Lok Sabha Question No. 4247 (UNSTARRED), answered on 2019-12-13
Subject: Cancer Deaths
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Raghu Ramakrishna Raju Kanumuru, Anantkumar  Hegde, Komati Reddy Venkat Reddy

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

## LOK SABHA UNSTARRED QUESTION NO. 4247 TO BE ANSWERED ON 13 TH DECEMBER, 2019

## CANCER DEATHS

## 4247. SHRI KANUMURU RAGHU RAMA KRISHANA RAJU: SHRI ANANTKUMAR HEGDE: SHRI KOMATI REDDY VENKAT REDDY:

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

- (a) the number of cancer deaths taken place in the country among men, women and children separately during the last five years, State/UT - wise;
- (b) whether the mortality rate of cancer patients is higher in India as compared to developed countries and if so, the reaction of the Government thereto; and
- (c) the steps and safety measures being adopted in the country to avoid such cancer deaths?

## ANS WER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

- (a): As  per  the  National  Cancer  Registry  Programme  (NCRP)  of  Indian  Council  of Medical Research (ICMR), the estimated number of deaths due to cancer reported during last  five  years,  State/UT  wise  is  at Annexure. Separate  estimates  for  men,  women  and childre n are not available from NCRP.
- (b) : As per Globocan - 2018, the estimated Age Adjusted mortality rate for India (61.4 p 100,000) is lower than many other countries. The highest Age Adjusted mortality rate i in Mangolia (170.2 per 100,000) and the Age  Adjusted  mortality  rate  in  USA  (developed country) is (91.0 per 100,000) in both sexes.
- (c) : Public  health  and  hospitals  is  a  State  subject.  The  Central  Government  howe supplements  the  efforts  of  the  State  Governments  by  providing  technical  and  fi nancial support. National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascu Diseases  and  Stroke  (NPCDCS)  is  being  implemented  under  National  Health  Mission (NHM),  with  focus  on  strengthening  infrastructure,  human  resource  development ,  health promotion  &  awareness  generation,  early  diagnosis,  management  and  referral  to appropriate level institution for treatment. For Cancer, the focus is on three cancer breast, cervical and oral.

To  tackle  the  challenge  of  Non  Communicable Diseases  (NCD),  including  cancer, 599 NCD Clinics at District level and 3,274 NCD Clinics at Community Health Centre lev have been set up under the programme.  Population level initiative for prevention, cont screening for common NCDs (diabetes, hypertension and common cancers viz. oral, breast and cervical cancer) has also been rolled out under the National Health Mission (NHM over 215 districts. Screening of common NCDs including three common cancers i.e. or breast  and  cervical  is  also  an integral  part  of  service  delivery  under  Ayushman  Bharat -Health  and  Wellness  Centres.  Several  measures  have  been  taken  to  discourage  the  use tobacco  products,  which  is  one  of  the  key  risk  factors  of  Cancer.  Other  initiati promoting  healthy  lif estyles  through  healthy  eating  and  regular  physical  activity  are being undertaken.

To  enhance  the  facilities  for  tertiary  care  of  cancer,  the  Central  Governme implementing Strengthening of Tertiary Care for Cancer Scheme, under which setting up of 18 State Cancer Institutes and 20 Tertiary Care Cancer Centres have been approved.  Fu Oncology is also one of the focus areas in case of new AIIMS and many upgraded institut under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY). Setting up of National Cancer Institute at Jhajjar in Haryana and second campus of Chittaranjan National Cancer Ins Kolkata are also steps in the same direction. Treatment of various cancers is also a under Ayushman Bharat -Pradhan Mantri Jan Arogya Yoj ana (PMJAY).

## Estimated Mortality of cancer cases in India- State/UT wise-All sites (2014-2018)*-Both sexes

| States            |   2014 |   2015 |   2016 |   2017 |   2018 |
|-------------------|--------|--------|--------|--------|--------|
| Jammu &Kashmir    |   7144 |   7525 |   7925 |   8345 |   8788 |
| Himachal Pradesh  |   3742 |   3893 |   4048 |   4210 |   4378 |
| Punjab            |  15171 |  15784 |  16423 |  17084 |  17771 |
| Chandigarh        |    590 |    618 |    646 |    678 |    709 |
| Uttaranchal       |   5667 |   5949 |   6245 |   6556 |   6883 |
| Haryana           |  14135 |  14797 |  15491 |  16219 |  16983 |
| Delhi             |   9290 |   9699 |  10127 |  10573 |  11039 |
| Rajasthan         |  38202 |  39985 |  41848 |  43795 |  45829 |
| Uttar Pradesh     | 112514 | 118115 | 123985 | 130134 | 136579 |
| Bihar             |  59431 |  62651 |  66040 |  69607 |  73361 |
| Sikkim            |    236 |    240 |    242 |    245 |    248 |
| Arunachal Pradesh |    628 |    638 |    649 |    659 |    670 |
| Nagaland          |    662 |    665 |    667 |    672 |    676 |
| Manipur           |   1419 |   1460 |   1500 |   1542 |   1585 |
| Mizoram           |    808 |    824 |    841 |    859 |    878 |
| Tripura           |   1094 |   1109 |   1125 |   1140 |   1156 |
| Meghalaya         |   1644 |   1676 |   1710 |   1744 |   1777 |
| Assam             |  15853 |  16029 |  16206 |  16383 |  16561 |
| West Bengal       |  50110 |  52231 |  54443 |  56750 |  59154 |
| Jharkhand         |  18683 |  19653 |  20671 |  21741 |  22864 |
| Orissa            |  23043 |  24019 |  25035 |  26091 |  27190 |
| Chhattisgarh      |  14472 |  15231 |  16030 |  16868 |  17751 |

