Lok Sabha Question No. 1940 (UNSTARRED), answered on 2021-07-30
Subject: States Reeling Under Second Wave of COVID-19
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Vijay Kumar, S. Gnanathiraviam, Bhagwant Mann

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

## LOK SABHA UNSTARRED QUESTION No.1940 TO BE ANSWERED ON 30 th JULY, 2021

## STATES REELING UNDER SECOND WAVE OF COVID - 19

## 1940 SHRI VIJAYAKUMAR (ALIAS) VIJAY VASANTH : SHRI GNANATHIRAVIAM S.: SHRI BHAGWANT MANN:

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

- ( a) whether  the  States  like  Kerala,  Maharashtra, Punjab,and  Rajasthan  etc.  are  still  reeling  un second wave of COVID - 19 and the cases have not reduced as per projections;
- ( b) if so, the details and the present status thereof, State/UT/week - wise during the last twelve weeks;
- ( c) whether the steps taken by t he Centre and the States to control the spread of pandemic ha yielded the desired results; and
- ( d) if so, the details thereof along with further action taken by the Government thereon a status of vaccination for all age groups in the country, State/ UT -wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILIY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) to (d) As on 28 th July 2021, the trajectory of cases in the country after showing a resurg mid-February 2021, peak ed in May 2021, is now registering a sustained and considerable decline

However,  Kerala  and  Maharashtra  are  still  recording  high  number  of  COVID  cases  while north - eastern  states  are  showing  upward  trend.  States  like  Punjab  and  Rajasthan  are showing  a decreasing trend of COVID - 19 cases.

The  status  of  COVID - 19  cases  during  the  last  twelve  weeks  as  reported  by  the  states/UT Annexure I.

Although health is a state subject, Government of India has provided the required techn and has also supported the states through logistic and financial support to further strength health infrastructure to tackle COVID - 19 pandemic.

Some of the ongoing initiatives to further strengthen healthcare infrastructure include:

- A three - tier arrangement of dedicated COVID - 19 health facilities [(i) COVID Care Center (CCC) (ii) Dedicated COVID Health Centre (DCHC) and (iii) Dedicated COVID Hospital (DCH)] has b implemented in the country 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.
- Government of India has roped in tertiary care hospitals under other ministries to sup hospital facilities. Further, many large temporar y treatment facilities were established by DRDO t manage surge in COVID - 19 cases in the country. The isolation bed capacity and ICU bed ca was also enhanced continuously.
- The daily liquid medical oxygen (LMO) supply was increased by enhancement of L MO production in steel plants as well as in other LMO plants. Further, restrictions were also imposed use of oxygen.
- Online  digital  solutions  viz.  Oxygen  Demand  Aggregation  system  (ODAS)  and  Oxygen  Dig Tracking System (ODTS) have been d eveloped to ascertain the demand for medical oxygen from medical facilities and to track their transportation.
- To  avoid  wastage  of  medical  oxygen,  guidelines  on  rational  use  of  oxygen  were  issued th September 2020, and further revised and dissemi nated to States on 25 th April 2021.
- To generate oxygen at the health facility level, PSA plants are being established in hospitals to reduce the burden on the medical oxygen supply grid across the country.
- Further, to fast - track  the  availabil ity of Medical Oxygen in rural and peri - urban  areas, more than 39,000 oxygen concentrators have been allocated to various States.
- A COVID Drugs Management Cell (CDMC) has been set up in the Department of Pharmaceutica (DoP) to oversee the management of smooth supply of drugs used in COVID - 19 management.
- A Drugs Coordination Committee (DCC) has been constituted as an institutional mechanism Department  of  Pharmaceuticals  for  efficient  decision  making  on  all  the  issues  with COVID - 19 relate d drugs including availability through inter - departmental consultations.
- All States/UT and State Drugs Controllers have been requested to verify stock of the dru other malpractices and take effective steps to curb hoarding and black marketing of Remdesivir.
- Ministry of Health & Family Welfare continues to provide technical guidance for managing aspects of COVID - 19. So far more than 150 guidelines/advisories/SoPs/plans have been provi States/UTs.
- Further COVID- 19 treatment protocol s and advisories both for adults as well as pediatric age were issued and widely disseminated to promote rational use of drugs and oxygen.
- U nder the National COVID Vaccination Program, Government of India is procuring vaccine providing them fr ee of cost to States and UTs. As on 25 th July 2021, a total of about 44.91 cror doses have been supplied to States/UTs from all sources i.e Government of India's Covid vaccine

supply  free  of  cost  to  all  States/UTs,  State/UTs  and  Private  Hospitals  procured Covid  vaccine. Present State/ UT - wise status of vaccination as reported by states on 28 th July 2021.

