Lok Sabha Question No. 1567 (UNSTARRED), answered on 2023-07-28
Subject: Risk of Tobacco Consumption
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Janardan Mishra, Narendra Kumar

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1567 TO BE ANSWERED ON 28 TH JULY 2023

## RISK OF TOBACCO CONSUMPTION

## 1567. SHRI JANARDAN MISHRA: SHRI NARENDRAKUMAR:

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

- (a) whether the use of tobacco is one of the major risk factors for all kinds of NonCommunicable Disease (NCD);
- (b) if so, the State/UT-wise and the year-wise details of the funds allocated and actually spent on tobacco control sine 2014;
- (c) whether the Government proposes to strengthen the cigarettes and other tobacco products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution Act, 2003 to control consumption of tobacco and reduce the burden of NCD on the country; and
- (d) if so, the details thereof and if not, the reasons therefor?

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

- (a) & (b): Tobacco is a known risk factor for cardiovascular diseases, diabetes, and chronic obstructive pulmonary disease (COPD) as well as for infectious respiratory diseases such as pneumonia and tuberculosis (TB). The State/UT wise State Programme Implementation Plan (SPIP) Approvals and Expenditure under National Tobacco Control Programme (NTCP) under National Health Mission (NHM) from F.Y. 2015-16 to 2022-23 is at Annexure .
- (c) & (d): The draft Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) (Amendment) Bill, 2020, was hosted in public domain for pre-legislative consultation.

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## Annexure for LS US PQ 1567 for 28.07.2023

## State/UT wise SPIP Approvals and Expenditure under National Tobacco Control Programme (NTCP) under NHM from F.Y. 2015-16 to 2022-23

Rs. in Lakhs

| S. N o.   | Name of the State/UTs       | 2015-16        | 2015-16      | 2016-17       | 2016-17       | 2017-18       | 2017-18      | 2018-19       | 2018-19      | 2019-20       | 2019-20      | 2020-21       | 2020-21      | 2021-22       | 2021-22      | 2022-23        | 2022-23      |
|-----------|-----------------------------|----------------|--------------|---------------|---------------|---------------|--------------|---------------|--------------|---------------|--------------|---------------|--------------|---------------|--------------|----------------|--------------|
| S. N o.   | Name of the State/UTs       | SPIP Approv al | Expend iture | SPIP Approval | Expend iture  | SPIP Approval | Expendi ture | SPIP Approval | Expendit ure | SPIP Approval | Expend iture | SPIP Approval | Expend iture | SPIP Approval | Expend iture | SPIP Approva l | Expen diture |
| 1         | Andaman and Nicobar Islands | 18.00          | -            | 43.64         | -             | 59.68         | -            | -             | -            | 7.08          | 3.00         | 16.33         | 2.36         | 23.75         | 1.41         | 26.00          | 2.68         |
| 2         | Andhra Pradesh              | 428.60         | 132.22       | 301.60        | 172.52 104.83 |               | 270.94       | 37.38         | 34.32        | 63.38         | 53.75        | 67.98         | 67.98        | 244.23        | 226.33       | 380.16         | 279.90       |
| 3         | Arunachal Pradesh           | 137.00         | -            | 30.57         | 118.02 621.03 |               | 98.74        | 89.76         | 159.42       | 255.80        | -            | 414.00        | 69.66        | 149.86        | 90.87        | 500.75         | 17.31        |
| 4         | Assam                       | 176.00         | 122.61       | 222.93        | 33.98         | 307.43        | 70.08        | 456.27        | 178.12       | 324.45        | 201.37       | 246.27        | 74.55        | 321.96        | 174.88       | 329.11         | 201.82       |
| 5         | Bihar                       | 794.82         | 38.99        | 460.50        | 41.35         | 490.89        | 22.65        | 390.20        | 57.51        | 304.97        | 72.43        | 188.61        | 20.33        | 220.81        | 7.92         | 169.71         | 10.63        |
| 6         | Chandigarh                  | -              | -            | -             | -             | 3.84          | -            | -             | -            | -             | -            | 6.05          | -            | 9.65          | 0.19         | 12.35          | 2.30         |
| 7         | Chhattisgar h               | 90.20          | 5.58         | 431.50        | 49.33         | 441.78        | 88.42        | 802.86        | 145.76       | 410.20        | 782.91       | 284.70        | 171.07       | 492.88        | 229.34       | 386.80         | 328.69       |
| 8         | Dadra & Nagar Haveli        | 47.50          | 16.34        | 44.54         | 32.66         | 33.24         | 18.08        | 17.77         | 5.99         | 1.35          | 3.10         | 15.92         | 3.71         | 0.04          | 9.72         | 16.90          | 4.81         |
| 8         | Daman & Diu                 | -              | -            | 0.60          | -             | 5.94          | -            | 2.08          | 0.90         | 4.82          | 0.95         | 15.92         | 3.71         | 0.04          | 9.72         | 16.90          | 4.81         |
| 9         | Delhi                       | 93.00          | -            | 110.91 11.17  | 307.00        |               | 17.62        | 154.60        | 17.36        | 243.20        | 18.18        | 117.89        | 7.17         | 198.43        | 25.14        | 277.49         | 47.52        |

