Lok Sabha Question No. 243 (UNSTARRED), answered on 2017-02-03
Subject: Water Borne Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: MANOJ KUMAR TIWARI

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

## LOK SABHA UNSTARRED QUESTION NO. 243 TO BE ANSWERED ON 3 RD FEBRUARY, 2017

## WATER BORNE DISEASES

## 243. SHRI MANOJ TIWARI:

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

- (a) the details of the cases of water borne diseases such as cholera, diarrhea and ty during the last three years, State/UT - wise;
- (b) the details of steps taken to prevent the spread of the such diseases; a nd
- (c) the other measures taken in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (ANUPRIYA PATEL)

- (a) : Diseases  such  as  Cholera,  Acute  Diarrhoeal Diseases  (Dysentery  and  Diarrhea),  Enteric  Fever (Typhoid)  and  Viral  Hepatitis  A  &  E  are  caused  by  consumption  of  contaminated  drinking  wate State/UT  wise  details  of  number  of  cases  reported  due  to  these  diseases  during  2014 - 16  as  per  data compiled by the Central Bureau of Health Intelligence (CBHI) are indicated in Annexure .
- (b) & (c) : Provision of safe drinking water and health services falls within the remit of the S Governments. However, the Government of India has taken steps both for facilitating availability of safe drinking  water  as  also  for  ensuring  effective  surveillance  of  outbreaks  of  such  diseases  a prevention and management.

As informed by the Ministry of Drinking Water & Sanitation, all States have been informe com mission surface water based piped water supply schemes in all habitations as a long term sust solution. However, since these projects have a long gestation period (say 3 - 5 years) and the rural people cannot be put to the risk of consuming contaminat ed water, all States have also been advised to install community water purification plants. This has been done with the objective of providing 8 - 10 litres of safe water per capita per day for drinking and cooking purposes only.

Besides, the Ministry of He alth and Family Welfare, through its Integrated Disease Surveillance Programme, helps the States/UTs to effectively detect and respond to disease outbreaks including borne  diseases  by  providing  additional  manpower,  strengthening  of  laboratories,  Info rm ion  & Communication  Technology  (ICT)  equipment  and  funds.  The  National  Centre  for  Disease  Control (NCDC) also helps the States/UTs through surveillance, investigation, laboratory and other faci also helps States in capacity building through t raining & developmental activities.

Health  System  Strengthening  support  being  given  to  the  State  Governments  under  Nationa Health Mission (NHM) also enhances capacity of the Health Institutions, up to the district level and manage water borne di seases.

……….