Union Government has provided financial support to States/UTs for ramping up Health Infrastru support all aspects of management of COVID - 19.

- During the F.Y. 2019 - 20,funds to the tune of Rs.1113.21 crore was released to the States/UTs NHM.
- In September 2020, the Union Government allowed the states to spend maximum 35% of an allocation of funds under SDRF for the financial year 2019 - 20. The ceiling was further enhanced to 50% during the financial years 2020 - 21 and 2021 -22 for containment measures of COVID - 19.
- During the FY 2020 - 21, funds to the tune of Rs.8257.88 crore has been released to the St towards the India COVID - 19 Emergency Response and Health System Preparedness Package.
- 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 Cr as State component) and is to be implemented from 1 st July 2021 to 31 st March 2022.

## State/UT/week-wise status of Cases during the last twelve weeks

| State/UT                           | 04-10 May   | 11-17 May   | 18-24 May   | 25-31 May   | 01-07 Jun   | 08-14 Jun   | 15-21 Jun   | 22-28 Jun   | 29-05 Jul   | 06-12 Jul   | 13-19 Jul   | 20-26 Jul   |
|------------------------------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|
| Andaman and Nicobar Islands        | 283         | 236         | 241         | 140         | 135         | 142         | 145         | 49          | 27          | 10          | 18          | 19          |
| Andhra Pradesh                     | 142,581     | 147,888     | 145,336     | 104,315     | 73,197      | 51,505      | 40,719      | 29,309      | 23,051      | 19,920      | 17,253      | 14,669      |
| Arunachal Pradesh                  | 1,427       | 1,637       | 2,291       | 2,857       | 2,386       | 1,946       | 1,799       | 1,851       | 2,173       | 2,712       | 3,003       | 3,047       |
| Assam                              | 33,407      | 36,261      | 40,554      | 37,685      | 28,074      | 24,555      | 23,008      | 18,139      | 16,550      | 16,469      | 13,620      | 11,208      |
| Bihar                              | 93,836      | 60,433      | 37,667      | 16,072      | 7,469       | 4,098       | 2,479       | 1,605       | 1,228       | 756         | 662         | 526         |
| Chandigarh                         | 5,901       | 5,160       | 3,122       | 1,433       | 737         | 451         | 320         | 194         | 104         | 103         | 58          | 38          |
| Chhattisgarh                       | 95,049      | 61,001      | 36,523      | 20,300      | 11,275      | 6,388       | 3,712       | 2,614       | 2,429       | 2,255       | 1,880       | 1,314       |
| Dadra &Nagar Haveli and Daman &Diu | 976         | 703         | 437         | 269         | 138         | 69          | 51          | 25          | 30          | 17          | 11          | 40          |
| Delhi                              | 128,621     | 70,300      | 23,001      | 8,724       | 3,652       | 1,895       | 1,153       | 1,642       | 620         | 529         | 446         | 381         |
| Goa                                | 23,461      | 17,010      | 10,604      | 8,604       | 4,329       | 3,075       | 1,968       | 1,662       | 1,338       | 1,280       | 1,024       | 751         |
| Gujarat                            | 86,410      | 71,607      | 35,851      | 19,018      | 8,746       | 4,087       | 2,013       | 910         | 589         | 409         | 255         | 216         |
| Haryana                            | 101,009     | 78,530      | 43,601      | 17,361      | 6,902       | 3,570       | 1,557       | 960         | 525         | 376         | 260         | 200         |
| Himachal Pradesh                   | 26,932      | 28,817      | 18,794      | 10,431      | 5,634       | 3,451       | 1,860       | 1,255       | 977         | 984         | 765         | 670         |
| Jammu and Kashmir                  | 33,446      | 27,676      | 26,013      | 18,319      | 11,550      | 6,922       | 4,382       | 2,937       | 2,245       | 1,717       | 1,208       | 756         |
| Jharkhand                          | 41,871      | 29,159      | 14,915      | 6,526       | 4,275       | 2,240       | 1,085       | 797         | 597         | 391         | 353         | 265         |
| Karnataka                          | 332,513     | 269,084     | 221,442     | 162,923     | 107,696     | 69,611      | 41,319      | 28,177      | 19,013      | 17,655      | 12,649      | 10,610      |
| Kerala                             | 263,850     | 245,339     | 199,999     | 166,313     | 118,803     | 95,157      | 81,155      | 79,500      | 84,790      | 91,652      | 95,601      | 110,593     |
| Ladakh                             | 1,091       | 1,135       | 955         | 1,090       | 700         | 364         | 244         | 159         | 156         | 75          | 62          | 43          |
| Lakshadweep                        | 871         | 886         | 1,844       | 1,317       | 809         | 472         | 234         | 238         | 219         | 113         | 51          | 65          |
| Madhya Pradesh                     | 83,395      | 59,622      | 32,953      | 14,487      | 6,371       | 2,987       | 1,078       | 435         | 287         | 192         | 1,483       | 92          |
| Maharashtra                        | 379,336     | 276,715     | 201,445     | 151,918     | 99,966      | 77,211      | 63,789      | 64,040      | 61,356      | 59,622      | 56,391      | 50,732      |
| Manipur                            | 3,193       | 4,375       | 4,360       | 5,793       | 5,348       | 4,622       | 4,213       | 3,921       | 4,300       | 5,445       | 7,091       | 7,845       |
| Meghalaya                          | 2,291       | 3,612       | 6,349       | 5,509       | 3,528       | 3,188       | 3,380       | 3,161       | 3,077       | 3,056       | 2,808       | 3,806       |
| Mizoram                            | 1,265       | 1,206       | 1,504       | 1,754       | 1,592       | 1,685       | 2,241       | 1,850       | 1,882       | 2,846       | 3,305       | 5,964       |
| Nagaland                           | 1,800       | 1,926       | 1,992       | 1,495       | 1,210       | 871         | 604         | 713         | 558         | 457         | 706         | 626         |
| Odisha                             | 72,220      | 77,382      | 80,158      | 64,302      | 56,412      | 38,686      | 25,720      | 22,968      | 21,426      | 17,856      | 14,574      | 13,222      |
| Puducherry                         | 10,348      | 12,797      | 11,554      | 7,766       | 5,253       | 3,449       | 2,319       | 1,798       | 1,314       | 1,017       | 727         | 628         |

