Highlights
- Gujarat reported the first 2 cases of COVID-19 on March 19 in Surat, Rajkot
- Ahmedabad city became the first Coronavirus hotspot in Gujarat
- Currently, Surat and Vadodara are witnessing a rise in COVID-19 cases
New Delhi: “Gujarat’s situation is better in comparison to other states”, claimed Chief Minister Vijay Rupani on July 30, citing the increment in recoveries from COVID-19 and a decline in fatality rate. As on August 6, Gujarat had a recovery rate of 74.14 per cent which is higher than the national average of 67.61 per cent. However, the mortality rate which was and is the highest in the country seems to be pulling down the state’s response to the Coronavirus pandemic. In the last two months, case fatality rate in the state has dropped down from 6.16 per cent (May 30) to 3.83 per cent now. The current death rate due to COVID-19 is almost double the India’s death rate of 2.07 per cent.
Gujarat reported the first two cases of COVID-19 on March 19 in Surat and Rajkot. One was a woman from Surat who had returned from New York and another patient was a man from Rajkot, who had returned from Mecca. Since then the COVID-19 case curve has only headed North with more cases being reported every day. From July 21, the state started to report over 1,000 fresh cases daily. On the same day the state saw its biggest single-day spike in the number of deaths, with 34 recorded deaths.
At the initial stage of the pandemic, Ahmedabad city was considered as the Coronavirus hotspot with over 70 per cent of the cases but over time, new COVID-19 hotspots have cropped up. Here is how the pandemic unfolded in Prime Minister Narendra Modi’s home state Gujarat.
Ahmedabad’s COVID-19 Trajectory: Gujarat’s Worst Affected District And Once A Hotspot
In the latter half of April, Ahmedabad started to witness a surge in COVID-19 cases and on May 16, it reported a total of 5,106 cases of COVID-19. Back then Ahmedabad accounted for 70 per cent of the COVID-19 cases in Gujarat and was titled as the Coronavirus hotspot. Explaining the reason behind the peak and fast spread of SARS-CoV-2 in Ahmedabad, Padma Shri Awardee, Dr KK Aggarwal, President CMAAO (Confederation of Medical Associations in Asia and Oceania) and Medtalks, HCFI (Heart Care Foundation of India) and Past National President IMA (Indian Medical Association), said,
The outbreak first started in the densely populated old Ahmedabad (the walled city); the peak of illness was seen in last week of April and early May. Clusters in the densely populated old city area of Ahmedabad, with its many narrow by lanes, led to a spike in the number of cases. Therefore, any case detected here would already have potentially spread the infection to several others in the area.
According to Dr Mona Desai, President, Ahemdabad Medical Association, two more reasons contributed to the peak in cases – Markaz event in Delhi and the fear among people. Elaborating on the same, Dr Desai said,
A group of people attended a religious event in Delhi and when they entered Ahmedabad city, they all hid. So they became super spreaders. Also, at an early stage of the pandemic, people were afraid of coming out of their house. Whenever someone visited the hospital, it was already late and they showed serious symptoms of COVID-19 like breathlessness.
To contain the spread of COVID-19 in the city, the Corporation declared hotspots as containment zones and movement was restricted. According to Dr Mona Desai, the stringent containment measures helped. However, a senior public health expert from Gujarat who chooses to be anonymous believes that people were still travelling inside containment zones. Also, because of the restrictions, all local medical services that is private clinics and public health centres were closed. In the interiors of the city people had no medical access which further led to deaths.
Ahmedabad city has been divided into seven zones – Central; North; South; West; East; South West; North West. At the initial stage of the outbreak, central zone was worst affected; there also Jamalpur district was the biggest hotspot. But now, central zone accounts for mere 9.7 per cent of the active cases in Ahmedabad. The virus is now spreading to other zones and currently, North West Zone has the maximum active COVID-19 cases (548) followed by West Zone with 531 cases and South West Zone with 473 cases.
From having over 5,000 active cases in mid-May, to now 3,088 cases (August 5, 11 am), overall, COVID-19 cases have seen a decline in Ahmedabad.
