Lok Sabha Question No. 2619 (UNSTARRED), answered on 2020-03-06
Subject: Cervical Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajeshbhai Naranbhai Chudasama, Hemant Tukaram Godse, Nusrat Jahan Ruhi, Pushpendra Singh Chandel

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

LOK SABHA UNSTARRED QUESTION NO. 2619 TO BE ANSWERED ON 06 TH MARCH, 2020

## CERVICAL CANCER

## 2619. SHRI RAJESHBHAI CHUDASAMA: SHRI HEMANT TUKARAM GODSE: SHRIMATI NUSRAT JAHAN RUHI: SHRI KUNWAR PUSHPENDRA SINGH CHANDEL:

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

(a)  whether  cases  of  cervical  and  breast  cancer  are  rising  in  the  country  and  cervica ncer accounts for 25 per cent of female cancer, if so, the details thereof indicating the numb reported during each of the last three years, State/UT - wise;

(b) whether the Government has conducted any study/assessment in this regard, if so, the de and the outcome thereof;

(c) whether the Government proposes to make cancer check - up mandatory for women of certain age, if so, the details thereof and the steps includ ing awareness campaigns taken/proposed for regular  screening  of  such  diseases  including  establishing  National  Screening  Programm ensure early detection and treatment;

(d)  whether  the  Government  proposes  to  introduce  the  Human  Papilloma  Virus  DNA  test at affordable cost and HPV vaccination in the National Immunisation Programme, if so, the de thereof; and

(e)  whether  the  Government  proposes  to  offer  free  cancer  treatment  in  all  privat Government hospitals?

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

(a) & (b):    As informed by the Indian Council of Medical Research (ICMR), the estimated number of incidence of cervical cancer accounts for 12.8 % of cancer among females in Ind the year 2018. T he estimated number of incidence of Breast and Cervical cancer for the coun during2016 to 2018 is given below:

| Year                          | 2016         | 2017     | 2018     |
|-------------------------------|--------------|----------|----------|
| Estimated Breast cancer cases | 1,42,283     | 1,50,842 | 1,59,924 |
| Estimated Cervical cancer     | cases 99,099 | 1,00,306 | 1,01,536 |

## State/UT wise details are at Annexure - I and II .

(c) & (d): Health is a State subject and the Central Government supplements the eff orts of the State Governments in prevent ingand control lingcancer. The objectives of National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDC being  implemented  by  Central  Government  under  National  Health  Mission (NHM)  for interventions  upto  the  district  level,  includes  awareness  generation  for cancer  pr evention, screening, early detection and referral to an appropriate level institution for treatment the focus is on three cancers, namely breast, cervical and oral.  A population level ini prevention,  control  and  screening  for  common Non - Communicable  Diseases  (NCDs)  i.e. diabetes, hypertension and common cancers viz. oral, breast and cervical cancer, has been out  in  over  215  districts  of  the  country  under  NHM,  as  a  part  of  comprehensive  pri healthcare. Under  this initiative , persons  more  than  30  years  of  age  are  targeted  for  their screening for common NCDs. Screening of common NCDs including three common cancers i.e. oral, breast and cervical is also an integral part of service delivery under Ayushman -Health  and  Wel lness  Centres. Under  NPCDCS,  Visual  Inspection  with  Acetic  Acid  (VIA)  is used as the screening tool for cervical cancer.

(e): To tackle the challenge of NCDs , including cancer s,616 NCD Clinics at District level and 3, 872 NCD Clinics at Community Health Centre level have been set up under NPCDCS. Under  NHM , support  is  provided  to  States/UTs  to  provide  free  essential  medicines diagnostic services for primary and secondary health care needs.

To  enhance  the  facilitie s  for  tertiary  care  of  cancer,  the  Central  Government  i implementing Strengthening of Tertiary Care for Cancer Scheme, under which setting up of State  Cancer  Institutes  and  20  Tertiary  Care  Cancer  Centres  have  been  approved.    Fur Oncology is also one of the focus areas in case of new AIIMS and many upgraded institution under  Pradhan  Mantri  Swasthya  Suraksha  Yojana  (PMSSY).  Setting  up  of  National  Cancer Institute  at  Jhajjar  in  Haryana  and  strengthening  of  Chittaranjan  National  Cancer  In Kolkata, are also steps in the same direction.