## Annexure I

| State/UT      | 04-10 May   | 11-17 May   | 18-24 May   | 25-31 May   | 01-07 Jun   | 08-14 Jun   | 15-21 Jun   | 22-28 Jun   | 29-05 Jul   | 06-12 Jul   | 13-19 Jul   | 20-26 Jul   |
|---------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|
| Punjab        | 56,855      | 55,580      | 41,289      | 26,421      | 14,145      | 8,343       | 4,400       | 2,580       | 1,533       | 1,182       | 736         | 460         |
| Rajasthan     | 122,756     | 102,962     | 56,373      | 22,418      | 7,886       | 3,338       | 1,421       | 1,024       | 605         | 392         | 234         | 182         |
| Sikkim        | 1,437       | 1,532       | 1,722       | 2,039       | 1,940       | 1,303       | 882         | 815         | 1,020       | 1,176       | 1,085       | 1,768       |
| Tamil Nadu    | 173,147     | 217,957     | 244,128     | 226,236     | 168,653     | 116,488     | 68,776      | 43,377      | 30,413      | 22,499      | 16,616      | 13,095      |
| Telangana     | 40,876      | 31,462      | 24,454      | 22,550      | 15,343      | 12,199      | 9,833       | 7,411       | 6,077       | 4,993       | 4,944       | 4,526       |
| Tripura       | 1,969       | 3,459       | 5,374       | 4,608       | 4,336       | 3,852       | 3,003       | 2,539       | 2,814       | 3,072       | 3,152       | 2,638       |
| Uttar Pradesh | 190,129     | 116,155     | 50,246      | 20,125      | 8,373       | 4,235       | 1,734       | 1,238       | 1,025       | 729         | 497         | 308         |
| Uttarakhand   | 52,653      | 43,013      | 26,233      | 14,819      | 5,686       | 2,855       | 1,765       | 975         | 1,105       | 455         | 273         | 272         |
| West Bengal   | 129,766     | 140,271     | 133,660     | 99,150      | 59,892      | 35,125      | 20,450      | 13,242      | 10,445      | 6,735       | 6,052       | 5,458       |
| Grand Total   | 2,736,971   | 2,302,888   | 1,786,984   | 1,295,087   | 862,441     | 600,435     | 424,811     | 344,110     | 305,898     | 289,147     | 269,853     | 267,033     |

