UpdateBot at 14:22, 6 March 2022

2022-03-06T14:22:36Z

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{{short description|Ongoing COVID-19 viral pandemic in Andhra Pradesh, India}}
{{Use Indian English|date=April 2020}}{{Use dmy dates|date=April 2020}}
{{Infobox pandemic
| name = COVID-19 pandemic in Andhra pradesh
| map1 = India Andhra Pradesh COVID-19 map.svg{{!}}upright=1.5
| legend1 = Map of districts with confirmed cases
| disease = [[COVID-19]]
| virus_strain = [[SARS-CoV-2]]
| location = [[Andhra pradesh]], [[India]]
| first_case = [[Nellore]]
| arrival_date = 12 March 2020 ({{Age in years, months, weeks and days |month1=03|day1=12|year1=2020|month2=|day2=|year2=}})
| origin = [[Wuhan]], [[China]]
| confirmed_cases = {{IncreaseNegative}}{{val|15,18,247|fmt=commas}} {{As of|2021|05|20}}
| active_cases = {{IncreaseNegative}}{{val|2,09,134|fmt=commas}} {{as of|2021|05|20}}
| recovery_cases = {{IncreasePositive}}{{val|12,99,313|fmt=commas}} {{As of|2021|05|20}}
| deaths = {{DecreasePositive}}{{val|9,800|fmt=commas}} {{As of|2021|05|20}}
| website = {{url|http://hmfw.ap.gov.in/covid_dashboard.aspx|hmfw.ap.gov.in}}
| fatality_rate = 0.2%
}}

The first case of the [[COVID-19 pandemic]] in the Indian state of [[Andhra Pradesh]] was reported in [[Nellore]] on 12 March 2020. A 24-year-old who was confirmed positive for coronavirus. He had travel history to [[Italy]].<ref>{{Cite news|url=https://www.thehindu.com/news/national/andhra-pradesh/coronavirus-first-case-of-covid-19-reported-from-nellore-in-ap/article31049837.ece|title=Coronavirus {{!}} First case of COVID-19 reported from Nellore in AP|date=2020-03-12|work=The Hindu|access-date=2020-04-29|others=Special Correspondent|language=en-IN|issn=0971-751X|archive-date=13 March 2020|archive-url=https://web.archive.org/web/20200313190138/https://www.thehindu.com/news/national/andhra-pradesh/coronavirus-first-case-of-covid-19-reported-from-nellore-in-ap/article31049837.ece|url-status=live}}</ref> The Andhra Pradesh Health department has confirmed a total of 5,37,687 cases, including 4,702 deaths and 4,35,467 recoveries, as of 10 September.<ref name="COVID dashboard AP">{{Cite web|title=COVID-19 : Andhra Pradesh Department of Health, Medical, & Family Welfare|url=http://hmfw.ap.gov.in/covid_dashboard.aspx|website=hmfw.ap.gov.in|access-date=2020-05-01|archive-date=17 April 2020|archive-url=https://web.archive.org/web/20200417212420/http://hmfw.ap.gov.in/covid_dashboard.aspx|url-status=dead}}</ref> The virus has spread in 13 districts of the state, of which [[East Godavari]] has the highest number of cases.<ref name="COVID dashboard AP" /><ref>{{Cite web|title=Covid-19 cases spike in Andhra Pradesh, tally past 6146|url=https://www.thehindubusinessline.com/news/national/covid-19-cases-spike-in-andhra-pradesh-tally-past-1300/article31460227.ece|date=30 April 2020|website=Business line|language=en|access-date=30 April 2020|archive-date=9 May 2020|archive-url=https://web.archive.org/web/20200509105839/https://www.thehindubusinessline.com/news/national/covid-19-cases-spike-in-andhra-pradesh-tally-past-1300/article31460227.ece|url-status=live}}</ref>

== Cases ==
===By districts, Other Countries, Other States===
{{Graph:Chart
| width= 125
| height= 125
| type= pie
| legend= Other countries cases in AP
| x=Kuwait,Qatar,Saudi Arabia,Indonesia,South Africa,Abu Dubai,Kazakhstan,Muscat,Bahrain,Sudan,UK,Bangladesh,Kyrgyzstan,Philippines,Malaysia,Singapore,USA,South Korea,Russia
| y1=343,18,20,5,4,4,15,1,4,1,7,2,2,1,1,1,2,1,2
}}

