Lok Sabha Question No. 142 (UNSTARRED), answered on 2017-12-15
Subject: Breast and Cervical Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: HARI MANJHI

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

LOK SABHA UNSTARRED QUESTION NO. 142 TO BE ANSWERED ON   15 TH DECEMBER, 2017

## BREAST AND CERVICAL CANCER

## 142. SHRI HARI MANJHI:

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

- (a) whether there has been a sharp increase in the cases of breast and cervical cancer mong women and lung cancer in men;
- (b) if so, the details thereof and the St te - wise number of such cases identified during the last three years;
- (c) whether there has been a sharp increase in the number of cases of breast canc r in comparison to cervical cancer and if so, the details thereof and the reasons therefor;
- (d) whether the Government has launched any awareness programmes orpreventive healthcare schemes for the prevention of the said type of cancer in men and women; and
- (e) if so, the details thereof and the steps 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), there has been an increas estimated incidence of cancer cases of breast and cervix among females and lung cancer  among males in the country. The estimated number of incidence of such cases during the last thr by state/UT wise is at Annexure I, II & III .
- (c):As  perICMR,  the  estimated  number  of  incidence  of  breast  and  cervical  cancer  and Annual Percent Change (APC) for the last three years are given below:

| Year                                   | 2014         |   2015 |   2016 |   APC |
|----------------------------------------|--------------|--------|--------|-------|
| Estimated Incidence of Breast cancer   | cases 126612 | 134214 | 142283 |   6   |
| Estimated Incidence of Cervical cancer | cases 96742  |  97909 |  99099 |   1.2 |

Multiple factors are said to be playing a role in controlling incidence of cervical ca including more number of institutional deliveries, less number of child births (decrease better hygiene (genital and menstrual), while some lifestyle modifications, age, pattern of breast feeding inter alia, are possibly responsible for breast cancer cases.

(d) &(e): To supplement the efforts of the State Governments, the objectives of Natio Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Str (NPCDCS) being implemented under National Health Mission (NHM) for interventions upt o the district level includes awareness generation for Cancer prevention, screening, early dete referral to an appropriate level institution for treatment. For Cancer, the focus is on t namely breast, cervical and oral.

A  population  level  initiative  of  prevention,  control  and  screening  for  common  N (diabetes, hypertension and cancer viz. oral, breast and cervical cancer) have been roll over 100 districts of the country in 2017 - 18 under NHM, as a part of compre hensive primary healthcare. The screening activity will generate awareness on risk factors of common including cancer as such.

The  Government  of  India  is  implementing  'Strengthening  of  Tertiary  Care  Cancer facilities' Scheme under NPCDCS to assist t o establish/set up State Cancer Institutes (SCI) and Tertiary Care Cancer Centres (TCCC) in different parts of the country. Oncology in its aspects has focus in case of new AIIMS and many upgraded institutions under Pradhan Man Swasthya Suraksha Yojna (PMSSY). Setting up of National Cancer Institute at Jhajjar (Haryan and 2nd campus of Chittranjan National Cancer Institute, Kolkata has also been approved these will enhance the capacity for prevention and treatment of cancer in the country.

