27-year-old Woman Is The First Reported Case Of Coronavirus Reinfection In Bengaluru, Experts Explain What It Means

27-year-old Woman Is The First Reported Case Of Coronavirus Reinfection In Bengaluru, Experts Explain What It Means

27-year-old woman from Bengaluru has tested positive for Novel Coronavirus within a month of recovering from COVID-19. Test results showed she had no antibodies against the virus
Coronavirus Outbreak, Karnataka, News
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27-year-old Woman Is The First Reported Case Of Coronavirus Reinfection In Bengaluru, Experts Explain What It MeansThe first case of coronavirus reinfection has been reported at Fortis Hospital on Bannerghatta Road in Bengaluru
Highlights
  • 27-year-old woman from Bengaluru had tested positive for COVID-19 in July
  • After recovery the woman again reported symptoms of COVID-19, in August
  • Test shows she had no antibodies against COVID-19 to develop an immunity

New Delhi: In the first week of July, a 27-year-old woman from Bengaluru developed fever and cough following which she tested positive for Novel Coronavirus. The woman had a mild infection and recovered soon without any complications. After testing negative for COVID-19 disease the woman was successfully discharged from the hospital. However, after one month of recovery, in the last week of August, the woman again contracted SARS-CoV-2 and tested positive for COVID-19. The case from Fortis Hospital on Bannerghatta Road is reportedly the first incidence of coronavirus reinfection in Bengaluru.

Also Read: India Overtakes Brazil To Become Second Worst-Hit Country From COVID-19 Pandemic In The World, What Is The Reason Behind This Surge

Explaining the case of reinfection , Dr Pratik Patil an Infectious Diseases Consultant at Fortis Hospital’s Bannerghatta Road facility said,

Immunoglobulin G (IgG) antibodies usually represents the immune response and test comes positive after 2-3 weeks of infection showing that the patient has developed COVID-fighting cells. However, in this patient, the antibody test has come out negative, which means she did not develop immunity following the first infection. The other possibility is that the antibodies disappeared within the months’ time, leaving her susceptible to reinfection.

Dr Patil also suggested that it may be possible that some patients don’t develop antibodies at all. However, there is not much literature about it but the development of antibodies varies from individual to individual.

Talking about the possibility of reinfections Dr Ravindra M. Mehta, Chief of Pulmonary and Critical Care Medicine at Apollo Hospitals, Bengaluru, suggested understanding that whether it is actually a case of reinfection or a suggestion of reinfection. He said,

In Hong Kong, coronavirus reinfection was confirmed only after a genomic study which showed that reinfection happened with a second strain of virus. That is something we have not done in this case.

Also Read: COVID-19 Outbreak Explained: What Is Coronavirus Mutation And What Are The Dangers?

Elaborating on immunity and what can lead to reinfections, Dr Mehta added,

The possible reasons are, say, you got an infection but your immune system didn’t produce a response or enough response to have lasting immunity. A decay of immunity is a known case. Secondly, we cannot measure immunity. We have an antibody test but it a qualitative test and not a quantitative test so we don’t know how much antibodies have been developed by an individual and how many are required. Thirdly, the reinfection has been concluded based on a test. Low level of viral shedding goes on for weeks. Therefore, based on this case, we cannot assume that all of us with low antibodies or low immune response will get reinfected.

Dr Mehta also noted that patients reporting developing infection for the second time have mild symptoms only. Patients of coronavirus reinfections are not developing severe disease.

Contrary to this, Dr Patil said that currently, we don’t have enough information to state that the second round of infection will unifromly be weaker than the first one. He said,

This particular patient had a mild infection. In some cases of viral infection, the second infection is milder but in some, like dengue, the reinfection tends to be severe if you have had dengue once.

Also Read: 40-year-old COVID Warrior From Kolkata Believes We Can Win COVID-19 Battle By Taking Precautions

The reinfection is a matter of concern especially when India has started to report over 90,000 fresh COVID-19 cases and is now the second worst-hit country in the world. It also raises a question about the duration for which a vaccine would remain effective. According to Dr Mehta, this may not have a bearing on vaccine development.

