The Union Health Ministry on Thursday wrote to six states - Maharashtra, Gujarat, Telangana, Tamil Nadu, Kerala, and Karnataka, which have reported significant rise in the Covid cases in last week - to examine the Covid 19 situation at the micro level.

"India has observed a significant decline in the number of Covid-19 cases during past few months. However, since past few weeks, a rise in cases has been noted specifically in certain parts of the country with a total of 2,082 cases reported in the week ending March 8, 2023 which rose to 3,264 cases in week ending March 15," Union Health Secretary Rajesh Bhushan said in the letter to the states.

He said that there are few states which are reporting higher number of cases indicating possible localised spread of infection and there is a need to follow a risk assessment-based approach to prevent & contain the infection, without losing the gains made so far in the fight against the pandemic.

The Health Ministry has advised that state should examine the situation of Covid-19 at micro level (district & sub-districts) and maintain focus on implementation of necessary measures for prompt and effective management of Covid-19 duly ensuring effective compliance with various advisories issued by the Ministry.

The five-fold strategy, i.e., Test-Track-Treat-Vaccination should be followed with continued focus on adequate & proactive testing as per guidelines, reads the letter. The states have been asked to monitor new and emerging clusters of new Covid-19 cases and also Influenza-like illness (ILI) & SARI cases in all health facilities.

"It is essential that the state must maintain a strict watch and take pre-emptive action if required in any areas of concern to control emerging spread of infection," Bhushan said in the letter.