Lok Sabha Question No. 4662 (UNSTARRED), answered on 2025-03-28
Subject: Antimicrobial Resistance
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Kesineni Sivanath, Shri Sribharat Mathukumilli

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 4662 TO BE ANSWERED ON 28.03.2025

## ANTIMICROBIALRESISTANCE

## 4662. SHRI KESINENI SIVANATH: SHRI SRIBHARAT MATHUKUMILLI:

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

(a) the details of the laboratories identified for developing Antimicrobial Resistance (AMR) surveillance under National Programme on the Containment of Antimicrobial Resistance (NAP AMR);

(b) the details of the antimicrobial resistance rates, drug-wise;

(c) the number of microbiology laboratories upgraded and strengthened under the said programme, State-wise;

(d) whether the Government has conducted any study/research to assess the knowledge and awareness of general population and healthcare professionals regarding AMR in the country and if so, the details thereof and if not, the reasons therefor;

(e) whether the Government has undertaken awareness, education and training programme for professionals in healthcare and allied sectors to improve understanding of AMR under NAP AMR and if so, the details thereof along with the amount of funds sanctioned for the same, year wise; and

(f) if not, the reasons therefor?

## ANSWER

## THE MINISTER OFSTATE IN THE MINISTRY OF HEALTH & FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

( a) The list of labs included under the National Antimicrobial Resistance (AMR) surveillance network (NARS-Net) is at Annexure I.

(b) AMR surveillance of 9 priority pathogens isolated from the identified clinical samples for the defined drug-bug combinations is carried out through NARS-Net, as per the mandate of program Standard Operating Procedure (SOP). The details of AMR drugs may be seen at the annual reports of the analysed AMR surveillance data from year 2017 to 2023 at https://ncdc.mohfw.gov.in/reports/

(c) The details of microbiology laboratories upgraded and strengthened under the said programme, State/UT wise is at Annexure II.

(d) to (f) Indian Council of Medical Research (ICMR) undertook a study/survey in collaboration with AMR surveillance partner on knowledge and awareness. Details are at Annexure III.

MoHFW launched Red Line awareness campaign on Antimicrobials Resistance, urging people not to use medicines marked with a red vertical line, including antibiotics, without a doctor's prescription. Antibiotics are included in Schedule H and H1 of the Drugs Rules, 1945. These drugs have specific caution labelling requirements and are sold only under the prescription of a Registered Medical Practitioner.

Government has issued National Treatment guidelines for judicious use of antibiotics. The Guidelines on Infection Prevention and Control aims at prevention and control of healthcare associated infections to reduce the use of antibiotics in healthcare settings. Above can be accessed at https://ncdc.mohfw.gov.in/antimicrobial-resistance-amr-containment/

To raise awareness about AMR and to prevent misuse of antibiotics, awareness generation materials on AMR includes posters, videos, radio jingles on judicious use of antibiotics and on prevention of infections through hand hygiene have been made available for stakeholders. The media material in 12 local languages have been developed on AMR related information and shared with States & UTs. National programme on AMR Containment conduct activities to raise awareness on AMR among health care workers and community during World Antibiotic Awareness Week (WAAW) held every year. The fund allocated for year 2021-22, 2022-23 & 2023-24 Rs. 666.89 lakhs, Rs. 777.81 lakhs and Rs. 919 lakhs respectively.

******

## ANNEXURE REFERRED TO IN REPLY TO PART (a) OF THE LOK SABHA UNSTARRED QUESTION NO. 4662 REGARDING " ANTIMICROBIAL RESISTANCE'

