cnn's senior international correspondent sam kiley joins me now live from delhi. this is a surprising development, a state turning to the international community for vaccines given that india is the world leader in vaccine production. >> reporter: and the biggest contributor to the covax vaccine campaign, kim, but this was a campaign that was launched last year in order to get vaccines into the veins of people, some of the poorest in the word, and india was a very generous contributor to that. prime minister narendra modi at the time was criticized for prioritizing others over his own nation but the assumption in this country was twofold, first, that they would continue to produce enough vaccinations for their own consumption and perhaps that they were already reaching some kind of level of herd immunity and that's certainly led to him declaring victory over the whole pandemic. in january this year a couple of months later and we started to see this catastrophic second surge, which has also managed we're told by epidemiologists to bypass even the natural immunity t

the evidence on the ground rather indicates the opposite. >> cnn's sam kiley reporting there.poke last hour with a fellow at the institute of current world affairs and i asked her why the indian government was to unprepared. >> it was almost unbelievable to see the level of ill preparation for this second wave. experts have been warning us about the effects of the virus and the second wave since february and in march we started to see an uptick of cases, but i think there was a lot of pandemic fatigue and complacency and because we were seeing a lower number of cases in february, the government all but declared that we had seen the end of the virus, and we saw across the country mass rallies being held, religious festivals being held and cricket matches and i think the general sense of complacency and ill preparation by the government at a time when experts were warning us that we were going to see a rise in cases has now led us to this situation where we're seeing an unprecedented amount of cases and deaths. >> speaking with me last hour from new delhi. >>> covid's spread acr

sam kiley is tracking all of this live for us from new delhi, he joins us now. reliable are these numbers and what might they signal as india tries to bring this virus under control? >> reporter: well, as far as we understand it in terms of the numbers, rosemary, they're not especially reliable, they're pretty unlee liable worldwide, though, aren't they? they reflect really the capacity of a nation to test and the vigor with which they test. theres no random testing of the population so there is no accurate figure as to the numbers of people per head of population that are carrying the covid virus, not india, not anywhere, but there has been a slight decline over the weekend, i think that can be largely attributed to lack of testing and reporting, a slight increase in the number of deaths. there's no indication yet that this second wave of the covid pandemic that's been so crippling is coming to an end or even beginning to decline and indeed there's some evidence that it's actually spreading, particularly in the south of india and particularly into rural areas, w

cnn's sam kiley has that report. >> reporter: frenzied. knocking on the door to an intensive care unit. the covid patients. there's confusion among relatives and police. when they push inside, what they find is horrific. the icu has been abandoned. except for its patients. and they're all -- six dead, before the doctors left. a voice says everyone ran away. there are no medicals here. there's no one here. no doctor. no guard. how can doctors run away leaving patients? the crime's been committed here. how can you leave them, he yells at a police officer? there's been no crime. there has been a tragedy. medical staff were ordered out of the icu and to hide when the oxygen ran out. it's little hope for those like this, that really form the backbone of the public health infrastructures right across india. they're very much on the forefront of the covid pandemic, dealing with the patients but also dealing with the emotional fallout. it's that fallout that caused them to briefly flee. here's why. four days earlier, bereaved rel tives of another

here's cnn's sam kiley. >> reporter: a sensor reveals dangerously low levels of oxygen.fled by covid-19, this canister of gas buys this patient time. all of these patients arrived barely able to breathe. this isn't a medical clinic. it's a tent. on the outskirts of india's capital, run by volunteers. without the initiative being shown by these volunteers by the foundation who are providing oxygen on the streets on the outskirts of delhi, they say many dozens, hundreds of patients would be in deep trouble now. they already had one death earlier today. they've treated over 100 people who have come in desperate for oxygen, unable to breathe. it's about the supply of oxygen cylinders. it's a 300-mile drive each way to get one of these filled and brought back to delhi. they cost about $25 when filled. how easy has it been to find oxygen? >> oh, my god, trust me of. this is the toughest thing we have. >> reporter: with co-jid 19 infection ez and numbers of deaths breaking records daily in india. many patients in delhi have given up on hospital treatment, where they know that o

