Lok Sabha Question No. 207 (STARRED), answered on 2018-03-09
Subject: Study on Cancer Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KUNWAR HARIBANSH SINGH, SUDHEER GUPTA

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 207 TO BE ANSWERED ON THE 9 TH MARCH, 2018

## STUDY ON CANCER PATI ENTS

## *207. KUNWAR HARIBANSH SINGH: SHRI SUDHEER GUPTA:

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

- (a) the survival rate of various types of cancer patients in the country;
- (b) whether as per the Lancet study, the survival rate of cancer patients includin breast cancer is still low in India as compared to advanced countries;
- (c) if so, the details thereof along with the salient features of the study and the reasons for low survival rate of cancer patients in India;
- (d) the other points highlighted about India in the said study; and
- (e)  whether  the  Government  has launched  any  awareness  programmes  or healthcare schemes for the prevention of cancer and if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

( SMT. ANUPRIYA PATEL)

- (a)to(e): A statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 207* FOR 9 TH MARCH , 2018

…..

(a) to (e ):  According  to  an  article  'Global  surveillance  of  trends  in  cancer  survival  2000 - 14 (CONCORD - 3): published in LANCET, there are differences in survival rates across count The study estimates 5 -year survival for breast cancer as 88.2% in Canada, 68.78% in Thailand 76.5 % in Poland and 66.1% in India.

However,  the  coverage  of Population  in  the  study  is  reported  to  vary  from  higher coverage in European Countries while it is reported to cover about 0.1 % of population i The study has indicated various reasons for variations in survival rate of cancer. The s impre ss  upon  the  need  of  Population  Based  Cancer  Registries  (PBCRs)  to  evaluate  both impact of cancer prevention strategies and the effectiveness of health systems for all diagnosed with cancer.

The cancer survival rate is generally believed to dep end upon amongst others, stage at diagnosis,  stage  of  initiation  of  treatment,  type  and  site  of  cancer,  correct  and treatment. Cancer can be diagnosed and treated at various levels in the Health care system

National  Centre  for  Disease Informatics  and  Research ( NCDIR),  an  institute  under Indian  Council  of  Medical  Research  (ICMR)  is  implementing  National  Cancer  Registry Program.  As  reported  by  ICMR,  estimated  incidence  and  mortality  for  three  years  is Annexure  I  and  II respectively.  NC DIR  has  also  initiated  a  project  on 'Population  Based Cancer Survival on Cancers of Breast, Cervix and Head & Neck" across 28 PBCRs.

(e):  Central  Government  supplements  the  efforts  of  the  State  Government  for  improv healthcare including prevention, diag osis and treatment of Cancer. The objectives of National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Str (NPCDCS)  being  implemented  under  National  Health  Mission  (NHM)  for  interventions  upto district level incl ude awareness generation for Cancer prevention, opportunistic  screening, e detection and referral to an appropriate level institution for treatment. The focus is on of cancer namely breast, cervical and oral cancer.

A population level ini tiative of prevention, control and screening for common NCDs (diabetes hypertension and cancer viz. oral, breast and cervical) has been rolled out in over 150 d the  country  in  2017 - 18  under  NHM,  as  a  part  of  comprehensive  primary  healthcare.  Th e screening activity will generate awareness on risk factors of common NCDs including cancer

The Government of India is implementing 'Strengthening of Tertiary Care for Cancer facilities' Scheme under NPCDCS to assist to establish/set up State Cancer Inst itutes (SCI) and Tertiary Care Cancer Centres (TCCC) in different parts of the country. Oncology in its various a has focus in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasth Suraksha Yojna (PMSSY). Setting up of Nation al Cancer Institute at Jhajjar (Haryana) and 2nd campus of Chittranjan National Cancer Institute, Kolkata has also been approved. All the enhance  the  capacity  for  prevention  and  treatment  of  cancer  in  the  country. Affordable Medicines and Reliable Implants for Treatment(AMRIT) Pharmacies have been set up by HLL Lifecare  Ltd.,  a  Government  of  India  CPSE  to  make  available  drugs  for  cancer  inter - alia  at discounted prices to the patients.

