National Nutrition Month: Can India Piggy Bank On Food Fortification To Achieve The Goal Of POSHAN Abhiyaan?

National Nutrition Month: Can India Piggy Bank On Food Fortification To Achieve The Goal Of POSHAN Abhiyaan?

National Nutrition Month 2020: Food fortification is considered one of the best ways to add micronutrients in staple food items without changing its taste, aroma or texture
National Nutrition Month: Can India Piggy Bank On Food Fortification To Achieve The Goal Of POSHAN Abhiyaan?Nutrition Month: One of the targets of the POSHAN Abhiyaan is to bring down stunting (low height for age) of the children in the age group of 0-6 years from 38.4 per cent to 25 per cent by the year 2022
Highlights
  • Food fortification is the process of adding vital micronutrients in food
  • In India, fortification of iodization of salt was mandated in 1962
  • Fortified food is not the only way to eradicate malnutrition: Experts

New Delhi: In 2016, the Akshaya Patra Foundation along with the Government of Karnataka took up the initiative to improve the nutritional quality of meals served under mid-day meal through food fortification. Fortification involves the addition of micronutrients (vitamins and minerals) to foods irrespective of whether or not the nutrients were originally present in the food. At the start of the project, a baseline study covering around 2,000 students was conducted which revealed that 16.9 per cent of children were afflicted with stunting (low height for age)and 28.6 per cent were found to be underweight. Under the project, mid-day meals prepared with fortified rice (having additional minerals and vitamins) and other staples were given to children. The increase in intake of micronutrients through fortified food is reflected as after almost four years, the project has noted about 9 per cent reduction in underweight cases, 3.8 per cent decrease in stunting and 3.5 per cent in wasting (low weight for height).

Also Read: POSHAN Maah 2020: Three Different Ways Of Food Fortification Explained

Under the aegis of the Prime Minister’s Overarching Scheme for Holistic Nutrition or POSHAN Abhiyaan, India aims to bring down the levels of various forms of malnutrition – a medical condition caused due to an unbalanced diet. One of the targets of the POSHAN Abhiyaan is to bring down stunting (low height for age) of the children in the age group of 0-6 years from 38.4 per cent to 25 per cent by the year 2022.

In August 2019, while talking about health and nutrition, Prime Minister Narendra Modi had said,

Health and nutrition are the priority areas of our government. Health remains one of the key areas in our quest of building an inclusive and new India. An integral part of our vision is achieving ‘kuposhan mukt bharat’ (malnutrition-free India) by 2022.

To tackle the crisis of malnutrition, the Food Safety and Standards Authority of India (FSSAI) has been promoting food fortification. But can India rely on food fortification to eradicate malnutrition and achieve the goal of malnutrition free India?

Also Read: Poshan Maah 2020: What Has Been The Impact Of COVID-19 Pandemic On India’s Malnutrition Targets

Food Fortification And Its Impact On Malnutrition

A human body needs both macro nutrients (carbohydrates, proteins, fats) and micro nutrients (vitamins and minerals). Deficiencies, excesses or imbalance in a person’s intake of one or more vital nutrients can cause malnutrition. Worldwide including in India, the three most common forms of micronutrient deficiencies are iron, vitamin A and iodine.

Micronutrient deficiency disorders (MNDs) have many adverse effects on human health, not all of which are clinically evident. Even moderate levels of deficiency can have serious detrimental effects on human functioning along with profound implications for economic development and productivity, particularly in terms of potentially huge public health costs and the loss of human capital formation, explains Bishow Parajuli, Country Director, World Food Programme.

Also Read: All About Food Fortification And How It Can Make India A Healthy Country

According to the health experts, adequate nutrition is a key for the full brain development of young children, most of which take place within the first two years of birth. Adolescence girls, pregnant women and lactating mothers also need nutrition for their growth as a healthy woman can produce healthy babies.

There are three ways to consume micro nutrients – eating food rich is essential micro nutrients; supplements like calcium pills, multi vitamin tablets; fortified food. Fortification simply means adding essential nutrients in staples like wheat flour, rice, oil, salt, and others, without changing the taste, aroma or texture.

