Lok Sabha Question No. 2635 (UNSTARRED), answered on 2020-03-06
Subject: Deaths Due to Pollution
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajiv Pratap Rudy

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 2635 TO BE ANSWERED ON 06 TH MARCH, 2020

## DEATHS DUE TO POLLUT ION

## 2635. SHRI RAJIV PRATAP RUDY:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the number of deaths during each of the last three years on account of ailments related to air pollution, water pollution and contamination of food and water sources;
- (b) the details of the steps being t aken by the Government to reduce the number of deaths due to air pollution and water pollution/contamination of food and water in the country;
- (c)  whether  the  Government  is  exploring  the  use  of any  specific  technology  to  combat  air pollution in the country; and
- (d) if so, details thereof?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR. HARSH VARDHAN)

- (a) : While air pollution is known to be one of the aggravating factors for many respi ailments, specific information on the number of cas es and deaths exclusively due to air pollution is not available.

Water borne diseases like Acute Diarrheal Disease, Cholera, Enteric fever and Hepa A & E, etc. are caused due to intake of contaminated water and unhygienic food. As per from Centr al Bureau of Health Intelligence (CBHI), State / Union Territory (UT) wise detai deaths  due  to  waterborne  diseases  in  the  country  during  the  years  2016 - 2018  are  given  in Annexure.

- (b) to (d): In January 2019, Government launched National Clean Air Programme (NCAP) to tackle the problem of air pollution in a comprehensive manner with targets to achieve % reduction in PM10 and PM2.5 concentrations by 2024, keeping 2017 as base year. The over objective is to augment and evolve effective amb ient air quality monitoring network across the country besides ensuring comprehensive management plan for prevention, control and abatem of air pollution and enhancing public awareness and capacity building measures.

The plan includes 102 non- attainment cities, across 23 States and Union Territories, the  basis  of  their  ambient  air  quality  data  between  2011  and  2015  and  World  Hea Organization  (WHO)  report  2014/2018.  A  total  of  86  city  specific  action  plans  have approved for ground implementation.

In view of probable linkage of Respiratory illnesses with deteriorating Air Quality Ministry of Health & Family Welfare has also initiated following activities:

- Initiation  of  daily  Sentinel  surveillance  for  Acute  Respiratory Illnesses  in  Emergency Department of Hospitals: initially in four hospitals (AIIMS, SJH, LHMC & RMLH), further be expanded to two more hospitals in January, 2019 ( National Institute of Tuberculosis and Respiratory Diseases and Vallabh Bhai Patel Chest I nstitu e)
- Providing  feedback  to  hospitals  for  undertakings  appropriate  measures  for  manag respiratory illnesses in their hospitals
- Issuing Health advisory on health effects of Air Pollution to Health department of al This year health advisory w as issued in September - October 2019 and then again after Diwali when AQI deteriorated beyond very Poor -Severe levels
- Prepared  and  shared  IEC  posters  on  Air  Pollution  and  its  health  effects  with  State Departments
- Air  Pollution  and  Health  effects  cam paign  have  also  been  run  on    Social  media  (on  the websites of Ministry of Health and Family Welfare and National Centre for Disease Cont Twitter handle and Facebook page)
- The  States  have  also  been  advised  to  initiate  sentinel  surveillance  for  Acute  Res piratory Illnesses in at least four to five major hospitals in the cities listed as highly poll the Central Pollution Control Board.

Provision of safe drinking water and health services fall within the remit of t Governments. However , the Government of India has taken steps both for facilitating availa of safe drinking water and also for ensuring effective surveillance of outbreaks of wat diseases and their prevention and management.

The  Ministry  of  Drinking  Water  &  San itation  have  advised  all  States  to  commission surface water based piped water supply schemes in all habitations as a long term sust solution. However, since these projects have a long gestation period (say 3 - 5 years) and the rural people cannot be p ut to the risk of consuming contaminated water, all States have also b advised to install community water purification plants. This has been done with the obje providing 8 - 10 litres of safe water per capita per day for drinking and cooking purpo ses only.

Government of India also supplements the efforts of States/UTs by providing finan and technical assistance through the centrally sponsored scheme Jal Jeevan Mission (JJM) aims  at  providing  potable  water  to  every  rural  household  with  Fu nctional  Household  Tap Connection (FHTC) at service level of 55 litre per capita per day (lpcd) by 2024. Stat approve and implement drinking water supply schemes. While allocating funds to States/ under  JJM,  10%  weightage  is  given  to  the  popula tion  residing  in  habitations  affected  by chemical  contaminants  including  Arsenic  and  Fluoride  affected  habitations.  States  have been advised to accord priority to quality -affected habitations while implementing piped water supply schemes under the JJM .

