Lok Sabha Question No. 383 (UNSTARRED), answered on 2017-02-03
Subject: Rise in Diabetic Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: NEELAM SONKER

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

## LOK SABHA UNSTARRED QUESTION NO. 383 TO BE ANSWERED ON 03 RD FEBRUARY , 201 7

## RISE IN DIABETIC PAT IENTS

## 383. SHRIMATI NEELAM SONKER:

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

(a) whether the number of cases of diabetes including those in youth and children are on the rise in the country;

(b) if so, the details and the reasons thereof during the last three years and the current year along with the reasons therefor;

(c) whether the Government has implemented schemes/programmes which aim for controlling diabetes, if so, the de ails thereof and if not, the reasons theref r; and

(d) the action taken by the Government forprevention, detection and affordable treatment of diabetes along with the funds allocated and utilised during the last three years for controlling the diabetes?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI FAGGAN SINGH KULASTE)

(a)& (b): A s informed by the Indian Council of Medical Research (ICMR), Internationa Diabetes Federation (IDF) estimates the number of children ( 0 - 14 years) suffering from Type - 1 Diabetes as 70,200 in India in 2015. For persons aged 20 years an d above, the estimates are 66.8 million in 2014 as against 61.3 million persons in 2011.

The Indian Council of Medical Research (ICMR) is conducting a study namely ICMR -INDIAB  involving  all  States  and  Union  Territories -both  urban  and  rural  population for ascertaining the exact number of Diabetic patients.  15 States have been covered so far prevalence of diabetes varies from 4.3% in Bihar to 13.6% in Chandigarh, while the preva of pre - diabetes varies from 5.8% in Mizoram to 14.6% in the UT of Chandigarh and State of Tripura.  The ICMR has also initiated 'Registry of people with Diabetes in young age onset in India'  with  the  objective  to  understand  the  natural  history  of  disease,  complications  and management  practice  patterns  among  youth.    S o  far,  data  on  5546  people  with  youth  onset diabetes from 8 centres across the country reported 40% of youth onset diabetics.

The  factors  responsible  for  increase  in  Diabetes  are  unhealthy  diet,  lack  of  p activity, harmful use of alcohol, over - weight / obesity, tobacco use etc.

(c) & (d) : The Government of India is implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) for interventi up to District level under the National Hea lth Mission. It has focus on awareness generation for behaviour and life - style changes, screening and early diagnosis of persons with high level of factors  and  their  treatment  and  referral  (if  required)  to  higher  facilities  for management for Non -communicable Diseases including Diabetes.

Under  NPCDCS,  diagnosis  and  treatment  facilities  for  Diabetes  are  provided  throu different levels of healthcare by setting up NCD Clinics in District Hospitals and Com Health Centres (CHCs). The treatment is either free or highly subsidized for the poor and ne Endocrinology  is  one  of  the  focus  area  of  the  new  All  India  Institute  of  Medical  Sc (AIIMS)  and  many  other  institutions  upgraded  under  the  Pradhan  Mantri  Swasthya  Suraksh Yo jana (PMSSY).

Statements showing State/UT - wise  allocation and release of funds for NPCDCS under National Health Mission for the periods 2013 - 14 & 2014 - 15 and 2015 - 16 are at Annexure -I and Annexure-II respectively.

