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ffiHS Government of lndia
fth
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Department of Health and Family Welfare
Ministry of Health and Family Welfare
PREETI SUDAN, IAS 15.4.2020
Secretary

Dear Colleague,

you are aware Government of India has extended the national level lockdown
.... _eAfs
tlll 3'" May to contain the spread of COVID-l9 in the country. This period should be
utilized effectively and there should be concerted effort for implem.nting containment
measures 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 poiitive
cases.

The criteria for classification of hotspots is listed at Annexure-I. With respect to

these hotspots, the districts which need implementation of outbreak containment plan
are 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. This
exercise 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) states

need to ensure that containment measures are taken so as to ensure that
case in these
areas can be contained. States also need to undeftake effective surueillance
of SARI and
ILI cases in districts not having any confirmed cases so far besides ensuring dedicated
COVID hospitals.

The containment strategies are already available at MOHFW website

and
The Micro Plan for containing Local Transmission of COVID-l9 is available
at
i
D19.pdf

Containment operation would be deemed over when there is no case reported

in
28 days from an area after last case tests negative. Hotspots (designated
red zones) will
be assumed to be undertaking effective contlinment activities, if no case is reported
in
next 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-110 011

Tele : (o) 011-23061863, 2ao6gi21, Fax: olt-zgo6lz52,t-mait : secyhfinr@nic.in
 It is requested that states should utilize the extended lockdown perigd to the
maximum extent to convert the hotspots (red) to orange and in turn green zones.

lrfu- ^P^7]-1
sincerely,
$urs

p,$*,h.,1
.8Tt f,:g:J:ihT or arr states/urs
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 or
o Highest case load districts contributing to more than 80% of cases for each state in
lndia or
o 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)

HotsHrt dlstrlrtl with Hotspot districts with

large outbrealr cluctsrs
(1231 {4il

C.lt.rl. lu
rlllrlrt
Btil!alat

A dlc|rla currcntly ln hospo$ Nn move to green cotegory [ tn mw cases orl* ln 2g doyz q

