Lok Sabha Question No. 640 (UNSTARRED), answered on 2022-12-09
Subject: Increases in Cancer Cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Devendra (Alias) Bhole Singh Singh, Nihal Chand Chauhan, Gowdar Mallikarjunappa Siddeshwara, Vishnu Dayal Ram, Dushyant Singh

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

## LOK SABHA UNSTARRED QUESTION NO. 640 TO BE ANSWERED ON 9 th  DECEMBER, 2022

## INCREASES IN CANCER CASES

## 640. SHRI DEVENDRA SINGH BHOLE:

SHRI NIHAL CHAND:

SHRI G.M. SIDDESHWAR:

SHRI VISHNU DAYAL RAM:

SHRI DUSHYANT SINGH:

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

- (a)  whether  the  Government  is  aware  of  theincreasing  number  of  cancer  cases  in  the country,especially in Uttar Pradesh;
- (b) the number of cases reported this yearviz-a-viz the mortality of the reported cases, State/ UT-wise;
- (c) whether as per the report of National HealthProfile 2019, there is an increase of 150 per cent incases of cancer in the State of Rajasthan, if so, thedetails thereof, State/UT-wise;
- (d)  whether  the  Government  proposes  to  establishCancer  Hospitals  including  Research Institutes andif so, the details thereof, State/UT-wise;
- (e)  the  details  regarding  the  number  of  people/patients  covered  by  the  National  Cancer RegistryProgramme  and  the  number  of  patients  who  receivepalliative  care  viz-a-viz  those who need it, especiallyin Rajasthan;
- (f) the steps taken/proposed to be taken by theGovernment to expand the scope of Population BasedCancer Registries (PCBR) along with conductingmore rural-based PCBR to ascertain the accurateinformation regarding the incidence and types ofcancer across the country; and
- (g) if so, the details thereof, State/UT-wise?

## ANSWER

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

(a) to (c) As per the Indian Council of Medical Research's (ICMR)- National Cancer Registry Programme (NCRP), the estimated number of incidence and mortality of cancer cases in the country,  State/UT  wise  during  2020  to  2022  is  enclosed  in  Annexure  I  (Table  1  &  Table 2).The percent increase in the estimated incidence of cancer cases from the year 2018 to 2019 in Rajasthan is 1.9%. According to National Health Profile 2019 there has been increase in reportingof  cancer  cases  and  the  most  common  cancers  include  oral,  breast  and  cervical cancer.

- (d) The Central Government is 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 Care Cancer Centres (TCCCs)  have  been  approved  so  far  under  the  said  scheme.  The  details  are  enclosedin Annexure II.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.
- (e)According to Indian Council of Medical Research-National Cancer Registry ProgrammeReport 2020, the 28 Population Based Cancer Registry (PBCR) registered 100887 cancercases  yearly.  Overall,  the  Population  Based  cancer  registries  currently  cover  16.4% (198.3 million) of Indiapopulation.Data related with cancer patient who received palliativecare in Rajasthan state are as follow:
- (f) and (g)Indian Council of Medical Research-National Centre for Disease Informatics and Research(ICMR-NCDIR) has been working towards expansion of the PBCR network in the countryas per need.

| Year    |   Number of Patients who received Palliative Care |
|---------|---------------------------------------------------|
| 2018-19 |                                              7709 |
| 2019-20 |                                              3700 |
| 2020-21 |                                              6040 |
| 2021-22 |                                              5815 |

## Annexure I

Table 1: Estimated Incidence of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2020-2022) - Both sexes

