Lok Sabha Question No. 224 (UNSTARRED), answered on 2017-12-15
Subject: 90-90-90 Targets by 2035
Ministry: HEALTH AND FAMILY WELFARE
Asked by: (ADV.) JOICE GEORGE, K. ASHOK KUMAR, CH. MALLA REDDY, M. UDHAYAKUMAR, KULAMANI SAMAL, PARVESH SAHIB SINGH, RAYAPATI SAMBASIVA RAO, FEROZE VARUN GANDHI, SANJAY JAISWAL, ANIRUDHAN SAMPATH

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

LOK SABHA UNSTARRED QUESTION NO. 224 TO BE ANSWERED ON   15 TH DECEMBER, 2017

## 90- 90- 90 TARGETS BY 2035

## 224. ADV. JOICE GEORGE:

SHRI K. ASHOK KUMAR:

SHRI CH. MALLA REDDY:

ADV. M. UDHAYAKUMAR:

DR. KULAMANI SAMAL:

SHRI PARVESH SAHIB SINGH:

SHRI RAYAPATI SAMBASIVA RAO:

SHRI FEROZE VARUN GANDHI:

DR. SANJAY JAISWAL:

DR. A. SAMPATH:

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

- (a)  whether as  per  the  report  of  World Health  Organisation  (WHO)  deaths attributable  to tuberculosis in India has declined by 12 per cent since last year even though the number of new cases have increased by a five per cent and if so, the details thereof;
- (b)whether India accounts for about 32 per cent of deaths due to this disease in the world and if so, the details thereof along with the number of deaths recorded during the last three years and the current year, State/UT and year - wise;
- (c) whether the Gover nment hasintroduced Daily Drug Regimen for the treatment of TB under the Revised National TB Control Programme (RNTCP), if so, the details thereof along with the incidence of TB Cases and mortality as a result thereof during the said period; and
- (d) whet her Multi Drug Resistant TB (MDR - TB)  and HIV associated TB have become major health security threat and if so, the details thereof along with the corrective measures taken by theGovernment to facilitate the treatment along with the impact of schemes/progr ammes implemented to control TB and the details of strategic plan being worked out for elimination of TB from the country; and 69 70
- (e) whether it is also true that the Government has committed to achieve the 90- 90- 90 targets by 2035 and if so, the details thereof?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a): Yes.  As per the Global TB Report 2017, in India, the mortality due to TB has decr from 36 per lakh population in the year 20 15 to 32 per lakh population in the year 2016. Also, the estimated new cases of TB in India have reduced from 217 per lakh population in 20 211 per lakh population in 2016.

Under the programme, the notification of new cases has increased from 1423181 in 2015 to1424771in 2016 due to the increase in notification of cases from private sector, as a proactive steps taken by the Government for engaging with the private sector.

(b): Yes.  As per the Global TB Report 2017, India accounts for 32 percent of deaths due to TB in the world.

The State wise and Year wise details of number of deaths reported in the program du the last three years and the current year so far, is at Annexure.

(c): Yes. The progr am has been introduced and scaled up Daily Drug Regimen with Fixed Dose Combination drugs for the treatment of all TB patients across the country since O 2017.

From October 2017, all TB patients in the country are being provided with daily reg imen anti TB drugs including the patients seeking care in the private sector and who avail these benefits.

As per the Global TB Report 2017, the incidence of TB cases in India in the year was 211 cases per 1 lakh population and mortality was 32 cases per 1 lakh population.

( d) &(e): No. As per the Global TB Report 2017, WHO estimates for HIV TB cases in India, in the year 2016 is 87000 (3% of total TB cases) and estimated MDR/RR TB cases amo notified pulmonary TB cases is 84000.

Under  Revised  National  TB  Control  Programme  (RNTCP),  the  treatment  for  HIV associated  TB  cases  is  available  as  a  'single  window  delivery  service'  wherein  all  HIV/TB co- infected patients get their TB medications free of cost from Anti - retroviral centres acros s the country.  All  diagnostic  and  treatment  services  for  MDR  TB  are  available  free  of  cost RNTCP.

