Coronavirus Outbreak Explained: What Is T-Cell Immunity And How Does It Provide Defense Against COVID-19?

Coronavirus Outbreak Explained: What Is T-Cell Immunity And How Does It Provide Defense Against COVID-19?

According to experts, T-cells play an essential role in supporting immune system and are responsible for defending the body against pathogens like the SARS-CoV-2 from re-invading, by identifying and killing the infected cells which suggest that these may also provide guard to COVID-19 survivor from the second attack of the virus
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Coronavirus Outbreak Explained: What Is T-Cell Immunity And How Does It Provide Defense Against COVID-19?While antibodies against coronavirus among COVID-19 survivors may disappear quickly, doctors say that the immunity provided by T-cells is long lasting
Highlights
  • When a pathogen enters the body, the immune system mobilises a response
  • Vitamin A and B9 influence the production and activity of T-cells: Expert
  • Acute COVID-19 causes T-cell exhaustion, seen among ICU patients: Doctors

New Delhi: Can a person catch COVID-19 twice? According to experts, there have been some incidences of people losing antibodies developed against the virus during the first infection in a short span of time and getting infected again. While the researchers across the globe are still conducting studies to understand more about the novel coronavirus Sars-CoV-2, its impact on the body and the response of human body against it, they have found that immunity mediated by T-Cells also called as T-lymphocytes can provide protection from the second attack of the virus. NDTV reached out to medical experts to learn about T-Cell immunity and how it provides defense against COVID-19.

Also Read: Coronavirus Outbreak Explained: What Is Convalescent Plasma Therapy And How Effective Is It In Treating COVID-19 Patients?

T-Cell is a type of White Blood Cell and is an essential part of the immune system of a human body. According to Dr. Smita Kulshreshtha, lead pathologist at Final Diagnosis Laboratory, a private lab in Agra, when pathogen enters the body, the immune system mobilizes a series of cells and proteins that forms antibodies to defeat the virus, however, when the viral load is high, it calls in fighter cells for back up which are called as T-Cells. These cells have the ability to recognize the unique biological/chemical structures or antigen being carried by the pathogen and kill them, because of which these cells are also called memory T- Cells. Further explaining the immunity functions of T-Cells, Dr. Kulshreshtha said,

Our immune system is divided into two parts- Humoral antibody immunity and T-Cell dependent immunity. The Humoral antibody immunity is that aspect of immunity where antibodies are produced to fight specific antigen which is a harmful substance or molecules carried by microorganisms like viruses, bacterium, fungi or works collectively known as pathogen. The antibodies released by Humoral antibody immunity system react with the antigen and kill it. The second aspect of our immune system is T-Cell immunity which is dependent on T-Cell. These cells are trained to recognize specific antigens to which they will trigger a faster and stronger immune response if they have encountered the same or similar antigen before. T-Cells cause the production of small proteins called cytokines which is a signaling machinery of the immune system that mediate and regulate immunity and the inflammation caused by antigen in the body.

She further said that since people have been exposed to various kinds of influenza inducing viruses including some previously recognised coronaviruses, the T-Cell are able to recognise the pathogen and are able to activate a reponse to it, thus providing a defence against viruses. She added that T-Cell immunity is one of the reasons for younger children having better immunity against COVID-19 than the senior citizens. She said,

T-Cell immunity among children is higher because children are prone to getting exposed to influenza causing viruses and other infections so their T-Cells are more alert and activated in recognizing the pathogen on re-encounter. However, over the time, as one gets older, the exposure to infection decreases and also their immune system becomes weak. Therefore, we see that children are not as affected by COVID-19 as the senior citizens.

Coronavirus Outbreak Explained: What Is T-Cell Immunity And How Does It Provide Defense Against COVID-19?
What is a T-Cell?

While explaining about the concept of T-Cell immunity and how it can be a saviour in the fight against the COVID-19, Dr Rajesh Malhotra, Chief, COVID-19 facility, Trauma Center, AIIMS (All India Institute Of Medical Science) said that this immunity is what saving most survivors from getting the infection again. He said,

T- cell immunity is what keeping us going. Till now, there have not been many incidents of reinfections even though it has been seen that antibodies against coronavirus are going down in some patients as early as within one month. It is the T-cells immunity where I am putting my hopes on, because there are responding to the virus that they encountered earlier. Currently, there are some vaccines that are being developed with an aim to provide dual immunity- by injecting antibodies and T-cells as well.

