Lok Sabha Question No. 107 (UNSTARRED), answered on 2019-06-21
Subject: Contagious and Non-Contagious Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sunil Kumar Singh

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

## LOK SABHA UNSTARRED QUESTION NO. 107 TO BE ANSWERED ON 21 ST JUNE,2019

## CONTAGIOUS AND NON - CONTAGIOUS DISEASES

## 107. SHRI SUSHIL KUMAR SINGH:

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

- (a)  whether  there  has  been  an  increase in  the  contagious  and  non - contagious diseases  in  the country especially in the State of Bihar during the last five years and the current year;
- (b) if so, the details thereof and the reasons therefor;
- (c) whether there is shortage of Government laboratories for testing of the said diseases and the costly medicines for the prevention of contagious diseases are not available to the patients in the Government hospitals;
- (d) if so, the details thereof and the reasons therefor; and
- (e)  the  details  of  the  funds  allocated and  spent  by  the  Government  for  the prevention  of contagious, non - contagious and  new  diseases during the last three  years and the current  year, State/UT - wise?

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

- (a) & (b): As per a report on 'India: Health of Nation's State - The India State Level Disease Burden  Initiative'  recently  p ublished  by  Indian  Council  of  Medical  Research    (ICMR),  the disease  burden  trends  in  States  of  India  show  an  increase  in  the  contribution  of -Communicable Diseases (NCDs) from 30% of total disease burden in 1990 to 55% in 2016.

As  informed  b y  ICMR,  the  incidence  of  cancer  cases  in  the  country,  State/UT - wise during the last four years is at Annexure - I.

The  factors  responsible  for  increase  in  Non -Communicable  Diseases  (NCDs)  are unhealthy diet, lack of physical activity, harmful use of alcohol, overweight, obesity, use, etc

(c) & (d): Health is a State Subject. However, C nt al Government suppleme nts the efforts of the State Governments for Non - Communicable Diseases. Some of the steps taken by Central Government are as follows:

- I. The objectives of National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular  Diseases  and  Stroke  (NPCDCS)  being  implemented  under  National Health Mission (NHM) for interventions upto the district level includes screening, detection,  awareness  generation  and  refer ral  to  an  appropriate  level  institution  for treatment.
- II. A  population  level  initiative  for  prevention,  control,  screening  and  management common  Non - Communicable  Diseases  (diabetes,  hypertension  and  cancer  viz.  oral, breast and cervical cancer) has been rolled out in over 215 districts of the country under NHM, as a part of comprehensive primary healthcare.
- III. To enhance the facilities for tertiary care of cancer including for diagnosis, th Government is implementing Strengthening of Tertiary Care Cancer facilities scheme to support  setting  up  of  State  Cancer  Institutes  (SCI)  and  Tertiary  Care  Cancer  Ce (TCCC) in different parts of the country.
- IV. Oncology  in  its  various  aspects  has  focus  in  case  of  new  AIIMS  and  many  upgrade institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY).
- V. Setting up of National Cancer Institute (NCI) at Jhajjar (Haryana) and Second campu Chittaranjan National Cancer Institute, Kolkata and has been approved.
- VI. Pradhan  Mantri  Jan  Arogya  Yojna  (PMJAY)  provi des  for  benefit  coverage  of  Rs. 5,00,000/ -to  over  more  than  10  crore  beneficiary  families, giving  cashless  access  to services for the beneficiary at the point of service in empanelled hospitals (bot and private) across India. More than 1350 medica l packages have been finalized by an expert committee. The treatment of cancer is also included under PMJAY.

(e): National  Programme  for  Prevention  and  Control  of  Cancer,  Diabetes,  Cardiovascula Diseases and Stroke (NPCDCS) has been subsumed under NCD Fl exi pool of National Health Mission from the year 2015 - 16 onwards. The details of funds released under NCD Flexi pool during last three years is at Annexure - II.

