Lok Sabha Question No. 720 (UNSTARRED), answered on 2021-07-23
Subject: COVID Deaths in Rural Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Deepak Baij

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

## LOK  SABHA UNSTARRED QUESTION NO. 720 TO BE ANSWERED ON 23 RD JULY, 2021

## COVID DEATHS IN RURA L AREAS

## 720. SHRI DEEPAK BAIJ:

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

- (a) the details of number of people who have died due to Covid - 19 during April and May, 2021, State/ UT - wise;
- (b) whether the Government is aware that large number of people have died in rural areas with COVID like symptoms without testing and treatment during April and May, 2021;
- (c) if so, the details thereof, State/UT, district - wiseparticularly Uttar Pradesh;
- (d) if not, whether the Government proposes to conduct any survey by an independent agency to ascertain the number of COVID deaths in rural areas without testing and treatment between April and May 2021; and
- (e) if not, the reasons therefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE ( DR. BHARATI PRAVIN P AWAR )

(a)to (e) : State/UT wise number of COVID - 19 deaths reported in months of April and May 2021 is attached as Annexure I. Also district wise cases and deaths reported from Uttar Prades are attached as Annexure II

Health is a state subject, Government of India provides required technical support and has supported  states  with  funding  to  strengthen  the  existing  health  infrastructure  in provisioning  of  hospital  beds,  drugs,  medical  oxygen  and  other  consumables  to  aid  pr clinical care of COVID - 19 patient s.

- With the intent to reduce the risk of cross infection to non - COVID  patients  as  well  as  to maintain  continuity  of  non - COVID  essential  health  services  in  the  country,  a  three - tier arrangement of dedicated COVID - 19  health  facilities [(i) COVID Care Cente r (CCC); (ii) Dedicated COVID Health Centre (DCHC) and (iii) Dedicated COVID Hospital (DCH)] has been implemented in the country.
- Government of India, to supplement the hospital facilities has roped in tertiary care under ESIC, Defence, Railways , paramilitary forces, Steel Ministry etc. Further, many lar temporary  treatment  facilities  were  established  by  DRDO  to  manage  surge  in  COVID - 19 cases in the country.
- Due to concerted actions of Central and State Governments, the isolation bed capacit d ICU bed capacity which was only 10,180 and 2,168 before the first lockdown (as on 2 rd March 2020) in being enhanced continuously and is currently at 18,21,845 isolation bed 1,22,035 ICU beds (as on 20 th July 2021).
- The daily liquid medical oxygen (LMO) production, which was about 5700 MTs per day in August  2020  increased  to  a  high  of  9690  MTs  as  on  13  May  2021.  This  was  done  by enhancement of LMO production in steel plants as well as in other LMO plants.
- Restrictions were imposed on industrial use of oxygen.
- 1,02,400 oxygen cylinders were procured in April and May of 2020 and distributed to St Further orders for additional 1,27,000 cylinders have been placed on 21 st April 2021, (54,000 jumbo cylinders (D type) and 73,000 regular cylinders (B type). Deliveries of the same started and 24,207 (24,511 B - type and 8,893 D - type) cylinders have been delivered as on 7 th July 2021. In addition, around 4962 B - type and 1895 D - type cylinders are in - tra sit.
- To generate oxygen at the health facility level, PSA plants are being established in h especially in far flung areas enabling the hospitals to become self - suffi ient in generation of oxygen for their needs and the reby, reduce the burden on the medical oxygen supply grid across the country.
- Further, to fast - track the availability of Medical Oxygen in rural and peri - urban areas, more than 18,000 Oxygen Concentrators have been allocated to various States.
- States  were facilitated  in  terms  of  augmentation  and  availability  of  required  drugs diagnostics.
- Union  Health  Ministry  has  approved  'India  COVID19  Emergency  Response  and  Health System Preparedness package' and Rs 15,000 Cr was provided under the package in April 2020 with an objective to prevent, detect and respond to the threat posed by COVID - 19.
- In addition, 'India COVID - 19 Emergency Response & Health System Preparedness Package: Phase II' has also been approved by the Cabinet with Rs 23,123 crores (with Rs . 15,000 Cr as Central Component & Rs 8,123 as State component) and is to be implemented from 1s July 2021 to 31" March 2022.

It includes support to State/UT level for ramping up Health Infrastructure including rural, tribal and peri - urban areas closer to the community, providing support for procurement of drugs and diagnostics to enhance service delivery at district and sub district management of COVID-19 cases (including pediatric care) and for maintaining a buffer drugs,  support for  IT  Interventions  such  as  implementation  of  Hospital  Management Information System and expanding access to tele - consultations in all districts, and support for capacity building and training for all aspects of management of COVID - 19.

Further, Ministry of Health & Family Welfare continues to provide technical guidance for managing various aspects of COVID - 19. So far more than 150 guidelines/advisories/SoPs/plans have been provided to States/UTs.

- Taking note of ingress of COVID - 19  pandemic  in  peri - urban and  rural  areas,  Ministry  of Health & Family Welfare on 16 th May 2021 issued an SOP on COVID - 19 Containment & Management in Peri - urban, Rural & Tribal areas.
- Guidelines for management of COVID - 19 in children has been issued on 18 th June 2021.

