Lok Sabha Question No. 3736 (UNSTARRED), answered on 2017-03-24
Subject: Immaculate Data of Cardiovascular Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: C.S. PUTTARAJU

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 3736 TO BE ANSWERED ON 24 TH MARCH, 2017

## IMMACULATE DATA OF C ARDIOVASCULAR PATIEN TS

## 3736. SHRI C.S. PUTTA RAJU:

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

- (a) whether immaculate data of cardiovascular disease patients is available;
- (b) if so, the details thereof during the last three years, State/UT -wise;
- (c) if not, the reasons therefor;
- (d)  the  details  of  funds  allocated,  released  and  utilised  through  various  schem cardiovascular diseases during the last three years including Karnataka, State - wise; and
- (e)  whether  the  Government  intends  to  initiate  programme  to  tackle  r ising  menace  of  heart diseases among children and if so, the details thereof and if not, the reasons therefor?

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

(a) to (e): There are no prospective studies regarding trends of heart diseases in Indi the  State  wise  data.  As  informed  by  Indian  Council  of  Medical  Research  (ICMR),  curr estimates from one - time cross sectional studies conducted in different regions of countr y indicate that the prevalence of coronary heart disease (CHD) is between 8 - 10 perc t in urban and 3 to 4 percent in rural India.According to the report of National Commission on Macroeconomics Health (NCMH), there were 380 lakh cases of CVD in the ye ar 2005 and these are estimated to rise to 641 lakh cases in 2015.

While Health is a State subject, the Central Government supplements the efforts o State  Governments  for  improving  healthcare.  Government  of  India  has  launched  Nation Programme forPrevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stro (NPCDCS) which is implemented for interventions up to District level under the National H Mission. NPCDCS has a focus on awareness generation for behaviour and life - style  c hanges, screening and early diagnosis of persons with high level of risk factors and their trea referral  (if  required)  to  higher  facilities  for  appropriate  management  for  Non -communicable Diseases  (NCD)  including  cardiovascular  diseases.  Under  NPC DCS,  diagnosis  and  treatment facilities for cardiovascular diseases are provided through different levels of healthcare up NCD Clinics in District Hospitals and Community Health Centres (CHCs).

Contd……..

The treatment of CVDs is available in Central Government Hospitals including All Indi Institute  of  Medical  Sciences,  Safdurjung  Hospitals,  Dr.  Ram  Manohar  Lohia  Hospital, Graduate  Institute  of  Medical  Education  and  Research  (PGIMER)  Chandigarh,  Jawaharlal Institute  of  Pos tgraduate  Medical,  Education  and  Research  (JIPMER),  Puducherry, etc.

Since 2015 - 16, funds are being released to the States under NCD flexipool for the N programmes  such  as  NPCDCS  to  give  more  flexibi lity  to  the  States.  A  Statement showing State/UT - wise (including Karnataka) allocation, release and utilisation of funds under Nation programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Str (NPCDCS) under National Health Mission for the last three years is at Annexure .

The Government of India is implementing Rashtriya Bal Swasthya Karyakram (RBSK) to screen all the children up to 18 years of age through early detection of 4 Ds i.e. bi diseases,  deficiencies,  development  delays  includ ing  disability  and  to  provide  comprehensive care including surgeries at the tertiary level free of cost under National Health Missi detection of birth defects including Congenital Heart defects and diseases like Rheumati disease  is  being  ca rried  out  by  clinical  screening  of  all  children  from  0 - 18  years  of  age  and provision has also been made for initiating early intervention and their management inc surgical intervention.

………………………..

## Annexure

## Statement showing State/ UT -wise Revised Estimate and Releases & Expenditure, reported under NPCDCS  under NHM for F.Ys 2013-14 and 2014 - 15 and under NCD flexipool for F.Y. 2015 -16

(in Rs. Crore)

