Lok Sabha Question No. 91 (STARRED), answered on 2021-12-03
Subject: Incidence of Diabetes
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shankar Lalwani, Kunwar Danish Ali

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

## LOK SABHA STARRED QUESTION NO.91 TO BE ANSWERED ON THE 3 RD  DECEMBER, 2021 INCIDENCE OF DIABETES

## †*91. SHRI SHANKAR LALWANI: KUNWAR DANISH ALI:

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

- (a) whether the Government has noted that there has been increase in the number of diabetes patients in the country with more than 77 million adults having diabetes and the number is likely to increase to 134 million by 2045;
- (b) the number of diabetes patients reported during the last three years;
- (c) whether the Government has conducted any study/survey in this regard, if so, the details and the outcome thereof;
- (d) whether the Government is aware that as per the statistical data, the incidence of patients suffering from diabetes is higher in Metro cities and if so, the details thereof; and
- (e)  the  action  plan  drawn/proposals  formulated  by  the  Government  for  prevention, early  detection  and  for  affordable  treatment  of  diabetes  including  juvenile  diabetes along with the funds allocated and utilized for the purpose during the last three years, State/UT-wise?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR. MANSUKH MANDAVIYA)

- (a) to (e) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 91* FOR 3 RD  DECEMBER, 2021

(a) to (d) Non-Communicable Diseases (NCDs) are estimated to account for 63% of all deaths. 3% overall mortality is attributable to diabetes. In a report 'India: Health of the Nation's States' by Ministry of Health and Family Welfare (MOHFW), it is found that there is an increase in proportion of deaths due to NCDs (among all deaths) from 37% in 1990 to 61% in 2016 and decrease in proportion of deaths due to Communicable Diseases (CDs) (among all deaths) from 53% in 1990 to 27% in 2016.  This shows an epidemiological transition with a shift in disease burden to NCDs. The exact number of patients suffering from Diabetes in India is not known.

As per 10 th edition of Diabetes Atlas 2021 of International Diabetes Federation (IDF), the estimated number of patients of diabetes between the age group of 20-79 years is 74.2 millions in year 2021 and it is estimated to be increased to 124.8 millions in year 2045.

Indian  Council  of  Medical  Research  (ICMR)  conducted  a  study  'The  ICMR INDIAB Study - A Compendium of Type 2 Diabetes in India: Lessons Learnt for the Nation' and published in 2017. The prevalence of diabetes is more in urban area as compare to rural areas in the country. The incidence of diabetes is higher in the metro cities and lower in the smaller cities and still lower in the villages.

(e) Health is a State subject. The Department of Health & Family Welfare, however, provides  technical and  financial  support to the  States/UTs  under  the  National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and  Stroke  (NPCDCS),  as  part  of  National  Health  Mission  (NHM),  based  on  the proposals received from the States/UTs. Diabetes is an integral part of the NPCDCS. Under the program, all age-groups, including children, are covered.

A population-based initiative for prevention, control and screening for common Non-Communicable  Diseases  (NCDs)  i.e.  Diabetes,  Hypertension  and  common Cancers  has  been  rolled  out  in  the  country  under  NHM  and  also  as  a  part  of Comprehensive Primary Health Care. Under the initiative, persons more than 30 years of age are targeted for their screening for common NCDs. Screening of these common NCDs is  an  integral  part  of  service  delivery  under  Ayushman  Bharat  -  Health  and Wellness Centres.

Furthermore, healthy eating is also promoted through Food Safety and Standards Authority of India (FSSAI). Fit India movement is being implemented by Ministry of Youth Affairs and Sports, and various Yoga related activities are being carried out by Ministry  of  AYUSH. In  addition,  NPCDCS gives  financial support  under  NHM  for awareness generation (IEC) activities for Diabetes to be undertaken by the States/UTs as per their Programme Implementation Plans (PIPs).

Under Free Drugs Service Initiative of NHM, financial support is provided to States/UTs  for  provision  of  free  essential  medicines  including  insulin  for  poor  and needy  people  including  children.  Furthermore,  quality  generic  medicines  including insulin  are  being  made  available  at  affordable  prices  to  all,  under  'Jan  Aushadhi Scheme', in collaboration with the State Governments.

The details of State/UT-wise funds allocated and utilized for last three years for National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) are enclosed at Annexure.