Rs. In Crore

| Sl. No   | Name of State            | 2013-14                  | 2013-14         | 2014-15                  | 2014-15         |
|----------|--------------------------|--------------------------|-----------------|--------------------------|-----------------|
| Sl. No   | Name of State            | Central Allocation (B.E) | Central Release | Central Allocation (B.E) | Central Release |
| 1        | Andaman &Nicobar Islands | 0.07                     | 0.05            | 0.33                     | 0.25            |
| 2        | Andhra Pradesh           | 16.66                    | -               | 7.48                     | 5.61            |
| 3        | Arunachal Pradesh        | 1.01                     | 0.76            | 4.72                     | 3.54            |
| 4        | Assam                    | 22.86                    | 17.14           | 7.72                     | 5.79            |
| 5        | Bihar                    | 26.56                    | 9.72            | 16.10                    | 12.08           |
| 6        | Chandigarh               | 0.21                     | 0.16            | 0.17                     | 0.13            |
| 7        | Chattisgarh              | 7.54                     | -               | 6.72                     | 5.04            |
| 8        | Dadra &Nagar Haveli      | 0.07                     | 0.05            | 0.17                     | 0.17            |
| 9        | Daman &Diu               | 0.05                     | 0.04            | 0.17                     | 0.13            |
| 10       | Delhi                    | 3.30                     | 2.47            | 1.88                     | 1.41            |
| 11       | Goa                      | 0.29                     | 0.22            | 1.69                     | 1.27            |
| 12       | Gujarat                  | 11.88                    | -               | 6.66                     | 6.66            |
| 13       | Haryana                  | 4.99                     | -               | 10.65                    | 7.99            |
| 14       | Himachal Pradesh         | 2.02                     | -               | 10.77                    | -               |
| 15       | Jammu &Kashmir           | 3.70                     | -               | 12.17                    | 9.13            |
| 16       | Jharkhand                | 9.73                     | 3.32            | 11.13                    | 8.35            |
| 17       | Karnataka                | 12.03                    | -               | 13.01                    | 9.76            |
| 18       | Kerala                   | 6.57                     | -               | 7.26                     | 5.45            |
| 19       | Lakshadweep              | 0.01                     | 0.01            | 0.17                     | 0.13            |
| 20       | Madhya Pradesh           | 18.57                    | 4.62            | 16.94                    | 16.94           |
| 21       | Maharashtra              | 22.11                    | 5.86            | 12.89                    | 12.89           |
| 22       | Manipur                  | 2.00                     | -               | 3.95                     | 2.96            |
| 23       | Meghalaya                | 2.17                     | 1.63            | 1.96                     | 1.47            |
| 24       | Mizoram                  | 0.80                     | 0.60            | 2.35                     | 1.76            |
| 25       | Nagaland                 | 1.45                     | 1.09            | 4.61                     | 3.46            |
| 26       | Orissa                   | 10.73                    | -               | 12.34                    | 12.34           |
| 27       | Pondicherry              | 0.24                     | 0.18            | 2.02                     | 1.52            |
| 28       | Punjab                   | 5.45                     | -               | 10.71                    | 8.03            |
| 29       | Rajasthan                | 17.56                    | 0.59            | 15.73                    | 11.80           |
| 30       | Sikkim                   | 0.45                     | -               | 2.35                     | 1.76            |
| 31       | Tamil Nadu               | 14.20                    | 0.89            | 27.10                    | 13.55           |
| 32       | Tripura                  | 2.69                     | 2.02            | 2.35                     | 1.76            |
| 33       | Uttar Pradesh            | 51.06                    | 13.98           | 27.02                    | 20.27           |
| 34       | Uttarakhand              | 2.99                     | -               | 7.26                     | 5.45            |
| 35       | West Bengal              | 17.98                    | 10.27           | 10.05                    | 7.54            |
| 36       | Telangana                |                          |                 | 5.35                     | 4.01            |
| Total    | Total                    | 300.00                   | 75.67           | 283.95                   | 210.40          |

