Virus cases up sharply in Africa, India

JOHANNESBURG: South Africa’s confirmed coronavirus cases have doubled in just two weeks to a quarter-million, and India on Saturday saw its biggest daily spike as its infections passed 800,000. The surging cases are raising sharp concerns about unequal treatment in the pandemic, as the wealthy hoard medical equipment and use private hospitals and the poor crowd into overwhelmed public facilities, foreign media reported.

Globally more than 12.74 million people have been infected by the virus and over 565,000 have died, according to data compiled by Johns Hopkins University. Experts say the pandemic’s true toll is much higher due to testing shortages, poor data collection in some nations and other issues.

Some of the worst-affected countries are among the world’s most unequal. South Africa leads them all on that measure, with the pandemic exposing the gap in care.

In Johannesburg, the epicenter of South Africa’s outbreak, badly needed oxygen concentrators that help COVID-19 patients who are struggling to breathe are hard to find as private businesses and individuals are buying them up, a public health specialist volunteering at a field hospital, Lynne Wilkinson, told The Associated Press.

Meanwhile, South Africa’s public hospitals are short on medical oxygen — and they are now seeing a higher proportion of deaths than private ones, the National Institute for Communicable Diseases says.

South Africa now has more than 250,000 confirmed coronavirus cases, including more than 3,800 deaths. To complicate matters, the country’s troubled power utility has announced new electricity cuts in the dead of winter as a cold front brings freezing weather. Many of the country’s urban poor live in shacks of scrap metal and wood.

Meanwhile, Health experts have warned of a looming mental health crisis linked to the coronavirus outbreak, and the federal government rolled out a broad anti-suicide campaign. But doctors and researchers say the issues reverberate deeper among Black people, who’ve seen rising youth suicide attempts and suffered disproportionately during the pandemic.

Mental health advocates are calling for more specialized federal attention on Black suicides, including research funding. Counselors focusing on Black trauma are offering free help. And Black churches are finding new ways to address suicide as social distancing has eroded how people connect.

“There has been a lot of complex grief and loss related to death, related to loss of jobs and loss of income,” said Sean Joe, an expert on Black suicides at Washington University in St. Louis. “There’s a lot of hurt and pain in America going on right now, and you only are getting a sense of depth in the months ahead.”

Suicides overall have increased. Roughly 48,000 people in the U.S. died by suicide in 2018, with the rate increasing 35% since 1999, according to the Centers for Disease Control and Prevention. Suicide is the 10th leading cause of death among all ages. For ages 10 to 19, it’s second after accidents.

The rates of suicides and suicide attempts for Black adults have trailed white and Native American adults. But newer research shows an alarming rise in Black young people trying to take their own lives.

Suicide attempts rose 73% between 1991 and 2017 among Black high school students while suicidal thoughts and plans for suicide fell for all teens, according to a study published in November in the journal Pediatrics. The findings, including troubling suicide trends among Black children, prompted the Congressional Black Caucus to issue a report in December deeming the situation a crisis. Experts say the reasons are a complex mix requiring more study.