How To Safely Vaccinate Children During COVID-19 Pandemic

How To Safely Vaccinate Children During COVID-19 Pandemic

World Immunization Day 2020: The 12 vaccines administered under Universal Immunisation Programme are some of the most crucial vaccines and should not be missed due to COVID, say experts and recommend these precautions
Swasth India
- in Swasth India
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How To Safely Vaccinate Children During COVID-19 PandemicUniversal Immunization Programme (UIP) in India is one of the largest public health programmes targeting close to 2.67 crore newborns and 2.9 crore pregnant women
Highlights
  • Due to COVID-19 and lockdown, immunization services were disrupted
  • Sept, 2020 saw a 23% dip in number of children vaccinated than in Sept 2019
  • Amid COVID-19 parents are afraid of taking their children to a clinic: Expe

New Delhi: India’s vaccination programme called Universal Immunization Programme (UIP) is one of the largest public health programmes targeting close to 2.67 crore newborns and 2.9 crore pregnant women annually, as per the National Health Mission. UIP is one of the most cost-effective public health interventions and largely responsible for the reduction of vaccine preventable under-5 mortality rate. UIP provides protection to children from 12 vaccine preventable diseases including Polio, Measles, Rubella, Diphtheria, Pertussis, Tetanus, among others. This year, however, the coronavirus pandemic has disturbed the immunization programme. Sharing the impact of Coronavirus and a subsequent lockdown on UIP in Bihar, Dr. Syed Hubbe Ali, Health Specialist at UNICEF, Bihar, said,

In the state, 1.10 lakh children are immunized every month, however, due to the lockdown, the service was disrupted for one AND a half month. Anganwadi centres were closed so parents couldn’t take their children there for routine immunization. Though some health centres were functional, people were not coming out because of the fear of COVID-19.

Also Read: Universal Coverage Or Immunisation For All Is Still A Long Wait

UNICEF in Bihar along with State Health Society, Bihar developed micro plans and organised catchup campaigns to vaccinate missed children. Catch up campaigns began on May 6 and slowly picked momentum, the reach widened with unlock and containment zones turning into non-containment zones. As per Dr Ali, the routine immunization in Bihar is almost completely on track as compared to the 2019 figures.

Deepak Kapur, Chairman, Rotary International’s India National PolioPlus Committee, informed that there is a renewed focus on immunization and the first round of SNID (Sub National Immunization Days) post COVID was held in September across 10 states including Bihar, Delhi, Gujarat, Haryana, Maharashtra, Punjab, Rajasthan, Jharkhand, West Bengal, Uttarakhand and Chandigarh (UT). The immunization coverage was sub-optimal, with a nearly 23 per cent dip in the total number of children vaccinated compared to SNID held in September 2019, he added.

Also Read: An Easy To Use Vaccine Delivery Kit Aims To Improve Immunisation In Rural India

Most Crucial Vaccines That Are Not To Be Missed

The 12 vaccines available in the UIP are some of the most crucial vaccines and should not be missed. Detailing on the same, Dr. Shreya Dubey, Consultant, Neonatology and Paediatrics, CK Birla hospital, said,

Vaccinations at birth like BCG for tuberculosis, Hepatitis B and polio drops are very important. Vaccinations at 6, 10 and 14 weeks like those against Diphtheria, Pertussis, Tetanus, Hemophilus influenza should preferably not be delayed. Similarly, MMR vaccine which protects against Measles, Mumps and Rubella should be received timely.

Also Read: Vaccination During Pandemic: Fear Of Contracting COVID-19 Prevents Parents From Taking Kids For Vaccination

Dr. Fazal Nabi, Director, Pediatrics at Jaslok Hospital and Research Centre in Mumbai suggested vaccinating newborns with BCG, OPV and Hepatitis B vaccines in maternity set up, before discharge. He said, primary vaccination series including DPT vaccine, Hepatitis B, Rotavirus vaccines, among others should be prioritised. To reduce the visits to the hospital and at the same time get maximum vaccines, Dr. Nabi recommended combining a few vaccines. He said,

Typhoid conjugate vaccines may be clubbed with the influenza vaccine at 6 months or MR/MMR vaccine given for measles, mumps and rubella at 9 months. Inactivated JE vaccines (where applicable) should be administered at 1 year. Hepatitis A vaccines, HPV vaccines and boosters may be postponed to a later date if logistic issues of transport, and others exist. They may be administered after the priority vaccines have been given. Multiple vaccines can be administered in the same session without fear of any increased adverse effects.

Also Read: Opinion: Why Are People Scared To Get Vaccinated?

The Impact Of Delay In Vaccination Due To COVID-19 Pandemic

The fear of catching SARS-CoV-2 is real which is resulting in the delay of routine immunization. Dr. Nabi is of the opinion that there is no documented risk of immunising a well child during the COVID-19 pandemic. He said,

COVID- 19 is an evolving disease and hence, we need to monitor strictly for any increased adverse event following immunization (AEFI).

According to the health experts, following COVID precautionary measures can reduce the risk of contracting the Novel Coronavirus and because of the fear of the virus, immunization should not be postponed. Dr. Shreya Dubey reiterated the message and said,

Delaying immunisation, especially in the first two years of life is not advisable as the children are at risk of contracting many life-threatening infections owing to the immature immune system.

Also Read: Opinion: How Crucial Are Vaccines For Preventable Diseases?

