Lok Sabha Question No. 3058 (UNSTARRED), answered on 2019-12-06
Subject: Malaria and Dengue Prone Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Jual Oram, Sadashiv Kisan Lokhande, Annpurna Devi

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

## LOK SABHA UNSTARRED QUEST ION NO. 3058 TO BE ANSWERED ON 6 TH DECEMBER, 2019

## MALARIA AND DENGUE P RONE AREAS

## 3058. SHRI JUAL ORAM:

## SHRI SADASHIV KISAN LOKHANDE:

SHRIMATI ANNPURNA DEVI:

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

- (a)  whether  the  Government  has  identified  malaria,  dengue  and  chikungunya  prone  areas different States, if so, the details th ereof, State/UT - wise;
- (b) the number of people who died due to these diseases in the country during the las years;
- (c) whether the Government has monitored the works carried out for the prevention of mal dengue  andchikungunya  across  the  co untry  during  the  current  year  and  if  so,  the  outcome thereof;
- (d) the steps taken by the Government for the prevention of said diseases in future on th the said outcome; and
- (e) the extent to which the said measures have been implemented so far?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI ASHWINI KUMAR CHOUBEY)

(a)&(b):     Yes.

Malaria: Government has identified the malaria prone areas of the country. As per the da 2018, the number of high endemic districts (with Annual Parasite  Incidence >1) has reduced from 132 in 2016 to 63 in 2018.The State - wise details of the high endemic distr ts are provided in Annexure - I

The  number  of  deaths  State - wise  reported  due  to  malaria  during  last  three  years  is  given Annexure - II.

Dengue & Chikungunya are outbreak prone diseases and there is variation in the cases f State to State and from time to time.

Dengue cases and deaths reported in the country during last three years are at Annexure - III .

Chikungunya : Till date, no death has been reported by any State/Union Territory(UT)  th directly  attributable  to  Chikungunya.  Data  on  clinically  s uspected  Chikungunya  cases  in  the country during last three years is at Annexure - IV .

## (c),(d)&(e) Malaria:

The  work  carried  out  in  the  States  is  monitored  regularly  through  monthly  reports, meetings and State visits.

The Government has set the goal of malaria elimination from the entire country by 2030. The steps taken for elimination of malaria are:

- Launch of National Framework for Malaria Elimination (NFME), 2016 -2030 in India to eliminate malaria by 2030.
- Launch  of  National  Strategic  Plan  (NSP) 2017- 22)  for  district  level  planning  of implementation of strategies.
- As per NFME and NSP all States/UTs and their districts have been stratified into categories.
- The  malaria  elimination  strategies  are  being  implemented  in  all  States  based  on str atification of the districts.
- Regular monitoring of the reports received from the States and feedback to the State
- Technical support and guidance to States/districts.
- Malaria situation in all districts is monitored regularly and feedback given to Stat
- Observance of anti - malaria month in June for the community

## Dengue and Chikungunya:

Government has taken the following steps to monitor the situation and to prevent Dengue and Chikungunya in the country during 2019 :

- Monitoring of disease situation through reports submitted by the States/UTs.
- To review the situation and actions taken by the States, total 10 reviews held at highe
- Total 14 advisories issued to sensitize the States for preparedness.
- Provided technical  guidelines for prevention and cont rol, case management and effective community participation to the States for implementation.
- To  augment  free  diagnostic  facility  for  Dengue,  a  network  of 680 identified Sentinel Surveillance Hospitals (SSHs) across the country with laboratory support which are linked with  16  Apex  Referral  laboratories  (ARLs)  with  advance  diagnostic  facility  we established.
- Provides  Enzyme  Linked  Immunosorbent  Assay  (ELISA)  based  IgM  kits  for  Dengue  to these identified Institutes through National Institute of Virology (NIV ), Pune, cost of which is borne by Government of India.
- In 2019 (till October), Government of India supplied 6018 Dengue and 2031 Chikungunya IgM test kits (1 Kit= 96 tests) through National Institute of Virology (NIV), Pune till
- Information Educatio n Communication (IEC)/ /Behaviour Change Communication (BCC) activities to disseminate knowledge for prevention and control.
- 'National  Dengue  Day'  observed  across  the  country  emphasizing  on  initiation  of  pre -monsoon preventive activities on 16 th May.
- Mega  Awareness  Campaign  under  the  leadership  of  Hon'ble  Minister  for  Health  was carried out by 286 teams in Delhi jointly by Government of India and Municipalities fr 17 th to 19 th July, 2019. Further, a s a follow up of mega awareness campaign, activities carried out in Delhi and National Capital Region during August and September 2019.

