Lok Sabha Question No. 3251 (UNSTARRED), answered on 2019-07-12
Subject: Availability of Medicines
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Riti Pathak

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

LOK SABHA UNSTARRED QUESTION NO. 3251 TO BE ANSWERED ON 12 TH JULY, 2019

## AVAILABILITY OF MEDI CINES

## 3251. SHRIMATI RITI PATHAK:

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

- (a) whether free medicines are available in stores for treatment of malaria, dengue, s leprosy etc. in the Government hospitals and dispensaries in rural areas of Madhya Pradesh
- (b) if so, the details of the medicines provided to patients during the last three years;
- (c) the number of patients whose medical tests were conducted in the Government hospita Madhya Pradesh for diagnosis of malaria, swine flu and other diseases; and
- (d)  the number  of  patients  died  of  swine  flu  in  Madhya  Pradesh  during  the  last  two  ye district - wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI ASHWINI KUMAR CHOUBEY)

- (a)  & (b):    Yes, medicines for Vector Borne Disease s (VBDs) (including Malaria and Dengue) under National Vector Borne Disease Control Programme (NVBDCP) are available at all leve of interventions including Government Hospitals and Dispensaries.  The drugs for treatme malaria  are  provided  free  of  c ost  to  States/  Union  Territories  (UTs).  The  drugs  provided  ar Artemisinin  Combination  Therapy  with  Sulphadoxine  Pyremethamine  (ACT - SP) (0 - 1  Years), ACT - SP (1 - 4 Years) packs, ACT - SP (5 - 8 Years) packs, ACT - SP (9 - 14 Years) packs, ACT - SP (for Adults) packs, A rtesunate Injections (vials), Diethylcarbamazine Citrate (DEC) Tablets numbers) which are available in sufficient quantity. There is no specific drug for trea Dengue, however, kits are provided for   diagnosis of dengue.

In  respect  of  seasonal  influenza  A  (H1N1)/Swine  flu,    Oseltamivir  is  the  d recommended by the World Health Organisation (WHO) for treatment of seasonal Influenza A (H1N1) in capsule/tablet and suspension form,  and is made  available  free of cost by he State Government  in all Government hospitals in Madhya Pradesh.  As per data received from Stat Surveillance  Unit  (SSU)  of Integrated  Disease  Surveillance  Programme  ( IDSP),  details  of medicine provided by State for distribution to the patients are as under:

|   Year |   Quantity of medicines provided |
|--------|----------------------------------|
|   2016 |                            13580 |
|   2017 |                            25069 |
|   2018 |                            92424 |

Under National Leprosy Eradication Programme (NLEP) with the support of WHO, free of  cost  Multi  Drug  Therapy  (MDT)  is  being  provided  to  all  States/UTs  including  Madh Pradesh. The details of MDT provided to Madhya Pradesh during last three years are  as u nder: -

| Year     |   Multi Bacillary Adult (MBA) |   Multi Bacillary Child (MBC) |   Pauci Bacillary Adult (PBA) |   Pauci Bacilary Child (PBC) |   Clofazimine 100mg |   Clofazimine 50 mg |
|----------|-------------------------------|-------------------------------|-------------------------------|------------------------------|---------------------|---------------------|
| 2016- 17 |                         44472 |                          2016 |                         13924 |                         1146 |                   0 |                   0 |
| 2017- 18 |                         47898 |                          1998 |                         13956 |                         1296 |               24000 |                   0 |
| 2018- 19 |                         31530 |                          1728 |                          8064 |                          678 |                8500 |                   0 |

- (c) : Data showing of t he number of patients whose medical tests were conducted in the Government Hospitals in Madhya Pradesh for diagnosis of malaria and dengue during the last three years and current year( till May 2019) is as below: -

| Year   | Number of test conducted       | Number of test conducted   | Number of test conducted      | Number of test conducted     |
|--------|--------------------------------|----------------------------|-------------------------------|------------------------------|
|        | Malaria                        | Malaria                    | Dengue                        | Dengue                       |
|        | No. of Malaria tests performed | No. of Positive Cases      | No. of Dengue tests performed | No. of Positive Dengue Cases |
| 2016   | 9635854                        | 69106                      | 7314                          | 3150                         |
| 2017   | 10255012                       | 47541                      | 8658                          | 2666                         |
| 2018   | 9817411                        | 22279                      | 10714                         | 4506                         |
| 2019*  | 2686390                        | 1850                       | 580                           | 76                           |

