Lok Sabha Question No. 1829 (UNSTARRED), answered on 2022-12-16
Subject: Cases of Measles
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kaushalendra Kumar, Sudheer Gupta, Ravi Kishan Shukla, Sanjay Sadashivrao Mandlik, Dinesh Chandra Yadav, Ravneet Singh, Ravindra Kushawaha, Santosh Kumar, Su Thirunavukkarasar, Shrirang Appa Barne, Hasmukhbhai Somabhai Patel, Prataprao  Jadhav, Bidyut Baran Mahato, Sambhajirao Mane Dhairyasheel, Subrata Pathak, Ratansinh Magansinh Rathod, Manoj Kumar Tiwari

## GOVERNMENT OF INDIA

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

## LOK SABHA

UNSTARRED QUESTION NO. - 1829

TO BE ANSWERED ON 16.12.2022

CASES OF MEASLES

## 1829.  SHRI KAUSHALENDRA KUMAR:

SHRI SUDHEER GUPTA:

SHRI RAVI KISHAN:

SHRI SANJAY SADASHIVRAO MANDLIK:

SHRI DINESH CHANDRA YADAV:

SHRI RAVNEET SINGH BITTU:

SHRI RAVINDRA KUSHWAHA:

SHRI SANTOSH KUMAR:

SHRI THIRUNAVUKKARASAR SU:

SHRI SHRIRANG APPA BARNE:

SHRI PATEL HASMUKHBHAI SOMABHAI:

SHRI PRATAPRAO JADHAV:

SHRI BIDYUT BARAN MAHATO:

SHRI DHAIRYASHEEL SAMBHAJIRAO MANE:

SHRI SUBRAT PATHAK:

SHRI RATANSINH MAGANSINH RATHOD:

SHRI MANOJ TIWARI:

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

- (a) whether  a  large  number  of  cases  of  Measles  among  children  have  been  reported  from various parts of the country including Bihar, Gujarat, Haryana,  Jharkhand, Kerala, Maharashtra and if so, the details along with the mortalities, if any thereof, State/UT-wise;
- (b) whether  the  Government  has  constituted  a  three  Member  High  Level  Multi-Disciplinary Teams separately  in  various  parts  of  the  country  to  take  stock  of  the  upsurge  in  measles cases and if so, the details thereof along with the composition/findings of the said teams;
- (c) whether  the  Government  has  had  any  deliberations  with  affected  State  Governments regarding  the  rising  cases  of  measles/provision  of  assistance  and  if  so,  the  details  thereof along with the response of the State Government in this regard;
- (d) whether the Union Government has sanctioned /released any fund for these States to counter the said diseases and if so, the details thereof;
- (e) whether the Government has called for any report for the same from the department and if so, the details thereof; and
- (f) the reasons for rising cases of measles along with the status of Measles Rubella Coverage Vaccination  (MRCV),  State-wise  along  with  the  measures  taken  by  the  Government  for elimination of measles from the country by 2023?

## ANSWER

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

- (a) to (f): An upsurge in cases of measles has been reported during November 2022. Number of reported cases and deaths in affected States due to measles among children is at Annexure I.

Taking  note  of  upsurge  of  cases  from  certain  districts/cities  of  Maharashtra,  Jharkhand, Gujarat and Kerala, Union Ministry of Health & family Welfare deployed multi-disciplinary Central teams comprising of public health specialists, paediatricians and microbiologists to assess the situation and provide technical support to the States.

The  Central  teams  deployed  noted  need  for  further  strengthening  of  disease  surveillance activities,  ramping  up  immunization  with  measles  containing  vaccines,  managing  vaccine hesitancy  through  intensive  community  awareness  to  cover  all  unimmunized  children, improving case management through timely detection, referral and clinical management of cases  etc.  The  findings  of  the  Central  Teams  along  with  their  recommendations  were  also formally conveyed to these States to take suitable necessary action to manage the upsurge of measles  cases  in  the  community.  Union  Ministry  of  Health  &  Family  Welfare  has coordinated with States/UTs to assist in the management of these cases.

Government  of  India  provides  financial  assistance  to  States to improve  their  health infrastructure  besides  providing  greater  flexibility  to  States  through  flexible  pool  of  funds under NHM which can be utilized as per felt need and field based priorities.

Details of funds released to affected states under National Health Mission (NHM) during the F.Y. 2019-20 and 2021-22 is given at Annexure II .

Additional measures prioritized by Union Ministry of Health in coordination with States to eliminate Measles and Rubella by 2023 include:

- a) Roadmap for Measles and Rubella (MR) Elimination has been prepared and distributed to  the  States  and  UTs  across  India  which  serves  as  a  guidance  tool  for  planning  the elimination activities including strengthening of Measles and Rubella vaccine coverage and surveillance.
- b) Specific advisories have been issued to Maharashtra, Haryana and Jharkhand regarding key actions to be taken following outbreaks as a part of outbreak response.
- c) National workshop has been conducted for apprising the States/UT officers regarding MR elimination.

Number of reported cases and deaths due to measles among children for the aforementioned State (Data as on 12 th December 2022)

|   S. No. | State       | Measles cases (Laboratory confirmed + Epidemiologically linked + Clinically compatible)   |   Suspected measles death (as reported by the State) |
|----------|-------------|-------------------------------------------------------------------------------------------|------------------------------------------------------|
|        1 | Bihar       | 1,276                                                                                     |                                                    7 |
|        2 | Gujarat     | 1,650                                                                                     |                                                    9 |
|        3 | Haryana     | 1,537                                                                                     |                                                    3 |
|        4 | Jharkhand   | 2,683                                                                                     |                                                    8 |
|        5 | Kerala      | 195                                                                                       |                                                    0 |
|        6 | Maharashtra | 3,075                                                                                     |                                                   13 |

## State  wise  Central  Release  under  National  Health  Mission  (NHM)  from  F.Y.  2019-20  to 2021-22

(Rs. In Crore)

|   Sl. No. | State       |   2019-20 |   2020-21 |   2021-22 |
|-----------|-------------|-----------|-----------|-----------|
|         1 | Bihar       |   1510.68 |   1814.63 |   1748.76 |
|         2 | Gujarat     |   1110.8  |   1005.66 |   1094.48 |
|         3 | Haryana     |    567.71 |    531.5  |    577.07 |
|         4 | Jharkhand   |    830.63 |    602.8  |    640.18 |
|         5 | Kerala      |    836.14 |    788.22 |    771.47 |
|         6 | Maharashtra |   1724.99 |   1833.59 |   1769.67 |