Lok Sabha Question No. 86 (STARRED), answered on 2025-07-25
Subject: Monitoring of Infectious Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Chandra Prakash Choudhary

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA STARRED QUESTION No. 86 TO BE ANSWERED ON 25 th JULY, 2025

## MONITORING OFINFECTIOUS DISEASES

## *86. SHRI CHANDRAPRAKASH CHOUDHARY:

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

- (a) the name of districts with the highest number of cases of tuberculosis and malaria along with the steps taken/proposed to be taken by the Government to control these diseases from spreading in Jharkhand;
- (b) whether the Government has taken any initiatives to prevent lifestyle diseases such as diabetes, hypertension and obesity amongst the youth in the country and if so, the details thereof;
- (c) whether there are any mechanisms in place to monitor outbreak of infectious diseases like dengue, swine flu or Nipah virus in the country and if so, the details thereof;
- (d) the details of the funds allocated and utilised under the Ayushman Bharat Yojana during the last three years, State/UT-wise especially in Jharkhand; and
- (e) the steps taken/proposed to be taken by the Government to digitise patient health records under the Ayushman Bharat Digital Mission?

## ANSWER THE MINISTER OFHEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

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

## STATEMENT REFERRED TO IN REPLY TO LOK SABHASTARRED QUESTION NO. 86* FOR 25 TH JULY, 2025

(a) to (e) Government of India has implemented National TB Elimination Programme (NTEP) and National Malaria Elimination Programme (NMEP) under the aegis of the National Health Mission (NHM) across the country, including the State of Jharkhand.

The district wise reported cases of TB and Malaria in Jharkhand is placed as Annexure-1 &2respectively.

The steps taken by the Government in all State/UTs & in Jharkhand, to accelerate and sustain the decline in TB cases are as under:

-  Targeted interventions in high TB burden areas through State and District Specific Strategic plans.
-  Provision of free drugs and diagnostics to TB patients.
-  Intensified TB case-finding among vulnerable populations through Ayushman Arogya Mandir.
-  Private sector engagement.
-  Scaling up molecular diagnostic laboratories to sub-district levels.
-  Ni-kshay Poshan Yojana of Rs 1,000 per month per patient as nutritional support for the entire duration of treatment.
-  Intensified Information, Education & Communication (IEC) interventions to reduce stigma, enhance community awareness and improve health seeking behaviour.
-  Provision of TB Preventive Treatment to contacts of TB patients and vulnerable population.
-  Tracking of notified TB cases through Ni-kshay portal.
-  Provision of additional nutritional, diagnostic and vocational support to TB patients and household contacts under Ni-kshay Mitra initiative.

Measures taken by Govt. of India to control Malaria are as under:

-  Integrated Vector Management including Indoor Residual Spraying (IRS) in selected high risk areas, Long Lasting Insecticidal Nets (LLINs) in high malaria endemic areas, use of larvivorous fish, anti-larval measures in urban areas.
-  Disease Management involving early case detection with active, passive and sentinel surveillance followed by complete and effective treatment, strengthening of referral services, epidemic preparedness and rapid response.
-  Supportive Interventions including Behavior Change Communication (BCC), Inter- Sectoral Convergence and Human Resource Development through capacity building.

Through the Integrated Disease Surveillance Programme (IDSP) and National Center for Vector Borne Diseases Control (NCVBDC), the Government regularly monitors the disease situation & outbreaks for diseases like Dengue, Swine Flu, Nipah, etc through the reports submitted by the States/UTs. Every State has designated laboratories like District Public Health Laboratories (DPHLs), State Referral Laboratories (SRLs) under IDSP for investigation and surveillance of these diseases. Regular reviews are conducted and Rapid Response Teams (RRTs) are deployed, in cases of outbreaks.

The Government provides technical and financial support to the States/UTs under the National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD). The programme focuses on strengthening infrastructure, human resource development, early diagnosis, referral for treatment and management and health promotion including life style diseases.

Under NP-NCD, 770 District NCD Clinics, 372 District Day Care Centres and 6410 Community Health Centre NCD Clinics has been set up.

Apopulation-based initiative for prevention, control and screening for common NCDs including lifestyle diseases has been rolled out in the country under National Health Mission (NHM) as a part of Comprehensive Primary Health Care.

The States and UTs have been instructed to take proactive steps to:

-  Ensure that two dedicated days per week are earmarked for NCD screening activities at Ayushman Arogya Mandirs (AAMs).
-  All individuals flagged as overweight or obese should be clearly identified for follow-up, provided counselling on lifestyle modification, healthy diets, physical activity and yoga.
-  Ensure prominent display of 'Oil and Sugar Boards' (static/ digital) in health facilities such as Ayushman Arogya Mandirs, PHCs, CHCs, DHs, Sub- divisional and district offices and medical colleges.
-  Leverage ongoing IEC/BCC campaigns and outreach under NP-NCD to promote awareness around healthy dietary practices.
-  Sensitize school teachers and children on healthy diet and reduced sugar/oil intake during health screening and counseling activities by RBSK team.
-  Leverage Community Engagement Platforms under NHM such as Mahila Arogya Samitis (MAS), Jan Arogya Samitis (JAS) and Village Health Sanitation & Nutrition Days to amplify the message at the community level through meetings, health promotion events, and home visits.

The details of funds released under the Ayushman Bharat Yojana during the last three years, State/UT-wise including Jharkhand is placed as Annexure-3.