In 2019 (data up to 04.07.2019), total 2856 clinical samples of patients have been for confirmation of seasonal influenza A (H1N1) in State Government Hospitals/laboratories

- (d) : The  district - wise  numbers  of  patients  who  died    due to  seasonal  influenza  A (H1N1)/Swine flu in Madhya Pradesh during the last two  years and current  year (data u 04.07.2019) is at Annexure .

| Seasonal Influenza A (H1N1) : District wise deaths in Madhya Pradesh from 2017-2019*   | Seasonal Influenza A (H1N1) : District wise deaths in Madhya Pradesh from 2017-2019*   | Seasonal Influenza A (H1N1) : District wise deaths in Madhya Pradesh from 2017-2019*   | Seasonal Influenza A (H1N1) : District wise deaths in Madhya Pradesh from 2017-2019*   | Seasonal Influenza A (H1N1) : District wise deaths in Madhya Pradesh from 2017-2019*   |
|----------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------|
| Sr No.                                                                                 | Name of districts                                                                      | Deaths in Year 2017                                                                    | Deaths in Year 2018                                                                    | Deaths in 2019 (*till 04.07.2019 )                                                     |
| 1                                                                                      | Agar                                                                                   | 1                                                                                      | 0                                                                                      | 1                                                                                      |
| 2                                                                                      | Alirajpur                                                                              | 0                                                                                      | 0                                                                                      | 0                                                                                      |
| 3                                                                                      | Anuppur                                                                                | 0                                                                                      | 0                                                                                      | 0                                                                                      |
| 4                                                                                      | Ashoknagar                                                                             | 1                                                                                      | 1                                                                                      | 2                                                                                      |
| 6                                                                                      | Balaghat                                                                               | 0                                                                                      | 0                                                                                      | 0                                                                                      |
| 5                                                                                      | Barwani                                                                                | 2                                                                                      | 1                                                                                      | 1                                                                                      |
| 7                                                                                      | Betul                                                                                  | 7                                                                                      | 0                                                                                      | 2                                                                                      |
| 8                                                                                      | Bhind                                                                                  | 0                                                                                      | 0                                                                                      | 1                                                                                      |
| 9                                                                                      | Bhopal                                                                                 | 16                                                                                     | 4                                                                                      | 27                                                                                     |
| 10                                                                                     | Burhanpur                                                                              | 1                                                                                      | 0                                                                                      | 1                                                                                      |
| 11                                                                                     | Chhatarpur                                                                             | 0                                                                                      | 0                                                                                      | 0                                                                                      |
| 12                                                                                     | Chhindwara                                                                             | 2                                                                                      | 0                                                                                      | 1                                                                                      |
| 13                                                                                     | Damoh                                                                                  | 6                                                                                      | 1                                                                                      | 2                                                                                      |
| 14                                                                                     | Datia                                                                                  | 0                                                                                      | 0                                                                                      | 0                                                                                      |
| 15                                                                                     | Dewas                                                                                  | 4                                                                                      | 0                                                                                      | 6                                                                                      |
| 16                                                                                     | Dhar                                                                                   | 1                                                                                      | 0                                                                                      | 5                                                                                      |
| 17                                                                                     | Dindori                                                                                | 0                                                                                      | 0                                                                                      | 0                                                                                      |
| 18                                                                                     | Guna                                                                                   | 0                                                                                      | 1                                                                                      | 1                                                                                      |
| 19                                                                                     | Gwalior                                                                                | 1                                                                                      | 0                                                                                      | 3                                                                                      |
| 20                                                                                     | Harda                                                                                  | 1                                                                                      | 0                                                                                      | 1                                                                                      |
| 21 22                                                                                  | Hoshangabad Indore                                                                     | 5                                                                                      | 1                                                                                      | 4                                                                                      |
| 23                                                                                     | Jabalpur                                                                               | 22 12                                                                                  | 7 9                                                                                    | 38 7                                                                                   |
| 24                                                                                     | Jhabua                                                                                 | 0                                                                                      | 0                                                                                      | 0                                                                                      |
| 25                                                                                     | Katni                                                                                  | 3                                                                                      | 1                                                                                      | 4                                                                                      |
