Lok Sabha Question No. 166 (UNSTARRED), answered on 2017-12-15
Subject: Non-Communicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SATYA PAL SINGH, RAJIV PRATAP RUDY, T.G. VENKATESH BABU, KAUSHAL KISHORE, SHRIKANT EKNATH SHINDE, S.P. MUDDAHANUMEGOWDA, DHARAMBIR BHALERAM, RAJESHBHAI NARANBHAI CHUDASAMA, RAGHAV LAKHANPAL

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

## LOK SABHA UNSTARRED QUESTION NO. 166 TO BE ANSWERED ON   15 TH DECEMBER, 2017

## NON - COMMUNICABLE DISEASE S

## 166. SHRI SATYAPAL SINGH:

SHRI RAJIV PRATAP RUDY:

SHRI VENKATESH BABU T.G.:

SHRI KAUSHAL KISHORE:

DR. SHRIKANT EKNATH SHINDE:

SHRI S.P.MUDDAHANUME GOWDA:

SHRI DHARAMBIR:

SHRI RAJESHBHAI CHUDASAMA:

SHRI RAGHAV LAKHANPAL:

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

- (a)whether non -communicablediseases, especially cancer is increasing at an alarming rate;
- (b) if so, the details thereof and the number of different types of cancer deaths recorded in the country during each of the last three years;
- (c)  whether  Goverment  i s  adequately equipped  to  detect  various  types  of non- communicable diseases including cancer at an early stage and if so, the details thereof;
- (d)  whether  the  Government proposes  to  start  more  Cancer  care institutes,  Regional  Cancer Centres and Tertiary Ca ncer Care Centres in the country, if so, the details thereof, State/ UT wise; and
- (e) the details of other measures taken to promote research, awareness and treatment of such diseases?

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND

## ANSWER FAMILY WELFARE

## (SMT. ANUPRIYA PATEL )

- (a)& (b): As  per  a  report  on  'India:  Health  of  Nation's  State -The  India  State  Level Disease Burden Initiative' recently published by Indian Council of Medical Research (ICMR), the  disease  burden trends  in  States  of  India  sh ow an  increase  in  the  contribution  of  Non -Communicable Diseases (NCDs) from 30% of total disease burden in 1990 to 55% in 2016.

As per ICMR's cancer registry data, the estimated incidences of cancer patients in India are 13,28,229, 13,88,397 & 14,51,417 during the years 2014, 2015 & 2016, respectively. While estimated deaths due to cancer during these years are 670541, 701007 and 732921, respecti

(c) to (e):Though  public  health  is  a  State  subject,  Central  Government  supplements  t efforts of the State Governments. National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) is being implemented under Nationa Health Mission (NHM). The objectives of the programme includes health prom o ion activities and  opportunistic  screening  for  common  Non  Communicable  Diseases  (NCDs)  including cancer. For cancer, focus is on Breast, Cervix and Oral cancer.

Population based screening of common NCDs, hypertension and cancers (Oral, Breast and  Cervi cal  cancer)  has  also  been  initiated  under  National  Health  Mission  (NHM).  Ke components of population based screening of NCDs include community based risk assessment screening, referral, and follow up of all individuals of 30 years and above for common Ds (hypertension, diabetes, oral cancer, breast cancer and cervical cancer). The initiative in early diagnosis and will generate awareness on risk factors of NCDs.

The  Government  of  India  is  implementing  'Tertiary  Care  Cancer  Centre'  Scheme  to assist to establish/set up State Cancer Institutes (SCI) and Tertiary Care Cancer Centres in different parts of the country. Till November, 2017 proposals for setting up of 15 SCIs and 18 TCCCs have been approved. State/UTs wise list is at Annexure . These institutions will mentor all cancer related activities in their respective jurisdiction.

27 Regional Cancer Centres were also set up under the erstwhile National Cancer Control Programme Oncology in its various aspects has focus in case of new AIIMS and many upgrade institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Setting up of Nation Cancer Institute at Jhajjar (Haryana) and 2nd campus of Chittranja n National Cancer Institute, Kolkata  has  also  been  approved.  All  these  will  enhance  the  capacity  for  prevention treatment of cancer in the country.

The  Institutions  such  as  Indian  Council  of  Medical  Research  directs  and  promo research in non -commun icable disease including cancer.

Annexure List  of  State  Cancer  Institutes  (SCIs)  and  Tertiary  Care  Cancer  Centres  (TCCCs)  approved  under

## Strengthening of Tertiary Care Cancer facilities scheme of NPCDCS (till November, 2017)

| S No.   | State            | State Cancer Institute                                   | Tertiary Care Cancer Centre                                                                                               |
|---------|------------------|----------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------|
| 1       | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bangaluru   | Mandya Institute of Medical                                                                                               |
| 2       | Kerala           | Regional Cancer Centre, Thiruvananthapuram               | Government Medical College, Kozhikode                                                                                     |
| 3       | Tripura          | Cancer Hospital (RCC), Agartala                          | -                                                                                                                         |
| 4       | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad             | -                                                                                                                         |
| 5       | West Bengal      | -                                                        | Government Medical College, Murshidabad Medical College & Hospital, Berhampore, Murshidabad Sagore Dutta Memorial Medical |
| 6       | Jammu & Kashmir  | Sher- i -Kashmir Institute of Medical Sciences, Srinagar | -                                                                                                                         |
| 7       | Tamil Nadu       | Cancer Institute (RCC), Adyar, Chennai                   | -                                                                                                                         |
| 8       | Himachal Pradesh | -                                                        | Indira Gandhi Medical College,                                                                                            |
| 9       | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna       | -                                                                                                                         |
| 10      | Mizoram          | -                                                        | Civil Hospital, Aizawl                                                                                                    |
| 11      | Uttar Pradesh    | -                                                        | Sanjay Gandhi Postgraduate Medical Sciences, Lucknow                                                                      |
| 12      | Rajasthan        | SMS Medical College, Jaipur                              | 1.) S P Medical College, Bikaner 2.) Jhalawar Medical College &                                                           |
| 13      | Telangana        | MNJ Institute of Oncology & RCC, Hyderabad               | -                                                                                                                         |
| 14      | Punjab           | Government Medical College, Amritsar                     | Civil Hospital, Fazilka                                                                                                   |
| 15      | Delhi            | -                                                        | Lok Nayak Hospital                                                                                                        |
| 16      | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack          | -                                                                                                                         |
| 17      | Nagaland         | -                                                        | District Hospital, Kohima                                                                                                 |
| 18      | Haryana          | -                                                        | Civil Hospital, Ambala Cantt                                                                                              |
| 19      | Maharashtra      | Government Medical College, Aurangabad                   | 1.) Rashtrasant Tukdoji Regional Cancer Hospital & Research Centre, Nagpur 2.) Vivekanand Foundation &                    |
| 20      | Assam            | Gauhati Medical College & Hospital, Guwahati             | -                                                                                                                         |
| 21      | Madhya Pradesh   | -                                                        | G.R. Medical College, Gwalior                                                                                             |
| 22      | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi           | -                                                                                                                         |
| 23      | Andhra Pradesh   | Kurnool Medical College, Kurnool                         | -                                                                                                                         |
| 24      | Goa              | -                                                        | Goa Medical College, Panaji                                                                                               |
| Total   |                  | 15                                                       | 18                                                                                                                        |