Also Read: Poshan Month: Understanding Nutrition, What To Have And What To Avoid

India has been promoting fortified food since the 50s; fortification of Vanaspati was mandated in 1953 and iodization of salt was mandated in 1962. The mandatory ‘Universal Salt Iodization’ has addressed the major public health challenge of iodine deficiency disorders especially goiter in the country. Elaborating more on the role of food fortification in providing essential micro nutrients, Bishow Parajuli said,

Fortification generally aims to supply micronutrients in amounts that approximate to those provided by a good, well-balanced diet. Consequently, fortified staple foods will contain natural or near natural levels of micronutrients, which may not necessarily be the case with supplements. It is a cost-effective intervention and it does not require any behaviour change in existing food patterns on part of the consumer.

But is food fortification the only way to eradicate malnutrition? Dr Rajiv Tandon, Health Director, RTI, International India believes that fortified food can help but it’s not the only way out. He said,

Food fortification is no magic wand. Imagine a situation where macro nutrients are not available to you then even if you do ensure fortification it will not help. For nutrition security, we need a complete nutritious diet, on a regular basis, to everybody across different social economic strata.

Also Read: Poshan Maah: Focus On Identifying Acutely Malnourished Children, Planting Nutri Gardens, Says Government To States

In its guidelines, FSSAI (Food Safety and Standards Authority of India) has also titled food fortification as a ‘complementary strategy’ rather than a ‘replacement of balanced, diversified diets’ to address malnutrition. Dietary diversification is indeed the best choice but in the current scenario it may be difficult to achieve by everyone, therefore, a more universal approach is required. As explained by FSSAI, fortification only bridges the gap between the need and actual consumption of required micronutrients through food.

Dr Arun Gupta, Paediatrician and Central Coordinator of Breastfeeding Promotion Network of India (BPNI), is of the opinion that food fortification is just one small part of the process. He said it’s not a solution to the nutrition deficit and food and added,

Exclusive breastfeeding is inadequate during the first 6 months. Only a small percentage of children under two receive optimal feeding. About 10-20 percent babies get minimum acceptable diet or diverse foods as part of complementary feeding. I wonder how fortifications will bridge this gap.

According to Bishow Parajuli, food fortification will work better and faster if implemented along with other strategies such as dietary diversification, supplementation, social behaviour changes communication and public health measures. He added,

For food fortification to address anaemia and micronutrient deficiencies at a population level, it is important that fortified foods are consumed in adequate amounts over long periods of time by large sections of the community.

Also Read: National Nutrition Month: Benefits Of Eating Locally Produced Nutritious Foods At Complementary Feeding Stage

How Is The Government Promoting Food Fortification And What More Can Be Done?

In 2018, FSSAI introduced a new F+ label for fortified foods and mandated it for the brands to print the logo. Mr Parajuli believes that the mandate has helped with popularising the use of fortified commodities within a restricted section of the society and there is more that needs to be done.

The Food Safety and Standards (Fortification of Foods) Regulations, 2018 provides an opportunity for voluntary fortification. With my experience in Bangladesh and other countries, I would suggest a mandatory fortification of staple foods along with strong food safety, regulatory enforcement, monitoring and penalty measures along with very robust quality assurance and quality control measures. The monitoring at district and below would be the key, suggested Basanta Kar.

Also Read: National Nutrition Week: What Is NOVA Classification Of Food And How It Can Help In Making An Informed Choice?

In 2019, the government of India approved the Centrally Sponsored Pilot Scheme on ‘Fortification of Rice and its Distribution under Public Distribution System’. As part of the scheme, rice will be fortified with Iron, Folic Acid and Vitamin B-12. The Pilot Scheme has been approved for a period of three year beginning 2019-20 and will focus on 15 districts, preferably one district per State during the initial phase of implementation.

Fortified rice will also be distributed under ICDS (Integrated Child Development Services) as well as the mid-day meal scheme in the selected districts. Further, both the Ministry of Women and Child Development and Education have issued guidelines to the states for use of fortified oil, wheat flour, rice and double-fortified salt (having iron and iodine) in the preparation of the hot cooked meals provided under the ICDS and the Mid-day meal scheme.

Also Read: Poshan Maah 2020: ‘Proper Nutrition Is Vital To Build A Prosperous Nation,’ Says Prime Minister Narendra Modi

Both Dr Arun Gupta and Mr Parajuli are of the opinion that going forward, the government needs to move out of the campaign and issuance of guidelines mode to working on the ground. Mr Parajuli also suggested convergence of all stakeholders to strategise and push for fortified food both in the open market as well as the food-based safety nets. This has been noted to be an important success factor in other countries such as Costa Rica. He added,

It is time for the government to mainstream all fortified foods in its food based safety nets and provide an assured market to the private sector. This will enable the private sector to make the necessary investment needed for fortification.

