Lok Sabha Question No. 2257 (UNSTARRED), answered on 2017-07-28
Subject: Life Style Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SUKHBIR SINGH JAUNPURIA, R. VANAROJA

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

LOK SABHA UNSTARRED QUESTION NO. 2257 TO BE ANSWERED ON 28 TH JULY, 2017

## LIFE STYLE DISEASES

## 2257. SHRI SUKHBIR SINGH JAUNAPURIA: SHRIMATI VANAROJA R.:

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

- (a)  wheher  there  has  been  spurt  in  the cases  where  people  are  getting  afflicted  with Cardiovascular, Diabetes, Kidney Cancer and other lifestyle life ailments in urban areas over the las t few years;
- (b) if so, the details thereof;
- (c) whether any study has been conducted by the Government to ascertain causes thereof, and if so, the details thereof; and
- (d) the steps taken by the Government to check such diseases and to provide treatment to the poor patients at affordable cost?

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

(a) to (c) : The Indian Council of Medical Research (ICMR) is conducting a study namely ICMR -INDIAB invol ving all States and Union Territories -both urban and rural population for ascertaining the exact number of Diabetic patients.  15 States have been covered so far prevalence of diabetes varies from 4.3% in Bihar to 13.6% in Chandigarh.

According to  report  published  by  International  Diabetes  Federation  (IDF;  6 Edition, 2013), number of people with diabetes (20 - 79  years)  in  Urban  setting  of  India  were about 30.5 millions in 2013.

As informed by Indian Council of Medical Research (ICMR), current estimates from one- time  cross  sectional  studies  conducted  in  different  regions  of  country  indicate  t prevalence of coronary heart disease (CHD) is between 8 - 10 percent in urban and 3 to 4 percent in rural India.

As informed by ICMR the estimated prevalence of cancer cases in India during 2013, 2014 and 2015 are 2934314, 3016628 and 3101467 respectively.

Nationwide  scientific  estimation  of  number  of  patients  of  Chronic  Kidney  Disea (CKD) has not been carried out. However, in some of t he small population based studies, it was found to be in 0.79 % in North India and 0.16% in South India.

National Center for Disease Informatics and Research (NCDIR), Bengaluru is running Hospital and Population based Cancer Registries.  As informed by IC MR some studies have been  conducted  on  NCDs.      A  study  is  commissioned  to  ICMR  on  Burden  of  Non -Communicable Diseases and Associated Risk Factors for India (BOD - NCD).

The factors responsible for increase in Lifestyle Diseases (NCDs) are unhealthy die ck of physical activity, harmful use of alcohol, overweight, obesity, tobacco use, etc.

(d): Public health is a State subject, however, under National Health Mission(NHM), finan and technical support is provided to States/UTs to strengthen their heal thcare systems including setting up of / upgradation of public health facilities, based on the requirements pos States/UTs in their Programme Implementation Plans (PIPs).

Government of India is implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) for interventions up to Dis level under the National Health Mission. Under NPCDCS, diagnosis and treatment facilitie provided through different levels of healthcare by setti ng up NCD Clinics in District Hospitals and Community Health Centres (CHCs). Intervention of Chronic Kidney Diseases (CKD) has also been included in NPCDCS for proper management.

For  early  diagnosis,  Population - based  Screening  of  common  NCDs  viz.  Diabetes , Hypertension and Common cancers (Oral, Breast, Cervical) is initiated under NHM utilizing services  of  the  Frontline - workers  and  Health - workers  under  existing  Primary  Healthcare System.  This process will also generate awareness on risk factors of co mmon NCDs.

Under strengthening of Tertiary Care for Cancer Centre (TCCC) Scheme, Government of India is assisting States to set up / establish State Cancer Institute (SCI) and Tertiary Centres(TCCCs) in different parts of the country.

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 Programme (PNDP).

The  Central  Government,  through  its  hospitals  augments  the  e fforts  of  the  State Governments  for  providing  health  services  in  the  country.    Under  Pradhan  Mantri  Sw Suraksha Yojana(PMSSY), 6 new AIIMS have been set up and upgradation of identified medica colleges has been undertaken which will also improve health care facilities.