Ministry of Urban Development, Rural Development and Drinking Water & Sanitation requested to sensitize the State counterparts for effective inter - departmental cooperation to prevent dengue.

## ANNEXURE-I

## STATES SHOWING HIGH ENDEMIC DISTRICT WITH REFERENCE TO MALARIA (WITH ANNUAL POPULATION INDEX GREATER THAN 1)

| Sl. No   | State                     |   2016 |   2017 |   2018 |
|----------|---------------------------|--------|--------|--------|
| 1        | Andaman & Nicobar Islands |      1 |      1 |      1 |
| 2        | Andhra Pradesh            |      3 |      2 |      0 |
| 3        | Arunachal Pradesh         |     12 |      7 |      2 |
| 4        | Assam                     |      4 |      3 |      1 |
| 5        | Chhattisgarh              |     19 |     19 |     14 |
| 6        | Gujarat                   |      7 |      3 |      1 |
| 7        | Haryana                   |      1 |      1 |      1 |
| 8        | Jharkhand                 |     19 |     18 |     13 |
| 9        | Karnataka                 |      2 |      2 |      2 |
| 10       | Madhya Pradesh            |     17 |      7 |      1 |
| 11       | Maharashtra               |      1 |      1 |      1 |
| 12       | Meghalaya                 |      6 |      5 |      2 |
| 13       | Mizoram                   |      6 |      5 |      4 |
| 14       | Nagaland                  |      2 |      0 |      0 |
| 15       | Odisha                    |     22 |     21 |     10 |
| 16       | Telangana                 |      0 |      0 |      0 |
| 17       | Tripura                   |      5 |      5 |      5 |
| 18       | Uttar Pradesh             |      3 |      2 |      3 |
| 19       | West Bengal               |      2 |      1 |      2 |
| Total    | Total                     |    132 |    103 |     63 |

## STATE-WISE MALARIA SITUATION IN THE COUNTRY

| S. NO.   | STATEs/UNION TERRITORIES.   | 2016       | 2016   | 2017      | 2017   | 2018      | 2018   |
|----------|-----------------------------|------------|--------|-----------|--------|-----------|--------|
| S. NO.   | STATEs/UNION TERRITORIES.   | Cases      | Deaths | Cases     | Deaths | Cases     | Deaths |
| 1        | Andhra Pradesh              | 23613      | 0      | 16972     | 0      | 6040      | 0      |
| 2        | Arunachal Pradesh           | 3128       | 2      | 1546      | 0      | 625       | 0      |
| 3        | Assam                       | 7826       | 6      | 5281      | 0      | 3816      | 2      |
| 4        | Bihar                       | 5189       | 0      | 4020      | 2      | 1536      | 0      |
| 5        | Chhattisgarh                | 148220     | 61     | 140727    | 81     | 78717     | 39     |
| 6        | Goa                         | 742        | 0      | 653       | 1      | 377       | 0      |
| 7        | Gujarat                     | 44783      | 6      | 38588     | 7      | 22114     | 2      |
| 8        | Haryana                     | 7866       | 0      | 5696      | 0      | 3149      | 0      |
| 9        | Himachal Pradesh            | 106        | 0      | 96        | 0      | 98        | 0      |
| 10       | Jammu & Kashmir             | 242        | 0      | 226       | 0      | 168       | 0      |
| 11       | Jharkhand                   | 141414     | 15     | 94114     | 0      | 57095     | 4      |
| 12       | Karnataka                   | 11078      | 0      | 7381      | 0      | 5721      | 0      |
| 13       | Kerala                      | 1547       | 2      | 1192      | 2      | 908       | 0      |
| 14       | Madhya Pradesh              | 69106      | 3      | 47541     | 5      | 22279     | 1      |
| 15       | Maharashtra                 | 23983      | 26     | 17710     | 20     | 10757     | 13     |
| 16       | Manipur                     | 122        | 0      | 80        | 0      | 12        | 0      |
| 17       | Meghalaya                   | 35147      | 45     | 16454     | 12     | 6394      | 6      |
| 18       | Mizoram                     | 7583       | 9      | 5715      | 4      | 4296      | 3      |
| 19       | Nagaland                    | 828        | 0      | 394       | 1      | 113       | 0      |
| 20       | Orissa                      | 444843     | 77     | 347860    | 24     | 66311     | 3      |
| 21       | Punjab                      | 693        | 0      | 805       | 0      | 624       | 0      |
| 22       | Rajasthan                   | 12741      | 5      | 10607     | 0      | 5728      | 0      |
| 23       | Sikkim                      | 15         | 0      | 14        | 0      | 6         | 0      |
| 24       | Tamil Nadu                  | 4341       | 0      | 5444      | 0      | 3758      | 0      |
| 25       | Telangana                   | 3512       | 1      | 2688      | 0      | 1792      | 0      |
| 26       | Tripura                     | 10546      | 14     | 7051      | 6      | 13079     | 13     |
| 27       | Uttarakhand                 | 961        | 0      | 508       | 0      | 409       | 0      |
| 28       | Uttar Pradesh               | 40700      | 0      | 32345     | 0      | 86486     | 0      |
| 29       | West Bengal                 | 35236      | 59     | 31265     | 29     | 26440     | 8      |
| 30       | Andaman & Nicobar.Islands   | 485        | 0      | 505       | 0      | 259       | 0      |
| 31       | Chandigarh                  | 157        | 0      | 114       | 0      | 44        | 0      |
| 32       | Dadra & Nagar Haveli        | 375        | 0      | 290       | 0      | 221       | 1      |
| 33       | Daman & Diu                 | 48         | 0      | 38        | 0      | 24        | 0      |
| 34       | Delhi                       | 31         | 0      | 577       | 0      | 473       | 0      |
| 35       | Lakshadweep                 | 2          | 0      | 1         | 0      | 5         | 0      |
| 36       | Puducherry Total            | 76 1087285 | 0 331  | 60 844558 | 0 194  | 54 429928 | 1 96   |