Further talking about the impact of delay in immunization due to the fear of COVID-19, Dr. Nabi shared the case study of Ebola outbreak and said,

During the 2014-2015 Ebola outbreak, the increased number of deaths caused by measles, malaria, HIV/AIDS and tuberculosis attributable to health system failures, exceeded deaths from Ebola itself. A modelling study done by the scientists at the London School of Hygiene and Tropical Medicine on the impact of suspending routine immunization sessions to prevent the spread of COVID 19 and further deaths due to COVID 19 in Africa, has shown that for each COVID-19 death prevented, there would be as many as 34-1,274 future deaths due to diseases including measles, yellow fever, polio, meningitis, pneumonia and diarrhoea.

Also Read: How Will India Manage COVID-19 Vaccination Coverage?

How To Safely Immunize Children During COVID-19 Pandemic

Health experts suggest following basic COVID precautionary measures that include hand hygiene, wearing a face mask and maintaining a physical distance. In line with this, Dr. Nabi and Dr. Ali listed a few steps that parents, caregivers and healthcare providers should follow as a precaution:

1. It is strongly recommended to have exclusive vaccination sessions and exclusive vaccination rooms. A polyclinic or nursing home or a hospital should have segregated vaccination areas with separate entrance and exit. Along with this, maintain aggressive infection control measure in the clinic.

2. Any caretaker having cough, cold, or fever should be barred from entering the healthcare facility.

3. It is essential to perform triaging of patients and segregate those with fever and respiratory symptoms.

4. Hospitals or healthcare workers should screen accompanying individuals for fever and respiratory symptoms.

Also Read: Anganwadi Centres, Schools, Panchayat Buildings To Be Used As COVID-19 Vaccination Sites

5. Only one to two caretakers should be permitted with each child. Senior citizens (over 60 year of age) should be requested not to accompany the vaccinee.

6. All caretakers and children, except infants should wear a mask.

7. It is preferable to give vaccinations by appointment only and appointments should be staggered to avoid crowding in the clinic.

8. Well-baby visits may be combined with immunizations.

9. Mothers should maintain physical distance while keeping the babies in their arms and once they go back home, they should take a shower, wash all the clothes and sanitise all the belongings. Children should also be provided with a lukewarm shower.

Also Read: India Should Build COVID-19 Vaccine Confidence, Identify ‘Hesitancy Hotspots’: Immunisation Expert Heidi Larson

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

6,22,00,148Cases
2,09,49,646Active
3,97,99,428Recovered
14,51,074Deaths
Coronavirus has spread to 191 countries. The total confirmed cases worldwide are 6,22,00,148 and 14,51,074 have died; 2,09,49,646 are active cases and 3,97,99,428 have recovered as on November 29, 2020 at 3:51 am.

India

93,92,919 41810Cases
4,53,956 -984Active
88,02,267 42298Recovered
1,36,696 496Deaths
In India, there are 93,92,919 confirmed cases including 1,36,696 deaths. The number of active cases is 4,53,956 and 88,02,267 have recovered as on November 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

18,14,515 5,965

90,965 1,940

16,76,564 3,937

46,986 88

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

8,82,608 1,522

24,776 622

8,46,082 2,132

11,750 12

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

8,67,063 625

11,571 566

8,48,511 1,186

6,981 5

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

7,79,046 1,430

11,073 36

7,56,279 1,453

11,694 13

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

5,93,957 6,250

64,964 950

5,26,797 5,275

2,196 25

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

5,61,742 4,998

36,578 1,603

5,16,166 6,512

8,998 89

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

5,39,899 2,152

25,243 396

5,06,938 2,527

7,718 21

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

4,77,446 3,459

24,537 80

4,44,587 3,487

8,322 52

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

3,17,789 550

5,510 264

3,10,549 802

1,730 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

2,69,223 805

10,490 147

2,57,278 948

1,455 4

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

2,62,805 2,765

28,751 568

2,31,780 2,178

2,274 19

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

2,34,725 1,890

20,978 861

2,10,917 2,734

2,830 17

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

2,33,572 656

5,380 21

2,26,939 672

1,253 5

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

2,30,713 1,967

19,916 484

2,08,422 2,421

2,375 30

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

2,12,483 163

3,313 41

2,08,190 122

980

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

2,06,714 1,598

14,792 60

1,87,969 1,523

3,953 15

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

2,03,231 1,634

14,981 304

1,85,013 1,317

3,237 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

1,50,805 719

7,834 115

1,38,206 576

4,765 28

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

1,09,383 512

5,112 124

1,02,591 632

1,680 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

1,08,786 209

2,154 8

1,05,669 216

963 1

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

73,951 424

4,876 64

67,861 347

1,214 13

DistrictCases
South Goa69
North Goa57

47,689 198

1,348 35

45,655 163

686

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

38,977 650

8,574 369

29,780 270

623 11

DistrictCases
Pondicherry111
Mahe4
Karaikal2
Yanam0

36,902 46

519 5

35,774 41

609

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

32,674 33

649 54

31,655 87

370

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

24,749 235

3,283 31

21,203 197

263 7

DistrictCases
Chandigarh313

17,246 89

1,115 75

15,857 160

274 4

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

16,262 31

888 23

15,323 53

51 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

11,704 71

858 59

10,735 129

111 1

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

11,115 24

1,221 1

9,830 25

64

DistrictCases
Kargil77
LehLadakh43

8,328 56

885 19

7,327 73

116 2

DistrictCases
East District3
South District3
North District0
West District0

4,967 59

288 24

4,572 31

107 4

DistrictCases
South Andamans33
Nicobars1
North And Middle Andaman1

4,698 9

119 1

4,518 10

61

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

3,822 16

392 42

3,425 58

5

DistrictCases
Dadra And Nagar Haveli20

3,330

23 4

3,305 4

2

DistrictCases
Lakshadweep District0

0

0 0

0

0

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