{{Graph:Chart
| width= 125
| height= 125
| type= pie
| legend= Other states cases in AP
| x=Maharashtra,Tamilnadu,Telangana,Gujarat,Delhi,Odisha,Rajasthan,Karnataka,West Bengal,Uttar Pradesh,Bihar,Madya Pradesh,Haryana,Goa,Chhattisgarah,Kerala,Assam,Jharkhand
| y1=912,484,689,50,112,41,23,90,21,9,10,6,6,2,1,2,1,2
}}
{{clear}}

== Testing ==
According to Deccan Herald, Andhra Pradesh has the highest number of COVID-19 tests conducted per million population.<ref>{{Cite news|date=24 April 2020|title=How Andhra Pradesh is conducting the highest number of COVID-19 tests per million population.}}</ref>

== Genetic Epidemiology ==
Genome sequencing of SARS-CoV-2 in the state suggested that the circulating SARS-CoV-2 in Andhra Pradesh majorly clustered under the clade A2a (20A, 20B and 20C) (94%), whereas 6% fall under the I/A3i clade,<ref>{{Cite journal|last=Rani|first=Pallavali Roja|last2=Imran|first2=Mohamed|last3=Lakshmi|first3=J. Vijaya|last4=Jolly|first4=Bani|last5=Afsar|first5=S.|last6=Jain|first6=Abhinav|last7=Divakar|first7=Mohit Kumar|last8=Suresh|first8=Panyam|last9=Sharma|first9=Disha|last10=Rajesh|first10=Nambi|last11=Bhoyar|first11=Rahul C.|date=2021|title=Insights from genomes and genetic epidemiology of SARS-CoV-2 isolates from the state of Andhra Pradesh|url=https://www.cambridge.org/core/journals/epidemiology-and-infection/article/insights-from-genomes-and-genetic-epidemiology-of-sarscov2-isolates-from-the-state-of-andhra-pradesh/3E0C9FD6BCC0F14430FB89B30D30CD29|journal=Epidemiology & Infection|language=en|volume=149|doi=10.1017/S0950268821001424|issn=0950-2688|pmc=8367868|access-date=14 August 2021|archive-date=14 August 2021|archive-url=https://web.archive.org/web/20210814035754/https://www.cambridge.org/core/journals/epidemiology-and-infection/article/insights-from-genomes-and-genetic-epidemiology-of-sarscov2-isolates-from-the-state-of-andhra-pradesh/3E0C9FD6BCC0F14430FB89B30D30CD29|url-status=live}}</ref> a clade previously defined to be present in large numbers in India.<ref>{{Cite journal|last=Banu|first=Sofia|last2=Jolly|first2=Bani|last3=Mukherjee|first3=Payel|last4=Singh|first4=Priya|last5=Khan|first5=Shagufta|last6=Zaveri|first6=Lamuk|last7=Shambhavi|first7=Sakshi|last8=Gaur|first8=Namami|last9=Reddy|first9=Shashikala|last10=Kaveri|first10=K|last11=Srinivasan|first11=Sivasubramanian|date=2020-09-18|title=A Distinct Phylogenetic Cluster of Indian Severe Acute Respiratory Syndrome Coronavirus 2 Isolates|url=https://doi.org/10.1093/ofid/ofaa434|journal=Open Forum Infectious Diseases|volume=7|issue=11|doi=10.1093/ofid/ofaa434|issn=2328-8957|pmc=7543508|pmid=33200080|access-date=14 August 2021|archive-date=23 December 2021|archive-url=https://web.archive.org/web/20211223025447/https://academic.oup.com/crawlprevention/governor?content=%2fofid%2farticle%2fdoi%2f10.1093%2fofid%2fofaa434%2f5908536|url-status=live}}</ref>

{| class="wikitable plainrowheaders" style="float:right; clear:right;"
|+Summary of test results
!Samples collected
|1,83,42,918
|-
!Tested Negative
|1,68,21,776
|-
!Tested Positive
|15,18,247
|-
!Percentage Tested Positive
|12.08 %
|-
| colspan="2" style="text-align:centre;" |As of 20 May 2021<ref>{{Cite web|title=COVID Testings|url=https://hmfw.ap.gov.in/covid_dashboard.aspx|url-status=live|access-date=21 May 2021|archive-date=2 November 2020|archive-url=https://web.archive.org/web/20201102123213/http://hmfw.ap.gov.in/covid_dashboard.aspx}}</ref>
|}

