Lok Sabha Question No. 673 (UNSTARRED), answered on 2018-07-20
Subject: Leprosy Cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: TAMRADHWAJ SAHU

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

## LOK SABHA UNSTARRED QUESTION NO. 673 TO BE ANSWERED ON 20 th JULY, 2018

## LEPROSY CASES

## 673. SHRI TAMRADHWAJ SAHU:

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

- (a) whether the Government has taken note of the increasing cases of leprosy in the country;
- (b) if so, the details thereof indicating the total number of people suffering from leprosy in India during each of the last three years and the current year, State/UT -wise;
- (c) the details of measures taken by the Government so far for the eradication of leprosy in the country including Chhattisgarh and the extent to which the Government has achieved success as a resulthereof; and
- (d) the funds allocated, released and utilized during the said period, State/UT wise?

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

- (a) & (b): Yes. Details of the total number of people suffering from leprosy in India (State/ UT - wise ) during each of the last three years is at Annexure I.
- (c): Following measures were taken to address the issues regarding the eradication of le in the country including Chhattisgarh:

## A. Early ca se detection

Three pronged strategy for early detection of leprosy cases in the community is as under:

- i. Leprosy Case Detection Campaign (LCDC)
- ii. Focused Leprosy Campaign (FLC) for hot spots of low endemic districts
- iii. Special plan for case detection in hard to reach areas

## B. Enhanced early case reporting

- i. Sparsh Leprosy Awareness Campaign
- ii. ASHA based Surveillance for Leprosy Suspects (ABSULS)
- C. Post Exposure Prophylaxis

## D. Overall strengthening of the programme

## i. NIKUSHTH

## ii. Grade II disability case investigation

In addition to the above following other activities are being implemented in programme:

- Extended ASHA scheme wherein incentives are being provided to ASHA as well as any community member after confirmation of a leprosy case.
- MDT is being provided to the leprosy patients free of cost.
- Fund  for  procurement  of  material  and  supplies  including  supportive  drugs  are  be provided.
- Training  being  provided  to  various  HR  categories  i.e.,  Medical  Officer,  He Supervisor, Staff nurses , Pharmacists and ASHA.

As  an  impact  of  these  measures  the  Grade  II  disability/  million  population  a National level has been reduced to 3.34 case/ million population, March, 2018 from 4.46 million  population,  March,  2016,  which  indicates  ear ly  case  detection  and  reduction  in transmission at community level, which is a step forward to ultimately achieve eradica Leprosy.

(d): The details of funds allocated, redress and utilized for the said purpose during three years is at Ann exure II .

| S.No.   | States/ UTs       | As on 31 st March 2016   | As on 31 st March 2016   | As on 31st March 2017   | As on 31st March 2017   | As on 31st March 2018   | As on 31st March 2018   | As on 31st May 2018   | As on 31st May 2018                                  |
|---------|-------------------|--------------------------|--------------------------|-------------------------|-------------------------|-------------------------|-------------------------|-----------------------|------------------------------------------------------|
| S.No.   | States/ UTs       | Cases on record          | New cases Detected       | Cases on record         | New cases Detected      | Cases on record         | New cases Detected      | Cases on record       | New cases Detected(from 1st April to 31st May, 2018) |
| 1       | Andhra Pradesh    | 2777                     | 4355                     | 2705                    | 4228                    | 3427                    | 4695                    | 3026                  | 775                                                  |
| 2       | Arunachal Pradesh | 26                       | 33                       | 25                      | 28                      | 26                      | 25                      | 29                    | 6                                                    |
| 3       | Assam             | 791                      | 781                      | 977                     | 1019                    | 986                     | 987                     | 985                   | 178                                                  |
| 4       | Bihar             | 9142                     | 16185                    | 13031                   | 21818                   | 14338                   | 21353                   | 14410                 | 2504                                                 |
| 5       | Chhattisgarh      | 6738                     | 10440                    | 7266                    | 12609                   | 6499                    | 10474                   | 6076                  | 1266                                                 |
| 6       | Goa               | 136                      | 136                      | 157                     | 130                     | 121                     | 108                     | 117                   | 15                                                   |
| 7       | Gujarat           | 6447                     | 10138                    | 3844                    | 7266                    | 4400                    | 6894                    | 4313                  | 687                                                  |
| 8       | Haryana           | 565                      | 672                      | 459                     | 491                     | 441                     | 443                     | 455                   | 90                                                   |
| 9       | Himachal Pradesh  | 148                      | 162                      | 138                     | 146                     | 129                     | 129                     | 119                   | 21                                                   |
| 10      | Jharkhand         | 2533                     | 4432                     | 3414                    | 6253                    | 3979                    | 5230                    | 3647                  | 772                                                  |
| 11      | Jammu & Kashmir   | 232                      | 189                      | 186                     | 143                     | 191                     | 149                     | 185                   | 18                                                   |
| 12      | Karnataka         | 2649                     | 3065                     | 2500                    | 2897                    | 2480                    | 2892                    | 2386                  | 460                                                  |
| 13      | Kerala            | 637                      | 574                      | 584                     | 496                     | 624                     | 520                     | 590                   | 101                                                  |
| 14      | Madhya Pradesh    | 5602                     | 6597                     | 6067                    | 7152                    | 5696                    | 6523                    | 5411                  | 1014                                                 |
| 15      | Maharashtra       | 10103                    | 15695                    | 9887                    | 15012                   | 9836                    | 16065                   | 9201                  | 1796                                                 |
| 16      | Manipur           | 16                       | 19                       | 18                      | 20                      | 22                      | 24                      | 26                    | 7                                                    |
| 17      | Meghalaya         | 19                       | 33                       | 24                      | 33                      | 16                      | 16                      | 17                    | 3                                                    |
| 18      | Mizoram           | 21                       | 9                        | 23                      | 6                       | 31                      | 11                      | 30                    | 11                                                   |
| 19      | Nagaland          | 77                       | 67                       | 45                      | 34                      | 34                      | 38                      | 29                    | 5                                                    |

