Lok Sabha Question No. 2016 (UNSTARRED), answered on 2018-12-21
Subject: Data of Patient
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SUSHIL KUMAR SINGH

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

## LOK SABHA UNSTARRED QUESTION NO. 2016 TO BE ANSWERED ON 21 ST DECEMBER, 2018

## DATA OF PATIENT

## 2016. SHRI SUSHIL KUMAR SINGH:

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

- (a) whether the Government has collected any data on the number of patients suffering from diseases like chikungunya, dengue, filaria, etc. in the country particularly in Bihar during the last  one  year  and  the  curre nt  year  and  the available  medical  care/diagnostic  centres  for patients and if so, the details thereof;
- (b)  whether  any  review  has  been  done with  regard  to  the  funds  allocated  and  used for prevention of such diseases in the country during the last three yea s and the current year; and
- (c) if so, the details thereof?

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

- (a): Yes, the Government collects data on the number of patients suffering from Vec Borne  Diseases  (VBDs).  This  data  in  respect  of  patients  suffering  from Chikungunya, Dengue, Lymphatic Filariasis, Japanese Encephalitis(JE), Kala - azar and Malaria in the country including Bihar during the last one year and current year is at Annexure- I .

Free  medical  care/diagnostic  for  patients  in  respect  of  these  diseases are  available across the country. In respect of Malaria these are available up to the community level -Accredited  Social  Health  Activist  (ASHA).  For Dengue and Chikungunya 646  Sentinel Surveillance  Hospitals  (SSHs)  and  16  Apex  Referral  laboratories  (ARLs)  have  bee identified across the country. For Lymphatic Filariasis and Kala- azar this is available at block/district level health facilities. In respect of Japanese Encephalitis, 139 SSHs along with  15  Apex  Laboratories  have  been  identified  in  the  endemic  districts  and  suppo critical care is provided through Pediatric Intensive Care Unit (PICU) in high burden d

- (b) & (c): The  fund  allocation  and  expenditure  by  the  States  a re  reviewed  during meetings of National Program Coordination Committee (NPCC), Regional Review meetings and Senior Officers meetings.

The State wise details of funds allocated and used for prevention of such disea the country during the last three years and the current year are at Annexure- II.

