, after which American envoys will present them to the Kremlin before further possible meetings in the United States next weekend.
Zelensky told reporters late Monday that a draft peace plan discussed with the US during talks in Berlin earlier in the day is “very workable.” He cautioned, however, that some key issues — notably what happens to Ukrainian territory occupied by invading Russian forces — remain unresolved.
U.S-led peace efforts appear to be picking up momentum. But Russian President Vladimir Putin may balk at some of the proposals thrashed out by officials from Washington, Kyiv and Western Europe, including postwar security guarantees for Ukraine.
Kremlin spokesman Dmitry Peskov repeated Tuesday that Russia wants a comprehensive peace deal, not a temporary truce.
If Ukraine seeks “momentary, unsustainable solutions, we are unlikely to be ready to participate,” Peskov said.
“We want peace — we don’t want a truce that would give Ukraine a respite and prepare for the continuation of the war,” he told reporters. “We want to stop this war, achieve our goals, secure our interests, and guarantee peace in Europe for the future.”
American officials on Monday said that there’s consensus from Ukraine and Europe on about 90 percent of the US-authored peace plan. US President Donald Trump said: “I think we’re closer now than we have been, ever” to a peace settlement.
Plenty of potential pitfalls remain, however.
Zelensky reiterated that Kyiv rules out recognizing Moscow’s control over any part of the Donbas, an economically important region in eastern Ukraine made up of Luhansk and Donetsk. Russia’s army doesn’t fully control either.
“The Americans are trying to find a compromise,” Zelensky said, before visiting the Netherlands on Tuesday. “They are proposing a ‘free economic zone’ (in the Donbas). And I want to stress once again: a ‘free economic zone’ does not mean under the control of the Russian Federation.”
The land issue remains one of the most difficult obstacles to a comprehensive agreement.
Putin wants all the areas in four key regions that his forces have seized, as well as the Crimean Peninsula, which Moscow illegally annexed in 2014, to be recognized as Russian territory.
Zelensky warned that if Putin rejects diplomatic efforts, Ukraine expects increased Western pressure on Moscow, including tougher sanctions and additional military support for defense. Kyiv would seek enhanced air defense systems and long-range weapons if diplomacy collapses, he said.
Ukraine and the US are preparing up to five documents related to the peace framework, several of them focused on security, Zelensky said.
He was upbeat about the progress in the Berlin talks.
“Overall, there was a demonstration of unity,” Zelensky said. “It was truly positive in the sense that it reflected the unity of the US, Europe, and Ukraine.”