Lok Sabha Question No. 5594 (UNSTARRED), answered on 2019-07-26
Subject: Assistance to Cancer Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sangeeta Kumari Singh Deo, Rahul Ramesh Shewale, Bhartruhari Mahtab

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

LOK SABHA UNSTARRED QUESTION NO. 5594 TO BE ANSWERED ON 26 TH JULY, 2019

## ASSISTANCE TO CANCER PATIENTS

## 5594. SHRIMATI SANGEETA KUMARI SINGH DEO: SHRI RAHUL RAMESH SHEWALE: SHRI BHARTRUHARI MAHTAB:

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

- (a) whether the number of cancer patients has increased in the country during each of three years and the current year;
- (b) if so, the details thereof along with the number of patients who died therefrom durin period State/UT - wise;
- (c) whether the Government has conducted any study on the role of adulterated food, ai water pollution in increase of such pati ents;
- (d) if so, the details and the outcome thereof and if not, the reasons therefor; and
- (e)  the  schemes/programmes  being  implemented  by  the  Government  to  extend  assistance  t cancer patients belonging to weaker sections of the society in the country ?

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

- (a) and (b): As per Indian Council of Medical Research's  National Cancer Registry Program, the estimated number of incidence of cancer cases and deaths due to cancer reported from to 2018, State/UT wise are at Annexure I & II respectively.
- (c)  &(d):  As  per  stud ies  undertaken  from  time  to  time,  risk  factors  for  non  communicabl diseases, including cancer, inter alia include unhealthy diet, lack of physical activit population, use of tobacco/alcohol products and air pollution.

(e): The Central Government supplements the efforts of the State Governments to prevent a control cancer and to provide affordable and accessible care. Some of the steps taken by Government are as follows:

(i)      The  objectives  of  National  Programme  for  Pr evention  and  Control  of  Cancer,  Diabetes, Cardiovascular  Diseases  and  Stroke  (NPCDCS)  being  implemented  under  National  Health Mission (NHM) for interventions upto the district level include awareness generation for prevention,  screening,  early  detec tion  and  referral  to  an  appropriate  level  institution treatment. For Cancer, the focus is on three Cancers namely breast, cervical and oral.

(ii)        A  population  level  initiative  for  prevention,  control  and  screening  for  comm -Communicable Disea ses (diabetes, hypertension and cancer viz. oral, breast and cervical ca has been rolled out in over 215 districts of the country under NHM, as a part of compreh primary  healthcare. Screening  for  common  NCDs  is  also  an  integral  part  of  service  d elivery under Ayushman Bharat -Health and Wellness Centres.

(iii) The Government of India is also implementing 'Strengthening of Tertiary Care Cancer facilities' Scheme under NPCDCS to assist to establish/set up State Cancer Institutes (SCI) and Tertiar y Care Cancer Centres (TCCC) in different parts of the country. Oncology is one of the focus  areas  in  case  of  new  AIIMS  and  many  upgraded  institutions  under  Pradhan  Mant Swasthya Suraksha Yojna (PMSSY). Setting up of National Cancer Institute at Jhajjar (Haryana) and 2nd campus of Chittranjan National Cancer Institute, Kolkata has also been approved these will enhance the capacity for prevention and treatment of cancer in the country.

(iv)  The Government is providing financial assistance to patient s living below poverty line for life  threatening  diseases  under  the  schemes  such  as  Rashtriya  Arogya  Nidhi  (RAN),  Hea Minister's Cancer Patient Fund (HMCPF) and Health Minister's Discretionary Grant (HMDG).

(v)   Affordable Medicines and Reliable Implan ts for Treatment (AMRIT) Deendayal outlets have been opened at 159 Institutions/Hospitals with an objective to make available Cance Cardiovascular Diseases drugs and implants at discounted prices to the patients.

(vi)  Treatment of cancer is also ava i able under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojna (PMJAY).

