Lok Sabha Question No. 2122 (UNSTARRED), answered on 2022-07-29
Subject: Elimination of TB
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Balak Nath, Amar Singh, Balashowry Vallabbhaneni, Pradeep Kumar Singh, Hemant Patil, Devji Mansingram Patel, Vinayak Bhaurao Raut

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2122

TO BE ANSWERED ON 29 th  JULY, 2022

## ELIMINATION OF TB

## 2122:   SHRI BALAK NATH

DR. AMAR SINGH

SHRI BALASHOWRY VALLABHANENI

SHRI PRADEEP KUMAR SINGH

SHRI HEMANT SRIRAM PATIL

SHRI DEVJI M. PATEL

SHRI VINAYAK RAUT

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

- (a) whether  the  number  of  TB  patients  in  the  country  has  increased  by  19%  and  the  death  toll increased  by  11%  in  2021  as  compared  to  2020,  if  so,  the  details  thereof,  State/UT-wise including Rajasthan and Bihar;
- (b) the  details  of  the  mechanism  in  place  to  ensure  inter-ministerial  coordination  for  effective implementation and linking of TB related programmes and other social welfare schemes;
- (c) details of TB cases reported and death caused by the same along with death rate from the year 2018 to 2022 till date in the country,  year-wise and State/UT-wise including district-wise in Maharashtra;
- (d) the reasons for increase in deaths and mortality from TB;
- (e) the reasons that prevalence rate of TB in India is 312/1 lakh when compared to global average of 127/1 lakh; and
- (f) whether  the  Government  has  taken  any  steps  to  bring  Tuberculosis  (TB)  under  control  and make progress toward a TB-free India; and
- (g) if  so,  the  details  thereof  along  with  schemes  formulated  by  the  Government  to  achieve  the target to completely eliminate TB from the country by the year 2025?

## ANSWER

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

- (a) The number of cases reported under National TB Elimination Programme (NTEP) in 2020 and 2021 are 18.05 lakhs and 21.35 lakhs respectively. The increase in number of TB cases notified under  NTEP  in  2021  as  compared  to  2022  has  been  due  to  the  increased  efforts  taken  by programme  like  active  case  finding,  service  delivery  through  Ayushman  Bharat  Health  & Wellness Centre, private  sector  engagement  and  targeted  activities  to  mitigate  the  impact  of COVID-19.

The  number  of  TB  deaths  reported  in  country  for  2020  and  2021  are  89823  and  76002 respectively. The death rate for 2020 was 3.9% and for 2021 was 4.3%. The States/UT wise cases and deaths reported in country (including Bihar and Rajasthan) is placed as Annexure-I.

- (b) For effective inter-ministerial coordination, committees have been constituted at National and State level, which review the linkage of TB programme and other social welfare schemes. At the National level, Memorandum of Understanding (MoUs) have been signed with seven line ministries and joint action plans developed.
- (c) to  (e)  As  per  the  National  TB  Prevalence  Survey  conducted  by  Indian  Council  of  Medical Research (ICMR) in 2019-2021, the first of its kind in the country in 55 years, the prevalence for all forms of TB in India is 312/lakh population.

The Global TB Report 2021 by the World Health Organisation (WHO), reports the incidence of TB instead of prevalence for all countries. As per that report, the incidence of TB in India has reduced from 217/lakh population in 2015 to 188/lakh population in 2020, while the Global TB incidence has reduced from 142/lakh population in 2015 to 127/lakh population in 2020.

The details of TB cases reported and death caused by the same along with death rate from the year 2018 to 2022 till date in the country, year-wise and State/UT-wise including district-wise in Maharashtra, is placed as Annexure-I & Annexure-II.

(f)  & (g)  With the goal of achieving Sustainable Development Goals related to TB by 2025, five years  ahead  of  the  global  targets,  the  programme  implements  National  Strategic  Plan  with  the following objectives: -

1. Early  diagnosis  of  the  TB  patients,  prompt  treatment  with  quality  assured  drugs  and treatment regimens.
2. Engaging with the patients seeking care in the private sector.
3. Prevention  strategies  including  active  case  finding  and  contact  tracing  in  high  risk /vulnerable population.
4. Airborne infection control.
5. Multi-sectoral response for addressing social determinants.

