Lok Sabha Question No. 48 (UNSTARRED), answered on 2019-06-21
Subject: Fatal Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sunil Kumar Singh, Ravi Kishan Shukla, Rodmal Nagar, P.P. Chaudhary, Sumedhanand Saraswati, Sudhakar Tukaram Shrangre

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

LOK SABHA UNSTARRE D QUESTION NO. 48 TO BE ANSWERED ON 21 ST JUNE, 2019

## FATAL DISEASES

## 48. SHRI SUNIL KUMAR SINGH:

SHRI RAVINDRA SHYAM NARAYAN SHUKLA ALIAS RAVI KISHA N :

SHRI RODMAL NAGAR:

SHRI P.P. CHAUDHARY:

SHRI SUMENDAND SARASWATI:

SHRI SUDHAKAR TUKARAM SHRANGARE:

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

- (a) whether the fatal diseases like Nipah virus, Swine flu, Chikungunya, Cancer and Tuberculosis (TB) etc. are fast spreading in various parts of the country;
- (b) if so, the number of people infected and died due to these diseases during the last t across the country, State/ UT - wise;
- (c) whether the Go vernment has formulated any detailed action plan for complete eradication Nipah virus, Swine flu, Chikungunya, Cancer and Tuberculosis; and
- (d) if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a) & (b) Nipah Virus disease have focal and local presentation previously reported in 2001 from West Bengal and recently in the year 2018 and 2019in Kerala. Details are placed below:

| Month /Year   | Location                          | No. of Cases   |   No. of Deaths |
|---------------|-----------------------------------|----------------|-----------------|
| Feb 2001      | Siliguri (West Bengal)            | 66             |              45 |
| April 2007    | Nadia (West Bengal)               | 5              |               5 |
| May* 2018     | Kozhikode and Mallapuram (Kerala) | 19*            |              17 |
| May 2019      | Ernakulam (Kerala)                | 1              |               0 |

Seasonal Influenza A (H1N1) previously known as swine flu is a routine occurrence in the country with seasonal upsurges. The State wise number of cases and deaths due to H1N1 is paced at Annexure I .

State - wise  Chikungunya  cases  reported  in  the  country  during  the  las t  three  years  are enclosed  at Annexure  II. Till  date,  there  is  no  death  reported  by  any  State s/UTs directly attributable to Chikungunya.

As per National Centre for Disease Informatics and Research -National Cancer Registry Programme  data,  there  ha s  been  an  increase  in  estimated  incidence  of  cancer  cases  in  t country. The estimated number of incidence of cancer case s during the last three years, S tate/UT wise is at Annexure III.

The  estimated  incidence  of  Tuberculosis  in  India  has  been  declining  over  the  y From 289 in the year 2000 it has come down to 204 per lakh population for the year 2017, the Global TB report 2018. India accounts for 27.4 lakh estimated new TB case s annually, which is the highest in terms of absolute numbers. However, in terms of incidence of Tuberculo lakh population, India ranks 35th in the world.

The State/ UT wise number of TB patients'  notification and deaths for the last t hree years is enclosed at Annexure IV .

(c) & (d) : Eradication refers to the complete and permanent worldwide reduction to zero n cases  of  the  disease  through  deliberate  efforts.  In  case  of  Nipah  virus  and  H1N1  se influenza  it  cannot  be  eradicat ed  due  to  the  virus  reservoir  in  bats  and  birds  respective However both the disease can be controlled and contained.

Government of India (GOI) has taken the following steps to prevent Chikungunya in the country during 2019 :

- GoI  providedTechnical  Guidelines  for  prevention  and  control,  case  management  & effective community participation to the States for implementation.
- Conducted trainings for capacity Building of doctors on case management.
- Monitoring and supervision for early case detection and prevention and control.
- Till date, 7 advisories have been issued and 5 reviews held.
- Free  diagnostic  facilities  are  provided  through  673  Sentinel  Surveillance  Hosp (SSHs) and 16 Apex Referral Laboratories (ARLs) identified across the cou ntry.
- GOI supplied 631 chikungunya IgM tests kits (1 Kit=96 tests) through NIV, Pune t date.
- Conduct of IEC/BCC activities to disseminate knowledge for prevention and control.

