Lok Sabha Question No. 4099 (UNSTARRED), answered on 2016-12-09
Subject: Scrub Typhus Disease
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ANURAG SINGH THAKUR

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

## LOK SABHA UNSTARRED QUESTION NO. 4099 TO BE ANSWERED ON 9 TH DECEMBER, 2016

## SCRUB TYPHUS DISEASE

## 4099. SHRI ANURAG SINGH THAKUR:

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

(a) whether there has been an outbreak of the Scrub Typhus disease in the country particularly in Himachal Pradesh;

(b) if so, the details thereof;

(c) whether the Government has taken any steps to support the State Governments in tackling the outbreak of the disease; and

(d) if so, the details thereof?

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

(SMT. ANUPRIYA PATEL)

(a) & (b): As  per World  Health  Organization , a  disease  outbreak is  defined as  the occurrence  of  cases  of  disease  in  excess  of  what  would  normally  be  expected  in  a  de community, geographical area or season. The year wise data of outbreak of Scrub typhus 2012 as shared by State Surveillance Unit Himachal Pradesh is as under:

| Year   | Scrub Typhus*   | Scrub Typhus*   |
|--------|-----------------|-----------------|
|        | Positive cases  | Death           |
| 2012   | 1549            | 36              |
| 2013   | 1928            | 30              |
| 2014   | 1018            | 13              |
| 2015   | 1040            | 28              |
| 2016*  | 1169            | 37              |

*Data till 1 st December 2016.

(c) & (d): The  Ministry  of  Health  and  Family  Welfare  is  implementing  the Integrated Disease  Surveillance  Programme  (IDSP)  in  all  States/UTs  with  the  objective  to  detect respond to disease outbreaks in epidemic prone areas .  To  support  the  States/UTs  in  outbreak investigation, they are provided with additional manpower, train ing of identified Rapid Response Team (RRT) members for outbreak investigations, strengthening of laboratories for detecti epidemic prone diseases, ICT equipment for data entry, analysis and data transfer, and pr of funds for operationalization . The details of funds released and expenditure incurred by the State under IDSP during the last three years are given in annexure.    A CD Alert on Scrub typhus has b prepared a nd is available on the NCDC website.

## Statement showing the Release of Grant

## ANNEXURE

## Integrated Disease Surveillance Programme -in - Aid & Expenditure Status for last 3 years (as on 21.11.16)

(Rs. In Lakhs)

