Lok Sabha Question No. 2111 (UNSTARRED), answered on 2020-09-23
Subject: Communicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Su Thirunavukkarasar

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

## LOK SABHA UNSTARRED QUESTION NO. 2111 TO BE ANSWERED ON 23 RD SEPTEMBER, 2020

## COMMUNICABLE DISEASE S

## 2111. SHRI THIRUNAVUKKARASAR SU:

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

- (a)  whether  the  Government  is  aware  that  Malaria, Dengue,  Chikungunya  and  other communicable diseases have resurfaced in various parts of the country;
- (b) if so, the details thereof indicating the number of persons a fected/died as a result thereof during the last three years, year/State/UT - wise;
- (c) whether the Government is aware that major hospitals in the country are not adequately equippedfor providing treatment to the affected patients, if so, the details thereof;
- (d) whether the Government has issued any direction and assistance to the States to ensure adequate treatment to the patients; 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) &(b): Yes, Government is aware of epidemiological situation of Malaria, Dengue & Chikungunya in various parts of country.

Malaria: The malaria cases and deaths have declined in the country. State wise cases deaths  during  last  three  years  (2017 - 2019)  and  current  year  (till  July,  2020)  is  placed  at Annexure - I.

Dengue & Chikungunya: Dengue cases and deaths are reported by 35 Sta tes/UTs (except Lakshadweep and Ladakh). Chikungunya cases are reported by 32 States/UTs. State - wise Dengue cases and deaths during last 3 years and 2020 (till August) are placed at Annexure II , and Chikungunya cases are placed at Annexure - III . No death du e to Chikungunya has been reported by any State/UT till date.

## (c) : Malaria:

Adequate stocks of necessary diagnostics and drugs in all the health centers/hospitals country  have  been  made  available  for  providing  diagnostic  and  treatment  facilitie r community including the affected patients.

## Dengue & Chikungunya:

To provide free diagnosis facility for Dengue and Chikungunya , Government of India has identified 695 hospitals as Sentinel Surveillance Hospitals across the country with support of 16 Apex Referral Laboratories. Diagnostic kits are provided by Government India to these institutes as per their technical re quirement. Cost is borne by Government of India. During 2020 (till August), a total 2131 Dengue and 860 Chikungunya kits have supplied to these identified institutes against their annual allocation of 9000 and respectively.

## (d) &(e) : Malaria:

The  advisories  to  States  are  also  sent  from  time  to  time  for  continuing  all  pro preventive and curative interventions for malaria and containment of outbreaks, if any.

## Dengue & Chikungunya:

For sensitizing the States/UT on prevention and contro l in luding treatment, Advisories are issued from time to time.

Besides,  technical  and  financial  assistance  to  all  States/UTs  is  also  provide Government of India.

## STATE-WISE MALARIA CASES AND DEATHS IN THE COUNTRY

(As on 02.09.2020)

| SN.   | State/Uts Name    | 2017   | 2017   | 2018    | 2018   | 2019    | 2019   | 2020 (Prov. Till July)   | 2020 (Prov. Till July)   |
|-------|-------------------|--------|--------|---------|--------|---------|--------|--------------------------|--------------------------|
| SN.   | State/Uts Name    | Cases  | Death  | Cases   | Death  | Cases   | Death  | Cases                    | Death                    |
| 1     | Andhra Pradesh    | 16972  | 0      | 6040    | 0      | 3104    | 0      | 1596                     | 0                        |
| 2     | Arunachal Pradesh | 1546   | 0      | 625     | 0      | 139     | 0      | 13                       | 0                        |
| 3     | Assam             | 5281   | 0      | 3816    | 2      | 1459    | 4      | 229                      | 2                        |
| 4     | Bihar             | 4020   | 2      | 1536    | 0      | 1608    | 0      | 209                      | 0                        |
| 5     | Chhattisgarh      | 140727 | 81     | 78717   | 39     | 60458   | 31     | 23187                    | 8                        |
| 6     | Goa               | 653    | 1      | 377     | 0      | 272     | 0      | 53                       | 0                        |
| 7     | Gujarat           | 38588  | 7      | 22114   | 2      | 13883   | 1      | 1839                     | 0                        |
| 8     | Haryana           | 5696   | 0      | 3149    | 0      | 1497    | 0      | 50                       | 0                        |
| 9     | Himachal Pradesh  | 96     | 0      | 98      | 0      | 109     | 0      | 14                       | 0                        |
| 10    | Jammu & Kashmir   | 226    | 0      | 168     | 0      | 105     | 0      | 18                       | 0                        |
| 11    | Jharkhand         | 94114  | 0      | 57095   | 4      | 37133   | 2      | 4849                     | 4                        |
| 12    | Karnataka         | 7381   | 0      | 5721    | 0      | 3499    | 0      | 757                      | 0                        |
| 13    | Kerala            | 1192   | 2      | 908     | 0      | 656     | 0      | 143                      | 0                        |
| 14    | Madhya Pradesh    | 47541  | 5      | 22279   | 1      | 14147   | 3      | 1861                     | 0                        |
| 15    | Maharashtra       | 17710  | 20     | 10757   | 13     | 8866    | 7      | 6009                     | 5                        |
| 16    | Manipur           | 80     | 0      | 12      | 0      | 16      | 0      | 19                       | 2                        |
| 17    | Meghalaya         | 16454  | 12     | 6394    | 6      | 2615    | 4      | 905                      | 3                        |
| 18    | Mizoram           | 5715   | 4      | 4296    | 3      | 8543    | 8      | 5485                     | 1                        |
| 19    | Nagaland          | 394    | 1      | 113     | 0      | 20      | 0      | 6                        | 0                        |
| 20    | Orissa            | 347860 | 24     | 66311   | 3      | 39556   | 9      | 29478                    | 6                        |
| 21    | Punjab            | 805    | 0      | 624     | 0      | 1139    | 0      | 57                       | 0                        |
| 22    | Rajasthan         | 10607  | 0      | 5728    | 0      | 3421    | 1      | 163                      | 0                        |
| 23    | Sikkim            | 14     | 0      | 6       | 0      | 7       | 0      | 3                        | 0                        |
| 24    | Tamilnadu         | 5444   | 0      | 3758    | 0      | 2088    | 0      | 249                      | 0                        |
| 25    | Telangana         | 2688   | 0      | 1792    | 0      | 1711    | 0      | 570                      | 0                        |
| 26    | Tripura           | 7051   | 6      | 13079   | 13     | 12437   | 1      | 2204                     | 2                        |
| 27    | Uttarakhand       | 508    | 0      | 409     | 0      | 296     | 0      | 5                        | 0                        |
| 28    | Uttar Pradesh     | 32345  | 0      | 86486   | 0      | 92732   | 0      | 7689                     | 0                        |
| 29    | West Bengal       | 31265  | 29     | 26440   | 8      | 25928   | 6      | 1956                     | 3                        |
| 30    | A & N Islands     | 505    | 0      | 259     | 0      | 202     | 0      | 69                       | 2                        |
| 31    | Chandigarh        | 114    | 0      | 44      | 0      | 22      | 0      | 5                        | 0                        |
| 32    | D & N Haveli*     | 290    | 0      | 221     | 1      | 73      | 0      | 24                       | 0                        |
| 33    | Daman & Diu*      | 38     | 0 0    | 24      | 0      | 8       | 0 0    | 45                       | 0                        |
|       | Delhi             | 577    |        | 473     | 0      | 713     |        |                          |                          |
| 34    | Ladakh**          |        |        |         |        |         |        | 0                        | 0                        |
| 35    | Lakshadweep       | 1      | 0      | 5       | 0      | 11      | 0      | 5                        | 0                        |
| 36    | Puducherry        | 60     | 0      | 54      | 1      | 21      | 0      | 12                       | 0                        |
| Total | Total             | 844558 | 194    | 42992 8 | 96     | 33849 4 | 77     | 89776                    | 38                       |

## Annexure-I

## State-Wise Dengue cases and deaths in the Country during last 3 years and 2020 (till August)

| Sl. No.   | Name of State/UT   | 2017   | 2017   | 2018   | 2018   | 2019   | 2019   | 2020 (Prov till 31 st August)   | 2020 (Prov till 31 st August)   |
|-----------|--------------------|--------|--------|--------|--------|--------|--------|---------------------------------|---------------------------------|
| Sl. No.   | Name of State/UT   | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases                           | Deaths                          |
| 1         | Andhra Pradesh     | 4925   | 0      | 4011   | 0      | 5286   | 0      | 480                             | 0                               |
| 2         | Arunachal Pradesh  | 18     | 0      | 1      | 0      | 123    | 0      | 0                               | 0                               |
| 3         | Assam              | 5024   | 1      | 166    | 0      | 196    | 0      | 22                              | 0                               |
| 4         | Bihar              | 1854   | 0      | 2142   | 0      | 6712   | 0      | 0                               | 0                               |
| 5         | Chhattisgarh       | 444    | 0      | 2674   | 10     | 722    | 0      | 55                              | 0                               |
| 6         | Goa                | 235    | 0      | 335    | 1      | 992    | 0      | 363                             | 0                               |
| 7         | Gujarat            | 4753   | 6      | 7579   | 5      | 18219  | 17     | 776                             | 0                               |
| 8         | Haryana            | 4550   | 0      | 1898   | 0      | 1207   | 0      | 7                               | 0                               |
| 9         | Himachal Pradesh   | 452    | 0      | 4672   | 7      | 344    | 2      | 3                               | 0                               |
| 10        | Jammu & Kashmir    | 488    | 0      | 214    | 0      | 439    | 0      | 0                               | 0                               |
| 11        | Jharkhand          | 710    | 5      | 463    | 1      | 825    | 0      | 55                              | 0                               |
| 12        | Karnataka          | 17844  | 10     | 4427   | 4      | 16986  | 13     | 2777                            | 0                               |
| 13        | Kerala             | 19994  | 37     | 4083   | 32     | 4652   | 16     | 2420                            | 5                               |
| 14        | Madhya Pradesh     | 2666   | 6      | 4506   | 5      | 4189   | 2      | 119                             | 0                               |
| 15        | Meghalaya          | 52     | 0      | 44     | 0      | 82     | 0      | 14                              | 0                               |
| 16        | Maharashtra        | 7829   | 65     | 11011  | 55     | 14907  | 29     | 1763                            | 2                               |
| 17        | Manipur            | 193    | 1      | 14     | 0      | 359    | 0      | 35                              | 0                               |
| 18        | Mizoram            | 136    | 0      | 68     | 0      | 42     | 0      | 53                              | 0                               |
| 19        | Nagaland           | 357    | 0      | 369    | 0      | 8      | 0      | 0                               | 0                               |
| 20        | Odisha             | 4158   | 6      | 5198   | 5      | 3758   | 4      | 295                             | 0                               |
| 21        | Punjab             | 15398  | 18     | 14980  | 9      | 10289  | 14     | 350                             | 0                               |
| 22        | Rajasthan          | 8427   | 14     | 9587   | 10     | 13706  | 17     | 430                             | 0                               |
| 23        | Sikkim             | 312    | 0      | 320    | 0      | 444    | 0      | 8                               | 0                               |
| 24        | Tamil Nadu         | 23294  | 65     | 4486   | 13     | 8527   | 5      | 1731                            | 0                               |
| 25        | Tripura            | 127    | 0      | 100    | 0      | 114    | 0      | 22                              | 0                               |
| 26        | Telangana          | 5369   | 0      | 4592   | 2      | 13331  | 7      | 699                             | 0                               |
| 27        | Uttar Pradesh      | 3092   | 28     | 3829   | 4      | 10557  | 26     | 57                              | 0                               |
| 28        | Uttarakhand        | 849    | 0      | 689    | 3      | 10622  | 8      | 44                              | 1                               |
| 29        | West Bengal        | 37746  | 46     | NR*    | NR     | NR     | NR     | NR                              | NR                              |
| 30        | A&N Islands        | 18     | 0      | 49     | 0      | 168    | 0      | 53                              | 0                               |
| 31        | Chandigarh         | 1125   | 0      | 301    | 0      | 286    | 0      | 6                               | 0                               |
| 32        | Delhi              | 9271   | 10     | 7136   | 4      | 5077   | 0      | 128                             | 0                               |
| 33        | D&N Haveli         | 2064   | 0      | 493    | 0      | 1491   | 2      | 133                             | 0                               |
| 34        | Daman & Diu        | 59     | 0      | 163    | 0      | 625    | 2      | 39                              | 0                               |
| 35        | Puducherry         | 4568   | 7      | 592    | 2      | 2030   | 2      | 650                             | 1                               |
| TOTAL     | TOTAL              | 188401 | 325    | 101192 | 172    | 157315 | 166    | 13587                           | 9                               |

