Lok Sabha Question No. 87 (STARRED), answered on 2016-07-22
Subject: Special Package to States for Cancer Treatment
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RANJIT SINGH  BRAHMPURA

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 87 TO BE ANSWERED ON THE 22 ND JULY, 2016 SPECIAL PACKAGE TO S TATES FOR CANCER TRE ATMENT

## *87. SHRI RANJIT SINGH BRAHMPURA:

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

- (a) whether the Government has identified regions/zones, which are more sus to cancer and if so, the details thereof;
- (b) whether States prone to cancer including Punjab have s ought special package from the Government so as to contain cancer cases, enhancement of research and tr facilities and rehabilitation of cancer affected families, if so, the details
- (c) the present status of such proposals from the States along with the action taken by the Government thereon, State - wise; and
- (d) whether the Government plans to initiate new schemes for detection and t of cancer patients in the country and if so, the details thereof and if no therefor ?

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

- (a)  to (d ):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 87* FOR 22 ND JULY , 2016

(a) The estimates from National Cancer Registry Programme of Indian Counci Medical Research indicate some variance in the occurrence of cancer across parts of the country. However, there appears no cancer prone zone in the coun

(b) &(c )Gov ernment of India is implementing 'Tertiary Care for Cancer' Scheme to establish State Cancer Institutes (SCI) and Tertiary Care Cancer Centres ( different parts of the country. SCI and TCCC shall mentor all Cancer related including resea rch, treatment and palliative care, in their respective jurisdic the said scheme, 48 proposals have been received from 26 states and UTs in Punjab, which are listed at Annexure I . Out of these proposals, 17 proposals from States -9 for setting up of SCI and 8 for setting up of TCCCs have been approve funds have been released during 2014 - 15,2015 - 16 and 2016 - 17  ( Annexure II ). The deficiencies in the other proposals have been communicated to the Governments/Institutions.

In Pun jab, the proposal for setting up of SCI at Government Medical Co Amritsar , has  been  approved  and  the  1 st installment  of  Government  of  India  share amounting to Rs. 51.58 crore has been released to the State Government. Tw proposals have been rec eived for setting up of TCCCs at District Hospital, Fazil District Hospital, Hoshiarpur. The deficiencies therein have been communicat concernedState Government /Institutions .

(d):  Central  Government  supplements  the  efforts  of  the  State  Gov ernment  for improving healthcare including prevention, diagnosis and treatment of Cance objectives of  National Programme for Prevention and Control of Cancer, Di Cardiovascular  Diseases  and  Stroke  (NPCDCS)  being  implemented  under  Nation He alth  Mission  (NHM)  for  interventions  upto  the  district  level,  inter  al awareness generation for Cancer prevention, screening, early detection and r an appropriate level institution for treatment.  The focus is on three type namely breast, cervical and oral Cancer.

The treatment for cancer in Government Hospitals is either free or su In  addition  to  Cancer  diagnosis  and  treatment  by  the  State  Governments Institutes, many Central Government Institutions also p rovide facilities for diagnosi and treatment of Cancer.

Oncology  in  its  various  aspects  has  focus  in  case  of  new  AIIMS  and upgraded  institutions  under  Pradhan  Mantri  Swasthya  Suraksha  Yojna  (PMSS Setting  up  of  National  Cancer  Institute  at  Jhajjar (Haryana)  and  2nd  campus  of Chittranjan National Cancer Institute, Kolkata ,has also been approved.

Operational Guidelines on Prevention, Screening & Control of Common N Communicable Diseases: Hypertension, Diabetes and Common Cancers (Oral, Brea and Cervix) have also been released on 22 nd June 2016 and the State Governments have been requested for their implementation. The guidelines provide for po wide screening of common cancers viz. breast, cervical and oral Cancer.

