Lok Sabha Question No. 2193 (UNSTARRED), answered on 2016-05-06
Subject: High Risk Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: VINOD CHAVDA

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

LOK SABHA UNSTARRED QUESTION NO. 2193 TO BE ANSWERED ON 6 TH MAY, 2016

## HIGH RISK DISEASES

## 2193. SHRI VINOD LAKHAMASHI CHAVDA:

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

- (a) whether the Government has identified the high risk diseases prevailing in the country and if so, the details thereof along with the number of persons suffering from such diseases, State/UT -wise; and
- (b)whether the Government proposes to give benefit to the middle class people affected from such diseases and if so, the details thereof?

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

- (a): High  risk  diseases  are  attributable  to both C mmunicable  and  Non -Communicable Diseases.

Number  of  reported  cases  in  major  communicable  diseases  like  Malaria,  Dengue, Chikungunya, Japanese Encephalitis, Leprosy, TB and HIV/AIDS are given at Annexures-I to VII.

For  Non- Communic able  Diseases,  based  on  Disease  Burden  study  in  2006,  Indian Council of Medical Research has estimated the burden of important non - communicable diseases as under:

| Disease                      |   No. of cases (in lakhs) |   Prevalence per thousand |
|------------------------------|---------------------------|---------------------------|
| Ischemic Heart Disease (IHD) |                       224 |                     37    |
| Diabetes                     |                       378 |                     62.47 |

The  State - wise  data  on  the  non - communicable  diseases  (except  cancer)  are  not maintained centrally.

The estimated incidence of cancer cases are given at Annexure VIII.

(b): While  health  is  a  State  Subject,  the  Central Government  assists  the  States  for strengthening of healthcare system and combating diseases. Some of the steps taken are: -

- I. Implementing  various disease control  programmes  which  provide for  affordable treatment of the relevant diseases.
- II. Providing AMRIT outlets with an objective to make available Cancer and Cardiovascul drugs and implants at rea sonable prices to the patients.
- III. Supporting State level initiatives in free drugs and diagnostics.
- IV. Providing  financial  assistance  to  Below  Pover ty  Line  (BPL)  patients  is  under  the Rashtriya Arogya Nidhi (RAN).
- V. Providing smart card based cashless health insurance.

## State/UT-wise number of reported Malaria Cases in the Country

| Sl. No.                 | States/U.Ts.            | 2014 Cases              |
|-------------------------|-------------------------|-------------------------|
| 1                       | Andhra Pradesh          | 24044                   |
| 2                       | Arunachal Pradesh       | 5991                    |
| 3                       | Assam                   | 14536                   |
| 4                       | Bihar                   | 1729                    |
| 5                       | Chhattisgarh            | 122480                  |
| 6                       | Goa                     | 824                     |
| 7                       | Gujarat                 | 40902                   |
| 8                       | Haryana                 | 3715                    |
| 9                       | Himachal Pradesh        | 102                     |
| 10                      | Jammu & Kashmir         | 291                     |
| 11                      | Jharkhand               | 96140                   |
| 12                      | Karnataka               | 12335                   |
| 13                      | Kerala                  | 1752                    |
| 14                      | Madhya Pradesh          | 97785                   |
| 15                      | Maharashtra             | 53385                   |
| 16                      | Manipur                 | 145                     |
| 17                      | Meghalaya               | 39151                   |
| 18                      | Mizoram                 | 23145                   |
| 19                      | Nagaland                | 1955                    |
| 20                      | Odisha                  | 388451                  |
| 21                      | Punjab                  | 1037                    |
| 22                      | Rajasthan               | 14167                   |
| 23                      | Sikkim                  | 40                      |
| 24                      | Tamil Nadu              | 8714                    |
| 25                      | Telangana               | 0                       |
| 26                      | Tripura                 | 47448                   |
| 27                      | Uttarakhand             | 41674                   |
| 28                      | Uttar Pradesh           | 1171                    |
| 29                      | West Bengal             | 25803                   |
| 30                      | A.N.Islands             | 98                      |
| 31                      | Chandigarh              | 79                      |
| 32                      | D&NHaveli               | 557                     |
| 33                      | Daman & Diu             | 114                     |
| 34                      | Delhi                   | 698                     |
| 35                      | Lakshadweep             | 55                      |
| 36                      | Puducherry              | 0                       |
| All India Total 1070513 | All India Total 1070513 | All India Total 1070513 |

