Lok Sabha Question No. 204 (UNSTARRED), answered on 2024-02-02
Subject: Rising Cases of Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajiv Pratap Rudy

## GOVERNMENT OFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 204 TO BE ANSWERED ON 2 nd FEBRUARY, 2024

## RISING CASES OF CANCER

## 204. SHRI RAJIV PRATAP RUDY:

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

- (a) whether there has been an increase in cases of cancer in the country;
- (b) if so, the details thereof and if not, the reasons therefor;
- (c) the total number of cancer related deaths reported in the country including State of Bihar and district of Saran during the last ten years, State/UT-wise and district-wise;
- (d) the details of the primary causes of cancer related death among men and women in the country;
- (e) the total number of mortality in the country due to lung cancer among men and women of different age groups, State/UT-wise;
- (f) whether cancer incidence and mortality is also growing among the younger generation stemming from static lifestyle and dietary patterns in the country and if so, the details thereof; and
- (g) the steps taken/proposed to be taken by the Government to address the issue in the country?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (PROF. SATYA PAL SINGH BAGHEL)

- (a) and (b): 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 (2020-2022) and the details are given below.
- (c): As per the ICMR - NCRP, the estimated number of mortality of cancer in the country during the 2013 to 2022 by state/UT wise including State of Bihar is enclosed in Annexure 1.
- (d): As per WHO report the primary cause of cancer related death is widespread metastasis of the disease.
- (e): As per the ICMR - NCRP, the estimated number of mortality of lung cancer for all age groups (0-75+) in the country for 2022 by state/UT wise is enclosed in Annexure 2.

| Estimated incidence of cancer cases (2020-2022) - Both Sexes   | Estimated incidence of cancer cases (2020-2022) - Both Sexes   | Estimated incidence of cancer cases (2020-2022) - Both Sexes   | Estimated incidence of cancer cases (2020-2022) - Both Sexes   |
|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|
| Year                                                           | 2020                                                           | 2021                                                           | 2022                                                           |
| Estimated incidence of cancer cases in India                   | 13,92,179                                                      | 14,26,447                                                      | 14,61,427                                                      |

(f) and (g): 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 focusses 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. For activities upto district level and below, States are given financial assistance under NHM in the ratio of 60:40 (90:10 in case of NE and hilly States). Under NP-NCD, 753 District NCD Clinics, 355 District Day Care Centres, and 6237 Community Health Center NCD Clinics have been setup.

A population-based initiative for prevention, control and screening for common 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 the three common cancers i.e. cervical, breast and oral. Screening of these common cancers is an integral part of service delivery under Ayushman Arogya Mandir.

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. Other initiatives for increasing public awareness about Cancer and for promotion of healthy lifestyle includes observation of National Cancer Awareness Day and World Cancer Day and use of print, electronic and social media for community awareness. Furthermore, healthy eating is also promoted through FSSAI. Fit India movement is implemented by Ministry of Youth Affairs and Sports, and various Yoga related activities are carried out by Ministry of AYUSH. In addition, NP-NCD gives financial support under NHM for awareness generation (IEC) activities for Cancer to be undertaken by the States/UTs as per their Programme Implementation Plans (PIPs).

