Lok Sabha Question No. 115 (STARRED), answered on 2024-02-09
Subject: Cases of Cancer Disease
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rama Devi, Mahabali Singh

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

## LOKSABHA STARRED QUESTION NO. 115 TO BE ANSWERED ON THE 9 TH FEBRUARY, 2024

## CASES OF CANCER DISEASE

## †*115. SHRIMATI RAMA DEVI: SHRI MAHABALI SINGH:

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

- (a) whether cases of several diseases like cancer are spiking in the country;
- (b) if so, the details thereof;
- (c) the action taken/proposed to be taken by the Government to prevent the said health hazards in the country along with the meaures taken by the Government to provide free of cost medicines and other health facilities to the helpless and affected people in the country;
- (d) whether the Union Government has issued any instructions/guidelines to the State Governments in this regard and if so, the details thereof, State/ UT-wise; and
- (e) the steps taken/proposed to be taken by the Government to set up a cancer hospital/treatment of cancer disease in Bhagalpur Parliamentary constituency?

## 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. 115 FOR 9 TH FEBRUARY, 2024

(a) to (e): As per the Indian Council of Medical Research - National Cancer Registry Programme (ICMR - NCRP), the estimated incidence of cancer cases is increasing in the country for the year (2022-2024) and the details are given below.

| Estimated incidence of cancer cases (2022-2024) - Both Sexes   | Estimated incidence of cancer cases (2022-2024) - Both Sexes   | Estimated incidence of cancer cases (2022-2024) - Both Sexes   | Estimated incidence of cancer cases (2022-2024) - Both Sexes   |
|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|
| Year                                                           | 2022                                                           | 2023                                                           | 2024                                                           |
| Estimated incidence of cancer cases in India                   | 14,61,427                                                      | 14,96,972                                                      | 15,33,055                                                      |

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). NP-NCD focuses on three cancers including oral cancer, breast cancer and cervical cancer. 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 Arogya Mandir Scheme
- v. Early diagnosis and management
- vi. Referral to an appropriate level of healthcare facility Under NP-NCD, 753 District NCD Clinics, 219 District Cardiac Care Units, 355

District Day Care Centres and 6237 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 Arogya Mandir 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. The details are attached at Annexure 1. Indira Gandhi Institute of Medical Sciences, Patna had been approved and functional.
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. AIIMS Patna and AIIMS Darbhanga are approved under the scheme. AIIMS Patna is functional for cancer related treatment.

4. Cancer infrastructure is also established by Dept. of Atomic Energy through Tata Memorial Centre. Homi Bhabha Cancer Hospital & Research Centre in Muzaffarpur, Bihar had been approved and functional.

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

1. Under Pradhan Mantri Jan Arogya Yojana (PMJAY), health assurance/ insurance cover of Rs. 5 lakhs per family per year for secondary or tertiary care hospitalization to 60 Crore beneficiaries is provided. The treatment packages under AB-PMJAY are very comprehensive covering various treatment related aspects such as drugs and diagnostic services.

2. 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         |

Table1: 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                                                                       | 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 |