Lok Sabha Question No. 1819 (UNSTARRED), answered on 2018-07-27
Subject: Cancer Cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SUNIL KUMAR SINGH, NAGARAJAN P., DEVENDRA (ALIAS) BHOLE SINGH SINGH, SANJAY(KAKA) RAMCHANDRA PATIL, BANSHILAL MAHTO, S.P. MUDDAHANUMEGOWDA, RAVINDRA KUMAR PANDEY, NISHIKANT  DUBEY, LAKHAN LAL SAHU

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

## LOK SABHA UNSTARRED QUESTION NO. 1819 TO BE ANSWERED ON 27 th JULY, 2018

## CANCER CASES

## 1819. SHRI SUNIL KUMAR SINGH:

SHRI P. NAGARAJAN:

SHRI DEVENDRA SINGH BHOLE:

SHRI SANJAY KAKA PATIL:

DR. BANSHILAL MAHATO:

SHRI S.P.MUDDAHANUME GOWDA:

SHRI RAVINDRA KUMAR PANDEY:

SHRI NISHIKANT DUBEY:

SHRI LAKHAN LAL SAHU:

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

- (a) whether cases of various types of cancer and related deaths are on the rise in the country;
- (b) if so, the details thereof and the re sons therefor indicating the number of such cases and deaths reported during each of the last three years and the current year, State/UT - wise;
- (c) the schemes/programmes being implemented by the Government for prevention, diagnosis and treatment of cancer in the country especially for the poor people of the country;
- (d) whether the Government has launched/proposed any programme t o spread awareness about various types of cancer including prostate cancer if so, the details thereof;
- (e)  whether  the  Government  proposes to  set  up  more  cancer  hospitals  and institutes  in  the country, if so, State/UT - wise details thereof along with such hospitals/institutes functioning in thecountry; and
- (f) the steps taken by the Government for early detection and affordable treatment of cancer?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

- (a)& (b): As per Indian Council of Medical Research's National Cancer Registry Program (NCRP) data, the estimated incidence and mortality of cancer cases in India reported dur last three years, State/UT - wise is at Annexure - I and II.

Cancer  is  a  multifactoria l  disease,  the  risk  factor  of  which,  inter  alia,  includes,  a population, sedentary life styles, use of Tobacco products, unhealthy diet etc.

- (c) to (f) :The treatment of Cancer in many of State and Central Government institutions free for BPL pa tients and subsidized for others. The Central Government supplements the effo

of the State Governments to prevent and control cancer and to provide affordable and acce care. Some of the steps taken by Central Government are as follows:

- I. The object ives of National Programme for Prevention and Control of Cancer, Diabetes Cardiovascular  Diseases  and  Stroke  (NPCDCS)  being  implemented  under  National Health  Mission  (NHM)  for  interventions  upto  the  district  level  includes  aware generation  for  Cancer prevention,  screening,  early  detection  and  referral  to  a appropriate  level  institution  for  treatment.  For  Cancer,  the  focus  is  on  three namely breast, cervical and oral.
- II. A  population  level  initiative  for  prevention,  control  and  screening  for  com mon  Non Communicable Diseases (diabetes, hypertension and cancer viz. oral, breast and cerv cancer) has been rolled out in over 150 districts of the country in 2017 - 18 under NHM, as a part of comprehensive primary healthcare.
- III. To  enhance  the  facilities for  tertiary  care  of  cancer,  the  Central  Government  is implementing Strengthening of Tertiary Care Cancer facilities Scheme to support setting up of State Cancer Institutes (SCI) and Tertiary Care Cancer Centres (TCCC different parts of the countr y. The list of SCIs and TCCCs approved till date under the scheme are at Annexure - III .
- IV. Oncology in its various aspects is one of the focus areas in case of new AIIMS and upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY).
- V. Set ting up of National Cancer Institute (NCI) at Jhajjar (Haryana) and 2nd campus Chittaranjan National Cancer Institute, Kolkata has been approved.
- VI. The Government is providing financial assistance to patients living below poverty for life threatenin g diseases under the schemes such as Rashtriya Arogya Nidhi (RAN), Health Minister's Cancer Patient Fund (HMCPF), State Illness Assistance Fund (SIAF) and Health Minister's Discretionary Grant (HMDG).
- VII. Affordable Medicines and Reliable Implants for Treatment (AMRIT) outlets have bee opened at 136 Institutions/Hospitals across 22 States with an objective to make ava Cancer  and  Cardiovascular  Diseases  drugs  and  implants  at  discounted  prices  to patients. Jan Aushadhi stores are set up by Department of Pharmaceuticals to pro generic drugs at affordable prices.
- VIII. Indian Council of Medical Research (ICMR) - National Institute of Cancer Prevention and  Research  (NICPR),  has  launched www.cancerindia.org.in with  the  theme  'India Against Cancer', a portal that provides information on the leading cancers in India with a major focus on awareness, prevention and treatment of these cancers.

