Lok Sabha Question No. 1779 (UNSTARRED), answered on 2022-02-11
Subject: Cases of Cancer, Diabetes and HIV
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Bholanath (B.P. Saroj)

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

## LOK SABHA UNSTARRED QUESTION NO. 1779 TO BE ANSWERED ON 11 th  FEBUARY, 2022

## CASES OF CANCER, DIABETES AND HIV

## 1779.    SHRI BHOLANATH (B.P. SAROJ):

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

- (a)  whether the cases of Cancer, Diabetes and HIV have shown an upward trend in the country according to World Health Organisation (WHO) data;
- (b) if so, the details thereof during last three years;
- (c)  whether  the  said  increase  of  the  cases  has  also  been  reported  by  Central  Bureau  of  Health Intelligence; and
- (d) if so, the remedial action taken by Government to control these diseases?

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

(a)  and  (b):  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 of cancer cases reported in the country during 2018 - 2020 is given below.

| Estimated Incidence of cancer cases in India (2018-2020) - Both Sexes   | Estimated Incidence of cancer cases in India (2018-2020) - Both Sexes   | Estimated Incidence of cancer cases in India (2018-2020) - Both Sexes   | Estimated Incidence of cancer cases in India (2018-2020) - Both Sexes   |
|-------------------------------------------------------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------------------|
| Year                                                                    | 2018                                                                    | 2019                                                                    | 2020                                                                    |
| Estimated Incidence of Cancer Cases - (ICD10:C00-C97)                   | 13,25,232                                                               | 13,58,415                                                               | 13,92,179                                                               |

The number of people with diabetes in India were 69.2 million in 2015, 72.9 million in 2017 and 77 million in 2019 and almost same in 2021 as per International Diabetes Federation.

There  is  no  upward  trend  found  in  HIV  cases  reported  under  National  AIDS  Control  Programme (NACP) in India especially in last 3 years.

- (c) and (d): Central Bureau of Health Intelligence does not maintain data for these specific diseases.

Health is a state subject. 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 Non-Communicable Diseases prevention, early diagnosis, management and referral to an appropriate level of healthcare facility for treatment of the Non-Communicable Diseases.

A population-based initiative for prevention, control and screening for common Non-Communicable Diseases  (NCDs)  i.e.  diabetes,  hypertension  and  common  cancers  (oral  cancer,  breast  cancer  and cervical cancer) 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 is an integral part of service delivery under Ayushman Bharat - Health and Wellness Centres.

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. Other initiatives for increasing public awareness about NCDs and for promotion of healthy lifestyle includes observation of National and International Health Day and  use  of  print,  electronic  and  social  media  for  continued  community  awareness.  Furthermore, healthy eating is also promoted through FSSAI. Fit India  movement is implemented by Ministry of Youth Affairs and Sports, and various Yoga related activities are carried out by Ministry of AYUSH. In addition, NPCDCS gives financial support under NHM for awareness generation (IEC) activities for NCDs to be undertaken by the States/UTs as per their Programme Implementation Plans (PIPs).

The Central Government is also implementing Strengthening of Tertiary Care of Cancer Scheme in order  to  enhance  the  facilities  for  tertiary  care  of  cancer.  19  State  Cancer  Institutes  (SCIs)  and  20 Tertiary Care Cancer Centres (TCCCs) have been approved so far under the said scheme.

There  is  also  focus  on  Oncology  in  its  various  aspects  in  case  of  new  AIIMS  and  many  upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Setting up of National Cancer Institute at Jhajjar (Haryana) and second campus of Chittaranjan National Cancer Institute, Kolkata are also steps in this direction. All these enhance the capacity for treatment of cancer in the country.

The  treatment  in  Government  Hospitals  is  either  free  or  highly  subsidized  for  the  poor  and  needy. Treatment of NCDs is also available under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PMJAY).  Besides,  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  drugs  at  a substantial  discount  vis-à-vis  the  Maximum  Retail  Price.  Under  the  umbrella  scheme  of  Rashtrya Arogya Nidhi (RAN), financial assistance is provided to families living below threshold poverty line for their treatment, including treatment of NCDs in Government hospitals.