Lok Sabha Question No. 1903 (UNSTARRED), answered on 2017-12-29
Subject: Snake Antivenom
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SANKAR PRASAD DATTA

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

LOK SABHA UNSTARRED QUESTION NO. 1903 TO BE ANSWERED ON   29 TH DECEMBER, 2017

## SNAKE ANTIVENOM

## 1903. SHRI SANKAR PRASAD DATTA:

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

- (a)  whether  the  Government  has  formulated  any  policy/scheme  to  provide  snake  antiveno injections/antidotes against poisonous insects/animal bite in the Primary Health Centres and rural hospitals;
- (b) if so, the details thereof and if not, the reasons therefor;
- (c) the number of deaths reported due to non -availability of snake antivenom and anti - rabies injection during the last three years, State/UT -wise; and
- (d) the correcti ve measures taken or proposed to be taken by the Government in this regard?

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

- (a)to  (d) Central  Government  provides  assistance  to  the  States  for  strengthening  of  he infrastructure under the National Health Mission. This facilitates treatment for various and emergencies including snake bites. Health being a State subject, t h  Mini stry has askedthe State s to  procure  anti - snake  venom  serum  under  National  Health  Mission  after  reflecting  the same in the irannual PIP forapproval s.

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

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

Contd………

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

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

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

…………….

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

| Sl.No.   | State /U.T        | 2014   | 2015   | 2016 (Prov.)   | Ref. period from 2016, upto   |
|----------|-------------------|--------|--------|----------------|-------------------------------|
| Sl.No.   | State /U.T        | Deaths | Deaths | Deaths         | Ref. period from 2016, upto   |
| 1        | Andhra Pradesh*   | 61     | 46     | 33             | Dec. 2016                     |
| 2        | Arunachal Pradesh | 0      | 0      | 0              | Dec. 2016                     |
| 3        | Assam             | 0      | 0      | 0              | Dec. 2016                     |
| 4        | Bihar             | 9      | 21     | 11             | Dec. 2016                     |
| 5        | Chhattisgarh      | 26     | 32     | 62             | Dec. 2016                     |
| 6        | Goa               | 3      | 0      | 1              | Dec. 2016                     |
| 7        | Gujarat           | 109    | 78     | 72             | Dec. 2016                     |
| 8        | Haryana           | 6      | 8      | 4              | Dec. 2016                     |
| 9        | Himachal Pradesh  | 19     | 25     | 21             | Dec. 2016                     |
| 10       | Jammu & Kashmir   | 2      | 2      | 0              | Dec. 2016                     |
| 11       | Jharkhand         | 19     | 4      | 15             | Dec. 2016                     |
| 12       | Karnataka         | 75     | 53     | 43             | Dec. 2016                     |
| 13       | Kerala            | 4      | 18     | 11             | Dec. 2016                     |
| 14       | Madhya Pradesh    | 162    | 114    | 113            | Dec. 2016                     |
| 15       | Maharashtra       | 40     | 37     | 67             | Dec. 2016                     |
| 16       | Manipur           | 0      | 0      | 0              | Dec. 2016                     |
| 17       | Meghalaya         | **     | 1      | 0              | Dec. 2016                     |
| 18       | Mizoram           | 0      | 0      | 0              | Dec. 2016                     |
| 19       | Nagaland          | 0      | 0      | 0              | Dec. 2016                     |
| 20       | Odisha            | 196    | 261    | 120            | Dec. 2016                     |
| 21       | Punjab            | 15     | 11     | 8              | Dec. 2016                     |
| 22       | Rajasthan         | 72     | 58     | 34             | Dec. 2016                     |
| 23       | Sikkim            | 0      | 0      | 2              | Dec. 2016                     |
| 24       | Tamil Nadu        | 35     | 74     | 46             | Dec. 2016                     |
| 25       | Telangana         | NA     | 53     | 93             | Oct. 2016                     |
| 26       | Tripura           | 1      | 0      | 1              | Dec. 2016                     |
| 27       | Uttarakhand       | 2      | 1      | 2              | Dec. 2016                     |
| 28       | Uttar Pradesh     | 82     | 78     | 116            | Dec. 2016                     |
| 29       | West Bengal       | 138    | 171    | 138            | Dec. 2016                     |
| 30       | A & N Islands     | 3      | 12     | 0              | Dec. 2016                     |
| 31       | Chandigarh        | 10     | 16     | 36             | Dec. 2016                     |
| 32       | D & N Haveli      | 0      | 3      | 9              | Dec. 2016                     |
| 33       | Daman & Diu       | 0      | 1      | 0              | Dec. 2016                     |
| 34       | Delhi             | 1      | 6      | 1              | Dec. 2016                     |
| 35       | Lakshadweep       | 0      | 0      | 0              | Dec. 2016                     |
| 36       | Puducherry        | 37     | 35     | 5              | Dec. 2016                     |
| Total    |                   | 1127   | 1219   | 1064           |                               |

Source:

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

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

2014: ** Meghalaya data is not available.

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

| S.No.   | State /U.T        | 2014   | 2015   | 2016 (Provisional)   | Ref. period from Jan. upto   |
|---------|-------------------|--------|--------|----------------------|------------------------------|
| S.No.   | State /U.T        | Deaths | Deaths | Deaths               | Ref. period from Jan. upto   |
| 1       | Andhra Pradesh*   | 0      | 1      | 0                    | Dec. 2016                    |
| 2       | Arunachal Pradesh | 0      | 0      | 0                    | Dec. 2016                    |
| 3       | Assam             | 0      | 0      | 0                    | Dec. 2016                    |
| 4       | Bihar             | 0      | 1      | 4                    | Dec. 2016                    |
| 5       | Chhattisgarh      | 2      | 3      | 0                    | Dec. 2016                    |
| 6       | Goa               | 0      | 0      | 0                    | Dec. 2016 exc Sep            |
| 7       | Gujarat           | 0      | 8      | 1                    | Dec. 2016                    |
| 8       | Haryana           | 0      | 0      | 0                    | Dec. 2016                    |
| 9       | Himachal Pradesh  | 1      | 2      | 0                    | Dec. 2016                    |
| 10      | Jammu & Kashmir   | 0      | 0      | 0                    | Dec. 2016                    |
| 11      | Jharkhand         | 0      | 0      | 1                    | Dec. 2016                    |
| 12      | Karnataka         | 11     | 9      | 19                   | Dec. 2016                    |
| 13      | Kerala            | 5      | 7      | 2                    | Dec. 2016                    |
| 14      | Madhya Pradesh    | 2      | 11     | 0                    | Dec. 2016                    |
| 15      | Maharashtra       | 1      | 0      | 1                    | Dec. 2016                    |
| 16      | Manipur           | 0      | 0      | 0                    | Dec. 2016                    |
| 17      | Meghalaya         | 0      | 1      | 0                    | Dec. 2016                    |
| 18      | Mizoram           | 0      | 0      | 0                    | Dec. 2016                    |
| 19      | Nagaland          | 0      | 0      | 0                    | Dec. 2016                    |
| 20      | Odisha            | 3      | 6      | 3                    | Dec. 2016                    |
| 21      | Punjab            | 0      | 0      | 0                    | Dec. 2016                    |
| 22      | Rajasthan         | 0      | 1      | 0                    | Dec. 2016                    |
| 23      | Sikkim            | 0      | 3      | 0                    | Dec. 2016                    |
| 24      | Tamil Nadu        | 5      | 1      | 1                    | Dec. 2016                    |
| 25      | Telangana         | NA     | 0      | 0                    | Oct. 2016                    |
| 26      | Tripura           | 1      | 0      | 3                    | Dec. 2016                    |
| 27      | Uttarakhand       | 6      | 0      | 0                    | Dec. 2016                    |
| 28      | Uttar Pradesh     | 1      | 0      | 0                    | Dec. 2016                    |
| 29      | West Bengal       | 52     | 47     | 47                   | Dec. 2016                    |
| 30      | A & N Islands     | 0      | 0      | 0                    | Dec. 2016                    |
| 31      | Chandigarh        | 0      | 0      | 0                    | Dec. 2016                    |
| 32      | D & N Haveli      | 0      | 0      | 0                    | Dec. 2016                    |
| 33      | Daman & Diu       | 1      | 0      | 0                    | Dec. 2016                    |
| 34      | Delhi             | 13     | 12     | 4                    | Dec. 2016                    |
| 35      | Lakshadweep       | 0      | 0      | 0                    | Dec. 2016                    |
| 36      | Puducherry        | 0      | 0      | 0                    | Dec. 2016                    |
| Total   |                   | 104    | 113    | 86                   |                              |

Source: Monthly Health Condition Reports from Directorate of Health Services of States/UTs Note: 2014: * Excludes data of 10 districts of Telangana from July onwards.