Lok Sabha Question No. 2103 (UNSTARRED), answered on 2016-05-06
Subject: Viral Outbreaks
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAJESHBHAI NARANBHAI CHUDASAMA, S.P. MUDDAHANUMEGOWDA

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

## LOK SABHA UNSTAR RED  QUESTION NO. 2103 TO BE ANSWERED ON 6 TH MAY, 2016

## VIRAL OUTBREAKS

## 2103. SHRI RAJESHBHAI CHUDASAMA: SHRI S.P. MUDDAHANUME GOWDA :

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

- (a) the total number of viral outbreaks along with the casualties reported in the count the last three years, State/ UT - wise;
- (b)  whether  the  Government  has  assessed  the  econ omic  impact  of  viral  outbreaks  occurred during the last three years;
- (c) whether the Government has put in place any early warning system and protocols for effective management of viral outbreaks in the country and if so, the details thereof; and
- (d) the extent by which this early warning system is successful?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a): The total number of outbreaks caused by major viral etiologies along with the casu reported by States/UTs under IDSP in the last three years is placed at Annexure.
- (b): No.
- (c) & (d): Government of India initiated Integrated Disease Surveillance Programme (IDSP) in 2004 in all States/UTs with the objective to detect and respond to disease outbreak epidemic prone diseases including those caused by viral pathogens. Weekly data on morbi for  epidemic  prone  diseases  is  collected  and  analysed  to  dete ct  early  rising  phase  of  disease outbreaks, which is reported and responded to by trained Districts/States Rapid Response Team ( RRT ) .

………………..

## Annexure

## State wise no of outbreaks with deaths* of Viral Diseases reported and responded by States/UTs under IDSP during 2013

|                        | Acute Enceph alitis Syndro me   | Chickenp ox   | Chickenp ox    | Ch iku ng un ya          | n-     | )               | Crimea Congo Haemo rrhagic fever (CCHF   | Deng ue         | Hand Foot and Mout h Diseas e   |        | Influe nza A H1N1      | Influe nza B    | s                      | Measle   | Mumps           | Rubella                                  | Vir al Fev er   | Viral          | Hepatitis   | Viral C      | Hepatitis   |
|------------------------|---------------------------------|---------------|----------------|--------------------------|--------|-----------------|------------------------------------------|-----------------|---------------------------------|--------|------------------------|-----------------|------------------------|----------|-----------------|------------------------------------------|-----------------|----------------|-------------|--------------|-------------|
| State                  | No of Outbreaks                 | Deaths        | No ofOutbreaks | Deaths No of Outbreaks 1 | Deaths | No of Outbreaks | Deaths                                   | No of Outbreaks | Deaths No of Outbreaks          | Deaths | No of Outbreaks Deaths | No of Outbreaks | Deaths No of Outbreaks | Deaths   | No of Outbreaks | No of Outbreaks Deaths No of Outbreaks 2 | Deaths 1 2      | No ofOutbreaks | Deaths      | of Outbreaks | Deaths      |
| Andhra Pradesh         |                                 |               |                | 4                        |        | 0               |                                          | 2               | 0                               |        |                        |                 |                        |          |                 | 2                                        |                 | 3              | 1           | No           |             |
| Arunachal Pradesh      |                                 |               |                |                          |        |                 |                                          | 1               | 2                               |        |                        |                 |                        |          |                 |                                          |                 |                |             |              |             |
| Assam                  | 10                              | 1 5 4         | 4 0            |                          |        |                 |                                          | 1               | 0                               |        |                        |                 | 1                      | 0        |                 | 5                                        | 2               | 3              | 2           |              |             |
| Bihar                  | 2                               | 3 9           | 52 0           |                          |        |                 |                                          | 1               | 0                               |        |                        |                 | 10                     | 0        |                 |                                          |                 | 1              | 0           |              |             |
| Chhattisgarh           |                                 |               | 0              |                          |        |                 |                                          | 1               | 0                               |        |                        |                 |                        |          |                 |                                          |                 | 3              | 0           |              |             |
| Dadra and Nagar Haveli |                                 |               | 3              |                          |        |                 |                                          |                 |                                 |        |                        |                 |                        |          |                 |                                          |                 | 1              | 0           |              |             |
| Delhi                  |                                 |               |                |                          |        |                 |                                          | 1               | 5                               |        |                        |                 |                        |          |                 |                                          |                 |                |             |              |             |
| Goa                    |                                 |               |                |                          |        |                 |                                          | 1               | 1                               |        |                        |                 |                        |          |                 | 1                                        | 1               |                |             |              |             |
| Gujarat                |                                 |               | 3 0            |                          | 5      | 0 8             | 7                                        | 3               | 1                               |        | 1 1 2 1                |                 | 5                      | 0        |                 | 1 2                                      | 5               | 1 6            | 0           |              |             |
| Haryana                |                                 |               | 3              | 0                        |        |                 |                                          |                 |                                 |        |                        |                 | 2                      | 0        |                 |                                          | 1               |                | 0           | 2            | 0           |

