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Experts say that toll could be a huge undercount, as suspected cases are not included, and many deaths from the infection are being attributed to underlying conditions.

The crisis unfolding in India is most visceral in its graveyards and crematoriums, and in heartbreaking images of gasping patients dying on their way to hospitals due to lack of oxygen.

Burial grounds in the Indian capital New Delhi are running out of space and bright, glowing funeral pyres light up the night sky in other badly hit cities.

In central Bhopal city, some crematoriums have increased their capacity from dozens of pyres to more than 50. Yet officials say there are still hours-long waits.

At the city’s Bhadbhada Vishram Ghat crematorium, workers said they cremated more than 110 people on Saturday, even as government figures in the entire city of 1.8 million put the total number of virus deaths at just 10.

“The virus is swallowing our city’s people like a monster,” said Mamtesh Sharma, an official at the site.

The unprecedented rush of bodies has forced the crematorium to skip individual ceremonies and exhaustive rituals that Hindus believe release the soul from the cycle of rebirth.

“We are just burning bodies as they arrive,” said Sharma. “It is as if we are in the middle of a war.”

The head gravedigger at New Delhi’s largest Muslim cemetery, where 1,000 people have been buried during the pandemic, said more bodies are arriving now than last year. “I fear we will run out of space very soon,” said Mohammad Shameem.

The situation is equally grim at unbearably full hospitals, where desperate people are dying in line, sometimes on the roads outside, waiting to see doctors.

Health officials are scrambling to expand critical care units and stock up on dwindling supplies of oxygen. Hospitals and patients alike are struggling to procure scarce medical equipment that is being sold at an exponential markup.

The crisis is in direct contrast with government claims that “nobody in the country was left without oxygen,” in a statement made Saturday by India’s Solicitor General Tushar Mehta before Delhi High Court.

The breakdown is a stark failure for a country whose prime minister only in January had declared victory over COVID-19, and which boasted of being the “world’s pharmacy,” a global producer of vaccines and a model for other developing nations.