|   S.No. | AMRNetwork sites                                                      |
|---------|-----------------------------------------------------------------------|
|       1 | Lady Hardinge Medical College (LHMC), Delhi                           |
|       2 | Vardhman Mahavir Medical College (VMMC), Safdarjung Hospital, Delhi   |
|       3 | Mysore Medical College &Research Institute (MMCRI), Mysuru, Karnataka |
|       4 | Government Medical College &Hospital (GMCH), Chandigarh               |
|       5 | B.J. Medical College (BJMC), Ahmedabad, Gujarat                       |
|       6 | B.J. Medical College (BJMC), Pune, Maharashtra                        |
|       7 | SMS Medical College, Jaipur, Rajasthan                                |
|       8 | GSVM Medical College, Kanpur, Uttar Pradesh                           |
|       9 | Gauhati Medical College &Hospital (GMC), Assam                        |
|      10 | KAPV Government Medical College, Trichy, Tamil Nadu                   |
|      11 | NEIGRIHMS, Shillong, Meghalaya                                        |
|      12 | Government Medical College (GMC), Thiruvananthapuram, Kerala          |
|      13 | M.G.M Medical College& Hospital, Indore, Madhya Pradesh               |
|      14 | IGMC, Shimla, Himachal Pradesh                                        |
|      15 | Govt. Medical College, Aurangabad, Maharashtra                        |
|      16 | Osmania Medical College (OMC), Osmania, Hyderabad, Telangana          |
|      17 | Govt. Medical College, Jammu                                          |
|      18 | Agartala Government Medical College (AGMC) Agartala, Tripura          |
|      19 | SCB Medical College &Hospital, Cuttack, Odisha                        |
|      20 | Guntur Medical College (GMC), Guntur, Andhra Pradesh                  |
|      21 | Pt. Jawaharlal Nehru memorial Medical College, Raipur, Chhattisgarh   |
|      22 | RIMS Ranchi, Jharkhand                                                |
|      23 | Pt. B D Sharma, PGIMS, Rohtak, Haryana                                |
|      24 | Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, Bihar     |
|      25 | Govt. Medical College, Haldwani, Uttarakhand                          |
|      26 | Gandhi Medical College, Bhopal, Madhya Pradesh                        |
|      27 | LLRM Govt. Medical College, Meerut, Uttar Pradesh                     |
|      28 | GMERS Medical College, Valsad, Gujarat                                |
|      29 | School of Tropical Medicines (STM), Kolkata, West Bengal              |

|   S.No. | AMRNetwork sites                                                                  |
|---------|-----------------------------------------------------------------------------------|
|      30 | Coimbatore Medical College &Hospital, Coimbatore, Tamil Nadu                      |
|      31 | Sardar Patel Medical College (SPMC), Bikaner, Rajasthan                           |
|      32 | Maulana Azad Medical College (MAMC), Delhi                                        |
|      33 | Karnataka Institute of Medical Sciences (KIMS) Hubballi, Karnataka                |
|      34 | Indira Gandhi Medical College & Research Institute (IGMC & RI), Puducherry        |
|      35 | NAMO MERI, Silvassa, Dadar and Nagar Haveli                                       |
|      36 | Goa Medical College, Bambolim, Goa                                                |
|      37 | STNM Hospital, Gangtok, Sikkim                                                    |
|      38 | Zoram Medical College, Aizawl, Mizoram                                            |
|      39 | GMC Patiala, Punjab                                                               |
|      40 | Andaman &Nicobar Institute of Medical Sciences, Port Blair                        |
|      41 | Toma Riba Institute of Health and Medical Sciences, Naharlugan, Arunachal Pradesh |
|      42 | Jawahar Lal Nehru Institute of Medical Sciences (JNIMS), Manipur                  |
|      43 | Moti Lal Nehru Medical College, Allahabad, Uttar Pradesh                          |
|      44 | RNT Medical College, Udaipur, Rajasthan                                           |
|      45 | Andhra Medical College, Vishakhapatnam, Andhra Pradesh                            |
|      46 | Vijayanagar Institute of Medical Sciences, Ballari, Karnataka                     |
|      47 | Pt. Raghunath Murmu Medical College &Hospital, Baripada, Odisha                   |
|      48 | Burdwan Medical College &Hospital, Burdwan, West Bengal                           |
|      49 | Govt. Medical College, Karan Nagar, Srinagar, Jammu and Kashmir                   |
|      50 | Grant Govt Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra       |
|      51 | Govt. Medical College, Thrissur, Kerala                                           |
|      52 | Bangalore Medical College and Research Institute, Bengaluru, Karnataka            |
|      53 | Madras Medical College, Chennai, Tamil Nadu                                       |
|      54 | S.V. Medical College Tirupati, Andhra Pradesh                                     |
|      55 | Gajra Raja Medical College Gwalior, Madhya Pradesh                                |
|      56 | Jorhat Medical College and Hospital, Jorhat, Assam                                |
|      57 | University College of Medical Sciences>B Hospital, Delhi                        |
|      58 | Pandit Dindayal Upadhyay Medical College, Rajkot Gujarat                          |
|      59 | Netaji Subash Chandra Bose Medical College, Jabalpur, Madhya Pradesh              |
|      60 | Kakatiya Medical College, Warangal, Telangana                                     |

