The number of lives lost, as compiled by Johns Hopkins University, is about equal to the population of Kyiv

“Patients can’t receive visitors. Sadly, there’s no way. So it’s a way to provide psychological support, to be there together with the patient holding their hand,” Melo said. She added: “And this year it’s worse, the seriousness of patients is 1,000 times greater.”

This situation is similarly dire in India, where cases spiked in February after weeks of steady decline, taking authorities by surprise. In a surge driven by variants of the virus, India saw over 180,000 new infections in one 24-hour span during the past week, bringing the total number of cases to over 13.9 million.

Problems that India had overcome last year are coming back to haunt health officials. Only 178 ventilators were free Wednesday afternoon in New Delhi, a city of 29 million, where 13,000 new infections were reported the previous day.

The challenges facing India reverberate beyond its borders since the country is the biggest supplier of shots to COVAX, the U.N.-sponsored program to distribute vaccines to poorer parts of the world. Last month, India said it would suspend vaccine exports until the virus’s spread inside the country slows.

The WHO recently described the supply situation as precarious. Up to 60 countries might not receive any more shots until June, by one estimate. To date, COVAX has delivered about 40 million doses to more than 100 countries, enough to cover barely 0.25% of the world’s population.

Globally, about 87% of the 700 million doses dispensed have been given out in rich countries. While 1 in 4 people in wealthy nations have received a vaccine, in poor countries the figure is 1 in more than 500.

In recent days, the U.S. and some European countries put the use of Johnson & Johnson’s COVID-19 vaccine on hold while authorities investigate extremely rare but dangerous blood clots. AstraZeneca’s vaccine has likewise been hit with delays and restrictions because of a clotting scare.

Another concern: Poorer countries are relying on vaccines made by China and Russia, which some scientists believe provide less protection that those by Pfizer, Moderna and AstraZeneca.

Last week, the director of the Chinese Center for Disease Control and Prevention acknowledged the country’s vaccines offer low protection and said officials are considering mixing them with other shots to improve their effectiveness.

In the U.S., where over 560,000 lives have been lost, accounting for more than 1 in 6 of the world’s COVID-19 deaths, hospitalizations and deaths have dropped, businesses are reopening, and life is beginning to return to something approaching normalcy in several states. The number of Americans filing for unemployment benefits tumbled last week to 576,000, a post-COVID-19 low.

But progress has been patchy, and new hot spots — most notably Michigan — have flared up in recent weeks. Still, deaths in the U.S. are down to about 700 per day on average, plummeting from a mid-January peak of about 3,400.

In Europe, countries are feeling the brunt of a more contagious variant that first ravaged Britain and has pushed the continent’s COVID-19-related death toll beyond 1 million.

Close to 6,000 gravely ill patients are being treated in French critical care units, numbers not seen since the first wave a year ago.

Dr. Marc Leone, head of intensive care at the North Hospital in Marseille, said exhausted front-line staff members who were feted as heroes at the start of the pandemic now feel alone and are clinging to hope that renewed school closings and other restrictions will help curb the virus in the coming weeks.

“There’s exhaustion, more bad tempers. You have to tread carefully because there are a lot of conflicts,” he said. “We’ll give everything we have to get through these 15 days as best we can.”

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