Lok Sabha Question No. 2951 (UNSTARRED), answered on 2016-12-02
Subject: Mortality Rate
Ministry: HEALTH AND FAMILY WELFARE
Asked by: CHINTAMANI MALVIYA, SHER SINGH GHUBAYA, BHARATI DHIRUBHAI SHIYAL

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

## LOK SABHA UNSTARRED QUESTION NO. 2951 TO BE ANSWERED ON 2 ND DECEMBER, 2016

## MORTALITY RATE

## 2951. PROF. CHINTAMANI MALVIYA: SHRI SHER SINGH GHUBAYA: DR. BHARATIBEN D. SHYAL:

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

- (a) the details of the disease having highest mortality rate in the country;
- (b) the steps being taken by the Government to reduce the mortality rate due to such diseases along with the details thereof; and
- (c) the number of people died due to s ch diseases in the country during each of the last three years and the current year?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGG AN SINGH KULASTE)

- (a): As  per  World  Health  Organisation (WHO)'s  'Non - Communicable  Diseases  (NCD) Country Profiles 2014', NCDs are estimated to account for 60 per cent of total deaths in India which includes deaths due to Cardiovascular Diseases (26%), Cancer (7%), Chronic Respirat Diseases (13%), Diabetes ( 2%) and other NCDs (12%).
- (b): Public  Health  being  a  State  subject,  it  is  primarily  the  responsibility  of  t Governments to provide health care to the people.  However, financial and technical assis being provided to the States/UTs under th e National Health Mission (NHM) for strengthening existing healthcare facilities including setting up of infrastructure, training of doct medical staff, etc. as per State specific Programme Implementation Plans (PIPs).

Government of India is implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) under NHM to supplement the efforts of the State Governments for the interventions up to District level.  The object programme  includes  setting  up  of  NCD  Clinics  at  District  and  Community  Health  Centre (CHCs), Cardiac Care Units, Day Care Centres, awareness generation for behaviour and l -style changes, screening and early diagnosis of persons with high level of risk fact ors and their treatment  and  referral  (if  required)  to  higher  facilities  for  appropriate  management -communicable Diseases.  A Statement showing State/UT - wise list of NCD clinics and Cardiac Care Units (CCUs) established under NPCDCS is at Annexure -I .

Under Tertiary Care Cancer Centre (TCCC) Scheme, Government of India is assisting States  to  set  up  /  establish  State  Cancer  Institute  (SCI)  and  TCCC  in  different  part country.

(c):      State/UT  wise  data  on  deaths  due  to  Non - Communicable Diseases  (NCDs)  is  not maintained centrally.

However, State/UT wise estimates of death due to cancer, as furnished by Indian Cou of Medical Research (ICMR), for last three years and current year is at Annexure -II.

## National Programme fo r Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)

## Infrastructure Details ( As on 30th September 2016)

| S. No.   | State s/UTs          | State NCD Cell   |   District NCD Cell |   District NCD Clinic |   CCU |   CHC NCD Clinic |   Day Care Center |
|----------|----------------------|------------------|---------------------|-----------------------|-------|------------------|-------------------|
| 1        | Andhra Pradesh       | 1                |                   9 |                     9 |     7 |               62 |                 0 |
| 2        | Arunachal Pradesh    | 1                |                  17 |                    17 |     0 |               20 |                 0 |
| 3        | Assam                | 1                |                  14 |                    14 |     5 |               43 |                 5 |
| 4        | Bihar                | 1                |                   6 |                     6 |     3 |                0 |                 0 |
| 5        | Chhattisgarh         | 1                |                   9 |                     9 |     1 |               53 |                 2 |
| 6        | Goa                  | 1                |                   1 |                     1 |     1 |                2 |                 0 |
| 7        | Gujarat              | 1                |                  19 |                    19 |     5 |               68 |                 2 |
| 8        | Haryana              | 1                |                   9 |                     9 |     4 |                2 |                 6 |
| 9        | Himachal Pradesh     | 1                |                  12 |                    12 |     2 |              140 |                 0 |
| 10       | Jammu                | 1                |                   2 |                     2 |     2 |                5 |                 2 |
|          | Kashmir              |                  |                  10 |                    10 |     4 |               19 |                 4 |
| 11       | Jharkhand            | 1                |                  12 |                    12 |     1 |               56 |                 0 |
| 12       | Karnataka            | 1                |                  15 |                    15 |     5 |               48 |                 5 |
| 13       | Kerala               | 1                |                   5 |                     5 |     4 |               85 |                 4 |
| 14       | Madhya Pradesh       | 1                |                  15 |                    15 |     5 |               46 |                15 |
| 15       | Maharashtra          | 1                |                  17 |                    17 |    10 |              127 |                 5 |
| 16       | Manipur              | 1                |                   9 |                     8 |     0 |                5 |                 1 |
| 17       | Meghalaya            | 1                |                   3 |                     3 |     1 |                6 |                 2 |
| 18       | Mizoram              | 1                |                   6 |                     6 |     2 |               10 |                 2 |
| 19       | Nagaland             | 1                |                  11 |                    11 |     1 |                0 |                 2 |
| 20       | Odisha               | 1                |                  19 |                    17 |     5 |               62 |                 1 |
| 21       | Punjab               | 1                |                  22 |                    22 |     2 |              192 |                 3 |
| 22       | Rajasthan            | 1                |                  24 |                    24 |     7 |               75 |                 8 |
| 23       | Sikkim               | 1                |                   2 |                     2 |     2 |                0 |                 1 |
| 24       | Tamil Nadu           | 1                |                  32 |                    32 |    15 |              621 |                 0 |
| 25       | Telangana            | 1                |                   2 |                     2 |     0 |                0 |                 0 |
| 26       | Tripura              | 1                |                   2 |                     2 |     0 |                0 |                 0 |
| 27       | Uttar Pradesh        | 1                |                  38 |                    38 |     0 |               77 |                 0 |
| 28       | Uttarakhand          | 1                |                   2 |                     2 |     0 |                8 |                 0 |
| 29       | West Bengal          | 1                |                  10 |                    10 |     8 |               38 |                 1 |
| 30       | Andaman & Nicobar    | 1                |                   0 |                     0 |     0 |                0 |                 0 |
| 31       | Chandigarh           | 1                |                   0 |                     1 |     0 |                0 |                 0 |
| 32       | Dadar & Nagar Haveli | 1                |                   0 |                     1 |     0 |                0 |                 0 |
| 33       | Daman & Diu          | 1                |                   0 |                     0 |     0 |                0 |                 0 |
| 34       | Lakshadweep          | 1                |                   0 |                     0 |     0 |                0 |                 0 |
| 35       | Delhi                | 1                |                   0 |                     0 |     0 |                0 |                 0 |