## Annexure

| State - wise Cases Due to Cholera in India 2014 - 2016   | State - wise Cases Due to Cholera in India 2014 - 2016   | State - wise Cases Due to Cholera in India 2014 - 2016   |   State - wise Cases Due to Cholera in India 2014 - 2016 | State - wise Cases Due to Cholera in India 2014 - 2016   |
|----------------------------------------------------------|----------------------------------------------------------|----------------------------------------------------------|----------------------------------------------------------|----------------------------------------------------------|
| Sl No                                                    | State / U.T.                                             | 2014                                                     |                                                     2015 | 2016 (Prov.)                                             |
| 1                                                        | Andhra Prad esh                                          | 0                                                        |                                                        0 | 0                                                        |
| 2                                                        | ArunachalPrad esh                                        | 0                                                        |                                                        0 | 9                                                        |
| 3                                                        | Assam                                                    | 0                                                        |                                                        0 | 0                                                        |
| 4                                                        | Bihar                                                    | 0                                                        |                                                        0 | 0                                                        |
| 5                                                        | Chhattisgarh                                             | 20                                                       |                                                       46 | 3                                                        |
| 6                                                        | Goa                                                      | 0                                                        |                                                        0 | 0                                                        |
| 7                                                        | Gujarat                                                  | 158                                                      |                                                       52 | 75                                                       |
| 8                                                        | Haryana                                                  | 7                                                        |                                                        0 | 0                                                        |
| 9                                                        | Himachal Pr adesh                                        | 0                                                        |                                                        0 | 0                                                        |
| 10                                                       | J& K                                                     | 0                                                        |                                                        0 | 0                                                        |
| 11                                                       | Jharkhand                                                | 0                                                        |                                                       36 | 5                                                        |
| 12                                                       | Karnataka                                                | 32                                                       |                                                       14 | 29                                                       |
| 13                                                       | Kerala                                                   | 3                                                        |                                                        0 | 7                                                        |
| 14                                                       | Madhya Pradesh                                           | 17                                                       |                                                      104 | 50                                                       |
| 15                                                       | Maharashtra                                              | 252                                                      |                                                      289 | 44                                                       |
| 16                                                       | Manipur                                                  | 0                                                        |                                                        0 | 0                                                        |
| 17                                                       | Meghalaya                                                | 1                                                        |                                                        0 | 0                                                        |
| 18                                                       | Mizoram                                                  | 0                                                        |                                                       26 | 13                                                       |
| 19                                                       | Nagaland                                                 | 0                                                        |                                                        0 | 6                                                        |
| 20                                                       | Odisha                                                   | 0                                                        |                                                        0 | 0                                                        |
| 21                                                       | Punjab                                                   | 0                                                        |                                                        0 | 0                                                        |
| 22                                                       | Rajasthan                                                | 56                                                       |                                                       54 | 2                                                        |
| 23                                                       | Sikkim                                                   | 0                                                        |                                                        0 | 0                                                        |
| 24                                                       | Tamil Nadu                                               | 14                                                       |                                                       15 | 8                                                        |
| 25                                                       | Telangana                                                | NA                                                       |                                                        0 | 0                                                        |
| 26                                                       | Tripura                                                  | 0                                                        |                                                        0 | 0                                                        |
| 27                                                       | Uttarakhand                                              | 0                                                        |                                                        0 | 0                                                        |
| 28                                                       | Uttar Pradesh                                            | 0                                                        |                                                       47 | 106                                                      |
| 29                                                       | West Bengal                                              | 173                                                      |                                                      131 | 119                                                      |
| 30                                                       | A & N Islands                                            | 0                                                        |                                                        0 | 0                                                        |
| 31                                                       | Chandigarh                                               | 15                                                       |                                                        5 | 10                                                       |
| 32                                                       | D & N Haveli                                             | 28                                                       |                                                       10 | 15                                                       |
| 33                                                       | Daman & Diu                                              | 0                                                        |                                                        0 | 0                                                        |
| 34                                                       | Delhi                                                    | 65                                                       |                                                       59 | 121                                                      |
| 35                                                       | Lakshadweep                                              | 0                                                        |                                                        0 | 0                                                        |
| 36                                                       | Puducherry                                               | 3                                                        |                                                        1 | 0                                                        |
| Total                                                    | Total                                                    | 844                                                      |                                                      889 | 622                                                      |

Source:  National Health Profile brought out by CBHI, D te. GHS

## Note :

1.  2014: Andhra Pradesh Excludes data of 10 districts of Telangana from July 2014.
2.  2015 & 2016: Data is different for different reference period.
3.  NA stands for Not Available.

