Lok Sabha Question No. 45 (STARRED), answered on 2022-12-09
Subject: Cases of Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kalyan Banerjee

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

## LOK SABHA STARRED QUESTION NO. 45 TO BE ANSWERED ON 9 TH  DECEMBER, 2022

## CASES OF CANCER

## *45. SHRI KALYAN BANERJEE :

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

- (a)  whether  the  Government  is  aware  that  as  per  the  National  Cancer  Registry Programme Report (NCRP), India ranks third among the nations in terms of highest number of cancer cases with over 13 lakh people in India suffering from cancer every year;
- (b)  if  so,  whether  Indian  Council  of  Medical  Research  (ICMR)  estimates  that  there will be a 12 percent rise in cancer cases across India by the next five years;
- (c) the details of people under treatment for cancer in different age groups, upto the age of 15 years between 15-30 years, 30-50 years and 50 plus age group, State-wise;
- (d) the details of the total number of applications received under the Rashtriya Arogya Nidhi  -  Health  Minister's  Cancer  Patient  Fund  (RAN-HMCPF)  and  the  financial assistance sanctioned since 2015 onwards; and
- (e) whether the Government proposes to support free cancer treatment to all patients across  the  country  including  providing  medicines  and  food  thereof  and  if  so,  the details thereof and if not, the reasons therefor?

## ANSWER

## THE MINISTER OF HEALTH AND FAMILY WELFARE (DR. MANSUKH MANDAVIYA)

(a) to (e): A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO THE LOK SABHA STARRED QUESTION NO. 45 FOR 9 TH  DECEMBER, 2022

*****

(a)  to  (e):  As  per  National  Cancer  Registry  Programme,  the  estimated  number  of Cancer cases in the country in 2020 was 13,92,179 and the incidence of cancer cases in the country is projected to increase by 12.8%. The details are provided below:

| Estimated Incidence of Cancer Cases in India for all sites- (2020 and 2025)- both sexes   | Estimated Incidence of Cancer Cases in India for all sites- (2020 and 2025)- both sexes   | Estimated Incidence of Cancer Cases in India for all sites- (2020 and 2025)- both sexes   | Estimated Incidence of Cancer Cases in India for all sites- (2020 and 2025)- both sexes   |
|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|
| Year                                                                                      | 2020                                                                                      | 2025                                                                                      | Change                                                                                    |
| All sites of Cancer                                                                       | 13,92,179                                                                                 | 15,69,793                                                                                 | 12.8%                                                                                     |

Patients  with  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.  Relevant  data  related  to  patients registered for treatment, is maintained by the Institutions and Hospitals concerned at their own level.

Under Rashtriya Arogya Nidhi (RAN), financial assistance is provided to poor patients  belonging  to  families  living  below  poverty  line,  suffering  from  major  lifethreatening diseases for medical treatment at any of the super specialty Hospitals/Institutes  or  other  Government  Hospitals.  The  funds  utilized  under  the Health Minister's Cancer Patient Fund (a component of RAN) along with number of beneficiaries since 2015 are as under:

| Year                       |   Funds utilized (Rs. In lakh) |   Number of beneficiaries |
|----------------------------|--------------------------------|---------------------------|
| 2015-16                    |                        2363.77 |                      5635 |
| 2016-17                    |                        2027.67 |                      3109 |
| 2017-18                    |                         865.95 |                      3934 |
| 2018-19                    |                         403.67 |                      1568 |
| 2019-20                    |                        2677.08 |                       470 |
| 2020-21                    |                        1573    |                       196 |
| 2021-22                    |                         585.05 |                        64 |
| 2022-23 (As on 05.12.2022) |                         216.98 |                        40 |

The  treatment  for  cancer  in  Government  Hospitals  is  either  free  or  highly subsidized  for  the  poor  and  needy.The  Central  Government  is  also  implementing  a Centrally Sponsored Scheme  'Strengthening of Tertiary Cancer Care Centres Facilities  Scheme',  in  order  to  enhance  the  facilities  for  tertiary  care  of  cancer.  19 State  Cancer  Institutes  (SCIs)  and  20  Tertiary  Cancer  Care    Centres  (TCCCs)  have been approved so far under the said scheme. The details are attached in Annexure.

