Lok Sabha Question No. 4795 (UNSTARRED), answered on 2018-03-23
Subject: Kidney Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAM PRASAD SARMAH, UDAY PRATAP SINGH, VIJAY KUMAR HANSDAK, RAMA DEVI

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

## LOK SABHA UNSTARRED QUESTIO N NO. 4795 TO BE ANSWERED ON 23 rd MARCH, 2018

## KIDNEY PATIENTS

## 4795. SHRI RAM PRASAD SARMAH: SHRI UDAY PRATAP SINGH: SHRI VIJAY KUMAR HANSDAK: SHRIMATI RAMA DEVI:

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

- (a) whether the Government has taken note of the rising number of kidney patients in the country and if so, the details thereof, State/UT - wise;
- (b)  whether  the  Government  proposes to  increase  the  amount  of  funds  given  to the  poor patients under assistance fund;
- (c) if so, the details thereof including the time by which it will be implemented and if not, the reasons therefor;
- (d) whether the Gove rnment has identified such areas where the number of kidney patients has increased due to contamination reasons/ natural reasons; and
- (e) if so, the details thereof and the reaction of the Government thereto?

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

- (a) : Nationwide scientific estimation of number of patients of Chronic Kidney Disea (CKD) has not been carried out. However, in some of the small population based stud prevalence was found to be 0.79 % in North India and 0.16% in South India.

Health be ing a State subject, State/UT -wise data on kidney patients is not maintained centrally.

- (b) & (c): Financial  assistance  is  provided  under  Rashtriya  Arogya  Nidhi  (RAN)  and Health  Minister's  Discretionary  Grant  (HMDG)  Schemes  to  patients  living  Below  Pove rty Line  (BPL)  who  are  suffering  from  major  life  threatening  diseases  like  cancer,  k problem, liver problem, etc. to receive medical treatment in Government Hospitals.
- (d) & (e): Government constitutes expert groups from time to time to look into rise in kidney diseases in some parts of the country.  The reports suggested multifactorial c for such rise.

As  informed  by  Ministry  of  Water  Resources,  River  Development  and  Ganga Rejuvenation  (RD  &  GR),  ground  water  in  isolated  pockets  in  parts of  various  States  is contaminated with Salinity, Fluoride, Nitrate, Arsenic, Iron and Heavy metals. The Stat - wise details of number of districts affected in parts with ground water contamination are Annexure.

As informed by Ministry of Drinking Water and Sanitation, Government is providing technical and financial assistance through the centrally sponsored National Rural Dr Water Programme (NRDWP) for providing safe drinking water to rural habitations.

Many  of  the  risk  factors  for  CKD  are  c ommon  with  other  common  Non Communicable  Diseases  (NCDs)  such  as  Cancer,  Diabetes,  Cardiovascular  Disease,  etc Interventions  for  Chronic  Kidney  Diseases  have  been  included  under  the  Nation Programme  for  Prevention  and  Control  of  Cancer,  Diabetes,  Cardi ovascular  Diseases  and Stroke (NPCDCS) under the umbrella of National Health Mission (NHM).

For  early  diagnosis,  Population - based  Screening  for  common  NCDs  including Diabetes and Hypertension, which are the biological risk factors of CKD, has been ini ted by Government of India by utilizing the services of the Frontline - workers and Health -workers under existing Primary Healthcare System.

Support under the NHM is being provided to States for dialysis services free of c the  poor  under  Pradhan  Mantr i  National  Dialysis  Programme  (PMNDP).  Such  support  is based on the proposals received from States in their annual Programme Implementation Pl (PIPs).

