Lok Sabha Question No. 2665 (UNSTARRED), answered on 2023-08-04
Subject: Patients of Type-2 Diabetes
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ghanshyam Singh Lodhi

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2665 TO BE ANSWERED ON 4 th August, 2023

## PATIENTS OF TYPE-2 DIABETES

## 2665. SHRI GHANSHYAM SINGH LODHI:

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

- (a) whether the Type-2 diabetes is related to poor diet and if so, the details thereof;
- (b) the details of the efforts made to create awareness about such disease(s);
- (c) whether health melas have been organized in urban and rural areas during the last three years and if so, the details thereof, year-wise;
- (d) the time by which such mela is likely to be organized in Rampur district of Uttar Pradesh;
- (e) whether excessive use of bottled soft drinks causes harm to human health and if so, the details thereof;
- (f) whether any research has been conducted in this regard in the country; and
- (g) if so, the details thereof?

## ANSWER

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

(a) to (g) As per National NCD Monitoring Survey (2017-18), there are several risk factors associated with Non-Communicable Diseases, such as tobacco use, alcohol use, insufficient physical activity and unhealthy diet. The prevalence of inadequate fruits and/or vegetables intake is associated with NCDs including diabetes among18-69 years.

A population-based initiative for prevention, control and screening for common NonCommunicable Diseases (NCDs) i.e., diabetes, hypertension and common cancers has been rolled out in the country under NHM and also as a part of Comprehensive Primary Health Care. Under the initiative, persons more than 30 years of age are targeted for their screening for common NCDs. Screening of these common NCDs is an integral part of service delivery under Ayushman Bharat Health and Wellness Centres which generates awareness on risk factors of NCDs including diabetes.

Preventive aspect of diabetes 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. In addition, NP-NCD gives financial support under NHM for awareness generation (IEC) activities for Diabetes to be undertaken by the States/UTs as per their Programme Implementation Plans (PIPs). Other initiatives for increasing public awareness about Diabetes and for promotion of healthy lifestyle includes observation of World Diabetes Day and use of print, electronic and social media for continued community awareness.

Furthermore, healthy eating is promoted through FSSAI. Eat Right Initiative, Safe and Nutritious Food at Home and Aaj se thoda kum' awareness activities are also initiated. Fit India and Khleo India movements are implemented by Ministry of Youth Affairs and Sports, and various Yoga related activities are carried out by Ministry of AYUSH.

Health Melas are organized every 14th of month at each Ayushman Bharat Health Wellness Centre (AB-HWCs). The aim of these melas is to generate awareness amongst the people, about healthy lifestyles to maintain wellbeing and conduct community-based risk assessment and populationbased screening for common diseases including diabetes. As on 31st July 2023 more than 22.12 million wellness sessions have been conducted with participation of 244.02 million participants cumulatively at AB-HWCs. A detailed status of health melas is attached at Annexure.

As reported by Government of Uttar Pradesh, health mela is organized at all Primary Health Centres on every Sunday under Mukhya Mantri Arogya Swasth Mela in rural area across Uttar Pradesh from 2 nd February 2020 onwards.

As per study quoted by ICMR on ' harmful effects of soft drinks consumption on human health ' , soft drinks contain a lot of sugar and excessive consumption of sugar can add to the calories in the risk of obesity. Diabetes, heart diseases, bones and teeth disorders are frequently induced due to excessive consumption of soft drinks particularly among children and aged persons. The ill effect of consuming sugar sweetened beverages is practically a consequence of adverse sugar metabolism that is triggered in the body.