The need for hospitalisation is reducing. When the infection was at its peak, a 1200-bed civil hospital had over 1000 occupancy; since the last 3 weeks, this has decreased to around 248. Another 800-bed civil hospital had more than 700 occupancy; this has now (July 29) reduced to around 250 in the last 3 weeks. These are dedicated COVID hospitals, informed Dr KK Aggarwal.
But the virus is now moving to other parts of the state including Surat, Vadodara, Rajkot, Bhavnagar, Gandhinagar and other districts.
Surat And Vadodara, New Hotspots Crop Up In Gujarat
As on August 5, the active COVID-19 cases in Surat (3,899 cases) have surpassed Ahmedabad (3,631 cases). Since the start of the Unlock 1 in June, Surat, the diamond city of India, started to report a sudden rise in cases. When asked about the same, Dr Ritika Patel, Medical Officer, Surat Municipal Corporation said,
The rise in cases is linked to unlock which came with relaxations in the movement of people. The more people will step out and interact with each other, the more cases will come. The majority of the cases are coming from diamond unit and textile market because they are now open. Also, in Surat, the majority of the population is migrant labourers. We are now getting cases in slums where community behaviour and lack of knowledge are acting as a roadblock.
Dr Mona Desai agreed with the reasons given by Surat Municipal Corporation and said that the workers at diamond industry are not well educated, people there are not following precautionary measures like wearing face mask.
Further talking about the measures being taken to control the spread, Dr Ritika Patel said,
If one COVID-19 case emerges in any diamond unit, then that particular floor or section will be shut for a week. If three COVID-19 cases emerge, then the entire unit or factory will be shut for one week.
‘Surat is becoming worst’, said Dr Mona Desai and suggested to follow the Ahmedabad model that is to find out the hotspots, and curb movement. She said,
You have to take some harsh decisions somewhere for the betterment. Don’t let people come out and become super spreaders. Testing will help you in knowing if someone is positive or not. But containment will help you in finding asymptomatic cases also. Because you are not going to test asymptomatic but they can become spreader.
Apart from Surat, as on August 5, Vadodara has 1,045 active cases of COVID-19 and is the third worst affected district in Gujarat. Vadodara also started seeing a spike in cases around unlock period and in the last two months, the active cases have more than doubled; from 393 on May 31 to 1,045 now.
In terms of active cases, Vadodara is followed by Rajkot having 940 cases and the number is expected to rise in the coming days.
Talking about the virus spreading to other parts of the state which were kind of untouched until few weeks ago, Dr Maharshi Desai, Critical Care Specialist, Apollo Hospital and a member of Gujarat COVID task force, said,
This kind of phenomenon has been observed everywhere; the number of cases have reduced in the erstwhile hotspots and other areas which were not affected are catching up. When the outbreak began, Delhi, Mumbai, and Ahmedabad were hotspots. Now in all these areas, things seem to be getting better and other areas like Bengaluru are turning into hotspot. Gujarat is no different.
Challenges In Gujarat’s Initial Response To Coronavirus Pandemic
Both Dr Mona Desai and a senior public health expert from Gujarat believes that fear among people was one of the biggest challenges at the initial stage. The fear of contracting the virus and the perception that one will die of it, stopped people from seeking treatment. Now, the fear has gone down, say experts.
Now they have realised that coronavirus is not so deadly. If they come early, we can treat them. If you come late, nobody can do anything, said Dr Mona Desai.
Another challenge as cited by Dr KK Aggarwal was of the healthcare workers and infrastructure. Earlier, the government was providing COVID-19 treatment only at government hospitals and no private hospitals were involved. Talking about its implications, Dr KK Aggarwal said,
Government hospitals were overwhelmed with the increasing number of patients; the problem was further compounded by the lack of personal protective equipment (PPEs), shortage of ventilators, ICUs and isolating wards. The high court had to intervene for the private health sector to start treating COVID patients. Private health sector came in only following intervention of the high court, which passed an order that made it mandatory for private hospitals to reserve 50 per cent of their beds to treat COVID-19 patients.
Currently, the government has taken over 50 per cent of the beds at 42 private hospitals. Dr Mona Desai believes that with the intervention of the private sector, the quality of treatment and service has improved.