| Himachal Pradesh   |       |     |    |     |     |    | 1        | 0   |    |    |    |    |    |    |         |    |    |       |       |         |    |     |     |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
|--------------------|-------|-----|----|-----|-----|----|----------|-----|----|----|----|----|----|----|---------|----|----|-------|-------|---------|----|-----|-----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|
| Jammu and Kashmir  |       | 4   | 0  |     |     |    |          |     |    |    | 1  | 0  |    |    | 4       | 0  |    | 12 0  | 1 1   | 4 1     | 0  |     | 1   | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  |
| Jharkhand          |       | 9   | 0  |     |     |    |          |     |    |    |    |    | 8  |    |         | 0  |    |       | 4     | 0 1     |    |     | 0   |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
| Karnataka          |       | 3   | 0  | 1 8 | 0   |    | 29       | 0   | 1  | 0  |    |    | 14 | 0  | 7       |    |    | 0     | 1 3   |         | 2  | 0   |     | 3  | 3  | 3  | 3  | 3  | 3  | 3  | 3  | 3  | 3  | 3  | 3  | 3  | 3  | 3  |
| Kerala             |       | 9   | 0  | 1   | 0   |    | 9        | 0   | 1  | 0  |    |    |    |    |         |    | 4  | 0     | 2 0   |         | 0  |     | 2 1 |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
| Madhya Pradesh     |       | 4   | 0  | 1   | 0   |    | 2        | 2   |    |    |    |    | 1  | 0  |         |    |    |       | 2 5 1 |         | 0  |     | 2   |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
| Maharashtra        |       |     |    | 5   | 0   |    | 45       | 7   |    |    |    |    | 16 | 2  |         |    |    |       | 9     | 6 9 7   |    | 1   |     | 9  | 9  | 9  | 9  | 9  | 9  | 9  | 9  | 9  | 9  | 9  | 9  | 9  | 9  | 9  |
| Manipur            |       |     |    |     |     |    | 1 0      |     |    |    |    |    |    |    |         |    |    |       | 2     | 1       | 2  |     |     | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  | 0  |
| Odisha             |       | 6   | 0  |     |     |    |          |     |    |    |    |    | 16 | 1  |         |    |    | 2 0   | 4     | 4       |    | 1 0 |     |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
| Punjab             |       | 1   | 0  |     |     |    |          |     |    |    |    |    | 1  | 0  |         |    | 2  | 0     |       |         |    |     | 3   |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
| Rajasthan          |       |     |    |     |     |    |          |     |    |    |    |    |    |    |         |    |    |       | 2     | 0       |    |     |     |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
| Sikkim             |       |     |    |     |     |    | 1        | 1   |    |    |    |    |    |    |         |    |    |       |       |         |    |     |     |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
| Tamil Nadu         |       | 13  | 0  | 2 8 | 0   |    | 18       | 1   |    |    |    |    | 2  | 0  |         |    |    |       | 3 4   | 0 1     | 0  |     |     |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
| Tripura            |       | 0   |    |     |     |    |          |     |    |    |    |    |    |    |         |    |    |       | 1     | 3       |    |     |     |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
| Uttar Pradesh      |       | 4   | 0  |     |     |    | 1        | 0   |    |    |    |    |    |    |         |    |    |       | 7 1   |         |    |     |     |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
| Uttarakhand        |       | 1   | 0  |     |     |    | 1 1      | 1   |    | 0  |    |    |    |    |         |    |    | 5     |       | 5       |    | 0   | 1   |    | 1  |    |    |    |    |    |    |    |    |    |    |    |    |    |
| West Bengal        |       | 2   | 0  |     |     |    | 11       | 2   |    |    |    |    |    |    | 9       | 2  |    | 5 0   | 5     | 0 3     | 0  |     | 1   |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
| Grand Total        | 1 9 3 | 121 | 0  | 7 2 | 0 8 | 7  | 13 0 2 3 | 3   | 0  | 1  |    | 0  | 5  | 25 | 1 2 1 1 | 89 |    | 0 7 0 | 2 7   | 1 0 7 9 |    |     | 6   | 2  | 3  | 5  |    |    |    |    |    |    |    |    |    |    |    |    |