| Estimated Incidence of Breast cancer cases in India- Females State/UT wise (2014-2016)   |   Estimated Incidence of Breast cancer cases in India- Females State/UT wise (2014-2016) |   Estimated Incidence of Breast cancer cases in India- Females State/UT wise (2014-2016) |   Estimated Incidence of Breast cancer cases in India- Females State/UT wise (2014-2016) |
|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|
| States                                                                                   |                                                                                     2014 |                                                                                     2015 |                                                                                     2016 |
| Jammu &Kashmir                                                                           |                                                                                     1247 |                                                                                     1331 |                                                                                     1421 |
| Himachal Pradesh                                                                         |                                                                                      551 |                                                                                      581 |                                                                                      613 |
| Punjab                                                                                   |                                                                                     2984 |                                                                                     3148 |                                                                                     3321 |
| Chandigarh                                                                               |                                                                                      176 |                                                                                      186 |                                                                                      196 |
| Uttaranchal                                                                              |                                                                                     1070 |                                                                                     1142 |                                                                                     1217 |
| Haryana                                                                                  |                                                                                     2730 |                                                                                     2910 |                                                                                     3103 |
| Delhi                                                                                    |                                                                                     2866 |                                                                                     3020 |                                                                                     3181 |
| Rajasthan                                                                                |                                                                                     6692 |                                                                                     7102 |                                                                                     7536 |
| Uttar Pradesh                                                                            |                                                                                    18889 |                                                                                    20095 |                                                                                    21376 |
| Bihar                                                                                    |                                                                                     8711 |                                                                                     9314 |                                                                                     9958 |
| Sikkim                                                                                   |                                                                                       29 |                                                                                       30 |                                                                                       30 |
| Arunachal Pradesh                                                                        |                                                                                       79 |                                                                                       80 |                                                                                       82 |
| Nagaland                                                                                 |                                                                                       66 |                                                                                       66 |                                                                                       67 |
| Manipur                                                                                  |                                                                                      258 |                                                                                      265 |                                                                                      273 |
| Mizoram                                                                                  |                                                                                       93 |                                                                                       95 |                                                                                       97 |
| Tripura                                                                                  |                                                                                      125 |                                                                                      126 |                                                                                      129 |
| Meghalaya                                                                                |                                                                                      100 |                                                                                      102 |                                                                                      104 |
| Assam                                                                                    |                                                                                     2345 |                                                                                     2376 |                                                                                     2406 |
| West Bengal                                                                              |                                                                                     9712 |                                                                                    10291 |                                                                                    10902 |
| Jharkhand                                                                                |                                                                                     3267 |                                                                                     3484 |                                                                                     3716 |
| Orissa                                                                                   |                                                                                     3756 |                                                                                     3975 |                                                                                     4205 |
| Chhattisgarh                                                                             |                                                                                     2579 |                                                                                     2756 |                                                                                     2944 |
| Madhya Pradesh                                                                           |                                                                                     7374 |                                                                                     7840 |                                                                                     8334 |
| Gujarat                                                                                  |                                                                                     7079 |                                                                                     7527 |                                                                                     8001 |
| Daman &Diu                                                                               |                                                                                       33 |                                                                                       38 |                                                                                       42 |
| Dadra &Nagar Haveli                                                                      |                                                                                       44 |                                                                                       48 |                                                                                       54 |
| Maharashtra                                                                              |                                                                                    13249 |                                                                                    13969 |                                                                                    14726 |
| Telangana                                                                                |                                                                                     4112 |                                                                                     4364 |                                                                                     4633 |
| Andhra Pradesh                                                                           |                                                                                     5258 |                                                                                     5568 |                                                                                     5901 |
| Karnataka                                                                                |                                                                                     7117 |                                                                                     7560 |                                                                                     8029 |
| Goa                                                                                      |                                                                                      208 |                                                                                      220 |                                                                                      233 |
| Lakshadweep                                                                              |                                                                                       12 |                                                                                       13 |                                                                                       14 |
| Kerala                                                                                   |                                                                                     4805 |                                                                                     5222 |                                                                                     5682 |
| Tamil Nadu                                                                               |                                                                                     8758 |                                                                                     9115 |                                                                                     9486 |
| Pondicherry                                                                              |                                                                                      199 |                                                                                      213 |                                                                                      227 |
| Andaman & Nicobar Islands                                                                |                                                                                       39 |                                                                                       42 |                                                                                       44 |
| Total                                                                                    |                                                                                   126612 |                                                                                   134214 |                                                                                   142283 |

