Lok Sabha Question No. 4117 (UNSTARRED), answered on 2023-03-24
Subject: Rising Cases of Cardiovascular and Lifestyle Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: M. Selvaraj

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

## LOK SABHA UNSTARRED QUESTION NO. 4117 TO BE ANSWERED ON 24 th  MARCH, 2023

## RISING CASES OF CARDIOVASCULAR AND LIFESTYLE DISEASES

## 4117. SHRI M. SELVARAJ:

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

- (a) whether  the  incidences  of  cardiovascular  and  other  lifestyle  diseases  are  on  the  rise  in  the country;
- (b) if so, the details thereof indicating the estimated number of people currently suffering from such diseases and those died therefrom during each of the last three years and the current year, State/ UT-wise;
- (c) whether the Government has set any target to reduce the incidence of such lifestyle diseases and if so, the details thereof;
- (d) the measures taken by the Government in this regard along with the funds allocated and utilized for the purpose during the said period, State/ UT-wise; and
- (e) the further measures taken/proposed to be taken by the Government in this regard?

## ANSWER

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

(a) & (b): According to the ICMR study report "India: Health of the Nation's States"- The India StateLevel Disease Burden Initiative (2017), the proportion of Non- communicable Diseases (NCDs) have increased in India from 30.5% in 1990 to 55.4% in 2016 (details given in the table below):

|                        | Proportion to major disease groups   | Proportion to major disease groups   |
|------------------------|--------------------------------------|--------------------------------------|
| Name of the Disease    | 1990                                 | 2016                                 |
| Ischemic Heart Disease | 3.7%                                 | 8.7%                                 |
| Diabetes               | 0.7%                                 | 2.2%                                 |
| High Blood Pressure    | 3.9%                                 | 8.5%                                 |

[Complete report is available at https://www.healthdata.org/sites/default/files/files/policy\_report/2017/India\_Health\_of\_the\_Nation%2 7s\_States\_Report\_2017.pdf].

(c) As per the National Health Policy (2017), the target for non-communicable diseases is to reduce premature mortality from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases by 25% by 2025.

(d) & (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 prevention & control of Non Communicable Diseases 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 Cardiovascular and Lifestyle Diseases:

1. Patients with non-communicable diseases 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.
2. 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.

State/UT wise funds allocated and utilized to reduce the incidence of lifestyle diseases during the last three years and the current are attached at Annexure A.

