Lok Sabha Question No. 3421 (UNSTARRED), answered on 2020-03-13
Subject: Breast Cancer Cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Chinta Anuradha

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

LOK SABHA UNSTARRED QUESTION NO. 3421 TO BE ANSWERED ON 13 TH MARCH, 2020

## BREAST CANCER CASES

## 3421. SHRIMATI CHINTA ANURADHA:

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

- (a) whether the Government has taken steps to curb rapidly growing incidences of breast cancers among women with specific attention to promote awareness, prevention, screening and medical treatment;
- (b) if s o, the details thereof;
- (c) the number of breast cancer patients benefited so far during the year 2019 - 20; and
- (d) the details of the Government scheme in this regard including quantum of funds allocated and utilized thereunder?

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

(a) to (d): Health is a State subject and the Central Government supplements the efforts the  State  Governments  in  preventing  and  controlling  cancer.  The  ob jectives  of  National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Str (NPCDCS), being implemented by Central Government under National Health Mission (NHM) for  interventions  upto  the  district  level,  includes  awar eness  generation  for  cancer  prevention, screening,  early  detection  and  referral  to  an  appropriate  level  institution  for  trea cancer,    the  focus  is  on  three  cancers,  namely  breast,  cervical  and  oral.    A  populat initiative  for  prevention, control  and  screening  for  common  Non - Communicable  Diseases (NCDs) i.e. diabetes, hypertension and common cancers viz. oral, breast and cervical canc been  rolled  out  in  over  215  districts  of  the  country,  as  a  part  of  comprehensive healthcare. Screening of common NCDs including three common cancers i.e. oral, breast and cervical  is  also  an  integral  part  of  service  delivery  under  Ayushman  Bharat - Health  and Wellness Centres. Awareness campaigns on common risk factors for NCDs, including cancer, and  promotion  of  healthy  lifestyle  are  also  carried  out  through  electronic  and  social Camps for awareness generation and screening for common NCDs are also organized at Praga Maidan,  New  Delhi,  during  the  India  International  Trade  Fair  each  year. Indian  Council  of Medical  Research  (ICMR) - National  Institute  of  Cancer  Prevention  and  Research  (NICPR), Noida, has launched www.cancerindia.org with the theme 'India Against Cancer', a portal that provides  infor mation  on  the  leading  cancers  in  India  with  a  major  focus  on  awarenes prevention and treatment of these cancers.

To tackle the challenge of NCDs, including cancers, 616 NCD Clinics at District l and 3,872 NCD Clinics at Community Health Centre l evel have been set up under NPCDCS. Under  NHM,  support  is  provided  to  States/UTs  to  provide  free  essential  medicines diagnostic services for primary and secondary health care needs.

To  enhance  the  facilities  for  tertiary  care  of  cancer,  the  Central  Governme implementing Strengthening of Tertiary Care for Cancer Scheme, under which setting up of State Cancer Institutes and 20 Tertiary Care Cancer Centres have been approved. The list of such approved SCIs/TCCCs in the country alongwith funds released is at Annexure. Further, Oncology is also one of the focus areas in case of new AIIMS and many upgraded institut under  Pradhan  Mantri  Swasthya  Suraksha  Yojana (PMSSY).  Setting  up  of  National  Cancer Institute  at  Jhajjar  in  Haryana  and  strengthening  of  Chittaranjan  National  Cancer  In Kolkata, are also steps in the same direction.

Cancer is diagnosed and treated at various levels in the health care syste m. Treatm nt of cancer is by surgery, radiotherapy, chemotherapy and palliative care. While doctors with D.M. (Medical Oncology), M.Ch. (Surgical Oncology) and M.D. (Radiation Oncology) treat cance patients  in  higher  level  tertiary  care  hospitals,  other  d octors  such  as  General  Surgeons, Gynecologists, ENT Surgeons etc. also provide treatment for cancer in Government and pri hospitals, depending on the type and site of cancer. The information regarding cancer pat Government hospitals is not main tained centrally.. In Government hospitals, treatment is eith free  or  highly  subsidized.  Treatment  of  cancers  is  also  available  under  Ayushman  Bha -Pradhan Mantri Jan Arogya Yojana (PMJAY). Besides this, Affordable Medicines and Reliabl Implants forTreatment (AMRIT) Deendayal outlets have been opened at 203 Institutions/Hospitals  with  an  objective  to  make  available  drugs  and  implants  at  dis prices to the patients. Under the umbrella scheme of Rashtriya Arogya Nidhi, financial ass is  pr ovided  to  families  living  below  threshold  poverty  line  for  their  treatment,  in treatment of cancer, in Government hospitals.

## State/UT-wise list of approved State Cancer Institutes (SCI) and Tertiary Care Cancer Centres (TCCCs) alongwith funds released.