## Annexure 1

| Table 1: Estimated Mortality of cancer cases in India by different State/UT - All sites (2013-2022) - Both sexes   | Table 1: Estimated Mortality of cancer cases in India by different State/UT - All sites (2013-2022) - Both sexes   |   Table 1: Estimated Mortality of cancer cases in India by different State/UT - All sites (2013-2022) - Both sexes |   Table 1: Estimated Mortality of cancer cases in India by different State/UT - All sites (2013-2022) - Both sexes | Table 1: Estimated Mortality of cancer cases in India by different State/UT - All sites (2013-2022) - Both sexes   | Table 1: Estimated Mortality of cancer cases in India by different State/UT - All sites (2013-2022) - Both sexes   | Table 1: Estimated Mortality of cancer cases in India by different State/UT - All sites (2013-2022) - Both sexes   | Table 1: Estimated Mortality of cancer cases in India by different State/UT - All sites (2013-2022) - Both sexes   | Table 1: Estimated Mortality of cancer cases in India by different State/UT - All sites (2013-2022) - Both sexes   |   Table 1: Estimated Mortality of cancer cases in India by different State/UT - All sites (2013-2022) - Both sexes |   Table 1: Estimated Mortality of cancer cases in India by different State/UT - All sites (2013-2022) - Both sexes |
|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|
| State                                                                                                              | 2013                                                                                                               |                                                                                                               2014 |                                                                                                               2015 | 2016                                                                                                               | 2017                                                                                                               | 2018                                                                                                               | 2019                                                                                                               | 2020                                                                                                               |                                                                                                               2021 |                                                                                                               2022 |
| Jammu & Kashmir                                                                                                    | 5832                                                                                                               |                                                                                                               5991 |                                                                                                               6164 | 6318                                                                                                               | 6495                                                                                                               | 6670                                                                                                               | 6845                                                                                                               | 7027                                                                                                               |                                                                                                               7211 |                                                                                                               7396 |
| Ladakh                                                                                                             | 135                                                                                                                |                                                                                                                139 |                                                                                                                142 | 146                                                                                                                | 150                                                                                                                | 154                                                                                                                | 158                                                                                                                | 162                                                                                                                |                                                                                                                166 |                                                                                                                171 |
| Himachal Pradesh                                                                                                   | 4153                                                                                                               |                                                                                                               4239 |                                                                                                               4347 | 4434                                                                                                               | 4534                                                                                                               | 4642                                                                                                               | 4744                                                                                                               | 4856                                                                                                               |                                                                                                               4953 |                                                                                                               5058 |
| Punjab                                                                                                             | 1892 2                                                                                                             |                                                                                                              19393 |                                                                                                              19858 | 20332                                                                                                              | 20784                                                                                                              | 21278                                                                                                              | 21763                                                                                                              | 22276                                                                                                              |                                                                                                              22786 |                                                                                                              23301 |
| Chandigarh                                                                                                         | 456                                                                                                                |                                                                                                                470 |                                                                                                                487 | 501                                                                                                                | 517                                                                                                                | 532                                                                                                                | 548                                                                                                                | 564                                                                                                                |                                                                                                                582 |                                                                                                                598 |
| Uttarakhand                                                                                                        | 5321                                                                                                               |                                                                                                               5460 |                                                                                                               5595 | 5747                                                                                                               | 5886                                                                                                               | 6028                                                                                                               | 6184                                                                                                               | 6337                                                                                                               |                                                                                                               6500 |                                                                                                               6655 |
| Haryana                                                                                                            | 1324 7                                                                                                             |                                                                                                              13633 |                                                                                                              14043 | 14436                                                                                                              | 14837                                                                                                              | 15255                                                                                                              | 15684                                                                                                              | 16109                                                                                                              |                                                                                                              16543 |                                                                                                              16997 |
| Delhi                                                                                                              | 1123 5                                                                                                             |                                                                                                              11624 |                                                                                                              12016 | 12411                                                                                                              | 12804                                                                                                              | 13218                                                                                                              | 13644                                                                                                              | 14057                                                                                                              |                                                                                                              14494 |                                                                                                              14917 |
| Rajasthan                                                                                                          | 3249 3                                                                                                             |                                                                                                              33382 |                                                                                                              34304 | 35224                                                                                                              | 36159                                                                                                              | 37123                                                                                                              | 38100                                                                                                              | 39111                                                                                                              |                                                                                                              40117 |                                                                                                              41167 |
| Uttar Pradesh                                                                                                      | 9432 7                                                                                                             |                                                                                                              96651 |                                                                                                              99001 | 10140 6                                                                                                            | 10387 6                                                                                                            | 10635 0                                                                                                            | 10891 1                                                                                                            | 11149 1                                                                                                            |                                                                                                             114128 |                                                                                                             116818 |
| Bihar                                                                                                              | 4771 4                                                                                                             |                                                                                                              49017 |                                                                                                              50348 | 51724                                                                                                              | 53126                                                                                                              | 54566                                                                                                              | 56028                                                                                                              | 57531                                                                                                              |                                                                                                              59043 |                                                                                                              60629 |
| Sikkim                                                                                                             | 241                                                                                                                |                                                                                                                246 |                                                                                                                246 | 253                                                                                                                | 264                                                                                                                | 270                                                                                                                | 275                                                                                                                | 276                                                                                                                |                                                                                                                288 |                                                                                                                308 |
| Arunachal Pradesh                                                                                                  | 545                                                                                                                |                                                                                                                554 |                                                                                                                575 | 587                                                                                                                | 598                                                                                                                | 612                                                                                                                | 622                                                                                                                | 635                                                                                                                |                                                                                                                655 |                                                                                                                670 |
| Nagaland                                                                                                           | 860                                                                                                                |                                                                                                                882 |                                                                                                                907 | 921                                                                                                                | 939                                                                                                                | 961                                                                                                                | 982                                                                                                                | 1008                                                                                                               |                                                                                                               1029 |                                                                                                               1060 |
| Manipur                                                                                                            | 902                                                                                                                |                                                                                                                918 |                                                                                                                939 | 974                                                                                                                | 1013                                                                                                               | 1047                                                                                                               | 1070                                                                                                               | 1105                                                                                                               |                                                                                                               1175 |                                                                                                               1220 |
| Mizoram                                                                                                            | 970                                                                                                                |                                                                                                                999 |                                                                                                               1021 | 1058                                                                                                               | 1088                                                                                                               | 1119                                                                                                               | 1149                                                                                                               | 1183                                                                                                               |                                                                                                               1231 |                                                                                                               1271 |
| Tripura                                                                                                            | 1346                                                                                                               |                                                                                                               1369 |                                                                                                               1395 | 1431                                                                                                               | 1465                                                                                                               | 1496                                                                                                               | 1526                                                                                                               | 1571                                                                                                               |                                                                                                               1600 |                                                                                                               1651 |
| Meghalaya                                                                                                          | 1583                                                                                                               |                                                                                                               1616 |                                                                                                               1654 | 1701                                                                                                               | 1739                                                                                                               | 1791                                                                                                               | 1837                                                                                                               | 1887                                                                                                               |                                                                                                               1928 |                                                                                                               1980 |
| Assam                                                                                                              | 1909 8                                                                                                             |                                                                                                              19616 |                                                                                                              20121 | 20631                                                                                                              | 21170                                                                                                              | 21715                                                                                                              | 22261                                                                                                              | 22824                                                                                                              |                                                                                                              23395 |                                                                                                              23974 |
| West Bengal                                                                                                        | 5028 3                                                                                                             |                                                                                                              51573 |                                                                                                              52905 | 54239                                                                                                              | 55605                                                                                                              | 56988                                                                                                              | 58368                                                                                                              | 59786                                                                                                              |                                                                                                              61213 |                                                                                                              62652 |
| Jharkhand                                                                                                          | 1538 9                                                                                                             |                                                                                                              15830 |                                                                                                              16285 | 16751                                                                                                              | 17233                                                                                                              | 17710                                                                                                              | 18215                                                                                                              | 18716                                                                                                              |                                                                                                              19241 |                                                                                                              19766 |
| Orissa                                                                                                             | 2388 6                                                                                                             |                                                                                                              24442 |                                                                                                              25030 | 25615                                                                                                              | 26205                                                                                                              | 26810                                                                                                              | 27427                                                                                                              | 28024                                                                                                              |                                                                                                              28656 |                                                                                                              29287 |
| Chattisgarh                                                                                                        | 1273 7                                                                                                             |                                                                                                              13068 |                                                                                                              13417 | 13779                                                                                                              | 14144                                                                                                              | 14522                                                                                                              | 14891                                                                                                              | 15279                                                                                                              |                                                                                                              15666 |                                                                                                              16057 |
| Madhya Pradesh                                                                                                     | 3576 2                                                                                                             |                                                                                                              36740 |                                                                                                              37722 | 38735                                                                                                              | 39758                                                                                                              | 40798                                                                                                              | 41876                                                                                                              | 42966                                                                                                              |                                                                                                              44056 |                                                                                                              45176 |
| Gujarat                                                                                                            | 3166 5                                                                                                             |                                                                                                              32561 |                                                                                                              33481 | 34413                                                                                                              | 35362                                                                                                              | 36325                                                                                                              | 37300                                                                                                              | 38306                                                                                                              |                                                                                                              39328 |                                                                                                              40356 |
| Daman                                                                                                              | 34                                                                                                                 |                                                                                                                 37 |                                                                                                                 40 | 45                                                                                                                 | 48                                                                                                                 | 55                                                                                                                 | 63                                                                                                                 | 66                                                                                                                 |                                                                                                                 70 |                                                                                                                 77 |
| Dadra &Nagar Haveli                                                                                                | 61                                                                                                                 |                                                                                                                 66 |                                                                                                                 69 | 79                                                                                                                 | 87                                                                                                                 | 92                                                                                                                 | 102                                                                                                                | 109                                                                                                                |                                                                                                                117 |                                                                                                                128 |
| Maharashtra                                                                                                        | 5369 8                                                                                                             |                                                                                                              55087 |                                                                                                              56491 | 57901                                                                                                              | 59341                                                                                                              | 60814                                                                                                              | 62291                                                                                                              | 63797                                                                                                              |                                                                                                              65326 |                                                                                                              66879 |
| Telangana                                                                                                          | 2182 1                                                                                                             |                                                                                                              22390 |                                                                                                              22988 | 23580                                                                                                              | 24184                                                                                                              | 24788                                                                                                              | 25408                                                                                                              | 26038                                                                                                              |                                                                                                              26681 |                                                                                                              27339 |
| Andhra Pradesh                                                                                                     | 3279 6                                                                                                             |                                                                                                              33602 |                                                                                                              34389 | 35224                                                                                                              | 36034                                                                                                              | 36884                                                                                                              | 37724                                                                                                              | 38582                                                                                                              |                                                                                                              39443 |                                                                                                              40307 |
| Karnataka                                                                                                          | 3922 0                                                                                                             |                                                                                                              40312 |                                                                                                              41394 | 42502                                                                                                              | 43612                                                                                                              | 44775                                                                                                              | 45926                                                                                                              | 47113                                                                                                              |                                                                                                              48290 |                                                                                                              49516 |
| Goa                                                                                                                | 744                                                                                                                |                                                                                                                770 |                                                                                                                785 | 807                                                                                                                | 831                                                                                                                | 848                                                                                                                | 877                                                                                                                | 893                                                                                                                |                                                                                                                909 |                                                                                                                932 |

