Lok Sabha Question No. 17 (UNSTARRED), answered on 2018-02-02
Subject: Communicable and NonCommunicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: R. VANAROJA

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

## LOK SABHA UNSTARRED QUESTION NO. 17 TO BE ANSWERED ON   2 ND FEBRUARY,  2018

## COMMUNICABLE AND NON COMMUNICABLE DISEASE S

## 17. SHRIMATI VANAROJA R.:

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

- (a) whether it is true that diarrhea and TB are among the top causes of death in the coun with road injuries;
- (b) whether it is also true that death rates from diarrheal disea se and tuberculosis are also higher in the least developed States and if so, the details thereof;
- (c) whether it is also true that other non -communicable diseases in the top ten individual causes of death included chronic obstructive pulmonary diseases s troke, diabetes and chronic kideny disease; and
- (d) if so, the details and steps taken thereof ?

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

- (a) & (b) : Yes.As per the data reported by Central Bureau of Health Intelligence (CBHI), t he leading causes of death in the country are diarrhea and Tuberculosis along with road injuries. Most Deathsare reported due to these diseases in least developed States like Uttar P radesh, West Bengal, Odisha, Biharand Assam inthe past few years. The number ofdeaths due to Acute Diarrhoeal Disease and Tuberculosis during the year2015 and 2016 are placed at Annexure .
- (c)  &  (d) As  per  the  report  titled  'India:  Health  of  the  Nation's  States - the  India  State -Level D iseases Burden Initiative' published by Ind ian Council of Medical Research. COPD, Stroke, Diabetes and Chronic Kidney Disease are among the top ten leading individual causes of d in India in the year 2016.

Contd……

Government of India is implem enting 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 health promotion activities and opportu nistic screening  for  com mon  Non - Communicable  Diseases  (NCDs) .  Many  of  the  risk factor  for Chronic  Kidney  Diseases  (CKD) are  common  with  other  common  NCDs  such  as Cancer, Diabetes,  CVD etc.Interventions  for  prevention  and  management  of  Chronic  Obstructive Pulmonary Disease (COPD ) and CKD are included under the programme to prevent and manage the chronic respiratory and kidney diseases respectively, which are also major causes o due to NCDs.

For early diagnosis, population level initiative of prevention, control and scre ng of common NCDs (Diabetes, Hypertension and Cancers viz. oral, breast and cervical cancer) been rolled out in over 100 districts of the country in 2017 - 18.

Support under the National Health Mission (NHM) is provided to States for provision dialysi s  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 annual Progr Implementation Plans (PIPs).

…………….

