Lok Sabha Question No. 2277 (UNSTARRED), answered on 2023-12-15
Subject: Cases of TB
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Lavu Sri Krishna Devarayalu

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2277 TO BE ANSWERED ON 15 th DECEMBER, 2023

## CASES OFTB 2277. SHRI LAVU SRI KRISHNA DEVARAYALU

Will the Minister of HEALTH AND FAMILYWELFARE be pleased to state:

- (a) whether the Government is aware of the rising number of Tuberculosis (TB) cases in the country;
- (b) if so, the details thereof along with the steps taken/proposed to be taken to address the issue;
- (c) the data on the number of TB cases per 100,000 people in the country, State/UTwise;
- (d) whether the Government is aware of the challenges faced by several states in procuring TB medicines in the country and if so, the details thereof; and
- (e) the measures taken/proposed to be taken by the Government to support State institutions in acquiring the required infrastructure and medicines to combat TB effectively and if so, the details thereof?

## ANSWER THE MINISTER OF THE STATE IN THE MINISTRY OF HEALTH AND FAMILYWELFARE (DR. BHARATI PRAVIN PAWAR)

- (a) to (c) The Government has made steady progress towards the target for achieving the sustainable development goals related to TB by 2025 in India. As per the Global TB Report 2023, published by the World Health Organisation, the incidence rate of TB in India has shown a 16% decline from 237 per 100,000 population in 2015 to 199 per 100,000 population in 2022. The State/UT-wise data for number of TB cases per 100,000 people in the country for last three years and current year for is placed at Annexure-I. Further to achieve SDGs related to TB by 2025, the National TB Elimination Programme (NTEP) implements key activities as under:
- 1) State and District Specific Strategic plan for targeted interventions in high-burden areas.
- 2) Provision of free drugs and diagnostics to TB patients including for drug-resistant TB.
- 3) Active TB case-finding campaign in key vulnerable and co-morbid populations.
- 4) Integration with Ayushman Arogya Mandir to decentralize screening and treatment services closer to the community.
- 5) Screening of vulnerable population during Ayushman Bhavah health camps through Ayushman Arogya Mandir.
- 6) Private sector engagement including incentives for notification and management of TB cases.
- 7) Scale up of molecular diagnostic laboratories to sub-district levels.
- 8) Ni-kshay Poshan Yojana for nutritional support to TB patients.
- 9) Intensified IEC campaigns to reduce stigma, raise community awareness and improve health seeking behaviour.
- 10) Multi-sectoral response with involvement of line ministries.
- 11) Scale up TB preventive therapy to contacts of pulmonary TB.
- 12) Track notified TB cases through a case-based web-based portal namely Ni-kshay
- 13) Pradhan Mantri TB Mukt Bharat Abhiyan (PMTBMBA):
-  launched by the Ministry on 9th September 2022 for community support to TB patients with the objective to provide people with TB with additional nutritional, diagnostic and vocational support
-  Ni-kshay 2.0 portal has been developed and made available in public domain for facilitating the community to register as Ni-kshay Mitra
-  Guidance documents have been developed and shared with all State/UTs to implement the initiative
-  Periodic reviews are done to monitor the progress of the initiative at National and State/UT levels

(d) and (e) There has been regular supply of Anti-TB drugs to all the State/UTs from the central level under the National TB Elimination Programme (NTEP) throughout the year and regular assessments are conducted to evaluate the stock positions at various levels, from central warehouses to peripheral health institutes. Further, State/UTs have been provisioned with resources for local procurement for limited quantities as and when required to meet the emergent requirements.

Annexure I State-wise and year-wise TB cases per 1,00,000 populations (Notification rate), in

## the last three years from 2020 to 2022 and in 2023 till November 2023

| State/UT                                 |   2020 |   2021 |   2022 |   2023* |
|------------------------------------------|--------|--------|--------|---------|
| Andaman &Nicobar Islands                 |    123 |    130 |    136 |     118 |
| Andhra Pradesh                           |    122 |    164 |    174 |     164 |
| Arunachal Pradesh                        |    154 |    163 |    169 |      88 |
| Assam                                    |    101 |    106 |    133 |     136 |
| Bihar                                    |     79 |    104 |    125 |     138 |
| Chandigarh                               |    366 |    398 |    502 |     475 |
| Chhattisgarh                             |     98 |    106 |    127 |     120 |
| Dadra and Nagar Haveli and Daman and Diu |    120 |    122 |    164 |     116 |
| Delhi                                    |    456 |    534 |    546 |     473 |
| Goa                                      |    108 |    130 |    134 |     115 |
| Gujarat                                  |    173 |    204 |    213 |     195 |
| Haryana                                  |    213 |    231 |    250 |     249 |
| Himachal Pradesh                         |    179 |    191 |    211 |     199 |
| Jammu &Kashmir                           |     61 |     73 |     82 |      74 |
| Jharkhand                                |    115 |    130 |    140 |     140 |
| Karnataka                                |     96 |    104 |    111 |     107 |
| Kerala                                   |     60 |     63 |     67 |      59 |
| Ladakh                                   |     70 |     83 |    125 |     103 |
| Lakshadweep                              |     30 |     18 |     17 |       8 |
| Madhya Pradesh                           |    163 |    194 |    214 |     202 |
| Maharashtra                              |    127 |    157 |    183 |     161 |
| Manipur                                  |     50 |     57 |     72 |      57 |
| Meghalaya                                |    113 |    111 |    131 |     119 |
| Mizoram                                  |    185 |    137 |    160 |     148 |
| Nagaland                                 |    168 |    175 |    197 |     179 |
| Odisha                                   |     99 |    112 |    128 |     125 |
| Puducherry                               |    185 |    226 |    247 |     291 |
| Punjab                                   |    151 |    162 |    181 |     170 |
| Rajasthan                                |    172 |    184 |    209 |     193 |
| Sikkim                                   |    202 |    206 |    209 |     184 |
| Tamil Nadu                               |     86 |    100 |    121 |     121 |
| Telangana                                |    167 |    159 |    181 |     171 |
| Tripura                                  |     52 |     64 |     75 |      75 |
| Uttar Pradesh                            |    158 |    192 |    218 |     247 |
| Uttarakhand                              |    172 |    193 |    230 |     210 |
| West Bengal                              |     79 |     90 |    100 |      97 |

For 2023, the data is till November 2023 and annualized.

Data source: Ni-kshay