== Containment Strategy ==
The state has defined its containment cluster in urban areas to encompass 3 km radius, from the location where the COVID-19 positive case is detected. An additional 2 km radius beyond this containment area would be treated as a buffer zone in urban areas, whereas, this buffer radius would extend to 4 km, for the rural areas.<ref>{{Cite news|date=2020-04-10|title=COVID-19: Andhra Pradesh govt identifies 133 'containment clusters' in 11 districts, sounds red alert|work=The Economic Times|url=https://economictimes.indiatimes.com/news/politics-and-nation/covid-19-andhra-pradesh-govt-identifies-133-containment-clusters-in-11-districts-sounds-red-alert/articleshow/75085981.cms?from=mdr|access-date=2020-06-19|archive-date=22 June 2020|archive-url=https://web.archive.org/web/20200622012103/https://economictimes.indiatimes.com/news/politics-and-nation/covid-19-andhra-pradesh-govt-identifies-133-containment-clusters-in-11-districts-sounds-red-alert/articleshow/75085981.cms?from=mdr|url-status=live}}</ref>

== Public Health Strategies ==

=== Door to Door survey ===
On March 10, Andhra state government started a two-day door-to door survey to identify people who had recently traveled to COVID-19 affected countries. This was carried out through a network of ASHA workers, Auxiliary nurse midwife (ANM), village and ward volunteers.<ref>{{Cite news|author=Staff Reporter|date=2020-03-10|title=Andhra Pradesh to begin door-to-door survey on COVID-19 today|language=en-IN|work=The Hindu|url=https://www.thehindu.com/news/national/andhra-pradesh/covid-19-door-to-door-survey-to-begin-in-state-today/article31034077.ece|access-date=2020-06-19|issn=0971-751X|archive-date=21 June 2020|archive-url=https://web.archive.org/web/20200621194711/https://www.thehindu.com/news/national/andhra-pradesh/covid-19-door-to-door-survey-to-begin-in-state-today/article31034077.ece|url-status=live}}</ref> Until 19 April, 32,000 people were identified with influenza like symptoms in the process.<ref>{{Cite news|last=Rao|first=G. v r Subba|date=2020-04-19|title=Perform tests on people identifiedin the door-to-door survey: CM|language=en-IN|work=The Hindu|url=https://www.thehindu.com/news/national/andhra-pradesh/perform-tests-on-people-identifiedin-the-door-to-door-survey-cm/article31383885.ece|access-date=2020-06-19|issn=0971-751X|archive-date=22 June 2020|archive-url=https://web.archive.org/web/20200622113805/https://www.thehindu.com/news/national/andhra-pradesh/perform-tests-on-people-identifiedin-the-door-to-door-survey-cm/article31383885.ece|url-status=live}}</ref><ref>{{Cite web|last=Saikia|first=Arunabh|title=Several states are going door-to-door to identify Covid-19 patients. Is it a good idea?|url=https://scroll.in/pulse/962039/several-states-are-going-door-to-door-to-identify-covid-19-patients-is-it-a-good-idea|access-date=2020-06-19|website=Scroll.in|language=en-US|archive-date=21 June 2020|archive-url=https://web.archive.org/web/20200621010842/https://scroll.in/pulse/962039/several-states-are-going-door-to-door-to-identify-covid-19-patients-is-it-a-good-idea|url-status=live}}</ref>

=== Risk Communication and Community Engagement ===

RCCE ([[Risk Communication and Community Engagement]]) strategy was adapted with the support of UNICEF (United Nations Children's Fund), to reach training and awareness on Covid-appropriate behaviour to 1.06 crore households. A month-long mask campaign #MaaskeKavacham has also been initiated for 95% mask utilisation in urban and rural areas.<ref>{{Cite web|url = https://www.hindustantimes.com/india-news/we-are-in-the-process-of-rebuilding-andhra-cm-jaganmohan-reddy/story-1oXeAQGWLvSwzvKLIzJeOL.html|title = We are in the process of rebuilding Andhra: CM Jaganmohan Reddy|date = 8 September 2020|access-date = 8 September 2020|archive-date = 22 November 2020|archive-url = https://web.archive.org/web/20201122125634/https://www.hindustantimes.com/india-news/we-are-in-the-process-of-rebuilding-andhra-cm-jaganmohan-reddy/story-1oXeAQGWLvSwzvKLIzJeOL.html|url-status = live}}</ref>

