Lok Sabha Question No. 279 (STARRED), answered on 2019-12-06
Subject: Campaign to Eradicate TB
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Arjunlal Meena

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 279 TO BE ANSWERED ON THE 6 TH DECEMBER , 2019 CAMPAIGN TO ERADICAT E TB

## †*279. SHRI ARJUN LAL MEENA:

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

- (a) whether the Government is aware that Tuberculosis (TB) is one of the t causes of death in the world and if so, the details thereof;
- (b)  the  number  of  people  suffering  from  TB including  the  number  of  deaths reported  in  the  country,  State/UT - wise,  particularly  in  Udaipur  district  of Rajasthan;
- (c)  whether  the  Government  proposes  to  launch  any  campaign  for  complet eradication of TB on the lines of diseases like polio and chicken pox;
- (d) if so, the details thereof; and
- (e) if not, the reasons therefor?

## ANSWER THE MINISTER OF HEALTH AND FA MILY WELFARE (DR. HARSH VARDHAN)

(a) to ( e):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 279* FOR 6 TH DECEMBER , 2019

(a)Yes, t he Government is aware that Tuberculosis (TB) is one of the top causes  of  death  in  the  world.  Government  of  India  has resolved  to End  TB  by 2025, five years ahead of the Sustainable Development Goal targets. This inc a target of 90% reduction in TB d eaths by 2025, as compared to 2015.

(b)The number of people notified as suffering from TB including the number deaths reported in the country, State/UT - wise  and  Udaipur  district  in  the past 3 years has been placed at Annexure 1, 2 and 3 respectively.

(c), (d) & ( e) The Ministry is implementing a National Strategic Plan (2017 - 25) by strengthening  the  existing  interventions,  and  focusing  on  the  following initiatives/ activities.

Early diagnosis of TB patients, prompt treatment with quality assured dr ugs and treatment  regimens  along  with  suitable  patient  support  system  to  prom adherence

- Engaging with the patient seeking care in the private sector
-  Prevention  strategies  including  active  case  finding  and  contact  tracing  in  high risk/ vulnerable po pulations
- ·Airborne infection control
- Multisectoral response for addressing social determinants.

It has also launched a TB Harega Desh Jeetega Campaign, which is a Community led and Patient Centered Movement for a TB Free India. Key components of t campaign are as below -

- i. Community Engagement
- ii. Advocacy and Communication
- iii. Health & Wellness centres and TB
- iv. Inter - Ministerial collaboration
- v. Privat e health sector engagement
- vi. Corporate sector engagement
- vii. Latent TB Infection Management