There is also focus on developing Oncology facilities in its various aspects in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Cancer treatment facility has been envisaged in all the 22 AIIMS. These AIIMS have been provided  with state-of-art  diagnostic,  medical  and surgical care facilities. Cancer treatment facilities have also been planned in 13 State Govt. Medical Colleges which have been taken up for upgradation under PMSSY.

Setting up of National Cancer Institute at Jhajjar (Haryana) and second campus of  Chittaranjan  National  Cancer  Institute,  Kolkata,  are  also  steps  to  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 of SCIs/TCCCs:

## ANNEXURE

|   S No | State            | Name of the Institute                                                 | SCI / TCCC   |
|--------|------------------|-----------------------------------------------------------------------|--------------|
|      1 | Andhra Pradesh   | Kurnool Medical College, Kurnool                                      | SCI          |
|      2 | Assam            | Gauhati Medical College &Hospital, Guwahati                           | SCI          |
|      3 | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                    | SCI          |
|      4 | Chhattisgarh     | Chhattisgarh Institute of Medical Sciences, Bilaspur                  | SCI          |
|      5 | Delhi            | Lok Nayak Hospital                                                    | TCCC         |
|      6 | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad                          | SCI          |
|      7 | Goa              | Goa Medical College, Panaji                                           | TCCC         |
|      8 | Haryana          | Civil Hospital, Ambala Cantt                                          | TCCC         |
|      9 | Himachal Pradesh | Indira Gandhi Medical College, Shimla                                 | TCCC         |
|     10 | Himachal Pradesh | Shri Lal Bahadur Shastri Medical College, Mandi                       | TCCC         |
|     11 | Jammu&           | Sher-i-Kashmir Institute of Medical Sciences, Srinagar                | SCI          |
|     12 | Kashmir          | Government Medical College, Jammu                                     | SCI          |
|     13 | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                        | SCI          |
|     14 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bengaluru                | SCI          |
|     15 |                  | Mandya Institute of Medical Sciences, Mandya                          | TCCC         |
|     16 | Kerala           | Regional Cancer Centre, Thiruvananthapuram                            | SCI          |
|     17 |                  | Government Medical College, Kozhikode                                 | TCCC         |
|     18 | Madhya Pradesh   | G.R. Medical College, Gwalior                                         | TCCC         |
|     19 |                  | Netaji Subhas Chandra Bose Medical College, Jabalpur                  | SCI          |
|     20 | Maharashtra      | Rashtrasant Tukdoji Regional Cancer Hospital &Research Centre, Nagpur | TCCC         |
|     21 |                  | Government Medical College, Aurangabad                                | SCI          |
|     22 |                  | Vivekanand Foundation &Research Centre, Latur                         | TCCC         |
|     23 | Mizoram          | Mizoram State Cancer Institute, Aizawl                                | TCCC         |
|     24 | Nagaland         | District Hospital, Kohima                                             | TCCC         |
|     25 | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack                       | SCI          |
|     26 | Punjab           | Government Medical College, Amritsar                                  | SCI          |
|     27 |                  | Civil Hospital, Fazilka                                               | TCCC         |
|     28 | Rajasthan        | S P Medical College, Bikaner                                          | TCCC         |
|     29 |                  | SMS Medical College, Jaipur                                           | SCI          |
|     30 |                  | Jhalawar Medical College &Hospital, Jhalawar                          | TCCC         |
|     31 | Sikkim           | Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim   | TCCC         |
|     32 | Tamil Nadu       | Cancer Institute (RCC), Adyar, Chennai                                | SCI          |
|     33 | Telangana        | MNJ Institute of Oncology &RCC, Hyderabad                             | SCI          |
|     34 | Tripura          | Cancer Hospital (RCC), Agartala                                       | SCI          |
|     35 | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow     | TCCC         |
|     36 | Uttarakhand      | Government Medical College, Haldwani                                  | SCI          |
|     37 | West Bengal      | Government Medical College, Burdwan                                   | TCCC         |
|     38 |                  | Murshidabad Medical College &Hospital, Berhampore, Murshidabad        | TCCC         |
|     39 |                  | Sagore Dutta Memorial Medical College and Hospital, Kolkata           | TCCC         |