COVID-19 pandemic in Madhya Pradesh  The first cases of the COVID-19 pandemic in Madhya Pradesh were confirmed on 20 March 2020. These were the first four cases in Jabalpur, Madhya Pradesh. Madhya Pradesh has confirmed a total of 14,106 cases, including 589 deaths and 10,815 recoveries, as of 2 July 2020. On 12 January 2020, the World Health Organization (WHO) confirmed that a novel coronavirus was the cause of a respiratory illness in a cluster of people in Wuhan City, Hubei Province, China, which was reported to the WHO on 31 December 2019. The case fatality ratio for COVID-19 has been much lower than SARS of 2003,but the transmission has been significantly greater, with a significant total death toll. The lockdown restricts people from stepping out of their homes. All transport services – road, air and rail were suspended with exceptions for transportation of essential goods, fire, police and emergency services. Educational institutions, industrial establishments and hospitality services were also suspended. Services such as food shops, banks and ATMs, petrol pumps, other essentials and their manufacturing are exempted. The Home Ministry said the anyone who fails to follow the restrictions can face up to a year in jail. On 14 April 2020, Prime Minister Narendra Modi while addressing the nation, announced that the nationwide Lockdown which was supposed to end on 14 April 2020 has now been extended to 3 May 2020. On 1 May, the Ministry of Home Affairs (MHA) and the Government of India (GoI) further extended the lockdown period to two weeks beyond 4 May, with some relaxations. On 17 May, the National Disaster Management Authority (NDMA) and the MHA extended the lockdown for a period for two weeks beyond 18 May, with additional relaxations. The MHA issued fresh guidelines for the month of June, stating that the phases of reopening would "have an economic focus". Lockdown restrictions would only be imposed in containment zones, while activities would be permitted in other zones in a phased manner. On 16 June the Madhya Pradesh state government stated that they will be using pulse oximeters in areas across the state to upgrade the survey and screening of people for COVID-19 virus. A pulse oximeter is a device used to monitor the amount of oxygen carried in the body. In Phase 4 of the lockdown, the state government imposed a fines of Rs.2000 on those citizens violating the home quarantine norms for COVID-19. They also stated that if violating it for a second time they would be shifted to the government quarantine center.