Lok Sabha Question No. 89 (STARRED), answered on 2021-12-03
Subject: Increase in Cardiovascular Diseases during COVID-19 Pandemic
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Deepak (Dev) Adhikari

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

## LOK SABHA STARRED QUESTION NO.89 TO BE ANSWERED ON THE 3 RD  DECEMBER, 2021 INCREASE IN CARDIOVASCULAR DISEASES DURING COVID-19 PANDEMIC

## *89. SHRI ADHIKARI DEEPAK (DEV):

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

- (a) whether the Government is aware that cases of Cardiovascular Diseases have seen a phenomenal increase as a consequence of limited availability of treatment facility for such diseases during the COVID-19 pandemic;
- (b) if so, the details thereof; and
- (c) the number of deaths reported in the country on account of untreated cardiovascular cases/problems since March, 2020?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR. MANSUKH MANDAVIYA)

- (a) to (c) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 89* FOR 3 RD  DECEMBER, 2021

(a) to (c) Non-Communicable Diseases (NCDs) are estimated to account for 63% of all deaths in India of which the cardiovascular diseases lead with 27% overall mortality cause.  In  a  report  'India:  Health  of  the  Nation's  States'  by  Ministry  of  Health  and Family Welfare (MOHFW), it is found that there is increase in proportion of deaths due to NCDs (among all deaths) from 37% in 1990 to 61% in 2016 and decrease in proportion of deaths due to Communicable Diseases (CDs) (among all deaths) from 53% in 1990 to 27% in 2016.  This shows a epidemiological transition with a shift in disease burden to NCDs.

A population-based initiative for prevention, control and screening for common Non-Communicable Diseases (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 common NCDs. Screening of these common NCDs is an  integral  part  of  service  delivery  under  Ayushman  Bharat  -  Health  and  Wellness Centres.

The Department of Health & Family Welfare, 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).  Under  NPCDCS,  677  District  NCD  Clinics,  187  District Cardiac Care Units, and 5392 Community Health Center NCD Clinics has been set up.

Cardiovascular Diseases patients are getting treatment at various health facilities in the health care delivery system including Medical Colleges, Central Institutes like AIIMS, Central Government hospitals, and private sector hospitals. There is also focus on  cardiovascular  diseases  in  its  various  aspects  in  case  of  new  AIIMS  and  many upgraded  institutions  under  Pradhan  Mantri  Swasthya  Suraksha  Yojna  (PMSSY). 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 10.75cr. beneficiary families identified from Socio Economic and Caste Census 2011 (SECC 2011) database is provided. AB-PMJAY provides treatment corresponding to a total of 1,669  procedures  under  26  different  specialties  for  NCDs  including  Cardiovascular Diseases. The treatment packages under AB-PMJAY are very comprehensive covering various treatment related aspects such as drugs and diagnostic services.

Preventive  aspect  of  Cardiovascular  Diseases  is  being  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 Cardiovascular Diseases and for promotion of healthy lifestyle includes observation of

National  and  International  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  being  implemented  by  Ministry  of  Youth Affairs  and  Sports,  and  various  Yoga  related  activities  are  being  carried  out  by Ministry  of  AYUSH. In  addition,  NPCDCS gives  financial support  under  NHM  for awareness generation (IEC) activities for Cardiovascular Diseases to be undertaken by the States/UTs as per their Programme Implementation Plans (PIPs).

Relevant  data  related  to  patients,  including  cardiovascular  patients,  registered and under treatment, is maintained by the Institutions and Hospitals concerned at their own level.