The treatment of Cancer in many of States and Central Government institutions is free for BPL patients and subsidized for others. The Central Government supplements the e of the State Governments to prevent and control cancer and to provide affordable and acce care. Some of the steps taken by Cent ral Government are as follows:

- (i) The  objectives  of  National  Programme  for  Prevention  and  Control  of  Cancer,  Diabete Cardiovascular Diseases and Stroke (NPCDCS) being implemented under National Health Mission (NHM) for interventions upto the district level in ludes awareness generation for Cancer prevention, screening, early detection and referral to an appropriate level in for treatment. For Cancer, the focus is on three Cancers namely breast, cervical and
- (ii)To  enhance  the  facilities  for  tert iary  care  of  cancer,  the  Central  Government  is implementing Tertiary Care Cancer Centre Scheme to support setting up of State Can Institutes (SCI) and Tertiary Care Cancer Centres (TCCC) in different parts of the c 35 proposals for setting up of SCIs and TCCCs have been approved.
- (iii) Oncology  in  its  various  aspects  has  focus  in  case  of  new  AIIMS  and  many  upgrade institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY).
- (iv)Setting up of National Cancer Institute (NCI) at Jhajjar (Haryana) and Second campus of Chittaranjan National Cancer Institute, Kolkata and has been approved.
- (v) The Government is providing financial assistance to patients living below poverty li life threatening diseases under the schemes such as Rashtriya Arogya Nidhi (R AN), Health Minister's  Cancer  Patient  Fund  (HMCPF)  and  Health  Minister's  Discretionary  Grant (HMDG).
- (vi)Affordable  Medicines  and  Reliable  Implants  for  Treatment  (AMRIT)  Deendayal  outlets have been opened at 158 Institutions/Hospitals with an objective to make available Cancer and Cardiovascular Diseases drugs and implants at discounted prices to the patient Aushadhi stores are set up by Department of Pharmaceuticals to provide generic drug affordable prices.
- (vii) Pradhan  Mantri  Jan  Arogya  Yojna  (PMJAY)  pr ovides  for  benefit  coverage  of  Rs. 5,00,000/ -to  over  more  than  10  crore  beneficiary  families, giving  cashless  access  to services for the beneficiary at the point of service in empanelled hospitals (both p private) across India. More than 1350 med ical packages have been finalized by an expert committee. The treatment of cancer is also included under PMJAY.

Ministryof  Health  and  Family  Welfare has  developed  the  National  Strategic  Plan (NSP) for Tuberculosis (2017 - 2025) with the go al of ending TB by 2025. The key focus areas are:

- Early diagnosis of all the TB patients, prompt treatment with quality assured dru treatment regimens along with suitable patient support systems to promote adherence.
- Engaging with the patients seekin g care in the private sector.
- Prevention  strategies  including  active  case  finding  and  contact  tracing  in  high vulnerable population
- Airborne infection control.
- Multi - sectoral response for addressing social determinants.