## Annexure-I

| Estimated Incidence of Cervical cancer cases in India - Females State/UT wise (2014-2016)   |   Estimated Incidence of Cervical cancer cases in India - Females State/UT wise (2014-2016) |   Estimated Incidence of Cervical cancer cases in India - Females State/UT wise (2014-2016) |   Estimated Incidence of Cervical cancer cases in India - Females State/UT wise (2014-2016) |
|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|
| States                                                                                      |                                                                                        2014 |                                                                                        2015 |                                                                                        2016 |
| Jammu &Kashmir                                                                              |                                                                                        1023 |                                                                                        1042 |                                                                                        1060 |
| Himachal Pradesh                                                                            |                                                                                         595 |                                                                                         598 |                                                                                         603 |
| Punjab                                                                                      |                                                                                        2126 |                                                                                        2142 |                                                                                        2157 |
| Chandigarh                                                                                  |                                                                                          64 |                                                                                          65 |                                                                                          66 |
| Uttaranchal                                                                                 |                                                                                         841 |                                                                                         853 |                                                                                         866 |
| Haryana                                                                                     |                                                                                        1968 |                                                                                        1992 |                                                                                        2018 |
| Delhi                                                                                       |                                                                                        1045 |                                                                                        1059 |                                                                                        1073 |
| Rajasthan                                                                                   |                                                                                        5651 |                                                                                        5721 |                                                                                        5791 |
| Uttar Pradesh                                                                               |                                                                                       16636 |                                                                                       16894 |                                                                                       17156 |
| Bihar                                                                                       |                                                                                        9096 |                                                                                        9274 |                                                                                        9454 |
| Sikkim                                                                                      |                                                                                          23 |                                                                                          23 |                                                                                          24 |
| Arunachal Pradesh                                                                           |                                                                                          67 |                                                                                          68 |                                                                                          70 |
| Nagaland                                                                                    |                                                                                          87 |                                                                                          88 |                                                                                          88 |
| Manipur                                                                                     |                                                                                         131 |                                                                                         134 |                                                                                         138 |
| Mizoram                                                                                     |                                                                                         114 |                                                                                         116 |                                                                                         119 |
| Tripura                                                                                     |                                                                                         154 |                                                                                         156 |                                                                                         159 |
| Meghalaya                                                                                   |                                                                                         114 |                                                                                         117 |                                                                                         119 |
| Assam                                                                                       |                                                                                        1401 |                                                                                        1420 |                                                                                        1438 |
| West Bengal                                                                                 |                                                                                        7336 |                                                                                        7393 |                                                                                        7450 |
| Jharkhand                                                                                   |                                                                                        2808 |                                                                                        2857 |                                                                                        2907 |
| Orissa                                                                                      |                                                                                        3601 |                                                                                        3632 |                                                                                        3662 |
| Chhattisgarh                                                                                |                                                                                        2226 |                                                                                        2264 |                                                                                        2303 |
| Madhya Pradesh                                                                              |                                                                                        6025 |                                                                                        6124 |                                                                                        6222 |
| Gujarat                                                                                     |                                                                                        4696 |                                                                                        4753 |                                                                                        4810 |
| Daman &Diu                                                                                  |                                                                                          15 |                                                                                          16 |                                                                                          17 |
| Dadra &Nagar Haveli                                                                         |                                                                                          26 |                                                                                          28 |                                                                                          29 |
| Maharashtra                                                                                 |                                                                                        8600 |                                                                                        8670 |                                                                                        8741 |
| Telangana                                                                                   |                                                                                        2818 |                                                                                        2842 |                                                                                        2865 |
| Andhra Pradesh                                                                              |                                                                                        4077 |                                                                                        4101 |                                                                                        4129 |
| Karnataka                                                                                   |                                                                                        4915 |                                                                                        4967 |                                                                                        5020 |
| Goa                                                                                         |                                                                                         107 |                                                                                         107 |                                                                                         108 |
| Lakshadweep                                                                                 |                                                                                           5 |                                                                                           5 |                                                                                           5 |
| Kerala                                                                                      |                                                                                        2755 |                                                                                        2799 |                                                                                        2849 |
| Tamil Nadu                                                                                  |                                                                                        5469 |                                                                                        5461 |                                                                                        5452 |
| Pondicherry                                                                                 |                                                                                          99 |                                                                                         100 |                                                                                         103 |
| Andaman & Nicobar Islands                                                                   |                                                                                          28 |                                                                                          28 |                                                                                          28 |
| Total                                                                                       |                                                                                       96742 |                                                                                       97909 |                                                                                       99099 |

