Lok Sabha Question No. 2112 (UNSTARRED), answered on 2020-09-23
Subject: Paralysis and Acute Flaccid Paralysis
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Subhash Ramrao Bhamre, DNV Senthilkumar. S., Amol Ramsing Kolhe, Kuldeep Rai Sharma, Manickam Tagore B, Supriya Sadanand Sule

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

## LOK SABHA UNSTARRED QUESTION NO. 2112 TO BE ANSWERED ON 23 RD SEPTEMBER, 2020

## PARALYSIS AND ACUTE FLACCID PARALYSIS

## 2112. DR. SUBHASH RAMRAO BHAMRE:

DR. DNV SENTHILKUMAR S.:

DR. AMOL RAMSING KOLHE:

SHRI KULDEEP RAI SHARMA:

SHRI MANICKAM TAGORE B.:

SHRIMATI SUPRIYA SULE:

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

(a) whether cases of paralysis and Acute Flaccid Paralysis (AFP) are on the rise in the country and if so, the reasons therefor along with the number of such cases reported during each of the last three years and the current year, State/UT - wise;

- (b) whether Government is not giving much attention to this disease and if so, the details thereof and the reasons therefor;
- (c) whether the Government has conducted awareness programme to check paralysis/AFP related cases in the country and if so, the details thereof;
- (d)  the  details  of  the  financial  assistance  and logistics  p rovided  by  the  Government  to  the States/UTs especially Tamil Nadu and Maharashtra during the said period, State/UT - wise; and
- (e) the other measures being taken by the Government to check paralysis/AFP related cases in thecountry?

## ANSWER THE MINISTER OF S TATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

(a): The common causes of paralysis are stroke, peripheral neuropathy, trauma to spinal multiple sclerosis, vi ral infection etc. The Acute Flaccid Paralysis (AFP) cases reported during last three years and current year is given below:

| Year      | 2017   | 2018   | 2019   | 2020*   |
|-----------|--------|--------|--------|---------|
| AFP cases | 39,127 | 35,990 | 40,462 | 12,617  |

* till 12 th September, 2020

State/UTs- wise  AFP  cases  during  each  of  the  last  three  years  and  the  current  year Annexure - I .

- (b): Sensitivity of AFP surveillance is being maintained in the country and India continues to achieve and surpass global standards.

(c): Government regularly conducts awareness programme s and sites reporting AFP cases have alsobeen sensitiz ed to report AFP cases. Similarly an additional 1505 new AFP reporting sites have been added during 2019 so as to maintain sensitive AFP surveillance for Polio.

(d): The details of funds and logistic released for the purpose, during the last three y the current year, State - wise and year - wise is at Annexure - II and Annexure - III.

(e): To maintain polio free status, besides ensuring sensitive AFP surveillance, p opulation immunity is also being maintained through routine immunization, under Mission Indradhanus and supplementary immunization campaigns.

The  Government  is  implementing  National  Programme  for  Prevention  and  Control  of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) for interventions up to District level under the National Health Mission. Focus of NPCDCS is on strengthening infrastruc human resource  development,  health  promotion, awareness generation, early diagnosis, manageme nt  andreferral. Government is  also  implementing  p opulation  based  screening  for common Non Communicable Diseases (NCDs), including diabetes and hypertension, which a re main risk factors for stroke.

