Lok Sabha Question No. 2865 (UNSTARRED), answered on 2018-12-28
Subject: Waterborne Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAMESH POKHRIYAL NISHANK

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

## LOK SABHA UNSTARRED QUESTION NO. 2865 TO BE ANSWERED ON 28 TH DECEMBER, 2018

## WATERBORNE DISEASES

## 2865. DR. RAMESH POKHRIYAL 'NISHANK':

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

- (a) the number of deaths recorded due to waterborne diseases in the country; State/UT - wise;
- (b) whether the Government has taken steps to check waterborne diseases in the country and ifso, the details thereof;
- (c) whether there is shortage of bacteriologists in the country, if so, the necessary steps taken in this regard;
- (d)  whether  the  Government  proposes to  provide  mobile  laboratories  in  hilly, remote, inaccessible and backward areas of the country, if so, the details thereof; and
- (e) if not, the reasons therefor?

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

- (a): As per the data reported by Central Bureau of Health Intelligence (CBHI), the de of deaths due to waterborne diseases in the country; State/UT - wise during the current year are placed at Annexure.
- (b) : Consumption  of  contaminated  drinking  water  is  the cause  for  diseases  such  as Cholera, Acute Diarrhoeal Diseases, Enteric Fever (Typhoid) & Viral Hepatitis (A & E) e

Health  is  a  State  subject  and  the  responsibility  for  providing  safe  drinking primarily lies with respective State Government. Howe ver, the Ministry of Health and Family welfare provide financial and technical assistance to States/UTs under the National Mission  for  strengthening  of  Primary  and  Secondary  health  care  facilities  to  effe respond  to  health  care  need  including health  problems  arising  from  consumption  of contaminated  drinking  water.  To  prevent  the  spread  such  outbreaks,  under  the  Integ Disease Survei llance Programme (IDSP), States/ UTs are provided with additional manpower, training of identified Rapid Respo nse Team members for outbreak investigations, strengthening of laboratories for detection of epidemic prone diseases, IT equipment f entry, analysis and data transfer, and provision of funds for operationalization.

(c) : All bacteriologists come u nder the bigger umbrella of Microbiology. As per Indian Association of Medical Microbiologists, there are 3214 life members, who can be consid as medical microbiologists. However, the number of bacteriologists working in the country, State/UT - wise is n ot maintained centrally.

Most teaching hospitals employ microbiologists on the basis of recommendations Medical Council of India which decides the staffing pattern based on the number of stu admitted to the medical college.

(d) & (e) : Under  IDSP of  Ministry  of  Health  and  Family  Welfare,  district  hospita laboratories  are  strengthened  for  diagnosis  of  epidemic  prone  diseases  by  prov additional funds, equipment after gap analysis, manpower and reagents and kits.

Till  date,  292  lab oratories  have  been  approved  by  Government  of  India  for strengthening  of  which  186  laboratories  are  performing  tests  as  per  IDSP  norms.    T laboratories  are  located  throughout  the  country  including  hilly , remote,  inaccessible  and backward areas.

