Lok Sabha Question No. 4419 (UNSTARRED), answered on 2019-07-19
Subject: Water Borne Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Mohanbhai Kalyanji Kundariya

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

LOK SABHA UNSTARRED QUESTION NO. 4419 TO BE ANSWERED ON 19 TH JULY, 2019

## WATER BORNE DISEASES

## 4419. SHRI MOHANBHAI KALYANJI KUNDARIYA:

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

- (a) whether the Government has taken note of high prevalence of various waterborne dise due to intake of contaminated water in the country;
- (b)  if  so,  the  details  thereof  along  wit h  the  funds  earmarked,  allocated  and  utilised  by  the States/UTs to tackle the situation during the last three years;
- (c)  whether  the  Government  proposes  any  awareness  and  immunization  drive  against  certa waterborne diseases; and
- (d) if so, the details thereof?

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

- (a) & (b): As  per  data from Central  Bureau  of  Health  Intelligence  (CBHI),  the  details  o cases and deaths due to waterborne diseases i n the country; State/UT - wise during the last thr ee years are given in Annexure I.

Water  borne  diseases  like  Acute  Diarrheal  Di sease,  Cholera,  Enteric  fever,  H epatitis A & E etc. are caused due to intake of contaminated water and unhygienic food.

Government of India has launched Integrated Disease Surveillance Programme (IDSP) with  the  objective  to  detect  and  respond  to  disease  outbreaks  due  to  epidemic communicable diseases including outbreaks due to water borne diseases.

To  prevent  the  sp read  such  outbreaks,  under  IDSP  States/UTs  are  provided  with additional manpower, training of identified Rapid Response Team (RRT) members for outbre investigations,  strengthening  of  laboratories  for  detection  of  epidemic  prone  disea equipment for data entry, analysis and data transfer, and provision of funds for operationa of the programme. The d tails funds released tothe S tates/ UT sfrom the year 2015 - 6 to 2018 - 19 aregiven in Annexure II.

As reported by the Ministry of Jal Shakti, Department of Drinking Water and Sanitation National Water Quality Sub - Mission  (NWQSM) was launched under National Rural Drinking Water Programme (NRDWP) to provide safe drinking water to 27,544 arsenic/fluoride affect rural habitations in the c ountry.

The details of fund released under NWQSM during the last 3 years are as under:

|   S. No. | Year     |   Amount (in Cr.) |
|----------|----------|-------------------|
|        1 | 2016- 17 |            814.13 |
|        2 | 2017- 18 |           2011.55 |
|        3 | 2018- 19 |            864.66 |

States can utilize up to 5% of funds released to them under NRDWP for water qual ity monitoring and surveillance.

Further,  2%  of  the  NRDWP  funds  are  earmarked  for  Japanese  Encephalitis/Acute Encephalitis Syndrome affected districts of the states (high priority districts).

In addition, d uring March, 2016, with the recommendation of NITI Aayog, an amount of Rs.  1000  Crores  was alsoreleased  to  various  Arsenic  &  Fluoride  affected  States/UTs  for installation of community water purification plants.

(c)& (d) : Under Universal Immunization Programme (UIP), immunization is being provided free of cost against 2 water borne vaccine preventable diseases i.e. Polio and R diarrhoea.

