METHODS: Patients meeting the case definition for viral haemorrhagic fever VHF from August to November 2019 were tested for CCHF after ruling out dengue, malaria, scrub typhus and leptospirosis in a tertiary teaching hospital in western Rajasthan, India. ...A partial segment of nucleocapsid of amplified CCHF virus was 99.62 identical to the Afghanistan and Oman strains. CONCLUSIONS: The distribution of CCHF appears to be expanding, with CCHF emerging as endemic in Rajasthan, India. ...