On April 15, Indian government released a list of 170 districts across the country designated as coronavirus hotspots. Of India’s 735 districts, 49% did not have any infections. The remaining 377 districts were categorised as follows: 170 of these districts are hotspot districts (red and orange districts in Figure 1), and the remaining 207 are non-hotspot districts with some infections.
The 170 hotspot districts were further categorised into hotspots with cluster outbreaks (less than 15 cases) and districts with large outbreaks (more than 15 cases or multiple clusters). From April 20, districts with no infection have been allowed to resume some economic activity. The rest of the country will likely see a staggered resumption of economic activity with the lockdown being the strictest in the hotspot districts.
What do districts in these various categories look like? Which category is poorer? Which category carries a larger burden of comorbidities – additional health conditions such as chronic kidney disease, diabetes or hypertension that put residents in the high-risk category for Covid-19? Do residents living in hotspot districts have easier access to handwashing facilities?
In this article, we describe the four categories of districts along two broad dimensions: socio-economic characteristics and burden of Covid-related morbidities. The...
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