Annexure I

| States/UTs wise Cases and Deaths Due to Cholera reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Cholera reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Cholera reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Cholera reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Cholera reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Cholera reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Cholera reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Cholera reported during 2016 - 2018   |
|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|
| Sl No                                                                         | State / U.T.                                                                  | 2016                                                                          | 2016                                                                          | 2017                                                                          | 2017                                                                          | 2018 (Prov.)                                                                  | 2018 (Prov.)                                                                  |
|                                                                               |                                                                               | Cases                                                                         | Deaths                                                                        | Cases                                                                         | Deaths                                                                        | Cases                                                                         | Deaths                                                                        |
| 1                                                                             | Andhra Pradesh                                                                | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 2                                                                             | Arunachal Pradesh                                                             | 9                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 3                                                                             | Assam                                                                         | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 4                                                                             | Bihar                                                                         | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 5                                                                             | Chhattisgarh                                                                  | 12                                                                            | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 6                                                                             | Goa                                                                           | 0                                                                             | 0                                                                             | 7                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 7                                                                             | Gujarat                                                                       | 88                                                                            | 0                                                                             | 85                                                                            | 0                                                                             | 106                                                                           | 0                                                                             |
| 8                                                                             | Haryana                                                                       | 0                                                                             | 0                                                                             | 2                                                                             | 0                                                                             | 21                                                                            | 2                                                                             |
| 9                                                                             | Himachal Pradesh                                                              | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 10                                                                            | J & K                                                                         | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 1                                                                             | 0                                                                             |
| 11                                                                            | Jharkhand                                                                     | 5                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 12                                                                            | Karnataka                                                                     | 33                                                                            | 1                                                                             | 15                                                                            | 0                                                                             | 12                                                                            | 0                                                                             |
| 13                                                                            | Kerala                                                                        | 7                                                                             | 0                                                                             | 8                                                                             | 1                                                                             | 3                                                                             | 0                                                                             |
| 14                                                                            | Madhya Pradesh                                                                | 42                                                                            | 1                                                                             | 0                                                                             | 0                                                                             | 26                                                                            | 0                                                                             |
| 15                                                                            | Maharashtra                                                                   | 107                                                                           | 0                                                                             | 103                                                                           | 0                                                                             | 40                                                                            | 4                                                                             |
| 16                                                                            | Manipur                                                                       | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 17                                                                            | Meghalaya                                                                     | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 15                                                                            | 0                                                                             |
| 18                                                                            | Mizoram                                                                       | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 19                                                                            | Nagaland                                                                      | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 20                                                                            | Odisha                                                                        | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 3                                                                             | 0                                                                             |
| 21                                                                            | Punjab                                                                        | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 22                                                                            | Rajasthan                                                                     | 2                                                                             | 0                                                                             | 17                                                                            | 0                                                                             | 0                                                                             | 0                                                                             |
| 23                                                                            | Sikkim                                                                        | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 24                                                                            | Tamil Nadu                                                                    | 3                                                                             | 0                                                                             | 5                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 25                                                                            | Telangana                                                                     | 0                                                                             | 0                                                                             | 8                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 26                                                                            | Tripura                                                                       | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 27                                                                            | Uttrakhand                                                                    | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 28                                                                            | Uttar Pradesh                                                                 | 0                                                                             | 0                                                                             | 1                                                                             | 0                                                                             | 153                                                                           | 0                                                                             |
| 29                                                                            | West Bengal                                                                   | 157                                                                           | 0                                                                             | 112                                                                           | 0                                                                             | 126                                                                           | 0                                                                             |
| 30                                                                            | A & N Islands                                                                 | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 31                                                                            | Chandigarh                                                                    | 10                                                                            | 0                                                                             | 8                                                                             | 0                                                                             | 9                                                                             | 0                                                                             |
| 32                                                                            | D & N Haveli                                                                  | 15                                                                            | 1                                                                             | 0                                                                             | 0                                                                             | 2                                                                             | 0                                                                             |
| 33                                                                            | Daman & Diu                                                                   | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 34                                                                            | Delhi                                                                         | 228                                                                           | 0                                                                             | 137                                                                           | 2                                                                             | 134                                                                           | 0                                                                             |
| 35                                                                            | Lakshadweep                                                                   | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| 36                                                                            | Puducherry                                                                    | 0                                                                             | 0                                                                             |                                                                               |                                                                               | 0                                                                             | 0                                                                             |
|                                                                               | Total                                                                         | 718                                                                           | 3                                                                             | 0 508                                                                         | 0 3                                                                           | 651                                                                           | 6                                                                             |

Source: Monthly Health Condition Reports from Directorate of Health Services of States/UTs.

