Lok Sabha Question No. 1243 (UNSTARRED), answered on 2024-02-09
Subject: Human Papillomavirus Vaccination
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Karti P. Chidambaram, Vellalath Kochukrishnan Nair. Sreekandan, Ravneet Singh

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1243

## TO BE ANSWERED ON 09 TH FEBRUARY 2024

## HUMANPAPILLOMAVIRUS VACCINATION

## 1243: SHRI KARTI P. CHIDAMBARAM SHRI V.K. SREEKANDAN SHRI RAVNEET SINGH BITTU

Will the Minister of HEALTH AND FAMILYWELFARE be pleased to state:

- (a) whether the National Technical Advisory Group of Immunization (NTAGI) has recommended for Human Papillomavirus Vaccination (HPV) of girls between the ages of 9 to 14 years;
- (b) if so, the details of the action taken/proposed to be taken by the Government;
- (c) the details of the number of cases of cervical cancer in the country during the last three years and the current year, year-wise and State/UT-wise including Punjab;
- (d) whether the Government proposes to start HPV campaign to bring down cases of cervical cancer affected women and homosexual men and if so, the details thereof;
- (e) the details of other measures taken/proposed to be taken by the Government to reduce the cervical cancer cases in the country; and
- (f) whether the Government proposes to include HPV under Universal Immunization Programme as it has been effective and can prevent more than 90 per cent of HPV attributable cancers and if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (PROF. SATYA PAL SINGH BAGHEL)

- (a), (b), (d) & (f) National Technical Advisory Group for Immunization (NTAGI) is the apex technical advisory body which extends advise to Ministry of Health and Family Welfare on Immunization Programme including new vaccine introduction under Universal Immunization Programme. In June 2022, based on fresh evidence on disease burden, evidence on effectiveness of single dose of HPV vaccine, clinical trial data and experience of the Government of Sikkim on the introduction of HPV

vaccine, NTAGI recommended the introduction of HPV vaccine in the Universal Immunization Programme (UIP) with a one-time catch-up for 9 -14-year-old adolescent girls followed with routine introduction for girls at 9 years of age. Government encourages vaccination for girls in the age group of 9 to 14 years for the prevention of cervical cancer.

- (c) As per the Indian Council of Medical Research ' s National Centre for Disease Informatics and Research-National Cancer Registry Program (ICMRNCDIR, NCRP), the estimated number of incidence of cervical cancer cases in the country during 2020 to 2023 by State/UT wise including Punjab is enclosed at Annexure 1.
- (e) The Department of Health & Family Welfare, Government of India, provides technical and financial support to the States/UTs under the National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD), as part of National Health Mission (NHM), based on the proposals received from the States/UTs and subject to the resource envelope. The programme focusses on strengthening infrastructure, human resource development, health promotion & awareness generation for prevention, early diagnosis, management, and referral to an appropriate level of healthcare facility for treatment of the Non-Communicable Diseases (NCDs) including cancer. Under NP-NCD, 753 District NCD Clinics and 6237 Community Health Center NCD Clinics have been setup. 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 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. cervical, breast and oral. Screening of these common cancers is an integral part of service delivery under Ayushman Arogya Mandir.

*****

Estimated Incidence of cervical cancer cases in India by different State/UT- 2020-2023

| State                    |   2020 |   2021 |   2022 |   2023 |
|--------------------------|--------|--------|--------|--------|
| Jammu &Kashmir           |    648 |    664 |    682 |    701 |
| Himachal Pradesh         |    474 |    483 |    495 |    506 |
| Punjab                   |   2280 |   2339 |   2399 |   2459 |
| Chandigarh               |     58 |     60 |     62 |     63 |
| Uttaranchal              |    608 |    624 |    639 |    656 |
| Haryana                  |   1536 |   1580 |   1630 |   1678 |
| Delhi                    |   1259 |   1303 |   1348 |   1394 |
| Rajasthan                |   3721 |   3822 |   3927 |   4034 |
| Uttar Pradesh            |  10046 |  10301 |  10559 |  10825 |
| Bihar                    |   5073 |   5207 |   5348 |   5489 |
| Sikkim                   |     26 |     27 |     29 |     29 |
| Arunachal Pradesh        |     71 |     74 |     75 |     78 |
| Nagaland                 |    116 |    121 |    124 |    127 |
| Manipur                  |    103 |    107 |    112 |    117 |
| Mizoram                  |    139 |    143 |    147 |    153 |
| Tripura                  |    191 |    194 |    199 |    204 |
| Meghalaya                |    111 |    113 |    117 |    123 |
| Assam                    |   1802 |   1851 |   1900 |   1952 |
| West Bengal              |   5679 |   5823 |   5971 |   6119 |
| Jharkhand                |   1770 |   1821 |   1874 |   1926 |
| Orissa                   |   2656 |   2717 |   2778 |   2844 |
| Chhattisgarh             |   1507 |   1545 |   1584 |   1626 |
| Madhya Pradesh           |   4042 |   4151 |   4264 |   4378 |
| Gujarat                  |   3738 |   3840 |   3943 |   4048 |
| Daman                    |      9 |      9 |     10 |     12 |
| Dadra &Nagar Haveli      |     15 |     15 |     16 |     17 |
| Maharashtra              |   6708 |   6872 |   7037 |   7207 |
| Telangana                |   2532 |   2595 |   2665 |   2731 |
| Andhra Pradesh           |   3799 |   3886 |   3973 |   4063 |
| Karnataka                |   4536 |   4657 |   4776 |   4900 |
| Goa                      |    104 |    106 |    107 |    109 |
| Lakshadweep              |      4 |      4 |      4 |      6 |
| Kerala                   |   1734 |   1771 |   1804 |   1840 |
| Tamil Nadu               |   7958 |   8144 |   8337 |   8534 |
| Pondicherry              |    133 |    138 |    143 |    148 |
| Andaman &Nicobar Islands |     23 |     23 |     25 |     25 |

Ref: National Cancer Registry Programme report,2020