Lok Sabha Question No. 2639 (UNSTARRED), answered on 2017-03-17
Subject: New TB Drug Regimen
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAYAPATI SAMBASIVA RAO, K. GOPAL, M. UDHAYAKUMAR, B. SREERAMULU, ANIRUDHAN SAMPATH, KAUSHALENDRA KUMAR

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 2639 TO BE ANSWERED ON 1 7 th MARCH, 2017

## NEW TB DRUG REGIMEN

## 2639. SHRI RAYAPATI SAMBASIVA RAO:

DR. K. GOPAL:

ADV. M. UDHAYAKUMAR:

SHRI B. SRIRAMULU:

DR. A. SAMPATH:

SHRI KAUSHALENDRA KUMAR:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether there is a rise in people suffering from Tuberculosis and Multi -Drug Resistant TB (MDR - TB) in India, if so, the details thereof;
- (b) whether the Government proposes to introduce the daily dru gregimen and if so, the details thereof;
- (c) whether the Government has allowed patients suffering from XDR Tuberculosis access to life saving drug Bedaquiline, if so, the details thereof; and
- (d)  the  extent  to  which  the  Revised National  Tuberculosis  Control  Programme has  been successful in decreasing the numb r of new TB/MDR-TB casesindicating the funds allocated and spent thereunder during the said period, State /UT - wis ?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

- (a): No .
- (b): Under the Revised National Tuberculosis Control Programme (RNTCP), daily regimen for drug sensitive TB is implemented across the country for TB - HIV co- infected patients and for all drug sensitive TB patients in five States (Himachal Pradesh, Sikkim, Bihar, Maharash Kerala). The daily regimen will be scale d up across all the States/UT of the country.
- (c): Yes, the programme has initiated Bedaquiline conditional access in 6 Institutes (Na Institute  of  Tuberculosis  &  Respiratory  Diseases  and  Rajan  Babu  Institute  of  Pulmo Medicine & Tuberculosis, Ne w Delhi, B.J.Medical College Ahmedabad, Government Hospital for Thoracic Medicine, Tambaram, Chennai, Guwahati Medical College Guwahati and Guru Teg Bahadur Sewree, Mumbai).
- (d): The Revised National Tuberculosis Control Programme has been successful in decreasing the Incidence of Tuberculosis from 279/lakh population per year to 217/lakh population pe from  2005  to  2015.  Also  the  mortality  due  to  Tuberculosis  has  decreased  from  50/l population per year to 36/lakh population per year in the same period.

## State wise Allocation and Release (Revised National Tuberculosis Control Programme)

(Rs. In Lakhs)