The details of funds released as 1 st instalment of Central share to State Governments for setting up of SCI and TCCC under the Strengthening of Tertiary Care Cancer facilities sc State/UT - wise is at Annexure - III.

| States                    |   sexes 2015 |    2016 |    2017 |    2018 |
|---------------------------|--------------|---------|---------|---------|
| Jammu &Kashmir            |        14864 |   15652 |   16480 |   17351 |
| Himachal Pradesh          |         7722 |    8029 |    8348 |    8679 |
| Punjab                    |        31214 |   32474 |   33781 |   35137 |
| Chandigarh                |         1217 |    1274 |    1335 |    1398 |
| Uttaranchal               |        11796 |   12381 |   12995 |   13640 |
| Haryana                   |        29240 |   30611 |   32049 |   33558 |
| Delhi                     |        19168 |   20015 |   20899 |   21821 |
| Rajasthan                 |        79160 |   82836 |   86675 |   90686 |
| Uttar Pradesh             |       233659 |  245231 |  257353 |  270053 |
| Bihar                     |       123949 |  130628 |  137656 |  145051 |
| Sikkim                    |          473 |     479 |     485 |     490 |
| Arunachal Pradesh         |         1252 |    1272 |    1292 |    1313 |
| Nagaland                  |         1294 |    1300 |    1309 |    1318 |
| Manipur                   |         2916 |    2998 |    3082 |    3168 |
| Mizoram                   |         1618 |    1652 |    1687 |    1723 |
| Tripura                   |         2169 |    2199 |    2229 |    2260 |
| Meghalaya                 |         3246 |    3311 |    3376 |    3442 |
| Assam                     |        31474 |   31825 |   32177 |   32530 |
| West Bengal               |       103532 |  107906 |  112466 |  117220 |
| Jharkhand                 |        38947 |   40959 |   43071 |   45289 |
| Orissa                    |        47666 |   49674 |   51763 |   53936 |
| Chhattisgarh              |        30239 |   31817 |   33477 |   35223 |
| Madhya Pradesh            |        85078 |   89315 |   93754 |   98403 |
| Gujarat                   |        70171 |   73551 |   77097 |   80820 |
| Daman &Diu                |          385 |     440 |     504 |     579 |
| Dadra &Nagar Haveli       |          457 |     497 |     542 |     591 |
| Maharashtra               |       127390 |  132726 |  138271 |  144032 |
| Telangana                 |        40177 |   41939 |   43784 |   45713 |
| Andhra Pradesh            |        55776 |   58072 |   60475 |   62978 |
| Karnataka                 |        70302 |   73511 |   76867 |   80381 |
| Goa                       |         1655 |    1726 |    1801 |    1881 |
| Lakshadweep               |           82 |      89 |      96 |     104 |
| Kerala                    |        39672 |   42004 |   44566 |   47382 |
| Tamil Nadu                |        78512 |   80999 |   83554 |   86180 |
| Pondicherry               |         1510 |    1596 |    1687 |    1783 |
| Andaman & Nicobar Islands |          415 |     429 |     443 |     458 |
| Total                     |      1388397 | 1451417 | 1517426 | 1586571 |

## Annexure - I

State - wise Releases under N C D Flexi -Pool 2015 - 16, 2016 - 17, 2017 - 18 & 2018- 19