1. Allocation is per Original outlay/B.E.

## Note:

2. The above releases relate to Central Govt. Grants & do not include State share contribution.

## Detail of State/UTs wise SPIP Approval towards NPCDCS under NHM for the FY 2015-16 Rs. In Lakhs

| S.No.                       |                             | 2015-16                     | 2015-16                     |
|-----------------------------|-----------------------------|-----------------------------|-----------------------------|
|                             | State                       | SPIP Approvals              | Utilization                 |
| A. High Focus States        | A. High Focus States        | A. High Focus States        | A. High Focus States        |
| 1                           | Bihar                       | 1,847.06                    | 65.34                       |
| 2                           | Chattisgarh                 | 1,091.00                    | 124.60                      |
| 3                           | Himachal Pradesh            | 664.95                      | 403.08                      |
| 4                           | Jammu & Kashmir             | 1,638.55                    | 480.69                      |
| 5                           | Jharkhand                   | 1,257.96                    | 144.62                      |
| 6                           | Madhya Pradesh              | 2,228.17                    | 745.94                      |
| 7                           | Orissa                      | 2,202.15                    | 982.15                      |
| 8                           | Rajasthan                   | 1,818.16                    | 1,668.90                    |
| 9                           | Uttar Pradesh               | 3,694.68                    | 938.48                      |
| 10                          | Uttarakhand                 | 509.43                      |                             |
| Sub Total States            | Sub Total States            | Sub Total States            | Sub Total States            |
| 11                          | Arunachal Pradesh           | 742.00                      | 128.47                      |
| 12                          | Assam                       | 2,459.76                    | 890.69                      |
| 13                          | Manipur                     |                             | 63.69                       |
| 14                          | Meghalaya                   | 513.00                      | 42.36                       |
| 15                          | Mizoram                     | 649.86                      | 149.16                      |
| 16                          | Nagaland                    | -                           | 217.04                      |
| 17                          | Sikkim                      | 301.74                      | 103.19                      |
| 18                          | Tripura                     | 312.76                      | 47.79                       |
| Sub Total 4,979.12 1,642.39 | Sub Total 4,979.12 1,642.39 | Sub Total 4,979.12 1,642.39 | Sub Total 4,979.12 1,642.39 |
| 19                          | Andhra Pradesh              | 1,219.56                    | 434.80                      |
| 20                          | Goa                         | 433.22                      | 42.73                       |
| 21                          | Gujarat                     | 1,035.60                    | 857.45                      |
| 22                          | Haryana                     | 681.08                      | 132.74                      |
| 23                          | Karnataka                   | 1,786.33                    | 860.42                      |
| 24                          | Kerala                      | 1,236.73                    | 382.81                      |
| 25                          | Maharashtra                 | 2,137.54                    | 1,290.01                    |
| 26                          | Punjab                      | 265.06                      | 298.33                      |
| 27                          | Tamil Nadu                  | 1,250.68                    | 3,185.38                    |
| 28                          | Telangana                   | 771.00                      | 200.00                      |
| 29                          | West Bengal                 | 2,621.00                    | 383.77                      |
| Sub Total 13,437.80         | Sub Total 13,437.80         | Sub Total 13,437.80         | 8,068.44                    |
| D. Small States/UTs         | D. Small States/UTs         | D. Small States/UTs         | D. Small States/UTs         |
| 30                          | Andaman & Nicobar Islands   | 509.43                      | -                           |
| 31                          | Chandigarh                  | 60.88                       | 18.95                       |

| 32          | Dadra & Nagar Haveli   | 69.20     | 37.93     |
|-------------|------------------------|-----------|-----------|
| 33          | Daman & Diu            | -         | -         |
| 34          | Delhi                  | 284.90    | 18.58     |
| 35          | Lakshadweep            | 32.42     | 3.18      |
| 36          | Puducherry             | 425.58    | 13.64     |
| Sub Total   | Sub Total              | 1,382.41  | 92.28     |
| Grand Total | Grand Total            | 36,751.44 | 15,356.91 |

## Note

1. SPIP: State Program implementation Plan
2. NPCDCS: National Programme For Prevention and Control of Cancer, Diabetes, Cardiovascular Disease and Stroke.
3. The above data comprises of NPCDCS (Infrastructure, Human Resources, Laboratories, Drugs & Consumables, Mobilty, Miscellaneous & Contigencies, Information, Education & Communication&Training, Outreach activities, Other activities, If any, Public Private Partnership (NGO, Civil Society, Pvt. Sector), Research & Surviellance, Integration with Ayush, Innovation)