Lok Sabha Question No. 4246 (UNSTARRED), answered on 2024-12-20
Subject: TB Relapse Cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Lavu Sri Krishna Devarayalu

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION No. 4246 TO BE ANSWERED ON 20 th DECEMBER, 2024

## TB RELAPSE CASES

## 4246. SHRI LAVU SRI KRISHNA DEVARAYALU:

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

- (a) the total number of Tuberculosis cases reported during the last five years, year-wise;
- (b) if so, the details thereof the number of persons cured during the said period, year-wise;
- (c) whether there have been people diagnosed with TB after being cured during the said period, if so, the details thereof, year-wise;
- (d) the details of the initiatives taken to address the rising incidence of TB relapse cases in the country; and
- (e) the details of the coordination mechanisms between the Central and State Governments to achieve the goal of eliminating TB in India by 2025 as envisioned in the National Strategic Plan for TB Elimination?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL)

(a) The details of total number of Tuberculosis cases reported in last five years and current year is as under:

| Year                                          | 2019 (Jan-Dec)                                | 2020 (Jan-Dec)                                | 2021 (Jan-Dec)                                | 2022 (Jan-Dec)                                | 2023 (Jan-Dec)                                | 2024* (Jan-Oct)                               |
|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|
| Total number of                               | 24,04,815                                     | 18,05,670                                     | 21,35,830                                     | 24,22,121                                     | 25,52,257                                     | 21,69,438                                     |
| *As on 19 th Nov., 2024 Data Source: Ni-kshay | *As on 19 th Nov., 2024 Data Source: Ni-kshay | *As on 19 th Nov., 2024 Data Source: Ni-kshay | *As on 19 th Nov., 2024 Data Source: Ni-kshay | *As on 19 th Nov., 2024 Data Source: Ni-kshay | *As on 19 th Nov., 2024 Data Source: Ni-kshay | *As on 19 th Nov., 2024 Data Source: Ni-kshay |

(b) the details of the number of persons cured/treatment completed, as reported in last five years and current year is at below:

| Year                                                  | 2019 (Jan-Dec)   | 2020 (Jan-Dec)   | 2021 (Jan-Dec)   | 2022 (Jan-Dec)   | 2023 (Jan-Dec)   | 2024 (Jan-Oct)   |
|-------------------------------------------------------|------------------|------------------|------------------|------------------|------------------|------------------|
| Number of persons cured/treatment completed reported* | 16,65,016        | 19,05,920        | 14,51,867        | 17,79,602        | 20,66,386        | 18,15,198        |

- (c) The details of persons diagnosed with TB after being cured/treatment completed, out of notified TB cases for respective years is at below:

| Year                                                                                                   |   2019 (Jan-Dec) |   2020 (Jan-Dec) |   2021 (Jan-Dec) |   2022 (Jan-Dec) |   2023 (Jan-Dec) |   2024 (Jan-Oct) |
|--------------------------------------------------------------------------------------------------------|------------------|------------------|------------------|------------------|------------------|------------------|
| Percentage of persons diagnosed with TB after being cured/treatment completed out of notified TB cases |             2.97 |             3.95 |             4.84 |             4.42 |             4.72 |             3.79 |

(d) and (e) The National TB Elimination Programme (NTEP) is implemented under the aegis of National Health Mission (NHM) across the country. Under the NHM framework, coordination mechanisms between Centre & State/UTs are in-built through the National Programme Coordination Committee which appraises and recommends the annual proposals from the State/UTs. Under NHM, field visits are conducted by central teams periodically and annually common review missions are held by the centre to comprehensively review & provides feedback to State/UTs on field implementation of all National Health Programmes under NHM, including NTEP.

Steps taken by the Government to accelerate the decline in TB incidence and mortality, including to address relapse 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.
-  Active TB case-finding through campaigns in key vulnerable and co-morbid populations.
-  Integration of Ayushman Arogya Mandir with TB screening and treatment services.
-  Private sector engagement with incentives for notification & management of TB cases.
-  Scaling up of molecular diagnostic laboratories to sub-district levels.
-  Introduction of all oral, shorter, safer and more efficacious treatment for drug resistant TB.
-  Enhancement of incentives to Rs. 1000 per month per patient through direct benefit transfer (DBT), under Ni-kshay Poshan Yojana for nutritional support.
-  Provision of additional nutritional, diagnostic and vocational support to TB patients and household contacts under Ni-kshay Mitra initiative.
-  Provision of TB Preventive Treatment to contacts of TB patients and vulnerable population.
-  Tracking of notified TB cases through Ni-kshay portal.
-  Intensified Information, Education & Communication (IEC) interventions to reduce stigma, enhance community awareness and improve health seeking behaviour.
-  Convergence of efforts and resources of line ministries for TB elimination.

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