Lok Sabha Question No. 2014 (UNSTARRED), answered on 2021-02-12
Subject: Test Positivity Rate of COVID-19
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sougata Ray, Hibi Eden

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

## LOK SABHA UNSTARRED QUESTION NO. 2014 TO BE ANSWERED ON 12 TH FEBRUARY, 2021

## TEST POSITIVITY RATE OF COVID - 19

## 2014. PROF. SAUGATA RAY: SHRI HIBI EDEN:

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

- (a) whether the Government is closely monitoring the test positivity rates in COVID - 19 of States and  UTs in  India,  if  so,  the  details  thereof  including  the comparative  figures  for  the months starting February 2020 to till date, month - wise and State/UT - wise;
- (b) whether the Government has any data which shows the mode of testing in different States, if so,  the details  thereof  including  connection  between  antigen testing  and  rate  of  growt h  of COVID - 19 in Kerala;
- (c)  the  demands  raised  by  Government  of  Kerala  to the  Government  for  building  the  shield against COVID - 19;
- (d) whether the Government considers test positivity or the number of deaths as a parameter for analyzing seriousness of COV ID-19, if so, the details thereof; and
- (e)  whether  the  Government  is  likely  to  intervene  in tackling  the  COVID - 19  crisis  looming across Kerala and if so, the details thereof and steps taken by the Government in this regard?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

- (a) : Yes.  Ministry  of  Health  and  Family  Welfare  (MoHFW )  is  closely  monitoring  the  test positivity rates in COVID - 19 of States and UTs in India. Month - wise and State/UT - wise details are at Annexure - I.
- (b) :The main modality of testing opted by the States/ UTs are Rapid Antigen Testing (RAT) Reverse  Transcr iptase  Polymerase  Chain  Reaction  Test  (RT - PCR).  State/UT - wise  details  of RAT and RT - PCR testing for the month of January 2021 is at Annexure - II.

The monthly Growth rate and use of rapid antigen tests in Kerala is at Annexure - III.

- (c) : During 2019 - 20 and2021- 21, State of Kerala had proposed an amount of Rs.74.21 Crores and Rs. 480.66 crores to GOI and the same was approved under India COVID - 19 Emergency Response  and  Health  System  preparedness  Project'  for  support  under  various  activities  like drugs, diagn ostics, equipment, HR, IT support etc. The details of the proposals received fr State of Kerala is placed at Annexure IV .

The details of PPE, mask, ventilator, provided to Kerala (as on 10 th February 2021) are as under:

| PPE Kits   | N - 95 Masks   |   Ventilator s |
|------------|----------------|----------------|
| 1.89 lakhs | 8 lakhs        |            480 |

In  addition,  the  State  has  been  provided  with  COVID - 19  vaccine  for  vaccination  of healthcare workers and frontline workers.

- (d) :Ministry of Health and Family Welfare has taken into consideration (i ) total cases (ii) total deaths (iii) recovery rate (iv) growth rate (v) tests per million, (vi) test positivity case fatality rate as the key parameters for analyzing COVID situation and are followed - up on daily basis.
- (e) : Currently Kerala is reporting the highest number of active cases and daily new cases all the States/ UTs. Government of India is having regular meetings with the State Gover and reviewing the situation. Two Senior level Central Teams were deplo yed in quick succession (in the month of January and February 2021). The recommendations of these Teams have bee shared with the State Government.

