Lok Sabha Question No. 1578 (UNSTARRED), answered on 2023-07-28
Subject: Rising Cases of Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nihal Chand Chauhan

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

## LOK SABHA UNSTARRED QUESTION NO. 1578 TO BE ANSWERED ON 28 th JULY, 2023

## RISING CASES OF CANCER

## 1578. SHRI NIHAL CHAND:

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

- (a) whether the Government has made any assessment of the approximate number of cancer patients in the country;
- (b) if so, the details thereof, State/UT-wise;
- (c) whether as per the National Health Profile report, the number of cancer patients have increased significantly in Rajasthan during the last few years and if so, the details thereof, year-wise;
- (d) whether the Government has taken cognizance of the said report and if so, the details thereof;
- (e) whether the Government is in agreement with the findings of the said report and if so, the details thereof along with the effective steps taken/proposed to be taken by the Government in this regard;
- (f) whether the Government proposes to open new cancer hospitals in the country; and
- (g) if so, the details thereof?

## ANSWER THE MINISTER OFSTATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (PROF. SATYA PAL SINGH BAGHEL)

(a) to (c): As per the Indian Council of Medical Research-National Cancer Registry Programme (ICMR -NCRP), the details of estimated number of incidences of all types of cancer cases in the country including Rajasthan are attached at Annexure 1.

(d) to (g): The Department of Health & Family Welfare, Government of India, provides technical and financial support to the States/UTs under the National Programme for Prevention and Control of NonCommunicable Diseases (NP-NCD), as part of National Health Mission (NHM), based on the proposals received from the States/UTs and subject to the resource envelope. Cancer is an integral part of NP NCD. The programme focusses on strengthening infrastructure, human resource development, health promotion & awareness generation for Cancer prevention, early diagnosis, management and referral to an appropriate level of healthcare facility for treatment of the Non-Communicable Diseases (NCDs), including Cancer. Under NP-NCD, 724 District NCD Clinics, 326 District Day Care Centres, and 6110 Community Health Center NCD Clinics have been set up. In Rajasthan, 48 District NCD Clinics, 33 District Day Care Centres, and 728 Community Health Center NCD Clinics have been set up.

A population-based initiative for prevention, control and screening for common NCDs i.e. diabetes, hypertension and common cancers has been rolled out in the country under NHM and also as a part of Comprehensive Primary Health Care. Under the initiative, persons more than 30 years of age are targeted for their screening for the three common cancers i.e oral, breast and cervical. Screening of these common cancers is an integral part of service delivery under Ayushman Bharat -Health and Wellness Centres.

Preventive aspect of Cancer is strengthened under Comprehensive Primary Health Care through Ayushman Bharat Health Wellness Centre scheme, by promotion of wellness activities and targeted communication at the community level. Other initiatives for increasing public awareness about Cancer and for promotion of healthy lifestyle includes observation of National Cancer Awareness Day& World Cancer Day and use of print, electronic and social media for continued community awareness. Furthermore, healthy eating is also promoted through Food Safety and Standards Authority of India (FSSAI). Fit India movement is implemented by Ministry of Youth Affairs and Sports, and various Yoga related activities are carried out by Ministry of AYUSH. In addition, NP NCD gives financial support under NHM for awareness generation (IEC) activities for Cancer to be taken by the States/UTs as per their Programme Implementation Plans (PIPs).

The Central Government implements Strengthening of Tertiary Cancer Care Centres Facilities Scheme in order to enhance the facilities for tertiary care of cancer. 19 State Cancer Institutes (SCIs) and 20 Tertiary Cancer Care Centres (TCCCs) have been approved under the said scheme. Seventeen facilities are functional so far. S P Medical College, Bikaner, SMS Medical College, Jaipur and Jhalawar Medical College & Hospital, Jhalawar are approved under the scheme. The details are attached at Annexure 2.

There is also focus on Oncology in its various aspects in case of all new AIIMS and 13 upgraded existing Government Medical Colleges/Institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). The details are attached at Annexure 3. AIIMS, Jodhpur, SP Medical College, Bikaner and RNT Medical College, Udaipur are approved under the scheme. Setting up of National Cancer Institute at Jhajjar (Haryana) and second campus of Chittaranjan National Cancer Institute, Kolkata are also steps in this direction. All these enhance the capacity for treatment of cancer in the country.