State /UT wise number of AFP cases from 2017 to 202 0*

| S.NO.   | States/UTs        | 2017   | 2018   | 2019   |   2020* |
|---------|-------------------|--------|--------|--------|---------|
| 1       | Andaman & Nicobar | 2      | 8      | 3      |       0 |
| 2       | Andhra Pradesh    | 339    | 415    | 416    |     143 |
| 3       | Arunachal Pradesh | 11     | 10     | 13     |       3 |
| 4       | Assam             | 308    | 271    | 369    |     108 |
| 5       | Bihar             | 8416   | 6999   | 7411   |    2323 |
| 6       | Chandigarh        | 63     | 55     | 72     |      18 |
| 7       | Chhattisgarh      | 332    | 244    | 342    |     110 |
| 8       | D & N Haveli      | 7      | 3      | 5      |       2 |
| 9       | Daman & Diu       | 12     | 4      | 8      |       3 |
| 10      | Delhi             | 707    | 677    | 821    |     265 |
| 11      | Goa               | 27     | 25     | 45     |       7 |
| 12      | Gujarat           | 993    | 933    | 1011   |     441 |
| 13      | Haryana           | 964    | 809    | 1065   |     426 |
| 14      | Himachal Pradesh  | 83     | 74     | 87     |      30 |
| 15      | Jammu & Kashmir   | 301    | 209    | 273    |      70 |
| 16      | Jharkhand         | 909    | 860    | 1034   |     252 |
| 17      | Karnataka         | 663    | 848    | 896    |     321 |
| 18      | Kerala            | 313    | 300    | 393    |     145 |
| 19      | Ladakh            | -      | -      | -      |       0 |
| 20      | Lakshadweep       | 0      | 0      | 2      |       1 |
| 21      | Madhya Pradesh    | 1755   | 1843   | 2160   |     674 |
| 22      | Maharashtra       | 2284   | 1909   | 2338   |     767 |
| 23      | Manipur           | 33     | 31     | 52     |       8 |
| 24      | Meghalaya         | 27     | 20     | 33     |      16 |
| 25      | Mizoram           | 30     | 32     | 58     |      15 |
| 26      | Nagaland          | 11     | 13     | 28     |       9 |
| 27      | Odisha            | 1225   | 945    | 1228   |     337 |
| 28      | Pondicherry       | 11     | 25     | 21     |       8 |
| 29      | Punjab            | 696    | 498    | 897    |     298 |
| 30      | Rajasthan         | 1885   | 1596   | 1612   |     583 |
| 31      | Sikkim            | 6      | 5      | 15     |       5 |
| 32      | Tamil Nadu        | 549    | 817    | 853    |     193 |
| 33      | Telangana         | 248    | 353    | 425    |     174 |
| 34      | Tripura           | 51     | 25     | 34     |       6 |
| 35      | Uttar Pradesh     | 13114  | 12718  | 13670  |    4124 |
| 36      | Uttarakhand       | 274    | 249    | 407    |     116 |
| 37      | West Bengal       | 2478   | 2167   | 2365   |     616 |
|         | TOTAL             | 39127  | 35990  | 40462  |   12617 |