## ANNEXURE-II

ANNEXURE-III STATE-WISE DENGUE CASES AND DEATHS IN THE COUNTRY

| Sl. No.   | State                    | 2016   | 2016   | 2017   | 2017   | 2018   | 2018   |
|-----------|--------------------------|--------|--------|--------|--------|--------|--------|
| Sl. No.   | State                    | C      | D      | C      | D      | C      | D      |
| 1         | Andhra Pradesh           | 3417   | 2      | 4925   | 0      | 4011   | 0      |
| 2         | Arunachal Pradesh        | 13     | 0      | 18     | 0      | 1      | 0      |
| 3         | Assam                    | 6157   | 4      | 5024   | 1      | 166    | 0      |
| 4         | Bihar                    | 1912   | 0      | 1854   | 0      | 2142   | 0      |
| 5         | Chhattisgarh             | 356    | 0      | 444    | 0      | 2674   | 10     |
| 6         | Goa                      | 150    | 0      | 235    | 0      | 335    | 1      |
| 7         | Gujarat                  | 8028   | 14     | 4753   | 6      | 7579   | 5      |
| 8         | Haryana                  | 2493   | 0      | 4550   | 0      | 1898   | 0      |
| 9         | Himachal Pradesh         | 322    | 0      | 452    | 0      | 4672   | 7      |
| 10        | Jammu and Kashmir        | 79     | 1      | 488    | 0      | 214    | 0      |
| 11        | Jharkhand                | 414    | 1      | 710    | 5      | 463    | 1      |
| 12        | Karnataka                | 6083   | 8      | 17844  | 10     | 4427   | 4      |
| 13        | Kerala                   | 7439   | 13     | 19994  | 37     | 4083   | 32     |
| 14        | Madhya Pradesh           | 3150   | 12     | 2666   | 6      | 4506   | 5      |
| 15        | Meghalaya                | 172    | 0      | 52     | 0      | 44     | 0      |
| 16        | Maharashtra              | 6792   | 33     | 7829   | 65     | 11011  | 55     |
| 17        | Manipur                  | 51     | 1      | 193    | 1      | 14     | 0      |
| 18        | Mizoram                  | 580    | 0      | 136    | 0      | 68     | 0      |
| 19        | Nagaland                 | 142    | 0      | 357    | 0      | 369    | 0      |
| 20        | Odisha                   | 8380   | 11     | 4158   | 6      | 5198   | 5      |
| 21        | Punjab                   | 10439  | 15     | 15398  | 18     | 14980  | 9      |
| 22        | Rajasthan                | 5292   | 16     | 8427   | 14     | 9587   | 10     |
| 23        | Sikkim                   | 82     | 0      | 312    | 0      | 320    | 0      |
| 24        | Tamil Nadu               | 2531   | 5      | 23294  | 65     | 4486   | 13     |
| 25        | Tripura                  | 102    | 0      | 127    | 0      | 100    | 0      |
| 26        | Telangana                | 4037   | 4      | 5369   | 0      | 4592   | 2      |
| 27        | Uttar Pradesh            | 15033  | 42     | 3092   | 28     | 3829   | 4      |
| 28        | Uttarakhand              | 2146   | 4      | 849    | 0      | 689    | 3      |
| 29        | West Bengal              | 22865  | 45     | 37746  | 46     | NR     | NR     |
| 30        | Andaman &Nicobar Islands | 92     | 0      | 18     | 0      | 49     | 0      |
| 31        | Chandigarh               | 1246   | 0      | 1125   | 0      | 301    | 0      |
| 32        | Delhi                    | 4431   | 10     | 9271   | 10     | 7136   | 4      |
| 33        | Dadra &Nagar Haveli      | 4161   | 2      | 2064   | 0      | 493    | 0      |
| 34        | Daman & Diu              | 89     | 0      | 59     | 0      | 163    | 0      |
| 35        | Puducherry               | 490    | 2      | 4568   | 7      | 592    | 2      |
|           | TOTAL                    | 129166 | 245    | 188401 | 325    | 101192 | 172    |

