Lok Sabha Question No. 4031 (UNSTARRED), answered on 2023-03-24
Subject: Genome Testing
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Pushpendra Singh Chandel, Mala Rajya Laxmi Shah

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

## LOK SABHA UNSTARRED QUESTION NO. 4031 TO BE ANSWERED ON 24 th  MARCH, 2023

## GENOME TESTING

## 4031:     SHRI KUNWAR PUSHPENDRA SINGH CHANDEL: SHRIMATI MALA RAJYA LAXMI SHAH:

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

- (a)  whether  the  Government  has  taken  any  initiative  to  prepare  a  mass  database  through  Genome Testing for predicting serious diseases such as cancer;
- (b) if so, the details thereof; and
- (c) the details of the measures taken by the Government for prevention of cancer and kidney disease in the country, State/UT-wise including Uttarakhand and Bundelkhand region?

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

- (a) and (b): There is no such database maintained centrally for Genome Testing of Cancer

(c):

1. 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). The programme includes the following,
- i. Strengthening infrastructure
- ii. Human resource development
- iii. Health promotion
- iv. Screening of 30 years and above population under Ayushman Bharat Health Wellness Centre
- v. Early diagnosis and management
- vi. Referral to an appropriate level of healthcare facility
2. Under NPCDCS, 708 District NCD Clinics, 194 District Cardiac Care Units, 301 District Day Care Centres and 5671 Community Health Center NCD Clinics has been set up.
3.  Pradhan  Mantri  National  Dialysis  Programme  has  been  implemented  to  combat  Chronic  Kidney Diseases  in  total  36  States/UT  in  654  Districts  at  1364  centres  by  deploying  9103  hemo-dialysis machines. Total 18.02 lakh patient availed dialysis services and 197.76 Lakh Hemo-dialysis sessions held- as on 28th February 2023

Action taken by Government in respect of affordable healthcare for Cancer and Kidney Diseases:

1. The Central Government implements Strengthening of Tertiary Care Cancer Facilities Scheme. 19 State  Cancer  Institutes  (SCIs)  and  20  Tertiary  Care  Cancer  Centres  (TCCCs)  have  been  approved under the said scheme. 15 institutes are functional so far. The details are attached at Annexure 1.
2. National Cancer Institute at Jhajjar (Haryana) and second campus of Chittaranjan National Cancer Institute, Kolkata have also been setup.
3.  All  new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY) also focus on treatment of NCDs. The details are attached at Annexure 2.
4.  Under  Pradhan  Mantri  Jan  Arogya  Yojana  (PMJAY),  health  insurance  cover  of  Rs.  5  lakhs  per family per year for secondary or tertiary care hospitalization to over 60 Crores beneficiaries identified from  Socio  Economic  and  Caste  Census  2011  (SECC  2011)  database  is  provided.  The  treatment packages under AB-PMJAY are very comprehensive covering various treatment related aspects such as drugs and diagnostic services.
5.  Financial  assistance  is  provided  to  poor  patients  belonging  to  families  living  below  poverty  line, suffering  from  major  life-threatening  diseases  under  Umbrella  scheme  of  Rashtriya  Arogya  Nidhi (RAN) and Health Minister's Discretionary Grant (HMDG). Financial assistance upto a maximum of Rs.  1,25,000/-  is  provided  under  HMDG  to  defray  a  part  of  the  treatment  cost  and  the  maximum financial assistance provided under the Umbrella Scheme of RAN is Rs. 15 lakhs.
6.  Quality  generic  medicines  are  made  available  at  affordable  prices  to  all,  under  Pradhan  Mantri Bhartiya  Janaushadhi  Pariyojana  (PMBJP) in  collaboration  with  the  State  Governments.  Affordable Medicines and Reliable Implants for Treatment (AMRIT) Pharmacy stores have been set up in some hospitals/institutions, with an objective to make available NCDs drugs at a substantial discount vis-àvis the Maximum Retail Price.

Awareness Generation for Cancer prevention & treatment has also been focused in following ways:-

1.  Preventive  aspect  of  NCDs  is  strengthened  under  Comprehensive  Primary  Health  Care  through Ayushman Bharat Health Wellness Centre Scheme, by promotion of wellness activities and targeted communication at the community level.
2. Other initiatives for increasing public awareness by using print, electronic and social media about Cancer and for promotion of healthy lifestyle includes observation of National Cancer Awareness Day, World Cancer Day and World Kidney Day.
3. Healthy Eating is promoted through Food Safety and Standards Authority of India (FSSAI).
4. Fit India movement is implemented by Ministry of Youth Affairs and Sports.
5. Various Yoga related activities are carried out by Ministry of AYUSH.