| 20   | Odisha        |   6044 |   10174 |   5383 |   10045 |   6325 |   9576 | 5194   | 1068   |
|------|---------------|--------|---------|--------|---------|--------|--------|--------|--------|
| 21   | Punjab        |    509 |     651 |    570 |     626 |    497 |    509 | 502    | 98     |
| 22   | Rajasthan     |   1196 |    1106 |   1114 |    1042 |   1100 |    992 | 1152   | 165    |
| 23   | Sikkim        |     14 |      21 |     17 |      23 |     17 |     21 | 17     | 2      |
| 24   | Tamil Nadu    |   3144 |    4925 |   3207 |    4937 |   3077 |   4277 | 3008   | 662    |
| 25   | Telangana     |   2025 |    2800 |   1883 |    2658 |   2264 |   2910 | 2264   | 2910   |
| 26   | Tripura       |     77 |      42 |     57 |      34 |     52 |     32 | 51     | 4      |
| 27   | Uttar Pradesh |  14282 |   22777 |  13456 |   22301 |  12583 |  19337 | 12300  | 3048   |
| 28   | Uttarakhand   |    260 |     382 |    282 |     375 |    235 |    310 | 260    | 60     |
| 29   | West Bengal   |   7211 |    8170 |   8578 |   11236 |   9175 |   9527 | 7936   | 1244   |
| 30   | A & N Islands |     26 |      29 |     18 |      18 |     29 |     32 | 20     | 27     |
| 31   | Chandigarh    |    126 |     136 |    126 |     128 |    117 |    128 | 134    | 36     |
| 32   | D & N Haveli  |    263 |     425 |    267 |     384 |    202 |    273 | 193    | 42     |
| 33   | Daman & Diu   |     12 |       4 |     11 |       7 |     18 |     19 | 18     | 6      |
| 34   | Delhi         |   2149 |    2068 |   1780 |    1812 |   1691 |   1580 | 1762   | 338    |
| 35   | Lakshadweep   |      7 |       0 |     45 |      45 |     15 |     15 | 0      | 1      |
| 36   | Puducherry    |     24 |      42 |     22 |      33 |     36 |     50 | 35     | 6      |
|      | Total         |  86028 |  127334 |  88166 |  135485 |  90709 | 126164 | 85,898 | 19,446 |

