Opinion: Nourishing The Undernourished In Quarantine During COVID-19 Times

Opinion: Nourishing The Undernourished In Quarantine During COVID-19 Times

Here is how nutritious food can boost immunity and revitalise mental health and positive attitudes to tackling the ongoing COVID-19 pandemic
Coronavirus Outbreak, News, Nutrition
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Opinion: Nourishing The Undernourished In Quarantine During COVID-19 TimesExpert Opinion: a strategic perspective on nourishing the undernourished during the current COVID-19 crisis

New Delhi: Quarantine provides an opportunity for India’s POSHAN (Prime Minister’s Overarching Scheme for Holistic Nutrition) Abhiyaan. Safe and nutritious food during quarantine can address malnutrition and be an enabler to prevent stress eating, revitalise mental health and positive attitudes to tackle the negative health effects. Here is a strategic perspective on nourishing the undernourished during the current COVID-19 crisis.

Also Read: Eat Healthy Instead Of Taking Vitamin Capsules To Prevent COVID-19

Nutrition In Extraordinary Time

An invisible novel virus has engulfed the universe reminding everyone the power of priceless body immunity to fight this novel disease. The pandemic is being managed with utmost precaution and supportive care. However, people like the senior citizens and those having other coinfections and comorbidities like hypertension, diabetes, among others are more prone to infection and mortality.

Good nutrition is key to good health and is important for a good life. In the quarantine facility and for people in home quarantine, safe and nutritious diets are necessary to enhance the immunity and prevent deficiency diseases which could lead to compromised immunity and a host for associated diseases, increasing the risk for infection.

COVID-19 Has Potential To Compound Malnutrition In All Its Forms

Around 53 per cent of women in the age group 15-49 years are anaemic, as per the fourth National Family Health Survey (NFHS-IV) and more than 60 per cent children from 12-23 months of age are anaemic, as per the Comprehensive National Nutrition Survey (CNNS 2016-18). Similarly, as per the Comprehensive National Nutrition Survey(CNNS)-2016-18, 35 per cent of children under five, 17 per cent of children under five, 33 per cent of children under five are stunted, wasted and underweight respectively.

Rural areas have higher prevalence of underweight in children under five (36 per cent) compared to urban areas (26 per cent). Scheduled tribes had the highest prevalence of underweight (42 per cent) as compared to scheduled castes (36 per cent), other backward classes (33 per cent), and other groups (27 per cent). Like stunting, children under five from the poorest wealth quintile had a prevalence of underweight more than twice that of the children from households in the richest wealth quintile (48 per cent vs. 19 per cent).

Also Read: Opinion: Amid Coronavirus Outbreak Lockdown, Governments Must Tap Anganwadis Better To Fight Hunger; A View From Delhi

41 per cent of pre-schoolers, 24 per cent of school-age children and 28 per cent of adolescents were anaemic and female adolescents had a higher prevalence of anaemia (40 per cent) compared to their male counterparts (18 per cent). Anaemia was most prevalent among scheduled tribes, followed by scheduled castes. More than half (53 per cent) of pre-schoolers and more than one-third of school-age children and adolescents (38 per cent each) belonging to scheduled tribes were anaemic.

Research studies suggest that infection/inflammation, iron deficiency, micronutrient deficiencies such as copper, zinc, Vitamins A, B12, C, riboflavin, folate, and some of the genetic factors like sickle cell anaemia contribute to overall anaemia prevalence. Malaria in some states compounds the anaemia prevalence.

20.7 per cent women and 18.6 per cent men are obese and overweight (NFHS-IV) which indicates a double burden of malnutrition (both undernutrition and obesity) in India and a broken food system. As per WHO (World Health Organisation), Non- communicable diseases (NCDs), including heart disease, stroke, cancer, diabetes and chronic lung disease, are collectively responsible for almost 70 per cent of all deaths worldwide and a risk factor contributing to the mortality due to COVID-19 infection. The data on deaths due to COVID-19 reveals the majority of deaths were of people suffering from NCDs (Non-Communicable Diseases) like diabetes, hypertension.

