India has ordered tighter surveillance of a rare fungal disease hitting Covid-19 patients, officials said yesterday, piling pressure on hospitals struggling with the world’s highest number of daily infections of the novel coronavirus. Mucormycosis, or “black fungus” usually infects people whose immune system has been compromised, causing blackening or discolouration over the nose, blurred or double vision, chest pain, breathing difficulties and coughing blood. Doctors believe that the use of steroids to treat severe Covid-19 could be causing the rash of cases because those drugs reduce immunity and push up sugar levels. Health Secretary Lav Agarwal said in a letter to state governments that
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