Lok Sabha Question No. 3538 (UNSTARRED), answered on 2025-03-21
Subject: Data on Cancer Incidence
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Tangella Uday Srinivas

## GOVERNMENT OFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3538 TO BEANSWERED ON 21 ST MARCH, 2025

## DATA ON CANCER INCIDENCE

## 3538. SHRI TANGELLAUDAY SRINIVAS:

Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the Government has compiled data on cancer incidence in the country during the last five years and if so, the details thereof alongwith the number of reported cases annually, Statewise and type-wise;
- (b) whether the Government has conducted research / studies to assess the major causes contributing to the rising incidence of different types of cancer and if so, the key findings thereof;
- (c) whether the Government has analyzed regional variations in cancer incidence and its correlation with socio-economic and environmental factors and if so, the details thereof;
- (d) the funds allocated and utilized for cancer research, treatment infrastructure, and awareness programmes during the last five years with a State-wise and category-wise expenditure breakdown; and
- (e) whether the Government plans to initiate targeted preventive measures, early detection programmes/policy interventions to curb the rising trend of cancer cases in the country and if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

(a): As per the Indian Council of Medical Research (ICMR)- National Cancer Registry Programme (NCRP), the estimated number of incidence of all types of cancer cases in the country during last five years from 2020 to 2024 by State/Union Territories-wise is at Annexure- I.

(b): As informed by Indian Council of Medical Research (ICMR), the reasons for increase in number of cancer cases reported is due to access and availability of improved diagnostic techniques for detection of cancer, increased life expectancy, growing share of geriatric population, higher health consciousness and improved health seeking behaviour. Also, there has been significant increase in the classical risk factors associated with Non - Communicable Disease (NCDs) including cancer such as tobacco and alcohol consumption, insufficient physical activities, unhealthy diets, consumption of high salt, sugar and saturated fats, etc.

(c): As per the Indian Council of Medical Research (ICMR) - National Cancer Registry Programme (ICMR-NCRP) data, there is heterogeneity/ regional variation in cancer incidence (Age- Adjusted Incidence rate (per 100,000): males: Osmanabad and Beed, 39.5 vs Aizawl district, 269.4; females: Osmanabad and Beed, 49.4 vs Papumpare district, 219.8) across India.

The Indian Government, through various studies and organizations like the Global Burden of Disease Study, has analyzed regional variations in cancer incidence, revealing correlations with socioeconomic and environmental factors, including higher cancer rates in rural areas, specific cancer types, and the impact of risk factors like tobacco use and environmental pollutants. The North-Eastern (NE) region has the highest incidence of cancer in India, and is also burdened by higher prevalence of risk factors and inadequate cancer treatment facilities. Studies show higher cancer incidence rates in urban areas compared to rural areas, with some exceptions like tobacco-related cancers being more prevalent in rural areas.

(d) and (e): Indian Council of Medical Research (ICMR) is funding research in areas of gall bladder cancer, breast cancer, lung cancers, cancers in North-east and oral cancers through its centrally sponsored research projects. The details on cancer research are as under:

| Year      | Amount       |
|-----------|--------------|
| 2021-2022 | Rs 125 crore |
| 2022-2023 | Rs 150 crore |
| 2023-2024 | Rs 300 crore |

The Department of Health and Family Welfare provides technical and financial support to States and Union Territories across the country under the National Programme for Prevention and Control of Non -Communicable Diseases (NP-NCD) as part of the National Health Mission (NHM). The programme focuses on strengthening infrastructure, human resource development, screening, early diagnosis, referral, treatment, and health promotion for Non-Communicable Diseases (NCDs) including cancer. Under the programme, 770 District NCD Clinics, 372 District Day Care Centres, and 6410 NCD Clinics at Community Health Centres have been set up.

Preventive aspect of Cancer is strengthened under Comprehensive Primary Health Care through Ayushman Aarogya Mandir by promotion of wellness activities and targeted communication at the community level. Other initiatives for increasing public awareness about NCDs, promotion of healthy lifestyle includes observation of National Cancer Awareness Day and World Cancer Day &use of print, electronic and social media for continued community awareness.