## State/UTs Wise Health Mela Status

| SN    | State/UTs                | Total Health Mela Conducted   | Total Footfall   | Total number of Individuals screened for hypertension   | Total number of Individuals screened for diabetes   | Total number of Individuals screened for oral cancer   | Total number of Individuals screened for breast cancer   | Total number of Individuals screened for cervical cancer   |
|-------|--------------------------|-------------------------------|------------------|---------------------------------------------------------|-----------------------------------------------------|--------------------------------------------------------|----------------------------------------------------------|------------------------------------------------------------|
| 1     | Andaman & NicobarIslands | 26                            | 1,623            | 633                                                     | 633                                                 | 633                                                    | 448                                                      | 199                                                        |
| 2     | Andhra Pradesh           | 11,166                        | 4,43,674         | 3,07,597                                                | 2,99,007                                            | 2,10,03                                                | 1,37,509                                                 | 1,14,416                                                   |
| 3     | Arunachal Pradesh        | 254                           | 6,745            | 5,631                                                   | 5,058                                               | 4,597                                                  | 2,626                                                    | 980                                                        |
| 4     | Assam                    | 195                           | 8,691            | 5,302                                                   | 5,207                                               | 5,079                                                  | 2,909                                                    | 495                                                        |
| 5     | Bihar                    | 13,181                        | 3,79,317         | 1,86,479                                                | 1,62,961                                            | 1,26,727                                               | 66,471                                                   | 35,321                                                     |
| 6     | Chandigarh               | 264                           | 24,288           | 8,589                                                   | 7,525                                               | 8,808                                                  | 5,478                                                    | 2,389                                                      |
| 7     | Chhattisgarh             | 15,132                        | 4,19,215         | 3,43,879                                                | 3,35,076                                            | 3,05,668                                               | 1,70,750                                                 | 81,038                                                     |
| 8     | Dadra& Nagar Haveli      | 228                           | 7,269            | 5,561                                                   | 5,4n                                                | 5,696                                                  | 3,704                                                    | 3,392                                                      |
| 9     | Daman& Diu               | 63                            | 2,195            | 1,917                                                   | 1,954                                               | 1,898                                                  | 1,126                                                    | 707                                                        |
| 10    | Delhi                    | 1                             | 8                | 7                                                       | 7                                                   | 7                                                      | 7                                                        | 7                                                          |
| 11    | Goa                      | 157                           | 11,191           | 7,731                                                   | 7,606                                               | 6,514                                                  | 2,972                                                    | 1,467                                                      |
| 12    | Gujarat                  | 22,139                        | 9,60,688         | 7,28,981                                                | 7,19,990                                            | 6,59,927                                               | 3,90,011                                                 | 3,30,64                                                    |
| 13    | Haryana                  | 152                           | 6,975            | 4,540                                                   | 4,531                                               | 3,788                                                  | 2,418                                                    | 1,143                                                      |
| 14    | Himachal Pradesh         | 1,993                         | 59,805           | 58,763                                                  | 57,656                                              | 35,946                                                 | 23,660                                                   | 11,514                                                     |
| 15    | Jammu& Kashmir           | 2,965                         | 1,07,731         | 64,545                                                  | 61,415                                              | 60,649                                                 | 35,616                                                   | 18,242                                                     |
| 16    | Jharkhand                | 2,0ll                         | 53,325           | 42,196                                                  | 41,798                                              | 40,265                                                 | 23,659                                                   | 12,603                                                     |
| 17    | Karnataka                | 583                           | 21,605           | 22,579                                                  | 22,033                                              | 18,273                                                 | 9,404                                                    | 6,651                                                      |
| 18    | Kerala                   | 4,151                         | 1,08,453         | 81,880                                                  | 72,,964                                             | 26,588                                                 | 15,520                                                   | 4,128                                                      |
| 19    | l.adakh                  | 1,238                         | 24,818           | 19,123                                                  | 17,846                                              | 17,449                                                 | 10,555                                                   | 3,500                                                      |
| 20    | Lakshadweep              | 13                            | 1,106            | 599                                                     | 464                                                 | 278                                                    | 138                                                      | 100                                                        |
| 21    | Madhya Pradesh           | 5,795                         | 1,55,367         | 1,18,412                                                | 1,11,608                                            | 1,06,320                                               | 57,095                                                   | 37,027                                                     |
| 22    | Maharashtra              | 22,254                        | 14,25,143        | 9,11,388                                                | 8,85,469                                            | 8,43,594                                               | 4,46,368                                                 | 3,18,950                                                   |
| 23    | Manipur                  | 445                           | 11,922           | 7,650                                                   | 6,557                                               | 5,054                                                  | 3,246                                                    | 593                                                        |
| 24    | Meghalaya                | 856                           | 25,461           | 10,819                                                  | 9,666                                               | 10,137                                                 | 7,101                                                    | 2,681                                                      |
| 25    | Mizoram                  | 357                           | 15,656           | 8,957                                                   | 7,956                                               | 7,652                                                  | 4,397                                                    | 1,031                                                      |
| 26    | Nagaland                 | 9                             | 593              | 419                                                     | 272                                                 | 278                                                    | 231                                                      | -                                                          |
| 27    | Odisha                   | 16,728                        | 5,39,796         | 3,58,290                                                | 3,40,287                                            | 2,84,168                                               | 1,57,917                                                 | 91,994                                                     |
| 28    | Puducherry               | 391                           | 25,743           | 14,892                                                  | 13,763                                              | 12,233                                                 | 7,032                                                    | 2401                                                       |
| 29    | Punjab                   | 4724                          | 3,35,805         | 1,50,098                                                | 1,37,970                                            | 1,20,322                                               | 75,698                                                   | 38,130                                                     |
| 30    | Rajasthan                | 753                           | 59,989           | 29,407                                                  | 27,827                                              | 22,554                                                 | 10,225                                                   | 4,848                                                      |
| 31    | Sikkim                   | 268                           | 8,984            | 6,269                                                   | 6,166                                               | 5,984                                                  | 3,415                                                    | 1,158                                                      |
| 32    | TamilNadu                | 27,715                        | 13,02,120        | 12,15,658                                               | 10,81,669                                           | 7,70,082                                               | 4,20,192                                                 | 2,70,967                                                   |
| 33    | Telangana                | 4,299                         | 1,95,120         | 1,23,595                                                | 1,04,187                                            | 53,520                                                 | 34,093                                                   | 20,865                                                     |
| 34    | Tripura                  | 1,818                         | 38,840           | 21,238                                                  | 17,103                                              | 18,409                                                 | 9,664                                                    | 5,364                                                      |
| 35 36 | Uttar Pradesh            | 23,971                        | 5,23,562         | 2,71,812                                                | 2,50,415 85,417                                     | 1,86,390                                               | 91,947                                                   | 41,700                                                     |
|       | Uttarakhand              | 4,420                         | 1,06,306         | 90,061                                                  |                                                     | 80,179                                                 | 48,794                                                   | 23,798                                                     |
| 37    | West Bengal              | 16                            | 3,372            | 1,658                                                   | 1,623                                               | 1,507                                                  | 919                                                      | 160                                                        |
| Total | Total                    | 1,90,797                      | 74,22,501        | 52,37,155                                               | 49,17,158                                           | 40,67,176                                              | 22,83,315                                                | 14,90,023                                                  |

Data source: AB-HWC portal, December 2022 to June 2023