Lok Sabha Question No. 3404 (UNSTARRED), answered on 2017-08-04
Subject: Anti-Venom and Anti-Rabies Injections
Ministry: HEALTH AND FAMILY WELFARE
Asked by: HARI MANJHI, JUGAL KISHORE SHARMA

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

## LOK SABHA UNSTARRED QUESTION NO. 3404 TO BE ANSWERED ON 4 TH AUGUST, 2017

## ANTI - VENOM AND ANTI - RABIES INJECTIONS

## 3404. SHRI HARI MANJHI: SHRI JUGAL KISHORE:

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

- (a) whether the Government proposes to formulate any policy/scheme for supply of anti - venom injections  and medicines  in  primary  health  centres  and rural  hospitals  for  bite  of  ve nomous insects and creatures;
- (b) if so, the details thereof and if not, the reasons therefor;
- (c) the State/UT -wise number of deaths reported due to lack of anti - snakevenom and anti - rabies injections during the last three years; and
- (d) the corrective 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)to (d): Central Government provides assistance to the States for streng thening of health infrastructure under the National Health Mission. This facilitates treatment for various and emergencies including snake bites. Health being a State subject, t h  Ministry has askedthe State s to  procure  anti - snake  venom  serum  under  National  Health  Mission  after  reflecting  the same in the irannual PIP forapproval s.

Rabies  is  transmitted  to the  humans  following  bite  of animal s (dog s,  cat s,  monkeys, mongoose etc.) infected by rabies virus. For prevention of deaths due to Rabies, Government of India is implementing the National Rabies Control Programme in the country. The objectiv the program are to:

- Prevent human deaths due to rabies
- Prevent transmission of rabies virus in dog population
- Mass vaccination of dogs.
- Dog population management
- Strengthening surveillance & response.

To prevent deaths due to human rabies, the strategy adopted is to implement more effective  Intra  Dermal  (ID)  route  of  inoculation  for  anti - rabies  vaccines for  Category  II  & Category III bites and infiltration of Rabies immunoglobulin in all Cat III bites in all -rabies clinics of government health facilities.

The  States  are  asked  to  organize training  of  health professional  on  animal bite managem ent and ID ro ute of anti -rabies vaccination , IEC activitie s for community awareness on dos '  and  don'ts  in  the  event  of animal  bite,  strengthening  surveillance  of  human  rabies  and strengthening lab diagnostics for rabies.

A s per reports received from the S tates, details of State wise deaths due to snake bite and rabies, during the last three years in the country are at Annexure I and II respectively .

State/UT- wise Deaths due to Snake Bite reported during the years 2014 -2016

| S.No.   | State /U.T        | 2014   | 2015   | 2016 (Provisional)   |
|---------|-------------------|--------|--------|----------------------|
| S.No.   | State /U.T        | Deaths | Deaths | Deaths               |
| 1       | Andhra Pradesh*   | 61     | 46     | 33                   |
| 2       | Arunachal Pradesh | 0      | 0      | 0                    |
| 3       | Assam             | 0      | 0      | 0                    |
| 4       | Bihar             | 9      | 21     | 11                   |
| 5       | Chhattisgarh      | 26     | 32     | 62                   |
| 6       | Goa               | 3      | 0      | 1                    |
| 7       | Gujarat           | 111    | 78     | 72                   |
| 8       | Haryana           | 6      | 8      | 4                    |
| 9       | Himachal Pradesh  | 19     | 25     | 21                   |
| 10      | Jammu & Kashmir   | 2      | 2      | 0                    |
| 11      | Jharkhand         | 19     | 4      | 15                   |
| 12      | Karnataka         | 81     | 53     | 43                   |
| 13      | Kerala            | 4      | 18     | 11                   |
| 14      | Madhya Pradesh    | 156    | 114    | 113                  |
| 15      | Maharashtra       | 40     | 37     | 67                   |
| 16      | Manipur           | 0      | 0      | 0                    |
| 17      | Meghalaya         | 2      | 1      | 0                    |
| 18      | Mizoram           | 0      | 0      | 0                    |
| 19      | Nagaland          | 0      | 0      | 0                    |
| 20      | Odisha            | 186    | 261    | 120                  |
| 21      | Punjab            | 15     | 11     | 8                    |
| 22      | Rajasthan         | 72     | 58     | 34                   |
| 23      | Sikkim            | 0      | 0      | 2                    |
| 24      | Tamil Nadu        | 37     | 74     | 46                   |
| 25      | Telangana         | NA     | 53     | 93                   |
| 26      | Tripura           | 1      | 0      | 1                    |
| 27      | Uttarakhand       | 1      | 1      | 2                    |
| 28      | Uttar Pradesh     | 82     | 78     | 116                  |
| 29      | West Bengal       | 138    | 171    | 138                  |
| 30      | A & N Islands     | 3      | 12     | 0                    |
| 31      | Chandigarh        | 10     | 16     | 36                   |
| 32      | D & N Haveli      | 0      | 3      | 9                    |
| 33      | Daman & Diu       | 0      | 1      | 0                    |
| 34      | Delhi             | 1      | 6      | 1                    |
| 35      | Lakshadweep       | 0      | 0      | 0                    |
| 36      | Puducherry        | 37     | 35     | 5                    |
| Total   |                   | 1122   | 1219   | 1064                 |

