Lok Sabha Question No. 34 (STARRED), answered on 2023-07-21
Subject: Prevalence of various types of Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ramesh Chander Kaushik, Rama Devi

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOKSABHA STARRED QUESTION NO. 34 TO BE ANSWERED ON THE 21 ST JULY, 2023

## PREVALENCE OF VARIOUS TYPES OF CANCER

## †*34. SHRI RAMESH CHANDER KAUSHIK: SHRIMATI RAMADEVI:

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

- (a) whether the Government has taken/proposed to take any concrete steps to spread awareness regarding early detection, control and screening of Breast cancer, Cervical cancer, Oral cancer etc., affecting women throughout the country;
- (b) if so, the details thereof;
- (c) if not, the reasons therefor;
- (d) whether the Government has launched/ proposed to launch any project to tackle these diseases; and
- (e) if so, the details thereof?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE

## (DR MANSUKH MANDAVIYA)

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

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 34 FOR 21 ST JULY, 2023

(a) to (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). Three most common types of cancers (oral cancer, breast cancer and cervical cancer) are an integral part of NP-NCD. The programme includes the following,

- i. Strengthening infrastructure
- ii. Human resource development
- iii. Health promotion
- iv. Screening of 30 years and above population under Ayushman Bharat Health Wellness Centre Scheme
- v. Early diagnosis and management
- vi. Referral to an appropriate level of healthcare facility

Under NP-NCD, 724 District NCD Clinics, 210 District Cardiac Care Units, 326 District Day Care Centres and 6110 Community Health Center NCD Clinics has been set up so far.

To generate awareness for Cancer prevention & treatment following actions have been initiated:-

1. Preventive aspect of Cancer is 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.
2. Public awareness creation through print, electronic and social media about promotion of healthy lifestyle including observation of National Cancer Awareness Day, World Cancer Day.
3. Healthy Eating is promoted through Food Safety and Standards Authority of India (FSSAI).
4. Fit India movement is implemented by Ministry of Youth Affairs and Sports.
5. Various Yoga related activities are carried out by Ministry of AYUSH.

Action taken by Government in respect of infrastructure are:

1. The Central Government implements Strengthening of Tertiary Care Cancer Facilities Scheme. 19 State Cancer Institutes (SCIs) and 20 Tertiary Care Cancer Centres (TCCCs) have been approved under the said scheme. 17 institutes are functional so far. The details are attached at Annexure 1.

2. National Cancer Institute at Jhajjar (Haryana) and second campus of Chittaranjan National Cancer Institute, Kolkata have also been setup.

3. All new AIIMS and 13 upgraded existing Government Medical Colleges/Institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY) also focus on treatment of cancer. The details are attached at Annexure 2.

To facilitate accessible and affordable healthcare and treatment, the following steps have been taken:-

1. 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 60 Crores beneficiaries is provided. The treatment packages under AB-PMJAY are very comprehensive covering various treatment related aspects such as drugs and diagnostic services.

2. Financial assistance is provided to poor patients belonging to families living below poverty line, suffering from major life-threatening diseases including cancer under Umbrella scheme of Rashtriya Arogya Nidhi (RAN) and Health Minister ' s Discretionary Grant (HMDG). Financial assistance upto a maximum of Rs. 1,25,000/- is provided under HMDG to defray a part of the treatment cost and the maximum financial assistance provided under the Umbrella Scheme of RAN is Rs. 15 lakhs.

3. Quality generic medicines are made available at affordable prices to all, under Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) in collaboration with the State Governments. Affordable Medicines and Reliable Implants for Treatment (AMRIT) Pharmacy stores have been set up in some hospitals/institutions, to make available Cancer drugs at a substantial discount vis-à-vis the Maximum Retail Price.

## Table of SCIs/TCCCs:

## Annexure 1

|   S No | State            | 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&           | Sher-i-Kashmir Institute of Medical Sciences, Srinagar                | SCI          |
|     12 | Kashmir          | Government Medical College, Jammu                                     | SCI          |
|     13 | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                        | SCI          |
|     14 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bengaluru                | SCI          |
|     15 |                  | Mandya Institute of Medical Sciences, Mandya                          | TCCC         |
|     16 | Kerala           | Regional Cancer Centre, Thiruvananthapuram                            | 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         |
|     24 | Nagaland         | District Hospital, Kohima                                             | TCCC         |
|     25 | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack                       | SCI          |
|     26 | Punjab           | Government Medical College, Amritsar                                  | SCI          |
|     27 |                  | Civil Hospital, Fazilka                                               | TCCC         |
|     28 | Rajasthan        | S P Medical College, Bikaner                                          | TCCC         |
|     29 |                  | SMS Medical College, Jaipur                                           | SCI          |
|     30 |                  | 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 |                  | Murshidabad Medical College &Hospital, Berhampore, Murshidabad        | TCCC         |
|     39 |                  | Sagore Dutta Memorial Medical College and Hospital, Kolkata           | TCCC         |

Table 1: Cancer Treatment Facility is approved in all New AIIMS

|   Sl. | AIIMS       |   Sl. | AIIMS     |
|-------|-------------|-------|-----------|
|     1 | Bhopal      |    12 | Bathinda  |
|     2 | Bhubaneswar |    13 | Guwahati  |
|     3 | Jodhpur     |    14 | Bilaspur  |
|     4 | Patna       |    15 | Deoghar   |
|     5 | Raipur      |    16 | Jammu     |
|     6 | Rishikesh   |    17 | Kashmir   |
|     7 | Raebareli   |    18 | Madurai   |
|     8 | Mangalagiri |    19 | Rajkot    |
|     9 | Nagpur      |    20 | Bibinagar |
|    10 | Kalyani     |    21 | Manethi   |
|    11 | Gorakhpur   |    22 | Darbhanga |

Table 2: List of Govt. Medical Colleges/Institutions taken up for upgradation for cancer treatment

|   Sl. | State            | Name of Govt Medical College                                                      | Facility                                         |
|-------|------------------|-----------------------------------------------------------------------------------|--------------------------------------------------|
|     1 | Jharkhand        | RIMS Ranchi                                                                       | 68 bedded Oncology Block                         |
|     2 | Punjab           | Govt Medical College Amritsar                                                     | Oncology                                         |
|     3 | Himachal Pradesh | Rajendra Prasad Govt. Medical College, Tanda                                      | Oncology                                         |
|     4 | Karnataka        | Karnataka Institute of Medical Sciences, Hubli                                    | Medical Oncology                                 |
|     5 | Rajasthan        | SP Medical College, Bikaner                                                       | Surgical Oncology                                |
|     6 | Rajasthan        | RNT Medical College, Udaipur                                                      | Radiotherapy/Oncology                            |
|     7 | Telangana        | Kakatiya Medical College, Warangal                                                | Medical Oncology                                 |
|     8 | Uttar Pradesh    | Govt Medical College, Gorakhpur                                                   | Surgical Oncology                                |
|     9 | Uttar Pradesh    | M.L.N Government Medical College, Allahabad                                       | Surgical Oncology                                |
|    10 | Uttar Pradesh    | LLRM Medical College, Meerut.                                                     | Radiotherapy                                     |
|    11 | Uttar Pradesh    | Govt Medical College, Agra                                                        | Radiation /Medical Oncology                      |
|    12 | Bihar            | Patna                                                                             | Radiotherapy (equipment)                         |
|    13 | Kerala           | Sree Chitra Tirunal Institute of Medical Sciences &Technology, Thiruvananthapuram | Imaging Services and Interventional Radiotherapy |