Also Read: Coronavirus Outbreak Explained: What Are The Long-Term Impacts Of COVID-19 On Human Body And The Recovery Process?

Low Count Of T-Cells Can Cause Further Complications Among COVID-19 Patients: Expert

According to Dr. Monica Mahajan, Director Medical, Max Super Speciality Hospital, Saket, T-cells are responsible for generating an immune response to a foreign pathogen including a virus like SARS-CoV-2. She said,

There are two type of T-Cells. First, which directly kill the virus infected cells and ensure a strong immune response is generated by signaling system called cytokines. The other T-Cells the ‘helper’ T-cells (called Tn cells). These work as helper to another group of cells called B-Cells and fight a disease by producing antibodies. Majority of the COVID-19 patients have a good Immune response by increase activation of T-Cells. It produces antibodies that neutralizes the virus ensures recovery and possibly protection against subsequent episodes of COVID-19.

However, Dr. Mahajan also highlights that low T-Cells count can cause a phenomenon called cytokine storm in which an overreaction of the immune system take place and it loses the ability to identify the good cells from virus affected or bad cells and lead to critical cases of COVID-19, multiple organ failure and even death. She said,

Among patients with severe COVID -19, especially the senior citizens or those who have weak immunity due to an underlying condition like hypertension, obesity, heart prblems, diabetes or any other illness, there is a lower T-Cell count. In this case, there is an increase in the bad cytokine proteins which causes a ‘cytokine storm’. This result in all the complications including severe acute respiratory distress syndrome (ARDS) or respiratory failure. A low T-Cell count has been correlated with a higher concentration of cytokines.

She further said that a low T-Cell count can be caused due to a more prolonged COVID-19 infection leading to T-Cell exhaustion in severe cases of COVID-19, as observed in patients in ICU (Intensive Care Unit).

Dr. Mahajan also said that a vaccine for SARS-CoV-2 will have to potentially activate the T-Cells along with stimulating the immune system to produce antibodies against the virus. She said that if an individual does not develop a robust T-Cell specific response to the virus, the vaccine may not offer long term protection.

Also Read: Coronavirus Explainer: 20 COVID-19 Related Terms And What These Mean

A Nutrient Rich Diet Can Fuel T-Cell In Favour Of Body’s Immune System

In order to fuel the T-Cells and strengthen body’s immunity against COVID-19 and other such infections, Dr. Shweta Khandelwal, Nutrition Expert, PHFI (Public Health Foundation of India) said that it is advisable to follow a diet rich in nutrients. She said,

T-Cells are highly influenced by nutrient uptake from their environment, and changes in overall nutritional status (both under- and over-nutrition) can result in altered T-Cell efficiency. The lack of protective immunity as seen in malnutrition, can be easily traced back to the developmental defects associated with inadequate nutrients and the lack of nutritional signals such as leptin, a hormone, that are critical for fueling immune cell production and function. Leptin can influence immune cell number and function through its effects on cellular metabolism. It has been identified as a key regulator of both protective immunity and autoimmunity in the context of nutritional disorders.

She further added that to fuel T-Cell’s efficiency to act in the favour of body’s immunity, there is a need to increase the intake of nutrients, including glucose as well as amino acids found in legumes, beans, dairy, eggs and others. She asserted that Vitamins–particularly Vitamin A found in yellow vegetables and fruits like Mango and Papaya and B9 found in dark green leafy vegetables such as spinach, affect T-Cells’ regulatory functions. Foods high in poly-unsaturated fatty acids particularly omega-3 fatty acids such as chia seeds, walnuts, brussels sprouts, and avocados play an important role suppressing allergic inflammation can positively affect immune system, she said. Dr. Khandelwal stressed on following a RAINBOW diet to boost immunity naturally. She said,

To easily understand and remember about having a balanced diet, I would suggest one to follow RAINBOW: R- roughage which is fibre for better gut health, A- Antioxidants like Vitamins and minerals from coloured fruits and vegetables, I- Immunity boosting ingredients like spices, nuts, herbs, N- Natural foods, minimise the easily available fast food, B- Lots of healthy non sugary beverages like water, buttermilk, lemon water, herbal tea among others, O- Omega 3 fats like in mustard oil, flax seeds, chia seeds and walnuts, W- Wholegrains and pulses and non-refined flours.

