Lok Sabha Question No. 3772 (UNSTARRED), answered on 2023-08-11
Subject: Nikshay Mitra Scheme for TB Patient
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Unmesh Bhaiyyasaheb Patil, Heena Vijaykumar Gavit, Krishna Pal Singh Yadav, Rita Bahuguna Joshi, Sujay Radhakrishna Vikhepatil, Manoj Kumar Tiwari, Shrikant Eknath Shinde, Nishikant  Dubey

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3772 TO BE ANSWERED ON 11 th AUGUST, 2023

## NIKSHAY MITRASCHEME FOR TB PATIENT

## 3772. SHRI UNMESH BHAIYYASAHEB PATIL:

DR. HEENAVIJAYKUMAR GAVIT:

DR. KRISHNAPALSINGH YADAV:

PROF. RITA BAHUGUNAJOSHI:

DR. SUJAY RADHAKRISHNAVIKHE PATIL:

SHRI MANOJ TIWARI:

DR. SHRIKANT EKNATH SHINDE:

DR. NISHIKANT DUBEY:

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

- (a) the number of cases of Tuberculosis (TB) reported in the country during the past four years and the current year, State/UT-wise, year-wise;
- (b) the number of deaths due to TB reported in the country during the said period, State/UT-wise and year-wise;
- (c) the details of the percentage of TB cases and deaths reported in various age groups during the said period, year-wise and State/UT-wise;
- (d) the number of patients adopted under the Nikshay Mitra scheme launched by the Government as part of National Tuberculosis Elimination Programme (NTEP), State/UT-wise;
- (e) whether the Government has taken/proposes to take any steps to make TB elimination facilities available in smaller towns and remote areas in the country and if so, the details thereof; and
- (f) the details of the progress made by the Government to eradicate TB under the TB Mukt Abhiyan in the country, State/UT-wise?

## ANSWER

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

- (a) to (c) The details of the number of the cases and deaths of Tuberculosis (TB) reported in Ni-kshay portal of National TB Elimination Programme (NTEP), during the past four years and current year (till 30 th June,2023), State/UT wise, year-wise is placed as Annexure-I and Annexure-II respectively. The percentage of TB cases and deaths reported in various age groups during the said period, year-wise and State/UT-wise, is placed as Annexure III and Annexure-IV respectively.
- (d) The State/UTs wise details of number of consented TB patients adopted by Nikshay Mitra, as reported in Ni-kshay portal 2.0 of NTEP, is placed as Annexure-V .
- (e) and (f) Under NTEP, free screening, diagnosis and treatment is provided to all TB patients across all public health facilities, including in smaller towns and remote areas of the country.

As per the India TB Report, 2022 of NTEP, the incidence of TB in India has reduced by 13% from 225/lakh population in 2015 to 196/lakh population in 2022. The details of steps implemented by NTEP, to achieve the SDGs related to TB by 2025, are 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 Bharat -Health & Wellness Centres to decentralize screening and treatment services closer to the community.
5. Private sector engagement including incentives for notification and management of TB cases.
6. Scale up of molecular diagnostic laboratories to sub-district levels.
7. Ni-kshay Poshan Yojana for nutritional support to TB patients.
8. Intensified IEC campaigns to reduce stigma, raise community awareness and improve health seeking behaviour.
9. Multi-sectoral response with involvement of line ministries.
10. Scale up TB preventive therapy to contacts of pulmonary TB.
11. Tracking of notified TB cases through a case-based web-based portal namely Ni-kshay
12. Pradhan Mantri TB Mukt Bharat Abhiyan (PMTBMBA):
13.  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
14.  Ni-kshay 2.0 portal has been developed and made available in public domain for facilitating the community to register as Ni-kshay Mitra.
15.  Guidance documents have been developed and shared with all State/UTs to implement the initiative
16.  Periodic reviews are done to monitor the progress of the initiative at National and State/UT levels

Annexure-I State-wise and year-wise number of TB cases reported from 2019 to 2023 (till June 2023)