| States/UTs wise Cases and Deaths Due to Acute Diarrhoeal Diseases reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Acute Diarrhoeal Diseases reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Acute Diarrhoeal Diseases reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Acute Diarrhoeal Diseases reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Acute Diarrhoeal Diseases reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Acute Diarrhoeal Diseases reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Acute Diarrhoeal Diseases reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Acute Diarrhoeal Diseases reported during 2016 - 2018   |
|-------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|
| Sl No                                                                                           | State / U.T.                                                                                    | 2016                                                                                            | 2016                                                                                            |                                                                                                 | 2017                                                                                            | 2018 (Prov.)                                                                                    | 2018 (Prov.)                                                                                    |
|                                                                                                 |                                                                                                 | Cases                                                                                           | Deaths                                                                                          | Cases                                                                                           | Deaths                                                                                          | Cases                                                                                           | Deaths                                                                                          |
| 1                                                                                               | Andhra Pradesh                                                                                  | 11,94,005                                                                                       | 11                                                                                              | 11,89,407                                                                                       | 52                                                                                              | 11,93,473                                                                                       | 72                                                                                              |
| 2                                                                                               | Arunachal Pradesh                                                                               | 12,746                                                                                          | 2                                                                                               | 23,888                                                                                          | 2                                                                                               | 22,972                                                                                          | 1                                                                                               |
| 3                                                                                               | Assam                                                                                           | 88,736                                                                                          | 282                                                                                             | 1,65,347                                                                                        | 239                                                                                             | 2,34,578                                                                                        | 439                                                                                             |
| 4                                                                                               | Bihar                                                                                           | 3,89,399                                                                                        | 8                                                                                               | 3,09,855                                                                                        | 19                                                                                              | 2,74,792                                                                                        | 9                                                                                               |
| 5                                                                                               | Chhattisgarh                                                                                    | 1,57,064                                                                                        | 33                                                                                              | 1,80,587                                                                                        | 27                                                                                              | 1,39,809                                                                                        | 20                                                                                              |
| 6                                                                                               | Goa                                                                                             | 15,740                                                                                          | 4                                                                                               | 20,706                                                                                          | 11                                                                                              | 23,546                                                                                          | 0                                                                                               |
| 7                                                                                               | Gujarat                                                                                         | 6,40,602                                                                                        | 0                                                                                               | 6,19,174                                                                                        | 0                                                                                               | 7,29,132                                                                                        | 0                                                                                               |
| 8                                                                                               | Haryana                                                                                         | 2,24,780                                                                                        | 14                                                                                              | 2,36,752                                                                                        | 20                                                                                              | 2,19,415                                                                                        | 55                                                                                              |
| 9                                                                                               | Himachal Pradesh                                                                                | 3,10,749                                                                                        | 56                                                                                              | 3,14,463                                                                                        | 26                                                                                              | 3,00,183                                                                                        | 14                                                                                              |
| 10                                                                                              | J & K                                                                                           | 5,34,341                                                                                        | 0                                                                                               | 5,12,376                                                                                        | 5                                                                                               | 4,89,006                                                                                        | 2                                                                                               |
| 11                                                                                              | Jharkhand                                                                                       | 94,748                                                                                          | 0                                                                                               | 95,118                                                                                          | 0                                                                                               | 82,634                                                                                          | 8                                                                                               |
| 12                                                                                              | Karnataka                                                                                       | 9,30,452                                                                                        | 4                                                                                               | 9,17,488                                                                                        | 15                                                                                              | 9,23,036                                                                                        | 4                                                                                               |
| 13                                                                                              | Kerala                                                                                          | 4,77,435                                                                                        | 15                                                                                              | 4,52,953                                                                                        | 6                                                                                               | 5,50,659                                                                                        | 3                                                                                               |
| 14                                                                                              | Madhya Pradesh                                                                                  | 7,82,421                                                                                        | 122                                                                                             | 7,19,423                                                                                        | 102                                                                                             | 5,18,294                                                                                        | 34                                                                                              |
| 15                                                                                              | Maharashtra                                                                                     | 10,51,445                                                                                       | 52                                                                                              | 7,06,181                                                                                        | 23                                                                                              | 5,82,312                                                                                        | 37                                                                                              |
| 16                                                                                              | Manipur                                                                                         | 33,193                                                                                          | 21                                                                                              | 32,085                                                                                          | 18                                                                                              | 29,059                                                                                          | 15                                                                                              |
| 17                                                                                              | Meghalaya                                                                                       | 1,67,687                                                                                        | 30                                                                                              | 1,35,057                                                                                        | 6                                                                                               | 1,23,068                                                                                        | 6                                                                                               |