| Lakshadweep                                    | 9                                              | 10                                             | 13                                             | 13                                             | 13                                             | 13                                             | 13                                             | 13                                             | 14                                             | 14                                             |
|------------------------------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|
| Kerala                                         | 2736 8                                         | 27905                                          | 28434                                          | 28961                                          | 29508                                          | 30057                                          | 30615                                          | 31166                                          | 31713                                          | 32271                                          |
| Tamil Nadu                                     | 4003 1                                         | 41160                                          | 42294                                          | 43463                                          | 44655                                          | 45846                                          | 47075                                          | 48314                                          | 49571                                          | 50841                                          |
| Pondicherry                                    | 643                                            | 670                                            | 701                                            | 733                                            | 760                                            | 794                                            | 820                                            | 852                                            | 879                                            | 905                                            |
| Andaman & Nicobar Islands                      | 162                                            | 170                                            | 175                                            | 180                                            | 186                                            | 193                                            | 195                                            | 200                                            | 205                                            | 214                                            |
| Total                                          | 6456 89                                        | 66259 2                                        | 67977 6                                        | 69725 5                                        | 71501 0                                        | 73313 9                                        | 75151 7                                        | 77023 0                                        | 78920 2                                        | 808558                                         |
| Ref: National Cancer Registry Programme Report | Ref: National Cancer Registry Programme Report | Ref: National Cancer Registry Programme Report | Ref: National Cancer Registry Programme Report | Ref: National Cancer Registry Programme Report | Ref: National Cancer Registry Programme Report | Ref: National Cancer Registry Programme Report | Ref: National Cancer Registry Programme Report | Ref: National Cancer Registry Programme Report | Ref: National Cancer Registry Programme Report | Ref: National Cancer Registry Programme Report |