Also Read: Nutrition And COVID-19: Drink Ample Water, Eat Unprocessed Food, Advises WHO To Lower Risks Of Infections

Micronutrient Deficiencies-All Pervasive

As per CNNS, the prevalence of vitamin A deficiency is 18 per cent among pre-school children, 22 per cent among school-age children and 16 per cent among adolescents. Vitamin D deficiency was found among 14 per cent of pre-school children, 18 per cent of school-age children and 24 per cent of adolescents. Nearly one-fifth of pre-school children (19 per cent), 17 per cent of school-age children and 32 per cent of adolescents had zinc deficiency. The prevalence of vitamin B12 deficiency was 14 per cent among pre-school children, 17 per cent among school-age children and 31 per cent among adolescents. Nearly one-quarter (23 per cent) of pre-school children, 28 per cent of school-aged children and 37 per cent of adolescents had folate deficiency. In the scheduled tribes, 9 per cent of pre-schoolers and 15 per cent of school-age children and adolescents had Vitamin D deficiency.

Quarantine During COVID-19 Times- A New Opportunity For Nutrition

India’s migrants, people with asymptomatic cases, health care provider or someone at has reason to believe s/he may have been exposed to COVID-19, are being asked to quarantine, which means staying in a specifically designated location (home or public/local government facilities) away from others, for the purpose of observing and monitoring health status for the development of symptoms. Typically, a COVID-19-related quarantine lasts for 14 days, but this length may vary if directed by a health care provider or the local health department. It is a period of isolation and sometimes disturbs the mental health the person is instructed not to leave the quarantine location for any non-essential reason use public transportation or go to shopping centres or not to have friends or family with you in your isolation room unless they have been approved by your health care provider. The Government is providing food and other essential items including sanitary pads and personal hygiene kits during the quarantine. It is impressive to know that the Government of Odisha which provided food four times a day during institutional quarantine increased food expenditure with Rs. 120/- per adult per day and Rs. 100/-per child per day. It provides the opportunity for a nutrition-rich diverse diet.

Also Read: Coronavirus Outbreak: Centre Starts Providing 1 Kg Pulses To 20 Crore Families For 3 Months Under Public Distribution System

What Can Be Done: A Mission Mode Approach To Address Nutrition Inadequacy

There are a number of guidelines on how to eat safe and nutritious foods during the COVID-19 quarantine. It contains valuable information about nutrition and hygiene system to help keep the immune system strong. It also has tips for a diet that supports good health. In India, the national and state governments are taking stronger measures to offer safe and nutritious diets during the quarantine.

In order to ensure safe and wholesome food in the country, India’s food regulator, FSSAI issued guidelines and advisories on keeping food safe in times of social distancing, food safety measures for the handlers, industry and vendors and safety measures across the value chain including cooking and storing. In order to prevent, myths, the food regulators shared numerous facts and spread awareness messages.

With a high level of malnutrition and micronutrient deficiencies and specifically among the women and children and people from the marginalised community being hardest hit; their limited access to diverse diets during quarantine and otherwise may lead to increased consumption of unsafe diets and likely to have a negative effect on the immune system, overall physical and mental health, and the well-being. If we miss the first one thousand days (pregnancy to 2 years) of life of the child, we miss the potential growth and development opportunity of the child for entire life.
Nutrition is not the only factor essential for staying healthy during self-quarantine. For optimal health, it is also important to remain physically active. To support people in staying physically active, it is necessary to engage in home and facility-based exercises. Essential micronutrients such as vitamins and minerals are necessary to increase immunity which are most vital at this stage. Vitamin A and Zinc is necessary to prevent infections and impaired immune responses. Vitamin D is necessary for adequate bone health.

One of the important reasons of obesity and overweight is the consumption of unsafe diets specifically trans fats, high sugar, salt and fat in the diet. The people in quarantine facility mostly locked up in a facility without physical exercise needs diets with low, sugar and fat. This can prevent obesity and overweight and alternatively can prevent NCDs (Non-communicable diseases).