The  other  steps  taken  by  the  Government  to  ensure  TB  patients  are  diagnosed  and complete treatment, are as under:

- 1) State and District Specific Strategic plan for targeted interventions in high burden areas.
- 2) Provision of free drugs and diagnostics to TB patients including for drug resistant TB.
- 3) Active TB case finding campaign in key vulnerable and co-morbid population.
- 4) Integration with Ayushman  Bharat-  Health  &  Wellness  Centres  to  decentralize screening and treatment services closer to the community.
- 5) Private sector engagement including incentives for notification and management of TB cases.
- 6) Scale up of molecular diagnostic laboratories to sub-district levels.
- 7) Nikshay Poshan Yojana for nutritional support to TB patients.
- 8) Intensified IEC campaigns to reduce stigma, raise community awareness and improve health seeking behaviour.
- 9) Multi-sectoral response with involvement of line ministries.
- 10) Scale up TB preventive therapy to contacts of pulmonary TB.
- 11) Notified TB cases are tracked through web-based portal Ni-kshay

*******

State/UT wise TB case Notification under NTEP for 2018-2022 (till 31 st May)

| State                                    | 2018   | 2019   |   2020 |   2021 |   2022 (Jan-May) |
|------------------------------------------|--------|--------|--------|--------|------------------|
| Andaman &Nicobar Islands                 | 558    | 587    |    478 |    507 |              223 |
| Andhra Pradesh                           | 91124  | 98869  |  64065 |  86832 |            39031 |
| Arunachal Pradesh                        | 3419   | 2938   |   2522 |   2724 |             1232 |
| Assam                                    | 42896  | 48669  |  35261 |  37641 |            17956 |
| Bihar                                    | 104930 | 122671 |  98994 | 131703 |            62668 |
| Chandigarh                               | 5696   | 7026   |   4294 |   4720 |             2502 |
| Chhattisgarh                             | 43031  | 43718  |  29339 |  32416 |            15569 |
| Dadra and Nagar Haveli and Daman and Diu | 1346   | 1497   |    965 |   1013 |              615 |
| Delhi                                    | 93580  | 107982 |  86842 | 103038 |            49324 |
| Goa                                      | 2492   | 2410   |   1660 |   2018 |              840 |
| Gujarat                                  | 154551 | 159158 | 120560 | 144731 |            68718 |
| Haryana                                  | 65748  | 73997  |  62697 |  69083 |            32671 |
| Himachal Pradesh                         | 16485  | 17446  |  13424 |  14492 |             6860 |
| Jammu &Kashmir                           | 12895  | 11860  |   8830 |  10826 |             5035 |
| Jharkhand                                | 48488  | 56632  |  45505 |  52179 |            24223 |
| Karnataka                                | 83094  | 91703  |  65785 |  72435 |            32434 |
| Kerala                                   | 24557  | 25617  |  20835 |  21872 |             9874 |
| Ladakh                                   | -      | -      |    239 |    291 |              135 |
| Lakshadweep                              | 19     | 15     |     20 |     12 |                4 |
| Madhya Pradesh                           | 160144 | 187407 | 137648 | 166346 |            76459 |
| Maharashtra                              | 209642 | 227348 | 159663 | 199976 |            95625 |
| Manipur                                  | 2927   | 2553   |   1563 |   1793 |             1078 |
| Meghalaya                                | 4867   | 5528   |   4139 |   4152 |             2015 |
| Mizoram                                  | 2570   | 2944   |   2334 |   1749 |              913 |
| Nagaland                                 | 4269   | 4794   |   3487 |   3648 |             1829 |
| Odisha                                   | 50303  | 53612  |  45628 |  52381 |            25650 |
| Puducherry                               | 3489   | 4606   |   2762 |   3444 |             1616 |
| Punjab                                   | 54401  | 58204  |  46198 |  50142 |            24177 |
| Rajasthan                                | 160168 | 175218 | 137343 | 149225 |            71074 |
| Sikkim                                   | 1438   | 1432   |   1326 |   1373 |              597 |
| Tamil Nadu                               | 104917 | 110845 |  70304 |  82823 |            39208 |
| Telangana                                | 52330  | 71655  |  63209 |  60714 |            27865 |
| Tripura                                  | 2579   | 2761   |   2071 |   2543 |             1258 |
| Uttar Pradesh                            | 420434 | 486385 | 366641 | 453712 |           210991 |
| Uttarakhand                              | 22362  | 26060  |  20000 |  22789 |            11880 |
| West Bengal                              | 104145 | 110668 |  79039 |  90487 |            42601 |