| States                    |    2015 |    2016 |    2017 |
|---------------------------|---------|---------|---------|
| Jammu &Kashmir            |   14864 |   15652 |   16480 |
| Himachal Pradesh          |    7722 |    8029 |    8348 |
| Punjab                    |   31214 |   32474 |   33781 |
| Chandigarh                |    1217 |    1274 |    1335 |
| Uttaranchal               |   11796 |   12381 |   12995 |
| Haryana                   |   29240 |   30611 |   32049 |
| Delhi                     |   19168 |   20015 |   20899 |
| Rajasthan                 |   79160 |   82836 |   86675 |
| Uttar Pradesh             |  233659 |  245231 |  257353 |
| Bihar                     |  123949 |  130628 |  137656 |
| Sikkim                    |     473 |     479 |     485 |
| Arunachal Pradesh         |    1252 |    1272 |    1292 |
| Nagaland                  |    1294 |    1300 |    1309 |
| Manipur                   |    2916 |    2998 |    3082 |
| Mizoram                   |    1618 |    1652 |    1687 |
| Tripura                   |    2169 |    2199 |    2229 |
| Meghalaya                 |    3246 |    3311 |    3376 |
| Assam                     |   31474 |   31825 |   32177 |
| West Bengal               |  103532 |  107906 |  112466 |
| Jharkhand                 |   38947 |   40959 |   43071 |
| Orissa                    |   47666 |   49674 |   51763 |
| Chhattisgarh              |   30239 |   31817 |   33477 |
| Madhya Pradesh            |   85078 |   89315 |   93754 |
| Gujarat                   |   70171 |   73551 |   77097 |
| Daman &Diu                |     385 |     440 |     504 |
| Dadra &Nagar Haveli       |     457 |     497 |     542 |
| Maharashtra               |  127390 |  132726 |  138271 |
| Telangana                 |   40177 |   41939 |   43784 |
| Andhra Pradesh            |   55776 |   58072 |   60475 |
| Karnataka                 |   70302 |   73511 |   76867 |
| Goa                       |    1655 |    1726 |    1801 |
| Lakshadweep               |      82 |      89 |      96 |
| Kerala                    |   39672 |   42004 |   44566 |
| Tamil Nadu                |   78512 |   80999 |   83554 |
| Pondicherry               |    1510 |    1596 |    1687 |
| Andaman & Nicobar Islands |     415 |     429 |     443 |
| Total                     | 1388397 | 1451417 | 1517426 |

## Estimated Mortality of cancer cases in India - State/UT - All sites - Both sexes

| States                    | 2015                | 2016                |   2017 |
|---------------------------|---------------------|---------------------|--------|
| Jammu &Kashmir            | 7525                | 7925                |   8345 |
| Himachal Pradesh          | 3893                | 4048                |   4210 |
| Punjab                    | 15784               | 16423               |  17084 |
| Chandigarh                | 618                 | 646                 |    678 |
| Uttaranchal               | 5949                | 6245                |   6556 |
| Haryana                   | 14797               | 15491               |  16219 |
| Delhi                     | 9699                | 10127               |  10573 |
| Rajasthan                 | 39985               | 41848               |  43795 |
| Uttar Pradesh             | 118115              | 123985              | 130134 |
| Bihar                     | 62651               | 66040               |  69607 |
| Sikkim                    | 240                 | 242                 |    245 |
| Arunachal Pradesh         | 638                 | 649                 |    659 |
| Nagaland                  | 665                 | 667                 |    672 |
| Manipur                   | 1460                | 1500                |   1542 |
| Mizoram                   | 824                 | 841                 |    859 |
| Tripura                   | 1109                | 1125                |   1140 |
| Meghalaya                 | 1676                | 1710                |   1744 |
| Assam                     | 16029               | 16206               |  16383 |
| West Bengal               | 52231               | 54443               |  56750 |
| Jharkhand                 | 19653               | 20671               |  21741 |
| Orissa                    | 24019               | 25035               |  26091 |
| Chhattisgarh              | 15231               | 16030               |  16868 |
| Madhya Pradesh            | 42964               | 45110               |  47358 |
| Gujarat                   | 35466               | 37182               |  38983 |
| Daman &Diu                | 200                 | 229                 |    263 |
| Dadra &Nagar Haveli       | 233                 | 254                 |    276 |
| Maharashtra               | 64332               | 67035               |  69843 |
| Telangana                 | 20235               | 21126               |  22058 |
| Andhra Pradesh            | 28082               | 29244               |  30458 |
| Karnataka                 | 35430               | 37052               |  38747 |
| Goa                       | 834                 | 870                 |    908 |
| Lakshadweep               | 42                  | 45                  |     48 |
| Kerala                    | 19892               | 21062               |  22348 |
| Tamil Nadu                | 39537               | 40796               |  42091 |
| Pondicherry               | 759                 | 802                 |    848 |
| Andaman & Nicobar Islands | 210                 | 217                 |    224 |
| Total 701007 732921       | Total 701007 732921 | Total 701007 732921 | 766348 |

## List of State Cancer Institutes (SCIs) and Tertiary Care Cancer Centres (TCCCs) approved till date.

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