Coronavirus Outbreak Explained: What Is T-Cell Immunity And How Does It Provide Defense Against COVID-19?
Follow RAINBOW diet to boost immunity, says Dr. Shweta Khandelwal, Nutrition Expert, PHFI

According to experts, currently, there is still a lot unknown about the immune responses to SARS-CoV-2. They say that it is not known yet about how much immunity to expect once someone is infected with the virus and how long that immunity may last since the virus has been known only for past eight months. However, they say that there is some hope regarding cellular immunity dependent on T-Cells in the absence of a durable antibody response.

Also Read: Coronavirus Outbreak Explained: What Is A Cytokine Storm And How Is It Fuelling COVID-19? Experts Answer

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

4,44,51,707Cases
1,32,31,846Active
3,00,46,052Recovered
11,73,809Deaths
Coronavirus has spread to 189 countries. The total confirmed cases worldwide are 4,44,51,707 and 11,73,809 have died; 1,32,31,846 are active cases and 3,00,46,052 have recovered as on October 29, 2020 at 3:43 am.

India

80,40,203 49881Cases
6,03,687 -7116Active
73,15,989 56480Recovered
1,20,527 517Deaths
In India, there are 80,40,203 confirmed cases including 1,20,527 deaths. The number of active cases is 6,03,687 and 73,15,989 have recovered as on October 29, 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

16,60,766 6,738

1,30,286 1,783

14,86,926 8,430

43,554 91

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

8,14,774 2,949

26,622 678

7,81,509 3,609

6,643 18

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

8,12,784 3,146

68,180 3,169

7,33,558 6,260

11,046 55

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

7,16,751 2,516

26,356 1,378

6,79,377 3,859

11,018 35

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

4,76,034 1,980

25,487 780

4,43,589 2,742

6,958 18

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

4,11,464 8,790

93,369 1,103

3,16,692 7,660

1,403 27

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

3,70,014 5,673

29,378 1,505

3,34,240 4,128

6,396 40

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

3,61,703 3,924

37,111 61

3,17,928 3,925

6,664 60

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

2,85,482 1,540

14,068 487

2,70,130 2,015

1,284 12

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

2,35,656 1,504

17,979 63

2,16,353 1,436

1,324 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

2,13,576 491

8,329 517

2,04,178 1,004

1,069 4

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

2,05,237 448

11,803 1,042

1,92,517 1,487

917 3

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

1,91,629 1,785

15,708 241

1,74,044 2,016

1,877 10

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

1,81,583 1,929

22,167 474

1,57,480 1,400

1,936 55

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

1,69,891 980

13,332 133

1,52,858 1,107

3,701 6

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

1,69,271 788

10,094 259

1,56,264 1,032

2,913 15

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

1,62,223 1,518

11,014 562

1,49,451 948

1,758 8

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

1,32,263 526

4,239 150

1,23,866 356

4,158 20

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

1,00,569 345

5,363 111

94,326 452

880 4

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

93,213 536

6,976 14

84,782 546

1,455 4

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

61,261 304

3,696 169

56,556 471

1,009 2

DistrictCases
South Goa69
North Goa57

42,968 221

2,402 18

39,974 196

592 7

DistrictCases
Pondicherry111
Mahe4
Karaikal2
Yanam0

34,583 101

3,686 55

30,307 154

590 2

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

30,566 113

1,696 58

28,525 170

345 1

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

21,149 332

2,646 125

18,203 205

300 2

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

17,809 205

4,233 13

13,420 212

156 6

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

14,580 108

2,064 75

12,480 183

36

DistrictCases
Chandigarh313

14,212 60

629 21

13,359 80

224 1

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

9,226 90

1,364 47

7,777 134

85 3

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

8,824 98

1,845 20

6,945 117

34 1

DistrictCases
Kargil77
LehLadakh43

6,085 61

642 47

5,369 107

74 1

DistrictCases
South Andamans33
Nicobars1
North And Middle Andaman1

4,289 15

192 5

4,039 20

58

DistrictCases
East District3
South District3
North District0
West District0

3,875 12

263 1

3,545 11

67

DistrictCases
Dadra And Nagar Haveli20

3,237 6

51 3

3,184 3

2

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

2,656 49

417 43

2,238 5

1 1

DistrictCases
Lakshadweep District0

0

0 0

0

0

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