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
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.
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.
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.
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.
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.
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.
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 (Water, Sanitation 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 pollution, waste management, plastic ban, manual scavenging and sanitation workers and menstrual hygiene.
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India
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 | 22,28,471 8,744 | 98,859 346 | 20,77,112 9,068 | 52,500 22 |
DistrictCases Kannur357 Kasaragod333 Palakkad224 Malappuram119 Kollam118 Thrissur106 Thiruvananthapuram104 Pathanamthitta98 Kozhikode90 Alappuzha76 Kottayam73 Ernakulam60 Idukki40 Wayanad36 | 10,78,739 1,412 | 39,532 1,630 | 10,34,895 3,030 | 4,312 12 |
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 | 9,55,451 436 | 6,834 47 | 9,36,250 478 | 12,367 5 |
DistrictCases Kurnool795 Krishna557 Guntur511 Anantapur428 East Godavari356 Chittoor319 Sri Potti Sriramulu Nell*296 Y.S.R.205 West Godavari199 Srikakulam183 Prakasam104 Visakhapatnam103 Vizianagaram23 | 8,90,766 74 | 1,009 11 | 8,82,581 61 | 7,176 2 |
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 | 8,55,677 556 | 4,018 21 | 8,39,138 532 | 12,521 3 |
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 | 6,41,340 239 | 1,730 73 | 6,28,686 309 | 10,924 3 |
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 | 6,04,380 101 | 1,634 13 | 5,94,008 113 | 8,738 1 |
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 | 5,76,838 215 | 3,155 8 | 5,63,403 221 | 10,280 2 |
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 | 3,37,803 59 | 718 29 | 3,35,168 88 | 1,917 |
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 | 3,21,711 179 | 1,883 128 | 3,17,039 51 | 2,789 |
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 | 3,14,640 320 | 2,919 99 | 3,07,862 220 | 3,859 1 |
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 | 3,00,153 142 | 1,769 38 | 2,96,740 178 | 1,644 2 |
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 | 2,73,941 555 | 3,212 72 | 2,66,313 482 | 4,416 1 |
DistrictCases Gurugram2,950 Faridabad867 Sonipat404 Rohtak145 Palwal120 Jhajjar114 Karnal104 Hisar98 Ambala93 Panipat78 Nuh68 Bhiwani60 Rewari56 Kurukshetra55 Sirsa50 Kaithal48 Mahendragarh47 CharkiDadri43 Panchkula39 Fatehabad38 Jind38 Yamunanagar19 | 2,72,751 231 | 2,083 52 | 2,67,610 177 | 3,058 2 |
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 | 2,65,070 427 | 3,638 32 | 2,57,560 394 | 3,872 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 | 2,62,779 21 | 290 23 | 2,60,942 43 | 1,547 1 |
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 | 2,17,682 14 | 1,624 3 | 2,14,964 17 | 1,094 |
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 | 1,89,620 1,229 | 8,020 523 | 1,75,659 692 | 5,941 14 |
DistrictCases Anantnag395 Srinagar300 Kulgam295 Baramulla271 Shopian255 Kupwara231 Bandipora175 Udhampur155 Ramban151 Jammu138 Budgam110 Pulwama108 Kathua53 Rajouri39 Ganderbal37 Poonch35 Doda27 Reasi26 Samba25 Kishtwar10 Mirpur0 Muzaffarabad0 | 1,27,114 70 | 871 21 | 1,24,280 90 | 1,963 1 |
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 | 1,20,312 53 | 472 9 | 1,18,747 44 | 1,093 |
DistrictCases Dehradun370 Nainital323 Tehri Garhwal110 Haridwar94 Udam Singh Nagar83 Almora71 Champawat45 Pithoragarh43 Chamoli36 PauriGarhwal36 Bageshwar31 Rudraprayag30 Uttar Kashi24 | 97,480 58 | 662 30 | 95,123 28 | 1,695 |
DistrictCases Hamirpur117 Kangra105 Una41 Solan32 Chamba29 Bilaspur21 Mandi21 Sirmaur11 Shimla10 Kullu4 Kinnaur2 Lahaul And Spiti0 | 59,197 79 | 617 3 | 57,580 73 | 1,000 3 |
DistrictCases South Goa69 North Goa57 | 55,463 54 | 632 56 | 54,032 110 | 799 |
DistrictCases Pondicherry111 Mahe4 Karaikal2 Yanam0 | 39,882 14 | 171 5 | 39,041 19 | 670 |
DistrictCases Dhalai196 Sepahijala174 Gomati74 South Tripura53 Unakoti49 West Tripura45 Khowai24 North Tripura14 | 33,424 | 30 0 | 33,003 | 391 |
DistrictCases Churachandpur32 Kangpokpi26 Imphal West21 Thoubal18 Imphal East10 Tengnoupal9 Bishnupur7 Senapati6 Chandel5 Kamjong5 Ukhrul4 Jiribam3 Pherzawl3 Kakching2 Tamenglong2 Noney1 | 29,296 5 | 29 1 | 28,894 4 | 373 |
DistrictCases Chandigarh313 | 22,397 79 | 725 15 | 21,316 63 | 356 1 |
DistrictCases Changlang31 Papum Pare8 Lohit3 Namsai2 West Siang1 East Siang1 Upper Siang1 Tawang1 PakkeKessang1 West Kameng0 Upper Subansiri0 Tirap0 Siang0 Shi Yomi0 Anjaw0 Lower Subansiri0 Lower Dibang Valley0 Longding0 Leparada0 KurungKumey0 KraDaadi0 Kamle0 East Kameng0 Dibang Valley0 Lower Siang0 | 16,839 | 3 0 | 16,780 | 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 | 13,973 1 | 12 1 | 13,813 2 | 148 |
DistrictCases Dimapur20 Mon8 Kohima7 Kiphire3 Tuensang3 Peren2 Phek1 Longleng0 Mokokchung0 Wokha0 Zunheboto0 | 12,217 | 19 1 | 12,107 1 | 91 |
DistrictCases Kargil77 LehLadakh43 | 9,833 2 | 44 0 | 9,659 2 | 130 |
DistrictCases East District3 South District3 North District0 West District0 | 6,174 | 50 0 | 5,989 | 135 |
DistrictCases South Andamans33 Nicobars1 North And Middle Andaman1 | 5,026 2 | 7 0 | 4,957 2 | 62 |
DistrictCases Kolasib11 Aizawl10 Mamit8 Lawngtlai2 Lunglei2 Saitual1 Champhai0 Hnahthial0 Khawzawl0 Saiha0 Serchhip0 | 4,432 4 | 10 2 | 4,412 2 | 10 |
DistrictCases Dadra And Nagar Haveli20 | 3,421 5 | 17 5 | 3,402 | 2 |
DistrictCases Lakshadweep District0 | 494 8 | 164 6 | 329 2 | 1 |