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In India, the incidence of mucormycosis reached high levels during 2021–2022, coinciding with the COVID-19 pandemic. In response to this, we established a multicentric ambispective cohort of patients hospitalised with mucormycosis across India. In this paper, we report their baseline profile, clinical characteristics and outcomes at discharge. Patients hospitalized for mucormycosis during March–July 2021 were included. Mucormycosis was diagnosed based on mycological confirmation on direct microscopy (KOH/Calcofluor white stain), culture, histopathology, or supportive evidence from endoscopy or imaging. After consent, trained data collectors used medical records and telephonic interviews to capture data in a pre-tested structured questionnaire. At baseline, we recruited 686 patients from 26 study hospitals, of whom 72.3% were males, 78% had a prior history of diabetes, 53.2% had a history of corticosteroid treatment, and 80% were associated with COVID-19. Pain, numbness or swelling of the face were the commonest symptoms (73.3%). Liposomal Amphotericin B was the commonest drug formulation used (67.1%), and endoscopic sinus surgery was the most common surgical procedure (73.6%). At discharge, the disease was stable in 43.3%, in regression for 29.9% but 9.6% died during hospitalization. Among survivors, commonly reported disabilities included facial disfigurement (18.4%) and difficulties in chewing/swallowing (17.8%). Though the risk of mortality was only 1 in 10, the disability due to the disease was very high. This cohort study could enhance our understanding of the disease's clinical progression and help frame standard treatment guidelines. [ABSTRACT FROM AUTHOR]

The push for digital technologies during the Covid-19 pandemic has put a question mark on the relationship between the state and society in India. In particular, it has highlighted the gap between the lofty promises of digital welfare by political leaders and businesses, and the widespread discontent with digitalization as evident on the ground. In this paper, I take this gap as a starting point to conceptualize the nature of politics in the data state, drawing on Polanyian themes to understand how the contentions are gradually "embedding" the digital economy in society. Tracing the arc of the interactions between domestic ideas, interests and institutions alongside the development of digital capitalism, I also show that caught in these entanglements, digital economy can no longer remain a one-way street for data "extraction". More specifically, I argue that at the end of its first decade of since the emergence of surveillance capitalism in 2010s, politics has ensured that it confronts ground level resistance that revolves around themes of inclusion, welfare and pluralism rather than the liberal conceptions of privacy and individual consent. [ABSTRACT FROM AUTHOR]

The Covid-19 pandemic of 2020-21 has acted as an inflection point, exposing the fragility of liberal democracy in India, already beleaguered by the rise of majoritarian populism since 2014, buttressed by a process of expansion of bureaucratic power and autocratic legalism while marginalizing the processes of political accountability – étatisation, and normalization of state violence. The combined impact of such developments has been an erasure of basic rights to life and livelihood for the poor, rooted not only in state incapacity but also in state acquiring impunity for its acts of coercion and violence against its own citizens. Many of these processes have come into stark focus during the Covid-19 pandemic, but have longer histories and are likely to have impact far beyond the pandemic. The paper examines some of these processes with the help of three interlinked but conceptually distinct strands: (a) étatisation and suspension of politics; (b) (en)forcement of a new normal during the health emergency; and (c) erasure of right to life and livelihood. [ABSTRACT FROM AUTHOR]