In the fight against COVID-19, various firms have come forward with innovations and low-cost medical equipment to cater to the COVID-19 patients and contain the spread of SARS-CoV-2. In April, Rajkot based firm Jyoti CNC Automation Limited claimed to have developed low-cost ventilators ‘Dhaman-1’ in just 10 days. On April 4, CM Vijay Rupani inaugurated the indigenous ventilators at Ahmedabad Civil Hospital. According to the official press note, the manufacturing cost of Dhaman-1 is less than Rs. 1 lakh per piece. However, in May, Ahmedabad Mirror broke the news of ‘fake ventilators’ and reported that breathing apparatus inaugurated by CM and 900 ventilators already installed at several government hospitals are not ventilators per se, rather AMBU (Artificial Manual Breathing Unit) bag. The Ahmedabad Mirror also reported that ‘fake ventilators’ do not have the mandatory license from Drug Controller General of India. Also, the trial was conducted on only one patient and no ethical committee was formed to monitor the device. The manufacturers have admitted that these are not ventilators but the government promoted it as ventilators.
The report raised questions over Gujarat’s overall model of development and its ability to fight the Coronavirus and the state’s ability to tide over the crisis.
Renu Khanna, member of the Jan Swasthya Abhiyan, a national platform of health activists said that a challenge was and still exists in rural areas where people are misinformed which is leading to panic and worry. She added,
How do you follow guidelines, maintain hygiene and social distancing where women have to step out of the house and walk miles to fetch water? Women are becoming more vulnerable to contracting the disease.
COVID-19 Testing And Healthcare Infrastructure
Initially, the government had a restrictive testing policy according to which patients willing to undergo RT-PCR test had to take permission from Chief District Medical Officer (CDHO). Explaining the cons of the policy, Dr Mona Desai said,
CDHO will take two to five days to give approval and may not give only. 10 patients would apply for approval for COVID test and only three would get it. A patient with serious health conditions cannot wait for this long. Either patient’s condition will deteriorate or he/she will die. Also, how will a CDHO sitting kilometres away know about a patient’s condition?
Ahmedabad Medical Association challenged the policy and on May 26 filed a plea in the high court to allow treating doctor to take the decision whether COVID test is required or not. The High Court gave a go ahead on May 29 and said that treating doctor can send patients for RT-PCR testing without any approval. They just need to give intimation to the concerned authorities.
Dr Mona Desai says, the state government took another two weeks to agree on it but at least now the testing scenario has improved.
Also Read: Gujarat Government Relaxes Rules About Coronavirus Testing
Dr KK Aggarwal believes the restrictive testing policy was a factor for the low testing in the state. As opposed to this, Dr Maharshi Desai thinks the policy didn’t do much harm as it was rescinded immediately.
In March, the state conducted a little over 1,200 tests whereas in April close to 70,000 tests were done and in May over 1.39 lakh. Over time, the testing has increased substantially but tests per million (13,151) are still low when compared to national average of 15,966 tests.
Further talking about the infrastructure, Dr KK Aggarwal said,
Lack of public healthcare infrastructure has been an important factor in the spread of the disease. According to the Union health ministry’s Rural Health Statistics 2019 data, Gujarat has just 704 active PHCs (public health centres) and the number of urban PHCs is 50 per cent less than what is required. If available, these could have served as isolation facilities. Gujarat only has 0.3 beds for every 1,000 people, amounting to 20,172 government hospital beds, below the national average of 0.55 beds per 1,000 population (7,13,986 total government hospital beds) as per National Health Profile 2019. Initially, there was a shortage of good quality PPE kits, but now they are being manufactured in the state itself and are more than adequate in supply.
As per the information shared by the state health department, four special COVID hospitals are operationalised at Ahmedabad (1,200 beds), Surat (500 beds), Rajkot (250 beds) and Vadodara (250 beds). The state has 484 hospitals providing treatment to COVID-19 patients; the facilities are divided into category 1, 2 and 3 hospitals. Explaining the difference between three kinds of hospitals, a senior officer looking into COVID-19 in the state said,
There are 151 category 1 hospitals, completely COVID-19 designated facilities; these hospitals are fully equipped in terms of oxygen supported beds, ICU beds, ventilators and staff. Category 2 and 3 hospitals have basic medical facilities available for pre-symptomatic or mildly symptomatic patients of COVID-19.
