Lok Sabha Question No. 2483 (UNSTARRED), answered on 2018-03-09
Subject: Hepatitis
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAYAPATI SAMBASIVA RAO, ELUMALAI VELLAIGOUNDER, T.G. VENKATESH BABU, A. ARUNMOZHITHEVAN

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

## LOK SABHA UNSTARRED QUESTION NO. 2483 TO BE ANSWERED ON 9 TH MARCH, 2018

## HEPATITIS

## 2483. SHRI RAYAPATI SAMBASIVA RAO:

SHRI V. ELUMALAI:

SHRI VENKATESH BABU T.G.:

SHRI A. ARUNMOZHITHEVAN:

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

- (a) the number of cases of various types of hepatitis reported in the country during each of the last three years and the current year, type and State /UT-wise;
- (b) the number of deaths reported during each of the last three years due to various types of Hepatitis, type and State/ UT - wise;
- (c)  whether  the  Government  has  set any  target  to  control  or  eliminate  hepatitis from  the country and if so, the details thereof;
- (d) the programmes being implemented by the Government and the funds allocated/utilised for the above purpose along with the achievements made as a result thereof during each of the last three years and the current year, State/ UT - wise;
- (e)  whether  the  Government  has recently  given  licence  to  the  Indian pharmaceutical companies  to  manufacture m dicines  for  certain  types  of  hepatitis  and if  so,  the  details thereof along with the extent to which this is likely to help hepatitis patients in the country; and
- (f) the other measures being taken by the Government to extend the vaccination coverage against hepatitis under the Universal Immunization Programme in the country?

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

- (a) & (b) The  number  of  cases  and  deaths  due  to  Viral  Hepatitis  as  reported  by  t States/UTs to Central Bureau of Health Intelligence (CBHI) in the last three years is Annexure I. Separate figures for various types o f Hepatitis are not collected at present.
- (c): India is committed to achieve the Sustainable Development Goals (SDGs). The SDGs are a collection of 17 global goals set by the United Nations. The broad goals are int though each has its own targets to achieve. SDG 3.3 aims to achieve the elimination of viral hepatitis by 2030. India is also a signatory to this World Health Assembly resolution country's vision is to move towards elimination of Viral Hepatitis by 2030.

(d) : A National Progra mme on Surveillance of Viral Hepatitis under the 12 th Five Year Plan  has  been  launched  by  the  Government  with  an  estimated  budget  of Rs. 30  crore s. National  Centre  for  Disease  Control  (NCDC),  Delhi  is  coordinating  the  various  activ under this programm e.

The funds allocated/utilized for the above progarmme during the last three years are as

|                 | FY 2015-16   | FY 2016-17   | FY 2017-18       |
|-----------------|--------------|--------------|------------------|
| Funds Allocated | Nil          | 2.62 Crores  | 31 Lakh          |
| Funds Utilized  | Nil          | 0.12 Lakh    | 15.87 Lakh (till |

State wise allocation done is placed at Annexure II.

NCDC also provides technical guidance to State Governments, laboratory support f outbreak investigations and etiological diagnosis besides conducting regular training for  development  of  trained  manpower. Funds  are  released  to  States/UTs  under  Integrated Disease Surveillance Programme (IDSP) to strengthen surveillance and to detect and res to outbreaks of epidemic - prone diseases.

(e) & (f) : During  the  last  three  years Central Drugs  Standard  Control Organization (CDSCO) has approved various drugs for  treatment of certain types of hepatitis such as;

Sofosbuvir  400  mg  +Velpatasvir  100  mg  tablet,  Sofosbuvir  tablet  400  mg,  Tenofovi Alafenamide Fumarate  & 25 mg capsules,  Ledipasvir (90mg)+ Sofosbuvir (4 00mg) tablet and Daclatasvir Dihydrochloride & tablet 30mg/60mg.

Immunizati

Hepatitis B vaccination is also included under the Universal Programme (UIP) of Government of India. Government is using auto - disabled (AD) syringes for all vaccinations under the UIP in all States.

Screening of blood reduces the risk of transmission of Hepatitis B and C by blood transfusion. Therefore, blood banks mandator ily screen for Hepatitis B & C as per Drugs & Cosmetics Act 1940.

