The war against the coronavirus outbreak is indeed global, infecting to date 199 countries and territories and every continent with the possible exception of (largely and seasonally unpopulated) Antartica. Every day the apps on social media and the news broadcasts inform us of the rising tally of coronavirus cases and of the fatalities, but what we do know is that these totals do not convey a true picture of the populations affected by the virus. They are often an indicator only, a way of charting the trajectory of the elusive curve that every health service and provincial and national government strives to flatten.

Distribution of Covid-19 cases worldwide, 31-Mar-2020 (www.ecdc.europa.eu)

The complexity of the disease partly explains the inexactness. That being infected with coronavirus can be asymptomatic and remains recordable for those never tested, highlights this problem. On a country by country basis the uncertainty over numbers magnifies. Some countries (a lot in Africa for instance) have no or minimal records of testing, which is not the same as saying they have no coronavirus cases! The reason for this might lie in the fact these predominantly impoverished countries have not the wherewithal nor the infrastructure to test even significant numbers of the population, they simply can’t cope. Thus their true numbers are never ascertained. There are other countries in the world who are motivated by reasons other than capacity to report the incidence of infection and mortality, eg, a desire to mask the extent of the calamity for domestic or external purposes.

Geographical distribution of Covid-19 cases worldwide, 31-Mar-2020 (www.ecdc.europa.eu)

The media’s daily servings, the table of virus mortality and morbidity gives us the bare bones of the depth of the human catastrophe — Italy a disaster, Spain a disaster, China a disaster but seemingly over the hump, Iran shockingly bad, France shockingly bad, USA very bad but likely to become even more catastrophic, UK and Netherlands, both worsening, etc. But of equal curiosity is those countries positioned much lower on the ladder of gloom that stand out as demographic anomalies, their numbers almost too good to believe…indeed! Two such are Russia and India. Russia, a vast country with around 145 million people has fessed up to just 17 deaths⋇. On face value a result that would hearten the most pessimistic, but you have to wonder about the level of reportage? India, with 1.3 billion-plus people has so far recorded a mere 32 deaths⋇ (compared to Italy with 60 million people which has lost just shy of 11,600 lives⋇). With India, the lowness of the figure is overshadowed by the inevitability of magnification…the sheer mass of humanity confined within such an acute density of space means that for the substrata of Indians, the poorest classes, no matter how earnestly their prime minister entreats them, they simply cannot physically isolate themselves. The directive from on high to keep a “social distance” from others to ward off the virulent effect of the epidemic remains for the vast masses a pipe dream. That many, many of these unfortunate souls will not escape infection and worse—either recorded or unrecorded—remains inevitable.

At 26-Mar-2020 (Source: Newsweek Statista)

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⋇ as at 1515 hrs, Greenwich Mean-time, 31st March 2020, ‘Confirmed Cases and Deaths by Country, Territory, or Conveyance’, www.worldometers.info/