Coronavirus Explained: All About The Oxford COVID-19 Vaccine, Covishield

Coronavirus Explained: All About The Oxford COVID-19 Vaccine, Covishield

According to a study published in The Lancet medical journal, the Oxford COVID-19 vaccine provides higher efficacy when the gap between two doses is three months instead of six weeks
Coronavirus Explained: What Is The Oxford COVID-19 Vaccine Being Used In India And How Safe Is It?The initial results of the Phase-III trials of the Oxford COVID-19 vaccine has shown an overall efficacy of 70.4 per cent
Highlights
  • Oxford-AstraZeneca COVID-19 vaccine (ChAdOx1) is a viral vector vaccine
  • COVID-19 vaccine Covishield uses Chimpanzee adenovirus known as ChAdOx1
  • Covishield is a 2 dose vaccine given at a gap of 28 days

New Delhi: The COVID-19 vaccine ChAdOx1 nCoV-19 or AZD1222 being developed by the University of Oxford in partnership with AstraZeneca Plc is one of the two vaccines currently being used against COVID-19 in India. The Serum Institute of India (SII), the world’s largest vaccine maker by the number of doses produced, had partnered with AstraZeneca to conduct the trials in India and manufacture AZD1222. The phase 3 trials for Oxford’s COVID-19 vaccine which is called Covishield here are currently underway in India, Brazil, the United Kingdom, South Africa, Kenya and the USA. In this report, we explain the making and functioning of the Oxford COVID-19 vaccine, its efficacy and everything else that you need to know about it.

Also Read: COVID-19 Vaccines Myth Vs Fact: No Vaccines Do Not Alter DNA

What is the Oxford vaccine and how does it work?

The Oxford-AstraZeneca vaccine is a viral vector vaccine. It is a genetically modified vaccine where a part of the SARS-CoV-2 specifically the spike protein is added to a modified version of a chimpanzee adenovirus, known as ChAdOx1. Chimpanzee adenovirus is a harmless, weakened adenovirus that usually causes the common cold in chimpanzees.

Explaining how chimpanzee adenovirus helps fight Coronavirus, Dr Rajesh Parikh, Director, Medical Research at Jaslok Hospital and the author of ‘The Vaccine Book for COVID-19’, said,

The adenovirus acts as a vehicle known as a vector to transport the spike protein into the human cell which will then trigger the immune response. It is genetically modified so that it cannot replicate.

Further elaborating on how the vaccine produces an immune response, Dr Parikh said,

After the vaccine is injected into a person’s arm, it induces an immune response. After the vaccinated cells die, the debris are stored in T cells which can recognise the spike protein when the individual is exposed to SARS-CoV-2 and induce the immune response.

The Ebola vaccine is an example of a viral vector vaccine.

Also Read: COVID-19 Vaccine: WHO Expert Answers Frequently Asked Questions

How did Oxford produce a vaccine so quickly?

The teams of scientists from both the Jenner Institute and the Oxford Vaccine Group had been working on producing vaccines using ChAdOx1 or viral vector vaccine technology against a number of pathogens including flu, Zika and Middle East Respiratory Syndrome (MERS), another coronavirus.

They had already begun work on pandemic preparedness with the technology behind ChAdOx, in preparation for ‘Disease X’. When the disease emerged in China, they moved quickly. As soon as the genetic sequence was available, they began work on a trial, reads a document uploaded on the University of Oxford’s official website.

Also Read: Coronavirus Outbreak Explained: What Is Genome Sequencing And How Can It Help Combat COVID-19 Pandemic

How effective is the Oxford-AstraZeneca COVID-19 vaccine?

The initial results of the Phase-III trials released in December 2020 have shown an overall efficacy of 70.4 per cent, combining data from two dosing regimens. The efficacy data is based on 11,636 volunteers across the United Kingdom and Brazil, and combined across three groups of people vaccinated – two groups who received a standard dose prime vaccination followed by a standard dose booster vaccination and one group (in the UK only) who received a low dose prime vaccination followed by a standard dose vaccination.

Suresh Jadhav, Executive Director at the Serum Institute of India told NDTV that the efficacy of the Covishield vaccine goes up if the gap between two doses is more than 28 days. He told,

Even if the difference is of four weeks, it gives good protection, but around 70-80 per cent. If the gap is increased further up to six weeks or eight weeks or 10 weeks, the results are much higher.