MoHFW has c onveyed to States/UTs, WHO and ICMR guidelines on correct recording of  COVID - 19  related  deaths  in  accordance  with  globally  accepted  ICD - 10  classification.  In addition,  the  issue  of  correct  and  timely  reporting  of  deaths  has  also  been  stresse States /UTs through video conferences and formal communication.

Accordingly, the details are obtained from states/UTs. It has been noted that so states based on reconciliation of mortality data have also revised the reported COVID - 19 deaths. All states hav e also been advised that while reconciling the data, the details of deaths s indicated date wise & district wise to get correct picture of the pandemic. States have regularly  advised  to  undertake  death  audit  to  ascertain  the  cause  of  death s  and  undertake measures for improving quality of healthcare services.

Annexure- I

| State wise no. of Deaths reported due to Covid-19 during 2021 (April and May 2021) 2021   | State wise no. of Deaths reported due to Covid-19 during 2021 (April and May 2021) 2021   | State wise no. of Deaths reported due to Covid-19 during 2021 (April and May 2021) 2021   |
|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|
| State                                                                                     | April                                                                                     | May                                                                                       |
| A&N Islands                                                                               | 5                                                                                         | 47                                                                                        |
| Andhra Pradesh                                                                            | 715                                                                                       | 2904                                                                                      |
| Arunachal Pradesh                                                                         | 3                                                                                         | 56                                                                                        |
| Assam                                                                                     | 177                                                                                       | 2019                                                                                      |
| Bihar                                                                                     | 906                                                                                       | 2624                                                                                      |
| Chandigarh                                                                                | 86                                                                                        | 280                                                                                       |
| Chhattisgarh                                                                              | 4181                                                                                      | 4704                                                                                      |
| Dadar and Nagar Haveli and Daman and Diu                                                  | 2                                                                                         | 0                                                                                         |
| Delhi                                                                                     | 4756                                                                                      | 8379                                                                                      |
| Goa                                                                                       | 317                                                                                       | 1479                                                                                      |
| Gujarat                                                                                   | 2500                                                                                      | 2805                                                                                      |
| Haryana                                                                                   | 971                                                                                       | 4103                                                                                      |
| Himachal Pradesh                                                                          | 415                                                                                       | 1667                                                                                      |
| J&K (UT)                                                                                  | 263                                                                                       | 1617                                                                                      |
| Jharkhand                                                                                 | 1427                                                                                      | 2437                                                                                      |
| Karnataka                                                                                 | 2765                                                                                      | 13373                                                                                     |
| Kerala                                                                                    | 653                                                                                       | 3382                                                                                      |
| Ladakh (UT)                                                                               | 10                                                                                        | 48                                                                                        |
| Lakshadweep                                                                               | 3                                                                                         | 28                                                                                        |
| Madhya Pradesh                                                                            | 1542                                                                                      | 2500                                                                                      |
| Maharashtra                                                                               | 13563                                                                                     | 26859                                                                                     |
| Manipur                                                                                   | 26                                                                                        | 393                                                                                       |
| Meghalaya                                                                                 | 19                                                                                        | 395                                                                                       |
| Mizoram                                                                                   | 3                                                                                         | 24                                                                                        |
| Nagaland                                                                                  | 8                                                                                         | 263                                                                                       |
| Odisha                                                                                    | 108                                                                                       | 690                                                                                       |
| Puducherry                                                                                | 111                                                                                       | 725                                                                                       |
| Punjab                                                                                    | 2096                                                                                      | 5523                                                                                      |
| Rajasthan                                                                                 | 1271                                                                                      | 4233                                                                                      |
| Sikkim                                                                                    | 11                                                                                        | 104                                                                                       |
| Tamil Nadu                                                                                | 1233                                                                                      | 9821                                                                                      |
| Telangana                                                                                 | 564                                                                                       | 1002                                                                                      |
| Tripura                                                                                   | 4                                                                                         | 117                                                                                       |
| Uttar Pradesh                                                                             | 3438                                                                                      | 8108                                                                                      |
| Uttarakhand                                                                               | 789                                                                                       | 3899                                                                                      |
| West Bengal                                                                               | 921                                                                                       | 4162                                                                                      |
| Grand Total                                                                               | 45862                                                                                     | 120770                                                                                    |

