Lok Sabha Question No. 1278 (UNSTARRED), answered on 2018-02-09
Subject: Diabetic Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: S.P. MUDDAHANUMEGOWDA, HEMANT TUKARAM GODSE

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

LOK SABHA UNSTARRED QUESTION NO. 1278 TO BE ANSWERED ON 9 TH FEBRUARY, 2018

## DIABETIC PATIENTS

## 1278. SHRI S.P.MUDDAHANUME GOWDA: SHRI GODSE HEMANT TUKARAM:

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

- (a) whether as per a recent report of the International Diabetes Federation, the number of diabetic patients and its treatment cost is likely to increase exponentially by 2030 in the country;
- (b) if so, the details thereof and the reaction of the Government thereto indicating the estimated number of diabetic patients in the country, State/UT - wise;
- (c) whether Indian Council of Medical Research (ICMR) has conducted any study/survey in this regard, if so, the details thereof and the outcome thereof;
- (d) the steps taken/proposed to be taken by the Government for providing free/affordable testing and treatment to the diabetic patients along with the funds allocated and spe nt thereof during each of the last three years and the current year, State/UT - wise; and
- (e) the other measures being taken/ proposed to be taken by the Government to spread awareness about diabetes in the rural and urban areas across the country?

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

- (a)  to  (c): According  to  report  published  by  International  Diabetes  Federation  (IDF: th Edition, 2015); India's estimates for Diabetes Mellitus (20 - 79 years) in the year 2015 are 69.2 million representing 8.7% of adult population aged 20 - 79 years. It is projected to rise to 101.2 millions in the year 2040.

The  Indian  Council  of  Medical  Rese arch  (ICMR)  has  undertaken  a  large  study  on diabetes, ICMR -India Diabetes Study which looked at the prevalence of diabetes all over country. It is an ongoing study and currently results are available for 15 states/ UTs. R Annexure - I .

ICMR has also initiated Registry of Young Diabetics in which subjects (age ≤ 25 years of age)  are  enrolled.  The  phase  I  project  is  completed.  Towards  the  end  of  the  first  ph registry has enrolled 5546 patients with youth onset diabetes. Type 1 Diab etes was observed to be the most common diabetes type followed by Type 2.

(d)& (e): Government  of  India  is  implementing  National  Programme  for  Prevention  and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) for interventi up to District level under National Health Mission, with a focus on awareness generati behaviour and life - style changes, screening and early diagnosis of persons with high level of factors  and  their  treatment  and  referral  (if  required)  to  higher  f acilities  for  appropriate management for  those  Non - communicable  Diseases  (NCDs)  including  hypertension. A Statement showing State/ UT - wise release of funds under the NPCDCS for the last three years and the current year is placed at Annexure - II .

Governmen t of India is also implementing an initiative to prevent, control and scr Common Non - Communicable Diseases such as Diabetes, Hypertension and Common Cancers under National Health Mission (NHM).   Under this initiative, frontline health workers s as ASHAs and ANMs, inter alia, are being leveraged to carry out screening and generate aware about the risk factors of NCDs among the masses.

Recently the Government of India with the support of ICMR has launched two low cos diagnostic testing mete rs and kits for diabetes.

The treatment of diabetic patients in various Government Hospitals is either free or su both for the Central and State Government Hospitals. Under Pradhan Mantri Swasthya Suraksha Yojana(PMSSY), 6 new AIIMS have been set up and upgradation of identified medical colleges has  been  undertaken  which  will  also  improve  tertiary  care  facilities  for  NCDs  incl Diabetes.

Several awareness initiatives have been undertaken including observance of World Diabetes Day, organising of screening and major awareness events at India Inter -national Trade Fair (IITF) 2017, Delhi and use of social media, etc. In addition NPCDCS suppor ts awareness generation activities undertaken by the States.

15.

Tripura

## PREVALENCE OF DIABETES [ICMR - INDIAB STUDY]

| S.NO     | STATE/UT                         | PREVALENCE * OF DIABETES (%)   | PREVALENCE * OF DIABETES (%)   | PREVALENCE * OF DIABETES (%)   |
|----------|----------------------------------|--------------------------------|--------------------------------|--------------------------------|
| S.NO     | STATE/UT                         | URBAN                          | RURAL                          | OVERALL                        |
|          |                                  | 12.7                           |                                | 8.0                            |
| 1.       | Andhra Pradesh Arunachal Pradesh |                                | 6.3                            |                                |
| 2.       | Assam Bihar                      | 5.9 12.4 10.8                  | 5.0 4.4 3.5                    | 5.2 5.4 4.3                    |
| 3. 4. 5. |                                  |                                |                                |                                |
|          | Chandigarh(UT)                   |                                |                                | 13.6                           |
|          | Gujarat                          | 14.2                           | 8.3                            | 7.1 5.3                        |
| 6.       |                                  | 10.3                           | 5.1                            |                                |
| 7. 8. 9. | Jharkhand Karnataka              | 13.5 11.2 10.9                 | 3.0 5.7 6.5                    | 7.5                            |
|          | Maharashtra                      |                                |                                |                                |
| 10.      | Manipur                          |                                |                                | 8.4 5.1 4.5                    |
|          | Meghalaya                        | 7.1 8.9 8.0                    | 4.4                            |                                |
| 11.      | Mizoram                          |                                | 3.5 3.5 8.7                    | 5.7 9.8                        |
| 12. 13.  | Punjab                           | 12.1 13.7                      |                                |                                |
|          | Nadu                             |                                |                                | 10.4                           |
| 14.      | Tamil                            |                                | 7.8                            |                                |

