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 first case was reported on 30.01.2020.The CFR was 3.4% estimate by the World Health Organization (WHO) as of 03.03.2020.Objective: To estimate the Case Fatality Rate (CFR) in India, Indian States, and Union Territories 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 media quoting the government announcements 30.01.2020 to 31.07.2020. The case fatality rate 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 whole India was 20.37%, North India ranging from Nil-100.00%, Western India ranging from Nil-100.00%, South India ranging from Nil-50.00%, East India ranging from Nil-100.00%, Northeast- Nil, and Central India ranging from Nil-100.00%.In lockdown phase the CFR whole India was ranging from 4.15- 20.37%, North India- 0.00-53.70%, Western India- Nil-40.42%, South India - 0.00-42.3%, East India- 0.00-100%, Northeast- Nil -100.00%, and Central India- 0.00-45.30%.In post-lockdown phase the CFR whole India was ranging from 2.50- 4.01%, North India- 0.45-4.82%, Western India- 0.71-7.24%, South India- 0.46-4.72%, East India- 0.00-0.89%, Northeast- Nil -100.00%, and Central India- 0.49-3.78%.Conclusions: The Case Fatality Rate of confirmed cases of COVID-19 in India's whole, most of the States and Union Territories was a downward trend and it was low compared to the other coronaviruses diseases Severe Acute Respiratory Syndrome (SARS), and Middle East respiratory syndrome (MERS).Funding Statement: None.Declaration of Interests: None

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