Also Read: “Nutrition Is More Than food, More Than Hunger,” UNICEF India’s Arjan De Wagt Talks About The Impact Of COVID-19 On Poshan Abhiyan 

While addressing nutrition, there are two kinds of interventions – nutrition specific and nutrition sensitive. While nutrition specific interventions involve giving rebate on ration, breastfeeding, complementary feeding, among others, nutrition sensitive covers all other factors responsible for a well nutritious child like safe drinking water, safe sanitation, and others. Talking about how nutrition sensitive interventions can help in eradicating the problem of malnutrition, Basanta Kumar Kar, a recipient of the Global Nutrition Leadership Award, said,

Addressing malnutrition requires an investment in Atmanirbhar POSHAN (nutritional self-reliance). This is an important lesson from the novel COVID-19. Each district should be self-sufficient in the production of minimum of six food groups necessary for children and women who are hardest hit. Food fortification, supplementation, dietary diversity, management of excess salt, sugar and fat in the diet, infection management, deworming medication, proper waste management and good WASH practices are necessary to address malnutrition and micronutrient deficiency. It requires investment in the first one thousand days of life as the first window of opportunity and adolescent girls as a second window of opportunity.

Also Read: Food Safety Authority Promotes Healthy Eating Habits And Food Sustainability Through A District Level Competition

Has The Role Of Food Fortification Become Even More Important During COVID-19 Pandemic?

The Coronavirus pandemic has affected various government schemes aimed at providing nutritious food to children and pregnant and lactating women. The pandemic has led to loss of livelihoods which has further impacted the purchasing power, to add to the disruption, production and supply chain has been disrupted, and as per Mr Parajuli there has been dietary diversity-shift to more shelf-stable and pre-packaged foods. Considering this, the role of food fortification has become important more than ever.

All of the food-based safety nets provide rice and/or wheat flour as the main staples, which could be fortified and distributed to limit the impact of reduced dietary diversity, suggested Mr Parajuli.

Also Read: Poshan Maah 2020: How ‘Saathealth’, A Digital Platform Is Making India’s Children Live A Healthy Life

Contrary to this, Dr Arun Gupta believes that the focus needs to be on food based approaches than their fortification. Once that is achieved, government can evaluate public health deficiency following which decision on fortification can be taken.

Governments can fight during Corona by adding additional funds and food for the poor, said Dr Gupta.

Mr Basanta Kar predicts coronavirus pandemic leading to nutrition vulnerability specifically among the women and children and migrants who are hardest hit due to disruption of services and supplies. To address the same, he reiterated the idea of nutritional self-reliance and added,

The local food system has to be accountable, inclusive and responsible. The people and specifically women and children should be able to access safe and nutritious diets so as to prevent food borne diseases, co-morbidity and co-infection. Nutrition should be a household name and there has to be Jan Andolan (people’s movement) with women leading at the front.

Also Read: How Has COVID-19 Impacted The Nutritional Status Of India’s Children? An On-Ground Report From Non-Profit Organisation CRY

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

3,04,91,096Cases
87,62,381Active
2,07,76,975Recovered
9,51,740Deaths
Coronavirus has spread to 188 countries. The total confirmed cases worldwide are 3,04,91,096 and 9,51,740 have died; 87,62,381 are active cases and 2,07,76,975 have recovered as on September 19, 2020 at 3:48 am.

India

53,08,014 93337Cases
10,13,964 -3790Active
42,08,431 95880Recovered
85,619 1247Deaths
In India, there are 53,08,014 confirmed cases including 85,619 deaths. The number of active cases is 10,13,964 and 42,08,431 have recovered as on September 19, 2020 at 2:30 am.

State & District Details

State Cases Active Recovered Deaths
DistrictCases
Akola757
Aurangabad1974
Dhule228
Jalgaon1039
Mumbai45478
Mumbai Suburban5363
Nagpur692
Nashik1575
Palghar1421
Pune9920
Satara629
Solapur1291
Thane13660
Yavatmal150
Ahmednagar190
Amravati291
Beed54
Bhandara41
Buldhana88
Chandrapur32
Hingoli208
Jalna201
Kolhapur646
Latur139
Nanded176
Nandurbar42
Parbhani78
Raigad1462
Ratnagiri350
Sangli145
Gadchiroli42
gondia69
Osmanabad125
Sindhudurg114
Wardha11
Washim13

