Lok Sabha Question No. 1639 (UNSTARRED), answered on 2022-12-16
Subject: Rising of Cancer Cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sanjay Seth, Nayab Singh, Gyaneshwar Patil

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

## LOK SABHA UNSTARRED QUESTION NO. 1639

## TO BE ANSWERED ON 16 th  DECEMBER, 2022

## RISING OF CANCER CASES

## 1639.   SHRI SANJAY SETH:

SHRI NAYAB SINGH:

SHRI GYANESHWAR PATIL:

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

- (a) whether modern technology is being used in India for the treatment of cancer disease;
- (b) if so, the details thereof and if not, the reasons therefor;
- (c) the number of cancer patients reported across the country during the last two years, State/
- UT-wise/district-wise including the State of Jharkhand; and
- (d)  the  steps  taken/proposed  to  be  taken  by  the  Government  to  provide  medicines, chemotherapy to cancer patients at affordable rates?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) to (d):  The state-of-the-art facilities for clinical management of patients with cancer are available  at  Central  Institutes  like  AIIMS,  Chittaranjan  National  Cancer  Institute  (CNCI), Postgraduate Institute of Medical Education Research, etc., and support provided to Day Care Centres  in  District  Hospitals  under  National  Health  Mission  and  also  to  the  State  Cancer Institutes  and  Tertiary  Cancer  Care  Centres  under  Strengthening  of  Tertiary  Cancer  Care Centres Facilities Scheme.

As per the ICMR - National Cancer Registry Programme, the estimated number of incidence of cancer cases reported across the country during 2021 to 2022 by State/UT wise including Jharkhand State is enclosed in Annexure 1.

Patients  with  non-communicable diseases including  cancer are  getting treatment at various health  facilities  in  the  health  care  delivery  system  including  Districts  Hospitals,  Medical Colleges,  Central  Institutes  like  AIIMS  and  private  sector  hospitals.  The  treatment  in Government Hospitals is either free or highly subsidized for the poor and needy.

The  Department  of  Health  &  Family  Welfare,  Government  of  India,  however,  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), as  part  of  National  Health  Mission  (NHM),  based  on  the  proposals  received  from  the States/UTs and subject to the resource envelope. Cancer is an integral part of NPCDCS. The programme  focusses  on  strengthening  infrastructure,  human  resource  development,  health promotion & awareness generation for Cancer prevention, early diagnosis, management and referral to an appropriate level of healthcare facility for treatment of the Non-Communicable Diseases (NCDs), including Cancer. Under NPCDCS, 268 District Day Care Centres have been set up.

The  Central  Government  implements  Strengthening  of  Tertiary  Cancer  Care  Centres Facilities Scheme in order to enhance the facilities for tertiary care of cancer. 19 State Cancer Institutes  (SCIs) and 20  Tertiary Cancer Care Centres (TCCCs) have been approved under the said scheme. Seven of these SCIs/TCCCs have been completed.

There  is  also  focus  on  Oncology  in  its  various  aspects  in  case  of  new  AIIMS  and  many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Setting up of National Cancer Institute at Jhajjar (Haryana) and second campus of Chittaranjan National Cancer Institute, Kolkata are also steps in this direction. All these enhance the capacity for treatment of cancer in the country.

Cancer is diagnosed and treated at various levels in the health care facilities. The treatment in Government Hospitals is either free or highly subsidized for the poor and needy. Treatment of Cancers is also available under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PMJAY). Besides, quality 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.

| State                    | 2021      | 2022      |
|--------------------------|-----------|-----------|
| Jammu &Kashmir           | 13060     | 13395     |
| Ladakh UT                | 294       | 302       |
| Himachal Pradesh         | 8978      | 9164      |
| Punjab                   | 39521     | 40435     |
| Chandigarh               | 1053      | 1088      |
| Uttaranchal              | 11779     | 12065     |
| Haryana                  | 30015     | 30851     |
| Delhi                    | 25969     | 26735     |
| Rajasthan                | 72825     | 74725     |
| Uttar Pradesh            | 206088    | 210958    |
| Bihar                    | 106435    | 109274    |
| Sikkim                   | 465       | 496       |
| Arunachal Pradesh        | 1064      | 1087      |
| Nagaland                 | 1805      | 1854      |
| Manipur                  | 2022      | 2097      |
| Mizoram                  | 1919      | 1985      |
| Tripura                  | 2623      | 2715      |
| Meghalaya                | 2943      | 3025      |
| Assam                    | 38834     | 39787     |
| West Bengal              | 110972    | 113581    |
| Jharkhand                | 34910     | 35860     |
| Orissa                   | 51829     | 52960     |
| Chhattisgarh             | 28529     | 29253     |
| Madhya Pradesh           | 79871     | 81901     |
| Gujarat                  | 71507     | 73382     |
| Daman                    | 135       | 150       |
| Dadra &Nagar Haveli      | 219       | 238       |
| Maharashtra              | 118906    | 121717    |
| Telangana                | 48775     | 49983     |
| Andhra Pradesh           | 71970     | 73536     |
| Karnataka                | 88126     | 90349     |
| Goa                      | 1652      | 1700      |
| Lakshadweep              | 28        | 28        |
| Kerala                   | 58139     | 59143     |
| Tamil Nadu               | 91184     | 93536     |
| Pondicherry              | 1623      | 1679      |
| Andaman &Nicobar Islands | 380       | 393       |
| Total                    | 14,26,447 | 14,61,427 |