Talking about immune response and vaccine, Dr Patil said,

Not everybody who takes vaccine will develop an immune response. In the case of influenza, the vaccine gives protection IN 60 per cent of the cases. 30-40 per cent of cases do not develop antibodies. We will have to see the efficacy of the COVID-19 vaccine and the immunity it provides.

According to Dr Jayaprakash Muliyil, Ex. Principal, CMC Vellore and Leading Epidemiologist, there may not be a need for a different vaccine for the modified strain of virus causing reinfections because those viruses may not be too different in genetic sequence from the original virus. Having said that, Dr Muliyil emphasised on more evidence and information.

COVID-19 Reinfections Across The World

Earlier in August, researchers from the Hong Kong University revealed the first confirmed case of COVID-19 reinfection after a 33-year-old IT (Information Technology) worker who contracted the coronavirus in March this year and was cleared of Covid-19 and discharged from a hospital in April, tested positive for the virus again after returning from Spain in August. The findings also show that the viral strain in the reinfection is genetically varied from the virus contracted by him earlier.

Also Read: As The World’s First Case Of COVID-19 Reinfection Confirms In Hong Kong, Experts Say Second Time Infections Are Possible But Rare

A day after the case of Coronavirus reinfection from Hong Kong came to notice, the Health Minister of Telangana announced that at least two cases of reinfection have taken place in the state.

Two patients in Europe have also been confirmed to have been re-infected with COVID-19.

Dr Muliyil said that reinfection is expected but rare and added,

For example, there is a 24 per cent chance that an adult who is fully vaccinated with poliovirus can establish the virus temporarily if given the poliovirus. But in the case of coronavirus, the human body is not easily permitting reinfections.

In a media briefing on September 7, while responding to journalists, the World Health Organisation (WHO) also addressed the issue of coronavirus reinfection. Talking about the behaviour of the virus in the case of reinfections, Dr Maria Van Kerkhove, Technical Lead COVID-19, WHO Health Emergencies Programme, informed that a number of studies are underway that are following individuals – the same individual over time and said,

The studies are looking at how strong that antibody response is depending on the type of disease you experience – whether you have asymptomatic infection, mild disease or all the way severe disease. We are seeing that people even with the asymptomatic infection still develop an immune response. What we need to understand how strong that is and for long it lasts.

Also Read: Airborne Transmission Of Novel Coronavirus Can Occur In Healthcare Settings: World Health Organisation

Dr Maria noted that there are some very promising results from these studies showing that the antibody response lasts, it stays strong for a certain number of months. She added,

We are only eight months into this pandemic and we have not followed individuals for many, many months so we don’t know how long that robust immune response lasts.

Dr Maria also spoke about cases of coronavirus reinfections from Hong Kong and the United States that were confirmed by full genome sequencing and in those cases, health experts are trying to understand the immune response. She said,

We are looking at what type of immune response did they have on their first infection, if that was even measured and then at the time of the second infection, did they have measurable antibodies. In some individuals, the immune response may decline. But again, out of more than 26 million cases having some case reports of reinfection tells us that this is possible but it doesn’t tell us what’s happening at a population level.

Also Read: Precautions To Take Till Airborne Transmission Of COVID-19 Is Further Researched And WHO Assesses The ‘Emerging Evidence’

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene

World

11,25,51,131Cases
4,65,57,507Active
6,34,96,463Recovered
24,97,161Deaths
Coronavirus has spread to 192 countries. The total confirmed cases worldwide are 11,25,51,131 and 24,97,161 have died; 4,65,57,507 are active cases and 6,34,96,463 have recovered as on February 25, 2021 at 4:21 am.

India

1,10,46,914 16738Cases
1,51,708 4801Active
1,07,38,501 11799Recovered
1,56,705 138Deaths
In India, there are 1,10,46,914 confirmed cases including 1,56,705 deaths. The number of active cases is 1,51,708 and 1,07,38,501 have recovered as on February 25, 2021 at 2:30 am.

