Lok Sabha Question No. 3438 (UNSTARRED), answered on 2020-03-13
Subject: Research and New Methods of Cancer Treatment
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Vivek Narayan Shejwalkar

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

LOK SABHA UNSTARRED QUESTION NO. 3438 TO BE ANSWERED ON 13 TH MARCH, 2020

## RESEARCH AND NEW MET HODS OF CANCER TREAT MENT

## 3438. SHRI VIVEK NARAYAN SHEJWALKAR:

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

- (a) whether the Government is conducting any study on the ever increasing menace of cancer, if so, the details thereof;
- (b) whether the Government is providing any incentive for treatment and research on this life threatening disease, if so, the details thereof along with the steps taken to reduce the cost of cancer treatment and medicine;
- (c)  whether  the  Government  has  any  plans  on supporting  the  new  methods  developed indig enously  in fighting  cancer,  like  the  intravenous  drug  developed  by Sree  Chitra  Medical Institute, Trivandrum, if so, the details thereof and if not, the reasons therefor;
- (d) the details of the new cancer hospitals that received approval in the last three years; and
- (e) whether the Government has received any proposals for setting up cancer institute in Kerala and if so, the details thereof?

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

- (a): As  per  National  Cancer  Registry  Programme  (NCRP)  of  Indian  Council  of  Medical Research (ICMR), the estimated number of incidence of cancer cases reported in the cou during the three years is given below:
- (b): Health is a State subject and the Central Government supplements the efforts of the Governments in preventing and controlling cancer. The objectives of National Programme Prevention and Control of Cancer,  Diabetes,  Cardiovascular  Diseases  and  Stroke  (NPCDCS), being  implemented  by  Central  Government  under  National  Health  Mission  (NHM)  for interventions  upto  the  district  level,  includes  awareness  generation  for  cancer  pre screening,  early  det ection  and  referral  to  an  appropriate  level  institution  for  treatmen

| Year                                | 2016      | 2017      | 2018      |
|-------------------------------------|-----------|-----------|-----------|
| Estimated Incidence of cancer cases | 14,51,417 | 15,17,426 | 15,86,571 |

cancer,    the  focus  is  on  three  cancers,  namely  breast,  cervical  and  oral.    A  populat initiative  for  prevention,  control  and  screening  for  common  Non - Co u icable  Diseases ( NCDs) i.e. diabetes, hypertension and common cancers viz. oral, breast and cervical canc been  rolled  out  in  over  215  districts  of  the  country,  as  a  part  of  comprehensive healthcare. Screening of common NCDs including three common cancers i.e . o al, breast and cervical  is  also  an  integral  part  of  service  delivery  under  Ayushman  Bharat - Health  and Wellness Centres. Cancer is diagnosed and treated at various levels in the health care syste Government hospitals, treatment is either free or highly subsidized. Treatment of cancers is also available under Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (PMJAY). Besides this, Affordable  Medicines  and  Reliable  Implants  for  Treatment  (AMRIT)  Deendayal  outlets  hav been opened at 203 Institution s/Hospitals with an objective to make available drugs and implant at  discounted  prices  to  the  patients.  Under  the  umbrella  scheme  of  Rashtriya  Arogya  N financial  assistance  is  provided  to  families  living  below  threshold  poverty  line  f treatme nt, including treatment of cancer, in Government hospitals.

(c): Scientific Institutions/Departments such as Indian Council of Medical Research (ICMR) , Department of Biotechnology and    Council of Scientific & Industrial Research (CSIR) support research in various filed including treatment of cancer. Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Kerala, has developed a technology to make Curcumin, an active ingredient in Turmeric with anti cancer properties, water soluble by inding it with human albumin. This research was supported by ICMR. More studies are however needed to ge regulatory nod.

(d)& (e): To enhance the facilities for tertiary care of cancer, the Central Governm implementing Strengthening of Tertiary Care for Cancer Scheme, under which setting up of State Cancer Institutes (SCI) and 20 Tertiary Care Cancer Centres (TCCC) have been approved. The list of such approved SCIs and TCCCs in the country including in the State of Kerala Annexure . In addition, Tata Memorial Centre, a grant - in - aid institution under the Department of Atomic Energy has informed that following new cancer hospitals have been approved in the last three years:

(i) Mahamana Pandit Madanmohan Malviya Cancer Centre and Homi Bhabha Cancer Hospital, Varanasi, Uttar Pradesh.