sam kiley, cnn, delhi. >> all right. >>> coming up this hour, we are not sworn enemies. congresswoman liz cheney is once again facing the ire of her own party with that fist bump with the president, right there. and what you can safely do after being vaccinated coming up at 2:30 eastern, and the panel of doctors answering your questions about the next era of covid. and tomorrow night on cnn, w. kamal bell is back for a new season of his show, and don't miss the premier of "united shades of america" tomorrow night at 10:00. ts, weekends and right now, to give you exceptional care and 20% off your treatment plan. new patients, take the first step with a complete exam and x-rays that are free without insurance. because our nationwide network of over 1,500 doctors at 900 locations all have one goal — to make you smile, today. start now. call 1-800-aspendental or book online at aspendental.com it's a simple fact: nothing kills more germs on more surfaces than lysol spray. it's a simple fact: it even kills the covid-19 virus. science supports these simple facts. there's only o

sam kiley, cnn, new delhi. >> devastating situation. in ways that you can support india's fight against the coronavirus pandemic, check out cnn.com/impact. >>> still ahead, sources close to former president trump are telling cnn a federal aid at the home and offices of former attorney rudy giuliani, has some allies feeling rather uneasy about what may be next. plus, a deadly stampede at an israeli religious festival. cnn learning there were several americans among those killed. we're back in a moment. my garden brings us together. my garden is my therapy. find more ways to grow at miracle-gro.com. i'm ordering some burritos! oh, nice. burritos?! get a freshly made footlong from subway® instead. with crisp veggies on freshly baked bread. just order in the app! ah, ok! try the oven roasted turkey with banana peppers, for a lil' extra kick. kick, i get it. ooh! get a freshly made footlong from subway® instead. choose better. be better. and now save when you order in the app. subway eat fresh. [sfx: psst psst] and now save when you order al

cnn's sam kiley is on the ground in new delhi.here's been a dire need for oxygen to treat patients there, other countries have been trying to get splice to you. any impact on that yet? >> reporter: no visible impact, ana, there has been a substantial international effort and i have to say, and even more substantial as you would expect, national effort to try to get oxygen properly distributed around the country. not least here to the capital new delhi. in the last hour or so, a hospital called rainbow hospital in the city put out an appeal saying that they had one hour of oxygen left for its pediatric unit, which includes babies in incubators, more than nearly a dozen babies in incubators, their lives endangered by the possibility they could simply run out of oxygen. we were in a hospital last saturday when 12 people died, including a head of department, a medical doctor there, also as a result of a collapse of the supply of oxygen. the international aid has arrived in large quantities, it's still coming in, of course, it's not cl

. >> sam kiley is in new delhi, really one of the epicenters of this. said this morning nearly 4 million aid items have been distributed across the country. you also hear of a lot of those items sitting at the airport just trying to get them out to the people who need them most. what's happening? how are they getting them to people who need them the most? >> jim, the whole process is opaque, to say the least. officially what's supposed to happen is that aid and a lot of it has come in. $100 million worth from the united states. not all here yet but coming in almost every day. it comes in. it's then handed to the indian red cross for processing who then are in alliance with a complex committee of central government officials, then a logistics company to distribute it. the indian government is saying it's doing well with this 4 million items. it doesn't itemize what those millions are. we don't know if they are gloves and masks or oxygen cylinder and oxygen production plants donated that really are so desperately needed. we've been in touch with both the b

sam kiley has been on the ground in new delhi in the midst of it. ou're finding there is just how overwhelming it is for health care workers. >> reporter: yeah, i have to say the public health care system has been so overwhelmed that you find me on the outskirts of delhi at a makeshift camp being run by a sikh charity. they have been able to procure or had been able to find a few of these, the essential supplies of oxygen. this is now empty, though. there are only two patients left because there's only oxygen left here. this whole area had had been full. all of these canisters are empty. this is the scene in the makeshift end of the story but take a look at what it's like in a really significantly big and well equipped hospital. >> tears for a much loved colleague. dr. r.k. entani killed by covid-19 in the same hospital where he'd spent a year treating other victims of the coronavirus. grief and the inevitable silent question, who's next? he died here in this intensive care unit because the hospital where he worked ran out of the most basic necessity