In March 2016, with the recommendation of NITI Aayog, an amount of Rs. 1,000 Crore was released to various Arsenic & Fluoride affected States for installation of Community purification plants and commissioning of piped water supply schemes.

Furt her, in March 2017, National Water Quality Sub - Mission (NWQSM) was launched as  a  part  of  National  Rural  Drinking  Water  Programme  (NRDWP),  which  has  now  been subsumed under Jal Jeevan Mission, to provide safe drinking water to 27,544 Arsenic/Fluo affect ed rural habitations in the country. Since 2016 - 17,  an  amount  of  Rs.  3940.34 Crore has been released to the Arsenic and Fluoride affected States.

Food  Safety  and  Standards  Authority  of  India  (FSSAI)  has  notified  Food  Safety  a Standards (Contaminants, To xins and Residues) Regulations, 2011 which lay down the tolerance limits/maximum residue limits of contaminants, toxins and residues related to pesticides, antibiotics and other pharmacologically active substances etc. in various articles of f ach Food Business Operator is required to ensure that the food meant for human consumption m the prescribed norms. Failure to do so invites penal action under provisions of Food Saf Standards Act, 2006.

## Annexure

| States/UTs wise Deaths Due to Cholera reported during 2016 - 2018   | States/UTs wise Deaths Due to Cholera reported during 2016 - 2018   |   States/UTs wise Deaths Due to Cholera reported during 2016 - 2018 |   States/UTs wise Deaths Due to Cholera reported during 2016 - 2018 | States/UTs wise Deaths Due to Cholera reported during 2016 - 2018   |
|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|
| S. No                                                               | State / U.T.                                                        |                                                                2016 |                                                                2017 | 2018 (Prov.)                                                        |
| 1                                                                   | Andhra Pradesh                                                      |                                                                   0 |                                                                   0 | 0                                                                   |
| 2                                                                   | Arunachal Pradesh                                                   |                                                                   0 |                                                                   0 | 0                                                                   |
| 3                                                                   | Assam                                                               |                                                                   0 |                                                                   0 | 0                                                                   |
| 4                                                                   | Bihar                                                               |                                                                   0 |                                                                   0 | 0                                                                   |
| 5                                                                   | Chhattisgarh                                                        |                                                                   0 |                                                                   0 | 0                                                                   |
| 6                                                                   | Goa                                                                 |                                                                   0 |                                                                   0 | 0                                                                   |
| 7                                                                   | Gujarat                                                             |                                                                   0 |                                                                   0 | 0                                                                   |
| 8                                                                   | Haryana                                                             |                                                                   0 |                                                                   0 | 2                                                                   |
| 9                                                                   | Himachal Pradesh                                                    |                                                                   0 |                                                                   0 | 0                                                                   |
| 10                                                                  | J & K                                                               |                                                                   0 |                                                                   0 | 0                                                                   |
| 11                                                                  | Jharkhand                                                           |                                                                   0 |                                                                   0 | 0                                                                   |
| 12                                                                  | Karnataka                                                           |                                                                   1 |                                                                   0 | 0                                                                   |
| 13                                                                  | Kerala                                                              |                                                                   0 |                                                                   1 | 0                                                                   |
| 14                                                                  | Madhya Pradesh                                                      |                                                                   1 |                                                                   0 | 0                                                                   |
| 15                                                                  | Maharashtra                                                         |                                                                   0 |                                                                   0 | 4                                                                   |
| 16                                                                  | Manipur                                                             |                                                                   0 |                                                                   0 | 0                                                                   |
