Lok Sabha Question No. 2772 (UNSTARRED), answered on 2018-08-03
Subject: Lifestyle Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PONNUSAMY VENUGOPAL

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

LOK SABHA UNSTARRED QUESTION NO. 2772 TO BE ANSWERED ON  3 RD AUGUST, 2018

## LIFESTYLE DISEASES

## 2772. DR. P. VENUGOPAL:

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

- (a) whether the incidences of Cardiovascular and other lifestyle diseases are on the ri country;
- (b) if so, the details thereof indicating the estimated number of people presently suffe such diseas e  and those died therefrom during each of the last three years and the curren disease and State/UTwise;
- (c) whether the Government has set any target to reduce the incidence of such lifestyle if so, the details thereof and the measures being taken by the Government in this regard along with the funds allocated and utilized for the purpose during the said period, State/UT - wise; and
- (d) the further measures taken/ proposed to be taken by the Government in this regard?

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

- (a) & (b): As  per  Indian  Council  of  Medical  Research  (ICMR)'s  India  State -Level Disease Burden Study report 'India: Health of the Nation's States', the estimated proportion of all deaths due to Non - Communicable Diseases (NCDs) has increased from 37.09% in 1990 to 61.8% in 2016.  As  per  this  report,  Cardiovascular  Diseases  (coronary  heart  diseases,  strok hypertension) contribute to 28.1% of all NCD deaths, follo wed by chronic respiratory diseases (10.9%)  and  cancer  (8.3%).    State/UT  wise  data  on  the  incidence  and  deaths  from  life diseases is not maintained centrally.

As per Indian Council of Medical Research's National Cancer Registry Program (NCRP) data, th e estimated incidence and mortality of cancer cases in India reported during the la years, State/UT -wise is at Annexure - I and II , respectively.

Contd…….

(c) & (d):Government has developed National Action Plan and Monitoring Framework for Prevention and Control of NCDs in India, which has identified 10 national NCD targets achieved by 2025, including relative reduction by 25% in overall mortality from Cardiova Diseases, Cancer, Diabetes, Chronic respiratory diseases.

Government  h as  implemented  National  Programme  for  Prevention  and  Control  of Cancer,  Diabetes,  Cardiovascular  Diseases  and  Stroke  (NPCDCS)  under  National  Health Mission  (NHM)  for  interventions  upto  district  level  for  awareness  generation  for  preve screening, earl y diagnosis of persons with high level of risk factors and their referral t facilities  for  appropriate  management  of  life - style  diseases.  State - wise  release  under  NCD Flexipool for the last three years is at Annexure - III .

Further,  for  early  diagno sis,  population  level  initiative  for  prevention,  control screening  for  common  Non - Communicable  Diseases  (diabetes,  hypertension  and  cancer  viz. oral, breast and cervical cancer) has been rolled out in over 150 districts of the count -18 under NHM, as a part of comprehensive primary healthcare. The Government of India is al implementing  Strengthening  of  Tertiary  Cancer  Care  facility  scheme  under  NPCDCS  under which support is provided for setting up of State Cancer Institutes (SCIs) and Tertia ry Cancer Care Centres (TCCCs) in the country. The details of Central assistance released for setti SCIs and TCCCs are at Annexure -IV .

In  collaboration  with  the  Ministry  of  AYUSH,  an  initiative  to  use  the  knowle available  in  AYUSH  system  of  me dicines  for  prevention  and  control  of  Non - communicable Diseases is being implemented in 6 districts on pilot basis.

Indian Council of Medical Research (ICMR) - National Institute of Cancer Prevention and  Research  (NICPR),  has  launched www.cancerindia.org.in with  the  theme  'India  Against Cancer', a portal that provides information on the leading cancers in India with a major focus on awareness, prevention and treatment of these cancers.

………………….