## Annexure - I

| Estimated Incidence of cancer cases in India, Sta te/UT wise -All sites -(2014 to 2016)-Both sexes   |   Estimated Incidence of cancer cases in India, Sta te/UT wise -All sites -(2014 to 2016)-Both sexes |   Estimated Incidence of cancer cases in India, Sta te/UT wise -All sites -(2014 to 2016)-Both sexes |   Estimated Incidence of cancer cases in India, Sta te/UT wise -All sites -(2014 to 2016)-Both sexes |
|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|
| States                                                                                               |                                                                                                 2014 |                                                                                                 2015 |                                                                                                 2016 |
| Jammu & Kashmir                                                                                      |                                                                                                14115 |                                                                                                14864 |                                                                                                15652 |
| Himachal Pradesh                                                                                     |                                                                                                 7425 |                                                                                                 7722 |                                                                                                 8029 |
| Punjab                                                                                               |                                                                                                30002 |                                                                                                31214 |                                                                                                32474 |
| Chandigarh                                                                                           |                                                                                                 1162 |                                                                                                 1217 |                                                                                                 1274 |
| Uttaranchal                                                                                          |                                                                                                11240 |                                                                                                11796 |                                                                                                12381 |
| Haryana                                                                                              |                                                                                                27933 |                                                                                                29240 |                                                                                                30611 |
| Delhi                                                                                                |                                                                                                18356 |                                                                                                19168 |                                                                                                20015 |
| Rajasthan                                                                                            |                                                                                                75642 |                                                                                                79160 |                                                                                                82836 |
| Uttar Pradesh                                                                                        |                                                                                               222615 |                                                                                               233659 |                                                                                               245231 |
| Bihar                                                                                                |                                                                                               117603 |                                                                                               123949 |                                                                                               130628 |
| Sikkim                                                                                               |                                                                                                  467 |                                                                                                  473 |                                                                                                  479 |
| Arunachal Pradesh                                                                                    |                                                                                                 1231 |                                                                                                 1252 |                                                                                                 1272 |
| Nagaland                                                                                             |                                                                                                 1288 |                                                                                                 1294 |                                                                                                 1300 |
| Manipur                                                                                              |                                                                                                 2836 |                                                                                                 2916 |                                                                                                 2998 |
| Mizoram                                                                                              |                                                                                                 1585 |                                                                                                 1618 |                                                                                                 1652 |
| Tripura                                                                                              |                                                                                                 2139 |                                                                                                 2169 |                                                                                                 2199 |
| Meghalaya                                                                                            |                                                                                                 3184 |                                                                                                 3246 |                                                                                                 3311 |
| Assam                                                                                                |                                                                                                31124 |                                                                                                31474 |                                                                                                31825 |
| West Bengal                                                                                          |                                                                                                99339 |                                                                                               103532 |                                                                                               107906 |
| Jharkhand                                                                                            |                                                                                                37031 |                                                                                                38947 |                                                                                                40959 |
| Orissa                                                                                               |                                                                                                45736 |                                                                                                47666 |                                                                                                49674 |
| Chhattisgarh                                                                                         |                                                                                                28738 |                                                                                                30239 |                                                                                                31817 |
| Madhya Pradesh                                                                                       |                                                                                                81034 |                                                                                                85078 |                                                                                                89315 |
| Gujarat                                                                                              |                                                                                                66952 |                                                                                                70171 |                                                                                                73551 |
| Daman & Diu                                                                                          |                                                                                                  339 |                                                                                                  385 |                                                                                                  440 |
| Dadra & Nagar Haveli                                                                                 |                                                                                                  421 |                                                                                                  457 |                                                                                                  497 |
| Maharashtra                                                                                          |                                                                                               122256 |                                                                                               127390 |                                                                                               132726 |
| Telangana                                                                                            |                                                                                                38494 |                                                                                                40177 |                                                                                                41939 |
| Andhra Pradesh                                                                                       |                                                                                                53570 |                                                                                                55776 |                                                                                                58072 |
| Karnataka                                                                                            |                                                                                                67237 |                                                                                                70302 |                                                                                                73511 |
| Goa                                                                                                  |                                                                                                 1587 |                                                                                                 1655 |                                                                                                 1726 |
| Lakshadweep                                                                                          |                                                                                                   77 |                                                                                                   82 |                                                                                                   89 |
| Kerala                                                                                               |                                                                                                37550 |                                                                                                39672 |                                                                                                42004 |
| Tamil Nadu                                                                                           |                                                                                                76091 |                                                                                                78512 |                                                                                                80999 |
| Pondicherry                                                                                          |                                                                                                 1428 |                                                                                                 1510 |                                                                                                 1596 |
| Andaman & Nicobar Islands                                                                            |                                                                                                  402 |                                                                                                  415 |                                                                                                  429 |
| Total                                                                                                |                                                                                              1328229 |                                                                                              1388397 |                                                                                              1451417 |

