The Struggle of India in COVID-19 Combat

Abstract
Objectives: To find the underlying reasons for the exponential increase in mortality rate in India due to (coronavirus disease-2019) COVID-19. Methods: The Indian scenario was analysed after the first declaration of the COVID-19 outbreak. Despite the meticulous efforts of the Indian government, the number of deaths rose gradually. Subsequently, an exponential increase was observed, and the trend was analysed cautiously to assess the shortcomings. Findings: The cause of death in the reproductive age group and change in the pattern of death in the first and second waves were analysed. A rapid increase in death might be due to not identifying individuals with comorbidity early. Due to the lack of a centralised government database, a higher death rate is recorded. Novelty: Identifying and communicating with individuals with comorbidities at the right time is essential during the pandemic. Hence, the present study emphasised a centralised database and connected the medical records nationwide to provide early warning signals for such people. In the future, it could be linked with the Geographical Information System (GIS). Keywords pandemic, comorbidity, unique ID card, vulnerable, lockdown