Lok Sabha Question No. 1831 (UNSTARRED), answered on 2022-02-11
Subject: Deaths due to Malaria and Dengue
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Anil Firojiya, Sangamlal Kadedin Gupta, D.K. Suresh, P.P. Chaudhary, Sunil Kumar Singh, Brijbhushan Sharan Singh, Jagdambika Pal

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

## LOK SABHA UNSTARRED QUESTION NO. 1831 TO BE ANSWERED ON 11 TH   FEBRUARY, 2022

## DEATHS DUE TO MALARIA AND DENGUE

## 1831. SHRI ANIL FIROJIYA:

SHRI JAGDAMBIKA PAL:

SHRI BRIJBHUSHAN SHARAN SINGH:

SHRI P.P. CHAUDHARY:

SHRI SUNIL KUMAR SINGH:

SHRI D.K.SURESH:

SHRI SANGAM LAL GUPTA:

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

- (a) the  number  of  cases  of  vector  borne  diseases  such  as  malaria  and  dengue  reported  and  the number of death caused thereof during the last four years in the country; (b)   the steps taken by the Government to reduce the spread of Malaria and Dengue; (c) the funds  allocated, utilized and  left unutilized for the  purpose  during  the  said period, State/UT-wise along with the reasons for not utilizing the fund in this regard; (d)    whether  the  Government  proposes  to  start  any  national  programme  for  the  prevention  of  such diseases, if so, the details thereof; (e)   whether the Government is working with any medical firm on Malaria Vaccine Development, if so,  the  details  thereof  along  with  the  financial  assistance  provided  in  this  regard  for  developing the vaccine; and (f)          whether  the  Government  intends  to  provide  the  malaria  vaccine  for free  to  all  and  if  so,  the
- details thereof and the estimated cost for the vaccine?

## ANSWER

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

- (a) The number of cases of vector borne diseases such as malaria and dengue reported and the number of death caused thereof during the last four years in the country are listed below:-

| Year                 | Cases   | Deaths   | Cases   | Deaths   |
|----------------------|---------|----------|---------|----------|
|                      | Malaria | Malaria  | Dengue  | Dengue   |
| 2017                 | 844558  | 194      | 188401  | 325      |
| 2018                 | 429928  | 96       | 124493  | 258      |
| 2019                 | 338494  | 77       | 205243  | 193      |
| 2020                 | 186532  | 93       | 44585   | 66       |
| 2021*(till November) | 145337  | 79       | 188366  | 247      |

- (b) The  steps  taken  by  the  Government  to  reduce  the  spread  of  Malaria  and  Dengue  are  as following:

## Malaria

- Integrated Vector Management including Indoor Residual Spraying (IRS) in selected high risk areas,  Long  Lasting  Insecticidal  Nets  (LLINs)  in  high  malaria  endemic  areas,  use  of larvivorous  fish,  anti-larval  measures  in  urban  areas  including  bio-larvicides  and  minor environmental engineering and source reduction for prevention of breeding.
- Disease  Management  involving  early  case  detection  with  active,  passive  and  sentinel surveillance followed by complete and effective treatment, strengthening of referral services, epidemic preparedness and rapid response.
- Supportive Interventions aiming at Behaviour Change Communication (BCC), Inter-Sectoral Convergence and Human Resource Development through capacity building.

## Dengue

- Provided  Technical  Guidelines  for  prevention  and  control,  case  management  &  effective community  participation  to  the  States  for  implementation.  15  advisories  were  issued  as required to States/UTs for prevention and control of dengue in 2021.
- Free diagnostic facilities through 713 Sentinel Surveillance Hospitals and 17 Apex Referral laboratories identified across the country are fully functional. 8.52 Lakh IgM tests have been provided by the Government of India in 2021. Adequate funds have been provided to states for procurement of NS1 kits for early diagnosis.
- Under  National  Health  Mission,  necessary  and  sufficient  budgetary  support  is  provided  to states/UTs  for  dengue  control  activities  i.e.,  dengue  case  management,  vector  control activities  (provision  of  domestic  breeding  checkers,  insecticide,  fogging  machines  etc), training support, awareness activities, etc.