Under NP-NCD, financial support of ₹3 -5 lakhs at District level and ₹50-70 lakhs at State level is provided under National Health Mission for awareness generation activities for NCDs to be undertaken by the States and Union Territories as per their Programme Implementation Plans (PIPs). Details of the approval and expenditure under NP-NCD from last five years is enclosed at AnnexureII

The Government of India has implemented 'Strengthening of Tertiary Care Cancer Facilities Scheme since 2014 under National Programme for Prevention and Control of Non Communicable Diseases (NP-NCD) for setting up of 19 State Cancer Institute (SCI) and 20 Tertiary Care Cancer Centres

(TCCCs) in different parts of the country. The financial assistance is provided for procurement of radio therapy equipment, diagnostic equipment, surgical equipment, enhancement of indoor civil work and patient facility for cancer and such other purposes relevant for diagnosis, treatment and care of cancer. The maximum permissible assistance for SCI is Rs. 120 crores and for TCCC Rs. 45 crores. This is inclusive of State share of 40% (for North East and Hill States 10%). The list of approved SCI/TCCC is enclosed in Annexure-III.

In view of the escalating burden of NCDs, the Ministry of Health & Family Welfare has launched NCD Screening Campaign (20 th February, 2025 to 31 st March 2025) to achieve universal screening of individuals aged 30 years and above. The campaign is conducted nationwide across Ayushman Arogya Mandir and other healthcare facilities under NP-NCD.

## Annexure-I

| State                     |    2020 |    2021 |    2022 |    2023 |    2024 |
|---------------------------|---------|---------|---------|---------|---------|
| Jammu &Kashmir UT         |   12726 |   13060 |   13395 |   13744 |   14112 |
| Ladakh UT                 |     286 |     294 |     302 |     309 |     318 |
| Himachal pradesh          |    8799 |    8978 |    9164 |    9373 |    9566 |
| Punjab                    |   38636 |   39521 |   40435 |   41337 |   42288 |
| Chandigarh                |    1024 |    1053 |    1088 |    1120 |    1152 |
| Uttaranchal               |   11482 |   11779 |   12065 |   12348 |   12642 |
| Haryana                   |   29219 |   30015 |   30851 |   31679 |   32513 |
| Delhi                     |   25178 |   25969 |   26735 |   27561 |   28387 |
| Rajasthan                 |   70987 |   72825 |   74725 |   76655 |   78604 |
| Uttar pradesh             |  201319 |  206088 |  210958 |  215931 |  221000 |
| Bihar                     |  103711 |  106435 |  109274 |  112180 |  115123 |
| Sikkim                    |     445 |     465 |     496 |     525 |     561 |
| Arunachal pradesh         |    1035 |    1064 |    1087 |    1125 |    1143 |
| Nagaland                  |    1768 |    1805 |    1854 |    1890 |    1935 |
| Manipur                   |    1899 |    2022 |    2097 |    2169 |    2250 |
| Mizoram                   |    1837 |    1919 |    1985 |    2063 |    2114 |
| Tripura                   |    2574 |    2623 |    2715 |    2790 |    2871 |
| Meghalaya                 |    2879 |    2943 |    3025 |    3099 |    3168 |
| Assam                     |   37880 |   38834 |   39787 |   40721 |   41713 |
| West bengal               |  108394 |  110972 |  113581 |  116230 |  118910 |
| Jharkhand                 |   33961 |   34910 |   35860 |   36840 |   37824 |
| Orissa                    |   50692 |   51829 |   52960 |   54136 |   55335 |
| Chattisgarh               |   27828 |   28529 |   29253 |   30014 |   30763 |
| Madhya pradesh            |   77888 |   79871 |   81901 |   84029 |   86124 |
| Gujarat                   |   69660 |   71507 |   73382 |   75290 |   77205 |
| Daman                     |     124 |     135 |     150 |     161 |     173 |
| Dadra &Nagar Haveli       |     206 |     219 |     238 |     252 |     268 |
| Maharashtra               |  116121 |  118906 |  121717 |  124584 |  127512 |
| Telangana                 |   47620 |   48775 |   49983 |   51145 |   52334 |
| Andhra pradesh            |   70424 |   71970 |   73536 |   75086 |   76708 |
| Karnataka                 |   85968 |   88126 |   90349 |   92560 |   94832 |
| Goa                       |    1618 |    1652 |    1700 |    1735 |    1783 |
| Lakshadweep               |      27 |      28 |      28 |      31 |      32 |
| Kerala                    |   57155 |   58139 |   59143 |   60162 |   61175 |
| Tamil nadu                |   88866 |   91184 |   93536 |   95944 |   98386 |
| Pondicherry               |    1577 |    1623 |    1679 |    1753 |    1823 |
| Andaman & Nicobar Islands |     366 |     380 |     393 |     401 |     408 |
| Total                     | 1392179 | 1426447 | 1461427 | 1496972 | 1533055 |

