Lok Sabha Question No. 1138 (UNSTARRED), answered on 2019-11-22
Subject: Cancer Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rodmal Nagar, Devusinh Jesingbhai Chauhan, Janardan Mishra, Kanakmal Katara

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

## LOK SABHA UNSTARRED QUESTION NO. 1138 TO BE ANSWERED ON 22 ND NOVEMBER, 2019

## CANCER PATIENTS

## 1138. SHRI RODMAL NAGAR:

SHRI DEVUSINH JESINGBHAI CHAUHAN:

SHRI JANARDAN MISHRA:

SHRI KANAKMAL KATARA:

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

- (a)  whether  the  Government  is  aware that  high  rising  number  of  cancer  patients has  been reported in some regions of the country and if so, the details thereof, State/ UT - wise  and  the States which are most affected due to cancer;
- (b)  whether  the  Government  has conducted  or  proposes  to  conduct  a  study to  ascertain  the reasons for rising number of cancer patients in the country and if so, thedetails thereof;
- (c) whether facilities of latest diagnostic system for detecting cancer at early stages is available in Government hospitals in the country and if so, the details thereof;
- (d) whether the Government has formulated any plan to check the f actors causing cancer through different researches and providing affordable treatment of cancer in the country; and
- (e) other measures being taken by the Government to check the said epidemic?

## ANSWER

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

(SHRI ASHWINI KUMAR CHOUBEY)

(a) & (b): As  per  National  Cancer  Registry  Program  data  of  Indian  Council  of  Medical Research (ICMR) there has been increase in the estimated number of incidence of cancer c in the country, from 14.51 lakh i n 2016 to 15.86 lakh in 2018.  State/UT -wise details are at Annexure .

Cancer  is  a  multifactorial  disease,  the  risk  factors  of  which  interalia,  includ population, sedentary life styles, use of tobacco products, unhealthy diet and air polluti

(c) to (e): Health is State subject. The Central Government however supplements the effor of the State Governments. National Programme for Prevention and Control of Cancer, Diabete Cardiovascular  Diseases  and  Stroke  (NPCDCS)  is  being  implemented under  National  Health Mission (NHM), with focus on strengthening infrastructure, human resource development, hea promotion & awareness generation, early diagnosis, management and referral to an appropr level institution for treatment. For Cancer, t he focus is on three cancers namely breast, cervical and oral.

To tackle the challenge of Non Communicable Diseases (NCD), including cancer, 599 NCD Clinics at District level and 3,274 NCD Clinics at Community Health Centre level h been  set  up  under  t he  programme.    Population  level  initiative  for  prevention,  control screening for common NCDs (diabetes, hypertension and common cancers viz. oral, breast a cervical cancer) has also been rolled out under the National Health Mission (NHM) in ove districts.  Screening  of  common  NCDs  including  three  common  cancers  i.e.  oral,  breast cervical is also an integral part of service delivery under Ayushman Bharat -Health and Wellness Centres. Under NHM support is provided to States/UTs to provide free essential medicines and diagnostic services for primary and secondary health care needs. Several measures have taken to discourage the use of tobacco products, which is one of the key risk factors of besides  initiatives  to  promote  healthy  life styles  through  healthy  eating  and  regular  physical activity.

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  Institut es  and  20  Tertiary  Care  Cancer  Centres  have  been  approved.    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 Chittaranjan National Cancer Institute, Kolkata, has approved.  Treatment  of  various  cancers  is  also  available  under  Ayushman  Bharat - Pradhan Mantri Jan Arogya Yojana (PMJ AY). Besides this,Affordable Medicines and Reliable Implants for Treatment (AMRIT) Deendayal outlets have been opened at 169 Institutions/Hospitals w an  objective  to  make  available  Cancer  and  Cardiovascular  Diseases  drugs  and  implants discounted  pric es  to  the  patients.  Under  the  umbrella  scheme  of  Rashtriya  Arogya  Nidh financial assistance is provided to families living below threshold poverty line for their including treatment of cancer, in Government hospitals.

Estimated Incidence of cancer cases in India - State/UT - All sites - Both sexes (2016-2018)

| States                                                          | 2016                                                            | 2017                                                            | 2018                                                            |
|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|
| Jammu &Kashmir                                                  | 15652                                                           | 16480                                                           | 17351                                                           |
| Himachal Pradesh                                                | 8029                                                            | 8348                                                            | 8679                                                            |
| Punjab                                                          | 32474                                                           | 33781                                                           | 35137                                                           |
| Chandigarh                                                      | 1274                                                            | 1335                                                            | 1398                                                            |
| Uttaranchal                                                     | 12381                                                           | 12995                                                           | 13640                                                           |
| Haryana                                                         | 30611                                                           | 32049                                                           | 33558                                                           |
| Delhi                                                           | 20015                                                           | 20899                                                           | 21821                                                           |
| Rajasthan                                                       | 82836                                                           | 86675                                                           | 90686                                                           |
| Uttar Pradesh                                                   | 245231                                                          | 257353                                                          | 270053                                                          |
| Bihar                                                           | 130628                                                          | 137656                                                          | 145051                                                          |
| Sikkim                                                          | 479                                                             | 485                                                             | 490                                                             |
| Arunachal Pradesh                                               | 1272                                                            | 1292                                                            | 1313                                                            |
| Nagaland                                                        | 1300                                                            | 1309                                                            | 1318                                                            |
| Manipur                                                         | 2998                                                            | 3082                                                            | 3168                                                            |
| Mizoram                                                         | 1652                                                            | 1687                                                            | 1723                                                            |
| Tripura                                                         | 2199                                                            | 2229                                                            | 2260                                                            |
| Meghalaya                                                       | 3311                                                            | 3376                                                            | 3442                                                            |
| Assam                                                           | 31825                                                           | 32177                                                           | 32530                                                           |
| West Bengal                                                     | 107906                                                          | 112466                                                          | 117220                                                          |
| Jharkhand                                                       | 40959                                                           | 43071                                                           | 45289                                                           |
| Orissa                                                          | 49674                                                           | 51763                                                           | 53936                                                           |
| Chhattisgarh                                                    | 31817                                                           | 33477                                                           | 35223                                                           |
| Madhya Pradesh                                                  | 89315                                                           | 93754                                                           | 98403                                                           |
| Gujarat                                                         | 73551                                                           | 77097                                                           | 80820                                                           |
| Daman &Diu                                                      | 440                                                             | 504                                                             | 579                                                             |
| Dadra &Nagar Haveli                                             | 497                                                             | 542                                                             | 591                                                             |
| Maharashtra                                                     | 132726                                                          | 138271                                                          | 144032                                                          |
| Telangana                                                       | 41939                                                           | 43784                                                           | 45713                                                           |
| Andhra Pradesh                                                  | 58072                                                           | 60475                                                           | 62978                                                           |
| Karnataka                                                       | 73511                                                           | 76867                                                           | 80381                                                           |
| Goa                                                             | 1726                                                            | 1801                                                            | 1881                                                            |
| Lakshadweep                                                     | 89                                                              | 96                                                              | 104                                                             |
| Kerala                                                          | 42004                                                           | 44566                                                           | 47382                                                           |
| Tamil Nadu                                                      | 80999                                                           | 83554                                                           | 86180                                                           |
| Pondicherry                                                     | 1596                                                            | 1687                                                            | 1783                                                            |
| Andaman & Nicobar Islands                                       | 429                                                             | 443                                                             | 458                                                             |
| Total                                                           | 1451417                                                         | 1517426                                                         | 1586571                                                         |
| Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016 | Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016 | Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016 | Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016 |