## State/UT-wise number of patients affected from Vector Borne Diseases in the country

| Sl. No.   | State             | Clinically suspected Chikungunya cases   | Clinically suspected Chikungunya cases   |   Dengue Cases |   Dengue Cases | Lymphatic Filariasis   | Lymphatic Filariasis   | Japanese Encephalitis (JE) Cases   | Japanese Encephalitis (JE) Cases   | Kala-azar Cases   | Kala-azar Cases   |   Malaria Cases |   Malaria Cases |
|-----------|-------------------|------------------------------------------|------------------------------------------|----------------|----------------|------------------------|------------------------|------------------------------------|------------------------------------|-------------------|-------------------|-----------------|-----------------|
| Sl. No.   | State             | 2017                                     | 2018                                     |           2017 |           2018 | 2017                   | 2018                   | 2017                               | 2018                               | 2017              | 2018              |            2017 |            2018 |
| 1         | Andhra Pradesh    | 1162                                     | 570                                      |           4925 |           3793 | 90423                  | 90423                  | 37                                 | 16                                 | *                 | *                 |           16972 |            5571 |
| 2         | Arunachal Pradesh | 133                                      | 507                                      |             18 |              1 | *                      | *                      | 5                                  | 0                                  | *                 | *                 |            1546 |             591 |
| 3         | Assam             | 41                                       | 2                                        |           5024 |            139 | 2189                   | 2189                   | 2077                               | 1469                               | 0                 | 0                 |            5281 |            3497 |
| 4         | Bihar             | 1251                                     | 152                                      |           1854 |           2002 | 390345                 | 390265                 | 189                                | 98                                 | 4127              | 3012              |            4020 |             918 |
| 5         | Chhattisgarh      | *                                        | *                                        |            444 |           2635 | 15429                  | 15429                  | *                                  | *                                  | *                 | *                 |          140727 |           57611 |
| 6         | Goa               | 509                                      | 397                                      |            235 |            406 | 135                    | 199                    | 1                                  | 10                                 | *                 | *                 |             653 |             357 |
| 7         | Gujarat           | 7953                                     | 8712                                     |           4753 |           5844 | 7356                   | 7397                   | *                                  | *                                  | *                 | *                 |           38588 |           19880 |
| 8         | Haryana           | 220                                      | 62                                       |           4550 |           1558 | *                      | *                      | 4                                  | 0                                  | *                 | *                 |            5696 |            3100 |
| 9         | Himachal Pradesh  | *                                        | *                                        |            452 |           4653 | *                      | *                      | *                                  | *                                  | *                 | *                 |              96 |              93 |
| 10        | Jammu & Kashmir   | 0                                        | 0                                        |            488 |            162 | *                      | *                      | *                                  | *                                  | *                 | *                 |             226 |             150 |
| 11        | Jharkhand         | 269                                      | 3267                                     |            710 |            418 | 166068                 | 166068                 | 272                                | 467                                | 1358              | 656               |           94114 |           46322 |
| 12        | Karnataka         | 32831                                    | 16661                                    |          17844 |           3427 | 19425                  | 19674                  | 332                                | 290                                | *                 | *                 |            7381 |            4592 |
| 13        | Kerala            | 78                                       | 62                                       |          19994 |           3933 | 18736                  | 18462                  | 7                                  | 26                                 | 0                 | 0                 |            1192 |             799 |
| 14        | Madhya Pradesh    | 2477                                     | 3131                                     |           2666 |           4265 | 9926                   | 9926                   | *                                  | *                                  | *                 | *                 |           47541 |           17310 |
| 15        | Meghalaya         | 236                                      | 38                                       |             52 |             16 | *                      | *                      | 160                                | 243                                | *                 | *                 |           16454 |            6012 |
| 16        | Maharashtra       | 8110                                     | 8188                                     |           7829 |           9451 | 73487                  | 74542                  | 143                                | 63                                 | *                 | *                 |           17710 |            9322 |
| 17        | Manipur           | *                                        | 2                                        |            193 |             13 | *                      | *                      | 1125                               | 273                                | *                 | *                 |              80 |              12 |
| 18        | Mizoram           | *                                        | 93                                       |            136 |             65 | *                      | *                      | *                                  | *                                  | *                 | *                 |            5715 |            3724 |
| 19        | Nagaland          | *                                        | *                                        |            357 |            369 | *                      | *                      | 36                                 | 25                                 | *                 | *                 |             394 |             108 |
| 20        | Odisha            | 0                                        | 0                                        |           4158 |           5116 | 116997                 | 116997                 | 1228                               | 1130                               | *                 | *                 |          347860 |           59769 |
| 21        | Punjab            | 3251                                     | 571                                      |          15398 |          13760 | *                      | *                      | 1                                  | 0                                  | 0                 | 0                 |             805 |             628 |
| 22        | Rajasthan         | 1612                                     | 239                                      |           8427 |           8490 | *                      | *                      | *                                  | *                                  | *                 | *                 |           10607 |            3136 |
| 23        | Sikkim            | 130                                      | 147                                      |            312 |            145 | *                      | *                      | *                                  | *                                  | 0                 | 0                 |              14 |               3 |

## Annexure-I

| 24    | Tamil Nadu    | 131   | 198   | 23294   | 3636   | 59325   | 59325    | 1358   | 971   | *    | *    |   5444 |   3337 |
|-------|---------------|-------|-------|---------|--------|---------|----------|--------|-------|------|------|--------|--------|
| 25    | Tripura       | 574   | 589   | 127     | 90     | *       | *        | 323    | 169   | *    | *    |   7051 |  10925 |
| 26    | Telangana     | 1277  | 1201  | 5369    | 4026   | 66691   | 66691    | 136    | 13    | *    | *    |   2688 |   1520 |
| 27    | Uttar Pradesh | 103   | 57    | 3092    | 3454   | 128374  | 128224   | 4724   | 2874  | 115  | 93   |  32345 |  56782 |
| 28    | Uttrakhand    | 0     | 29    | 849     | 689    | *       | *        | 0      | 0     | 2    | 0    |    508 |    388 |
| 29    | West Bengal   | 2103  | 52    | 37746   | NA     | 97364   | 97364    | 1514   | 896   | 156  | 76   |  31265 |  18535 |
| 30    | A&N Island    | 93    | 76    | 18      | 23     | 194     | 194      | *      | *     | *    | *    |    505 |    229 |
| 31    | Chandigarh    | 1810  | 328   | 1125    | 274    | *       | *        | *      | *     | *    | *    |    114 |     44 |
| 32    | Delhi         | 940   | 384   | 9271    | 6214   | *       | *        | 0      | 0     | 0    | 0    |    577 |    438 |
| 33    | D&N Haveli    | 0     | 0     | 2064    | 451    | 118     | 118      | *      | *     | *    | *    |    290 |    170 |
| 34    | Daman & Diu   | *     | *     | 59      | 36     | 136     | 136      | *      | *     | *    | *    |     38 |     22 |
| 35    | Lakshadweep   | 0     | 0     | *       | *      | 254     | 254      | *      | *     | *    | *    |      1 |      4 |
| 36    | Puducherry    | 475   | 1493  | 4568    | 420    | 1304    | 1304     | *      | *     | *    | *    |     60 |     45 |
| Total | Total         | 67769 | 47208 | 188401  | 89974  | 1264276 | 126518 1 | 13672  | 9033  | 5758 | 3837 | 844558 | 335944 |

Note : 1. *denotes States that are Non endemic and hence not reporting 2. NA denotes data not available 3. Data in respect of 2018 is up to 30 th November 2018 and provisional.

