Lok Sabha Question No. 641 (UNSTARRED), answered on 2018-07-20
Subject: Anti-Venom Injections
Ministry: HEALTH AND FAMILY WELFARE
Asked by: JUGAL KISHORE SHARMA

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

## LOK SABHA UNSTARRED QUESTION NO. 641 TO BE ANSWERED ON 20 th JULY, 2018

## ANTI - VENOM INJECTIONS

## 641. SHRI JUGAL KISHORE:

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

- (a)  whether  the  Government  has  any policy/scheme  for  providing  anti - venom injections,  in Primary Health Centres and rural hospitals;
- (b) if so, the details thereof;
- (c) if not, the reasons therefor;
- (d)  the details  of  deaths  reported  due to  non - availability  of  anti - venom,  antirabies injections during the last three years, State/UT - wise; and
- (e) the remedial measures taken/ proposed to be taken by the Government in this regard?

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

( a)to (e): No. There is no separate Policy/Scheme for supply of the anti - venom injections at Health Centres and Rural Hospitals. However, the Ministry of Health and Family Welfare ha issued directions to all the States/UTs to includes Anti Snake Venom Serum (ASVS) and Tis Culture Anti - Rabies Vaccine (TCARV) in the list of essential drugs of the State, procu re these drugs  locally  for  supply  to  Health  Facilities  for  use  to  the  needy  persons  and  bo expenditure under National Health Mission funds available with States/UTs.

Rabies  is  transmitted  to humans  following  bite  of animal s (dog s,  cat s,  monkeys, mon goose etc.) infected by therabies virus. For prevention of deaths due to rabies, Government of India is implementing the National Rabies Control Programme in the country. The objec of the program are to:

- i. Prevent human deaths due to rabies
- ii. Prevent transmission of rabies virus in dog population
- iii. Mass vaccination of dogs.
- iv. Dog population management
- v. Strengthening surveillance & response.

To prevent deaths due to human rabies, the strategy adopted is to implement more effective  Intra  Dermal (ID)  route  of  inoculation  for  anti - rabies  vaccines  for  Category  II  & Category III bites and infiltration of Rabies immunoglobulin in all Cat III bites in all major -rabies clinics of government health facilities.

The  States  are  asked  to  organize training  of  health professional  on  animal bite management and ID ro ute of anti -rabies vaccination , IEC activitie s for community awareness on dos '  and  don'ts  in  the  event  of animal  bite,  strengthening  surveillance  of  human  rabies  and strengthening lab diagn ostics for rabies.

State/UT - wise  details  of  deaths due to non - availability of anti - venom  and  anti - rabies injections is not available. Details of State /UT-wise deaths due to snake bite and rabies, during the last three years in the country are a tAnnexure I and II respectively.

Annexure I State/UT- wise Deaths due to Snake Bit e reported during the years 2015 -2017