## Annexure - II

| Estimated Mortality of cancer cases in India, State / UT wise -All sites -(2014 to 2016) -Both sexes   |   Estimated Mortality of cancer cases in India, State / UT wise -All sites -(2014 to 2016) -Both sexes |   Estimated Mortality of cancer cases in India, State / UT wise -All sites -(2014 to 2016) -Both sexes |   Estimated Mortality of cancer cases in India, State / UT wise -All sites -(2014 to 2016) -Both sexes |
|--------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------|
| States                                                                                                 |                                                                                                   2014 |                                                                                                   2015 |                                                                                                   2016 |
| Jammu & Kashmir                                                                                        |                                                                                                   7144 |                                                                                                   7525 |                                                                                                   7925 |
| Himachal Pradesh                                                                                       |                                                                                                   3742 |                                                                                                   3893 |                                                                                                   4048 |
| Punjab                                                                                                 |                                                                                                  15171 |                                                                                                  15784 |                                                                                                  16423 |
| Chandigarh                                                                                             |                                                                                                    590 |                                                                                                    618 |                                                                                                    646 |
| Uttaranchal                                                                                            |                                                                                                   5667 |                                                                                                   5949 |                                                                                                   6245 |
| Haryana                                                                                                |                                                                                                  14135 |                                                                                                  14797 |                                                                                                  15491 |
| Delhi                                                                                                  |                                                                                                   9290 |                                                                                                   9699 |                                                                                                  10127 |
| Rajasthan                                                                                              |                                                                                                  38202 |                                                                                                  39985 |                                                                                                  41848 |
| Uttar Pradesh                                                                                          |                                                                                                 112514 |                                                                                                 118115 |                                                                                                 123985 |
| Bihar                                                                                                  |                                                                                                  59431 |                                                                                                  62651 |                                                                                                  66040 |
| Sikkim                                                                                                 |                                                                                                    236 |                                                                                                    240 |                                                                                                    242 |
| Arunachal Pradesh                                                                                      |                                                                                                    628 |                                                                                                    638 |                                                                                                    649 |
| Nagaland                                                                                               |                                                                                                    662 |                                                                                                    665 |                                                                                                    667 |
| Manipur                                                                                                |                                                                                                   1419 |                                                                                                   1460 |                                                                                                   1500 |
| Mizoram                                                                                                |                                                                                                    808 |                                                                                                    824 |                                                                                                    841 |
| Tripura                                                                                                |                                                                                                   1094 |                                                                                                   1109 |                                                                                                   1125 |
| Meghalaya                                                                                              |                                                                                                   1644 |                                                                                                   1676 |                                                                                                   1710 |
| Assam                                                                                                  |                                                                                                  15853 |                                                                                                  16029 |                                                                                                  16206 |
| West Bengal                                                                                            |                                                                                                  50110 |                                                                                                  52231 |                                                                                                  54443 |
| Jharkhand                                                                                              |                                                                                                  18683 |                                                                                                  19653 |                                                                                                  20671 |
| Orissa                                                                                                 |                                                                                                  23043 |                                                                                                  24019 |                                                                                                  25035 |
| Chhattisgarh                                                                                           |                                                                                                  14472 |                                                                                                  15231 |                                                                                                  16030 |
| Madhya Pradesh                                                                                         |                                                                                                  40917 |                                                                                                  42964 |                                                                                                  45110 |
| Gujarat                                                                                                |                                                                                                  33832 |                                                                                                  35466 |                                                                                                  37182 |
| Daman & Diu                                                                                            |                                                                                                    176 |                                                                                                    200 |                                                                                                    229 |
| Dadra & Nagar Haveli                                                                                   |                                                                                                    215 |                                                                                                    233 |                                                                                                    254 |
| Maharashtra                                                                                            |                                                                                                  61732 |                                                                                                  64332 |                                                                                                  67035 |
| Telangana                                                                                              |                                                                                                  19385 |                                                                                                  20235 |                                                                                                  21126 |
| Andhra Pradesh                                                                                         |                                                                                                  26970 |                                                                                                  28082 |                                                                                                  29244 |
| Karnataka                                                                                              |                                                                                                  33881 |                                                                                                  35430 |                                                                                                  37052 |
| Goa                                                                                                    |                                                                                                    799 |                                                                                                    834 |                                                                                                    870 |
| Lakshadweep                                                                                            |                                                                                                     39 |                                                                                                     42 |                                                                                                     45 |
| Kerala                                                                                                 |                                                                                                  18827 |                                                                                                  19892 |                                                                                                  21062 |
| Tamil Nadu                                                                                             |                                                                                                  38310 |                                                                                                  39537 |                                                                                                  40796 |
| Pondicherry                                                                                            |                                                                                                    717 |                                                                                                    759 |                                                                                                    802 |

| Andaman & Nicobar Islands   |    203 |    210 |    217 |
|-----------------------------|--------|--------|--------|
| Total                       | 670541 | 701007 | 732921 |