Annexure-III State-Wise clinically suspected Chikungunya Cases in the Country during last 3 years and 2020 (till August)

| Sl. No.   | Name of the State/UT   |   2017 |   2018 | 2019   | 2020 (Prov till 31 st August)   |
|-----------|------------------------|--------|--------|--------|---------------------------------|
| 1         | Andhra Pradesh         |   1162 |    622 | 832    | 267                             |
| 2         | Arunachal Pradesh      |    133 |    507 | 332    | 0                               |
| 3         | Assam                  |     41 |      3 | 0      | 0                               |
| 4         | Bihar                  |   1251 |    156 | 594    | 1                               |
| 5         | Goa                    |    509 |    455 | 867    | 95                              |
| 6         | Gujarat                |   7953 |  10601 | 8084   | 1742                            |
| 7         | Haryana                |    220 |     62 | 0      | 0                               |
| 8         | Jammu & Kashmir        |      0 |      1 | 0      | 0                               |
| 9         | Jharkhand              |    269 |   3405 | 1691   | 389                             |
| 10        | Karnataka              |  32831 |  20411 | 43698  | 9953                            |
| 11        | Kerala                 |     78 |     77 | 109    | 865                             |
| 12        | Madhya Pradesh         |   2477 |   3211 | 2749   | 911                             |
| 13        | Meghalaya              |    236 |     44 | 114    | 0                               |
| 14        | Maharashtra            |   8110 |   9884 | 5158   | 1465                            |
| 15        | Mizoram                |      0 |     93 | 0      | 34                              |
| 16        | Manipur                |      0 |      2 | 40     | 0                               |
| 17        | Odisha                 |      0 |      0 | 242    | 15                              |
| 18        | Punjab                 |   3251 |    736 | 372    | 25                              |
| 19        | Rajasthan              |   1612 |    254 | 365    | 223                             |
| 20        | Sikkim                 |    130 |    384 | 1126   | 205                             |
| 21        | Tamil Nadu             |    131 |    284 | 623    | 189                             |
| 22        | Telangana              |   1277 |   1954 | 5352   | 364                             |
| 23        | Tripura                |    574 |    683 | 1105   | 304                             |
| 24        | Uttar Pradesh          |    103 |     58 | 72     | 14                              |
| 25        | Uttrakhand             |      0 |     29 | 1      | 0                               |
| 26        | West Bengal            |   2103 |     52 | NR*    | NR                              |
| 27        | A&N Islands            |     93 |    205 | 702    | 146                             |
| 28        | Chandigarh             |   1810 |    357 | 82     | 0                               |
| 29        | Delhi                  |    940 |    407 | 520    | 43                              |
| 30        | D&N Haveli             |      0 |      0 | 0      | 0                               |
| 31        | Lakshadweep            |      0 |      0 | 0      | 0                               |
| 32        | Puducherry             |    475 |   2876 | 7084   | 2958                            |
| Total     | Total                  |  67769 |  57813 | 81914  | 20208                           |

*NR= Not reported