| State - wise Cases due toAcute Diarrhoeal Diseases reportedduring2014 - 2016   | State - wise Cases due toAcute Diarrhoeal Diseases reportedduring2014 - 2016   | State - wise Cases due toAcute Diarrhoeal Diseases reportedduring2014 - 2016   |   State - wise Cases due toAcute Diarrhoeal Diseases reportedduring2014 - 2016 | State - wise Cases due toAcute Diarrhoeal Diseases reportedduring2014 - 2016   |
|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|
| Sl. No.                                                                        | State / U.T.                                                                   | 2014                                                                           |                                                                           2015 | 2016 (Prov.)                                                                   |
| 1                                                                              | Andhra Pradesh                                                                 | 1332145                                                                        |                                                                        1019612 | 823644                                                                         |
| 2                                                                              | Arunachal Pradesh                                                              | 12657                                                                          |                                                                           7062 | 10348                                                                          |
| 3                                                                              | Assam                                                                          | 83373                                                                          |                                                                         128392 | 67008                                                                          |
| 4                                                                              | Bihar                                                                          | 550038                                                                         |                                                                         438314 | 305918                                                                         |
| 5                                                                              | Chhattisgarh                                                                   | 115561                                                                         |                                                                         131956 | 124409                                                                         |
| 6                                                                              | Goa                                                                            | 16097                                                                          |                                                                          13204 | 9902                                                                           |
| 7                                                                              | Gujarat                                                                        | 504857                                                                         |                                                                         567123 | 463429                                                                         |
| 8                                                                              | Haryana                                                                        | 197898                                                                         |                                                                         187770 | 154780                                                                         |
| 9                                                                              | Himachal Pradesh                                                               | 350459                                                                         |                                                                         334168 | 216927                                                                         |
| 10                                                                             | J & K                                                                          | 515013                                                                         |                                                                         472843 | 402986                                                                         |
| 11                                                                             | Jharkhand                                                                      | 81451                                                                          |                                                                          71887 | 72431                                                                          |
| 12                                                                             | Karnataka                                                                      | 810781                                                                         |                                                                         827942 | 731702                                                                         |
| 13                                                                             | Kerala                                                                         | 402106                                                                         |                                                                         428837 | 221194                                                                         |
| 14                                                                             | Madhya Pradesh                                                                 | 768021                                                                         |                                                                         728261 | 539756                                                                         |
| 15                                                                             | Maharashtra                                                                    | 664014                                                                         |                                                                         822737 | 768991                                                                         |
| 16                                                                             | Manipur                                                                        | 29954                                                                          |                                                                          29159 | 26921                                                                          |
| 17                                                                             | Meghalaya                                                                      | 197024                                                                         |                                                                          75641 | 58328                                                                          |
| 18                                                                             | Mizoram                                                                        | 14201                                                                          |                                                                          14215 | 11546                                                                          |
| 19                                                                             | Nagaland                                                                       | 22301                                                                          |                                                                          11050 | 13005                                                                          |
| 20                                                                             | O disha                                                                        | 767575                                                                         |                                                                         692484 | 584501                                                                         |
| 21                                                                             | Punjab                                                                         | 170438                                                                         |                                                                         179211 | 151579                                                                         |
| 22                                                                             | Rajasthan                                                                      | 676832                                                                         |                                                                         767794 | 624967                                                                         |
| 23                                                                             | Sikkim                                                                         | 39983                                                                          |                                                                          25283 | 31599                                                                          |
| 24                                                                             | Tamil Nadu                                                                     | 250264                                                                         |                                                                         310734 | 273887                                                                         |
| 25                                                                             | Telangana                                                                      | NA                                                                             |                                                                         963573 | 700417                                                                         |
| 26                                                                             | Tripura                                                                        | 80388                                                                          |                                                                          70300 | 74017                                                                          |
| 27                                                                             | Uttarakhand                                                                    | 90428                                                                          |                                                                         108974 | 85452                                                                          |
| 28                                                                             | Uttar Pradesh                                                                  | 754582                                                                         |                                                                         774832 | 682876                                                                         |
| 29                                                                             | West Bengal                                                                    | 1896182                                                                        |                                                                        1663793 | 1588658                                                                        |
| 30                                                                             | A & N Islands                                                                  | 23947                                                                          |                                                                          20841 | 16434                                                                          |
| 31                                                                             | Chandigarh                                                                     | 39277                                                                          |                                                                          45284 | 34354                                                                          |
| 32                                                                             | D & N Haveli                                                                   | 63337                                                                          |                                                                          50907 | 33118                                                                          |
| 33                                                                             | Daman & Diu                                                                    | 12831                                                                          |                                                                          13261 | 9082                                                                           |
| 34                                                                             | Delhi                                                                          | 120618                                                                         |                                                                         148734 | 103750                                                                         |
| 35                                                                             | Lakshadweep                                                                    | 6750                                                                           |                                                                           4029 | 3129                                                                           |
| 36                                                                             | Puducherry                                                                     | 87248                                                                          |                                                                          83172 | 74562                                                                          |
| Total                                                                          | Total                                                                          | 11748631                                                                       |                                                                       12233379 | 10095607                                                                       |