Estimated Mortality of cancer cases in India by different State/UT -All sites -(2013 to 2016)* -Both sexes

| States /UTs               |   2013 |   2014 |   2015 |   2016 |
|---------------------------|--------|--------|--------|--------|
| Jammu & Kashmir           |   6782 |   7144 |   7525 |   7925 |
| Himachal Pradesh          |   3598 |   3742 |   3893 |   4048 |
| Punjab                    |  14580 |  15171 |  15784 |  16423 |
| Chandigarh                |    563 |    590 |    618 |    646 |
| Uttaranchal               |   5399 |   5667 |   5949 |   6245 |
| Haryana                   |  13505 |  14135 |  14797 |  15491 |
| Delhi                     |   8897 |   9290 |   9699 |  10127 |
| Rajasthan                 |  36495 |  38202 |  39985 |  41848 |
| Uttar Pradesh             | 107170 | 112514 | 118115 | 123985 |
| Bihar                     |  56372 |  59431 |  62651 |  66040 |
| Sikkim                    |    234 |    236 |    240 |    242 |
| Arunachal Pradesh         |    619 |    628 |    638 |    649 |
| Nagaland                  |    659 |    662 |    665 |    667 |
| Manipur                   |   1381 |   1419 |   1460 |   1500 |
| Mizoram                   |    791 |    808 |    824 |    841 |
| Tripura                   |   1079 |   1094 |   1109 |   1125 |
| Meghalaya                 |   1612 |   1644 |   1676 |   1710 |
| Assam                     |  15677 |  15853 |  16029 |  16206 |
| West Bengal               |  48075 |  50110 |  52231 |  54443 |
| Jharkhand                 |  17760 |  18683 |  19653 |  20671 |
| Odisha                    |  22105 |  23043 |  24019 |  25035 |
| Chhattisgarh              |  13751 |  14472 |  15231 |  16030 |
| Madhya Pradesh            |  38962 |  40917 |  42964 |  45110 |
| Gujarat                   |  32275 |  33832 |  35466 |  37182 |
| Daman & Diu               |    154 |    176 |    200 |    229 |
| Dadra & Nagar Haveli      |    198 |    215 |    233 |    254 |
| Maharashtra               |  59231 |  61732 |  64332 |  67035 |
| Telangana                 |  18573 |  19385 |  20235 |  21126 |
| Andhra Pradesh            |  25904 |  26970 |  28082 |  29244 |
| Karnataka                 |  32401 |  33881 |  35430 |  37052 |
| Goa                       |    767 |    799 |    834 |    870 |
| Lakshadweep               |     36 |     39 |     42 |     45 |
| Kerala                    |  17858 |  18827 |  19892 |  21062 |
| Tamil Nadu                |  37118 |  38310 |  39537 |  40796 |
| Pondicherry               |    678 |    717 |    759 |    802 |
| Andaman & Nicobar Islands |    196 |    203 |    210 |    217 |
| Total                     | 641455 | 670541 | 701007 | 732921 |