Lok Sabha Question No. 1103 (UNSTARRED), answered on 2016-07-22
Subject: Cancer Cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: J. JAYASINGH THIYAGARAJ NATTERJEE, KANWAR SINGH TANWAR, (ADV.) JOICE GEORGE, PANKAJ CHOWDHARY

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

## LOK SABHA UNSTARRED QUESTION NO. 1103 TO BE ANSWERED ON 2 2 ND JULY, 2016

## CANCER CASES

## 1103. SHRI J.J.T. NATTERJEE:

SHRI KANWAR SINGH TANWAR:

ADV. JOICE GEORGE:

SHRI PANKAJ CHAUDHARY:

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

- (a) whether there is a steady increase in cancer cases in the country, if so, the details thereof along with the number of cases reported and deaths occurred in various States/UTs including Uttar Pradesh, during the last three years, State/UT - wise;

(b) whether the Government has undertaken any survey to find the prime reasons causing cancer and for prevention of cancer and if so, the outcome thereof;

- (c) whether most of the cancer patients come to know about their disease only at the end stage of their disease reducing the chances of their survival; and
- (d) if so, the action plan prepared by the Government for early detection of cancer especially amo ng women by setting up of mammography units, comprehensive cancer control, enhancing the existing infrastructure for cancer treatment facilities in the country?

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

- (a): Yes, there is an increase in cancer cases in country as per Indian Council of M Research's  National  cancer  Registry  data.  The  details  of  estimated  number  of  new  cancer patients and deaths due to cancer in various states /Union Territor ies (including State of Uttar Pradesh) for the last three years are given in Annexure 1 and Annexure 2 respectively.
- (b)& (c) : The increase in the number of cancer cases in the country may be attribute larger number of ageing population, unhealthy li fe st les, use of tobacco and tobacco products, unhealthy diet, better diagnostic facilities etc.

As reported by ICMR, it is difficult to quantify the cases that can be prevented a is a disease of multi factorial origin and could be due to various risk factors. However, increased access to vaccination for cancer preventable through vaccine such as Hepatitis B virus the risk of hepatocellular cancer.

As reported by ICMR as per 'Consolidated Report on Hospital Based Cancer Registry: 201214', it  is  estimated  that  approximately 17% patients report when the disease has spread throughout the body which is the end stage of disease.

The cancer survival rate is generally believed to depend upon amongst others, stage diagnosis,  stage  of  initiation  of  treatment,  type  and  site  of  Cancer,  correct  and treatment.

(d): Central  Government  supplements  the  efforts  of  the  State  Government  for  improvin healthcare including prevention, diagnosis and treatment of Cancer.  At present, the ob of  the  National  Programme  for  Prevention  and  Control  of  Cancer,  Diabetes,  Cardiovascu Diseases and Stroke (NPCDCS) being implemented under National Health M ission (NHM) for interventions  upto  the  district  level  includes  awareness  generation  for  Cancer  prev screening,  early  detection  and  referral  to  an  appropriate  level  institution  for  treat focus of the programme is on Breast, Cervical and Or Cance .

Operational  guidelines  have  been  released  for  prevention,  control  and  screenin Diabetes,  Hypertension  and  common  Cancer  (Cervix,  Breast  and  Oral)  to  the  States implementation.  The  screening  includes  screening  for  risk  factors  of  these  d iseases.  Such screening will also generate awareness on risk factors of these diseases. Breast self ex is also promoted for early detection of breast cancer

Screening for cervical cancer is by Visual Inspection with Acetic Acid (VIA) techn Suspected cases are to be referred for confirmatory diagnosis by various tests includin -pathological biopsy. Electronic and Print media is utilized for health awareness for cancer.

Government of India has approved 'Tertiary Care for Cancer' Sche me under NPCDCS in the year 2013 - 14.  Under  the  said  scheme,  Government  of  India  assists  to  establish/set State Cancer Institutes (SCI) and Tertiary Care Cancer Centres (TCCC) in different parts country.  These  institutions  will  mentor  all  Cancer  r elated  activities  including  prevention, awareness generation, research and treatment in their respective jurisdiction.

In addition to Cancer diagnosis and treatment by the State Governments Health Insti the  Central  Government  Institutions  such  as  A ll  India  Institute  of  Medical      Sciences, Safdurjung  Hospital,  Dr  Ram  Manohar  Lohia  Hospital,  PGIMER  Chandigarh,  JIPMER Puducherry, Chittaranjan National Cancer Institute, Kolkata, etc. provide facilities for and treatment of Cancer.