(c) The  National  Centre  for  Vector  Borne  Disease  Control  (NCVBDC),  the  nodal  agency  for prevention  and  control  of  vector  borne  diseases  provides  technical  and  financial  assistance  to  the States/UTs in the form of cash and commodity, for prevention and control of vector borne diseases, as detailed  at Annexure. There  is  no  underutilisation  of  funds,  as  the  funds  are  utilized  as  per requirements.

(d) The  Government  of  India  has  launched  the  National  Framework  for  Malaria  Elimination (NFME), 2016-2030 to eliminate malaria in India. The goal is to achieve zero indigenous cases of Malaria in the country by 2027 and get 'malaria free' certification by 2030.

(e) & (f) A research project has been funded by Dept. of Biotechnology, Govt. of India in 2021 to a consortium of research teams led by the ICMR-Regional Medical Research Centre, Bhubaneswar (ICMR-RMRCBB).  Other  collaborating  research  groups  from  this  consortium  include  the  ICMRNational Institute of Malaria Research, New Delhi (ICMR-NIMR) and the DBT-National Institute of Immunology, New Delhi (DBT-NII). This project aims to  support research and development (R&D) activities aimed towards indigenous development of malaria vaccine.

----------------------

## Annexure

## Statement Showing State/UT wise Central Releases and Expenditure under National Vector Borne Diseases Control Programme (NCVBDC) -under NHM during the FY 2017-18 to 2020-21

Rs. in crore

|        |                          | 2017-18         | 2017-18     | 2018-19         | 2018-19     | 2019-20         | 2019-20     | 2020-21         | 2020-21     |
|--------|--------------------------|-----------------|-------------|-----------------|-------------|-----------------|-------------|-----------------|-------------|
| S. No. | Name of the State/UT     | Central Release | Expenditure | Central Release | Expenditure | Central Release | Expenditure | Central Release | Expenditure |
| 1      | Andaman &Nicobar Islands | 2.96            | 1.59        | 0.27            | 0.29        | 2.53            | 0.06        | 1.70            | 0.74        |
| 2      | Andhra Pradesh           | 6.76            | 9.14        | 10.76           | 9.48        | 1.07            | 9.55        | 4.93            | 13.79       |
| 3      | Arunachal Pradesh        | 66.51           | 9.07        | 5.92            | 3.64        | 5.52            | 7.83        | 10.60           | 17.53       |
| 4      | Assam                    | 51.42           | 8.59        | 20.13           | 7.45        | 20.27           | 13.69       | 40.13           | 45.63       |
| 5      | Bihar                    | 26.59           | 41.50       | 10.86           | 24.16       | 3.00            | 84. 18      | 40.23           | 80.80       |
| 6      | Chandigarh               | 0.76            | 0.53        | 0.53            | 0.16        | 0.44            | 0.04        | 0.23            | 0.12        |
| 7      | Chhattisgarh             | 133.00          | 13.11       | 42.96           | 7.36        | 17.52           | 8.88        | 9.42            | 18.04       |
| 8      | Dadra &Nagar Haveli      | 1.02            | 0.91        | 2.66            | 0.82        | 0.76            | 0.38        |                 | 0.99        |
| 9      | Daman &Diu               | 0.35            | 0.25        | 0.61            | 0.24        | 0.45            | 0.29        | 1.10            |             |
| 10     | Delhi                    | 0.00            | 0.05        | 0.00            | 0.00        | 0.18            | 0.00        | 0.54            | 0.54        |
| 11     | Goa                      | 0.52            | 0.29        | 0.65            | 0.34        | 0.93            | 0.39        | 0.00            | 0.34        |
| 12     | Gujarat                  | 9.54            | 16.63       | 11.03           | 12.20       | 15.39           | 14.61       | 0.00            | 19.03       |
| 13     | H ana                    | 0.00            | 1.02        | 3.74            | 0.93        | 0.32            | 4. 18       | 0.72            | !.82        |
| 14     | Himachal Pradesh         | 0.00            | 0.09        | 1.55            | 0.73        | 0.03            | 0.36        | 0.00            | 0. 12       |
| 15     | Jammu &Kashmir           | 1.00            | 0.20        | 2.10            | 0.17        | 0.06            | 0.23        | 7.56            | 0.25        |
| 16     | Jharkhand                | 144.89          | 21.95       | 57.75           | 7.21        | 34.82           | 22.56       | 17.63           | 35.32       |
| 17     | Karnataka                | 2.36            | 4.29        | 3.76            | 5.46        | 1.96            | I 64        | 1.07            | 11.35       |
| 18     | Kerala                   | 4.99            | 4.31        | 5.28            | 5.85        | 1.02            | 2.92        | 1.55            | 2.67        |
| 19     | Lakshadweep              | 0.20            | 0.19        | 0.37            | 0.20        | 0.10            | 0.09        | 0.22            | 0. 15       |
| 20     | Madhya Pradesh           | 23.64           | 10.31       | 52.36           | 15.20       | 150.07          | 13.07       | 3.76            | 16.67       |
| 21     | Maharashtra              | 7.67            | 3.80        | 5.48            | 6.60        | 1.01            | 12.24       | 5.36            | 6.82        |
| 22     | Manipur                  | 8.52            | 4.48        | 2.44            | 1.27        | 3. 12           | 2.29        | 9.41            | 11.26       |
| 23     | Meghalaya                | 31.43           | 4.06        | 2.57            | 6.40        | 3.50            | 2.61        | 19.20           | 23.99       |
| 24     | Mizoram                  | 18.49           | 0.76        | 3. 14           | 3.93        | 3.39            | 2.24        | 7.74            | 9.76        |
| 25     | Nagaland                 | 30.22           | 6.42        | 3.06            | 2.84        | 5.35            | 3.57        | 15.58           | 15.08       |
| 26     | Odisha                   | 285.29          | 41.78       | 1 .91           | 12.20       | 2.00            | 26.47       | 21 1.43         | 227.15      |
| 27     | Puducherry               | 0.97            | 0.34        | 0.72            | 0.67        | 2.20            | 0.34        | 0.13            | 0.46        |
| 28     | Punjab                   | 4.22            | 2.57        | 2.13            | 2.87        | 0.40            | 3.86        | 1 1.84          | 14.63       |
| 29     | Rajasthan                | 0.06            | 4.05        | 14.81           | 1.92        | 8.70            | 3.44        | 6.14            | 10.79       |