Annexure - II

State/Union Territories- wise details of SPIP Approvals & Expenditure for National Programme-Non Communicable Diseases (NP-NCD) under NHM during the period of F.Y. 2019-20 to 2023-24

(Rs. In lakhs)

| S.N o.   | State/U T                          | 2019-20        | 2019-20      | 2020-21        | 2020-21      | 2021-22        | 2021-22      | 2022-23        | 2022-23      | 2023-24        | 2023-24      |
|----------|------------------------------------|----------------|--------------|----------------|--------------|----------------|--------------|----------------|--------------|----------------|--------------|
| S.N o.   | State/U T                          | SPIP Appro val | Expendi ture | SPIP Appro val | Expendi ture | SPIP Appro val | Expendi ture | SPIP Appro val | Expendi ture | SPIP Appro val | Expendi ture |
| 1        | Andama n and Nicobar Islands       | 52.00          | 11.44        | 13.89          | 24.23        | 56.96          | 19.61        | 52.46          | 9.14         | 56.18          | 18.76        |
| 2        | Andhra Pradesh                     | 359.83         | 287.92       | 1616.1 8       | 1193.21      | 4672.5 4       | 4206.67      | 6078.7 6       | 3054.33      | 5954.0 8       | 5935.23      |
| 3        | Arunach al Pradesh                 | 347.51         | 128.28       | 381.58         | 151.06       | 146.45         | 825.60       | 622.95         | 533.96       | 779.13         | 383.35       |
| 4        | Assam                              | 2067.5 3       | 625.33       | 568.87         | 238.50       | 1258.5 7       | 736.35       | 1306.8 1       | 793.10       | 1222.9 3       | 774.03       |
| 5        | Bihar                              | 792.39         | 277.96       | 1977.7 4       | 818.86       | 956.30         | 453.73       | 8298.9 9       | 3149.22      | 7163.8 1       | 2728.00      |
| 6        | Chandig arh                        | 2.80           | 1.63         | 1.30           | 0.41         | 12.84          | 7.35         | 4.15           | 0.31         | 3.90           | 0.75         |
| 7        | Chhattis garh                      | 606.34         | 508.25       | 433.45         | 703.69       | 1619.0 6       | 1686.65      | 3506.3 2       | 2359.05      | 2974.6 4       | 2178.78      |
| 8        | Dadra &Nagar Haveli and Daman &Diu | 51.18          | 41.49        | 14.18          | 45.16        | 7.05           | 55.18        | 57.55          | 14.53        | 57.99          | 47.68        |
| 9        | Delhi                              | 145.88         | 12.24        | 128.10         | 3.65         | 191.15         | 26.92        | 164.70         | 21.97        | 335.41         | 27.22        |
| 10       | Goa                                | 85.33          | 35.31        | 50.53          | 24.50        | 168.97         | 96.54        | 153.05         | 156.05       | 145.25         | 96.34        |
| 11       | Gujarat                            | 518.38         | 460.97       | 709.39         | 375.67       | 2076.8 0       | 926.67       | 4071.6 8       | 1711.46      | 3778.3 1       | 1542.89      |
| 12       | Haryana                            | 320.86         | 195.34       | 226.42         | 181.62       | 476.86         | 353.18       | 533.41         | 592.62       | 406.56         | 630.69       |
| 13       | Himacha l Pradesh                  | 158.00         | 164.88       | 45.00          | 64.67        | 286.28         | 190.19       | 1361.0 0       | 440.72       | 1416.5 0       | 735.05       |
| 14       | Jammu and Kashmir                  | 595.67         | 136.72       | 1253.8 0       | 42.49        | 805.68         | 890.34       | 792.00         | 202.20       | 882.00         | 208.39       |
| 15       | Jharkhan d                         | 593.78         | 118.98       | 535.24         | 238.12       | 2620.2 6       | 1273.15      | 1955.1 5       | 903.13       | 1958.5 3       | 1467.89      |
| 16       | Karnatak                           | 1148.7         | 644.56       | 675.94         | 604.32       | 4097.1         | 2186.39      | 4409.7         | 2625.00      | 2452.3         | 1953.05      |

|    | a              | 9        |         |          |         | 2         |         | 4         |         | 5         |         |
|----|----------------|----------|---------|----------|---------|-----------|---------|-----------|---------|-----------|---------|
| 17 | Kerala         | 1508.7 0 | 144.55  | 1092.8 2 | 1035.71 | 4250.9 2  |  734.43 | 7662.0 2  | 2372.94 | 5249.0 9  | 1203.84 |
| 18 | Ladakh         | -        | -       | 0.00     |   10.39 | 104.45    |  150.91 | 273.36    |  146.4  | 166.43    |  119.15 |
| 19 | Lakshad weep   | 3.48     | 1.24    | 15.55    |    2.85 | 24.72     |    3.07 | 21.21     |    2.03 | 22.28     |    3.22 |
| 20 | Madhya Pradesh | 530.77   | 257.45  | 937.98   |  694.32 | 1402.0 9  | 1262.5  | 4753.7 3  | 1470.14 | 2090.2 6  | 1385.57 |
| 21 | Maharas htra   | 3062.3 6 | 1377.52 | 747.47   |  486.75 | 976.63    | 3474.9  | 5311.2 1  | 2018    | 5147.5 2  | 1502.83 |
| 22 | Manipur        | 199.92   | 267.66  | 293.66   |   20.14 | 623.31    |   95.41 | 722.21    |  277.29 | 724.30    |  249.28 |
| 23 | Meghala ya     | 52.48    | 79.11   | 46.55    |  330.26 | 416.03    |  401.94 | 407.60    |  219.42 | 370.59    |  524.32 |
| 24 | Mizoram        | 54.48    | 15.21   | 58.88    |   15.8  | 332.26    |  230.86 | 176.24    |   22.6  | 176.24    |  118.6  |
| 25 | Nagalan d      | 206.04   | 93.89   | 137.10   |   37.86 | 305.43    |  610.04 | 312.26    |   41.62 | 310.88    |  125.42 |
| 26 | Odisha         | 661.80   | 549.30  | 881.79   | 1021.54 | 2158.8 9  | 1944.1  | 7442.6 9  | 3539.82 | 6067.9 1  | 4957.81 |
| 27 | Puducher ry    | 24.15    | 19.34   | 23.72    |    1.46 | 126.82    |   24.81 | 113.10    |   47.94 | 135.94    |   48.39 |
| 28 | Punjab         | 184.45   | 107.62  | 169.79   |   83.17 | 705.42    |  160.83 | 1405.9 3  |  559.97 | 1796.1 1  | 1796.11 |
| 29 | Rajastha n     | 2903.2 0 | 2126.20 | 1227.0 9 |  882.62 | 4603.4 9  | 3301.67 | 23542. 92 | 2700.62 | 23542. 92 | 2204.69 |
| 30 | Sikkim         | 72.31    | 25.44   | 53.06    |    9.2  | 156.78    |   45.79 | 117.04    |   56.33 | 85.55     |   51.17 |
| 31 | Tamil Nadu     | 2006.4 2 | 735.97  | 798.77   |  371    | 4004.7 0  | 2985.56 | 8466.9 1  | 1814.06 | 10031. 16 | 4277.33 |
| 32 | Telangan a     | 766.04   | 239.42  | 490.70   |  351.54 | 3139.4 4  | 2657.83 | 5272.7 2  | 5305.26 | 5145.0 0  |  128.71 |
| 33 | Tripura        | 215.13   | 162.00  | 131.33   |  104.05 | 383.86    |  247.35 | 496.53    |  203.41 | 578.92    |  250.46 |
| 34 | Uttar Pradesh  | 7602.1 7 | 2908.04 | 6654.7 0 | 1888.3  | 13196. 18 | 5237.37 | 13607. 82 | 4787.92 | 18998. 70 | 5667.88 |
| 35 | Uttarakh and   | 331.74   | 39.66   | 144.80   |    0    | 597.75    |  327.57 | 1127.3 3  |  436.72 | 1167.3 7  |  697.5  |
| 36 | West Bengal    | 892.09   | 672.00  | 1399.3 4 |  916.39 | 3697.3 3  | 3517.71 | 3868.7 1  | 4765.29 | 5428.7 1  | 4680.41 |

