Lok Sabha Question No. 250 (STARRED), answered on 2018-08-03
Subject: Emerging ‘Hot Spots’ of HIV
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ANSHUL VERMA, ASHOK MAHADEORAO NETE

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

## LOK SABHA STARRED QUESTION NO. 250 TO BE ANSWERED ON THE 3 RD AUGUST ,2018 EMERGING 'HOT SPOTS' OF HIV

## †*250. DR. ANSHUL VERMA:

## SHRI ASHOK MAHADEORAO NETE:

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

- (a) whether the number of HIV patients has decreased during the last three due to various programmes launched by the Government to check its spread;
- (b) if so, the details thereof along with the number of patients diagnosed w AIDS in the country during each of the last three years, State/UT - wise;
- (c) whether new 'hot spots' of HIV are emerging, if so, the details thereof and the reasons therefor along with the corrective steps taken by the Government i regard;
- (d)  whether  the  Government  provides  free  medical  assistance  and  medicines HIV patients and if so, the details thereof; and
- (e) whether any country has offered its assistance in treatment of AIDS and the details thereof including the time by which the said assistance is lik received?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE ( SHRI JAGAT PRAKASH NADDA )

- (a)to ( e) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 250* FOR 3 RD AUGUST , 20 18

- (a) & (b): Yes, there is a decrease in the number of HIV patients diagnosed during the last three years; the following table shows the diagnosis of HIV cases in India for last three years.

| Year    | No. of HIV patients diagnosed   |
|---------|---------------------------------|
| 2015-16 | 200,465                         |
| 2016-17 | 193,195                         |
| 2017-18 | 190,763                         |

The States/UTs wise number of patients diagnosed with HIV/AIDS in the country during the last three years is at Annexure -1 .

- (c): Yes,  the  States  of  Meghalaya,  Mizoram  and  Tripura  have  seen  emergence  of new  hotspots  of  HIV.  The  details  of  the  HIV  prevalence  in  these  States  in  different population  groups  has  been  provided  at Annexure -2. This  is  because  of  high  risk behavior denoted by the Injecting Drug Users (IDUs) and unsafe sexual practices.
- (d): Yes, Under National  AIDS  Control  Programme  (NACP),  the  Government provides  comprehensive  package  of  prevention,  counselling,  testing  and  treatment services,  which  includes  free  provision  of  Anti-Retroviral  (ARV)  drugs,  testing  and treatment of Opportunistic Infections (OIs).  The State/UT wise no. of PLHIV who are on ART is at Annexure-3.
- (e): National AIDS Control Programme (NACP) is a Central Sector Scheme fully funded by the Government of India and no country has offered its assistance in treatment of AIDS. However, multilateral agencies like The World Bank, The Global Fund etc offer support to the programme.

## Number of patients newly diagnosed with HIV

|   Sl.No. | States/UTs           | 2015-16   | 2016-17   | 2017-18   |
|----------|----------------------|-----------|-----------|-----------|
|        1 | A & N Islands        | 19        | 31        | 35        |
|        2 | Andhra Pradesh       | 24,992    | 26,257    | 24,629    |
|        3 | Arunachal Pradesh    | 33        | 28        | 32        |
|        4 | Assam                | 1,431     | 1,509     | 1,580     |
|        5 | Bihar                | 10,903    | 11,239    | 11,693    |
|        6 | Chandigarh           | 776       | 676       | 701       |
|        7 | Chhattisgarh         | 3,085     | 3,222     | 3,210     |
|        8 | Dadra & Nagar Haveli | 103       | 98        | 121       |
|        9 | Daman & Diu          | 73        | 59        | 45        |
|       10 | Delhi                | 6,622     | 6,340     | 6,563     |
|       11 | Goa                  | 365       | 377       | 367       |
|       12 | Gujarat              | 10,491    | 10,231    | 10,947    |
|       13 | Haryana              | 4,630     | 4,632     | 4,803     |
|       14 | Himachal Pradesh     | 510       | 513       | 494       |
|       15 | Jammu & Kashmir      | 384       | 346       | 375       |
|       16 | Jharkhand            | 1,961     | 1,930     | 1,872     |
|       17 | Karnataka            | 23,017    | 20,859    | 19,754    |
|       18 | Kerala               | 1,485     | 1,405     | 1,245     |
|       19 | Lakshadweep          | 0         | 0         | 0         |
|       20 | Madhya Pradesh       | 4,707     | 4,988     | 4,933     |
|       21 | Maharashtra          | 34,254    | 30,134    | 28,030    |
|       22 | Manipur              | 1,250     | 1,080     | 1,111     |
|       23 | Meghalaya            | 581       | 744       | 833       |
|       24 | Mizoram              | 1,483     | 2,037     | 2,236     |
|       25 | Nagaland             | 1,611     | 1,697     | 1,782     |
|       26 | Odisha               | 3,260     | 3,431     | 3,208     |
|       27 | Pondicherry          | 579       | 544       | 470       |
|       28 | Punjab               | 5,973     | 5,986     | 6,716     |
|       29 | Rajasthan            | 7,339     | 7,080     | 7,306     |
|       30 | Sikkim               | 28        | 32        | 28        |
|       31 | Tamil Nadu           | 13,549    | 11,761    | 10,539    |
|       32 | Telangana            | 13,077    | 12,058    | 11,417    |
|       33 | Tripura              | 295       | 321       | 308       |
|       34 | Uttar Pradesh        | 14,334    | 14,167    | 15,875    |
|       35 | Uttarakhand          | 739       | 823       | 967       |
|       36 | West Bengal          | 6,526     | 6,560     | 6,538     |
|       37 | India                | 2,00,465  | 1,93,195  | 1,90,763  |

