Coronavirus cases in India passed one million on Friday as authorities struggle to check the spread of the deadly pandemic across the world's second-most populous nation.
With more than 600 Indians dying daily from Covid-19, lockdowns are being reimposed across the country of 1.3 billion following an easing of restrictions since June on hopes the outbreak was under control.
Health ministry data released on Friday put the total cases recorded at 1,003,382, a jump of almost 35,000, with 25,602 deaths after an increase of 687 – both new daily records.
India, home to some of the planet's most densely packed cities, is the third nation to hit a million cases after the United States and Brazil, although the numbers of deaths in those two countries are far higher.
The International Federation of Red Cross and Red Crescent Societies said on Thursday that India, Pakistan and Bangladesh are together fast becoming the next epicentre of the virus.
"While the world's attention has been focused on the unfolding crisis in the United States and South America, a concurrent human tragedy is fast emerging in South Asia," the organisation said.
"Covid-19 is spreading at an alarming rate in South Asia, home to a quarter of humanity."
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Coronavirus around the world
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Until now India's main hotspots have been the megacities of Mumbai and New Delhi, but recently smaller cities and rural areas – where 70 percent of Indians live – have begun to raise the alarm.
Goa on Thursday evening became the latest state to go under lockdown, imposing a three-day shutdown and a nighttime curfew until August 10.
State Chief Minister Pramod Sawant said too many people were "stepping out to meet people at parties" and there was a low level of "awareness and sensitivity".
The coastal tourist region followed Bihar, one of India's most impoverished states and home to 125 million people, in reintroducing curbs after IT hub Bangalore did so earlier in the week.
Other areas have also brought back restrictions including parts of badly-hit Tamil Nadu and Kerala – previously lauded as a success story – as well as Assam.
But the situation on the ground in Bihar underscored the challenges in keeping the pandemic in check.
The streets of state capital Patna were still teeming with traffic and people after the lockdown began, many ignoring social distancing advice and not wearing masks.
"The lockdown is not being fully enforced," local businessman Ranjeet Singh complained.
With per capita spending on health care among the lowest in the world, India's hospitals are reeling.
Frontline staff, especially in rundown state-run hospitals, are working punishingly long shifts with often shoddy protective equipment.
"Covid patients often get delirious. They refuse to eat, pull away their tubes and even get violent with us," said Showkat Nazir Wani, a doctor at a hospital in Uttar Pradesh state.
Many experts say India is not testing enough people or properly recording fatalities, meaning the true caseload is probably much higher.
The tally is "almost certainly underestimated", said Gautam Menon, a professor of physics and biology at India's Ashoka University.
"We feel it might be underestimated by a factor of maybe something like 20 to 30 ... And maybe that number could be even larger. We have no idea at the moment."
