Lok Sabha Question No. 1809 (UNSTARRED), answered on 2022-12-16
Subject: Death Cases of Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nusrat Jahan Ruhi

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

## LOK SABHA UNSTARRED QUESTION NO. 1809 TO BE ANSWERED ON 16th DECEMBER, 2022

## DEATH CASES OF CANCER

## 1809. MS. NUSSRAT JAHAN:

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

(a) the details of the cancer patients in the country, State-wise;

(b) the details of the cancer patients deaths during the last five years in the country, Statewise;

(c) the details of the cancer patients getting treatment in the country, private and Government Hospital-wise and State-wise;

(d) whether it is a fact that cancer treatment is very costly in the country; and

(e) if so, the action taken by the Government in terms of the affordability of cancer treatment and reducing the growing burden on patients of cancer in the country?

## ANSWER

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

(a)  to  (b):  As  per  the  Indian  Council  of  Medical  Research's  National  Cancer  Registry Programme data, the estimated number of incidence of cancer cases in the country for 2022 by State/UT wise is enclosed in Annexure (Table 1). The estimated number of mortality of cancer cases in the country during 2018 to 2022 by State/UT wise is enclosed in Annexure (Table 2).

(c) to (e): 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. Relevant data  related  to  patients  registered  for  treatment,  is  maintained  by  the  Institutions  and Hospitals concerned at their own level.

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)  as  part  of  National Health Mission (NHM), based on the proposals received from the States/UTs and subject to the  resource  envelope.  The  programme  focuses  on  strengthening  infrastructure,  human resource  development,  health  promotion  &  awareness  generation  for  prevention,  early diagnosis, management and referral to an appropriate level of healthcare facility for treatment of  the  Non-Communicable  Diseases  (NCDs).  Under  NPCDCS,  266  District  Day  Care Centres  has  been  set  up  to  ensure  continuum  of  chemotherapy  of  patients  already  put  on treatment.

The  Central  Government  implements  Tertiary  Care  Cancer  Facilities  Scheme  in  order  to enhance  the  facilities  for  tertiary  care  of  cancer.  19  State  Cancer  Institutes  (SCIs)  and  20 Tertiary Care Cancer 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.

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.

| Table 1: Estimated Incidence of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2022) - Both sexes   | Table 1: Estimated Incidence of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2022) - Both sexes   |
|----------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------|
| State                                                                                                                            | 2022                                                                                                                             |
| Jammu &Kashmir                                                                                                                   | 13395                                                                                                                            |
| Ladakh UT                                                                                                                        | 302                                                                                                                              |
| Himachal Pradesh                                                                                                                 | 9164                                                                                                                             |
| Punjab                                                                                                                           | 40435                                                                                                                            |
| Chandigarh                                                                                                                       | 1088                                                                                                                             |
| Uttaranchal                                                                                                                      | 12065                                                                                                                            |
| Haryana                                                                                                                          | 30851                                                                                                                            |
| Delhi                                                                                                                            | 26735                                                                                                                            |
| Rajasthan                                                                                                                        | 74725                                                                                                                            |
| Uttar Pradesh                                                                                                                    | 210958                                                                                                                           |
| Bihar                                                                                                                            | 109274                                                                                                                           |
| Sikkim                                                                                                                           | 496                                                                                                                              |
| Arunachal Pradesh                                                                                                                | 1087                                                                                                                             |
| Nagaland                                                                                                                         | 1854                                                                                                                             |
| Manipur                                                                                                                          | 2097                                                                                                                             |
| Mizoram                                                                                                                          | 1985                                                                                                                             |
| Tripura                                                                                                                          | 2715                                                                                                                             |
| Meghalaya                                                                                                                        | 3025                                                                                                                             |
| Assam                                                                                                                            | 39787                                                                                                                            |
| West Bengal                                                                                                                      | 113581                                                                                                                           |
| Jharkhand                                                                                                                        | 35860                                                                                                                            |
| Orissa                                                                                                                           | 52960                                                                                                                            |
| Chhattisgarh                                                                                                                     | 29253                                                                                                                            |
| Madhya Pradesh                                                                                                                   | 81901                                                                                                                            |
| Gujarat                                                                                                                          | 73382                                                                                                                            |
| Daman                                                                                                                            | 150                                                                                                                              |
| Dadra &Nagar Haveli                                                                                                              | 238                                                                                                                              |
| Maharashtra                                                                                                                      | 121717                                                                                                                           |
| Telangana                                                                                                                        | 49983                                                                                                                            |
| Andhra Pradesh                                                                                                                   | 73536                                                                                                                            |
| Karnataka                                                                                                                        | 90349                                                                                                                            |
| Goa                                                                                                                              | 1700                                                                                                                             |
| Lakshadweep                                                                                                                      | 28                                                                                                                               |
| Kerala                                                                                                                           | 59143                                                                                                                            |
| Tamil Nadu                                                                                                                       | 93536                                                                                                                            |
| Pondicherry                                                                                                                      | 1679                                                                                                                             |
| Andaman &Nicobar Islands                                                                                                         | 393                                                                                                                              |
| Total                                                                                                                            | 14,61,427                                                                                                                        |