## State/UT-wise number of reported Dengue Cases in the Country

| Sl.         | State         | 2014        |
|-------------|---------------|-------------|
| No.         |               | Cases       |
| 1           | Andhra Pd.    | 1214        |
| 2           | Arunachal Pd. | 27          |
| 3           | Assam         | 85          |
| 4           | Bihar         | 309         |
| 5           | Chhattisgarh  | 440         |
| 6           | Goa           | 168         |
| 7           | Gujarat       | 2274        |
| 8           | Haryana       | 214         |
| 9           | Himachal Pd.  | 2           |
| 10          | J & K         | 1           |
| 11          | Jharkhand     | 26          |
| 12          | Karnataka     | 3232        |
| 13          | Kerala        | 2575        |
| 14          | Madhya Pd.    | 2131        |
| 15          | Meghalaya     | 8           |
| 16          | Maharashtra   | 8425        |
| 17          | Manipur       | 0           |
| 18          | Mizoram       | 19          |
| 19          | Nagaland      | 0           |
| 20          | Odisha        | 6433        |
| 21          | Punjab        | 470         |
| 22          | Rajasthan     | 1243        |
| 23          | Sikkim        | 5           |
| 24          | Tamil Nadu    | 2742        |
| 25          | Telangana     | 652         |
| 26          | Tripura       | 6           |
| 27          | Uttar Pradesh | 160         |
| 28          | Uttrakhand    | 106         |
| 29          | West Bengal   | 3934        |
| 30          | A&N Island    | 995         |
| 31          | Chandigarh    | 1462        |
| 32          | Delhi         | 139         |
| 33          | D&N Haveli    | 13          |
| 34          | Daman &Diu    | 641         |
| 35          | Puducherry    | 46          |
| 36          | Lakshadweep   | 0           |
| TOTAL 40197 | TOTAL 40197   | TOTAL 40197 |

State/UT-wise Clinically Suspected Chikungunya Cases in the Country

| S.No.   | Name of the State   |   2014 Cases |
|---------|---------------------|--------------|
| 1       | Andhra Pd.          |         1359 |
| 2       | Assam               |            0 |
| 3       | Bihar               |            0 |
| 4       | Goa                 |         1205 |
| 5       | Gujarat             |          574 |
| 6       | Haryana             |            3 |
| 7       | Jharkhand           |            0 |
| 8       | Karnataka           |         6746 |
| 9       | Kerala              |          272 |
| 10      | Madhya Pd.          |          161 |
| 11      | Meghalaya           |            0 |
| 12      | Maharashtra         |         1130 |
| 13      | Odisha              |           10 |
| 14      | Punjab              |            2 |
| 15      | Rajasthan           |           22 |
| 16      | Tamil Nadu          |          510 |
| 17      | Telengana           |         1687 |
| 18      | Tripura             |           34 |
| 19      | Uttar Pradesh       |            3 |
| 20      | Uttrakhand          |            0 |
| 21      | West Bengal         |          910 |
| 22      | A&N Island          |          161 |
| 23      | Chandigarh          |            0 |
| 24      | Delhi               |            8 |
| 25      | D&N Haveli          |            0 |
| 26      | Lakshadweep         |            0 |
| 27      | Puducherry          |          399 |
| Total   | Total               |        17210 |

State/UT- wise reported JE Cases in the country

| Sl. No.   | States / UTs      |   2014 Cases |
|-----------|-------------------|--------------|
| 1         | Andhra Pradesh    |            0 |
| 2         | Arunachal Pradesh |           32 |
| 3         | Assam             |          761 |
| 4         | Bihar             |           16 |
| 5         | Delhi             |            0 |
| 6         | Goa               |            0 |
| 7         | Haryana           |            0 |
| 8         | Jharkhand         |           90 |
| 9         | Karnataka         |           13 |
| 10        | Kerala            |            3 |
| 11        | Meghalaya         |           72 |
| 12        | Maharashtra       |            0 |
| 13        | Manipur           |            1 |
| 14        | Nagaland          |            6 |
| 15        | Punjab            |            0 |
| 16        | Tamil Nadu        |           36 |
| 17        | Tripura           |           14 |
| 18        | Uttarakhand       |            2 |
| 19        | Uttar Pradesh     |          191 |
| 20        | West Bengal       |          410 |
| Total     | Total             |         1647 |