A. Dietary Diversity- Adding Colours To The Plate:

It is an excellent move that the Government has notified for distribution of supplementary nutrition and food through TPDS and MDM through home delivery or provides food security allowance wherever home delivery is not possible. Dietary diversity is the most sustainable approach to tackling malnutrition and micronutrient deficiency. It is good to observe that in some states, the local governments and women self-help groups are now engaged in quarantine management and provision of foods during facility-based quarantine. The government may issue suitable guidelines on provision of safe and nutritious foods during quarantine having essential calorie, protein, macro and micronutrients. The consumption of a minimum acceptable diet among the children between 6 to 23 months is abysmally low. As per CNNS, only 6 per cent of children receive a minimum acceptable diet. The policy and program delivery mechanism may facilitate for pregnant mothers to consume one additional meal and the children between 6-23 months to consume appropriate complementary feeding with a minimum four food groups along with breastfeeding. The diverse diets such as essential minor millets, fruits and vegetables may be procured locally through the community and women self-help groups and supplied to the facilities. It can strengthen the local value chain and increase earnings for the smallholder farmers. Some of the naturally biofortified crops and foods like minor millets, moringa, spinach, amla can be part of the prescribed diet.

Also Read: At 20.1 Million, India Expected To Have Highest Births Since COVID-19 Declared As Pandemic: UNICEF

B. Supplementation:

Government programmes for Vitamin A supplementation of children under 6 years of age and Iron-Folic Acid supplementation for children under 6 years of age, pregnant women and adolescent girls and immunisation have been disrupted due to lockdown in many places. By following standard operating protocols, the health and nutrition service providers by visiting quarantine centres and homes should administer supplementation programs with adequate compliance. The persons in the quarantine should undergo essential tests on micronutrient (vitamin and minerals) and the health care providers may supply essential supplements to reduce morbidity.

C. Provision Of Fortified Foods:

Food fortification, a process by which vitamins and minerals are added to commonly consumed foods, offers a good opportunity to improve the micronutrient status of people without changing their food habits. Bio-fortified and Fortified staples mandated by the Government of India like fortified salt, wheat flour, refined vegetable oils and rice should be provided with adequate safety, quality assurance and quality control measures at the quarantine centres and India’s public-funded programmes like the targeted Public Distribution System (PDS), ICDS supplementary nutrition programme and the Mid-Day Meal (MDM) programme can also benefit pregnant and lactating mothers, and children (6-72 months) and people at home quarantine.

D. Jan Andolan To Janani Andolan: From People’s Movement To Women’s Movement

The Ministry of Women and Child, the nodal Ministry for nutrition issued a guideline on Infant and Young Child Feeding (IYCF) with precautionary measures to protect from infection and a coping strategy for Children and Caregivers. India’s Jan Andolan (People’s movement) mandated by POSHAN Abhiyaan (National Nutrition Movement) need to be reoriented during COVID times and from a community level to family and quarantine facility level with a focus on pregnant and lactating mothers and children under II years of age. The campaign needs to deal with myths and misconceptions and misinformation that is being spread during COVID times.

It will be a new campaign on behaviour change and social sanction activities by following social distancing measures concentrated on Infant and Young Child Feeding and safe and nutrient diets for the adults. India’s last-mile public health functionaries familiar with inter-personal counselling and home contact can lead the way here with additional guidance on virus spread. This campaign can be piloted at Coronavirus-free district and based on the evidence, can be scaled up across. Women should lead this at the forefront. Our 3.5 million women grassroots functionaries can lead this at the forefront.

India’s POSHAN Abhiyaan To Take A Lead

POSHAN Abhiyaan, Prime Minister’s Overarching Scheme for Holistic Nourishment with the targets to reduce stunting, under-nutrition, low birth weight (among young children) and anaemia and with the Mission to achieve fast-forwarded reduction in Stunting from 38.4 per cent to 25 per cent by 2022 need to steer the nutrition movement during this extraordinary COVID times. Apart from meeting the nutrition need, the nutritious food during quarantine can be an enabler to prevent stress eating, revitalise mental health and positive attitudes to tackle the negative health effects. With initiatives at scale during quarantine, India can demonstrate an exemplar model for the world to learn and replicate.

Also Read: Do Not Anticipate Worst Case Situation Like Developed Countries In India: Union Health Minister Harsh Vardhan

Disclaimer: The opinions expressed within this article are the personal opinions of the author. The facts and opinions appearing in the article do not reflect the views of NDTV and NDTV does not assume any responsibility or liability for the same.

