are drawn from lo-castes. Hi-rank nurses usually help doctors in surgery. Lo-rank nurses clean patients' sh1t.

Those who fled probably don't want untouchables to touch them. Those 'isolation wards' likely served by the lo-rank type.

Even hygene inside 'hospitals' are horrible..

https://www.npr.org/sections/goatsandsoda/2020/01/07/787967175/over-900-infants-died-in-one-hospital-in-india-in-2019-what-went-wrong

"..Systems that ensure hygiene are lax. For instance, there are no [limits on] visiting hours nor is there a bar on the number of visitors allowed into the hospital wards. Visitors often don't wear masks while entering NBCU [Newborn Care Units]. Poor hygiene practice increases the risk of infection. The chances of contracting life-threatening bacterial infections like septicemia [blood poisoning] are high, especially during the first month, when a child's immune system is vulnerable.

Also, it isn't just within the hospital — there are threats from the outside too. For instance, if you travel a one-mile radius around the J.K. Lon Maternal and Child Hospital in Kota, you can understand where the germs are coming from. You'll find open defecation, wild pigs, mired courtyards, often choked sewers, and indiscriminate tobacco spits..."