With India getting ready to make residents 18 and older eligible for a coronavirus vaccine beginning Saturday, Dr. Aqsa Shaikh emailed the nation’s largest drug producer this week asking for doses for the vaccination middle she runs in New Delhi.

The response was not encouraging: The corporate, the Serum Institute of India, stated it was so overwhelmed by demand that it may take 5 or 6 months for Dr. Shaikh to get the three,000 doses monthly she requested.

“After I learn that e-mail, photographs of mass burials appeared in entrance of my eyes,” she stated. “We could need to shut down the middle now if the federal government doesn’t chip in.”

Mass vaccinations may very well be the one approach for India to curb its outbreak. The well being ministry on Thursday reported greater than 375,000 circumstances and greater than 3,600 deaths, and hospitals warned of essential shortages of ventilator beds, medical oxygen, medicines and different lifesaving provides.

On Wednesday, the U.S. authorities licensed households of diplomats to depart India and suggested different Individuals there to depart “as quickly as it’s secure to take action.”

As grim as India’s coronavirus numbers are — and specialists warn that its reported dying toll of greater than 204,000 could be a significant undercount — its vaccination program was purported to be a vivid spot. Earlier than the pandemic, India ran the world’s largest immunization program, delivering routine vaccinations to 55 million individuals a yr. The Serum Institute aimed to turn out to be the vaccine producer for the world, pumping out tens of thousands and thousands of doses of the AstraZeneca vaccine at its factories within the western metropolis of Pune.

However after an preliminary quick rollout, averaging some three million injections a day, India’s vaccination drive is slowing. The well being ministry stated on Thursday that it had administered fewer than 2.2 million doses within the final 24 hours.

About 26 million individuals have been fully vaccinated, or 2 % of the inhabitants, making it unlikely that India will meet Prime Minister Narendra Modi’s objective of vaccinating 300 million individuals by the summer season.

Regardless of money infusions from Mr. Modi’s authorities, India’s main vaccine firms are struggling to extend manufacturing. The Serum Institute is producing about 60 million doses a month, and one other Indian firm, Bharat Biotech, is making about 10 million doses a month of its Covaxin shot. A 3rd firm has signed an settlement to supply Russia’s Sputnik V vaccine later this yr.

However that may be a fraction of what India needs to inoculate every adult, some 940 million individuals. Dr. Chandrakant Lahariya, an epidemiologist, tweeted: “It’s like inviting 100 individuals at your house for lunch. You’ve got sources to prepare dinner for 20.”

Already, hospitals say they’re operating out of vaccines. Many Indians who’ve acquired one shot say they’re having hassle getting a second.

“You’re feeling like you might be being cheated,” stated Aditya Kapoor, a New Delhi businessman who stated he was turned away from two clinics when he went to get his second dose.

An internet portal the federal government launched on Wednesday to register for pictures crashed due to the demand; greater than 13 million Indians finally bought appointments.

“We don’t know what to do from Saturday; the scarcity is in every single place,” stated Balbir Singh Sidhu, the well being minister in Punjab State, which is struggling to acquire the three million doses of the AstraZeneca vaccine that it ordered.

The Indian well being ministry denied there was a provide scarcity and stated that it had tried to hurry up the rollout by permitting non-public services to buy instantly from producers. However critics say the coverage may result in firms elevating costs for personal patrons.

In New Delhi, on the vaccination middle at Jamia Hamdard, a medical faculty, Dr. Sheikh stated that she would quickly be unable to supply even the 150 doses she administers in a median day.

“Simply excited about not having the ability to assist at our vaccination middle makes me cry,” she added.