|   30 | Sikkim        | 0.00   | 0.19   | 0.20   | 0.10   | 0.00   | 0.18   |   0.00 |   0.00 |
|------|---------------|--------|--------|--------|--------|--------|--------|--------|--------|
|   31 | Tamil Nadu    | 19.62  | 21.12  | 6.93   | 18.84  | 1.13   | 4.62   |   3.68 |   4.67 |
|   32 | Tripura       | 25.58  | 0.28   | 4.13   | 2.41   | 15.27  | 6. 19  |  28.62 |  30.72 |
|   33 | Uttar Pradesh | 15.83  | 22.73  | 38.23  | 23.35  | 27.25  | 32.27  |  39.14 |  40.64 |
|   34 | Uttarakhand   | 0.46   | 0.28   | 2.77   | 0. 18  | 0.49   | 0.60   |   1.19 |   1.06 |
|   35 | West Bengal   | 12.82  | 17.72  | 11.35  | 10.42  | 6.88   | 14.87  |  13.71 |  17.63 |
|   36 | Telangana     | 6.67   | 3.37   | 13.38  | 8.23   | 0.74   | 3.11   |   0.91 |  11.71 |
|   37 | Ladakh        | -      | -      | -      | -      | -      | -      |   0.16 |   0    |

Note:

- 1 . The above releases comprises of Cash grants and Kind supports. Further, the releases relate to Central Govt. Grants & do not include State share contribution.
2. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year. Further, expenditure is as per the available Financial Management Report (FMR) submitted by States/UTs.
3. Allocation has no relevance after closure of the relevant financial year, hence not provided.