Lok Sabha Question No. 4334 (UNSTARRED), answered on 2017-08-11
Subject: Integrated Disease Surveillance Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: VIJAYSINH MOHITE PATIL, SUPRIYA SADANAND SULE, JAYAKUMAR JAYAVARDHAN, RAJEEV SHANKARRAO SATAV, HEENA VIJAYKUMAR GAVIT

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

LOK SABHA UNSTARRED QUESTION NO. 4334 TO BE ANSWERED ON   11 TH AUGUST, 2017

## INTEGRATED DISEASE S URVEILLANCE PROGRAMME

## 4334. SHRI MOHITE PATIL VIJAYSINH SHANKARRAO:

SHRIMATI SUPRIYA SULE:

DR. J. JAYAVARDHAN:

SHRI SATAV RAJEEV:

DR. HEENA VIJAYKUMAR GAVIT:

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

- (a)  whether  the  Government  has  rolled out  a  scheme  called  Integrated  Disease Surveillance Programme  (IDSP)  to  promote surveillance  of  the  disease  trends  and collection  of  data  on diseases;
- (b) if so, the details and objectives th reof;
- (c) the challenges faced by the Government in the implementation of the scheme;
- (d) the steps taken by the Government to overcome the difficulties in the implementation of the scheme;
- (e)  whether  there  is  any  improvement in  the  related  indices  after  the implementation  of  the scheme;
- (f) if so, the State -wise distribution of the related ind ices; and
- (g) whether the Government proposes to roll out policies for promoting surveillance systems for tracking the trends in disease and if so, the details thereof?

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

(a) & (b): Yes, Government of India initiated Integrated Disease Surveillance Programm (IDSP) with the aim to detect and respond to disease outbreaks due to epidemic prone dise the earliest.   Under IDSP the districts and States hav e been strengthened by providing additional manpower,  training  of  identified  Rapid  Response  Teams  (RRT)  members  for  outbreak investigations,  strengthening  of  laboratories  for  detection  of  epidemic  prone  diseas equipment for data entry, analysis and data transfer, and provision of funds for operationalization. Under IDSP, Surveillance units have been established in all State and Distr Headquarters (SSUs, DSUs). Central Surveillance Unit (CSU) is integrated with the Nati Centre for Disease Contr l (NCDC), Delhi.

Routine data is collected using three specified reporting formats, namely 'S' (suspected cases by Health Workers), 'P' (presumptive cases by Doctors) and 'L' (laboratory confirmed cases by Laboratories).The weekly data gives trends of early rising trends of disease outbreaks which is reported and responded by trained Rapid Response Teams (RRT) at district/State le

On  an  average  30 - 35  outbreaks  get  reported  every  week  to  Central  Surveillance  Unit (CSU).

- (c) : The key challenges o r constraints include:
1. High vacant positions of key contractual human resources (Epidemiologists, Entomologi Veterinary Consultant, Microbiologists, Data Manager) in many districts/States.
2. Despite, funds being approved to States to strengthen distri ct health laboratories, States are not  able  to  procure  equipments  and/or  recruit  microbiologists  leading  to  either performance of these labs or non functionality.
3. Poor reporting from Urban Areas.
- (d): Steps taken by the Government to overcome the difficulties include :
- a. Since  2010,  recruitment  of  manpower  has  been  decentralized  to  States  in  order  to vacancies at State level.
- b. During annual State reviews, States are requested to strengthen laboratories by rec Microbiologist and procure equipments as per IDSP mandate. Required guidelines for same are provided by the Centre.
- c. IDSP is a stakeholder in National Urban Healt h Mission (NUHM) for urban surveillance.
- (e) & (f): Yes, the number of outbreaks detected and responded by Districts/States can an indicator of improvement of surveillance system. The total numbers of outbreaks detect responded over the years ha ve been given below.

| Year                     | Number of outbreaks reported and responded to by Districts/States   |
|--------------------------|---------------------------------------------------------------------|
| 2008                     | 553                                                                 |
| 2009                     | 799                                                                 |
| 2010                     | 990                                                                 |
| 2011                     | 1675                                                                |
| 2012                     | 1584                                                                |
| 2013                     | 1964                                                                |
| 2014                     | 1562                                                                |
| 2015                     | 1935                                                                |
| 2016                     | 2679                                                                |
| 2017 (till th July 2017) | 9 995                                                               |

Year wise and State wise number of disease outbreaks as reported and responded by IDSP are annexed.

