India crossed a grim milestone Wednesday of 200,000 people lost to the coronavirus as a devastating surge of new infections tears through dense cities and rural areas alike and overwhelms health care systems on the brink of collapse.

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.

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