*Deaths are as reported during start of the outbreak and may not represent final numbers.

## State wise no o f outbreaks with deaths* of Viral Diseases reported and responded to by States/UT under IDSP during 2014

|                   | Acute Enceph alitis Syndro me   | Acute Enceph alitis Syndro me   | Acute Respira tory Infectio n   | Chicke npox     | Chicke npox   | Chikun gunya    | Crimean Congo Haemorr hagic Fever (CCHF)   | Dengu e Forest   | Dengu e Forest         | Kyasanur Disease es   | Kyasanur Disease es   | Measl                  | Mump s   | Rubella   | Rubella                | Viral   | Viral           | encephalitis (Chandipura)   | Viral Fever     | Viral Fever   | Viral Hepatitis   | Viral Hepatitis   |
|-------------------|---------------------------------|---------------------------------|---------------------------------|-----------------|---------------|-----------------|--------------------------------------------|------------------|------------------------|-----------------------|-----------------------|------------------------|----------|-----------|------------------------|---------|-----------------|-----------------------------|-----------------|---------------|-------------------|-------------------|
| State             | No of Outbreaks                 | Deaths                          | No of Outbreaks                 | No of Outbreaks | Deaths        | No of Outbreaks | Deaths No of Outbreaks                     | No of Outbreaks  | Deaths No of Outbreaks |                       | No of Outbreaks       | Deaths No of Outbreaks | Deaths   |           | No of Outbreaks Deaths |         | No of Outbreaks | Deaths                      | No of Outbreaks | Deaths        | No of Outbreaks   | Deaths            |
| Andhra Pradesh    |                                 |                                 |                                 | 1               | 0             | 3               | 0                                          | 1                | 0                      |                       |                       |                        |          |           |                        |         |                 |                             | 7               | 1             |                   |                   |
| Arunachal Pradesh | 1                               | 3                               |                                 | 1               | 0             |                 |                                            | 1                | 0                      |                       | 1                     |                        | 0        | 1         | 0                      |         |                 |                             |                 |               |                   |                   |
| Assam             | 23                              | 1 2 7                           |                                 | 6               | 0             |                 |                                            |                  |                        |                       | 7                     | 2                      |          | 4         | 0                      |         |                 |                             | 1               | 0             |                   |                   |
| Bihar             | 2                               | 1 3                             |                                 | 40              | 0             |                 |                                            | 1                | 1                      |                       | 9                     | 0                      |          | 1         | 0                      |         |                 |                             |                 |               | 1                 | 1                 |
| Chhattisgarh      |                                 |                                 |                                 | 1               | 0             |                 |                                            | 2                | 0                      |                       | 7                     | 1                      |          |           |                        |         |                 |                             |                 |               | 6                 | 1                 |
| D&N Haveli        |                                 |                                 |                                 |                 |               |                 |                                            |                  |                        |                       | 2                     |                        | 0        |           |                        |         |                 |                             |                 |               |                   |                   |
| Delhi             |                                 |                                 |                                 |                 |               |                 |                                            |                  |                        |                       | 2                     |                        | 0        |           |                        |         |                 |                             |                 |               | 1                 | 0                 |
| Gujarat           | 1                               | 3                               |                                 | 5               | 0             |                 | 5                                          |                  |                        |                       | 24                    |                        | 2        |           |                        |         | 1               | 1                           | 1               | 3             | 12                | 0                 |
| Haryana           | 1                               | 1                               |                                 |                 |               |                 |                                            |                  |                        |                       | 15                    | 0 1                    |          | 0 1       | 0                      |         |                 |                             | 2               | 0             | 1                 | 0                 |
| Himachal Pradesh  |                                 |                                 |                                 |                 |               |                 |                                            |                  |                        |                       | 1                     |                        | 0        |           |                        |         |                 |                             | 1               | 0             | 4                 | 0                 |
| Jammu & Kashmir   |                                 |                                 | 1                               | 4               | 0             |                 |                                            |                  |                        |                       |                       | 7                      | 0 2      | 0         |                        |         |                 |                             | 2               | 0             | 4                 | 0                 |
| Jharkhand         |                                 |                                 |                                 | 3               | 0             |                 |                                            |                  |                        |                       | 30                    |                        | 2        |           | 0                      |         |                 |                             | 3               | 0             |                   |                   |
| Karnataka         | 1                               | 0                               |                                 | 4               | 0             | 26              | 1                                          | 20               | 2 2                    |                       | 12                    |                        | 1 1      | 0         | 1 1 0                  |         |                 |                             | 33              | 0             | 4                 | 0                 |
| Kerala            |                                 |                                 |                                 | 6               | 0 1           |                 | 0                                          | 2                | 0 2                    |                       |                       |                        | 7        | 0         |                        |         |                 |                             |                 |               | 20                | 0                 |
| Lakshadweep       |                                 |                                 |                                 |                 |               |                 |                                            | 2                | 0                      |                       |                       |                        |          |           |                        |         |                 |                             |                 |               |                   |                   |