State / UT-wise Cases of National Leprosy Eradication Programme (NLEP)

|   Sl. No. | State / UT        |   New Case 2014-15 up to December 2014 |
|-----------|-------------------|----------------------------------------|
|         1 | Andhra Pradesh    |                                   3753 |
|         2 | Arunachal Pradesh |                                     26 |
|         3 | Assam             |                                    618 |
|         4 | Bihar             |                                  10726 |
|         5 | Chhattisgarh      |                                   6342 |
|         6 | Goa               |                                     41 |
|         7 | Gujarat           |                                   7751 |
|         8 | Haryana           |                                    359 |
|         9 | Himachal Pradesh  |                                    141 |
|        10 | Jharkhand         |                                   3116 |
|        11 | Jammu &Kashmir    |                                    100 |
|        12 | Karnataka         |                                   2103 |
|        13 | Kerala            |                                    508 |
|        14 | Madhya Pradesh    |                                   4583 |
|        15 | Maharashtra       |                                  10387 |
|        16 | Manipur           |                                      8 |
|        17 | Meghalaya         |                                     14 |
|        18 | Mizoram           |                                      8 |
|        19 | Nagaland          |                                      7 |
|        20 | Odisha            |                                   4917 |
|        21 | Punjab            |                                    179 |
|        22 | Rajasthan         |                                    750 |
|        23 | Sikkim            |                                     10 |
|        24 | Tamil Nadu        |                                   2338 |
|        25 | Tripura           |                                     37 |
|        26 | Uttar Pradesh     |                                  17314 |
|        27 | Uttarakhand       |                                    410 |
|        28 | West Bengal       |                                   8042 |
|        29 | A &NIslands       |                                     18 |
|        30 | Chandigarh        |                                     94 |
|        31 | D &NHaveli        |                                    212 |
|        32 | Daman &Diu        |                                      8 |
|        33 | Delhi             |                                   1615 |
|        34 | Lakshadweep       |                                      0 |
|        35 | Pondicherry       |                                     33 |

State/UT-wise No. of TB cases registered under RNTCP

| Sl. No.   | States/UTs          | 2014    |
|-----------|---------------------|---------|
| 1.        | Andaman &Nicobar    | 756     |
| 2.        | Andhra Pradesh      | 88638   |
| 3.        | Arunachal Pradesh   | 2691    |
| 4.        | Assam               | 38317   |
| 5.        | Bihar               | 67991   |
| 6.        | Chandigarh          | 2869    |
| 7.        | Chhattisgarh        | 28864   |
| 8.        | Dadar &Nagar Haveli | 450     |
| 9.        | Daman &Diu          | 279     |
| 10.       | Delhi               | 54037   |
| 11.       | Goa                 | 1660    |
| 12.       | Gujarat             | 77395   |
| 13.       | Haryana             | 39498   |
| 14.       | Himachal Pradesh    | 14441   |
| 15.       | Jammu &Kashmir      | 10243   |
| 16.       | Jharkhand           | 35907   |
| 17.       | Karnataka           | 61328   |
| 18.       | Kerala              | 23439   |
| 19.       | Lakshadweep         | 27      |
| 20.       | Madhya Pradesh      | 100034  |
| 21.       | Maharashtra         | 135465  |
| 22.       | Manipur             | 2198    |
| 23.       | Meghalaya           | 4944    |
| 24.       | Mizoram             | 1993    |
| 25.       | Nagaland            | 3298    |
| 26.       | Odisha              | 45777   |
| 27.       | Puducherry          | 1409    |
| 28.       | Punjab              | 38152   |
| 29.       | Rajasthan           | 94908   |
| 30.       | Sikkim              | 1630    |
| 31.       | Tamil Nadu          | 84570   |
| 32.       | Telengana           | 18655   |
| 33.       | Tripura             | 2507    |
| 34.       | Uttar Pradesh       | 255364  |
| 35.       | Uttarakhand         | 14429   |
| 36.       | West Bengal         | 89819   |
|           | TOTAL               |         |
|           |                     | 1443942 |