| State/UT          | 2013-14    | 2013-14       | 2014-15    | 2014-15       | 2015-16    | 2015-16       | 2016-17    | 2016-17       |
|-------------------|------------|---------------|------------|---------------|------------|---------------|------------|---------------|
| State/UT          | Allocation | Release/spent | Allocation | Release/spent | Allocation | Release/spent | Allocation | Release/spent |
| Andhra Pradesh    | 4907.34    | 3947.42       | 2861.96    | 2411.67       | 2200.34    | 2315.49       | 2194.68    | 2194.68       |
| Andaman & Nicobar | 87.15      | 75.23         | 87.15      | 69.8          | 90.9       | 90.9          | 90.9       | 69.06         |
| Arunachal Pradesh | 565.36     | 418.48        | 565.36     | 577.51        | 552.32     | 552.32        | 564.48     | 440.64        |
| Assam             | 4303.74    | 1535.01       | 4303.74    | 2500.55       | 2527.13    | 2527.13       | 2776.33    | 2776.33       |
| Bihar             | 4094.59    | 1013.72       | 4094.59    | 2089.95       | 2963.81    | 2464.15       | 2962       | 2253.07       |
| Chandigarh        | 154.54     | 134.74        | 154.54     | 191.71        | 156.14     | 156.14        | 156.14     | 83.07         |
| Chattisgarh       | 1440.6     | 912.66        | 1440.6     | 1620.95       | 1401.08    | 1152.24       | 1398.15    | 1398.15       |
| D & N Haveli      | 68.05      | 52.68         | 68.05      | 44.55         | 72.03      | 64.3          | 72.03      | 54.88         |
| Daman & Diu       | 43.47      | 25.83         | 43.47      | 12.62         | 45.98      | 45.98         | 45.98      | 35.09         |
| Delhi             | 1820.02    | 1426.7        | 1820.02    | 1844.34       | 1705.12    | 1705.12       | 1018.43    | 3018.43       |
| Goa               | 116.34     | 103.08        | 116.34     | 134.56        | 127.78     | 72.77         | 127.61     | 98.48         |
| Gujarat           | 4857.52    | 5845.89       | 4857.52    | 3623.03       | 3298.04    | 3423.41       | 3282.1     | 4282.1        |
| Haryana           | 1292.26    | 604.37        | 1292.26    | 1125.74       | 1207.93    | 1261.1        | 1204.96    | 953.15        |
| Himachal Pradesh  | 581.22     | 548.08        | 581.22     | 819.6         | 837.57     | 852.38        | 833.82     | 833.82        |
| Jammu & Kashmir   | 943.43     | 680.01        | 943.43     | 720.57        | 1038.26    | 829.1         | 1036.78    | 802.14        |
| Jharkhand         | 1783.56    | 1001.41       | 1783.56    | 855.1         | 1512.16    | 1216.61       | 1511.23    | 1148.87       |
| Karnataka         | 3195.23    | 1789.59       | 3195.23    | 3084.58       | 3186.19    | 2011.15       | 3177.65    | 4141.93       |
| Kerala            | 1440.91    | 1807.19       | 1440.91    | 1246.72       | 1395.33    | 1365.74       | 1393.01    | 1083.37       |
| Lakshadweep       | 35.39      | 19.91         | 35.39      | 23.16         | 37.95      | 37.95         | 37.95      | 0.6           |
| Madhya Pradesh    | 3081.84    | 2105.28       | 3081.84    | 2483.31       | 2880.71    | 3031.22       | 2878.14    | 2878.14       |
| Maharashtra       | 6657.74    | 6708.83       | 6657.74    | 9688.05       | 8085.75    | 8438.54       | 8059.4     | 6483.16       |
| Manipur           | 657.22     | 277.82        | 657.22     | 446.82        | 524.57     | 524.57        | 548.31     | 444.9         |
| Meghalaya         | 550.67     | 288.08        | 550.67     | 685.85        | 427.62     | 427.62        | 453.95     | 453.95        |
| Mizoram           | 414.39     | 304.09        | 414.39     | 386.57        | 392.75     | 392.75        | 402.29     | 315.27        |
| Nagaland          | 596.41     | 253.26        | 596.41     | 377.66        | 460.49     | 460.49        | 477.38     | 382.03        |
| Orissa            | 2141.81    | 1205.67       | 2141.81    | 2031.3        | 1991.54    | 1664.56       | 1986.79    | 1986.79       |
| Puducherry        | 183.56     | 177.96        | 183.56     | 148.63        | 187.88     | 204.88        | 110.57     | 275.57        |
| Punjab            | 1207.19    | 1239.71       | 1207.19    | 1414.16       | 1273.22    | 1332.87       | 1270.01    | 1005.85       |
| Rajasthan         | 3653.38    | 2404.08       | 3653.38    | 2956.61       | 2792.23    | 2934.77       | 2781.23    | 2268.95       |
| Sikkim            | 242.98     | 181.61        | 242.98     | 488.26        | 426.92     | 426.92        | 474.88     | 474.88        |
| Tamilnadu         | 3131.84    | 2519.66       | 3131.84    | 3622.28       | 3367.31    | 3515.37       | 3353       | 3353          |
| Tripura           | 583.71     | 184.02        | 583.71     | 138.76        | 290.2      | 290.2         | 300.38     | 300.38        |
| Uttar Pradesh     | 7631.54    | 4982.92       | 7631.54    | 7856.69       | 7350.9     | 10455.95      | 7337.9     | 12337.9       |
| Uttrakhand        | 661.14     | 537.47        | 661.14     | 826.36        | 651.62     | 672.4         | 650.44     | 507.49        |
| West Bengal       | 3834.82    | 2685.07       | 3834.82    | 3191.68       | 3187.7     | 3383.41       | 3183.1     | 3683.1        |
| Telangana         | -          | -             | 2045.38    | 1795.27       | 1672.53    | 1429.96       | 1667       | 367.81        |
| Total             | 66960.96   | 47997.53      | 66960.96   | 61534.97      | 60320      | 61730.46      | 59819      | 63187.03      |