*Source : Ni-kshay

State/UT wise-TB Deaths reported under NTEP for 2018-2022 (till 31 st May)

| State/UT                                 | 2018   | 2019   |   2020 |   2021 |   2022 (Jan-May) |
|------------------------------------------|--------|--------|--------|--------|------------------|
| Andaman& Nicobar Islands                 | 18     | 12     |     25 |     16 |                7 |
| Andhra Pradesh                           | 2732   | 3636   |   3585 |   2490 |             1022 |
| Arunachal Pradesh                        | 55     | 59     |     64 |     78 |               34 |
| Assam                                    | 1393   | 1562   |   1840 |   1422 |              648 |
| Bihar                                    | 1073   | 2577   |   2975 |   3341 |             1971 |
| CHANDIGARH                               | 107    | 94     |    114 |    129 |               52 |
| Chhattisgarh                             | 1416   | 1403   |   1603 |   1380 |              579 |
| Dadra and Nagar Haveli and Daman and Diu | 30     | 29     |     25 |     17 |                8 |
| Delhi                                    | 1005   | 1367   |   2111 |   2008 |              924 |
| Goa                                      | 40     | 71     |     72 |     89 |               57 |
| Gujarat                                  | 5704   | 6436   |   6870 |   5472 |             2675 |
| Haryana                                  | 1508   | 2284   |   2809 |   2638 |             1204 |
| Himachal Pradesh                         | 537    | 661    |    837 |    723 |              329 |
| Jammu &Kashmir                           | 191    | 278    |    295 |    309 |              188 |
| Jharkhand                                | 759    | 1163   |   1314 |   1568 |              706 |
| Karnataka                                | 3777   | 4868   |   5605 |   4490 |             2088 |
| Kerala                                   | 682    | 1163   |   1828 |   1668 |              697 |
| Ladakh                                   | -      | -      |     23 |     19 |                7 |
| Lakshadweep                              | 2      | 0      |      2 |      0 |                1 |
| Madhya Pradesh                           | 3923   | 4316   |   5485 |   4795 |             2450 |
| Maharashtra                              | 4993   | 7114   |   8785 |   6988 |             2845 |
| Manipur                                  | 41     | 72     |     74 |     55 |               30 |
| Meghalaya                                | 94     | 145    |    186 |    185 |               75 |
| Mizoram                                  | 49     | 53     |     48 |     50 |               32 |
| Nagaland                                 | 46     | 95     |    108 |     97 |               46 |
| Odisha                                   | 2449   | 2522   |   2738 |   2506 |             1185 |
| Puducherry                               | 78     | 92     |    116 |     80 |               35 |
| Punjab                                   | 1555   | 2355   |   2824 |   2667 |             1087 |
| Rajasthan                                | 2944   | 4178   |   4767 |   4616 |             1923 |
| Sikkim                                   | 25     | 32     |     45 |     45 |               26 |
| Tamil Nadu                               | 3677   | 4083   |   5365 |   4050 |             1951 |
| Telangana                                | 1460   | 1850   |   2392 |   1876 |              798 |
| Tripura                                  | 101    | 127    |    173 |    159 |               64 |
| Uttar Pradesh                            | 7505   | 13424  |  18409 |  14913 |             6896 |
| Uttarakhand                              | 454    | 690    |    894 |    743 |              356 |
| West Bengal                              | 3761   | 4571   |   5417 |   4320 |             1985 |