| Madhya Pradesh   |    |       |    |      | 7    | 1   |    | 6   | 4    | 3       |    | 1   | 0   |    | 9   | 0   |    |    |
|------------------|----|-------|----|------|------|-----|----|-----|------|---------|----|-----|-----|----|-----|-----|----|----|
| Maharashtra      |    |       |    | 2    | 0 8  | 0   |    | 51  | 14   | 1       |    |     |     |    | 59  | 37  | 7  | 2  |
| Manipur          |    |       |    |      |      |     |    |     | 1    | 0       |    |     |     |    |     |     |    |    |
| Meghalaya        | 1  | 1     |    |      |      |     |    |     |      |         |    |     |     |    |     |     |    |    |
| Odisha           |    |       |    | 3    | 1    |     |    |     | 7    | 0       |    |     |     |    |     |     | 4  | 7  |
| Puducherry       |    |       |    | 3    | 0    |     |    | 1   |      |         |    |     |     |    |     |     |    |    |
| Punjab           |    |       |    | 2    | 0    |     |    |     | 2    | 0 4     | 0  |     |     |    |     |     | 4  | 1  |
| Rajasthan        |    |       |    |      |      | 1   | 0  | 1   | 3    | 0       |    |     |     |    |     |     | 6  | 0  |
| Sikkim           |    |       |    | 1    | 0    |     |    |     |      |         |    |     |     |    |     |     |    |    |
| Tamil Nadu       |    |       |    | 5    | 0 18 | 0   |    | 17  | 4    | 1 2     | 0  |     |     |    | 11  | 0   | 2  | 0  |
| Telangana        |    |       |    |      |      |     |    | 1   |      |         |    |     |     |    | 3   | 2   |    |    |
| Tripura          |    |       |    |      |      |     |    |     | 2    | 0       |    |     |     |    |     |     |    |    |
| Uttar Pradesh1   |    | 0     |    | 6    | 0    |     |    |     | 6    | 1       |    |     |     |    | 1   | 0   |    |    |
| Uttarakhand      | 1  | 0     |    |      |      |     |    |     | 12   | 1       |    |     |     |    | 1   | 0   |    |    |
| West Bengal      | 6  | 6 9   |    | 3    | 1    |     |    | 7   | 19   | 6       |    | 2   | 0   |    | 16  | 1   | 5  | 0  |
| Grand Total      | 38 | 2 1 7 | 1  | 0 96 | 2 63 | 2 6 | 4  | 113 | 19 1 | 2 1 1 7 | 0  | 12  | 0   | 1  | 150 | 44  | 81 | 12 |

