The report by the Washington-based Center for Global Development,
co-authored by India's former chief economic adviser Arvind
Subramanian, included deaths from all causes since the start of the
pandemic through June this year.
India's official tally of more than 414,000 deaths is the world's
third highest after the United States and Brazil, but the study adds
to growing calls from experts for a rigorous nationwide audit of
fatalities.
A devastating rise in infections in April and May, driven largely by
the more infectious and dangerous Delta variant, overwhelmed the
healthcare system and killed at least 170,000 people in May alone,
official data show.
"What is tragically clear is that too many people, in the millions
rather than hundreds of thousands, may have died," the report said,
estimating between 3.4 million and 4.9 million excess deaths during
the pandemic.
But it did not ascribe all excess deaths to the pandemic.
"We focus on all-cause mortality, and estimate excess mortality
relative to a pre-pandemic baseline, adjusting for seasonality," the
authors said https://bit.ly/2Usm8cE.
The health ministry did not immediately respond to a Reuters email
seeking comment.
Some experts have said excess deaths are the best way to measure the
real toll from COVID-19.
"For every country, it's important to capture excess mortality - the
only way to prepare the health system for future shocks and to
prevent further deaths," Soumya Swaminathan, the chief scientist of
the World Health Organization, said on Twitter https://bit.ly/3kCGevC.
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The New York Times said the most conservative
estimate of deaths in India was 600,000 and the
worst-case scenario several times that. The
government has dismissed those figures.
Health experts blame the undercounting largely
on scarce resources in the vast hinterland home
to two-thirds of India's population of nearly
1.4 billion, and also many deaths at home
without being tested.
India has reported a decline in daily infections
from a May peak, with Tuesday's 30,093 new cases
making up its lowest daily count in four months.
Prime Minister Narendra Modi's government has
also been criticised for a messy vaccination
campaign that many say helped worsen the second
wave of infections.
Just over 8% of eligible adult Indians have
received both vaccine doses.
In July, the government administered fewer than
4 million daily doses on average, down from a
record 9.2 million on June 21, when Modi flagged
off a free campaign to inoculate all 950 million
adults.
(Reporting by Ankur Banerjee in Bengaluru and
Neha Arora in New Delhi; Editing by Clarence
Fernandez and Giles Elgood)
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