*: data as on 12 September 2020

Annexure - II released for Pulse Polio Programme

## State/UTs wide details of Financial Assistance

| S.No.       |                           | Funds released (Rs. In crores)   | Funds released (Rs. In crores)   | Funds released (Rs. In crores)   | Funds released (Rs. In crores)   |
|-------------|---------------------------|----------------------------------|----------------------------------|----------------------------------|----------------------------------|
|             | States                    | 2017-18                          | 2018-19                          | 2019-20                          | 2020-21*                         |
| 1           | Andaman & Nicobar Islands |                                  | 0.23                             | 0.12                             | 0.18                             |
| 2           | Andhra Pradesh            | 11.38                            | 6.33                             | 8.59                             |                                  |
| 3           | Arunachal Pradesh         | 3.11                             | 2.76                             | 2.24                             |                                  |
| 4           | Assam                     | 28.3                             | 15.73                            | 16.84                            | 9.44                             |
| 5           | Bihar                     | 28.85                            | 17.62                            | 15.71                            |                                  |
| 6           | Chandigarh                | 0.18                             | 0.19                             | 0.4                              |                                  |
| 7           | Chhattisgarh              | 11.53                            | 5.44                             | 6.18                             | 4.35                             |
| 8           | Dadra & Nagar Haveli      | 0.34                             | 0.2                              | 0.04                             |                                  |
| 9           | Daman & Diu               | 0                                | 0.1                              | 0                                |                                  |
| 10          | Delhi                     | 3.1                              | 0                                | 0.4                              |                                  |
| 11          | Goa                       | 0.29                             | 0.11                             | 0.21                             |                                  |
| 12          | Gujarat                   | 13.9                             | 7.83                             | 1.9                              |                                  |
| 13          | Haryana                   | 5.74                             | 2.76                             | 3.19                             | 2.21                             |
| 14          | Himachal Pradesh          | 3.73                             | 2.38                             | 2.48                             |                                  |
| 15          | Jammu & Kashmir           | 10.88                            | 5.34                             | 6.31                             |                                  |
| 16          | Jharkhand                 | 10.87                            | 0                                | 1.8                              |                                  |
| 17          | Karnataka                 | 16.21                            | 0                                | 6.23                             | 4.13                             |
| 18          | Kerala                    | 6.99                             | 4.49                             | 3.71                             |                                  |
| 19          | Lakshadweep               | 0.03                             | 0.03                             | 0.03                             |                                  |
| 20          | Madhya Pradesh            | 26.87                            | 12.96                            | 2.28                             | 6.92                             |
| 21          | Maharashtra               | 26.26                            | 18.23                            | 11                               |                                  |
| 22          | Manipur                   | 3.67                             | 0.89                             | 1.79                             |                                  |
| 23          | Meghalaya                 | 3.86                             | 0                                |                                  |                                  |
| 24          | Mizoram                   | 2.12                             | 0.76                             | 0.94                             |                                  |
| 25          | Nagaland                  | 2.4                              |                                  | 1.21                             |                                  |
| 26          | Odisha                    | 12.86                            | 9.55                             | 7.95                             | 3.82                             |
| 27          | Puducherry                | 0.73                             | 0.32                             | 0.36                             |                                  |
| 28          | Punjab                    | 6.46                             | 3.04                             | 4.12                             |                                  |
| 29          | Rajasthan                 | 27.04                            | 13.11                            | 14.06                            |                                  |
| 30          | Sikkim                    | 0.81                             | 0                                |                                  |                                  |
| 31          | Tamil Nadu                | 16.77                            | 10.41                            | 6.12                             | 4..17                            |
| 32          | Tripura                   | 1.8                              | 1.88                             | 1.52                             | 0                                |
| 33          | Uttar Pradesh             | 52.17                            | 0                                | 28.38                            | 0                                |
| 34          | Uttarakhand               | 5.53                             | 4.35                             | 4.11                             | 2.61                             |
| 35          | West Bengal               | 16.11                            | 0                                | 11.19                            | 7.25                             |
| 36          | Telangana                 | 8.79                             | 4.53                             | 4.77                             |                                  |
| 37          | Ladakh**                  | 0                                | 0                                | 0                                | 0.71                             |
| GRAND TOTAL |                           | 369.67                           | 151.57                           | 176.18                           | 41.62                            |

Annexure - III State/UTs wide details of logistic provided by the Govt.