| Table 2: Estimated Mortality of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2018-2022) - Both sexes   | Table 2: Estimated Mortality of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2018-2022) - Both sexes   | Table 2: Estimated Mortality of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2018-2022) - Both sexes   | Table 2: Estimated Mortality of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2018-2022) - Both sexes   | Table 2: Estimated Mortality of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2018-2022) - Both sexes   | Table 2: Estimated Mortality of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2018-2022) - Both sexes   |
|---------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|
| State                                                                                                                                 | 2018                                                                                                                                  | 2019                                                                                                                                  | 2020                                                                                                                                  | 2021                                                                                                                                  | 2022                                                                                                                                  |
| Jammu &Kashmir                                                                                                                        | 6670                                                                                                                                  | 6845                                                                                                                                  | 7027                                                                                                                                  | 7211                                                                                                                                  | 7396                                                                                                                                  |
| Ladakh UT                                                                                                                             | 154                                                                                                                                   | 158                                                                                                                                   | 162                                                                                                                                   | 166                                                                                                                                   | 171                                                                                                                                   |
| Himachal Pradesh                                                                                                                      | 4642                                                                                                                                  | 4744                                                                                                                                  | 4856                                                                                                                                  | 4953                                                                                                                                  | 5058                                                                                                                                  |
| Punjab                                                                                                                                | 21278                                                                                                                                 | 21763                                                                                                                                 | 22276                                                                                                                                 | 22786                                                                                                                                 | 23301                                                                                                                                 |
| Chandigarh                                                                                                                            | 532                                                                                                                                   | 548                                                                                                                                   | 564                                                                                                                                   | 582                                                                                                                                   | 598                                                                                                                                   |
| Uttaranchal                                                                                                                           | 6028                                                                                                                                  | 6184                                                                                                                                  | 6337                                                                                                                                  | 6500                                                                                                                                  | 6655                                                                                                                                  |
| Haryana                                                                                                                               | 15255                                                                                                                                 | 15684                                                                                                                                 | 16109                                                                                                                                 | 16543                                                                                                                                 | 16997                                                                                                                                 |
| Delhi                                                                                                                                 | 13218                                                                                                                                 | 13644                                                                                                                                 | 14057                                                                                                                                 | 14494                                                                                                                                 | 14917                                                                                                                                 |
| Rajasthan                                                                                                                             | 37123                                                                                                                                 | 38100                                                                                                                                 | 39111                                                                                                                                 | 40117                                                                                                                                 | 41167                                                                                                                                 |
| Uttar Pradesh                                                                                                                         | 106350                                                                                                                                | 108911                                                                                                                                | 111491                                                                                                                                | 114128                                                                                                                                | 116818                                                                                                                                |
| Bihar                                                                                                                                 | 54566                                                                                                                                 | 56028                                                                                                                                 | 57531                                                                                                                                 | 59043                                                                                                                                 | 60629                                                                                                                                 |
| Sikkim                                                                                                                                | 270                                                                                                                                   | 275                                                                                                                                   | 276                                                                                                                                   | 288                                                                                                                                   | 308                                                                                                                                   |
| Arunachal Pradesh                                                                                                                     | 612                                                                                                                                   | 622                                                                                                                                   | 635                                                                                                                                   | 655                                                                                                                                   | 670                                                                                                                                   |
| Nagaland                                                                                                                              | 961                                                                                                                                   | 982                                                                                                                                   | 1008                                                                                                                                  | 1029                                                                                                                                  | 1060                                                                                                                                  |
| Manipur                                                                                                                               | 1047                                                                                                                                  | 1070                                                                                                                                  | 1105                                                                                                                                  | 1175                                                                                                                                  | 1220                                                                                                                                  |
| Mizoram                                                                                                                               | 1119                                                                                                                                  | 1149                                                                                                                                  | 1183                                                                                                                                  | 1231                                                                                                                                  | 1271                                                                                                                                  |
| Tripura                                                                                                                               | 1496                                                                                                                                  | 1526                                                                                                                                  | 1571                                                                                                                                  | 1600                                                                                                                                  | 1651                                                                                                                                  |
| Meghalaya                                                                                                                             | 1791                                                                                                                                  | 1837                                                                                                                                  | 1887                                                                                                                                  | 1928                                                                                                                                  | 1980                                                                                                                                  |