*Source : Ni-kshay

## District* wise TB cases reported under NTEP for Maharashtra (2018-2022)

| District*         |   2018 |   2019 |   2020 |   2021 |   2022 (Jan-May) |
|-------------------|--------|--------|--------|--------|------------------|
| Ahmadnagar        |   4728 |   5176 |   3753 |   4400 |             1904 |
| AhmednagarMC      |    514 |    650 |    426 |    624 |              303 |
| Akola             |   1250 |   1311 |   1337 |   1256 |              575 |
| Akola MC          |   1663 |   1889 |   1246 |   1692 |              784 |
| Amravati          |   2441 |   2572 |   2134 |   2299 |             1165 |
| AmravatiMC        |   1667 |   1559 |   1133 |   1287 |              687 |
| Andheri East      |   2467 |   2172 |   1410 |   1886 |              866 |
| Andheri West      |   3785 |   3466 |   2594 |   3400 |             1499 |
| Aurangabad        |   2459 |   1650 |   1261 |   1630 |              667 |
| Aurangabad MC     |   2090 |   4406 |   2926 |   3800 |             1489 |
| Bail Bazar Road   |   2391 |   2269 |   3292 |   4678 |             1924 |
| Bandra East       |   1689 |   1761 |   1022 |   1479 |              803 |
| Bandra West       |   1175 |   1349 |    891 |   1269 |              711 |
| Beed              |   2018 |   2300 |   1556 |   1917 |              827 |
| Bhandara          |   1292 |   1726 |   1218 |   1606 |              757 |
| Bhiwandi Nizampur |   2950 |   4454 |   3384 |   4164 |             1721 |
| Borivali          |   1514 |   1684 |   1183 |   1471 |              661 |
| Buldana           |   2527 |   2527 |   2008 |   2215 |             1102 |
| Byculla           |   4095 |   4669 |   2542 |   3723 |             1812 |
| Centenary         |   3382 |   2952 |   1937 |   2622 |             1154 |
| Chandrapur        |   2798 |   3482 |   2654 |   2913 |             1370 |
| Chembur           |   1883 |   1632 |    978 |   1618 |              801 |
| Colaba            |   1618 |   1647 |    745 |   1189 |              605 |
| Dadar             |   8614 |   9646 |   6360 |   7883 |             3242 |
| Dahisar           |    706 |    915 |    802 |   1189 |              606 |
| Dhule             |   1885 |   1886 |   1290 |   1734 |              754 |
| DhuleMC           |   1683 |   1678 |    999 |   1366 |              653 |
| Gadchiroli        |   1689 |   1816 |   1624 |   1651 |              810 |
| Ghatkopar         |   3412 |   2957 |   1687 |   2458 |             1282 |
| Gondiya           |   1547 |   2121 |   1488 |   1770 |              773 |
| Goregaon          |   1672 |   1430 |   1042 |   2268 |              997 |
| Govandi           |   2029 |   1037 |    878 |   1269 |              652 |
| Grant Road        |    778 |    901 |    623 |    913 |              647 |
| Hingoli           |   1259 |   1262 |    897 |   1031 |              510 |
| Jalgaon           |   4140 |   3690 |   2625 |   3120 |             1631 |
| Jalgaon MC        |   1837 |   2078 |   1134 |   1476 |              791 |
| Jalna             |   2117 |   2457 |   1903 |   2167 |             1167 |
| Kalyan DombivliMC |   2120 |   3692 |   2764 |   3355 |             1661 |
| Kandivali         |   2606 |   2578 |   1623 |   2370 |             1378 |
| Kolhapur          |   2769 |   2758 |   1746 |   2098 |             1113 |
| KolhapurMC        |   1084 |   1597 |   1435 |   1534 |              608 |
| Kurla             |    944 |   1184 |   1139 |   1572 |              858 |
| Latur             |   2843 |   3011 |   2082 |   2521 |             1233 |