1167496 21656

301273

834432 22078

31791 440

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

609558 8096

84423

519891 11803

5244 67

DistrictCases
Bengaluru Rural40
Bengaluru Urban529
Mysuru107
Bagalkote103
Ballari60
Belagavi337
Bidar219
Chikkaballapura149
Dakshina Kannada179
Dharwad61
Gadag45
Kalaburagi669
Mandya346
Tumakuru36
Uttara Kannada95
Vijayapura201
Chamarajanagara0
Chikkamagaluru19
Chitradurga14
Davangere204
Hassan205
Haveri24
Kodagu4
Kolar29
Koppal5
Raichur369
Ramanagara3
Shivamogga67
Udupi1176
Yadgir538

502982 8626

101148

394026 10949

7808 179

DistrictCases
North Goa57
South Goa69

27379 596

5730 118

21314 470

335 8

DistrictCases
Chengalpattu1314
Chennai23324
Kanchipuram503
Madurai322
Namakkal83
Ranipet133
Thanjavur130
Thiruvallur774
Thiruvarur67
Tiruppur116
Vellore71
Virudhunagar185
Ariyalur444
Coimbatore188
Cuddalore477
Dharmapuri15
Dindigul175
Erode75
Kallakurichi324
Kanniyakumari110
Karur88
Nagapattinam99
Perambalur133
Pudukkottai53
Ramanathapuram119
Salem258
Sivaganga46
Tenkasi103
The Nilgiris17
Theni129
Tiruchirappalli119
Tirunelveli433
Tirupathur45
Tiruvannamalai496
Tuticorin333
Villupuram509
Krishnagiri43

530908 5488

46506

475717 5525

8685 67

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

126381 4167

35795 1415

90085 2740

501 12

DistrictCases
Raipur46
Korba100
Balod41
Baloda Bazar85
Balrampur17
Bastar2
Bemetara21
Bijapur2
Bilaspur100
Dantewada0
Dhamtari6
Durg31
Gariyaband10
Janjgir-Champa56
Jashpur77
Kabirdham52
Kanker19
Kondagaon0
Korea39
Mahasamund54
Mungeli87
Narayanpur0
Raigarh47
Rajnandgaon52
Sukma0
Surajpur9
Surguja14

81617 3842

36580 544

44392 3281

645 17

DistrictCases
Hyderabad2475
MedchalMalkajgiri75
Ranga Reddy183
Suryapet87
Vikarabad40
Warangal Urban32
Adilabad22
Jagitial77
Jangoan8
Jayashankar Bhupalapally9
Jogulamba Gadwal40
Kamareddy11
Karimnagar17
Khammam26
Kumuram Bheem Asifabad8
Mahabubnagar30
Mancherial43
Medak11
Nalgonda33
Narayanpet3
Nirmal21
Nizamabad76
RajannaSircilla16
Sangareddy26
Bhadradri Kothagudem5
Mahabubabad10
Mulugu3
Nagarkurnool8
Peddapalli5
Siddipet7
Wanaparthy1
Warangal Rural4
YadadriBhuvanagiri40

169169 2123

30636

137508 2151

1025 9

DistrictCases
Baleshwar190
Bhadrak137
Jajapur322
Dhenkanal36
Kalahandi33
Kendrapara164
Khordha238
Koraput16
Sundargarh102
Anugul26
Balangir129
Bargarh16
Boudh34
Cuttack155
Deogarh33
Gajapati61
Ganjam581
Jagatsinghapur91
Jharsuguda8
Kandhamal28
Kendujhar34
Malkangiri20
Mayurbhanj73
Nabarangpur2
Nayagarh86
Nuapada69
Puri103
Rayagada2
Sambalpur16
Sonepur29

171341 4180

33092 66

137567 4101

682 13

DistrictCases
Barwani60
Bhopal1880
Dewas140
Dhar132
East Nimar266
Gwalior211
Indore3839
Jabalpur276
Ujjain799
Agar Malwa15
Alirajpur3
Betul35
Burhanpur351
Chhindwara16
Dindori29
Harda4
Hoshangabad37
Khargone196
Mandsaur112
Morena109
Raisen71
Ratlam51
Sagar228
Shajapur39
Shandol14
Sheopur26
Tikamgarh18
Vidisha37
Anuppur22
Ashoknagar13
Balaghat9
Bhind87
Chhatarpur35
Damoh26
Datia12
Guna8
Jhabua14
Katni3
Mandla15
Narsinghpur17
Neemuch319
Niwari0
Panna20
Rajgarh31
Rewa39
Satna24
Sehore12
Seoni2
Shivpuri15
Sidhi17
Singrauli13
Umaria10