(Rs. in Crore)

|   S No | State            | Name of the Institute                                                  | SCI/ TCCC   |   Approved Cost |   Funds released |
|--------|------------------|------------------------------------------------------------------------|-------------|-----------------|------------------|
|      1 | Andhra Pradesh   | Kurnool Medical College, Kurnool                                       | SCI         |         120     |          54      |
|      2 | Assam            | Gauhati Medical College & Hospital, Guwahati                           | SCI         |         119.9   |          80.9325 |
|      3 | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                     | SCI         |         120     |          33.06   |
|      4 | Chhattisgarh     | Chhattisgarh Institute of Medical Scineces, Bilaspur                   | SCI         |         115.2   |          10.23   |
|      5 | Delhi            | Lok Nayak Hospital                                                     | TCCC        |          39.82  |          29.87   |
|      6 | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad                           | SCI         |         120     |          67.5    |
|      7 | Goa              | Goa Medical College, Panaji                                            | TCCC        |          45     |          20.25   |
|      8 | Haryana          | Civil Hospital, Ambala Cantt                                           | TCCC        |          45     |          20.25   |
|      9 | Himachal Pradesh | Indira Gandhi Medical College, Shimla                                  | TCCC        |          45     |          14.87   |
|     10 |                  | Shri Lal Bahadur Shastri Medical College, Mandi                        | TCCC        |          45     |          29.6362 |
|     11 | Jammu & Kashmir  | Sher-i-Kashmir Institute of Medical Sciences, Srinagar                 | SCI         |         120     |          47.25   |
|     12 |                  | Government Medical College, Jammu                                      | SCI         |         104     |          70.2028 |
|     13 | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                         | SCI         |          51     |          22.95   |
|     14 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bangaluru                 | SCI         |         120     |          67.5    |
|     15 |                  | Mandya Institute of Medical Sciences, Mandya                           | TCCC        |          45     |          17.257  |
|     16 | Kerala           | Regional Cancer Centre, Tjiruvananthapuram                             | SCI         |         102.35  |          46.957  |
|     17 |                  | Government Medical College, Kozhikode                                  | TCCC        |          44.5   |          25.03   |
|     18 | Madhya Pradesh   | G.R. Medical College, Gwalior                                          | TCCC        |          42     |          18.9    |
|     19 |                  | Netaji Subhas Chandra Bose Medical College, Jabalpur                   | SCI         |         120     |          31.931  |
|     20 | Maharashtra      | Rashtrasant Tukdoji Regional Cancer Hospital & Research Centre, Nagpur | TCCC        |          44.991 |          20.176  |
|     21 |                  | Government Medical College, Aurangabad                                 | SCI         |          96.7   |          43.515  |
|     22 |                  | Vivekanand Foundation& Research Centre, Latur                          | TCCC        |          45     |          20.25   |
|     23 | Mizoram          | Mizoram State Cancer Institute, Aizawl                                 | TCCC        |          44.27  |          14.64   |
|     24 | Nagaland         | District Hospital, Kohima                                              | TCCC        |          43.5   |          13.23   |
|     25 | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack                        | SCI         |          79.62  |          35.829  |
|     26 | Punjab           | Government Medical College, Amritsar                                   | SCI         |         114.61  |          51.58   |
|     27 |                  | Civil Hospital, Fazilka                                                | TCCC        |          44.71  |          20.119  |
|     28 | Rajasthan        | S P Medical College, Bikaner                                           | TCCC        |          38.05  |          17.123  |
|     29 |                  | SMS Medical College, Jaipur                                            | SCI         |         119.25  |          44.8077 |
|     30 |                  | Jhalawar Medical College & Hospital, Jhalawar                          | TCCC        |          43.9   |          19.755  |
|     31 | Sikkim           | Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim    | TCCC        |          42.99  |          29.02   |
|     32 | Tamil Nadu       | Cancer Institute (RCC), Adyar, Chennai                                 | SCI         |         120     |          67.38   |
|     33 | Telangana        | MNJ Institute of Oncology & RCC, Hyderabad                             | SCI         |         112.7   |          18.12   |
|     34 | Tripura          | Cancer Hospital (RCC), Agartala                                        | SCI         |          81.5   |          55      |
|     35 | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow      | TCCC        |          41.5   |          11.43   |
|     36 | Uttarakhand      | Government Medical College, Haldwani                                   | SCI         |         103.66  |          30.027  |
|     37 | West Bengal      | Government Medical College, Burdwan                                    | TCCC        |          39.54  |          22.24   |
|     38 |                  | Murshidabad Medical College & Hospital, Berhampore, Murshidabad        | TCCC        |          32.15  |          10.9843 |
|     39 |                  | Sagore Dutta Memorial Medical College and Hospital, Kolkata            | TCCC        |          45     |          20.25   |