Annexure

| State - wise Deaths due to Acute Diarrhoeal Diseases and Tuberculosis   | State - wise Deaths due to Acute Diarrhoeal Diseases and Tuberculosis   | State - wise Deaths due to Acute Diarrhoeal Diseases and Tuberculosis   | State - wise Deaths due to Acute Diarrhoeal Diseases and Tuberculosis   | State - wise Deaths due to Acute Diarrhoeal Diseases and Tuberculosis   |
|-------------------------------------------------------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------------------|
|                                                                         |                                                                         | Acute Diarrhoeal Diseases                                               | Acute Diarrhoeal Diseases                                               | Tuberculosis                                                            |
|                                                                         |                                                                         | 2015                                                                    | 2016 2015                                                               | 2016 (till                                                              |
| 1                                                                       | Andhra Pradesh                                                          | 5                                                                       | 11 2764                                                                 | 3997                                                                    |
| 2                                                                       | Arunachal Pradesh                                                       | 4                                                                       | 2 74                                                                    | 33                                                                      |
| 3                                                                       | Assam                                                                   | 121                                                                     | 282 1785                                                                | 1199                                                                    |
| 4                                                                       | Bihar                                                                   | 36 8                                                                    | 1800                                                                    | 1180                                                                    |
| 5                                                                       | Chhattisgarh                                                            | 13                                                                      | 33 1436                                                                 | 1576                                                                    |
| 6                                                                       | Goa                                                                     | 1                                                                       | 4 45                                                                    | 42                                                                      |
| 7                                                                       | Gujarat                                                                 | 3                                                                       | 0 4657                                                                  | 4208                                                                    |
| 8                                                                       | Haryana                                                                 | 14                                                                      | 1700                                                                    | 1106                                                                    |
| 9                                                                       | Himachal Pradesh                                                        | 4 41                                                                    | 56 539                                                                  | 485                                                                     |
| 10                                                                      | J & K                                                                   | 2                                                                       | 0 316                                                                   | 144                                                                     |
| 11                                                                      | Jharkhand                                                               | 0                                                                       | 0 1192                                                                  | 587                                                                     |
| 12                                                                      | Karnataka                                                               | 13                                                                      | 4 4192                                                                  | 3390                                                                    |
| 13                                                                      | Kerala                                                                  | 2                                                                       | 15 953                                                                  | 702                                                                     |
| 14                                                                      | Madhya Pradesh                                                          | 74                                                                      | 122 3761                                                                | 2961                                                                    |
| 15                                                                      | Maharashtra                                                             | 27                                                                      | 52 6904                                                                 | 4329                                                                    |
| 16                                                                      | Manipur                                                                 | 23                                                                      | 21 77                                                                   | 33                                                                      |
| 17                                                                      | Meghalaya                                                               | 32                                                                      | 30 214                                                                  | 89                                                                      |
| 18                                                                      | Mizoram                                                                 | 11                                                                      | 16 93                                                                   | 53                                                                      |
| 19                                                                      | Nagaland                                                                | 0                                                                       | 0 44                                                                    | 45                                                                      |
| 20                                                                      | Odisha                                                                  | 139                                                                     | 2380                                                                    | 1455                                                                    |
| 21                                                                      | Punjab                                                                  | 104 37 44                                                               | 1786                                                                    | 1264                                                                    |
| 22                                                                      | Rajasthan                                                               | 13                                                                      | 7 3667                                                                  | 3418                                                                    |
| 23                                                                      | Sikkim                                                                  | 3                                                                       | 0 38                                                                    | 46                                                                      |
| 24                                                                      | Tamil Nadu                                                              | 8                                                                       | 9 4205                                                                  | 3058                                                                    |
| 25                                                                      | Telangana                                                               | 20                                                                      | 19 1926                                                                 | 0                                                                       |
| 26                                                                      | Tripura                                                                 | 5                                                                       | 6 162                                                                   | 56                                                                      |
| 27                                                                      | Uttarakhand                                                             | 6                                                                       | 7 512                                                                   | 269                                                                     |
| 28                                                                      | Uttar Pradesh                                                           | 320                                                                     | 304 10233                                                               | 6803                                                                    |
| 29                                                                      | West Bengal                                                             | 196                                                                     | 192 4376                                                                | 3384                                                                    |
| 30                                                                      | A & N Islands                                                           | 0                                                                       | 0 17                                                                    | 20                                                                      |
| 31                                                                      | Chandigarh                                                              | 90                                                                      | 61 65                                                                   | 67                                                                      |
| 32                                                                      | D & N Haveli                                                            | 4                                                                       | 12 18                                                                   | 15                                                                      |
| 33                                                                      | Daman & Diu                                                             | 2                                                                       | 0 14                                                                    | 5                                                                       |
| 34                                                                      | Delhi                                                                   | 96                                                                      | 115 1296                                                                | 582                                                                     |
| 35                                                                      | Lakshadweep                                                             | 0                                                                       | 0 1                                                                     | 0                                                                       |
| 36                                                                      | Puducherry                                                              | 2                                                                       | 5 55                                                                    | 44                                                                      |
| Total                                                                   | Total                                                                   | 1353                                                                    | 1555 63297                                                              | 46645                                                                   |