## Annexure - I

## Estimated Incidence of cancer cases in India - State/UT wise

| States                    |    2015 |    2016 |    2017 |
|---------------------------|---------|---------|---------|
| Jammu & Kashmir           |   14864 |   15652 |   16480 |
| Himachal Pradesh          |    7722 |    8029 |    8348 |
| Punjab                    |   31214 |   32474 |   33781 |
| Chandigarh                |    1217 |    1274 |    1335 |
| Uttaranchal               |   11796 |   12381 |   12995 |
| Haryana                   |   29240 |   30611 |   32049 |
| Delhi                     |   19168 |   20015 |   20899 |
| Rajasthan                 |   79160 |   82836 |   86675 |
| Uttar Pradesh             |  233659 |  245231 |  257353 |
| Bihar                     |  123949 |  130628 |  137656 |
| Sikkim                    |     473 |     479 |     485 |
| Arunachal Pradesh         |    1252 |    1272 |    1292 |
| Nagaland                  |    1294 |    1300 |    1309 |
| Manipur                   |    2916 |    2998 |    3082 |
| Mizoram                   |    1618 |    1652 |    1687 |
| Tripura                   |    2169 |    2199 |    2229 |
| Meghalaya                 |    3246 |    3311 |    3376 |
| Assam                     |   31474 |   31825 |   32177 |
| West Bengal               |  103532 |  107906 |  112466 |
| Jharkhand                 |   38947 |   40959 |   43071 |
| Odisha                    |   47666 |   49674 |   51763 |
| Chhattisgarh              |   30239 |   31817 |   33477 |
| Madhya Pradesh            |   85078 |   89315 |   93754 |
| Gujarat                   |   70171 |   73551 |   77097 |
| Daman & Diu               |     385 |     440 |     504 |
| Dadra & Nagar Haveli      |     457 |     497 |     542 |
| Maharashtra               |  127390 |  132726 |  138271 |
| Telangana                 |   40177 |   41939 |   43784 |
| Andhra Pradesh            |   55776 |   58072 |   60475 |
| Karnataka                 |   70302 |   73511 |   76867 |
| Goa                       |    1655 |    1726 |    1801 |
| Lakshadweep               |      82 |      89 |      96 |
| Kerala                    |   39672 |   42004 |   44566 |
| Tamil Nadu                |   78512 |   80999 |   83554 |
| Pondicherry               |    1510 |    1596 |    1687 |
| Andaman & Nicobar Islands |     415 |     429 |     443 |
| Total                     | 1388397 | 1451417 | 1517426 |

## Estimated Mortality of cancer cases in India - State/UT wise

| States                    |   2015 |   2016 |   2017 |
|---------------------------|--------|--------|--------|
| Jammu & Kashmir           |   7525 |   7925 |   8345 |
| Himachal Pradesh          |   3893 |   4048 |   4210 |
| Punjab                    |  15784 |  16423 |  17084 |
| Chandigarh                |    618 |    646 |    678 |
| Uttaranchal               |   5949 |   6245 |   6556 |
| Haryana                   |  14797 |  15491 |  16219 |
| Delhi                     |   9699 |  10127 |  10573 |
| Rajasthan                 |  39985 |  41848 |  43795 |
| Uttar Pradesh             | 118115 | 123985 | 130134 |
| Bihar                     |  62651 |  66040 |  69607 |
| Sikkim                    |    240 |    242 |    245 |
| Arunachal Pradesh         |    638 |    649 |    659 |
| Nagaland                  |    665 |    667 |    672 |
| Manipur                   |   1460 |   1500 |   1542 |
| Mizoram                   |    824 |    841 |    859 |
| Tripura                   |   1109 |   1125 |   1140 |
| Meghalaya                 |   1676 |   1710 |   1744 |
| Assam                     |  16029 |  16206 |  16383 |
| West Bengal               |  52231 |  54443 |  56750 |
| Jharkhand                 |  19653 |  20671 |  21741 |
| Orissa                    |  24019 |  25035 |  26091 |
| Chhattisgarh              |  15231 |  16030 |  16868 |
| Madhya Pradesh            |  42964 |  45110 |  47358 |
| Gujarat                   |  35466 |  37182 |  38983 |
| Daman & Diu               |    200 |    229 |    263 |
| Dadra & Nagar Haveli      |    233 |    254 |    276 |
| Maharashtra               |  64332 |  67035 |  69843 |
| Telangana                 |  20235 |  21126 |  22058 |
| Andhra Pradesh            |  28082 |  29244 |  30458 |
| Karnataka                 |  35430 |  37052 |  38747 |
| Goa                       |    834 |    870 |    908 |
| Lakshadweep               |     42 |     45 |     48 |
| Kerala                    |  19892 |  21062 |  22348 |
| Tamil Nadu                |  39537 |  40796 |  42091 |
| Pondicherry               |    759 |    802 |    848 |
| Andaman & Nicobar Islands |    210 |    217 |    224 |
| Total                     | 701007 | 732921 | 766348 |

Annexure-III State/UT-wise Release under  N C D  Flexi Pool  2015-16, 2016-17, 2017-18

