Lok Sabha Question No. 336 (UNSTARRED), answered on 2023-07-21
Subject: Cases of Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajveer Diler

## GOVERNMENT OFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 336 TO BE ANSWERED ON 21 st JULY, 2023

## CASES OF CANCER

## 336. SHRI RAJVEER DILER:

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

- (a) the number of cancer cases identified across the country including Uttar Pradesh during the last three years, State/UT-wise;
- (b) the number of death cases reported due to cancer during the said period State/UT-wise including Hathras district of Uttar Pradesh;
- (c) whether improper eating habits, improper lifestyle and other narcotic substance including liquor are the root cause of the spread of cancer disease and if so, the details thereof;
- (d) whether the hospitals functioning in Hathras district have the facility of the treatment of cancer patients and if so, the details thereof and if not, the reasons thereof;

(e) whether the Government has formulated any concrete action plan to control this fatal disease across the country including Uttar Pradesh; and

(f) if so, the details thereof and the steps taken in this regard?

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

## (PROF. S.P. SINGH BAGHEL)

(a) and (b): As per the Indian Council of Medical Research ' s National Cancer Registry Programme (ICMR-NCRP), the estimated number of incidences of cancer cases by States / UTs wise during 2020 to 2022 including Uttar Pradesh are enclosed in Annexure I and the estimated number of mortalities of cancer cases by State/UTs wise during 2020 to 2022 including Uttar Pradesh are enclosed in Annexure II.

(c) to (f): 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. Cancer is an integral part of NP-NCD. The programme focusses on strengthening infrastructure, human resource development, health promotion & awareness generation for Cancer prevention, early diagnosis, management and referral to an appropriate level of healthcare facility for treatment of the Non-Communicable Diseases

(NCDs), including Cancer. Under NP-NCD, 724 District NCD Clinics, 326 District Day Care Centres, and 6110 Community Health Center NCD Clinics have been set up. In Uttar Pradesh, 65 District NCD Clinics and 332 Community Health Center NCD Clinics have been set up.

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 oral, breast and cervical. Screening of these common cancers is an integral part of service delivery under Ayushman Bharat -Health and Wellness Centres.

Preventive aspect of Cancer is strengthened under Comprehensive Primary Health Care through Ayushman Bharat Health Wellness Centre scheme, by promotion of wellness activities and targeted communication at the community level. Other initiatives for increasing public awareness about Cancer and for promotion of healthy lifestyle includes observation of National Cancer Awareness 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, NPCDCS 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).

The Central Government is also implementing Strengthening of Tertiary Care of Cancer Scheme in order to enhance the facilities for tertiary care of cancer. 19 State Cancer Institutes (SCIs) and 20 Tertiary Care Cancer Centres (TCCCs) have been approved under the said scheme. Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow is approved and functional under the said scheme.

There is also focus on Oncology in its various aspects in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). In Uttar Pradesh, cancer treatment facilities are approved in 2 AIIMS i.e., 1) AIIMS, Gorakhpur and 2) AIIMS, Rae Bareli and 4 Government Medical Colleges/Institutions i.e., 1) Govt Medical College, Gorakhpur, 2) M.L.N Government Medical College, Allahabad, 3) LLRM Medical College, Meerut and 4) Govt Medical College, Agra.

Cancer is diagnosed and treated at various levels in the health care facilities. The treatment in Government Hospitals is either free or highly subsidized for the poor and needy. Treatment of Cancers is also available under Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (PMJAY). Besides, 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, with an objective to make available Cancer drugs at a substantial discount vis-àvis the Maximum Retail Price.

