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Government of lndiaDepartment of Health and Family Welfare
Ministry of Health and Family Welfare
15.4.2020
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PREETI SUDAN, IASSecretary
Dear Colleague,
.... _eAfs you are aware Government of India has extended the national level lockdowntlll 3'" May to contain the spread of COVID-l9 in the country. This period should beutilized effectively and there should be concerted effort for implem.nting containmentmeasures in a focused manner.
As of now, based on repofted cases, the districts can be classified as: Hotspots,Non-Hotspots districts repofting cases and districts which have not reported poiitivecases.
The criteria for classification of hotspots is listed at Annexure-I. With respect tothese hotspots, the districts which need implementation of outbreak containment planare at Annexure-Il, and the districts where clusters of cases are noted are at Annexure-III. States also need to identify hotspots based on doubling rate of confirmed cases. Thisexercise of identification of hotspots has to be done on Jweekly basis (every Monday)or earlier. Strict containment measures need to be implemented in these hotspots.
Fufther, for Non-Hotspots Districts Reporting cases (as in Annexure-IV) statesneed to ensure that containment measures are taken so as to ensure that case in theseareas can be contained. States also need to undeftake effective surueillance of SARI andILI cases in districts not having any confirmed cases so far besides ensuring dedicatedCOVID hospitals.
andThe
The containment strategies are already available at MOHFW website
Micro Plan for containing Local Transmission of COVID-l9 is available ati
D19.pdf
Containment operation would be deemed over when there is no case reported in28 days from an area after last case tests negative. Hotspots (designated red zones) willbe assumed to be undertaking effective contlinment activities, if no case is reported innext 14 days (designated orange zones) and will be deemed successful in containment,if no case is repofted for 28 days (designated green zones).
Room No. 156, A-Wing, Nirman Bhawan, New Delhi-110 011Tele : (o) 011-23061863, 2ao6gi21, Fax: olt-zgo6lz52,t-mait : [email protected]
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It is requested that states should utilize the extended lockdown perigd to themaximum extent to convert the hotspots (red) to orange and in turn green zones.
lrfu- ^P^7]-1$urs sincerely,
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Encl.: as above
Annexure I
'Hotspot (Red zone) classification'- to focus attention on districts/cities reporting large
number of cases/high growth rate.
lnclusion Criteria -
o Highest case load districts contributingto more than 80% of cases in lndia oro Highest case load districts contributing to more than 80% of cases for each state in
lndia oro Districts with doubling rate less than 4 days (calculated every Monday for last 7 days,
to be determined by the state government)Subject to the following exclusion criteria
o No new confirmed cases for last 28 days (Green zone)
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Hotspot districts with
cluctsrs
{4il
List of hotspot districts with large outbreaks
Annexure II
Page | 2
;tate )istrict
(u rnool
Suntur
,psr Nellore
)rakasam
(rishna
/.s.R.
ffest Godavari
lhittoor
/isakhapatanam
:ast Godavari
\nantapur
]iha r )lWan
)handigarh lha nd igarh
)hhattisgarh (orba
)elhi
iouth
iouth East
i ha hda ra
Mest
tlorth
lentral
tlew Delhi
:aSt
iouth West
ananthapuram
Page | 3
itate )istrict
3ujarat
\hmadabad
iurat
Shavnagar
taj kot
laryana
tlu h
iurugram
alwal
:aridabad
ammu And Kashmir
irinagar
)andipora
laramulla
ammu
Jdhampur
(upwara
Sengaluru Urban
Mysuru
)elagavi
(asa ragod
(annur
lrnakulam
Vlalappu ram
)atha namth itta
hahid Bhagat Singh Nagar
Page | 4
itate )istrict
Vladhya Pradesh
ndore
)hopal
(hargone
Jjjain
losha nga bad
Maharashtra
tlumbai
)une
thane
\agpur
iangli
\hmednagar
/avatmal
\u ra ngabad
]u ldhana
VlumbaiSuburban