|   Sr. No. | State/UT                                 | 2019   |   2020 |   2021 |   2022 |   2023* |
|-----------|------------------------------------------|--------|--------|--------|--------|---------|
|         1 | Andaman &Nicobar Islands                 | 587    |    478 |    507 |    534 |     337 |
|         2 | Andhra Pradesh                           | 98869  |  64065 |  86832 |  92187 |   44166 |
|         3 | Arunachal Pradesh                        | 2938   |   2522 |   2724 |   2863 |    1266 |
|         4 | Assam                                    | 48669  |  35261 |  37641 |  47822 |   25175 |
|         5 | Bihar                                    | 122671 |  98994 | 131703 | 161165 |   90499 |
|         6 | Chandigarh                               | 7026   |   4294 |   4720 |   6066 |    3226 |
|         7 | Chhattisgarh                             | 43718  |  29339 |  32416 |  38521 |   18595 |
|         8 | Dadra and Nagar Haveli and Daman and Diu | 1497   |    965 |   1013 |   1399 |     607 |
|         9 | Delhi                                    | 107982 |  86842 | 103038 | 106731 |   51000 |
|        10 | Goa                                      | 2410   |   1660 |   2018 |   2091 |     962 |
|        11 | Gujarat                                  | 159158 | 120560 | 144731 | 151912 |   73817 |
|        12 | Haryana                                  | 73997  |  62697 |  69083 |  75838 |   41068 |
|        13 | Himachal Pradesh                         | 17446  |  13424 |  14492 |  16089 |    8098 |
|        14 | Jammu &Kashmir                           | 11860  |   8830 |  10826 |  11804 |    6201 |
|        15 | Jharkhand                                | 56632  |  45505 |  52179 |  57320 |   28416 |
|        16 | Karnataka                                | 91703  |  65785 |  72435 |  80416 |   39331 |
|        17 | Kerala                                   | 25617  |  20835 |  21872 |  23388 |   10793 |
|        18 | Ladakh                                   | NA     |    239 |    291 |    320 |     163 |
|        19 | Lakshadweep                              | 15     |     20 |     12 |     11 |       3 |
|        20 | Madhya Pradesh                           | 187407 | 137648 | 166346 | 186293 |   87109 |
|        21 | Maharashtra                              | 227348 | 159663 | 199976 | 234105 |  108682 |
|        22 | Manipur                                  | 2553   |   1563 |   1793 |   2554 |     983 |
|        23 | Meghalaya                                | 5528   |   4139 |   4152 |   4989 |    2406 |
|        24 | Mizoram                                  | 2944   |   2334 |   1749 |   2085 |    1131 |
|        25 | Nagaland                                 | 4794   |   3487 |   3648 |   4125 |    2246 |
|        26 | Odisha                                   | 53612  |  45628 |  52381 |  60372 |   30982 |
|        27 | Puducherry                               | 4606   |   2762 |   3444 |   3835 |    2097 |
|        28 | Punjab                                   | 58204  |  46198 |  50142 |  55150 |   28605 |
|        29 | Rajasthan                                | 175218 | 137343 | 149225 | 169522 |   83069 |
|        30 | Sikkim                                   | 1432   |   1326 |   1373 |   1395 |     725 |
|        31 | Tamil Nadu                               | 110845 |  70304 |  82823 |  93879 |   47925 |
|        32 | Telangana                                | 71655  |  63209 |  60714 |  72941 |   36876 |
|        33 | Tripura                                  | 2761   |   2071 |   2543 |   3024 |    1638 |
|        34 | Uttar Pradesh                            | 486385 | 366641 | 453712 | 522850 |  302725 |
|        35 | Uttarakhand                              | 26060  |  20000 |  22789 |  27553 |   13346 |
|        36 | West Bengal                              | 110668 |  79039 |  90487 | 100972 |   52552 |

For 2023, the data is till 30 th June 2023.

Data source: Ni-kshay

Annexure-II State-wise and year-wise number of TB deaths reported from 2019 to 2023 (till June 2023)

|   Sr. No. | State/UT                                 |   2019 |   2020 |   2021 |   2022 |   2023* |
|-----------|------------------------------------------|--------|--------|--------|--------|---------|
|         1 | Andaman &Nicobar Islands                 |     12 |     25 |     16 |     13 |      11 |
|         2 | Andhra Pradesh                           |   3636 |   3585 |   2490 |   2223 |    1050 |
|         3 | Arunachal Pradesh                        |     59 |     64 |     78 |     73 |      39 |
|         4 | Assam                                    |   1562 |   1840 |   1422 |   1649 |    1008 |
|         5 | Bihar                                    |   2577 |   2975 |   3341 |   4881 |    2806 |
|         6 | Chandigarh                               |     94 |    114 |    129 |    117 |      92 |
|         7 | Chhattisgarh                             |   1403 |   1603 |   1380 |   1846 |    1139 |
|         8 | Dadra and Nagar Haveli and Daman and Diu |     18 |     25 |     17 |     30 |      19 |
|         9 | Delhi                                    |     11 |   2111 |   2008 |   2297 |    1390 |
|        10 | Goa                                      |   1367 |     72 |     89 |    175 |     106 |
|        11 | Gujarat                                  |     71 |   6870 |   5472 |   6846 |    3768 |
|        12 | Haryana                                  |   6436 |   2809 |   2638 |   3065 |    1943 |
|        13 | Himachal Pradesh                         |   2284 |    837 |    723 |    891 |     514 |
|        14 | Jammu &Kashmir                           |    661 |    295 |    309 |    417 |     260 |
|        15 | Jharkhand                                |    278 |   1314 |   1568 |   1826 |     973 |
|        16 | Karnataka                                |   1163 |   5605 |   4490 |   5236 |    2956 |
|        17 | Kerala                                   |   4868 |   1828 |   1668 |   1779 |    1069 |
|        18 | Ladakh                                   |   1163 |     23 |     19 |     22 |       7 |
|        19 | Lakshadweep                              |      0 |      2 |      0 |      1 |       0 |
|        20 | Madhya Pradesh                           |   4316 |   5485 |   4795 |   6643 |    3925 |
|        21 | Maharashtra                              |   7114 |   8785 |   6988 |   7809 |    5627 |
|        22 | Manipur                                  |     72 |     74 |     55 |     73 |      55 |
|        23 | Meghalaya                                |    145 |    186 |    185 |    180 |     127 |
|        24 | Mizoram                                  |     53 |     48 |     50 |     72 |      67 |
|        25 | Nagaland                                 |     95 |    108 |     97 |    113 |      55 |
|        26 | Odisha                                   |   2522 |   2738 |   2506 |   2973 |    1509 |
|        27 | Puducherry                               |     92 |    116 |     80 |     74 |      72 |
|        28 | Punjab                                   |   2355 |   2824 |   2667 |   2619 |    1570 |
|        29 | Rajasthan                                |   4178 |   4767 |   4616 |   4852 |    3207 |
|        30 | Sikkim                                   |     32 |     45 |     45 |     47 |      42 |
|        31 | Tamil Nadu                               |   4083 |   5365 |   4050 |   4966 |    2998 |
|        32 | Telangana                                |   1850 |   2392 |   1876 |   1759 |    1120 |
|        33 | Tripura                                  |    127 |    173 |    159 |    167 |     116 |
|        34 | Uttar Pradesh                            |  13424 |  18409 |  14913 |  16500 |   10392 |
|        35 | Uttarakhand                              |    690 |    894 |    743 |    863 |     583 |
|        36 | West Bengal                              |   4571 |   5417 |   4320 |   4963 |    2871 |

For 2023, the data is till 30 th June 2023.

