Why Is India Experiencing Spike In COVID-19 Cases? Dr Randeep Guleria OF AIIMS ExplainsWhy is India reporting more and more coronavirus cases on a daily basis? Director of AIIMS, Dr Randeep Guleria explains

New Delhi: India surpassed 22 lakh coronavirus cases on Monday morning with over 62,000 new patients recorded in the last 24 hours, the government said today. Moreover, this the third consecutive day when the country has reported more than 60,000 fresh coronavirus cases. The union health ministry said that more than 44 thousand deaths linked to the highly contagious illness have been recorded since the beginning of the pandemic. In the last 24 hours, 1,007 patients have died in different parts of the country. On the other hand, over 15.3 lakh COVID patients in the country have recovered so far, the Union Health Ministry stressed that the recovery rate stood at 69.33 per cent.

Also Read: Coronavirus Explained: What Are Super-Spreaders And How Are They Responsible For COVID-19 Transmission?

NDTV speaks with Director of AIIMS, Dr Randeep Guleria to understand India’s COVID numbers and why is the country experiencing this continous surge.

NDTV: India has the highest new COVID-19 cases as compared to the world, what explains the spike?

Dr Randeep Guleria: India is experiencing the spike, from past four days, the country HAS more coronavirus cases as compared to any other country in the world and that is basically related to the fact that our population is very huge and now COVID cases have shifted to smaller or rural areas and the cumulative number is quite big. On the other hand, India is also testing much more, we have crossed, more than 6 lakh tests per day, so that is also adding to the load. Overall, the spike in COVID-19 numbers can be attributed to these things – firstly, we are picking up more as we are testing more and more people, secondly, the virus has shifted to smaller cities or areas in multiple states and that is also accounting for the huge spike. Talking about the good part, India’s number of cases per million population is still low, even the mortality rate is low as compared to other countries.

Also Read: Coronavirus Myths Explained: Are Children And Youngsters Less Vulnerable To Corona? 


NDTV: Could monsoon in India be linked to the country’s surge in coronavirus cases?

Dr Randeep Guleria: We know that many viruses can survive for a longer time in the environment if it is humid and it is classically known for H1N1, swine flu, as we see more number of cases in monsoon or whenever the rain period starts in India, usually from the south – Maharashtra and Karnataka and goes up as the monsoon progresses. However, coronavirus is a relatively new virus but like most viruses, it can survive for a longer period of time and therefore the chances of infection in this environment become higher. Now, the second reason is that because of flooding, people tend to crowd as they go in large numbers to rescue homes or other areas which are safer. The problem comes in a situation like this one can’t keep the physical distancing, so automatically the chances of the spread of the virus become more. So, in some way or the other, we can say there is a correlation between the surge in coronavirus cases and monsoon in India.

Also Read: 6 Months On, A Recap Of How The Coronavirus Pandemic Unfolded

NDTV: Flattening the curve of coronavirus IS not a permanent phenomenon as we are seeing with the rise of coronavirus cases in areas which a few months ago were being tagged as states that have managed COVID-19 well?

Dr Randeep Guleria: Yes, India will continue to see this fluctuation in coronavirus cases. Flattening the curve doesn’t mean that the pandemic has ended in that area, it means that the situation is much better in the area and the panic is over. If we talk about Delhi only, the panic we saw months ago in terms of ICU Beds, hospitals and oxygen beds has come down in the national capital. Now, we have in Delhi large numbers of beds that are empty but at the same time we need to know that the virus has not gone away and if we don’t have what we call COVID appropriate behaviour like we don’t maintain a physical distancing, we don’t wear a mask, we start having crowds then we will again have a spike and that’s what we have learned from this virus. We have seen this happening in the USA and other countries as well, so we need to be very very vigilant when it comes to coronavirus.

NDTV: Why does Maharashtra continue to be the worst-affected state in India and it is still seeing the spike in its COVID numbers?