| State/UT                  | Release Under NHM Flexi Pool -N C D   | Release Under NHM Flexi Pool -N C D   | Release Under NHM Flexi Pool -N C D   | Release Under NHM Flexi Pool -N C D   |
|---------------------------|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|
| State/UT                  | 2015-16                               | 2016-17                               | 2017-18                               | 2018-19 ( Up to 31.03.19)             |
| Bihar                     | 2234                                  | 1804                                  | 4726                                  | 5141                                  |
| Chhatisgarh               | 847                                   | 1485                                  | 3469                                  | 2115                                  |
| Jharkhand                 | 1057                                  | 1511                                  | 0                                     | 2153                                  |
| Madhya Pradesh            | 2682                                  | 3540                                  | 5048                                  | 3363                                  |
| Odisha                    | 1619                                  | 1955                                  | 1785                                  | 1857                                  |
| Rajashthan                | 2704                                  | 2678                                  | 6378                                  | 3391                                  |
| Uttar Pradesh             | 5439                                  | 7181                                  | 15132                                 | 10232                                 |
| Himachal Pradesh          | 478                                   | 324                                   | 644                                   | 605                                   |
| Jammu & Kashmir           | 816                                   | 1459                                  | 2357                                  | 1386                                  |
| Uttarakhand               | 662                                   | 890                                   | 186                                   | 1268                                  |
| Andhra Pradesh            | 1478                                  | 3082                                  | 3645                                  | 2466                                  |
| Telangana                 | 941                                   | 1123                                  | 2012                                  | 1763                                  |
| Goa                       | 23                                    | 0                                     | 0                                     | 0                                     |
| Gujarat                   | 2098                                  | 2132                                  | 4754                                  | 3006                                  |
| Haryana                   | 493                                   | 380                                   | 1388                                  | 717                                   |
| Karnataka                 | 1429                                  | 2134                                  | 8284                                  | 2007                                  |
| Kerala                    | 518                                   | 693                                   | 1211                                  | 1311                                  |
| Maharashtra               | 2754                                  | 3768                                  | 6208                                  | 0                                     |
| Punjab                    | 671                                   | 835                                   | 1726                                  | 1182                                  |
| Tamil Nadu                | 1716.00                               | 2145                                  | 5461                                  | 3036                                  |
| West Bengal               | 1303                                  | 2485                                  | 2303                                  | 2351                                  |
| Chandigarh                | 69                                    | 46                                    | 109                                   | 84                                    |
| Delhi                     | 223                                   | 564                                   | 1289                                  | 395                                   |
| Puducherry                | 29                                    | 39                                    | 125                                   | 137                                   |
| Andaman & Nicobar Islands | 55                                    | 121                                   | 108                                   | 0                                     |
| Dadra & Nagar Haveli      | 63                                    | 82                                    | 89                                    | 62                                    |
| Daman & Diu               | 35                                    | 39                                    | 19                                    | 0                                     |
| Lakshadweep               | 7                                     | 0                                     | 0                                     | 0                                     |
| Arunachal Pradesh         | 570                                   | 841                                   | 1606                                  | 974                                   |
| Assam                     | 3578                                  | 5533                                  | 6046                                  | 1113                                  |
| Manipur                   | 308                                   | 250                                   | 675                                   | 416                                   |
| Meghalaya                 | 246                                   | 531                                   | 779                                   | 0                                     |
| Mizoram                   | 142                                   | 214                                   | 1297                                  | 356                                   |
| Nagaland                  | 263                                   | 183                                   | 637                                   | 304                                   |
| Sikkim                    | 95                                    | 158                                   | 115                                   | 159                                   |
| Tripura                   | 255                                   | 266                                   | 821                                   | 664                                   |
| Grand -Total              | 37900                                 | 50471                                 | 90432                                 | 54014                                 |

## 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).

(Rs. in crore)