World

11,37,66,047Cases
4,70,18,510Active
6,42,23,265Recovered
25,24,272Deaths
Coronavirus has spread to 192 countries. The total confirmed cases worldwide are 11,37,66,047 and 25,24,272 have died; 4,70,18,510 are active cases and 6,42,23,265 have recovered as on February 28, 2021 at 3:48 am.

India

1,10,96,731 16752Cases
1,64,511 4921Active
1,07,75,169 11718Recovered
1,57,051 113Deaths
In India, there are 1,10,96,731 confirmed cases including 1,57,051 deaths. The number of active cases is 1,64,511 and 1,07,75,169 have recovered as on February 28, 2021 at 2:30 am.

State & District Details

State Cases Active Recovered Deaths
DistrictCases
Mumbai45,478
Thane13,660
Pune9,920
Mumbai Suburban5,363
Aurangabad1,974
Nashik1,575
Raigad1,462
Palghar1,421
Solapur1,291
Jalgaon1,039
Akola757
Nagpur692
Kolhapur646
Satara629
Ratnagiri350
Amravati291
Dhule228
Hingoli208
Jalna201
Ahmednagar190
Nanded176
Yavatmal150
Sangli145
Latur139
Osmanabad125
Sindhudurg114
Buldhana88
Parbhani78
gondia69
Beed54
Nandurbar42
Gadchiroli42
Bhandara41
Chandrapur32
Washim13
Wardha11

21,46,777 8,623

73,734 4,924

20,20,951 3,648

52,092 51

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

10,56,149 3,792

50,803 876

10,01,164 4,650

4,182 18

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

9,50,730 523

5,657 137

9,32,747 380

12,326 6

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

8,89,799 118

667 32

8,81,963 86

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

8,51,063 486

4,036 10

8,34,534 491

12,493 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

6,39,092 243

1,307 76

6,26,876 164

10,909 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

6,03,427 77

2,146 38

5,92,556 115

8,725

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

5,74,926 210

3,333 10

5,61,327 217

10,266 3

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

3,37,104 86

670 30

3,34,519 56

1,915

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

3,20,180 102

1,254 23

3,16,139 78

2,787 1

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

3,12,419 240

2,767 60

3,05,819 295

3,833 5

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

2,98,807 176

1,951 12

2,95,222 163

1,634 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

2,70,610 199

1,205 102

2,66,358 94

3,047 3

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

2,69,482 451

2,258 122

2,62,815 328

4,409 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

2,62,509 45

404 27

2,60,564 71

1,541 1

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

2,61,403 390

2,666 148

2,54,874 241

3,863 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

2,17,527 9

1,620 14

2,14,815 23

1,092

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

1,81,597 593

4,436 214

1,71,336 368

5,825 11

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

1,26,383 97

828 25

1,23,599 72

1,956

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

1,19,905 42

492 0

1,18,325 41

1,088 1

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

97,031

489 1

94,850

1,692 1

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

58,598 55

292 31

57,311 24

995

DistrictCases
South Goa69
North Goa57

54,932 61

598 11

53,540 50

794

DistrictCases
Pondicherry111
Mahe4
Karaikal2
Yanam0

39,717 20

197 3

38,852 16

668 1

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

33,417 10

41 9

32,985 1

391

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

29,271 11

44 7

28,854 4

373

DistrictCases
Chandigarh313

21,719 60

357 35

21,011 25

351

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

16,836

3 0

16,777

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

13,961

17 2

13,796 2

148

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

12,199 1

10 1

12,098

91

DistrictCases
Kargil77
LehLadakh43

9,818 2

54 0

9,634 2

130

DistrictCases
East District3
South District3
North District0
West District0

6,137 2

44 1

5,958 3

135

DistrictCases
South Andamans33
Nicobars1
North And Middle Andaman1

5,018 1

4 1

4,952

62

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

4,423 1

25 1

4,388 2

10

DistrictCases
Dadra And Nagar Haveli20

3,406

4 0

3,400

2

DistrictCases
Lakshadweep District0

359 26

98 18

260 8

1

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