Note: 2014: * Excludes data of 10 districts of Telangana from July onwards.

Source: Monthly Health Condition Reports from Directorate of Health Services of States/UTs

State/UT- wise Deaths due to Rabies reported during the years 2014 -2016

| S.No.   | State /U.T        | 2014   | 2015   | 2016 (Provisional)   |
|---------|-------------------|--------|--------|----------------------|
| S.No.   | State /U.T        | Deaths | Deaths | Deaths               |
| 1       | Andhra Pradesh*   | 0      | 1      | 0                    |
| 2       | Arunachal Pradesh | 0      | 0      | 0                    |
| 3       | Assam             | 0      | 0      | 0                    |
| 4       | Bihar             | 0      | 1      | 4                    |
| 5       | Chhattisgarh      | 2      | 3      | 0                    |
| 6       | Goa               | 0      | 0      | 0                    |
| 7       | Gujarat           | 7      | 8      | 1                    |
| 8       | Haryana           | 0      | 0      | 0                    |
| 9       | Himachal Pradesh  | 1      | 2      | 0                    |
| 10      | Jammu & Kashmir   | 0      | 0      | 0                    |
| 11      | Jharkhand         | 0      | 0      | 1                    |
| 12      | Karnataka         | 6      | 9      | 19                   |
| 13      | Kerala            | 5      | 7      | 2                    |
| 14      | Madhya Pradesh    | 12     | 11     | 0                    |
| 15      | Maharashtra       | 1      | 0      | 1                    |
| 16      | Manipur           | 0      | 0      | 0                    |
| 17      | Meghalaya         | 0      | 1      | 0                    |
| 18      | Mizoram           | 0      | 0      | 0                    |
| 19      | Nagaland          | 0      | 0      | 0                    |
| 20      | Odisha            | 3      | 6      | 3                    |
| 21      | Punjab            | 0      | 0      | 0                    |
| 22      | Rajasthan         | 0      | 1      | 0                    |
| 23      | Sikkim            | 0      | 3      | 0                    |
| 24      | Tamil Nadu        | 4      | 1      | 1                    |
| 25      | Telangana         | NA     | 0      | 0                    |
| 26      | Tripura           | 1      | 0      | 3                    |
| 27      | Uttarakhand       | 6      | 0      | 0                    |
| 28      | Uttar Pradesh     | 1      | 0      | 0                    |
| 29      | West Bengal       | 52     | 47     | 47                   |
| 30      | A & N Islands     | 0      | 0      | 0                    |
| 31      | Chandigarh        | 0      | 0      | 0                    |
| 32      | D & N Haveli      | 0      | 0      | 0                    |
| 33      | Daman & Diu       | 1      | 0      | 0                    |
| 34      | Delhi             | 23     | 12     | 4                    |
| 35      | Lakshadweep       | 0      | 0      | 0                    |
| 36      | Puducherry        | 0      | 0      | 0                    |
| Total   |                   | 125    | 113    | 86                   |

Note: 2014: * Excludes data of 10 districts of Telangana from July onwards.

Source:

Monthly Health Condition Reports from Directorate of Health Services of States/UTs