| S No   | State            | Name of the Institute                                                | SCI/ TCCC         | Cost of the project approved (including State share)   | Amount Released as 1 st instalment of Central share   |
|--------|------------------|----------------------------------------------------------------------|-------------------|--------------------------------------------------------|-------------------------------------------------------|
| 1      | Andhra Pradesh   | Kurnool Medical College, Kurnool                                     | SCI               | 120.00                                                 | 54.00                                                 |
| 2      | Assam            | Gauhati Medical College & Hospital,                                  | Guwahati SCI      | 119.90                                                 | 80.9325                                               |
| 3      | Bihar            | Indira Gandhi Institute of Medical Patna                             | Sciences, SCI     | 120.00                                                 | 33.06                                                 |
| 4      | Delhi            | Lok Nayak Hospital                                                   | TCCC              | 39.82                                                  | 29.87                                                 |
| 5      | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad                         | SCI               | 120.00                                                 | 67.50                                                 |
| 6      | Goa              | Goa Medical College, Panaji                                          | TCCC              | 45.00                                                  | 20.25                                                 |
| 7      | Haryana          | Civil Hospital, Ambala Cantt                                         | TCCC              | 45.00                                                  | 20.25                                                 |
| 8      | Himachal Pradesh | Indira Gandhi Medical College, Shimla                                | TCCC              | 45.00                                                  | 14.87                                                 |
| 9      | Himachal Pradesh | Shri Lal Bahadur Shastri Medical College, Mandi                      | TCCC              | 45.00                                                  | 29.6362                                               |
| 10     | Jammu & Kashmir  | Sher- i - Kashmir Institute of Medical Sciences, Srinagar            | SCI               | 120.00                                                 | 47.25                                                 |
| 11     | Jharkhand        | Rajendra Institute of Medical Sciences,                              | Ranchi SCI        | 51.00                                                  | 22.95                                                 |
| 12     | Karnataka        | Kidwai Memorial Institute of Oncology Bangaluru                      | (RCC), SCI        | 120.00                                                 | 67.50                                                 |
| 13     |                  | Mandya Institute of Medical Sciences,                                | Mandya TCCC       | 38.35                                                  | 17.257                                                |
| 14     | Kerala           | Regional Cancer Centre, TjiruvananthapuramSCI                        |                   | 102.35                                                 | 46.957                                                |
| 15     |                  | Government Medical College, Kozhikode                                | TCCC              | 44.50                                                  | 25.03                                                 |
| 16     | Madhya Pradesh   | G.R. Medical College, Gwalior                                        | TCCC              | 42.00                                                  | 18.90                                                 |
| 17     | Maharashtra      | Rashtrasant Tukdoji Regional Cancer Hospital Research Centre, Nagpur | & TCCC            | 44.9910                                                | 20.176                                                |
| 18     |                  | Government Medical College, Aurangabad                               | SCI               | 96.70                                                  | 43.515                                                |
| 19     |                  | Vivekanand Foundation & Research Centre, Latur                       | TCCC              | 45.00                                                  | 20.25                                                 |
| 20     | Mizoram          | Mizoram State Cancer Institute, Aizawl                               | TCCC              | 44.27                                                  | 14.64                                                 |
| 21     | Nagaland         | District Hospital, Kohima                                            | TCCC              | 43.50                                                  | 13.23                                                 |
| 22     | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack                      | SCI               | 79.62                                                  | 35.829                                                |
| 23     | Punjab           | Government Medical College, Amritsar                                 | SCI               | 114.61                                                 | 51.58                                                 |
|        |                  |                                                                      |                   | 44.71                                                  |                                                       |
| 25     | Rajasthan        | Fazilka S P Medical College, Bikaner                                 | TCCC              | 45.00                                                  | 17.123                                                |
| 24     |                  | Civil Hospital,                                                      | TCCC              |                                                        | 20.119                                                |
| 26     |                  | SMS Medical College, Jaipur Jhalawar Medical College & Hospital,     | SCI Jhalawar TCCC | 119.25 43.90                                           | 44.8077 19.755                                        |
| 27 28  | Sikkim           | Multispecialty Hospital at Sochygang nearGangtok, Sikkim             | (Sichey), TCCC    | 42.99                                                  | 29.02                                                 |
| 29     | Tamil Nadu       | Cancer Institute (RCC), Adyar, Chennai                               | SCI               | 120.00                                                 | 67.38                                                 |
| 30     | Telangana        | MNJ Institute of Oncology & RCC,                                     | HyderabadSCI      | 112.70                                                 | 18.12                                                 |

|   31 | Tripura     | Cancer Hospital (RCC), Agartala                                  | SCI          |   81.50 |   55.00 |
|------|-------------|------------------------------------------------------------------|--------------|---------|---------|
|   32 | Uttar       | PradeshSanjay Gandhi Postgraduate Institute of Sciences, Lucknow | Medical TCCC |   45    | 11.43   |
|   33 | West Bengal | Government Medical College, Burdwan                              | TCCC         |   39.54 | 22.24   |
|   34 | West Bengal | Murshidabad Medical College & Hospital, Berhampore, Murshidabad  | TCCC         |   32.15 | 10.9843 |
|   35 | West Bengal | SagoreDutta Memorial Medical College Hospital, Kolkata           | and TCCC     |   45    | 20.25   |

Note: Government of India share is 60% (90% for Himalayan and North Eastern States and 100% for UTs).