Source:  National Health Profile brought out by CBHI, D te. GHS

## Note :

1.  2014: Andhra Pradesh Excludes data of 10 districts of Telangana from July 2014.
2.  2015 & 2016: Data is different for different reference period.
3. NA stands for Not Available.

| State - wise Cases due to Enteric Feve r (Typhoid) reported during 2014 - 2016   | State - wise Cases due to Enteric Feve r (Typhoid) reported during 2014 - 2016   | State - wise Cases due to Enteric Feve r (Typhoid) reported during 2014 - 2016   | State - wise Cases due to Enteric Feve r (Typhoid) reported during 2014 - 2016   | State - wise Cases due to Enteric Feve r (Typhoid) reported during 2014 - 2016   |
|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|
| Sl. No.                                                                          | State / U.T.                                                                     | 2014                                                                             | 2015                                                                             | 2016 (Prov.)                                                                     |
| 1                                                                                | Andhra Prad esh                                                                  | 186446                                                                           | 131657                                                                           | 103802                                                                           |
| 2                                                                                | ArunachalPrad esh                                                                | 4512                                                                             | 3563                                                                             | 4355                                                                             |
| 3                                                                                | Assam                                                                            | 5328                                                                             | 10049                                                                            | 13539                                                                            |
| 4                                                                                | Bihar                                                                            | 283679                                                                           | 251818                                                                           | 158793                                                                           |
| 5                                                                                | Chhattisgarh                                                                     | 32617                                                                            | 47838                                                                            | 54369                                                                            |
| 6                                                                                | Goa                                                                              | 573                                                                              | 1603                                                                             | 607                                                                              |
| 7                                                                                | Gujarat                                                                          | 29505                                                                            | 35362                                                                            | 31540                                                                            |
| 8                                                                                | Haryana                                                                          | 29990                                                                            | 31559                                                                            | 22845                                                                            |
| 9                                                                                | HimachalPradesh                                                                  | 48786                                                                            | 40630                                                                            | 25123                                                                            |
| 10                                                                               | J & K                                                                            | 57537                                                                            | 52359                                                                            | 35297                                                                            |
| 11                                                                               | Jharkhand                                                                        | 36663                                                                            | 26333                                                                            | 25912                                                                            |
| 12                                                                               | Karnataka                                                                        | 92959                                                                            | 85376                                                                            | 69866                                                                            |
| 13                                                                               | Kerala                                                                           | 2269                                                                             | 2860                                                                             | 1328                                                                             |
| 14                                                                               | Madhya Pradesh                                                                   | 155190                                                                           | 124244                                                                           | 82879                                                                            |
| 15                                                                               | Maharashtra                                                                      | 102299                                                                           | 128839                                                                           | 100894                                                                           |
| 16                                                                               | Manipur                                                                          | 10636                                                                            | 5422                                                                             | 3881                                                                             |
| 17                                                                               | Meghalaya                                                                        | 10395                                                                            | 3665                                                                             | 9626                                                                             |
| 18                                                                               | Mizoram                                                                          | 2758                                                                             | 2804                                                                             | 2201                                                                             |
| 19                                                                               | Nagaland                                                                         | 11604                                                                            | 5701                                                                             | 7247                                                                             |
| 20                                                                               | O disha                                                                          | 90363                                                                            | 80658                                                                            | 53160                                                                            |
| 21                                                                               | Punjab                                                                           | 34651                                                                            | 34867                                                                            | 28252                                                                            |
| 22                                                                               | Rajasthan                                                                        | 83540                                                                            | 68323                                                                            | 77875                                                                            |
| 23                                                                               | Sikkim                                                                           | 716                                                                              | 174                                                                              | 411                                                                              |
| 24                                                                               | Tamil Nadu                                                                       | 29937                                                                            | 41125                                                                            | 21605                                                                            |
| 25                                                                               | Telangana                                                                        | NA                                                                               | 163747                                                                           | 99467                                                                            |
| 26                                                                               | Tripura                                                                          | 10553                                                                            | 4022                                                                             | 3335                                                                             |
| 27                                                                               | Uttarakhand                                                                      | 28939                                                                            | 32034                                                                            | 26908                                                                            |
| 28                                                                               | Uttar Pradesh                                                                    | 225829                                                                           | 280746                                                                           | 312552                                                                           |
| 29                                                                               | West Bengal                                                                      | 90086                                                                            | 107949                                                                           | 108868                                                                           |
| 30                                                                               | A & N Islands                                                                    | 881                                                                              | 803                                                                              | 796                                                                              |
| 31                                                                               | Chandigarh                                                                       | 6021                                                                             | 12447                                                                            | 6384                                                                             |
| 32                                                                               | D & N Haveli                                                                     | 2439                                                                             | 1406                                                                             | 2738                                                                             |
| 33                                                                               | Daman & Diu                                                                      | 167                                                                              | 158                                                                              | 136                                                                              |
| 34                                                                               | Delhi                                                                            | 27339                                                                            | 24069                                                                            | 20740                                                                            |
| 35                                                                               | Lakshadweep                                                                      | 3                                                                                | 29                                                                               | 44                                                                               |
| 36                                                                               | Puducherry                                                                       | 1477                                                                             | 1738                                                                             | 1484                                                                             |
| Total 1736687 1845977 1518859                                                    | Total 1736687 1845977 1518859                                                    | Total 1736687 1845977 1518859                                                    | Total 1736687 1845977 1518859                                                    | Total 1736687 1845977 1518859                                                    |