Annexure I

|        | State/UT-wise        | Cases and Death due   | Cases and Death due   | Seasonal Influenza (H1N1)   | Seasonal Influenza (H1N1)   | 2016 - 8 2018   | 2016 - 8 2018   |
|--------|----------------------|-----------------------|-----------------------|-----------------------------|-----------------------------|-----------------|-----------------|
| S. No. | States/UTs           | Cases                 | Deaths                | Cases                       | Deaths                      | Cases           | Deaths          |
| 1      | Andaman & Nicobar    | 0                     | 0                     | 2                           | 1                           | 0               | 0               |
| 2      | Andhra Pradesh       | 12                    | 5                     | 476                         | 14                          | 402             | 17              |
| 3      | Arunachal Pradesh    | 0                     | 0                     | 5                           | 1                           | 0               | 0               |
| 4      | Assam                | 0                     | 0                     | 199                         | 5                           | 0               | 0               |
| 5      | Bihar                | 0                     | 0                     | 26                          | 0                           | 1               | 0               |
| 6      | Chandigarh           | 6                     | 0                     | 63                          | 6                           | 4               | 2               |
| 7      | Chhattisgarh         | 6                     | 4                     | 305                         | 64                          | 12              | 4               |
| 8      | Dadra & Nagar Haveli | 1                     | 0                     | 15                          | 4                           | 4               | 2               |
| 9      | Daman & Diu          | 0                     | 0                     | 6                           | 2                           | 0               | 0               |
| 10     | Delhi                | 193                   | 7                     | 2835                        | 16                          | 205             | 2               |
| 11     | Goa                  | 6                     | 0                     | 260                         | 12                          | 55              | 4               |
| 12     | Gujarat              | 411                   | 55                    | 7709                        | 431                         | 2164            | 97              |
| 13     | Haryana              | 68                    | 5                     | 252                         | 9                           | 61              | 7               |
| 14     | Himachal Pradesh     | 14                    | 5                     | 77                          | 15                          | 7               | 2               |
| 15     | Jammu & Kashmir      | 2                     | 0                     | 140                         | 26                          | 77              | 14              |
| 16     | Jharkhand            | 1                     | 1                     | 35                          | 2                           | 4               | 1               |
| 17     | Karnataka            | 110                   | 0                     | 3260                        | 15                          | 1733            | 72              |
| 18     | Kerala               | 23                    | 1                     | 1414                        | 76                          | 879             | 53              |
| 19     | Lakshadweep          | 0                     | 0                     | 0                           | 0                           | 0               | 0               |
| 20     | Madhya Pradesh       | 38                    | 12                    | 802                         | 146                         | 100             | 34              |
| 21     | Maharashtra          | 82                    | 26                    | 6144                        | 778                         | 2593            | 461             |
| 22     | Manipur              | 0                     | 0                     | 8                           | 1                           | 0               | 0               |
| 23     | Meghalaya            | 0                     | 0                     | 0                           | 0                           | 2               | 1               |
| 24     | Mizoram              | 0                     | 0                     | 0                           | 0                           | 0               | 0               |
| 25     | Nagaland             | 0                     | 0                     | 0                           | 0                           | 0               | 0               |
| 26     | Odisha               | 1                     | 0                     | 414                         | 54                          | 33              | 7               |
| 27     | Puducherry           | 1                     | 0                     | 168                         | 9                           | 319             | 10              |
| 28     | Punjab               | 177                   | 64                    | 295                         | 86                          | 47              | 11              |
| 29     | Rajasthan            | 197                   | 43                    | 3619                        | 279                         | 2375            | 221             |
| 30     | Sikkim               | 0                     | 0                     | 0                           | 0                           | 0               | 0               |
| 31     | Tamil Nadu           | 122                   | 2                     | 3315                        | 17                          | 2812            | 43              |
| 32     | Telangana*           | 166                   | 10                    | 2165                        | 21                          | 1007            | 28              |
| 33     | Tripura              | 0                     | 0                     | 44                          | 0                           | 1               | 0               |
| 34     | Uttarakhand          | 20                    | 5                     | 184                         | 22                          | 9               | 2               |
| 35     | Uttar Pradesh        | 122                   | 16                    | 3858                        | 132                         | 65              | 8               |
| 36     | West Bengal          | 7                     | 2                     | 716                         | 26                          | 295             | 10              |
|        | Total                | 1786                  | 263                   | 38811                       | 2270                        | 15266           | 1113            |

Annexure II

| State/UT-wise Cases due to Chickungunya 2016-18   | State/UT-wise Cases due to Chickungunya 2016-18   |   State/UT-wise Cases due to Chickungunya 2016-18 |   State/UT-wise Cases due to Chickungunya 2016-18 |   State/UT-wise Cases due to Chickungunya 2016-18 |
|---------------------------------------------------|---------------------------------------------------|---------------------------------------------------|---------------------------------------------------|---------------------------------------------------|
| Sl. No                                            | Name of the State                                 |                                              2016 |                                              2017 |                                              2018 |
| 1                                                 | Andhra Pd.                                        |                                               960 |                                              1162 |                                               622 |
