Lok Sabha Question No. 1688 (UNSTARRED), answered on 2022-12-16
Subject: Sanitary Pad
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Hibi Eden

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

## LOK SABHA UNSTARRED QUESTION NO. 1688 TO BE ANSWERED ON 16 th  DECEMBER, 2022

## SANITARY PAD

## 1688. SHRI HIBI EDEN:

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

(a) whether the Government has taken steps/ proposed to take steps for regular screening of possible cancer diseases in women who are regularly using sanitary pads to ensure early detection and treatment and if so, the details thereof;

- (b) whether the Government is aware that cases of cancer among women is rising in the country; and

(c) if so, the details thereof indicating the number of such cases reported during each of the last three years, State/UT-wise along with the types of cancer?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (DR. BHARATI PRAVIN PAWAR)

(a) The  Department  of  Health  &  Family  Welfare,  Government  of  India,  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 and subject to the resource envelope. The programme focusses on strengthening infrastructure,  human  resource  development,  health  promotion  &  awareness  generation  for prevention  of  Non-Communicable  Diseases  (NCDs),  early  diagnosis,  management  and referral to an appropriate level of healthcare facility for treatment.

A population-based initiative for prevention, control and screening for common NCDs 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.  Screening  of  these  common  NCDs  including  Breast  and  Cervical  cancer  are  an integral part of service delivery under Ayushman Bharat - Health and Wellness Centres.

This  program  screens  women  irrespective  of  their  menstrual  hygiene  practices  (use  of cloths/sanitary pads etc). Further, there is no strong scientific evidence worldwide which has demonstrated that women who use sanitary pads, are more susceptible to cancers, compared to those who opt for other alternative menstrual practices.

- (b) and (c); As per the ICMR  National Cancer Registry Programme (NCRP) data, the estimated  number  of  incident  cancer  cases  is  increasing  among  women  in  the country. The estimated number of incident cancer cases reported in the country during 20192021 is given below.

| Estimated cancer cases in India (2019-2021) - Females   |   Estimated cancer cases in India (2019-2021) - Females |   Estimated cancer cases in India (2019-2021) - Females |   Estimated cancer cases in India (2019-2021) - Females |
|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|
| Year                                                    |                                                    2019 |                                                    2020 |                                                    2021 |
| Estimated Incidence of cancer Cases* -(ICD10:C00- C97)  |                                                  695072 |                                                  712758 |                                                  730771 |

The estimated number of cancer cases among women in the country during 2019-2021 by state/UT wise is enclosed in Table 1. Breast cancer is the leading cancer site among women followed by cervical cancer in the country and the estimated number of cases of breast and cervical cancer in the country during 2019-2021 by State/UT wise is enclosed in Table 2 & Table 3 respectively.

