Lok Sabha Question No. 750 (UNSTARRED), answered on 2021-07-23
Subject: Early Detection of Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajeshbhai Naranbhai Chudasama, Anumula Revanth Reddy

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

## LOK  SABHA UNSTARRED QUESTION NO. 750 TO BE ANSWERED ON 23 RD JULY, 2021

## EARLY DETECTION OF C ANCER

## 750. SHRI RAJESHBHAI CHUDASAMA: SHRI ANUMULA REVANTH REDDY:

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

- (a) the total number of people affected by cancer in India, State/UT - wise;
- (b)  whether  the  existing  cancer  care  facilities/ infrastructure  are  adequate  to  meet  the requirements ofall these cancer patients, if so, the details thereof;
- (c) whether the Government has formulated any programmes for early detection of cancer in the country;
- (d) if so, the details thereof and if not, the steps taken by the Government in this regard;
- (e) whether the Government is aware that the trea m nt of cancer is very costly due to which poorpeople are unable to get proper medication, if so, the details thereof; and
- (f)  whether  the  Government  proposes  for  free treatment  of  cancer  patients,  if  so ,  the  details thereof and the steps taken in this regard?

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

- (a): As  per  the  Indian  Council  of  Medical  Research's  Cancer  Registry  Data  Report  on 'National Cancer Registry Programme Report, 2020', the estimated number of cancer cases in the country for 2020 by state/UT wise is enclosed in Annexure I.
- (b): Health is a state subject. The Central Government, however, supplements the effor the State Govern ments. National Programme for Prevention and Control of Cancer, Diabetes, Cardio vascular Diseases and Stroke (NPCDCS) is being implemented under National Healt Mission (NHM) with focus on strengthening infrastructure, human resource development, hea promotion,  awareness  generation,  early  diagnosis,  management  and  referral  to  an  approp level  institution  for  treatment.  Under  NHM,  support  is  provided  to  States/UTs  through annual Programme Implementation Plans (PIPs) for primary and secondary he alth care needs.

The  Central  Government  hospitals  namely  All  India  Institute  Of  Medical  Scienc (AIIMS),  New  Delhi,  Post  Graduate  Institute  of  Medical  Education  &  Research  (PGIMER), Chandigarh, Jawaharlal  Institute of Postgraduate Medical Education an d Research (JIPMER), Puducherry, Safdarjung Hospital and Vardhman Mahavir Medical College (VMMC), Dr. Ram Manohar Lohia Hospital and Lady Harding Medical college and hospitals in Delhi are provid the cancer treatment.

To  enhance  the  facilities  for  tertiary  care  of  cancer,  the  Central  Governmen introduced Tertiary Cancer Care Centre (TCCC) Scheme. So far, 19 State Cancer Institutes 20  Tertiary  Care  Cancer  Centres  have  been  approved  under  the  TCCC  scheme.  Further , Oncology is also one of the focus areas in case of new 22 AIIMS that are being set up and many  other  Institutions  being  upgraded  under  Pradhan  Mantri  Swasthya  Suraksha  Yojan (PMSSY). Setting up of National Cancer Institute at Jhajjar in Haryana, and second campus of Chittaranjan National Cancer Institute, Kolkata, are also some important steps in the dir strengthening tertiary level services for Cancer.

(c) to (f): Health is a state subject and the Central Government supplements the ef forts of the  State  Governments  to  prevent  and  control  cancer.  The  objectives  of  NPCDCS,  bei implemented by central Government under NHM for interventions upto the district level, in awareness  generation  for  cancer  prevention,  screening,  early  detect ion  and  referral  to  an appropriate  level  institution  for  treatment.  For  cancer,  the  focus  is  on  three  cancer breast, cervical and oral. A population level initiative of prevention, control and scr common Non Communicable Disease (NCDs) i ncluding cancer has also been rolled out in 697 districts of the country under NHM, as a part of Comprehensive Primary Health Care. Under initiative, persons more than 30 years of age are targeted for their screening for common including three c ommon cancers i.e. oral, breast and cervical. It is also an integral part of delivery under Ayushman Bharat -Health and Wellness Centres.