| Annexure I : State/UT - wise TB cases notified under RNTCP during last three years and year so far   | Annexure I : State/UT - wise TB cases notified under RNTCP during last three years and year so far   |   Annexure I : State/UT - wise TB cases notified under RNTCP during last three years and year so far |   Annexure I : State/UT - wise TB cases notified under RNTCP during last three years and year so far |   Annexure I : State/UT - wise TB cases notified under RNTCP during last three years and year so far | Annexure I : State/UT - wise TB cases notified under RNTCP during last three years and year so far   |
|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|
| S No                                                                                                 | State/UTs                                                                                            |                                                                                                 2016 |                                                                                                 2017 |                                                                                                 2018 | Till Sep 2019                                                                                        |
| 1                                                                                                    | Andaman and Nicobar Islands                                                                          |                                                                                                  534 |                                                                                                  292 |                                                                                                  558 | 446                                                                                                  |
| 2                                                                                                    | Andhra Pradesh                                                                                       |                                                                                                74373 |                                                                                                83118 |                                                                                                91124 | 75159                                                                                                |
| 3                                                                                                    | Arunachal Pradesh                                                                                    |                                                                                                 2788 |                                                                                                 3154 |                                                                                                 3419 | 2368                                                                                                 |
| 4                                                                                                    | Assam                                                                                                |                                                                                                40851 |                                                                                                40174 |                                                                                                42896 | 37596                                                                                                |
| 5                                                                                                    | Bihar                                                                                                |                                                                                                97001 |                                                                                                96489 |                                                                                               104930 | 92221                                                                                                |
| 6                                                                                                    | Chandigarh                                                                                           |                                                                                                 3413 |                                                                                                 5930 |                                                                                                 5696 | 5539                                                                                                 |
| 7                                                                                                    | Chhattisgarh                                                                                         |                                                                                                39484 |                                                                                                41272 |                                                                                                43031 | 32681                                                                                                |
| 8                                                                                                    | Dadra and Nagar Haveli                                                                               |                                                                                                  552 |                                                                                                  963 |                                                                                                  849 | 716                                                                                                  |
| 9                                                                                                    | Daman and Diu                                                                                        |                                                                                                  487 |                                                                                                  457 |                                                                                                  497 | 441                                                                                                  |
| 10                                                                                                   | Delhi                                                                                                |                                                                                                62706 |                                                                                                65893 |                                                                                                93580 | 83347                                                                                                |
| 11                                                                                                   | Goa                                                                                                  |                                                                                                 1966 |                                                                                                 1935 |                                                                                                 2492 | 1811                                                                                                 |
| 12                                                                                                   | Gujarat                                                                                              |                                                                                               126665 |                                                                                               149061 |                                                                                               154551 | 121392                                                                                               |
| 13                                                                                                   | Haryana                                                                                              |                                                                                                47545 |                                                                                                40751 |                                                                                                65748 | 57304                                                                                                |
| 14                                                                                                   | Himachal Pradesh                                                                                     |                                                                                                14961 |                                                                                                16451 |                                                                                                16485 | 13422                                                                                                |
| 15                                                                                                   | Jammu and Kashmir                                                                                    |                                                                                                 9937 |                                                                                                10476 |                                                                                                12895 | 9006                                                                                                 |
| 16                                                                                                   | Jharkhand                                                                                            |                                                                                                39515 |                                                                                                44128 |                                                                                                48488 | 43038                                                                                                |
| 17                                                                                                   | Karnataka                                                                                            |                                                                                                68462 |                                                                                                81187 |                                                                                                83094 | 68415                                                                                                |
| 18                                                                                                   | Kerala                                                                                               |                                                                                                47293 |                                                                                                22754 |                                                                                                24557 | 18888                                                                                                |
| 19                                                                                                   | Lakshadweep                                                                                          |                                                                                                   23 |                                                                                                   46 |                                                                                                   19 | 10                                                                                                   |
| 20                                                                                                   | Madhya Pradesh                                                                                       |                                                                                               129915 |                                                                                               134333 |                                                                                               160144 | 141137                                                                                               |
| 21                                                                                                   | Maharashtra                                                                                          |                                                                                               195139 |                                                                                               192458 |                                                                                               209642 | 164997                                                                                               |
| 22                                                                                                   | Manipur                                                                                              |                                                                                                 2393 |                                                                                                 2805 |                                                                                                 2927 | 1979                                                                                                 |
| 23                                                                                                   | Meghalaya                                                                                            |                                                                                                 4586 |                                                                                                 3961 |                                                                                                 4867 | 4281                                                                                                 |
| 24                                                                                                   | Mizoram                                                                                              |                                                                                                 2205 |                                                                                                 2245 |                                                                                                 2570 | 2368                                                                                                 |
| 25                                                                                                   | Nagaland                                                                                             |                                                                                                 2821 |                                                                                                 3013 |                                                                                                 4269 | 3775                                                                                                 |
| 26                                                                                                   | Odisha                                                                                               |                                                                                                43851 |                                                                                                71131 |                                                                                                50303 | 40553                                                                                                |
| 27                                                                                                   | Puducherry                                                                                           |                                                                                                 1421 |                                                                                                 1604 |                                                                                                 3489 | 3434                                                                                                 |
| 28                                                                                                   | Punjab                                                                                               |                                                                                                39836 |                                                                                                45313 |                                                                                                54401 | 45815                                                                                                |
| 29                                                                                                   | Rajasthan                                                                                            |                                                                                               106756 |                                                                                               105953 |                                                                                               160168 | 133759                                                                                               |
| 30                                                                                                   | Sikkim                                                                                               |                                                                                                 1539 |                                                                                                 1271 |                                                                                                 1438 | 1103                                                                                                 |
| 31                                                                                                   | Tamil Nadu                                                                                           |                                                                                                96079 |                                                                                                93327 |                                                                                               104917 | 83921                                                                                                |
| 32                                                                                                   | Telangana*                                                                                           |                                                                                                45003 |                                                                                                39223 |                                                                                                52330 | 53684                                                                                                |
| 33                                                                                                   | Tripura                                                                                              |                                                                                                 2374 |                                                                                                 1693 |                                                                                                 2579 | 2120                                                                                                 |
| 34                                                                                                   | Uttar Pradesh                                                                                        |                                                                                               297746 |                                                                                               311041 |                                                                                               420434 | 366998                                                                                               |
| 35                                                                                                   | Uttarakhand                                                                                          |                                                                                                15081 |                                                                                                16760 |                                                                                                22362 | 20446                                                                                                |
| 36                                                                                                   | West Bengal                                                                                          |                                                                                                89656 |                                                                                                97297 |                                                                                               104145 | 85703                                                                                                |
|                                                                                                      | Total                                                                                                |                                                                                              1754957 |                                                                                              1827959 |                                                                                              2155894 | 1819873                                                                                              |

