Lok Sabha Question No. 972 (UNSTARRED), answered on 2023-12-08
Subject: Cases of Dengue
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kuldeep Rai Sharma, Supriya Sadanand Sule, Amol Ramsing Kolhe, Subhash Ramrao Bhamre, Manjulata Mandal, C.N. Annadurai

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTIN NO. 972 TO BE ANSWERED ON 08.12.2023

## CASES OF DENGUE

972:

SHRI KULDEEPRAI SHARMA: SHRIMATI SUPRIYA SULE: DR. AMOLRAMSING KOLHE: DR. SUBHASH RAMRAO BHAMRE: SHRIMATI MANJULATAMANDAL: SHRI C.N. ANNADURAI:

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

- (a) the number of Dengue cases reported during the last three years alongwith the number of people who have lost their lives due to the same,State/UT-wise;
- (b) whether the Government is aware of an increase in dengue cases in some parts of the country inrecent months and if so, the details thereof alongwith the factors responsible for the spread of dengue virus in different parts of the country;
- (c) whether Indian Council of Medical Research (ICMR) has taken/ proposesto take steps to increase the awareness and promoting prevention, people's participation, and use of latest technology including satelliteimaging and drones to map vulnerable areas and if so, details thereof; and
- (d) whether the Government has created a national framework to counter thehike of Dengue cases and if so, details thereof along with the steps taken/proposed to be taken by the Government for the prevention/eradication of dengue and Chikungunyadiseases in the country?

## ANSWER THE MINISTER OF STATE FOR MINISTRY OF HEALTH AND FAMILY WELFARE (PROF.S.P. SINGH BAGHEL)

- (a) As per information available with the National Center for Vector Borne Diseases Control (NCVBDC) under the Ministry of Health and Family Welfare, the number of Dengue cases reported during the last three years along with the number of people who have lost their lives due to Dengue, State/UT-wise, is at Annexure.

(b) The number of Dengue cases reported during the months of January to July remains low every year, whereas, the maximum number of cases are reported during the months of August to December, as is evident from below:-

| Year                   | 2022        | 2022       | 2022             | 2023        | 2023       | 2023                    |
|------------------------|-------------|------------|------------------|-------------|------------|-------------------------|
| Months                 | Jan to July | Aug to Dec | Total Jan to Dec | Jan to July | Aug to Nov | (Total as on 30 th Nov) |
| Number of Dengue cases | 24129       | 209122     | 233251           | 31479       | 202948     | 234427                  |

The transmission of dengue is round the year in many States. However, cases increase during monsoon and continues till the post monsoon season due to abundance of vector breeding sites. For Dengue transmission,environmental factors namely rainfall, humidity and temperatureare mainly responsible. In the current year, due to the global climate change, El Nino effect and unequal rainfall, increased vector density led to increase in number of Dengue cases reported across the country in the current year.

(c) The Indian council of Medical Research (ICMR) has been working on creating awareness through its research institutions in the form of outreach programmes and training/awareness programmes among masses through public lectures, live demonstrations, training and research.

ICMR is using the latest technologies like Remote Sensing and Geographical Information Systems for risk mapping of areas and planning interventions. The vulnerable risk areas are regularly monitored using the occurrence of cases and vector indices.

ICMR has launched a program for upcoming technologies like use of drones in Vector Borne Diseases (VBDs), Artificial intelligence (AI) for recognising breeding sites, larval positivity and possible intervention for the unreachable areas to enhance the capacity of the control programme.

(d) A Technical Symposium was organized on 22-23 March 2023 involving other Ministries/Departments (Jal Shakti and Rural Development), National Center for Disease Control (NCDC), Indian Council of Medical Research (ICMR), State Government Officials, WHO and Municipal Corporations to develop a Strategic Framework and Roadmap for prevention of dengue in the country focusing on inter-sectoral coordination.

Government of India (GoI) has taken the followinginitiatives forprevention and control of Dengue and Chikungunya diseases in the country:-

-  Technical Guidelines for prevention and control, Integrated Vector Management, case management & effective community participation have been disseminated to the States for implementation.
-  Situation and preparedness of States have been reviewed at highest level for timely action and technical guidance.
-  Advisories have been issued to sensitize the States for preparedness to dealwith any future outbreak.
-  Trainings have been imparted to doctors on clinical management and to entomologists on Integrated Vector Management.
-  Free diagnostic facilities through 805 Sentinel Surveillance Hospitals and 17 Apex Referral Laboratories identified across the country for detection of cases in early stage to implement public health measures and to prevent further spread.
-  Test kits are provided to the identified laboratories through ICMR-NIV, Pune.Cost is borne by GoI.
-  The National Dengue Day is observed on 16 th May for initiating pre-monsoon activities and Anti-Dengue Month is observed in July for community awareness to keep their houses and surroundings mosquito breeding free.
-  Under National Health Mission, adequate budgetary support is provided to States/UTs for dengue control activities i.e., dengue case management, vector control activities (provision of domestic breeding checkers, insecticide, fogging machines etc), training support, awareness activities, etc.