| Sl.   |                           | 2013-14                       | 2013-14     | 2014-15                       | 2014-15     | 2015-16                       | 2015-16     |
|-------|---------------------------|-------------------------------|-------------|-------------------------------|-------------|-------------------------------|-------------|
| No.   | Name of State             | Revised Estimate and Releases | Expenditure | Revised Estimate and Releases | Expenditure | Revised Estimate and Releases | Expenditure |
| 1     | Andaman & Nicobar Islands | 0.05                          | -           | 0.25                          | -           | 0.55                          | 0.11        |
| 2     | Andhra Pradesh            | -                             | -           | 5.61                          | -           | 14.78                         | 18.67       |
| 3     | Arunachal Pradesh         | 0.76                          | -           | 3.54                          | -           | 5.7                           | 1.28        |
| 4     | Assam                     | 17.14                         | 6.21        | 5.79                          | 4.11        | 35.78                         | 22.3        |
| 5     | Bihar                     | 9.72                          | -           | 12.08                         | -           | 22.34                         | 10.77       |
| 6     | Chandigarh                | 0.16                          | -           | 0.13                          | 0.06        | 0.69                          | 0.72        |
| 7     | Chhattisgarh              | -                             | 2.07        | 5.04                          | 2.2         | 8.47                          | 5.36        |
| 8     | Dadra & Nagar Haveli      | 0.05                          | -           | 0.17                          | 0.01        | 0.63                          | 1.07        |
| 9     | Daman & Diu               | 0.04                          | -           | 0.13                          | 0.01        | 0.35                          | 0.11        |
| 10    | Delhi                     | 2.47                          | -           | 1.41                          | -           | 2.23                          | 1.62        |
| 11    | Goa                       | 0.22                          | -           | 1.27                          | 0.15        | 0.23                          | 1.43        |
| 12    | Gujarat                   | -                             | 7.58        | 6.66                          | 8.9         | 20.98                         | 34.71       |
| 13    | Haryana                   | -                             | -           | 7.99                          | 2.28        | 4.93                          | 4.9         |
| 14    | Himachal Pradesh          | -                             | -           | -                             | 4.29        | 4.78                          | 6.19        |
| 15    | Jammu & Kashmir           | -                             | -           | 9.13                          | 4.03        | 8.16                          | 7.18        |
| 16    | Jharkhand                 | 3.32                          | 1.77        | 8.35                          | -           | 10.57                         | 4.07        |
| 17    | Karnataka                 | -                             | -           | 9.76                          | 2.31        | 14.29                         | 20.92       |
| 18    | Kerala                    | -                             | 14.56       | 5.45                          | 7.94        | 5.18                          | 8.94        |
| 19    | Lakshadweep               | 0.01                          | -           | 0.13                          | -           | 0.07                          | 0.37        |
| 20    | Madhya Pradesh            | 4.62                          | 3.18        | 16.94                         | 6.81        | 26.82                         | 26.46       |
| 21    | Maharashtra               | 5.86                          | 12.07       | 12.89                         | 9.63        | 27.54                         | 29.67       |
| 22    | Manipur                   | -                             | -           | 2.96                          | -           | 3.08                          | 1.62        |
| 23    | Meghalaya                 | 1.63                          | -           | 1.47                          | -           | 2.46                          | 0.98        |
| 24    | Mizoram                   | 0.6                           | -           | 1.76                          | -           | 1.42                          | 4.6         |
| 25    | Nagaland                  | 1.09                          | -           | 3.46                          | -           | 2.63                          | 2.17        |
| 26    | Orissa                    | -                             | 5.51        | 12.34                         | 4.2         | 16.19                         | 21.08       |
| 27    | Puducherry                | 0.18                          | -           | 1.52                          | -           | 0.29                          | 0.52        |
| 28    | Punjab                    | -                             | 2           | 8.03                          | 2.79        | 6.71                          | 11.39       |
| 29    | Rajasthan                 | 0.59                          | 2           | 11.8                          | 1.15        | 27.04                         | 40.78       |
| 30    | Sikkim                    | -                             | -           | 1.76                          | 0.51        | 0.95                          | 4.2         |
| 31    | Tamil Nadu                | 0.89                          | 2.34        | 13.55                         | 0.04        | 17.16                         | 51.23       |
| 32    | Tripura                   | 2.02                          | -           | 1.76                          | -           | 2.55                          | 2.97        |
| 33    | Uttar Pradesh             | 13.98                         | -           | 20.27                         | 25.19       | 54.39                         | 35.43       |
| 34    | Uttarakhand               | -                             | 7.58        | 5.45                          | 0.22        | 6.62                          | 1.78        |
| 35    | West Bengal               | 10.27                         | -           | 7.54                          | 4.17        | 13.03                         | 14.18       |
| 36    | Telangana                 | -                             | -           | 4.01                          | -           | 9.41                          | 6.15        |
| Total | Total                     | 75.67                         | 66.86       | 210.4                         | 90.99       | 379                           | 405.97      |

Note:

Releases are of Central Government Grants & do not include State share. Since 2015 - 16, releases are done under NCD flexipool.