Lok Sabha Question No. 160 (UNSTARRED), answered on 2017-12-15
Subject: Lung Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RANGASWAMY DHRUVANARAYANA, SUMEDHANAND SARASWATI, SANTOSH AHLAWAT

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

## LOK SABHA UNSTARRED QUESTION NO. 160 TO BE ANSWERED ON   15 TH DECEMBER, 2017

## LUNG CANCER

## 160. SHRI R. DHRUVA NARAYANA: SHRI SUMEDHANAND SARSWATI: SHRIMATI SANTOSH AHLAWAT:

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

- (a) whether it is a fact that Lung Cancer has reached epidemic stage in India as it constitutes 6.9 per cent of all new cancer cases and 9.3 per cent of all cancer related deaths in India;
- (b) if so, the details thereof, State/UTwise;
- (c) whether more women have died of lung cancer than of breast cancer, if so, the details thereof and the reasons therefor; and
- (d) the measures being taken by the Government to curb these cases in India?

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

- (a)& (b): As per Indian Council of Medical Research( ICMR), the estimated incidence of lung cancer account for 7.8% and the estimated deaths due to lung cancer account for 11. all cancers. The estimated number of incidence and mortality of lung cancer cases in the during 2016, State/UT -wise, is at Annexure I & II .
- (c): As per ICMR, the estimated number of deaths due to lung and breast cancer are 234 and 59142 respectively among females for the year 2016.

Cancer  is  a  multifactorial  disease,  the  risk  factors  of  which,  interalia,  inclu population, sedentary life style, use of tobacco products, unhealthy diet and air polluti

- (d): To  supplement  the  efforts  of  the  State  Governments,  the  objectives  of  Natio Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Dise es and Stroke (NPCDCS) being implemented under National Health Mission (NHM) for interventions upto the district level includes awareness generation for Cancer prevention, screening, early dete referral to an appropriate level institution for tr eatment. For Cancer, the focus is on three Cancer namely breast, cervical and oral.

A  population  level  initiative  of  prevention,  control  and  screening  for  common  N (diabetes, hypertension and cancer viz. oral, breast and cervical cancer) has been roll ed out in over 100 districts of the country in 2017 - 18 under NHM, as a part of comprehensive primary healthcare. The screening activity will generate awareness on risk factors of common including cancer as such.

The  Government  of  India  is  implement ing  'Strengthening  of  Tertiary  Care  Cancer Centre' Scheme under NPCDCS to assist to establish/set up State Cancer Institutes (SCI) and Tertiary Care Cancer Centres (TCCC) in different parts of the country. Oncology in its aspects has focus in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya  Suraksha  Yojna  (PMSSY).  Setting  up  of  National  Cancer  Institute  at  Jhajj (Haryana)  and  2nd  campus  of  Chittranjan  National  Cancer  Institute,  Kolkata  has  also approved.  All  thes e  will  enhance  the  capacity  for  prevention  and  treatment  of  cancer  in country.