here's cnn's sam kiley in delhi. >> reporter: a sensor reveals dangerously low levels of oxygen, stifled by covid-19, this canister of gas buys this patient time. all of these patients arrive barely able to breathe. this isn't a medical clinic. it's a tent on the outskirts of india's capital run by volunteers. without the initiative being shown by these volunteers from the foundation, providing oxygen on the street, on the outskirts of delhi, they say many dozens, perhaps over 100 patients, would be in deep trouble medically now. they already had one death, just over there earlier on today. they treated over people who are coming desperate for oxygen unable it breathe and it's all about this, the supply of these oxygen cylinders. it's a 300-mile drive each way to get one of these filled and brought back to delhi. >> they cost about $25 when filled. >> how easy has it been to found oxygen. >> oh, my god, trust me, this is very difficult. >> reporter: with covid-19 infections and numbers of deaths breaking records daily in india, many patients in delhi have given up on hospital treatment,

starts to emerge from covid other parts of the world remain in the grip of the virus, sam kiley lived in india is spreading across the globe. you just heard the optimism we're talking about in the u.s., you have a very different story where you sit right now. >> reporter: yeah, but a very different response ultimately. firstly, this country lifted its masking regulations largely and allowed large gatherings earlier on this year before a vaccination campaign had got under way which is now only scraping towards 3% of the entire 1.35 billion population. so there is this catastrophic second wave here, average death toll sort of around 4,000 a day, some 3 -- oh, my goodness -- 300,000 people a day testing positive for these -- for the covid vaccinations and all of this pointing towards the idea that this second wave hasn't crested. so the whole issue here is vaccinations and they are running out of vaccinations just as united states, united kingdom and others are beginning to take their masks off and breathe a little easier. today narendra modi, the prime minister, did say that this was a

correspondent sam kiley is there. >> reporter: tears for a much-loved colleague, killed by covid-19 inyear treating other victims of the coronavirus. grief and the inevitable silent question, who's next? he died here in this intensive care unit because the hospital where he worked ran out of the most basic necessity, oxygen. he was not alone. the medical director of the hospital gave the mid afternoon casualty figures in this war against the virus. >> eight patients died today, died just now. and five patients are in resuscitation. they may not survive just because in the capital city of delhi -- >> reporter: he knew the chances of fighting to survive were slim. when you heard this morning that you had just a few hours of oxygen and then eight patients died, what does that do to you, to the soul of a doctor? >> we are dying inside. we cannot express my feeling, how i'm feeling inside. >> reporter: is it destroying you? >> yes. >> reporter: how long have you been a doctor? >> what? >> reporter: how long have you been a doctor? >> 35 years. >> reporter: must be so destroying. i can't ima

sam kiley is live for us in delhi this morning. e seeing. >> reporter: well, poppy, i'm at a roadside charity effectively where they're using what small amounts of oxygen they can find by going sometimes 1,200 miles as far as mumbai some deliveries are coming into because the capitol city of delhi is running out of oxygen, and that is killing people. this is my report from one of the more sophisticated hospitals here. tears for a much loved colleague, killed by covid-19 in the same hospital where he'd spent a year treating other victims of the coronavirus. grief and the inevitable silent question, who's next. he died here in this intensive care unit because the hospital where he worked ran out of the most basic necessity, oxygen. he was not alone. the medical director of the hospital, dr. gupta, gave the mid-afternoon casualty figures in this war against the virus. >> eight patients died today, died just now. and five patients, they're under resuscitation. they may or may not survive. just because in the capital city of delhi and be

cnn's senior international correspondent sam kiley is on the scene.milies are lashing out at doctors. >> reporter: frantic, knocking on the door to an intensive care unit for covid patients. there's confusion monam among relatives and police. when they push inside, what they find is horrific. the icu has been abandoned except for its patients. and they're all six dead before the doctors left. a voice says "everyone ran away, there are no medics here, there's no one here, no doctor, no guard." how can doctors run away leaving patients? a crime's being committed here. how can you leave them, he yells at a police officer. there's been no crime. there has been a tragedy. medical staff were ordered out of the icu and to hide when the oxygen ran out. it's little hospitals like this that really form the backbone of the public health structures right across india. they're very much on the forefront of the covid pandemic dealing with patients, but also dealing with the emotional fallout. it's that fallout that caused them to briefly flee. h h here's why. four

