Lok Sabha Question No. 285 (STARRED), answered on 2015-12-18
Subject: Hepatitis
Ministry: HEALTH AND FAMILY WELFARE
Asked by: BIDYUT BARAN MAHATO, GAJANAN CHANDRAKANT KIRTIKAR

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

## LOK SABHA STARRED QUESTION NO. 285 TO BE ANSWERED ON THE 18 TH DECEMBER 2015 HEPATITIS

## *285. SHRI BIDYUT BARAN MAHATO: SHRI GAJANAN KIRTIKAR:

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

- (a) whether cases of hepatitis infections are on the rise in the country, details thereof and the reasons therefor;
- (b)  the  number  of  cases  of  various  types  of  hepatitis  inf ections  reported  during each of the last three years and the current year, type and State/UT - wise;
- (c) the measures taken/proposed to be taken by the Government for prevention control  of  hepatitis  along  with  the  funds  allocated  and  utilised  for  the rpose during the said period, State/UT - wise;
- (d) whether the Government has recently granted a waiver of local trials for new direct - acting antiviral drugs treating the disease, if so, the details th the reasons therefor along with the b enefits accrued therefrom; and
- (e) the steps taken/proposed to be taken by the Government to ensure the q and safety of the anti - hepatitis drugs?

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

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

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 285* FOR 18 TH DECEMBER, 2015

(a) to (c) The number of cases due to Viral Hepatitis as reported by the States to Central Bureau of Health Intelligence (CBHI) in the last three years is Annexure I . Separate figures for various types of Hepatitis are not collec present.

The main cause of Hepatitis A & E is consumption of contaminated water an provision of safe drinking water is the main strategy to control diseases c drinking of contaminated water. Rural water supply is a State subject. Gover of India supplements th e efforts of the States by providing technical and finan assistance under the centrally sponsored National Rural Drinking Wa Programme  (NRDWP)  for  providing  safe  and  adequate  drinking  water  supply facilities in rural areas of the country.

Hepatitis B vaccination is included under the Universal Immunization Programme (UIP) of Government of India. Government is using auto - disabled (AD) syringes for all vaccinations under the UIP in all States. AD syringes are single u -locking syringes that cann ot be used more than once. This prevents misuse and contamination/cross infection through repeated use of unster injection/equipment. The funds released to the States for implementation of last three years and current year are placed at Annexure II.

Screening of blood reduces the risk of transmission of Hepatitis B and C by transfusion. Therefore, blood banks mandatorily screen for Hepatitis B & C a Drug & Cosmetics Act 1940 and rules thereof.

A National Programme on Surveillance of Vir al Hepatitis under the 12 th Five Year Plan has been launched by the Government. National Centre for Disease Cont (NCDC),  Delhi  has  been  identified  for  coordinating  the  various  activities this programme.

NCDC,  under  the  Ministry  of  Health  and  Famil y  Welfare,  provides  technical guidance to State Governments on prevention and control of water borne dise including Hepatitis, and helps them in carrying out investigation of outbr such diseases under Integrated Disease Surveillance Programme (I DSP).  NCDC also  provides  laboratory  support  for  outbreak  investigations  and  etiol diagnosis besides conducting regular training courses for development of t manpower. Funds are released to States/UTs under Integrated Disease Surveill Progra mme (IDSP) to strengthen surveillance and to detectand respond to outbreaks of epidemic - prone diseases. The detail s of funds released to States/UTs during last three years and current year are at Annexure -III.

- (d) The following threeantiviral drugs have been approved in 2015 considering waiver  of  local  clinical  trial  for  Import/Manufacturing  and  marketing  i country.

|   S. No | Name of the Drug                                      | Date of Approval   |
|---------|-------------------------------------------------------|--------------------|
|      01 | Sofosbuvir 400 mg Tablet                              | 13.01.2015         |
|      02 | FDC of Ledipasvir (90 mg) + Sofosbuvir 400 mg) Tablet | 08.12.2015         |
|      03 | Daclatasvir Tablet (30 mg/ 60 mg)                     | 11.12.2015         |

The  issue  of  considering  waiver  of  local  clinical  trial  in  above  case deliberated in the expert committees and ,based on their recommendation ,waiver of local c linical trial was granted.

