First 1,000 Days Of Life: Importance Of Maternal And Child Nutrition During Pregnancy And Up To Two Years Of Age

First 1,000 Days Of Life: Importance Of Maternal And Child Nutrition During Pregnancy And Up To Two Years Of Age

The ‘First 1,000 days’ for a child is a crucial time because it is the period of the rapid growth of body and brain and so a woman’s nutrition during pregnancy and breastfeeding and baby’s nutrition in the first two years is extremely important for a healthy future
News, Nutrition, Swasth India
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First 1,000 Days Of Life: Importance Of Maternal And Child Nutrition During Pregnancy And Up To Two Years Of AgeFirst 1,000 days in a child’s life determine their health through their life span and optimum nutrition for mothers, babies play a vital role during this period
Highlights
  • The first 1000 days of life start from the day of conception
  • Breastmilk strengthens a child’s immune system: Experts
  • Micronutrient deficiencies are a major problem among women: Experts

New Delhi: According to the United Nations Children’s Fund (UNICEF), the first 1,000 days of life – the time spanning between conception and a baby’s second birthday – is a unique period of opportunity when the foundations of optimum health, growth, and neurodevelopment across the lifespan are established. This is the time period when maternal and child nutrition and health can determine the child’s ability to grow. Experts say that poor nutrition in the first 1,000 days cause irreversible damage to a child’s growing brain and body. According to Dhanya Sooraj, Consultant Nutritionist, National Nutrition Mission- Kerala, investments done by governments and individuals towards nutrition for mothers and children during the first 1,000 days will not only give the child a healthy future but will also help the whole nation to grow and prosper.

Also Read: Opinion: Importance Of Maternal Nutrition And Its Inter-generational Impact

However, as per Dr. Charu Dua, Chief Clinical Nutritionist at Max Super Speciality Hospital, Patparganj in East Delhi, in many families, due to a number of cultural reasons and various myths, pregnancies are not disclosed immediately and in a lot of cases, the pregnancy itself gets detected after a month or so. This affects the care and nutrition required by the pregnant woman in the initial stages of pregnancy, thus, upsetting first 1,000 days at the beginning of the pregnancy itself. She says, the early detection a pregnancy is important in order to ensure that the window of opportunity provided by the first 1,000 days is utilised optimally to give a healthy future to the child as well the mother. She highlighted that while some deficiencies can be partly addressed in the later stages of life, the window of opportunity narrows with age, thus, making it difficult for an older child or an adult to manage the health conditions resulting from a deficiency.

Nutrition During The First 270 Days: What Should A Pregnancy Plate Look Like?

According to Dr. Dua, malnutrition can set in the mother’s womb itself. If the mother is not healthy and her Body Mass Index (BMI), which is the first parameter that is evaluated for nutrition screening in a person, is not more than 18.5, then there are extremely high chances that the child will suffer from malnutrition. BMI is calculated using a person’s height and weight. The healthy range of BMI is 18.5 to 24.9. A BMI of 25.0 or more is overweight and a BMI of less than 18.5 is underweight. She said,

If the BMI of a pregnant woman is less than 18.5, we need to work on the mother first to bring her BMI to normal levels as malnutrition and underweight in the early pregnancy are linked with premature birth and low birth weight of the child. For the women who are between BMI 18.5 and 24.9, we just need to add 300 calories to her diet during pregnancy.

Explaining further, Dr. Dua said that the diet of a pregnant woman must include iron which is found in green leafy vegetables and foods rich in Vitamin C such as tomatoes. She added that it must have folic acid, zinc, calcium, vitamin D, and fatty acids which are found in whole-grain cereal, milk, seafood, lentils and nuts. She said,

Iron deficiency is the most common nutritional deficiency among pregnant women even though iron is extremely important for the development of the brain of the child. Thus, during the pregnancy, women who have iron deficiency must be given iron supplementation. There have been many studies which show that iron supplementation beginning in the early stages of pregnancy resulted in significantly better working memory, body functions among children.