Dhanvanatri Raths And Awareness Campaigns Prove To Be A Boon
To create awareness about the pandemic and the ways to deal with it, the state health department undertook IEC (Information, Education and Communication) activities including short videos, radio jingles, newspaper advertisements, and hoardings.
To provide 24×7 help to citizens and address their concerns, Gujarat started helpline for COVID-19 with phone number 079-23250818 and WhatsApp number 7433000104. It also introduced a toll-free helpline – 104 and 1100.
People showing symptom of COVID-19 and wishing to get a test done at home can call the 104 helpline. A van consisting of doctors and paramedics will come and conduct an antigen test.
To enhance testing and diagnosis in the state, especially rural areas and smaller towns, 125 mobile medical vans called as ‘Dhanvanatri Raths’ were introduced. Each van consists of a doctor, a nurse and a paramedic. The mobile clinic goes from one area to another and conducts Rapid Antigen Test. The mobile clinic also conducts other tests like blood sugar and identifies high-risk patients.
Along with this, Ahmedabad Municipal Corporation has started ‘Corona Ghar Seva: Sanjivani Van’. As part of the initiative, every alternate day, paramedics visit COVID-19 patients in home isolation and check for their symptoms.
Initiatives like mobile medical vans (called Dhanvanatri Raths), 104 helpline for symptomatic people who want home testing, Sanjivani Ghar Seva to track COVID patients under home isolation have facilitated early detection and cure of the cases, said Dr KK Aggarwal.
How Should Gujarat Move Ahead In Its Fight Against COVID-19?
Dr Mona Desai suggests 3Ts trace COVID patients, test and treat and ask citizens to follow precautionary measures. She said,
People have to take care of wearing mask, hand washing, social distancing. They have started moving as if nothing is happening.
As the Novel Coronavirus gets its roots strong, Dr Maharshi Desai recommends focusing on smaller villages and towns. He said,
Now the way things are, it is going into tier 2 and tier 3 cities and towns wherein the healthcare accessibility might be less robust than in the cities. So, we need to focus on managing the cases there. Less severe COVID-19 cases can be treated at home so that severe cases can be recommended to special hospitals.
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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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 | 21,61,467 6,397 | 78,825 613 | 20,30,458 5,754 | 52,184 30 |
DistrictCases Kannur357 Kasaragod333 Palakkad224 Malappuram119 Kollam118 Thrissur106 Thiruvananthapuram104 Pathanamthitta98 Kozhikode90 Alappuzha76 Kottayam73 Ernakulam60 Idukki40 Wayanad36 | 10,61,341 1,938 | 48,159 1,550 | 10,08,972 3,475 | 4,210 13 |
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 | 9,51,600 349 | 5,843 20 | 9,33,421 324 | 12,336 5 |
DistrictCases Kurnool795 Krishna557 Guntur511 Anantapur428 East Godavari356 Chittoor319 Sri Potti Sriramulu Nell*296 Y.S.R.205 West Godavari199 Srikakulam183 Prakasam104 Visakhapatnam103 Vizianagaram23 | 8,89,974 58 | 725 7 | 8,82,080 51 | 7,169 |
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 | 8,52,016 474 | 4,009 13 | 8,35,506 482 | 12,501 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 | 6,39,464 175 | 1,404 69 | 6,27,149 105 | 10,911 1 |