## State/Union Territory wise Allocation, Releases and Expenditure for Vector Borne Diseases

## Annexure-II

(Rs. in Lakhs)

| S. No.   | States/UTs        | Allocation   | Allocation   | Allocation   | Allocation   | Releases   | Releases   | Releases   | Releases   | Expenditure   | Expenditure     | Expenditure     | Expenditure     |
|----------|-------------------|--------------|--------------|--------------|--------------|------------|------------|------------|------------|---------------|-----------------|-----------------|-----------------|
| S. No.   | States/UTs        | 2015-16      | 2016-17      | 2017-18      | 2018-19      | 2015-16    | 2016-17    | 2017-18    | 2018-19    | 2015-16       | 2016-17 (prov.) | 2017-18 (prov.) | 2018-19 (prov.) |
| 1        | Andhra Pradesh    | 825.00       | 728.00       | 909.95       | 1041.60      | 864.20     | 790.62     | 676.29     | 988.92     | 415.89        | 598.81          | 676.29          | 988.92          |
| 2        | Arunachal Pradesh | 1274.00      | 1183.00      | 1183.00      | 918.80       | 1364.27    | 1319.93    | 6678.16    | 0.00       | 193.17        | 581.59          | 6678.16         | 0.00            |
| 3        | Assam             | 2582.00      | 2395.10      | 2335.10      | 2548.09      | 3260.14    | 1835.00    | 5198.83    | 883.00     | 1270.43       | 1338.49         | 5198.83         | 883.00          |
| 4        | Bihar             | 3540.00      | 3534.00      | 3673.50      | 1795.00      | 9695.23    | 3742.14    | 2659.08    | 0.00       | 3626.92       | 4994.35         | 2659.08         | 0.00            |
| 5        | Chattisgarh       | 2096.00      | 908.00       | 3364.50      | 1086.00      | 561.92     | 3299.88    | 13300.10   | 1633.83    | 877.37        | 3007.98         | 13300.10        | 1633.83         |
| 6        | Goa               | 98.00        | 102          | 106.76       | 165.40       | 47.50      | 48.50      | 52.00      | 0.00       | 42.00         | 58.35           | 52.00           | 0.00            |
| 7        | Gujarat           | 1072.00      | 1100.00      | 1259.00      | 1313.00      | 1159.71    | 1119.22    | 953.73     | 349.00     | 1228.43       | 835.36          | 953.73          | 349.00          |
| 8        | Haryana           | 255.00       | 200.00       | 52.00        | 477.00       | 255.00     | 0.00       | 0.00       | 281.00     | 79.96         | 67.09           | 0.00            | 281.00          |
| 9        | Himachal Pradesh  | 104.00       | 26.00        | 45.00        | 264.00       | 0.00       | 0.00       | 0.00       | 155.00     | 122.95        | 27.50           | 0.00            | 155.00          |
| 10       | J & K             | 92.00        | 94.20        | 99.62        | 352.50       | 91.23      | 71.12      | 100.28     | 207.00     | 53.80         | 44.21           | 100.28          | 207.00          |
| 11       | Jharkhand         | 3945.00      | 3390.00      | 3370.91      | 1904.00      | 5349.94    | 3254.48    | 14489.12   | 0.00       | 1316.00       | 2911.57         | 14489.12        | 0.00            |
| 12       | Karnataka         | 1953.00      | 1759.00      | 970.06       | 1232.40      | 1843.60    | 1325.23    | 210.30     | 242.03     | 1273.07       | 800.79          | 210.30          | 242.03          |
| 13       | Kerala            | 726.00       | 644.00       | 509.41       | 687.00       | 726.00     | 540.41     | 499.00     | 396.00     | 621.86        | 201.39          | 499.00          | 396.00          |
| 14       | Madhya Pradesh    | 2441.00      | 2118.00      | 1657.15      | 20413.00     | 2150.64    | 1618.60    | 2363.63    | 3829.16    | 1338.68       | 1204.93         | 2363.63         | 3829.16         |
| 15       | Maharashtra       | 602.00       | 1320.00      | 705.80       | 1104.70      | 652.84     | 753.24     | 767.23     | 221.86     | 306.13        | 247.25          | 767.23          | 221.86          |

