x6 Months On, What Do We Know About The Coronavirus Pandemic

New Delhi: Most people in the world have not seen a pandemic of this nature in their lifetime. What started more than six months ago rages on with no end in sight. The SARS-Cov2 virus that causes the COIVD-19 disease is believed to have originated in Wuhan, China. On January 3 there were 44 cases only in China, today the outbreak has spread to 213 countries and territories around the world and infected over 9 million people according to the data by John Hopkins University and the world also registered the largest single-day jump on June 21 by adding another 183,000 COVID-19 cases, as per WHO. So far 500,000 people (as on June 23) have died due to the coronavirus infection, according to Johns Hopkins University. So, compared to when it started six months ago, what are the things we have learnt about this new disease.

It is a Zoonotic disease, one which normally spreads from animals to humans. Zoonoses can spread through direct contact between animals and humans from food, water or the environment.  While this pandemic is caused by a virus, Zoonotic disease could also be caused by bacteria, parasites, and fungi. According to the US-based Centre for Disease Control And Prevention (CDC), more than 60 per cent of known infectious diseases in people can be spread from animals, and 3 out of every 4 new or emerging infectious diseases in people come from animals. Most of the outbreaks in recent past have been in this category of diseases be it SARS (Severe acute respiratory syndrome), MERS (Middle East respiratory syndrome ), Swine Flu or (SIV), Ebola, ZIKA Virus, NIPAH Virus or COVID-19 now. So, how is the world coping with this pandemic.

Hand Washing And Maintaining Proper Hygiene Remains The Key Precaution Against COVID-19

Explaining the one constant thing that we have always known about fighting coronavirus since its emergence, AIIMS Director Dr Randeep Guleria said,

Till date and from the start of this pandemic, one thing we knew was that if we need to keep this virus at a bay, we need to take a few precautionary measures. The measures include washing of hands regularly with soap and water, secondly, maintaining good hygiene which includes few rules like if we are coughing, we need to cover the cough, if while coughing, we are using a tissue, we need to make sure we dispose it off properly and if using a handkerchief then we need to make sure it gets washed properly. Coronavirus is a droplet infection, so by coughing one can spread the infection.

According to the World Health Organisation as well, precautionary measures like washing hands regularly with soap and water and keeping hands clean with an alcohol-based sanitiser is a must to fight COVID-19.

Also Read: Coronavirus Outbreak Explained: Experts Guide On “How To Wash Hands Properly” And Why It Is So Crucial

Social Distancing Can Slow Down The Spread Of The Virus, Hot Temperature Cannot 

In India, the novel coronavirus made its entry on January 30 when a student who had returned from Wuhan, tested positive for the infection in Kerala’s Thrissur district. And by March, the virus started to spread steadily. By the end of March, India crossed the 500-mark in terms of infected cases and 10 people had lost their lives to this disease, according to the data by Ministry of Health and Family Welfare. The same month, in the wake of the increasing cases of coronavirus, Prime Minister Narendra Modi announced a 21-day complete lockdown in India from March 25 in bid to break the chain of the infection and lower the rate of the spread.

On March 25, India started to stay at home, day-to-day activities like going to offices, travel, malls, colleges, schools, gyms and other facilities shut down so that the country can stay safe and practice social distancing.

Dr Ashish Jha, Director of Harvard Global Health Institute in Cambridge, Massachusetts said,

All of the western democracies like Italy, United Kingdom, the USA or Sweden, to name a few, have really made a mess-up by waiting too long for the lockdown. Moreover, these countries also didn’t have a very progressive testing strategy. On the other hand, India’s lockdown model which was adopted early was very smart, though I believe that the country needs to scale up the testing much more than it already has.

Apart from fighting the pandemic, the other battle that has been waged is the infodemic or the overdose of claims, myths and misinformation. like the unverified claims that with the onset of summer and rising temperatures in the months of April and May, may slow down the spread of coronavirus in the country.

Negating such claims, Dr Ashish Jha said,

Summers cannot be counted as a major source of benefit since there is no medical research or proof on this fact as of now. What will work is three important things – social distancing, getting hospitals ready and testing aggressively. As everything else is just hope and hope is not a good strategy.

Even the WHO made it clear that from the “evidence so far, the COVID19 virus can be transmitted in all areas, including hot and humid weathers.” Indian Council For Medical Research (ICMR) director-general Balram Bhargava has also stressed that at present, there is no relationship between temperature and the spread of COVID-19.