Source:  National Health Profile brought out by CBHI, D te. GHS Note :

1.  2014: Andhra Pradesh Excludes data of 10 districts of Telangana from July 2014.
2.  2015 & 2016 : Data is different for different reference period.
3. NA stands for Not Available.

| State - wise Cases due to Viral Hepatitis (All Causes) reported during 2014 - 2016   | State - wise Cases due to Viral Hepatitis (All Causes) reported during 2014 - 2016   | State - wise Cases due to Viral Hepatitis (All Causes) reported during 2014 - 2016   |   State - wise Cases due to Viral Hepatitis (All Causes) reported during 2014 - 2016 | State - wise Cases due to Viral Hepatitis (All Causes) reported during 2014 - 2016   |
|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|
| Sl. No.                                                                              | State / U.T.                                                                         | 2014                                                                                 |                                                                                 2015 | 2016 (Prov.)                                                                         |
| 1                                                                                    | Andhra Prad esh                                                                      | 3716                                                                                 |                                                                                 2531 | 1736                                                                                 |
| 2                                                                                    | ArunachalPrad esh                                                                    | 378                                                                                  |                                                                                  267 | 237                                                                                  |
| 3                                                                                    | Assam                                                                                | 2033                                                                                 |                                                                                  917 | 1858                                                                                 |
| 4                                                                                    | Bihar                                                                                | 20670                                                                                |                                                                                25808 | 22308                                                                                |
| 5                                                                                    | Chhattisgarh                                                                         | 548                                                                                  |                                                                                  532 | 423                                                                                  |
| 6                                                                                    | Goa                                                                                  | 182                                                                                  |                                                                                  156 | 104                                                                                  |
| 7                                                                                    | Gujarat                                                                              | 4808                                                                                 |                                                                                 3736 | 2598                                                                                 |
| 8                                                                                    | Haryana                                                                              | 1934                                                                                 |                                                                                 5020 | 3612                                                                                 |
| 9                                                                                    | HP                                                                                   | 2808                                                                                 |                                                                                 1739 | 2350                                                                                 |
| 10                                                                                   | J & K                                                                                | 5110                                                                                 |                                                                                 4028 | 2974                                                                                 |
| 11                                                                                   | Jharkhand                                                                            | 1052                                                                                 |                                                                                 1230 | 1088                                                                                 |
| 12                                                                                   | Karnataka                                                                            | 6402                                                                                 |                                                                                 6478 | 4149                                                                                 |
| 13                                                                                   | Kerala                                                                               | 5567                                                                                 |                                                                                 3894 | 3929                                                                                 |
| 14                                                                                   | Madhya Pradesh                                                                       | 16145                                                                                |                                                                                12938 | 8580                                                                                 |
| 15                                                                                   | Maharashtra                                                                          | 6753                                                                                 |                                                                                 8386 | 7774                                                                                 |
| 16                                                                                   | Manipur                                                                              | 443                                                                                  |                                                                                   88 | 116                                                                                  |
| 17                                                                                   | Meghalaya                                                                            | 643                                                                                  |                                                                                  253 | 73                                                                                   |
