Lok Sabha Question No. 774 (UNSTARRED), answered on 2021-07-23
Subject: Severity of the Second Wave of COVID-19
Ministry: HEALTH AND FAMILY WELFARE
Asked by: S. Gnanathiraviam, Vellalath Kochukrishnan Nair. Sreekandan, Su Thirunavukkarasar

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

## LOK  SABHA UNSTARRED QUESTION NO. 774 TO BE ANSWERED ON 23 RD JULY, 2021

## SEVERITY OF THE SECO ND WAVE OF COVID - 19

## 774. SHRI GNANATHIRAVIAM S.: SHRI V.K.SREEKANDAN: SHRI THIRUNAVUKKARASAR SU:

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

- (a) the number of people who died in the country due to COVID- 19 since January, 2020 till date and the number out of them comprising of doctors and health workers;
- (b) whether the Government is aware of the severity of the second wave of COVID - 19 in the country including post COVID- 19 fungus symptoms resulting in losses of lives;
- (c) if so, the details thereof and the number of persons traced, treated and died including doctors, medical  practitioners  including  frontline  workers,  in  the country  during  the  second  wave, State/UT - wise;
- (d)  the  number  of  persons  vaccinated  in  country  till date  including  those  below  18  years separately, State/ UT - wise;
- (e) whether the Central Team visited various States in the country to assess the severity of the pandemic,if so, the details thereof and the outcome thereof; and
- (f)  the  details  of  various  assistance  provided  to  the States/UTs  to  fight  the  pandemic  a nd replenish  the  huge shortfall  of  vaccines,  beds  and  oxygen  cylinders  and other  medical equipments throughout the country?

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

- (a)& (b) : State/UT wise COVID - 19 deaths since January 2020 (as on 20 th July 2021) is at Annexure I.

Ministry of Health & Family Welfare continues to monitor for any upsurge in COVID - 19 trajectory.  In  the  months  of  April - May  2021,  the  country  witnessed  increased  trajectory  of CO VID - 19 cases and deaths.

During the same period, an increased number of Mucormycosis cases were reported fro many States/UTs. As on 20 th July 2021, a total of 46,344 cases of Mucormycosis have been reported by States and UTs of which 19,832 are under t reatment and 4457 have died.

(c): State/UT wise number of deaths due to COVID - 19 for the months of March to June 2021 is at Annexure II.

(d): A  total  of  41,18,46,401  doses  have  been  given  including  32,63,92,783  1 st doses  and 8,54,53,618 second doses. As on 19 th July 2021, State - UT wise details of number of COVID - 19 vaccine  doses  given  at  Annexure -III.  Government  of  India  has  not  initiated  COVID - 19 vaccination of individuals below 18 years of age.

(e): As on 20 th July 2021, 166 Central teams have been deployed to 33 States/UTs to suppor State/UT health department in containing COVID - 19 pandemic. The Central teams assisted with State/District Health departments in assessing the reasons for surge, taking stock of o -ground implementation of various guidelines/plans/advisories/SOPs, and provided support for inst requisite  public  health  measures  for  the  same.  The  team's  reports  with  their  observations  and recommendations were shared with respective State Health De partments for follow up action.

(f): Health is a state subject, Government of India has provided the required technical and has also supported the states through logistic and financial support to further stre existing health infrastruct ure.

Some of the ongoing initiatives include:

- Government of India, to supplement the hospital facilities has roped in tertiary care under ESIC, Defence, Railways, paramilitary forces, Steel Ministry etc. Further, many 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 ICU bed capacity which was only 10,180 and 2,168 before the first lockdown (as o n 23 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  hi gh  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.
- A system for real - time monitoring of oxygen production in steel plants and distribution oxygen to States/UTs was also put i n place. Restrictions were imposed on industrial use of oxygen.
- A dynamic and transparent framework for allocation of medical oxygen in consultation States/UTs and all the stakeholders such as relevant Ministries, manufacturers/suppl liquid o xygen etc. has been prepared.
- Online  digital  solutions  viz.  Oxygen  Demand  Aggregation  system  (ODAS)  and  Oxygen Digital Tracking System (ODTS) have been developed to ascertain the demand for medica oxygen from all medical facilities and to track their tra nsportation.
- In  order  to  avoid  wastage  of  medical  oxygen,  guidelines  on  rational  use  of  oxygen issued on 25 th September 2020, and further revised and disseminated to States on 25 th April 2021.
- 1,02,400 oxygen cylinders were procured in April and May of 2020 and distributed to States. 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 a nd 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 - sufficient in generation of oxygen for their needs and thereby, reduce the burden on the medical oxygen supply 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.
- Remdesivir is a patented drug, manufactured in India under voluntary licenses grant Gilead  Life  Sciences  USA  (the  patent  holder)  to  7  Indian  pharmaceutica l  companies. Manufacturing capacity was augmented from 38 lakh vials per month to nearly 122 lakh vi per month. In addition, 40 additional manufacturing sites were approved by the CDSCO, t increasing the manufacturing sites from 22 to 62.
- All States/ UT and State Drugs Controllers have been requested to verify stock of the d and check other malpractices and take effective steps to curb hoarding and black mark of Remdesivir.
- Union Government is also supporting states by providing free vaccine doses to states for coverage of vulnerable people and 18+ population.
- 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 1 st July 2021 to 31 st March 2022. It includes support to State/UT level for ramping up Healt Infrastructure including those in rural, tribal and peri - urban areas closer to the communi ty, providing support for procurement of Drugs and Diagnostics to enhance service deliver district and sub district levels for management of COVID - 19 cases (including pediatric care) and for maintaining a buffer of drugs, support for IT Interventions s uch 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 managem COVID - 19.

