Lok Sabha Question No. 170 (UNSTARRED), answered on 2018-02-02
Subject: Treatment of Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SURESH KODIKUNNIL, HARIOM SINGH RATHORE

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

## LOK SABHA UNSTARRED QUESTION NO. 170 TO BE ANSWERED ON 2 ND FEBRUARY, 2018

## TREATMENT OF CANCER

## 170. SHRI KODIKUNNIL SURESH: SHRI HARIOM SINGH RATHORE:

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

(a) whether the National Centre for Disease  Informatics  and  Research  has indicated  a  higher occurrence of cancer across urban registries compared to rural areas and if so, the details the reof;

- (b) the details of States that have the highest occurrence of cancer;
- (c) the details of measures undertaken to cr ate awareness among the populace;
- (d) whether affordable and effective medical facility to treat cancer has not kept pace with the increasing number of cancer cases and if so, the reasons therefor; and

(e)  the  steps  taken/proposed  to  make available  medical  facilities  at  par  with  the facilities available  in  Tata  Memorial  Cancer Institute,  Mumbai  to  treat  cancer  in  other parts  of  the country?

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

(SMT. ANUPRIYA PATEL )

(a)& (b): As reported by Indian Council of Medical Research (ICMR), excluding north eas India, higher Age Adjusted Incidence Rates (AAR) are seen in urban registries compared to rural area of Barshi PBCR. Based on Indian Council of Medical Research's National Cancer Registry Programme's  (NCRP)  report  on  'Three -year  Report  of  Population  Based  Cancer  Registries (PBCRs 2012-2014),  Bengaluru, 2016 ',  the  higher  Age  Adjusted  Incidence  Rates  (AAR)  are seen in North Eastern zone (PBCRs inclusive of urban and rural areas) of Aizawl distric Mizoram state, Papumpare district from Arunachal Pradesh, East Khasi hills from Meghala state and Kamrup ur ban of Assam state for all anatomical sites of cancer in PBCRs across country. The estimated incidence of cancer cases in the country, State/UT wise during 201 Annexure .

(c) to (e): To enhance the facilities for tertiary care of cancer, the Cen tral Governm t is implementing Tertiary  Care Cancer Centre Sche me to support the setting up of State Cancer Institutes (SCI) and Tertiary Care Cancer Centres (TCCC) in different parts of the count date, proposals for setting up of 15 State Cancer Institutes (SCIs) and 18 Tertiary Care Cancer Centers(TCCCs) have been approved in different parts of the country. The SCI and TCCCs w mentor all cancer related activities in their respective area. Cancer care is also supp new  AIIMS  and  State Government  Medical  Colleges  being  upgraded  under  Pradhan  Mantri Swasthya Suraksha Yojna (PMSSY). Setting up of 2nd campus of Chittaranjan National Cance Institute,  Kolkata  and  setting  up  of  National  Cancer  Institute  (NCI),  Jhajjar  under AIIMS,  New  Delhi  has  been  approved.  This  will  enhance  capacity  for  cancer  research  a treatment.

Central  Government  supplements  the  efforts  of  the  State  Government  for  improvin healthcare including prevention, diagnosis and treatment of Cancer. The objectives o f National Programme for prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Str (NPCDCS)  being  implemented  under  National  Health  Mission  (NHM)  for  interventions  upto district level include awareness generation for Cancer prevention, screening, early detection and referral to an appropriate level institution for treatment. The treatment of Cancer in man and Centre Government institutions is free for BPL patients and subsidized for others. S the steps taken by Central G overnment are as follows:

- (i) For early diagnosis, 'Population - based Prevention, Centre and Screening of common NCDs viz. Diabetes, Hypertension and Common cancers (Oral, Breast, Cervical)' is initiated  utilizing  the  services  of  the  Frontline -workers  and  Heal th - workers  under existing  Primary  Healthcare  System.  The  screening  for  the  risk  factors  of  ca among common Non - Communicable Diseases (NCDs) will also spread awareness on the risk factors of common NCDs including cancer. Self Breast Examination is al promoted for early detection for breast cancer. Electronic and Print media is u for health awareness for cancer.
- (ii) The Government is providing financial assistance to patients living below poverty line for life threatening diseases under the scheme as Rashtriya Arogya Nidhi (RAN), Health Minister's Cancer Patient Fund (HMCPF), State  Illness  Assistance  Fund  (SIAF)  and  Health  Minister's  Discretionary  Grant (HMDG).
- (iii) Affordable Medicines and Reliable Implants for Treatment (AMRIT) outlets have been opened at 111 Institutions/Hospitals with objective to make available Cancer and Cardiovascular Diseases drugs and implan at discounted prices to the patients. Jan Aus hadhi stores are set up by Department of Pharmaceuticals to provide generic drugs at affordable prices.

| Estimated Incidence of cancer cases in India, State/UT - All sites -- Both sexes   |   Estimated Incidence of cancer cases in India, State/UT - All sites -- Both sexes |
|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|
| States                                                                             |                                                                               2017 |
| Jammu &Kashmir                                                                     |                                                                              16480 |
| Himachal Pradesh                                                                   |                                                                               8348 |
| Punjab                                                                             |                                                                              33781 |
| Chandigarh                                                                         |                                                                               1335 |
| Uttaranchal                                                                        |                                                                              12995 |
| Haryana                                                                            |                                                                              32049 |
| Delhi                                                                              |                                                                              20899 |
| Rajasthan                                                                          |                                                                              86675 |
| Uttar Pradesh                                                                      |                                                                             257353 |
| Bihar                                                                              |                                                                             137656 |
| Sikkim                                                                             |                                                                                485 |
| Arunachal Pradesh                                                                  |                                                                               1292 |
| Nagaland                                                                           |                                                                               1309 |
| Manipur                                                                            |                                                                               3082 |
| Mizoram                                                                            |                                                                               1687 |
| Tripura                                                                            |                                                                               2229 |
| Meghalaya                                                                          |                                                                               3376 |
| Assam                                                                              |                                                                              32177 |
| West Bengal                                                                        |                                                                             112466 |
| Jharkhand                                                                          |                                                                              43071 |
| Orissa                                                                             |                                                                              51763 |
| Chhattisgarh                                                                       |                                                                              33477 |
| Madhya Pradesh                                                                     |                                                                              93754 |
| Gujarat                                                                            |                                                                              77097 |
| Daman &Diu                                                                         |                                                                                504 |
| Dadra &Nagar Haveli                                                                |                                                                                542 |
| Maharashtra                                                                        |                                                                             138271 |
| Telangana                                                                          |                                                                              43784 |
| Andhra Pradesh                                                                     |                                                                              60475 |
| Karnataka                                                                          |                                                                              76867 |
| Goa                                                                                |                                                                               1801 |
| Lakshadweep                                                                        |                                                                                 96 |
| Kerala                                                                             |                                                                              44566 |
| Tamil Nadu                                                                         |                                                                              83554 |
| Pondicherry                                                                        |                                                                               1687 |
| Andaman & Nicobar Islands                                                          |                                                                                443 |
| Total                                                                              |                                                                            1517426 |