Lok Sabha Question No. 3797 (UNSTARRED), answered on 2022-03-25
Subject: Malaria Endemic Districts
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dr. T. Sumathy (a) Thamizhachi Thangapandian, Pradyut Bordoloi

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

## LOK SABHA UNSTARRED QUESTION NO. 3797 TO BE ANSWERED ON 25 TH  MARCH, 2022

## MALARIA ENDEMIC DISTRICTS

## 3797.   DR. T. SUMATHY (A) THAMIZHACHI THANGAPANDIAN: SHRI PRADYUT BORDOLOI:

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

- (a) the  districts  of  the  country  worst  affected  by  maternal  and  under  5  children  malnutrition along with the list of malaria - endemic districts in the country;
- (b) whether the Government is aware of any correlation between malaria and malnutrition and proposes to undertake any studies to explore this correlation, if so, details thereof;
- (c) whether the Government proposes to leverage the Poshan Abhiyan to combat the malariamalnutrition correlation, if so, the details thereof;
- (d) the incidence of malaria reported in private and public hospitals every year from 2016 till date;
- (e) whether  the  Government  has  made  it  mandatory  for  private  sector  health  practitioners  to report cases of malaria, if so, the detailed procedure thereof; and
- (f) if  not,  whether  the  Government  proposes  to  make  private  sector  reporting  of  malaria compulsory?

## ANSWER

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

(a): The detailed list of districts having highest prevalence of malnutrition among children under 5  years  in  the  country  as  per  NFHS  5  survey  (2019-21)  is  at Annexure  1 .  Data  regarding maternal  malnutrition  is  not  maintained  centrally. List  of  worst  affected  malaria  endemic districts (Annual Parasite Incidence >1) in the country in 2021 is attached at Annexures 2 .

(b)  &  (c):  Malaria  is  a  vector  borne  disease  and  several  factors  like  socio-economic  status, malnutrition,  infrastructure,  housing  and  urbanization  affect  the  transmission  of  Malaria.  The Government has no plans to conduct such study or leveraging Poshan Abhiyan on correlation between malaria and malnutrition.

(d) : At the national level, the composite data on malaria as reported by the states is maintained, which includes data from private and public health facilities. The Malaria cases reported from various states from 2016 onward are attached at Annexure 3 .

(e)  &  (f):  Most  of  States/UTs  have  made  Malaria  a  notifiable  disease  through  Gazette Notification issued by the state Governments, which mandates reporting of malaria from private sector  also.  All  states  have  been  requested  to  make  private  sector  reporting  of  malaria  cases compulsory.

## Bottom 10 Districts in Stunting

| State         | District            |   Children under 5 years who are stunted (height-for-age) (%) |
|---------------|---------------------|---------------------------------------------------------------|
| Jharkhand     | Pashchimi Singhbhum |                                                          60.6 |
| Meghalaya     | West Khasi Hills    |                                                          59   |
| Karnataka     | Yadgir              |                                                          57.6 |
| Gujarat       | Dahod               |                                                          55.3 |
| Bihar         | Sitamarhi           |                                                          54.2 |
| Chhattisgarh  | Bijapur             |                                                          53.8 |
| Bihar         | Sheikhpura          |                                                          53.6 |
| Uttar Pradesh | Bahraich            |                                                          52.1 |
| Uttar Pradesh | Budaun              |                                                          51.8 |
| Uttar Pradesh | Sambhal             |                                                          51.6 |

## Bottom 10 Districts in Wasting

| State       | District               |   Children under 5 years who are wasted (weight-for-height) (%) |
|-------------|------------------------|-----------------------------------------------------------------|
| Assam       | Karimganj              |                                                            48   |
| Gujarat     | The Dangs              |                                                            40.9 |
| Maharashtra | Dhule                  |                                                            38.9 |
| Maharashtra | Chandrapur             |                                                            38.5 |
| Bihar       | Arwal                  |                                                            36.8 |
| Bihar       | Jehanabad              |                                                            36.6 |
| Gujarat     | Tapi                   |                                                            36.6 |
| Telangana   | Komaram Bheem Asifabad |                                                            35.7 |
| Gujarat     | Panchmahal             |                                                            35.7 |
| Bihar       | Sheohar                |                                                            35.4 |

## Bottom 10 Districts in Underweight

| State       | District            |   Children under 5 years who are underweight (weight-for-age) (%) |
|-------------|---------------------|-------------------------------------------------------------------|
| Jharkhand   | Pashchimi Singhbhum |                                                              62.4 |
| Maharashtra | Nandurbar           |                                                              57.2 |
| Gujarat     | The Dangs           |                                                              53.1 |
| Gujarat     | Dahod               |                                                              53   |
| Assam       | Karimganj           |                                                              52.9 |
| Bihar       | Arwal               |                                                              52.9 |
| Gujarat     | Narmada             |                                                              52.8 |
| Telangana   | Adilabad            |                                                              52   |
| Gujarat     | Panchmahal          |                                                              51.9 |
| Gujarat     | Tapi                |                                                              51.8 |