## Annexure- I

| Estimated Incidence of Lung Cancer Cases in India - State/UT wise - Both sexes (2016)   |   Estimated Incidence of Lung Cancer Cases in India - State/UT wise - Both sexes (2016) |
|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|
| States                                                                                  |                                                                                    2016 |
| Jammu &Kashmir                                                                          |                                                                                    1245 |
| Himachal Pradesh                                                                        |                                                                                     626 |
| Punjab                                                                                  |                                                                                    2567 |
| Chandigarh                                                                              |                                                                                     102 |
| Uttaranchal                                                                             |                                                                                     966 |
| Haryana                                                                                 |                                                                                    2429 |
| Delhi                                                                                   |                                                                                    1586 |
| Rajasthan                                                                               |                                                                                    6515 |
| Uttar Pradesh                                                                           |                                                                                   19363 |
| Bihar                                                                                   |                                                                                   10311 |
| Sikkim                                                                                  |                                                                                      34 |
| Arunachal Pradesh                                                                       |                                                                                     113 |
| Nagaland                                                                                |                                                                                      63 |
| Manipur                                                                                 |                                                                                     456 |
| Mizoram                                                                                 |                                                                                     244 |
| Tripura                                                                                 |                                                                                     265 |
| Meghalaya                                                                               |                                                                                     160 |
| Assam                                                                                   |                                                                                    1859 |
| West Bengal                                                                             |                                                                                    8429 |
| Jharkhand                                                                               |                                                                                    3205 |
| Orissa                                                                                  |                                                                                    3858 |
| Chhattisgarh                                                                            |                                                                                    2466 |
| Madhya Pradesh                                                                          |                                                                                    7015 |
| Gujarat                                                                                 |                                                                                    5804 |
| Daman &Diu                                                                              |                                                                                      40 |
| Dadra &Nagar Haveli                                                                     |                                                                                      40 |
| Maharashtra                                                                             |                                                                                   10424 |
| Telangana                                                                               |                                                                                    3248 |
| Andhra Pradesh                                                                          |                                                                                    4493 |
| Karnataka                                                                               |                                                                                    5712 |
| Goa                                                                                     |                                                                                     134 |
| Lakshadweep                                                                             |                                                                                       7 |
| Kerala                                                                                  |                                                                                    3176 |
| Tamil Nadu                                                                              |                                                                                    6270 |
| Pondicherry                                                                             |                                                                                     122 |
| Andaman & Nicobar Islands                                                               |                                                                                      34 |
| Total                                                                                   |                                                                                  113381 |

## Annexure-II

| Estimated Mortality of Lung Cancer Cases in India - State/UT wise - Both sexes (2016)   |   Estimated Mortality of Lung Cancer Cases in India - State/UT wise - Both sexes (2016) |
|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|
| States                                                                                  |                                                                                    2016 |
| Jammu &Kashmir                                                                          |                                                                                     946 |
| Himachal Pradesh                                                                        |                                                                                     475 |
| Punjab                                                                                  |                                                                                    1951 |
| Chandigarh                                                                              |                                                                                      78 |
| Uttaranchal                                                                             |                                                                                     734 |
| Haryana                                                                                 |                                                                                    1846 |
| Delhi                                                                                   |                                                                                    1205 |
| Rajasthan                                                                               |                                                                                    4951 |
| Uttar Pradesh                                                                           |                                                                                   14716 |
| Bihar                                                                                   |                                                                                    7836 |
| Sikkim                                                                                  |                                                                                      26 |
| Arunachal Pradesh                                                                       |                                                                                      86 |
| Nagaland                                                                                |                                                                                      48 |
| Manipur                                                                                 |                                                                                     346 |
| Mizoram                                                                                 |                                                                                     185 |
| Tripura                                                                                 |                                                                                     202 |
| Meghalaya                                                                               |                                                                                     121 |
| Assam                                                                                   |                                                                                    1413 |
| West Bengal                                                                             |                                                                                    6407 |
| Jharkhand                                                                               |                                                                                    2436 |
| Orissa                                                                                  |                                                                                    2932 |
| Chhattisgarh                                                                            |                                                                                    1874 |
| Madhya Pradesh                                                                          |                                                                                    5331 |
| Gujarat                                                                                 |                                                                                    4411 |
| Daman &Diu                                                                              |                                                                                      31 |
| Dadra &Nagar Haveli                                                                     |                                                                                      31 |
| Maharashtra                                                                             |                                                                                    7922 |
| Telangana                                                                               |                                                                                    2469 |
| Andhra Pradesh                                                                          |                                                                                    3414 |
| Karnataka                                                                               |                                                                                    4341 |
| Goa                                                                                     |                                                                                     102 |
| Lakshadweep                                                                             |                                                                                       6 |
| Kerala                                                                                  |                                                                                    2413 |
| Tamil Nadu                                                                              |                                                                                    4765 |
| Pondicherry                                                                             |                                                                                      92 |
| Andaman & Nicobar Islands                                                               |                                                                                      26 |
| Total                                                                                   |                                                                                   86168 |