## ANNEXURE

State/UT wise details of Approvals and Utilisation for National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) under Flexible Pool for Non Communicable Diseases Programme (NCD) NHM during the period of F.Y. 2018-19 to 2020-21

(Rs. in Lakhs)

| S.No.   | State/UT                  | 2018-19   | 2018-19     | 2019-20   | 2019-20     | 2020-21   | 2020-21     |
|---------|---------------------------|-----------|-------------|-----------|-------------|-----------|-------------|
| S.No.   | State/UT                  | Approval  | Utilisation | Approval  | Utilisation | Approval  | Utilisation |
| 1       | Andaman & Nicobar Islands | 84.55     | 54.21       | 52.00     | 11.44       | 13.89     | 24.23       |
| 2       | Andhra Pradesh            | 391.78    | 484.39      | 359.83    | 287.92      | 1616.18   | 1193.22     |
| 3       | Arunachal Pradesh         | 521.80    | 93.45       | 347.51    | 128.28      | 381.58    | 151.06      |
| 4       | Assam                     | 1959.54   | 307.74      | 2067.53   | 625.33      | 568.87    | 238.50      |
| 5       | Bihar                     | 1028.83   | 307.69      | 792.39    | 277.96      | 1977.74   | 818.86      |
| 6       | Chandigarh                | 7.22      | 0.40        | 2.80      | 1.63        | 1.30      | 0.41        |
| 7       | Chhattisgarh              | 479.01    | 331.03      | 606.34    | 508.25      | 433.45    | 703.69      |
| 8       | Dadra & Nagar Haveli      | 9.60      | 30.53       | 45.32     | 25.11       | 14.18     | 45.16       |
| 9       | Daman & Diu               | 5.60      | 2.10        | 5.86      | 16.38       | 14.18     | 45.16       |
| 10      | Delhi                     | 117.48    | 6.17        | 145.88    | 12.24       | 128.10    | 3.65        |
| 11      | Goa                       | 84.70     | 59.13       | 85.33     | 35.31       | 50.53     | 24.50       |
| 12      | Gujarat                   | 440.79    | 337.69      | 518.38    | 460.97      | 709.39    | 375.67      |
| 13      | Haryana                   | 387.51    | 218.52      | 320.86    | 195.34      | 226.42    | 181.62      |
| 14      | Himachal Pradesh          | 236.28    | 184.62      | 158.00    | 164.88      | 45.00     | 64.67       |
| 15      | Jammu & Kashmir           | 460.61    | 285.26      | 595.67    | 136.72      | 1253.80   | 42.49       |
| 16      | Jharkhand                 | 465.33    | 96.98       | 593.78    | 118.98      | 535.24    | 238.12      |
| 17      | Karnataka                 | 796.70    | 548.53      | 1148.79   | 644.56      | 675.94    | 604.32      |
| 18      | Kerala                    | 552.10    | 443.41      | 1508.70   | 144.55      | 1092.82   | 1035.71     |
| 19      | Ladakh                    | -         | -           | -         | -           | 0.00      | 10.39       |
| 20      | Lakshadweep               | 13.80     | 0.00        | 3.48      | 1.24        | 15.55     | 2.85        |

|   21 | Madhya Pradesh   |   399.06 |   142.53 |   530.77 |   257.45 |   937.98 |   694.32 |
|------|------------------|----------|----------|----------|----------|----------|----------|
|   22 | Maharashtra      |  1651.24 |  1023.33 |  3062.36 |  1377.52 |   747.47 |   486.75 |
|   23 | Manipur          |   126.02 |    93.14 |   199.92 |   267.66 |   293.66 |    20.14 |
|   24 | Meghalaya        |   123.32 |   101.98 |    52.48 |    79.11 |    46.55 |   330.26 |
|   25 | Mizoram          |    62.57 |    19.66 |    54.48 |    15.21 |    58.88 |    15.8  |
|   26 | Nagaland         |   219.8  |   176.53 |   206.04 |    93.89 |   137.1  |    37.86 |
|   27 | Odisha           |  2485.68 |   307.99 |   661.8  |   549.3  |   881.79 |  1021.54 |
|   28 | Puducherry       |    41.18 |     7.46 |    24.15 |    19.34 |    23.72 |     1.46 |
|   29 | Punjab           |   211.4  |   103.81 |   184.45 |   107.62 |   169.79 |    83.17 |
|   30 | Rajasthan        |   604.68 |   558.12 |  2903.2  |  2126.2  |  1227.09 |   882.62 |
|   31 | Sikkim           |    56.9  |    76.72 |    72.31 |    25.44 |    53.06 |     9.2  |
|   32 | Tamil Nadu       |   520.86 |   624.1  |  2006.42 |   735.97 |   798.77 |   371    |
|   33 | Telangana        |  1035.84 |   399.04 |   766.04 |   239.42 |   490.7  |   351.54 |
|   34 | Tripura          |   360.79 |   206.37 |   215.13 |   162    |   131.33 |   104.05 |
|   35 | Uttar Pradesh    |  5055.87 |  4225.22 |  7602.17 |  2908.04 |  6654.7  |  1888.3  |
|   36 | Uttarakhand      |    64.25 |    25.61 |   331.74 |    39.66 |   144.8  |     0    |
|   37 | West Bengal      |  1191.34 |   527.44 |   892.09 |   672    |  1399.34 |   916.39 |

## Note:

1. The above data comprises of inter alia, Non Recurring : Renovation and furnishing, District NCD Clinic, NCD Clinic at CHC, etc. Recurring grant: Miscellaneous & Contingencies, Education & Communication & Training, Public Private Partnership, Research & Surveillance, etc.
2. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of  the year.
3. The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs.