Lok Sabha Question No. 105 (UNSTARRED), answered on 2018-02-02
Subject: Cancer Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAMCHARAN BOHARA

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

## LOK SABHA UNSTARRED QUESTION NO. 105 TO BE ANSWERED ON 2 ND FEBRUARY, 2018

## CANCER PATIENTS

## 105. SHRI RAM CHARAN BOHRA:

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

- (a) the number of patients found suffering from cancer during the last three years, year -wise;
- (b) the percentage of cancer patients, who received complete treatment of cancer during the said period;
- (c) the number of deaths reported due to cancer during the said period and the steps being taken by the Government to ensure complete treatment for cancer patients;
- (d) whether the Government has taken note of EMI scheme of any company, which not only ensures regular treatment of cancer but also bears the high cost of medicines;
- (e)  if  so,  whether  the  Government proposes  to  adopt  such  scheme  for  the benefit  of  cancer patients and if so, the details thereof; and
- (f) the other steps taken and funds allocated to check cancer cases State/ UT - wise?

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

(a) to (c): As per Indian Council of Medical Research's cancer registry data; the estimated number of incidence and mortality of cancer cases in the country during 2014 - 2016 is as below:

## Table 1

| Year                          | 2014          |    2015 |    2016 |
|-------------------------------|---------------|---------|---------|
| Estimated incidence of cancer | cases 1328229 | 1388397 | 1451417 |

## Table 2

| Year                          | 2014         |   2015 |   2016 |
|-------------------------------|--------------|--------|--------|
| Estimated mortality of cancer | cases 670541 | 701007 | 732921 |

Cancer is being diagnosed and treated at various levels in the Government health system. The data regarding percentage of cancer patient who received complete treatment maintained centrally.

(d) to (f): There are some news reports about EMI s cheme of some private company for cancer drugs.

Rashtriya Swasthya Bima Yojana (RSBY), a centrally sponsored scheme provides health insurance coverage to Below Poverty Line (BPL) families and including other 11 categorie Unorganized Workers (UOWs) who are enrolled under the scheme.

Affordable Medicines and Reliable Implants for Treatment (AMRIT) outlets have bee opened  at  111  Institutions/Hospitals  with  an  objective  to  make  available  Cancer Cardiovascular Diseases drugs and implants at discounted prices to the patients. Jan Aushadhi stores are set up by Department of Pharmaceuticals to provide generic drugs at affordable

The  list  of  medicines  specified  in  the  National  List  of  Essential  Medicines  (N which  are  included  in  the  First  Sche dule  of  Drug  Pricing  Control  Order  (DPCO),  2013  also contain drugs used for the treatment of Cancer for which ceiling prices have been fixed.

The treatment of Cancer in many of State and Centre Government institutions is fre BPL patients and subsidiz ed for others. The Central Government supplements the efforts of th State Governments to prevent and control cancer and to provide affordable and accruable Some of the steps taken by Central Government are as follows:

- I. The objectives of National Pro gramme for Prevention and Control of Cancer, Diabetes, Cardiovascular  Diseases  and  Stroke  (NPCDCS)  being  implemented  under  National Health  Mission  (NHM)  for  interventions  upto  the  district  level  includes  aware generation for Cancer prevention, screenin g, early detection and referral to an appropriate level institution for treatment. For Cancer, the focus is on three Cancer namely cervical and oral.
- II. To  enhance  the  facilities  for  tertiary  care  of  cancer,  the  Central  Governme implementing  T ertiary  Care  Cancer  Centre  Scheme  to  support  the  setting  up  of  Sta Cancer Institutes (SCI) and Tertiary Care Cancer Centres (TCCC) in different parts country.  The  details  of  funds  released  under  the  scheme  so  far,  State/UT - wise is  at Annexure .
- III. On cology  in  its  various  aspects  has  focus  in  case  of  new  AIIMS  and  many  upgrade institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY).
- IV. Setting up of National Cancer Institute (NCI) at Jhajjar (Haryana) and 2nd campu Chittaranjan National C ancer Institute, Kolkata and has been approved.
- V. The Government is providing financial assistance to patients living below poverty li life  threatening  diseases  under  the  schemes  such  as  Rashtriya  Arogya  Nidhi  (RAN Health Minister's Cancer Patient F und (HMCPF), State Illness Assistance Fund (SIAF) and Health Minister's Discretionary Grant (HMDG).

Funds  released  for  State  Cancer  Institutes  (SCI)  &  Tertiary  Care  Cancer  Centres  (TCCCs)  under Strengthening of Tertiary Care Cancer facilities under National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)