Masks Become Compulsory To Fight The Coronavirus Outbreak

Apart from social distancing, in the month of April, Ministry of Health and Family Welfare made it compulsory for people stepping outside their homes to cover their faces with homemade, reusable masks to stem the spread of coronavirus in the country. The guidelines said that people who are not suffering from medical conditions or having breathing difficulties may use the handmade reusable face cover, particularly when they step out of their house. This will help in protecting the community at large. It however, also said that the handmade masks, are not meant for patients, health workers or those in direct contact with COVID -19 patients as they are required to wear specified protective gear in order to protect themselves from the virus.

Dr Surender Purohit, Ophthalmologist, Michigan adds,

We are living in the time of coronavirus, we need to think that a person himself and others as the carriers, once we start to see everyone around us as the possible threat, we will automatically take necessary precautions. In past few months, one thing which we all have learned about COVID-19 disease is that most of the patients are asymptomatic, meaning they don’t show symptoms for the infections at all, which means at some point they will be doing activities like a healthy person like stepping out in public, but the fact is they are still the carrier of the infection and can infect many around them. In this scenario what works best is that people should come out wearing masks – homemade masks and if they have cough or cold-like symptoms then a medically approved mask.

Also Read: Are Homemade Masks Effective To Fight Coronavirus? Experts Explain

Dealing With The Challenge Of Asymptomatic Cases 

When India’s death count crossed 500-mark and the cases count was on a continuous increase in the month of April, experts raised a red flag saying that in India many COVID-19 cases are asymptomatic and it is a cause of worry as there may be many asymptomatic people who are yet to be detected in the country and yet carrying the virus around. Dr Raman R Gangakhedkar, a senior scientist at the Indian Council of Medical Research (ICMR) said,

Based on our studies, 80 per cent of the cases are asymptomatic in India. Our biggest worry is on their detection. There is no other way than contact-tracing. It is difficult to detect asymptomatic cases and they can be found out only after tracing the contacts of people who have been tested positive and testing everyone is almost impossible.

However, a month later, in June, WHO said that infection from asymptomatic people is very rare and is not a cause of concern. Maria Van Kerkhove, the World Health Organization’s COVID-19 technical lead clarified her statement from before and said that on the basis of studies carried out in several countries, the transmission of the virus by an asymptomatic person seemed to be “very rare”.

WHO also said comprehensive studies on transmission from asymptomatic patients are difficult to conduct, as they require testing of large population cohorts and more data are needed to better understand and quantified the transmissibility of SARS-CoV-2. Currently, the organisation is working with countries around the world and global researchers, to gain an evidence-based understanding of the disease as a whole, including the role of asymptomatic patients in the transmission of the virus.

Also Read: COVID-19 Outbreak: Why Are Asymptomatic Patients, A Worry For India? Doctors Explain 

Home Isolation For Bulk Patients Who Are Either Asymptomatic Or Have Mild Symptoms

Towards the end of April, when India had reported 28,000 of coronavirus cases according to the data by Health Ministry, new guidelines were issued for coronavirus pandemic stating that COVID-19 patients who have very mild symptoms of the infection or are “pre-symptomatic” can opt for home isolation. The guidelines further stated that the patients should self-isolate themselves completely so that they avoid contact with other family members. Experts and doctors gave a thumbs up to the new guidelines. Explaining how the new guidelines can help India in the fight against coronavirus, Dr Naresh Trehan, Chairman and MD, Medanta said,

Earlier, the COVID-19 infected patients were immediately isolated and admitted in hospitals, makeshift hospitals or wards dedicated to coronavirus patients in order to break the chain of transmission of the highly contagious virus. Now, we have to think above this and we have to get ready for life with the virus. From our past cases and experience what we know is that the maximum number of people, nearly 80 per cent infected with COVID-19 are asymptomatic or have mild symptoms. Now, if we put all of them in hospitals, they occupy beds which are needed for treating sick patients. As a result, there is a lot more burden on our healthcare system. Now, with new guidelines in place which gives such patients an option of self-isolation at home, it eases the burden from our healthcare systems.

Dr Ashok Seth, Chairman, Fortis Escort adds,

The guidelines are well defined and it is definitely a great idea because we all need to start living normal life with the virus, the cases of coronavirus will pace up, as we are slowly opening up. We have seen in Europe and the United States how their healthcare system is overburdened, this is also being practiced by them in a way. Our ministry of health has defined it very clearly, only asymptomatic and very mild symptoms patients are allowed to opt-in for home isolation. The ministry has kept mild, moderate and severe symptoms patients separately, in the west, even patients with mild symptoms are being treated at home. We have these guidelines only for patients who have very mild symptoms.

Also Read: Doctors Give A Thumbs Up To The New Guideline On ‘Home Isolation For Mild Cases’, Says It Will Ease Burden On The Healthcare System

Surface Transmission For Coronavirus Remains “Unpredictable”

Since the outbreak of coronavirus pandemic, one debate which has always remain in the news is that ‘If coronavirus Airborne?’ Or ‘Can coronavirus live on different surfaces?’