| 18                                                                                              | Mizoram                                                                                         | 14,849                                                                                          | 16                                                                                              | 16,310                                                                                          | 11                                                                                              | 14,678                                                                                          | 4                                                                                               |
| 19                                                                                              | Nagaland                                                                                        | 17,539                                                                                          | 0                                                                                               | 16,127                                                                                          | 3                                                                                               | 14,386                                                                                          | 0                                                                                               |
| 20                                                                                              | Odisha                                                                                          | 7,81,917                                                                                        | 104                                                                                             | 7,28,243                                                                                        | 110                                                                                             | 6,00,595                                                                                        | 75                                                                                              |
| 21                                                                                              | Punjab                                                                                          | 1,95,281                                                                                        | 44                                                                                              | 2,03,510                                                                                        | 35                                                                                              | 1,71,461                                                                                        | 43                                                                                              |
| 22                                                                                              | Rajasthan                                                                                       | 8,98,033                                                                                        | 7                                                                                               | 9,71,113                                                                                        | 1                                                                                               | 9,36,410                                                                                        | 1                                                                                               |
| 23                                                                                              | Sikkim                                                                                          | 49,691                                                                                          | 0                                                                                               | 41,816                                                                                          | 0                                                                                               | 41,449                                                                                          | 5                                                                                               |
| 24                                                                                              | Tamil Nadu                                                                                      | 3,69,325                                                                                        | 9                                                                                               | 4,15,845                                                                                        | 2                                                                                               | 3,72,705                                                                                        | 8                                                                                               |
| 25                                                                                              | Telangana                                                                                       | 10,07,284                                                                                       | 19                                                                                              | 4,87,099                                                                                        | 1                                                                                               | 4,88,094                                                                                        | 1                                                                                               |
| 26                                                                                              | Tripura                                                                                         | 97,653                                                                                          | 6                                                                                               | 79,432                                                                                          | 8                                                                                               | 79,561                                                                                          | 7                                                                                               |
| 27                                                                                              | Uttrakhand                                                                                      | 1,11,084                                                                                        | 7                                                                                               | 98,781                                                                                          | 4                                                                                               | 90,361                                                                                          | 5                                                                                               |
| 28                                                                                              | Uttar Pradesh                                                                                   | 11,02,042                                                                                       | 304                                                                                             | 12,57,202                                                                                       | 309                                                                                             | 13,08,083                                                                                       | 229                                                                                             |
| 29                                                                                              | West Bengal                                                                                     | 20,52,123                                                                                       | 192                                                                                             | 21,15,771                                                                                       | 129                                                                                             | 22,51,152                                                                                       | 167                                                                                             |
| 30                                                                                              | A & N Islands                                                                                   | 23,547                                                                                          | 0                                                                                               | 15,751                                                                                          | 0                                                                                               | 12,660                                                                                          | 0                                                                                               |
| 31                                                                                              | Chandigarh                                                                                      | 49,891                                                                                          | 61                                                                                              | 51,453                                                                                          | 42                                                                                              | 56,393                                                                                          | 47                                                                                              |
| 32                                                                                              | D & N Haveli                                                                                    | 43,280                                                                                          | 12                                                                                              | 42,231                                                                                          | 12                                                                                              | 50,576                                                                                          | 4                                                                                               |
| 33                                                                                              | Daman & Diu                                                                                     | 13,062                                                                                          | 0                                                                                               | 15,291                                                                                          | 0                                                                                               | 13,832                                                                                          | 0                                                                                               |
| 34                                                                                              | Delhi                                                                                           | 1,37,664                                                                                        | 115                                                                                             | 1,28,585                                                                                        | 117                                                                                             | 1,56,161                                                                                        | 127                                                                                             |
| 35                                                                                              | Lakshadweep                                                                                     | 4,387                                                                                           | 0                                                                                               | 6,968                                                                                           | 0                                                                                               | 6,208                                                                                           | 0                                                                                               |
| 36                                                                                              | Puducherry                                                                                      | 92,379                                                                                          |                                                                                                 |                                                                                                 |                                                                                                 |                                                                                                 | 8                                                                                               |
|                                                                                                 | Total                                                                                           | 1,41,66,574                                                                                     | 5 1,555                                                                                         | 94,360 1,34,16,748                                                                              | 7 1,362                                                                                         | 94,042 1,31,94,775                                                                              | 1,450                                                                                           |