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 available under Ayushman Bhara t-Pradhan Mantri Jan Arogya Yojana (PMJAY). Besides this, Affordable  Medicines  and  Reliable  Implants  for  Treatment  (AMRIT)  Deendayal outlets  have been opened at 203 Institutions/Hospitals with an objective to make available drugs and impl at  discount ed  prices  to  the  patients.  Under  the  umbrella  scheme  of  Rashtriya  Arogya  Nid financial  assistance  is  provided  to  families  living  below  threshold  poverty  line  f treatment, including treatment of cancer, in Government hospitals.

……………………

## Annexu re- I

Estimated Incidence of cancer cases in India - Breast (2016-2018)*

| States                    |   2016 |   2017 |   2018 |
|---------------------------|--------|--------|--------|
| Jammu & Kashmir           |   1421 |   1516 |   1618 |
| Himachal Pradesh          |    613 |    647 |    681 |
| Punjab                    |   3321 |   3503 |   3694 |
| Chandigarh                |    196 |    207 |    219 |
| Uttaranchal               |   1217 |   1298 |   1384 |
| Haryana                   |   3103 |   3308 |   3526 |
| Delhi                     |   3181 |   3351 |   3530 |
| Rajasthan                 |   7536 |   7996 |   8483 |
| Uttar Pradesh             |  21376 |  22737 |  24181 |
| Bihar                     |   9958 |  10644 |  11378 |
| Sikkim                    |     30 |     30 |     31 |
| Arunachal Pradesh         |     82 |     84 |     85 |
| Nagaland                  |     67 |     67 |     68 |
| Manipur                   |    273 |    281 |    289 |
| Mizoram                   |     97 |     99 |    101 |
| Tripura                   |    129 |    130 |    132 |
| Meghalaya                 |    104 |    106 |    108 |
| Assam                     |   2406 |   2437 |   2467 |
| West Bengal               |  10902 |  11550 |  12234 |
| Jharkhand                 |   3716 |   3962 |   4225 |
| Orissa                    |   4205 |   4448 |   4705 |
| Chhattisgarh              |   2944 |   3145 |   3359 |
| Madhya Pradesh            |   8334 |   8858 |   9414 |
| Gujarat                   |   8001 |   8504 |   9039 |
| Daman & Diu               |     42 |     47 |     52 |
| Dadra & Nagar Haveli      |     54 |     61 |     68 |
| Maharashtra               |  14726 |  15522 |  16358 |
| Telangana                 |   4633 |   4918 |   5220 |
| Andhra Pradesh            |   5901 |   6251 |   6620 |
| Karnataka                 |   8029 |   8527 |   9055 |
| Goa                       |    233 |    247 |    262 |
| Lakshadweep               |     14 |     15 |     17 |
| Kerala                    |   5682 |   6189 |   6748 |
| Tamil Nadu                |   9486 |   9870 |  10269 |
| Pondicherry               |    227 |    242 |    257 |
| Andaman & Nicobar Islands |     44 |     45 |     47 |
| Total                     | 142283 | 150842 | 159924 |