Cancer is diagnosed and treated at various levels in the health care facilities. The treatment in Government Hospitals is either free or highly subsidized for the poor and needy. Treatment of Cancers is also available under Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (PMJAY). Besides, quality generic medicines are made available at affordable prices to all, under Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) in collaboration with the State Governments. Affordable Medicines and Reliable Implants for Treatment (AMRIT) Pharmacy stores have been set up in some hospitals/institutions, with an objective to make available Cancer drugs at a substantial discount vis-àvis the Maximum Retail Price.

## Annexure 1

| State                    |    2020 |    2021 |    2022 |
|--------------------------|---------|---------|---------|
| Jammu &Kashmir           |   12726 |   13060 |   13395 |
| Ladakh UT                |     286 |     294 |     302 |
| Himachal Pradesh         |    8799 |    8978 |    9164 |
| Punjab                   |   38636 |   39521 |   40435 |
| Chandigarh               |    1024 |    1053 |    1088 |
| Uttaranchal              |   11482 |   11779 |   12065 |
| Haryana                  |   29219 |   30015 |   30851 |
| Delhi                    |   25178 |   25969 |   26735 |
| Rajasthan                |   70987 |   72825 |   74725 |
| Uttar Pradesh            |  201319 |  206088 |  210958 |
| Bihar                    |  103711 |  106435 |  109274 |
| Sikkim                   |     445 |     465 |     496 |
| Arunachal Pradesh        |    1035 |    1064 |    1087 |
| Nagaland                 |    1768 |    1805 |    1854 |
| Manipur                  |    1899 |    2022 |    2097 |
| Mizoram                  |    1837 |    1919 |    1985 |
| Tripura                  |    2574 |    2623 |    2715 |
| Meghalaya                |    2879 |    2943 |    3025 |
| Assam                    |   37880 |   38834 |   39787 |
| West Bengal              |  108394 |  110972 |  113581 |
| Jharkhand                |   33961 |   34910 |   35860 |
| Orissa                   |   50692 |   51829 |   52960 |
| Chattisgarh              |   27828 |   28529 |   29253 |
| Madhya Pradesh           |   77888 |   79871 |   81901 |
| Gujarat                  |   69660 |   71507 |   73382 |
| Daman                    |     124 |     135 |     150 |
| Dadra &Nagar Haveli      |     206 |     219 |     238 |
| Maharashtra              |  116121 |  118906 |  121717 |
| Telangana                |   47620 |   48775 |   49983 |
| Andhra Pradesh           |   70424 |   71970 |   73536 |
| Karnataka                |   85968 |   88126 |   90349 |
| Goa                      |    1618 |    1652 |    1700 |
| Lakshadweep              |      27 |      28 |      28 |
| Kerala                   |   57155 |   58139 |   59143 |
| Tamil Nadu               |   88866 |   91184 |   93536 |
| Puducherry               |    1577 |    1623 |    1679 |
| Andaman &Nicobar Islands |     366 |     380 |     393 |
| Total                    | 1392179 | 1426447 | 1461427 |