| 18                                                                                   | Mizoram                                                                              | 194                                                                                  |                                                                                  138 | 216                                                                                  |
| 19                                                                                   | Nagaland                                                                             | 113                                                                                  |                                                                                   57 | 84                                                                                   |
| 20                                                                                   | O disha                                                                              | 5069                                                                                 |                                                                                 4309 | 2262                                                                                 |
| 21                                                                                   | Punjab                                                                               | 4525                                                                                 |                                                                                 9330 | 5906                                                                                 |
| 22                                                                                   | Rajasthan                                                                            | 9719                                                                                 |                                                                                 3305 | 1468                                                                                 |
| 23                                                                                   | Sikkim                                                                               | 556                                                                                  |                                                                                   43 | 384                                                                                  |
| 24                                                                                   | Tamil Nadu                                                                           | 880                                                                                  |                                                                                 1066 | 510                                                                                  |
| 25                                                                                   | Telangana                                                                            | NA                                                                                   |                                                                                 1735 | 2183                                                                                 |
| 26                                                                                   | Tripura                                                                              | 177                                                                                  |                                                                                  130 | 141                                                                                  |
| 27                                                                                   | Uttarakhand                                                                          | 9243                                                                                 |                                                                                10242 | 7725                                                                                 |
| 28                                                                                   | Uttar Pradesh                                                                        | 16037                                                                                |                                                                                11088 | 8898                                                                                 |
| 29                                                                                   | West Bengal                                                                          | 4444                                                                                 |                                                                                 3865 | 2121                                                                                 |
| 30                                                                                   | A & N Islands                                                                        | 262                                                                                  |                                                                                   80 | 102                                                                                  |
| 31                                                                                   | Chandigarh                                                                           | 766                                                                                  |                                                                                 1249 | 793                                                                                  |
| 32                                                                                   | D & N Haveli                                                                         | 32                                                                                   |                                                                                   48 | 3                                                                                    |
| 33                                                                                   | Daman & Diu                                                                          | 65                                                                                   |                                                                                   64 | 20                                                                                   |
| 34                                                                                   | Delhi                                                                                | 6965                                                                                 |                                                                                 8362 | 6081                                                                                 |
| 35                                                                                   | Lakshadweep                                                                          | 16                                                                                   |                                                                                   10 | 6                                                                                    |
| 36                                                                                   | Puducherry                                                                           | 299                                                                                  |                                                                                  503 | 350                                                                                  |
| Total                                                                                |                                                                                      | 138554                                                                               |                                                                               133625 | 103162                                                                               |

Source:  National Health Profile brought out by CBHI, D te. GHS

## Note :

1.  2014: Andhra Pradesh Excludes data of 10 districts of Telangana from July 2014.
2.  2015 & 2016: Data is different for different reference period.
3.  NA stands for Not Available.