- (g) : Yes, under IDSP data is collected in 'S' (Syndromic cases), 'P' (Presumptive cases) and 'L' (Laboratory confirmed cases) formats to detect the trends of epidemic prone disea ses and responded by trained Rapid Response Teams (RRTs) in rising trends.

## Annexure

| State wise no of outbreaks reported under IDSP during 2008-2017 till 09th July 2017   |   State wise no of outbreaks reported under IDSP during 2008-2017 till 09th July 2017 |   State wise no of outbreaks reported under IDSP during 2008-2017 till 09th July 2017 |   State wise no of outbreaks reported under IDSP during 2008-2017 till 09th July 2017 |   State wise no of outbreaks reported under IDSP during 2008-2017 till 09th July 2017 |   State wise no of outbreaks reported under IDSP during 2008-2017 till 09th July 2017 |   State wise no of outbreaks reported under IDSP during 2008-2017 till 09th July 2017 |   State wise no of outbreaks reported under IDSP during 2008-2017 till 09th July 2017 |   State wise no of outbreaks reported under IDSP during 2008-2017 till 09th July 2017 |   State wise no of outbreaks reported under IDSP during 2008-2017 till 09th July 2017 |   State wise no of outbreaks reported under IDSP during 2008-2017 till 09th July 2017 |
|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|
| State                                                                                 |                                                                                  2008 |                                                                                  2009 |                                                                                  2010 |                                                                                  2011 |                                                                                  2012 |                                                                                  2013 |                                                                                  2014 |                                                                                  2015 |                                                                                  2016 |                                                                                  2017 |
| Andaman & Nicobar Islands                                                             |                                                                                     0 |                                                                                     0 |                                                                                     0 |                                                                                     0 |                                                                                     0 |                                                                                     1 |                                                                                     0 |                                                                                     0 |                                                                                     0 |                                                                                     0 |
| Andhra Pradesh                                                                        |                                                                                    72 |                                                                                    64 |                                                                                    75 |                                                                                    91 |                                                                                    97 |                                                                                   123 |                                                                                    64 |                                                                                    51 |                                                                                    53 |                                                                                    22 |
| Arunachal Pradesh                                                                     |                                                                                     6 |                                                                                     6 |                                                                                     6 |                                                                                    10 |                                                                                     9 |                                                                                     7 |                                                                                     8 |                                                                                    21 |                                                                                    28 |                                                                                     7 |
| Assam                                                                                 |                                                                                    16 |                                                                                    30 |                                                                                    53 |                                                                                    97 |                                                                                    75 |                                                                                    70 |                                                                                    82 |                                                                                    73 |                                                                                   103 |                                                                                    54 |
| Bihar                                                                                 |                                                                                     1 |                                                                                     6 |                                                                                    21 |                                                                                   144 |                                                                                   181 |                                                                                   134 |                                                                                    88 |                                                                                   121 |                                                                                   255 |                                                                                    84 |
| Chandigarh                                                                            |                                                                                     3 |                                                                                     3 |                                                                                     2 |                                                                                     1 |                                                                                     5 |                                                                                     0 |                                                                                     0 |                                                                                     7 |                                                                                     2 |                                                                                     3 |
| Chhattisgarh                                                                          |                                                                                     1 |                                                                                     7 |                                                                                     2 |                                                                                    55 |                                                                                    45 |                                                                                    58 |                                                                                    50 |                                                                                    50 |                                                                                   120 |                                                                                    29 |
| Dadra &Nagar Haveli                                                                   |                                                                                     0 |                                                                                     0 |                                                                                     1 |                                                                                     0 |                                                                                     0 |                                                                                     2 |                                                                                     3 |                                                                                    17 |                                                                                    17 |                                                                                     1 |
| Daman &Diu                                                                            |                                                                                     0 |                                                                                     1 |                                                                                     1 |                                                                                     0 |                                                                                     2 |                                                                                     0 |                                                                                     0 |                                                                                     3 |                                                                                     2 |                                                                                     1 |
| Delhi                                                                                 |                                                                                     3 |                                                                                     1 |                                                                                     0 |                                                                                     3 |                                                                                     1 |                                                                                     4 |                                                                                     4 |                                                                                    13 |                                                                                    22 |                                                                                     0 |
| Goa                                                                                   |                                                                                     2 |                                                                                     3 |                                                                                     0 |                                                                                     2 |                                                                                     1 |                                                                                     8 |                                                                                     0 |                                                                                     6 |                                                                                     2 |                                                                                     0 |