| 17                                                                  | Meghalaya                                                           |                                                                   0 |                                                                   0 | 0                                                                   |
| 18                                                                  | Mizoram                                                             |                                                                   0 |                                                                   0 | 0                                                                   |
| 19                                                                  | Nagaland                                                            |                                                                   0 |                                                                   0 | 0                                                                   |
| 20                                                                  | Odisha                                                              |                                                                   0 |                                                                   0 | 0                                                                   |
| 21                                                                  | Punjab                                                              |                                                                   0 |                                                                   0 | 0                                                                   |
| 22                                                                  | Rajasthan                                                           |                                                                   0 |                                                                   0 | 0                                                                   |
| 23                                                                  | Sikkim                                                              |                                                                   0 |                                                                   0 | 0                                                                   |
| 24                                                                  | Tamil Nadu                                                          |                                                                   0 |                                                                   0 | 0                                                                   |
| 25                                                                  | Telangana                                                           |                                                                   0 |                                                                   0 | 0                                                                   |
| 26                                                                  | Tripura                                                             |                                                                   0 |                                                                   0 | 0                                                                   |
| 27                                                                  | Uttrakhand                                                          |                                                                   0 |                                                                   0 | 0                                                                   |
| 28                                                                  | Uttar Pradesh                                                       |                                                                   0 |                                                                   0 | 0                                                                   |
| 29                                                                  | West Bengal                                                         |                                                                   0 |                                                                   0 | 0                                                                   |
| 30                                                                  | A & N Islands                                                       |                                                                   0 |                                                                   0 | 0                                                                   |
| 31                                                                  | Chandigarh                                                          |                                                                   0 |                                                                   0 | 0                                                                   |
| 32                                                                  | D & N Haveli                                                        |                                                                   1 |                                                                   0 | 0                                                                   |
| 33                                                                  | Daman & Diu                                                         |                                                                   0 |                                                                   0 | 0                                                                   |
| 34                                                                  | Delhi                                                               |                                                                   0 |                                                                   2 | 0                                                                   |
| 35                                                                  | Lakshadweep                                                         |                                                                   0 |                                                                   0 | 0                                                                   |
| 36                                                                  | Puducherry                                                          |                                                                   0 |                                                                   0 | 0                                                                   |
|                                                                     | Total                                                               |                                                                   3 |                                                                   3 | 6                                                                   |