## State/ UT-wise status of vaccination as reported by states on 28 th July 2021

|                     | Achievement Health Care Worker   | Achievement Health Care Worker   | Achievement Front Line Worker   | Achievement Front Line Worker   | Achievement of 18 to 44 years*   | Achievement of 18 to 44 years*   | Achievement of 45 to 59 years   | Achievement of 45 to 59 years   | Achievement of 60+ years   | Achievement of 60+ years   | Total Achievement   | Total Achievement   | Total Doses Administered   |
|---------------------|----------------------------------|----------------------------------|---------------------------------|---------------------------------|----------------------------------|----------------------------------|---------------------------------|---------------------------------|----------------------------|----------------------------|---------------------|---------------------|----------------------------|
| State               | 1st Dose                         | 2nd Dose                         | 1st Dose                        | 2nd Dose                        | 1st Dose                         | 2nd Dose                         | 1st Dose                        | 2nd Dose                        | 1st Dose                   | 2nd Dose                   | 1st Dose            | 2nd Dose            | Total Doses Administered   |
| A &NIslands         | 5274                             | 4324 9352                        | 7694                            | 85995                           | 111                              | 64060                            | 49229                           | 33310                           | 27508                      | 197991                     | 88866               |                     | 286857                     |
| Andhra Pradesh      | 476174                           | 377826 1397567                   | 722015                          | 3406536                         | 153289                           | 6914793                          | 2138644                         | 3634422                         | 1707279                    | 15829492                   |                     | 5099053             | 20928545                   |
| Arunachal Pradesh   | 23872                            | 17969                            | 73394 41821                     | 354877                          | 739                              | 147169                           | 72129                           |                                 | 62299 32628                | 661611                     |                     | 165286              | 826897                     |
| Assam               | 216690                           | 161375                           | 438598 320007                   | 4238185                         | 163885                           |                                  | 2348104                         | 693157                          | 1153798                    | 502454                     | 8395375             | 1840878             | 10236253                   |
| Bihar               | 519866                           | 395948                           | 552456                          | 307926                          | 9405966                          | 293866                           | 4748486                         | 1255913                         | 4263973                    | 1371031                    | 19490747            | 3624684             | 23115431                   |
| Chandigarh          | 25956                            | 18661                            | 24895 28810                     | 304761                          |                                  | 3408                             | 148194                          | 68860                           | 88938                      | 59174                      | 592744              | 178913              | 771657                     |
| Chhattisgarh        | 309195                           | 244593                           | 316986                          | 225866                          | 3624493                          | 121876                           | 3221809                         | 967492                          | 1866313                    | 678949                     | 9338796             | 2238776             | 11577572                   |
| Dadra &Nagar Haveli | 5060                             | 4015                             | 5103                            | 3563                            | 237934                           | 221                              | 47965                           | 20058                           | 12366                      | 5929                       | 308428              | 33786               | 342214                     |
| Daman &Diu          | 2396                             | 2164                             | 6303                            | 4556                            | 164867                           | 877                              | 41360                           | 20903                           | 15238                      | 10360                      | 230164              | 38860               | 269024                     |
| Delhi               | 258196                           | 202528                           | 442059                          | 299417                          | 3607087                          | 253833                           | 1881389                         | 955678                          | 1136192                    | 743061                     | 7324923             | 2454517             | 9779440                    |
| Goa                 | 25404                            | 17356                            | 65935                           | 12931                           | 500201                           | 13743                            | 255122                          | 106400                          | 182416                     | 106609                     | 1029078             | 257039              | 1286117                    |
| Gujarat             | 622614                           | 500988                           | 1343725                         | 957490                          | 10593255                         | 464015                           | 7038829                         | 2899573                         | 4956285                    | 2812717                    | 24554708            | 7634783             | 32189491                   |
| Haryana             | 248234                           | 185662                           | 243835                          | 158281                          | 4260772                          | 260653                           | 2229015                         | 787452                          | 1945862                    | 890689                     | 8927718             | 2282737             | 11210455                   |
| Himachal Pradesh    | 93193                            | 74677                            | 239042                          | 49073                           | 1481617                          | 4355                             | 1146148                         | 563268                          | 853969                     | 514995                     | 3813969             | 1206368             | 5020337                    |
| Jammu& Kashmir      | 104355                           | 66402                            | 314064                          | 202228                          | 1428499                          | 57037                            | 1808888                         | 454929                          | 1106659                    | 415926                     | 4762465             | 1196522             | 5958987                    |
| Jharkhand           | 207622                           | 162533                           | 363625                          | 237908                          | 3453347                          | 136482                           | 1937073                         | 631293                          | 1475498                    | 530550                     | 7437165             | 1698766             | 9135931                    |
| Karnataka           | 758610                           | 537842                           | 912734                          | 324396                          | 9745338                          | 422780                           | 6939143                         | 2481065                         | 4889333                    | 2407264                    | 23245158            | 6173347             | 29418505                   |
| Kerala              | 548821                           | 450779                           | 562209                          | 463258                          | 3333430                          | 282061                           | 4238847                         | 1727612                         | 4550713                    | 2785236                    | 13234020            | 5708946             | 18942966                   |
| Ladakh              | 5560                             | 4467                             | 26931                           | 9734                            | 88099                            | 28                               | 34907                           | 26590                           | 30764                      | 23693                      | 186261              | 64512               | 250773                     |
| Lakshadweep         | 1173                             | 979                              | 3128                            | 2392                            | 24883                            | 159                              | 13023                           | 7071                            | 7742                       | 4510                       | 49949               | 15111               | 65060                      |
| Madhya Pradesh      | 487594                           | 379400                           | 540307                          | 366274                          | 13337723                         | 614611                           | 6019334                         | 1861759                         | 3946510                    | 1518983                    | 24331468            | 4741027             | 29072495                   |
| Maharashtra         | 1286081                          | 904846                           | 2115092                         | 1138400                         | 10855613                         | 514494                           | 9785230                         | 3835185                         | 7947649                    | 3969877                    | 31989665            | 10362802            | 42352467                   |
| Manipur             | 41086                            | 28081                            | 100903                          | 56702                           | 525863                           | 2411                             | 250926                          | 53336                           | 147725                     | 37395                      | 1066503             | 177925              | 1244428                    |

