Now smaller cities and rural areas -- where 70 percent of Indians live -- have begun to see case numbers rising sharply. India has tested around 16,500 people per million, compared to 190,000 in the United States, according to a tally by Worldometer. A study last week that tested for coronavirus antibodies reported some 57 percent of people in Mumbai´s teeming slums have had the infection -- far more than official data suggests. A similar probe earlier in July indicated that almost a quarter of people in the capital, New Delhi, have had the virus -- almost 40 times the official total. Fatalities may also be higher than the official numbers. Experts say that even in normal times the cause of death is not properly recorded in large numbers of cases.
Stigma
In smaller cities and in rural areas people also ignore guidelines on social distancing and wearing masks, anecdotal evidence suggests. Monsoon floods in recent weeks that have affected millions have also hindered efforts to fight the pandemic. In addition, some of those infected are ostracised by their communities, leading to a stigmatization of the virus that puts people off being tested. "A new disease with relatively high levels of complications and mortality, with accompanying directives on physical distancing, inevitably leads to fears, apprehensions and... stigma," said Rajib Kumar, who heads the Centre of Social Medicine and Community Health at Delhi´s Jawaharlal Nehru University. "There´s both the fear of the disease as well as of isolation and quarantine," Kumar told AFP.
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