covid-19 pandemic in kerala covid-19 pandemic in kerala the first case of the covid-19 pandemic in kerala (which was also the first reported case in all of india) was confirmed in thrissur on 30 january 2020. as of 5 april 2022, there have been 65,34,352 confirmed cases, test positivity rate is at 2.04% (13.96% cumulative), with 64,62,811 (98.91%) recoveries and 68,197 (1.04%) deaths in the state. covid-19 pandemic in kerala, indiaconfirmed cases per hundred residents by district, as of 30 september 2021 16-18 cases per hundred 14-16 cases per hundred 12-14 cases per hundred 10-12 cases per hundredmap of districts with number of active cases, as of 5 april 2022 400-800 active cases (2) 200-400 active cases (2) 100–200 active cases (3) 0–100 active cases (7)diseasecovid-19virus strainsars-cov-2locationkerala, indiaarrival date30 january 2020(3 years, 3 months, 1 week and 6 days)confirmed cases 65,34,352active cases 2,507recovered 64,62,811deaths 68,197 fatality rate1.03% territoriesall 14 districtsvaccinations>99% of adults (one dose) 90.5% (two doses) 79.8% of 15-18 year olds (one dose)government websitedashboard.kerala.gov.in/covid/ initially, kerala's success in containing covid-19 was widely praised both nationally and internationally, following high number of cases being reported in march, kerala had, by april 30, reduced the rate of increase of new cases to less than 0.25% per day. however, in mid-may, there was an increase or "second wave" of new cases, following the return of keralites from other countries and other indian states. in july, a large local group of cases was identified at the kumarichantha fish market in thiruvananthapuram. there was a third surge in cases post-onam, with a high number of new cases reported in late-october in malappuram, kozhikode, ernakulam and thrissur districts. active cases peaked at 97,525, and started to decline from november, before bouncing back to over 4,00,000 in may 2021 following the state elections. on 12 may 2021 kerala reported the largest single day spike with 43,529 new cases. during 27–28 july kerala reported 22,129 and 22,056 new cases respectively, accounting for more than 50% of daily new cases in india in those days. the state, however, has the low case fatality rate in india - 1.05% - compared to the national average of 1.2%. kerala now has the 2nd highest number of confirmed cases in india after maharashtra. as of july 2021, more than 90% of known cases were due to community spread. the most number of cases are reported in ernakulam (13.9%), thiruvananthapuram (11.1%) and kozhikode (10.1%) districts (percentage of confirmed cases out of total confirmed cases in kerala). cases per million population is highest in ernakulam (2,85,100+), kottayam (2,39,000+), pathanamthitta (2,33,800+) and thiruvananthapuram (2,27,400+) districts. timeline of events main article: timeline of the covid-19 pandemic in kerala major events in covid-19 pandemic in kerala 30 january first confirmed case 20 february all positive individuals recovered 9 march reported second wave of cases 10 march shutdown of educational institutions 12 march government covid-19 mobile app "gok direct" released, developed by startup qkopy 22 march janta curfew – nationwide one day voluntary curfew 23 march announced statewide lockdown till march 31 24 march 100 confirmed cases 25 march nationwide lockdown imposed 28 march first death reported 10 april 100 reported recoveries 13 april reported recoveries surpassed active cases 5 may 500 confirmed cases 20 may 500 reported recoveries 27 may 1000 confirmed cases healthcare workers wearing personal protective equipment for caregiving for a patient with coronavirus infection in a government hospital in kerala. covid-19 dashboard total samples tested 30,956,146 total positive cases 39,46,307 total active cases 1,95,279 total deaths 20,313 total recovered cases 37,30,198 people vaccinated 1st dose 1,95,47,235 people vaccinated 2nd dose 70,49,010 as of august 27, 2021 january 2020 starting 30 january 2020, the first positive cases of coronavirus in india were reported from three students of kerala origin, travelling from the wuhan province of china, which was the point of origin of the disease. they belonged to thrissur, alappuzha and kasargod districts of kerala and two of them were medical students at a university in wuhan. february following the detection of positive cases, the government of kerala declared a 'state calamity warning' on 4 february. over 3000 contacts of the affected individuals were placed under quarantine, out of which 45 were placed in hospital quarantine. the three positive individuals later recovered from the infection following hospital care. the 'state calamity' warning was withdrawn after 4 days, when no further cases were reported. as china was a popular country for students from kerala to pursue medical studies, several medical students got stranded in china when the lock-down due to coronavirus was put into effect. some of them, who were stranded in airports in china were evacuated and flown into cochin international airport and quarantined at isolation wards in kochi medical college. however, none of them later tested positive for the disease. march the government of kerala declared high alert on 8 march 2020 due to coronavirus cases being reported from the state. isolation wards with 40 beds were set up in 21 major hospitals of the state and a helpline was activated in every district. as of 9 march, more than 4000 persons are under home or hospital quarantine in kerala. as of 4 march, 215 health care workers were deployed across kerala and 3,646 telephone counseling services were conducted to provide psycho-social support to families of those suspected to be infected. despite the threat of coronavirus infection, the kerala government decided to go ahead with attukal pongala, a large, annual, all-women religious congregation in thiruvananthapuram. the government also urged individuals to refrain themselves from the pongala, take precautions against disease transmission and, if possible, offer pongala at their own homes. the government of kerala has started a youtube channel for updating the public regarding the status of coronavirus spread in kerala and precautions to be taken. there are three coronavirus testing centers in kerala : national institute of virology field unit, thiruvananthapuram medical college, calicut medical college. on 10 march, the kerala government arranged special isolation wards in prisons across the state. on 10 march, the government of kerala shut down all colleges and schools up to