Lok Sabha Question No. 1170 (UNSTARRED), answered on 2017-12-22
Subject: Cancer Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PRATHAP SIMHA, SHOBHA KARANDLAJE

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

## LOK SABHA UNSTARRED QUESTION NO. 1170 TO BE ANSWERED ON   22ND  DECEMBER, 2017

## CANCER PATIENTS

## 1170. SHRI PRATHAP SIMHA: KUMARI SHOBHA KARANDLAJE:

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

- (a) the total number of patients suffering from cancer in the country as per Indian Co Medical  Research  (ICMR)'s  cancer  registry  data,  State - wise  alon g  with  the  total  number  of women suffering from cancer in the country, Statewise;
- (b) whether the Government has undertaken any study to find out the reasons for rise in cases in the country and if so, the details thereof;
- (c) whether the Government is implementing National Programme for Palliative Care (NPPC) under National Health Mission and if so, the details thereof;
- (d) whether palliative care units are not adequate in all the States compared to the n cancer patients, if so, the details thereof, State - wise; and
- (e) the steps taken by Government to provide total palliative care in all districts in the

## 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)'s  cancer  registry  data,  the estimated total number of patients suffering (prevalence) from cancer along with the es total number of women suffering from cancer in the country, for the year 2016, State/UT - wise is at Annexure I & II , respectively .

As per Indian Council of Medical Research, C n er is a multifactorial disease, the risk factors  of  which,  interalia,  include  ageing  population,  sedentary  life  styles,  use  o products, unhealthy d iet and air pollution.

Contd………

(c)& (d): The Government is implementing National Programme for Palliative Care (NPPC) under  National  Health  Mission. The  objectives  of  the  programme  include  to  improve the capacity to provide palliative care service delivery within Government health programme promote behavior change in the community through increasing public awareness and improve skills  and  knowledge  regarding  pain  relief  and  palliative  care  leadi ng  to  community  owned initiatives supporting health care system.  Recurring and non -recurring grant is provided under National Health Mission for supporting human resource and infrastructure inter - alia.

There is no state - wise/national data maintained un der National Program for Palliative Care (NPPC), which suggest the number of palliative care units in the country as the s under the Program to the States/UTs is primarily for establishing basic palliative care s district hospitals. However , a list of districts, state - wise, so far covered under NPPC is placed at Annexure - III .

(e) : The program is a part of the 'Mission Flexipool' of National Health Mission (NHM). A framework of operational and financial guidelines for the states has been de veloped, on the basis of which the states/UTs prepare their proposals related topalliative care and incorporate them in their respective PIPs to seek financial support under NHM. The support is provided as per PIPs submitted by the States.

………………..

## Estimated Prevalence of cancer cases in India -State/UT-All sites -Both sexes -2016

| States                    |    2016 |
|---------------------------|---------|
| Jammu & Kashmir           |   43043 |
| Himachal Pradesh          |   22080 |
| Punjab                    |   89304 |
| Chandigarh                |    3503 |
| Uttaranchal               |   34048 |
| Haryana                   |   84180 |
| Delhi                     |   55042 |
| Rajasthan                 |  227799 |
| Uttar Pradesh             |  674386 |
| Bihar                     |  359228 |
| Sikkim                    |    1317 |
| Arunachal Pradesh         |    3498 |
| Nagaland                  |    3575 |
| Manipur                   |    8244 |
| Mizoram                   |    4544 |
| Tripura                   |    6048 |
| Meghalaya                 |    9106 |
| Assam                     |   87519 |
| West Bengal               |  296742 |
| Jharkhand                 |  112638 |
| Orissa                    |  136604 |
| Chhattisgarh              |   87497 |
| Madhya Pradesh            |  245617 |
| Gujarat                   |  202265 |
| Daman & Diu               |    1210 |
| Dadra & Nagar Haveli      |    1367 |
| Maharashtra               |  364997 |
| Telangana                 |  115333 |
| Andhra Pradesh            |  159696 |
| Karnataka                 |  202156 |
| Goa                       |    4746 |
| Lakshadweep               |     245 |
| Kerala                    |  115511 |
| Tamil Nadu                |  222748 |
| Pondicherry               |    4389 |
| Andaman & Nicobar Islands |    1180 |
| Total                     | 3991405 |

| States                    |    2016 |
|---------------------------|---------|
| Jammu & Kashmir           |   20900 |
| Himachal Pradesh          |   11234 |
| Punjab                    |   43951 |
| Chandigarh                |    1658 |
| Uttaranchal               |   17248 |
| Haryana                   |   41093 |
| Delhi                     |   26923 |
| Rajasthan                 |  113402 |
| Uttar Pradesh             |  332819 |
| Bihar                     |  177392 |
| Sikkim                    |     646 |
| Arunachal Pradesh         |    1548 |
| Nagaland                  |    1455 |
| Manipur                   |    4540 |
| Mizoram                   |    2052 |
| Tripura                   |    2588 |
| Meghalaya                 |    3402 |
| Assam                     |   39655 |
| West Bengal               |  149892 |
| Jharkhand                 |   56711 |
| Orissa                    |   69861 |
| Chhattisgarh              |   44924 |
| Madhya Pradesh            |  122631 |
| Gujarat                   |   99954 |
| Daman & Diu               |     396 |
| Dadra & Nagar Haveli      |     619 |
| Maharashtra               |  182254 |
| Telangana                 |   59304 |
| Andhra Pradesh            |   82341 |
| Karnataka                 |  103260 |
| Goa                       |    2428 |
| Lakshadweep               |     124 |
| Kerala                    |   62334 |
| Tamil Nadu                |  114678 |
| Pondicherry               |    2324 |
| Andaman & Nicobar Islands |     575 |
| Total                     | 1997116 |

