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I think the method used in the study is completely flawed. It used case fatality rates from other countries (probably including the ridiculously high first wave numbers) to derive the deaths in India from the number oif infections.

Did they even care to check for a small region if their results are plausible at all?

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That's extremely flawed considering India's average age.

it's using age-group specific data.

The study they're using as reference for IFR (Levin) estimates 0.6% for the US. The IFR for the US as of end of Mar 2021 is ~0.5%.

More importantly, their rate estimate does not taken into account obesity. US is at ~36%; India is at ~4%. As per Global Diabetes Atlas, estimated (not just diagnosed) prevalence of DM for US is ~9.3% and for India, ~5.5%. The translation of IFR needs to take into account of these factors, but they don't.

India has a gigant diabetes epidemic.

Per capita, India has more diabetes than much more wealthy countries.

This is the kind if a country it is. People may be dying from obeseti in the city, and starvation in the village just 100km apart.

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