Lok Sabha Question No. 1227 (UNSTARRED), answered on 2024-02-09
Subject: Cases of Breast Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Jayanta Kumar Roy, Sangeeta Kumari Singh Deo, Dimple Yadav, Raja Amareshwara Naik, Vinod Kumar Sonkar, Bhola Singh

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

## LOK SABHA UNSTARRED QUESTION NO. 1227 TO BE ANSWERED ON 9th February, 2024

## CASES OF BREAST CANCER

## 1227. DR. JAYANTA KUMAR ROY:

SHRIMATI SANGEETAKUMARI SINGH DEO:

SHRIMATI DIMPLE YADAV:

SHRI RAJA AMARESHWARANAIK:

SHRI VINOD KUMAR SONKAR:

SHRI BHOLASINGH:

Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether Breast cancer is the most common type of cancer globally and India ranks highest in the number of Breast cancer deaths;
- (b) if so, the details thereof;
- (c) the details of breast cancer cases reported in the country during the last five years, State/UT-wise;
- (d) the average mortality rate for confirmed cases of breast cancer in the country during the last five years, State/UT-wise;
- (e) whether the Government intends to provide support and subsidy for the treatment of breast cancer to reduce the financial burden on the patients and if so, the details thereof;
- (f) whether there is urgent need for reducing GST on all the breast cancer drugs from 12 percent to 5 percent as it has been done for few other drugs in the past and if so, the details thereof; and
- (g) if so, the steps taken/proposed to be taken by the Government in this regard?

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

- (a) to (d) : As per Global Cancer Observatory, IARC-WHO, 2022, the breast cancer is the most common type of cancer globally with estimated mortality cases of 665255 for the year 2022 among females. India ranks highest in number of estimated breast cancer deaths (98,337) for the year 2022 among females.

As per the National Centre for Disease Informatics and Research (NCDIR) - National Cancer Registry Programme (NCRP), the estimated number of incidence and the estimated number of mortality of breast cancer in the country during (2019-2023), State/UT -wise is at Annexure 1 & 2.

(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 NonCommunicable Diseases (NP-NCD), as part of National Health Mission (NHM), based on the proposals received from the States/UTs and subject to the resource envelope. The programme focuses on strengthening infrastructure, human resource development, health promotion & awareness generation for prevention, early diagnosis, management and referral to an appropriate level of healthcare facility for treatment of the Non-Communicable Diseases (NCDs) including cancer.

Patients are getting treatment at various health facilities in the health care delivery system including District Hospitals, Medical Colleges, Central Institutes like AIIMS and private sector hospitals. The treatment provided in Government Hospitals is either free or subsidized.

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. National Cancer Institute at Jhajjar (Haryana) and second campus of Chittaranjan National Cancer Institute, Kolkata have also been set up. All new AIIMS and 13 upgraded existing Government Medical Colleges/Institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY) also focus on treatment of cancer.

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. 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.

(f) and (g) : GST rates on all goods (including Medicines) are prescribed on the recommendations of GST Council which consists of Union Finance Minister and Ministers as nominated by respective State/Union Territory Governments. Medicines, including cancer drugs have been kept at lower rate of tax at 5% or 12% against the standard rate of 18%, keeping in mind the pre GST rate structure. Most lifesaving and critical medicines are at the lower GST of 5%. Further, there is no recommendation of the GST Council regarding change in duty structure.

## Annexure-1

Table 1: Estimated Incidence of cancer cases in India by different State/UT - Breast cancer (ICD10: C50) - (2019-2023) - Females

