Lok Sabha Question No. 4705 (UNSTARRED), answered on 2018-03-23
Subject: Chronic Kidney Disease
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KINJARAPU RAM MOHAN NAIDU

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

LOK SABHA UNSTARRED QUESTION NO. 4705 TO BE ANSWERED ON 23 rd MARCH, 2018

## CHRONIC KIDNEY DISEA SE

## 4705. SHRI RAM MOHAN NAIDU KINJARAPU:

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

- (a) whether Chronic Kidney Disease (CKD) has become a matter of serious concern in the coastal  districts  of  Andhra Pradesh  and  if  so,  the  number  of  cases recorded  and  deaths occurred duri ng the last three years, year -wise;
- (b) the details of steps taken by the Government in this regard;
- (c) whether there is any proposal to set up a permanent research centre and a super - speciality hospital and if so, the details thereof; and
- (d) whether the  Government  proposes to provide any financial help for treatment of such patients and if so, the details thereof?

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

- (a) : Government  is  aware  that  several  st udies  indicated  burden  of  Chronic  Kidney Diseases (CKD) in the coastal areas of Andhra Pradesh particularly in Srikakulam Dis As  per  information  received  from  Government  of  Andhra  Pradesh  the  cases  and  death reported during the last 3 years are as follows;
- (b): A central team visited the Srikakulam District of Andhra Pradesh to investigat burden of CKD, however no single causative aetiology was found by the team.

| Particulars   |   Acute Renal |   Acute Renal |   Acute Renal |   failureChronic Renal |   failureChronic Renal |   failureChronic Renal |
|---------------|---------------|---------------|---------------|------------------------|------------------------|------------------------|
| Particulars   |          2015 |          2016 |          2017 |                   2015 |                   2016 |                   2017 |
| Cases         |          2622 |          3380 |         12918 |                   4297 |                   3592 |                  26674 |
| Deaths        |            78 |            90 |           238 |                     37 |                     77 |                    351 |

As  informed  by Indian  Council  of  Medical  Research  (ICMR),  the  State Government  of  Andhra  Pradesh  in  collaboration  with  ICMR  launched  a  Grand  Challenge Scheme to assess and fi nd out the cause of Chronic Kidney Disease of unknown aetiology (CKDu) in Srikakulam District of Andhra Pradesh.

Support  under  the  National  Health  Mission  (NHM)  is  also  being  provided  to States  for  provision  of  dialysis  services  free  of  cost  to  the poor  under  Pradhan  Mantri National Dialysis Programme.  Such support is based on the proposals received from St in their annual Programme Implementation Plans (PIPs).  Funds to the tune of Rs.1129 lakh  has  been  approved  to  Government  of  Andhra  Pra desh  under  this  programme  during 2017- 18.

Many of the risk factors for CKD are common with other common NCDs such as Cancer, Diabetes, Cardiovascular Disease, etc.  Interventions for Chronic Kidney Dis have been included under the National Progr amme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) under of National Health Mission.

As informed by the State Government of Andhra Pradesh, the following steps hav been undertaken by the  State Governme nt in the affected areas:

- (i) Dialysis Centres are available at 3 Hospitals in Srikakulam District and 5 Hospi Prakasam District.
- (ii) 15 Special Mobile Medical Clinics are functioning in Uddanam Area of Srikakulam District for early detection and manageme nt of CKDu.
- (iii)Safe  drinking  water  is  provided  to  the  affected  areas  through  NTR  SujalaSravan programme
- (iv) IT  support  and  tracking  of  renal  failure  patients  through  Aadhaar  linkage  has established and functioning without any dropouts.
- (v) Telephonic  /  Web  b ased  systems  are  used  to  reduce  travel  of  the  patients  an progression of the disease by timely follow up and consultation with Doctors.

(c): As  informed  by  the  Government  of  Andhra  Pradesh,  the  State  Government  has approved establishment of a dedicated K idney Disease Research Institute at Srikakulam.

(d): Financial  assistance  is  provided  under  Rashtriya  Arogya  Nidhi  (RAN)  and  Healt Minister's  Discretionary  Grant  (HMDG)  Schemes  to  patients  living  Below  Poverty  Line (BPL) who are suffering from major life threatening diseases like cancer, kidney problem, liver problem, etc. to receive medical treatment in Government Hospitals.

As informed by the State Government of Andhra Pradesh, the State has sanctione pension @ Rs.2,500/ -per month to the patient s affected with Chronic Kidney disease (CKD) Stage -III, IV and V and those who are undergoing dialysis in Government Hospitals.