****

| Table 1: Estimated Incidence of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2019-2021) - Females   |   Table 1: Estimated Incidence of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2019-2021) - Females |   Table 1: Estimated Incidence of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2019-2021) - Females |   Table 1: Estimated Incidence of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2019-2021) - Females |
|------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|
| State                                                                                                                              |                                                                                                                               2019 |                                                                                                                               2020 |                                                                                                                               2021 |
| Jammu &Kashmir UT                                                                                                                  |                                                                                                                               6079 |                                                                                                                               6246 |                                                                                                                               6412 |
| Ladakh                                                                                                                             |                                                                                                                                124 |                                                                                                                                127 |                                                                                                                                131 |
| Himachal pradesh                                                                                                                   |                                                                                                                               4454 |                                                                                                                               4566 |                                                                                                                               4664 |
| Punjab                                                                                                                             |                                                                                                                              20082 |                                                                                                                              20593 |                                                                                                                              21095 |
| Chandigarh                                                                                                                         |                                                                                                                                488 |                                                                                                                                505 |                                                                                                                                522 |
| Uttaranchal                                                                                                                        |                                                                                                                               5796 |                                                                                                                               5936 |                                                                                                                               6088 |
| Haryana                                                                                                                            |                                                                                                                              14452 |                                                                                                                              14869 |                                                                                                                              15312 |
| Delhi                                                                                                                              |                                                                                                                              12028 |                                                                                                                              12424 |                                                                                                                              12847 |
| Rajasthan                                                                                                                          |                                                                                                                              35744 |                                                                                                                              36728 |                                                                                                                              37703 |
| Uttar pradesh                                                                                                                      |                                                                                                                              97187 |                                                                                                                              99624 |                                                                                                                             102112 |
| Bihar                                                                                                                              |                                                                                                                              48855 |                                                                                                                              50146 |                                                                                                                              51448 |
| Sikkim                                                                                                                             |                                                                                                                                213 |                                                                                                                                214 |                                                                                                                                222 |
| Arunachal pradesh                                                                                                                  |                                                                                                                                490 |                                                                                                                                500 |                                                                                                                                519 |
| Nagaland                                                                                                                           |                                                                                                                                723 |                                                                                                                                755 |                                                                                                                                775 |
| Manipur                                                                                                                            |                                                                                                                               1028 |                                                                                                                               1057 |                                                                                                                               1120 |
| Mizoram                                                                                                                            |                                                                                                                                837 |                                                                                                                                866 |                                                                                                                                920 |
| Tripura                                                                                                                            |                                                                                                                               1063 |                                                                                                                               1094 |                                                                                                                               1120 |
| Meghalaya                                                                                                                          |                                                                                                                               1030 |                                                                                                                               1053 |                                                                                                                               1081 |
| Assam                                                                                                                              |                                                                                                                              16831 |                                                                                                                              17275 |                                                                                                                              17725 |
| West bengal                                                                                                                        |                                                                                                                              53300 |                                                                                                                              54636 |                                                                                                                              55965 |
| Jharkhand                                                                                                                          |                                                                                                                              16783 |                                                                                                                              17258 |                                                                                                                              17753 |
| Orissa                                                                                                                             |                                                                                                                              25027 |                                                                                                                              25580 |                                                                                                                              26165 |
| Chattisgarh                                                                                                                        |                                                                                                                              14248 |                                                                                                                              14614 |                                                                                                                              14991 |
| Madhya pradesh                                                                                                                     |                                                                                                                              38695 |                                                                                                                              39717 |                                                                                                                              40766 |
| Gujarat                                                                                                                            |                                                                                                                              35218 |                                                                                                                              36163 |                                                                                                                              37125 |
| Daman                                                                                                                              |                                                                                                                                 56 |                                                                                                                                 60 |                                                                                                                                 62 |
| Dadra &Nagar Haveli                                                                                                                |                                                                                                                                 95 |                                                                                                                                106 |                                                                                                                                109 |
| Maharashtra                                                                                                                        |                                                                                                                              59715 |                                                                                                                              61160 |                                                                                                                              62635 |
| Telangana                                                                                                                          |                                                                                                                              24800 |                                                                                                                              25434 |                                                                                                                              26063 |
| Andhra pradesh                                                                                                                     |                                                                                                                              36872 |                                                                                                                              37692 |                                                                                                                              38527 |
| Karnataka                                                                                                                          |                                                                                                                              44328 |                                                                                                                              45465 |                                                                                                                              46615 |
| Goa                                                                                                                                |                                                                                                                                868 |                                                                                                                                883 |                                                                                                                                903 |
| Lakshadweep                                                                                                                        |                                                                                                                                 18 |                                                                                                                                 18 |                                                                                                                                 18 |
| Kerala                                                                                                                             |                                                                                                                              28550 |                                                                                                                              29068 |                                                                                                                              29588 |
| Tamil nadu                                                                                                                         |                                                                                                                              47982 |                                                                                                                              49273 |                                                                                                                              50584 |
| Pondicherry                                                                                                                        |                                                                                                                                837 |                                                                                                                                871 |                                                                                                                                899 |
| Andaman& Nicobar Islands                                                                                                           |                                                                                                                                176 |                                                                                                                                182 |                                                                                                                                187 |
| Total                                                                                                                              |                                                                                                                             695072 |                                                                                                                             712758 |                                                                                                                             730771 |