## Annexure - I

## State/UT wise COVID-19 Test positivity rate for the period May 2020 to January 2021

| State/UT                                 | May   | Jun   | Jul   | Aug   | Sep   | Oct   | Nov   | Dec   | Jan   |
|------------------------------------------|-------|-------|-------|-------|-------|-------|-------|-------|-------|
| Andaman and Nicobar Islands              | 0.0%  | 0.8%  | 5.6%  | 33.5% | 4.2%  | 3.9%  | 1.4%  | 1.0%  | 0.3%  |
| Andhra Pradesh                           | 0.8%  | 3.1%  | 22.6% | 12.6% | 12.0% | 6.2%  | 2.3%  | 0.9%  | 0.6%  |
| Arunachal Pradesh                        | 0.0%  | 1.1%  | 5.2%  | 5.5%  | 21.8% | 21.5% | 11.3% | 4.5%  | 1.7%  |
| Assam                                    | 2.3%  | 2.3%  | 7.6%  | 8.0%  | 5.5%  | 2.7%  | 1.1%  | 0.7%  | 0.3%  |
| Bihar                                    | 6.6%  | 5.1%  | 25.8% | 3.3%  | 1.2%  | 0.9%  | 0.6%  | 0.5%  | 0.4%  |
| Chandigarh                               | 4.8%  | 3.7%  | 6.5%  | 15.2% | 20.5% | 8.4%  | 8.2%  | 6.0%  | 3.4%  |
| Chhattisgarh                             | 0.9%  | 2.6%  | 4.5%  | 12.0% | 12.9% | 10.2% | 7.5%  | 5.2%  | 4.1%  |
| Dadra and Nagar Haveli and Daman and Diu | 0.0%  | 1.1%  | 7.4%  | 10.1% | 5.9%  | 2.2%  | 0.9%  | 0.2%  | 0.2%  |
| Delhi                                    | 11.3% | 22.6% | 8.4%  | 7.0%  | 6.7%  | 6.6%  | 11.3% | 2.4%  | 0.5%  |
| Goa                                      | 0.6%  | 2.1%  | 7.3%  | 14.3% | 22.1% | 18.8% | 9.1%  | 6.6%  | 4.6%  |
| Gujarat                                  | 8.2%  | 10.0% | 10.4% | 3.1%  | 1.7%  | 2.4%  | 3.0%  | 2.6%  | 2.3%  |
| Haryana                                  | 1.6%  | 7.4%  | 5.3%  | 5.8%  | 8.8%  | 5.2%  | 8.9%  | 3.2%  | 0.9%  |
| Himachal Pradesh                         | 0.9%  | 1.4%  | 2.2%  | 4.5%  | 9.8%  | 7.4%  | 14.4% | 6.7%  | 1.5%  |
| Jammu and Kashmir                        | 2.2%  | 2.7%  | 5.5%  | 7.5%  | 11.6% | 5.4%  | 4.8%  | 2.9%  | 1.5%  |
| Jharkhand                                | 1.0%  | 2.7%  | 5.2%  | 5.8%  | 3.3%  | 1.9%  | 1.0%  | 0.9%  | 0.9%  |
| Karnataka                                | 1.0%  | 3.6%  | 13.6% | 13.6% | 12.7% | 7.5%  | 2.0%  | 1.2%  | 0.7%  |
| Kerala                                   | 1.9%  | 3.0%  | 6.8%  | 16.6% | 14.8% | 19.4% | 9.4%  | 7.4%  | 12.8% |
| Ladakh                                   | 1.0%  | 13.9% | 8.0%  | 11.6% | 10.2% | 15.6% | 16.2% | 9.4%  | 3.5%  |
| Madhya Pradesh                           | 4.0%  | 2.6%  | 4.1%  | 5.1%  | 8.6%  | 5.5%  | 4.5%  | 4.5%  | 2.3%  |
| Maharashtra                              | 15.3% | 21.5% | 21.3% | 19.0% | 24.1% | 14.7% | 7.9%  | 5.7%  | 5.3%  |
| Manipur                                  | 0.6%  | 2.7%  | 4.4%  | 7.2%  | 5.3%  | 8.6%  | 8.7%  | 4.1%  | 1.7%  |
| Meghalaya                                | 0.5%  | 0.3%  | 11.7% | 3.6%  | 6.2%  | 7.9%  | 4.6%  | 4.3%  | 1.0%  |
| Mizoram                                  | 0.0%  | 1.3%  | 3.4%  | 3.0%  | 2.8%  | 2.1%  | 3.1%  | 1.3%  | 0.7%  |
| Nagaland                                 | 5.8%  | 6.4%  | 10.5% | 20.5% | 16.1% | 20.8% | 19.4% | 10.3% | 4.1%  |
| Odisha                                   | 1.3%  | 4.5%  | 10.0% | 5.2%  | 8.0%  | 5.6%  | 2.2%  | 1.2%  | 1.0%  |
| Puducherry                               | 1.1%  | 6.4%  | 12.6% | 33.1% | 20.6% | 11.2% | 4.3%  | 3.0%  | 2.4%  |
| Punjab                                   | 2.3%  | 1.5%  | 3.5%  | 7.9%  | 7.6%  | 2.8%  | 3.1%  | 2.2%  | 1.3%  |
| Rajasthan                                | 2.3%  | 2.4%  | 3.5%  | 5.7%  | 7.3%  | 9.8%  | 12.9% | 6.5%  | 1.7%  |
| Sikkim                                   | 0.0%  | 1.0%  | 7.7%  | 11.3% | 10.9% | 17.5% | 20.8% | 15.5% | 3.8%  |
| Tamil Nadu                               | 5.0%  | 11.4% | 9.6%  | 8.8%  | 6.9%  | 5.3%  | 3.0%  | 1.8%  | 1.2%  |
| Telangana                                | 9.3%  | 36.5% | 35.2% | 7.3%  | 4.6%  | 4.4%  | 3.2%  | 1.4%  | 1.0%  |
| Tripura                                  | 2.0%  | 4.6%  | 2.9%  | 7.4%  | 13.2% | 8.8%  | 3.6%  | 1.4%  | 0.4%  |
| Uttar Pradesh                            | 2.7%  | 5.3%  | 4.2%  | 4.1%  | 4.4%  | 1.5%  | 1.3%  | 0.9%  | 0.4%  |
| Uttarakhand                              | 3.6%  | 5.9%  | 4.4%  | 5.8%  | 9.5%  | 3.9%  | 3.9%  | 3.7%  | 1.5%  |
| West Bengal                              | 2.8%  | 4.4%  | 13.1% | 9.3%  | 7.1%  | 9.0%  | 8.7%  | 5.7%  | 2.2%  |
| India                                    | 4.7%  | 7.7%  | 10.2% | 8.3%  | 7.8%  | 5.6%  | 4.2%  | 2.6%  | 2.0%  |