## Annexure II

| Meghalaya            |   31711 |   22307 |   97191 |    36872 |   437865 |      762 |   202956 |   76764 |   86634 |    41446 | 856357   | 178151   | 1034508   |
|----------------------|---------|---------|---------|----------|----------|----------|----------|---------|---------|----------|----------|----------|-----------|
| Mizoram 18228        |   13550 |   39766 |   23803 |   350615 |     1374 |   134792 |    82672 |   87324 |   60937 |   630725 | 182336   |          | 813061    |
| Nagaland 16423       |   13159 |   57064 |   39532 |   345786 |      862 |   120062 |    52361 |   65444 |   36850 |   604779 |          | 142764   | 747543    |
| Odisha 350644        |  276118 |  344202 |  222084 |  4634934 |   354866 |  3768682 |  1504472 | 2967756 | 1389401 | 12066218 |          | 3746941  | 15813159  |
| Puducherry 36375     |   23443 |   24295 |   14633 |   253405 |     2303 |   144523 |    52970 |   94944 |   47910 |   553542 | 141259   |          | 694801    |
| Punjab 213961        |  135420 | 1138371 |  340257 |  2385156 |    92850 |  2106705 |   592184 | 1669562 |  624426 |  7513755 | 1785137  |          | 9298892   |
| Rajasthan 553819     |  426236 |  700579 |  491944 | 10005871 |   510422 |  6824793 |  2479781 | 6051179 | 2800914 | 24136241 |          | 6709297  | 30845538  |
| Sikkim 11751         |   10447 |   15519 |   13020 |   300241 |      327 |   100023 |    75781 |   59019 |   46560 |   486553 | 146135   | 632688   |           |
| Tamil Nadu 582314    |  364612 |  923332 |  491470 |  8428225 |   436487 |  4832987 |  1373874 | 3066840 | 1230132 | 17833698 |          | 3896575  | 21730273  |
| Telangana 302528     |  221202 |  314458 |  187055 |  5151590 |   496435 |  3365191 |  1325228 | 1999823 |  910991 | 11133590 | 3140911  |          | 14274501  |
| Tripura 53788        |   41503 |   96599 |   59210 |  1087142 |    19704 |   674938 |   397058 |  360442 |  245162 |  2272909 | 762637   |          | 3035546   |
| Uttar Pradesh 972742 |  747829 | 1019970 |  634131 | 17692465 |   705689 | 11288799 |  2825921 | 7313595 | 2516315 | 38287571 | 7429885  |          | 45717456  |
| Uttarakhand 119477   |   94929 |  186966 |  109334 |  1881527 |    46910 |  1137197 |   568520 |  923296 |  547940 |  4248463 | 1367633  |          | 5616096   |
| West Bengal 653373   |  522371 | 1210484 |  969264 |  6469446 |   452263 |  6559801 |  3157473 | 5064272 | 3274872 | 19957376 | 8376243  |          | 28333619  |