| Madhya Pradesh                                                                                                                                | 40917                                                                                                                                         | 42964                                                                                                                                         | 45110                                                                                                                                         | 47358                                                                                                                                         | 49713                                                                                                                                         |
|-----------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------|
| Gujarat                                                                                                                                       | 33832                                                                                                                                         | 35466                                                                                                                                         | 37182                                                                                                                                         | 38983                                                                                                                                         | 40873                                                                                                                                         |
| Daman &Diu                                                                                                                                    | 176                                                                                                                                           | 200                                                                                                                                           | 229                                                                                                                                           | 263                                                                                                                                           | 303                                                                                                                                           |
| Dadra &Nagar Haveli                                                                                                                           | 215                                                                                                                                           | 233                                                                                                                                           | 254                                                                                                                                           | 276                                                                                                                                           | 301                                                                                                                                           |
| Maharashtra                                                                                                                                   | 61732                                                                                                                                         | 64332                                                                                                                                         | 67035                                                                                                                                         | 69843                                                                                                                                         | 72762                                                                                                                                         |
| Telangana                                                                                                                                     | 19385                                                                                                                                         | 20235                                                                                                                                         | 21126                                                                                                                                         | 22058                                                                                                                                         | 23033                                                                                                                                         |
| Andhra Pradesh                                                                                                                                | 26970                                                                                                                                         | 28082                                                                                                                                         | 29244                                                                                                                                         | 30458                                                                                                                                         | 31725                                                                                                                                         |
| Karnataka                                                                                                                                     | 33881                                                                                                                                         | 35430                                                                                                                                         | 37052                                                                                                                                         | 38747                                                                                                                                         | 40523                                                                                                                                         |
| Goa                                                                                                                                           | 799                                                                                                                                           | 834                                                                                                                                           | 870                                                                                                                                           | 908                                                                                                                                           | 948                                                                                                                                           |
| Lakshadweep                                                                                                                                   | 39                                                                                                                                            | 42                                                                                                                                            | 45                                                                                                                                            | 48                                                                                                                                            | 53                                                                                                                                            |
| Kerala                                                                                                                                        | 18827                                                                                                                                         | 19892                                                                                                                                         | 21062                                                                                                                                         | 22348                                                                                                                                         | 23761                                                                                                                                         |
| Tamil Nadu                                                                                                                                    | 38310                                                                                                                                         | 39537                                                                                                                                         | 40796                                                                                                                                         | 42091                                                                                                                                         | 43422                                                                                                                                         |
| Pondicherry                                                                                                                                   | 717                                                                                                                                           | 759                                                                                                                                           | 802                                                                                                                                           | 848                                                                                                                                           | 895                                                                                                                                           |
| Andaman& Nicobar Islands                                                                                                                      | 203                                                                                                                                           | 210                                                                                                                                           | 217                                                                                                                                           | 224                                                                                                                                           | 232                                                                                                                                           |
| Total                                                                                                                                         | 670541                                                                                                                                        | 701007                                                                                                                                        | 732921                                                                                                                                        | 766348                                                                                                                                        | 801374                                                                                                                                        |
| Ref: Three-year Report of the Population Based Cancer Registries: 2012-2014, Bengaluru, 2016                                                  | Ref: Three-year Report of the Population Based Cancer Registries: 2012-2014, Bengaluru, 2016                                                  | Ref: Three-year Report of the Population Based Cancer Registries: 2012-2014, Bengaluru, 2016                                                  | Ref: Three-year Report of the Population Based Cancer Registries: 2012-2014, Bengaluru, 2016                                                  | Ref: Three-year Report of the Population Based Cancer Registries: 2012-2014, Bengaluru, 2016                                                  | Ref: Three-year Report of the Population Based Cancer Registries: 2012-2014, Bengaluru, 2016                                                  |
| *Projected mortality cases for India were computed by applying Mumbai Mortality/Incidence (MI) ratio to the projected incidence cancer cases. | *Projected mortality cases for India were computed by applying Mumbai Mortality/Incidence (MI) ratio to the projected incidence cancer cases. | *Projected mortality cases for India were computed by applying Mumbai Mortality/Incidence (MI) ratio to the projected incidence cancer cases. | *Projected mortality cases for India were computed by applying Mumbai Mortality/Incidence (MI) ratio to the projected incidence cancer cases. | *Projected mortality cases for India were computed by applying Mumbai Mortality/Incidence (MI) ratio to the projected incidence cancer cases. | *Projected mortality cases for India were computed by applying Mumbai Mortality/Incidence (MI) ratio to the projected incidence cancer cases. |