| Table 2: Estimated Incidence of cancer cases in India by different State / UT - Breast (ICD10:C50)- (2019-2021)- Females   |   Table 2: Estimated Incidence of cancer cases in India by different State / UT - Breast (ICD10:C50)- (2019-2021)- Females |   Table 2: Estimated Incidence of cancer cases in India by different State / UT - Breast (ICD10:C50)- (2019-2021)- Females |   Table 2: Estimated Incidence of cancer cases in India by different State / UT - Breast (ICD10:C50)- (2019-2021)- Females |
|----------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------|
| States                                                                                                                     |                                                                                                                       2019 |                                                                                                                       2020 |                                                                                                                       2021 |
| Jammu &Kashmir                                                                                                             |                                                                                                                       1763 |                                                                                                                       1812 |                                                                                                                       1864 |
| Ladakh                                                                                                                     |                                                                                                                         36 |                                                                                                                         37 |                                                                                                                         38 |
| Himachal pradesh                                                                                                           |                                                                                                                       1310 |                                                                                                                       1342 |                                                                                                                       1374 |
| Punjab                                                                                                                     |                                                                                                                       6037 |                                                                                                                       6192 |                                                                                                                       6347 |
| Chandigarh                                                                                                                 |                                                                                                                        161 |                                                                                                                        168 |                                                                                                                        172 |
| Uttaranchal                                                                                                                |                                                                                                                       1678 |                                                                                                                       1723 |                                                                                                                       1768 |
| Haryana                                                                                                                    |                                                                                                                       4225 |                                                                                                                       4356 |                                                                                                                       4487 |
| Delhi                                                                                                                      |                                                                                                                       3373 |                                                                                                                       3491 |                                                                                                                       3609 |
| Rajasthan                                                                                                                  |                                                                                                                      10312 |                                                                                                                      10597 |                                                                                                                      10889 |
| Uttar pradesh                                                                                                              |                                                                                                                      27863 |                                                                                                                      28573 |                                                                                                                      29295 |
| Bihar                                                                                                                      |                                                                                                                      14016 |                                                                                                                      14388 |                                                                                                                      14766 |
| Sikkim                                                                                                                     |                                                                                                                         32 |                                                                                                                         33 |                                                                                                                         34 |
| Arunachal pradesh                                                                                                          |                                                                                                                         70 |                                                                                                                         71 |                                                                                                                         72 |
| Nagaland                                                                                                                   |                                                                                                                         82 |                                                                                                                         87 |                                                                                                                         90 |
| Manipur                                                                                                                    |                                                                                                                        165 |                                                                                                                        170 |                                                                                                                        176 |
| Mizoram                                                                                                                    |                                                                                                                        120 |                                                                                                                        122 |                                                                                                                        126 |
| Tripura                                                                                                                    |                                                                                                                        161 |                                                                                                                        167 |                                                                                                                        171 |
| Meghalaya                                                                                                                  |                                                                                                                         88 |                                                                                                                         89 |                                                                                                                         92 |
| Assam                                                                                                                      |                                                                                                                       2806 |                                                                                                                       2880 |                                                                                                                       2956 |
| West bengal                                                                                                                |                                                                                                                      15749 |                                                                                                                      16155 |                                                                                                                      16562 |
| Jharkhand                                                                                                                  |                                                                                                                       4880 |                                                                                                                       5016 |                                                                                                                       5160 |
| Orissa                                                                                                                     |                                                                                                                       7339 |                                                                                                                       7508 |                                                                                                                       7681 |
| Chattisgarh                                                                                                                |                                                                                                                       4165 |                                                                                                                       4274 |                                                                                                                       4383 |
| Madhya pradesh                                                                                                             |                                                                                                                      11198 |                                                                                                                      11501 |                                                                                                                      11814 |
| Gujarat                                                                                                                    |                                                                                                                      10350 |                                                                                                                      10631 |                                                                                                                      10920 |
| Daman                                                                                                                      |                                                                                                                         30 |                                                                                                                         32 |                                                                                                                         33 |
| Dadra &Nagar Haveli                                                                                                        |                                                                                                                         41 |                                                                                                                         44 |                                                                                                                         46 |
| Maharashtra                                                                                                                |                                                                                                                      17736 |                                                                                                                      18174 |                                                                                                                      18619 |
| Telangana                                                                                                                  |                                                                                                                       7302 |                                                                                                                       7491 |                                                                                                                       7679 |
| Andhra pradesh                                                                                                             |                                                                                                                      10930 |                                                                                                                      11174 |                                                                                                                      11421 |
| Karnataka                                                                                                                  |                                                                                                                      13085 |                                                                                                                      13427 |                                                                                                                      13774 |
| Goa                                                                                                                        |                                                                                                                        274 |                                                                                                                        277 |                                                                                                                        285 |
| Lakshadweep                                                                                                                |                                                                                                                         14 |                                                                                                                         14 |                                                                                                                         14 |
| Kerala                                                                                                                     |                                                                                                                       8220 |                                                                                                                       8382 |                                                                                                                       8545 |
| Tamil nadu                                                                                                                 |                                                                                                                      14251 |                                                                                                                      14659 |                                                                                                                      15073 |
| Pondicherry                                                                                                                |                                                                                                                        288 |                                                                                                                        297 |                                                                                                                        308 |
| Andaman& Nicobar Islands                                                                                                   |                                                                                                                         68 |                                                                                                                         70 |                                                                                                                         71 |
| Total                                                                                                                      |                                                                                                                     200218 |                                                                                                                     205424 |                                                                                                                     210714 |

