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India’s death toll from the coronavirus surged past 200,000 on Wednesday, the country’s deadliest day, as shortages of oxygen, medical supplies and hospital staff compounded a record number of new infections.

The health ministry reported a single-day record 3,293 COVID-19 deaths in the last 24 hours, bringing India’s total fatalities to 201,187, as the world’s second most populous country endures its darkest chapter of the pandemic yet.

The country also reported 362,757 new infections, a new global record, which raised the overall total past 17.9 million. The previous high of 350,000 on Monday had capped a five-day streak of recording the largest single-day increases in any country throughout the pandemic.

Experts believe the official tally vastly underestimates the actual toll in a nation of 1.35 billion, however.

The world is entering a critical phase of the pandemic and needs to have vaccinations available for all adults as soon as possible, said Udaya Regmi, South Asia head of the International Federation of Red Cross and Red Crescent Societies (IFRC).

“This is both an ethical and public health imperative,” he added. “As variants keep spreading, this pandemic is far from over until the whole world is safe.”

The first known COVID-19 death in India happened on March 12, 2020, in southern Karnataka state. It took five months to reach the first 50,000 dead. The toll hit 100,000 deaths in the next two months in October 2020 and 150,000 three months later in January this year. Deaths slowed until mid-March, only to sharply rise again.

For the past week, more than 2,000 Indians have died every day.

Many countries have offered assistance, including the U.S., which has promised to help with personal protective equipment, tests and oxygen supplies. The U.S. will also send raw materials for vaccine production, strengthening India’s capacity to manufacture more AstraZeneca doses.