## A nnexure I

## List of proposals for SCI and TCCC received under Tertiary Care for Cancer scheme.

| Sl. No   | States/UTs        | Tertiary Care Cancer Centre (TCCC)                                                                                            | State Cancer Institute (SCI)                                                                    |
|----------|-------------------|-------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|
| 1        | Assam             | Assam Medical College, Dibrugarh                                                                                              | - -                                                                                             |
| 2        | Arunachal Pradesh | Government Hospital, Naharlagun                                                                                               |                                                                                                 |
| 3        | Bihar             | Dharbhanga Medical College, Dharbhanga                                                                                        | Indira Gandhi Institute of Medical (RCC), Patna                                                 |
| 4        | Chhattisgarh      | -                                                                                                                             | Chhattisgarh Institute of Medical Bilaspur                                                      |
| 5        | Delhi             | Lok Nayak Hospital (Maulana Azad Medical College)                                                                             | -                                                                                               |
| 6        | Gujarat           | 1. Pandit Deen Dayal Upadhyay College, Rajkot 2. Government Medical College and Hospital, Vadodara                            | Medical SSG Gujarat Cancer Research Institute (RCC), Ahmedabad                                  |
| 7        | Goa               | Goa Medical College, Panaji, Goa.                                                                                             | -                                                                                               |
| 8        | Himachal Pradesh  | 1. Indira Gandhi Medical College (RCC) Shimla 2. Regional Hospital, Mandi                                                     | -                                                                                               |
| 9        | Jammu & Kashmir   | -                                                                                                                             | 1. Government Medical College (RCC)Jammu 2.Sher- I-Kashmir Institute of Medical (RCC), Srinagar |
| 10       | Jharkhand         | MGM Medical College, Jamshedpur                                                                                               | Rajendra Institute of Medical Sciences                                                          |
| 11       | Karnataka         | 1. Govt. Medical College, Mandya 2. Govt. Medical College, Gulbarga                                                           | Kidwai Memorial Institute of Oncology(RCC), Bangaluru                                           |
| 12       | Kerala            | Govt. Medical College, Kozhikode                                                                                              | Regional Cancer Centre, T hiruvananthapuram                                                     |
| 13       | Madhya Pradesh    | 1. G. R. Medical College, Gwalior 2. District Hospital, Vidisha                                                               | -                                                                                               |
| 14       | Maharashtra       | Govt. Medical College ,Nagpur                                                                                                 | -                                                                                               |
| 15       | Manipur           | Regional Institute Of Medical Sciences (RIMS), Imphal                                                                         | -                                                                                               |
| 16       | Nagaland          | District Hospital, Kohima                                                                                                     | -                                                                                               |
| 17       | Mizoram           | Civil Hospital , Aizaw l                                                                                                      | -                                                                                               |
| 18       | Odisha            | 1. Burla Medical College (Dist. 2. M.K.C.G. Medical College Hospital, Berhampur 3. District Hospital, Bhawanipatna, Kalahandi | Sambalpur) District Regional Cancer Centre, Cuttack                                             |
| 19       | Punjab            | 1. District Hospital, Hoshiarpur 2. District Hospital, Fazilka                                                                | Government Medical College, Amritsar                                                            |
| 20       | Rajasthan         | 1. S. P. Medical College, Bikaner 2. Govt. Medical College/District Jhalawar                                                  | Hospital, SMS Medical College, Jaipur                                                           |
| 21       | Tamil Nadu        | -                                                                                                                             | Cancer Institute (RCC) Adyar, Chennai                                                           |
| 22       | Telangana         | -                                                                                                                             | M.N.J.Institute of Oncology (RCC),                                                              |
| 23       | Tripura           | -                                                                                                                             | Cancer Hospital(RCC), Agartala                                                                  |
| 24       | Uttar Pradesh     | 1. Sanjay Gandhi Institute of Medical Sciences, Lucknow 2. Institute of Medical Sciences Varanasi                             | (BHU) Kamla Nehru Memorial Hospital (RCC), Allahabad                                            |
| 25       | Uttarakhand       | Himalayan Institute of Medical Sciences, Dehradun                                                                             | Government Medical College, Haldwani                                                            |
| 26       | West Bengal       | 1. Government Medical College, Burdwan 2. Murshidabad Medical College & Hospitals 3. Sagore Dutta Memorial Medical College    | -                                                                                               |
|          | Total             | and Hospital, Kolkata 32                                                                                                      | 16                                                                                              |

## State wise funds released under 'Tertiary Care for Cancer' scheme.

## (1) Funds released during the financial year 2014 - 15:

| S No.   | State/UTs       | Name of the Institute                                     | SCI/ TCCC     |   Amount Released (in Crore) |
|---------|-----------------|-----------------------------------------------------------|---------------|------------------------------|
| 1       | Karnataka       | Kidwai Memorial Institute of Oncology(RCC), Bengaluru     | SCI           |                        67.5  |
| 2       | Kerala          | Government Medical College, Kozhikode                     | TCCC          |                        25.03 |
| 3       | Tripura         | Cancer Hospital(RCC), Agartala                            | SCI           |                        55    |
| 4       | Gujarat         | Gujarat Cancer Research Institute,                        | Ahmedabad SCI |                        67.5  |
| 5       | West Bengal     | Government Medical College, Burdwan                       | TCCC          |                        22.24 |
| 6       | Jammu & Kashmir | Sher- i - Kashmir Institute of Medical Sciences, Srinagar | SCI           |                        47.25 |
| 7       | Tamil Nadu      | Cancer Institute (RCC) Adyar, Chennai                     | SCI           |                        67.38 |
| Total   | Total           | Total                                                     | Total         |                       351.9  |

## (2) Funds released during the financial year 2015 - 16:

| S No.   | State/UTs        | Name of the Institute                                     | SCI/ TCCC    |   Amount Released (in Crore) |
|---------|------------------|-----------------------------------------------------------|--------------|------------------------------|
| 1       | Himachal Pradesh | Indira Gandhi Medical College, Shimla                     | TCCC         |                       14.87  |
| 2       | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna        | SCI          |                       33.06  |
| 3       | Mizoram          | Civil Hospital, Aizawl                                    | TCCC         |                       14.64  |
| 4       | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Sciences, Lucknow | Medical TCCC |                       11.43  |
| 5       | Rajasthan        | S P Medical College, Bikaner                              | TCCC         |                       17.123 |
| 6       | Karnataka        | Mandya Institute of Medical Sciences                      | TCCC         |                       17.257 |
| 7       | Telangana        | MNJ Institute of Oncology& RCC, HyderabadSCI              |              |                       18.12  |
| Total   | Total            | Total                                                     | Total        |                      126.5   |

## (3) Funds released during the financial year 2016 - 17 (till June, 2016):

| S No.   | State/ UTs   | Name of the Institute                      | SCI/ TCCC   |   Amount Released (in Crore) |
|---------|--------------|--------------------------------------------|-------------|------------------------------|
| 1       | Kerala       | Regional Cancer Centre, Thiruvananthapuram | SCI         |                       46.957 |
| 2       | Punjab       | Govt. Medical College, Amritsar            | SCI         |                       51.58  |
| 3       | Delhi        | Lok Nayak Hospital                         | TCCC        |                       25.4   |
| Total   | Total        | Total                                      | Total       |                      123.937 |

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