100458 2552

21605

76952 2554

1901 24

DistrictCases
Ahmadabad17125
Anand107
Arvalli134
Banas Kantha147
Bhavnagar146
Gandhinagar410
PanchMahals107
Surat2311
Vadodara1555
Bharuch56
Botad55
Chhotaudepur37
Dang5
Dohad43
GirSomnath45
Jamnagar63
Kachchh99
Kheda98
Mahesana159
Mahisagar125
Narmada25
Naysari35
Patan105
Rajkot135
SabarKantha101
Surendranagar55
Tapi6
Valsad47
Amreli16
DevbhumiDwarka22
Junagadh31
Morbi4
Porbandar11

120336 1410

16076 101

100974 1293

3286 16

DistrictCases
Ajmer379
Banswara91
Bharatpur563
Jaipur2177
Jhalawar329
Jodhpur1748
Kota503
Nagaur500
Alwar90
Barmer34
Bhilwara250
Bikaner112
Chittorgarh188
Churu81
Dausa61
Dholpur60
Dungarpur374
Hanumangarh31
Jaisalmer53
Jhunjhunu64
Karauli17
Pali352
Rajsamand140
SawaiMadhopur26
Sikar231
Tonk171
Udaipur724
Baran59
Bundi5
Ganganagar8
Jalore164
Pratapgarh14
Sirohi130

111290 1817

17717 222

92265 1580

1308 15

DistrictCases
Faridabad867
Sonipat404
Ambala93
Bhiwani60
CharkiDadri43
Fatehabad38
Gurugram2950
Hisar98
Jhajjar114
Jind38
Kaithal48
Karnal104
Kurukshetra55
Nuh68
Palwal120
Panchkula39
Panipat78
Rohtak145
Sirsa50
Yamunanagar19
Mahendragarh47
Rewari56

106261 2488

21291 277

83878 2188

1092 23

DistrictCases
Agra933
Aligarh215
Amroha80
Bareilly17
Bijnor157
Bulandshahr166
Firozabad190
Gautam Buddha Nagar1119
Kanpur Nagar286
Lucknow386
Mathura129
Meerut504
Moradabad252
Muzaffarnagar117
Rae Bareli78
Rampur203
Saharanpur298
Sant Kabeer Nagar132
Varanasi243
Auraiya37
Ayodhya120
Azamgarh138
Baghpat68
Bahraich73
Balrampur49
Banda27
Basti214
Bhadohi60
Budaun23
Etah52
Etawah46
Ghaziabad794
Ghazipur159
Gonda59
Gorakhpur166
Hapur225
Hardoi49
Jalaun41
Jaunpur194
Jhansi41
Kannauj69
Kasganj16
Kaushambi6
Mainpuri46
Mau48
Mirzapur22
Pilibhit15
Pratapgarh15
Prayagraj30
Sambhal116
Shamli40
Shravasti23
Sitapur32
Sultanpur97
Unnao42
Ambedkar Nagar92
Amethi206
Ballia60
Barabanki168
Chandauli38
Chitrakoot4
Deoria143
Farrukhabad36
Fatehpur3
Hamirpur3
Hathras43
Kanpur Dehat4
Kheri72
Kushi Nagar67
Lalitpur3
Maharajganj85
Mahoba3
Shahjahanpur25
Siddharth Nagar159
Sonbhadra10

342788 6494

67825

270094 6806

4869 98

DistrictCases
Central4817
East2472
New Delhi3405
North3059
North East1914
North West5463
Shahdara1580
South2329
South East2446
South West2391
West4768

238828 4127

32250 529

201671 3568

4907 30

DistrictCases
Dhubri30
Goalpara19
Marigaon50
Baksa14
Barpeta28
Biswanath16
Bongaigaon12
Cachar80
Charaideo29
Chirang6
Darrang20
Dhemaji47
Dibrugarh61
Dima Hasao86
Golaghat203
Hailakandi57
Hojai89
Jorhat24
Kamrup42
Kamrup Metro276
KarbiAnglong13
Karimganj85
Kokrajhar37
Lakhimpur57
Majuli2
Nagaon143
Nalbari23
Sivasagar20
Sonitpur27
South SalmaraMancachar4
Tinsukia84
Udalguri28
West KarbiAnglong5