Dr Randeep Guleria: Maharashtra is a very big and populated state, so it is normal that it is still seeing a lot of coronavirus cases. Secondly, initially, the focus was on Mumbai, we had huge spikes in rural and urban areas of Mumbai, which now has come down drastically. And now the pandemic has moved from large cities to smaller ones and that is also accounting for large numbers of COVID cases. I think, what we need is aggressive micro-planning like we did for large areas like Delhi and Mumbai, we need to do same things for these smaller areas. We need aggressive containment zone policies, isolation, testing, quarantine facilities and also trying to find out areas where there are large numbers of clusters developing. So, unless we do all this aggressively and actively, we will not be able to control the spike in the smaller areas.

NDTV: Can a relapse of COVID-19 be more severe?

Dr Randeep Guleria: So, what happens is that sometimes the COVID test comes out to be false or misleading as no coronavirus test is full-proof. We have two types of testing – Rapid Antigen Test and RT-PCR test. The antigen test has very low sensitivity, so, if you are tested negative for COVID with the test that doesn’t mean you are negative. It needs to be backed with a RT-PCR test. Secondly, if you don’t take the sample properly and I have in some areas where the technician is not trained properly, they don’t go deep inside the nose to take the sample, it needs to be taken from the nasal faring, if you simply take the sample from the upper part of the nose or the beginning of the nose, you will not get the good sample and same is with the throat swab. So, the technique needs to be perfect. It has been our country’s biggest challenge as well that we have seen that the person has not been tested positive but the CT Scan or clinical picture shows that the person is positive. No test for COVID-19 is foolproof, so, I personally feel that with the test one also needs to see the clinical file of the patient and if the clinical file shows the patient as a possible COVID patient then doctors need to treat him/her as a COVID patient, rather than denying the treatment to the patient on the basis of the test.

NDTV: Is it imperative to take both nasal and throat swab for the testing process?

Dr Randeep Guleria: Initially we were putting the nasal strap in only one nostril while doing a Rapid Antigen Test, then we realised that if you take the sample from both the nostril the positivity rate will be high and that was also a study done by us initially to understand the coronavirus testing procedure and that’s what led to the change of the protocol for the Rapid Antigen Tests and this is what we are trying to teach the rest of the country as well because more the samples received, the chances of positivity will be high. Now, similarly, for RT-PCR test, we recommend that both nasal and throat swab is taken as more material you will get there will be a higher chance of the test being right.

NDTV: Should healthy people get tested and what type of test they should go for?

Dr Randeep Guleria: Now, there are two things, it depends on the kind of the situation the healthy person is going through. If they are taking care of an infected person or if they have in recent past come in contact with the person who has had COVID, then they should definitely get tested. Also, the time for testing is also very crucial, if I have come in contact with the infected person and today is Day 1 then ideal time for me to get tested is Day 6 or Day 7 because that much time the virus will take to incubate, so if the person gets tested himself on Day 1 itself then chances of the result coming negative will be very very high and again that will be misleading. Secondly, if you feel, you are an asymptomatic patient but you fall in the category of the vulnerable group or are undergoing treatment for some other disease say for example chemotherapy then you can get tested for the virus to be on the safe side.

NDTV: Can COVID-19 permanently damage the lungs of the patients?

Dr Randeep Guleria: This is the sad part and now we are also doing a study to understand the long-term effects of COVID on a patient’s body. There are a lot of cases/data emerging in the country in which we are seeing long terms effects of COVID. I have also seen many CT Scans of patients, after 3 months also, there is a lot of scarring in the lungs, some patients are still feeling breathlessness and in some cases, patients are needing the support of oxygen as the lungs are not being able to function properly and the exchange of gases not taking place. Moreover, we are also now starting to find what treatment should be given to the patients to treat the long term effects like Pulmonary fibrosis.

Also Read: Coronavirus Outbreak Explained: What Are The Long-Term Impacts Of COVID-19 On Human Body And The Recovery Process?

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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