| Gujarat                                                                               |                                                                                    24 |                                                                                    49 |                                                                                    83 |                                                                                   150 |                                                                                   102 |                                                                                   117 |                                                                                   109 |                                                                                   121 |                                                                                   148 |                                                                                    70 |
| Haryana                                                                               |                                                                                    10 |                                                                                     9 |                                                                                    18 |                                                                                    21 |                                                                                    19 |                                                                                    15 |                                                                                    27 |                                                                                    28 |                                                                                    17 |                                                                                     8 |
| Himachal Pradesh                                                                      |                                                                                     3 |                                                                                    13 |                                                                                     7 |                                                                                     4 |                                                                                    13 |                                                                                     5 |                                                                                    11 |                                                                                    27 |                                                                                    11 |                                                                                     9 |
| Jammu &Kashmir                                                                        |                                                                                     0 |                                                                                     0 |                                                                                     2 |                                                                                    23 |                                                                                    43 |                                                                                    54 |                                                                                    33 |                                                                                    43 |                                                                                    56 |                                                                                    22 |
| Jharkhand                                                                             |                                                                                     0 |                                                                                     5 |                                                                                     4 |                                                                                    29 |                                                                                    24 |                                                                                    50 |                                                                                    53 |                                                                                    66 |                                                                                    84 |                                                                                    35 |
| Karnataka                                                                             |                                                                                    54 |                                                                                    97 |                                                                                    89 |                                                                                   196 |                                                                                   156 |                                                                                   251 |                                                                                   163 |                                                                                   175 |                                                                                   238 |                                                                                   119 |
| Kerala                                                                                |                                                                                    17 |                                                                                    47 |                                                                                    54 |                                                                                    56 |                                                                                    80 |                                                                                    76 |                                                                                    74 |                                                                                    98 |                                                                                   112 |                                                                                    56 |
| Lakshadweep                                                                           |                                                                                     0 |                                                                                     0 |                                                                                     0 |                                                                                     0 |                                                                                     0 |                                                                                     0 |                                                                                     2 |                                                                                     2 |                                                                                     1 |                                                                                     0 |
| Madhya Pradesh                                                                        |                                                                                    16 |                                                                                    65 |                                                                                    70 |                                                                                    89 |                                                                                    65 |                                                                                    98 |                                                                                    83 |                                                                                   150 |                                                                                   165 |                                                                                    47 |
| Maharashtra                                                                           |                                                                                    99 |                                                                                    27 |                                                                                    65 |                                                                                   141 |                                                                                   215 |                                                                                   256 |                                                                                   205 |                                                                                   195 |                                                                                   217 |                                                                                    78 |
| Manipur                                                                               |                                                                                     1 |                                                                                     2 |                                                                                     2 |                                                                                     4 |                                                                                     1 |                                                                                     4 |                                                                                     4 |                                                                                     5 |                                                                                     6 |                                                                                     3 |
| Meghalaya                                                                             |                                                                                     5 |                                                                                     3 |                                                                                     2 |                                                                                     1 |                                                                                     1 |                                                                                     1 |                                                                                     3 |                                                                                    14 |                                                                                     9 |                                                                                     5 |
| Mizoram                                                                               |                                                                                     5 |                                                                                     0 |                                                                                     0 |                                                                                     0 |                                                                                     1 |                                                                                     1 |                                                                                     2 |                                                                                     6 |                                                                                     9 |                                                                                     0 |