| 2                                                 | Arunachal Pd.                                     |                                               239 |                                               133 |                                               507 |
| 3                                                 | Assam                                             |                                                40 |                                                41 |                                                 3 |
| 4                                                 | Bihar                                             |                                               566 |                                              1251 |                                               156 |
| 5                                                 | Goa                                               |                                               337 |                                               509 |                                               455 |
| 6                                                 | Gujarat                                           |                                              3285 |                                              7953 |                                             10601 |
| 7                                                 | Haryana                                           |                                              5394 |                                               220 |                                                62 |
| 8                                                 | Jammu &Kashmir                                    |                                                 1 |                                                 0 |                                                 1 |
| 9                                                 | Jharkhand                                         |                                                47 |                                               269 |                                              3405 |
| 10                                                | Karnataka                                         |                                             15666 |                                             32831 |                                             20411 |
| 11                                                | Kerala                                            |                                               129 |                                                78 |                                                77 |
| 12                                                | Madhya Pd.                                        |                                              2280 |                                              2477 |                                              3211 |
| 13                                                | Meghalaya                                         |                                               360 |                                               236 |                                                44 |
| 14                                                | Maharashtra                                       |                                              7570 |                                              8110 |                                              9884 |
| 15                                                | Mizoram                                           |                                                 0 |                                                 0 |                                                93 |
| 16                                                | Manipur                                           |                                                 0 |                                                 0 |                                                 2 |
| 17                                                | Odisha                                            |                                                51 |                                                 0 |                                                 0 |
| 18                                                | Punjab                                            |                                              4407 |                                              3251 |                                               736 |
| 19                                                | Rajasthan                                         |                                              2506 |                                              1612 |                                               254 |
| 20                                                | Sikkim                                            |                                                30 |                                               130 |                                               384 |
| 21                                                | Tamil Nadu                                        |                                                86 |                                               131 |                                               284 |
| 22                                                | Telangana                                         |                                               611 |                                              1277 |                                              1954 |
| 23                                                | Tripura                                           |                                               311 |                                               574 |                                               683 |
| 24                                                | Uttar Pradesh                                     |                                              2458 |                                               103 |                                                58 |
| 25                                                | Uttrakhand                                        |                                                35 |                                                 0 |                                                29 |
| 26                                                | West Bengal                                       |                                              1071 |                                              2103 |                                                52 |
| 27                                                | A&N Island                                        |                                                18 |                                                93 |                                               205 |
| 28                                                | Chandigarh                                        |                                              2857 |                                              1810 |                                               357 |
| 29                                                | Delhi                                             |                                             12279 |                                               940 |                                               407 |
| 30                                                | D&N Haveli                                        |                                                 0 |                                                 0 |                                                 0 |
| 31                                                | Lakshadweep                                       |                                                 0 |                                                 0 |                                                 0 |
| 32                                                | Puducherry                                        |                                               463 |                                               475 |                                              2876 |
| Total                                             | Total                                             |                                             64057 |                                             67769 |                                             57813 |