The Ayushman Bharat Digital Mission (ABDM) was launched by the Government of India in September 2021 to support the development of an integrated, citizen-centric national digital health ecosystem. As on 21st July 2025, a total of 79.55 crore Ayushman Bharat Health Account (ABHA) have been created, 4.15 lakh health facilities registered on Health Facility Registry (HFR), 6.72 lakh healthcare professionals have registered on Healthcare Professional Registry (HPR) and 64.28 crore health records have been linked with ABHA.

***********

Annexure-1 District wise number of TB cases notified in Jharkhand

| Name of District    |   Number of TB cases notified (2024- Jan to Dec) |
|---------------------|--------------------------------------------------|
| Ranchi              |                                             7694 |
| Purbi Singhbhum     |                                             6360 |
| Pashchimi Singhbhum |                                             5156 |
| Palamu              |                                             4316 |
| Bokaro              |                                             3982 |
| Dhanbad             |                                             3810 |
| Dumka               |                                             3431 |
| Giridih             |                                             3243 |
| Deoghar             |                                             3159 |
| Sahibganj           |                                             2677 |
| Godda               |                                             2388 |
| Hazaribagh          |                                             2239 |
| Saraikela-Kharsawan |                                             1995 |
| Garhwa              |                                             1960 |
| Pakur               |                                             1940 |
| Ramgarh             |                                             1422 |
| Chatra              |                                             1349 |
| Jamtara             |                                             1323 |
| Gumla               |                                             1060 |
| Latehar             |                                             1048 |
| Kodarma             |                                              985 |
| Simdega             |                                              921 |
| Khunti              |                                              634 |
| Lohardaga           |                                              578 |

Data Source:

Ni-kshay

## District wise number of Malaria cases notified in Jharkhand

| Name of District    |   Malaria Cases in 2024 |
|---------------------|-------------------------|
| Bokaro              |                     108 |
| Chatra              |                     108 |
| Deoghar             |                      13 |
| Dhanbad             |                      35 |
| Dumka               |                      91 |
| East Singhbum       |                    5338 |
| Garhwa              |                     109 |
| Giridih             |                     204 |
| Godda               |                   10288 |
| Gumla               |                     171 |
| Hazaribagh          |                     208 |
| Jamtara             |                      11 |
| Khunti              |                    1388 |
| Koderma             |                      69 |
| Latehar             |                     277 |
| Lohardaga           |                     247 |
| Pakur               |                    1514 |
| Palamu              |                      81 |
| Ramgarh             |                      63 |
| Ranchi              |                     254 |
| Sahebganj           |                     978 |
| Saraikela Kharsawan |                    1254 |
| Simdega             |                     344 |
| West Singhbhum      |                   19199 |

Source Programme data from National Vector Borne Disease Control Programme

## Annexure-3

## Central Share released to States/UTs in the last 3 Financial Years under Pradhan Mantri Jan Arogya Yojana

(Rs in crores)

| States/UTs                      |   FY 2022-23 |   FY 2023-24 |   FY2024-25 |
|---------------------------------|--------------|--------------|-------------|
| Andaman And Nicobar Islands     |         0.71 |         0.34 |        1    |
| Andhra Pradesh                  |       456.28 |       430.96 |      313.74 |
| Arunachal Pradesh               |         3.71 |         2.61 |        7.4  |
| Assam                           |       208.35 |       284.67 |      290.93 |
| Bihar                           |       121.82 |       172.5  |      600    |
| Chandigarh                      |         6.06 |         8.56 |        8.44 |
| Chhattisgarh                    |       347.96 |       189.26 |      336.13 |
| Dadra &Nagar HaveliandDaman&Diu |         2.93 |         7.68 |        5.43 |
| Goa                             |         0.32 |         0.73 |        0    |
| Gujarat                         |       647.01 |       267.48 |      240.58 |
| Haryana                         |       138.65 |        89.68 |      118.69 |
| Himachal Pradesh                |        64.32 |        45.67 |       49.71 |
| Jammu and Kashmir               |        78.44 |        34.89 |       46.14 |
| Jharkhand                       |         0    |        83.55 |      340.84 |
| Karnataka                       |       620.17 |       302.39 |      486.19 |
| Kerala                          |       151.34 |       151.34 |      151.34 |
| Ladakh                          |         1.25 |         1.5  |        1.28 |
| Lakshadweep                     |         0.15 |         0.07 |        0    |
| Madhya Pradesh                  |       665.73 |       783.28 |      657.76 |
| Maharashtra                     |       373.47 |       548.4  |      379.18 |
| Manipur                         |        38.55 |        28.43 |       29.85 |
| Meghalaya                       |        47.31 |        42.69 |       36.52 |
| Mizoram                         |        24.14 |        20.51 |       20.51 |
| Nagaland                        |        17.67 |        25.79 |       24.15 |
| Puducherry                      |         7.93 |         5.25 |        9.26 |
| Punjab                          |       111.38 |        57.96 |      122.2  |
| Rajasthan                       |       412.09 |       606.04 |      418.95 |
| Sikkim                          |         2.23 |         5.69 |        4.36 |
| Tamil Nadu                      |       560.84 |       681.74 |      440.57 |
| Telangana                       |       165.7  |       130.52 |      218.29 |
| Tripura                         |        43.68 |        46.78 |       52.12 |
| Uttar Pradesh                   |       490.98 |       830.76 |     1026.06 |
| Uttarakhand                     |        58.04 |        56.69 |       56.67 |