Lok Sabha Question No. 993 (UNSTARRED), answered on 2019-11-22
Subject: Deaths due to Rabies
Ministry: HEALTH AND FAMILY WELFARE
Asked by: P. C. Mohan

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

## LOK SABHA UNSTARRED QUESTION NO. 993 TO BE ANSWERED ON 22 ND NOVEMBER, 2019

## DEATHS DUE TO RABIES

## 993. SHRI P.C. MOHAN:

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

- (a) total number of cases reported and deaths due to rabies, State/UT - wise during each of the last three years;
- (b) the number of drug manufacturers who supply Anti - Rabies Vaccine (ARV) in the country;
- (c) whether there is a severe shortage of Anti - Rabies Vaccine (ARV) in the country, if so, the details thereof and the reasons therefor;
- (d) whether the Government has any plan to include rabies vaccination as a part of un immunization programme and supply ad equate drugs to all States; and
- (e) if so, the details thereof and if not, the reasons therefor?

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

(SHRI ASHWINI KUMAR CHOUBEY)

- (a) : As per data available with Central Bureau of Health Intelligence (CBHI), under this Ministry the  State/UT - wise  details  of cases reported and deaths due to rabies, during the last three years in the country are given in the Annexure.
- (b) : As per Drugs Controller General of India (DCGI), the details of Anti - Rabies Vacc ne (ARV) manufacturers in the country aregiven below:
- M/s Serum Institute of India Pvt., L t d., Pune
- M/s Human Biologicals I nstitute Lt d., Hyderabad
- M/s Cadila Healthcare , Ah medabad
- M/s Bharat Biotech International Ltd., Hyderabad
- M/s Chiron Behering , Bharuch, Gujarat

Contd………

(c) : Procurement of Anti Rabies Vaccine (ARV) is decentralized. As procurement of ant -rabies  vaccine  is  done  by  the  State  Governments,  their  availability  status  is  acc maintained  at  the  state  level  and  no  central  database  on  availability  of  ARV  is  main tained. However, shortage of ARV has been reported by some of the States like West Bengal, Haryan Punjab, Karnataka, etc.

As there is rabies elimination drive by 2030 globally, there is significant demand of Rabies  Vaccine  and  Serum  from  the  neighbo ring  courtiers  like  Myanmar,  Malaysia  and Philippines and the se countries are importing vaccine from India.  Many states and stakeholders have pointed out that preferential export of ARV by Indian Manufactures at escalated pri the neighboring countri es has resulted in nonresponse and non - participation by the manufactures in domestic tenders.

(d) & (e) : Presently, there is no plan to include rabies vaccination as a part of univ immunization programme.The Ministry of Health and Family Welfar e has taken note of the shortage of ARV reported by the States and Drug Controller General of India has been directed to monitor the pharmaceutical firms producing ARV for ensuring regular supply of ARV to States.

## Annexure

State/UT- wiseCases/Deaths due to Rabies as per CBHI during the years 2016 -2018

| S. No.   | State /U.T        |   2016 (No. of cases/deaths) |   2017 (No. of cases/deaths) | 2018 (Provisional) (No. of cases/deaths)   |
|----------|-------------------|------------------------------|------------------------------|--------------------------------------------|
| 1        | Andhra Pradesh    |                            0 |                            5 | 13                                         |
| 2        | Arunachal Pradesh |                            0 |                            0 | 0                                          |
| 3        | Assam             |                            0 |                            0 | 0                                          |
| 4        | Bihar             |                            4 |                            2 | 0                                          |
| 5        | Chhattisgarh      |                            0 |                            1 | 3                                          |
| 6        | Goa               |                            0 |                            1 | 0                                          |
| 7        | Gujarat           |                            6 |                            0 | 0                                          |
| 8        | Haryana           |                            0 |                            1 | 0                                          |
| 9        | Himachal Pradesh  |                            0 |                            2 | 1                                          |
| 10       | Jammu & Kashmir   |                            0 |                            0 | 0                                          |
| 11       | Jharkhand         |                            1 |                            8 | 0                                          |
| 12       | Karnataka         |                           22 |                           15 | 23                                         |
| 13       | Kerala            |                            2 |                            3 | 5                                          |
| 14       | Madhya Pradesh    |                            0 |                            4 | 1                                          |
| 15       | Maharashtra       |                            1 |                            9 | 1                                          |
| 16       | Manipur           |                            0 |                            0 | 0                                          |
| 17       | Meghalaya         |                            0 |                            0 | 0                                          |
| 18       | Mizoram           |                            0 |                            0 | 0                                          |
| 19       | Nagaland          |                            0 |                            2 | 1                                          |
| 20       | Odisha            |                            3 |                            2 | 1                                          |
| 21       | Punjab            |                            0 |                            0 | 0                                          |
| 22       | Rajasthan         |                            0 |                            0 | 0                                          |
| 23       | Sikkim            |                            0 |                            0 | 0                                          |
| 24       | Tamil Nadu        |                            1 |                            3 | 0                                          |
| 25       | Telangana         |                            0 |                            0 | 0                                          |
| 26       | Tripura           |                            3 |                            3 | 0                                          |
| 27       | Uttarakhand       |                            0 |                            0 | 0                                          |
| 28       | Uttar Pradesh     |                            0 |                            0 | 0                                          |
| 29       | West Bengal       |                           47 |                           38 | 46                                         |
| 30       | A & N Islands     |                            0 |                            0 | 0                                          |
| 31       | Chandigarh        |                            0 |                            0 | 2                                          |
| 32       | D & N Haveli      |                            0 |                            0 | 0                                          |
| 33       | Daman & Diu       |                            0 |                            0 | 0                                          |
| 34       | Delhi             |                            3 |                           12 | 13                                         |
| 35       | Lakshadweep       |                            0 |                            0 | 0*                                         |
| 36       | Puducherry        |                            0 |                            0 | 0                                          |
| Total    | Total             |                           93 |                          111 | 110                                        |