Source: Monthly Health Condition Reports from Directorate of Health Services of States/UTs.

| States/UTs wise Cases and Deaths due to Enteric Fever (Typhoid) reported during 2016 - 2018   | States/UTs wise Cases and Deaths due to Enteric Fever (Typhoid) reported during 2016 - 2018   | States/UTs wise Cases and Deaths due to Enteric Fever (Typhoid) reported during 2016 - 2018   | States/UTs wise Cases and Deaths due to Enteric Fever (Typhoid) reported during 2016 - 2018   | States/UTs wise Cases and Deaths due to Enteric Fever (Typhoid) reported during 2016 - 2018   | States/UTs wise Cases and Deaths due to Enteric Fever (Typhoid) reported during 2016 - 2018   | States/UTs wise Cases and Deaths due to Enteric Fever (Typhoid) reported during 2016 - 2018   | States/UTs wise Cases and Deaths due to Enteric Fever (Typhoid) reported during 2016 - 2018   |
|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|
| Sl No                                                                                         | State / U.T.                                                                                  | 2016                                                                                          | 2016                                                                                          |                                                                                               | 2017                                                                                          | 2018 (Prov.)                                                                                  | 2018 (Prov.)                                                                                  |
|                                                                                               |                                                                                               | Cases                                                                                         | Deaths                                                                                        | Cases                                                                                         | Deaths                                                                                        | Cases                                                                                         | Deaths                                                                                        |
| 1                                                                                             | Andhra Pradesh                                                                                | 1,70,249                                                                                      | 0                                                                                             | 1,63,929                                                                                      | 17                                                                                            | 1,48,490                                                                                      | 7                                                                                             |
| 2                                                                                             | Arunachal Pradesh                                                                             | 4,582                                                                                         | 1                                                                                             | 3,553                                                                                         | 0                                                                                             | 2,458                                                                                         | 0                                                                                             |
| 3                                                                                             | Assam                                                                                         | 19,328                                                                                        | 0                                                                                             | 15,137                                                                                        | 122                                                                                           | 16,473                                                                                        | 83                                                                                            |
| 4                                                                                             | Bihar                                                                                         | 2,01,672                                                                                      | 2                                                                                             | 1,71,281                                                                                      | 2                                                                                             | 1,29,622                                                                                      | 1                                                                                             |
| 5                                                                                             | Chhattisgarh                                                                                  | 74,632                                                                                        | 8                                                                                             | 71,321                                                                                        | 3                                                                                             | 60,164                                                                                        | 4                                                                                             |
| 6                                                                                             | Goa                                                                                           | 724                                                                                           | 0                                                                                             | 346                                                                                           | 0                                                                                             | 530                                                                                           | 0                                                                                             |
| 7                                                                                             | Gujarat                                                                                       | 45,970                                                                                        | 0                                                                                             | 41,794                                                                                        | 0                                                                                             | 56,390                                                                                        | 1                                                                                             |
| 8                                                                                             | Haryana                                                                                       | 35,969                                                                                        | 0                                                                                             | 48,581                                                                                        | 4                                                                                             | 55,698                                                                                        | 7                                                                                             |
| 9                                                                                             | Himachal Pradesh                                                                              | 38,093                                                                                        | 7                                                                                             | 39,692                                                                                        | 12                                                                                            | 25,821                                                                                        | 5                                                                                             |
| 10                                                                                            | J & K                                                                                         | 45,520                                                                                        | 0                                                                                             | 45,845                                                                                        | 0                                                                                             | 40,000                                                                                        | 0                                                                                             |
| 11                                                                                            | Jharkhand                                                                                     | 42,163                                                                                        | 0                                                                                             | 41,685                                                                                        | 0                                                                                             | 36,272                                                                                        | 0                                                                                             |
| 12                                                                                            | Karnataka                                                                                     | 97,493                                                                                        | 1                                                                                             | 1,37,973                                                                                      | 4                                                                                             | 1,27,150                                                                                      | 0                                                                                             |
| 13                                                                                            | Kerala                                                                                        | 2,038                                                                                         | 0                                                                                             | 2,561                                                                                         | 0                                                                                             | 2,234                                                                                         | 0                                                                                             |
| 14                                                                                            | Madhya Pradesh                                                                                | 1,23,075                                                                                      | 21                                                                                            | 1,08,759                                                                                      | 9                                                                                             | 72,805                                                                                        | 3                                                                                             |
| 15                                                                                            | Maharashtra                                                                                   | 1,37,617                                                                                      | 0                                                                                             | 95,814                                                                                        | 0                                                                                             | 1,14,559                                                                                      | 9                                                                                             |
| 16                                                                                            | Manipur                                                                                       | 4,942                                                                                         | 2                                                                                             | 4,184                                                                                         | 0                                                                                             | 3,483                                                                                         | 0                                                                                             |
| 17                                                                                            | Meghalaya                                                                                     | 14,204                                                                                        | 0                                                                                             | 7,893                                                                                         | 0                                                                                             | 7,466                                                                                         | 0                                                                                             |
