Lok Sabha Question No. 4891 (UNSTARRED), answered on 2022-04-01
Subject: Stomach and Breast Cancers
Ministry: HEALTH AND FAMILY WELFARE
Asked by: V. Kalanidhi

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

## LOK SABHA UNSTARRED QUESTION NO. 4891 TO BE ANSWERED ON 1 ST  APRIL, 2022

## STOMACH AND BREAST CANCERS

## 4891. DR. KALANIDHI VEERASWAMY:

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

(a) whether the Government is aware that the incidence of cancer has been increasing gradually within the  country,  with  stomach  cancers  being  the  most  common  among  men  and  breast  cancer  among women;

(b) if so, the details thereof, State/UT-wise along with the reasons therefor; and

(c) the steps being taken by the Government in this regard?

## 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 incidences of cancer cases  is  increasing  in  the  country  and  the  details  for  the  years  2018  to  2020  by  State/UT  wise  is enclosed in Annexure. Lung cancer is the most common cancer among men and breast cancer is the most  common cancer among women in the country.  As per  National  Non-Communicable Diseases Monitoring  Survey  (NNMS),  the  prevalence  of  risk  factors  associated  with  Non-Communicable Diseases (NCDs) including cancer amongst adults (18-69 years) such as current tobacco use, current alcohol  use,  inadequate  intake  of  fruits  and/or  vegetables  intake,  insufficient  physical  activity  is 32.8%, 15.9%, 98.4% and 41.3% respectively

(c):  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.  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 NCDs, including Cancer.

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 the three common cancers i.e oral, breast and cervical. Screening of these  common cancers is an integral part of service delivery under Ayushman Bharat  - Health and Wellness Centres.

Preventive  aspect  of  Cancer  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 Cancer and for promotion of healthy lifestyle includes observation of National Cancer Awareness 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 Cancer 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 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.

Cancer  is  diagnosed  and  treated  at  various  levels  in  the  health  care  facilities.  The  treatment  in Government Hospitals is either free or highly subsidized for the poor and needy. Treatment of Cancers 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 Cancer drugs at a substantial discount vis-àvis 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 Cancer in Government hospitals.

| Table 1: Estimated Incidence of cancer cases in India by different State/UT - All sites - (2018-2020)* - Both sexes   |   Table 1: Estimated Incidence of cancer cases in India by different State/UT - All sites - (2018-2020)* - Both sexes |   Table 1: Estimated Incidence of cancer cases in India by different State/UT - All sites - (2018-2020)* - Both sexes |   Table 1: Estimated Incidence of cancer cases in India by different State/UT - All sites - (2018-2020)* - Both sexes |
|-----------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------|
| State                                                                                                                 |                                                                                                                  2018 |                                                                                                                  2019 |                                                                                                                  2020 |
| Jammu &Kashmir                                                                                                        |                                                                                                                 12071 |                                                                                                                 12396 |                                                                                                                 12726 |
| Ladakh                                                                                                                |                                                                                                                   273 |                                                                                                                   279 |                                                                                                                   286 |
| Himachal pradesh                                                                                                      |                                                                                                                  8412 |                                                                                                                  8589 |                                                                                                                  8799 |
| Punjab                                                                                                                |                                                                                                                 36888 |                                                                                                                 37744 |                                                                                                                 38636 |
| Chandigarh                                                                                                            |                                                                                                                   966 |                                                                                                                   994 |                                                                                                                  1024 |
| Uttaranchal                                                                                                           |                                                                                                                 10932 |                                                                                                                 11216 |                                                                                                                 11482 |
| Haryana                                                                                                               |                                                                                                                 27665 |                                                                                                                 28453 |                                                                                                                 29219 |
| Delhi                                                                                                                 |                                                                                                                 23678 |                                                                                                                 24436 |                                                                                                                 25178 |
| Rajasthan                                                                                                             |                                                                                                                 67380 |                                                                                                                 69156 |                                                                                                                 70987 |
| Uttar pradesh                                                                                                         |                                                                                                                192019 |                                                                                                                196652 |                                                                                                                201319 |
| Bihar                                                                                                                 |                                                                                                                 98383 |                                                                                                                101014 |                                                                                                                103711 |
| Sikkim                                                                                                                |                                                                                                                   437 |                                                                                                                   443 |                                                                                                                   445 |
| Arunachal pradesh                                                                                                     |                                                                                                                   991 |                                                                                                                  1015 |                                                                                                                  1035 |
| Nagaland                                                                                                              |                                                                                                                  1684 |                                                                                                                  1719 |                                                                                                                  1768 |
| Manipur                                                                                                               |                                                                                                                  1803 |                                                                                                                  1844 |                                                                                                                  1899 |
| Mizoram                                                                                                               |                                                                                                                  1742 |                                                                                                                  1783 |                                                                                                                  1837 |
| Tripura                                                                                                               |                                                                                                                  2454 |                                                                                                                  2507 |                                                                                                                  2574 |
| Meghalaya                                                                                                             |                                                                                                                  2741 |                                                                                                                  2808 |                                                                                                                  2879 |
| Assam                                                                                                                 |                                                                                                                 36029 |                                                                                                                 36948 |                                                                                                                 37880 |
| West bengal                                                                                                           |                                                                                                                103309 |                                                                                                                105814 |                                                                                                                108394 |
| Jharkhand                                                                                                             |                                                                                                                 32150 |                                                                                                                 33045 |                                                                                                                 33961 |
| Orissa                                                                                                                |                                                                                                                 48491 |                                                                                                                 49604 |                                                                                                                 50692 |
| Chattisgarh                                                                                                           |                                                                                                                 26443 |                                                                                                                 27113 |                                                                                                                 27828 |
| Madhya pradesh                                                                                                        |                                                                                                                 73957 |                                                                                                                 75911 |                                                                                                                 77888 |
| Gujarat                                                                                                               |                                                                                                                 66069 |                                                                                                                 67841 |                                                                                                                 69660 |
| Daman                                                                                                                 |                                                                                                                   107 |                                                                                                                   118 |                                                                                                                   124 |
| Dadra &Nagar Haveli                                                                                                   |                                                                                                                   173 |                                                                                                                   186 |                                                                                                                   206 |
| Maharashtra                                                                                                           |                                                                                                                110696 |                                                                                                                113374 |                                                                                                                116121 |
| Telangana                                                                                                             |                                                                                                                 45335 |                                                                                                                 46464 |                                                                                                                 47620 |
| Andhra pradesh                                                                                                        |                                                                                                                 67370 |                                                                                                                 68883 |                                                                                                                 70424 |
| Karnataka                                                                                                             |                                                                                                                 81729 |                                                                                                                 83824 |                                                                                                                 85968 |
| Goa                                                                                                                   |                                                                                                                  1543 |                                                                                                                  1591 |                                                                                                                  1618 |
| Lakshadweep                                                                                                           |                                                                                                                    27 |                                                                                                                    27 |                                                                                                                    27 |
| Kerala                                                                                                                |                                                                                                                 55145 |                                                                                                                 56148 |                                                                                                                 57155 |
| Tamil nadu                                                                                                            |                                                                                                                 84320 |                                                                                                                 86596 |                                                                                                                 88866 |
| Pondicherry                                                                                                           |                                                                                                                  1469 |                                                                                                                  1523 |                                                                                                                  1577 |
| Andaman &Nicobar Islands                                                                                              |                                                                                                                   351 |                                                                                                                   357 |                                                                                                                   366 |

Ref: National Cancer Registry Programme report, 2020

* Projected cancer cases for India were computed using Age specific incidence Rate of 28 PBCRs of 20122016 and the projected population (person-years)