Lok Sabha Question No. 1052 (UNSTARRED), answered on 2022-07-22
Subject: Breast Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Karti P. Chidambaram

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

## LOK SABHA UNSTARRED QUESTION NO. 1052 TO BE ANSWERED ON 22 nd July, 2022

## BREAST CANCER

## 1052. SHRI KARTI P. CHIDAMBARAM:

Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the details of breast cancer cases reported in the country during the last five years, State/UT-wise;
- (b) average mortality rate for confirmed cases of breast cancer in the country during the last five years, State/UT-wise;
- (c) whether the Government plans to conduct any study regarding the increased incidences of breast cancer among women;
- (d) if so, the details thereof;
- (e) whether the Government plans to organize any early detection programs to combat the increased incidences of breast cancer; and

(f) if so, the details thereof and if not, the reasons therefor?

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

(a) to (d): As per the Indian Council of Medical Research's Cancer Registry Data Report on 'National Cancer Registry Programme Report, 2020', the estimated number of incidence and mortality of breast cancer in the country during the 2016 to 2020 by State/UT wise is enclosed in annexure (Table 1 & Table 2). ICMR conducts study on risk factors of breast cancer.

(e) to (f): The Department of Health & Family Welfare, Government of India, 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. Cancer  is  an  integral  part  of  NPCDCS.  The  programme  focusses  on  strengthening  infrastructure, human resource development, health promotion & awareness generation for Cancer prevention, early diagnosis, management and referral to an appropriate level of healthcare facility  for treatment of the Non-Communicable Diseases (NCDs), including Cancer. Under NPCDCS, 685 District NCD Clinics, 266 District Day Care Centres, and 5451 Community Health Center NCD Clinics has been set up.

A population-based initiative for prevention, control and screening for common 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  early  detection  of  the  three  common  cancers  i.e  breast,  oral  and cervical. Screening of these common cancers is an integral part of service delivery under Ayushman Bharat - Health and Wellness Centres.

| States                   |   2016 |   2017 |   2018 |   2019 |   2020 |
|--------------------------|--------|--------|--------|--------|--------|
| Jammu &Kashmir           |   1621 |   1665 |   1714 |   1763 |   1812 |
| Ladakh UT                |     33 |     34 |     35 |     36 |     37 |
| Himachal pradesh         |   1218 |   1249 |   1279 |   1310 |   1342 |
| Punjab                   |   5588 |   5735 |   5885 |   6037 |   6192 |
| Chandigarh               |    149 |    152 |    157 |    161 |    168 |
| Uttaranchal              |   1552 |   1593 |   1635 |   1678 |   1723 |
| Haryana                  |   3850 |   3971 |   4098 |   4225 |   4356 |
| Delhi                    |   3037 |   3146 |   3258 |   3373 |   3491 |
| Rajasthan                |   9487 |   9757 |  10030 |  10312 |  10597 |
| Uttar pradesh            |  25819 |  26486 |  27171 |  27863 |  28573 |
| Bihar                    |  12951 |  13296 |  13651 |  14016 |  14388 |
| Sikkim                   |     29 |     31 |     32 |     32 |     33 |
| Arunachal pradesh        |     62 |     66 |     67 |     70 |     71 |
| Nagaland                 |     76 |     77 |     81 |     82 |     87 |
| Manipur                  |    148 |    155 |    161 |    165 |    170 |
| Mizoram                  |    108 |    113 |    115 |    120 |    122 |
| Tripura                  |    150 |    153 |    158 |    161 |    167 |
| Meghalaya                |     79 |     80 |     82 |     88 |     89 |
| Assam                    |   2589 |   2659 |   2732 |   2806 |   2880 |
| West bengal              |  14573 |  14962 |  15354 |  15749 |  16155 |
| Jharkhand                |   4484 |   4613 |   4746 |   4880 |   5016 |
| Orissa                   |   6839 |   7005 |   7169 |   7339 |   7508 |
| Chattisgarh              |   3851 |   3953 |   4057 |   4165 |   4274 |
| Madhya pradesh           |  10316 |  10604 |  10900 |  11198 |  11501 |
| Gujarat                  |   9535 |   9804 |  10074 |  10350 |  10631 |
| Daman                    |     26 |     28 |     29 |     30 |     32 |
| Dadra &Nagar Haveli      |     38 |     39 |     41 |     41 |     44 |
| Maharashtra              |  16462 |  16879 |  17305 |  17736 |  18174 |
| Telangana                |   6756 |   6935 |   7118 |   7302 |   7491 |
| Andhra pradesh           |  10208 |  10447 |  10688 |  10930 |  11174 |
| Karnataka                |  12088 |  12414 |  12747 |  13085 |  13427 |
| Goa                      |    254 |    260 |    266 |    274 |    277 |
| Lakshadweep              |     13 |     13 |     14 |     14 |     14 |
| Kerala                   |   7740 |   7898 |   8059 |   8220 |   8382 |
| Tamil nadu               |  13066 |  13456 |  13850 |  14251 |  14659 |
| Pondicherry              |    257 |    268 |    280 |    288 |    297 |
| Andaman &Nicobar Islands |     64 |     65 |     67 |     68 |     70 |