Also Read: Oxford COVID-19 Vaccine Candidate Shows 70 Per Cent Efficacy Based On Data Of 11,636 Volunteers

However, according to the latest study published in The Lancet medical journal on February 19, Covishield is more effective when the second dose is given three months after the first, instead of six weeks. As per the study, a single standard dose of vaccine provided protection against primary symptomatic COVID-19 in the first 90 days with an efficacy of 76 per cent. The findings are based on 332 cases of primary symptomatic COVID-19.

How many doses of Covishield are required?

Covishield is a two dose vaccine given 28-days apart. Dr Jadhav explained that the Phase-III clinical trials that were conducted in India were done with a 28-days gap because of which this time period became the standard in the country. Dr Jadhav asserted,

While a gap of 28 days will provide a good immune response, but if you want the protection of a higher level and for a longer period, it is better to take the second dose of the COVID-19 vaccine after six to eight weeks.

Also Read: Better To Take COVID-19 Vaccine Doses In A Gap Of 6-8 Weeks, Says Dr Suresh Jadhav Of Serum Institute of India

What are the pros and cons of Covishield?

According to Dr Harsh Mahajan, Founder Of Mahajan Imaging and Chairman of CARINGd, since the vaccine is genetically modified so that it cannot replicate, it cannot cause the disease and is safe. The vaccine can be manufactured on a large scale and uses a well-known technology.

Another advantage of using a Covishield vaccine is that it can be stored in a fridge in a temperature range of 2 to 8 degree Celsius, which makes it easier to deliver and administer in existing healthcare settings.

Dr Mahajan believes that as of now, there is no reported disadvantage of Covishield.

What are the side-effects of Covishield?

Dr Mahajan asserted that after inoculation, some individuals may witness minor side effects like pain at the injection site, myalgia (muscle pain), fever, headache, lethargy. This is similar to the side effects that occur post any other kind of vaccination and can be overcome through minor medication.

Also Read: Coronavirus Explainer: What Are Adverse Events Post COVID-19 Immunisation

Is Covishield suitable for people with compromised immune systems?

There is no strong evidence supporting or contraindicating the use of the vaccine in individuals with compromised immunity. It is likely that the vaccine may not be as effective. However, some immunity is better than no immunity. It is therefore recommended for this group to also take the vaccine, said Dr Parikh.

Dr K K Aggarwal, President, Confederation of Medical Associations in Asia and Oceania who got the COVID-19 vaccine Covishield three weeks ago at the National Heart Institute in Delhi shared his experience and said,

I have compromised immunity. As a doctor, I got the vaccine and I am perfectly fine.

Also Read: COVID-19 Vaccine Explainer: How Do Vaccines Work?

When will Covishield be available for children?

Currently, no COVID-19 vaccine is available for children. Whenever a vaccine or drug is developed, it is first tested among adults and once the efficacy is proven, the trials are conducted among children. However, Covishield will now be tested among children and young adults aged 6-17 years. On February 12, the University of Oxford announced that it along with three partner sites in London, Southampton and Bristol, is to launch the first study to assess the safety and immune responses in children and young adults of the ChAdOx1 nCoV-19 coronavirus vaccine.

This new trial, a single-blind, randomised phase II trial, will enrol 300 volunteers, with up to 240 of these volunteers receiving the ChAdOx1 nCoV-19 vaccine and the remainder, a control meningitis vaccine, which has been shown to be safe in children but is expected to produce similar reactions, such as a sore arm, reads the official document.

Also Read: Coronavirus Explained: How Does COVID-19 Impact Children And How Can They Be Kept Safe?

Can Covishield fight virus mutations?

In an explainer video shared by the World Health Organisation (WHO) in January, its Chief Scientist Dr Soumya Swaminathan asserted that possible mutations are kept in mind while developing a vaccine as some vaccines need to be updated with the change in the strain of the virus. Explaining the same with an example, Dr Swaminathan said,

We have some vaccines, like measles, which you don’t need to change at all. You make the vaccine; it works pretty much all the time. But you also have vaccines like against the influenza virus, where you have to change the structure of the vaccine every year, based on the circulating strains and WHO coordinates this global network that actually identifies which strain should be used every year.

Also Read: COVID-19 Outbreak Explained: Can COVID-19 Vaccines Fight Against Virus Mutations?