## Annexure I

| Estimated incidence of cancer cases in India by States/UTs wise - All sites (ICD10: C00-C97) - (2020-2022) - both sexes   | Estimated incidence of cancer cases in India by States/UTs wise - All sites (ICD10: C00-C97) - (2020-2022) - both sexes   | Estimated incidence of cancer cases in India by States/UTs wise - All sites (ICD10: C00-C97) - (2020-2022) - both sexes   | Estimated incidence of cancer cases in India by States/UTs wise - All sites (ICD10: C00-C97) - (2020-2022) - both sexes   |
|---------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------|
| State                                                                                                                     | 2020                                                                                                                      | 2021                                                                                                                      | 2022                                                                                                                      |
| Jammu &Kashmir                                                                                                            | 12726                                                                                                                     | 13060                                                                                                                     | 13395                                                                                                                     |
| Ladakh                                                                                                                    | 286                                                                                                                       | 294                                                                                                                       | 302                                                                                                                       |
| Himachal Pradesh                                                                                                          | 8799                                                                                                                      | 8978                                                                                                                      | 9164                                                                                                                      |
| Punjab                                                                                                                    | 38636                                                                                                                     | 39521                                                                                                                     | 40435                                                                                                                     |
| Chandigarh                                                                                                                | 1024                                                                                                                      | 1053                                                                                                                      | 1088                                                                                                                      |
| Uttaranchal                                                                                                               | 11482                                                                                                                     | 11779                                                                                                                     | 12065                                                                                                                     |
| Haryana                                                                                                                   | 29219                                                                                                                     | 30015                                                                                                                     | 30851                                                                                                                     |
| Delhi                                                                                                                     | 25178                                                                                                                     | 25969                                                                                                                     | 26735                                                                                                                     |
| Rajasthan                                                                                                                 | 70987                                                                                                                     | 72825                                                                                                                     | 74725                                                                                                                     |
| Uttar Pradesh                                                                                                             | 201319                                                                                                                    | 206088                                                                                                                    | 210958                                                                                                                    |
| Bihar                                                                                                                     | 103711                                                                                                                    | 106435                                                                                                                    | 109274                                                                                                                    |
| Sikkim                                                                                                                    | 445                                                                                                                       | 465                                                                                                                       | 496                                                                                                                       |
| Arunachal Pradesh                                                                                                         | 1035                                                                                                                      | 1064                                                                                                                      | 1087                                                                                                                      |
| Nagaland                                                                                                                  | 1768                                                                                                                      | 1805                                                                                                                      | 1854                                                                                                                      |
| Manipur                                                                                                                   | 1899                                                                                                                      | 2022                                                                                                                      | 2097                                                                                                                      |
| Mizoram                                                                                                                   | 1837                                                                                                                      | 1919                                                                                                                      | 1985                                                                                                                      |
| Tripura                                                                                                                   | 2574                                                                                                                      | 2623                                                                                                                      | 2715                                                                                                                      |
| Meghalaya                                                                                                                 | 2879                                                                                                                      | 2943                                                                                                                      | 3025                                                                                                                      |
| Assam                                                                                                                     | 37880                                                                                                                     | 38834                                                                                                                     | 39787                                                                                                                     |
| West Bengal                                                                                                               | 108394                                                                                                                    | 110972                                                                                                                    | 113581                                                                                                                    |
| Jharkhand                                                                                                                 | 33961                                                                                                                     | 34910                                                                                                                     | 35860                                                                                                                     |
| Orissa                                                                                                                    | 50692                                                                                                                     | 51829                                                                                                                     | 52960                                                                                                                     |
| Chhattisgarh                                                                                                              | 27828                                                                                                                     | 28529                                                                                                                     | 29253                                                                                                                     |
| Madhya Pradesh                                                                                                            | 77888                                                                                                                     | 79871                                                                                                                     | 81901                                                                                                                     |
| Gujarat                                                                                                                   | 69660                                                                                                                     | 71507                                                                                                                     | 73382                                                                                                                     |
| Daman                                                                                                                     | 124                                                                                                                       | 135                                                                                                                       | 150                                                                                                                       |
| Dadra &Nagar Haveli                                                                                                       | 206                                                                                                                       | 219                                                                                                                       | 238                                                                                                                       |
| Maharashtra                                                                                                               | 116121                                                                                                                    | 118906                                                                                                                    | 121717                                                                                                                    |
| Telangana                                                                                                                 | 47620                                                                                                                     | 48775                                                                                                                     | 49983                                                                                                                     |
| Andhra Pradesh                                                                                                            | 70424                                                                                                                     | 71970                                                                                                                     | 73536                                                                                                                     |
| Karnataka                                                                                                                 | 85968                                                                                                                     | 88126                                                                                                                     | 90349                                                                                                                     |
| Goa                                                                                                                       | 1618                                                                                                                      | 1652                                                                                                                      | 1700                                                                                                                      |
| Lakshadweep                                                                                                               | 27                                                                                                                        | 28                                                                                                                        | 28                                                                                                                        |
| Kerala                                                                                                                    | 57155                                                                                                                     | 58139                                                                                                                     | 59143                                                                                                                     |
| Tamil Nadu                                                                                                                | 88866                                                                                                                     | 91184                                                                                                                     | 93536                                                                                                                     |
| Pondicherry                                                                                                               | 1577                                                                                                                      | 1623                                                                                                                      | 1679                                                                                                                      |
| Andaman &Nicobar Islands                                                                                                  | 366                                                                                                                       | 380                                                                                                                       | 393                                                                                                                       |
| Total                                                                                                                     | 13,92,179                                                                                                                 | 14,26,447                                                                                                                 | 14,61,427                                                                                                                 |