| 26                                                                                     | Khandwa                                                                                | 2                                                                                      | 0                                                                                      | 0                                                                                      |
| 27                                                                                     | Khargone                                                                               | 0                                                                                      | 1                                                                                      | 0                                                                                      |
| 28                                                                                     | Mandla                                                                                 | 0                                                                                      | 2                                                                                      | 1                                                                                      |
| 29                                                                                     | Mandsaur                                                                               | 1                                                                                      | 0                                                                                      | 3                                                                                      |
| 30                                                                                     | Morena                                                                                 | 2                                                                                      | 0                                                                                      | 0                                                                                      |
| 31                                                                                     | Narsinghpur                                                                            | 4                                                                                      | 1                                                                                      | 2                                                                                      |
| 32                                                                                     | Neemuch                                                                                | 0                                                                                      | 0                                                                                      | 0                                                                                      |
| 33                                                                                     | Panna                                                                                  | 2                                                                                      | 0                                                                                      | 0                                                                                      |
| 34                                                                                     | Raisen                                                                                 | 5                                                                                      | 0                                                                                      | 2                                                                                      |
| 35                                                                                     | Rajgarh                                                                                | 5                                                                                      | 0                                                                                      | 2                                                                                      |
| 36                                                                                     | Ratlam                                                                                 | 4                                                                                      | 0                                                                                      | 2                                                                                      |
| 37                                                                                     | Rewa                                                                                   | 2                                                                                      | 0                                                                                      | 0                                                                                      |
| 38                                                                                     | Sagar                                                                                  | 5                                                                                      | 2                                                                                      | 5                                                                                      |
| 39                                                                                     | Satna                                                                                  | 4                                                                                      | 1                                                                                      | 0                                                                                      |
| 40                                                                                     | Sehore                                                                                 | 7                                                                                      | 0                                                                                      | 8                                                                                      |
| 41                                                                                     | Seoni                                                                                  | 0                                                                                      | 0                                                                                      | 0                                                                                      |
| 42                                                                                     | Shahdol                                                                                | 4                                                                                      | 0                                                                                      | 1                                                                                      |
| 43                                                                                     | Shajapur                                                                               | 3                                                                                      | 0                                                                                      | 1                                                                                      |
| 44                                                                                     | Sheopur                                                                                | 0                                                                                      | 0                                                                                      | 0                                                                                      |
| 45                                                                                     | Shivpuri                                                                               | 1                                                                                      | 0                                                                                      | 0                                                                                      |
| 46                                                                                     | Sidhi                                                                                  | 0                                                                                      | 0                                                                                      | 0                                                                                      |
| 47                                                                                     | Singrouli                                                                              | 0                                                                                      | 0                                                                                      | 0                                                                                      |
| 48                                                                                     | Tikamgarh                                                                              | 0                                                                                      | 0                                                                                      | 0                                                                                      |
| 49                                                                                     | Ujjain                                                                                 | 8                                                                                      | 0                                                                                      | 6                                                                                      |
| 50 51                                                                                  | Umaria                                                                                 | 0                                                                                      | 0                                                                                      | 1                                                                                      |
| Source                                                                                 | Vidisha                                                                                | 2                                                                                      | 1                                                                                      | 5                                                                                      |
| cumulative : State Surveillance Unit                                                   |                                                                                        |                                                                                        |                                                                                        |                                                                                        |
| of Integrated Diseases Surveillance                                                    |                                                                                        | 146                                                                                    | 34 Programme (IDSP)                                                                    | 146                                                                                    |