15.4

7.2

8.6

## Annexure - II

## Statewise Releases in 2014 - 15 under NPCDCS and in 2015 - 16, 2016 - 17 & 2017- 18 (upto 31.12.2017) under NCD Flexi Pool

(Rs. in lakhs)

| Sl. No   | State/ UT                          | 2014- 15 Released   | 2015- 16 Released under   | 2016- 17 Released under   | 2017- 18 Released   |
|----------|------------------------------------|---------------------|---------------------------|---------------------------|---------------------|
|          | A. High Focus State                |                     |                           |                           |                     |
| 1        | Bihar                              | 1208                | 2234                      | 1804                      | 4726                |
| 2        | Chhattisgarh                       | 504                 | 847                       | 1485                      | 2593                |
| 3        | Jharkhand                          | 835                 | 1057                      | 1511                      | 0                   |
| 4        | Madhya Pradesh                     | 1694                | 2682                      | 3540                      | 4637                |
| 5        | Odisha                             | 1234                | 1619                      | 1955                      | 1707                |
| 6        | Rajasthan                          | 1180                | 2704                      | 2678                      | 4676                |
| 7        | Uttar Pradesh                      | 2027                | 5439                      | 7181                      | 9405                |
|          | Sub-Total(A)                       | 8682                | 16582                     | 20154                     | 27744               |
|          | B. Hilly States                    |                     |                           |                           |                     |
| 8        | Himachal Pradesh                   | 0                   | 478                       | 324                       | 566                 |
| 9        | Jammu & Kashmir                    | 913                 | 816                       | 1459                      | 1911                |
| 10       | Uttarakhand                        | 545                 | 662                       | 890                       | 0                   |
|          | Sub-Total(B)                       | 1458                | 1956                      | 2673                      | 2477                |
|          | C. Other States                    |                     |                           |                           |                     |
| 11       | Andhra Pradesh                     | 561                 | 1478                      | 3082                      | 2267                |
| 12       | Telangana                          | 401                 | 941                       | 1123                      | 1620                |
| 13       | Goa                                | 127                 | 23                        | 0                         | 0                   |
| 14       | Gujarat                            | 666                 | 2098                      | 2132                      | 2764                |
| 15       | Haryana                            | 799                 | 493                       | 380                       | 1187                |
| 16       | Karnataka                          | 976                 | 1429                      | 2134                      | 3690                |
| 17       | Kerela                             | 545                 | 518                       | 693                       | 1205                |
| 18       | Maharashtra                        | 1289                | 2754                      | 3768                      | 4890                |
| 19       | Punjab                             | 803                 | 671                       | 835                       | 1087                |
| 20       | Tamil Nadu                         | 1355                | 1716                      | 2145                      | 2791                |
| 21       | West Bengal                        | 754                 | 1303                      | 2485                      | 2161                |
| 22       | Chandigarh                         | 13                  | 69                        | 46                        | 80                  |
| 23       | Delhi                              | 141                 | 223                       | 564                       | 1289                |
| 24       | Puducherry                         | 152                 | 29                        | 39                        | 125                 |
|          | Sub-Total(C)                       | 8582                | 13745                     | 19426                     | 25156               |
|          | D. Union Territories               |                     |                           |                           |                     |
| 25       | Andaman & Nicobar Islands          | 25                  | 55                        | 121                       | 79                  |
| 26       | Dadra & Nagar Haveli               | 17                  | 63                        | 82                        | 72                  |
| 27       | Daman & Diu                        | 13                  | 35                        | 39                        | 0                   |
| 28       | Lakshadweep                        | 13                  | 7                         | 0                         | 0                   |
|          | Sub-Total(D)                       | 68                  | 160                       | 242                       | 151                 |
|          | E. North-Eastern High Focus States |                     |                           |                           |                     |
| 29       | Arunachal Pradesh                  | 354                 | 570                       | 841                       | 957                 |
| 30       | Assam                              | 579                 | 3578                      | 5533                      | 0                   |
| 31       | Manipur                            | 296                 | 308                       | 250                       | 408                 |
| 32       | Meghalaya                          | 147                 | 246                       | 531                       | 779                 |
| 33       | Mizoram                            | 176                 | 142                       | 214                       | 349                 |
| 34       | Nagaland                           | 346                 | 263                       | 183                       | 448                 |
| 35       | Sikkim                             | 176                 | 95                        | 158                       | 115                 |
| 36       | Tripura                            | 176                 | 255                       | 266                       | 434                 |
|          | Sub-Total (E)                      | 2250                | 5457                      | 7976                      | 3490                |
|          | Grand - Total (A+B+C+D+E)          | 21040               | 37900                     | 50471                     | 59018               |