## List of approved SCI/TCCC

|   S No | States/UTs       | Name of the Institute                                                 | SCI / TCCC   |
|--------|------------------|-----------------------------------------------------------------------|--------------|
|      1 | Andhra Pradesh   | Kurnool Medical College, Kurnool                                      | SCI          |
|      2 | Assam            | Gauhati Medical College &Hospital, Guwahati                           | SCI          |
|      3 | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                    | SCI          |
|      4 | Chhattisgarh     | Chhattisgarh Institute of Medical Sciences, Bilaspur                  | SCI          |
|      5 | Delhi            | Lok Nayak Hospital                                                    | TCCC         |
|      6 | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad                          | SCI          |
|      7 | Goa              | Goa Medical College, Panaji                                           | TCCC         |
|      8 | Haryana          | Civil Hospital, Ambala Cantt                                          | TCCC         |
|      9 | Himachal Pradesh | Indira Gandhi Medical College, Shimla                                 | TCCC         |
|     10 | Himachal Pradesh | Shri Lal Bahadur Shastri Medical College, Mandi                       | TCCC         |
|     11 | Jammu &Kashmir   | Sher-i-Kashmir Institute of Medical Sciences, Srinagar                | SCI          |
|     12 |                  | Government Medical College, Jammu                                     | SCI          |
|     13 | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                        | SCI          |
|     14 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bangaluru                | SCI          |
|     15 |                  | Mandya Institute of Medical Sciences, Mandya                          | TCCC         |
|     16 | Kerala           | Regional Cancer Centre, Tjiruvananthapuram                            | SCI          |
|     17 |                  | Government Medical College, Kozhikode                                 | TCCC         |
|     18 | Madhya Pradesh   | G.R. Medical College, Gwalior                                         | TCCC         |
|     19 |                  | Netaji Subhas Chandra Bose Medical College, Jabalpur                  | SCI          |
|     20 | Maharashtra      | Rashtrasant Tukdoji Regional Cancer Hospital &Research Centre, Nagpur | TCCC         |
|     21 |                  | Government Medical College, Aurangabad                                | SCI          |
|     22 |                  | Vivekanand Foundation &Research Centre, Latur                         | TCCC         |
|     23 | Mizoram          | Mizoram State Cancer Institute, Aizawl                                | TCCC         |

## Annexure-III

|   24 | Nagaland      | District Hospital, Kohima                                           | TCCC   |
|------|---------------|---------------------------------------------------------------------|--------|
|   25 | Odisha        | Acharya Harihar Regional Cancer Centre, Cuttack                     | SCI    |
|   26 | Punjab        | Government Medical College, Amritsar                                | SCI    |
|   27 | Punjab        | Civil Hospital, Fazilka                                             | TCCC   |
|   28 | Rajasthan     | S P Medical College, Bikaner                                        | TCCC   |
|   29 | Rajasthan     | SMS Medical College, Jaipur                                         | SCI    |
|   30 | Rajasthan     | Jhalawar Medical College &Hospital, Jhalawar                        | TCCC   |
|   31 | Sikkim        | Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim | TCCC   |
|   32 | Tamil Nadu    | Cancer Institute (RCC), Adyar, Chennai                              | SCI    |
|   33 | Telangana     | MNJ Institute of Oncology &RCC, Hyderabad                           | SCI    |
|   34 | Tripura       | Cancer Hospital (RCC), Agartala                                     | SCI    |
|   35 | Uttar Pradesh | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow   | TCCC   |
|   36 | Uttarakhand   | Government Medical College, Haldwani                                | SCI    |
|   37 | West Bengal   | Government Medical College, Burdwan                                 | TCCC   |
|   38 | West Bengal   | Murshidabad Medical College &Hospital, Berhampore, Murshidabad      | TCCC   |
|   39 | West Bengal   | Sagore Dutta Memorial Medical College and Hospital, Kolkata         | TCCC   |