Steve Smith steps down from Rajasthan Royals' captaincy, Ajinkya Rahane to lead

New Delhi, May 14: India may witness the death of additional 1.2-6 lakh children over the next one year from preventable causes as a consequence to the disruption in regular health services due to the COVID-19 pandemic, UNICEF has warned.

The warning comes from a new study that brackets India with nine other nations from Asia and Africa that could potentially have the largest number of additional child deaths as a consequence to the pandemic.

These potential child deaths will be in addition to the 2.5 million children who already die before their fifth birthday every six months in the 118 countries included in the study.

The estimate is based on an analysis by researchers from the Johns Hopkins Bloomberg School of Public Health published in the Lancet.  

This means the global mortality rate of children dying before their fifth birthday, one of the key progress indicators in all of the global development, could potentially increase for the first time since 1960 when the data was first collected.

There were 1.04 million under-5 deaths in India in 2017, of which nearly 50% (0.57 million) were neonatal deaths. The highest number of under-5 deaths was in Uttar Pradesh (312,800 which included 165,800 neonatal deaths) and Bihar (141,500 which included 75,300 neonatal deaths).

The researchers looked at three scenarios, factoring in parameters like reduction in workforce, supplies and access to healthcare for services like family planning, antenatal care, childbirth care, postnatal care, vaccination and preventive care for early childhood. The effects are modelled for a period of three months, six months and 12 months.  

In scenario-1 marked by 10-18% reduction of coverage of all the services, the number of additional children deaths could be in the range of 30,000 plus over three months, more than 60,000 over six months and above 120,000 over the next 12 months.

Coronavirus India update: State-wise total number of confirmed cases, deaths on May 13

The numbers sharply rose to nearly 55,000; 109,000 and 219,000 respectively for scenario-2, which was associated with an 18-28% drop in all the regular services.

But in the worst-case scenario in which 40-50% of the services are not available, the number of additional deaths ballooned to 1.5 lakhs in the three months in the short-range to nearly six lakhs over a year.

The ten countries that could potentially have the largest number of additional child deaths are Bangladesh, Brazil, Congo, Ethiopia, India, Indonesia, Nigeria, Pakistan, Uganda and Tanzania.

In countries with already weak health systems, COVID-19 is causing disruptions in medical supply chains and straining financial and human resources.

Visits to health care centres are declining due to lockdowns, curfews and transport disruptions, and due to the fear of infection among the communities. Such disruptions could result in potentially devastating increases in maternal and child deaths, the UN agency warned.

Rome, Jan 19: India's star wrestlers Bajrang Punia and Ravi Kumar Dahiya kicked off the Olympic year in style, winning a gold medal each in their respective weight categories at the Rome Ranking Series here.

The 25-year-old Bajrang staged a remarkable comeback to secure a 4-3 win against USA's Jordan Michael Oliver in the summit showdown of the 65kg freestyle category.

Ravi, who competed in the 61kg category instead of his regular 57kg, also bagged gold after getting the better of Kazakhstan's Nurbolat Abdualiyev 12-2 in his final bout late on Saturday night.

The 23-year-old from Sonepat had made the final round after securing impressive wins over Moldova's Alexaandru Chirtoaca and Kazakhstan's Nurislam Sanayev.

Up against one of India's biggest medal prospects in the Tokyo Olympics, Oliver conceded that it was not his night against Bajrang.

The American lauded the competitive spirit of Bajrang.

"Wasn't my night… but I got a lot of work to do to be where I want to be! Hats off to @BajrangPunia dude is heck of a competitor! Until next time my friend," the American tweeted.

Bajrang had to sweat it out in the first round against Zain Allen Retherford of the USA before prevailing 5-4.

In the quarterfinal, the ace Indian wrestler went past another American Joseph Christopher Mc Kenna 4-2, before getting the better of Vasyl Shuptar of Ukraine 6-4 in the semi-finals.

However, it was curtains for Jitender in the 74kg and world championship silver medallist Deepak Punia in the 86kg category.

Jitender won his first bout against Denys Pavlov of Ukraine 10-1 before going down in the quarterfinals against Turkey's Soner Demirtas 4-0.

Jitender got a chance to fight in the repechage after Demirtas entered the final, but the Indian wasted the opportunity, losing 2-9 to Daniyar Kaisanov of Kazakhstan.

In the 86kg category, Deepak crashed out in the opening round, losing 1-11 to Ethan Adrian Ramos of Puerto Rico.