******

## Table of SCIs/TCCCs:

|   S No | State            | Name of the Institute                                                 | SCI / TCCC   |
|--------|------------------|-----------------------------------------------------------------------|--------------|
|      1 | Andhra Pradesh   | Kurnool Medical College, Kurnool                                      | SCI          |
|      2 | Assam            | Gauhati Medical College &Hospital, Guwahati                           | SCI          |
|      3 | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                    | SCI          |
|      4 | Chhattisgarh     | Chhattisgarh Institute of Medical Sciences, Bilaspur                  | SCI          |
|      5 | Delhi            | Lok Nayak Hospital                                                    | TCCC         |
|      6 | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad                          | SCI          |
|      7 | Goa              | Goa Medical College, Panaji                                           | TCCC         |
|      8 | Haryana          | Civil Hospital, Ambala Cantt                                          | TCCC         |
|      9 | Himachal Pradesh | Indira Gandhi Medical College, Shimla                                 | TCCC         |
|     10 | Himachal Pradesh | Shri Lal Bahadur Shastri Medical College, Mandi                       | TCCC         |
|     11 | Jammu&           | Sher-i-Kashmir Institute of Medical Sciences, Srinagar                | SCI          |
|     12 | Kashmir          | Government Medical College, Jammu                                     | SCI          |
|     13 | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                        | SCI          |
|     14 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bengaluru                | SCI          |
|     15 |                  | Mandya Institute of Medical Sciences, Mandya                          | TCCC         |
|     16 | Kerala           | Regional Cancer Centre, Thiruvananthapuram                            | SCI          |
|     17 |                  | Government Medical College, Kozhikode                                 | TCCC         |
|     18 | Madhya Pradesh   | G.R. Medical College, Gwalior                                         | TCCC         |
|     19 |                  | Netaji Subhas Chandra Bose Medical College, Jabalpur                  | SCI          |
|     20 | Maharashtra      | Rashtrasant Tukdoji Regional Cancer Hospital &Research Centre, Nagpur | TCCC         |
|     21 |                  | Government Medical College, Aurangabad                                | SCI          |
|     22 |                  | Vivekanand Foundation &Research Centre, Latur                         | TCCC         |
|     23 | Mizoram          | Mizoram State Cancer Institute, Aizawl                                | TCCC         |
|     24 | Nagaland         | District Hospital, Kohima                                             | TCCC         |
|     25 | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack                       | SCI          |
|     26 | Punjab           | Government Medical College, Amritsar                                  | SCI          |
|     27 |                  | Civil Hospital, Fazilka                                               | TCCC         |
|     28 | Rajasthan        | S P Medical College, Bikaner                                          | TCCC         |
|     29 |                  | SMS Medical College, Jaipur                                           | SCI          |
|     30 |                  | Jhalawar Medical College &Hospital, Jhalawar                          | TCCC         |
|     31 | Sikkim           | Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim   | TCCC         |
|     32 | Tamil Nadu       | Cancer Institute (RCC), Adyar, Chennai                                | SCI          |
|     33 | Telangana        | MNJ Institute of Oncology &RCC, Hyderabad                             | SCI          |
|     34 | Tripura          | Cancer Hospital (RCC), Agartala                                       | SCI          |
|     35 | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow     | TCCC         |
|     36 | Uttarakhand      | Government Medical College, Haldwani                                  | SCI          |
|     37 | West Bengal      | Government Medical College, Burdwan                                   | TCCC         |
|     38 |                  | Murshidabad Medical College &Hospital, Berhampore, Murshidabad        | TCCC         |
|     39 |                  | Sagore Dutta Memorial Medical College and Hospital, Kolkata           | TCCC         |

Table 1: Cancer Treatment Facility is approved in all New AIIMS

|   Sl. | AIIMS       |   Sl. | AIIMS     |
|-------|-------------|-------|-----------|
|     1 | Bhopal      |    12 | Bathinda  |
|     2 | Bhubaneswar |    13 | Guwahati  |
|     3 | Jodhpur     |    14 | Bilaspur  |
|     4 | Patna       |    15 | Deoghar   |
|     5 | Raipur      |    16 | Jammu     |
|     6 | Rishikesh   |    17 | Kashmir   |
|     7 | Raebareli   |    18 | Madurai   |
|     8 | Mangalagiri |    19 | Rajkot    |
|     9 | Nagpur      |    20 | Bibinagar |
|    10 | Kalyani     |    21 | Manethi   |
|    11 | Gorakhpur   |    22 | Darbhanga |

Table 2: List of State Govt. Medical Colleges being upgraded for cancer treatment

|   Sl. | State            | Name of Govt Medical College                                                      | Facility                                         |
|-------|------------------|-----------------------------------------------------------------------------------|--------------------------------------------------|
|     1 | Jharkhand        | RIMS Ranchi                                                                       | 68 bedded Oncology Block                         |
|     2 | Punjab           | Govt Medical College Amritsar                                                     | Oncology                                         |
|     3 | Himachal Pradesh | Rajendra Prasad Govt. Medical College, Tanda                                      | Oncology                                         |
|     4 | Karnataka        | Karnataka Institute of Medical Sciences, Hubli                                    | Medical Oncology                                 |
|     5 | Rajasthan        | SP Medical College, Bikaner                                                       | Surgical Oncology                                |
|     6 | Rajasthan        | RNT Medical College, Udaipur                                                      | Radiotherapy/Oncology                            |
|     7 | Telangana        | Kakatiya Medical College, Warangal                                                | Medical Oncology                                 |
|     8 | Uttar Pradesh    | Govt Medical College, Gorakhpur                                                   | Surgical Oncology                                |
|     9 | Uttar Pradesh    | M.L.N Government Medical College, Allahabad                                       | Surgical Oncology                                |
|    10 | Uttar Pradesh    | LLRM Medical College, Meerut.                                                     | Radiotherapy                                     |
|    11 | Uttar Pradesh    | Govt Medical College, Agra                                                        | Radiation /Medical Oncology                      |
|    12 | Bihar            | Patna                                                                             | Radiotherapy (equipment)                         |
|    13 | Kerala           | Sree Chitra Tirunal Institute of Medical Sciences &Technology, Thiruvananthapuram | Imaging Services and Interventional Radiotherapy |