Annexure-II State/UT-wise details of RAT and RT-PCR testing (As on 9 th February 2021)

| State/UT            | Total Tests   | RTPCR Tests      | RTPCR Tests      | Antigen Tests    | Antigen Tests    |
|---------------------|---------------|------------------|------------------|------------------|------------------|
| State               | Total Tests   | Cumulative tests | Percentage Share | Cumulative tests | Percentage Share |
| INDIA               | 20,33,24,655  | 9,97,49,863      | 49.06%           | 9,73,49,272      | 47.88%           |
| Uttar Pradesh       | 2,93,09,336   | 1,27,92,379      | 43.65%           | 1,60,44,650      | 54.74%           |
| Bihar               | 1,94,49,935   | 28,76,116        | 14.79%           | 1,59,35,749      | 81.93%           |
| Karnataka           | 1,77,15,053   | 1,35,96,970      | 76.75%           | 39,62,595        | 22.37%           |
| Tamil Nadu          | 1,57,33,675   | 1,55,14,486      | 98.61%           | 20,686           | 0.13%            |
| Maharashtra         | 1,45,28,250   | 85,40,536        | 58.79%           | 58,15,606        | 40.03%           |
| Andhra Pradesh      | 1,26,44,264   | 50,89,763        | 40.25%           | 45,30,132        | 35.83%           |
| Delhi               | 1,13,74,930   | 46,35,243        | 40.75%           | 66,07,378        | 58.09%           |
| Gujarat             | 90,40,173     | 20,85,258        | 23.07%           | 69,10,656        | 76.44%           |
| Kerala              | 85,89,799     | 28,34,728        | 33.00%           | 53,58,274        | 62.38%           |
| West Bengal         | 80,18,878     | 41,47,708        | 51.72%           | 37,11,676        | 46.29%           |
| Odisha              | 75,76,249     | 14,92,264        | 19.70%           | 60,24,881        | 79.52%           |
| Telangana           | 68,32,054     | 10,60,226        | 15.52%           | 57,55,537        | 84.24%           |
| Assam               | 54,30,286     | 15,81,991        | 29.13%           | 37,96,460        | 69.91%           |
| Rajasthan           | 53,42,859     | 52,38,841        | 98.05%           | 15,370           | 0.29%            |
| Madhya Pradesh      | 52,68,321     | 32,52,596        | 61.74%           | 18,97,358        | 36.01%           |
| Haryana             | 51,37,139     | 38,70,598        | 75.35%           | 12,14,855        | 23.65%           |
| Jharkhand           | 49,54,809     | 16,15,392        | 32.60%           | 26,26,163        | 53.00%           |
| Punjab              | 45,40,318     | 33,85,946        | 74.58%           | 10,72,876        | 23.63%           |
| Chhattisgarh        | 41,20,673     | 13,36,439        | 32.43%           | 24,88,871        | 60.40%           |
| Jammu And Kashmir   | 24,30,018     | 11,86,886        | 48.84%           | 12,21,061        | 50.25%           |
| Uttarakhand         | 22,05,575     | 16,70,019        | 75.72%           | 4,43,344         | 20.10%           |
| Himachal Pradesh    | 9,66,422      | 6,18,615         | 64.01%           | 3,31,347         | 34.29%           |
| Tripura             | 5,33,486      | 2,03,129         | 38.08%           | 3,07,044         | 57.55%           |
| Manipur             | 5,30,058      | 2,05,270         | 38.73%           | 2,95,094         | 55.67%           |
| Goa                 | 4,96,876      | 72,465           | 14.58%           | 1,71,093         | 34.43%           |
| Puducherry          | 3,36,811      | 1,82,507         | 54.19%           | 1,42,768         | 42.39%           |
| Meghalaya           | 2,93,989      | 88,240           | 30.01%           | 1,84,089         | 62.62%           |
| Chandigarh          | 2,30,550      | 1,14,777         | 49.78%           | 1,07,164         | 46.48%           |
| Mizoram             | 2,08,458      | 93,691           | 44.94%           | 96,664           | 46.37%           |
| Arunachal Pradesh   | 1,74,294      | 44,339           | 25.44%           | 1,23,791         | 71.02%           |
| A&N Islands         | 1,33,030      | 47,397           | 35.63%           | 78,664           | 59.13%           |
| Daman & Diu And Dnh | 1,20,642      | 1,16,206         | 96.32%           | 4,308            | 3.57%            |
| Ladakh              | 91,996        | 54,984           | 59.77%           | 33,671           | 36.60%           |
| Nagaland            | 80,790        | 46,667           | 57.76%           | 16,886           | 20.90%           |
| Sikkim              | 62,508        | 54,146           | 86.62%           | 2,499            | 4.00%            |
| Lakshadweep         | 3,432         | 3,045            | 88.72%           | 12               | 0.35%            |