## Annexure I

## Annexure 2

## List of high malaria endemic districts (Annual Parasite Incidence >1) in the country in 2021(Provisional)

|   Sl. No. | States/Uts   | Districts               |
|-----------|--------------|-------------------------|
|         1 | Chhattisgarh | Bastar(Jagdalpur)       |
|         2 | Chhattisgarh | Bijapur                 |
|         3 | Chhattisgarh | Kondagaon               |
|         4 | Chhattisgarh | Dantewada               |
|         5 | Chhattisgarh | Narayanpur              |
|         6 | Chhattisgarh | Sukhma                  |
|         7 | Chhattisgarh | Kanker                  |
|         8 | Jharkhand    | W.Singhbhum             |
|         9 | Maharashtra  | Gadchiroli              |
|        10 | Meghalaya    | South Garo Hills        |
|        11 | Mizoram      | Mamit                   |
|        12 | Mizoram      | Lunglei                 |
|        13 | Mizoram      | Lawngtlai               |
|        14 | Mizoram      | Saiha                   |
|        15 | Odisha       | Boudh                   |
|        16 | Odisha       | Kalahandi               |
|        17 | Odisha       | Phulbani (Kandhamal)    |
|        18 | Odisha       | Koraput                 |
|        19 | Odisha       | Malkangiri              |
|        20 | Odisha       | Rayagada                |
|        21 | Tripura      | South Tripura           |
|        22 | Tripura      | Dhalai Tripura          |
|        23 | Tripura      | Khowai                  |
|        24 | West Bengal  | Kolkata Municipal Corp. |

D &N Haveli

## Malaria cases from 2016 to 2022(Till January)

| Sr. No .   | State/UTs Name      | 2016    | 2017   | 2018   | 2019   |   2020 |   2021 (Provisional) |   2022 (Provisional data Till January) |
|------------|---------------------|---------|--------|--------|--------|--------|----------------------|----------------------------------------|
| 1          | Goa                 | 742     | 653    | 377    | 272    |    102 |                   90 |                                      1 |
| 2          | Haryana             | 7866    | 5696   | 3149   | 1497   |    111 |                   53 |                                      0 |
| 3          | Himachal Pradesh    | 106     | 96     | 98     | 109    |     34 |                   15 |                                      0 |
| 4          | Jammu & Kashmir     | 242     | 226    | 168    | 105    |     37 |                   31 |                                      0 |
| 5          | Kerala              | 1547    | 1192   | 908    | 656    |    268 |                  310 |                                     27 |
| 6          | Manipur             | 122     | 80     | 12     | 16     |     36 |                   19 |                                      0 |
| 7          | Punjab              | 693     | 805    | 624    | 1139   |    109 |                   77 |                                      0 |
| 8          | Rajasthan           | 12741   | 10607  | 5728   | 3421   |   1276 |                  871 |                                      4 |
| 9          | Sikkim              | 15      | 14     | 6      | 7      |      4 |                    4 |                                      0 |
| 10         | Uttarakhand         | 961     | 508    | 409    | 296    |     15 |                   13 |                                      0 |
| 11         | Chandigarh          | 157     | 114    | 44     | 22     |      7 |                    4 |                                      0 |
| 12 Haveli  | Daman & Diu and D & | 423     | 328    | 245    | 81     |     40 |                   54 |                                      0 |
| 13         | Delhi               | 31      | 577    | 473    | 713    |    135 |                  167 |                                      0 |
| 14         | Lakshadweep         | 2       | 1      | 5      | 11     |      6 |                    1 |                                      0 |
| 15         | Puducherry          | 76      | 60     | 54     | 21     |     15 |                    2 |                                      0 |
| 16         | Andhra Pradesh      | 23613   | 16972  | 6040   | 3104   |   2027 |                 1315 |                                      9 |
| 17         | Assam               | 7826    | 5281   | 3816   | 1459   |    484 |                  164 |                                      5 |
| 18         | Bihar               | 5189    | 4020   | 1536   | 1608   |    518 |                  569 |                                     10 |
| 19         | Gujarat             | 44783   | 38588  | 22114  | 13883  |   4771 |                 4986 |                                     35 |
| 20         | Karnataka           | 11078   | 7381   | 5721   | 3499   |   1701 |                  888 |                                     17 |
| 21         | Maharashtra         | 23983   | 17710  | 10757  | 8866   |  15215 |                19430 |                                   1116 |
| 22         | Nagaland            | 828     | 394    | 113    | 20     |     12 |                   12 |                                      0 |
| 23         | Tamil Nadu          | 4341    | 5444   | 3758   | 2088   |    891 |                  772 |                                     16 |
| 24         | Telangana           | 3512    | 2688   | 1792   | 1711   |    870 |                  877 |                                     37 |
| 25         | Uttar Pradesh       | 40700   | 32345  | 86486  | 92732  |  28668 |                10792 |                                    102 |
| 26         | West Bengal         | 35236   | 31265  | 26440  | 25928  |  14049 |                28841 |                                    252 |
| 27         | Arunachal Pradesh   | 3128    | 1546   | 625    | 139    |     33 |                    8 |                                      0 |
| 28         | Chhattisgarh        | 148220  | 140727 | 78717  | 60458  |  36667 |                29455 |                                   2219 |
| 29         | Jharkhand           | 141414  | 94114  | 57095  | 37133  |  16653 |                13426 |                                    578 |
| 30         | Madhya Pradesh      | 69106   | 47541  | 22279  | 14147  |   6760 |                 3092 |                                     23 |
| 31         | Meghalaya           | 35147   | 16454  | 6394   | 2615   |   2018 |                  483 |                                     11 |
| 32         | Mizoram             | 7583    | 5715   | 4296   | 8543   |   7781 |                 5817 |                                    244 |
| 33         | Orissa              | 444843  | 347860 | 66311  | 39556  |  41739 |                25525 |                                    768 |
| 34         | Tripura             | 10546   | 7051   | 13079  | 12437  |   3395 |                10136 |                                    514 |
| 35         | A & N Islands       | 485     | 505    | 259    | 202    |     85 |                   27 |                                      0 |
| 36         | Ladakh              |         |        |        |        |      0 |                    0 |                                      0 |
|            | Grand Total         | 1087285 | 844558 | 429928 | 338494 | 186532 |               158326 |                                   5988 |