| Estimated Mortality of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2020-2022)** - Both sexes   | Estimated Mortality of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2020-2022)** - Both sexes   | Estimated Mortality of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2020-2022)** - Both sexes   | Estimated Mortality of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2020-2022)** - Both sexes   |
|--------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------|
| State                                                                                                                          | 2020                                                                                                                           | 2021                                                                                                                           | 2022                                                                                                                           |
| Jammu &Kashmir                                                                                                                 | 7027                                                                                                                           | 7211                                                                                                                           | 7396                                                                                                                           |
| Ladakh UT                                                                                                                      | 162                                                                                                                            | 166                                                                                                                            | 171                                                                                                                            |
| Himachal pradesh                                                                                                               | 4856                                                                                                                           | 4953                                                                                                                           | 5058                                                                                                                           |
| Punjab                                                                                                                         | 22276                                                                                                                          | 22786                                                                                                                          | 23301                                                                                                                          |
| Chandigarh                                                                                                                     | 564                                                                                                                            | 582                                                                                                                            | 598                                                                                                                            |
| Uttaranchal                                                                                                                    | 6337                                                                                                                           | 6500                                                                                                                           | 6655                                                                                                                           |
| Haryana                                                                                                                        | 16109                                                                                                                          | 16543                                                                                                                          | 16997                                                                                                                          |
| Delhi                                                                                                                          | 14057                                                                                                                          | 14494                                                                                                                          | 14917                                                                                                                          |
| Rajasthan                                                                                                                      | 39111                                                                                                                          | 40117                                                                                                                          | 41167                                                                                                                          |
| Uttar pradesh                                                                                                                  | 111491                                                                                                                         | 114128                                                                                                                         | 116818                                                                                                                         |
| Bihar                                                                                                                          | 57531                                                                                                                          | 59043                                                                                                                          | 60629                                                                                                                          |
| Sikkim                                                                                                                         | 276                                                                                                                            | 288                                                                                                                            | 308                                                                                                                            |
| Arunachal pradesh                                                                                                              | 635                                                                                                                            | 655                                                                                                                            | 670                                                                                                                            |
| Nagaland                                                                                                                       | 1008                                                                                                                           | 1029                                                                                                                           | 1060                                                                                                                           |
| Manipur                                                                                                                        | 1105                                                                                                                           | 1175                                                                                                                           | 1220                                                                                                                           |
| Mizoram                                                                                                                        | 1183                                                                                                                           | 1231                                                                                                                           | 1271                                                                                                                           |
| Tripura                                                                                                                        | 1571                                                                                                                           | 1600                                                                                                                           | 1651                                                                                                                           |
| Meghalaya                                                                                                                      | 1887                                                                                                                           | 1928                                                                                                                           | 1980                                                                                                                           |
| Assam                                                                                                                          | 22824                                                                                                                          | 23395                                                                                                                          | 23974                                                                                                                          |
| West bengal                                                                                                                    | 59786                                                                                                                          | 61213                                                                                                                          | 62652                                                                                                                          |
| Jharkhand                                                                                                                      | 18716                                                                                                                          | 19241                                                                                                                          | 19766                                                                                                                          |
| Orissa                                                                                                                         | 28024                                                                                                                          | 28656                                                                                                                          | 29287                                                                                                                          |
| Chattisgarh                                                                                                                    | 15279                                                                                                                          | 15666                                                                                                                          | 16057                                                                                                                          |
| Madhya pradesh                                                                                                                 | 42966                                                                                                                          | 44056                                                                                                                          | 45176                                                                                                                          |
| Gujarat                                                                                                                        | 38306                                                                                                                          | 39328                                                                                                                          | 40356                                                                                                                          |
| Daman                                                                                                                          | 66                                                                                                                             | 70                                                                                                                             | 77                                                                                                                             |
| Dadra &Nagar Haveli                                                                                                            | 109                                                                                                                            | 117                                                                                                                            | 128                                                                                                                            |
| Maharashtra                                                                                                                    | 63797                                                                                                                          | 65326                                                                                                                          | 66879                                                                                                                          |
| Telangana                                                                                                                      | 26038                                                                                                                          | 26681                                                                                                                          | 27339                                                                                                                          |
| Andhra pradesh                                                                                                                 | 38582                                                                                                                          | 39443                                                                                                                          | 40307                                                                                                                          |
| Karnataka                                                                                                                      | 47113                                                                                                                          | 48290                                                                                                                          | 49516                                                                                                                          |
| Goa                                                                                                                            | 893                                                                                                                            | 909                                                                                                                            | 932                                                                                                                            |
| Lakshadweep                                                                                                                    | 13                                                                                                                             | 14                                                                                                                             | 14                                                                                                                             |
| Kerala                                                                                                                         | 31166                                                                                                                          | 31713                                                                                                                          | 32271                                                                                                                          |
| Tamil nadu                                                                                                                     | 48314                                                                                                                          | 49571                                                                                                                          | 50841                                                                                                                          |
| Pondicherry                                                                                                                    | 852                                                                                                                            | 879                                                                                                                            | 905                                                                                                                            |
| Andaman &Nicobar Islands                                                                                                       | 200                                                                                                                            | 205                                                                                                                            | 214                                                                                                                            |
| Total                                                                                                                          | 7,70,230                                                                                                                       | 7,89,202                                                                                                                       | 8,08,558                                                                                                                       |