## ANNEXURE

## States Wise Details of Affected Districts with Ground Water Contamination by different Ch emical Constituents

| Sl No   |                         | Salinity (EC above 3000 micro mhos/ cm) (EC : Electrical Conductivity)   | Fluoride ( above 1.5 mg/l)   | Nitrate (above 45 mg/l)   | Arsenic (above 0.01 mg/l)   | Iron (above 1mg/l )   | Heavy metals: Lead (above 0.01 mg/l)   | Cadmium (above 0.003 mg/l)   | Chromium (above 0.05 mg/l)   |
|---------|-------------------------|--------------------------------------------------------------------------|------------------------------|---------------------------|-----------------------------|-----------------------|----------------------------------------|------------------------------|------------------------------|
| Sl No   | Name of the State/UTs   |                                                                          |                              |                           |                             |                       |                                        |                              |                              |
| 1       | Andhra Pradesh          | 11                                                                       | 11                           | 13                        | 3                           | 7                     |                                        |                              |                              |
| 2       | Arunachal Pradesh       |                                                                          |                              |                           |                             | 4                     |                                        |                              |                              |
| 3       | Assam                   |                                                                          | 6                            |                           | 19                          | 18                    |                                        |                              |                              |
| 4       | Bihar                   |                                                                          | 13                           | 10                        | 23                          | 19                    |                                        |                              |                              |
| 5       | Chhattisgarh            |                                                                          | 13                           | 12                        | 1                           | 4                     | 1                                      | 1                            | 1                            |
| 6       | Delhi                   | 7                                                                        | 7                            | 8                         | 2                           |                       | 3                                      | 1                            | 4                            |
| 7       | Goa                     |                                                                          |                              |                           |                             | 2                     |                                        |                              |                              |
| 8       | Gujarat                 | 21                                                                       | 19                           | 21                        | 12                          | 6                     |                                        |                              |                              |
| 9       | Haryana                 | 15                                                                       | 20                           | 19                        | 15                          | 17                    | 17                                     | 7                            | 1                            |
| 10      | Himachal Pradesh        |                                                                          |                              | 6                         | 1                           |                       |                                        |                              |                              |
|         | Jammu &                 |                                                                          | 2                            | 4                         | 3                           | 6                     | 3                                      | 1                            |                              |
| 11 12   | Kashmir Jharkhand       |                                                                          | 12                           | 11                        | 1                           | 6                     | 1                                      |                              |                              |
| 13      | Karnataka               | 29                                                                       | 29                           | 22                        | 2                           | 22                    |                                        |                              |                              |
| 14      | Kerala                  | 4                                                                        | 5                            | 11                        |                             | 15                    | 2                                      |                              | 1                            |
| 15      | Madhya Pradesh          | 16                                                                       | 39                           | 50                        | 8                           | 42                    | 16                                     |                              |                              |
| 16      | Maharashtra             | 20                                                                       | 17                           | 30                        |                             | 20                    | 19                                     |                              |                              |
| 17      | Manipur                 |                                                                          |                              |                           | 2                           | 1                     |                                        |                              |                              |
|         | Meghalaya               |                                                                          |                              |                           |                             | 3                     |                                        |                              |                              |
| 18 19   | Nagaland                |                                                                          |                              |                           |                             | 1                     |                                        |                              |                              |
| 20      | Odisha                  | 7                                                                        | 25                           | 28                        | 1                           | 21                    |                                        |                              | 1                            |
| 21      | Punjab                  | 9                                                                        | 19                           | 20                        | 10                          | 9                     | 6                                      | 8                            | 10                           |
| 22      | Rajasthan               | 30                                                                       | 33                           | 33                        | 1                           | 33                    | 4                                      |                              |                              |
| 23      | Tamil Nadu              | 23                                                                       | 19                           | 27                        | 9                           | 2                     | 3                                      | 1                            | 5                            |
| 24      | Telangana               | 7                                                                        | 9                            | 10                        | 1                           | 8                     | 2                                      | 1                            | 1                            |
| 25      | Tripura                 |                                                                          |                              |                           |                             | 4                     |                                        |                              |                              |
| 26      | Uttar Pradesh           | 9                                                                        | 30                           | 46                        | 29                          | 15                    | 10                                     | 2                            | 4                            |
| 27      | Uttarakhand             |                                                                          |                              | 3                         |                             |                       |                                        |                              |                              |
| 28      | West Bengal             | 4                                                                        | 7                            | 2                         | 9                           | 15                    | 6                                      | 2                            | 2                            |
|         | UT s                    |                                                                          |                              |                           |                             |                       |                                        |                              |                              |
| 1       | Andaman & Nicobar       |                                                                          |                              |                           |                             | 1                     |                                        |                              |                              |
| 2       | Chandigarh              |                                                                          |                              |                           |                             |                       |                                        |                              |                              |
|         | Dadra & Nagar           |                                                                          |                              |                           |                             |                       |                                        |                              |                              |
| 3       | Haveli                  |                                                                          |                              |                           |                             |                       |                                        |                              |                              |
| 4 f/dcg | Daman & Diu Pondicherry |                                                                          |                              |                           | 1                           |                       |                                        |                              |                              |
|         | TOTAL                   | 212                                                                      | 335                          | 386                       | 153                         | 301                   | 93                                     | 24                           | 30                           |
|         | No of State /UT         | 15                                                                       | 20                           | 21                        | 21                          | 26                    | 14                                     | 9                            | 10                           |
|         | No of Districts         | 212                                                                      | 335                          | 386                       | 153                         | 301                   | 93                                     | 24                           | 30                           |