Lok Sabha Question No. 1974 (UNSTARRED), answered on 2021-07-30
Subject: Deaths during Second Wave of COVID-19
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nitesh Ganga Deb

## GOVERNMENT OF INDIA

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

## LOK SABHA UNSTARRED Q. NO 1974 TO BE ANSWERED ON 30 TH JULY, 2021

## DEATHS DURING SECOND WAVE OF COVID - 19

## 1974 SHRI NITESH GANGA DEB :

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

- a) whether the second wave of COVID - 19 has claimed more human lives than the first wave in the country;
- b) if so, the details of deaths in the second wave, State/UT - wise;
- c) whether  the  Government  has  improved  the  health  infrastructure  in  the  country  w anticipation of an outbreak of third wave of COVID - 19; and
- d) if so, the number of new oxygen plants, ICU and Ventilator beds created during last three months, State/ UT - wise?

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

## ( DR BHARATI PRAVIN PAWAR )

(a)  to  (d) : Ministry  of  Health  & Family  Welfare  monitors  cases  of  COVID - 19  and  its management as per the details provided by the States. As per the details updated by Stat COVID - 19 deaths reported in 2020 and 2021 are at Annexure I.

Although  Health  is  a  state  subject,  Government  o f  India  has  provided  the  required technical  support  and  has  also  supported  the  states  through  logistic  and  financial  su further strengthen the existing health infrastructure to tackle COVID - 19 pandemic.

Some of the ongoing initiatives to further s trengthen 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 been implemented in the coun try 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 the hosp ital facilities. Further, many large temporary treatment facilities were establ DRDO to manage surge in COVID - 19 cases in the country. The isolation bed capacity and ICU bed capacity was also enhanced continuously.
- The  daily  liquid  medical  oxygen  ( LMO)  supply,  which  was  about  1292  MTs  per  day  in February 2021 increased to 8593 MTs in April 2021. On 28th May 2021, a total of 10,2 MTs of LMO was allocated to the states. This was done by enhancement of LMO production in steel plants as well as in oth er LMO plants. 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 li quid oxygen etc. was 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 tr ansportation.
- To avoid wastage of medical oxygen, guidelines on rational use of oxygen were issued 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  21.04.2021  (54 jumbo cylinders (D type) and 73,000 regular cylinders (B type). Deliveries of the same started and 53,056 (40,729 B - type and 12,327 D - ty pe) cylinders have been delivered as on 26 th July 2021.
- To  generate  oxygen  at  the  health  facility  level,  PSA  plants  are  being  established district hospitals, especially in far flung areas enabling the hospitals to become sel - sufficient in generati on of oxygen for their needs and thereby, reduce the burden on the medical oxy supply grid across the country.
- Further, to fast - track the availability 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 Pharmaceutical s  (DoP)  to  oversee  the  management  of  smooth  supply  of  drugs  used  in COVID - 19 management.
- Action is initiated at the National level to augment production of critical drugs import besides support in terms of equitable distribution of the critical supplies.
- A Drugs Coordination Committee (DCC) has been constituted as an institutional mechanis under Department of Pharmaceuticals for efficient decision making on all the issues respect  to  COVID - 19  related  drugs  including  availability  through  int er - departmental consultations.

- All States/UT and State Drugs Controllers have been requested to verify stock of drug check other malpractices and take effective steps to curb hoarding and black marketi some drugs like Remdesivir.
- Ministry of Hea lth & Family Welfare continues to provide technical guidance for managin various aspects of COVID - 19. So far more than 150 guidelines/advisories/SoPs/plans have been provided to States/UTs.
- Further COVID- 19 treatment protocols and advisories both for adu lts as well as pediatric age groups were issued and widely disseminated to promote rational use of drugs and oxygen.
- Further, u nder the National COVID Vaccination Program, Government of India is procuring vaccines and providing them free of cost to States and UTs. As on 25 th July 2021, a total of about 44.91 crore doses have been supplied to States/UTs from all sources i.e Governme India's Covid vaccine supply free of cost to all States/UTs, State/UTs and Private Hospitals procured Covid vaccine.

Union  Government  has  provided  financial  support  to  States/UTs  for  ramping  up  Healt Infrastructure and 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  th States/UTs under NHM.
- In Se ptember 2020, the Union Government allowed the states to spend maximum 35% of annual  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  t States/UTs towards the India COVID - 19 Emergency Response and  Health System Preparedness Package.
- In addition, 'India COVID - 19 Emergency Response & Heal th 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.