| Nagaland                                                                              |                                                                                     0 |                                                                                     1 |                                                                                     2 |                                                                                     1 |                                                                                     0 |                                                                                     1 |                                                                                     1 |                                                                                     2 |                                                                                     4 |                                                                                     5 |
| Odisha                                                                                |                                                                                    17 |                                                                                    38 |                                                                                    19 |                                                                                    55 |                                                                                    36 |                                                                                   113 |                                                                                    87 |                                                                                    81 |                                                                                   186 |                                                                                    50 |
| Puducherry                                                                            |                                                                                     3 |                                                                                     2 |                                                                                     4 |                                                                                     1 |                                                                                     2 |                                                                                     0 |                                                                                     5 |                                                                                     1 |                                                                                     4 |                                                                                     2 |
| Punjab                                                                                |                                                                                    17 |                                                                                    22 |                                                                                    18 |                                                                                    44 |                                                                                    34 |                                                                                    24 |                                                                                    21 |                                                                                    45 |                                                                                    77 |                                                                                    24 |
| Rajasthan                                                                             |                                                                                     8 |                                                                                    43 |                                                                                    84 |                                                                                    68 |                                                                                    41 |                                                                                    33 |                                                                                    33 |                                                                                    63 |                                                                                    98 |                                                                                    34 |
| Sikkim                                                                                |                                                                                     3 |                                                                                     0 |                                                                                     2 |                                                                                     4 |                                                                                     1 |                                                                                     3 |                                                                                     3 |                                                                                     4 |                                                                                     3 |                                                                                     1 |
| Tamil Nadu                                                                            |                                                                                    50 |                                                                                   113 |                                                                                    90 |                                                                                   127 |                                                                                   173 |                                                                                   149 |                                                                                   122 |                                                                                   123 |                                                                                   110 |                                                                                    69 |
| Telangana                                                                             |                                                                                     0 |                                                                                     0 |                                                                                     0 |                                                                                     0 |                                                                                     0 |                                                                                     0 |                                                                                     7 |                                                                                    30 |                                                                                    57 |                                                                                    15 |
| Tripura                                                                               |                                                                                     1 |                                                                                     2 |                                                                                     2 |                                                                                     7 |                                                                                     3 |                                                                                     4 |                                                                                    13 |                                                                                     8 |                                                                                     1 |                                                                                     7 |
| Uttar Pradesh                                                                         |                                                                                    40 |                                                                                    67 |                                                                                    98 |                                                                                    34 |                                                                                    40 |                                                                                    37 |                                                                                    35 |                                                                                   120 |                                                                                   239 |                                                                                   112 |
| Uttarakhand                                                                           |                                                                                    27 |                                                                                    30 |                                                                                    25 |                                                                                    36 |                                                                                    23 |                                                                                    33 |                                                                                    19 |                                                                                    20 |                                                                                    17 |                                                                                     8 |
| West Bengal                                                                           |                                                                                    49 |                                                                                    43 |                                                                                    89 |                                                                                   181 |                                                                                    95 |                                                                                   232 |                                                                                   148 |                                                                                   146 |                                                                                   206 |                                                                                    15 |
| Total                                                                                 |                                                                                   553 |                                                                                   799 |                                                                                   990 |                                                                                  1675 |                                                                                  1584 |                                                                                  1964 |                                                                                  1562 |                                                                                  1935 |                                                                                  2679 |                                                                                   995 |