| State                    |   Males |   Females |
|--------------------------|---------|-----------|
| Jammu &Kashmir           |     583 |       201 |
| Ladakh                   |      14 |         4 |
| Himachal pradesh         |     399 |       151 |
| Punjab                   |    1104 |       395 |
| Chandigarh               |      51 |        18 |
| Uttaranchal              |     520 |       197 |
| Haryana                  |    1325 |       487 |
| Delhi                    |    1207 |       364 |
| Rajasthan                |    3095 |      1193 |
| Uttar pradesh            |    9303 |      3204 |
| Bihar                    |    4970 |      1587 |
| Sikkim                   |      16 |        15 |
| Arunachal pradesh        |      31 |        18 |
| Nagaland                 |      54 |        24 |
| Manipur                  |     146 |       137 |
| Mizoram                  |     128 |       109 |
| Tripura                  |     218 |        52 |
| Meghalaya                |      99 |        38 |
| Assam                    |    1382 |       490 |
| West bengal              |    5037 |      1753 |
| Jharkhand                |    1547 |       549 |
| Orissa                   |    2381 |       830 |
| Chattisgarh              |    1199 |       466 |
| Madhya pradesh           |    3474 |      1289 |
| Gujarat                  |    3071 |      1177 |
| Daman                    |       8 |         3 |
| Dadra &Nagar Haveli      |      12 |         6 |
| Maharashtra              |    4089 |      2253 |
| Telangana                |    2322 |       790 |
| Andhra pradesh           |    3482 |      1178 |
| Karnataka                |    4253 |      1416 |
| Goa                      |      59 |        35 |
| Lakshadweep              |       5 |         0 |
| Kerala                   |    3629 |       926 |
| Tamil nadu               |    3270 |      1267 |
| Pondicherry              |      64 |        23 |
| Andaman &Nicobar Islands |      23 |         6 |
| Total                    |   62570 |     22651 |

## Annexure 2