=== Intelligent Monitoring Analysis Services Quarantine (I-MASQ) ===
The Andhra Pradesh government launched mobile testing centers around the end of May, which operate from government buses converted into testing facilities. These mobile centers have been parked at key areas of public transit such as railway stations and airports. The test samples collected from these centers produce results within 48 hours from collection. The samples are managed by the government health department and the test subjects are required to produce an ID proof and Aadhaar number. If the test subjects are passengers who have been travelling, then they also need to provide their PNR/flight numbers to the health officers there.<ref>{{Cite web|last=Bedi|first=Aneesha|date=2020-06-18|title=Mobile Covid testing takes off in Andhra as Jagan govt plans to add 53 state buses to fleet|url=https://theprint.in/health/mobile-covid-testing-takes-off-in-andhra-as-jagan-govt-plans-to-add-53-state-buses-to-fleet/443238/|access-date=2020-06-19|website=ThePrint|language=en-US|archive-date=18 June 2020|archive-url=https://web.archive.org/web/20200618192556/https://theprint.in/health/mobile-covid-testing-takes-off-in-andhra-as-jagan-govt-plans-to-add-53-state-buses-to-fleet/443238/|url-status=live}}</ref>

== Social Distancing Measures ==

=== Closure of Public places ===

# The government of Andhra Pradesh began closing its public spaces on March 18 and 19. These included, educational institutions and non-essential commercial places like cinema halls, gyms, malls, and swimming pools.<ref name=":0">{{Cite web|title=Compendium of Instructions, Department of Health, Medical and Family Welfare, Government of Andhra Pradesh|url=http://hmfw.ap.gov.in/COVID-19%20IEC/COMPENDIUM%20OF%20INSTRUCTIONS%20-%20COVID19.pdf|access-date=19 June 2020|archive-date=21 June 2020|archive-url=https://web.archive.org/web/20200621144542/http://hmfw.ap.gov.in/COVID-19%20IEC/COMPENDIUM%20OF%20INSTRUCTIONS%20-%20COVID19.pdf|url-status=dead}}</ref>
# This was followed by a complete state-wide lock down announced on the March 22. Both of these restrictions were to be followed till the March 31, 2020.<ref name=":0" />
# A national 21 day lock-down was imposed by the center starting March 25, 2020.<ref>{{Cite news|date=2020-03-25|title=India will be under complete lockdown for 21 days: Narendra Modi|work=The Economic Times|url=https://economictimes.indiatimes.com/news/politics-and-nation/india-will-be-under-complete-lockdown-starting-midnight-narendra-modi/articleshow/74796908.cms|access-date=2020-06-19|archive-date=23 May 2020|archive-url=https://web.archive.org/web/20200523073212/https://economictimes.indiatimes.com/news/politics-and-nation/india-will-be-under-complete-lockdown-starting-midnight-narendra-modi/articleshow/74796908.cms|url-status=live}}</ref>

=== Quarantine facility ===
The Health, Medical and Family Welfare department of Andhra Pradesh directed all District collectors to establish quarantine centers at district level with 200 beds and constituency level with 100 beds each.<ref>{{Cite web|date=23 March 2020|title=Government of Andhra Pradesh; Health, Medical and Family Welfare department, COVID instant order number-4|url=http://hmfw.ap.gov.in/COVID-19%20IEC/4.GOI%20Guidelines%20and%20Advisories/InstantOrders/COVID%20INSTANT%20ORDER%20-%204.pdf.pdf|access-date=19 June 2020|archive-date=21 June 2020|archive-url=https://web.archive.org/web/20200621172650/http://hmfw.ap.gov.in/COVID-19%20IEC/4.GOI%20Guidelines%20and%20Advisories/InstantOrders/COVID%20INSTANT%20ORDER%20-%204.pdf.pdf|url-status=dead}}</ref> By March 25, all district hospitals in the state were instructed by the Health department of Andhra Pradesh, to setup isolation wards.<ref>{{Cite web|title=List of hospitals designated for treatment of COVID-19 patients in south India|url=https://www.thenewsminute.com/article/list-hospitals-designated-treatment-covid-19-patients-south-india-121014|access-date=2020-06-19|website=www.thenewsminute.com|date=24 March 2020|archive-date=21 June 2020|archive-url=https://web.archive.org/web/20200621134324/https://www.thenewsminute.com/article/list-hospitals-designated-treatment-covid-19-patients-south-india-121014|url-status=live}}</ref> The state, on 31 March, identified dedicated COVID-19 hospitals- 4 at state and 13 at district level.<ref name=":0" />