Source: Monthly Health Condition Reports from Directorate of Health Services of States/UTs.

| States/UTs wise Deaths Due to Acute Diarrheal Diseases reported during 2016 - 2018   | States/UTs wise Deaths Due to Acute Diarrheal Diseases reported during 2016 - 2018   | States/UTs wise Deaths Due to Acute Diarrheal Diseases reported during 2016 - 2018   | States/UTs wise Deaths Due to Acute Diarrheal Diseases reported during 2016 - 2018   | States/UTs wise Deaths Due to Acute Diarrheal Diseases reported during 2016 - 2018   |
|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|
| S.No                                                                                 | State / U.T.                                                                         | 2016                                                                                 | 2017                                                                                 | 2018 (Prov.)                                                                         |
| 1                                                                                    | Andhra Pradesh                                                                       | 11                                                                                   | 52                                                                                   | 72                                                                                   |
| 2                                                                                    | Arunachal Pradesh                                                                    | 2                                                                                    | 2                                                                                    | 1                                                                                    |
| 3                                                                                    | Assam                                                                                | 282                                                                                  | 239                                                                                  | 439                                                                                  |
| 4                                                                                    | Bihar                                                                                | 8                                                                                    | 19                                                                                   | 9                                                                                    |
| 5                                                                                    | Chhattisgarh                                                                         | 33                                                                                   | 27                                                                                   | 20                                                                                   |
| 6                                                                                    | Goa                                                                                  | 4                                                                                    | 11                                                                                   | 0                                                                                    |
| 7                                                                                    | Gujarat                                                                              | 0                                                                                    | 0                                                                                    | 0                                                                                    |
| 8                                                                                    | Haryana                                                                              | 14                                                                                   | 20                                                                                   | 55                                                                                   |
| 9                                                                                    | Himachal Pradesh                                                                     | 56                                                                                   | 26                                                                                   | 14                                                                                   |
| 10                                                                                   | J & K                                                                                | 0                                                                                    | 5                                                                                    | 2                                                                                    |
| 11                                                                                   | Jharkhand                                                                            | 0                                                                                    | 0                                                                                    | 8                                                                                    |
| 12                                                                                   | Karnataka                                                                            | 4                                                                                    | 15                                                                                   | 4                                                                                    |
| 13                                                                                   | Kerala                                                                               | 15                                                                                   | 6                                                                                    | 3                                                                                    |
| 14                                                                                   | Madhya Pradesh                                                                       | 122                                                                                  | 102                                                                                  | 34                                                                                   |
| 15                                                                                   | Maharashtra                                                                          | 52                                                                                   | 23                                                                                   | 37                                                                                   |
| 16                                                                                   | Manipur                                                                              | 21                                                                                   | 18                                                                                   | 15                                                                                   |
| 17                                                                                   | Meghalaya                                                                            | 30                                                                                   | 6                                                                                    | 6                                                                                    |
| 18                                                                                   | Mizoram                                                                              | 16                                                                                   | 11                                                                                   | 4                                                                                    |
| 19                                                                                   | Nagaland                                                                             | 0                                                                                    | 3                                                                                    | 0                                                                                    |
| 20                                                                                   | Odisha                                                                               | 104                                                                                  | 110                                                                                  | 75                                                                                   |
| 21                                                                                   | Punjab                                                                               | 44                                                                                   | 35                                                                                   | 43                                                                                   |
| 22                                                                                   | Rajasthan                                                                            | 7                                                                                    | 1                                                                                    | 1                                                                                    |
| 23                                                                                   | Sikkim                                                                               | 0                                                                                    | 0                                                                                    | 5                                                                                    |
| 24                                                                                   | Tamil Nadu                                                                           | 9                                                                                    | 2                                                                                    | 8                                                                                    |
| 25                                                                                   | Telangana                                                                            | 19                                                                                   | 1                                                                                    | 1                                                                                    |
| 26                                                                                   | Tripura                                                                              | 6                                                                                    | 8                                                                                    | 7                                                                                    |
| 27                                                                                   | Uttrakhand                                                                           | 7                                                                                    | 4                                                                                    | 5                                                                                    |
| 28                                                                                   | Uttar Pradesh                                                                        | 304                                                                                  | 309                                                                                  | 229                                                                                  |
| 29                                                                                   | West Bengal                                                                          | 192                                                                                  | 129                                                                                  | 167                                                                                  |
| 30                                                                                   | A & N Islands                                                                        | 0                                                                                    | 0                                                                                    | 0                                                                                    |
| 31                                                                                   | Chandigarh                                                                           | 61                                                                                   | 42                                                                                   | 47                                                                                   |
| 32                                                                                   | D & N Haveli                                                                         | 12                                                                                   | 12                                                                                   | 4                                                                                    |
| 33                                                                                   | Daman & Diu                                                                          | 0                                                                                    | 0                                                                                    | 0                                                                                    |
| 34                                                                                   | Delhi                                                                                | 115                                                                                  | 117                                                                                  | 127                                                                                  |
| 35                                                                                   | Lakshadweep                                                                          | 0                                                                                    | 0                                                                                    | 0                                                                                    |
| 36                                                                                   | Puducherry                                                                           | 5                                                                                    | 7                                                                                    | 8                                                                                    |
|                                                                                      | Total                                                                                | 1,555                                                                                | 1,362                                                                                | 1,450                                                                                |