According to Ms. Sooraj, along with eating nutrient-dense foods, a pregnant lady must drink at least 10-12 glasses of water. She highly recommends choosing foods with low sugar. While talking about nutrition for pregnant women, she said that a pregnant women’s diet per day should contain the following:

– At least two bowls (250 ml) of cooked green leafy vegetables per day along with other vegetables like ladyfingers or brinjals or beans or any other non-starchy vegetables.
– At least 350 ml of starchy vegetables like potatoes or sweet potatoes or beets or carrots
– At least 75 grams of fish or two full boiled eggs or a three-fourth cup of cooked legumes like Kabuli Chana, Rajma, Matar, Moong Daal, Masoor Daal among other at least twice a day
– At least four chapatis made of wheat/Bajra/Maize or Corn or two bowls (250 ml) cooked rice or ragi
– Use a mix of oils like mustard oil plus groundnut oil or rice bran or coconut oil for cooking
– 250 ml of milk or curd
– At least two seasonal fruits per day
– 10-12 glasses of water

First 1,000 Days Of Life: Importance Of Maternal And Child Nutrition During Pregnancy And Up To Two Years Of Age
A pregnant woman should eat vegetables, fruits, millets, curd and drink 10-12 glasses of water every day, according to experts

Also Read: Childcare During Pandemic: Breastfeeding Or Sourcing Breast Milk From Milk Banks Is Safe With Some Precautions, Say Experts

Nutrition For Lactating Mothers

Dr. Dua says that a lactating mother needs about 600 calories more than non-pregnant and non-lactating women in the first six months when she is practising exclusive breastfeeding and about 500 additional calories after six months till the time she continues to breastfeed. She highlighted that the new mother needs to continue taking iron even after delivery. She says,

Iron is important for breastfeeding mothers. It helps fight Anaemia in the mother as it is the main source to make haemoglobin. Iron also helps to recover the loss of blood during delivery. Moreover, iron aids in the development of the baby’s brain and blood cells.

She further prescribes a breastfeeding mother to also include calcium, Omega-3 fatty acid, vitamin D and protein in her diet every day.

First 1,000 Days Of Life: Importance Of Maternal And Child Nutrition During Pregnancy And Up To Two Years Of Age
A lactating mother should include calcium, iron, omega-3 fatty acid, vitamin D and protein every day in her diet

To help lactating mother produce more milk and breastfeed better, Dr. Dua prescribes the following six superfoods that are easily available in almost every kitchen- Fennel (Saunf), Aniseed (Starseed), Cumin (Jeera), Carom (Ajwain), Fenugreek (Methi) and Garlic. She said,

In India, herbs such as methi seeds, jeera, ajwain, saunf and garlic are extremely easy to find and affordable. These herbs help in digestion and avoid colic pain in baby along with increasing milk production. Various items can be prepared using these such as goand (edible gum) laddoo, methi laddoo, almond halwa, dried ginger (saunth). However, eat these preparations in moderation as these are high in fat and calories.

First 1,000 Days Of Life: Importance Of Maternal And Child Nutrition During Pregnancy And Up To Two Years Of Age
Food from the kitchen to help mothers breastfeed better

Dr. Dua further recommends that a breastfeeding mother must drink at least 8-10 glasses of water. She said,

Breastfeeding every 2 to 4 hours can be dehydrating. Thus, make water your best friend. Water will also help in keeping up milk production. A breastfeeding mother can also consume milk, fruit juices and soups.

She suggests that a lactating woman must reduce caffeine intake by cutting down on coffee, tea, cola and chocolate drinks. She also recommends cutting down the consumption of foods that are difficult to digest like fried or extremely fatty foods.

Dr. Dua warns against ‘dieting’ during breastfeeding. She said,

Some women think about reducing the pregnancy weight immediately after giving birth and start eating less. Dieting during breastfeeding can reduce the quantity and quality of the breastmilk. To lose pregnancy weight, women can limit the intake of foods that are high in fat and sugar. Try to incorporate some moderate exercises like walking or some yoga.