Annexure III

|       | States/UTs wise   | Cases and Deaths Due   | Cases and Deaths Due   | cancer reported during 2016   | cancer reported during 2016   | - 2018 2018 (Prov.)   | - 2018 2018 (Prov.)   |
|-------|-------------------|------------------------|------------------------|-------------------------------|-------------------------------|-----------------------|-----------------------|
| Sl No | State / U.T.      | Cases                  | 2016 Deaths            | Cases                         | 2017 Deaths                   | Cases                 | Deaths                |
| 1     | Andhra Pradesh    | 58072                  | 29244                  | 60475                         | 30458                         | 62978                 | 31725                 |
| 2     | Arunachal Pradesh | 1272                   | 649                    | 1292                          | 659                           | 1313                  | 670                   |
| 3     | Assam             | 31825                  | 16206                  | 32177                         | 16383                         | 32530                 | 16561                 |
| 4     | Bihar             | 130628                 | 66040                  | 137656                        | 69607                         | 145051                | 73361                 |
| 5     | Chhattisgarh      | 31817                  | 16030                  | 33477                         | 16868                         | 35223                 | 17751                 |
| 6     | Goa               | 1726                   | 870                    | 1801                          | 908                           | 1881                  | 948                   |
| 7     | Gujarat           | 73551                  | 37182                  | 77097                         | 38983                         | 80820                 | 40873                 |
| 8     | Haryana           | 30611                  | 15491                  | 32049                         | 16219                         | 33558                 | 16983                 |
| 9     | Himachal Pradesh  | 8029                   | 4048                   | 8348                          | 4210                          | 8679                  | 4378                  |
| 10    | J & K             | 15852                  | 7925                   | 16480                         | 8345                          | 17351                 | 8788                  |
| 11    | Jharkhand         | 40959                  | 20671                  | 43071                         | 21741                         | 45289                 | 22864                 |
| 12    | Karnataka         | 73511                  | 37052                  | 76867                         | 38747                         | 80381                 | 40523                 |
| 13    | Kerala            | 42004                  | 21062                  | 44566                         | 22348                         | 47382                 | 23761                 |
| 14    | Madhya Pradesh    | 89315                  | 45110                  | 93754                         | 47358                         | 98403                 | 49713                 |
| 15    | Maharashtra       | 132726                 | 67035                  | 138271                        | 69843                         | 144032                | 72762                 |
| 16    | Manipur           | 2998                   | 1500                   | 3082                          | 1542                          | 3168                  | 1585                  |
| 17    | Meghalaya         | 3511                   | 1710                   | 3376                          | 1744                          | 3442                  | 1777                  |
| 18    | Mizoram           | 1652                   | 841                    | 1687                          | 859                           | 1723                  | 878                   |
| 19    | Nagaland          | 1300                   | 667                    | 1309                          | 672                           | 1318                  | 676                   |
| 20    | Odisha            | 49674                  | 25035                  | 51763                         | 26091                         | 53936                 | 27190                 |
| 21    | Punjab            | 32474                  | 16423                  | 33781                         | 17084                         | 35137                 | 17771                 |
| 22    | Rajasthan         | 82836                  | 41848                  | 86675                         | 43795                         | 90686                 | 45829                 |
| 23    | Sikkim            | 479                    | 242                    | 485                           | 245                           | 490                   | 248                   |
| 24    | Tamil Nadu        | 80999                  | 40796                  | 83554                         | 42091                         | 86180                 | 43422                 |
| 25    | Telangana         | 41939                  | 21126                  | 43784                         | 22058                         | 45713                 | 23033                 |
| 26    | Tripura           | 2199                   | 1125                   | 2229                          | 1140                          | 2260                  | 1156                  |
| 27    | Uttarakhand       | 12381                  | 6245                   | 12995                         | 6556                          | 13640                 | 6883                  |
| 28    | Uttar Pradesh     | 245231                 | 123985                 | 257353                        | 130134                        | 270053                | 136579                |
| 29    | West Bengal       | 107906                 | 54443                  | 112466                        | 56750                         | 117220                | 59154                 |
| 30    | A & N Islands     | 429                    | 217                    | 443                           | 224                           | 458                   | 232                   |
| 31    | Chandigarh        | 1274                   | 646                    | 1335                          | 678                           | 1398                  | 709                   |
| 32    | D & N Haveli      | 497                    | 254                    | 542                           | 276                           | 591                   | 301                   |
| 33    | Daman & Diu       | 440                    | 229                    | 504                           | 263                           | 579                   | 303                   |
| 34    | Delhi             | 20015                  | 10127                  | 20899                         | 10573                         | 21821                 | 11039                 |
| 35    | Lakshadweep       | 89                     | 45                     | 96                            | 48                            | 104                   | 53                    |
| 36    | Puducherry        | 1596                   | 802                    | 1687                          | 848                           | 1783                  | 895                   |
| Total |                   | 1451417                | 732921                 | 1517426                       | 766348                        | 1586571               | 801374                |

