Lok Sabha Question No. 2123 (UNSTARRED), answered on 2023-12-15
Subject: Preparation against Pandemic
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rama Devi, Dhal Singh Bisen, R.K. Singh Patel

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2123 TO BE ANSWERED ON 15.12.2023

## PREPARATION AGAINST PANDEMIC

## 2123. SHRIMATI RAMADEVI: DR. DHALSINGH BISEN: SHRI R.K. SINGH PATEL:

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

- a) whether the Government has taken/proposes to take any steps to prepare against future pandemics in the country and if so, the details thereof;
- b) the details regarding the financial assistance provided by the Union Government to the States across the country in this regard, State/UTs-wise;
- c) the details of disease outbreaks reported across the country during the last one year, year-wise; and
- d) the details of loss of life and property due to such pandemic in the country in this regard?

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

(a) to (d): Prevention of and preparedness against pandemics is shared global responsibility. In order to secure global public health, Government of India is advocating for strengthening global public health security at various international platforms.

Union Ministry of Health and Family Welfare provides requisite support to States/UTs to enhance preparedness and response capacities. To allow for timely detection of disease outbreaks, disease surveillance activities have been strengthened under Integrated Disease Surveillance Programme, under which a decentralized system of outbreak response through trained Rapid Response Teams (RRTs) undertakes requisite public health measures for outbreak control and containment measures.

Indian Council of Medical Research (ICMR) has established a network of more than 150 Virus Research and Diagnostic Laboratories (VRDLs) for strengthening of nation-wide network of laboratories to allow for timely detection and laboratory based confirmation of pathogens.

Ministry of Health & Family Welfare under National One Health Programme for Prevention and Control of Zoonosis is working to strengthen collaboration between human, animal and wildlife health sectors by facilitating coordination and collaboration in terms of disease surveillance, joint outbreak control and containment activities as well as improving community awareness to promote timely detection and mitigation of outbreak of zoonotic diseases.

Funding support has been provided to States/UTs for health system strengthening to meet any exigency due to public health emergencies through National Health Mission (NHM).

During the FY 2020-21, funds to the tune of Rs. 8473.73 crore have been released to the States/UTs towards the India COVID-19 Emergency Response and Health System Preparedness Package (ECRP-I) for health infrastructure strengthening, expansion of laboratory network, surveillance, procurement of medical logistics etc.

Under ECRP-Phase II (FY 2021-22), a sum of Rs. 12,740.22 crore support was provided to States/UTs for ramping up health infrastructure including those in rural, tribal and peri-urban areas closer to the community; providing support for procurement of drugs and diagnostics at district and sub-district levels for management of COVID-19 cases (including pediatric care) and for maintaining a buffer of drugs; expanding access to tele-consultations in all districts. Besides this, States have also been supported in terms of installation of oxygen concentrator plants/ PSA (Pressure Swing Adsorption plants) plants.

State/UT wise details of Central Release of Grants in aid through Agency NHM under the India COVID-19 Emergency Response and Health Systems Preparedness Package Phase-I and II is placed at Annexure I .

With the long-term goal to better prepare our country against public health emergencies, PMABHIM has been launched with the intent to enhance the capacity of primary, secondary and tertiary health care facilities/systems and institutes for identifying and managing any new and emerging diseases.

Details of disease outbreaks, as reported by States/UTs across the country during 2022 is placed as Annexure II .

As on 12 th December, 2023, as reported by States/UTs, a cumulative total of 5,33,307 deaths due to COVID-19 have been reported in the country.

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## Annexure I

State/UT wise details of Central Release of Grants in aid through Agency NHM under the India COVID-19 Emergency Response and Health Systems Preparedness Package Phase-I and II (all figures in Rs. Crores)

| S. No.   | State/UT                           |   ECRP-I |   ECRP-II |
|----------|------------------------------------|----------|-----------|
| 1        | Andaman &Nicobar Islands           |    14.87 |     14.22 |
| 2        | Andhra Pradesh                     |   441.94 |    417.91 |
| 3        | Arunachal Pradesh                  |    22.47 |    149.13 |
| 4        | Assam                              |   222.47 |    731.22 |
| 5        | Bihar                              |   200.73 |   1032.87 |
| 6        | Chandigarh                         |    36.54 |      9.47 |
| 7        | Chhattisgarh                       |   118.61 |    376.07 |
| 8        | Dadra &Nagar Haveli &Daman and Diu |     4.77 |      4.76 |
| 9        | Delhi                              |   801.71 |     30.21 |
| 10       | Goa                                |    19.36 |     11.78 |
| 11       | Gujarat                            |   311.99 |    479.22 |
| 12       | Haryana                            |   194.95 |    182.42 |
| 13       | Himachal Pradesh                   |    56.61 |    344.79 |
| 14       | Jammu &Kashmir                     |   197.76 |    407.3  |
| 15       | Jharkhand                          |    74.22 |    383.34 |
| 16       | Karnataka                          |   437.64 |    504.04 |
| 17       | Kerala                             |   622.78 |    173.89 |
| 18       | Ladakh                             |    44.98 |     62.51 |
| 19       | Lakshadweep                        |     0.89 |      1.49 |
| 20       | Madhya Pradesh                     |   293.95 |    874.35 |
| 21       | Maharashtra                        |  1248.08 |    820.77 |
| 22       | Manipur                            |    21.09 |     98.73 |
| 23       | Meghalaya                          |    15.61 |    104.12 |
| 24       | Mizoram                            |    10.19 |     61.25 |
| 25       | Nagaland                           |    10.57 |     77.6  |
| 26       | Odisha                             |   156.26 |    517.18 |
| 27       | Puducherry                         |    24.55 |      5.42 |
| 28       | Punjab                             |   170.94 |    198.89 |
| 29       | Rajasthan                          |   435.32 |    883.37 |
| 30       | Sikkim                             |     7.46 |     41.05 |
| 31       | Tamil Nadu                         |   893.74 |    479.59 |
| 32       | Telangana                          |   392.74 |    298.68 |
| 33       | Tripura                            |    24    |     83.72 |
| 34       | Uttar Pradesh                      |   557.49 |   1879.88 |
| 35       | Uttarakhand                        |    75.47 |    394.22 |
| 36       | West Bengal                        |   310.98 |    604.76 |
| Total    | Total                              |  8473.73 |  12740.2  |

