Lok Sabha Question No. 3028 (UNSTARRED), answered on 2018-01-05
Subject: Kidney Failure
Ministry: HEALTH AND FAMILY WELFARE
Asked by: K. ASHOK KUMAR

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

## LOK SABHA UNSTARRED QUESTION NO. 3028 TO BE ANSWERED ON   5 TH JANUARY, 2018

## KIDNEY FAILURE

## 3028. SHRI K. ASHOK KUMAR:

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

- (a) whether it is a fact that a large number of patients suffer kidney failure due to UTI each year;
- (b) if so, the details thereof and the corrective steps taken in this regard;
- (c) whether it is a lso true that due to drug resistance many patients have to be admitted an on injectable drugs that are costlier; and
- (d) if so, the details thereof and the necessary steps taken by the Government in this reg

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

- (a) & (b): Nationwide scientific estimation of number of patients of Chronic Kidney Disea (CKD)  has  not  been  carried  out.  However,  in  some  of  the  small  population based  studies, prevalence was found to be in 0.79 % in North India and 0.16% in South India.

To  supplement  the  efforts  of  the  State  Governments  for  improving  healthcar Government  of  India  is  implementing  National  Programme  for  Prevention  and  Control of Cancer,  Diabetes,  Cardiovascular  Diseases  and  Stroke  (NPCDCS)  under  the  National  Healt Mission.  The  objectives  of  the  programme  include  awareness  generation  on  risk  factor addition to providing diagnosis and treatment facilities for Non - Communicabl e Diseases(NCDs) including Chronic Kidney Diseases.

For early diagnosis, Population - based Screening for common NCDs including Diabetes and  Hypertension,  which  are  the  biological  risk  factors  of  CKD,  has  been  initiate Government of India by utilizing the services of the Frontline -workers and Health - workers under existing Primary Healthcare System.

Contd…….

Support under the National Health Mission (NHM) is also being provided to States provision  of  dialysis  services  free  of  cost  to  the  poor under  Pradhanmantri  National  Dialysis Programme (PNDP). Such support is based on the proposals received from States in their an Programme Implementation Plans (PIPs).

The  Central  Government,  through  its  hospitals  augments  the  efforts  of  the  S Gov ernments  for  providing  health  services  in  the  country.    Under  Pradhan  Mantri  Swast Suraksha Yojana(PMSSY), 6 new AIIMS have been set up and upgradation of identified medica colleges  has  been  undertaken  with  an  objective  to  improve  tertiary  care  facilit ies  fo NCDs including CKDs.

(c) & (d):  Yes.  Many cases of Urinary Tract Infection (UTI) develop due to drug resi bacteria and require hospital admission and injectable medicines.

Indian  Council  of  Medical  Research  (ICMR)  has  a  National  Surveillance  System  t monitor evidence of Anti - microbial Resistance (AMR).  As per this system, Ecoli is responsibl for about 80 - 90% of UTI in the community.  This is followed by Proteus sp., Staph ylococcus aureus, etc.

National  Action  Plan on  Antimicrobial  Resistance  (NAP - AMR)  has  6  strategic priorities: -(i) Improve awareness and understanding of AMR through effective communication, education  and  training,  (ii)  Strengthen  knowledge  and  evidence through  surveillance,  (iii) Reduce  the  incidence  of  infection  through  effective  infection  prevention  and  contro Optimize the use of antimicrobial agents in health, animals and food, (v) Promote inves for AMR activities, research and innovatio ns, and (vi) Strengthen India's leadership on AMR.

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