Dr. Maria Van Kerkhove, Technical Lead for COVID-19 from WHO says, “The virus is not airborne.” She explains,

The virus can be transmitted through fomites, which means that the virus can remain on surfaces, but that doesn’t mean that you can get the disease simply by touching an infected surface. The chances of people getting infected via surface transmission are very bleak. Following some of the precautionary measures like washing hands with soap and water or using hand sanitiser and other basic hygiene protocols will surely help in reducing your chances of getting infected.

Recently, the Department of Science and Technology (DST) also said the spread of COVID-19 through surface contamination remains an “unpredictable” risk and, therefore, maintaining proper hygiene and washing hands play a key role in containing the spread of the infection.

Experts also suggest that transmission of coronavirus through surfaces is not known fully as it is a very new virus. Dr Rajesh Parikh, Director of Medical Research, Neuropsychiatrist and author of the book (The Coronavirus: What you Need to Know about the Global Pandemic) adds,

Any object that transmits a virus is a called a fomite. It is important to emphasise that we are still in the early stages of understanding this new virus. The studies being done are new, these might change with time. Besides all viruses are capable of mutations so that their survival time on fomites can itself change with time. The best precaution at this crucial stage is frequent handwashing with soap or sanitiser for at least 30 seconds. Moreover, taking precautions like cleaning surfaces regularly at this stage is important.

Also Read: Coronavirus Outbreak: How Long The Novel Virus Lives On Surfaces Like Cardboard, Plastic, And Steel, Experts Explain

The Uncertain Road Ahead 

Till now, the world has not found a cure for COVID-19. Scientists around the globe are working and hoping for a breakthrough on both drug and vaccine development fronts. In terms of vaccine, WHO says that currently there are about 100 active projects on, to develop a vaccine for the virus. many existing drugs are also being looked into for possible quick-fix solution to stall the spread of the infection. So an existing antimalarial drug hydroxychloroquine was being pushed as a possibility from certain quarters, but WHO’s the last release on the use hydroxychloroquine (HCQ) On 17 June 2020, WHO announced that the recently announced results from the UK’s Recovery trial showed that hydroxychloroquine does not result in the reduction of mortality of hospitalised COVID-19 patients when compared with standard of care.

Also Read: Coronavirus Outbreak Explained: What Are The Four Types Of Vaccines Being Worked On To Fight Coronavirus?

Recently, the Oxford University researchers announced the results of ‘Recovery Trial’ for the dexamethasone, a low-cost widely used steroid, in treating COVID-19 patients. As per the researchers, giving low doses of the dexamethasone drug to patients, reduced death rates by around a third among those with the most severe cases of infection. Senior Pulmonologist from Delhi’s Sir Gangaram Hospital, Dr Arvind Kumar highlighting this as the breakthrough in the fight against coronavirus said,

In the gloomy background of last 4-5 months of fighting the virus, it is the first drug which has been shown to have a significant impact on mortality in the groups which saw the highest deaths.

Also Read: Coronavirus Outbreak Explained: What Is Dexamethasone, The Low-Cost Drug Oxford University Called Breakthrough In COVID-19 Treatment?

In the past few days, Mumbai-based Glenmark Pharmaceuticals has also become the first Indian company to launch an antiviral drug-Favipiravir under brand name FabiFlu, to treat mild to moderate COVID-19 patients. The drug will be sold at retail chemist outlets as well as in hospitals across India after the company secured drug regulator Drug Controller General of India’s (DCGI) approval to manufacture and market Favipiravir in India. The drug is priced at Rs 103 per tablet Rs 3,500 for a pack of 34 tablets.

Last week, Hyderabad-based Hetero Labs also announced that it had received regulatory approval from DCGI to manufacture and market the generic version of antiviral drug Remedesivir for treating COVID-19 patients. Hetero’s generic version of Remdesivir will be marketed under the brand name ‘Covifor’ in India. The company has already sent 20,000 vials to five states including Maharashtra and Delhi – the two worst-affected states in the country., followed by Gujarat, Tamil Nadu and Telangana. Hetero said a 100-milligram vial of the drug will cost Rs 5,400. The recommended dose for adults and pediatric patients is 200 mg on Day 1 followed by once-daily maintenance doses of 100 mg for five days.

According to the company’s statement, the next batch of the drug will be shipped to Kolkata, Indore, Bhopal, Lucknow, Patna, Bhubaneshwar, Ranchi, Vijayawada, Kochi, Trivandrum and Goa. The company has set a target to produce one lakh vials of the drug in three-four weeks.