| Malad             | 2368   |   2102 |   1592 |   2419 |   1232 |
|-------------------|--------|--------|--------|--------|--------|
| Malegaon MC       | 1190   |   1408 |   1045 |   1228 |    552 |
| Mira Bhayander    | 1570   |   2336 |   1821 |   2091 |   1024 |
| Mulund            | 893    |   1154 |   1183 |   1444 |    716 |
| Nagpur            | 2374   |   2763 |   1724 |   2133 |   1075 |
| NagpurMC          | 7293   |   7641 |   5439 |   6530 |   3226 |
| Nanded            | 3000   |   2693 |   1903 |   2229 |   1037 |
| Nanded Waghala MC | 1357   |   2343 |   1597 |   2271 |   1216 |
| Nandurbar         | 2921   |   3136 |   2032 |   2225 |   1253 |
| Nashik            | 2794   |   2919 |   2271 |   2784 |   1509 |
| NashikMC          | 2713   |   3502 |   2099 |   2735 |   1206 |
| Navi Mumbai       | 3981   |   5431 |   3382 |   4806 |   2312 |
| Osmanabad         | 1900   |   1930 |   1445 |   1565 |    765 |
| Palghar           | NA     |   1219 |   1621 |   2071 |   1285 |
| Parbhani          | 1718   |   1968 |   1399 |   1757 |    828 |
| Parel             | 7800   |   7818 |   5134 |   5374 |   2548 |
| Pimpri Chinchwad  | 3015   |   3061 |   2044 |   2563 |   1232 |
| Prabhadevi        | 528    |    778 |    555 |    976 |    351 |
| PuneMC            | 4897   |   6640 |   4715 |   6143 |   2578 |
| Pune Rural        | 8934   |   7911 |   5473 |   6309 |   3174 |
| Raigad            | 4636   |   4654 |   3152 |   3655 |   1532 |
| Ratnagiri         | 2657   |   2368 |   1658 |   1717 |    845 |
| Sangli            | 3363   |   3010 |   2085 |   2512 |   1330 |
| SangliMC          | 772    |   1134 |    508 |   1385 |    705 |
| Satara            | 4499   |   3590 |   2438 |   2866 |   1266 |
| Sindhudurg        | 975    |    870 |    733 |    736 |    340 |
| Sion              | 3923   |   3665 |   2849 |   3887 |   1946 |
| Solapur           | 3234   |   3024 |   2092 |   2294 |   1129 |
| SolapurMC         | 2112   |   3441 |   2044 |   2717 |   1255 |
| Thane             | 5148   |   3959 |   1849 |   2178 |   1200 |
| ThaneMC           | 5404   |   7517 |   5427 |   6788 |   3329 |
| Ulhasnagar MC     | 1308   |   1483 |    849 |   1030 |    558 |
| Vasai Virar       | 2640   |   4329 |   3254 |   3845 |   1636 |
| Vikhroli          | 2093   |   1729 |   1255 |   1495 |    851 |
| Wardha            | 1970   |   2089 |   1418 |   1534 |    716 |
| Washim            | 1886   |   1506 |   1144 |   1511 |    691 |
| Yavatmal          | 3646   |   4230 |   2663 |   3290 |   1624 |