## State wise no of outbreaks with deaths of Viral Diseases reported and responded by States/UT under IDSP during 2015

| S.N o.   |                      | Acute Enceph alitis Syndro me   | Acute Enceph alitis Syndro me   | Chan dipur a Viral Encep halitis   | Chan dipur a Viral Encep halitis   | Chickenp ox   | Chickenp ox     | Chikung unya   | Chikung unya    | Crimea n Congo Haemo rrhagic Fever (CCHF )   | Deng ue         | Hand Foot Mouth        | Disease a A   | Disease a A            | Influenz (h1n1)   | Influe nza B   | ur                     | Kyasan Forest Disease Measl es   | Mumps   |                        | Rubell a        |        | Viral Encep halitis    | Viral Fever            | Viral Hepa titis       | Viral Hepat itis       | C                      |
|----------|----------------------|---------------------------------|---------------------------------|------------------------------------|------------------------------------|---------------|-----------------|----------------|-----------------|----------------------------------------------|-----------------|------------------------|---------------|------------------------|-------------------|----------------|------------------------|----------------------------------|---------|------------------------|-----------------|--------|------------------------|------------------------|------------------------|------------------------|------------------------|
| S.N o.   | State                | No of Outbreaks                 | Deaths No of Outbreaks          | Deaths                             | No of Outbreaks                    | Deaths        | No of Outbreaks | Deaths         | No of Outbreaks | Deaths                                       | No of Outbreaks | Deaths No of Outbreaks | Deaths        | No of Outbreaks Deaths | No of Outbreaks   | Deaths         | No of Outbreaks Deaths | No of Outbreaks                  | Deaths  | No of Outbreaks Deaths | No of Outbreaks | Deaths | No of Outbreaks Deaths | No of Outbreaks Deaths | No of Outbreaks Deaths | No of Outbreaks Deaths | No of Outbreaks Deaths |
| 1        | Andhra Pradesh       |                                 |                                 |                                    | 1                                  | 0             |                 |                |                 |                                              | 2               | 0                      |               |                        |                   |                |                        |                                  |         |                        |                 |        |                        | 4 0                    |                        |                        |                        |
| 2        | Arunach al Pradesh   | 1                               | 0                               |                                    | 3                                  | 0             | 1               | 0              |                 |                                              | 6               | 0                      |               |                        |                   |                |                        | 1                                | 0       | 1 0                    |                 |        |                        | 2 0                    |                        |                        |                        |
| 3        | Assam                | 9                               | 3 1                             |                                    | 5                                  | 2             |                 |                |                 |                                              | 5               | 0                      |               |                        |                   |                |                        | 10                               | 1       |                        | 1 0             |        |                        |                        |                        |                        |                        |
| 4        | Bihar                | 1                               | 0                               |                                    | 42                                 | 1             |                 |                |                 |                                              | 2               | 0                      |               |                        |                   |                |                        | 31                               | 8       | 1 0                    |                 |        |                        |                        |                        |                        |                        |
| 5        | Chandig arh          |                                 |                                 |                                    |                                    |               |                 |                |                 |                                              | 1               | 0                      |               |                        |                   |                |                        |                                  | 2 0     |                        |                 |        |                        |                        |                        |                        |                        |
| 6        | Chhattis garh        |                                 |                                 |                                    | 5                                  | 0             |                 |                |                 |                                              | 2               | 0                      |               | 1 2                    |                   |                |                        |                                  | 3 0     |                        |                 |        |                        |                        | 1 0                    |                        |                        |
| 7        | Dadra & Nagar Haveli |                                 |                                 |                                    | 1                                  | 0             |                 |                |                 |                                              | 2               | 0                      |               |                        |                   |                |                        | 8                                | 1       | 4 0                    |                 |        |                        |                        |                        |                        |                        |
| 8        | Daman & Diu          |                                 |                                 |                                    |                                    |               |                 |                |                 |                                              |                 |                        |               |                        |                   |                |                        | 1                                | 0 1     | 0                      | 1               | 0      |                        |                        |                        |                        |                        |
| 9        | Delhi                |                                 |                                 |                                    |                                    |               |                 |                |                 |                                              | 1 2             |                        |               |                        |                   |                |                        | 6                                | 1       |                        |                 |        |                        |                        |                        |                        |                        |
| 10       | Goa                  |                                 |                                 |                                    |                                    |               |                 |                |                 |                                              | 1               | 0                      |               |                        |                   |                | 2 2                    |                                  |         |                        |                 |        |                        |                        | 2 0                    |                        |                        |
| 11       | Gujarat              |                                 | 1                               | 0                                  | 1                                  | 0             |                 |                | 12              | 4                                            | 2 0             |                        |               | 1                      | 0                 |                |                        | 17                               | 0 1     | 0                      | 1               | 0      | 2                      | 2 1                    | 0 8                    |                        |                        |
| 12       | Haryana              |                                 |                                 |                                    | 2                                  | 0             |                 |                |                 |                                              |                 |                        |               |                        |                   |                |                        | 9                                | 1       | 0                      |                 |        |                        |                        | 0 3 0                  |                        |                        |
| 13       | Himacha l Pradesh    |                                 |                                 |                                    |                                    |               |                 |                |                 |                                              |                 |                        |               |                        |                   |                |                        | 8                                | 1       | 2                      |                 |        |                        |                        | 1 0                    |                        |                        |
| 14       | Jammu & Kashmir      |                                 |                                 |                                    | 8                                  | 0             |                 |                |                 |                                              | 1               | 0                      |               | 2                      | 0                 | 1 0            |                        | 4                                | 0       | 2 0                    |                 |        |                        |                        | 6 0                    |                        | 1 0                    |