C= Cases, D= Deaths, NR = Not Reported

ANNEXURE- IV STATE-WISE CLINICALLY SUSPECTED CHIKUNGUNYA CASES IN THE COUNTRY

| Sl. No   | State                      |   2016 |   2017 |   2018 |
|----------|----------------------------|--------|--------|--------|
| 1        | Andhra Pradesh             |    960 |   1162 |    622 |
| 2        | Arunachal Pradesh          |    239 |    133 |    507 |
| 3        | Assam                      |     40 |     41 |      3 |
| 4        | Bihar                      |    566 |   1251 |    156 |
| 5        | Goa                        |    337 |    509 |    455 |
| 6        | Gujarat                    |   3285 |   7953 |  10601 |
| 7        | Haryana                    |   5394 |    220 |     62 |
| 8        | Jammu & Kashmir            |      1 |      0 |      1 |
| 9        | Jharkhand                  |     47 |    269 |   3405 |
| 10       | Karnataka                  |  15666 |  32831 |  20411 |
| 11       | Kerala                     |    129 |     78 |     77 |
| 12       | Madhya Pradesh             |   2280 |   2477 |   3211 |
| 13       | Meghalaya                  |    360 |    236 |     44 |
| 14       | Maharashtra                |   7570 |   8110 |   9884 |
| 15       | Mizoram                    |      0 |      0 |     93 |
| 16       | Manipur                    |      0 |      0 |      2 |
| 17       | Odisha                     |     51 |      0 |      0 |
| 18       | Punjab                     |   4407 |   3251 |    736 |
| 19       | Rajasthan                  |   2506 |   1612 |    254 |
| 20       | Sikkim                     |     30 |    130 |    384 |
| 21       | Tamil Nadu                 |     86 |    131 |    284 |
| 22       | Telangana                  |    611 |   1277 |   1954 |
| 23       | Tripura                    |    311 |    574 |    683 |
| 24       | Uttar Pradesh              |   2458 |    103 |     58 |
| 25       | Uttarakhand                |     35 |      0 |     29 |
| 26       | West Bengal                |   1071 |   2103 |     52 |
| 27       | Anadaman & Nicobar Islands |     18 |     93 |    205 |
| 28       | Chandigarh                 |   2857 |   1810 |    357 |
| 29       | Delhi                      |  12279 |    940 |    407 |
| 30       | Dadra &Nagar Haveli        |      0 |      0 |      0 |
| 31       | Lakshadweep                |      0 |      0 |      0 |
| 32       | Puducherry                 |    463 |    475 |   2876 |
|          | Total                      |  64057 |  67769 |  57813 |