| State                    |   2019 |   2020 |   2021 |   2022 |   2023 |
|--------------------------|--------|--------|--------|--------|--------|
| Jammu &Kashmir           |   1763 |   1812 |   1864 |   1915 |   1967 |
| Ladakh UT                |     36 |     37 |     38 |     39 |     40 |
| Himachal pradesh         |   1310 |   1342 |   1374 |   1405 |   1437 |
| Punjab                   |   6037 |   6192 |   6347 |   6507 |   6667 |
| Chandigarh               |    161 |    168 |    172 |    176 |    180 |
| Uttaranchal              |   1678 |   1723 |   1768 |   1813 |   1859 |
| Haryana                  |   4225 |   4356 |   4487 |   4624 |   4761 |
| Delhi                    |   3373 |   3491 |   3609 |   3734 |   3859 |
| Rajasthan                |  10312 |  10597 |  10889 |  11187 |  11488 |
| Uttar pradesh            |  27863 |  28573 |  29295 |  30032 |  30781 |
| Bihar                    |  14016 |  14388 |  14766 |  15157 |  15555 |
| Sikkim                   |     32 |     33 |     34 |     36 |     36 |
| Arunachal pradesh        |     70 |     71 |     72 |     75 |     76 |
| Nagaland                 |     82 |     87 |     90 |     90 |     94 |
| Manipur                  |    165 |    170 |    176 |    183 |    191 |
| Mizoram                  |    120 |    122 |    126 |    130 |    134 |
| Tripura                  |    161 |    167 |    171 |    174 |    179 |
| Meghalaya                |     88 |     89 |     92 |     94 |     96 |
| Assam                    |   2806 |   2880 |   2956 |   3033 |   3109 |
| West bengal              |  15749 |  16155 |  16562 |  16975 |  17398 |
| Jharkhand                |   4880 |   5016 |   5160 |   5302 |   5448 |
| Orissa                   |   7339 |   7508 |   7681 |   7857 |   8035 |
| Chattisgarh              |   4165 |   4274 |   4383 |   4498 |   4615 |
| Madhya pradesh           |  11198 |  11501 |  11814 |  12135 |  12458 |
| Gujarat                  |  10350 |  10631 |  10920 |  11209 |  11506 |
| Daman                    |     30 |     32 |     33 |     33 |     33 |
| Dadra &Nagar Haveli      |     41 |     44 |     46 |     48 |     52 |
| Maharashtra              |  17736 |  18174 |  18619 |  19071 |  19530 |
| Telangana                |   7302 |   7491 |   7679 |   7872 |   8066 |
| Andhra pradesh           |  10930 |  11174 |  11421 |  11669 |  11921 |
| Karnataka                |  13085 |  13427 |  13774 |  14126 |  14484 |
| Goa                      |    274 |    277 |    285 |    293 |    297 |
| Lakshadweep              |     14 |     14 |     14 |     14 |     14 |
| Kerala                   |   8220 |   8382 |   8545 |   8709 |   8874 |
| Tamil nadu               |  14251 |  14659 |  15073 |  15499 |  15931 |
| Pondicherry              |    288 |    297 |    308 |    320 |    332 |
| Andaman &Nicobar Islands |     68 |     70 |     71 |     74 |     76 |
| Total                    | 200218 | 205424 | 210714 | 216108 | 221579 |