|   10 | Goa               | 83.50   | 16.10   | 47.41   | 13.18   | 33.13   | 9.82   | 26.89    | 5.92   | 40.02    | 17.74   | 26.18   | 12.26   |   52.58 |   37.43 |   54.40 |   42.87 |
|------|-------------------|---------|---------|---------|---------|---------|--------|----------|--------|----------|---------|---------|---------|---------|---------|---------|---------|
|   11 | Gujarat           | 220.00  | 65.80   | 771.66  | 285.24  | 795.19  | 454.52 | 383.45   | 368.10 | 378.77   | 260.42  | 351.88  | 154.31  |  333.48 |  152.01 |  347.55 |  235.21 |
|   12 | Haryana           | 88.00   | -       | 73.28   | -       | 41.71   | 5.41   | 232.30   | 7.95   | 278.36   | 650.87  | 171.50  | 40.18   |  215.2  |  128.57 |  212.8  |  169.09 |
|   13 | Himachal Pradesh  | -       | 8.45    | -       | 4.01    | -       | 6.14   | 148.00   | 21.14  | 92.00    | 41.90   | 63.50   | 20.24   |   50.01 |   21.25 |  114.2  |   28.32 |
|   14 | Jammu and Kashmir | 71.90   | -       | 149.19  | -       | 100.14  | 5.29   | 50.50    | 23.56  | 129.36   | 24.61   | 265.05  | 1.52    |   83.6  |   49.77 |   64.1  |    9.68 |
|   15 | Jharkhand         | 652.50  | 8.34    | 462.96  | 78.90   | 436.67  | 65.96  | 283.52   | 47.24  | 338.16   | 103.75  | 346.96  | 109.58  |  426.26 |  420.78 |  440.76 |  321.6  |
|   16 | Karnataka         | 662.66  | -       | 752.86  | 283.99  | 777.51  | 346.39 | 432.60   | 310.35 | 415.40   | 343.95  | 429.14  | 329.30  |  693.11 |  609.38 |  526.94 |  366.79 |
|   17 | Kerala            | 89.55   | -       | 37.31   | 9.98    | 88.02   | 42.99  | 392.75   | 117.28 | 240.15   | 56.56   | 217.70  | 65.78   |  336.43 |   90.35 |  445.71 |  115.73 |
|   18 | Ladakh            | -       | -       | -       | -       | -       | -      | -        | -      | -        | -       | -       | -       |   13.54 |    4.86 |   27.8  |   12.33 |
|   19 | Lakshadwee p      | 23.80   | -       | 23.80   | 3.21    | 18.24   | 3.82   | 9.50     | 10.76  | 5.62     | 1.54    | 14.71   | 0.87    |   14.16 |    1.92 |   18.5  |    4.3  |
|   20 | Madhya Pradesh    | 602.05  | 73.77   | 21.05   | 27.02   | -       | 20.72  | 95.80    | 26.82  | 3,313.23 | 177.78  | 454.90  | 26.97   |  251.45 |   30.05 |  438.47 |  112.06 |
|   21 | Maharashtra       | 545.50  | 41.12   | 645.10  | 90.09   | 457.43  | 206.59 | 1,546.76 | 167.18 | 210.21   | 161.14  | 195.83  | 86.14   |  127.43 |  216.3  |  489.26 |  205.95 |
|   22 | Manipur           | 84.00   | 2.59    | 247.88  | -       | 240.39  | 2.97   | 42.00    | 95.15  | 142.40   | 44.16   | 95.14   | 1.50    |  146.8  |    3.68 |  116.8  |    6.58 |