| 18                                                                                            | Mizoram                                                                                       | 2,869                                                                                         | 2                                                                                             | 2,537                                                                                         | 1                                                                                             | 3,387                                                                                         | 0                                                                                             |
| 19                                                                                            | Nagaland                                                                                      | 9,741                                                                                         | 0                                                                                             | 9,483                                                                                         | 6                                                                                             | 9,089                                                                                         | 0                                                                                             |
| 20                                                                                            | Odisha                                                                                        | 74,306                                                                                        | 19                                                                                            | 58,935                                                                                        | 15                                                                                            | 52,765                                                                                        | 7                                                                                             |
| 21                                                                                            | Punjab                                                                                        | 37,896                                                                                        | 3                                                                                             | 44,994                                                                                        | 1                                                                                             | 55,239                                                                                        | 2                                                                                             |
| 22                                                                                            | Rajasthan                                                                                     | 87,097                                                                                        | 0                                                                                             | 79,017                                                                                        | 0                                                                                             | 87,751                                                                                        | 0                                                                                             |
| 23                                                                                            | Sikkim                                                                                        | 482                                                                                           | 0                                                                                             | 104                                                                                           | 0                                                                                             | 158                                                                                           | 0                                                                                             |
| 24                                                                                            | Tamil Nadu                                                                                    | 33,573                                                                                        | 0                                                                                             | 49,806                                                                                        | 14                                                                                            | 44,316                                                                                        | 1                                                                                             |
| 25                                                                                            | Telangana                                                                                     | 1,56,115                                                                                      | 2                                                                                             | 54,695                                                                                        | 0                                                                                             | 51,145                                                                                        | 0                                                                                             |
| 26                                                                                            | Tripura                                                                                       | 5,715                                                                                         | 0                                                                                             | 2,836                                                                                         | 4                                                                                             | 3,664                                                                                         | 2                                                                                             |
| 27                                                                                            | Uttrakhand                                                                                    | 33,904                                                                                        | 4                                                                                             | 32,367                                                                                        | 7                                                                                             | 33,685                                                                                        | 4                                                                                             |
| 28                                                                                            | Uttar Pradesh                                                                                 | 5,03,497                                                                                      | 312                                                                                           | 6,50,192                                                                                      | 248                                                                                           | 7,64,272                                                                                      | 224                                                                                           |
| 29                                                                                            | West Bengal                                                                                   | 1,61,429                                                                                      | 22                                                                                            | 2,38,569                                                                                      | 8                                                                                             | 2,51,296                                                                                      | 17                                                                                            |
| 30                                                                                            | A & N Islands                                                                                 | 838                                                                                           | 1                                                                                             | 664                                                                                           | 0                                                                                             | 640                                                                                           | 0                                                                                             |
| 31                                                                                            | Chandigarh                                                                                    | 12,237                                                                                        | 48                                                                                            | 11,531                                                                                        | 1                                                                                             | 13,158                                                                                        | 0                                                                                             |
| 32 33                                                                                         | D & N Haveli                                                                                  | 4,420                                                                                         | 1                                                                                             | 7,820                                                                                         | 1                                                                                             | 9,246                                                                                         | 0                                                                                             |
|                                                                                               | Daman & Diu                                                                                   | 197                                                                                           | 0                                                                                             | 480                                                                                           | 0                                                                                             | 615                                                                                           | 0                                                                                             |
| 34                                                                                            | Delhi                                                                                         | 31,225                                                                                        | 55                                                                                            | 18,368                                                                                        | 17                                                                                            | 27,132                                                                                        | 20                                                                                            |
| 35                                                                                            | Lakshadweep                                                                                   | 50                                                                                            | 0                                                                                             | 111                                                                                           | 0                                                                                             | 57                                                                                            | 0                                                                                             |
| 36                                                                                            | Puducherry                                                                                    | 1,943                                                                                         | 0                                                                                             |                                                                                               | 0                                                                                             |                                                                                               | 2                                                                                             |
|                                                                                               | Total                                                                                         | 22,15,805                                                                                     | 511                                                                                           | 1,596 22,64,453                                                                               | 496                                                                                           | 1,307 23,08,537                                                                               | 399                                                                                           |

