Lok Sabha Question No. 99 (UNSTARRED), answered on 2019-06-21
Subject: Non-communicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajiv Pratap Rudy

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

## LOK SABHA UNSTARRED QUESTION NO. 99 TO BE ANSWERED ON 21 ST JUNE,2019

## NON - COMMUNICABLE DISEASE S

## 99. SHRI RAJIV PRATAP RUDY:

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 reported during each of the last three years;
- (c) whether our country is equipped to detect various types of cancer including breast cancer at early stage and if so, the details thereof;
- (d) whether the Government proposes to set up new cancer care institutes and hospitals in the country and if so, the details thereof indicating the expendi ure likely to be incurred, State/UT wise; and
- (e) the steps taken by the Government to promote research projects relating to cancer treatment and setting up research institutes for the purpose?

## ANSWER

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

## (SHRI ASHWINI KUMAR CHOUBEY)

(a)& (b): As per report on 'India: Health of Nation's State The India State Level Disease Burden  Initiative'  published  by  Indian  Council  of  Medical  Research  (ICMR),  the  disease burden trends in India shows an increase in the contribution of Non - Communicable Disea ses (NCDs)  to total deaths from 37.9% in 1990 to 61.8% in 2016.

As per ICMR's cancer registry data, the estimated incidences of cancer patients in India are 14,51,417, 15,17,426 & 15,86,571 during the years 2016, 2017 & 2018, respectively, w estimate d  deaths  due  to  cancer  during  these  years  are  7,32,921,  7,66,348  and  8,01, respectively.

(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  the National Health Mission (NHM). The objectives of the programme include health promotio activities  and  opportunistic  screening  for  common  Non  Communica ble  Diseases  (NCDs) including cancer. For cancer, focus is on Breast, Cervix and Oral cancer.

Population based screening of common NCDs, i.e. diabetes, hypertension and cance (Oral,  Breast  and  Cervical  cancer)  has  also  been  initiated  under  National Health  Mission (NHM).  Key  components  of  population  based  screening  include  community  based  risk assessment,  screening,  referral,  and  follow  up  of  all  individuals  of  30  years  and  ab common  NCDs  (hypertension,  diabetes,  oral  cancer,  breast  cancer  and cervical  cancer).  The initiative will help in early diagnosis and will generate awareness on risk factors of NC

The  Government  of  India  is  implementing  'Strengthening  of  Tertiary  Care  Cancer facilities Scheme' to assist States/UTs in setting up of S tate Cancer Institutes (SCI) and Tertiary Care Cancer Centres (TCCC) in different parts of the country. Till March 2019, proposal setting up of 15 SCIs and 20 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 Con Programme.  Oncology  in  its  various  aspects  has  focus  in  case  of  new  AIIMS  and  man upgraded instituti ons under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Setting up of National Cancer Institute at Jhajjar (Haryana) and 2nd campus of Chittaranjan National C Institute, Kolkata has also been approved. All these will enhance the capacity for preven ion and treatment of cancer in the country.

Indian Council of Medical Research and institution under it direct and promote res in non - communicable disease including cancer.

List  of  State  Cancer  Institutes  (SCIs)  and  Tertiary  Care  Cancer  Centres  (TCCCs)  approved  under Strengthening of Tertiary Care Cancer facilities scheme of NPCDCS (till March 2019).

|   S No | State            | Name of the Institute                                                 | SCI/ TCCC   |   Cost of the project approved (including State share) (Rs. in crore) |
|--------|------------------|-----------------------------------------------------------------------|-------------|-----------------------------------------------------------------------|
|      1 | Andhra Pradesh   | Kurnool Medical College, Kurnool                                      | SCI         |                                                               120     |
|      2 | Assam            | Gauhati Medical College &Hospital, Guwahati                           | SCI         |                                                               119.9   |
|      3 | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                    | SCI         |                                                               120     |
|      4 | Delhi            | Lok Nayak Hospital                                                    | TCCC        |                                                                39.82  |
|      5 | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad                          | SCI         |                                                               120     |
|      6 | Goa              | Goa Medical College, Panaji                                           | TCCC        |                                                                45     |
|      7 | Haryana          | Civil Hospital, Ambala Cantt                                          | TCCC        |                                                                45     |
|      8 | Himachal Pradesh | Indira Gandhi Medical College, Shimla                                 | TCCC        |                                                                45     |
|      9 | Himachal Pradesh | Shri Lal Bahadur Shastri Medical College, Mandi                       | TCCC        |                                                                45     |
|     10 | Jammu &Kashmir   | Sher-i-Kashmir Institute of Medical Sciences, Srinagar                | SCI         |                                                               120     |
|     11 | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                        | SCI         |                                                                51     |
|     12 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bangaluru                | SCI         |                                                               120     |
|     13 |                  | Mandya Institute of Medical Sciences, Mandya                          | TCCC        |                                                                38.35  |
|     14 | Kerala           | Regional Cancer Centre, Tjiruvananthapuram                            | SCI         |                                                               102.35  |
|     15 |                  | Government Medical College, Kozhikode                                 | TCCC        |                                                                44.5   |
|     16 | Madhya Pradesh   | G.R. Medical College, Gwalior                                         | TCCC        |                                                                42     |
|     17 | Maharashtra      | Rashtrasant Tukdoji Regional Cancer Hospital& Research Centre, Nagpur | TCCC        |                                                                44.991 |
|     18 |                  | Government Medical College, Aurangabad                                | SCI         |                                                                96.7   |
|     19 |                  | Vivekanand Foundation &Research Centre, Latur                         | TCCC        |                                                                45     |
|     20 | Mizoram          | Mizoram State Cancer Institute, Aizawl                                | TCCC        |                                                                44.27  |
|     21 | Nagaland         | District Hospital, Kohima                                             | TCCC        |                                                                43.5   |
|     22 | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack                       | SCI         |                                                                79.62  |
|     23 | Punjab           | Government Medical College, Amritsar                                  | SCI         |                                                               114.61  |
|     24 |                  | Civil Hospital, Fazilka                                               | TCCC        |                                                                44.71  |
|     25 | Rajasthan        | S P Medical College, Bikaner                                          | TCCC        |                                                                45     |
|     26 |                  | SMS Medical College, Jaipur                                           | SCI         |                                                               119.25  |
|     27 |                  | Jhalawar Medical College &Hospital, Jhalawar                          | TCCC        |                                                                43.9   |
|     28 | Sikkim           | Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim   | TCCC        |                                                                42.99  |
|     29 | Tamil Nadu       | Cancer Institute (RCC), Adyar, Chennai                                | SCI         |                                                               120     |
|     30 | Telangana        | MNJ Institute of Oncology& RCC, Hyderabad                             | SCI         |                                                               112.7   |
|     31 | Tripura          | Cancer Hospital (RCC), Agartala                                       | SCI         |                                                                81.5   |
|     32 | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow     | TCCC        |                                                                45     |
|     33 | West Bengal      | Government Medical College, Burdwan                                   | TCCC        |                                                                39.54  |
|     34 |                  | Murshidabad Medical College & Hospital, Berhampore, Murshidabad       | TCCC        |                                                                32.15  |
|     35 |                  | Sagore Dutta Memorial Medical College and Hospital, Kolkata           | TCCC        |                                                                45     |