Lok Sabha Question No. 371 (STARRED), answered on 2019-12-13
Subject: Cancer Among Women
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Amar Singh, Chandeshwar Prasad

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

## LOK SABHA STARRED QUESTION NO. 371 TO BE ANSWERED ON THE 13 TH DECEMBER , 2019 CANCER AMONG WOMEN

## *371. DR. AMAR SINGH: SHRI CHANDESHWAR PRASAD:

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

- (a) whether the cases of cervical and breast cancer among women is on the r the country, if so, the details thereof indicating the number of such cases eported during each of the last three years, State/ UT - wise;
- (b) whether the Government has conducted any study/assessment in this regard if so, the details and outcome thereof;
- (c) whether the Government has any proposal to make cancer check - up mandatory for women of certain age and if so, the details thereof;
- (d) the steps taken/proposed to be taken for regular screening of such dis women to ensure early detection and treatment;
- (e)  whether  the  Government  proposes  to  introduce  the  Human  Papilloma  Viru DNA test at affordable cost, if so, the details thereof; and
- (f) whether the Government proposes to offer free cancer treatment in all and Government hospitals?

## ANSWER

## THE MINISTER OF HEALTH AND FAMILY WELFARE (DR. HARSH VARDHAN)

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 371* FOR 13 TH DECEMBER , 2019

- (a)  &(b)  As  per  National  Cancer  Registry  Program  data  of  Indian  Council Medical  Research  (ICMR),  the  estimated  number  of  incidence  of  Breast  an Cervical cancer for the country during the last three year is given below:

| Year                            | 2016          | 2017     | 2018     |
|---------------------------------|---------------|----------|----------|
| Estimated Breast cancer         | cases1,42,283 | 1,50,842 | 1,59,924 |
| Estimated Cervical cancer cases | 99,099        | 1,00,306 | 1,01,536 |

The estimated number of incidence of such cases reported during the three years, State/UT wise is at Annexure - I and II .

(c)& (d): Health is a State subject and the Central Government supplements efforts of the State Governments to prevent and control cancer. The objecti National Programme for Prevention and Control of Cancer, Diabetes Cardiovascular  Diseases  and  Stro ke  (NPCDCS),  being  implemented  by  Central Government  under  National  Health  Mission(NHM)  for  interventions  upto  the district  level,  includes  awareness  generation  for  Cancer  prevention,  scr early detection and referral to an appropriate level institut ion for treatment. For cancer the focus is on three cancers, namely breast, cervical and oral.  A po level initiative for prevention, control and screening for - common Communicable Diseases (NCDs) i.e. diabetes, hypertension and common cancers viz. oral, breast and cervical cancer, has been rolled out in over 215 distr country under NHM, as a part of comprehensive primary healthcare. Under the initiative persons more than 30 years of age are targeted for their scree common NCDs .Screening of common NCDs including three common cancers i.e. oral,  breast  and  cervical  is  also  an  integral  part  of  service  delive Ayushman Bharat-Health and Wellness Centres.

- (e): Under the NPCDCS, Visual Inspection with Acetic Acid (VIA) is u sed as the screening tool for cervical cancer.
- (f): To tackle the challenge of Non Communicable Diseases (NCD), including cancers, 599 NCD Clinics at District level and 3,274 NCD Clinics at Communi Health Centre level have been set up under NPCDCS.  U nder NHM support is provided to States/UTs to provide free essential medicines and diagnostic se for primary and secondary health care needs.

To enhance the facilities for tertiary care of cancer, the Central Gove is implementing Strengthening of Tertiary Care for Cancer Scheme, under whi setting up of 18 State Cancer Institutes and 20 Tertiary Care Cancer Centre been approved.  Fu rther, Oncology is also one of the focus areas in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY). Setting up of National Cancer Institute at Jhajjar in Haryan strengthening of Chittaranjan Nation al Cancer Institute, Kolkata, are also steps the same direction.

Cancer is diagnosed and treated at various levels in the health care In Government hospitals, treatment is either free or highly subsidized. Tre of cancers is also availab le under Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (PMJAY). Besides this, Affordable Medicines and Reliable Implants f Treatment (AMRIT) Deendayal outlets have been opened at 169 Institutions/Hospitals with an objective to make available Cancer and Cardiovascular Diseases drugs and implants at discounted prices to the pat Under  the  umbrella  scheme  of  Rashtriya  Arogya  Nidhi,  financial  assistance provided  to  families  living  below  threshold  poverty  line  for  their  tre including treatm ent of cancer, in Government hospitals.

