Lok Sabha Question No. 344 (STARRED), answered on 2021-03-19
Subject: Malaria Cases among Children
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ashok Mahadeorao Nete

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 344 TO BE ANSWERED ON THE 19 TH MARCH , 2021 MALARIA CASES AMONG CHILDREN

## †*344. SHRI ASHOK MA HADEORAO NETE:

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

- (a) whether malaria cases among children continue to be reported in seve the country and if so, the details thereof;
- (b) whether the Government proposes to take any concret e and time bound steps to control this disease;
- (c) if so, the details thereof; and
- (d) if not, the reasons therefor?

## ANSWER

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

- (a)to ( d)A Statement is laid on the Table of the House.

## STATEME NT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 344* FOR 1 9 TH MARCH , 2021

- (a) The details of malaria cases in India in the age group of 0 to 15 y three years are as under:

| Year     | Total malaria cases in children (0 - 15 yrs)   |
|----------|------------------------------------------------|
|          | 2017 3,65,591                                  |
| 1,56,984 | 2018                                           |
| 1,12,719 | 2019                                           |
| 2020*    | 69,978                                         |

Year wise and State/UT - wise  data  of  malaria cases  (0 - 15 years age group) is attached in Annexure- 1.

Malaria cases in children of less than 15 years age group have shown a declining trend in the last four years.  In 2020, this decline is 80.86%, compared country as a whole; and also in most of the States/UTs.

- (b) &(c) As per the National Framework for Malaria Elimination (NFME), -30, la unched in February, 2016, India has set the target for malaria eli 2030.  All the States/UTs of the country are divided into three categories
- a) 15 low burden states (category - 1)
- b) 11 moderate burden states (category - 2)
- c) 10 high burden states (cat egory - 3)

The Government has taken various initiatives to manage the disease target for elimination of Malaria by 2030, which are placed at Annexure - 2.

Overall,  there  is  78.5%  reduction  in  total  malaria  cases  in  all  a 2020 ascompared to 2017.

In  2020,  there  is  90.28%,  58.93%  and  82.89%  reduction  in  malaria  c category - 1, 2 and 3 states respectively, as compared to 2017.

In category - 1 states, all the districts have achieved Annual Parasite Inci less  than  1  (AP I=  Total  no.  of  positive  malaria  cases  in  a  year  x  1000 population).

- (d) Not applicable

## Annexure - 1

| Number of Cases due to Malaria in Children (0 - 15 Years)   | Number of Cases due to Malaria in Children (0 - 15 Years)   |   Number of Cases due to Malaria in Children (0 - 15 Years) |   Number of Cases due to Malaria in Children (0 - 15 Years) |   Number of Cases due to Malaria in Children (0 - 15 Years) | Number of Cases due to Malaria in Children (0 - 15 Years)   |
|-------------------------------------------------------------|-------------------------------------------------------------|-------------------------------------------------------------|-------------------------------------------------------------|-------------------------------------------------------------|-------------------------------------------------------------|
| S.NO                                                        | State                                                       |                                                        2017 |                                                        2018 |                                                      2019   | 2020*                                                       |
| 1                                                           | Andhra Pradesh                                              |                                                        6130 |                                                        2082 |                                                      1080   | 699                                                         |
| 2                                                           | ArunachalPradesh                                            |                                                         531 |                                                         201 |                                                        30   | 7                                                           |
| 3                                                           | Assam                                                       |                                                        1821 |                                                        1385 |                                                       537   | 179                                                         |
| 4                                                           | Bihar                                                       |                                                        1210 |                                                         539 |                                                       541   | 164                                                         |
| 5                                                           | Chhattisgarh                                                |                                                       60524 |                                                       39223 |                                                     30532.3 | 18142                                                       |
| 6                                                           | Goa                                                         |                                                          48 |                                                          15 |                                                         9   | 2                                                           |
| 7                                                           | Gujarat                                                     |                                                        7629 |                                                        4063 |                                                      2475   | 983                                                         |
| 8                                                           | Haryana                                                     |                                                        2035 |                                                        1341 |                                                       724   | 49                                                          |
| 9                                                           | Himachal Pradesh                                            |                                                          10 |                                                          28 |                                                        35   | 13                                                          |
| 10                                                          | Jammu & Kashmir                                             |                                                          33 |                                                          18 |                                                        10   | 2                                                           |
| 11                                                          | Jharkhand                                                   |                                                       41237 |                                                       21939 |                                                     16177   | 8282                                                        |
| 12                                                          | Karnataka                                                   |                                                         758 |                                                         469 |                                                       281   | 50                                                          |
| 13                                                          | Kerala                                                      |                                                          40 |                                                          29 |                                                        74   | 9                                                           |
| 14                                                          | Madhya Pradesh                                              |                                                       18645 |                                                        7714 |                                                      4671   | 2663                                                        |
| 15                                                          | Maharashtra                                                 |                                                        4585 |                                                        2519 |                                                      1662   | 3487                                                        |
| 16                                                          | Manipur                                                     |                                                          17 |                                                           1 |                                                         1   | 5                                                           |
| 17                                                          | Meghalaya                                                   |                                                        5987 |                                                        3233 |                                                       101   | 896                                                         |
| 18                                                          | Mizoram                                                     |                                                        1851 |                                                        1947 |                                                      3700   | 3453                                                        |
| 19                                                          | Nagaland                                                    |                                                          27 |                                                          31 |                                                         1   | 2                                                           |
| 20                                                          | Odisha                                                      |                                                      167798 |                                                       27670 |                                                     11397   | 18492                                                       |
| 21                                                          | Punjab                                                      |                                                         234 |                                                         174 |                                                       289   | 32                                                          |
| 22                                                          | Rajasthan                                                   |                                                        3272 |                                                        1522 |                                                      1023   | 397                                                         |
| 23                                                          | Sikkim                                                      |                                                           0 |                                                           0 |                                                         1   | 0                                                           |
| 24                                                          | Tamil Nadu                                                  |                                                        1473 |                                                         874 |                                                       430   | 192                                                         |
| 25                                                          | Telangana                                                   |                                                         784 |                                                         478 |                                                       446   | 329                                                         |
| 26                                                          | Tripura                                                     |                                                        3590 |                                                        6972 |                                                      5749   | 1537                                                        |
| 27                                                          | Uttarakhand                                                 |                                                          80 |                                                          57 |                                                        49   | 3                                                           |
| 28                                                          | Uttar Pradesh                                               |                                                       32345 |                                                       30762 |                                                     29978   | 8403                                                        |
| 29                                                          | West Bengal*                                                |                                                        2514 |                                                        1435 |                                                       408   | 1420                                                        |
| 30                                                          | A.N. Islands                                                |                                                         117 |                                                          52 |                                                        67   | 22                                                          |
| 31                                                          | Chandigarh                                                  |                                                          42 |                                                           9 |                                                         3   | 2                                                           |
| 32                                                          | Dadra & Nagar Haveli                                        |                                                          41 |                                                          45 |                                                        13   | 2                                                           |
| 33                                                          | Daman & Diu                                                 |                                                           3 |                                                           2 |                                                         0   | 0                                                           |
| 34                                                          | Delhi                                                       |                                                         175 |                                                         146 |                                                       224   | 58                                                          |
| 35                                                          | Lakshadweep                                                 |                                                           0 |                                                           0 |                                                         0   | 0                                                           |
| 36                                                          | Puducherry                                                  |                                                           5 |                                                           9 |                                                         1   | 2                                                           |
| Country Total                                               | Country Total                                               |                                                      365591 |                                                      156984 |                                                    112719   | 69978                                                       |

