Lok Sabha Question No. 3405 (UNSTARRED), answered on 2015-12-18
Subject: Cancer Prevention and Control
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAJESH RANJAN  (PAPPU  YADAV), KAUSHALENDRA KUMAR, SHIVAJI ADHALRAO PATIL, RAKSHA NIKHIL KHADSE, SANJAY JAISWAL, DHARMENDRA YADAV, Shrirang Appa Barne, HEMANT TUKARAM GODSE, ANANDRAO  ADSUL, VIJAY KUMAR S.R.

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3405 TO BE ANSWERED ON 18 TH DECEMBER, 2015

## CANCER PREVENTION AN D CONTROL

## 3405.SHRI RAJESH RANJAN:

SHRI KAUSHALENDRA KUMAR:

SHRI ADHALRAO PATIL SHIVAJIRAO:

SHRIMATI RAKSHATAI KHADSE:

DR. SANJAY JAISWAL:

SHRI DHARMENDRA YADAV:

SHRI SHRIRANG APPA BARNE:

SHRI GODSE HEMANT TUKARAM:

SHRI ANANDRAO ADSUL:

SHRI S.R. VIJAYAKUMAR:

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

- (a) whether the World Health Organisation's (WHO) South East Asia regional committee meet has suggested prioritizing cancer prevention and control pr grammes to deal with the rising number of cancer cases, if so, the details thereof and the follow up action taken by the Government thereon;
- (b) whether the said meet has highlighted that at least one - third  of  cancers can be prevented by implementing various intervention programmes, if so, the details thereof along with the measures taken/ proposed to be taken by the Government in this regard;
- (c)  whether  the  Government  proposes to  set  up  new  cancer  care  centres/institutes and  hospitals including  under  Public Private  Partnership  (PPP)  in  the  country and  if  so,  the  details  thereof ind icating the expenditure likely to be incurred thereon, State/UT - wise; and
- (d) the steps taken/proposed to be taken by the Government to promote research projects relating to cancer treatment and setting up research institutes for the purpose?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a)to(c): The  WHO South East Asia Regional Committee, in its 68 th session held in Timor Leste,  adopted  resolution  no.  SEA/RC68/R5  on  11  September  2015,  on  'Cancer  Prevention  and Control - the  way  forward'.  The  said  resolution  noted  that many  cancers  are  preventable,  can  be detected early and treated, which improves survival and quality of life. It urged the Membe inter - alia, to develop/strengthen a comprehensive national cancer pr evention and control programme, integrated within a broader multisectoral NCD action plan, with time - bound benchmarks and targets, effective  governance  and  accountability,  adequate  and  sustainable  financing  for  progr implementation, monitoring and eval uation.

India has prepared and adopted a National Action Plan and Monitoring Framework for No Communicable Diseases with 10 targets and 21 indicators.

Since adopting WHO Framework Convention on Tobacco Control (FCTC), the Government of India launched National Tobacco Control program in 2007 - 08 with the aim to create awareness about  the  harmful  effects  of  tobacco  consumption,  reduce  the  demand  and  supply  of  toba products,  ensure  effective  implementation  of  the  provisions  under  'The  Cigarettes  and  Oth er Tobacco  Products  (Prohibition  of  Advertisement  and  Regulation  of  Trade  and  Commerce, Production, Supply and Distribution) Act, 2003' (COTPA) and help people quit tobacco use through Tobacco Cessation Centres.

Central  Government  supplements  the  efforts of  the  State  Government  for  improving healthcare  including  prevention,  diagnosis  and  treatment  of  Cancer.    At  present,  Na Programme  for  Prevention  and  Control  of  Cancer,  Diabetes,  Cardiovascular  Diseases  and  Str (NPCDCS) being implemented under Na tional Health Mission (NHM) for interventions upto the district level includes awareness generation for Cancer prevention, screening, early detec referral to an appropriate level institution for treatment.  The focus is on three areas na , cervical  and  oral  Cancer.    Screening  guidelines  have  been  provided  to  State  Governments implementation.    Suspected  cases  are  to  be  referred  for  confirmatory  diagnosis  by  variou including histo - pathological biopsy.

Government of India is also implementing a scheme for enhancing the tertiary care facilitie for Cancer in the country. Under the said scheme, Government of India will assist to set up/ 20 State Cancer Institutes (SCI) and 50 Tertiary Care Cancer Centres (TCCC) in different parts of the country. The maximum assistance inclusive of State share for SCI is upto Rs. 120 crores TCCC is upto Rs. 45 crores. The Central and State share is in the ratio 75:25 while for No and Hill States this ratio is 90:10.

(d): In  the  Government  sector,  Research  activities  for  detection  and  treatment  of  canc mostly  carried  out  by  Institutions/Departments  such  as  the  Indian  Council  of  Medical  Res Department of Science and Technology and Department of Atomic Energy. The Bhabha Atomic Research  Centre  has  developed  Bhabhatron  and  the  Society  for  Applied  Microwave  Electroni Engineering and Research (SAMEER) has developed Linear Accelerator (LINAC).

The Indian Council of Medical Research is promoting cancer research incl uding epidemiological, clinical, basic and translational research. The ICMR has also developed protocols for the management (including treatment) of Buccal Mucosa Cancer, Gall Bladder Cancer, Stoma Cancer,  Colorectal  Cancer,  and  Tongue  Cancer. Institut e  of  Cytology  and  Preventive  Oncology under  the  Indian  Council  of  Medical  Research  has  developed  a  hand  held  device  cal Magnivisualizer with inbuilt source of light that can be used in field conditions for early det cervical cancer and oral can cer lesions.