Data source: Ni-kshay

I. State wise, Age group wise percentage of TB Cases out of the total TB cases notified for 20192021 under NTEP

| Sr. No.   | State/UT                                 | 2019 (in percentage)   | 2019 (in percentage)   | 2019 (in percentage)   | 2019 (in percentage)   | 2020 (in percentage)   | 2020 (in percentage)   | 2020 (in percentage)   | 2020 (in percentage)   | 2021 (in percentage)   | 2021 (in percentage)   | 2021 (in percentage)   | 2021 (in percentage)   |
|-----------|------------------------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|
| Sr. No.   | State/UT                                 | <15 yr                 | 15- 44 yr              | 45- 64 yr              | >64 yr                 | <15 yr                 | 15- 44 yr              | 45- 64 yr              | >64 yr                 | <15 yr                 | 15- 44 yr              | 45- 64 yr              | >64 yr                 |
| 1         | Andaman &Nicobar Islands                 | 4                      | 59                     | 27                     | 10                     | 4                      | 61                     | 30                     | 5                      | 4                      | 55                     | 31                     | 10                     |
| 2         | Andhra Pradesh                           | 4                      | 46                     | 37                     | 13                     | 4                      | 46                     | 38                     | 12                     | 3                      | 43                     | 41                     | 13                     |
| 3         | Arunachal Pradesh                        | 13                     | 68                     | 15                     | 4                      | 12                     | 71                     | 13                     | 4                      | 10                     | 68                     | 17                     | 5                      |
| 4         | Assam                                    | 4                      | 58                     | 30                     | 8                      | 3                      | 61                     | 28                     | 8                      | 3                      | 58                     | 31                     | 8                      |
| 5         | Bihar                                    | 11                     | 56                     | 24                     | 9                      | 9                      | 58                     | 24                     | 9                      | 10                     | 56                     | 24                     | 10                     |
| 6         | Chandigarh                               | 8                      | 63                     | 21                     | 8                      | 9                      | 66                     | 20                     | 5                      | 9                      | 64                     | 20                     | 7                      |
| 7         | Chhattisgarh                             | 5                      | 54                     | 30                     | 11                     | 4                      | 55                     | 31                     | 10                     | 4                      | 57                     | 30                     | 9                      |
| 8         | Dadra and Nagar Haveli and Daman and Diu | 6                      | 72                     | 17                     | 5                      | 6                      | 75                     | 15                     | 4                      | 7                      | 70                     | 19                     | 4                      |
| 9         | Delhi                                    | 10                     | 67                     | 17                     | 6                      | 11                     | 67                     | 17                     | 5                      | 10                     | 66                     | 18                     | 6                      |
| 10        | Goa                                      | 3                      | 56                     | 32                     | 9                      | 3                      | 57                     | 30                     | 10                     | 4                      | 55                     | 31                     | 10                     |
| 11        | Gujarat                                  | 6                      | 59                     | 27                     | 8                      | 5                      | 60                     | 27                     | 8                      | 5                      | 57                     | 29                     | 9                      |
| 12        | Haryana                                  | 5                      | 58                     | 25                     | 12                     | 6                      | 58                     | 25                     | 11                     | 6                      | 58                     | 25                     | 11                     |
| 13        | Himachal Pradesh                         | 4                      | 54                     | 27                     | 15                     | 4                      | 55                     | 27                     | 14                     | 4                      | 52                     | 29                     | 15                     |
| 14        | Jammu &Kashmir                           | 7                      | 52                     | 25                     | 16                     | 5                      | 54                     | 26                     | 15                     | 6                      | 49                     | 27                     | 18                     |
| 15        | Jharkhand                                | 5                      | 59                     | 29                     | 7                      | 5                      | 60                     | 29                     | 6                      | 5                      | 59                     | 29                     | 7                      |
| 16        | Karnataka                                | 5                      | 52                     | 31                     | 12                     | 5                      | 53                     | 31                     | 11                     | 5                      | 52                     | 32                     | 11                     |
| 17        | Kerala                                   | 6                      | 34                     | 41                     | 19                     | 4                      | 36                     | 41                     | 19                     | 3                      | 34                     | 43                     | 20                     |
| 18        | Ladakh                                   | 6                      | 41                     | 26                     | 27                     | 2                      | 46                     | 27                     | 25                     | 1                      | 39                     | 22                     | 38                     |
| 19        | Lakshadweep                              | 14                     | 33                     | 33                     | 20                     | 0                      | 44                     | 28                     | 28                     | 8                      | 43                     | 41                     | 8                      |
| 20        | Madhya Pradesh                           | 9                      | 57                     | 26                     | 8                      | 8                      | 59                     | 26                     | 7                      | 8                      | 58                     | 26                     | 8                      |
| 21        | Maharashtra                              | 6                      | 60                     | 24                     | 10                     | 6                      | 62                     | 24                     | 9                      | 6                      | 60                     | 24                     | 10                     |
| 22        | Manipur                                  | 5                      | 43                     | 32                     | 20                     | 5                      | 47                     | 30                     | 18                     | 4                      | 44                     | 32                     | 20                     |
| 23        | Meghalaya                                | 8                      | 67                     | 20                     | 5                      | 7                      | 70                     | 19                     | 4                      | 8                      | 68                     | 20                     | 4                      |
| 24        | Mizoram                                  | 7                      | 67                     | 19                     | 7                      | 7                      | 66                     | 20                     | 7                      | 5                      | 67                     | 21                     | 7                      |
| 25        | Nagaland                                 | 7                      | 67                     | 19                     | 7                      | 6                      | 70                     | 18                     | 6                      | 5                      | 69                     | 20                     | 6                      |
| 26        | Odisha                                   | 5                      | 53                     | 33                     | 9                      | 4                      | 53                     | 34                     | 9                      | 4                      | 52                     | 35                     | 9                      |
| 27        | Puducherry                               | 3                      | 45                     | 40                     | 12                     | 4                      | 43                     | 41                     | 12                     | 3                      | 44                     | 41                     | 12                     |
| 28        | Punjab                                   | 6                      | 58                     | 25                     | 11                     | 6                      | 60                     | 24                     | 10                     | 6                      | 59                     | 25                     | 10                     |
| 29        | Rajasthan                                | 6                      | 57                     | 27                     | 10                     | 5                      | 58                     | 27                     | 10                     | 5                      | 57                     | 28                     | 10                     |
| 30        | Sikkim                                   | 4                      | 70                     | 17                     | 9                      | 4                      | 72                     | 16                     | 8                      | 4                      | 69                     | 18                     | 9                      |
| 31        | Tamil Nadu                               | 5                      | 42                     | 40                     | 13                     | 5                      | 44                     | 40                     | 11                     | 3                      | 42                     | 43                     | 12                     |
| 32        | Telangana                                | 3                      | 53                     | 32                     | 12                     | 4                      | 51                     | 33                     | 12                     | 4                      | 50                     | 34                     | 12                     |
| 33        | Tripura                                  | 1                      | 45                     | 39                     | 15                     | 1                      | 50                     | 38                     | 11                     | 1                      | 46                     | 39                     | 14                     |
| 34        | Uttar Pradesh                            | 6                      | 59                     | 26                     | 9                      | 5                      | 62                     | 25                     | 8                      | 5                      | 60                     | 27                     | 8                      |
| 35        | Uttarakhand                              | 6                      | 58                     | 25                     | 11                     | 5                      | 60                     | 25                     | 10                     | 5                      | 57                     | 27                     | 11                     |
| 36        | West Bengal                              | 3                      | 56                     | 32                     | 9                      | 4                      | 57                     | 31                     | 8                      | 4                      | 55                     | 32                     | 9                      |