State & District Details

State Cases Active Recovered Deaths
DistrictCases
Mumbai45,478
Thane13,660
Pune9,920
Mumbai Suburban5,363
Aurangabad1,974
Nashik1,575
Raigad1,462
Palghar1,421
Solapur1,291
Jalgaon1,039
Akola757
Nagpur692
Kolhapur646
Satara629
Ratnagiri350
Amravati291
Dhule228
Hingoli208
Jalna201
Ahmednagar190
Nanded176
Yavatmal150
Sangli145
Latur139
Osmanabad125
Sindhudurg114
Buldhana88
Parbhani78
gondia69
Beed54
Nandurbar42
Gadchiroli42
Bhandara41
Chandrapur32
Washim13
Wardha11

21,21,119 8,807

60,559 5,955

20,08,623 2,772

51,937 80

DistrictCases
Kannur357
Kasaragod333
Palakkad224
Malappuram119
Kollam118
Thrissur106
Thiruvananthapuram104
Pathanamthitta98
Kozhikode90
Alappuzha76
Kottayam73
Ernakulam60
Idukki40
Wayanad36

10,45,009 4,106

53,153 1,796

9,87,720 5,885

4,136 17

DistrictCases
Udupi1,176
Kalaburagi669
Yadgir538
Bengaluru Urban529
Raichur369
Mandya346
Belagavi337
Bidar219
Hassan205
Davangere204
Vijayapura201
Dakshina Kannada179
Chikkaballapura149
Mysuru107
Bagalkote103
Uttara Kannada95
Shivamogga67
Dharwad61
Ballari60
Gadag45
Bengaluru Rural40
Tumakuru36
Kolar29
Haveri24
Chikkamagaluru19
Chitradurga14
Koppal5
Kodagu4
Ramanagara3
Chamarajanagara0

9,49,183 334

6,096 15

9,30,778 313

12,309 6

DistrictCases
Kurnool795
Krishna557
Guntur511
Anantapur428
East Godavari356
Chittoor319
Sri Potti Sriramulu Nell*296
Y.S.R.205
West Godavari199
Srikakulam183
Prakasam104
Visakhapatnam103
Vizianagaram23

8,89,503 94

603 28

8,81,732 66

7,168

DistrictCases
Chennai23,324
Chengalpattu1,314
Thiruvallur774
Villupuram509
Kanchipuram503
Tiruvannamalai496
Cuddalore477
Ariyalur444
Tirunelveli433
Tuticorin333
Kallakurichi324
Madurai322
Salem258
Coimbatore188
Virudhunagar185
Dindigul175
Perambalur133
Ranipet133
Thanjavur130
Theni129
Tiruchirappalli119
Ramanathapuram119
Tiruppur116
Kanniyakumari110
Tenkasi103
Nagapattinam99
Karur88
Namakkal83
Erode75
Vellore71
Thiruvarur67
Pudukkottai53
Sivaganga46
Tirupathur45
Krishnagiri43
The Nilgiris17
Dharmapuri15

8,49,629 463

4,062 12

8,33,089 469

12,478 6

DistrictCases
North West5,463
Central4,817
West4,768
New Delhi3,405
North3,059
East2,472
South East2,446
South West2,391
South2,329
North East1,914
Shahdara1,580

6,38,373 200

1,137 128

6,26,331 70

10,905 2

DistrictCases
Gautam Buddha Nagar1,119
Agra933
Ghaziabad794
Meerut504
Lucknow386
Saharanpur298
Kanpur Nagar286
Moradabad252
Varanasi243
Hapur225
Aligarh215
Basti214
Amethi206
Rampur203
Jaunpur194
Firozabad190
Barabanki168
Gorakhpur166
Bulandshahr166
Siddharth Nagar159
Ghazipur159
Bijnor157
Deoria143
Azamgarh138
Sant Kabeer Nagar132
Mathura129
Ayodhya120
Muzaffarnagar117
Sambhal116
Sultanpur97
Ambedkar Nagar92
Maharajganj85
Amroha80
Rae Bareli78
Bahraich73
Kheri72
Kannauj69
Baghpat68
Kushi Nagar67
Bhadohi60
Ballia60
Gonda59
Etah52
Hardoi49
Balrampur49
Mau48
Mainpuri46
Etawah46
Hathras43
Unnao42
Jalaun41
Jhansi41
Shamli40
Chandauli38
Auraiya37
Farrukhabad36
Sitapur32
Prayagraj30
Banda27
Shahjahanpur25
Shravasti23
Budaun23
Mirzapur22
Bareilly17
Kasganj16
Pratapgarh15
Pilibhit15
Sonbhadra10
Kaushambi6
Kanpur Dehat4
Chitrakoot4
Lalitpur3
Hamirpur3
Mahoba3
Fatehpur3