grade 7. the government also urged people to not undertake pilgrimages, attend large gatherings such as weddings and cinema shows. the government also launched a mobile application called "gok direct" for users to get information and updates regarding covid-19. it is an initiative from the kerala startup mission and the information & public relations department, developed by the startup qkopy. the app can also send text message alerts to basic phones (without internet). the app will focus on general announcements, information and updated guidelines for travellers, details about the quarantine protocol and also health and safety tips for visitors to the state. on 15 march, the new initiative 'break the chain' was introduced by the government of kerala. (see next section for more details.) on 19 march, chief minister pinarayi vijayan announced a stimulus package of rs 20,000 crore (€2.5 billion; $2.6 billion) to help the state overcome both the covid-19 epidemic and economic hardship caused by it. this includes rs. 500 crore for healthcare, rs 2,000 crore for loans and free rations, rs 2,000 crore for creating jobs in rural areas, rs 1,000 crore for families with financial difficulties, and rs 1,320 crore for paying two months pensions in advance. the government has also ordered salons and workout centers to shut down. this is in order to prevent the virus from spreading via direct contact. on 22 march, health minister of kerala, k. k. shailaja strongly warned people to follow the orders from health department of kerala. a citizen science initiative, collective for open data distribution - keralam (codd-k), by a group of technologists, academicians, and students advocating open data released first bilingual (malayalam and english) online dashboard (march 22, 2020) for non-specialists to provide real-time analysis, and daily updates of covid-19 cases in kerala by leveraging publicly available data from the daily bulletins published by the department of health services (dhs), government of kerala, and various news outlets on 23 march, chief minister pinarayi vijayan announced a statewide lock-down until 31 march to prevent further spread of the coronavirus. this was before the central government declared a nationwide lock-down. most strictly applied in kasargod, necessary shops like grocery stores were allowed to open from 11am to 5pm. in the other districts, necessary shops were opened from 7 am until 5 pm with the exception of medical stores. public transports were shut down. there was no restriction for private vehicles but district to district travels was only allowed with thorough checking. in late march, two researchers from the university of cambridge came up with a new mathematical model that predicts a flat 49-day countrywide lockdown or sustained lockdown with periodic relaxation extending over two months may be necessary to prevent covid-19 resurgence in india. "break the chain" hand washing facilities provided as part of break the chain campaign the kerala government introduced a mass hand washing campaign named break the chain on march 15 to educate people about the importance of public and personal hygiene due to the spread of the novel coronavirus across the state. health minister of kerala, smt. k. k. shailaja inaugurated the mass campaign. the government has appealed the public to promote break the chain campaign as a safety measure. during this campaign, the government has installed water taps with hand wash bottles at public spots of the railway stations and other public places. april - district classification a covid-19 testing kiosk in kerala mobile sample collection units for covid-19 in kerala by 16 april, the union health ministry had identified seven districts in kerala as covid-19 hotspots. finally, kerala designated four districts – kasargod, kannur, kozhikode and malappuram – as 'red zone', idukki and kottayam as 'green zone' and the remaining eight districts as 'orange zone'. lock-down restrictions in the green and orange zones were relaxed on 20 and 24 april. inter-state and inter-district travel would continue to be banned. people travelling outside their homes would be required to wear a mask. every district would be given a special plan for preventive measures. according to the government's order, 13 services, including air, rail and inter-district bus services, will not be available in the zoning system throughout the lockdown. on 23 april 2020, pinarayi vijayan announced that the two 'green zone' districts – idukki and kottayam – would be added to the covid-19 orange zone. this followed confirmation of new positive cases in these districts. on 27 april 2020, kottayam and idukki districts were included in the 'red zone' due to rising numbers of new cases. with this, six districts are in the red zone. state police chief, lokanath behera announced that two ips officers have been appointed as special officers in the red zone, idukki and kottayam. may on 2 may 2020, wayanad district was shifted to orange zone following the report of the covid-19 case. thrissur, alappuzha and ernakulam have been in the green zone with no new cases reported for more than 21 days. kannur and kottayam will remain in the red zone. other districts are in the orange zone. the zonal classification will be changed from time to time to assess the situation in the districts. lock-down control in hotspots in red zone districts has been decided to be implemented more strictly. no public transportation will be allowed, including in the green zone. repatriating keralites data of 351,636 norka registered expatriates based on their included type: other reasons (35.84%) annual leave (20.08%) lost job (17.35%) visiting visa (11.72%) expired visiting visa (7.70%) elderly (3.20%) children (3.02%) graduated students (0.82%) prisoners (0.22%) details of passengers (excluding other state passengers updated up to 5 october 2020) travel total passengers home quarantine institutional quarantine passengers in isolation international airport 5,91,902 4,60,129 35,256 3,396 seaport 1,884 514 1,101 6 check post 3,75,584 3,67,102 8,329 153 railway 1,00,656 97,988 1,912 156 total 10,70,026 closed paravur-varkala road in kollam district due to covid-19 spread following the lockdown, steps were taken to help keralites stranded in other countries - particularly the persian gulf nations - return to india. at least 4.27 lakh nrks (non-resident keralites) had registered on the norka (department of non resident keralites affairs) portal, of which about 1.69 lakh people constituted the most vulnerable sections, those who had lost