As Kerala Leads COVID Surge, Pregnant Woman In Arunachal Tests Positive—What At-Risk Groups Must Know

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India is witnessing a concerning rise in COVID-19 infections, with 2,710 active cases reported nationwide. This new wave has prompted health authorities to bolster testing, reintroduce advisories, and prepare hospitals for a potential increase in admissions. Kerala leads the surge with 1,147 active cases, followed by Maharashtra (424) and Delhi (294). Since January 2025, the country has recorded 22 COVID-linked deaths, most notably in Kerala and Maharashtra.

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While most infections remain mild, the fresh uptick has raised pressing questions about how vulnerable groups-particularly pregnant women and older adults-should navigate this phase of the pandemic.

A Closer Look At The Numbers

Kerala, long known for its robust healthcare infrastructure, is currently at the epicentre, having added 227 cases in just a few days. Maharashtra and Delhi follow closely, with active case numbers steadily climbing. Gujarat, Tamil Nadu, Karnataka, and West Bengal are also reporting a surge, though Sikkim continues to report zero active cases.

In Delhi, Chief Minister Rekha Gupta recently confirmed the city's first death in this wave: a 60-year-old woman, diagnosed with COVID-19 during treatment for acute intestinal obstruction. Health authorities were quick to clarify that the virus was not the primary cause of death but an incidental finding. As of now, only 19 patients are hospitalised in the capital, with most cases being managed at home.

Meanwhile, Arunachal Pradesh reported a third COVID-19 case in the latest wave on 31 May 2025. A 51-year-old man tested positive at Ramakrishna Mission Hospital in Itanagar. Of greater concern, however, is the case of a 34-year-old pregnant woman in her 21st week who contracted the virus shortly after arriving in the state from Bengaluru. She developed a fever and mild cough and is now under hospital care. Her 53-year-old mother, who is asymptomatic, has also tested positive and is in isolation.

Pregnancy And COVID-19 : What You Need To Know

The recent case in Arunachal Pradesh highlights the heightened risks pregnancy poses during a COVID-19 wave. Pregnant women experience natural shifts in immunity, heart function, and lung capacity-making them more susceptible to complications from respiratory viruses.

Infections during pregnancy can lead to serious outcomes such as:

• Preeclampsia
• Preterm birth
• Low birth weight
• Blood clotting disorders

These risks tend to increase during the third trimester, when lung compression becomes more pronounced. While many infections remain mild, healthcare experts recommend that any pregnant individual with symptoms or a confirmed infection consult their doctor without delay.

The case of the 34-year-old in Itanagar is being closely monitored, and her care reflects the evolving medical understanding of how best to manage COVID-19 during pregnancy. Studies published as recently as 2024 have shown that the virus can cross the placenta in some instances, making early diagnosis and supportive care even more critical.

Additionally, the immune response triggered by COVID-19 may cause inflammatory reactions in the developing fetus even if the virus itself does not directly infect the baby. Though rare, neonatal infections have been reported and are being actively studied to better understand possible transmission routes.

Extra precautions for pregnant individuals:

• Stay up to date on COVID-19 vaccinations and boosters
• Limit exposure to crowded, poorly ventilated spaces
• Wear high-filtration masks (such as N95s or FFP2s) when necessary
• Monitor for even mild symptoms and act promptly

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COVID-19 Risks For Older Adults : What Hasn't Changed

The elderly remain the most at-risk population. Adults over 65, especially those with heart disease, diabetes, or chronic lung conditions, face a higher likelihood of hospitalisation and death if infected. Symptoms may resemble those in younger people-fever, cough, fatigue but the outcomes can be far more serious.

In this wave, Delhi has already recorded two COVID-19-related deaths in older patients. Across India, 22 fatalities have been reported since January, reinforcing that COVID-19 is far from over, particularly for those with weakened immunity.

Key concerns for older adults:

• Pneumonia and acute respiratory distress syndrome
• Multiple organ failure
• Long COVID, with symptoms like confusion, memory loss, and prolonged fatigue
• When to seek immediate care:
• If there is difficulty in breathing or rapid breathing
• There is persistent chest pain or pressure
• Feeling sudden confusion or dizziness
• Got high fever that doesn't respond to medication

If symptoms appear, especially in those over 65, antiviral medications can help-but only if given early. Speak with a doctor as soon as possible to determine eligibility.

Disclaimer : The information provided in this article is for general informational and educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or a qualified healthcare provider with any questions you may have regarding a medical condition.