== Aid Provision ==

=== Door to door service for Ration Card Holders ===
On 25 March 2020, through its village volunteers, the state distributed 1 kg red gram and April's quota of rice, to all its ration card holders.<ref>{{Cite web|date=2020-03-25|title=Andhra Pradesh govt to distribute ration, cash relief at doorsteps through volunteers|url=https://theprint.in/india/andhra-pradesh-govt-to-distribute-ration-cash-relief-at-doorsteps-through-volunteers/388368/|access-date=2020-06-26|website=ThePrint|language=en-US|archive-date=29 June 2020|archive-url=https://web.archive.org/web/20200629092139/https://theprint.in/india/andhra-pradesh-govt-to-distribute-ration-cash-relief-at-doorsteps-through-volunteers/388368/|url-status=live}}</ref> This service was provided door-to door followed by the hand-out of Rs1000 - one time monetary assistance - on 4 April 2020, to these households.<ref>{{Cite web|date=March 29, 2020|title=Andhra Pradesh government distributes free ration to poor amid coronavirus lockdown|url=https://timesofindia.indiatimes.com/city/vijayawada/andhra-pradesh-government-distributes-free-ration-to-poor-amid-coronavirus-lockdown/articleshow/74871678.cms|access-date=2020-06-26|website=The Times of India|language=en|archive-date=30 March 2020|archive-url=https://web.archive.org/web/20200330040014/https://timesofindia.indiatimes.com/city/vijayawada/andhra-pradesh-government-distributes-free-ration-to-poor-amid-coronavirus-lockdown/articleshow/74871678.cms|url-status=live}}</ref> This monetary assistance was aimed to provide assistance to around 30 lakh families at a scheme cost of Rs. 1300 crore.<ref>{{Cite web|date=2020-04-04|title=AP CM YS Jagan Fulfills Promise; Govt Begins Rs 1,000 Cash Distribution|url=https://english.sakshi.com/andhrapradesh/2020/04/04/andhra-pradesh-government-commences-cash-relief-distribution|access-date=2020-06-26|website=Sakshi Post|language=en|archive-date=28 June 2020|archive-url=https://web.archive.org/web/20200628094028/https://english.sakshi.com/andhrapradesh/2020/04/04/andhra-pradesh-government-commences-cash-relief-distribution|url-status=live}}</ref>

=== Setup of Special Shelter Centers ===

On 31 March 2020, all district administration in Andhra Pradesh were directed by the state government to prepare shelter with lodging and boarding services for migrant labors and homeless.<ref>{{Cite web|date=2020-04-14|title=Andhra Pradesh Government's response to the COVID-19 pandemic (March 2020 - April 14, 2020)|url=https://www.prsindia.org/theprsblog/andhra-pradesh-government%E2%80%99s-response-covid-19-pandemic-march-2020-april-14-2020|access-date=2020-06-26|website=PRSIndia|language=en|archive-date=29 June 2020|archive-url=https://web.archive.org/web/20200629131149/https://www.prsindia.org/theprsblog/andhra-pradesh-government%E2%80%99s-response-covid-19-pandemic-march-2020-april-14-2020|url-status=live}}</ref> These shelters were to be managed by individual 'Nodal Officer', appointed by the District Collector or Municipal Commissioner. The state also mandated Rapid Health checkup of all residents by an Auxiliary Nurse Mid-Wife (ANM) of Primary Health and Surveillance Team.<ref name=":0" />

==See also==
* [[Timeline of the COVID-19 pandemic in India]]
* [[COVID-19 pandemic in India]]
* [[Eluru outbreak]]

==References==
{{reflist}}
{{2019-20 coronavirus pandemic}}
{{COVID-19 pandemic in India}}

[[Category:COVID-19 pandemic in India by state or union territory|Andhra pradesh]]
[[Category:2020s in Andhra Pradesh]]
[[Category:Health in Andhra Pradesh]]

COVID-19 pandemic in Andhra Pradesh - Revision history

UpdateBot at 14:22, 6 March 2022