## ANNEXURE REFERRED TO IN REPLY TO PART (c) OF THE LOK SABHA UNSTARRED QUESTION NO. 4662 REGARDING " ANTIMICROBIAL RESISTANCE'

| S.N o.   | Name of State/U.T.     | Name of Site                                                                                                                                       |
|----------|------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------|
| 1        | Andhra Pradesh (03)    | Guntur Medical College, Guntur, Andhra Pradesh Andhra Medical College,Visakhapatnam, Andhra Pradesh S.V. Medical College, Tirupati, Andhra Pradesh |
| 2        | Arunachal Pradesh (01) | Toma Riba Institute of Health and Medical Sciences (TRIHMS), Naharlagun, Arunachal Pradesh                                                         |
| 3        | Assam (02)             | Gauhati Medical College and Hospital, Guwahati, Assam Jorhat Medical College and Hospital, Jorhat, Assam                                           |
| 4        | Bihar (01)             | Indira Gandhi Institute of Medical Science, Patna, Bihar                                                                                           |
| 5        | Chhattisgarh (01)      | Pandit Jawahar Lal Nehru Medical College, Raipur, Chhattisgarh                                                                                     |
| 6        | Goa (01)               | Government Medical College, Bambolim, Goa                                                                                                          |
| 7        | Gujarat (03)           | B. J. Medical College, Ahmedabad, Gujarat Gujarat Medical Education and Research Society Medical                                                   |
| 8        | Haryana (01)           | Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Science, Rohtak, Haryana                                                            |
| 10       | (01)                   |                                                                                                                                                    |
|          | Jharkhand (01)         | Rajendra Institute of Medical Sciences, Ranchi, Jharkhand                                                                                          |
| 11       | Karnataka (04)         | Mysore Medical College and Research Institute, Mysore, Karnataka                                                                                   |
| 11       | Karnataka (04)         | Karnataka Institute of Medical Sciences, Hubballi, Karnataka                                                                                       |
| 11       | Karnataka (04)         | Vijaynagar Institute of Medical Sciences, Ballari, Karnataka Bangalore Medical College and Research Institute,                                     |
| 11       | Karnataka (04)         | Bengaluru, Karnataka                                                                                                                               |
| 12       | Kerala (02)            | Governement Medical College, Thiruvananthapuram, Kerala Governement Medical College, Thrissur, Kerala                                              |
| 13       | Madhya Pradesh (04)    | Mahatma Gandhi Memorial Government Medical College, Indore, Madhya Pradesh                                                                         |
| 13       | Madhya Pradesh (04)    | Gandhi Medical College, Bhopal, Madhya Pradesh                                                                                                     |
| 13       | Madhya Pradesh (04)    | Gajra Raja Medical College, Gwalior, Madhya Pradesh                                                                                                |
| 13       | Madhya Pradesh (04)    | Netaji Subash Chandra Bose Medical College, Jabalpur, Madhya Pradesh                                                                               |
| 14       | Maharashtra (03)       | Byramjee Jeejeebhoy Government Medical College& Sassoon General Hospitals, Pune, Maharashtra                                                       |
| 14       | Maharashtra (03)       | Government Medical College &Hospital, Aurangabad, Maharashtra                                                                                      |
| 14       | Maharashtra (03)       | Grant Government Medical College &Sir JJ Group of Hospitals, Byculla, Mumbai                                                                       |
| 15       | Manipur (01)           | Jawahar Lal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur                                                                           |

