Abstract

Background: The first case of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was identified in Wuhan, China, in late 2019, the epicenter of the COVID-19 outbreak. In India on January 30, 2020 and in Andhra Pradesh on March 12, 2020 first case was reported. The case fatality rate (CFR) among diagnosed cases is generally about 2%–3% but varies by country.Aim: To estimate the CFR in Andhra Pradesh during the pandemic in different phases.Methods: All the secondary data were collected either from the covid19india website or github website or Indian government websites or Andhra Pradesh State government website or media quoting the government announcements January 30, 2020 to August 8, 2020. The CFR was estimated as per the Methods for Estimating the Case Fatality Ratio for a Novel, Emerging Infectious Disease.Results: In the pre-lockdown phase, the CFR of Andhra Pradesh was 0.00%, Uttarandhra, Central Andhra & Rayalaseema was Nil, and South Andhra it was ranging from Nil-0.00%, In lockdown phase, the CFR Andhra Pradesh was ranging from 1.34 to 42.31%, Uttarandhra - Nil -5.56%, Central Andhra - Nil-100.00%, South Andhra - 0.00-66.67%, and Rayalaseema - Nil-100.00%. In post-lockdown phase, the CFR Andhra Pradesh was ranging from 0.99 to 2.50%, Uttarandhra - 0.59 to 4.55%, Central Andhra - 0.82 to 14.33%, South Andhra - 1.05 to 2.30%, and Rayalaseema - 0.37-8.07%.Conclusions: The CFR of confirmed cases of COVID-19 in Andhra Pradesh and its districts was a downward trend except Prakasam district.

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