| State                    |   2020 |   2021 |   2022 |
|--------------------------|--------|--------|--------|
| Jammu &Kashmir           |  12726 |  13060 |  13395 |
| Ladakh UT                |    286 |    294 |    302 |
| Himachal Pradesh         |   8799 |   8978 |   9164 |
| Punjab                   |  38636 |  39521 |  40435 |
| Chandigarh               |   1024 |   1053 |   1088 |
| Uttaranchal              |  11482 |  11779 |  12065 |
| Haryana                  |  29219 |  30015 |  30851 |
| Delhi                    |  25178 |  25969 |  26735 |
| Rajasthan                |  70987 |  72825 |  74725 |
| Uttar Pradesh            | 201319 | 206088 | 210958 |
| Bihar                    | 103711 | 106435 | 109274 |
| Sikkim                   |    445 |    465 |    496 |
| Arunachal Pradesh        |   1035 |   1064 |   1087 |
| Nagaland                 |   1768 |   1805 |   1854 |
| Manipur                  |   1899 |   2022 |   2097 |
| Mizoram                  |   1837 |   1919 |   1985 |
| Tripura                  |   2574 |   2623 |   2715 |
| Meghalaya                |   2879 |   2943 |   3025 |
| Assam                    |  37880 |  38834 |  39787 |
| West Bengal              | 108394 | 110972 | 113581 |
| Jharkhand                |  33961 |  34910 |  35860 |
| Orissa                   |  50692 |  51829 |  52960 |
| Chattisgarh              |  27828 |  28529 |  29253 |
| Madhya Pradesh           |  77888 |  79871 |  81901 |
| Gujarat                  |  69660 |  71507 |  73382 |
| Daman                    |    124 |    135 |    150 |
| Dadra &Nagar Haveli      |    206 |    219 |    238 |
| Maharashtra              | 116121 | 118906 | 121717 |
| Telangana                |  47620 |  48775 |  49983 |
| Andhra Pradesh           |  70424 |  71970 |  73536 |
| Karnataka                |  85968 |  88126 |  90349 |
| Goa                      |   1618 |   1652 |   1700 |
| Lakshadweep              |     27 |     28 |     28 |
| Kerala                   |  57155 |  58139 |  59143 |
| Tamil Nadu               |  88866 |  91184 |  93536 |
| Pondicherry              |   1577 |   1623 |   1679 |
| Andaman &Nicobar Islands |    366 |    380 |    393 |

Table 2: Estimated Mortality of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2020-2022) - Both sexes

| State                    |   2020 |   2021 |   2022 |
|--------------------------|--------|--------|--------|
| Jammu &Kashmir           |   7027 |   7211 |   7396 |
| Ladakh UT                |    162 |    166 |    171 |
| Himachal Pradesh         |   4856 |   4953 |   5058 |
| Punjab                   |  22276 |  22786 |  23301 |
| Chandigarh               |    564 |    582 |    598 |
| Uttaranchal              |   6337 |   6500 |   6655 |
| Haryana                  |  16109 |  16543 |  16997 |
| Delhi                    |  14057 |  14494 |  14917 |
| Rajasthan                |  39111 |  40117 |  41167 |
| Uttar Pradesh            | 111491 | 114128 | 116818 |
| Bihar                    |  57531 |  59043 |  60629 |
| Sikkim                   |    276 |    288 |    308 |
| Arunachal Pradesh        |    635 |    655 |    670 |
| Nagaland                 |   1008 |   1029 |   1060 |
| Manipur                  |   1105 |   1175 |   1220 |
| Mizoram                  |   1183 |   1231 |   1271 |
| Tripura                  |   1571 |   1600 |   1651 |
| Meghalaya                |   1887 |   1928 |   1980 |
| Assam                    |  22824 |  23395 |  23974 |
| West Bengal              |  59786 |  61213 |  62652 |
| Jharkhand                |  18716 |  19241 |  19766 |
| Orissa                   |  28024 |  28656 |  29287 |
| Chattisgarh              |  15279 |  15666 |  16057 |
| Madhya Pradesh           |  42966 |  44056 |  45176 |
| Gujarat                  |  38306 |  39328 |  40356 |
| Daman                    |     66 |     70 |     77 |
| Dadra &Nagar Haveli      |    109 |    117 |    128 |
| Maharashtra              |  63797 |  65326 |  66879 |
| Telangana                |  26038 |  26681 |  27339 |
| Andhra Pradesh           |  38582 |  39443 |  40307 |
| Karnataka                |  47113 |  48290 |  49516 |
| Goa                      |    893 |    909 |    932 |
| Lakshadweep              |     13 |     14 |     14 |
| Kerala                   |  31166 |  31713 |  32271 |
| Tamil Nadu               |  48314 |  49571 |  50841 |
| Pondicherry              |    852 |    879 |    905 |
| Andaman &Nicobar Islands |    200 |    205 |    214 |

Ref: National Cancer Registry Programme, ICMR

## List of TCC/SCI Institutes under NPCDCS

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

## Annexure II