## District* wise TB Deaths and Death Rate reported under NTEP for Maharashtra (2018-2022)

| District*         |   TB Deaths |   TB Deaths |   TB Deaths |   TB Deaths | TB Deaths       |   Death Rate |   Death Rate |   Death Rate |   Death Rate | Death Rate      |
|-------------------|-------------|-------------|-------------|-------------|-----------------|--------------|--------------|--------------|--------------|-----------------|
| District*         |        2018 |        2019 |        2020 |        2021 | 2022 (Jan- May) |       2018   |       2019   |       2020   |       2021   | 2022 (Jan- May) |
| Ahmadnagar        |         201 |         207 |         207 |         184 | 66              |          5.1 |          4.2 |          4.2 |          5.1 | 4.4             |
| AhmednagarMC      |          17 |          19 |          32 |          32 | 9               |          3.1 |          2.6 |          4.8 |          7   | 6.3             |
| Akola             |          54 |          40 |          54 |          31 | 13              |          5.1 |          2.8 |          4   |          2.9 | 3.6             |
| Akola MC          |          16 |          23 |          53 |          50 | 26              |          1.4 |          1.4 |          3.5 |          3.7 | 4.2             |
| Amravati          |         101 |          87 |         144 |         105 | 21              |          3.7 |          2.9 |          5   |          4.8 | 2.6             |
| AmravatiMC        |          28 |          46 |          52 |          48 | 19              |          1.9 |          4.1 |          4.9 |          5   | 4.8             |
| Andheri East      |          27 |          61 |         114 |          81 | 38              |          0.9 |          2.3 |          4.9 |          5.1 | 4.5             |
| Andheri West      |          30 |          74 |          95 |          85 | 29              |          0.9 |          2.5 |          3.5 |          4.5 | 3               |
| Aurangabad        |          65 |          93 |          91 |          63 | 16              |          1.6 |          2.4 |          4   |          4.1 | 2.8             |
| Aurangabad MC     |          29 |          78 |         143 |         135 | 75              |          2.7 |          4   |          4.6 |          6   | 6.3             |
| Bail Bazar Road   |          21 |          56 |          65 |          59 | 24              |          0.9 |          2.3 |          3.1 |          3.6 | 2.9             |
| Bandra East       |          25 |          72 |          77 |          57 | 25              |          1.3 |          2.8 |          3.5 |          4.1 | 3.6             |
| Bandra West       |          15 |          62 |          49 |          39 | 24              |          1.4 |          4.8 |          4.2 |          4.6 | 5.7             |
| Beed              |         107 |          84 |         121 |         100 | 39              |          5.5 |          4.5 |          5.2 |          6.4 | 6.2             |
| Bhandara          |          75 |          83 |          99 |          76 | 26              |          1.9 |          1.5 |          5.6 |          6   | 6.7             |
| Bhiwandi Nizampur |          42 |          66 |          87 |          87 | 31              |          5.2 |          3.5 |          2.1 |          2.7 | 1.9             |
| Borivali          |          16 |          48 |          68 |          54 | 24              |          1.3 |          2.9 |          4.4 |          4.4 | 4.1             |
| Buldana           |          55 |          88 |         103 |          86 | 20              |          2   |          3.2 |          3.8 |          4.2 | 2.7             |
| Byculla           |          39 |          84 |          93 |          79 | 38              |          1.7 |          4.3 |          5.3 |          6.8 | 6.1             |
| Centenary         |          35 |          50 |          61 |          59 | 40              |          1.2 |          2.5 |          3.8 |          4.7 | 5.8             |
| Chandrapur        |         137 |         160 |         169 |         139 | 55              |          5   |          4.8 |          5.1 |          5.5 | 6.3             |
| Chembur           |          13 |          69 |          79 |          78 | 26              |          0.6 |          2.5 |          3.5 |          5.5 | 3               |
| Colaba            |          18 |          41 |          62 |          58 | 26              |          1   |          2.1 |          3.5 |          5.7 | 4.8             |
| Dadar             |          25 |          95 |         104 |         146 | 41              |          0.3 |          2.9 |          3.5 |          5.3 | 3.2             |
| Dahisar           |           8 |          41 |          58 |          52 | 23              |          0.8 |          3.2 |          4.8 |          5.9 | 4.8             |
| Dhule             |          82 |          91 |          74 |          58 | 36              |          4.4 |          4.1 |          3.4 |          4   | 5.9             |
| DhuleMC           |          28 |          24 |          36 |          18 | 13              |          1.9 |          2.2 |          3.2 |          2.4 | 3.4             |
| Gadchiroli        |          64 |          78 |         100 |          79 | 25              |          4.1 |          4.3 |          5.6 |          5   | 4.8             |
| Ghatkopar         |          26 |         103 |         110 |          69 | 48              |          0.8 |          3   |          3.8 |          3.9 | 4.8             |
| Gondiya           |          48 |          71 |         107 |          77 | 24              |          2.6 |          3.4 |          5.2 |          5.3 | 4.6             |
| Goregaon          |          17 |          69 |          60 |          43 | 16              |          1.4 |          4.3 |          4.2 |          4.1 | 2.9             |
| Govandi           |          33 |          77 |          73 |          81 | 31              |          1.3 |          2.4 |          2.7 |          4.5 | 2.9             |
| Grant Road        |           4 |          26 |          46 |          77 | 17              |          0.3 |          2.1 |          3.8 |          8.4 | 4               |
| Hingoli           |          30 |          48 |          59 |          37 | 11              |          2.6 |          3.5 |          4.5 |          3.7 | 3.1             |
| Jalgaon           |         125 |         205 |         183 |          94 | 34              |          2.8 |          4.3 |          3.8 |          3.2 | 2.7             |
| Jalgaon MC        |          34 |          26 |          74 |          35 | 9               |          3.4 |          1.8 |          5.7 |          3.9 | 2.3             |
| Jalna             |          91 |          92 |         115 |          99 | 31              |          4.7 |          3.4 |          4.4 |          5   | 4.7             |
| Kalyan DombivliMC |          31 |          97 |         137 |         100 | 55              |          1.6 |          2.1 |          3.1 |          3.3 | 3.4             |
| Kandivali         |          38 |          88 |          68 |          43 | 24              |          2   |          4.3 |          3.8 |          3.7 | 3.5             |