Source: Monthly Health Condition Reports from Directorate of Health Services of States/UTs.

| States/UTs wise Cases and Deaths Due to Viral Hepatitis (All Causes) reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Viral Hepatitis (All Causes) reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Viral Hepatitis (All Causes) reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Viral Hepatitis (All Causes) reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Viral Hepatitis (All Causes) reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Viral Hepatitis (All Causes) reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Viral Hepatitis (All Causes) reported during 2016 - 2018   | States/UTs wise Cases and Deaths Due to Viral Hepatitis (All Causes) reported during 2016 - 2018   |
|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------|
| Sl No                                                                                              | State / U.T.                                                                                       |                                                                                                    | 2016                                                                                               |                                                                                                    | 2017                                                                                               | 2018 (Prov.)                                                                                       | 2018 (Prov.)                                                                                       |
|                                                                                                    |                                                                                                    | Cases                                                                                              | Deaths                                                                                             | Cases                                                                                              | Deaths                                                                                             | Cases                                                                                              | Deaths                                                                                             |
| 1                                                                                                  | Andhra Pradesh                                                                                     | 2,402                                                                                              | 1                                                                                                  | 7,382                                                                                              | 82                                                                                                 | 8,817                                                                                              | 141                                                                                                |
| 2                                                                                                  | Arunachal Pradesh                                                                                  | 273                                                                                                | 4                                                                                                  | 140                                                                                                | 1                                                                                                  | 70                                                                                                 | 0                                                                                                  |
| 3                                                                                                  | Assam                                                                                              | 2,688                                                                                              | 14                                                                                                 | 1,387                                                                                              | 0                                                                                                  | 4,930                                                                                              | 3                                                                                                  |
| 4                                                                                                  | Bihar                                                                                              | 28,401                                                                                             | 0                                                                                                  | 24,630                                                                                             | 0                                                                                                  | 4,985                                                                                              | 1                                                                                                  |
| 5                                                                                                  | Chhattisgarh                                                                                       | 547                                                                                                | 15                                                                                                 | 349                                                                                                | 7                                                                                                  | 603                                                                                                | 7                                                                                                  |
| 6                                                                                                  | Goa                                                                                                | 121                                                                                                | 0                                                                                                  | 107                                                                                                | 2                                                                                                  | 213                                                                                                | 1                                                                                                  |
| 7                                                                                                  | Gujarat                                                                                            | 3,573                                                                                              | 2                                                                                                  | 3,838                                                                                              | 0                                                                                                  | 7,325                                                                                              | 0                                                                                                  |
| 8                                                                                                  | Haryana                                                                                            | 2,228                                                                                              | 0                                                                                                  | 9,090                                                                                              | 16                                                                                                 | 9,470                                                                                              | 14                                                                                                 |
| 9                                                                                                  | Himachal Pradesh                                                                                   | 2,716                                                                                              | 18                                                                                                 | 1,001                                                                                              | 2                                                                                                  | 1,038                                                                                              | 4                                                                                                  |
| 10                                                                                                 | J & K                                                                                              | 3,581                                                                                              | 0                                                                                                  | 5,171                                                                                              | 0                                                                                                  | 4,195                                                                                              | 0                                                                                                  |
| 11                                                                                                 | Jharkhand                                                                                          | 1,406                                                                                              | 0                                                                                                  | 1,869                                                                                              | 4                                                                                                  | 190                                                                                                | 1                                                                                                  |
| 12                                                                                                 | Karnataka                                                                                          | 6,013                                                                                              | 17                                                                                                 | 5,006                                                                                              | 5                                                                                                  | 5,017                                                                                              | 8                                                                                                  |
| 13                                                                                                 | Kerala                                                                                             | 5,330                                                                                              | 18                                                                                                 | 5,022                                                                                              | 7                                                                                                  | 5,583                                                                                              | 7                                                                                                  |
| 14                                                                                                 | Madhya Pradesh                                                                                     | 14,855                                                                                             | 22                                                                                                 | 17,907                                                                                             | 8                                                                                                  | 7,395                                                                                              | 3                                                                                                  |
| 15                                                                                                 | Maharashtra                                                                                        | 11,762                                                                                             | 6                                                                                                  | 6,289                                                                                              | 2                                                                                                  | 9,030                                                                                              | 2                                                                                                  |
| 16                                                                                                 | Manipur                                                                                            | 182                                                                                                | 1                                                                                                  | 128                                                                                                | 0                                                                                                  | 298                                                                                                | 0                                                                                                  |
| 17                                                                                                 | Meghalaya                                                                                          | 244                                                                                                | 3                                                                                                  | 319                                                                                                | 1                                                                                                  | 494                                                                                                | 4                                                                                                  |
| 18                                                                                                 | Mizoram                                                                                            | 225                                                                                                | 1                                                                                                  | 229                                                                                                | 2                                                                                                  | 299                                                                                                | 2                                                                                                  |
| 19                                                                                                 | Nagaland                                                                                           | 87                                                                                                 | 0                                                                                                  | 768                                                                                                | 0                                                                                                  | 323                                                                                                | 0                                                                                                  |
| 20                                                                                                 | Odisha                                                                                             | 3,522                                                                                              | 20                                                                                                 | 3,069                                                                                              | 39                                                                                                 | 1,809                                                                                              | 13                                                                                                 |
| 21                                                                                                 | Punjab                                                                                             | 9,831                                                                                              | 7                                                                                                  | 13,971                                                                                             | 8                                                                                                  | 16,909                                                                                             | 25                                                                                                 |
| 22                                                                                                 | Rajasthan                                                                                          | 2,471                                                                                              | 1                                                                                                  | 5,321                                                                                              | 0                                                                                                  | 1,463                                                                                              | 0                                                                                                  |
| 23                                                                                                 | Sikkim                                                                                             | 1,182                                                                                              | 0                                                                                                  | 300                                                                                                | 0                                                                                                  | 205                                                                                                | 0                                                                                                  |
| 24                                                                                                 | Tamil Nadu                                                                                         | 663                                                                                                | 0                                                                                                  | 733                                                                                                | 1                                                                                                  | 1,389                                                                                              | 0                                                                                                  |
| 25                                                                                                 | Telangana                                                                                          | 2,270                                                                                              | 0                                                                                                  | 117                                                                                                | 0                                                                                                  | 24                                                                                                 | 0                                                                                                  |
| 26                                                                                                 | Tripura                                                                                            | 169                                                                                                | 4                                                                                                  | 88                                                                                                 | 0                                                                                                  | 78                                                                                                 | 0                                                                                                  |
| 27                                                                                                 | Uttrakhand                                                                                         | 10,930                                                                                             | 16                                                                                                 | 10,900                                                                                             | 14                                                                                                 | 8,774                                                                                              | 23                                                                                                 |
| 28                                                                                                 | Uttar Pradesh                                                                                      | 13,250                                                                                             | 47                                                                                                 | 20,720                                                                                             | 43                                                                                                 | 24,868                                                                                             | 42                                                                                                 |
| 29                                                                                                 | West Bengal                                                                                        | 2,900                                                                                              | 114                                                                                                | 3,429                                                                                              | 75                                                                                                 | 3,704                                                                                              | 81                                                                                                 |
| 30                                                                                                 | A & N Islands                                                                                      | 182                                                                                                | 0                                                                                                  | 72                                                                                                 | 0                                                                                                  | 111                                                                                                | 1                                                                                                  |
| 31                                                                                                 | Chandigarh                                                                                         | 1,179                                                                                              | 7                                                                                                  | 1,240                                                                                              | 21                                                                                                 | 1,535                                                                                              | 10                                                                                                 |
| 32                                                                                                 | D & N Haveli                                                                                       | 7                                                                                                  | 2                                                                                                  | 18                                                                                                 | 4                                                                                                  | 47                                                                                                 | 5                                                                                                  |
| 33                                                                                                 | Daman & Diu                                                                                        | 31                                                                                                 | 0                                                                                                  | 63                                                                                                 | 0                                                                                                  | 160                                                                                                | 0                                                                                                  |
| 34                                                                                                 | Delhi                                                                                              | 10,323                                                                                             | 104                                                                                                |                                                                                                    | 190                                                                                                | 12,377                                                                                             | 180                                                                                                |
| 35                                                                                                 | Lakshadweep                                                                                        | 10                                                                                                 | 0                                                                                                  | 13,323 5                                                                                           | 0                                                                                                  | 7                                                                                                  | 0                                                                                                  |
| 36                                                                                                 | Puducherry                                                                                         | 416                                                                                                | 7                                                                                                  | 288                                                                                                | 3                                                                                                  | 239                                                                                                | 6                                                                                                  |
|                                                                                                    | Total                                                                                              | 1,45,970                                                                                           | 451                                                                                                | 1,64,289                                                                                           | 537                                                                                                | 1,43,974                                                                                           | 584                                                                                                |