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 | 6,03,608 81 | 2,078 25 | 5,92,803 104 | 8,727 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 | 5,75,316 198 | 3,293 14 | 5,61,755 212 | 10,268 |
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 | 3,37,277 86 | 714 10 | 3,34,647 76 | 1,916 |
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 | 3,20,455 119 | 1,304 4 | 3,16,364 123 | 2,787 |
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 | 3,12,816 256 | 2,880 106 | 3,06,094 143 | 3,842 7 |
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 | 2,99,086 163 | 1,907 5 | 2,95,544 157 | 1,635 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 | 2,70,950 166 | 1,288 13 | 2,66,612 151 | 3,050 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 | 2,70,316 427 | 2,431 68 | 2,63,475 359 | 4,410 |
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 | 2,62,556 22 | 370 29 | 2,60,645 51 | 1,541 |
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 | 2,62,102 336 | 2,901 116 | 2,55,336 219 | 3,865 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 | 2,17,570 33 | 1,631 16 | 2,14,846 16 | 1,093 1 |
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 | 1,82,809 633 | 4,853 221 | 1,72,106 394 | 5,850 18 |
DistrictCases Anantnag395 Srinagar300 Kulgam295 Baramulla271 Shopian255 Kupwara231 Bandipora175 Udhampur155 Ramban151 Jammu138 Budgam110 Pulwama108 Kathua53 Rajouri39 Ganderbal37 Poonch35 Doda27 Reasi26 Samba25 Kishtwar10 Mirpur0 Muzaffarabad0 | 1,26,504 63 | 829 6 | 1,23,717 56 | 1,958 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 | 1,19,986 37 | 485 9 | 1,18,411 46 | 1,090 |
DistrictCases Dehradun370 Nainital323 Tehri Garhwal110 Haridwar94 Udam Singh Nagar83 Almora71 Champawat45 Pithoragarh43 Chamoli36 PauriGarhwal36 Bageshwar31 Rudraprayag30 Uttar Kashi24 | 97,031 | 459 30 | 94,880 30 | 1,692 |
DistrictCases Hamirpur117 Kangra105 Una41 Solan32 Chamba29 Bilaspur21 Mandi21 Sirmaur11 Shimla10 Kullu4 Kinnaur2 Lahaul And Spiti0 | 58,777 132 | 434 116 | 57,347 15 | 996 1 |
DistrictCases South Goa69 North Goa57 | 55,026 40 | 583 23 | 53,647 62 | 796 1 |
DistrictCases Pondicherry111 Mahe4 Karaikal2 Yanam0 | 39,734 9 | 177 8 | 38,888 16 | 669 1 |
DistrictCases Dhalai196 Sepahijala174 Gomati74 South Tripura53 Unakoti49 West Tripura45 Khowai24 North Tripura14 | 33,420 3 | 42 3 | 32,987 | 391 |
DistrictCases Churachandpur32 Kangpokpi26 Imphal West21 Thoubal18 Imphal East10 Tengnoupal9 Bishnupur7 Senapati6 Chandel5 Kamjong5 Ukhrul4 Jiribam3 Pherzawl3 Kakching2 Tamenglong2 Noney1 | 29,274 1 | 30 3 | 28,871 4 | 373 |
DistrictCases Chandigarh313 | 21,839 69 | 430 49 | 21,056 19 | 353 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 | 16,837 1 | 1 1 | 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 | 13,963 1 | 17 0 | 13,798 1 | 148 |
DistrictCases Dimapur20 Mon8 Kohima7 Kiphire3 Tuensang3 Peren2 Phek1 Longleng0 Mokokchung0 Wokha0 Zunheboto0 | 12,200 | 7 0 | 12,102 | 91 |
DistrictCases Kargil77 LehLadakh43 | 9,819 1 | 46 7 | 9,643 8 | 130 |
DistrictCases East District3 South District3 North District0 West District0 | 6,145 | 45 1 | 5,965 1 | 135 |
DistrictCases South Andamans33 Nicobars1 North And Middle Andaman1 | 5,020 | 6 0 | 4,952 | 62 |
DistrictCases Kolasib11 Aizawl10 Mamit8 Lawngtlai2 Lunglei2 Saitual1 Champhai0 Hnahthial0 Khawzawl0 Saiha0 Serchhip0 | 4,426 3 | 20 0 | 4,396 3 | 10 |
DistrictCases Dadra And Nagar Haveli20 | 3,406 | 4 0 | 3,400 | 2 |
DistrictCases Lakshadweep District0 | 397 15 | 128 8 | 268 7 | 1 |