## Table of SCIs/TCCCs:

|   S No | State            | Name of the Institute                                                 | SCI / TCCC   |
|--------|------------------|-----------------------------------------------------------------------|--------------|
|      1 | Andhra Pradesh   | Kurnool Medical College, Kurnool                                      | SCI          |
|      2 | Assam            | Gauhati Medical College &Hospital, Guwahati                           | SCI          |
|      3 | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                    | SCI          |
|      4 | Chhattisgarh     | Chhattisgarh Institute of Medical Sciences, Bilaspur                  | SCI          |
|      5 | Delhi            | Lok Nayak Hospital                                                    | TCCC         |
|      6 | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad                          | SCI          |
|      7 | Goa              | Goa Medical College, Panaji                                           | TCCC         |
|      8 | Haryana          | Civil Hospital, Ambala Cantt                                          | TCCC         |
|      9 | Himachal Pradesh | Indira Gandhi Medical College, Shimla                                 | TCCC         |
|     10 | Himachal Pradesh | Shri Lal Bahadur Shastri Medical College, Mandi                       | TCCC         |
|     11 | Jammu&           | Sher-i-Kashmir Institute of Medical Sciences, Srinagar                | SCI          |
|     12 | Kashmir          | Government Medical College, Jammu                                     | SCI          |
|     13 | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                        | SCI          |
|     14 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bengaluru                | SCI          |
|     15 |                  | Mandya Institute of Medical Sciences, Mandya                          | TCCC         |
|     16 | Kerala           | Regional Cancer Centre, Thiruvananthapuram                            | SCI          |
|     17 |                  | Government Medical College, Kozhikode                                 | TCCC         |
|     18 | Madhya Pradesh   | G.R. Medical College, Gwalior                                         | TCCC         |
|     19 |                  | Netaji Subhas Chandra Bose Medical College, Jabalpur                  | SCI          |
|     20 | Maharashtra      | Rashtrasant Tukdoji Regional Cancer Hospital &Research Centre, Nagpur | TCCC         |
|     21 |                  | Government Medical College, Aurangabad                                | SCI          |
|     22 |                  | Vivekanand Foundation &Research Centre, Latur                         | TCCC         |
|     23 | Mizoram          | Mizoram State Cancer Institute, Aizawl                                | TCCC         |
|     24 | Nagaland         | District Hospital, Kohima                                             | TCCC         |
|     25 | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack                       | SCI          |
|     26 | Punjab           | Government Medical College, Amritsar                                  | SCI          |
|     27 |                  | Civil Hospital, Fazilka                                               | TCCC         |
|     28 | Rajasthan        | S P Medical College, Bikaner                                          | TCCC         |
|     29 |                  | SMS Medical College, Jaipur                                           | SCI          |
|     30 |                  | Jhalawar Medical College &Hospital, Jhalawar                          | TCCC         |
|     31 | Sikkim           | Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim   | TCCC         |
|     32 | Tamil Nadu       | Cancer Institute (RCC), Adyar, Chennai                                | SCI          |
|     33 | Telangana        | MNJ Institute of Oncology &RCC, Hyderabad                             | SCI          |
|     34 | Tripura          | Cancer Hospital (RCC), Agartala                                       | SCI          |
|     35 | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow     | TCCC         |
|     36 | Uttarakhand      | Government Medical College, Haldwani                                  | SCI          |
|     37 | West Bengal      | Government Medical College, Burdwan                                   | TCCC         |
|     38 |                  | Murshidabad Medical College &Hospital, Berhampore, Murshidabad        | TCCC         |
|     39 |                  | Sagore Dutta Memorial Medical College and Hospital, Kolkata           | TCCC         |

Table 1: Cancer Treatment Facility is approved in all New AIIMS

|   Sl. | AIIMS       |   Sl. | AIIMS     |
|-------|-------------|-------|-----------|
|     1 | Bhopal      |    12 | Bathinda  |
|     2 | Bhubaneswar |    13 | Guwahati  |
|     3 | Jodhpur     |    14 | Bilaspur  |
|     4 | Patna       |    15 | Deoghar   |
|     5 | Raipur      |    16 | Jammu     |
|     6 | Rishikesh   |    17 | Kashmir   |
|     7 | Raebareli   |    18 | Madurai   |
|     8 | Mangalagiri |    19 | Rajkot    |
|     9 | Nagpur      |    20 | Bibinagar |
|    10 | Kalyani     |    21 | Manethi   |
|    11 | Gorakhpur   |    22 | Darbhanga |

Table 2: List of Govt. Medical Colleges/Institutions taken up for upgradation for cancer treatment

|   Sl. | State            | Name of Govt Medical College                                                      | Facility                                         |
|-------|------------------|-----------------------------------------------------------------------------------|--------------------------------------------------|
|     1 | Jharkhand        | RIMS Ranchi                                                                       | 68 bedded Oncology Block                         |
|     2 | Punjab           | Govt Medical College Amritsar                                                     | Oncology                                         |
|     3 | Himachal Pradesh | Rajendra Prasad Govt. Medical College, Tanda                                      | Oncology                                         |
|     4 | Karnataka        | Karnataka Institute of Medical Sciences, Hubli                                    | Medical Oncology                                 |
|     5 | Rajasthan        | SP Medical College, Bikaner                                                       | Surgical Oncology                                |
|     6 | Rajasthan        | RNT Medical College, Udaipur                                                      | Radiotherapy/Oncology                            |
|     7 | Telangana        | Kakatiya Medical College, Warangal                                                | Medical Oncology                                 |
|     8 | Uttar Pradesh    | Govt Medical College, Gorakhpur                                                   | Surgical Oncology                                |
|     9 | Uttar Pradesh    | M.L.N Government Medical College, Allahabad                                       | Surgical Oncology                                |
|    10 | Uttar Pradesh    | LLRM Medical College, Meerut.                                                     | Radiotherapy                                     |
|    11 | Uttar Pradesh    | Govt Medical College, Agra                                                        | Radiation /Medical Oncology                      |
|    12 | Bihar            | Patna                                                                             | Radiotherapy (equipment)                         |
|    13 | Kerala           | Sree Chitra Tirunal Institute of Medical Sciences &Technology, Thiruvananthapuram | Imaging Services and Interventional Radiotherapy |