India is witnessing a concerning surge in COVID-19 cases with active cases jumping over 5,364 as of June 7, as per the COVID dashboard, Ministry of Health and Family Welfare. The figure marks a sharp increase from only 257 active cases on May 22. More importantly, more than 50% of the new infections are in the 25-to-50-year age group the working population which has caused alarm among public health officials.The number of new COVID-19 infections reported on a daily basis continues to slowly rise. On June 6, 564 cases were added in India, increasing the active caseload to 5,364. The number has now crossed 5,364, indicating an upward trend. Along with the increasing infections, at least seven fatalities were recorded within a 24-hour period, with the departed including those from West Bengal (4), Maharashtra (3), Delhi (2), Kerela (2) and Karnataka (3). All six of the seven deaths were older patients with comorbidities like diabetes, hypertension, or pneumonia. The youngest death was in a five-month-old male infant with pre-existing respiratory problems.These new cases are caused, according to experts, by newly emerging subvariants such as LF.7, XFG, JN.1, and more recently identified NB.1.8.1. These variants are said to be more transmissible and have partial immune escape characteristics but, as of yet, have not shown increased disease severity.Experts are seeing a trend towards mild to moderate symptoms, but the rate of infection is worrying as it is impacting the productive segment of the population and may stretch the healthcare machinery if not contained.Kerala, Delhi, and Maharashtra Among Worst-Hit StatesKerala is still the hotbed of this new wave, with more than 1,487 active cases according to the latest report. Delhi (562), West Bengal (538), Maharashtra (526), and Gujarat (508) take second place. The Gujarat state has registered a high count of infections in the age group of 25-50 years, which has contributed to more than 50% of its 700+ total cases.Surprisingly, officials also noted that around 10% of new cases in Gujarat were infants under the age of one. The elderly population, which bore the brunt of earlier waves, has seen relatively fewer infections in the current resurgence. This shift in demographic impact is being closely monitored by epidemiologists.New COVID Symptoms To NoteIn contrast to the previous waves where dramatic cases of anosmia (loss of smell) and ageusia (loss of taste) were observed, present patients are reporting a different constellation of symptoms. The most frequently reported symptoms are high-grade fever, intense muscle aches (myalgia), and gastrointestinal symptoms such as diarrhea. This wave clinically is presenting differently. Patients, particularly those in younger age groups, are presenting with intense body pains and fever instead of respiratory complaints.Hospitalization Rates and DeathsWhilst the figure of cases is rising, hospitalization rates continue to be fairly low — ranging at about 5%. Nevertheless, the seven recent deaths serve as a stark reminder of the risk posed to vulnerable groups. Ministry data show all victims had comorbidities such as seizures, respiratory failure, kidney disease, and cancer.Three of the recent Gujarat fatalities included young women aged 18, 20, and 47, all from Ahmedabad. "This is not common and highlights the need to not ignore any symptoms," said a senior health official.The Indian government has sent advisories to every state and union territory in order to be prepared. This involves keeping proper stocks of oxygen, antiviral drugs, and ICU beds. States have also been instructed to distinguish between COVID-19 and other viral fevers, which have common symptoms.A ministry senior official observed, "We are calling for all states to be on their toes and to intensify surveillance, particularly in urban areas and public transport hubs."Hospitals and clinics in major metros are keeping a lookout, with training and testing protocols of the staff being revised to account for the evolving clinical presentation of the disease.Vigilance Needed Even With Vaccination EffortsIndia has come a long way in COVID-19 vaccination with more than 2.2 billion doses given so far, but the new variants have again pushed to the forefront the question of booster doses, particularly among frontline workers and the elderly.Vaccination is not a static shield. As the virus mutates, so should our immunity. It's important to remain current with booster doses if they are suggested.Although hospitalization and serious cases are still low, the recent spurt in COVID-19 cases in India is a stark reminder of how unpredictable the virus has been. With variants spreading and attacking younger people, a joint effort through vigilance, prompt testing, booster vaccinations, and responsible public action is a must.For the time being, health authorities keep a close watch on trends, advising people not to ignore mild symptoms and to follow basic precautions such as hand hygiene, wearing a mask in crowded places, and seeking a test when symptomatic.