Also Read: Opinion: Benefits Of Breastfeeding For Mother And Child And How We Can Promote And Support It

Nutrition For Babies From 0-2 Years

For babies after birth, it is highly recommended that breastfeeding is initiated within the first hour of birth. Followed by this is exclusive breastfeeding in the first six months which is extremely important for the healthy growth of the child. According to experts, breastmilk provides all essential nutrients in the right amount to meet the requirements for the mental and physical growth of a baby. Dr. Dua says that a baby should be fed breastmilk as many times in a day as it demands.

First 1,000 Days Of Life: Importance Of Maternal And Child Nutrition During Pregnancy And Up To Two Years Of Age
Breastfeeding provides babies with perfect nutrition

According to Dr. Dua, weaning should be started in the seventh month by offering vegetables and fruits to the baby along with breastfeeding as and when required. She said,

Weaning should be started with single vegetables and fruits in puree form.

Over the next 18 months, the diet of the baby has to be modified in order to meet the daily requirements of energy, protein, vitamins, iron, and calcium, among other nutrients, she said.

Some vegetables that can be given to an infant during 6 months to 2 years are- green leafy vegetables, sweet potato, pumpkin and carrots. Some fruits recommended by Dr. Dua that can be given during this period are banana, guava, mango, papaya, mud apple, and custard apple. Dr. Dua further explained that the form of the food given to the baby during this period also needs to be changed gradually from puree to semi-solid to solid.

First 1,000 Days Of Life: Importance Of Maternal And Child Nutrition During Pregnancy And Up To Two Years Of Age
Some vegetables and fruits for babies from 6 months to 2 years

Dr. Dua highlighted that even though, the baby is being offered various kinds of food, breastfeeding has to be continued for two years and beyond. She said that during 6 months to 8 months, the child should be offered weaning food two to three times a day and during 9 months to 24 months, the child should be offered three to four meals a day along with breastmilk.

First 1,000 Days Of Life: Importance Of Maternal And Child Nutrition During Pregnancy And Up To Two Years Of Age
How many times should a child be fed in a day?

Also Read: National Nutrition Month: How SuPoshan Sanginis Are Spreading The Idea Of Nutrition And Supporting POSHAN Abhiyaan

How Anganwadi System In India Is Providing Nutritional Security To Mothers And Their Newborns In Rural Areas

According to Basanta Kumar Kar, Recipient of Global Nutrition Leadership Award, ‘Anganwadis’ (courtyard shelters) or child development centres play a vital role in ensuring a better nutritional status of pregnant women, lactating mothers and newborns, especially in the rural areas. Anganwadi system works under the Ministry of Women and Child Development (MWCD) as part of the Integrated Child Development Services (ICDS) programme (now merged under Prime Minister’s Overarching Scheme for Holistic Nutrition). ICDS was launched by MWCD on October 2, 1975, in a bid to tackle malnutrition among all pregnant women, lactating mothers and children in the age group 0-6 years. The services under ICDS include supplementary nutrition, nutrition and health education, health check-ups, immunization and pre-school non-formal education. These services are universal or not limited to any criterion like BPL (Below Poverty Line) and are delivered by Anganwadi workers, Anganwadi helpers, medical officers, ASHA (Accredited Social Health Activist) and ANM (Auxiliary Nurse and Midwife), according to MWCD. As on March 31, 2020, 1.68 crore pregnant women and 6.86 crore children are being catered to at 13.8 lakh Anganwadis across the country, as per the data provided by MWCD in response to a question in Lok Sabha on September 23, 2020.

Services under ICDS along with other health and nutrition related scheme and programmes to improve the nutritional status of children, pregnant women and lactating mothers were merged under the POSHAN Abhiyaan or National Nutrition Mission launched on March 8, 2018 and is majorly implemented by the MWCD in partnership with other ministries like the Ministry of Health and Family Welfare, Ministry of Rural Development, Ministry of Human Resource Development, and others.