| 16   | Manipur       | 917.00      | 1005.00      | 905.00       |   697.68 | 979.13       |   604.65 |   909.91 | 0.00        | 134.47      |   218.97 | 909.91       | 0.00        |
|------|---------------|-------------|--------------|--------------|----------|--------------|----------|----------|-------------|-------------|----------|--------------|-------------|
| 17   | Meghalaya     | 967.00      | 915.00       | 864.00       |   473.8  | 1108.88      |   514.06 |  3306.18 | 0.00        | 212.92      |   543.63 | 3306.18      | 0.00        |
| 18   | Mizoram       | 1219.00     | 1104.00      | 1364.00      |   337.62 | 1392.69      |   934.25 |  1928.81 | 132.00      | 37.57       |   352.25 | 1928.81      | 132.00      |
| 19   | Nagaland      | 1203.00     | 1117.00      | 1117.00      |   534.11 | 1314.78      |   432.63 |  3283.97 | 0.00        | 362.95      |   448.55 | 3283.97      | 0.00        |
| 20   | Orissa        | 3887.00     | 10037.00     | 10177.00     |   994.6  | 4425.32      |  7644.12 | 28528.7  | 0.00        | 1966.75     |  3140.86 | 28528.67     | 0.00        |
| 21   | Punjab        | 399.00      | 402.00       | 1038.63      |   272    | 509.29       |   461.99 |   422    | 0.00        | 453.40      |   480.69 | 422.00       | 0.00        |
| 22   | Rajasthan     | 2615.00     | 2180.80      | 1388.65      |   694    | 2146.16      |   784.54 |     5.78 | 303.51      | 507.07      |   901.83 | 5.78         | 303.51      |
| 23   | Sikkim        | 61.00       | 90.90        | 41.90        |    50    | 58.90        |    22    |     0    | 0.00        | 25.00       |    16.45 | 0.00         | 0.00        |
| 24   | Tamil Nadu    | 1619.00     | 1409.00      | 1410.55      |   883.7  | 1594.00      |  1379    |  1690    | 0.00        | 2051.93     |  2497.19 | 1690.00      | 0.00        |
| 25   | Telangana     | 3965.00     | 685.00       | 628.33       |  1549.2  | 701.47       |   643.5  |   667.25 | 524.40      | 580.00      |   358.19 | 667.25       | 524.40      |
| 26   | Tripura       | 1400.00     | 1617.00      | 1617.00      |   732.9  | 2182.72      |   793.07 |  2558.26 | 0.00        | 617.93      |   483.1  | 2558.26      | 0.00        |
| 27   | Uttar Pradesh | 3593.00     | 3650.00      | 3343.80      |  3350.6  | 1783.67      |  2971.52 |  1583.32 | 121.01      | 1296.00     |  2748.33 | 1583.32      | 121.01      |
| 28   | Uttarakhand   | 200.00      | 266.00       | 249.38       |   308.5  | 127.14       |   156.94 |    46.19 | 0.00        | 85.25       |    68.55 | 46.19        | 0.00        |
| 29   | West Bengal   | 1801.00     | 1910.00      | 1600.00      |  1807.8  | 1645.85      |  1685.73 |  1282.21 | 0.00        | 3016.94     |  2106.97 | 1282.21      | 0.00        |
| 30   | Delhi         | 171.00      | 169.00       | 168.17       |   204.5  | 19.00        |     0    |     0    | 0.00        | 3.21        |    78.27 | 0.00         | 0.00        |
| 31   | Puducherry    | 49.00       | 51.00        | 51.83        |   204.5  | 108.26       |    36.2  |    97.25 | 72.00       | 70.55       |    52.77 | 97.25        | 72.00       |
| 32   | A&N Islands   | 352.00      | 349.00 77.00 | 373.00 60.00 |   395.7  | 611.32 79.49 |   304.56 |   295.75 | 0.00        | 443.76      |    83    | 295.75       | 0.00        |
| 33   | Chandigarh    | 80.00 96.00 | 107.00       | 100.00       |    90.8  | 96.00        |    92.65 |    76.36 | 53.00 87.00 | 99.70 33.03 |    62.45 | 76.36 102.00 | 53.00 87.00 |
| 34   | D & N Haveli  |             | 71.00        |              |   147    |              |   100.66 |   102    | 61.00       |             |     0    |              |             |
| 35   | Daman & Diu   | 67.00       |              | 66.00        |   103    | 68.00        |    35.5  |    35    |             | 9.05        |     8.43 | 35.00        | 61.00       |
| 36   | Lakshadweep   | 47.00       | 36.00        | 41.00        |    63.5  | 47.00        |    18    |    20    | 25.00       | 25.13       |    11.6  | 20.00        | 25.00       |
|      | Total         | 46313.00    | 46750.00     | 46847.00     | 49198    | 49021.29     | 39333.9  | 94786.7  | 10565.72    | 24799.27    | 31581.7  | 94786.66     | 10565.72    |