| Assam                                                                                                                                 | 21715                                                                                                                                 | 22261                                                                                                                                 | 22824                                                                                                                                 | 23395                                                                                                                                 | 23974                                                                                                                                 |
| West Bengal                                                                                                                           | 56988                                                                                                                                 | 58368                                                                                                                                 | 59786                                                                                                                                 | 61213                                                                                                                                 | 62652                                                                                                                                 |
| Jharkhand                                                                                                                             | 17710                                                                                                                                 | 18215                                                                                                                                 | 18716                                                                                                                                 | 19241                                                                                                                                 | 19766                                                                                                                                 |
| Orissa                                                                                                                                | 26810                                                                                                                                 | 27427                                                                                                                                 | 28024                                                                                                                                 | 28656                                                                                                                                 | 29287                                                                                                                                 |
| Chattisgarh                                                                                                                           | 14522                                                                                                                                 | 14891                                                                                                                                 | 15279                                                                                                                                 | 15666                                                                                                                                 | 16057                                                                                                                                 |
| Madhya Pradesh                                                                                                                        | 40798                                                                                                                                 | 41876                                                                                                                                 | 42966                                                                                                                                 | 44056                                                                                                                                 | 45176                                                                                                                                 |
| Gujarat                                                                                                                               | 36325                                                                                                                                 | 37300                                                                                                                                 | 38306                                                                                                                                 | 39328                                                                                                                                 | 40356                                                                                                                                 |
| Daman                                                                                                                                 | 55                                                                                                                                    | 63                                                                                                                                    | 66                                                                                                                                    | 70                                                                                                                                    | 77                                                                                                                                    |
| Dadra &Nagar Haveli                                                                                                                   | 92                                                                                                                                    | 102                                                                                                                                   | 109                                                                                                                                   | 117                                                                                                                                   | 128                                                                                                                                   |
| Maharashtra                                                                                                                           | 60814                                                                                                                                 | 62291                                                                                                                                 | 63797                                                                                                                                 | 65326                                                                                                                                 | 66879                                                                                                                                 |
| Telangana                                                                                                                             | 24788                                                                                                                                 | 25408                                                                                                                                 | 26038                                                                                                                                 | 26681                                                                                                                                 | 27339                                                                                                                                 |
| Andhra Pradesh                                                                                                                        | 36884                                                                                                                                 | 37724                                                                                                                                 | 38582                                                                                                                                 | 39443                                                                                                                                 | 40307                                                                                                                                 |
| Karnataka                                                                                                                             | 44775                                                                                                                                 | 45926                                                                                                                                 | 47113                                                                                                                                 | 48290                                                                                                                                 | 49516                                                                                                                                 |
| Goa                                                                                                                                   | 848                                                                                                                                   | 877                                                                                                                                   | 893                                                                                                                                   | 909                                                                                                                                   | 932                                                                                                                                   |
| Lakshadweep                                                                                                                           | 13                                                                                                                                    | 13                                                                                                                                    | 13                                                                                                                                    | 14                                                                                                                                    | 14                                                                                                                                    |
| Kerala                                                                                                                                | 30057                                                                                                                                 | 30615                                                                                                                                 | 31166                                                                                                                                 | 31713                                                                                                                                 | 32271                                                                                                                                 |
| Tamil Nadu                                                                                                                            | 45846                                                                                                                                 | 47075                                                                                                                                 | 48314                                                                                                                                 | 49571                                                                                                                                 | 50841                                                                                                                                 |
| Pondicherry                                                                                                                           | 794                                                                                                                                   | 820                                                                                                                                   | 852                                                                                                                                   | 879                                                                                                                                   | 905                                                                                                                                   |
| Andaman &Nicobar Islands                                                                                                              | 193                                                                                                                                   | 195                                                                                                                                   | 200                                                                                                                                   | 205                                                                                                                                   | 214                                                                                                                                   |
| Total                                                                                                                                 | 7,33,13 9                                                                                                                             | 7,51,51 7                                                                                                                             | 7,70,23 0                                                                                                                             | 7,89,20 2                                                                                                                             | 8,08,55 8                                                                                                                             |

| Ref: National Cancer Registry Programme   |
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