Grant  of  waiver  of  local  clinical  trial  has  resulted  in  early  launch  of Sofosbuvir  indicated  for  'in  combination  with  other  medicinal  products  for  the treatment of chronic hepatitis C (CHC) in adults'.

These  antiviral  d rugs  have  been  approved  for  Import/  Manufacturing  and marketing in the country subject to certain conditions. One of the condition the applicant shall conduct a time bound Post Marketing Trial (Phase - IV) as per the protocol approved by DCG (I).

(e) Drugs including anti - hepatitis are regulated under the provisions of Drugs a Cosmetics Act, 1940 and Rules 1945 made thereunder.

- 1.Under the Act and Rules, the regulatory control over the drugs imported in country  is  exercised  by  the  Central  Gov ernment  through  the  Central  Drugs Standard Control Organization (CDSCO). For import and marketing of drugs the overseas manufacturing premises and the drugs are required to be regis and license is required to be obtained from CDSCO.
- 2.New  drugs  areapproved  in  accordance  with  provision  of  the  Drugs  and Cosmetics Act, 1940 and Rules, 1945 made thereunder after being satisfied the drug permitted to be imported/ manufactured shall be effective and sa use in the country
- 3.Detailed requirements and guidelines for manufacture/import of new drugs in the country are specified under Rule 122A, 122B, 122D, 122E and Schedule of Drugs and Cosmetics Act, 1940 and Rules, 1945.
- 4.However,  for  manufacture/Import  and  marketing  of  any  new  drug,  prio permis sion from CDSCO is required to be obtained.
5. The manufacture, sale and distribution of drug is regulated under the sa &  Rules  by  the  State  Drugs  Control  Authorities  appointed  by  the  St Governments. The regulatory control over the manufactu re and sale of the drugs is exercised through a system of licensing and inspection.

Government has launched Pharmacovigilance Programme of India for monitoring the safety of the marketed drug. Indian Pharmacopoeia Commission, Ghaziabad ,is the national co - coordinator of the programme.

