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“The mood is extremely grim,” says Dr Fyezah Jehan, a doctor in Karachi. “I think we are very scared of an India-like situation. We’re hoping that some magic happens, and this [current] lockdown can prevent a new onslaught of cases.” A lorry is loaded with oxygen cylinders to supply private hospitals in Karachi, Pakistan. Photograph: Fareed Khan/AP “Rapidly rising need for oxygen puts pressure on the health system, which it can’t meet, and we see patient deaths,” said Greenslade. “And that will keep happening week after week, month after month, if the vaccine rollout is slow, because at this point, in many of these countries, it’s only increases in vaccine coverage that will bend the curve on transmission.”

United statesSouth africaSri lankaCosta ricaFyezah jehanRobert matiruValverde huamZachary katzLeith greensladeGlobal fundClinton health access initiativeWorld health organizationBureau of investigative journalismBreath counts coalitionWorld bankInvestigative journalism