| Kolhapur          | 127   |   158 |   176 |   120 |   38 | 4.5   |   5.3 |   6.1 |   6.3 |   4.5 |
|-------------------|-------|-------|-------|-------|------|-------|-------|-------|-------|-------|
| KolhapurMC        | 29    |    59 |   100 |   110 |   44 | 2.5   |   4   |   7   |   8.8 |   7.8 |
| Kurla             | 20    |    42 |    51 |    54 |   32 | 1.7   |   2.5 |   3.5 |   4.3 |   5.1 |
| Latur             | 94    |   110 |   104 |    82 |   31 | 3.7   |   3.6 |   3.5 |   4   |   3.8 |
| Malad             | 53    |   101 |   106 |    98 |   39 | 1.9   |   3   |   3.5 |   4.3 |   3.1 |
| Malegaon MC       | 28    |    54 |    42 |    36 |   13 | 2.1   |   4.1 |   3.4 |   3.7 |   3.1 |
| Mira Bhayander    | 39    |    46 |    58 |    54 |   29 | 2.9   |   1.8 |   2.3 |   2.8 |   2.9 |
| Mulund            | 17    |    27 |    33 |    54 |   14 | 1.2   |   2.2 |   2.8 |   4.6 |   2.2 |
| Nagpur            | 83    |    87 |    85 |    77 |   27 | 3.2   |   2.9 |   2.9 |   3.8 |   3.7 |
| NagpurMC          | 109   |   288 |   421 |   271 |  145 | 2.4   |   4.4 |   6.5 |   6.4 |   7.9 |
| Nanded            | 133   |   126 |   187 |   108 |   30 | 4.4   |   3.8 |   5.6 |   5   |   3.7 |
| Nanded Waghala MC | 26    |    27 |    50 |    42 |   22 | 1.7   |   1.5 |   2.9 |   3.4 |   3.8 |
| Nandurbar         | 131   |   129 |   156 |   121 |   42 | 3.9   |   4   |   4.9 |   5.9 |   6.3 |
| Nashik            | 71    |   105 |    93 |    75 |   36 | 2.1   |   2.9 |   2.6 |   3.3 |   4.9 |
| NashikMC          | 68    |   105 |   157 |   135 |   47 | 2.4   |   3.3 |   5.1 |   6.2 |   5   |
| Navi Mumbai       | 43    |    74 |   160 |   105 |   48 | 1.3   |   1.4 |   3.4 |   3.8 |   3.5 |
| Osmanabad         | 78    |    66 |    79 |    61 |    7 | 4.5   |   3.3 |   4.1 |   4.1 |   1.6 |
| Palghar           | NA    |    82 |    73 |    66 |   22 | NA    |   2.7 |   2.4 |   3.6 |   3   |
| Parbhani          | 94    |    74 |    83 |    57 |   26 | 4.9   |   3.5 |   4   |   4   |   4.5 |
| Parel             | 182   |    74 |    53 |    82 |   65 | 4.2   |   3.7 |   3.6 |   6.9 |  12.4 |
| Pimpri Chinchwad  | 46    |    97 |   147 |   136 |   46 | 1.9   |   3.3 |   5.2 |   6.9 |   4.7 |