Data source: Ni-kshay

## II. State wise, Age group wise percentage of TB Cases out of the total TB cases notified in 2022 and 2023 under NTEP

| Sr. No.   | State/UT                                 | 2022 (in percentage)   | 2022 (in percentage)   | 2022 (in percentage)   | 2022 (in percentage)   | 2023* (in percentage) Till 30 th June 2023   | 2023* (in percentage) Till 30 th June 2023   | 2023* (in percentage) Till 30 th June 2023   | 2023* (in percentage) Till 30 th June 2023   |
|-----------|------------------------------------------|------------------------|------------------------|------------------------|------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|
| Sr. No.   | State/UT                                 | <15 yr                 | 15-44 yr               | 45-64 yr               | >64 yr                 | <15 yr                                       | 15-44 yr                                     | 45-64 yr                                     | >64 yr                                       |
| 1         | Andaman &Nicobar Islands                 | 4                      | 54                     | 34                     | 8                      | 5                                            | 61                                           | 27                                           | 7                                            |
| 2         | Andhra Pradesh                           | 3                      | 40                     | 42                     | 15                     | 3                                            | 43                                           | 38                                           | 16                                           |
| 3         | Arunachal Pradesh                        | 11                     | 65                     | 18                     | 6                      | 10                                           | 65                                           | 19                                           | 6                                            |
| 4         | Assam                                    | 4                      | 56                     | 31                     | 9                      | 4                                            | 56                                           | 31                                           | 9                                            |
| 5         | Bihar                                    | 10                     | 56                     | 24                     | 10                     | 9                                            | 56                                           | 24                                           | 11                                           |
| 6         | Chandigarh                               | 9                      | 62                     | 21                     | 8                      | 9                                            | 61                                           | 22                                           | 8                                            |
| 7         | Chhattisgarh                             | 6                      | 51                     | 32                     | 11                     | 6                                            | 52                                           | 31                                           | 11                                           |
| 8         | Dadra and Nagar Haveli and Daman and Diu | 7                      | 71                     | 16                     | 6                      | 6                                            | 75                                           | 15                                           | 4                                            |
| 9         | Delhi                                    | 10                     | 66                     | 18                     | 6                      | 11                                           | 66                                           | 17                                           | 6                                            |
| 10        | Goa                                      | 3                      | 55                     | 31                     | 11                     | 3                                            | 53                                           | 31                                           | 13                                           |
| 11        | Gujarat                                  | 5                      | 57                     | 29                     | 9                      | 5                                            | 57                                           | 29                                           | 9                                            |
| 12        | Haryana                                  | 5                      | 58                     | 25                     | 12                     | 6                                            | 57                                           | 25                                           | 12                                           |
| 13        | Himachal Pradesh                         | 4                      | 49                     | 29                     | 18                     | 3                                            | 53                                           | 28                                           | 16                                           |
| 14        | Jammu &Kashmir                           | 4                      | 50                     | 27                     | 19                     | 5                                            | 49                                           | 28                                           | 18                                           |
| 15        | Jharkhand                                | 5                      | 58                     | 30                     | 7                      | 5                                            | 58                                           | 30                                           | 7                                            |
| 16        | Karnataka                                | 5                      | 49                     | 33                     | 13                     | 5                                            | 50                                           | 32                                           | 13                                           |
| 17        | Kerala                                   | 4                      | 31                     | 42                     | 23                     | 3                                            | 32                                           | 42                                           | 23                                           |
| 18        | Ladakh                                   | 2                      | 34                     | 24                     | 40                     | 4                                            | 33                                           | 23                                           | 40                                           |
| 19        | Lakshadweep                              | 9                      | 36                     | 55                     | 0                      | 0                                            | 67                                           | 33                                           | 0                                            |
| 20        | Madhya Pradesh                           | 8                      | 57                     | 26                     | 9                      | 8                                            | 57                                           | 26                                           | 9                                            |
| 21        | Maharashtra                              | 5                      | 59                     | 25                     | 11                     | 6                                            | 58                                           | 25                                           | 11                                           |
| 22        | Manipur                                  | 4                      | 41                     | 32                     | 23                     | 3                                            | 39                                           | 33                                           | 25                                           |
| 23        | Meghalaya                                | 6                      | 66                     | 22                     | 6                      | 6                                            | 66                                           | 22                                           | 6                                            |
| 24        | Mizoram                                  | 7                      | 62                     | 22                     | 9                      | 8                                            | 64                                           | 20                                           | 8                                            |
| 25        | Nagaland                                 | 5                      | 66                     | 21                     | 8                      | 5                                            | 66                                           | 21                                           | 8                                            |
| 26        | Odisha                                   | 4                      | 50                     | 36                     | 10                     | 4                                            | 52                                           | 34                                           | 10                                           |
| 27        | Puducherry                               | 3                      | 42                     | 42                     | 13                     | 3                                            | 43                                           | 41                                           | 13                                           |
| 28        | Punjab                                   | 5                      | 60                     | 24                     | 11                     | 6                                            | 58                                           | 24                                           | 12                                           |
| 29        | Rajasthan                                | 5                      | 54                     | 29                     | 12                     | 5                                            | 55                                           | 28                                           | 12                                           |
| 30        | Sikkim                                   | 4                      | 65                     | 21                     | 10                     | 3                                            | 67                                           | 20                                           | 10                                           |
| 31        | Tamil Nadu                               | 3                      | 41                     | 42                     | 14                     | 4                                            | 40                                           | 42                                           | 14                                           |
| 32        | Telangana                                | 4                      | 47                     | 36                     | 13                     | 3                                            | 49                                           | 35                                           | 13                                           |
| 33        | Tripura                                  | 1                      | 43                     | 42                     | 14                     |                                              | 43                                           | 40                                           | 16                                           |
| 34        | Uttar Pradesh                            | 6                      | 60                     | 25                     | 9                      | 1 7                                          | 58                                           | 26                                           | 9                                            |
| 35        | Uttarakhand                              | 5                      | 57                     | 26                     | 12                     | 6                                            | 56                                           | 26                                           | 12                                           |
| 36        | West Bengal                              | 4                      | 53                     | 33                     | 10                     | 4                                            | 53                                           | 33                                           | 10                                           |