## State - wise deaths reported due to TB in India

| State               |   2016 |   2017 |   2018* |
|---------------------|--------|--------|---------|
| Andaman & Nicobar   |     21 |     18 |      12 |
| Andhra Pradesh      |   4537 |   2866 |    3229 |
| Arunachal Pradesh   |     39 |     55 |      59 |
| Assam               |   1588 |   1393 |    1527 |
| Bihar               |   1415 |   1850 |    2475 |
| Chandigarh          |     68 |    109 |      85 |
| Chhattisgarh        |   1596 |   1455 |    1345 |
| Dadar& Nagar Haveli |     15 |     16 |      19 |
| Daman & Diu         |     14 |     15 |      11 |
| Delhi               |   1370 |   1006 |    1304 |
| Goa                 |     49 |     40 |      67 |
| Gujarat             |   5087 |   6040 |    6255 |
| Haryana             |   1543 |   1547 |    2225 |
| Himachal Pradesh    |    547 |    549 |     626 |
| Jammu & Kashmir     |    342 |    191 |     273 |
| Jharkhand           |    994 |    768 |    1099 |
| Karnataka           |   3958 |   3914 |    4642 |
| Kerala              |    961 |    762 |    1094 |
| Lakshadweep         |      1 |      2 |       0 |
| Madhya Pradesh      |   3816 |   3981 |    4148 |
| Maharashtra         |   6121 |   5066 |    6476 |
| Manipur             |     54 |     54 |      68 |
| Meghalaya           |    164 |     94 |     134 |
| Mizoram             |     56 |     49 |      42 |
| Nagaland            |     49 |     46 |      89 |
| Orissa              |   2162 |   2457 |    2451 |
| Pondicherry         |     63 |     78 |      90 |
| Punjab              |   1799 |   1566 |    2189 |
| Rajasthan           |   3877 |   3029 |    3950 |
| Sikkim              |     44 |     25 |      31 |
| Tamil Nadu          |   4118 |   3764 |    3851 |
| Telangana           |      0 |   1501 |    1752 |
| Tripura             |    113 |    101 |     122 |
| Uttar Pradesh       |   8256 |   7535 |   12533 |
| Uttarakhand         |    443 |    458 |     661 |
| West Bengal         |   4448 |   3877 |    4441 |
| India               |  59728 |  56277 |   69375 |

year denotes the period of TB patients notified.

For ex: 2017 -The deaths reported among TB patients notified during 2017 with outcome reported in 2018.

*-Treatment outcome of TB patients notified during Jan to Dec 2018. Reported till September 2019.

## Annexure - 2

Annexure 3: TB Cases notified and deaths in previous 3 years in Udaipur, Rajasthan

|                  |   2016 |   2017 | 2018   | 2019 (Upto Sept 2019)   |
|------------------|--------|--------|--------|-------------------------|
| TB Case notified |   6262 |   6091 | 8252   | 8205                    |
| TB deaths        |    174 |    173 | 146*   | -                       |