Source: Monthly Health Condition Reports from Directorate of Health Services of States/UTs.

Annexure II Release of funds under Integrated Disease Surveillance Programme (Rs. in Lakhs)

| S. No   | States / UTs     | 2015-16   | 2016-17   |   2017-18 |   2018-19 |
|---------|------------------|-----------|-----------|-----------|-----------|
| 1       | Andhra Pradesh   | 132.50    | 163.00    |       144 |       104 |
| 2       | Gujarat          | 325.00    | 400.00    |       387 |       432 |
| 3       | Karnataka        | 300.00    | 490.00    |       430 |       246 |
| 4       | Maharashtra      | 225.00    | 240.00    |       239 |       259 |
| 5       | Punjab           | 325.92    | 400.00    |       318 |       259 |
| 6       | Rajasthan        | 325.00    | 400.00    |       435 |       311 |
| 7       | Tamil Nadu       | 350.00    | 440.00    |       384 |       276 |
| 8       | Uttarakhand      | 200.00    | 187.50    |       135 |       190 |
| 9       | West Bengal      | 200.00    | 200.00    |       190 |         0 |
| 10      | A & N Islands    | 5.25      | 0.00      |        50 |         0 |
| 11      | Bihar            | 210.00    | 172.50    |       180 |         0 |
| 12      | Chandigarh       | 23.25     | 40.00     |        46 |        45 |
| 13      | Chhattisgarh     | 200.00    | 150.00    |       200 |        43 |
| 14      | D & N Haveli     | 32.17     | 17.50     |        53 |        90 |
| 15      | Daman & Diu      | 50.00     | 17.50     |        50 |        45 |
| 16      | Delhi            | 105.00    | 75.00     |       151 |        77 |
| 17      | Goa              | 40.00     | 37.50     |        20 |         0 |
| 18      | Haryana          | 185.00    | 150.00    |       135 |       136 |
| 19      | Himachal Pradesh | 70.00     | 60.00     |        68 |        87 |
| 20      | J & K            | 250.00    | 250.00    |       271 |       224 |
| 21      | Jharkhand        | 220.00    | 100.00    |       150 |       172 |
| 22      | Kerala           | 150.00    | 200.00    |       178 |       155 |
| 23      | Lakshadweep      | -         | -         |         5 |        19 |
| 24      | Madhya Pradesh   | 300.00    | 225.00    |       249 |       216 |
| 25      | Orissa           | 325.00    | 150.00    |         0 |       194 |
| 26      | Puducherry       | 65.00     | 75.00     |        75 |        52 |
| 27      | Uttar Pradesh    | 300.00    | 337.50    |       363 |       475 |
| 28      | Telangana        | 125.00    | 105.00    |       123 |       129 |
| 29      | ArunachalPradesh | 220.00    | 203.00    |       324 |       227 |
| 30      | Assam            | 404.00    | 341.00    |       390 |       371 |
| 31      | Manipur          | 75.00     | 75.00     |       192 |        90 |
| 32      | Meghalaya        | 100.00    | 52.50     |       120 |       112 |
| 33      | Mizoram          | 100.00    | 67.50     |       140 |       139 |
| 34      | Nagaland         | 150.00    | 105.00    |       200 |       148 |
| 35      | Sikkim           | 40.00     | 37.50     |        50 |        69 |
| 36      | Tripura          | 40.00     | 37.50     |        34 |        69 |
|         | Total            | 6168.09   | 6002.00   |      6479 |      5461 |