## Annexure - 2

## Initiatives taken to manage malaria for fulfilling the target of its eliminatio

- I. The  National  Framework  for  Malaria  Elimination  (NFME)  in  India  2016 - 30  was launched on 11.2.2016 by Hon'ble Minister for Health and Family Welfare( HFM ) .
- II. The National Strategic Plan (NSP) 2017 - 2022 for Malaria Elimination was launched o 12.7.2017 by Hon'bl e Minister for Health and Family Welfare .
- III. The Operational Manual for Malaria Elimination in India -version 1 was launched on 25.4.2016 by DGHS.
- IV. In  July  2019,  High  Burden  to  High  Impact  Initiative  (HBHI)  launched  in  f endemic  states  i.e Madhya  Pradesh,  Chhattisgarh,  Jharkhand  and  West  Bengal  f accelerating the pace of malaria elimination in these states.
- V. Award to Districts/ States for achieving 'Zero indigenous case status' and maintaining it for three consecutive years on attaining su b- national malaria elimination, institu for Year 1 and Year 3.
- VI. Availability of Bivalent Rapid Diagnostic Tests (RDTs) and anti - malarial drugs with ASHAs for early diagnosis and prompt treatment at community level.
- VII. Total 22.5 million and 25.2 million LLI Ns have been distributed during 2019 - 20 and 2020- 21 respectively to high burden areas.
- VIII. At present, 31 States and UTs have made Malaria a notifiable disease and States & UTs are under process to make malaria a notifiable disease. States e made Malaria Notifiable disease are as follows - Andhra Pradesh, Arunachal Pradesh, Assam, Chhattisgarh, Goa, Gujarat, Haryana, Himachal Pradesh, Jammu & Kash Jharkhand, Karnataka, Kerala, Madhya Pradesh, Manipur, Mizoram, Nagaland, Od Punjab, R ajasthan, Sikkim, Tamil Nadu, Telangana, Tripura Uttar Pra Uttarakhand, West Bengal, Puducherry ,Chandigarh, Daman & Diu, D&N Haveli and Lakshadweep
- IX. At  present,  24  states  have  constituted  State  Task  force  for  Malaria  Elim remaining States /UTs are under process of constituting State Task Force
- X. Mass screening and Treatment (MSAT) campaign has been initiated in the high districts of Tripura and Mizoram to break the ongoing transmission cycle of asymptomatic carriers .
- XI. The pr ogramme has in place a robust mechanism for constant capacity building technical  and  managerial  human  resource.    Various  agencies  like  World Organization (WHO), National Institute of Malaria Research (NIMR), Regional of Health and Fam ily Welfare, are engaged to impart regular and refresher tra the Malaria officials of various categories.  Special focus is being place the capacity of the Lab Technicians for Malaria microscopy with a view to the lab capac ity that is critical for malaria elimination.
- XII. Due attention is being paid to surveillance, supervision, monitoring and ev the NVBDCP.  Regular review meetings are being held with the States to as progress and appraise the gaps and challe nges in malaria elimination.