*****

| Annexure A State/UT wise details of SPIP Approvals and Expenditure for National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular   | Annexure A State/UT wise details of SPIP Approvals and Expenditure for National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular   | Annexure A State/UT wise details of SPIP Approvals and Expenditure for National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular   | Annexure A State/UT wise details of SPIP Approvals and Expenditure for National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular   | Annexure A State/UT wise details of SPIP Approvals and Expenditure for National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular   | Annexure A State/UT wise details of SPIP Approvals and Expenditure for National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular   | Annexure A State/UT wise details of SPIP Approvals and Expenditure for National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular   | Annexure A State/UT wise details of SPIP Approvals and Expenditure for National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular   | Annexure A State/UT wise details of SPIP Approvals and Expenditure for National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular   | Annexure A State/UT wise details of SPIP Approvals and Expenditure for National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular   |
|------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|
|                                                                                                                                                            | State/UT                                                                                                                                                   | 2019-20                                                                                                                                                    | 2019-20                                                                                                                                                    | 2020-21                                                                                                                                                    | 2020-21                                                                                                                                                    | 2021-22                                                                                                                                                    | 2021-22                                                                                                                                                    | 2022-23                                                                                                                                                    | 2022-23                                                                                                                                                    |
|                                                                                                                                                            | State/UT                                                                                                                                                   | SPIP Approval                                                                                                                                              | Expenditure                                                                                                                                                | SPIP Approval                                                                                                                                              | Expenditure                                                                                                                                                | SPIP Approval                                                                                                                                              | Expenditure                                                                                                                                                | SPIP Approval                                                                                                                                              | Expenditure                                                                                                                                                |
| 1                                                                                                                                                          | Andaman & Nicobar Islands                                                                                                                                  | 52.00                                                                                                                                                      | 11.44                                                                                                                                                      | 13.89                                                                                                                                                      | 24.23                                                                                                                                                      | 56.96                                                                                                                                                      | 19.61                                                                                                                                                      | 52.46                                                                                                                                                      | 3.32                                                                                                                                                       |
| 2                                                                                                                                                          | Andhra Pradesh                                                                                                                                             | 359.83                                                                                                                                                     | 287.92                                                                                                                                                     | 1616.18                                                                                                                                                    | 1193.22                                                                                                                                                    | 4672.54                                                                                                                                                    | 4206.67                                                                                                                                                    | 6078.76                                                                                                                                                    | 2589.80                                                                                                                                                    |
| 3                                                                                                                                                          | Arunachal Pradesh                                                                                                                                          | 347.51                                                                                                                                                     | 128.28                                                                                                                                                     | 381.58                                                                                                                                                     | 151.06                                                                                                                                                     | 146.45                                                                                                                                                     | 825.60                                                                                                                                                     | 622.95                                                                                                                                                     | 134.70                                                                                                                                                     |
| 4                                                                                                                                                          | Assam                                                                                                                                                      | 2067.53                                                                                                                                                    | 625.33                                                                                                                                                     | 568.87                                                                                                                                                     | 238.50                                                                                                                                                     | 1258.57                                                                                                                                                    | 736.35                                                                                                                                                     | 1306.81                                                                                                                                                    | 181.67                                                                                                                                                     |
| 5                                                                                                                                                          | Bihar                                                                                                                                                      | 792.39                                                                                                                                                     | 277.96                                                                                                                                                     | 1977.74                                                                                                                                                    | 818.86                                                                                                                                                     | 956.30                                                                                                                                                     | 453.73                                                                                                                                                     | 8298.99                                                                                                                                                    | 1411.41                                                                                                                                                    |
| 6                                                                                                                                                          | Chandigarh                                                                                                                                                 | 2.80                                                                                                                                                       | 1.63                                                                                                                                                       | 1.30                                                                                                                                                       | 0.41                                                                                                                                                       | 12.84                                                                                                                                                      | 7.35                                                                                                                                                       | 4.15                                                                                                                                                       | 0.13                                                                                                                                                       |
| 7                                                                                                                                                          | Chhattisgarh                                                                                                                                               | 606.34                                                                                                                                                     | 508.25                                                                                                                                                     | 433.45                                                                                                                                                     | 703.69                                                                                                                                                     | 1619.06                                                                                                                                                    | 1686.65                                                                                                                                                    | 3506.32                                                                                                                                                    | 766.19                                                                                                                                                     |
| 8                                                                                                                                                          | Dadra &Nagar Haveli & Daman &Diu                                                                                                                           | 51.18                                                                                                                                                      | 41.49                                                                                                                                                      | 14.18                                                                                                                                                      | 45.16                                                                                                                                                      | 7.05                                                                                                                                                       | 55.18                                                                                                                                                      | 57.55                                                                                                                                                      | 8.31                                                                                                                                                       |
| 9                                                                                                                                                          | Delhi                                                                                                                                                      | 145.88                                                                                                                                                     | 12.24                                                                                                                                                      | 128.10                                                                                                                                                     | 3.65                                                                                                                                                       | 191.15                                                                                                                                                     | 26.92                                                                                                                                                      | 164.70                                                                                                                                                     | 8.08                                                                                                                                                       |
| 10                                                                                                                                                         | Goa                                                                                                                                                        | 85.33                                                                                                                                                      | 35.31                                                                                                                                                      | 50.53                                                                                                                                                      | 24.50                                                                                                                                                      | 168.97                                                                                                                                                     | 96.54                                                                                                                                                      | 153.05                                                                                                                                                     | 101.32                                                                                                                                                     |