## Annexure I

| Sl. No.   | State / U.T.      | 2015   | 2015   | 2016 (Prov.)   | 2016 (Prov.)   | 2017 (Prov.)   | 2017 (Prov.)   |
|-----------|-------------------|--------|--------|----------------|----------------|----------------|----------------|
| Sl. No.   | State / U.T.      | Cases  | Deaths | Cases          | Deaths         | Cases          | Deaths         |
| 1         | Andhra Pradesh    | 3358   | 12     | 2662           | 1              | 679            | 1              |
| 2         | Arunachal Pradesh | 292    | 1      | 271            | 4              | 49             | 1              |
| 3         | Assam             | 809    | 9      | 2688           | 14             | 988            | 0              |
| 4         | Bihar             | 26729  | 2      | 28578          | 0              | 14431          | 0              |
| 5         | Chhattisgarh      | 532    | 6      | 547            | 15             | 218            | 2              |
| 6         | Goa               | 162    | 0      | 121            | 0              | 47             | 3              |
| 7         | Gujarat           | 3736   | 0      | 3573           | 2              | 2673           | 0              |
| 8         | Haryana           | 5184   | 3      | 2274           | 0              | 4586           | 1              |
| 9         | Himachal Pradesh  | 1739   | 1      | 2716           | 18             | 620            | 2              |
| 10        | J & K             | 4028   | 0      | 3581           | 0              | 4351           | 0              |
| 11        | Jharkhand         | 1258   | 1      | 1406           | 0              | 1427           | 4              |
| 12        | Karnataka         | 6026   | 21     | 6013           | 17             | 3555           | 4              |
| 13        | Kerala            | 3965   | 7      | 5327           | 18             | 3465           | 6              |
| 14        | Madhya Pradesh    | 14030  | 25     | 12158          | 22             | 8728           | 6              |
| 15        | Maharashtra       | 9738   | 10     | 12156          | 6              | 4645           | 1              |
| 16        | Manipur           | 88     | 0      | 182            | 1              | 87             | 0              |
| 17        | Meghalaya         | 299    | 0      | 236            | 2              | 131            | 0              |
| 18        | Mizoram           | 209    | 4      | 276            | 1              | 142            | 1              |
| 19        | Nagaland          | 76     | 0      | 86             | 0              | 17             | 0              |
| 20        | Odisha            | 5146   | 24     | 3481           | 19             | 1940           | 7              |
| 21        | Punjab            | 9330   | 8      | 8833           | 7              | 7001           | 2              |
| 22        | Rajasthan         | 3247   | 0      | 2471           | 1              | 3806           | 0              |
| 23        | Sikkim            | 1344   | 0      | 800            | 0              | 273            | 0              |
| 24        | Tamil Nadu        | 1066   | 1      | 715            | 0              | 534            | 1              |
| 25        | Telangana         | 1735   | 1      | 2175           | 0              | 82             | 0              |
| 26        | Tripura           | 183    | 1      | 363            | 4              | 74             | 0              |
| 27        | Uttarakhand       | 10242  | 15     | 10930          | 16             | 8064           | 9              |
| 28        | Uttar Pradesh     | 11188  | 73     | 12530          | 47             | 14735          | 28             |
| 29        | West Bengal       | 3948   | 83     | 2898           | 115            | 2135           | 48             |
| 30        | A & N Islands     | 123    | 1      | 177            | 0              | 49             | 0              |
| 31        | Chandigarh        | 1249   | 27     | 1179           | 7              | 958            | 18             |
| 32        | D & N Haveli      | 48     | 6      | 7              | 2              | 16             | 4              |
| 33        | Daman & Diu       | 77     | 2      | 31             | 0              | 39             | 0              |
| 34        | Delhi             | 9145   | 87     | 10281          | 100            | 7321           | 133            |
| 35        | Lakshadweep       | 12     | 0      | 10             | 0              | 0              | 0              |
| 36        | Puducherry        | 520    | 4      | 416            | 7              | 220            | 1              |
| Total     |                   | 140861 | 435    | 142148         | 446            | 98086          | 283            |

Source:  National Health Profile brought out by CBHI, Dte.GHS

* 2016 & 2017: Data is different for different reference period.

The Details of State wise allocation done in 2017 - 18.

| State                      | FY 2015-16   | FY 2016-17   | FY 2017-18   |
|----------------------------|--------------|--------------|--------------|
| Bhopal, MP                 | NIL          | NIL          | 1.08         |
| Lucknow, UP                | NIL          | NIL          | 1.08         |
| Coimbtore, Tamil Nadu      | NIL          | NIL          | 1.08         |
| Burdwan, West Bengal       | NIL          | NIL          | 1.08         |
| Imphal, Manipur            | NIL          | NIL          | 1.08         |
| Ahmedabad, Gujarat         | NIL          | NIL          | 1.08         |
| Srinagar, J& K             | NIL          | NIL          | 1.08         |
| Ranchi, Jharkhand          | NIL          | NIL          | 1.08         |
| Thiruvananthapuram, Kerala | NIL          | NIL          | 1.08         |
| Total                      | NIL          | NIL          | 9.72 Lacs    |

Annexure II