Lok Sabha Question No. 3214 (UNSTARRED), answered on 2019-07-12
Subject: Cancer Cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajeshbhai Naranbhai Chudasama, Pratima Mondal, Kanakmal Katara, Sujay Radhakrishna Vikhepatil, Hibi Eden

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

LOK SABHA UNSTARRED QUESTION NO. 3214 TO BE ANSWERED ON 12 TH JULY, 2019

## CAN CER CASES

## 3214. SHRI RAJESHBHAI CHUDASAMA:

SHRIMATI PRATIMA MONDAL:

SHRI KANAKMAL KATARA:

DR. SUJAY RADHAKRISHNA VIKHE PATIL:

SHRI HIBI EDEN:

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

- (a) whether the Government is aware about the increase in the number of cancer patients country and i f so, the details thereof indicating the number of cancer cases reported duri last three years, State/UT - wise;
- (b) whether the Government has conducted any study to analyse the causes of increasing cancer cases and if so, the details and findings t hereof;
- (c)  whether  the  Government  had  announced  mandatory  screening  of  oral,  cervix  and  bre cancer, if so, the details thereof and the extent of success achieved in the first phase;
- (d) whether the Government proposes to expand the mandatory screening programme to other parts of the country barring the 100 districts of Phase -I and if so, the details thereof; and
- (e) the other steps being taken by the Government to create public awareness about the disease and providing adequate latest facilities for its prevention, diagnosis and treatment?

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

(SHRI ASHWINI KUMAR CHOUBEY)

- (a)& (b): As per the Indian Council of Medical Research's (ICMR) 'Three -year Report of Population  Based  Cancer  Registries:  2012 -2014,  Bengaluru,  2016',  the  estimated  number  of incidence of cancer cases in the country is increasing. The estimated number of incide of cancer cases reported during last three years, State/UT wise, is at Annexure .

ICMR has been implementing National Cancer Registry Program under which Hospital Based and Population Based Cancer Registries are set up. ICMR and other research insti carry out research in the field of cancer. Cancer is a multifactorial disease, the ris which  interalia,  include  ageing  population,  sedentary  life  styles,  use  of  tobacco  p unhealthy diet and air pollution.

Tata memorial centre has also conducted studies to understand lifestyle and genetic ris factors for common cancer in India. The abdominal obesity is an important factor for cancer. Use of smokeless tobacco and alcohol drinking are important causative factors fo and neckcancer. Abdominal obesity and history of gall stone are some of the lifestyle r factors for gall bladder cancer.

(c)& (d):A population level initiative for prevention, control and screening for common -Communicable Diseases (NCDs) i.e. diabet es, hypertension and cancers viz. oral, breast and cervical cancer, has been rolled out in over 215 districts of the country under Nation Mission (NHM), as a part of comprehensive primary healthcare. Under this initiative, pe more than 30 yea rs of age are targeted. Screening for common NCDs is also an integral part service delivery under Ayushman Bharat -He lth and Wellness Centres.

(e): The Central Government supplements the efforts of the State Governments to prevent a control cancer and to provide affordable and accessible care. Some of the steps taken by Cen Government are as follows:

(i )      The  objectives  of  National  Programme  for  Prevention  and  Control  of  Cancer,  Diabe Cardiovascular  Diseases  and  Stroke  (NPCDCS)  being  implemented  under  National  Health Mission (NHM) for interventions upto the district level include awareness generatio n for Cancer prevention,  screening,  early  detection  and  referral  to  an  appropriate  level  instit treatment. For Cancer, the focus is on three Cancers namely breast, cervical and oral.

(ii)        To  enhance  the  facilities  for  tertiary  care  of  cancer, th Central  Government  is implementing Strengthening of Tertiary Care Cancer facilities scheme to support setting State Cancer Institutes (SCI) and Tertiary Care Cancer Centres (TCCC) in different parts country.  These  Institutions  will  mentor all  cancer  related  activities  including  prevention, awareness generation, research and treatment in their respective jurisdiction. Electronic media is also utilized for awareness generation for cancer.

(iii) Oncology is one of the focus areas in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY).

(iv) Setting up of National Cancer Institute (NCI) at Jhajjar (Haryana) and Second campus Chittaranjan National Cancer Institute, Kolkata has been ap proved.

(v) Pradhan Mantri Jan Arogya Yojna (PMJAY) provides 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 (bo th public and private) across India. More than 1350 medical packages have been finalized by an expert committee. The treatment cancer is also included under PMJAY .

(viii) Indian Council of Medical Research (ICMR) -National Institute of Cancer Preventio n and Research  (NICPR),  has  launched www.cancerindia.org.in with  the  theme  'India  Against Cancer', a portal that provides information on the leading cancers in India with a major focus on awareness, prevention and treatment of these cancers.

Annexure 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                                                             |
| Chattisgarh                                                       | 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 |