Lok Sabha Question No. 6566 (UNSTARRED), answered on 2018-04-06
Subject: ‘Cough’ Campaign
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ANANDRAO  ADSUL, Shrirang Appa Barne, VINAYAK BHAURAO RAUT, DHARMENDRA YADAV

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

## LOK SABHA UNSTARRED QUESTION NO. 6566 TO BE ANSWERED ON 6 TH APRIL, 2018

## 'COUGH' CAMPAIGN

## 6566. SHRI ANANDRAO ADSUL: SHRI SHRIRANG APPA BARNE: SHRI VINAYAK BHAURAO RAUT: SHRI DHARMENDRA YADAV:

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

- (a) whether the Government has re - launched a national mass media campaign against TB and Tobacco use named 'Cough', if so, the details thereo f;
- (b) the number of persons died due to TB and Tobacco use in the country during the last three years, State/UT -wise;
- (c) the details of schemes/programmes launched in this regard along with the funds allocation for the same.
- (d) the details of targets set and goals achieved in this regard; and
- (e) the other measures taken by the Government in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a) : A national mass media campaign on TB -Tobacco, namely 'Cough' was re - launched and broadcast/telecast on radio and Television during 12 - 17 March, 2018.
- (b): Under  Revised  National  Tuberculosis  Control  Programme  (RNTCP)  and  National Tobacco  Control  Programme  (NTCP)  data  on deaths  due  to  TB  and  tobacco  use  is  not maintained.  However, the number of persons died due to TB in the last three years Annexure and as per the 'Report on Tobacco Control in India' published in 2004, about 8 - 9 lakhs deaths per year are attributabl e to tobacco related diseases.
- (c): The Government  of  India  is  implementing  Revised  National  Tuberculosis  Control Programme (RNTCP) under the aegis of National Health Mission and has developed National Strategic Plan (2017 - 25) (NSP) with thegoal of endin g TB by 2025.The details of steps taken by the Government under the current NSP (2017 - 25)are as follows :
- early diagnosis of all the TB patients, prompt treatment with quality assured dru treatment regimens .
- suitable patient support systems to promote adherence.
- engaging with the patients seeking care in the private sector.
- prevention strategies including active case finding and
- contact tracing in high risk / vulnerable population
- airborne infection control in healthcare settings
- Multisectoral response to address social determinants.

The fund allocated for FY 2018 - 19 under RNTCP is Rs 2770.91 crore.

The National Tobacco Control Programme (NTCP) was launched by this Ministry in 2007- 08  with  the  aim  to  (i)  create  awareness  about  the  harmful  effects  of  tob consumption, (ii) reduce the production and supply of tobacco products, (iii) ensure e implementation  of  the  provisions  unde r the  Cigarettes  and  Other  Tobacco  Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Suppl and Distribution) Act, 2003 ( COTPA )(iv) help the people quit tobacco use, and (v) facilita implementation  of  strategies  fo r  prevention  and  control  of  tobacco  advocated  by  WHO Framework Convention of Tobacco Control.

The funds approved for allocation under NTCP for 2015 - 16, 2016 - 17 & 2017 - 18 are Rs. 105.45 crore, Rs. 137.77 crore & Rs. 126.55 crore, respectively.

(d): The  Pr ogramme  has  achieved  Millennium  Development  Goals  for  TB  in  the  year 2015. As per the Global TB Report 2017, the incidence of TB has declined from 217 per population per year in the year 2015 to 211 per lakh popu lation per year in the year 2016 . Simil arly, number ofdeaths due to TB ha s declined from 36 per lakh population per year in the year 2015 to 32 per lakh population per year in the 2016.

During the 12 th Five Year Programme, the target set was to reduce the prevalence of tobacco use by 5%. As per the findings of Global Adult Tobacco Survey -2 (GATS - 2), India 2016- 17, the prevalence of tobacco use has decreased by six percentage points from 34.6% 28.6% during period from 2009 - 1  to 2016 - 17.