6,03,103 128

2,190 78

5,92,192 203

8,721 3

DistrictCases
Kolkata2,777
Howrah1,435
24 Paraganas North1,031
Hooghly604
24 Paraganas South281
Maldah235
Dinajpur Uttar216
Coochbehar210
Birbhum206
Medinipur West159
Medinipur East153
Nadia139
Purba Bardhaman130
Murshidabad125
Bankura116
Darjeeling97
Jalpaiguri88
Paschim Bardhaman70
Purulia66
Dinajpur Dakshin50
Alipurduar39
Kalimpong18
Jhargram9

5,74,301 202

3,377 22

5,60,668 221

10,256 3

DistrictCases
Ganjam581
Jajapur322
Khordha238
Baleshwar190
Kendrapara164
Cuttack155
Bhadrak137
Balangir129
Puri103
Sundargarh102
Jagatsinghapur91
Nayagarh86
Mayurbhanj73
Nuapada69
Gajapati61
Dhenkanal36
Boudh34
Kendujhar34
Deogarh33
Kalahandi33
Sonepur29
Kandhamal28
Anugul26
Malkangiri20
Bargarh16
Koraput16
Sambalpur16
Jharsuguda8
Nabarangpur2
Rayagada2

3,36,835 68

588 22

3,34,333 90

1,914

DistrictCases
Jaipur2,177
Jodhpur1,748
Udaipur724
Bharatpur563
Kota503
Nagaur500
Ajmer379
Dungarpur374
Pali352
Jhalawar329
Bhilwara250
Sikar231
Chittorgarh188
Tonk171
Jalore164
Rajsamand140
Sirohi130
Bikaner112
Banswara91
Alwar90
Churu81
Jhunjhunu64
Dausa61
Dholpur60
Baran59
Jaisalmer53
Barmer34
Hanumangarh31
SawaiMadhopur26
Karauli17
Pratapgarh14
Ganganagar8
Bundi5

3,19,801 99

1,204 9

3,15,812 90

2,785

DistrictCases
Bilaspur100
Korba100
Mungeli87
Baloda Bazar85
Jashpur77
Janjgir-Champa56
Mahasamund54
Rajnandgaon52
Kabirdham52
Raigarh47
Raipur46
Balod41
Korea39
Durg31
Bemetara21
Kanker19
Balrampur17
Surguja14
Gariyaband10
Surajpur9
Dhamtari6
Bijapur2
Bastar2
Dantewada0
Kondagaon0
Narayanpur0
Sukma0

3,11,680 247

2,911 66

3,04,956 309

3,813 4

DistrictCases
Hyderabad2,475
Ranga Reddy183
Suryapet87
Jagitial77
Nizamabad76
MedchalMalkajgiri75
Mancherial43
YadadriBhuvanagiri40
Jogulamba Gadwal40
Vikarabad40
Nalgonda33
Warangal Urban32
Mahabubnagar30
Sangareddy26
Khammam26
Adilabad22
Nirmal21
Karimnagar17
RajannaSircilla16
Medak11
Kamareddy11
Mahabubabad10
Jayashankar Bhupalapally9
Nagarkurnool8
Kumuram Bheem Asifabad8
Jangoan8
Siddipet7
Peddapalli5
Bhadradri Kothagudem5
Warangal Rural4
Mulugu3
Narayanpet3
Wanaparthy1

2,98,264 207

1,852 107

2,94,782 99

1,630 1

DistrictCases
Gurugram2,950
Faridabad867
Sonipat404
Rohtak145
Palwal120
Jhajjar114
Karnal104
Hisar98
Ambala93
Panipat78
Nuh68
Bhiwani60
Rewari56
Kurukshetra55
Sirsa50
Kaithal48
Mahendragarh47
CharkiDadri43
Panchkula39
Fatehabad38
Jind38
Yamunanagar19

