India recorded 4,529 Covid-19 deaths on Tuesday, the pandemic’s highest single daily death toll in any country so far, the authorities said on Wednesday, as the virus spread into the country’s vast hinterlands.
The previous deadliest day for a single country was recorded in the United States in January, when 4,468 people died.
Many experts believe the true number of deaths and infections in India, a country of 1.4 billion people, is even higher, and evidence has emerged across the country of large numbers of people dying from Covid who have not been officially counted.
India reported 267,000 new cases on Tuesday, pushing the official case tally past 25 million, with more than 280,000 deaths.
While infections seem to be slowing down in some of India’s urban centers, including New Delhi and Mumbai, the virus is spreading in the countryside. Testing there is limited, the medical infrastructure is woefully underfunded and overwhelmed, and some leaders have been trying to downplay the damage, sometimes even criminalizing cries for help.
Experts warn that a drop in new daily cases is likely to be a reflection of the success of urban lockdowns, and that the virus is still spreading elsewhere unchecked. Hospitals remain short of supplies, and the vaccination campaign has been slow. The death toll has remained over 4,000 for several days, suggesting that even if new infections are decreasing in urban centers, those infected earlier are dying.
The virus has taken a heavy toll on India’s doctors and medical workers as well.
More than 1,000 doctors have died of Covid since the pandemic began last year. The rate of deaths has been much higher, and the age of victims often much younger, since the second wave of infections started this spring. More than 260 doctors have died since April, according to the Indian Medical Association.
As the coronavirus was crushing New York City last year, hospitals were full and thousands were dying every day. The living retreated to their apartments and the city, almost overnight, transformed into a shadow of itself.
Now, the virus is in retreat and New York is taking its biggest step yet toward normalcy, or a new version of it. Starting Wednesday, 14 months after pandemic restrictions began, most businesses can return to 100 percent capacity if customers maintain six feet of distance. The biggest change will be seeing the faces of New Yorkers again: Vaccinated people in most cases no longer have to wear masks, indoors or outdoors, unless businesses mandate them.
Theaters and other large venues, including ballparks, can return to full capacity, up from one-third, if they require patrons to show proof of vaccination. House parties will be allowed: Up to 50 people can gather indoors in private homes.
“This is an exciting moment; this has been a dark, dark hellish year,” Gov. Andrew M. Cuomo said on Monday, after announcing the end of the mask mandate. “But that was yesterday, and we are looking at a different tomorrow.”
But the reopening won’t be a sudden return to prepandemic life. Many New Yorkers will prefer to keep wearing masks. And some restaurant owners, like Annie Shi of King, a small restaurant in the West Village, said that with distancing requirements, “75 percent or 100 percent doesn’t mean a whole lot.”
Sal Rao, the owner of Mama Rao’s in Borough Park, Brooklyn, said that he and his staff — who all got vaccinated on one day, closing the restaurant to do it — will remain masked, but they will let patrons take off their masks on the honor system.
“We are going to let them come in and enjoy some of the privileges of being human again,” Mr. Rao said.
Masks, following new federal guidance, will continue to be mandatory on public transit and in schools from prekindergarten to 12th grade, in homeless shelters, correctional facilities, nursing homes and health care settings.
In the coming weeks, major venues like Radio City Music Hall and Madison Square Garden will be opening or raising capacity at indoor concerts, shows and sporting events. Patrons will have to show either a paper vaccination card, the New York State digital Excelsior Pass or another digital form to enter or, in venues that allow unvaccinated attendees who test negative for the virus, to sit in vaccinated sections.
Restaurants will be allowed to place tables closer together to reach 100 percent capacity if five-foot-tall solid partitions are placed between them, Mr. Cuomo said. But some restaurants feel that using partitions compromises the dining experience, and Plexiglas can be expensive.
Mia Jacobs, a 23-year-old who lives in Crown Heights, Brooklyn, said the reopening feels “hopeful.” She works in social media in the restaurant and hospitality industry, and said she hopes that with the lifting of restrictions, “people will feel more encouraged to go to the restaurants they’ve been wanting to go to for an entire year.”
Even though she is fully vaccinated, Ms. Jacobs said she would probably continue to wear a mask, and that it would take time for her to get reacquainted with being surrounded by many people.
Still, the lifting of restrictions meant to curb the spread of a virus that devastated the city comes as a welcome sign of New York’s progress. Cases are plummeting as more New Yorkers get shots — about 43 percent of people in New York State are fully vaccinated, including more than half of Manhattan’s residents, according to C.D.C. data. Nationally, about 37 percent of Americans are fully vaccinated.
Mr. Rao, the restaurant owner, said “it was tough” doing temperature checks and contact tracing throughout the pandemic. “I think we are over that now,” he said. “I hope to God this is over.”
When Fuad El-Hibri, founder and executive chairman of Emergent BioSolutions, appears on Wednesday before a House subcommittee to explain how the company’s Baltimore plant ruined millions of doses of coronavirus vaccine, he will be questioned by lawmakers he and his employees spent tens of thousands of dollars helping to elect.
Since 2018, federal campaign records show, Mr. El-Hibri and his wife, Nancy, have donated at least $150,000 to groups affiliated with the top Republican on the panel, Representative Steve Scalise of Louisiana, as well as Mr. Scalise’s campaigns. At least two other members of the subcommittee received donations during the 2020 election cycle from the company’s political action committee, which has given about $1.4 million over the past 10 years to members of both parties.
Members of Congress are demanding answers from the company, which was awarded a $628 million contract last year to manufacture Covid-19 vaccines but has yet to produce a single dose deemed usable by federal regulators. Along with Mr. El-Hibri, Emergent’s chief executive, Robert G. Kramer, will testify beginning at 10:30 a.m. before the House Select Subcommittee on the Coronavirus Crisis, which has opened a sprawling inquiry.
Democrats, led by Representative James E. Clyburn of South Carolina, the panel’s chairman, are expected to use the session to put a spotlight on the company’s relationship with Trump administration officials, including Robert Kadlec, the former assistant secretary of health and human services for preparedness and response, who had previously consulted for Emergent. Dr. Kadlec has said that he was not involved in negotiating the company’s coronavirus contract but that he did sign off on it.
Teamwork became a motif of the pandemic’s early days. Holed up inside their homes last spring, crafty Americans sewed masks, neighbors planted yard signs supporting health care workers, and politicians spoke in lofty language about working together to “flatten the curve.”
Then came a partisan division over masks, screaming crowds outside state capitols, death threats against local and state health officials. On the other side of the debate, some people who supported Covid-19 restrictions embraced the job of mask policing.
It quickly became apparent that, even in a crisis, Americans struggled to come together.
So it is no surprise that the latest honor code — the federal government’s guidance encouraging vaccinated Americans to take off their masks — was greeted with skepticism in parts of the country that have not already done so.
“It’s a very complicated symphony right now,” said Dr. Howard Markel, a medical historian at the University of Michigan who is an expert on pandemics. “There’s been such an erosion of trust — distrust for government, distrust for the virus, distrust for this party or that party. So when you tell the public what to do, there are people who say, ‘How can I trust the guy without the mask?’”