## Annexure-II

| Estimated Incidence of Lung cancer cases in India - Males State/UT wise (2014-2016)   |   Estimated Incidence of Lung cancer cases in India - Males State/UT wise (2014-2016) |   Estimated Incidence of Lung cancer cases in India - Males State/UT wise (2014-2016) |   Estimated Incidence of Lung cancer cases in India - Males State/UT wise (2014-2016) |
|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|
| States                                                                                |                                                                                  2014 |                                                                                  2015 |                                                                                  2016 |
| Jammu &Kashmir                                                                        |                                                                                   817 |                                                                                   869 |                                                                                   924 |
| Himachal Pradesh                                                                      |                                                                                   411 |                                                                                   431 |                                                                                   453 |
| Punjab                                                                                |                                                                                  1720 |                                                                                  1804 |                                                                                  1892 |
| Chandigarh                                                                            |                                                                                    69 |                                                                                    73 |                                                                                    77 |
| Uttaranchal                                                                           |                                                                                   624 |                                                                                   662 |                                                                                   701 |
| Haryana                                                                               |                                                                                  1615 |                                                                                  1704 |                                                                                  1798 |
| Delhi                                                                                 |                                                                                  1062 |                                                                                  1117 |                                                                                  1173 |
| Rajasthan                                                                             |                                                                                  4278 |                                                                                  4519 |                                                                                  4773 |
| Uttar Pradesh                                                                         |                                                                                 12699 |                                                                                 13453 |                                                                                 14252 |
| Bihar                                                                                 |                                                                                  6699 |                                                                                  7129 |                                                                                  7587 |
| Sikkim                                                                                |                                                                                    17 |                                                                                    17 |                                                                                    18 |
| Arunachal Pradesh                                                                     |                                                                                    74 |                                                                                    75 |                                                                                    77 |
| Nagaland                                                                              |                                                                                    47 |                                                                                    47 |                                                                                    47 |
| Manipur                                                                               |                                                                                   211 |                                                                                   217 |                                                                                   223 |
| Mizoram                                                                               |                                                                                   123 |                                                                                   125 |                                                                                   128 |
| Tripura                                                                               |                                                                                   216 |                                                                                   219 |                                                                                   222 |
| Meghalaya                                                                             |                                                                                   111 |                                                                                   113 |                                                                                   115 |
| Assam                                                                                 |                                                                                  1319 |                                                                                  1332 |                                                                                  1345 |
| West Bengal                                                                           |                                                                                  5543 |                                                                                  5828 |                                                                                  6127 |
| Jharkhand                                                                             |                                                                                  2071 |                                                                                  2199 |                                                                                  2334 |
| Orissa                                                                                |                                                                                  2517 |                                                                                  2648 |                                                                                  2785 |
| Chhattisgarh                                                                          |                                                                                  1574 |                                                                                  1672 |                                                                                  1776 |
| Madhya Pradesh                                                                        |                                                                                  4572 |                                                                                  4844 |                                                                                  5132 |
| Gujarat                                                                               |                                                                                  3811 |                                                                                  4033 |                                                                                  4269 |
| Daman &Diu                                                                            |                                                                                    25 |                                                                                    29 |                                                                                    34 |
| Dadra &Nagar Haveli                                                                   |                                                                                    26 |                                                                                    28 |                                                                                    31 |
| Maharashtra                                                                           |                                                                                  6900 |                                                                                  7254 |                                                                                  7625 |
| Telangana                                                                             |                                                                                  2107 |                                                                                  2219 |                                                                                  2338 |
| Andhra Pradesh                                                                        |                                                                                  2925 |                                                                                  3070 |                                                                                  3227 |
| Karnataka                                                                             |                                                                                  3708 |                                                                                  3912 |                                                                                  4126 |
| Goa                                                                                   |                                                                                    87 |                                                                                    92 |                                                                                    97 |
| Lakshadweep                                                                           |                                                                                     4 |                                                                                     5 |                                                                                     5 |
| Kerala                                                                                |                                                                                  1951 |                                                                                  2079 |                                                                                  2219 |
| Tamil Nadu                                                                            |                                                                                  4155 |                                                                                  4329 |                                                                                  4509 |
| Pondicherry                                                                           |                                                                                    76 |                                                                                    81 |                                                                                    86 |
| Andaman & Nicobar Islands                                                             |                                                                                    23 |                                                                                    24 |                                                                                    25 |
| Total                                                                                 |                                                                                 74187 |                                                                                 78252 |                                                                                 82550 |

## Annexure-III