Lok Sabha Question No. 489 (UNSTARRED), answered on 2022-12-09
Subject: TB Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Gaddam Ranjith Reddy, Manne Srinivas Reddy, Y. S. Avinash Reddy, Vinod Chavda, Manickam Tagore B

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

## LOK SABHA UNSTARRED QUESTION NO. 489 TO BE ANSWERED ON 09 TH  DECEMBER, 2022

## TB PATIENTS

489 :

DR. G. RANJITH REDDY:

SHRI MANNE SRINIVAS REDDY:

SHRI Y.S. AVINASH REDDY:

SHRI VINOD L. CHAVDA:

SHRI MANICKAM TAGORE B.:

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

- (a) whether the Government is aware of the fact that 20-25 lakh new TB patients/cases are detected  every  year  and  that  there  are  nearly  14  lakh  active  TB  patients  in  the  country along with four lakh TB related deaths every year and if so, the details thereof, State/UTwise;
- (b) whether  it  is  a  fact  that  during  the  year  2021,  181  higher  TB  cases  were  detected  as compared to the previous year (i.e. 2020), if so, the details thereof;
- (c) the details of the steps taken/proposed to be taken under the 'Nikshay Mitras' initiative to eliminate TB by 2025; and
- (d) whether the Government is on track to achieve the target of eradicating  TB by the  year 2025  and  if  so,  the  details  of  the  efforts  made/hindrances  faced  till  date  and  results achieved and if not, the reasons therefor?

## ANSWER

## THE MINISTER OF THE STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(DR. BHARATI PRAVIN PAWAR)

- (a) The  number  of  TB  cases  notified  and  TB  deaths  reported  under  the  National  TB Elimination Programme (NTEP) in 2020, 2021 and 2022 (January - October) is as under:

| Year             |   TB cases notified |   TB deaths reported* |
|------------------|---------------------|-----------------------|
| 2020             |             1805670 |                 89823 |
| 2021             |             2135830 |                 76002 |
| 2022 (Jan - Oct) |             2016796 |                 73551 |

The State/UT wise details of TB cases notified is placed as Annexure-I and State/UT wise details of TB deaths reported is placed at Annexure-II respectively

- (b) There has been a 18% increase in the number of TB cases notified under the NTEP in 2021 (21.35  lakhs)  as  compared  to  2020  (18.05  lakhs).  The  increase  in  number  of  TB  cases notified  under  NTEP  has  been  due  to  the  increased  efforts  taken  by  programme  to decentralize TB diagnostics, active case finding, intensified private sector engagement and specific strategies to mitigate the impact of COVID-19 and reach pre-COVID levels.
- (c) The details of the steps taken to be taken under the 'Nikshay Mitras' initiative to eliminate TB by 2025, are as under:
- a. Pradhan  Mantri  TB  Mukt  Bharat  Abhiyan  (PMTBMBA)  was  launched  by  the Ministry  on  9 th September  2022  for  community  support  to  TB  patients  with  the objective  to  provide  people  with  TB  with  additional  nutritional,  diagnostic  and vocational support
- b. Ni-kshay 2.0 portal has been developed and made available in public domain for facilitating the community to register as Ni-kshay Mitra
- c. Guidance  documents  have  been  developed  and  shared  with  all  State/UTs  to implement the initiative
- d. Periodic reviews are done to monitor the progress of the initiative at National and State/UT levels
- (d) With  the  implementation  of  the  National  Strategic  Plan  2017-25,  as  per  the  Global  TB Report, 2022, the incidence of TB in India has reduced by 18% from 256/lakh population in 2015 to 210/lakh population, which is 7 percentage points better than the global average of 11%.To address the challenges and achieve SDGs by 2025, the National TB Elimination programme implements key activities as under:
-  State and District Specific Strategic plan for targeted interventions in high burden areas.
-  Provision of free drugs and diagnostics to TB patients including for drug resistant TB.
-  Active TB case finding campaign in key vulnerable and co-morbid population.
-  Integration  with  Ayushman  Bharat  -  Health  &  Wellness  Centres  to  decentralize screening and treatment services closer to the community.
-  Private sector engagement including incentives for notification and management of TB cases.
-  Scale up of molecular diagnostic laboratories to sub-district levels.
-  Ni-kshay Poshan Yojana for nutritional support to TB patients.
-  Intensified  IEC  campaigns  to  reduce  stigma,  raise  community  awareness  and improve health seeking behavior.
-  Multi-sectoral response with involvement of line ministries.
-  Scale up TB preventive therapy to contacts of pulmonary TB.
-  Tracking  of  notified  TB  cases  through  a  case-based  web-based  portal  namely Ni-kshay