SARS-CoV-2 is mutating significantly but Dr Swaminathan is of the opinion that a couple of changes or mutations in the virus should not make the current vaccines ineffective. But right now, there are studies going on in labs around the world to actually confirm that, she added.

Till now, COVID-19 variant identified in the UK and South Africa had one change in common that is the N501Y mutation. According to Dr Julian W Tang, Consultant Virologist, Clinical Microbiology, University Hospitals of Leicester NHS Trust, vaccines work well against N501Y variant. However, now, there is a new UK variant, the 484k, which is causing the problem.

If the 484K starts to spread, then the existing vaccine may not be so protective. That’s why both Oxford and Moderna have proposed to change vaccines to incorporate the new mutations, said Dr Tang in a conversation with NDTV.

Dr K K Aggarwal said that scientifically the second dose of the vaccine can be given even after three months from the first dose. He is of the opinion that the companies should use these three months to manufacture a vaccine against the new strain and administer that.

Also Read: COVID-19 Explained: Will The COVID-19 Vaccine Be Effective Against The Latest Coronavirus Variant?

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

11,29,83,901Cases
4,67,54,489Active
6,37,22,948Recovered
25,06,464Deaths
Coronavirus has spread to 192 countries. The total confirmed cases worldwide are 11,29,83,901 and 25,06,464 have died; 4,67,54,489 are active cases and 6,37,22,948 have recovered as on February 26, 2021 at 3:39 am.

India

1,10,63,491 16577Cases
1,55,986 4278Active
1,07,50,680 12179Recovered
1,56,825 120Deaths
In India, there are 1,10,63,491 confirmed cases including 1,56,825 deaths. The number of active cases is 1,55,986 and 1,07,50,680 have recovered as on February 26, 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

21,29,821 8,702

65,461 4,902

20,12,367 3,744

51,993 56

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

10,48,686 3,677

52,164 989

9,92,372 4,652

4,150 14

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

9,49,636 453

5,595 501

9,31,725 947

12,316 7

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

8,89,585 82

611 8

8,81,806 74

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

8,50,096 467

4,053 9

8,33,560 471

12,483 5

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

6,38,593 220

1,169 32

6,26,519 188

10,905

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

6,03,232 129

2,182 8

5,92,327 135

8,723 2

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

5,74,500 199

3,353 24

5,60,887 219

10,260 4

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

3,36,924 89

609 21

3,34,400 67

1,915 1

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

3,19,929 128

1,208 4

3,15,936 124

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

3,11,900 220

2,865 46

3,05,214 258

3,821 8

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

2,98,453 189

1,910 58

2,94,911 129

1,632 2

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

2,70,263 166

1,054 99

2,66,166 67

3,043

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

2,68,571 424

1,991 122

2,62,172 301

4,408 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

2,62,418 61

478 31

2,60,401 91

1,539 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

2,60,681 368

2,435 165

2,54,387 201

3,859 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

2,17,484 30

1,623 17

2,14,770 13

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

1,80,382 563

3,870 272

1,70,713 278

5,799 13

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

1,26,201 108

820 49

1,23,426 59

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

1,19,795 76

467 36

1,18,241 40

1,087

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

58,499 42

244 15

57,260 27

995

DistrictCases
South Goa69
North Goa57

54,771 71

531 36

53,449 33

791 2

DistrictCases
Pondicherry111
Mahe4
Karaikal2
Yanam0

39,677 21

196 7

38,814 13

667 1

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

33,407 7

32 7

32,984

391

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

29,253 3

40 1

28,840 4

373

DistrictCases
Chandigarh313

21,590 49

279 29

20,960 20

351

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

3 1

16,777 1

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

13,961 3

20 2

13,793 1

148

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

12,198 6

13 5

12,094 1

91

DistrictCases
Kargil77
LehLadakh43

9,814 7

56 3

9,628 4

130

DistrictCases
East District3
South District3
North District0
West District0

6,133 1

43 4

5,955 5

135

DistrictCases
South Andamans33
Nicobars1
North And Middle Andaman1

5,016

2 2

4,952 2

62

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

4,419 6

27 4

4,382 2

10

DistrictCases
Dadra And Nagar Haveli20

3,405 1

5 1

3,398

2

DistrictCases
Lakshadweep District0

331 9

86 0

244 8

1 1

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