Annexure Statement showing State/UT-wise details of number of Dengue cases and deaths due to Dengue

during last three years and current year

| S. No.   | State                    | 2020   | 2020   | 2021   | 2021   | 2022   | 2022   | 2023 (As on November)   | 30 th   |
|----------|--------------------------|--------|--------|--------|--------|--------|--------|-------------------------|---------|
| S. No.   | State                    | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases                   | Deaths  |
| 1        | Andhra Pradesh           | 925    | 0      | 4760   | 0      | 6391   | 0      | 5936                    | 0       |
| 2        | Arunachal Pradesh        | 1      | 0      | 7      | 0      | 114    | 0      | 114                     | 0       |
| 3        | Assam                    | 33     | 0      | 103    | 0      | 1826   | 2      | 8058                    | 7       |
| 4        | Bihar                    | 493    | 2      | 633    | 2      | 13972  | 32     | 19672                   | 74      |
| 5        | Chhattisgarh             | 57     | 0      | 1086   | 0      | 2679   | 10     | 1930                    | 0       |
| 6        | Goa                      | 376    | 0      | 649    | 0      | 443    | 1      | 474                     | 0       |
| 7        | Gujarat                  | 1564   | 2      | 10983  | 14     | 6682   | 7      | 6710                    | 6       |
| 8        | Haryana                  | 1377   | 0      | 11835  | 13     | 8996   | 18     | 7826                    | 4       |
| 9        | Himachal Pradesh         | 21     | 0      | 349    | 0      | 3326   | 1      | 1975                    | 0       |
| 10       | Jharkhand                | 79     | 0      | 220    | 1      | 290    | 0      | 2300                    | 12      |
| 11       | Karnataka                | 3823   | 0      | 7393   | 7      | 9889   | 9      | 14227                   | 9       |
| 12       | Kerala                   | 4399   | 5      | 3251   | 27     | 4432   | 29     | 14189                   | 51      |
| 13       | Madhya Pradesh           | 806    | 0      | 15592  | 11     | 3318   | 2      | 6397                    | 0       |
| 14       | Meghalaya                | 4      | 0      | 129    | 0      | 26     | 0      | 107                     | 0       |
| 15       | Maharashtra              | 3356   | 10     | 12720  | 42     | 8578   | 27     | 17531                   | 14      |
| 16       | Manipur                  | 37     | 0      | 203    | 0      | 503    | 4      | 2496                    | 0       |
| 17       | Mizoram                  | 67     | 0      | 83     | 0      | 1868   | 5      | 1903                    | 2       |
| 18       | Nagaland                 | 1      | 0      | 24     | 0      | 154    | 0      | 4596                    | 2       |
| 19       | Odisha                   | 496    | 0      | 7548   | 0      | 7063   | 0      | 12540                   | 0       |
| 20       | Punjab                   | 8435   | 22     | 23389  | 55     | 11030  | 41     | 12874                   | 13      |
| 21       | Rajasthan                | 2023   | 7      | 20749  | 96     | 13491  | 10     | 13245                   | 6       |
| 22       | Sikkim                   | 11     | 0      | 243    | 1      | 264    | 0      | 288                     | 0       |
| 23       | Tamil Nadu               | 2410   | 0      | 6039   | 8      | 6430   | 8      | 7133                    | 10      |
| 24       | Tripura                  | 24     | 0      | 349    | 0      | 56     | 0      | 1277                    | 0       |
| 25       | Telangana                | 2173   | 0      | 7135   | 0      | 8972   | 0      | 7894                    | 1       |
| 26       | Uttar Pradesh            | 3715   | 6      | 29750  | 29     | 19821  | 33     | 33075                   | 28      |
| 27       | Uttarakhand              | 76     | 1      | 738    | 2      | 2337   | 0      | 4319                    | 17      |
| 28       | West Bengal              | 5166   | 10     | 8264   | 7      | 67271  | 30     | NR                      | NR      |
| 29       | Andaman &Nicobar Islands | 98     | 0      | 175    | 0      | 1014   | 3      | 844                     | 0       |
| 30       | Chandigarh               | 265    | 0      | 1596   | 3      | 910    | 1      | 412                     | 0       |
| 31       | Delhi                    | 1269   | 0      | 13089  | 23     | 10183  | 9      | 14060                   | 7       |
| 32       | Dadra &Nagar Haveli      | 248    | 0      | 547    | 0      | 685    | 0      | 1096                    | 0       |
|          | Daman &Diu               | 71     | 0      | 279    | 0      | 228    | 0      | 277                     | 1       |
| 33       | Jammu &Kashmir           | 53     | 0      | 1709   | 4      | 8269   | 18     | 6049                    | 8       |
| 34       | Ladakh                   | 0      | 0      | 0      | 0      | 0      | 0      | 0                       | 0       |
| 35       | Lakshadweep              | 0      | 0      | 1      | 0      | 67     | 0      | 361                     | 0       |
| 36       | Puducherry               | 633    | 1      | 1625   | 1      | 1673   | 3      | 2242                    | 2       |
|          | Total                    | 44585  | 66     | 193245 | 346    | 233251 | 303    | 234427                  | 274     |

NR=Not reported