*For 2023, data till June 2023

Data source: Ni-kshay

Annexure-IV Part-I/II I. State wise, Age group wise percentage of TB Deaths out of the total TB cases reported for 2019

## - 2021 under NTEP

| Sr. No.   | State/UT                                 | 2019 (in percentage)   | 2019 (in percentage)   | 2019 (in percentage)   | 2019 (in percentage)   | 2020 (in percentage)   | 2020 (in percentage)   | 2020 (in percentage)   | 2020 (in percentage)   | 2021 (in percentage)   | 2021 (in percentage)   | 2021 (in percentage)   | 2021 (in percentage)   |
|-----------|------------------------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|------------------------|
| Sr. No.   | State/UT                                 | <15 yr                 | 15- 44 yr              | 45-6 4 yr              | >64 yr                 | <15 yr                 | 15- 44 yr              | 45-64 yr               | >64 yr                 | <15 yr                 | 15-44 yr               | 45- 64 yr              | >64 yr                 |
| 1         | Andaman &Nicobar Islands                 | 7.7                    | 1.1                    | 2.3                    | 15.4                   | 0                      | 1.5 6.1                | 20.4                   | 0                      |                        | 1.9                    | 5.3                    | 16.7                   |
| 2         | Andhra Pradesh                           | 1.2                    | 3.4                    | 5.4                    | 7.6                    | 0.8                    | 2.5                    | 4.4                    | 7.1                    | 1.5                    | 2.7                    | 4.7                    | 7.3                    |
| 3         | Arunachal Pradesh                        | 0.7                    | 1.4                    | 5.8                    | 8.2                    | 0.8                    | 1.3                    | 4.8                    | 9.9                    | 2.2                    | 2                      | 7.2                    | 13                     |
| 4         | Assam                                    | 2.1                    | 2.8                    | 5.3                    | 9.7                    | 2.4                    | 2.4                    | 5.4                    | 8.9                    | 2.4                    | 2.8                    | 6                      | 8.7                    |
| 5         | Bihar                                    | 1                      | 1.9                    | 3.8                    | 6.9                    | 0.9                    | 1.5                    | 3.6                    | 6.6                    | 1.8                    | 1.9                    | 5.2                    | 9                      |
| 6         | Chandigarh                               | 2.3                    | 1.6                    | 6.6                    | 12.8                   | 2                      | 1.6                    | 6.7                    | 15.6                   | 3                      | 3.3                    | 7.9                    | 13.2                   |
| 7         | Chhattisgarh                             | 1.3                    | 2.2                    | 5.4                    | 8.9                    | 1.6                    | 2.2                    | 5.2                    | 9                      | 1.7                    | 2.8                    | 6.7                    | 10.9                   |
| 8         | Dadra and Nagar Haveli and Daman and Diu | 2.6                    | 1.3                    | 10.4                   | 12.2                   | 1.8                    | 1.7                    | 6.1                    | 5.7                    | 0                      | 1.5                    | 4.6                    | 12.5                   |
| 9         | Delhi                                    | 0.8                    | 1.6                    | 4.9                    | 9.9                    | 0.8                    | 1.2                    | 4.8                    | 10                     | 1                      | 1.6                    | 6.3                    | 12.3                   |
| 10        | Goa                                      | 1.3                    | 2.7                    | 6.6                    | 10.9                   | 1.4                    | 1.5                    | 4                      | 11.3                   | 5.4                    | 2.6                    | 7.5                    | 16.6                   |
| 11        | Gujarat                                  | 2.2                    | 3.7                    | 7.3                    | 12.4                   | 2                      | 2.7                    | 6.7                    | 12.6                   | 2.2                    | 3.1                    | 6.6                    | 11.7                   |
| 12        | Haryana                                  | 0.9                    | 2.2                    | 6.3                    | 11.3                   | 1.3                    | 1.9                    | 5.8                    | 11.2                   | 0.9                    | 2.1                    | 6.6                    | 12                     |
| 13        | Himachal Pradesh                         | 0.9                    | 1.6                    | 6.4                    | 14.3                   | 1.5                    | 1.7                    | 6.1                    | 14.4                   | 2.6                    | 1.7                    | 7.3                    | 17.2                   |
| 14        | Jammu &Kashmir                           | 0.7                    | 1.2                    | 3.5                    | 7                      | 0.8                    | 0.8                    | 3.6                    | 7.9                    | 2.4                    | 1.5                    | 4                      | 10.2                   |
| 15        | Jharkhand                                | 1.2                    | 1.9                    | 3.8                    | 6                      | 0.9                    | 1.6                    | 3.6                    | 5.8                    | 2.1                    | 2.2                    | 4.9                    | 9.8                    |
| 16        | Karnataka                                | 1.3                    | 4.8                    | 9.1                    | 15.1                   | 1.4                    | 4                      | 8.4                    | 14.4                   | 2.4                    | 4.5                    | 9.5                    | 15.4                   |
| 17        | Kerala                                   | 0.7                    | 1.7                    | 5.1                    | 13.3                   | 0.7                    | 2                      | 7.1                    | 19.2                   | 0.8                    | 2.7                    | 8.1                    | 19.9                   |