As  per  the  det ails  updated  by  states/UTs  on  COVID - 19  portal,  State - UT  wise  number  of ICUs and Ventilator beds as on 28 th July 2021 is at Annexure II.

The State/UT -wise details of PSA plants allocated and commissioned as on 28 th July 2021 is placed  at Annexure  III . Apart  from  this,  351  PSA  plants  are  being  installed  by  differe Ministries of Central Government in different public health facilities.

States - UT wise COVID - 19 deaths reported in 2020 and 2021

| S. No.   | Name of State / UT                   | 2020    | 2021 (till 2 8 th July 2021)   |
|----------|--------------------------------------|---------|--------------------------------|
| 1        | Andaman and Nicobar Islands          | 62      | 67                             |
| 2        | Andhra Pradesh                       | 7,104   | 6,1 88                         |
| 3        | Arunachal Pradesh                    | 56      | 165                            |
| 4        | Assam                                | 1,043   | 4, 137                         |
| 5        | Bihar                                | 1,393   | 8,246                          |
| 6        | Chandigarh                           | 316     | 493                            |
| 7        | Chhattisgarh                         | 3,350   | 10,16 9                        |
| 8        | Dadra and Nagar Haveli and Daman Diu | 2       | 2                              |
| 9        | Delhi                                | 10,523  | 14,52 3                        |
| 10       | Goa                                  | 737     | 2, 403                         |
| 11       | Gujarat                              | 4,302   | 5,774                          |
| 12       | Haryana                              | 2,899   | 6,72 5                         |
| 13       | Himachal Pradesh                     | 931     | 2,58 7                         |
| 14       | Jammu and Kashmir                    | 1,880   | 2,49 5                         |
| 15       | Jharkhand                            | 1,027   | 4,09 8                         |
| 16       | Karnataka                            | 12,081  | 24, 356                        |
| 17       | Kerala                               | 3,042   | 13,284                         |
| 18       | Ladakh                               | 127     | 80                             |
| 19       | Lakshadweep                          | -       | 49                             |
| 20       | Madhya Pradesh                       | 3,595   | 6,917                          |
| 21       | Maharashtra                          | 49,463  | 82, 396                        |
| 22       | Manipur                              | 354     | 1,1 44                         |
| 23       | Meghalaya                            | 139     | 901                            |
| 24       | Mizoram                              | 8       | 132                            |
| 25       | Nagaland                             | 79      | 471                            |
| 26       | Odisha                               | 1,871   | 3, 763                         |
| 27       | Puducherry                           | 633     | 1,15 8                         |
| 28       | Punjab                               | 5,331   | 10,9 50                        |
| 29       | Rajasthan                            | 2,689   | 6,26 4                         |
| 30       | Sikkim                               | 127     | 206                            |
| 31       | Tamil Nadu                           | 12,109  | 21,8 57                        |
| 32       | Telangana                            | 1,541   | 2,2 50                         |
| 33       | Tripura                              | 385     | 363                            |
| 34       | Uttarakhand                          | 1,504   | 5,85 7                         |
| 35       | Uttar Pradesh                        | 8,352   | 14, 402                        |
| 36       | West Bengal                          | 9,683   | 8, 412                         |
| Total    |                                      | 148,738 | 2,73,284                       |

Annexure - II State - UT wise number of ICUs and Ventilator beds as reported by states on 28 th July 2021