| Table 3: Estimated Incidence of cancer cases in India by different State/UT - Cervix Uteri (ICD10: C53) - (2019-2021)   |   Table 3: Estimated Incidence of cancer cases in India by different State/UT - Cervix Uteri (ICD10: C53) - (2019-2021) |   Table 3: Estimated Incidence of cancer cases in India by different State/UT - Cervix Uteri (ICD10: C53) - (2019-2021) |   Table 3: Estimated Incidence of cancer cases in India by different State/UT - Cervix Uteri (ICD10: C53) - (2019-2021) |
|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|
| State                                                                                                                   |                                                                                                                    2019 |                                                                                                                    2020 |                                                                                                                    2021 |
| Jammu &Kashmir                                                                                                          |                                                                                                                     614 |                                                                                                                     635 |                                                                                                                     648 |
| Ladakh                                                                                                                  |                                                                                                                      13 |                                                                                                                      13 |                                                                                                                      16 |
| Himachal pradesh                                                                                                        |                                                                                                                     461 |                                                                                                                     474 |                                                                                                                     483 |
| Punjab                                                                                                                  |                                                                                                                    2223 |                                                                                                                    2280 |                                                                                                                    2339 |
| Chandigarh                                                                                                              |                                                                                                                      58 |                                                                                                                      58 |                                                                                                                      60 |
| Uttaranchal                                                                                                             |                                                                                                                     594 |                                                                                                                     608 |                                                                                                                     624 |
| Haryana                                                                                                                 |                                                                                                                    1486 |                                                                                                                    1536 |                                                                                                                    1580 |
| Delhi                                                                                                                   |                                                                                                                    1217 |                                                                                                                    1259 |                                                                                                                    1303 |
| Rajasthan                                                                                                               |                                                                                                                    3620 |                                                                                                                    3721 |                                                                                                                    3822 |
| Uttar pradesh                                                                                                           |                                                                                                                    9793 |                                                                                                                   10046 |                                                                                                                   10301 |
| Bihar                                                                                                                   |                                                                                                                    4941 |                                                                                                                    5073 |                                                                                                                    5207 |
| Sikkim                                                                                                                  |                                                                                                                      26 |                                                                                                                      26 |                                                                                                                      27 |
| Arunachal pradesh                                                                                                       |                                                                                                                      68 |                                                                                                                      71 |                                                                                                                      74 |
| Nagaland                                                                                                                |                                                                                                                     114 |                                                                                                                     116 |                                                                                                                     121 |
| Manipur                                                                                                                 |                                                                                                                     101 |                                                                                                                     103 |                                                                                                                     107 |
| Mizoram                                                                                                                 |                                                                                                                     134 |                                                                                                                     139 |                                                                                                                     143 |
| Tripura                                                                                                                 |                                                                                                                     185 |                                                                                                                     191 |                                                                                                                     194 |
| Meghalaya                                                                                                               |                                                                                                                     109 |                                                                                                                     111 |                                                                                                                     113 |
| Assam                                                                                                                   |                                                                                                                    1754 |                                                                                                                    1802 |                                                                                                                    1851 |
| West bengal                                                                                                             |                                                                                                                    5534 |                                                                                                                    5679 |                                                                                                                    5823 |
| Jharkhand                                                                                                               |                                                                                                                    1723 |                                                                                                                    1770 |                                                                                                                    1821 |
| Orissa                                                                                                                  |                                                                                                                    2595 |                                                                                                                    2656 |                                                                                                                    2717 |
| Chattisgarh                                                                                                             |                                                                                                                    1467 |                                                                                                                    1507 |                                                                                                                    1545 |
| Madhya pradesh                                                                                                          |                                                                                                                    3934 |                                                                                                                    4042 |                                                                                                                    4151 |
| Gujarat                                                                                                                 |                                                                                                                    3637 |                                                                                                                    3738 |                                                                                                                    3840 |
| Daman                                                                                                                   |                                                                                                                       9 |                                                                                                                       9 |                                                                                                                       9 |
| Dadra &Nagar Haveli                                                                                                     |                                                                                                                      15 |                                                                                                                      15 |                                                                                                                      15 |
| Maharashtra                                                                                                             |                                                                                                                    6545 |                                                                                                                    6708 |                                                                                                                    6872 |
| Telangana                                                                                                               |                                                                                                                    2466 |                                                                                                                    2532 |                                                                                                                    2595 |
| Andhra pradesh                                                                                                          |                                                                                                                    3713 |                                                                                                                    3799 |                                                                                                                    3886 |
| Karnataka                                                                                                               |                                                                                                                    4419 |                                                                                                                    4536 |                                                                                                                    4657 |
| Goa                                                                                                                     |                                                                                                                     101 |                                                                                                                     104 |                                                                                                                     106 |
| Lakshadweep                                                                                                             |                                                                                                                       4 |                                                                                                                       4 |                                                                                                                       4 |
| Kerala                                                                                                                  |                                                                                                                    1699 |                                                                                                                    1734 |                                                                                                                    1771 |
| Tamil nadu                                                                                                              |                                                                                                                    7768 |                                                                                                                    7958 |                                                                                                                    8144 |
| Pondicherry                                                                                                             |                                                                                                                     128 |                                                                                                                     133 |                                                                                                                     138 |
| Andaman& Nicobar Islands                                                                                                |                                                                                                                      21 |                                                                                                                      23 |                                                                                                                      23 |
| Total                                                                                                                   |                                                                                                                   73289 |                                                                                                                   75209 |                                                                                                                   77130 |