Lok Sabha Question No. 238 (STARRED), answered on 2020-03-06
Subject: Area Specific Cancer Cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ravi Kishan Shukla, Ravindra Kushawaha

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

## LOK SABHA STARRED QUESTION NO. 238 TO BE ANSWERED ON THE 6 TH MARCH, 2020 AREA SPECIFIC CANCER CASES

## *238. SHRI RAVI KISHAN: SHRI RAVINDRA KUSHWAHA:

Willth e Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether t he Government has taken note of prevalence of various type s of cancer  in  certain/specific areas  of  the  country  and  if so,  the  details  thereof, State/ UT - wise;
- (b) whether t he Government has conducted any study to ascertain the re asons for the increasing number of cancer patients in these specific areas and oth parts of the country and if so, the details and the outcome thereof, State/UT -wise;
- (c)  whether  the  Gove rnment hospitals/Health  Centres across  the  country  are adequately  equipped/facilitated to  detect  various  types  of cancer  including breast cancer at the preliminary/initial stage; and
- (d) if so, the detail s thereof and if not, the steps taken/proposed t o be taken by the Government to diagnose various type s of cancer at the preliminary/ initial stage  and  provide  treatment  at  affordable  cost  and create  awareness  in  this regard throughout the country?

## ANSWER

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

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

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 238* FOR 6 TH MARCH , 2020

(a) to (d) T he estimated number of incidence of cancer cases during 2018 in t country, State/UT wise ,(as per National Cancer Registry Programme data of Indian Council of Medical Research )is at Annexur e. Cancer is a multifactorial disease, the risk factors of which interalia, include ageing population, life styles, use of tobacco products and unhealthy diet.

Health is a State subject. The Central Government, however, supplemen the  efforts  of  the  State  Governments  to  prevent  and  control  cancer  an provide  affordable  and  accessible  care.  The  Government  is  implementi National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular  Diseases  and  Stroke  (NPCDCS),  with  focus  on  strengthenin infrastructure,  human  resource  development,  health  promotion  &  awarenes generation,  early  diagnosis,  management  and  referra l  to  an  appropriate  level institution  for  treatment.  To  tackle  the  challenge  of  Non  Communica Diseases (NCD), including cancer, 616 NCD Clinics at District level and 3 NCD  Clinics  at  Community  Health  Centre  level  have  been  set  up  under NPCDCS.  Popu lation level initiative for prevention, control and screeni common NCDs (diabetes, hypertension and common cancers viz. oral, breast and cervical cancer) has also been rolled out under the National Health M (NHM)  in  over  215  districts.  Screenin g  of  common  NCDs  including  three common cancers i.e. oral, breast and cervical is also an integral part o delivery under Ayushman Bharat - Health and Wellness Centres. Under NHM support  is  provided  to  States/UTs  to  provide  free  essential  medicines and diagnostic services for primary and secondary health care needs.

Awareness  campaigns  on  common  risk  factors  for  NCDs,  including cancer, and promotion of healthy lifestyle are also carried out through el and  social  media.  Camps  for  awareness generation  and  screening  are  also organized at Pragati Maidan, New Delhi, during the India International T Fair.  ICMR - National  Institute  of  Cancer  Prevention  and  Research  (NICPR), Noida,  has  launched www.cancerindia.org with  the  theme  'India  Against Cancer', a portal that provides information on the leading cancers in India with a major focus on awareness, prevention and treatment of these cancers. Several measures have been taken to discourage the use of tobacco products, which is one  of  the  key  risk  factors  of  Cancer,  besides  initiative  to  promote lifestyles through healthy eating and regular physical activity.

To  enhance  the  facilities  for  tertiary  care  of  cancer,  the  C Government  isimplementing  Strengthening  of  Tertiary  Care  for  Cancer Scheme, under which setting up of 19 State Cancer Institutes and 20 Ter Care Cancer Centres have been approved. Further, Oncology is also one of focus  areas  in  case  of  new  AIIMS  and  many  upgr aded  institutions  under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY). Setting up of National Cancer  Institute  at  Jhajjar  in  Haryana  and  strengthening  of  Chittar National Cancer Institute, Kolkata, are also steps in the same direction.

Cancer  is diagnosed  and  treated  at  various  levels  in  the  health  c system. In Government hospitals, treatment is either free or highly subs Treatment of cancers is also available under Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (PMJAY). Besides this , Affordable Medicines and Reliable Implants for Treatment (AMRIT) Deendayal outlets have been opened at 203 Institutions/Hospitals with an objective to make available drugs and impl discounted prices to the patients.

## Estimated Incidence of cancer cases in India during 2018.

| States                                                                                                              | 2018                                                                                                                |
|---------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------|
| Jammu & Kashmir                                                                                                     | 17351                                                                                                               |
| Himachal P radesh                                                                                                   | 8679                                                                                                                |
| Punjab                                                                                                              | 35137                                                                                                               |
| Chandigarh                                                                                                          | 1398                                                                                                                |
| Uttaranchal                                                                                                         | 13640                                                                                                               |
| Haryana                                                                                                             | 33558                                                                                                               |
| Delhi                                                                                                               | 21821                                                                                                               |
| Rajasthan                                                                                                           | 90686                                                                                                               |
| Uttar P radesh                                                                                                      | 270053                                                                                                              |
| Bihar                                                                                                               | 145051                                                                                                              |
| Sikkim                                                                                                              | 490                                                                                                                 |
| Arunachal P radesh                                                                                                  | 1313                                                                                                                |
| Nagaland                                                                                                            | 1318                                                                                                                |
| Manipur                                                                                                             | 3168                                                                                                                |
| Mizoram                                                                                                             | 1723                                                                                                                |
| Tripura                                                                                                             | 2260                                                                                                                |
| Meghalaya                                                                                                           | 3442                                                                                                                |
| Assam                                                                                                               | 32530                                                                                                               |
| West Bengal                                                                                                         | 117220                                                                                                              |
| Jharkhand                                                                                                           | 45289                                                                                                               |
| Orissa                                                                                                              | 53936                                                                                                               |
| C hhattisgarh                                                                                                       | 35223                                                                                                               |
| Madhya Pradesh                                                                                                      | 98403                                                                                                               |
| Gujarat                                                                                                             | 80820                                                                                                               |
| Daman & Diu                                                                                                         | 579                                                                                                                 |
| Dadra & Nagar Haveli                                                                                                | 591                                                                                                                 |
| Maharashtra                                                                                                         | 144032                                                                                                              |
| Telangana                                                                                                           | 45713                                                                                                               |
| Andhra Pradesh                                                                                                      | 62978                                                                                                               |
| Karnataka                                                                                                           | 80381                                                                                                               |
| Goa                                                                                                                 | 1881                                                                                                                |
| Lakshadweep                                                                                                         | 104                                                                                                                 |
| Kerala                                                                                                              | 47382                                                                                                               |
| TamilN adu                                                                                                          | 86180                                                                                                               |
| Pondicherry                                                                                                         | 1783                                                                                                                |
| Andaman & Nicobar Islands                                                                                           | 458                                                                                                                 |
| Total 1586571                                                                                                       | Total 1586571                                                                                                       |
| Ref: Three - year Report of the PBCRs: 2012 - 2014, Bengaluru, 2016 *Projected cancer cases for India were computed | Ref: Three - year Report of the PBCRs: 2012 - 2014, Bengaluru, 2016 *Projected cancer cases for India were computed |