Lok Sabha Question No. 3254 (UNSTARRED), answered on 2021-12-17
Subject: National Tuberculosis Elimination Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kanimozhi Karunanidhi, Arvind Kumar Sharma, Queen Oja, Bharatiben Dhirubhai Shyal

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

## LOK SABHA UNSTARRED QUESTION NO. 3254 TO BE ANSWERED ON THE 17 TH  DECEMBER, 2021

## NATIONAL TUBERCULOSIS ELIMINATION PROGRAMME

## 3254.   SHRIMATI KANIMOZHI KARUNANIDHI DR. ARVIND KUMAR SHARMA SHRIMATI QUEEN OJA DR. BHARATIBEN DHIRUBHAI SHIYAL

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

- (a) whether achievements have been made in reduction of Tuberculosis incidence and death rate in line with the target to eliminate TB by 2025, if so, the details thereof;
- (b) whether  the  Government  has  taken  into  cognizance  that  dealing  with  COVID-19 pandemic is likely to hinder achievement of above goal, if so, the details thereof;
- (c) whether  the  number  of  TB  notifications  have  decreased  since  the  beginning  of  the pandemic in India, if so, the details thereof, State/ UT- wise
- (d) whether the Government has strategized to reduce morbidity and mortality rates of TB infected pregnant women amidst the crisis of COVID-19; and
- (e) if so, the details thereof?

## ANSWER

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

- (a) to  (e)  The  Ministry  of  Health  and  Family  Welfare  is  implementing  a  National Strategic Plan for Ending TB by 2025. As per the Global TB Report, 2021, the country has reduced the incidence of TB from 217/lakh population in 2015 to 188/lakh population in 2020 (a 13% decline). The death rate has declined from 36/lakh population in 2015 to 33/lakh population in 2019.

During the COVID pandemic, proactive initiatives were taken to provide uninterrupted diagnostic  and  treatment  services.  Special  outreach  activities  were  also  undertaken  to identify presumptive TB cases.

During the year 2020 (Jan - Dec), a total of 18.12 lakh TB cases were notified under the programme which was 25% less than the total cases notified in 2019 (which was 24.00

lakhs). In 2021, in spite of a larger wave of COVID-19, the programme has been able to notify 17.6 lakh TB cases (till Oct,2021), which is 18% higher compared to 2020.

To mitigate the impact of COVID and to ensure that all TB patients including pregnant women have uninterrupted access to drugs and diagnostics, the Ministry has taken several steps including:

- i. Active TB case finding campaign in key vulnerable and co-morbid population
- ii. Integration  with  Ayushman  Bharat-  Health  &  Wellness  Centres  to  decentralize screening and treatment services closer to the community
- iii. Provision  of  free  TB  drugs  of  extended  duration  and  door-step  delivery  during COVID times
- iv. Implementation of bi-directional TB-COVID screening and TB screening / testing for all presumptive cases with influenza like illness (ILI) and Severe Acute Respiratory Infections (SARI)
- v. Scale up of molecular diagnostic laboratories to sub-district levels
- vi. Sample collection and transportation system from Sub Centre to PHC, PHC to CHC and from CHC to District / State level laboratories
- vii. Intensified IEC campaigns to raise community awareness

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## State / UT-wise TB notification

|   Sr. No. | State/UTs                                | 2019   |   2020 |   2021 (Jan-Oct) |
|-----------|------------------------------------------|--------|--------|------------------|
|         1 | Andaman& Nicobar Islands                 | 587    |    480 |              417 |
|         2 | Andhra Pradesh                           | 98869  |  64119 |            70130 |
|         3 | Arunachal Pradesh                        | 2938   |   2523 |             2347 |
|         4 | Assam                                    | 48669  |  35486 |            30776 |
|         5 | Bihar                                    | 122671 |  99661 |           108869 |
|         6 | Chandigarh                               | 7026   |   4319 |             3948 |
|         7 | Chhattisgarh                             | 43718  |  29387 |            26294 |
|         8 | Dadra and Nagar Haveli and Daman and Diu | 1497   |    964 |              821 |
|         9 | Delhi                                    | 107982 |  87019 |            87669 |
|        10 | Goa                                      | 2410   |   1666 |             1634 |
|        11 | Gujarat                                  | 159158 | 120623 |           119800 |
|        12 | Haryana                                  | 73997  |  62967 |            58203 |
|        13 | Himachal Pradesh                         | 17446  |  13450 |            12396 |
|        14 | Jammu &Kashmir                           | 11860  |   8850 |             9165 |
|        15 | Jharkhand                                | 56632  |  45767 |            44061 |
|        16 | Karnataka                                | 91703  |  65955 |            59035 |
|        17 | Kerala                                   | 25617  |  20925 |            18021 |
|        18 | Ladakh                                   | #N/A   |    238 |              229 |
|        19 | Lakshadweep                              | 15     |     20 |               12 |
|        20 | Madhya Pradesh                           | 187407 | 138059 |           136988 |
|        21 | Maharashtra                              | 227348 | 160629 |           156672 |
|        22 | Manipur                                  | 2553   |   1581 |             1495 |
|        23 | Meghalaya                                | 5528   |   4147 |             3436 |
|        24 | Mizoram                                  | 2944   |   2223 |             1504 |
|        25 | Nagaland                                 | 4794   |   3575 |             3159 |
|        26 | Odisha                                   | 53612  |  45726 |            42708 |
|        27 | Puducherry                               | 4606   |   2772 |             2927 |
|        28 | Punjab                                   | 58204  |  46379 |            43539 |
|        29 | Rajasthan                                | 175218 | 137958 |           125999 |
|        30 | Sikkim                                   | 1432   |   1335 |             1165 |

|   Sr. No. | State/UTs     |   2019 |   2020 |   2021 (Jan-Oct) |
|-----------|---------------|--------|--------|------------------|
|        31 | Tamil Nadu    | 110845 |  70550 |            67551 |
|        32 | Telangana     |  71655 |  63351 |            49596 |
|        33 | Tripura       |   2761 |   2072 |             2082 |
|        34 | Uttar Pradesh | 486385 | 368348 |           380520 |
|        35 | Uttarakhand   |  26060 |  20091 |            19073 |
|        36 | West Bengal   | 110668 |  79428 |            75385 |