|   S No | State            | State Cancer Institute                                   | Tertiary Care Cancer Centre                                       | Amount Released (Rs. in Crore)   | 2015-16   | 2016-17   | Amount Released (Rs. in Crore)   |   Total |
|--------|------------------|----------------------------------------------------------|-------------------------------------------------------------------|----------------------------------|-----------|-----------|----------------------------------|---------|
|      1 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bangaluru   | -                                                                 | 2014-15 67.50                    | -         | -         | 2017-18 -                        | 67.5    |
|      2 | Karnataka        | -                                                        | Mandya Institute of Medical Sciences                              | -                                | 17.257    | -         | -                                | 17.257  |
|      3 | Kerala           | -                                                        | Government Medical College, Kozhikode                             | 25.03                            | -         | -         | -                                | 25.03   |
|      4 | Kerala           | Regional Cancer Centre, Thiruvananthapuram               | -                                                                 | -                                | -         | 46.957    | -                                | 46.957  |
|      5 | Tripura          | Cancer Hospital (RCC), Agartala                          | -                                                                 | 55.00                            | -         | -         | -                                | 55      |
|      6 | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad             | -                                                                 | 67.50                            | -         | -         | -                                | 67.5    |
|      7 | West Bengal      | -                                                        | Government Medical College, Burdwan                               | 22.24                            | -         | -         | -                                | 22.24   |
|      8 | West Bengal      | -                                                        | Murshidabad Medical College & Hospital, Berhampore, Murshidabad   | -                                | -         | 10.9793   | -                                | 10.9793 |
|      9 | West Bengal      | -                                                        | Sagore Dutta Memorial Medical College and Hospital, Kolkata       | -                                | -         | -         | 20.25                            | 20.25   |
|     10 | Jammu & Kashmir  | Sher- i -Kashmir Institute of Medical Sciences, Srinagar | -                                                                 | 47.25                            | -         | -         | -                                | 47.25   |
|     11 | Tamil Nadu       | Cancer Institute (RCC), Adyar, Chennai                   | -                                                                 | 67.38                            | -         | -         | -                                | 67.38   |
|     12 | Himachal Pradesh | -                                                        | Indira Gandhi Medical College, Shimla                             | -                                | 14.87     | -         | -                                | 14.87   |
|     13 | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna       | -                                                                 | -                                | 33.06     | -         | -                                | 33.06   |
|     14 | Mizoram          | -                                                        | Civil Hospital, Aizawl                                            | -                                | 14.64     | -         | -                                | 14.64   |
|     15 | Uttar Pradesh    | -                                                        | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow | -                                | 11.43     | -         | -                                | 11.43   |
|     16 | Rajasthan        | -                                                        | S P Medical College, Bikaner                                      | -                                | 17.123    | -         | -                                | 17.123  |
|     17 | Rajasthan        | SMS Medical College, Jaipur                              | -                                                                 | -                                | -         | 40.6683   | -                                | 40.6683 |
|     18 | Rajasthan        | -                                                        | Jhalawar Medical College & Hospital, Jhalawar                     | -                                | -         | -         | 19.755                           | 19.755  |
|     19 | Telangana        | MNJ Institute of Oncology & RCC,                         | -                                                                 | -                                | 18.12     | -         | -                                | 18.12   |

|       |                | Hyderabad                                       |                                                                        |        |        |          |           |           |
|-------|----------------|-------------------------------------------------|------------------------------------------------------------------------|--------|--------|----------|-----------|-----------|
| 20    | Punjab         | Government Medical College, Amritsar            | -                                                                      | -      | -      | 51.58    | -         | 51.58     |
| 21    |                | -                                               | Civil Hospital, Fazilka                                                | -      | -      | 20.119   | -         | 20.119    |
| 22    | Delhi          | -                                               | Lok Nayak Hospital                                                     | -      | -      | 25.40    | 4.47      | 29.87     |
| 23    | Odisha         | Acharya Harihar Regional Cancer Centre, Cuttack | -                                                                      | -      | -      | 35.829   | -         | 35.829    |
| 24    | Nagaland       | -                                               | District Hospital, Kohima                                              | -      | -      | 5.4998   | -         | 13.23     |
| 24    |                |                                                 |                                                                        |        |        | 4.6702   |           |           |
| 24    |                |                                                 |                                                                        |        |        | 3.06     |           |           |
| 25.   | Haryana        | -                                               | Civil Hospital, Ambala Cantt                                           | -      | -      | 9.2253   | 2.925     | 12.1503   |
| 26.   | Maharashtra    | -                                               | Rashtrasant Tukdoji Regional Cancer Hospital & Research Centre, Nagpur | -      | -      | 15.3196  | 4.8564    | 20.176    |
| 27.   |                | Government Medical College, Aurangabad          | -                                                                      | -      | -      | -        | 43.515    | 43.515    |
| 28.   |                | -                                               | Vivekanand Foundation & Research Centre, Latur                         | -      | -      | -        | 20.25     | 20.25     |
| 29.   | Assam          | Gauhati Medical College & Hospital, Guwahati    | -                                                                      | -      | -      | 08.43    | 30.00     | 38.43     |
| 30.   | Madhya Pradesh | -                                               | G.R. Medical College, Gwalior                                          | -      | -      | -        | 18.90     | 18.90     |
| 31.   | Jharkhand      | Rajendra Institute Medical Sciences, Ranchi     | of -                                                                   | -      | -      | -        | 22.95     | 22.95     |
| 32.   | Andhra Pradesh | Kurnool Medical College, Kurnool                | -                                                                      | -      | -      | -        | 54.00     | 54.00     |
| 33    | Goa            | -                                               | Goa Medical College, Panaji                                            | -      | -      | -        | 8.3519    | 8.3519    |
| Total | Total          | 15                                              | 18                                                                     | 351.90 | 126.50 | 277.7375 | 250.223 3 | 1006.3608 |