| 11                                                                                                                                                         | Gujarat                                                                                                                                                    | 518.38                                                                                                                                                     | 460.97                                                                                                                                                     | 709.39                                                                                                                                                     | 375.67                                                                                                                                                     | 2076.80                                                                                                                                                    | 926.67                                                                                                                                                     | 4071.68                                                                                                                                                    | 155.02                                                                                                                                                     |
| 12                                                                                                                                                         | Haryana                                                                                                                                                    | 320.86                                                                                                                                                     | 195.34                                                                                                                                                     | 226.42                                                                                                                                                     | 181.62                                                                                                                                                     | 476.86                                                                                                                                                     | 353.18                                                                                                                                                     | 533.41                                                                                                                                                     | 121.89                                                                                                                                                     |
| 13                                                                                                                                                         | Himachal Pradesh                                                                                                                                           | 158.00                                                                                                                                                     | 164.88                                                                                                                                                     | 45.00                                                                                                                                                      | 64.67                                                                                                                                                      | 286.28                                                                                                                                                     | 190.19                                                                                                                                                     | 1361.00                                                                                                                                                    | 393.12                                                                                                                                                     |
| 14                                                                                                                                                         | Jammu& Kashmir                                                                                                                                             | 595.67                                                                                                                                                     | 136.72                                                                                                                                                     | 1253.80                                                                                                                                                    | 42.49                                                                                                                                                      | 805.68                                                                                                                                                     | 890.34                                                                                                                                                     | 792.00                                                                                                                                                     | 142.23                                                                                                                                                     |
| 15                                                                                                                                                         | Jharkhand                                                                                                                                                  | 593.78                                                                                                                                                     | 118.98                                                                                                                                                     | 535.24                                                                                                                                                     | 238.12                                                                                                                                                     | 2620.26                                                                                                                                                    | 1273.15                                                                                                                                                    | 1955.15                                                                                                                                                    | 483.99                                                                                                                                                     |
| 16                                                                                                                                                         | Karnataka                                                                                                                                                  | 1148.79                                                                                                                                                    | 644.56                                                                                                                                                     | 675.94                                                                                                                                                     | 604.32                                                                                                                                                     | 4097.12                                                                                                                                                    | 2186.39                                                                                                                                                    | 4409.74                                                                                                                                                    | 1577.47                                                                                                                                                    |
| 17                                                                                                                                                         | Kerala                                                                                                                                                     | 1508.70                                                                                                                                                    | 144.55                                                                                                                                                     | 1092.82                                                                                                                                                    | 1035.71                                                                                                                                                    | 4250.92                                                                                                                                                    | 734.43                                                                                                                                                     | 7662.02                                                                                                                                                    | 1800.80                                                                                                                                                    |
| 18                                                                                                                                                         | Ladakh                                                                                                                                                     | -                                                                                                                                                          | -                                                                                                                                                          | 0.00                                                                                                                                                       | 10.39                                                                                                                                                      | 104.45                                                                                                                                                     | 150.91                                                                                                                                                     | 273.36                                                                                                                                                     | 4.63                                                                                                                                                       |
| 19                                                                                                                                                         | Lakshadweep                                                                                                                                                | 3.48                                                                                                                                                       | 1.24                                                                                                                                                       | 15.55                                                                                                                                                      | 2.85                                                                                                                                                       | 24.72                                                                                                                                                      | 3.07                                                                                                                                                       | 21.21                                                                                                                                                      | 0.01                                                                                                                                                       |
| 20                                                                                                                                                         | Madhya Pradesh                                                                                                                                             | 530.77                                                                                                                                                     | 257.45                                                                                                                                                     | 937.98                                                                                                                                                     | 694.32                                                                                                                                                     | 1402.09                                                                                                                                                    | 1262.50                                                                                                                                                    | 4753.73                                                                                                                                                    | 734.46                                                                                                                                                     |
| 21                                                                                                                                                         | Maharashtra                                                                                                                                                | 3062.36                                                                                                                                                    | 1377.52                                                                                                                                                    | 747.47                                                                                                                                                     | 486.75                                                                                                                                                     | 976.63                                                                                                                                                     | 3474.90                                                                                                                                                    | 5311.21                                                                                                                                                    | 891.23                                                                                                                                                     |
| 22                                                                                                                                                         | Manipur                                                                                                                                                    | 199.92                                                                                                                                                     | 267.66                                                                                                                                                     | 293.66                                                                                                                                                     | 20.14                                                                                                                                                      | 623.31                                                                                                                                                     | 95.41                                                                                                                                                      | 722.21                                                                                                                                                     | 241.41                                                                                                                                                     |
| 23                                                                                                                                                         | Meghalaya                                                                                                                                                  | 52.48                                                                                                                                                      | 79.11                                                                                                                                                      | 46.55                                                                                                                                                      | 330.26                                                                                                                                                     | 416.03                                                                                                                                                     | 401.94                                                                                                                                                     | 407.60                                                                                                                                                     | 61.31                                                                                                                                                      |