According to the Ministry of Women and Child Development, pregnant women and lactating mothers must consume 600 extra calories through supplementary nutrition or nutrient-dense food along with regular food and at least 18-20 grams of protein per day. It also prescribes pregnant women and lactating mothers to nine micronutrients -iron, calcium, folic acid, zinc and vitamins A, B1, B2, B3 and C, in their diet. Anganwadis are required to deliver the nutrition prescribed by MWCD through the distribution of Iron, vitamin and folic acid tables, supplementary nutrition in the form of ready-to-cook daliya or preparations like ladoo or panjiri or cookies and hot meals comprising of regional dishes and staple foods or take-home ration (THR), according to Karthyayani VC, Chairperson, Anganwadi Workers Welfare Association, Kerala.

Also Read: ‘Only Healthy Mothers Can Produce Healthy Offspring,’ Is The Message This Nutrition Warrior Spreads In Her Rajasthan Village

Appreciating the efforts of Kerala government in ensuring nutrition for pregnant women, new mothers and children, Ms. Karthyayani said,

In rural areas of Kerala, Anganwadi Centres are doing well. Along with essential Iron and vitamin tablets, pregnant women and lactating mothers are given hot cooked meals two times in a day- breakfast and lunch that consist of local vegetable, nutrient-dense sambhar and upma or rice. Women and children enrolled in Anganwadis are also provided with special fortified milk. The state government has also started providing special cookies to lactating mothers to help them breastfeed better.

She further said that even when COVID-19 pandemic hit the state and disrupted the functioning of Aganwadis, the workers and helpers made sure that the women and children are provided with Take-Home-Ration for the whole month. She sdded that at many places in the state the Angawadis have started operating again and resumed cooking hot meals which are being delivered at the doorstep of pregnant women and lactating mothers. However, at some places, Anganwadis are still distributing only Take-Home-Ration.

Ms. Karthyayani said that unlike many other states, Kerala motivates its Anganwadi workers by providing them with benefits such as pension, free medical care, over and above their basic salary.

Anita Tiwari, 43-year-old Anganwadi worker in Bauripara Block of Ambikapur District of Chhattisgarh also acknowledged the Chhattisgarh state’s efforts in providing food and nutrition to the women and children under Anganwadis in a timely manner. She said,

I am so proud to say that 5 out of 7 severely acute malnourished (SAM) children in my centre have improved and transitioned to moderate malnutrition and about 10 have moved to normal. This has happened post COVID-19. The government of Chhattisgarh recommends giving eggs to the SAM children and I make sure that all the SAM children in my Angnwadi consume one boiled egg every day. For this, I personally buy eggs daily and go to each of their houses to deliver.

Also Read: Opinion: Thinking Beyond The First 1000 Days Of Life For Maternal And Child Nutrition

Ms. Tiwari further said that as part of supplementary nutrition, pregnant women/lactating mothers and infants from 6 months to 2 years are given four ready-to-cook ‘dailya’ packets every month. One packet lasts for about 6-7 days. While during the pre-COVID times, they were provided with hot cooked meals once a day, this service had to be stopped for about six months. She said,

We started cooking hot meals again in the first week of September, but it was decided by the supervisors that we should continue giving dry ration to the beneficiaries for some more days.

Talking about the disruption of food systems due to COVID-19 induced lockdown, Parvin, 40-year-old Anganwadi worker in Kota, Rajasthan said that Anganwadis were completely shut in the months of April and May and the distribution of food resumed from June. However, she highlighted that during this time, ANMs continued visiting and services like distribution of ORS (Oral Rehydration Salts), Vitamin tablets and Iron tablets and the immunisation services were not disrupted.

While talking about the Anganwadi services in Uttar Pradesh, Neeta Bhatnagar, 50-year-old Anganwadi worker in Moradabad block said that only ready-to-cook ‘daliya’ is being provided to pregnant women, lactating mothers and children. She said,

The daliya alone is not enough to cater to the nutritional needs of the children, pregnant women and new mothers. The state government should take early nutrition seriously, especially when UP is one of the worst states when it comes to maternal and child health. The previous government provided hot meals and fruits also every day but now it just ‘daliya’.