| Prabhadevi        | 15    |    48 |    53 |    37 |   11 | 1.8   |   4   |   5   |   5.5 |   3.1 |
| PuneMC            | 115   |   190 |   506 |   371 |  166 | 2.1   |   2.6 |   6.6 |   6.9 |   6.5 |
| Pune Rural        | 121   |   109 |    96 |   106 |   32 | 1.6   |   1.7 |   1.5 |   2.4 |   2.1 |
| Raigad            | 148   |   154 |   195 |   158 |   75 | 3     |   2.9 |   3.8 |   4.7 |   4.8 |
| Ratnagiri         | 81    |    86 |   104 |    80 |   38 | 3.6   |   3.3 |   4.3 |   4.9 |   6.1 |
| Sangli            | 111   |   140 |   142 |   101 |   28 | 3.9   |   5   |   5.3 |   5.4 |   3.9 |
| SangliMC          | 22    |    38 |    56 |    51 |   25 | 2.1   |   2.8 |   4.3 |   8.1 |   4.6 |
| Satara            | 126   |   137 |   176 |   123 |   46 | 3.6   |   3.8 |   5.2 |   5.2 |   5.5 |
| Sindhudurg        | 44    |    46 |    58 |    47 |   16 | 4.6   |   4.7 |   6.3 |   6.4 |   5.2 |
| Sion              | 38    |    98 |   125 |    78 |   45 | 1.5   |   3.8 |   5.6 |   5.4 |   5.8 |
| Solapur           | 151   |   152 |   122 |    96 |   40 | 4.3   |   4.7 |   4   |   4.6 |   5.6 |
| SolapurMC         | 62    |   110 |   232 |   160 |   84 | 4.1   |   3.3 |   7.1 |   8   |   8.1 |
| Thane             | 153   |   132 |    71 |    53 |   17 | 2.7   |   3.5 |   2   |   2.5 |   1.6 |
| ThaneMC           | 30    |   167 |   268 |   192 |   89 | 0.8   |   2   |   3.8 |   4.2 |   3.5 |
| Ulhasnagar MC     | 32    |    62 |    42 |    22 |    9 | 2.6   |   3.4 |   2.6 |   2.1 |   1.7 |
| Vasai Virar       | 41    |   131 |   185 |   145 |   51 | 1.9   |   2.3 |   3.5 |   3.9 |   2.7 |
| Vikhroli          | 26    |   110 |   119 |    63 |   37 | 1.2   |   4.5 |   5.8 |   4.4 |   4.7 |
| Wardha            | 63    |    98 |   107 |    86 |   19 | 4     |   5.9 |   6.6 |   7   |   4.9 |
| Washim            | 55    |    61 |    61 |    64 |   14 | 3.4   |   3.5 |   3.6 |   5.2 |   3.3 |
| Yavatmal          | 201   |   188 |   131 |   118 |   52 | 5.7   |   4.2 |   3   |   4.3 |   4.8 |

*Under  NTEP,  for  programmatic  purposes,  Municipal  Corporations  have  been  considered  as  separate  district based on population. In Mumbai, the corporation has been divided into 24 NTEP districts corresponding to ward level.

Source: Ni-kshay