152858 2509

28631 423

123687 2074

540 12

DistrictCases
East District3
North District0
South District3
West District0

2303 29

422

1857 68

24 2

DistrictCases
Buxar134
Gaya115
Munger188
Patna279
Rohtas256
Arwal52
Aurangabad75
Banka134
Begusarai243
Bhagalpur266
Bhojpur103
Darbhanga143
Gopalganj123
Jehanabad178
Kaimur (bhabua)105
Lakhisarai72
Madhepura82
Madhubani199
Nalanda123
Nawada122
PurbiChamparan138
Purnia135
Saran101
Siwan139
Vaishali87
Araria68
Jamui47
Katihar175
Khagaria253
Kishanganj75
Muzaffarpur96
Pashchim Champaran57
Saharsa88
Samastipur139
Sheikhpura118
Sheohar20
Sitamarhi73
Supaul87

165218 1167

12609

151750 1710

859 4

DistrictCases
24 Paraganas North1031
24 Paraganas South281
Darjeeling97
Howrah1435
Jalpaiguri88
Kalimpong18
Kolkata2777
Maldah235
Medinipur East153
Medinipur West159
Hooghly604
Murshidabad125
Nadia139
Paschim Bardhaman70
Purba Bardhaman130
Alipurduar39
Bankura116
Birbhum206
Coochbehar210
Dinajpur Dakshin50
Dinajpur Uttar216
Jhargram9
Purulia66

218772 3192

24509 173

190021 2960

4242 59

DistrictCases
South Andamans33
Nicobars1
North And Middle Andaman1

3631 27

165

3414 36

52

DistrictCases
Pondicherry111
Karaikal2
Mahe4
Yanam0

21913 485

4736

16715 462

462 31

DistrictCases
Anjaw0
Changlang31
Dibang Valley0
East Kameng0
East Siang1
Kamle0
KraDaadi0
KurungKumey0
Leparada0
Lohit3
Longding0
Lower Dibang Valley0
Lower Siang0
Lower Subansiri0
Namsai2
PakkeKessang1
Papum Pare8
Shi Yomi0
Siang0
Tawang1
Tirap0
Upper Siang1
Upper Subansiri0
West Kameng0
West Siang1

7005 154

1886 15

5106 139

13

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

5357 51

1213 20

4129 31

15

DistrictCases
Dadra And Nagar Haveli20

2859 28

218

2639 31

2

DistrictCases
Ranchi148
Bokaro16
Deoghar5
Dhanbad32
Garhwa80
Giridih19
Hazaribagh110
Jamtara2
Koderma58
Simdega48
Chatra1
Dumka5
East Singhbum170
Godda2
Gumla28
Khunti10
Latehar14
Lohardaga8
Pakur4
Palamu27
Ramgarh75
Sahebganj0
SaraikelaKharsawan20
West Singhbhum21

68578 1478

13924 221

54052 1245

602 12

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

21484 535

7107

14142 583

235 7

DistrictCases
Kargil77
LehLadakh43

3635 59

987 15

2600 42

48 2

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

61041 1330

20770 531

39305 784

966 15

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

11622 432

4430 284

7081 135

111 13

DistrictCases
Jalandhar297
Ludhiana293
Patiala132
Amritsar485
Barnala25
Faridkot74
Firozepur50
Gurdaspur154
Hoshiarpur140
Kapurthala44
Mansa31
Moga65
Pathankot86
S.A.S Nagar137
Sangrur107
Shahid Bhagat Singh Nagar (Nawanshahr)99
Sri Muktsar Sahib71
Tarn Taran163
Bathinda60
Fatehgarh Sahib57
Fazilka53
Rupnagar (Ropar)74

92833 2801

21662 94

68463 2645

2708 62

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

38007 868

11293

26250 1285

464 4

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

8607 177

1926 85

6629 91

52 1

DistrictCases
Chandigarh313

9506 250

2978

6415 353

113 4

DistrictCases
East Khasi Hills22
East Garo Hills0
East Jaintia Hills0
North Garo Hills1
Ribhoi0
South Garo Hills0
South West Garo Hills4
South West Khasi Hills0
West Garo Hills5
West Jaintia Hills1
West Khasi Hills1

4445 89

1976

2437 95

32 1

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

1548 14

575

973 24

0

DistrictCases
Lakshadweep District0

0

0

0

0

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