2,70,097 130

955 47

2,66,099 82

3,043 1

DistrictCases
Ahmadabad17,125
Surat2,311
Vadodara1,555
Gandhinagar410
Mahesana159
Banas Kantha147
Bhavnagar146
Rajkot135
Arvalli134
Mahisagar125
Anand107
PanchMahals107
Patan105
SabarKantha101
Kachchh99
Kheda98
Jamnagar63
Bharuch56
Botad55
Surendranagar55
Valsad47
GirSomnath45
Dohad43
Chhotaudepur37
Naysari35
Junagadh31
Narmada25
DevbhumiDwarka22
Amreli16
Porbandar11
Tapi6
Dang5
Morbi4

2,68,147 380

1,869 83

2,61,871 296

4,407 1

DistrictCases
Patna279
Bhagalpur266
Rohtas256
Khagaria253
Begusarai243
Madhubani199
Munger188
Jehanabad178
Katihar175
Darbhanga143
Samastipur139
Siwan139
PurbiChamparan138
Purnia135
Banka134
Buxar134
Nalanda123
Gopalganj123
Nawada122
Sheikhpura118
Gaya115
Kaimur (bhabua)105
Bhojpur103
Saran101
Muzaffarpur96
Saharsa88
Supaul87
Vaishali87
Madhepura82
Kishanganj75
Aurangabad75
Sitamarhi73
Lakhisarai72
Araria68
Pashchim Champaran57
Arwal52
Jamui47
Sheohar20

2,62,357 54

509 39

2,60,310 92

1,538 1

DistrictCases
Indore3,839
Bhopal1,880
Ujjain799
Burhanpur351
Neemuch319
Jabalpur276
East Nimar266
Sagar228
Gwalior211
Khargone196
Dewas140
Dhar132
Mandsaur112
Morena109
Bhind87
Raisen71
Barwani60
Ratlam51
Rewa39
Shajapur39
Hoshangabad37
Vidisha37
Chhatarpur35
Betul35
Rajgarh31
Dindori29
Sheopur26
Damoh26
Satna24
Anuppur22
Panna20
Tikamgarh18
Sidhi17
Narsinghpur17
Chhindwara16
Agar Malwa15
Mandla15
Shivpuri15
Jhabua14
Shandol14
Singrauli13
Ashoknagar13
Datia12
Sehore12
Umaria10
Balaghat9
Guna8
Harda4
Alirajpur3
Katni3
Seoni2
Niwari0

2,60,313 344

2,270 119

2,54,186 223

3,857 2

DistrictCases
Kamrup Metro276
Golaghat203
Nagaon143
Hojai89
Dima Hasao86
Karimganj85
Tinsukia84
Cachar80
Dibrugarh61
Hailakandi57
Lakhimpur57
Marigaon50
Dhemaji47
Kamrup42
Kokrajhar37
Dhubri30
Charaideo29
Barpeta28
Udalguri28
Sonitpur27
Jorhat24
Nalbari23
Darrang20
Sivasagar20
Goalpara19
Biswanath16
Baksa14
KarbiAnglong13
Bongaigaon12
Chirang6
West KarbiAnglong5
South SalmaraMancachar4
Majuli2

2,17,454 27

1,606 2

2,14,757 25

1,091

DistrictCases
Amritsar485
Jalandhar297
Ludhiana293
Tarn Taran163
Gurdaspur154
Hoshiarpur140
S.A.S Nagar137
Patiala132
Sangrur107
Shahid Bhagat Singh Nagar (Nawanshahr)99
Pathankot86
Rupnagar (Ropar)74
Faridkot74
Sri Muktsar Sahib71
Moga65
Bathinda60
Fatehgarh Sahib57
Fazilka53
Firozepur50
Kapurthala44
Mansa31
Barnala25