| 18        | Ladakh                                   | 0                      | 0.5                    | 6.7                    | 7.3                    | 0                      | 1.8                    | 7.3                    | 10.7                   | 0                      | 0                      | 13. 4                  | 16.7                   |
| 19        | Lakshadweep                              | 0                      | 0                      | 0                      | 0                      | 0                      | 9.1                    | 16.7                   | 0                      | 0                      | 0                      | 0                      | 0                      |
| 20        | Madhya Pradesh                           | 1                      | 2.2                    | 4.7                    | 8.4                    | 0.9                    | 1.8                    | 4.6                    | 8.8                    | 1.5                    | 2.3                    | 5.2                    | 9.8                    |
| 21        | Maharashtra                              | 1.6                    | 3.5                    | 7.1                    | 10.8                   | 1.5                    | 2.4                    | 6.6                    | 11                     | 1.7                    | 2.8                    | 7.1                    | 13.3                   |
| 22        | Manipur                                  | 0                      | 1.8                    | 3.2                    | 6.8                    | 0                      | 1.7                    | 3.4                    | 6.2                    | 1.4                    | 2.9                    | 3.7                    | 5.6                    |
| 23        | Meghalaya                                | 1.3                    | 2.9                    | 7.6                    | 11.7                   | 1.9                    | 2.9                    | 5.5                    | 12.7                   | 1.6                    | 3.4                    | 9.4                    | 12.7                   |
| 24        | Mizoram                                  | 0.4                    | 1.4                    | 4.7                    | 5.4                    | 0                      | 1.1                    | 2.8                    | 4.6                    | 0                      | 1.5                    | 2.7                    | 14.4                   |
| 25        | Nagaland                                 | 0.9                    | 1.9                    | 4.4                    | 5.2                    | 2.1                    | 1.4                    | 5                      | 4.8                    | 2.1                    | 2.1                    | 3.7                    | 7.8                    |
| 26        | Odisha                                   | 2.5                    | 3.3                    | 7.5                    | 13.3                   | 1.3                    | 3.1                    | 7.3                    | 12.5                   | 3.5                    | 3.4                    | 7.4                    | 12.4                   |
| 27        | Puducherry                               | 1.5                    | 3.5                    | 8.1                    | 13.2                   | 0                      | 4.1                    | 8.4                    | 20.6                   | 2.3                    | 2.5                    | 8.8                    | 15.7                   |
| 28        | Punjab                                   | 1.5                    | 2.5                    | 7.6                    | 14.1                   | 1.2                    | 2.2                    | 7.1                    | 15.3                   | 3                      | 3                      | 9                      | 16.6                   |
| 29        | Rajasthan                                | 1.1                    | 2.3                    | 4.7                    | 8.8                    | 1                      | 1.5                    | 4.1                    | 7.7                    | 1.4                    | 1.9                    | 5                      | 9.4                    |
| 30        | Sikkim                                   | 2.2                    | 2.5                    | 8.3                    | 13.4                   | 0                      | 1.8                    | 4.1                    | 17.2                   | 0                      | 2.3                    | 5.7                    | 17.2                   |
| 31        | Tamil Nadu                               | 0.7                    | 3                      | 5.6                    | 9.7                    | 0.8                    | 2.8                    | 5.9                    | 10.6                   | 0.8                    | 3.4                    | 7.1                    | 12.9                   |
| 32        | Telangana                                | 1.5                    | 2.8                    | 5.1                    | 8.4                    | 1.5                    | 2.2                    | 4.3                    | 7.6                    | 2.2                    | 2.1                    | 3.8                    | 6                      |
| 33        | Tripura                                  | 3.6                    | 3                      | 5.7                    | 11.2                   | 0                      | 2.7                    | 6.5                    | 15.3                   | 9.1                    | 5.1                    | 8.4                    | 14.4                   |
| 34        | Uttar Pradesh                            | 1.6                    | 2.6                    | 5.9                    | 10.6                   | 1.3                    | 2                      | 5.9                    | 11.3                   | 2.1                    | 2.3                    | 6.5                    | 11.9                   |
| 35        | Uttarakhand                              | 0.6                    | 2                      | 6                      | 10.3                   | 1.6                    | 1.6                    | 5.2                    | 12                     | 1.8                    | 1.9                    | 5.5                    | 11.7                   |
| 36        | West Bengal                              | 1.9                    | 2.9                    | 7.2                    | 14.5                   | 2.7                    | 2.4                    | 7.1                    | 14.7                   | 3.8                    | 2.8                    | 8                      | 16.2                   |

