Sikkim: inpatient admissions fell to 2,817 in October 2018, against 4,293 a year earlier (−34%).

Comparing a week or month with the same week or month a year earlier removes ordinary seasonality: monsoon-season fever, the March reporting rush. What remains is change the calendar does not explain.

For inpatient admissions, neither a rise nor a fall is better in itself, so the observatory marks this movement as unusual rather than good or bad.

Compared with the same month of 2017, which removes ordinary seasonality.

Full history of inpatient admissions in Sikkim