Lok Sabha Question No. 1091 (UNSTARRED), answered on 2016-07-22
Subject: Communicable and NonCommunicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: HEENA VIJAYKUMAR GAVIT, SUBHASH PATEL, RAJEEV SHANKARRAO SATAV, CHANDRA PRAKASH JOSHI, VIJAYSINH MOHITE PATIL, SUPRIYA SADANAND SULE, DHANANJAY BHIMRAO MAHADIK

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1091 TO BE ANSWERED ON 2 2 ND JULY, 2016

COMMUNICABLE AND NON -COMMUNICABLE DISEASE S

## 1091. DR. HEENA VIJAYKUMAR GAVIT:

SHRI SUBHASH PATEL:

SHRI SATAV RAJEEV:

SHRI CHANDRA PRAKASH JOSHI:

SHRI MOHITE PATIL VIJAYSINH SHANKARRAO:

SHRIMATI SUPRIYA SULE:

SHRI DHANANJAY MAHADIK:

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

- (a) Whether the burden of Non - Communicable Diseases (NCDs) like cancer, diabetes, mental disorder, hypertension and heart attacks etc. is increasing in the country affecting especially the youth;
- (b) if so, the details thereof and the reasons therefor;
- (c) whether the Government has launched any initiative to proliferate preventive care to check the NCDs and if so, the details thereof; and
- (d) whether the Government is formulating any policy to run awareness programmes regarding such diseases and bring down the prices of these medicines for these diseases?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE )

(a) & (b ): Indian Council of Medical Research (ICMR) has undertaken a survey on diabetes viz. ICMR India Diabetes (ICMR -INDAB) Study on the prevalence of diabetes.  It is an ongoing study and current results available from 15 States/UTs indicate overall prevalence of D which vary from 4% to 13%.

As reported by ICMR, based on the 'Three -year Report of the Popula tion Based Cancer Registries: 2012 -14', the estimated incidence and mortality of cancer cases in India for all sites is as under: -

|   Year |   Estimated incidence of Cancer |   Cases Estimated mortality of Cancer |
|--------|---------------------------------|---------------------------------------|
|   2013 |                         1270781 |                                641455 |
|   2014 |                         1328229 |                                670541 |
|   2015 |                         1388397 |                                701007 |

ICMR  has  informed  that  according  to  the  Report  of  National  Commission  on Macroeconomics and Health, there were 380 lakh cases of Cardiovascular Diseases (CVDs) the year 2005 and these were estimated to rise to 641 lakh cases in the yea r 2015.  The number of deaths from CVDs was estimated to more than double during this period.

The  data  available  from  the  Indian  Council  of Medical  Research -India  Diabetes (INDIAB) Study Phase I done in the rural and urban settings in 3 States and 1 Union Ter viz., Tamil Nadu, Maharashtra, Jharkhand and Chandigarh for hypertension indicates the r of prevalence of hypertension from 19 .8% to 31.5 %.

In 2005, the National Commission on Macroeconomics and Health reported that 10 - 20 million people (1 - 2% of population) suffered from severe mental disorders such as schizophren and bipolar disorder and nearly 50 million (5% of population) suffered from common mental disorders such as depression & anxiety, yielding an overall estimate of 6.5% of the popula

The major factors contributing to the Non - Communicable Diseases include inappropriate life  styles,  tobacco  use,  obesity,  inappro priate  diet,  physical  inactivity,  alcohol  consumption, high blood pressure, air pollution etc.

(c) & (d): Government  of  India  has  launched  National  Programme  for  Prevention  and Control  of  Cancer,  Diabetes,  Cardiovascular  Diseases  and  Stroke  (NPCDCS)  which is implemented for interventions up to District level under the National Health Mission. NP has  focus  on  awareness  generation  for  behaviour  and  life - style  changes,  screening  and  early diagnosis of persons with high level of risk factors and their trea tment and referral (if required) to  higher  facilities  for  appropriate  management  for  Non - communicable  Diseases.    Under NPCDCS, diagnosis and treatment facilities for common NCDs are provided through differe levels  of  healthcare  by  setting  up  NCD  Clinics at  District  Hospitals  and  Community  Health Centres (CHCs).

Recently, on 22 nd June, 2016, Operational Guidelines have been released for implementing  population  level  screening  for  diabetes,  hypertension  &  common  cancer  v breast, cervical & oral. The gui delines include screening for risk factors of these diseases. S screening will generate awareness on risk factors of common NCDs.

To  address  the  burden  of  mental  disorders,  the  Government  of  India  is  implementing National  Mental  Health  Programme  (N MHP)  and  the  District  Mental  Health  Programme (DMHP) with the objectives to : -

- Provide  mental  health  services  including  prevention,  promotion  and  long - term  continuing care at different levels of district health care delivery system.
- Augment institutional c pacity in terms of infrastructure, equipment and human resource fo mental healthcare.
- Promote community awareness and participation in the delivery of mental health servi and
- Broad- base  mental health into other related programmes.

For holistic deve lopment of adolescent population, the Ministry of Health and Family Welfare in 2014 launched Rashtriya Kishor Swasthya Karyakram (RKSK) to reach out to 253 million adolescents -male and female, rural and urban, married and unmarried, in and out o schooladolescents with special focus on marginalized and underserved groups.  The six them areas covered under RKSK include Non - Communicable Diseases.

Presently  seven  Affordable  Medicines  and  Reliable  Implants  for  Treatment  (AMRIT) outlets have been opened at Central Government institutions with an objective to make ava Cancer  and  Cardiovascular  Diseases  drugs  and  implants  at  discounted  prices  to  t he  patients. Approval  has  also  been  accorded  for  opening  of  such  outlets  at  8  more  Central  Governm institutions. M/s HLL Lifecare Ltd, which is a 100% Government of India owned PSU under t Ministry, has been directed to contact all States which may l ike to open AMRIT outlets in major State Government hospitals/institutions. As per the approval accorded for setting up AMRI prices of the products are to be reasonable and significantly lower than the market price.

National  List  of  Essential  Med icines  (NLEM)  contains  medicines  for  major  NCDs. Drugs Price Control Order (DPCO), 2013 fixes ceiling price for these medicines.

Several  awareness  initiatives  have  been  undertaken  by  the  Government  includin observance of World Diabetes Day, organising of screening for major NCDs including blo pressure  and  major  awareness  events  at  occasions  such  as  the  India  International  Trad air (IITF), Delhi and use of print, electronic and social media, etc. In addition NPCDCS supports awareness generation activities to be undertaken by the States.