Lok Sabha Question No. 2228 (UNSTARRED), answered on 2020-09-23
Subject: Cancer and Kidney Related Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Beesetti  Venkata Satyavathi

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

LOK SABHA UNSTARRED QUE STION NO. 2228 TO BE ANSWERED ON 23 RD SEPTEMBER, 2020

## CANCER AND KIDNEY RE LATED DISEASES

## 2228. DR. BEESETTI V ENKATA SATYAVATHI:

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

- (a) whether the Government is aware that the cases of cancer and kidney related diseases have increased rapidly  for  the  last  four  years  across  the  country especially in Andhra Pradesh and Telangana, if so, the details thereof;
- (b) the steps being taken by the Government to arrest these deadly diseases;
- (c) whether the Government has initiated any dialogue with developed countries for working for advanced  technology/device  to  prevent  cancer or  to develop  indigenous  vaccine  to  end  this deadly disease; and
- (d) 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): The information regarding estimated incidence of cancer cases in the country is b National Cancer Registry Programme (NCRP) of Indian Council of Medical Research. The late report of NCRP is for the year 2020, which is based on data for the pe riod 2012 - 16, as compared to earlier report of 2016, which was based on data for the period 2012 - 14. Also, the year 2020 report is based on an increased coverage in terms of more number of Population Based Ca Registries (PBCRs) or expansion of some exi sting PBCRs .As a result of above changes, the annual  figures  of  estimated  incidence  of  cancer  in  the  country  in  the  year  2020  repo undergone revision as compared to previous report of NCRP of 2016, and the revised year -wise figures for India, Andhra Pradesh and Telangana are as under:

| Year           | 2016      | 2017      | 2018      | 2019      |
|----------------|-----------|-----------|-----------|-----------|
| India          | 12,60,427 | 12,92,534 | 13,25,232 | 13,58,415 |
| Andhra Pradesh | 64,371    | 64,839    | 67,370    | 68,883    |
| Telangana      | 43,129    | 44,230    | 45,335    | 46,464    |

As  per  ICMR  report  'India:  Health  of  the  Nation's  States',  Disability  Adjusted  Life Years (DALY) rate related to chronic kidney disease increased by 12% between 1990 to 20 ICMR  has  undertaken  a  study  on  prevalence  of  Chronic  Kidney  Diseases  in  the  India n population  in  a  multi - centric  project  initiated  at  7  centres  of  the  country  viz.  Delhi, Hyderabad, Bhubanshwar, Kolkata, Guwahati and Mumbai. The initial trends of data indicat community prevalence of CKD on first screening, ranging from 5.5% to 18.2% with an average prevalence of 11.4 % on first screening.

(b):Public Health  and  Hospitals  is  a  State  subject.  The  Central  Government,  however supplements the efforts of the State Governments to prevent and control cancer and to p affordab le and accessible care. To tackle the challenge of Non Communicable Diseases (NCD the Government is implementing National Programme for Prevention and Control of Cancer Diabetes,  Cardiovascular  Diseases  and  Stroke  (NPCDCS),  with  focus  on  strengthenin in frastructure,  human  resource  development,  health  promotion  &  awareness  generation,  ea diagnosis,  management  and  referral  to  an  appropriate  level  institution  for  treatment. setting up of NCD Clinics at the District and Community Health Center (CH C) levels, activities under NPCDCS also include population level initiative for prevention, control and screeni common  NCDs  (diabetes,  hypertension  and  common  cancers  viz.  oral,  breast  and  cervica cancer) .  Screening  of  common  NCDs  including  three  co mmon  cancers  i.e.  oral,  breast  and cervical  is  also  an  integral  part  of  service  delivery  under  Ayushman  Bharat - Health  and Wellness Centres. Tertiary Cancer Care facilities are being strengthened through setting u State  Cancer  Institutes  (SCI)  & Terti ary  Care  Cancer  Centres  (TCCC)  under  NPCDCS  and setting of new All India Institute of Medical Sciences (AIIMS). Setting up of National Institute  at  Jhajjar  in  Haryana  and  strengthening  of  Chittaranjan  National  Cancer  In Kolkata, are also ste ps in the same direction.

For free dialysis services to Below Poverty Line (BPL) patients, Pradhan Mantri Nat Dialysis Programme (PMNDP) is being implemented as part of National Health Mission (NHM) for which States/UTs are supported through their Pr ogramme Implementation Plan (PIP).

(c) and (d): As informed by Department of Science and Technology, various projects have undertaken under Indo -US Science & Technology Forum  (IUSSTF), focusing on cancer and kidney disease. Department of Biotechnolog y (DBT) and Cancer Research UK (CRUK) have signed a Memorandum of Understanding (MoU) for a Cancer Research Initiative, 'Affordable Approaches to Cancer'.