National  Framework for Joint TB - Tobacco Collaborative activities has been developed  by  the  MoHFW  in  the  year  2017.  The  framework  provides  guidelines  for programme managers of Revised National Tuberculosis Control Programme (RNTCP) and National  Tuberculosis  C ontrol  Programme  (NTCP)  on  the  implementation  of  tobacco cessation services as an integral part of TB case management.

The Government has enacted a comprehensive legislation -COTPA 2003 in order to protect the masses from the health hazards attributable to tobacco use.

Government of India notified rules to regulate films and TV programmes depicting scene tobacco usage to spread awareness. Such films and TV programmes are statutorily require run anti - tobacco health spots, disclaimers and static h eal h warnings.

Further, to spread awareness on adverse impact of consumption of tobacco produc the size of specified health warnings on packages of tobacco and tobacco products has increased to 85% w.e.f. 1 st April, 2016.

The Ministry started National Toll - free Helpline in 2008, with a primary aim to report violations  under  various  provisions  of  COTPA  2003.  In  addition,  this  Helpline  prov information on harmful effects of consumption of tobacco, and on how to quit tobacco including aft er - effects of quitting tobacco.

The  Ministry  also  started  National  Tobacco  Quitline  to  provide  tobacco  cessat services to the community and has launched a pan -India 'mCessation' initiative to reach out to tobacco users who are willing to quit tobacco u se and to support them towards successful quitting through text - messaging via mobile phones.

The stakeholders are being made aware on a regular basis about the adverse effec tobacco  usage  on  health  through  various  anti - tobacco  campaigns  vide  differen t  mode s of communication.

## State/UT-wise deaths reported due to TB in India during last three years

| State               |   2014 |   2015 |   2016 |
|---------------------|--------|--------|--------|
| Andaman & Nicobar   |     38 |     17 |     21 |
| Andhra Pradesh      |   3089 |   2764 |   4537 |
| Arunachal Pradesh   |     68 |     74 |     39 |
| Assam               |   1759 |   1785 |   1588 |
| Bihar               |   1914 |   1800 |   1415 |
| Chandigarh          |     48 |     65 |     68 |
| Chhattisgarh        |   1350 |   1436 |   1596 |
| Dadar& Nagar Haveli |     18 |     18 |     15 |
| Daman& Diu          |      9 |     14 |     14 |
| Delhi               |   1281 |   1296 |   1370 |
| Goa                 |     52 |     45 |     49 |
| Gujarat             |   4312 |   4657 |   5087 |
| Haryana             |   1709 |   1700 |   1543 |
| Himachal Pradesh    |    537 |    539 |    547 |
| Jammu & Kashmir     |    292 |    316 |    342 |
| Jharkhand           |   1465 |   1192 |    994 |
| Karnataka           |   4348 |   4192 |   3958 |
| Kerala              |   1084 |    953 |    961 |
| Lakshadweep         |      2 |      1 |      1 |
| Madhya Pradesh      |   3574 |   3761 |   3816 |
| Maharashtra         |   7629 |   6904 |   6121 |
| Manipur             |     75 |     77 |     54 |
| Meghalaya           |    190 |    214 |    164 |
| Mizoram             |     87 |     93 |     56 |
| Nagaland            |     77 |     44 |     49 |
| Orissa              |   2451 |   2380 |   2162 |
| Pondicherry         |     64 |     55 |     63 |
| Punjab              |   1989 |   1786 |   1799 |
| Rajasthan           |   3428 |   3667 |   3877 |
| Sikkim              |    222 |     38 |     44 |
| Tamil Nadu          |   4095 |   4205 |   4118 |
| Telangana           |   2050 |   1926 |      0 |
| Tripura             |    141 |    162 |    113 |
| Uttar Pradesh       |   8736 |  10233 |   8256 |
| Uttarakhand         |    537 |    512 |    443 |
| West Bengal         |   4506 |   4376 |   4448 |
| TOTAL               |  63226 |  63297 |  59728 |