Lok Sabha Question No. 2495 (UNSTARRED), answered on 2018-03-09
Subject: Ischemic Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: FEROZE VARUN GANDHI

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

## LOK SABHA UNSTARRED QUESTION NO. 2495 TO BE ANSWERED ON 9 TH MARCH, 2018

## ISCHEMIC DISEASES

## 2495. SHRI FEROZE VARUN GANDHI:

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

- (a)  the  number  of  cases  and  deaths relating  to  ischemic  diseases  reported  in  the country during each of the last three years and the current year, State/UT -wise;
- (b) whether the Government has taken note of develo pment of drugs including injections and vaccines abroad which promises to reduce risk of heart attack subs ntially;
- (c)  if  so,  the  details  thereof  along  with the  steps  taken/proposed  to  be  taken  by the Government for their introduction in the country; and
- (d) the other measures taken/proposed to be taken by the Government for prevention  and affordable treatment of ischemic diseases and spread awareness in this regard?

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

- (a):    As  per  disease  burden  study  on  Non - Communicable  Diseases  published  by  Indian Council of Medical Research (ICMR) in 2004, the estimated cases of Ischemic Heart Dise (IHD) in India was 224 lakh and prevalence of IHD was 37.0 cases pe r thousand.

As per a report on 'India: Health of Nation's State s -The India State Level Disease Burden  Initiative'  published  by  Indian  Council  of  Medical  Research  (ICMR),  the  disease burden trends in States of India shows an increase in the contributio n of Non - Communicable Diseases (NCDs) from 30% of total disease burden in 1990 to 55% in 2016.  As per t report, State - wise estimated death rate due to Ischemic Heart Disease in the country in 2 is at Annexure.

- (b) & (c) : Development of drugs including injections and vaccines in India and abroad is a continuous process. CDSCO regulates safety, efficacy and quality of the drugs, me devices and cosmetics under the provisions of Drugs & Cosmetic Act, 1940 & Rules, 19 made  there  under.  As  an d  when  any  applications  for  grant  of  permission  to  import/ manufacture and marketing of such new drugs are received, the applications are evaluat accordance with the Drugs and Cosmetics Rules, 1945 and decision is taken to approve drug  or  otherwis e. National  List  of  Essential  Medicines  (NLEM)  contains  medicines  for major NCDs including Cardiovascular Diseases.

(d) :  While Health is a State subject, the Central Government supplements the effort State Governments for improving healthcar e.

However,  Government  is  implementing  National  Programme  for  Prevention  and Control  of  Cancer,  Diabetes,  Cardiovascular  Diseases  and  Stroke  (NPCDCS)  under  th National Health Mission.

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

AMRIT (Affordable Medicines and Reliable Implants for Treatment) stores are being set up by M/s HLL Life Care Limited, a Government of India company, where Cancer and Cardiovascular Diseases drugs and implants are being provided at a substantial discount vis - à- vis the Maximum Retail Price.

Under Pradhan Mantri Swasthya Suraksha Yojana(PMSSY), 6 new AIIMS have been  set  up  and  upgradation  of  identified  medical  colleges  has  been  undertaken  wit objective to improve tertiary care facilities for NCDs inc luding Cardiovascular Disease.

NLEM  contains  medicines  for  IHD  also  and  ceiling  prices  are  fixed  for  the medicines  by  National  Pharmaceutical  Pricing  Authority  (NPPA).  Government  notified inclusion of coronary stents in the National List of Essential Me dicines 2015 (NLEM, 2015) vide notification dated 19.7.2016  and subsequently in the First Schedule of Drugs Control) Order 2013 (DPCO 2013) vide notification dated 21.12.2016.

## ANNEXURE

## India: Health of Nation's State s The India State Level Disea se Burden Initiative

## State wise Death rates due to Ischemic Heart Diseases in India in 2016

| Sl.No.   | Name of State     |   Death rate |
|----------|-------------------|--------------|
| 1)       | Bihar             |          103 |
| 2)       | Chhattisgarh      |           93 |
| 3)       | Jharkhand         |           96 |
| 4)       | Madhya Pradesh    |          122 |
| 5)       | Odisha            |           72 |
| 6)       | Rajasthan         |           95 |
| 7)       | Uttar Pradesh     |           99 |
| 8)       | Uttarakhand       |          120 |
| 9)       | Meghalaya         |           39 |
| 10)      | Assam             |           66 |
| 11)      | Arunachal Pradesh |           37 |
| 12)      | Mizoram           |           27 |
| 13)      | Nagaland          |           51 |
| 14)      | Tripura           |          107 |
| 15)      | Sikkim            |           65 |
| 16)      | Manipur           |           69 |
| 17)      | Gujarat           |          160 |
| 18)      | Haryana           |          175 |
| 19)      | Delhi             |          108 |
| 20)      | Telengana         |          135 |
| 21)      | Andhra Pradesh    |          163 |
| 22)      | Jammu & Kashmir   |          143 |
| 23)      | Karnataka         |          169 |
| 24)      | West Bengal       |          146 |
| 25)      | Maharashtra       |          164 |
| 26)      | Himachal Pradesh  |          114 |
| 27)      | Punjab            |          261 |
| 28)      | Goa               |          136 |
| 29)      | Tamil Nadu        |          208 |
| 30)      | Kerala            |          170 |