| Annexure - II National Leprosy Eradication Progamme                              | Annexure - II National Leprosy Eradication Progamme                              | Annexure - II National Leprosy Eradication Progamme                              | Annexure - II National Leprosy Eradication Progamme                              | Annexure - II National Leprosy Eradication Progamme                              | Annexure - II National Leprosy Eradication Progamme                              | Annexure - II National Leprosy Eradication Progamme                              | Annexure - II National Leprosy Eradication Progamme                              | Annexure - II National Leprosy Eradication Progamme                              | Annexure - II National Leprosy Eradication Progamme                              | Annexure - II National Leprosy Eradication Progamme                              |
|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|
| Budget allocation, Expenditure and released to states/Uts F.Y 2015-16 to 2017-18 | Budget allocation, Expenditure and released to states/Uts F.Y 2015-16 to 2017-18 | Budget allocation, Expenditure and released to states/Uts F.Y 2015-16 to 2017-18 | Budget allocation, Expenditure and released to states/Uts F.Y 2015-16 to 2017-18 | Budget allocation, Expenditure and released to states/Uts F.Y 2015-16 to 2017-18 | Budget allocation, Expenditure and released to states/Uts F.Y 2015-16 to 2017-18 | Budget allocation, Expenditure and released to states/Uts F.Y 2015-16 to 2017-18 | Budget allocation, Expenditure and released to states/Uts F.Y 2015-16 to 2017-18 | Budget allocation, Expenditure and released to states/Uts F.Y 2015-16 to 2017-18 | Budget allocation, Expenditure and released to states/Uts F.Y 2015-16 to 2017-18 | Budget allocation, Expenditure and released to states/Uts F.Y 2015-16 to 2017-18 |
| S.No                                                                             |                                                                                  | 2015-16                                                                          | 2015-16                                                                          | 2015-16                                                                          | 2016-17                                                                          | 2016-17                                                                          | 2016-17                                                                          | 2017-18                                                                          | Rs. in Lakhs                                                                     | Rs. in Lakhs                                                                     |
| S.No                                                                             | Name State/UT                                                                    | Budget Allocation                                                                | GIA Release                                                                      | Utilized ( Expenditure)                                                          | Budget Allocation                                                                | GIA Release                                                                      | Utilized (Expenditure) (Prov)                                                    | Budget Re- allocation                                                            | GIA Release (Prov)                                                               | Utilized (Expenditure reported upto Mar,17) (Prov)                               |
| 1                                                                                | Andhra Pradesh                                                                   | 190.00                                                                           | 190.00                                                                           | 140.13                                                                           | 190                                                                              | 11.65                                                                            | 44.68                                                                            | 183                                                                              | 183                                                                              | 53                                                                               |
| 2                                                                                | Telagan a                                                                        | 150.00                                                                           | 150.00                                                                           | 92.35                                                                            | 150                                                                              | 0.00                                                                             | 0.22                                                                             | 150                                                                              | 150                                                                              | 3                                                                                |
| 3                                                                                | Arunach al Pradesh                                                               | 44.09                                                                            | 44.09                                                                            | 4.68                                                                             | 59                                                                               | 15.84                                                                            | 43.33                                                                            | 88                                                                               | 88                                                                               | -                                                                                |
| 4                                                                                | Assam                                                                            | 89.83                                                                            | 89.83                                                                            | 117.62                                                                           | 110                                                                              | 87.78                                                                            | 104.59                                                                           | 224                                                                              | 224                                                                              | 4                                                                                |
| 5                                                                                | Bihar                                                                            | 400.00                                                                           | 400.00                                                                           | 181.33                                                                           | 300                                                                              | 2.70                                                                             | 423.85                                                                           | 300                                                                              | 300                                                                              | 335                                                                              |
| 6                                                                                | Chhattis garh                                                                    | 174.00                                                                           | 174.00                                                                           | 45.58                                                                            | 174                                                                              | 130.50                                                                           | 37.48                                                                            | 188                                                                              | 188                                                                              | 36                                                                               |
| 7                                                                                | Goa                                                                              | 6.00                                                                             | 6.00                                                                             | 4.96                                                                             | 6                                                                                | 0.00                                                                             | 4.71                                                                             | 6                                                                                | 6                                                                                | 1.87                                                                             |
| 8                                                                                | Gujarat                                                                          | 250.00                                                                           | 250.00                                                                           | 293.55                                                                           | 150                                                                              | 86.18                                                                            | 259.5                                                                            | 113                                                                              | 113                                                                              | 33.6                                                                             |
| 9                                                                                | Haryana                                                                          | 53.00                                                                            | 53.00                                                                            | 71.73                                                                            | 53                                                                               | 39.75                                                                            | 53.37                                                                            | 40                                                                               | 40                                                                               | 11                                                                               |
| 10                                                                               | Himach al Pradesh                                                                | 30.00                                                                            | 30.00                                                                            | 30.31                                                                            | 30                                                                               | 22.50                                                                            | 12.15                                                                            | 16                                                                               | 16                                                                               | 1                                                                                |
| 11                                                                               | Jharkha nd                                                                       | 220.00                                                                           | 220.00                                                                           | 104.62                                                                           | 220                                                                              | 0.00                                                                             | 84.24                                                                            | 110                                                                              | 110                                                                              | 20                                                                               |
| 12                                                                               | Jammu &                                                                          | 38.00                                                                            | 38.00                                                                            | 27.25                                                                            | 38                                                                               | 29.57                                                                            | 24.95                                                                            | 42                                                                               | 42                                                                               | 2.95                                                                             |