As per the Global TB Report 2017, the incidence of TB has reduced from 289 per la per year in 2000 to 211 per lakh per year in 2016 and mortality ha s reduced from 56 per lakh per year in 2000 to 32 per lakh per year in 2016.

The National Strategic Plan (NSP) for Tuberculosis (2017 - 25) has been formulated by the Ministry of Health and Family Welfare.In addition to the existing strategies under RNTCP the NSP focusses on:

- early diagnosis of all the TB patients, prompt treatment with quality assured dru treatment regimens
- suitable patient support systems to promote adherence.
- engaging with the patients seeking care in the private sector.
- prevention strategies including active case finding and
- contact tracing in high risk / vulnerable population
- airborne infection control.

## Statewise deaths reported due to TB in India

| State               | 2012   | 2013   |   2014 |   2015 |   2016 (till October) |
|---------------------|--------|--------|--------|--------|-----------------------|
| Andaman & Nicobar   | 34     | 18     |     38 |     17 |                    20 |
| Andhra Pradesh      | 5439   | 5169   |   3089 |   2764 |                  3997 |
| Arunachal Pradesh   | 65     | 67     |     68 |     74 |                    33 |
| Assam               | 1648   | 1678   |   1759 |   1785 |                  1199 |
| Bihar               | 2125   | 2139   |   1914 |   1800 |                  1180 |
| Chandigarh          | 82     | 65     |     48 |     65 |                    67 |
| Chhattisgarh        | 1085   | 782    |   1350 |   1436 |                  1576 |
| Dadar& Nagar Haveli | 12     | 15     |     18 |     18 |                    15 |
| Daman &Diu          | 7      | 8      |      9 |     14 |                     5 |
| Delhi               | 1241   | 1316   |   1281 |   1296 |                   582 |
| Goa                 | 75     | 76     |     52 |     45 |                    42 |
| Gujarat             | 3808   | 4094   |   4312 |   4657 |                  4208 |
| Haryana             | 1649   | 1628   |   1709 |   1700 |                  1106 |
| Himachal Pradesh    | 521    | 518    |    537 |    539 |                   485 |
| Jammu &Kashmir      | 337    | 303    |    292 |    316 |                   144 |
| Jharkhand           | 1341   | 1332   |   1465 |   1192 |                   587 |
| Karnataka           | 4542   | 4356   |   4348 |   4192 |                  3390 |
| Kerala              | 1205   | 1158   |   1084 |    953 |                   702 |
| Lakshadweep         | 1      | 1      |      2 |      1 |                     0 |
| Madhya Pradesh      | 2966   | 3174   |   3574 |   3761 |                  2961 |
| Maharashtra         | 7687   | 7716   |   7629 |   6904 |                  4329 |
| Manipur             | 72     | 73     |     75 |     77 |                    33 |
| Meghalaya           | 213    | 202    |    190 |    214 |                    89 |
| Mizoram             | 79     | 77     |     87 |     93 |                    53 |
| Nagaland            | 91     | 201    |     77 |     44 |                    45 |
| Orissa              | 2405   | 2332   |   2451 |   2380 |                  1455 |
| Pondicherry         | 78     | 66     |     64 |     55 |                    44 |
| Punjab              | 1925   | 1678   |   1989 |   1786 |                  1264 |
| Rajasthan           | 3592   | 3599   |   3428 |   3667 |                  3418 |
| Sikkim              | 82     | 47     |    222 |     38 |                    46 |
| Tamil Nadu          | 3865   | 4005   |   4095 |   4205 |                  3058 |
| Telangana           |        |        |   2050 |   1926 |                     0 |
| Tripura             | 150    | 106    |    141 |    162 |                    56 |
| Uttar Pradesh       | 7866   | 7946   |   8736 |  10233 |                  6803 |
| Uttarakhand         | 552    | 500    |    537 |    512 |                   269 |
| West Bengal         | 5047   | 5184   |   4506 |   4376 |                  3384 |
| TOTAL               | 61887  | 61629  |  63226 |  63297 |                 46645 |

## ANNEXURE