## Annexure - 1

## High  HIV prevalence  pockets  in  the  States  of  Mizoram,  Meghalaya  and  Tripura (HIV Sentinel Surveillance 2017)

## 1. Pregnant Women

|   S.No. | State     | District Name      | Site Name                |   Prevalence (%) |
|---------|-----------|--------------------|--------------------------|------------------|
|       1 | Mizoram   | Aizawl             | Aizawl_MCH Clinic,       |             2.25 |
|       2 | Mizoram   | Aizawl             | Presbyterian Hospital,   |             1.25 |
|       3 | Mizoram   | Champhai           | Champhai_Civil Hospital  |             0.75 |
|       4 | Mizoram   | Kolasib            | Kolasib Civil Hospital   |             1    |
|       5 | Mizoram   | Lunglei            | Lungei_CHC Hospital      |             1    |
|       6 | Mizoram   | Mamit              | Mamit Civil Hospital     |             2.75 |
|       7 | Mizoram   | Saiha              | Saiha Civil Hosp.        |             0.75 |
|       8 | Mizoram   | Serchhip           | Serchhip Civil Hospital  |             1    |
|       9 | Meghalaya | East Jaintia Hills | Khliehriat CHC           |             2.75 |
|      10 | Meghalaya | West Jaintia Hills | Jowai Civil Hospital     |             2.02 |
|      11 | Meghalaya | East Khasi Hills   | Shillong_Ganesh Das Hos  |             0.5  |
|      12 | Tripura   | West Tripura       | A.G.M.C. & GBP Hospital  |             1.25 |
|      13 | Tripura   | North Tripura      | Dharmanagar S.D.Hospital |             0.75 |

## 2. High Risk Groups (Female Sex Workers and Injecting Drug Users)

| S.N                  | State                | District Name        | Site Name                             | Prevalenc e (%)      |
|----------------------|----------------------|----------------------|---------------------------------------|----------------------|
| Female Sex Workers   | Female Sex Workers   | Female Sex Workers   | Female Sex Workers                    | Female Sex Workers   |
| 1                    | Mizoram              | Aizawl               | Volunteers for Community Health       | 24.68                |
| 2                    | Tripura              | Dhalai               | Prabhaha                              | 2.00                 |
| 3                    | Tripura              | North Tripura        | Sanghadeep                            | 1.60                 |
| 4                    | Meghalaya            | East Khasi Hills     | Manbha Foundation                     | 5.94                 |
| Injecting Drug Users | Injecting Drug Users | Injecting Drug Users | Injecting Drug Users                  | Injecting Drug Users |
| 5                    | Mizoram              | Aizawl               | Aizawl,SHALOM                         | 37.44                |
| 6                    | Mizoram              | Champhai             | RTCT,Champhai                         | 33.06                |
| 7                    | Mizoram              | Kolasib              | Agape Moral Reformation Org. (New 08) | 38.14                |
| 8                    | Mizoram              | Mamit                | Bethany, Mamit                        | 6.80                 |
| 10                   | Mizoram              | Serchhip             | CODNERC                               | 4.80                 |
| 11                   | Tripura              | Unokoti              | Kumarghat Rural Hospital              | 8.55                 |
| 12                   | Meghalaya            | West Jaintia Hills   | VHAM -Jowai                           | 2.00                 |

## State wise PLHIV on ART as on June 2018

| State/ UTs                | No. of PLHIV on ART   |
|---------------------------|-----------------------|
| Andaman & Nicobar Islands | 107                   |
| Andhra Pradesh            | 178,996               |
| Arunachal Pradesh         | 100                   |
| Assam                     | 6,040                 |
| Bihar                     | 48,024                |
| Chandigarh                | 6,008                 |
| Chhattisgarh              | 13,055                |
| Delhi                     | 28,445                |
| Goa                       | 2,898                 |
| Gujarat                   | 64,021                |
| Haryana                   | 11,674                |
| Himachal Pradesh          | 4,051                 |
| J&K                       | 2,452                 |
| Jharkhand                 | 9,844                 |
| Karnataka                 | 158,588               |
| Kerala                    | 13,134                |
| Madhya Pradesh            | 23,086                |
| Maharashtra               | 203,833               |
| Manipur                   | 12,770                |
| Meghalaya                 | 1,930                 |
| Mizoram                   | 6,965                 |
| Mumbai                    | 36,855                |
| Nagaland                  | 7,538                 |
| Odisha                    | 17,810                |
| Pondicherry               | 1,220                 |
| Punjab                    | 29,447                |
| Rajasthan                 | 38,742                |
| Sikkim                    | 179                   |
| Tamil Nadu                | 114,298               |
| Telangana                 | 73,628                |
| Tripura                   | 1,255                 |
| Uttar Pradesh             | 70,952                |
| Uttarakhand               | 3,752                 |
| West Bengal               | 37,033                |
| India                     | 12,28,730             |