1,79,819 558

3,598 303

1,70,435 248

5,786 7

DistrictCases
Anantnag395
Srinagar300
Kulgam295
Baramulla271
Shopian255
Kupwara231
Bandipora175
Udhampur155
Ramban151
Jammu138
Budgam110
Pulwama108
Kathua53
Rajouri39
Ganderbal37
Poonch35
Doda27
Reasi26
Samba25
Kishtwar10
Mirpur0
Muzaffarabad0

1,26,093 74

771 5

1,23,367 69

1,955

DistrictCases
East Singhbum170
Ranchi148
Hazaribagh110
Garhwa80
Ramgarh75
Koderma58
Simdega48
Dhanbad32
Gumla28
Palamu27
West Singhbhum21
SaraikelaKharsawan20
Giridih19
Bokaro16
Latehar14
Khunti10
Lohardaga8
Deoghar5
Dumka5
Pakur4
Jamtara2
Godda2
Chatra1
Sahebganj0

1,19,719 32

431 16

1,18,201 47

1,087 1

DistrictCases
Dehradun370
Nainital323
Tehri Garhwal110
Haridwar94
Udam Singh Nagar83
Almora71
Champawat45
Pithoragarh43
Chamoli36
PauriGarhwal36
Bageshwar31
Rudraprayag30
Uttar Kashi24

97,031

491 0

94,850

1,690

DistrictCases
Hamirpur117
Kangra105
Una41
Solan32
Chamba29
Bilaspur21
Mandi21
Sirmaur11
Shimla10
Kullu4
Kinnaur2
Lahaul And Spiti0

58,457 34

229 11

57,233 23

995

DistrictCases
South Goa69
North Goa57

54,700 52

495 16

53,416 35

789 1

DistrictCases
Pondicherry111
Mahe4
Karaikal2
Yanam0

39,656 28

189 10

38,801 17

666 1

DistrictCases
Dhalai196
Sepahijala174
Gomati74
South Tripura53
Unakoti49
West Tripura45
Khowai24
North Tripura14

33,400

25 22

32,984 22

391

DistrictCases
Churachandpur32
Kangpokpi26
Imphal West21
Thoubal18
Imphal East10
Tengnoupal9
Bishnupur7
Senapati6
Chandel5
Kamjong5
Ukhrul4
Jiribam3
Pherzawl3
Kakching2
Tamenglong2
Noney1

29,250 7

41 5

28,836 2

373

DistrictCases
Chandigarh313

21,541 41

250 23

20,940 17

351 1

DistrictCases
Changlang31
Papum Pare8
Lohit3
Namsai2
West Siang1
East Siang1
Upper Siang1
Tawang1
PakkeKessang1
West Kameng0
Upper Subansiri0
Tirap0
Siang0
Shi Yomi0
Anjaw0
Lower Subansiri0
Lower Dibang Valley0
Longding0
Leparada0
KurungKumey0
KraDaadi0
Kamle0
East Kameng0
Dibang Valley0
Lower Siang0

16,836

4 0

16,776

56

DistrictCases
East Khasi Hills22
West Garo Hills5
South West Garo Hills4
North Garo Hills1
West Jaintia Hills1
West Khasi Hills1
East Garo Hills0
East Jaintia Hills0
Ribhoi0
South Garo Hills0
South West Khasi Hills0

13,958 3

18 2

13,792 5

148

DistrictCases
Dimapur20
Mon8
Kohima7
Kiphire3
Tuensang3
Peren2
Phek1
Longleng0
Mokokchung0
Wokha0
Zunheboto0

12,192

8 4

12,093 4

91

DistrictCases
Kargil77
LehLadakh43

9,807 11

53 8

9,624 3

130

DistrictCases
East District3
South District3
North District0
West District0

6,132

47 0

5,950

135

DistrictCases
South Andamans33
Nicobars1
North And Middle Andaman1

5,016

4 1

4,950 1

62

DistrictCases
Kolasib11
Aizawl10
Mamit8
Lawngtlai2
Lunglei2
Saitual1
Champhai0
Hnahthial0
Khawzawl0
Saiha0
Serchhip0

4,413

23 1

4,380 1

10

DistrictCases
Dadra And Nagar Haveli20

3,404 2

4 2

3,398

2

DistrictCases
Lakshadweep District0

322 6

86 6

236

0

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