Lok Sabha Question No. 2907 (UNSTARRED), answered on 2021-03-12
Subject: HPV and Cervical Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: D. Ravikumar

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

## LOK SABHA UNSTARRED QUESTION NO. 2907 TO BE ANSWERED ON 12 TH MARCH, 2021

## HPV AND CERVICAL CAN CER

## 2907. SHRI RAVIKUMAR D.:

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

(a) the details of the Cervical cancer cases reported between 2015 - 2020, State/UT - wise;

- (b) whether the Government has any proposal to include Human Papillomavirus (HPV) vaccine in the State immunisation programmes;
- (c)if so, the details thereof and if not, the reasons therefor; and
- (d) the details of plans formulated/implemented to create awareness among women about the HPV and Cervical Cancer?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE ( SHRI ASHWINI KUMAR CHOUBEY)

(a) : As per Indian Council of Medical Research's 'National Cancer Registry Programme Report, 2020', the estimated number of   cervical cancer cases in the country reported   during 2015 -2020 state/UT wise is at Annexure .

- (b)  & (c) : National  Technical  Advisory  Group  on  Immunixation  (NTAGI)  is  India's  apex technical advisory body to make recommendations for inclusion of any new vaccine in country's Universal Immunization Program(UIP). NTAGI considers key factors like disease epid emiology,  clinical  characteristics,  economic  considerations,  vaccine  and  immuniza characteristics  and  other  public  considerations  before  making  recommendations  for  any vaccine  introduction.    As  of  now  HPV  Vaccine  has  not  been  recommended  by  NTAGI  f or inclusion in UIP.

(d) :Public health and hospitals is a state subject, the central Government supplements efforts of State Government through technical and financial supports. In order to combat the major Non Communicable  Disease  (NCDs)including  canc er,  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), with focus on strengthening infrastructure, human resource development, health promotion  &amp;  awareness  generation, early  diagnosis,  management  and  referral  to  an appropriate level institution for treatment and follow up to non-c mm nicable diseases including cancer. To tackle thechallenge of Non Communicable Diseases (NCD) including cancer, 63 8 NCD Clinics at District level and 4464 NCD Clinics at Community Health Centre level have been set up under NPCDCS. Treatment for cancer is also available at other health facilities run by the Central and State Governments.

With Ayushman Bharat, India has launched health care services in a holistic manner to include preventive and promotive health care. A population level initiative of prevention, control and screening for common NCDs (diabe tes, hypertension and common cancers viz. Oral, breast and cervical cancer) has also been rolled out, as a part of comprehensive primary health care. Under  this initiative,  frontline  health  workers  such  as  Accredited Social  Health  Activists (ASHA) and Auxiliary Nurse Midwives (ANM), inter alia, are leveraged to carry out screening as well as to generate awareness about the risk facto s of NCDs including cancer among the masses. The initiative is under implementation across the country. Screening for common NCDs including cancer is also an integral part of service delivery under Ayushman Bharat -Health and Wellness Centres.

Several  awareness  initiatives  have  been  undertaken  by  the Government  including observance of National Cancer Awareness Day, organising of screening for major NCDs and major awareness events at occasions such as the India International Trade Fair (IITF), Delhi and use  of  print, electronic  and  social  media,  etc.  In  addition  NPCDCS supports  awareness generation activities to be undertaken by t he States.

## Table 1: Estimated Incidence of cancer cases in India by different State/UT - Cervix Uteri (ICD10: C53) (2015-2020)*

| State                     |   2015 |   2016 |   2017 |   2018 |   2019 |   2020 |
|---------------------------|--------|--------|--------|--------|--------|--------|
| Jammu &Kashmir            |    561 |    577 |    595 |    609 |    627 |    648 |
| Himachal pradesh          |    419 |    429 |    438 |    450 |    461 |    474 |
| Punjab                    |   2001 |   2055 |   2112 |   2166 |   2223 |   2280 |
| Chandigarh                |     50 |     50 |     50 |     55 |     58 |     58 |
| Uttaranchal               |    532 |    547 |    560 |    576 |    594 |    608 |
| Haryana                   |   1312 |   1353 |   1399 |   1442 |   1486 |   1536 |
| Delhi                     |   1056 |   1095 |   1135 |   1177 |   1217 |   1259 |
| Rajasthan                 |   3237 |   3327 |   3425 |   3522 |   3620 |   3721 |
| Uttar pradesh             |   8840 |   9071 |   9307 |   9549 |   9793 |  10046 |
| Bihar                     |   4439 |   4560 |   4684 |   4810 |   4941 |   5073 |
| Sikkim                    |     23 |     24 |     24 |     26 |     26 |     26 |
| Arunachal pradesh         |     62 |     62 |     64 |     66 |     68 |     71 |
| Nagaland                  |    100 |    103 |    105 |    109 |    114 |    116 |
| Manipur                   |     87 |     89 |     94 |     99 |    101 |    103 |
| Mizoram                   |    119 |    123 |    127 |    130 |    134 |    139 |
| Tripura                   |    164 |    172 |    176 |    179 |    185 |    191 |
| Meghalaya                 |     96 |     97 |    100 |    106 |    109 |    111 |
| Assam                     |   1570 |   1615 |   1661 |   1708 |   1754 |   1802 |
| West bengal               |   4981 |   5116 |   5254 |   5395 |   5534 |   5679 |
| Jharkhand                 |   1535 |   1582 |   1626 |   1674 |   1723 |   1770 |
| Orissa                    |   2356 |   2416 |   2474 |   2534 |   2595 |   2656 |
| Chattisgarh               |   1321 |   1356 |   1392 |   1429 |   1467 |   1507 |
| Madhya pradesh            |   3523 |   3623 |   3724 |   3828 |   3934 |   4042 |
| Gujarat                   |   3258 |   3350 |   3444 |   3539 |   3637 |   3738 |
| Daman                     |      8 |      9 |      9 |      9 |      9 |      9 |
| Dadra &Nagar Haveli       |     12 |     14 |     15 |     15 |     15 |     15 |
| Maharashtra               |   5923 |   6076 |   6229 |   6387 |   6545 |   6708 |
| Telangana                 |   2216 |   2276 |   2339 |   2402 |   2466 |   2532 |
| Andhra pradesh            |   3377 |   3459 |   3543 |   3627 |   3713 |   3799 |
| Karnataka                 |   3966 |   4076 |   4186 |   4302 |   4419 |   4536 |
| Goa                       |     94 |     95 |     97 |     98 |    101 |    104 |
| Lakshadweep               |      4 |      4 |      4 |      4 |      4 |      4 |
| Kerala                    |   1560 |   1594 |   1630 |   1663 |   1699 |   1734 |
| Tamil nadu                |   7046 |   7224 |   7402 |   7584 |   7768 |   7958 |
| Pondicherry               |    110 |    117 |    123 |    126 |    128 |    133 |
| Andaman & Nicobar Islands |     20 |     20 |     20 |     20 |     21 |     23 |
| Total                     |  65978 |  67756 |  69567 |  71415 |  73289 |  75209 |

* Projected cancer cases for India were computed using Age specific incidence Rate of 28 PBCRs of 2012-2016 and the projected population (person-years)

Ref: National Cancer Registry Programme report,