Mr. Kar believes that the pandemic has brought to light the importance of the Take-Home-Ration and thus, it is an opportunity to strengthen the delivery of nutrition to the last mile and transform the country’s nutrition security scenario. He said that the country’s Supplementary Nutrition Programme is one of the largest such initiatives in the world and despite its many flaws, Anganwadis have provided a platform for addressing the rural nutritional outcomes.

Also Read: Community Health Workers Reduce Maternal, Foetal And New-Born Deaths, Study Finds

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

13,99,25,320Cases
5,72,48,787Active
7,96,77,942Recovered
29,98,591Deaths
Coronavirus has spread to 192 countries. The total confirmed cases worldwide are 13,99,25,320 and 29,98,591 have died; 5,72,48,787 are active cases and 7,96,77,942 have recovered as on April 17, 2021 at 4:00 am.

India

1,45,26,609 234692Cases
16,79,740 109997Active
1,26,71,220 123354Recovered
1,75,649 1341Deaths
In India, there are 1,45,26,609 confirmed cases including 1,75,649 deaths. The number of active cases is 16,79,740 and 1,26,71,220 have recovered as on April 17, 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

37,03,584 63,729

6,39,642 17,996

30,04,391 45,335

59,551 398

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

12,07,332 10,031

70,188 6,218

11,32,267 3,792

4,877 21

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

11,24,509 14,859

1,07,334 10,754

10,03,985 4,027

13,190 78

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

9,71,384 8,449

61,593 3,496

8,96,759 4,920

13,032 33

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

9,48,231 6,096

35,592 3,882

9,05,266 2,194

7,373 20

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

8,03,623 19,486

61,005 6,696

7,30,825 12,649

11,793 141

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

7,93,720 27,360

1,50,676 20,828

6,33,461 6,429

9,583 103

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

6,43,795 6,910

41,047 4,066

5,92,242 2,818

10,506 26

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

5,16,412 14,912

1,24,303 2,534

3,86,529 12,240

5,580 138

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

3,95,309 7,359

53,813 4,537

3,38,424 2,791

3,072 31

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

3,84,688 8,920

49,737 5,439

3,29,781 3,387

5,170 94

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

3,84,563 11,045

59,183 3,489

3,20,955 7,496

4,425 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

3,61,450 3,108

15,990 2,153

3,43,522 952

1,938 3

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

3,46,331 4,446

33,514 3,020

3,11,008 1,414

1,809 12

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

3,42,077 6,277

33,817 3,299

3,04,906 2,958

3,354 20

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

3,07,557 6,253

33,466 4,387

2,72,403 1,853

1,688 13

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

2,90,707 3,891

30,745 712

2,52,190 3,129

7,772 50

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

2,22,940 573

5,416 456

2,16,397 113

1,127 4

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

1,55,115 3,843

23,045 2,394

1,30,694 1,393

1,376 56

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

1,44,021 1,144

10,620 580

1,31,353 562

2,048 2

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

1,18,646 2,402

13,546 1,062

1,03,281 1,323

1,819 17

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

74,195 842

7,711 349

65,316 484

1,168 9

DistrictCases
South Goa69
North Goa57

65,499 927

6,321 639

58,310 282

868 6

DistrictCases
Pondicherry111
Mahe4
Karaikal2
Yanam0

46,393 531

3,576 308

42,115 220

702 3

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

33,933 58

383 47

33,156 11

394

DistrictCases
Chandigarh313

32,878 481

3,423 52

29,047 428

408 1

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

29,610 31

165 24

29,069 7

376

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

16,948 28

92 26

16,800 2

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

14,703 121

565 108

13,986 12

152 1

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

12,504 22

139 17

12,271 4

94 1

DistrictCases
Kargil77
LehLadakh43

11,709 245

1,363 198

10,214 47

132

DistrictCases
East District3
South District3
North District0
West District0

6,519 22

241 12

6,142 10

136

DistrictCases
South Andamans33
Nicobars1
North And Middle Andaman1

5,289 27

116 1

5,110 28

63

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

4,809 62

315 57

4,482 5

12

DistrictCases
Dadra And Nagar Haveli20

4,681 158

879 130

3,798 28

4

DistrictCases
Lakshadweep District0

945 44

179 33

765 11

1

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