## State/UT wise COVID-19 deaths since January, 2020 (as on 20 th July 2021)

| S. No.   | Name of State / UT                       |   Deaths |
|----------|------------------------------------------|----------|
| 1        | Andaman and Nicobar Islands              |      129 |
| 2        | Andhra Pradesh                           |    13154 |
| 3        | Arunachal Pradesh                        |      203 |
| 4        | Assam                                    |     5019 |
| 5        | Bihar                                    |     9630 |
| 6        | Chandigarh                               |      809 |
| 7        | Chhattisgarh                             |    13500 |
| 8        | Dadra and Nagar Haveli and Daman and Diu |        4 |
| 9        | Delhi                                    |    25030 |
| 10       | Goa                                      |     3111 |
| 11       | Gujarat                                  |    10076 |
| 12       | Haryana                                  |     9605 |
| 13       | Himanchal Pradesh                        |     3507 |
| 14       | Jammu and Kashmir                        |     4365 |
| 15       | Jharkhand                                |     5122 |
| 16       | Karnataka                                |    36197 |
| 17       | Kerala                                   |    15408 |
| 18       | Ladakh                                   |      206 |
| 19       | Lakshadweep                              |       49 |
| 20       | Madhya Pradesh                           |    10512 |
| 21       | Maharashtra                              |   127097 |
| 22       | Manipur                                  |     1392 |
| 23       | Meghalaya                                |      955 |
| 24       | Mizoram                                  |      125 |
| 25       | Nagaland                                 |      530 |
| 26       | Odisha                                   |     5116 |
| 27       | Puducherry                               |     1778 |
| 28       | Punjab                                   |    16237 |
| 29       | Rajasthan                                |     8951 |
| 30       | Sikkim                                   |      324 |
| 31       | Tamil Nadu                               |    33752 |
| 32       | Telangana                                |     3764 |
| 33       | Tripura                                  |      729 |
| 34       | Uttarakhand                              |     7357 |
| 35       | Uttar Pradesh                            |    22728 |
| 36       | West Bengal                              |    18011 |
| Total    | Total                                    |   414482 |

## State/UT wise number of deaths due to COVID-19 for the months of March to June 2021

| S. No.   | State/UTs                           | Mar'2021   | Apr'2021   | May'2021   | Jun'2021   |
|----------|-------------------------------------|------------|------------|------------|------------|
| 1        | Andaman and Nicobar Islands         | 0          | 6          | 47         | 14         |
| 2        | Andhra Pradesh                      | 44         | 715        | 2,904      | 1,839      |
| 3        | Arunachal Pradesh                   | 0          | 3          | 56         | 53         |
| 4        | Assam                               | 12         | 177        | 2,019      | 1,209      |
| 5        | Bihar                               | 32         | 906        | 2,624      | 4,479      |
| 6        | Chandigarh                          | 28         | 86         | 280        | 63         |
| 7        | Chhattisgarh                        | 298        | 4,181      | 4,704      | 422        |
| 8        | Dadra & Nagar Haveli and Daman &Diu | 0          | 2          | 0          | 0          |
| 9        | Delhi                               | 107        | 4,756      | 8,379      | 820        |
| 10       | Goa                                 | 35         | 317        | 1,479      | 423        |
| 11       | Gujarat                             | 101        | 2,500      | 2,805      | 241        |
| 12       | Haryana                             | 100        | 971        | 4,103      | 1,196      |
| 13       | Himachal Pradesh                    | 50         | 415        | 1,667      | 350        |
| 14       | Jammu and Kashmir                   | 34         | 263        | 1,617      | 446        |
| 15       | Jharkhand                           | 25         | 1,427      | 2,437      | 136        |
| 16       | Karnataka                           | 215        | 2,765      | 13,373     | 6,250      |
| 17       | Kerala                              | 424        | 653        | 3,382      | 4,452      |
| 18       | Ladakh                              | 15         | 10         | 48         | 14         |
| 19       | Madhya Pradesh                      | 114        | 1,542      | 2,500      | 935        |
| 20       | Maharashtra                         | 2,330      | 13,563     | 26,859     | 26,960     |
| 21       | Manipur                             | 1          | 26         | 392        | 348        |
| 22       | Meghalaya                           | 2          | 19         | 395        | 267        |
| 23       | Mizoram                             | 1          | 3          | 24         | 54         |
| 24       | Nagaland                            | 1          | 8          | 263        | 130        |
| 25       | Odisha                              | 6          | 108        | 690        | 1,251      |
| 26       | Puducherry                          | 14         | 111        | 725        | 230        |
| 27       | Punjab                              | 988        | 2,096      | 5,523      | 1,601      |
| 28       | Rajasthan                           | 26         | 1,298      | 4,233      | 601        |
| 29       | Sikkim                              | 0          | 11         | 104        | 55         |
| 30       | Tamil Nadu                          | 207        | 1,233      | 9,821      | 8,752      |
| 31       | Telangana                           | 63         | 564        | 1,002      | 388        |
| 32       | Tripura                             | 1          | 4          | 117        | 164        |
| 33       | Uttar Pradesh                       | 75         | 3,438      | 8,108      | 2,231      |
| 34       | Uttarakhand                         | 21         | 789        | 3,899      | 694        |
| 35       | West Bengal                         | 61         | 921        | 4,162      | 2,269      |
| Total    | Total                               | 5,417      | 45,862     | 120,770    | 69,354     |