| 15          | Jharkhan d        | 3   | 2   |     | 4   | 0   |    |      |    | 2    | 0    |     |    |     | 31   | 3     |    |       |    |    |      |     |       |          | 3 0            |        |     |    |     |    |    |    |     |    |    |     |
|-------------|-------------------|-----|-----|-----|-----|-----|----|------|----|------|------|-----|----|-----|------|-------|----|-------|----|----|------|-----|-------|----------|----------------|--------|-----|----|-----|----|----|----|-----|----|----|-----|
| 16          | Karnatak a        |     |     |     | 4   | 0   | 23 | 0    |    | 21 0 |      | 1   |    |     | 1    | 5 0   |    | 0 4 0 |    |    |      | 0   |       | 2        | 3 0 0          |        |     |    |     |    |    |    | 32  | 0  |    |     |
| 17          | Kerala            |     |     |     | 4   | 0   |    |      |    | 20   | 3    | 2   | 1  | 0   | 1 7  | 8     | 1  | 7     | 0  |    |      | 6 7 |       | 0 2 0    | 0              |        |     |    |     |    |    |    | 2   |    |    |     |
| 18          | Lakshad weep      |     |     |     |     |     |    |      |    | 2    | 0    |     |    |     |      |       |    |       |    |    |      |     |       |          |                |        |     |    |     |    |    |    |     |    |    |     |
| 19          | Madhya Pradesh    |     |     |     | 10  | 0   | 1  | 0    |    | 4 0  |      | 1 0 |    |     | 33   | 1 2   |    | 1 0   |    |    | 1 0  |     |       | 0        | 5              |        |     |    |     |    |    |    |     |    |    |     |
| 20          | Maharas htra      | 3   | 3   |     | 7   | 0   |    | 0    |    | 17   | 2    | 1 3 |    | 6 2 |      | 0     |    | 1 0   |    |    | 6    |     | 1 2   | 1 2      | 1              |        |     |    | 1 1 |    |    |    | 22  |    |    |     |
| 21          | Manipur           | 1   | 0   |     |     |     | 7  |      |    | 1    | 0    |     |    |     | 2    |       | 0  |       |    |    |      |     |       |          |                |        |     |    |     |    |    |    |     |    |    |     |
| 22          | Meghala ya        | 3   | 5   |     | 1   | 0   |    |      |    |      |      |     |    |     | 1    |       |    |       |    |    | 1    |     |       | 0        | 1              |        |     |    |     |    |    |    |     |    |    |     |
| 23          | Mizoram           |     |     |     |     |     |    |      |    |      |      |     |    |     | 2    |       | 0  |       |    |    |      |     |       |          |                |        |     |    |     |    |    |    |     |    |    |     |
| 24          | Nagalan d         | 1   | 1   |     |     |     |    |      |    | 1 1  |      |     |    |     |      |       |    |       |    |    |      |     |       |          |                |        |     |    |     |    |    |    |     |    |    |     |