Source: Ni-kshay

II. State wise, Age group wise percentage of TB Deaths out of the total TB cases reported in 2022 and 2023 under NTEP

| Sl. No.   | States/UT                                | 2022 (in percentage)   | 2022 (in percentage)   | 2022 (in percentage)   | 2022 (in percentage)   | 2023* (in percentage) (Till 30 th June 2023)   | 2023* (in percentage) (Till 30 th June 2023)   | 2023* (in percentage) (Till 30 th June 2023)   | 2023* (in percentage) (Till 30 th June 2023)   |
|-----------|------------------------------------------|------------------------|------------------------|------------------------|------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|
| Sl. No.   | States/UT                                | <15 yr                 | 15-44 yr               | 45-64 yr               | >64 yr                 | <15 yr                                         | 15-4 4 yr                                      | 45-6 4 yr                                      | >64 yr                                         |
| 1         | Andaman & Nicobar Islands                | 0                      | 8.3                    | 16.2                   | 7.5                    | 0                                              | 2.8                                            | 4.8                                            | 8                                              |
| 2         | Andhra Pradesh                           | 4.7                    | 7.8                    | 7.4                    | 5.5                    | 0.8                                            | 1.8                                            | 2.3                                            | 3.8                                            |
| 3         | Arunachal Pradesh                        | 2.7                    | 9.2                    | 13.3                   | 7.8                    | 1.2                                            | 1.7                                            | 5.1                                            | 5.4                                            |
| 4         | Assam                                    | 17.5                   | 12.9                   | 13.5                   | 11.7                   | 2.9                                            | 2.9                                            | 6                                              | 8.6                                            |
| 5         | Bihar                                    | 4.8                    | 9.4                    | 12                     | 10.6                   | 1.7                                            | 2                                              | 5.3                                            | 9.7                                            |
| 6         | Chandigarh                               | 7.3                    | 10.8                   | 16.3                   | 17.3                   | 1.2                                            | 2.4                                            | 9.3                                            | 22.1                                           |
| 7         | Chhattisgarh                             | 6.7                    | 14.1                   | 17.4                   | 13.5                   | 1.6                                            | 3.3                                            | 7.6                                            | 15.1                                           |
| 8         | Dadra and Nagar Haveli and Daman and Diu | 0                      | 12.4                   | 19.7                   | 20                     | 2.6                                            | 2                                              | 8.1                                            | 18.5                                           |
| 9         | Delhi                                    | 5.5                    | 9                      | 15                     | 14.6                   | 1.4                                            | 1.8                                            | 6                                              | 11                                             |
| 10        | Goa                                      | 2.7                    | 18.7                   | 28.9                   | 32                     | 7.7                                            | 3.7                                            | 16.3                                           | 30                                             |
| 11        | Gujarat                                  | 9.8                    | 13.6                   | 16.3                   | 12.4                   | 2.5                                            | 3.1                                            | 6.7                                            | 10.7                                           |
| 12        | Haryana                                  | 5.8                    | 11.3                   | 16.4                   | 14.7                   | 1.6                                            | 2.4                                            | 7.5                                            | 12.2                                           |
| 13        | Himachal Pradesh                         | 10.2                   | 8.4                    | 17.5                   | 17.8                   | 1.2                                            | 1.7                                            | 7.2                                            | 18.2                                           |
| 14        | Jammu &Kashmir                           | 5                      | 6                      | 10.3                   | 11.4                   | 2.8                                            | 1.3                                            | 4.9                                            | 11.5                                           |
| 15        | Jharkhand                                | 5.3                    | 9.1                    | 10.8                   | 9.2                    | 1.6                                            | 2.1                                            | 4.6                                            | 6.6                                            |
| 16        | Karnataka                                | 8.7                    | 18.6                   | 22.6                   | 18.5                   | 1.6                                            | 4.5                                            | 10.1                                           | 16.1                                           |
| 17        | Kerala                                   | 2.7                    | 9.2                    | 17.3                   | 20.8                   | 0.2                                            | 2.6                                            | 8.2                                            | 20.7                                           |
| 18        | Ladakh                                   | 0                      | 3                      | 10                     | 14.2                   | 0                                              | 0                                              | 0                                              | 9.3                                            |
| 19        | Lakshadweep                              | 0                      | 0                      | 0                      | 25                     | 0                                              | 0                                              | 0                                              | 0                                              |
| 20        | Madhya Pradesh                           | 5.3                    | 11.6                   | 13.5                   | 11.9                   | 1.4                                            | 2.7                                            | 6                                              | 10.3                                           |
| 21        | Maharashtra                              | 6.6                    | 13.1                   | 16.6                   | 13.7                   | 2.1                                            | 3                                              | 7                                              | 13.2                                           |
| 22        | Manipur                                  | 9.3                    | 7.2                    | 9.8                    | 9                      | 0                                              | 2.3                                            | 4.9                                            | 6.9                                            |
| 23        | Meghalaya                                | 6                      | 18                     | 19                     | 19.7                   | 4.5                                            | 3.9                                            | 8.7                                            | 7.4                                            |
| 24        | Mizoram                                  | 9.3                    | 10.6                   | 14.8                   | 12.7                   | 0                                              | 5.1                                            | 5.4                                            | 19.8                                           |
| 25        | Nagaland                                 | 5.2                    | 9.3                    | 10.3                   | 6.7                    | 0                                              | 1.6                                            | 4                                              | 5.5                                            |
| 26        | Odisha                                   | 13.5                   | 13.7                   | 16.5                   | 13.9                   | 1.6                                            | 2.8                                            | 6.5                                            | 11                                             |
| 27        | Puducherry                               | 0                      | 15.3                   | 23.8                   | 18.6                   | 0                                              | 6                                              | 9.9                                            | 21.7                                           |
| 28        | Punjab                                   | 10.1                   | 12.6                   | 17.7                   | 15.5                   | 2.2                                            | 2.8                                            | 7.1                                            | 14.5                                           |
| 29        | Rajasthan                                | 5.7                    | 9.6                    | 11.9                   | 10.9                   | 1.5                                            | 2.1                                            | 5                                              | 8.9                                            |
| 30        | Sikkim                                   | 13.8                   | 12.5                   | 20.8                   | 20.3                   | 3.7                                            | 3.4                                            | 7.5                                            | 15.3                                           |
| 31        | Tamil Nadu                               | 6                      | 12.7                   | 16.8                   | 14.3                   | 0.9                                            | 3.4                                            | 7.3                                            | 13.1                                           |
| 32        | Telangana                                | 7.3                    | 8.3                    | 8.6                    | 6.2                    | 1.3                                            | 2.2                                            | 3.9                                            | 6                                              |
| 33        | Tripura                                  | 21.4                   | 12.4                   | 16.5                   | 11.8                   | 2                                              | 2.5 2.3                                        | 5.7                                            | 16.6                                           |
| 34        | Uttar Pradesh                            | 6.6                    | 11.2                   | 13.5                   | 14.6                   | 3.6                                            |                                                | 8.5                                            | 10.5                                           |
| 35        | Uttarakhand                              | 7.6                    | 7.9                    | 12.5                   | 11.5                   | 1.4                                            | 1.9                                            | 5.8                                            | 11.4                                           |
| 36        | West Bengal                              | 12.4                   | 13.1                   | 17.4                   | 17.5                   | 2.4                                            | 3                                              | 7.2                                            | 14.2                                           |