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

| States                    |    2013 |    2014 |    2015 |
|---------------------------|---------|---------|---------|
| Jammu &Kashmir            |   13404 |   14115 |   14864 |
| Himachal Pradesh          |    7140 |    7425 |    7722 |
| Punjab                    |   28835 |   30002 |   31214 |
| Chandigarh                |    1110 |    1162 |    1217 |
| Uttaranchal               |   10709 |   11240 |   11796 |
| Haryana                   |   26688 |   27933 |   29240 |
| Delhi                     |   17578 |   18356 |   19168 |
| Rajasthan                 |   72275 |   75642 |   79160 |
| Uttar Pradesh             |  212075 |  222615 |  233659 |
| Bihar                     |  111572 |  117603 |  123949 |
| Sikkim                    |     462 |     467 |     473 |
| Arunachal Pradesh         |    1212 |    1231 |    1252 |
| Nagaland                  |    1284 |    1288 |    1294 |
| Manipur                   |    2759 |    2836 |    2916 |
| Mizoram                   |    1552 |    1585 |    1618 |
| Tripura                   |    2110 |    2139 |    2169 |
| Meghalaya                 |    3121 |    3184 |    3246 |
| Assam                     |   30775 |   31124 |   31474 |
| West Bengal               |   95316 |   99339 |  103532 |
| Jharkhand                 |   35206 |   37031 |   38947 |
| Orissa                    |   43882 |   45736 |   47666 |
| Chhattisgarh              |   27310 |   28738 |   30239 |
| Madhya Pradesh            |   77175 |   81034 |   85078 |
| Gujarat                   |   63884 |   66952 |   70171 |
| Daman &Diu                |     299 |     339 |     385 |
| Dadra &Nagar Haveli       |     389 |     421 |     457 |
| Maharashtra               |  117317 |  122256 |  127390 |
| Telangana                 |   36885 |   38494 |   40177 |
| Andhra Pradesh            |   51462 |   53570 |   55776 |
| Karnataka                 |   64306 |   67237 |   70302 |
| Goa                       |    1522 |    1587 |    1655 |
| Lakshadweep               |      71 |      77 |      82 |
| Kerala                    |   35620 |   37550 |   39672 |
| Tamil Nadu                |   73736 |   76091 |   78512 |
| Pondicherry               |    1351 |    1428 |    1510 |
| Andaman & Nicobar Islands |     389 |     402 |     415 |
| Total                     | 1270781 | 1328229 | 1388397 |

| States                    |   2013 |   2014 |   2015 |
|---------------------------|--------|--------|--------|
| Jammu &Kashmir            |   6782 |   7144 |   7525 |
| Himachal Pradesh          |   3598 |   3742 |   3893 |
| Punjab                    |  14580 |  15171 |  15784 |
| Chandigarh                |    563 |    590 |    618 |
| Uttaranchal               |   5399 |   5667 |   5949 |
| Haryana                   |  13505 |  14135 |  14797 |
| Delhi                     |   8897 |   9290 |   9699 |
| Rajasthan                 |  36495 |  38202 |  39985 |
| Uttar Pradesh             | 107170 | 112514 | 118115 |
| Bihar                     |  56372 |  59431 |  62651 |
| Sikkim                    |    234 |    236 |    240 |
| Arunachal Pradesh         |    619 |    628 |    638 |
| Nagaland                  |    659 |    662 |    665 |
| Manipur                   |   1381 |   1419 |   1460 |
| Mizoram                   |    791 |    808 |    824 |
| Tripura                   |   1079 |   1094 |   1109 |
| Meghalaya                 |   1612 |   1644 |   1676 |
| Assam                     |  15677 |  15853 |  16029 |
| West Bengal               |  48075 |  50110 |  52231 |
| Jharkhand                 |  17760 |  18683 |  19653 |
| Orissa                    |  22105 |  23043 |  24019 |
| Chhattisgarh              |  13751 |  14472 |  15231 |
| Madhya Pradesh            |  38962 |  40917 |  42964 |
| Gujarat                   |  32275 |  33832 |  35466 |
| Daman &Diu                |    154 |    176 |    200 |
| Dadra &Nagar Haveli       |    198 |    215 |    233 |
| Maharashtra               |  59231 |  61732 |  64332 |
| Telangana                 |  18573 |  19385 |  20235 |
| Andhra Pradesh            |  25904 |  26970 |  28082 |
| Karnataka                 |  32401 |  33881 |  35430 |
| Goa                       |    767 |    799 |    834 |
| Lakshadweep               |     36 |     39 |     42 |
| Kerala                    |  17858 |  18827 |  19892 |
| Tamil Nadu                |  37118 |  38310 |  39537 |
| Pondicherry               |    678 |    717 |    759 |
| Andaman & Nicobar Islands |    196 |    203 |    210 |
| Total                     | 641455 | 670541 | 701007 |