Details of disease outbreaks, as reported by States/UTs across the country during 2022

|   S. No | Disease/disease condition       |   Nos of outbreaks |
|---------|---------------------------------|--------------------|
|       1 | Acute Diarrheal Disease         |                356 |
|       2 | Food Poisoning                  |                184 |
|       3 | Dengue                          |                 79 |
|       4 | Chickenpox                      |                 74 |
|       5 | Measles                         |                 40 |
|       6 | Fever with Rash                 |                 28 |
|       7 | Viral Hepatitis A               |                 26 |
|       8 | Cholera                         |                 22 |
|       9 | Leptospirosis                   |                 21 |
|      10 | Chikungunya                     |                 17 |
|      11 | Malaria                         |                 17 |
|      12 | Japanese Encephalitis           |                 16 |
|      13 | Food Borne Illness              |                 11 |
|      14 | Diphtheria                      |                  9 |
|      15 | Human Rabies                    |                  9 |
|      16 | Scrub Typhus                    |                  8 |
|      17 | Suspected Food Poisoning        |                  8 |
|      18 | Pyrexia of unknown origin       |                  7 |
|      19 | Fever                           |                  6 |
|      20 | Jaundice                        |                  5 |
|      21 | Acute Flaccid Paralysis         |                  4 |
|      22 | Crimean-Congo Hemorrhagic Fever |                  4 |
|      23 | Influenza AH3N2                 |                  4 |
|      24 | Suspected Measles               |                  4 |
|      25 | Acute Encephalitis Syndrome     |                  3 |
|      26 | Acute Gastroenteritis           |                  3 |
|      27 | Hand Foot and Mouth Disease     |                  3 |
|      28 | Kala Azar                       |                  3 |
|      29 | Kyasanur Forest Disease         |                  3 |
|      30 | Monkey Pox                      |                  3 |
|      31 | Acute Respiratory Illness       |                  2 |
|      32 | Cutaneous Leishmaniosis         |                  2 |
|      33 | Dengue &Chikungunya             |                  2 |
|      34 | Dengue &Scrub Typhus            |                  2 |
|      35 | Dysentery                       |                  2 |
|      36 | Fever &URTI                     |                  2 |
|      37 | Mumps                           |                  2 |
|      38 | Mushroom Poisoning              |                  2 |
|      39 | Shigellosis                     |                  2 |

|   40 | Suspected Chickenpox                          |   2 |
|------|-----------------------------------------------|-----|
|   41 | Suspected Dengue                              |   2 |
|   42 | Suspected Typhoid                             |   2 |
|   43 | Viral Hepatitis B                             |   2 |
|   44 | West Nile Fever                               |   2 |
|   45 | Zika Virus disease                            |   2 |
|   46 | Acute Meningoencephalitis (Naegleria fowleri) |   1 |
|   47 | Allergic Conjunctivitis                       |   1 |
|   48 | Brucellosis                                   |   1 |
|   49 | Chemical Gas Poisoning                        |   1 |
|   50 | Enteric Fever                                 |   1 |
|   51 | Fever With Rash (Enterovirus)                 |   1 |
|   52 | Food Poisoning (Noro Virus)                   |   1 |
|   53 | Lyme Disease                                  |   1 |
|   54 | Malaria &Dengue                               |   1 |
|   55 | Malaria (PV)                                  |   1 |
|   56 | Measles &Rubella                              |   1 |
|   57 | Pertussis                                     |   1 |
|   58 | Rubella                                       |   1 |
|   59 | Seasonal Influenza                            |   1 |
|   60 | Suspected Acute Viral Hepatitis               |   1 |
|   61 | Suspected Filariasis                          |   1 |
|   62 | Suspected Mumps                               |   1 |
|   63 | Suspected Swine Flu (H1N1)                    |   1 |
|   64 | Viral Hepatitis                               |   1 |
|   65 | Viral HepatitisA&E                            |   1 |

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