To tackle the challenge of Non Communicable Diseases, including cancer, 639 NCD Clinics at District level and 5148 NCD Clinics at Community Health Centre level have been set up  under  the  National  Programme  for  Prevention  and  Control  of  Cancer,  Diabetes,  Card vascular Diseases and Stroke (NPCDCS).

The treatment in Government hospitals is either free or high ly subsidized for the poor and  needy.  Under  NHM,  essential  drugs  and  diagnostics  are  provided  free  of  cost  in  p health facilities.

Treatment of various cancers is also covered under Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (PMJAY) at a nu mber of designated and empanelled hospitals.

Quality  generic  medicines  are  being  made  available  at  affordable  prices  to  all 'Jan Aushadhi Scheme in collaboration with the State Governments. Also, AMRIT (Affordable Medicine and Reliable Implants for Treatment) Pharmacy stores have been set up in hospitals.

Cancer is diagnosed and treated at various levels in the health care system. Dee outlets  have  been  opened  at  institutions/hospitals  with  an  objective  to  make  available drugs at disc ounted prices to the patients. Under the umbrella scheme of Rashtrya Arogya Ni (RAN), financial assistance is provided to families living below threshold poverty line treatment, including treatment of cancer, in Government hospitals.

| Estimated Incidence of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2020)* - Both sexes   |   Estimated Incidence of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2020)* - Both sexes |
|--------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------|
| State                                                                                                                    |                                                                                                                     2020 |
| Jammu &Kashmir                                                                                                           |                                                                                                                    13012 |
| Himachal pradesh                                                                                                         |                                                                                                                     8799 |
| Punjab                                                                                                                   |                                                                                                                    38636 |
| Chandigarh                                                                                                               |                                                                                                                     1024 |
| Uttaranchal                                                                                                              |                                                                                                                    11482 |
| Haryana                                                                                                                  |                                                                                                                    29219 |
| Delhi                                                                                                                    |                                                                                                                    25178 |
| Rajasthan                                                                                                                |                                                                                                                    70987 |
| Uttar pradesh                                                                                                            |                                                                                                                   201319 |
| Bihar                                                                                                                    |                                                                                                                   103711 |
| Sikkim                                                                                                                   |                                                                                                                      445 |
| Arunachal pradesh                                                                                                        |                                                                                                                     1035 |
| Nagaland                                                                                                                 |                                                                                                                     1768 |
| Manipur                                                                                                                  |                                                                                                                     1899 |
| Mizoram                                                                                                                  |                                                                                                                     1837 |
| Tripura                                                                                                                  |                                                                                                                     2574 |
| Meghalaya                                                                                                                |                                                                                                                     2879 |
| Assam                                                                                                                    |                                                                                                                    37880 |
| West bengal                                                                                                              |                                                                                                                   108394 |
| Jharkhand                                                                                                                |                                                                                                                    33961 |
| Orissa                                                                                                                   |                                                                                                                    50692 |
| Chattisgarh                                                                                                              |                                                                                                                    27828 |
| Madhya pradesh                                                                                                           |                                                                                                                    77888 |
| Gujarat                                                                                                                  |                                                                                                                    69660 |
| Daman                                                                                                                    |                                                                                                                      124 |
| Dadra &Nagar Haveli                                                                                                      |                                                                                                                      206 |
| Maharashtra                                                                                                              |                                                                                                                   116121 |
| Telangana                                                                                                                |                                                                                                                    47620 |
| Andhra pradesh                                                                                                           |                                                                                                                    70424 |
| Karnataka                                                                                                                |                                                                                                                    85968 |
| Goa                                                                                                                      |                                                                                                                     1618 |
| Lakshadweep                                                                                                              |                                                                                                                       27 |
| Kerala                                                                                                                   |                                                                                                                    57155 |
| Tamil nadu                                                                                                               |                                                                                                                    88866 |
| Pondicherry                                                                                                              |                                                                                                                     1577 |
| Andaman & Nicobar Islands                                                                                                |                                                                                                                      366 |
| Total                                                                                                                    |                                                                                                                  1392179 |

Ref: National Cancer Registry Programme report, 2020, * Projected cancer cases for India were computed using Age specific incidence Rate of 28 Population Based Cancer Registry of 2012-2016 and the projected population (person-years)

## Annexure I