| Sl.No.   | State /U.T        | 2015   | 2016   | 2017 (Prov isional)   |
|----------|-------------------|--------|--------|-----------------------|
| Sl.No.   | State /U.T        | Deaths | Deaths | Deaths                |
| 1        | Andhra Pradesh    | 46     | 28     | 84                    |
| 2        | Arunachal Pradesh | 0      | 0      | 0                     |
| 3        | Assam             | 0      | 0      | 0                     |
| 4        | Bihar             | 21     | 11     | 14                    |
| 5        | Chhattisgarh      | 32     | 60     | 52                    |
| 6        | Goa               | 0      | 1      | 8                     |
| 7        | Gujarat           | 78     | 72     | 49                    |
| 8        | Haryana           | 8      | 4      | 6                     |
| 9        | Himachal Pradesh  | 25     | 23     | 9                     |
| 10       | Jammu & Kashmir   | 2      | 0      | 1                     |
| 11       | Jharkhand         | 4      | 15     | 0                     |
| 12       | Karnataka         | 53     | 46     | 29                    |
| 13       | Kerala            | 18     | 12     | 11                    |
| 14       | Madhya Pradesh    | 114    | 113    | 95                    |
| 15       | Maharashtra       | 37     | 67     | 32                    |
| 16       | Manipur           | 0      | 0      | 0                     |
| 17       | Meghalaya         | 1      | 0      | 2                     |
| 18       | Mizoram           | 0      | 0      | 0                     |
| 19       | Nagaland          | 0      | 0      | 0                     |
| 20       | Odisha            | 261    | 120    | 83                    |
| 21       | Punjab            | 11     | 8      | 3                     |
| 22       | Rajasthan         | 58     | 32     | 44                    |
| 23       | Sikkim            | 0      | 2      | 0                     |
| 24       | Tamil Nadu        | 74     | 44     | 37                    |
| 25       | Telangana         | 53     | 96     | 2                     |
| 26       | Tripura           | 0      | 1      | 1                     |
| 27       | Uttarakhand       | 1      | 3      | 0                     |
| 28       | Uttar Pradesh     | 78     | 118    | 125                   |
| 29       | West Bengal       | 171    | 138    | 235                   |
| 30       | A & N Islands     | 12     | 0      | 1                     |
| 31       | Chandigarh        | 16     | 36     | 9                     |
| 32       | D & N Haveli      | 3      | 9      | 7                     |
| 33       | Daman & Diu       | 1      | 0      | 0                     |
| 34       | Delhi             | 6      | 4      | 0                     |
| 35       | Lakshadweep       | 0      | 0      | 0                     |
| 36       | Puducherry        | 35     | 5      | 9                     |
| Total    |                   | 1219   | 1068   | 948                   |

## State/UT- wise Deaths due to Rabie s reported during the years 2015 -2017

| S.No.   | State /U.T        | 2015   | 2016   | 2017 (Provisional)   |
|---------|-------------------|--------|--------|----------------------|
| S.No.   | State /U.T        | Deaths | Deaths | Deaths               |
| 1       | Andhra Pradesh    | 1      | 0      | 5                    |
| 2       | Arunachal Pradesh | 0      | 0      | 0                    |
| 3       | Assam             | 0      | 0      | 0                    |
| 4       | Bihar             | 1      | 4      | 2                    |
| 5       | Chhattisgarh      | 3      | 0      | 1                    |
| 6       | Goa               | 0      | 0      | 1                    |
| 7       | Gujarat           | 8      | 6      | 0                    |
| 8       | Haryana           | 0      | 0      | 1                    |
| 9       | Himachal Pradesh  | 2      | 0      | 2                    |
| 10      | Jammu & Kashmir   | 0      | 0      | 0                    |
| 11      | Jharkhand         | 0      | 1      | 8                    |
| 12      | Karnataka         | 9      | 22     | 15                   |
| 13      | Kerala            | 7      | 2      | 3                    |
| 14      | Madhya Pradesh    | 11     | 0      | 4                    |
| 15      | Maharashtra       | 0      | 1      | 9                    |
| 16      | Manipur           | 0      | 0      | 0                    |
| 17      | Meghalaya         | 1      | 0      | 0                    |
| 18      | Mizoram           | 0      | 0      | 0                    |
| 19      | Nagaland          | 0      | 0      | 0                    |
| 20      | Odisha            | 6      | 3      | 2                    |
| 21      | Punjab            | 0      | 0      | 0                    |
| 22      | Rajasthan         | 1      | 0      | 0                    |
| 23      | Sikkim            | 3      | 0      | 0                    |
| 24      | Tamil Nadu        | 1      | 1      | 3                    |
| 25      | Telangana         | 0      | 0      | 0                    |
| 26      | Tripura           | 0      | 3      | 3                    |
| 27      | Uttarakhand       | 0      | 0      | 0                    |
| 28      | Uttar Pradesh     | 0      | 0      | 0                    |
| 29      | West Bengal       | 47     | 47     | 26                   |
| 30      | A & N Islands     | 0      | 0      | 0                    |
| 31      | Chandigarh        | 0      | 0      | 0                    |
| 32      | D & N Haveli      | 0      | 0      | 0                    |
| 33      | Daman & Diu       | 0      | 0      | 0                    |
| 34      | Delhi             | 12     | 3      | 12                   |
| 35      | Lakshadweep       | 0      | 0      | 0                    |
| 36      | Puducherry        | 0      | 0      | 0                    |
| Total   |                   | 113    | 93     | 97                   |