## State-UT wise details of number of COVID-19 vaccine doses given (as on 19 th July 2021)

| S. No.   | State/UT                  | Beneficiaries vaccinated   | Beneficiaries vaccinated   | Beneficiaries vaccinated   |
|----------|---------------------------|----------------------------|----------------------------|----------------------------|
| S. No.   | State/UT                  | 1st Dose                   | 2nd Dose                   | Total Doses                |
| 1        | A & N Islands             | 181725                     | 79542                      | 261267                     |
| 2        | Andhra Pradesh            | 14559253                   | 4238908                    | 18798161                   |
| 3        | Arunachal Pradesh         | 635285                     | 141833                     | 777118                     |
| 4        | Assam                     | 7382885                    | 1557222                    | 8940107                    |
| 5        | Bihar                     | 18116037                   | 3227229                    | 21343266                   |
| 6        | Chandigarh                | 549385                     | 143843                     | 693228                     |
| 7        | Chhattisgarh*             | 9006605                    | 2093764                    | 11100369                   |
| 8        | Dadra & Nagar Haveli      | 289431                     | 31816                      | 321247                     |
| 9        | Daman & Diu               | 225343                     | 35733                      | 261076                     |
| 10       | Delhi                     | 7158176                    | 2225291                    | 9383467                    |
| 11       | Goa                       | 985642                     | 216947                     | 1202589                    |
| 12       | Gujarat                   | 22850251                   | 6902088                    | 29752339                   |
| 13       | Haryana                   | 8633560                    | 2062920                    | 10696480                   |
| 14       | Himachal Pradesh          | 3542306                    | 1065433                    | 4607739                    |
| 15       | Jammu & Kashmir           | 4586665                    | 1036891                    | 5623556                    |
| 16       | Jharkhand                 | 6849074                    | 1500637                    | 8349711                    |
| 17       | Karnataka                 | 22188552                   | 5408325                    | 27596877                   |
| 18       | Kerala                    | 12157109                   | 4901973                    | 17059082                   |
| 19       | Ladakh                    | 185146                     | 62381                      | 247527                     |
| 20       | Lakshadweep               | 49064                      | 13282                      | 62346                      |
| 21       | Madhya Pradesh            | 21552669                   | 4127473                    | 25680142                   |
| 22       | Maharashtra               | 30636740                   | 9275340                    | 39912080                   |
| 23       | Manipur                   | 947072                     | 110389                     | 1057461                    |
| 24       | Meghalaya                 | 788294                     | 126750                     | 915044                     |
| 25       | Mizoram                   | 614394                     | 137962                     | 752356                     |
| 26       | Nagaland                  | 560660                     | 118686                     | 679346                     |
| 27       | Odisha                    | 11330737                   | 3242484                    | 14573221                   |
| 28       | Puducherry                | 523893                     | 130293                     | 654186                     |
| 29       | Punjab*                   | 7259314                    | 1558644                    | 8817958                    |
| 30       | Rajasthan                 | 23295731                   | 5709586                    | 29005317                   |
| 31       | Sikkim                    | 465924                     | 136777                     | 602701                     |
| 32       | Tamil Nadu                | 16214280                   | 3536983                    | 19751263                   |
| 33       | Telangana                 | 10941218                   | 2512879                    | 13454097                   |
| 34       | Tripura                   | 2153732                    | 702134                     | 2855866                    |
| 35       | Uttar Pradesh             | 34394183                   | 6657551                    | 41051734                   |
| 36       | Uttarakhand               | 4088707                    | 1210234                    | 5298941                    |
| 37 38    | West Bengal Miscellaneous | 18751077 1742664           | 7674598 1538797            | 26425675 3281461           |