## Annex ure

| States/UTs wise Deaths Due to Water Borne Diseases reported during 2018 (Provisional)   | States/UTs wise Deaths Due to Water Borne Diseases reported during 2018 (Provisional)   | States/UTs wise Deaths Due to Water Borne Diseases reported during 2018 (Provisional)   | States/UTs wise Deaths Due to Water Borne Diseases reported during 2018 (Provisional)   | States/UTs wise Deaths Due to Water Borne Diseases reported during 2018 (Provisional)   | States/UTs wise Deaths Due to Water Borne Diseases reported during 2018 (Provisional)   |
|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|
| Sl No                                                                                   | State/ U.T.                                                                             | Cholera                                                                                 | Acute Diarrhoeal Diseases                                                               | Enteric Fever (Typhoid)                                                                 | Viral Hepatitis & E)                                                                    |
| 1                                                                                       | Andhra Pradesh                                                                          | 0                                                                                       | 67                                                                                      | 6                                                                                       | 127                                                                                     |
| 2                                                                                       | Arunachal Pradesh                                                                       | 0                                                                                       | 1                                                                                       | 0                                                                                       | 0                                                                                       |
| 3                                                                                       | Assam                                                                                   | 0                                                                                       | 395                                                                                     | 83                                                                                      | 0                                                                                       |
| 4                                                                                       | Bihar                                                                                   | 0                                                                                       | 7                                                                                       | 1                                                                                       | 1                                                                                       |
| 5                                                                                       | Chhattisgarh                                                                            | 0                                                                                       | 16                                                                                      | 1                                                                                       | 4                                                                                       |
| 6                                                                                       | Goa                                                                                     | 0                                                                                       | 0                                                                                       | 0                                                                                       | 1                                                                                       |
| 7                                                                                       | Gujarat                                                                                 | 0                                                                                       | 0                                                                                       | 1                                                                                       | 0                                                                                       |
| 8                                                                                       | Haryana                                                                                 | 2                                                                                       | 45                                                                                      | 7                                                                                       | 13                                                                                      |
| 9                                                                                       | Himachal Pradesh                                                                        | 0                                                                                       | 11                                                                                      | 5                                                                                       | 4                                                                                       |
| 10                                                                                      | J & K                                                                                   | 0                                                                                       | 2                                                                                       | 0                                                                                       |                                                                                         |
| 11                                                                                      | Jharkhand                                                                               | 0                                                                                       | 8                                                                                       | 0                                                                                       | 0                                                                                       |
| 12                                                                                      | Karnataka                                                                               | 0                                                                                       | 4                                                                                       | 0                                                                                       | 4                                                                                       |
| 13                                                                                      | Kerala                                                                                  | 0                                                                                       | 3                                                                                       | 0                                                                                       | 7                                                                                       |
| 14                                                                                      | Madhya Pradesh                                                                          | 0                                                                                       | 26                                                                                      | 1                                                                                       | 3                                                                                       |
| 15                                                                                      | Maharashtra                                                                             | 4                                                                                       | 21                                                                                      | 9                                                                                       | 2                                                                                       |
| 16                                                                                      | Manipur                                                                                 | 0                                                                                       | 13                                                                                      | 0                                                                                       | 0                                                                                       |
| 17                                                                                      | Meghalaya                                                                               | 0                                                                                       | 6                                                                                       | 0                                                                                       | 4                                                                                       |
| 18                                                                                      | Mizoram                                                                                 | 0                                                                                       | 4                                                                                       | 0                                                                                       | 2                                                                                       |
| 19                                                                                      | Nagaland                                                                                | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 20                                                                                      | Odisha                                                                                  | 0                                                                                       | 59                                                                                      | 7                                                                                       | 13                                                                                      |
| 21                                                                                      | Punjab                                                                                  | 0                                                                                       | 32                                                                                      | 2                                                                                       | 22                                                                                      |
| 22                                                                                      | Rajasthan                                                                               | 0                                                                                       | 1                                                                                       | 0                                                                                       | 0                                                                                       |
| 23                                                                                      | Sikkim                                                                                  | 0                                                                                       | 1                                                                                       | 0                                                                                       | 0                                                                                       |
| 24                                                                                      | Tamil Nadu                                                                              | 0                                                                                       | 6                                                                                       | 1                                                                                       | 0                                                                                       |
| 25                                                                                      | Telangana                                                                               | 0                                                                                       | 1                                                                                       | 0                                                                                       | 0                                                                                       |
| 26                                                                                      | Tripura                                                                                 | 0                                                                                       | 7                                                                                       | 2                                                                                       | 0                                                                                       |
| 27                                                                                      | Uttarakhand                                                                             | 0                                                                                       | 5                                                                                       | 2                                                                                       | 10                                                                                      |
| 28                                                                                      | Uttar Pradesh                                                                           | 0                                                                                       | 185                                                                                     | 179                                                                                     | 32                                                                                      |
| 29                                                                                      | West Bengal                                                                             | 0                                                                                       | 84                                                                                      | 6                                                                                       | 71                                                                                      |
| 30                                                                                      | A & N Islands                                                                           | 0                                                                                       | 0                                                                                       | 0                                                                                       | 1                                                                                       |
| 31                                                                                      | Chandigarh                                                                              | 0                                                                                       | 43                                                                                      | 0                                                                                       | 6                                                                                       |
| 32                                                                                      | D & N Haveli                                                                            | 0                                                                                       | 4                                                                                       | 0                                                                                       | 5                                                                                       |
| 33                                                                                      | Daman & Diu                                                                             | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 34                                                                                      | Delhi                                                                                   | 0                                                                                       | 45                                                                                      | 14                                                                                      | 140                                                                                     |
| 35                                                                                      | Lakshadweep                                                                             | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 36                                                                                      | Puducherry                                                                              | 0                                                                                       | 4                                                                                       | 2                                                                                       | 4                                                                                       |
|                                                                                         | Total                                                                                   | 6                                                                                       | 1106                                                                                    | 329                                                                                     | 476                                                                                     |

Source: Monthly Health Condition Reports from Directorate of Health Services of States/UTs.