1. Number of HIV +Ve Cases Detected Through ICTCS during current Year, State/UTs-wise

| Sl.No   | State/UTs                | 2014-15 (Up to Dec 14)   | 2014-15 (Up to Dec 14)   |
|---------|--------------------------|--------------------------|--------------------------|
| 1       | Andaman &Nicobar Islands | Andaman &Nicobar Islands | 16                       |
| 2       | Andhra Pradesh           | Andhra Pradesh           | 35693                    |
| 3       | Arunachal Pradesh        | Arunachal Pradesh        | 21                       |
| 4       | Assam                    | Assam                    | 928                      |
| 5       | Bihar                    | Bihar                    | 5089                     |
| 6       | Chandigarh               | Chandigarh               | 665                      |
| 7       | Chhattisgarh             | Chhattisgarh             | 2307                     |
| 8       | Dadra &Nagar Haveli      | Dadra &Nagar Haveli      | 70                       |
| 9       | Daman &Diu               | Daman &Diu               | 56                       |
| 10      | Delhi                    | Delhi                    | 5472                     |
| 11      | Goa                      | Goa                      | 311                      |
| 12      | Gujarat                  | Gujarat                  | 8433                     |
| 13      | Haryana                  | Haryana                  | 1262                     |
| 14      | Himachal Pradesh         | Himachal Pradesh         | 1134                     |
| 15      | Jammu &Kashmir           | Jammu &Kashmir           | 33                       |
| 16      | Jharkhand                | Jharkhand                | 1540                     |
| 17      | Karnataka                | Karnataka                | 21492                    |
| 18      | Kerala                   | Kerala                   | 1375                     |
| 19      | Madhya Pradesh           | Madhya Pradesh           | 2922                     |
| 20      | Maharashtra              | Maharashtra              | 25578                    |
| 21      | Manipur                  | Manipur                  | 287                      |
| 22      | Meghalaya                | Meghalaya                | 397                      |
| 23      | Mizoram                  | Mizoram                  | 989                      |
| 24      | Nagaland                 | Nagaland                 | 1569                     |
| 25      | Odisha                   | Odisha                   | 2521                     |
| 26      | Puducherry               | Puducherry               | 197                      |
| 27      | Punjab                   | Punjab                   | 4189                     |
| 28      | Rajasthan                | Rajasthan                | 6312                     |
| 29      | Sikkim                   | Sikkim                   | 28                       |
| 30      | Tamil Nadu               | Tamil Nadu               | 11336                    |
| 31      | Tripura                  | Tripura                  | 197                      |
| 32      | Uttar Pradesh            | Uttar Pradesh            | 11743                    |
| 33      | Uttarakhand              | Uttarakhand              | 654                      |
| 34      | West Bengal              | West Bengal              | 716                      |
|         | All India                |                          | 1,55,532                 |

Source: ICTC Programme data

State/UT -wise Estimated Incidence of cancer cases in India

| Sl. No.   | States                   | 2015            |
|-----------|--------------------------|-----------------|
| 1         | Jammu & Kashmir          | Incidence 12213 |
| 2         | Himachal pradesh         | 6366            |
| 3         | Punjab                   | 25547           |
| 4         | Chandigarh               | 984             |
| 5         | Uttaranchal              | 9745            |
| 6         | Haryana                  | 23967           |
| 7         | Delhi                    | 15489           |
| 8         | Rajasthan                | 65215           |
| 9         | Uttar pradesh            | 192488          |
| 10        | Bihar                    | 101820          |
| 11        | Sikkim                   | 609             |
| 12        | Arunachal pradesh        | 1214            |
| 13        | Nagaland                 | 1649            |
| 14        | Manipur                  | 2042            |
| 15        | Mizoram                  | 929             |
| 16        | Tripura                  | 3391            |
| 17        | Meghalaya                | 2555            |
| 18        | Assam                    | 25935           |
| 19        | West bengal              | 86628           |
| 20        | Jharkhand                | 32027           |
| 21        | Orissa                   | 39288           |
| 22        | Chattisgarh              | 24909           |
| 23        | Madhya pradesh           | 69918           |
| 24        | Gujarat                  | 57699           |
| 25        | Daman & Diu              | 322             |
| 26        | Dadra& Nagar Haveli      | 371             |
| 27        | Maharashtra              | 104361          |
| 28        | Telangana                | 34637           |
| 29        | Andhra pradesh           | 48642           |
| 30        | Karnataka                | 57808           |
| 31        | Goa                      | 1350            |
| 32        | Lakshadweep              | 67              |
| 33        | Kerala                   | 32525           |
| 34        | Tamil nadu               | 64384           |
| 35        | Pondicherry              | 1258            |
| 36        | Andaman &Nicobar Islands | 340             |
|           | Total                    | 1148692         |