Vancouver Sun

THE CORONAVIRU­S THAT HAS INFECTED MORE THAN 11 MILLION PEOPLE WORLDWIDE MAY HAVE BEEN HERE ALL ALONG WAITING TO BE ‘IGNITED’ RATHER THAN STARTING IN CHINA, AN OXFORD UNIVERSITY EXPERT BELIEVES.

“Quite sure that someone would be sacrificed’

- JOANNA SLATER

NEW DELHI • When Mukul Garg learned that one member of his family had tested positive for the novel coronaviru­s, he immediatel­y knew it was only the beginning.

His extended family members had stayed inside for weeks during a nationwide lockdown, eating together and playing together in the home they share in India’s capital. They were 17 people in all, ranging in age from 3 months to 90 years.

Mukul, 33, was struck by a simple, devastatin­g question: How many would they lose?

“We knew we would all be positive,” he said. “We were quite sure that someone would be sacrificed.”

The Garg family’s battle with the pandemic is an increasing­ly frequent one in India, which is in the grip of one of the world’s largest coronaviru­s outbreaks. More than 600,000 cases and nearly 18,000 deaths have been reported to date. The strain on hospitals is intense, forcing families to scramble for beds for their loved ones.

In India, it is common for multiple generation­s of a family to live under one roof, something that is a source of cultural pride. Government statistics show that 42 per cent of households are “non-nuclear” families.

Such arrangemen­ts represent a challenge for younger people seeking to protect their older, more vulnerable relatives from exposure to the virus. About half of the virus deaths in India have been people over 60.

In just a few days, 11 members of the Garg family tested positive for the virus. Among them were Mukul’s 90-yearold bedridden grandfathe­r; 87-year-old grandmothe­r; 62-year-old father, who has diabetes and high blood pressure; and a 60-year-old uncle, who also suffers from the same two conditions.

Their home at the end of a leafy street in Delhi turned into its own cluster of coronaviru­s cases, marked with a quarantine sticker and cut off from the outside world.

The Garg family’s story is a

ONE BY ONE, EVERYONE CAME DOWN WITH A FEVER.

vivid illustrati­on of the capricious­ness of the virus. Some people escape with no symptoms, while others become seriously ill. Scientists are investigat­ing whether genetic factors, including blood types, play a role in a person’s susceptibi­lity to the disease.

Zarir Udwadia, a pulmonolog­ist at Hinduja Hospital in Mumbai, said he had seen situations in which members of the same family experience­d severe outcomes after contractin­g the virus, suggesting a genetic vulnerabil­ity. He has also witnessed the opposite scenario: instances of families who had milder cases, even when other factors pointed toward the risk of serious illness.

For the Gargs, living together may have been a source of vulnerabil­ity but also was a reservoir of strength. Three brothers and their families, together with their parents, have had what is known here as a “joint family” arrangemen­t for decades.

For the past nine years, each brother and his family have occupied one spacious floor in a four-storey building in northwest Delhi. The brothers and their respective sons work together in different businesses.

In normal times, each branch of the family was consumed with its own routines. At first, the lockdown was a period of unusual contentmen­t. With everyone stuck at home, all the Gargs would often gather for lunch or dinner. There were endless hands of cards and games of hopscotch and freeze tag on the terrace. The men of the family “suddenly turned chef” and began trying out new recipes, Mukul said.

The family was hypervigil­ant in taking precaution­s against the virus, said Mukul.

In late April, one of Mukul’s uncles started feeling weak and feverish. A few days later, his aunt Anita fell ill, too. Then Mukul’s parents both developed fevers, as did his grandmothe­r.

“We were confident that because we had been extremely careful, coronaviru­s could not happen to us,” said

Mukul’s mother, Meena Devi, 58. “But then, one by one, everyone came down with a fever.”

Still, the Gargs hesitated to get tested, hoping it would pass. They worried they would be ostracized if they tested positive, and even placed in an institutio­nal quarantine. Just in case, everyone in the family began isolating themselves in their rooms on their respective floors.

After five days of fever, Anita began to have difficulty breathing. She was tested; the next day the result came back positive. “It all came crashing down after that,” Mukul wrote in a blog post detailing his family’s experience that has been viewed more than 400,000 times.

Anita would prove to be the most serious case in the family. After her condition deteriorat­ed, she was admitted to a private hospital. “That is when the panic struck hard,” said her son, Abhishek, 26.

But the virus also behaved unpredicta­bly. Mukuland Abhishek’s 90- year- old grandfathe­r, Shyamlal, tested positive but showed no symptoms at all. Their 87-year-old grandmothe­r, Beena, had a fever that persisted for a month, together with a cough and headache, but her condition never deteriorat­ed to the point they felt she should be hospitaliz­ed. A 29-year-old cousin and his wife tested negative. Four children under the age of six were either not tested or tested negative.

Mukul trained as a doctor before completing an MBA and joining his father’s plastic-packaging business. He and the younger adults helped coordinate the care of his relatives.

In early June, after they all had tested negative, the family finally reunited over dinner, their first time together in weeks. There was laughter, tasty vegetarian food and a sweet custard for dessert.

 ?? MUKUL GARG ?? Four generation­s of the Garg family live together in a home in Delhi, India. Nearly all of the adults became infected with the coronaviru­s, some dealing with serious symptoms. All have now tested negative.
MUKUL GARG Four generation­s of the Garg family live together in a home in Delhi, India. Nearly all of the adults became infected with the coronaviru­s, some dealing with serious symptoms. All have now tested negative.

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