## District wise cases and deaths reported from Uttar Pradesh

| District wise cases and Deaths in Uttar Pradesh   | Cases   | Cases   | Deaths   | Deaths   |
|---------------------------------------------------|---------|---------|----------|----------|
| District wise cases and Deaths in Uttar Pradesh   | Apr'21  | May'21  | Apr'21   | May'21   |
| Agra                                              | 10107   | 4738    | 48       | 191      |
| Aligarh                                           | 3773    | 5696    | 14       | 33       |
| Ambedkar Nagar                                    | 1573    | 1469    | 28       | 74       |
| Amethi                                            | 3004    | 2963    | 42       | 41       |
| Amroha                                            | 4845    | 7146    | 25       | 88       |
| Auraiya                                           | 4232    | 2344    | 32       | 92       |
| Ayodhya                                           | 4796    | 3716    | 25       | 87       |
| Azamgarh                                          | 6074    | 5418    | 15       | 102      |
| Baghpat                                           | 2014    | 4681    | 25       | 72       |
| Bahraich                                          | 3861    | 3207    | 10       | 83       |
| Ballia                                            | 8463    | 5133    | 56       | 65       |
| Balrampur                                         | 2631    | 2361    | 29       | 66       |
| Banda                                             | 4419    | 2579    | 64       | 40       |
| Barabanki                                         | 7119    | 4351    | 31       | 72       |
| Bareilly                                          | 16605   | 11928   | 34       | 85       |
| Basti                                             | 3238    | 2956    | 59       | 158      |
| Bhadohi                                           | 3626    | 1708    | 8        | 118      |
| Bijnor                                            | 5499    | 4474    | 10       | 25       |
| Budaun                                            | 4446    | 6101    | 20       | 31       |
| Bulandshahr                                       | 4862    | 8395    | 16       | 99       |
| Chandauli                                         | 7695    | 3591    | 74       | 204      |
| Chitrakoot                                        | 2745    | 2059    | 23       | 35       |
| Deoria                                            | 4544    | 8526    | 30       | 64       |
| Etah                                              | 4007    | 3309    | 13       | 47       |
| Etawah                                            | 4475    | 3203    | 81       | 94       |
| Farrukhabad                                       | 2952    | 2460    | 30       | 58       |
| Fatehpur                                          | 2147    | 789     | 41       | 17       |
| Firozabad                                         | 2501    | 2018    | 16       | 48       |
| Gautam Buddha Nagar                               | 15291   | 21065   | 125      | 238      |
| Ghaziabad                                         | 12619   | 15315   | 97       | 236      |
| Ghazipur                                          | 10676   | 5816    | 29       | 121      |
| Gonda                                             | 4177    | 2816    | 49       | 112      |
| Gorakhpur                                         | 19111   | 17637   | 64       | 253      |
| Hamirpur                                          | 1978    | 1559    | 26       | 49       |
| Hapur                                             | 2724    | 5125    | 15       | 111      |
| Hardoi                                            | 4846    | 2723    | 51       | 169      |
| Hathras                                           | 557     | 919     | 4        | 20       |
| Jalaun                                            | 3531    | 4068    | 70       | 66       |
| Jaunpur                                           | 8936    | 6032    | 48       | 73       |

Annexure-II

| Jhansi            |   15118 |   10124 |   88 |   324 |
|-------------------|---------|---------|------|-------|
| Kannauj           |    3448 |    2083 |   29 |    29 |
| Kanpur Dehat      |    2565 |    1399 |   18 |    44 |
| Kanpur Nagar      |   35815 |   12839 |  318 |   540 |
| Kasganj           |    1022 |    1202 |   15 |    32 |
| Kaushambi         |    1543 |     485 |   10 |    30 |
| Kheri             |    9069 |    7022 |   25 |   109 |
| Kushi Nagar       |    2816 |    6729 |   21 |   121 |
| Lalitpur          |    5590 |    3454 |   21 |    46 |
| Lucknow           |  118039 |   32757 |  587 |   641 |
| Maharajganj       |    2338 |    3979 |   16 |    14 |
| Mahoba            |    1489 |    1223 |   11 |    60 |
| Mainpuri          |    3385 |    2400 |   17 |    74 |
| Mathura           |    6835 |    6215 |   43 |   148 |
| Mau               |    3101 |    1834 |    6 |    25 |
| Meerut            |   21497 |   24530 |   61 |   318 |
| Mirzapur          |    5167 |    2264 |   16 |    31 |
| Moradabad         |   14144 |   13290 |   50 |   102 |
| Muzaffarnagar     |    9377 |   11462 |   47 |    88 |
| Pilibhit          |    2159 |    4165 |   19 |    40 |
| Pratapgarh        |    5074 |    4997 |   14 |    62 |
| Prayagraj         |   39506 |    8799 |  262 |   219 |
| Rae Bareli        |    7545 |    3312 |   73 |   113 |
| Rampur            |    2669 |    3420 |   16 |    66 |
| Saharanpur        |    6705 |   15660 |   33 |   213 |
| Sambhal           |    2999 |    3090 |   22 |    27 |
| Sant Kabeer Nagar |    2484 |    1971 |   19 |    21 |
| Shahjahanpur      |    5917 |    7185 |   60 |   144 |
| Shamli            |    3161 |    5639 |    4 |     7 |
| Shravasti         |    1640 |    1416 |    7 |    10 |
| Siddharth Nagar   |    2362 |    2646 |   10 |    34 |
| Sitapur           |    4280 |    2991 |   27 |    62 |
| Sonbhadra         |    7330 |    4422 |   45 |   118 |
| Sultanpur         |    6799 |    2754 |   22 |    22 |
| Unnao             |    5620 |    4278 |   31 |    76 |
| Varanasi          |   42241 |   17131 |  195 |   286 |