| Sl No.   | Name of State             | 2014-15                      | 2014-15              | 2015-16                       | 2015-16              | 2016-17                      | 2016-17               |
|----------|---------------------------|------------------------------|----------------------|-------------------------------|----------------------|------------------------------|-----------------------|
| Sl No.   | Name of State             | Release of Grant- in -Aid ** | Expenditure Reported | Release of Grant- in - Aid ** | Expenditure Reported | Release of Grant- in - Aid** | Expenditure Reported* |
| 1        | Andhra Pradesh            | 122.48                       | 167.45               | 112.50                        | 190.00               |                              | 54.43                 |
| 2        | Gujarat                   | 400.00                       | 549.25               | 325.00                        | 547.62               | 262.50                       | 90.08                 |
| 3        | Karnataka                 | 270.50                       | 374.59               | 300.00                        | 425.13               | 160.00                       | 164.74                |
| 4        | Maharashtra               | 280.00                       | 248.59               | 225.00                        | 240.49               |                              | 40.74                 |
| 5        | Punjab                    | 168.75                       | 281.94               | 325.92                        | 375.94               | 157.50                       | 383.00                |
| 6        | Rajasthan                 | 325.00                       | 328.44               | 325.00                        | 477.72               | 262.50                       | 123.92                |
| 7        | Tamil Nadu                | 325.00                       | 401.18               | 350.00                        | 499.91               | 330.00                       | 206.04                |
| 8        | Uttarakhand               | 45.00                        | 172.73               | 200.00                        | 214.87               | 187.50                       |                       |
| 9        | West Bengal               | 250.00                       | 182.70               | 200.00                        | 215.90               | 100.00                       | 114.52                |
| 10       | Andaman & Nicobar Islands | 9.00                         | 12.91                | 5.25                          | 24.19                |                              |                       |
| 11       | Bihar                     | 200.00                       | 263.63               | 210.00                        | 272.24               |                              | 27.48                 |
| 12       | Chandigarh                | 40.00                        | 28.33                | 23.25                         | 41.06                | 30.00                        | 15.09                 |
| 13       | Chhattisgarh              | 60.00                        | 134.84               | 200.00                        | 155.35               | 150.00                       | 74.01                 |
| 14       | Dadra & Nagar Haveli      | 21.00                        | 27.80                | 32.17                         | 43.13                | 17.50                        | 27.34                 |
| 15       | Daman & Diu               | 6.01                         | 24.75                | 50.00                         | 33.70                |                              | 7.49                  |
| 16       | Delhi                     | 56.25                        | 93.87                | 105.00                        | 81.50                | 75.00                        | 35.78                 |
| 17       | Goa                       | 45.00                        | 43.80                | 40.00                         | 43.91                |                              | 23.20                 |
| 18       | Haryana                   | 150.00                       | 178.65               | 180.00                        | 150.02               | 150.00                       | 31.59                 |
| 19       | Himachal                  | 70.00                        | 62.91                | 70.00                         | 64.22                | 60.00                        | 22.19                 |
| 20       | Pradesh Jammu & Kashmir   | 127.50                       | 128.74               | 250.00                        | 226.95               | 187.50                       | 56.36                 |
| 21       | Jharkhand                 | 112.50                       | 120.66               | 220.00                        | 204.24               |                              | 65.94                 |
| 22       | Kerala                    | 101.25                       | 130.14               | 150.00                        | 130.07               | 127.50                       | 64.62                 |
| 23       | Lakshadweep               |                              | 2.63                 |                               | 1.09                 |                              | 0.37                  |
| 24       | Madhya Pradesh            | 350.00                       | 364.60               | 300.00                        | 399.12               | 150.00                       |                       |
| 25       | Odisha                    | 350.00                       | 297.76               | 325.00                        | 351.82               |                              |                       |
| 26       | Puducherry                | 70.00                        | 61.26                | 65.00                         | 74.93                | 37.50                        | 8.97                  |
| 27       | Uttar Pradesh             | 300.00                       | 479.91               | 300.00                        | 270.62               | 337.50                       |                       |
| 28       | Telangana                 | 87.53                        | 128.35               | 125.00                        | 156.79               |                              | 71.01                 |
| 29       | Arunachal Pradesh         | 152.24                       | 129.57               | 220.00                        | 273.96               |                              |                       |
| 30       | Assam                     | 206.25                       | 305.12               | 404.00                        | 398.19               | 187.50                       | 49.98                 |
| 31       | Manipur                   | 96.25                        | 87.95                | 75.00                         | 94.40                | 75.00                        | 31.24                 |
| 32       | Meghalaya                 | 45.00                        | 39.60                | 100.00                        | 76.95                | 52.50                        | 27.15                 |
| 33       | Mizoram                   | 97.50                        | 80.23                | 100.00                        | 96.05                |                              | 47.05                 |
| 34       | Nagaland                  | 120.00                       | 108.38               | 150.00                        | 192.37               |                              | 0.50                  |
| 35       | Sikkim                    | 50.00                        | 48.92                | 40.00                         | 45.45                |                              | 21.10                 |
| 36       | Tripura                   | 50.00                        | 44.81                | 40.00                         | 39.32                |                              | 16.76                 |
| Total    | Total                     | 5160.01                      | 6136.99              | 6143.09                       | 7129.22              | 3097.50                      | 1902.69               |

Note : * Expenditure Reported based on Financial Monitoring Report .

: **The State Share & Interest received by the States & Union     Territories are not included in the Release of Grant -in - Aid