Lok Sabha Question No. 3983 (UNSTARRED), answered on 2023-03-24
Subject: Mortality Rate of Breast Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Diya Kumari

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

## LOK SABHA UNSTARRED QUESTION NO. 3983 TO BE ANSWERED ON 24th MARCH, 2023

## MORTALITY RATE OF BREAST CANCER

## 3983. MS. DIYA KUMARI:

Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether it is a fact that there has been an alarming rise in the cases of breast cancer in the country;
- (b) the mortality rate of breast cancer in the last ten years along with per capita public expenditure on breast cancer;
- (c) the age-adjusted incidence rate of breast cancer among women in India in the last ten years;
- (d) whether the Government intends to provide support and subsidy for the treatment of breast cancer to reduce the financial burden on the patients; and
- (e) whether the Government plans to introduce an initiative specifically for early detection of breast cancer?

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

## ANSWER (DR. BHARATI PRAVIN PAWAR)

- (a) to (c): As per the ICMR-National Cancer Registry Programme data, the estimated number of incidence and mortality of breast cancer in the country during the 2013 to 2022 are given below:

| Estimated cancer cases in India (2013-2022) - Breast (Females)   | Estimated cancer cases in India (2013-2022) - Breast (Females)   | Estimated cancer cases in India (2013-2022) - Breast (Females)   |
|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|
| Year                                                             | Incidence                                                        | Mortality                                                        |
| 2013                                                             | 170767                                                           | 63525                                                            |
| 2014                                                             | 175463                                                           | 65275                                                            |
| 2015                                                             | 180252                                                           | 67053                                                            |
| 2016                                                             | 185116                                                           | 68863                                                            |
| 2017                                                             | 190061                                                           | 70707                                                            |
| 2018                                                             | 195105                                                           | 72580                                                            |
| 2019                                                             | 200218                                                           | 74481                                                            |
| 2020                                                             | 205424                                                           | 76414                                                            |
| 2021                                                             | 210714                                                           | 78387                                                            |
| 2022                                                             | 216108                                                           | 80390                                                            |

(d) and (e) The Department of Health & Family Welfare, Government of India provides technical and financial support to the States/UTs under the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS). The programme includes the following:

- i. Strengthening infrastructure
- ii. Human resource development
- iii. Health promotion
- iv. Screening  of  30  years  and  above  population  under  Ayushman  Bharat  Health  Wellness Centre
- v. Early diagnosis and management
- vi. Referral to an appropriate level of healthcare facility

Under NPCDCS, 708 District NCD Clinics, 194 District Cardiac Care Units, 301 District Day Care Centres and 5671 Community Health Center NCD Clinics has been set up.

Awareness Generation for Cancer prevention & treatment has  also been focused in following ways:-

1. Preventive aspect of Cancer is strengthened under Comprehensive Primary Health Care through Ayushman Bharat Health Wellness Centre Scheme, by promotion of wellness activities and targeted communication at the community level.
2. Other initiatives for increasing public awareness by using print, electronic and social media about Cancer and for promotion of healthy lifestyle includes observation of National Cancer Awareness Day, World Cancer Day.
3. Healthy Eating is promoted through Food Safety and Standards Authority of India (FSSAI).
4. Fit India movement is implemented by Ministry of Youth Affairs and Sports.
5. Various Yoga related activities are carried out by Ministry of AYUSH.

Action taken by Government in respect of affordable healthcare for Cancer:

- 1The Central Government implements Strengthening of Tertiary Care Cancer Facilities Scheme. 19 State Cancer Institutes (SCIs) and 20 Tertiary Care Cancer Centres (TCCCs) have been approved under the said scheme. 15 institutes are functional so far. The details are attached at Annexure I.
- 2National  Cancer  Institute  at  Jhajjar  (Haryana)  and  second  campus  of  Chittaranjan  National Cancer Institute, Kolkata have also been setup.
- 3All existing and new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha  Yojna  (PMSSY)  also  focus  on  treatment  of  Cancer.  The  details  are  attached  at Annexure II.
- 4The treatment in Government Hospitals is either free or highly subsidized for the poor and needy. Under Pradhan Mantri Jan Arogya Yojana (PMJAY), health insurance cover of Rs. 5 lakhs per family per  year  for  secondary  or  tertiary  care  hospitalization  to  over  60  Crores  beneficiaries identified from Socio Economic and Caste Census 2011 (SECC 2011) database is provided. The treatment  packages  under  AB-PMJAY  are  very  comprehensive  covering  various  treatment related aspects such as drugs and diagnostic services.
- 5Financial assistance is provided to poor patients belonging to families living below poverty line, suffering  from  major  life-threatening  diseases  including  cancer  under  Umbrella  scheme  of Rashtriya Arogya Nidhi (RAN) and Health Minister's Discretionary Grant (HMDG). Financial assistance upto a maximum of Rs. 1,25,000/- is provided under HMDG to defray a part of the
- treatment cost and the maximum financial assistance provided under the Umbrella Scheme of RAN is Rs. 15 lakhs.
- 6Quality generic medicines are made available at affordable prices to all, under Pradhan Mantri Bhartiya  Janaushadhi  Pariyojana  (PMBJP)  in  collaboration  with  the  State  Governments. Affordable Medicines and Reliable Implants for Treatment (AMRIT) Pharmacy stores have been set  up  in  some  hospitals/institutions,  with  an  objective  to  make  available  Cancer  drugs  at  a substantial discount vis-à-vis the Maximum Retail Price.

## Table of SCIs/TCCCs:

## Annexure -I

|   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 Sciences, 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 | Himachal Pradesh | Shri Lal Bahadur Shastri Medical College, Mandi                       | TCCC         |
|     11 | Jammu&           | Sher-i-Kashmir Institute of Medical Sciences, Srinagar                | SCI          |
|     12 | Kashmir          | Government Medical College, Jammu                                     | SCI          |
|     13 | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                        | SCI          |
|     14 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bengaluru                | SCI          |
|     15 |                  | Mandya Institute of Medical Sciences, Mandya                          | TCCC         |
|     16 | Kerala           | Regional Cancer Centre, Thiruvananthapuram                            | 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         |

Table 1: Cancer Treatment Facility is approved in all New AIIMS

|   Sl. | AIIMS       |   Sl. | AIIMS     |
|-------|-------------|-------|-----------|
|     1 | Bhopal      |    12 | Bathinda  |
|     2 | Bhubaneswar |    13 | Guwahati  |
|     3 | Jodhpur     |    14 | Bilaspur  |
|     4 | Patna       |    15 | Deoghar   |
|     5 | Raipur      |    16 | Jammu     |
|     6 | Rishikesh   |    17 | Kashmir   |
|     7 | Raebareli   |    18 | Madurai   |
|     8 | Mangalagiri |    19 | Rajkot    |
|     9 | Nagpur      |    20 | Bibinagar |
|    10 | Kalyani     |    21 | Manethi   |
|    11 | Gorakhpur   |    22 | Darbhanga |

Table 2: List of State Govt. Medical Colleges being upgraded for cancer treatment

|   Sl. | State            | Name of Govt Medical College                                                      | Facility                                         |
|-------|------------------|-----------------------------------------------------------------------------------|--------------------------------------------------|
|     1 | Jharkhand        | RIMS Ranchi                                                                       | 68 bedded Oncology Block                         |
|     2 | Punjab           | Govt Medical College Amritsar                                                     | Oncology                                         |
|     3 | Himachal Pradesh | Rajendra Prasad Govt. Medical College, Tanda                                      | Oncology                                         |
|     4 | Karnataka        | Karnataka Institute of Medical Sciences, Hubli                                    | Medical Oncology                                 |
|     5 | Rajasthan        | SP Medical College, Bikaner                                                       | Surgical Oncology                                |
|     6 | Rajasthan        | RNT Medical College, Udaipur                                                      | Radiotherapy/Oncology                            |
|     7 | Telangana        | Kakatiya Medical College, Warangal                                                | Medical Oncology                                 |
|     8 | Uttar Pradesh    | Govt Medical College, Gorakhpur                                                   | Surgical Oncology                                |
|     9 | Uttar Pradesh    | M.L.N Government Medical College, Allahabad                                       | Surgical Oncology                                |
|    10 | Uttar Pradesh    | LLRM Medical College, Meerut.                                                     | Radiotherapy                                     |
|    11 | Uttar Pradesh    | Govt Medical College, Agra                                                        | Radiation /Medical Oncology                      |
|    12 | Bihar            | Patna                                                                             | Radiotherapy (equipment)                         |
|    13 | Kerala           | Sree Chitra Tirunal Institute of Medical Sciences &Technology, Thiruvananthapuram | Imaging Services and Interventional Radiotherapy |