| S. No.   | States                    | Oral Polio vaccine supplied (in lakh doses)   | Oral Polio vaccine supplied (in lakh doses)   | Oral Polio vaccine supplied (in lakh doses)   | Oral Polio vaccine supplied (in lakh doses)   |
|----------|---------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|
| S. No.   | States                    | 2017-18                                       | 2018-19                                       | 2019-20                                       | 2020-21                                       |
| 1        | Andaman & Nicobar Islands | 0.75                                          | 0.37                                          | 0.36                                          | --                                            |
| 2        | Andhra Pradesh            | 131.51                                        | 65.76                                         | 66.39                                         | --                                            |
| 3        | Arunachal Pradesh         | 4.39                                          | 2.2                                           | 2.05                                          | --                                            |
| 4        | Assam                     | 118.73                                        | 60.59                                         | 58.72                                         | --                                            |
| 5        | Bihar                     | 1,069.31                                      | 732.83                                        | 769.42                                        | --                                            |
| 6        | Chandigarh                | 4.21                                          | 3.07                                          | 3.63                                          | 0.99                                          |
| 7        | Chhattisgarh              | 88.41                                         | 45.7                                          | 45.48                                         | --                                            |
| 8        | Dadra & Nagar Haveli      | 1.15                                          | 0.57                                          | 0.58                                          | --                                            |
| 9        | Daman & Diu               | 0.71                                          | 0.35                                          | 0.35                                          | --                                            |
| 10       | Delhi                     | 114.04                                        | 90                                            | 84.65                                         | 27.21                                         |
| 11       | Goa                       | 3.59                                          | 1.79                                          | 1.53                                          | --                                            |
| 12       | Gujarat                   | 234.55                                        | 125.99                                        | 122.36                                        | 7.67                                          |
| 13       | Haryana                   | 172.97                                        | 115.04                                        | 120.31                                        | 34.2                                          |
| 14       | Himachal Pradesh          | 18.2                                          | 8.55                                          | 8.34                                          | --                                            |
| 15       | Jammu & Kashmir           | 51.24                                         | 25.62                                         | 25.3                                          | --                                            |
| 16       | Jharkhand                 | 164.13                                        | 87.74                                         | 88                                            | 5.67                                          |
| 17       | Karnataka                 | 183.45                                        | 96                                            | 85.05                                         | --                                            |
| 18       | Kerala                    | 32.34                                         | 0                                             | 31.11                                         | --                                            |
| 19       | Lakshadweep               | 0.14                                          | 0.07                                          | 0.07                                          | --                                            |
| 20       | Madhya Pradesh            | 288.49                                        | 144.24                                        | 140.5                                         | 34.36                                         |
| 21       | Maharashtra               | 395.96                                        | 235.69                                        | 225.91                                        | --                                            |
| 22       | Manipur                   | 9.19                                          | 4.6                                           | 3.94                                          | --                                            |
| 23       | Meghalaya                 | 13                                            | 6.5                                           | 6.48                                          | --                                            |
| 24       | Mizoram                   | 3.49                                          | 1.74                                          | 1.45                                          | --                                            |
| 25       | Nagaland                  | 5.78                                          | 2.89                                          | 2.79                                          | --                                            |
| 26       | Odisha                    | 110.38                                        | 55.19                                         | 53.9                                          | --                                            |
| 27       | Puducherry                | 2.55                                          | 1.27                                          | 1.23                                          | --                                            |
| 28       | Punjab                    | 114.78                                        | 70.57                                         | 67.55                                         | 12.57                                         |
| 29       | Rajasthan                 | 335.4                                         | 199.48                                        | 193.18                                        | 25.86                                         |
| 30       | Sikkim                    | 1.19                                          | 0.6                                           | 0.56                                          | --                                            |
| 31       | TamilNadu                 | 184.19                                        | 92.1                                          | 89.48                                         | --                                            |
| 32       | Tripura                   | 9.76                                          | 4.88                                          | 4.6                                           | --                                            |
| 33       | Uttar Pradesh             | 1,692.10                                      | 1,355.28                                      | 1,375.38                                      | --                                            |
| 34       | Uttarakhand               | 65.55                                         | 47.64                                         | 45.95                                         | 13.12                                         |
| 35       | West Bengal               | 346.78                                        | 173.84                                        | 229.69                                        | 57.78                                         |
| 36       | Telangana                 | 104.48                                        | 53.19                                         | 50.65                                         | --                                            |
| 37       | Ladakh                    | --                                            | --                                            | --                                            | --                                            |
| GRAND    | TOTAL                     | 6,076.87                                      | 3,911.94                                      | 4,006.97                                      | 219.42                                        |