## Estimated Incidence of cancer cases in India -State / UT -Breast(2016- 2018)*

| States                    |   2016 |   2017 |   2018 |
|---------------------------|--------|--------|--------|
| Jammu & Kashmir           |   1421 |   1516 |   1618 |
| Himachal P radesh         |    613 |    647 |    681 |
| Punjab                    |   3321 |   3503 |   3694 |
| Chandigarh                |    196 |    207 |    219 |
| Uttaranchal               |   1217 |   1298 |   1384 |
| Haryana                   |   3103 |   3308 |   3526 |
| Delhi                     |   3181 |   3351 |   3530 |
| Rajasthan                 |   7536 |   7996 |   8483 |
| Uttar P radesh            |  21376 |  22737 |  24181 |
| Bihar                     |   9958 |  10644 |  11378 |
| Sikkim                    |     30 |     30 |     31 |
| Arunachal P radesh        |     82 |     84 |     85 |
| Nagaland                  |     67 |     67 |     68 |
| Manipur                   |    273 |    281 |    289 |
| Mizoram                   |     97 |     99 |    101 |
| Tripura                   |    129 |    130 |    132 |
| Meghalaya                 |    104 |    106 |    108 |
| Assam                     |   2406 |   2437 |   2467 |
| West Bengal               |  10902 |  11550 |  12234 |
| Jharkhand                 |   3716 |   3962 |   4225 |
| Orissa                    |   4205 |   4448 |   4705 |
| Ch hattisgarh             |   2944 |   3145 |   3359 |
| Madhya Pradesh            |   8334 |   8858 |   9414 |
| Gujarat                   |   8001 |   8504 |   9039 |
| Daman & Diu               |     42 |     47 |     52 |
| Dadra & Nagar Haveli      |     54 |     61 |     68 |
| Maharashtra               |  14726 |  15522 |  16358 |
| Telangana                 |   4633 |   4918 |   5220 |
| Andhra P radesh           |   5901 |   6251 |   6620 |
| Karnataka                 |   8029 |   8527 |   9055 |
| Goa                       |    233 |    247 |    262 |
| Lakshadweep               |     14 |     15 |     17 |
| Kerala                    |   5682 |   6189 |   6748 |
| TamilN adu                |   9486 |   9870 |  10269 |
| Pondicherry               |    227 |    242 |    257 |
| Andaman & Nicobar Islands |     44 |     45 |     47 |
| Total                     | 142283 | 150842 | 159924 |

Ref:  Three -year  Report  of  the Population  Based  Cancer  Registries : 2012- 2014, Bengaluru, 2016

*Projected  cancer  cases  for  India  were  computed  using  a  projected incidence rates and the population (person -years)

## Estimated Incidence of cancer cases in India -State / UT

Annexure - II -CervixUteri -(2016 - 2018)*

| States                    |   2016 |   2017 |   2018 |
|---------------------------|--------|--------|--------|
| Jammu & Kashmir           |   1060 |   1079 |   1098 |
| Himachal P radesh         |    603 |    606 |    610 |
| Punjab                    |   2157 |   2173 |   2189 |
| Chandigarh                |     66 |     67 |     68 |
| Uttaranchal               |    866 |    877 |    890 |
| Haryana                   |   2018 |   2043 |   2070 |
| Delhi                     |   1073 |   1088 |   1103 |
| Rajasthan                 |   5791 |   5861 |   5933 |
| Uttar P radesh            |  17156 |  17420 |  17687 |
| Bihar                     |   9454 |   9638 |   9824 |
| Sikkim                    |     24 |     24 |     24 |
| Arunachal P radesh        |     70 |     71 |     72 |
| Nagaland                  |     88 |     89 |     90 |
| Manipur                   |    138 |    142 |    147 |
| Mizoram                   |    119 |    122 |    125 |
| Tripura                   |    159 |    160 |    163 |
| Meghalaya                 |    119 |    122 |    124 |
| Assam                     |   1438 |   1456 |   1474 |
| West Bengal               |   7450 |   7509 |   7568 |
| Jharkhand                 |   2907 |   2958 |   3009 |
| Orissa                    |   3662 |   3693 |   3723 |
| C hhattisgarh             |   2303 |   2343 |   2383 |
| Madhya Pradesh            |   6222 |   6322 |   6423 |
| Gujarat                   |   4810 |   4868 |   4928 |
| Daman & Diu               |     17 |     18 |     19 |
| Dadra & Nagar Haveli      |     29 |     30 |     32 |
| Maharashtra               |   8741 |   8811 |   8882 |
| Telangana                 |   2870 |   2893 |   2916 |
| Andhra P radesh           |   4124 |   4149 |   4173 |
| Karnataka                 |   5020 |   5074 |   5130 |
| Goa                       |    108 |    109 |    110 |
| Lakshadweep               |      5 |      6 |      6 |
| Kerala                    |   2849 |   2908 |   2975 |
| Tamil Nadu                |   5452 |   5443 |   5432 |
| Pondicherry               |    103 |    106 |    108 |
| Andaman & Nicobar Islands |     28 |     28 |     28 |
| Total                     |  99099 | 100306 | 101536 |

Ref:  Three -year  Report  of  the Population  Based  Cancer  Registries :  2012 - 2014,  Bengaluru, 2016

*Projected  cancer  cases  for  India  were  computed  using  a  projected incidence  rates  and  the population (person -years)