The variations in COVID-19 infections and deaths reported in Indian states as of 31 March 2021 have been analysed. While the proportion of people living in densely populated areas, per capita net state domestic product, and proportion of aged people explained the variations in COVID-19 infections, in the case of deaths, an additional contributing factor was identified in per capita public health infrastructure. The curious situation of income increasing COVID-19 transmissions and deaths could probably be explained by the considerable proportion of people in some high-income states living in congested slums under extreme poverty with poor access to basic infrastructure, and the high mobility and exposure of some of these states to domestic and international travel footprint, and large migrant population, all resulting in increased risks.
