Lok Sabha Question No. 850 (UNSTARRED), answered on 2018-12-14
Subject: World Diabetes Day
Ministry: HEALTH AND FAMILY WELFARE
Asked by: DHANANJAY BHIMRAO MAHADIK, GAJANAN CHANDRAKANT KIRTIKAR, HEENA VIJAYKUMAR GAVIT, RAJEEV SHANKARRAO SATAV, VIJAYSINH MOHITE PATIL, P.R. SUNDARAM, JAYAKUMAR JAYAVARDHAN, SUPRIYA SADANAND SULE

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

## LOK SABHA UNSTARRED QUESTION NO. 850 TH

TO BE ANSWERED ON 14 DECEMBER, 2018

## WORLD DIABETES DAY

## 850. SHRI DHANANJAY MAHADIK:

SHRI GAJANAN KIRTIKAR:

DR. HEENA VIJAYKUMAR GAVIT:

SHRI SATAV RAJEEV:

SHRI MOHITE PATIL VIJAYSINH SHANKARRAO:

SHRI P.R. SUNDARAM:

DR. J. JAYAVARDHAN:

SHRIMATI SUPRIYA SULE:

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

- (a) whether the Government observed World Diabetes Day recently and if so, the details thereof along with the theme of the event and initiatives taken by the Government to make the event successful;
- (b) whether the Government has fixed any target to control Diabetes in the country and if so , the details thereof;
- (c) the number of people affected by Diabetes during each of the last three years and the current year, State/UT -wise along with the reasons for rise in the cases of Diabetes;
- (d) whether the Government proposes to provide free med ical treatment to the diabetic patients of urban and rural areas and if so, the details thereof;
- (e) whether the Government has developed any indigenous system of medicine for prevention of diabetes and if so, the details thereof; and
- (f) the other steps being taken by the Government to prevent and treat the spread of diabetes, especially in rural areas?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

- (a)to (c):  World Diabetes Day is observed on 14 th November. This is observed by various Governmental institutions, academic and professional organizations. The Government of I organised free health screening and awareness camps for screening of population for com Non - Communicable Diseases (NCDs) i ncluding  Blood Sugar (Diabetes), High Blood Pressure (Hypertension), Body Mass Index at India International Trade Fair - 2018,  at  Pragati  Maidan, New Delhi, from 14 th - 27 th November, 2018.

Various awareness activities like Nukad Natak, Flash Mob etc.  wer e conducted to attract people towards the camps.

A Facebook campaign, using role modelling as basic strategy was also organized. This year  about  45,000  persons  were  screened  in  these  camps.    Radio  Jingles  for  genera awareness among the people about the NCDs and conducting of free health checkups at IIT -2018, were aired in the Delhi and NCR Area.

India aims to halt rise in prevalence of diabetes by 2025. The Indian Council of Medical Research (ICMR) is conducting a study namely ICMR -INDIAB involving all States and Union Territories -both  urban  and  rural  population  for  ascertaining  the  exa ct  number  of  Diabetic patients.  15  States/UTs  have  been  covered  so  far.  A  Statement  showing  State/UT - wise prevalence of Diabetes in 15 States / UTs covered under ICMR -INDIAB Study is at Annexure .

The  factors  responsible  for  increase  in  Diabetes  are  unhea lthy  diet,  lack  of  physical activity, harmful use of alcohol, over - weight/obesity, tobacco use etc.

(d) to (f): Government of India is implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke(NPCDCS ) for interventions upto district level under the National Health Mission(NHM). Under NPCDCS, testing, diagnosis and treatment facilities for Diabetes are provided through different healthcare  by  setting  up  NCD  Clinics  in  District  Hospitals  and Community  Health  Centres (CHCs). The treatment is either free or highly subsidized for the poor and needy.

Lack  of  physical  activity  is  one  of  risk  factor  of  Diabetes.  Government  of  In promoting Yoga and June 21 is being observed as World Yoga Day e very year.

A  population  level  initiative  of  prevention,  control  and  screening  for  common  N (diabetes, hypertension  and cancer viz. oral, breast and  cervical cancer) has been ro under  NHM,  as  a  part  of  comprehensive  primary  healthcare.  Under  th is  initiative,  frontline health workers such as Accredited Social Health Activists and Auxiliary Nurse Midwives, alia, are leveraged to carry out screening and generate awareness about the risk factors among the masses.  The initiative is und er implementation in 215 districts across the country.

The indigenous  systems  of  medicines  like  Ayurveda,  Unani  and  Siddha  advo that diabetes can be prevented by following a combination of appropriate life -style  nd d et.  In collaboration with  the  Ministry  of  AYUSH,  an  initiative  to  use  the  knowledge  available AYUSH system of medicines for prevention and control of Non - c mmunicable Diseases is also being implemented in 6 districts on pilot basis.

The  Central  Government,  through  its  hospitals  augments  the  efforts  of  the  S Governments  for  providing  health  services  in  the  country.  Under  Pradhan  Mantri  Swasth Suraksha  Yojana(PMSSY),  6  new  AIIMS  have  been  set  up  and  upgradation  of  identified medical colleges has been undertaken which will also improve tertiary care facilities fo including Diabetes.

Quality generic medicines are being made available at affordable prices to all, under 'Jan Aushadhi Scheme', in collaboration with the State Gove rnments.

Under National Health Mission Free Drugs and Free Diagnostic initiative, essential d and diagnostics are provided free of cost in public health facilities.

The  Ministry  of  Health  and  Family  Welfare  has  also  started  AMRIT  (Affordable Medicinesand Reliable Implants for Treatment) stores where essential life - saving medicines are being provided at a substantial discount vis - à- vis the Maximum Retail Price.

## ANNEXURE

| S.NO   | STATE/UT          | PREVALENCE OF DIABETES ( %)   | PREVALENCE OF DIABETES ( %)   | PREVALENCE OF DIABETES ( %)   |
|--------|-------------------|-------------------------------|-------------------------------|-------------------------------|
| S.NO   | STATE/UT          | RURAL                         | URBAN                         | OVERALL                       |
| 1.     | Andhra Pradesh    | 6.3                           | 12.6                          | 8.4                           |
| 2.     | Arunachal Pradesh | 4.9                           | 5.8                           | 5.1                           |
| 3.     | Assam             | 4.4                           | 12.4                          | 5.5                           |
| 4.     | Bihar             | 3.5                           | 10.8                          | 4.3                           |
| 5.     | Chandigarh(UT)    | 8.3                           | 14.2                          | 13.6                          |
| 6.     | Gujarat           | 5.1                           | 9.8                           | 7.1                           |
| 7.     | Jharkhand         | 3.0                           | 13.5                          | 5.3                           |
| 8.     | Karnataka         | 5.6                           | 11.1                          | 7.7                           |
| 9.     | Maharashtra       | 6.5                           | 10.9                          | 8.4                           |
| 10.    | Manipur           | 4.4                           | 7.1                           | 5.1                           |
| 11.    | Meghalaya         | 3.5                           | 8.9                           | 4.5                           |
| 12.    | Mizoram           | 3.6                           | 7.9                           | 5.8                           |
| 13.    | Punjab            | 8.7                           | 12.0                          | 10.0                          |
| 14.    | Tamil Nadu        | 7.8                           | 13.7                          | 10.4                          |
| 15.    | Tripura           | 7.2                           | 15.5                          | 9.4                           |