Data source: Ni-kshay

*For 2023, data till June 2023.

Annexure-V State wise details of number of consented TB patients adopted by Nikshay Mitra from 9 th September 2022 to 8 th August 2023

|   Sr. No. | States/UT                                |   No. of TB patients adopted by Ni-kshay Mitra |
|-----------|------------------------------------------|------------------------------------------------|
|         1 | Andaman &Nicobar Islands                 |                                            190 |
|         2 | Andhra Pradesh                           |                                          41700 |
|         3 | Arunachal Pradesh                        |                                           1091 |
|         4 | Assam                                    |                                          23575 |
|         5 | Bihar                                    |                                          91164 |
|         6 | Chandigarh                               |                                           1939 |
|         7 | Chhattisgarh                             |                                          16498 |
|         8 | Dadra and Nagar Haveli and Daman and Diu |                                            527 |
|         9 | Delhi                                    |                                          46566 |
|        10 | Goa                                      |                                            883 |
|        11 | Gujarat                                  |                                          69995 |
|        12 | Haryana                                  |                                          35009 |
|        13 | Himachal Pradesh                         |                                           7921 |
|        14 | Jammu &Kashmir                           |                                           6055 |
|        15 | Jharkhand                                |                                          29051 |
|        16 | Karnataka                                |                                          24700 |
|        17 | Kerala                                   |                                           4348 |
|        18 | Ladakh                                   |                                            110 |
|        19 | Lakshadweep                              |                                              5 |
|        20 | Madhya Pradesh                           |                                          89201 |
|        21 | Maharashtra                              |                                         108477 |
|        22 | Manipur                                  |                                            719 |
|        23 | Meghalaya                                |                                           2095 |
|        24 | Mizoram                                  |                                           1324 |
|        25 | Nagaland                                 |                                           2173 |
|        26 | Odisha                                   |                                          26100 |
|        27 | Puducherry                               |                                            665 |
|        28 | Punjab                                   |                                          32806 |
|        29 | Rajasthan                                |                                          74027 |
|        30 | Sikkim                                   |                                            786 |
|        31 | Tamil Nadu                               |                                            276 |
|        32 | Telangana                                |                                          31335 |
|        33 | Tripura                                  |                                           1753 |
|        34 | Uttar Pradesh                            |                                         275212 |
|        35 | Uttarakhand                              |                                           9907 |
|        36 | West Bengal                              |                                          37911 |

Source : Ni-kshay