| S. No.   | State / UT Name             |   Total ICU beds |   No of Ventilators |
|----------|-----------------------------|------------------|---------------------|
| 1        | Andaman and Nicobar Islands |               24 |                  20 |
| 2        | Andhra Pradesh              |             4948 |                1523 |
| 3        | Arunachal Pradesh           |               64 |                  30 |
| 4        | Assam                       |             1096 |                 769 |
| 5        | Bihar                       |             1097 |                 920 |
| 6        | Chandigarh                  |              115 |                 120 |
| 7        | Chhattisgarh                |             1267 |                 771 |
| 8        | Dadra and Nagar Haveli      |               98 |                  98 |
| 9        | Daman and Diu               |               46 |                  30 |
| 10       | Delhi                       |             5363 |                2069 |
| 11       | Goa                         |              178 |                 210 |
| 12       | Gujarat                     |            13716 |                6516 |
| 13       | Haryana                     |             4878 |                2006 |
| 14       | Himachal Pradesh            |              290 |                 155 |
| 15       | Jammu and Kashmir           |              801 |                1005 |
| 16       | Jharkhand                   |             1240 |                 723 |
| 17       | Karnataka                   |             6192 |                3390 |
| 18       | Kerala                      |             3974 |                1758 |
| 19       | Ladakh                      |              107 |                  67 |
| 20       | Lakshadweep                 |               14 |                  10 |
| 21       | Madhya Pradesh              |             4802 |                1435 |
| 22       | Maharashtra                 |            33108 |               13178 |
| 23       | Manipur                     |               51 |                  43 |
| 24       | Meghalaya                   |              158 |                 110 |
| 25       | Mizoram                     |               40 |                  48 |
| 26       | Nagaland                    |               67 |                  53 |
| 27       | Odisha                      |             3033 |                1536 |
| 28       | Puducherry                  |              403 |                 165 |
| 29       | Punjab                      |             1980 |                 843 |
| 30       | Rajasthan                   |             5019 |                2752 |
| 31       | Sikkim                      |               45 |                  65 |
| 32       | Tamil Nadu                  |            11356 |                6839 |
| 33       | Telangana                   |             5956 |                3272 |
| 34       | Tripura                     |              101 |                  52 |
| 35       | Uttar Pradesh               |             7031 |                3485 |
| 36       | Uttarakhand                 |             1655 |                1014 |
| 37       | West Bengal                 |             4160 |                1564 |
|          | Total                       |           124473 |               58644 |

A nnexure- II I State/UT-wise details of PSA plants allocated and commissioned as on 28 th July 2021

| S. No.   | State/ UT                            |   Allocation |   Commissioned |
|----------|--------------------------------------|--------------|----------------|
| 1        | A&N Island                           |            3 |              0 |
| 2        | Andhra Pradesh                       |           28 |              8 |
| 3        | Arunachal Pradesh                    |           27 |              1 |
| 4        | Assam                                |           40 |             10 |
| 5        | Bihar                                |           62 |              5 |
| 6        | Chandigarh                           |            4 |              5 |
| 7        | Chhattisgarh                         |           49 |              4 |
| 8        | Dadra & Nagar Haveli and Daman & Diu |            4 |              4 |
| 9        | Delhi                                |           26 |             15 |
| 10       | Goa                                  |            7 |              4 |
| 11       | Gujarat                              |           59 |             16 |
| 12       | Haryana                              |           40 |             11 |
| 13       | Himachal Pradesh                     |           28 |              6 |
| 14       | J&K                                  |           32 |              6 |
| 15       | Jharkhand                            |           38 |              6 |
| 16       | Karnataka                            |           50 |              9 |
| 17       | Kerala                               |           26 |              7 |
| 18       | Ladakh                               |            5 |              3 |
| 19       | Lakshadweep                          |            2 |              0 |
| 20       | Madhya Pradesh                       |           88 |             12 |
| 21       | Maharashtra                          |           68 |             16 |
| 22       | Manipur                              |           16 |              4 |
| 23       | Meghalaya                            |           14 |              3 |
| 24       | Mizoram                              |           13 |              1 |
| 25       | Nagaland                             |           15 |              4 |
| 26       | Odisha                               |           39 |              8 |
| 27       | Puducherry                           |            8 |              6 |
| 28       | Punjab                               |           41 |             10 |
| 29       | Rajasthan                            |           51 |              6 |
| 30       | Sikkim                               |            4 |              2 |
| 31       | Tamil Nadu                           |           70 |              9 |
| 32       | Telangana                            |           50 |              9 |
| 33       | Tripura                              |           14 |              2 |
| 34       | Uttar Pradesh                        |          127 |             25 |
| 35       | Uttarakhand                          |           25 |             12 |
| 36       | West Bengal                          |           49 |              8 |
|          | Total                                |         1222 |            257 |

*Additional 351 PSA plants are being implemented by PSUs ((110 by M/o Petroleum & Natural Gas, 28 by M/o power, 55 by M/o Coal, 102 by M/o Railways and 56 by foreign grants)