## Ref: National Cancer Registry Program report, 2020

* Projected cancer cases for India were computed using Age specific incidence Rate of 28 PBCRs of 2012-2016 and the projected population (person-years)

Table 2: Estimated Mortality of cancer cases State / UT wise- Breast- (2016-2020)**- Females

| States                   |   2016 |   2017 |   2018 |   2019 |   2020 |
|--------------------------|--------|--------|--------|--------|--------|
| Jammu &Kashmir           |    603 |    619 |    638 |    656 |    674 |
| Ladakh UT                |     12 |     13 |     13 |     13 |     14 |
| Himachal pradesh         |    453 |    465 |    476 |    487 |    499 |
| Punjab                   |   2079 |   2133 |   2189 |   2246 |   2303 |
| Chandigarh               |     55 |     57 |     58 |     60 |     62 |
| Uttaranchal              |    577 |    593 |    608 |    624 |    641 |
| Haryana                  |   1432 |   1477 |   1524 |   1572 |   1620 |
| Delhi                    |   1130 |   1170 |   1212 |   1255 |   1299 |
| Rajasthan                |   3529 |   3630 |   3731 |   3836 |   3942 |
| Uttar pradesh            |   9605 |   9853 |  10108 |  10365 |  10629 |
| Bihar                    |   4818 |   4946 |   5078 |   5214 |   5352 |
| Sikkim                   |     11 |     12 |     12 |     12 |     12 |
| Arunachal pradesh        |     23 |     25 |     25 |     26 |     26 |
| Nagaland                 |     28 |     29 |     30 |     31 |     32 |
| Manipur                  |     55 |     58 |     60 |     61 |     63 |
| Mizoram                  |     40 |     42 |     43 |     45 |     45 |
| Tripura                  |     56 |     57 |     59 |     60 |     62 |
| Meghalaya                |     29 |     30 |     31 |     33 |     33 |
| Assam                    |    963 |    989 |   1016 |   1044 |   1071 |
| West bengal              |   5421 |   5566 |   5712 |   5859 |   6010 |
| Jharkhand                |   1668 |   1716 |   1766 |   1815 |   1866 |
| Orissa                   |   2544 |   2606 |   2667 |   2730 |   2793 |
| Chattisgarh              |   1433 |   1471 |   1509 |   1549 |   1590 |
| Madhya pradesh           |   3838 |   3945 |   4055 |   4166 |   4278 |
| Gujarat                  |   3547 |   3647 |   3748 |   3850 |   3955 |
| Daman                    |     10 |     10 |     11 |     11 |     12 |
| Dadra &Nagar Haveli      |     14 |     15 |     15 |     15 |     16 |
| Maharashtra              |   6124 |   6279 |   6437 |   6598 |   6761 |
| Telangana                |   2513 |   2580 |   2648 |   2716 |   2787 |
| Andhra pradesh           |   3797 |   3886 |   3976 |   4066 |   4157 |
| Karnataka                |   4497 |   4618 |   4742 |   4868 |   4995 |
| Goa                      |     94 |     97 |     99 |    102 |    103 |
| Lakshadweep              |      5 |      5 |      5 |      5 |      5 |
| Kerala                   |   2879 |   2938 |   2998 |   3058 |   3118 |
| Tamil nadu               |   4861 |   5006 |   5152 |   5301 |   5453 |
| Pondicherry              |     96 |    100 |    104 |    107 |    110 |
| Andaman &Nicobar Islands |     24 |     24 |     25 |     25 |     26 |

Ref: National Cancer Registry Program report, 2020

**Projected mortality cases for India were computed by applying Mumbai Mortality/Incidence (MI) ratio to the projected incidence cancer cases.