## State/UT wise details of TB Case Notification

|   Sr.No | State/UTs                                |   Notifications- 2020 |   Notifications- 2021 |   Notifications 2022 (Jan-Oct) |
|---------|------------------------------------------|-----------------------|-----------------------|--------------------------------|
|       1 | Andaman & Nicobar Islands                |                   478 |                   507 |                            465 |
|       2 | Andhra Pradesh                           |                 64065 |                 86832 |                          77240 |
|       3 | Arunachal Pradesh                        |                  2522 |                  2724 |                           2463 |
|       4 | Assam                                    |                 35261 |                 37641 |                          39550 |
|       5 | Bihar                                    |                 98994 |                131703 |                         131859 |
|       6 | Chandigarh                               |                  4294 |                  4720 |                           5059 |
|       7 | Chhattisgarh                             |                 29339 |                 32416 |                          31287 |
|       8 | Dadra and Nagar Haveli and Daman and Diu |                   965 |                  1013 |                           1202 |
|       9 | Delhi                                    |                 86842 |                103038 |                          92682 |
|      10 | Goa                                      |                  1660 |                  2018 |                           1710 |
|      11 | Gujarat                                  |                120560 |                144731 |                         125786 |
|      12 | Haryana                                  |                 62697 |                 69083 |                          64437 |
|      13 | Himachal Pradesh                         |                 13424 |                 14492 |                          13666 |
|      14 | Jammu & Kashmir                          |                  8830 |                 10826 |                          10067 |
|      15 | Jharkhand                                |                 45505 |                 52179 |                          48036 |
|      16 | Karnataka                                |                 65785 |                 72435 |                          66565 |
|      17 | Kerala                                   |                 20835 |                 21872 |                          19618 |
|      18 | Ladakh                                   |                   239 |                   291 |                            264 |
|      19 | Lakshadweep                              |                    20 |                    12 |                              7 |
|      20 | Madhya Pradesh                           |                137648 |                166346 |                         156530 |
|      21 | Maharashtra                              |                159663 |                199976 |                         195113 |
|      22 | Manipur                                  |                  1563 |                  1793 |                           2175 |
|      23 | Meghalaya                                |                  4139 |                  4152 |                           4280 |
|      24 | Mizoram                                  |                  2334 |                  1749 |                           1795 |
|      25 | Nagaland                                 |                  3487 |                  3648 |                           3578 |
|      26 | Odisha                                   |                 45628 |                 52381 |                          50521 |
|      27 | Puducherry                               |                  2762 |                  3444 |                           3153 |
|      28 | Punjab                                   |                 46198 |                 50142 |                          47041 |
|      29 | Rajasthan                                |                137343 |                149225 |                         143204 |
|      30 | Sikkim                                   |                  1326 |                  1373 |                           1180 |
|      31 | Tamil Nadu                               |                 70304 |                 82823 |                          77619 |
|      32 | Telangana                                |                 63209 |                 60714 |                          56795 |
|      33 | Tripura                                  |                  2071 |                  2543 |                           2492 |
|      34 | Uttar Pradesh                            |                366641 |                453712 |                         430826 |
|      35 | Uttarakhand                              |                 20000 |                 22789 |                          23569 |
|      36 | West Bengal                              |                 79039 |                 90487 |                          84962 |

## State/UT wise details of TB related Deaths

|   Sr. No. | State/UTs                                |   Deaths- 2020** |   Deaths- 2021** |   Deaths 2022 (Jan-Oct)** |
|-----------|------------------------------------------|------------------|------------------|---------------------------|
|         1 | Andaman & Nicobar Islands                |               25 |               16 |                        10 |
|         2 | Andhra Pradesh                           |             3585 |             2490 |                      1903 |
|         3 | Arunachal Pradesh                        |               64 |               78 |                        58 |
|         4 | Assam                                    |             1840 |             1422 |                      1365 |
|         5 | Bihar                                    |             2975 |             3341 |                      4055 |
|         6 | Chandigarh                               |              114 |              129 |                       104 |
|         7 | Chhattisgarh                             |             1603 |             1380 |                      1488 |
|         8 | Dadra and Nagar Haveli and Daman and Diu |               25 |               17 |                        25 |
|         9 | Delhi                                    |             2111 |             2008 |                      1902 |
|        10 | Goa                                      |               72 |               89 |                       147 |
|        11 | Gujarat                                  |             6870 |             5472 |                      5764 |
|        12 | Haryana                                  |             2809 |             2638 |                      2565 |
|        13 | Himachal Pradesh                         |              837 |              723 |                       735 |
|        14 | Jammu & Kashmir                          |              295 |              309 |                       356 |
|        15 | Jharkhand                                |             1314 |             1568 |                      1594 |
|        16 | Karnataka                                |             5605 |             4490 |                      4338 |
|        17 | Kerala                                   |             1828 |             1668 |                      1458 |
|        18 | Ladakh                                   |               23 |               19 |                        21 |
|        19 | Lakshadweep                              |                2 |                0 |                         1 |
|        20 | Madhya Pradesh                           |             5485 |             4795 |                      5547 |
|        21 | Maharashtra                              |             8785 |             6988 |                      6270 |
|        22 | Manipur                                  |               74 |               55 |                        54 |
|        23 | Meghalaya                                |              186 |              185 |                       156 |
|        24 | Mizoram                                  |               48 |               50 |                        61 |
|        25 | Nagaland                                 |              108 |               97 |                        96 |
|        26 | Odisha                                   |             2738 |             2506 |                      2450 |
|        27 | Puducherry                               |              116 |               80 |                        63 |
|        28 | Punjab                                   |             2824 |             2667 |                      2244 |
|        29 | Rajasthan                                |             4767 |             4616 |                      4137 |
|        30 | Sikkim                                   |               45 |               45 |                        36 |
|        31 | Tamil Nadu                               |             5365 |             4050 |                      4003 |
|        32 | Telangana                                |             2392 |             1876 |                      1521 |
|        33 | Tripura                                  |              173 |              159 |                       129 |
|        34 | Uttar Pradesh                            |            18409 |            14913 |                     14010 |
|        35 | Uttarakhand                              |              894 |              743 |                       719 |
|        36 | West Bengal                              |             5417 |             4320 |                      4166 |