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NEW DELHI (AP) — The acting health minister of India’s capital said New Delhi is facing a shortage of “trained and experienced” health care workers, providing a major challenge in a city that is the epicenter of the country’s coronavirus outbreak.

With more than 77,000 cases, New Delhi has been hit harder than any other Indian city. Infections had been projected to rise to half a million by the end of July in Delhi, the territory that includes the capital. With the rate of infections slowing down, the number has been revised to 400,000, and Acting Health Minister Manish Sisodia said he was hopeful it could be less.

“But we can’t be under any illusions,” he told the Associated Press in an interview Saturday, when India’s total caseload passed half a million. “The availability of medical staff is a big challenge that (other) states need to address as well.”

Sisodia said while the shortage of health care workers in New Delhi remains a concern, the situation is not as dire as it once was. He said at the start of the outbreak, government hospitals were under enormous strain. However, as doctors who were infected with the coronavirus recovered, the shortages became less serious and morale improved.

Still, a shortage of health care workers in New Delhi is significant because it is far richer and has more hospitals than many of the regions in India where the virus is spreading rapidly. New Delhi’s per capita income is three times the national average, according to government data.

Sisodia, who is the deputy chief minister of Delhi, took charge of the health department after Health Minister Satyendar Jain tested positive for the coronavirus and was hospitalized earlier this month. He was discharged from the hospital Friday.

Sisodia acknowledged New Delhi had some inherent advantages by virtue of being a metropolitan city but said the biggest challenge was to be able to deal with peaks in cases.

“How much staff do we have to handle that, how many beds, how will you manage your beds when suddenly you have many patients?” he said.

The strategy in Delhi initially revolved around identifying containment zones, or areas with many cases, and cordoning them off. However, Sisodia said the government found only 20 percent of the cases were in these zones, while 40 percent were in clusters elsewhere. The other 40 percent of the cases were scattered around Delhi.

This led to a change in strategy, with more areas being identified as containment zones.

“And we aren’t tracing contacts here. Instead, we are screening everyone in these areas on a war footing,” Sisodia said.

He said Delhi’s government was already conducting more than 20,000 tests a day and has 600,000 on hand ready to be used.

“As long as there are COVID-19 cases, we will have to test,” he said.

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