Source: Monthly Health Condition Reports from Directorate of Health Services of States/UTs.

| States/UTs wise Deaths Due to Enteric Fever (Typhoid) reported during 2016 - 2018   | States/UTs wise Deaths Due to Enteric Fever (Typhoid) reported during 2016 - 2018   |   States/UTs wise Deaths Due to Enteric Fever (Typhoid) reported during 2016 - 2018 |   States/UTs wise Deaths Due to Enteric Fever (Typhoid) reported during 2016 - 2018 | States/UTs wise Deaths Due to Enteric Fever (Typhoid) reported during 2016 - 2018   |
|-------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------|
| S. No                                                                               | State / U.T.                                                                        |                                                                                2016 |                                                                                2017 | 2018 (Prov.)                                                                        |
| 1                                                                                   | Andhra Pradesh                                                                      |                                                                                   0 |                                                                                  17 | 7                                                                                   |
| 2                                                                                   | Arunachal Pradesh                                                                   |                                                                                   1 |                                                                                   0 | 0                                                                                   |
| 3                                                                                   | Assam                                                                               |                                                                                   0 |                                                                                 122 | 83                                                                                  |
| 4                                                                                   | Bihar                                                                               |                                                                                   2 |                                                                                   2 | 1                                                                                   |
| 5                                                                                   | Chhattisgarh                                                                        |                                                                                   8 |                                                                                   3 | 4                                                                                   |
| 6                                                                                   | Goa                                                                                 |                                                                                   0 |                                                                                   0 | 0                                                                                   |
| 7                                                                                   | Gujarat                                                                             |                                                                                   0 |                                                                                   0 | 1                                                                                   |
| 8                                                                                   | Haryana                                                                             |                                                                                   0 |                                                                                   4 | 7                                                                                   |
| 9                                                                                   | Himachal Pradesh                                                                    |                                                                                   7 |                                                                                  12 | 5                                                                                   |
| 10                                                                                  | J & K                                                                               |                                                                                   0 |                                                                                   0 | 0                                                                                   |
| 11                                                                                  | Jharkhand                                                                           |                                                                                   0 |                                                                                   0 | 0                                                                                   |
| 12                                                                                  | Karnataka                                                                           |                                                                                   1 |                                                                                   4 | 0                                                                                   |
| 13                                                                                  | Kerala                                                                              |                                                                                   0 |                                                                                   0 | 0                                                                                   |
| 14                                                                                  | Madhya Pradesh                                                                      |                                                                                  21 |                                                                                   9 | 3                                                                                   |
| 15                                                                                  | Maharashtra                                                                         |                                                                                   0 |                                                                                   0 | 9                                                                                   |
| 16                                                                                  | Manipur                                                                             |                                                                                   2 |                                                                                   0 | 0                                                                                   |
| 17                                                                                  | Meghalaya                                                                           |                                                                                   0 |                                                                                   0 | 0                                                                                   |
| 18                                                                                  | Mizoram                                                                             |                                                                                   2 |                                                                                   1 | 0                                                                                   |
| 19                                                                                  | Nagaland                                                                            |                                                                                   0 |                                                                                   6 | 0                                                                                   |
| 20                                                                                  | Odisha                                                                              |                                                                                  19 |                                                                                  15 | 7                                                                                   |
| 21                                                                                  | Punjab                                                                              |                                                                                   3 |                                                                                   1 | 2                                                                                   |
| 22                                                                                  | Rajasthan                                                                           |                                                                                   0 |                                                                                   0 | 0                                                                                   |
| 23                                                                                  | Sikkim                                                                              |                                                                                   0 |                                                                                   0 | 0                                                                                   |
| 24                                                                                  | Tamil Nadu                                                                          |                                                                                   0 |                                                                                  14 | 1                                                                                   |
| 25                                                                                  | Telangana                                                                           |                                                                                   2 |                                                                                   0 | 0                                                                                   |
| 26                                                                                  | Tripura                                                                             |                                                                                   0 |                                                                                   4 | 2                                                                                   |
| 27                                                                                  | Uttrakhand                                                                          |                                                                                   4 |                                                                                   7 | 4                                                                                   |
| 28                                                                                  | Uttar Pradesh                                                                       |                                                                                 313 |                                                                                 248 | 224                                                                                 |
| 29                                                                                  | West Bengal                                                                         |                                                                                  22 |                                                                                   8 | 17                                                                                  |
| 30                                                                                  | A & N Islands                                                                       |                                                                                   1 |                                                                                   0 | 0                                                                                   |
| 31                                                                                  | Chandigarh                                                                          |                                                                                  48 |                                                                                   1 | 0                                                                                   |
| 32                                                                                  | D & N Haveli                                                                        |                                                                                   1 |                                                                                   1 | 0                                                                                   |
| 33                                                                                  | Daman & Diu                                                                         |                                                                                   0 |                                                                                   0 | 0                                                                                   |
| 34                                                                                  | Delhi                                                                               |                                                                                  55 |                                                                                  17 | 20                                                                                  |
| 35                                                                                  | Lakshadweep                                                                         |                                                                                   0 |                                                                                   0 | 0                                                                                   |
| 36                                                                                  | Puducherry                                                                          |                                                                                   0 |                                                                                   0 | 2                                                                                   |
| Total                                                                               | Total                                                                               |                                                                                 512 |                                                                                 496 | 399                                                                                 |

Source: Monthly Health Condition Reports from Directorate of Health Services of States/UTs.