|    | Kashmir        |        |        |        |        |        |        |     |     |       |
|----|----------------|--------|--------|--------|--------|--------|--------|-----|-----|-------|
| 13 | Karnata ka     | 100    | 100    | 257.69 | 100    |  76.07 | 249.01 | 200 | 200 | 9     |
| 14 | Kerala         |  28    |  28    |  12.87 |  28    |  21    |  14    |  14 |  14 | 8     |
| 15 | Madhya Pradesh | 225    | 225    | 324.44 | 225    | 134.88 | 149    | 240 | 240 | 4     |
| 16 | Maharas htra   | 472    | 472    | 357.06 | 500    | 375    | 481.08 | 556 | 556 | 48.38 |
| 17 | Manipur        |  20.41 |  20.41 |   8.7  |  20    |   6.36 |   0.55 |  53 |  53 | -     |
| 18 | Meghala ya     |  32.47 |  32.47 |  22.32 |  35    |   4.9  |  15.26 |  42 |  42 | 3     |
| 19 | Mizoram        |  28.52 |  28.52 |  23.77 |  30    |   1.15 |  12    |  37 |  37 | 4.98  |
| 20 | Nagalan d      |  37.22 |  37.22 |  41.3  |  40    |  30    |  41.29 |  27 |  27 | 30.02 |
| 21 | Orissa         | 250    | 250    | 190.06 | 250    | 201.37 | 676.17 | 600 | 600 | 21    |
| 22 | Punjab         |  75    |  75    | 118.2  |  75    |  56.25 |  71.16 |  82 |  82 | -     |
| 23 | Rajasth an     |  72    |  72    |  68.68 |  72    |  56.24 |  65.51 |  77 |  77 | 6     |
| 24 | Sikkim         |  23.38 |  23.38 |  28.43 |  30    |  22.5  |   8.65 |  29 |  29 | -     |
| 25 | Tamil Nadu     | 159    | 159    | 251.4  | 200    | 150.5  | 197.47 | 221 | 221 | 49.49 |
| 26 | Tripura        |  14.08 |  14.08 |  14.61 |  20    |  10.54 |   8.31 |  14 |  14 | 2     |
| 27 | Uttar Pradesh  | 480    | 480    | 977.09 | 480    | 360.12 | 574.8  | 680 | 680 | 68    |
| 28 | Uttaranc hal   |  18    |  18    |   4.48 |  18    |   9.26 |  30.67 |  13 |  13 | 2.45  |
| 29 | West Bengal    | 245    | 245    | 360.95 | 222    | 122.1  | 518.64 | 583 | 583 | -     |
| 30 | A & N Islands  |  21.16 |  21.16 |  13.76 |  21.16 |   0    |  12.25 |  11 |  11 | 3.34  |

| 31    | Chandig arh   |   15.50 |   15.50 |   16.65 |    15.5 |   15.50 |   20.79 |   21 |   21 | -      |
|-------|---------------|---------|---------|---------|---------|---------|---------|------|------|--------|
| 32    | D & N Haveli  |   30.72 |   30.72 |   47.46 |   30.72 |    0    |   33.44 |   43 |   43 | 4.66   |
| 33    | Daman & Diu   |   15.12 |   15.12 |    2.64 |   15.12 |    0    |    1.65 |   11 |   11 | -      |
| 34    | Delhi         |   68.68 |   68.68 |  101.32 |   69    |   65.72 |   98.74 |  171 |  171 | 7      |
| 35    | Lakshad weep  |   15.5  |   15.5  |    5.32 |   15.5  |    0    |    4.29 |    7 |    7 | 2      |
| 36    | Pondich erry  |    6.32 |    6.32 |    7.76 |    6    |    4.5  |    6.03 |   10 |   10 | 1.95   |
| Total | Total         | 4098    | 4098    | 4371.07 | 3998    | 2150.43 | 4383.83 | 5202 | 5202 | 776.69 |