|   23 | Meghalaya     |      - | -      | 32.00    | -      | 10.80    | -        | 23.60    | -        | 76.60    |   27.86 | 110.18   | 124.26   | 63.55    | 57.34   | 64.72    | 88.72     |
|------|---------------|--------|--------|----------|--------|----------|----------|----------|----------|----------|---------|----------|----------|----------|---------|----------|-----------|
|   24 | Mizoram       | 458.27 | 90.51  | 430.77   | 176.62 | 291.50   | 86.91    | 33.24    | 37.58    | 35.03    |    4.76 | 42.90    | 16.10    | 37.77    | 117.73  | 63.68    | 27.28     |
|   25 | Nagaland      | 490.89 | -      | 425.50   | 101.60 | 232.30   | 26.29    | 132.34   | 63.99    | 161.27   |   28.71 | 72.88    | 5.31     | 102.62   | 21.54   | 142.90   | 47.83     |
|   26 | Odisha        | 245.45 | 18.70  | 458.29   | 76.57  | 343.81   | 51.16    | 287.35   | 107.90   | 201.61   |   90.21 | 238.46   | 90.73    | 461.95   | 262.53  | 442.04   | 299.21    |
|   27 | Puducherry    |  29.4  | -      | 28.76    | 7.25   | 13.57    | 9.05     | 7.75     | 1.96     | 14.08    |    7.59 | 18.18    | 7.87     | 23.93    | 8.25    | 20.13    | 15.13     |
|   28 | Punjab        |  45.15 | 9.00   | -        | 29.00  | 197.72   | -        | 156.50   | 6.16     | 73.68    |    3.88 | 68.00    | -        | 76.00    | 4.85    | 68.85    | 6.06      |
|   29 | Rajasthan     | 682.9  | 2.39   | 558.32   | 415.01 | 483.78   | 390.79   | 179.50   | 165.86   | 319.63   |  253.8  | 422.08   | 305.46   | 753.18   | 639.17  | 805.22   | 509.89    |
|   30 | Sikkim        |  88    | 30.39  | -        | 8.56   | 32.06    | 11.82    | 42.77    | 8.29     | 11.34    |    4.43 | 19.20    | 1.68     | 22.52    | -       | 23.39    | 15.05     |
|   31 | Tamil Nadu    | 225    | 100.00 | 258.33   | 13.93  | 125.15   | 3.02     | 49.82    | 44.32    | 145.89   |   86.39 | 52.80    | 5.99     | 88.50    | 179.42  | 333.15   | 82.77     |
|   32 | Telangana     | 420.1  | -      | 36.00    | -      | 58.00    | 24.34    | 33.50    | 3.06     | 77.50    |   12.42 | 84.32    | 43.56    | 75.35    | 5.75    | 85.00    | -         |
|   33 | Tripura       | 139.5  | 24.38  | 186.21   | 60.54  | 134.53   | 78.38    | 99.70    | 62.58    | 52.70    |   25.07 | 53.65    | 31.46    | 86.41    | 68.59   | 114.47   | 66.67     |
|   34 | Uttar Pradesh | 630.92 | 217.45 | 3,001.28 | 716.16 | 2,220.60 | 1,009.35 | 1,687.16 | 1,160.53 | 1,724.86 |  919.85 | 1,256.72 | 535.25   | 3,228.32 | 984.36  | 2,752.25 | 1,511. 00 |
|   35 | Uttarakhand   | 328.13 | -      | 197.30   | 35.96  | 237.05   | 302.98   | 66.71    | 27.29    | 75.35    |   32.42 | 48.50    | 23.12    | 140.57   | 144.79  | 168.62   | 90.85     |

| 36                                                                                                                                                                                                                | West Bengal                                                                                                                                                                                                       | 533.00                                                                                                                                                                                                            | 1.65                                                                                                                                                                                                              | 785.28                                                                                                                                                                                                            | 67.18                                                                                                                                                                                                             | 410.76                                                                                                                                                                                                            | 49.55                                                                                                                                                                                                             | 172.57                                                                                                                                                                                                            | 95.24                                                                                                                                                                                                             | 105.95                                                                                                                                                                                                            | 119.22                                                                                                                                                                                                            | 125.01                                                                                                                                                                                                            | 131.32                                                                                                                                                                                                            | 157.43                                                                                                                                                                                                            | 120.75                                                                                                                                                                                                            |                                                                                                                                                                                                                   |
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| 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      | 1.The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional and are updated up-to 31.03.2023.                                                      |
| 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. | 2. After the reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHMfunds to the UT of Ladakh were disbursed for the first time during 2020-21. |