 Annexure II
List of hotspot districts with large outbreaks

;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

iouth

iouth East

i ha hda ra

Mest

)elhi tlorth

lentral

tlew Delhi

:aSt

iouth West

Page | 2
itate )istrict

\hmadabad

3ujarat iurat

Shavnagar

taj kot

tlu h

iurugram
laryana
alwal

:aridabad

irinagar

)andipora

laramulla
ammu And Kashmir
ammu

Jdhampur

(upwara

Sengaluru Urban

Mysuru

)elagavi

(asa ragod

(annur

lrnakulam

Vlalappu ram

ananthapuram

)atha namth itta

Page | 3
itate )istrict

ndore

)hopal

Vladhya Pradesh (hargone

Jjjain

losha nga bad

tlumbai

)une

thane

\agpur

iangli

Maharashtra \hmednagar

/avatmal

\u ra ngabad

]u ldhana

VlumbaiSuburban

rlashik

)disha (hordha

i.A.S Nagar

hahid Bhagat Singh Nagar

)u nja b

alandhar

)athankot

Page | 4
itate )istrict

aipur

l-onk

odhpur

Janswara

(ota

lhunjhunu

laisalmer

lhilwara

li ka ner

halawar

)haratpur

lhennai

iruchirappalli

loimbatore

lirunelveli

irode

/ellore
Iamil Nadu
)indigul

/illupuram

liruppur

lheni

,lamakkal

)hengalpattu

Page | 5
;tate )istrict

Vladurai

tuticorin

(arur

/irudhunagar

(anniyakumari
Iamil Nadu
luddalore

[hiruvallu r

[h iruva ru r

tlagapattinam

{yderabad

tlizamabad

ffarangal Urban

langa Reddy
[elangana
ogulambaGadwal

VledchalMalkajgiri

tlirmal

\gra

autam Buddha Nagar

Vleerut
Jttar Pradesh
-ucknow

3 haziabad

iaharanpur

Page | 6
;tate )istrict

ihamli

Jttar Pradesh irozabad

iloradabad

Jtta rakhand )ehradun

(olkata

{owrah
/t/est Bengal

Vledinipur East

24 Paraganas North

Page | 7
 Annexure III
List of hotspot districts with clusters

;tate )istrict

\ndaman And Nicobar lslands South Andamans

Golaghat

Vlarigaon

Assam \albari

3oalpara

)hubri

Vlunger

Begusa rai

Gaya

Ch hattisgarh Raipur

Delhi \orth West

3 uja rat )ata n

\mbala
laryana
(a rnal

iola n

Una

Himachal Pradesh )trmaur

lhamba

(angra

ihopian
lammu And Kashmir
lajou ri

lanchi
harkhand
Bokaro

Karnataka Dakshina Kannada

Page | 8
itate )istrict

lidar

(a la bu ragi
(a rnata ka

Baga I kote

Dharwad

(erala Wayanad

!adakh (argil

Vadhya Pradesh Vlorena

(olhapur

Maharashtra \mravati

)alghar

Cdisha lhadrak

Vlansa

Am ritsar
)u nja b

-udhiana

Vloga

lajasthan

lelangana Nalgonda

Bu landshahr

iitapu r
Uttar Pradesh
3asti

3aghpat

\ainital
Jttarakhand
Jdam Singh Nagar

Page | 9
 Annexure IV

Non-Hotspots Districts reporting cases

itate Name )istrict Name

Arunachal Pradesh -ohit

Cachar

Ha ilaka ndi

(amrup

Assam (amrup Metro

-akhimpur

iouth Sa lmaraMancachar

(arimganj

3opalganj

!awada

)hagalpur

lihar )aran

-akhisarai

\alanda

)atna

Silaspur

Durg

Rajnandgaon

)elhi North East

North Goa
.rO0
louth Goa

Sandhinagar

Gujarat lharuch

\nand

Page | 10
 h

itate Name )istrict Name

)orbandar

)hhotaudepur

\4a hesa na

3irSomnath

)ohad
Gujarat
gar

Vlorbi

iabarKa ntha

lanasKa ntha

)anch ku la

)anipat

,lfSa

ionipat

lhiwani

(aitha I

Haryana
lharkiDadri

:atehabad

.{isar

ind

lohtak

(urukshetra

3udgam
ammu And Kashmir
(ulgam

Page | 11
 lwama

itate )istrict

3anderbal
ammu And Kashmir

lazaribagh

harkha nd (oderma

Siridih

lallari

Mandya

Sengaluru Rural

)avangere

Jdupi

iadag

umakuru

(odagu

/ijaya pura

3h ikka ba lla pu ra

ttara Kannada

lh rissu r

(ollam

dukki
(erala
)alakkad

(ottayam

\lappuzha

-adakh .eh La da kh

Page | 12
 I

Pradesh

itate )istrict

:ast Nimar

)ewas

lhhindwara

3walior

ihivpuri

letul

)har

la ise n

iaga r

ihaja pu r

Vla ndsaur

latlam

iatna

iheopur

\kola

-atu r

iata ra

Vla ha rashtra latnagiri

)smanabad

lalgaon

iindhudurg

Page | 13
 Raigad

]eed

{ingoli

itate )istricts

alna

ffashim

Vla ha rashtra iondia

)hule

iolapur

ghalaya KhasiHills

Vlizoram \izawl

-uttack

)henkanal

(alahandi

(e nd ra pa ra

)uri

iundargarh

)ondicherry
)uducherry
Vla he

{ osh ia rpu r

lupnagar

)u nja b
larnala

:aridkot

:atehgarh Sahib

Page | 14
 )anSrur

(apu rthala

Patiala

iri Muktsar Sahib

;tate )istricts

lhuru

)ausa

\lwar

)u nga rpu r

\jmer

(arauli

lajastha n )ali

)rata pgarh

Jarmer

)holpur

laga u r

iikar

lanumangarh

thanjavur

-iruvannamalai

(anchipuram

I-amil Nadu iivaganga

lhe Nilgiris

(a lla ku richi

lamanathapuram

Page | 15
 )erambalur

\riyalur

iuryapet

[elanga na \dila bad

Mahabubnagar

itate )istrict

(amareddy

/ika rabad

iangareddy

Vledak

(hammam

hadradriKothagudem

agitial

angoan
lelangana
ashankarBhu palapally

(u mu ramBheemAsifabad

Vlulugu

)eddapalli

tlagarkurnool

Vla ha bu ba bad

lajannaSircilla

pet

iomati
lripu ra
rlorth Tripura

Jttar Pradesh (anpur Nagar

Page | 16
 /a ra nasi

Amroha

lapu r

Vlaharajganj

)ratapgarh

lampur

itate )istrict

Sareilly

3 hazipur

\zamgarh

{ath ras

uzaffarnagar

au npu r

(heri

\u raiya

landa
Jttar Pradesh
ludaun

lardoi

(aushambi

Vlathura

Vl irza pu r

lae Bareli

,ilibhit

]arabanki

)ijnor

Page | 17
 )rayagraj

ihahjahanpur

tawah

Haridwar

Jttarakhand \lmora

)auriGarhwal

//est Bengal (alimpong

itate )istrict

alpaiguri

{ooghly

!adia

West Bengal aschimBardhaman

Vledinipur West

Paraganas South

)arjeeling

Page | 18