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International aid is now flowing in to support overwhelmed hospitals in India.
The country has been hit hard by a new variant. Neighbouring Nepal is also struggling to contain an explosion in cases.
Vaccines are in short supply - and nearly half those tested are found to be positive.
It's feared the situation may be as bad, if not worse, than in India. India is still registering record daily COVID-19 deaths and infections. Officials have reported more than 400,000 new cases in the last day.
Almost 4,000 people died. Mass gatherings at recent religious and political rallies have also been blamed for spreading the virus.
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