Estimated Incidence of cancer cases in India by different State/UT -

All sites - (2016 to 2018)* - Both sexes

| States                                                          | 2016                                                            | 2017                                                            | 2018                                                            |
|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|
| Jammu &Kashmir                                                  | 15652                                                           | 16480                                                           | 17351                                                           |
| Himachal Pradesh                                                | 8029                                                            | 8348                                                            | 8679                                                            |
| Punjab                                                          | 32474                                                           | 33781                                                           | 35137                                                           |
| Chandigarh                                                      | 1274                                                            | 1335                                                            | 1398                                                            |
| Uttaranchal                                                     | 12381                                                           | 12995                                                           | 13640                                                           |
| Haryana                                                         | 30611                                                           | 32049                                                           | 33558                                                           |
| Delhi                                                           | 20015                                                           | 20899                                                           | 21821                                                           |
| Rajasthan                                                       | 82836                                                           | 86675                                                           | 90686                                                           |
| Uttar Pradesh                                                   | 245231                                                          | 257353                                                          | 270053                                                          |
| Bihar                                                           | 130628                                                          | 137656                                                          | 145051                                                          |
| Sikkim                                                          | 479                                                             | 485                                                             | 490                                                             |
| Arunachal Pradesh                                               | 1272                                                            | 1292                                                            | 1313                                                            |
| Nagaland                                                        | 1300                                                            | 1309                                                            | 1318                                                            |
| Manipur                                                         | 2998                                                            | 3082                                                            | 3168                                                            |
| Mizoram                                                         | 1652                                                            | 1687                                                            | 1723                                                            |
| Tripura                                                         | 2199                                                            | 2229                                                            | 2260                                                            |
| Meghalaya                                                       | 3311                                                            | 3376                                                            | 3442                                                            |
| Assam                                                           | 31825                                                           | 32177                                                           | 32530                                                           |
| West Bengal                                                     | 107906                                                          | 112466                                                          | 117220                                                          |
| Jharkhand                                                       | 40959                                                           | 43071                                                           | 45289                                                           |
| Orissa                                                          | 49674                                                           | 51763                                                           | 53936                                                           |
| Chhattisgarh                                                    | 31817                                                           | 33477                                                           | 35223                                                           |
| Madhya Pradesh                                                  | 89315                                                           | 93754                                                           | 98403                                                           |
| Gujarat                                                         | 73551                                                           | 77097                                                           | 80820                                                           |
| Daman &Diu                                                      | 440                                                             | 504                                                             | 579                                                             |
| Dadra &Nagar Haveli                                             | 497                                                             | 542                                                             | 591                                                             |
| Maharashtra                                                     | 132726                                                          | 138271                                                          | 144032                                                          |
| Telangana                                                       | 41939                                                           | 43784                                                           | 45713                                                           |
| Andhra Pradesh                                                  | 58072                                                           | 60475                                                           | 62978                                                           |
| Karnataka                                                       | 73511                                                           | 76867                                                           | 80381                                                           |
| Goa                                                             | 1726                                                            | 1801                                                            | 1881                                                            |
| Lakshadweep                                                     | 89                                                              | 96                                                              | 104                                                             |
| Kerala                                                          | 42004                                                           | 44566                                                           | 47382                                                           |
| Tamil Nadu                                                      | 80999                                                           | 83554                                                           | 86180                                                           |
| Pondicherry                                                     | 1596                                                            | 1687                                                            | 1783                                                            |
| Andaman & Nicobar Islands                                       | 429                                                             | 443                                                             | 458                                                             |
| Total                                                           | 1451417                                                         | 1517426                                                         | 1586571                                                         |
| Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016 | Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016 | Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016 | Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016 |

Estimated Mortality of cancer cases in India by different State/UT - All sites (2016 to 2018)* - Both sexes

| States                                                          | 2016                                                            | 2017                                                            | 2018                                                            |
|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|
| Jammu &Kashmir                                                  | 7925                                                            | 8345                                                            | 8788                                                            |
| Himachal Pradesh                                                | 4048                                                            | 4210                                                            | 4378                                                            |
| Punjab                                                          | 16423                                                           | 17084                                                           | 17771                                                           |
| Chandigarh                                                      | 646                                                             | 678                                                             | 709                                                             |
| Uttaranchal                                                     | 6245                                                            | 6556                                                            | 6883                                                            |
| Haryana                                                         | 15491                                                           | 16219                                                           | 16983                                                           |
| Delhi                                                           | 10127                                                           | 10573                                                           | 11039                                                           |
| Rajasthan                                                       | 41848                                                           | 43795                                                           | 45829                                                           |
| Uttar Pradesh                                                   | 123985                                                          | 130134                                                          | 136579                                                          |
| Bihar                                                           | 66040                                                           | 69607                                                           | 73361                                                           |
| Sikkim                                                          | 242                                                             | 245                                                             | 248                                                             |
| Arunachal Pradesh                                               | 649                                                             | 659                                                             | 670                                                             |
| Nagaland                                                        | 667                                                             | 672                                                             | 676                                                             |
| Manipur                                                         | 1500                                                            | 1542                                                            | 1585                                                            |
| Mizoram                                                         | 841                                                             | 859                                                             | 878                                                             |
| Tripura                                                         | 1125                                                            | 1140                                                            | 1156                                                            |
| Meghalaya                                                       | 1710                                                            | 1744                                                            | 1777                                                            |
| Assam                                                           | 16206                                                           | 16383                                                           | 16561                                                           |
| West Bengal                                                     | 54443                                                           | 56750                                                           | 59154                                                           |
| Jharkhand                                                       | 20671                                                           | 21741                                                           | 22864                                                           |
| Orissa                                                          | 25035                                                           | 26091                                                           | 27190                                                           |
| Chhattisgarh                                                    | 16030                                                           | 16868                                                           | 17751                                                           |
| Madhya Pradesh                                                  | 45110                                                           | 47358                                                           | 49713                                                           |
| Gujarat                                                         | 37182                                                           | 38983                                                           | 40873                                                           |
| Daman &Diu                                                      | 229                                                             | 263                                                             | 303                                                             |
| Dadra &Nagar Haveli                                             | 254                                                             | 276                                                             | 301                                                             |
| Maharashtra                                                     | 67035                                                           | 69843                                                           | 72762                                                           |
| Telangana                                                       | 21126                                                           | 22058                                                           | 23033                                                           |
| Andhra Pradesh                                                  | 29244                                                           | 30458                                                           | 31725                                                           |
| Karnataka                                                       | 37052                                                           | 38747                                                           | 40523                                                           |
| Goa                                                             | 870                                                             | 908                                                             | 948                                                             |
| Lakshadweep                                                     | 45                                                              | 48                                                              | 53                                                              |
| Kerala                                                          | 21062                                                           | 22348                                                           | 23761                                                           |
| Tamil Nadu                                                      | 40796                                                           | 42091                                                           | 43422                                                           |
| Pondicherry                                                     | 802                                                             | 848                                                             | 895                                                             |
| Andaman & Nicobar Islands                                       | 217                                                             | 224                                                             | 232                                                             |
| Total                                                           | 732921                                                          | 766348                                                          | 801374                                                          |
| Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016 | Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016 | Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016 | Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016 |