| States                                                                                      | 2016                                                                                        | 2017                                                                                        | 2018                                                                                        |
|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|
| Jammu & Kashmir                                                                             | 1060                                                                                        | 1079                                                                                        | 1098                                                                                        |
| Himachal Pradesh                                                                            | 603                                                                                         | 606                                                                                         | 610                                                                                         |
| Punjab                                                                                      | 2157                                                                                        | 2173                                                                                        | 2189                                                                                        |
| Chandigarh                                                                                  | 66                                                                                          | 67                                                                                          | 68                                                                                          |
| Uttaranchal                                                                                 | 866                                                                                         | 877                                                                                         | 890                                                                                         |
| Haryana                                                                                     | 2018                                                                                        | 2043                                                                                        | 2070                                                                                        |
| Delhi                                                                                       | 1073                                                                                        | 1088                                                                                        | 1103                                                                                        |
| Rajasthan                                                                                   | 5791                                                                                        | 5861                                                                                        | 5933                                                                                        |
| Uttar Pradesh                                                                               | 17156                                                                                       | 17420                                                                                       | 17687                                                                                       |
| Bihar                                                                                       | 9454                                                                                        | 9638                                                                                        | 9824                                                                                        |
| Sikkim                                                                                      | 24                                                                                          | 24                                                                                          | 24                                                                                          |
| Arunachal Pradesh                                                                           | 70                                                                                          | 71                                                                                          | 72                                                                                          |
| Nagaland                                                                                    | 88                                                                                          | 89                                                                                          | 90                                                                                          |
| Manipur                                                                                     | 138                                                                                         | 142                                                                                         | 147                                                                                         |
| Mizoram                                                                                     | 119                                                                                         | 122                                                                                         | 125                                                                                         |
| Tripura                                                                                     | 159                                                                                         | 160                                                                                         | 163                                                                                         |
| Meghalaya                                                                                   | 119                                                                                         | 122                                                                                         | 124                                                                                         |
| Assam                                                                                       | 1438                                                                                        | 1456                                                                                        | 1474                                                                                        |
| West Bengal                                                                                 | 7450                                                                                        | 7509                                                                                        | 7568                                                                                        |
| Jharkhand                                                                                   | 2907                                                                                        | 2958                                                                                        | 3009                                                                                        |
| Orissa                                                                                      | 3662                                                                                        | 3693                                                                                        | 3723                                                                                        |
| Chhattisgarh                                                                                | 2303                                                                                        | 2343                                                                                        | 2383                                                                                        |
| Madhya Pradesh                                                                              | 6222                                                                                        | 6322                                                                                        | 6423                                                                                        |
| Gujarat                                                                                     | 4810                                                                                        | 4868                                                                                        | 4928                                                                                        |
| Daman & Diu                                                                                 | 17                                                                                          | 18                                                                                          | 19                                                                                          |
| Dadra & Nagar Haveli                                                                        | 29                                                                                          | 30                                                                                          | 32                                                                                          |
| Maharashtra                                                                                 | 8741                                                                                        | 8811                                                                                        | 8882                                                                                        |
| Telangana                                                                                   | 2870                                                                                        | 2893                                                                                        | 2916                                                                                        |
| Andhra Pradesh                                                                              | 4124                                                                                        | 4149                                                                                        | 4173                                                                                        |
| Karnataka                                                                                   | 5020                                                                                        | 5074                                                                                        | 5130                                                                                        |
| Goa                                                                                         | 108                                                                                         | 109                                                                                         | 110                                                                                         |
| Lakshadweep                                                                                 | 5                                                                                           | 6                                                                                           | 6                                                                                           |
| Kerala                                                                                      | 2849                                                                                        | 2908                                                                                        | 2975                                                                                        |
| Tamil Nadu                                                                                  | 5452                                                                                        | 5443                                                                                        | 5432                                                                                        |
| Pondicherry                                                                                 | 103                                                                                         | 106                                                                                         | 108                                                                                         |
| Andaman & Nicobar Islands                                                                   | 28                                                                                          | 28                                                                                          | 28                                                                                          |
| Total                                                                                       | 99099                                                                                       | 100306                                                                                      | 101536                                                                                      |
| Ref: Three -year Report of the Population Based Cancer Registries : - 2014, Bengaluru, 2016 | Ref: Three -year Report of the Population Based Cancer Registries : - 2014, Bengaluru, 2016 | Ref: Three -year Report of the Population Based Cancer Registries : - 2014, Bengaluru, 2016 | Ref: Three -year Report of the Population Based Cancer Registries : - 2014, Bengaluru, 2016 |