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. 2020 Jun 16;7:100114. doi: 10.1016/j.pdisas.2020.100114
Major findings
  • In India, recovery rate of COVID-19 patients is increasing and during first phase, it was 13.16% and in last phase it reaches to about 50% with great inter-state variation.

  • Major outbreak clusters are located in Western and Northern India and they are associated with major cities.

  • There is a great inter-state variation in preparedness to fight with the pandemic and most of the states have very poor healthcare infrastructures with lesser no. of hospital beds and ventilators.

  • The inter-state variation is extremely prominent in case of availability of hospital beds and calculated case-bed ratio is acutely disproportionate across Indian states. Maharashtra experiences out number of COVID-19 positive cases in respect of state's availability of hospital beds.

  • The equal proportion of test ratio has not been identified throughout the country. Moreover, the distribution of testing laboratories is extremely uneven all over the states and union territories of India, which obstructs the scope of proper diagnosis of COVID-19 positive patients.

  • The inaccessibility of testing centres in the Eastern, Central and extreme Northern portion of India amplify the vulnerability of local citizens towards the risk of high contagious nature of COVID-19.

  • In India, 42% people sustains their life in slum area and they have no option to maintain social distancing rule due to their unhygienic and congested ambience. It is remarkable that the sates of Maharashtra, Tamil Nadu, West Bengal, Gujarat and Delhi witness a substantial no. of slum population and the maximum no. of COVID-19 positive cases have been recorded in these states.