## Annexure - II

## Estimated Prevalence of cancer cases in India -State/UT-All sites -Females - 2016

Annexure - III - wise, covered under National Program for Palliative Care

Tiruppur,

Tiruvannamala

Bankura,

Firozab

## List of districts, state

|   S. No | States/UTs        | Districts                                                                                                                                                                                                            |
|---------|-------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|       1 | Maharashtra       | *- + Amravati, Bhandara, Chandrapur, Gadchiroli, Wardha, Parbhani & Satara                                                                                                                                           |
|       2 | Tamil Nadu        | 20; Cuddalore, Dindigul, Kovilpatti Ramanathapuram, Krishnagiri, Thiruvallur, Namakkal, Thiruvarur, Kanchipuram, Pollachi, Villupuram, Vellore, Kumbakonam, Erode, Salem, Tirunelveli & Kanniyakumari                |
|       3 | West Bengal       | 19;Darjeeling, Jalpaigudi, Coochbehar, Uttar Dinajpur, Dakshin Malada, Murshidabad, Nadia, North 24 Parganas, South 24 Hooghly, Hawrah, Poorvi Midnapur, Pashchim Midnapur, Birbhum, Purulia, Bardhman & Alipur duar |
|       4 | Odisha            | 5; Balangir; Nabrangpur; Koraput; Malkangiri and Naupada)                                                                                                                                                            |
|       5 | Assam             | 5; Kamrup, Jorhat, Sibsagar, Dibrugarh and                                                                                                                                                                           |
|       6 | Tripura           | Lakhimpur 4; Kumarghat Rural Hospital, Kulai District Hospital, Hospital and Jolaibari Rural Hospital                                                                                                                |
|       7 | Nagaland          | 2; Naga hospital, Kohima & Mokokchung                                                                                                                                                                                |
|       8 | Andhra Pradesh    | 5; Visakhapatnam, Guntur, Nellore, Tirupathi & Kurnool                                                                                                                                                               |
|       9 | Telangana         | 8; districts yet to be identified by the state.                                                                                                                                                                      |
|      10 | Mizoram           | 3; East Aizwal, West Aizwal & Lunglei                                                                                                                                                                                |
|      11 | Puducherry        | 1; Puducherry                                                                                                                                                                                                        |
|      12 | Kerala            | 14; Thiruvananthpuram, Kollam, Pathanamthitta, Kottayam, Idukki, Ernakulam, Thrissur, Palakkad, Malaputtam, Kozhikode, Kannur, Kasargode                                                                             |
|      13 | Uttar Pradesh     | 10; Jalaun, Jhansi, Kheri, Lalitpur, Etawah, Faizabad, Farrukhab ad, Raibareilly & Sultanpur                                                                                                                         |
|      14 | Jammu & Kashmir   | 4; districts yet to be identified by the state in Jammu                                                                                                                                                              |
|      15 | Karnataka         | 5; Bangalore Rural, Raichur, Mangalore, Dharwad & Mysore.                                                                                                                                                            |
|      16 | Gujarat           | 6; Gandhinagar, Surendranagar, Rajkot, Jamnagar, Porbandar & Junagadh                                                                                                                                                |
|      17 | Haryana           | 1; Ambala                                                                                                                                                                                                            |
|      18 | Chhattisgarh      | 3; Raipur, Durg and Dhamtari                                                                                                                                                                                         |
|      19 | Madhya Pradesh    | 1; Ujjain                                                                                                                                                                                                            |
|      20 | Goa               | 2; North Goa & South Goa                                                                                                                                                                                             |
|      21 | Manipur           | 7; Bishnupur, Churachandpur, Chandel, Senapati, Tamenglong, Ukhrul                                                                                                                                                   |
|      22 | Arunachal Pradesh | 2; East Siang & Papumpare                                                                                                                                                                                            |
|      23 | Sikkim            | 1; district yet to be identified by the state.                                                                                                                                                                       |
|      24 | Himachal Pradesh  | 3; Mandi, Sirmaur & Hamirpur                                                                                                                                                                                         |
|      25 | Rajasthan         | 3; Bikaner, Bhilwara & Jodhpur                                                                                                                                                                                       |
|      26 | Uttarakhand       | 13; districts yet to be identified by the state.                                                                                                                                                                     |