(ii) Homi Bhabha Cancer Hospital and Research Centre, Vishakhapatnam, Andhra Pradesh

(iii) Homi Bhabha Cancer Hospital, Mullanpur, Punjab

(iv) Dr. B. Borooah Cancer Institute, Guwahati, Assam

(v) Homi Bhabha Cancer Hospital and Research Centre, Muzzafarpur, Bihar.

Further,  Oncology  is  also  one  of  the  focus  areas  in  case  of  new  AIIMS  and  ma upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY). Setting up National  Cancer  Institute  at  Jhajjar  in  Haryana  and  strengthening  of  Chittaranjan  Na onal Cancer Institute, Kolkata, are also steps in the same direction.

Annexure State/UT-wise list of approved State Cancer Institutes (SCI) and Tertiary Care Cancer Centres (TCCCs).

|   S No | State            | Name of the Institute                                                  | SCI/ TCCC   |
|--------|------------------|------------------------------------------------------------------------|-------------|
|      1 | Andhra Pradesh   | Kurnool Medical College, Kurnool                                       | SCI         |
|      2 | Assam            | Gauhati Medical College & Hospital, Guwahati                           | SCI         |
|      3 | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                     | SCI         |
|      4 | Chhattisgarh     | Chhattisgarh Institute of Medical Scineces, Bilaspur                   | SCI         |
|      5 | Delhi            | Lok Nayak Hospital                                                     | TCCC        |
|      6 | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad                           | SCI         |
|      7 | Goa              | Goa Medical College, Panaji                                            | TCCC        |
|      8 | Haryana          | Civil Hospital, Ambala Cantt                                           | TCCC        |
|      9 | Himachal Pradesh | Indira Gandhi Medical College, Shimla                                  | TCCC        |
|     10 |                  | Shri Lal Bahadur Shastri Medical College, Mandi                        | TCCC        |
|     11 | Jammu & Kashmir  | Sher-i-Kashmir Institute of Medical Sciences, Srinagar                 | SCI         |
|     12 |                  | Government Medical College, Jammu                                      | SCI         |
|     13 | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                         | SCI         |
|     14 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bangaluru                 | SCI         |
|     15 |                  | Mandya Institute of Medical Sciences, Mandya                           | TCCC        |
|     16 | Kerala           | Regional Cancer Centre, Tjiruvananthapuram                             | SCI         |
|     17 |                  | Government Medical College, Kozhikode                                  | TCCC        |
|     18 | Madhya Pradesh   | G.R. Medical College, Gwalior                                          | TCCC        |
|     19 |                  | Netaji Subhas Chandra Bose Medical College, Jabalpur                   | SCI         |
|     20 | Maharashtra      | Rashtrasant Tukdoji Regional Cancer Hospital & Research Centre, Nagpur | TCCC        |
|     21 |                  | Government Medical College, Aurangabad                                 | SCI         |
|     22 |                  | Vivekanand Foundation& Research Centre, Latur                          | TCCC        |
|     23 | Mizoram          | Mizoram State Cancer Institute, Aizawl                                 | TCCC        |
|     24 | Nagaland         | District Hospital, Kohima                                              | TCCC        |
|     25 | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack                        | SCI         |
|     26 | Punjab           | Government Medical College, Amritsar                                   | SCI         |
|     27 |                  | Civil Hospital, Fazilka                                                | TCCC        |
|     28 | Rajasthan        | S P Medical College, Bikaner                                           | TCCC        |
|     29 |                  | SMS Medical College, Jaipur                                            | SCI         |
|     30 |                  | Jhalawar Medical College & Hospital, Jhalawar                          | TCCC        |
|     31 | Sikkim           | Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim    | TCCC        |
|     32 | Tamil Nadu       | Cancer Institute (RCC), Adyar, Chennai                                 | SCI         |
|     33 | Telangana        | MNJ Institute of Oncology & RCC, Hyderabad                             | SCI         |
|     34 | Tripura          | Cancer Hospital (RCC), Agartala                                        | SCI         |
|     35 | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow      | TCCC        |
|     36 | Uttarakhand      | Government Medical College, Haldwani                                   | SCI         |
|     37 | West Bengal      | Government Medical College, Burdwan                                    | TCCC        |
|     38 |                  | Murshidabad Medical College & Hospital, Berhampore, Murshidabad        | TCCC        |
|     39 |                  | Sagore Dutta Memorial Medical College and Hospital, Kolkata            | TCCC        |