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India's vaccination drive falters amid rising record virus toll

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With India preparing to make residents 18 and older eligible for a coronavirus vaccine starting Saturday, Dr. Aqsa Shaikh emailed the country’s largest drug manufacturer this week asking for doses for the vaccination center she runs in New Delhi.

The response was not encouraging: The company, the Serum Institute of India, said it was so overwhelmed by demand that it could take five or six months for Dr. Shaikh to get the 3,000 doses per month she requested.

“When I read that email, images of mass burials appeared in front of my eyes,” she said. “We may have to shut down the center now if the government doesn’t chip in.”

Mass vaccinations could be the only way for India to curb its outbreak. The health ministry on Thursday reported more than 375,000 cases and more than 3,600 deaths, and hospitals warned of critical shortages of ventilator beds, medical oxygen, medicines and other lifesaving supplies.

On Wednesday, the U.S. government authorized families of diplomats to leave India and advised other Americans there to leave “as soon as it is safe to do so.”

As grim as India’s coronavirus numbers are — and experts warn that its reported death toll of more than 204,000 could be a significant undercount — its vaccination program was supposed to be a bright spot. Before the pandemic, India ran the world’s largest immunization program, delivering routine vaccinations to 55 million people a year. The Serum Institute aimed to become the vaccine manufacturer for the world, pumping out tens of millions of doses of the AstraZeneca vaccine at its factories in the western city of Pune.

But after an initial fast rollout, averaging some three million injections a day, India’s vaccination drive is slowing. The health ministry said on Thursday that it had administered fewer than 2.2 million doses in the last 24 hours.

About 26 million people have been fully vaccinated, or 2 percent of the population, making it unlikely that India will meet Prime Minister Narendra Modi’s goal of vaccinating 300 million people by the summer.

Despite cash infusions from Mr. Modi’s government, India’s major vaccine companies are struggling to increase production. The Serum Institute is producing about 60 million doses a month, and another Indian company, Bharat Biotech, is making about 10 million doses a month of its Covaxin shot. A third company has signed an agreement to produce Russia’s Sputnik V vaccine later this year.

But that is a fraction of what India needs to inoculate every adult, some 940 million people. Dr. Chandrakant Lahariya, an epidemiologist, tweeted: “It is like inviting 100 people at your home for lunch. You have resources to cook for 20.”

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