Lok Sabha Question No. 133 (UNSTARRED), answered on 2024-02-02
Subject: Cervical Cancer
Ministry: HEALTH AND FAMILY WELFARE
Asked by: D. Ravikumar

## GOVERNMENT OFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 133 TO BE ANSWERED ON 2 nd FEBRUARY, 2024

## CERVICALCANCER

## 133. SHRI RAVIKUMAR D.:

## Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

(a) the details of Cervical Cancer Patients and the current prevalence of cervical cancer cases in the country, State/UT-wise;

(b) whether the Government is aware that the incidences of cervical cancer has changed over the past decade in the State of Tamil Nadu and if so, the details thereof along with the highest number of cervical cancer cases being reported in the districts of the State Tamil Nadu, district-wise;

(c) the details of the screening programme in place to address cervical cancer cases in the country along with the measures taken/proposed to be taken by the Government in this regard;

(d) whether there are regional variations in the distribution of Cervical Cancer in the country and if so, the details thereof along with the factors contributing towards such variations; and

(e) whether the Government has any plan to provide the necessary tools to screen the cervical cancer cases through all Primary Health Centres (PHCs) and Health Sub-Centres (HSCs) in Tamil Nadu and if so, the details thereof and if not, the reasons therefor?

## ANSWER

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

(a) and (b): As per the Indian Council of Medical Research's National Cancer Registry Program (ICMR-NCRP), the estimated number of prevalence of cervical cancer cases in the country during 2023 is available at Annexure 1. The estimated number of incidence of cervical cancer cases in the State of Tamil Nadu during last ten years is available at Annexure 2.

(c): 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. The programme focusses on strengthening infrastructure, human resource development, health promotion & awareness generation for 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, 753 District NCD Clinics and 6237 Community Health Center NCD Clinics have been setup.

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. cervical, breast and oral. Screening of these common cancers is an integral part of service delivery under Ayushman Arogya Mandir.

(d) : As per the ICMR - NCRP Report, the Age Adjusted Incidence Rates (AAR) for cervical cancer in different Population Based Cancer Registries in India under NCRP is enclosed in Annexure 3.

(e) : For activities upto district level and below, States/UTs including Tamil Nadu are given financial assistance under NHM in the ratio of 60:40 (90:10 in case of NE and hilly States) based on the proposals received from the States/UTs. It includes financials for equipment to screen cervical cancer.

| State                    |   2023 |
|--------------------------|--------|
| Jammu &Kashmir           |   2887 |
| Ladakh UT                |     71 |
| Himachal pradesh         |   2135 |
| Punjab                   |  10377 |
| Chandigarh               |    266 |
| Uttaranchal              |   2768 |
| Haryana                  |   7081 |
| Delhi                    |   5883 |
| Rajasthan                |  17023 |
| Uttar pradesh            |  45682 |
| Bihar                    |  23164 |
| Sikkim                   |    122 |
| Arunachal pradesh        |    329 |
| Nagaland                 |    536 |
| Manipur                  |    494 |
| Mizoram                  |    646 |
| Tripura                  |    861 |
| Meghalaya                |    519 |
| Assam                    |   8237 |
| West bengal              |  25822 |
| Jharkhand                |   8128 |
| Orissa                   |  12002 |
| Chattisgarh              |   6862 |
| Madhya pradesh           |  18475 |
| Gujarat                  |  17083 |
| Daman                    |     51 |
| Dadra &Nagar Haveli      |     72 |
| Maharashtra              |  30414 |
| Telangana                |  11525 |
| Andhra pradesh           |  17146 |
| Karnataka                |  20678 |
| Goa                      |    460 |
| Lakshadweep              |     25 |
| Kerala                   |   7765 |
| Tamil nadu               |  36014 |
| Pondicherry              |    624 |
| Andaman &Nicobar Islands |    106 |
| Total                    | 342333 |

| Estimated cancer cases in Tamil Nadu (2014- 2023) - Cervix Cancer   | Estimated cancer cases in Tamil Nadu (2014- 2023) - Cervix Cancer   |
|---------------------------------------------------------------------|---------------------------------------------------------------------|
| Year                                                                | Incidence                                                           |
| 2014                                                                | 6872                                                                |
| 2015                                                                | 7046                                                                |
| 2016                                                                | 7224                                                                |
| 2017                                                                | 7402                                                                |
| 2018                                                                | 7584                                                                |
| 2019                                                                | 7768                                                                |
| 2020                                                                | 7958                                                                |
| 2021                                                                | 8144                                                                |
| 2022                                                                | 8337                                                                |
| 2023                                                                | 8534                                                                |

Annexure 2

Table 3: Age Adjusted Incidence Rate (AAR) per 100,000 population in PBCRs under NCRP - Cervix Cancer

| Registry, State                       |   AAR |
|---------------------------------------|-------|
| Papumpare district, Arunachal Pradesh |  27.7 |
| Aizawl district, Mizoram              |  27.4 |
| Mizoram state                         |  23.2 |
| Pasighat,Arunachal Pradesh            |  20.3 |
| Bangalore,Karnataka                   |  17.7 |
| Barshi rural,Maharashtra              |  15.3 |
| Cachar district,Assam                 |  15.3 |
| Chennai,Tamil Nadu                    |  14.8 |
| Aurangabad,Maharashtra                |  14.2 |
| Kamrup urban,Assam                    |  14.2 |
| Delhi,Delhi NCT                       |  14   |
| Patiala district,Punjab               |  13.7 |
| Nagaland, Nagaland                    |  13.3 |
| Osmanabad &Beed,Maharashtra           |  13.1 |
| Bhopal,Madhya Pradesh                 |  12.8 |
| Hyderabad district,Telangana          |  11.7 |
| Nagpur,Maharashtra                    |  11.3 |
| Pune,Maharashtra                      |  10   |
| West Arunachal,Arunachal Pradesh      |  10   |
| Sikkim state                          |   9.9 |
| Tripura state                         |   9.5 |
| East Khasi Hills district, Meghalaya  |   9.4 |
| Imphal West district, Manipur         |   9.4 |
| Meghalaya,Meghalaya                   |   8.8 |
| Kolkata,West Bengal                   |   8.7 |
| Mumbai,Maharashtra                    |   8.3 |
| Wardha district,Maharashtra           |   8.2 |
| Ahmedabad urban,Gujarat               |   6.9 |
| Thiruvananthapuram district,Kerala    |   6.8 |
| Manipur state                         |   6.7 |
| Kollam district,Kerala                |   6.6 |
| Dibrugarh district,Assam              |   4.8 |