Lok Sabha Question No. 3291 (UNSTARRED), answered on 2019-07-12
Subject: Excessive Alkaline Content in Water
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Prataprao  Jadhav

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

LOK SABHA UNSTARRED QUESTION NO. 3291 TO BE ANSWERED ON 12 TH JULY, 2019

## EXCESSIVE ALKALINE C ONTENT IN WATER

## 3291. SHRI PRATAPRAO JADHAV:

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

- (a)  whether  kidney  diseases  are increasing  among  people  in  various parts  of  the  country particularly Buldhana  Parliamentary  constituency  in Maharashtra  due  to  excessive  alkaline content i n water;
- (b) if so, the details thereof;
- (c)  whether  the  Government  has  taken/ proposes  to  take  any  steps  for  deploying specialist doctors and establishment of Dialysis Centre at district level to tackle the increasing incidents of kidney disease due to excessive alkaline content in water in the said constituency;
- (d) if so, the details thereof; and
- (e) the funds allocated to the Maharashtra Government in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHW INI KUMAR CHOUBEY)

(a)&(b): According to Indian Council of Medical Research(ICMR) report entitled India: He of the Nation's States', published in 2017, the contribution of Chronic Kidney  Disease (CKD) to Disability Adjusted Life Years (DALY) has incre ed -0.8%  in 1990 to 1.6% in 2016. As informed  by  State  Government  of  Maharashtra,  available  data  of  last  3  years  from  Dia Centres shows steady cases of kidney disease in Buldhana District.  The kidney patients a dialysis services in Buldhan a District in year 2016 - 17, 2017 - 18 and 2018 -19 are 98, 92 and 87, respectively.

Risk  factors  of  CKD  include  unhealthy  diet,  use  tobacco  products,  lack  of  phys activities, hypertension and diabetes inter alia.

(c) to (e):  Health  is  a  State  subject.  The  Government  of  India  supplements  the  efforts States. Support is provided to the States as per Programme Implementation Plan (PIP) subm under National Health Mission (NHM).

National  Programme  for  Prevention  a nd  Control  of  Cancer,  Diabetes,  Cardiovascular Diseases  and  Stroke  (NPCDCS),  is  being  implemented  for  interventions  up  to  District  l under National Health Mission. Many of risk factors of CKD are common with other common Non Communicable Diseases. NPCD CS has a focus on awareness generation for behavior and lifestyle changes, screening and early diagnosis and their referral to high facilities fo management  of  NCDs  including  CKD.  Population  level  initiative  for  prevention,  contr screening and management, for common Non - Communicable Diseases including diabetes and hypertension,  which  are  the  biological  risk  factors  of  CKD,  has  been  rolled  out  in  ov districts  of  the  country  under  National  Health  Mission  (NHM),  as  a  part  of  comprehen primary healthcare.

Pradhan  Mantri  National  Dialysis  Programme  (PMNDP)  has  been  rolled  out  under National Health Mission (NHM) to support setting up dialysis services. A total of 447 Di have  been  covered  with  769  Centres having  4522  machines  with  a  combined  capacity  of performing approximately 46.9 Lakhs Haemo - dialysis Sessions.

As informed by the Government of Maharashtra, i n Buldhana District,  Dialysis facility is available  at  3  Places  viz.  District  Hospital  Buldhana, General  Hospital  Khamgaon,  and  Sub -District  Hospital  Shegaon.    At  each  dialysis  centre,  4  dialysis  machines  are  availabl 2014- 2015,  33275  dialysis  procedures  have  been  conducted.  Nephrologists  are  appointed contractual basis at dialysis centres .    As informed by the Government of Maharashtra,  budget of  Rs  1166.17  Lakhs  is  approved  for  Human  Resource  (HR)  Salaries  and  Rs  840  Lakhs  i approved for consumables and reagents for Dialysis under NHM for 2019 - 20.