| States/UTs wise Deaths Due to Viral Hepatitis (All Causes) reported during 2016 - 2018   | States/UTs wise Deaths Due to Viral Hepatitis (All Causes) reported during 2016 - 2018   |   States/UTs wise Deaths Due to Viral Hepatitis (All Causes) reported during 2016 - 2018 |   States/UTs wise Deaths Due to Viral Hepatitis (All Causes) reported during 2016 - 2018 | States/UTs wise Deaths Due to Viral Hepatitis (All Causes) reported during 2016 - 2018   |
|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|
| S. No                                                                                    | State / U.T.                                                                             |                                                                                     2016 |                                                                                     2017 | 2018 (Prov.)                                                                             |
| 1                                                                                        | Andhra Pradesh                                                                           |                                                                                        1 |                                                                                       82 | 141                                                                                      |
| 2                                                                                        | Arunachal Pradesh                                                                        |                                                                                        4 |                                                                                        1 | 0                                                                                        |
| 3                                                                                        | Assam                                                                                    |                                                                                       14 |                                                                                        0 | 3                                                                                        |
| 4                                                                                        | Bihar                                                                                    |                                                                                        0 |                                                                                        0 | 1                                                                                        |
| 5                                                                                        | Chhattisgarh                                                                             |                                                                                       15 |                                                                                        7 | 7                                                                                        |
| 6                                                                                        | Goa                                                                                      |                                                                                        0 |                                                                                        2 | 1                                                                                        |
| 7                                                                                        | Gujarat                                                                                  |                                                                                        2 |                                                                                        0 | 0                                                                                        |
| 8                                                                                        | Haryana                                                                                  |                                                                                        0 |                                                                                       16 | 14                                                                                       |
| 9                                                                                        | Himachal Pradesh                                                                         |                                                                                       18 |                                                                                        2 | 4                                                                                        |
| 10                                                                                       | J & K                                                                                    |                                                                                        0 |                                                                                        0 | 0                                                                                        |
| 11                                                                                       | Jharkhand                                                                                |                                                                                        0 |                                                                                        4 | 1                                                                                        |
| 12                                                                                       | Karnataka                                                                                |                                                                                       17 |                                                                                        5 | 8                                                                                        |
| 13                                                                                       | Kerala                                                                                   |                                                                                       18 |                                                                                        7 | 7                                                                                        |
| 14                                                                                       | Madhya Pradesh                                                                           |                                                                                       22 |                                                                                        8 | 3                                                                                        |
| 15                                                                                       | Maharashtra                                                                              |                                                                                        6 |                                                                                        2 | 2                                                                                        |
| 16                                                                                       | Manipur                                                                                  |                                                                                        1 |                                                                                        0 | 0                                                                                        |
| 17                                                                                       | Meghalaya                                                                                |                                                                                        3 |                                                                                        1 | 4                                                                                        |
| 18                                                                                       | Mizoram                                                                                  |                                                                                        1 |                                                                                        2 | 2                                                                                        |
| 19                                                                                       | Nagaland                                                                                 |                                                                                        0 |                                                                                        0 | 0                                                                                        |
| 20                                                                                       | Odisha                                                                                   |                                                                                       20 |                                                                                       39 | 13                                                                                       |
| 21                                                                                       | Punjab                                                                                   |                                                                                        7 |                                                                                        8 | 25                                                                                       |
| 22                                                                                       | Rajasthan                                                                                |                                                                                        1 |                                                                                        0 | 0                                                                                        |
| 23                                                                                       | Sikkim                                                                                   |                                                                                        0 |                                                                                        0 | 0                                                                                        |
| 24                                                                                       | Tamil Nadu                                                                               |                                                                                        0 |                                                                                        1 | 0                                                                                        |
| 25                                                                                       | Telangana                                                                                |                                                                                        0 |                                                                                        0 | 0                                                                                        |
| 26                                                                                       | Tripura                                                                                  |                                                                                        4 |                                                                                        0 | 0                                                                                        |
| 27                                                                                       | Uttrakhand                                                                               |                                                                                       16 |                                                                                       14 | 23                                                                                       |
| 28                                                                                       | Uttar Pradesh                                                                            |                                                                                       47 |                                                                                       43 | 42                                                                                       |
| 29                                                                                       | West Bengal                                                                              |                                                                                      114 |                                                                                       75 | 81                                                                                       |
| 30                                                                                       | A & N Islands                                                                            |                                                                                        0 |                                                                                        0 | 1                                                                                        |
| 31                                                                                       | Chandigarh                                                                               |                                                                                        7 |                                                                                       21 | 10                                                                                       |
| 32                                                                                       | D & N Haveli                                                                             |                                                                                        2 |                                                                                        4 | 5                                                                                        |
| 33                                                                                       | Daman & Diu                                                                              |                                                                                        0 |                                                                                        0 | 0                                                                                        |
| 34                                                                                       | Delhi                                                                                    |                                                                                      104 |                                                                                      190 | 180                                                                                      |
| 35                                                                                       | Lakshadweep                                                                              |                                                                                        0 |                                                                                        0 | 0                                                                                        |
| 36                                                                                       | Puducherry                                                                               |                                                                                        7 |                                                                                        3 | 6                                                                                        |
| Total                                                                                    | Total                                                                                    |                                                                                      451 |                                                                                      537 | 584                                                                                      |

Source: Monthly Health Condition Reports from Directorate of Health Services of States/UTs.