Medical students bearing brunt of virus care in India
Sun Sentinel
NEW DELHI — Since the beginning of the week, Dr. Siddharth Tara, a postgraduate medical student at New Delhi’s government-run Hindu Rao Hospital, has had a fever and persistent headache. He took a COVID-19 test, but the results have been delayed as the country’s health system implodes.
His hospital, overburdened and understaffed, wants him to keep working until the testing laboratory confirms he has COVID-19.
On Tuesday, India reported 323,144 new infections for a total of more than 17.6 million cases, behind only the United States.
India’s Health Ministry also reported another 2,771 deaths in the past 24 hours, with 115 Indians succumbing to the disease every hour.
Experts say those figures are likely an undercount.
“I am not able to breathe. In fact, I’m more symptomatic than my patients. So how can they make me work?” asked Tara.
The challenges facing India today, as cases rise faster than anywhere else in the world, are being compounded by the fragility of its health system and its doctors.
There are 541 medical colleges in India with 36,000 post-graduate medical students, and according to doctors’ unions constitute the majority at any government hospitals — they are the bulwark of the India’s COVID-19 response.
But for over a year, they have been subjected to mammoth workloads, lack of pay, rampant exposure to the virus and academic neglect.
“We’re cannon fodder, that’s all,” said Tara.
In five states that are being hit hardest by the
surge, postgraduate doctors have held protests against what they view as administrators’ callous attitude toward students like them, who urged authorities to prepare for a second wave but were ignored.
Hindu Rao Hospital, where Tara works, provides a snapshot of the country’s dire situation. It has increased beds for virus patients, but hasn’t hired any additional doctors, quadrupling the workload, Tara said.
To make matters worse, senior doctors are refusing to treat virus patients.
“I get that senior doctors are older and more susceptible to the virus. But as we have seen in this wave, the virus affects old and young alike,” said Tara, who suffers from asthma.
The hospital has gone from zero to 200 beds for virus patients amid the surge. Two doctors used to take care of 15 beds — now they’re handling 60.
Staff numbers are also falling, as students test positive at an alarming rate. Nearly 75% of postgraduate medical students in the surgery department tested positive for the virus in the last month, said a student from the department who spoke anonymously out of fear of retribution.
Tara, who’s part of the postgraduate doctors association at Hindu Rao, said students receive each month’s wages two months late.
Dr. Rakesh Dogra, senior specialist at Hindu Rao, said the brunt of coronavirus care inevitably falls on postgraduate students.
But he stressed they have different roles, with postgraduate students treating patients and senior doctors supervising.
Although Hindu Rao hasn’t hired any additional doctors during the second wave, Dogra said doctors from nearby municipal hospitals were temporarily posted there to help with the increased workload.
India, which spends 1.3% of its GDP on health care, less than all major economies, was initially seen as a success story in weathering the pandemic.
However, in the succeeding months, few arrangements were made.
A year later, Dr. Subarna Sarkar says she feels betrayed by how her hospital in the city of Pune was caught off guard.
“Why weren’t more people hired? Why wasn’t infrastructure ramped up? It’s like we learnt nothing from the first wave,” she said.