| 24                                                                                                                                                         | Mizoram                                                                                                                                                    | 54.48                                                                                                                                                      | 15.21                                                                                                                                                      | 58.88                                                                                                                                                      | 15.80                                                                                                                                                      | 332.26                                                                                                                                                     | 230.86                                                                                                                                                     | 176.24                                                                                                                                                     | 14.88                                                                                                                                                      |
| 25                                                                                                                                                         | Nagaland                                                                                                                                                   | 206.04                                                                                                                                                     | 93.89                                                                                                                                                      | 137.10                                                                                                                                                     | 37.86                                                                                                                                                      | 305.43                                                                                                                                                     | 610.04                                                                                                                                                     | 312.26                                                                                                                                                     | 40.14                                                                                                                                                      |
| 26                                                                                                                                                         | Odisha                                                                                                                                                     | 661.80                                                                                                                                                     | 549.30                                                                                                                                                     | 881.79                                                                                                                                                     | 1021.54                                                                                                                                                    | 2158.89                                                                                                                                                    | 1944.10                                                                                                                                                    | 7442.69                                                                                                                                                    | 1915.90                                                                                                                                                    |
| 27                                                                                                                                                         | Puducherry                                                                                                                                                 | 24.15                                                                                                                                                      | 19.34                                                                                                                                                      | 23.72                                                                                                                                                      | 1.46                                                                                                                                                       | 126.82                                                                                                                                                     | 24.81                                                                                                                                                      | 113.10                                                                                                                                                     | 20.60                                                                                                                                                      |
| 28                                                                                                                                                         | Punjab                                                                                                                                                     | 184.45                                                                                                                                                     | 107.62                                                                                                                                                     | 169.79                                                                                                                                                     | 83.17                                                                                                                                                      | 705.42                                                                                                                                                     | 160.83                                                                                                                                                     | 1405.93                                                                                                                                                    | 481.34                                                                                                                                                     |
| 29                                                                                                                                                         | Rajasthan                                                                                                                                                  | 2903.20                                                                                                                                                    | 2126.20                                                                                                                                                    | 1227.09                                                                                                                                                    | 882.62                                                                                                                                                     | 4603.49                                                                                                                                                    | 3301.67                                                                                                                                                    | 23542.92                                                                                                                                                   | 1609.75                                                                                                                                                    |
| 30                                                                                                                                                         | Sikkim                                                                                                                                                     | 72.31                                                                                                                                                      | 25.44                                                                                                                                                      | 53.06                                                                                                                                                      | 9.20                                                                                                                                                       | 156.78                                                                                                                                                     | 45.79                                                                                                                                                      | 117.04                                                                                                                                                     | 10.26                                                                                                                                                      |
| 31 32                                                                                                                                                      | Tamil Nadu                                                                                                                                                 | 2006.42                                                                                                                                                    | 735.97                                                                                                                                                     | 798.77                                                                                                                                                     | 371.00 351.54                                                                                                                                              | 4004.70 3139.44                                                                                                                                            | 2985.56                                                                                                                                                    | 8466.91                                                                                                                                                    | 1337.00 5284.56                                                                                                                                            |
|                                                                                                                                                            | Telangana                                                                                                                                                  | 766.04                                                                                                                                                     | 239.42                                                                                                                                                     | 490.70                                                                                                                                                     |                                                                                                                                                            |                                                                                                                                                            | 2657.83                                                                                                                                                    | 5272.72                                                                                                                                                    |                                                                                                                                                            |
| 33                                                                                                                                                         | Tripura                                                                                                                                                    | 215.13                                                                                                                                                     | 162.00                                                                                                                                                     | 131.33                                                                                                                                                     | 104.05                                                                                                                                                     | 383.86                                                                                                                                                     | 247.35                                                                                                                                                     | 496.53                                                                                                                                                     | 120.44                                                                                                                                                     |
| 34                                                                                                                                                         | Uttar Pradesh                                                                                                                                              | 7602.17                                                                                                                                                    | 2908.04                                                                                                                                                    | 6654.70                                                                                                                                                    | 1888.30                                                                                                                                                    | 13196.18                                                                                                                                                   | 5237.37                                                                                                                                                    | 13607.82                                                                                                                                                   | 2368.53                                                                                                                                                    |
| 35                                                                                                                                                         | Uttarakhand                                                                                                                                                | 331.74                                                                                                                                                     | 39.66                                                                                                                                                      | 144.80                                                                                                                                                     | 0.00                                                                                                                                                       | 597.75                                                                                                                                                     | 327.57                                                                                                                                                     | 1127.33                                                                                                                                                    | 69.09                                                                                                                                                      |
| 36                                                                                                                                                         | West Bengal                                                                                                                                                | 892.09                                                                                                                                                     | 672.00                                                                                                                                                     | 1399.34                                                                                                                                                    | 916.39                                                                                                                                                     | 3697.33                                                                                                                                                    | 3517.71                                                                                                                                                    | 3868.71                                                                                                                                                    | 3006.57                                                                                                                                                    |