## Annexure IV

| State/UT-wise Cases and Deaths due to Tuberculosis (TB) 2016 -18   | State/UT-wise Cases and Deaths due to Tuberculosis (TB) 2016 -18   | State/UT-wise Cases and Deaths due to Tuberculosis (TB) 2016 -18   | State/UT-wise Cases and Deaths due to Tuberculosis (TB) 2016 -18   | State/UT-wise Cases and Deaths due to Tuberculosis (TB) 2016 -18   | State/UT-wise Cases and Deaths due to Tuberculosis (TB) 2016 -18   | State/UT-wise Cases and Deaths due to Tuberculosis (TB) 2016 -18   |
|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|
| S.No.                                                              | States/UTs                                                         | 2016                                                               | 2016                                                               | 2017                                                               | 2017                                                               | 2018                                                               |
| S.No.                                                              | States/UTs                                                         | Cases                                                              | Deaths                                                             | Cases                                                              | Deaths                                                             | Cases                                                              |
| 1                                                                  | A&N Islands                                                        | 534                                                                | 21                                                                 | 292                                                                | 18                                                                 | 556                                                                |
| 2                                                                  | Andhra Pradesh                                                     | 74373                                                              | 4537                                                               | 83118                                                              | 2866                                                               | 91224                                                              |
| 3                                                                  | Arunachal Pradesh                                                  | 2788                                                               | 39                                                                 | 3154                                                               | 55                                                                 | 3419                                                               |
| 4                                                                  | Assam                                                              | 40851                                                              | 1588                                                               | 40174                                                              | 1393                                                               | 42867                                                              |
| 5                                                                  | Bihar                                                              | 97001                                                              | 1415                                                               | 96489                                                              | 1850                                                               | 104886                                                             |
| 6                                                                  | Chandigarh                                                         | 3413                                                               | 68                                                                 | 5930                                                               | 109                                                                | 5704                                                               |
| 7                                                                  | Chhattisgarh                                                       | 39484                                                              | 1596                                                               | 41272                                                              | 1455                                                               | 43026                                                              |
| 8                                                                  | Dadra Nagar Haveli                                                 | 552                                                                | 15                                                                 | 963                                                                | 16                                                                 | 849                                                                |
| 9                                                                  | Daman & Diu                                                        | 487                                                                | 14                                                                 | 457                                                                | 15                                                                 | 499                                                                |
| 10                                                                 | Delhi                                                              | 62706                                                              | 1370                                                               | 65893                                                              | 1006                                                               | 93488                                                              |
| 11                                                                 | Goa                                                                | 1966                                                               | 49                                                                 | 1935                                                               | 40                                                                 | 2493                                                               |
| 12                                                                 | Gujarat                                                            | 126665                                                             | 5087                                                               | 149061                                                             | 6040                                                               | 154622                                                             |
| 13                                                                 | Haryana                                                            | 47545                                                              | 1543                                                               | 40751                                                              | 1547                                                               | 65642                                                              |
| 14                                                                 | Himachal Pradesh                                                   | 14961                                                              | 547                                                                | 16451                                                              | 549                                                                | 16482                                                              |
| 15                                                                 | Jammu & Kashmir                                                    | 9937                                                               | 342                                                                | 10476                                                              | 191                                                                | 12881                                                              |
| 16                                                                 | Jharkhand                                                          | 39515                                                              | 994                                                                | 44128                                                              | 768                                                                | 48450                                                              |
| 17                                                                 | Karnataka                                                          | 68462                                                              | 3958                                                               | 81187                                                              | 3914                                                               | 83069                                                              |
| 18                                                                 | Kerala                                                             | 47293                                                              | 961                                                                | 22754                                                              | 762                                                                | 24571                                                              |
| 19                                                                 | Lakshadweep                                                        | 23                                                                 | 1                                                                  | 46                                                                 | 2                                                                  | 19                                                                 |
| 20                                                                 | Madhya Pradesh                                                     | 129915                                                             | 3816                                                               | 134333                                                             | 3981                                                               | 160119                                                             |
| 21                                                                 | Maharashtra                                                        | 195139                                                             | 6121                                                               | 192458                                                             | 5066                                                               | 209574                                                             |
| 22                                                                 | Manipur                                                            | 2393                                                               | 54                                                                 | 2805                                                               | 54                                                                 | 2923                                                               |
| 23                                                                 | Meghalaya                                                          | 4586                                                               | 164                                                                | 3961                                                               | 94                                                                 | 4867                                                               |
| 24                                                                 | Mizoram                                                            | 2205                                                               | 56                                                                 | 2245                                                               | 49                                                                 | 2567                                                               |
| 25                                                                 | Nagaland                                                           | 2821                                                               | 49                                                                 | 3013                                                               | 46                                                                 | 4260                                                               |
| 26                                                                 | Odisha                                                             | 43851                                                              | 2162                                                               | 71131                                                              | 2457                                                               | 50314                                                              |
| 27                                                                 | Puducherry                                                         | 1421                                                               | 63                                                                 | 1604                                                               | 78                                                                 | 3495                                                               |
| 28                                                                 | Punjab                                                             | 39836                                                              | 1799                                                               | 45313                                                              | 1566                                                               | 54504                                                              |
| 29                                                                 | Rajasthan                                                          | 106756                                                             | 3877                                                               | 105953                                                             | 3029                                                               | 160085                                                             |
| 30                                                                 | Sikkim                                                             | 1539                                                               | 44                                                                 | 1271                                                               | 25                                                                 | 1438                                                               |
| 31                                                                 | Tamil Nadu                                                         | 96079                                                              | 4118                                                               | 93327                                                              | 3764                                                               | 105120                                                             |
| 32                                                                 | Tripura                                                            | 2374                                                               | 0                                                                  | 1693                                                               | 1501                                                               | 2575                                                               |
| 33                                                                 | Telangana                                                          | 45003                                                              | 113                                                                | 39223                                                              | 101                                                                | 52314                                                              |
| 34                                                                 | Uttar Pradesh                                                      | 297746                                                             | 8256                                                               | 311041                                                             | 7535                                                               | 420236                                                             |
| 35                                                                 | Uttarakhand                                                        | 15081                                                              | 443                                                                | 16760                                                              | 458                                                                | 22330                                                              |
| 36                                                                 | West Bengal                                                        | 89656                                                              | 4448                                                               | 97297                                                              | 3877                                                               | 104169                                                             |
|                                                                    | Total                                                              | 1754957                                                            | 59728                                                              | 1827959                                                            | 56277                                                              | 2155637                                                            |

Note: Data for deaths for the year 2018 is not notified so far.