rlashik
)disha (hordha
)u nja b
i.A.S Nagar
alandhar
)athankot
Page | 5
itate )istrict
aipur
l-onk
odhpur
Janswara
(ota
lhunjhunu
laisalmer
lhilwara
li ka ner
halawar
)haratpur
Iamil Nadu
lhennai
iruchirappalli
loimbatore
lirunelveli
irode
/ellore
)indigul
/illupuram
liruppur
lheni
,lamakkal
)hengalpattu
autam Buddha Nagar
Page | 6
;tate )istrict
Iamil Nadu
Vladurai
tuticorin
(arur
/irudhunagar
(anniyakumari
luddalore
[hiruvallu r
[h iruva ru r
tlagapattinam
[elangana
{yderabad
tlizamabad
ffarangal Urban
langa Reddy
ogulambaGadwal
VledchalMalkajgiri
tlirmal
Jttar Pradesh
\gra
Vleerut
-ucknow
3 haziabad
iaharanpur
Page | 7
;tate )istrict
Jttar Pradesh
ihamli
irozabad
iloradabad
Jtta rakhand )ehradun
/t/est Bengal
(olkata
{owrah
Vledinipur East
24 Paraganas North
List of hotspot districts with clusters
Annexure III
\ndaman And Nicobar lslands South Andamans
Assam
Golaghat
Vlarigaon
\albari
3oalpara
)hubri
Vlunger
Begusa rai
Gaya
Ch hattisgarh Raipur
Delhi \orth West
3 uja rat )ata n
laryana\mbala
(a rnal
Himachal Pradesh
iola n
Una
)trmaur
lhamba
(angra
lammu And Kashmirihopian
lajou ri
harkhandlanchi
Bokaro
Karnataka Dakshina Kannada
Page | 8
;tate )istrict
(a rnata ka
lidar
(a la bu ragi
Baga I kote
Dharwad
(erala Wayanad
!adakh (argil
Vadhya Pradesh Vlorena
Maharashtra
(olhapur
\mravati
)alghar
Cdisha lhadrak
)u nja b
Vlansa
Am ritsar
-udhiana
Vloga
lajasthan
lelangana Nalgonda
Uttar Pradesh
Bu landshahr
iitapu r
3asti
3aghpat
Jttarakhand\ainital
Jdam Singh Nagar
Page | 9
itate )istrict
Non-Hotspots Districts reporting cases
Annexure IV
Arunachal Pradesh -ohit
Assam
Cachar
Ha ilaka ndi
(amrup
(amrup Metro
-akhimpur
iouth Sa lmaraMancachar
(arimganj
lihar
3opalganj
!awada
)hagalpur
)aran
-akhisarai
\alanda
)atna
Silaspur
Durg
Rajnandgaon
)elhi North East
.rO0North Goa
louth Goa
Gujarat
Sandhinagar
lharuch
\nand
Page | 10
itate Name )istrict Name
h
Page | 11
itate Name )istrict Name
Gujarat
)orbandar
)hhotaudepur
\4a hesa na
3irSomnath
)ohad
gar
Vlorbi
iabarKa ntha
lanasKa ntha
Haryana
)anch ku la
)anipat
,lfSa
ionipat
lhiwani
(aitha I
lharkiDadri
:atehabad
.{isar
ind
lohtak
(urukshetra
ammu And Kashmir3udgam
(ulgam
lwama
ttara Kannada
Page | 12
itate )istrict
ammu And Kashmir3anderbal
harkha nd
lazaribagh
(oderma
Siridih
lallari
Mandya
Sengaluru Rural
)avangere
Jdupi
iadag
umakuru
(odagu
/ijaya pura
3h ikka ba lla pu ra
(erala
lh rissu r
(ollam
dukki
)alakkad
(ottayam
\lappuzha
-adakh .eh La da kh
I
Pradesh
Page | 13
itate )istrict
:ast Nimar
)ewas
lhhindwara
3walior
ihivpuri
letul
)har
la ise n
iaga r
ihaja pu r
Vla ndsaur
latlam
iatna
iheopur
Vla ha rashtra
\kola
-atu r
iata ra
latnagiri
)smanabad
lalgaon
iindhudurg
Raigad
{ingoli
KhasiHills
Page | 14
]eed
itate )istricts
Vla ha rashtra
alna
ffashim
iondia
)hule
iolapur
ghalaya
Vlizoram \izawl
-uttack
)henkanal
(alahandi
(e nd ra pa ra
)uri
iundargarh
)uducherry)ondicherry
Vla he
)u nja b
{ osh ia rpu r
lupnagar
larnala
:aridkot
:atehgarh Sahib
)anSrur
(apu rthala
Patiala
iri Muktsar Sahib
Page | 15
;tate )istricts
lajastha n
lhuru
)ausa
\lwar
)u nga rpu r
\jmer
(arauli
)ali
)rata pgarh
Jarmer
)holpur
laga u r
iikar
lanumangarh
I-amil Nadu
thanjavur
-iruvannamalai
(anchipuram
iivaganga
lhe Nilgiris
(a lla ku richi
lamanathapuram
)erambalur
\riyalur
[elanga na
iuryapet
\dila bad
Mahabubnagar
hadradriKothagudem
ashankarBhu palapally
Page | 16
itate )istrict
lelangana
(amareddy
/ika rabad
iangareddy
Vledak
(hammam
agitial
angoan
(u mu ramBheemAsifabad
Vlulugu
)eddapalli
tlagarkurnool
Vla ha bu ba bad
lajannaSircilla
pet
lripu raiomati
rlorth Tripura
Jttar Pradesh (anpur Nagar
/a ra nasi
Amroha
lapu r
Vlaharajganj
)ratapgarh
lampur
uzaffarnagar
Page | 17
itate )istrict
Jttar Pradesh
Sareilly
3 hazipur
\zamgarh
{ath ras
au npu r
(heri
\u raiya
landa
ludaun
lardoi
(aushambi
Vlathura
Vl irza pu r
lae Bareli
,ilibhit
]arabanki
)ijnor
)rayagraj
ihahjahanpur
tawah
Jttarakhand
Haridwar
\lmora
)auriGarhwal
//est Bengal (alimpong
aschimBardhaman
Paraganas South
Page | 18
itate )istrict
West Bengal
alpaiguri
{ooghly
!adia
Vledinipur West
)arjeeling