|            |                                      | Release Under NHM Flexi Pool- NCD (Rs.in Lakh)   | Release Under NHM Flexi Pool- NCD (Rs.in Lakh)   | Release Under NHM Flexi Pool- NCD (Rs.in Lakh)   |
|------------|--------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|
| Sl. No.    | State/UT                             | 2015- 16                                         | 2016- 17                                         | 2017- 18                                         |
| High Focus | A. States                            |                                                  |                                                  |                                                  |
| 1          | Bihar                                | 2234                                             | 1804                                             | 4726                                             |
| 2          | Chhatisgarh                          | 847                                              | 1485                                             | 3469                                             |
| 3          | Jharkhand                            | 1057                                             | 1511                                             | 0                                                |
| 4          | Madhya Pradesh                       | 2682                                             | 3540                                             | 5048                                             |
| 5          | Odisha                               | 1619                                             | 1955                                             | 1785                                             |
| 6          | Rajashthan                           | 2704                                             | 2678                                             | 6378                                             |
| 7          | Uttar Pradesh                        | 5439                                             | 7181                                             | 15132                                            |
|            | Sub-Total (A)                        | 16582                                            | 20154                                            | 36538                                            |
| 8          | Himachal Pradesh                     | 478                                              | 324                                              | 644                                              |
| 9          | Jammu & Kashmir                      | 816                                              | 1459                                             | 2357                                             |
| 10         | Uttarakhand                          | 662                                              | 890                                              | 186                                              |
|            | Sub-Total (B)                        | 1956                                             | 2673                                             | 3187                                             |
|            | C. Other States                      |                                                  |                                                  |                                                  |
| 11         | Andhra Pradesh                       | 1478                                             | 3082                                             | 3645                                             |
| 12         | Telangana                            | 941                                              | 1123                                             | 2012                                             |
| 13         | Goa                                  | 23                                               | 0                                                | 0                                                |
| 14         | Gujarat                              | 2098                                             | 2132                                             | 4754                                             |
| 15         | Haryana                              | 493                                              | 380                                              | 1388                                             |
| 16         | Karnataka                            | 1429                                             | 2134                                             | 8284                                             |
| 17         | Kerala                               | 518                                              | 693                                              | 1211                                             |
| 18         | Maharashtra                          | 2754                                             | 3768                                             | 6208                                             |
| 19         | Punjab                               | 671                                              | 835                                              | 1726                                             |
| 20         | Tamil                                | 1716.00                                          | 2145                                             | 5461                                             |
| 21         | Nadu West Bengal                     | 1303                                             | 2485                                             | 2303                                             |
| 22         | Chandigarh                           | 69                                               | 46                                               | 109                                              |
| 23         | Delhi                                | 223                                              | 564                                              | 1289                                             |
| 24         | Puducherry                           | 29                                               | 39                                               | 125                                              |
|            | Sub-Total (C)                        | 13745                                            | 19426                                            | 38515                                            |
|            | D. Union Territories                 |                                                  |                                                  |                                                  |
| 25         | Andaman & Nicobar Islands            | 55                                               | 121                                              | 108                                              |
| 26         | Dadra & Nagar Haveli                 | 63                                               | 82                                               | 89                                               |
| 27         | Daman & Diu                          | 35                                               | 39                                               | 19                                               |
| 28         | Lakshadweep                          | 7                                                | 0                                                | 0                                                |
|            | Sub-Total (D)                        | 160                                              | 242                                              | 216                                              |
|            | E. North - Eastern High Focus States |                                                  |                                                  |                                                  |
| 29         | Arunachal Pradesh                    | 570                                              | 841                                              | 1606                                             |
| 30         | Assam                                | 3578                                             | 5533                                             | 6046                                             |
| 31         | Manipur                              | 308                                              | 250                                              | 675                                              |
| 32         | Meghalaya                            | 246                                              | 531                                              | 779                                              |
| 33         | Mizoram                              | 142                                              | 214                                              | 1297                                             |
| 34         | Nagaland                             | 263                                              | 183                                              | 637                                              |
| 35         | Sikkim                               | 95                                               | 158                                              | 115                                              |
| 36         | Tripura                              | 255                                              | 266                                              | 821                                              |
|            | Sub - Total (E)                      | 5457                                             | 7976                                             | 11976                                            |
|            | Grand - Total (A+B+C+D +E)           | 37900                                            | 50471                                            | 90432                                            |

Annexure-IV

## Central assistance released for setting up of SCIs and TCCCs during 2014-15 to 2017-18.

| S No.   | State            |   Amount Released (Rs. in Crore) |
|---------|------------------|----------------------------------|
| 1       | Karnataka        |                          84.757  |
| 2       | Kerala           |                          71.987  |
| 3       | Tripura          |                          55      |
| 4       | Gujarat          |                          67.5    |
| 5       | West Bengal      |                          53.4743 |
| 6       | Jammu& Kashmir   |                          47.25   |
| 7       | Tamil Nadu       |                          67.38   |
| 8       | Himachal Pradesh |                          27.0632 |
| 9       | Bihar            |                          33.06   |
| 10      | Mizoram          |                          14.64   |
| 11      | Uttar Pradesh    |                          11.43   |
| 12      | Rajasthan        |                          81.6857 |
| 13      | Telangana        |                          18.12   |
| 14      | Punjab           |                          71.699  |
| 15      | Delhi            |                          29.87   |
| 16      | Odisha           |                          35.829  |
| 17      | Nagaland         |                          13.23   |
| 18      | Haryana          |                          12.1503 |
| 19      | Maharashtra      |                          83.941  |
| 20      | Assam            |                          38.43   |
| 21      | Madhya Pradesh   |                          18.9    |
| 22      | Jharkhand        |                          22.95   |
| 23      | Andhra Pradesh   |                          54      |
| 24      | Goa              |                           8.3519 |
| 25      | Sikkim           |                          23.01   |
|         | Total            |                        1045.71   |