Ref: National Cancer Registry Programme report

## Annexure-2

| Table 2: Estimated Mortality of cancer cases in India by different State/UT - Breast cancer (ICD10: C50) - (2019-2023) - Females   |   Table 2: Estimated Mortality of cancer cases in India by different State/UT - Breast cancer (ICD10: C50) - (2019-2023) - Females |   Table 2: Estimated Mortality of cancer cases in India by different State/UT - Breast cancer (ICD10: C50) - (2019-2023) - Females |   Table 2: Estimated Mortality of cancer cases in India by different State/UT - Breast cancer (ICD10: C50) - (2019-2023) - Females |   Table 2: Estimated Mortality of cancer cases in India by different State/UT - Breast cancer (ICD10: C50) - (2019-2023) - Females |   Table 2: Estimated Mortality of cancer cases in India by different State/UT - Breast cancer (ICD10: C50) - (2019-2023) - Females |
|------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|
| State                                                                                                                              |                                                                                                                               2019 |                                                                                                                               2020 |                                                                                                                               2021 |                                                                                                                               2022 |                                                                                                                               2023 |
| Jammu &Kashmir                                                                                                                     |                                                                                                                                656 |                                                                                                                                674 |                                                                                                                                694 |                                                                                                                                712 |                                                                                                                                732 |
| Ladakh UT                                                                                                                          |                                                                                                                                 13 |                                                                                                                                 14 |                                                                                                                                 14 |                                                                                                                                 15 |                                                                                                                                 15 |
| Himachal pradesh                                                                                                                   |                                                                                                                                487 |                                                                                                                                499 |                                                                                                                                511 |                                                                                                                                523 |                                                                                                                                535 |
| Punjab                                                                                                                             |                                                                                                                               2246 |                                                                                                                               2303 |                                                                                                                               2361 |                                                                                                                               2421 |                                                                                                                               2480 |
| Chandigarh                                                                                                                         |                                                                                                                                 60 |                                                                                                                                 62 |                                                                                                                                 64 |                                                                                                                                 65 |                                                                                                                                 67 |
| Uttaranchal                                                                                                                        |                                                                                                                                624 |                                                                                                                                641 |                                                                                                                                658 |                                                                                                                                674 |                                                                                                                                692 |
| Haryana                                                                                                                            |                                                                                                                               1572 |                                                                                                                               1620 |                                                                                                                               1669 |                                                                                                                               1720 |                                                                                                                               1771 |
| Delhi                                                                                                                              |                                                                                                                               1255 |                                                                                                                               1299 |                                                                                                                               1343 |                                                                                                                               1389 |                                                                                                                               1436 |
| Rajasthan                                                                                                                          |                                                                                                                               3836 |                                                                                                                               3942 |                                                                                                                               4051 |                                                                                                                               4162 |                                                                                                                               4274 |
| Uttar pradesh                                                                                                                      |                                                                                                                              10365 |                                                                                                                              10629 |                                                                                                                              10898 |                                                                                                                              11172 |                                                                                                                              11451 |
| Bihar                                                                                                                              |                                                                                                                               5214 |                                                                                                                               5352 |                                                                                                                               5493 |                                                                                                                               5638 |                                                                                                                               5786 |
| Sikkim                                                                                                                             |                                                                                                                                 12 |                                                                                                                                 12 |                                                                                                                                 13 |                                                                                                                                 13 |                                                                                                                                 13 |
| Arunachal pradesh                                                                                                                  |                                                                                                                                 26 |                                                                                                                                 26 |                                                                                                                                 27 |                                                                                                                                 28 |                                                                                                                                 28 |
| Nagaland                                                                                                                           |                                                                                                                                 31 |                                                                                                                                 32 |                                                                                                                                 33 |                                                                                                                                 33 |                                                                                                                                 35 |
| Manipur                                                                                                                            |                                                                                                                                 61 |                                                                                                                                 63 |                                                                                                                                 65 |                                                                                                                                 68 |                                                                                                                                 71 |
| Mizoram                                                                                                                            |                                                                                                                                 45 |                                                                                                                                 45 |                                                                                                                                 47 |                                                                                                                                 48 |                                                                                                                                 50 |
| Tripura                                                                                                                            |                                                                                                                                 60 |                                                                                                                                 62 |                                                                                                                                 64 |                                                                                                                                 65 |                                                                                                                                 67 |
| Meghalaya                                                                                                                          |                                                                                                                                 33 |                                                                                                                                 33 |                                                                                                                                 34 |                                                                                                                                 35 |                                                                                                                                 36 |
| Assam                                                                                                                              |                                                                                                                               1044 |                                                                                                                               1071 |                                                                                                                               1100 |                                                                                                                               1128 |                                                                                                                               1157 |
| West bengal                                                                                                                        |                                                                                                                               5859 |                                                                                                                               6010 |                                                                                                                               6161 |                                                                                                                               6315 |                                                                                                                               6472 |
| Jharkhand                                                                                                                          |                                                                                                                               1815 |                                                                                                                               1866 |                                                                                                                               1920 |                                                                                                                               1972 |                                                                                                                               2027 |
| Orissa                                                                                                                             |                                                                                                                               2730 |                                                                                                                               2793 |                                                                                                                               2857 |                                                                                                                               2923 |                                                                                                                               2989 |
| Chattisgarh                                                                                                                        |                                                                                                                               1549 |                                                                                                                               1590 |                                                                                                                               1630 |                                                                                                                               1673 |                                                                                                                               1717 |
| Madhya pradesh                                                                                                                     |                                                                                                                               4166 |                                                                                                                               4278 |                                                                                                                               4395 |                                                                                                                               4514 |                                                                                                                               4634 |
| Gujarat                                                                                                                            |                                                                                                                               3850 |                                                                                                                               3955 |                                                                                                                               4062 |                                                                                                                               4170 |                                                                                                                               4280 |
| Daman                                                                                                                              |                                                                                                                                 11 |                                                                                                                                 12 |                                                                                                                                 12 |                                                                                                                                 12 |                                                                                                                                 12 |
| Dadra &Nagar Haveli                                                                                                                |                                                                                                                                 15 |                                                                                                                                 16 |                                                                                                                                 17 |                                                                                                                                 18 |                                                                                                                                 19 |
| Maharashtra                                                                                                                        |                                                                                                                               6598 |                                                                                                                               6761 |                                                                                                                               6926 |                                                                                                                               7094 |                                                                                                                               7265 |
| Telangana                                                                                                                          |                                                                                                                               2716 |                                                                                                                               2787 |                                                                                                                               2857 |                                                                                                                               2928 |                                                                                                                               3001 |
| Andhra pradesh                                                                                                                     |                                                                                                                               4066 |                                                                                                                               4157 |                                                                                                                               4249 |                                                                                                                               4341 |                                                                                                                               4435 |
| Karnataka                                                                                                                          |                                                                                                                               4868 |                                                                                                                               4995 |                                                                                                                               5124 |                                                                                                                               5255 |                                                                                                                               5388 |
| Goa                                                                                                                                |                                                                                                                                102 |                                                                                                                                103 |                                                                                                                                106 |                                                                                                                                109 |                                                                                                                                110 |
| Lakshadweep                                                                                                                        |                                                                                                                                  5 |                                                                                                                                  5 |                                                                                                                                  5 |                                                                                                                                  5 |                                                                                                                                  5 |
| Kerala                                                                                                                             |                                                                                                                               3058 |                                                                                                                               3118 |                                                                                                                               3179 |                                                                                                                               3240 |                                                                                                                               3301 |
| Tamil nadu                                                                                                                         |                                                                                                                               5301 |                                                                                                                               5453 |                                                                                                                               5607 |                                                                                                                               5765 |                                                                                                                               5926 |
| Pondicherry                                                                                                                        |                                                                                                                                107 |                                                                                                                                110 |                                                                                                                                115 |                                                                                                                                119 |                                                                                                                                124 |
| Andaman &Nicobar Islands                                                                                                           |                                                                                                                                 25 |                                                                                                                                 26 |                                                                                                                                 26 |                                                                                                                                 28 |                                                                                                                                 28 |
| Total                                                                                                                              |                                                                                                                              74481 |                                                                                                                              76414 |                                                                                                                              78387 |                                                                                                                              80390 |                                                                                                                              82429 |

Ref: National Cancer Registry Programme report