cnn's sam kiley reports from a hospital outside new delhi. >> reporter: frantic, knocking on the door for covid patients. there's confusion mongrel actives and police. when they push inside, what they find is horrific. the icu has been abandon ed, except for its patients. six dead before the doctors left. a voice says, everyone ran away. there's no one here, no doctor, no guard. how can doctors run away, leaving patients? a crime has been committed here. how can you leave them, he yells at a police officer. there's been no crime. there has been a tragedy. medical staff were ordered out of the icu and to hide when the oxygen ran out. it's little hospitals like this that really form the backbone of the public health structures right across india. they're very much on the forefront of the covid pandemic, dealing with patients but also the emotional fallout. >> reporter: it's that fallout that caused them to briefly flee. here's why. [ screaming ] >> reporter: four days earlier, bereaved relatives of another covid patient attacked staff, forcing calls to the police from doctors. when the

sam kiley joins us live from new delhi. any progress today?i, john, would be if so it's pretty invisible. just in the last few hours, just by way of an example, the rainbow hospital, relatively small hospital here, put out a twitter appeal for oxygen for its pediatric unit where it's also got some young babies in the incubators, all in danger of dying. at that stage they had one hour's oxygen left, hard on the heels of another hospital with an identical appeal for the same reasons, just a few hours before. so it is very clear that even with the amount of international aid coming into the country, that they are very much still on the curve of this pandemic, in terms of infections and deaths, and in a sense they're not managing to improve their curve yet in terms of their response, john. >> you mention international aid, sam, how quickly, you see the promises from around the world. but what is the reality on the ground? is it reaching things like oxygen, things like ppe, things like more vaccines, the promises, but is there delivery? >> reporter

cnn's sam kiley is in new delhi. what are conditions there on the ground today?well, the keyword in that sentence is the word basic. there's nothing more basic than oxygen. we need that to live. it's that which remains in scarce supply, notwithstanding a huge effort being made by the central government of india to try to distribute oxygen around the country and those international donations, led by the united states, with $100 million of equipment and supplies that are continuing to pour into india. i can tell you that in the last eight or so hours at least two hospitals have tweeted out appeals, both of them, one the triton, the other one known as the rainbow hospital, both of them saying they are an hour or two from running away from oxygen, with particular reference to babies in incubators. tiny newborn babies already struggling to break into life running out of oxygen. we understand very short temporary supplies have got through, but they are living hand to mouth literally, jake. >> how is the investigation effort going in india? >> reporter: well, on may 1st

sam kiley, cnn, delhi. >> and india is not the only country struggling to contain the virus. from vaccine shortages in brazil to travel restrictions in china, let's go to our cnn around the world for the latest on the pandemic. >> this week, brazil became just the second country on earth to formally cross the threshold of over 400,000 victims of covid-19. and as the south american country faces yet another critical moment in its struggle against the virus, on friday, brazilian health minister urged other countries with extra vaccine doses to share those doses with brazil as they try to curb the spread of the virus. >>> i'm ivan watson in hong kong. we're seeing big crowds at the great wall of china, in fact, china is anticipating record numbers of domestic tourists, breaking prepandemic numbers throughout the five-day labor day golden week holiday. and that's because this is going to be the first national holiday without covid-19 travel restrictions in china since the covid-19 virus was first detected there in december of 2019. so, the bookings for hotels, car rentals and fli

cnn's sam kiley has the latest from a makeshift clinic in new delhi. >> i'm joining now from a dustyrs, people would have been in a very, very sorry state, the tragedy now is that all of these cylinders, bar one at the end there, are now empty so they've been turning away dozens and dozens of desperate residents of this city. the capital city, i should stress, there's an elderly lady here who's using an oxygen concentrator, that doesn't dlooifr the level of oxygen she really needs but there's no other alternative for her. other patients have simply left because there's no point being here because there's no more oxygen. now, the people running this improvised facility are saying that they are hoping to get deliveries from 1,200 miles away. a lot of these cylinders have come from 500 miles away themselves. that is the extent of the collapse of the logistics in this country even though, ana, there's been substantial donations from the international community. the united states giving 100 million from the biden administration, $100 million, huge amounts of equipment, concentrators, faci