| 25          | Odisha            |     |     |     | 6   | 0   | 1  | 0    |    |      |      |     |    |     | 6    |       | 0  |       |    |    |      |     |       | 0        |                |        |     | 1  | 1 5 |    |    |    |     |    | 0  |     |
| 26          | Punjab            |     |     |     | 8   | 0   |    |      |    |      |      |     |    |     | 11 0 |       |    | 8 0   |    |    |      |     |       |          |                |        |     |    | 9   | 1  |    |    |     |    |    |     |
| 27          | Rajastha n        |     |     |     |     |     | 1  | 0    | 2  | 5 2  |      |     |    |     |      |       |    |       |    |    | 5 3  |     |       | 0        | 4              |        |     |    | 3   |    |    |    |     |    | 0  |     |
| 28          | Sikkim            |     |     |     |     |     |    |      |    |      |      |     |    |     | 1    |       | 0  |       |    |    |      |     |       |          |                |        |     |    |     |    |    |    |     |    |    |     |
| 29          | Tamil Nadu        |     |     |     | 10  | 0   | 9  | 0    |    | 32 7 | 1    |     |    |     | 7    | 0 0   |    | 2 0   |    |    |      |     |       | 0        | 7              |        |     |    |     |    |    |    |     |    |    |     |
| 30 a        | Telangan          |     |     |     |     |     | 2  | 0    |    | 3    | 1    |     |    |     |      |       |    |       |    |    |      |     |       |          |                |        | 2 0 |    |     |    |    |    |     |    |    |     |
| 31          | Tripura           | 1   | 3   |     | 1   | 0   |    |      |    |      |      |     |    |     | 3    |       | 0  |       |    |    |      |     |       |          |                |        |     |    |     |    |    |    |     |    |    |     |
| 32          | Uttar Pradesh     |     | 2 1 |     | 17  | 1   |    |      | 1  | 9    | 3    |     |    |     | 41   | 7     |    |       |    |    |      |     |       | 5        | 3              |        |     | 1  |     | 0  |    | 0  | 0 2 |    |    |     |
| 33 34       | Uttarakh and West |     |     |     | 1 1 | 0 0 | 1  | 0    |    |      |      |     |    |     | 6    |       | 0  |       | 1  | 0  | 11 0 |     |       |          | 0              | 2 2    |     |    |     | 0  | 2  |    |     |    |    | 1 0 |
| Grand Total | Bengal            | 25  | 4 6 | 1 0 | 142 | 4   | 46 | 0 15 |    | 10 2 | 0 15 | 9   |    |     |      | 2 1 0 | 1  | 9     |    |    |      | 9   | 6 2 2 | 0 4 35 0 | 279 4 0 11 0 3 | 92 1 5 |     |    | 8 6 |    |    |    | 4   |    | 2  | 2 0 |

*Deaths are as reported during start of the outbreak and may not represent final numbers.