| S.N o.   | Name of State/U.T.                         | Name of Site                                                                                                                                                              |
|----------|--------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 16       | Meghalaya (01)                             | North Eastern Indira Gandhi Regional Institute of Health& Medical Sciences, Shillong, Meghalaya                                                                           |
| 17       | Mizoram (01)                               | Zoram Medical College, Falkawn, Mizoram                                                                                                                                   |
| 18       | Odisha (02)                                | Srirama Chandra Bhanja Medical College and Hospital, Cuttack, Odisha Pt. Raghunath Murmu Medical College &Hospital,                                                       |
| 19       | Punjab (01)                                | Government Medical College, Patiala, Punjab                                                                                                                               |
| 20       | Rajasthan (03)                             | Sawai Man Singh Medical College, Jaipur, Rajasthan Sardar Patel Medical College, Bikaner, Rajasthan RNT Medical College, Udaipur, Rajasthan                               |
| 21       | Sikkim (01)                                | Sir Thutob Namgyal Memorial Hospital, Gangtok, Sikkim                                                                                                                     |
| 22       | Tamil Nadu (03)                            | K.A.P. Viswanatham Government Medical College, Tiruchirappalli, Tamil Nadu Coimbatore Medical College, Coimbatore, Tamil Nadu Madras Medical College, Chennai, Tamil Nadu |
| 23       | Telangana (01)                             | Osmania Medical College, Hyderabad, Telangna                                                                                                                              |
| 24       | Tripura (01)                               | Agartala Government Medical College, Agartala, Tripura                                                                                                                    |
| 25       | Uttar Pradesh (03)                         | Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur, Uttar Pradesh Lala Lajpat Rai Memorial Medical College, Meerut, Uttar Pradesh                                  |
| 26       | Uttarakhand (01)                           | Government Medical College, Haldwani, Uttarakhand                                                                                                                         |
| 27       | West Bengal (02)                           | Kolkata Medical College and Hospital, Kolkata, West Bengal Burdwan Medical College &Hospital, Burdwan, West                                                               |
| 28       | Andaman and Nicobar Islands (01) - U.T.    | Andaman &Nicobar Islands Institute of Medical Sciences, Port Blair, Andaman &Nicobar Islands                                                                              |
| 29       | Chandigarh (01) - U.T.                     | Government Medical College &Hospital, Chandigarh                                                                                                                          |
| 30       | Dadra &Nagar Haveli, Daman &Diu (01)- U.T. | NAMO Medical Education& Research Institute, Silvassa, Dadra &Nagar Haveli                                                                                                 |
| 31       | Delhi (04) - U.T.                          | Lady Hardinge Medical College, New Delhi Maulana Azad Medical College, New Delhi Vardhman Mahavir Medical College, Safdarjung Hospital, New Delhi                         |
| 32       | Jammu and Kashmir (02) UT                  | Delhi Government Medical College and Hospital, Jammu, Jammu and Kashmir Government Medical College Srinagar, Karan Nagar,                                                 |
| 33       | Puducherry (01) - U.T.                     | Gandhi Medical College and Research Institute,                                                                                                                            |
|          |                                            | Srinagar, Jammu and Kashmir Indira Puducherry                                                                                                                             |

## Annexure-III

## ANNEXURE REFERRED TO IN REPLY TO PART (d) OF THE LOK SABHA UNSTARRED QUESTION NO. 4662 REGARDING "ANTIMICROBIAL RESISTANCE'

Indian Council of Medical Research (ICMR) undertook this study/survey in collaboration with Tata medical center Kolkata which is part of ICMR AMR surveillance network. Survey was conducted among visitors at an exhibition on antimicrobial-resistant pathogens, organised in January and February 2021 at the Science City Museum in Kolkata in the state of West Bengal;

-  Responses from 613 participants visiting the 'Superbugs: The End of Antibiotics' exhibition at the Science City Museum and the mobile tableau were collated during the study period.
-  67 percent of participants believing that antibiotics can be used to treat viral infections such as the common cold, influenza, or dengue.
-  47 percent were graduates or post-graduates; and 29 percent were professionals/ teachers/ business people.
-  More than seven of every 10 respondents (72 percent, or 443/613) were of the view that it was the human body that became resistant to antibiotics, and not the bacteria.
-  Fifty-nine out of 250 responses from 25 teachers and professors (23.6 percent) were wrong. One-third (31.4 percent, or 415/1,320) of the responses from children were wrong. Among the adults, 28.5 percent (1,269/4,790) responses were incorrect.
-  Seventy-four percent of the 443 respondents who thought that it is our body rather than the bacteria that become resistant to antibiotics were adults;