## Annexure - III

Monthly Growth rate  and use of COVID- 19 rapid antigen tests  in Kerala from July 2020 to January 2021

| Month     |   Cumulative Cases beginning |   Cumulative Cases end of the month | Growth Rate   |   Total Tests |   RAT Tests | % RAT of total tests conducted   |
|-----------|------------------------------|-------------------------------------|---------------|---------------|-------------|----------------------------------|
| July      |                         4442 |                               22303 | 5.5%          |        270335 |        1187 | 0.40%                            |
| August    |                        23613 |                               73855 | 3.9%          |        309937 |      122255 | 39.40%                           |
| September |                        75385 |                              187276 | 3.2%          |        766407 |      440492 | 57.50%                           |
| October   |                       196106 |                              425122 | 2.6%          |       1225874 |      834940 | 68.10%                           |
| November  |                       433105 |                              599600 | 1.1%          |       1857485 |     1195592 | 64.40%                           |
| December  |                       602982 |                              755718 | 0.8%          |       2112894 |     1508492 | 71.40%                           |
| January   |                       760933 |                              923912 | 0.6%          |       1306263 |      868023 | 66.50%                           |

## Details of the proposals received from the State of Kerala

## Annexure IV

(Amount in Rs. Crore)

| Sl. No.   | FMR Code                                                                         | Proposal 2019- 20   | Proposal 2020 - 21   | Total amount proposed   |
|-----------|----------------------------------------------------------------------------------|---------------------|----------------------|-------------------------|
| B.31      | COVID 19                                                                         |                     |                      |                         |
| B.31.1    | Diagnostics including sample transport                                           | 17.56               | 74.97                | 92.53                   |
| B.31.2    | Drugs and supplies including PPE and masks                                       | 6.15                | 122.09               | 128.24                  |
| B.31.3    | Equipment/ facilities for - care                                                 | patient 31.68       | 51.44                | 83.12                   |
| B.31.4    | HR (Existing and Additional)including incentives for Community Health Volunteers | 8.25                | 172.68               | 180.93                  |
| B.31.5    | Surveillance &Mobility Support                                                   | 3.47                | 9.42                 | 12.89                   |
| B.31.6    | IT systems including Hardware and software, etc. (Total)                         | 0.50                | 6.64                 | 7.14                    |
| B.31.7    | IEC/BCC (Total)                                                                  | 5.20                | 15.75                | 20.95                   |
| B.31.8    | Training (Total)                                                                 | 0.00                | 0.86                 | 0.86                    |
| B.31.9    | Miscellaneous (Total)                                                            | 1.40                | 26.80                | 28.20                   |
|           | Total                                                                            | 74.21               | 480.66               | 554.8                   |