Apart from the medicines, another method of treatment of severe coronavirus cases has been Plasma Therapy, which involves transfusion of antibodies from a convalescent coronavirus patient to a critical patient. The therapy is based on the principle that the blood of a patient who has recovered from the COVID-19 is rich in antibodies – proteins produced by a human body, which is then used to build a sick person’s immunity. The therapy has also got a stamp of approval from the Food and Drug Administration (FDA) of United States in the fight against COVID-19.

States like Delhi and Maharashtra are already trying the convalescent plasma therapy to treat critically ill patients of COVID-19 for some time now and the results are seeming to be encouraging as patients show signs of recovery.

Dr Randeep Guleria, Director, AIIMS says that the treatment should not be looked as a ‘magic bullets’. Speaking to the news agency ANI, he said,

Plasma therapy is not the only treatment strategy and it is not that it will be effective in all patients because there are a number of other things happening in people affected with coronavirus. Also, patients willing to give blood after 14 days of recovery must contain a good amount of antibodies. We need to look at it with a research type of treatment modality rather than something which can be done for all patients suffering from COVID-19.

Also Read: ‘It Worked On My Body’: Indore’s Plasma Therapy Recipient Shares Experience

World

4,12,26,932Cases
1,19,76,185Active
2,81,19,448Recovered
11,31,299Deaths
Coronavirus has spread to 189 countries. The total confirmed cases worldwide are 4,12,26,932 and 11,31,299 have died; 1,19,76,185 are active cases and 2,81,19,448 have recovered as on October 22, 2020 at 4:03 am.

India

77,06,946 55839Cases
7,15,812 -24278Active
68,74,518 79415Recovered
1,16,616 702Deaths
In India, there are 77,06,946 confirmed cases including 1,16,616 deaths. The number of active cases is 7,15,812 and 68,74,518 have recovered as on October 22, 2020 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

16,17,658 8,142

1,59,346 15,409

14,15,679 23,371

42,633 180

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

7,93,299 3,746

32,376 1,020

7,54,415 4,739

6,508 27

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

7,82,773 5,872

1,00,459 3,505

6,71,618 9,289

10,696 88

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

6,97,116 3,086

35,480 1,254

6,50,856 4,301

10,780 39

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

4,61,475 2,321

29,364 1,052

4,25,356 3,332

6,755 41

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

3,61,841 8,369

93,527 1,504

2,67,082 6,839

1,232 26

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

3,40,436 3,686

24,117 195

3,10,191 3,444

6,128 47

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

3,33,126 4,069

35,579 409

2,91,303 3,596

6,244 64

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

2,74,181 1,931

18,087 798

2,54,913 2,716

1,181 13

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

2,27,580 1,456

20,183 266

2,06,105 1,717

1,292 5

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

2,08,377 972

11,118 230

1,96,240 1,194

1,019 8

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

2,02,774 701

25,807 968

1,76,078 1,664

889 5

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

1,78,933 1,810

19,185 1,069

1,57,960 2,865

1,788 14

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

1,67,639 2,360

25,795 86

1,40,216 2,230

1,628 44

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

1,63,296 1,118

12,386 121

1,48,082 1,222

2,828 17

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

1,62,823 1,137

14,193 52

1,44,970 1,180

3,660 9

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

1,53,367 1,193

10,187 109

1,41,506 1,070

1,674 14

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

1,29,088 498

4,808 87

1,20,220 562

4,060 23

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

98,061 647

6,206 26

91,004 619

851 2

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

89,582 624

8,088 36

80,092 655

1,402 5

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

59,106 505

5,085 279

53,061 770

960 14

DistrictCases
South Goa69
North Goa57

41,339 308

3,099 102

37,683 408

557 2

DistrictCases
Pondicherry111
Mahe4
Karaikal2
Yanam0

33,622 170

4,026 75

29,016 242

580 3

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

29,925 125

2,339 116

27,252 239

334 2

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

19,621 264

2,636 40

16,706 219

279 5

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

16,267 205

3,846 36

12,297 238

124 3

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

13,912 134

2,682 30

11,199 164

31

DistrictCases
Chandigarh313

13,795 52

744 66

12,842 118

209

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

8,621 28

1,870 150

6,674 177

77 1

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

8,139 119

1,683 25

6,428 94

28

DistrictCases
Kargil77
LehLadakh43

5,781 86

848 7

4,865 78

68 1

DistrictCases
South Andamans33
Nicobars1
North And Middle Andaman1

4,168 27

199 16

3,913 11

56

DistrictCases
East District3
South District3
North District0
West District0

3,677 34

253 1

3,361 35

63

DistrictCases
Dadra And Nagar Haveli20

3,207 13

44 5

3,161 8

2

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

2,341 31

167 22

2,174 9

0

DistrictCases
Lakshadweep District0

0

0 0

0

0

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