State - wise Cases due to Viral Hepatitis (All Causes) during 2012 -2015

## Annexure I

| Sl. No.   | State / U.T.   | 2012   | 2013   | 2014(Prov.)   | 2015(Prov.)   | 2015(Prov.)                |
|-----------|----------------|--------|--------|---------------|---------------|----------------------------|
| Sl. No.   | State / U.T.   | Cases  | Cases  | Cases         | Cases         | Reference Period Jan 15 to |
| 1         | Andhra Prad.   | 7955   | 8739   | 3716          | 1867          | August,15                  |
| 2         | Arun. Prad.    | 1520   | 588    | 378           | 218           | September,15               |
| 3         | Assam          | 419    | 466    | 1994          | 456           | September,15               |
| 4         | Bihar          | 3094   | 6736   | 20670         | 20361         | October,15                 |
| 5         | Chhattisgarh   | 914    | 670    | 533           | 437           | October,15                 |
| 6         | Goa            | 92     | 173    | 182           | 102           | July, 15                   |
| 7         | Gujarat        | 4763   | 3676   | 4808          | 2870          | October,15                 |
| 8         | Haryana        | 2686   | 1307   | 2717          | 4076          | October,15                 |
| 9         | HP             | 1310   | 2023   | 2808          | 1440          | September,15               |
| 10        | J & K          | 5967   | 6307   | 5110          | 3172          | October,15                 |
| 11        | Jharkhand      | 983    | 1444   | 972           | 457           | October,15                 |
| 12        | Karnataka      | 10789  | 5415   | 6613          | 5001          | October,15                 |
| 13        | Kerala         | 8212   | 7034   | 5567          | 2961          | October,15                 |
| 14        | Madhya Prad.   | 12325  | 14055  | 16141         | 8802          | October,15                 |
| 15        | Maharashtra    | 6175   | 5851   | 5985          | 5776          | October,15                 |
| 16        | Manipur        | 229    | 258    | 443           | 68            | September,15               |
| 17        | Meghalaya      | 221    | 518    | 609           | 253           | June, 15                   |
| 18        | Mizoram        | 914    | 419    | 194           | 155           | October,15                 |
| 19        | Nagaland       | 284    | 119    | 88            | 27            | October,15                 |
| 20        | Orissa         | 5372   | 3743   | 4910          | 3040          | October,15                 |
| 21        | Punjab         | 3323   | 3099   | 4525          | 7551          | October,15                 |
| 22        | Rajasthan      | 1595   | 2384   | 9719          | 2194          | October,15                 |
| 23        | Sikkim         | 667    | 692    | 554           | 18            | September,15               |
| 24        | TamilNadu      | 10628  | 1868   | 2671          | 858           | October,15                 |
| 25        | Tripura        | 272    | 205    | 177           | 85            | September,15               |
| 26        | Uttarakhand    | 6499   | 8619   | 9243          | 7529          | September,15               |
| 27        | Uttar Pradesh  | 6345   | 9079   | 16026         | 8783          | October,15                 |
| 28        | West Bengal    | 4097   | 4967   | 4444          | 2951          | October,15                 |
| 29        | A & N Islands  | 172    | 231    | 262           | 37            | August,15 exc Feb, May     |
| 30        | Chandigarh     | 1751   | 424    | 766           | 862           | August,15                  |
| 31        | D & N Haveli   | 159    | 90     | 32            | 43            | October, 15 exc Aug        |
| 32        | Daman & Diu    | 192    | 184    | 65            | 51            | October,15 exc Mar, Apr    |
| 33        | Delhi          | 8184   | 8290   | 6425          | 4872          | August,15                  |
| 34        | Lakshadweep    | 17     | 5      | 16            | 4             | September,15               |
| 35        | Puducherry     | 755    | 447    | 299           | 435           | September,15               |
| Total     |                | 118880 | 110125 | 139662        | 97812         |                            |

Source:  National Health

Profile brought out by CBHI,

DGHS

Note :

1.  2014 & 2015 : Andhra Pradesh excludes data of 10 districts of Telangana from July 2014 Onwards.
2.  2014:  Data for Assam till September
3. 2014 : Data from Meghalaya does not contain figures for October

Annexure II

| Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   | Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   | Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   | Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   | Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   | Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   | Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   | Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   | Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   | Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   | Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   | Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   | Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   | Allocation ,Release & Expenditure under Routine Immunization for the12th Plan   |
|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|
| S. N.                                                                           |                                                                                 | 2012-13                                                                         | 2012-13                                                                         | 2012-13                                                                         | 2013-14                                                                         | 2013-14                                                                         | 2013-14                                                                         | 2014-15                                                                         | 2014-15                                                                         | 2014-15                                                                         | Rs. In cror                                                                     | Rs. In cror                                                                     | Rs. In cror                                                                     |
|                                                                                 | States                                                                          | Allocation                                                                      | Release                                                                         | Exp                                                                             | Allocation                                                                      | Release                                                                         | Exp                                                                             | Allocation                                                                      | Release                                                                         | Exp                                                                             | Allocation                                                                      | 2015-16 Release                                                                 | Exp                                                                             |
| 1                                                                               | Andaman & Nicobar Islands                                                       | 0.06                                                                            | 0.04                                                                            | 0.06                                                                            | 0.06                                                                            | 0.03                                                                            | 0.03                                                                            | 0.07                                                                            | 0.06                                                                            | 0.02                                                                            | 0.06                                                                            | 0.04                                                                            | 0.02                                                                            |
| 2                                                                               | Andhra Pradesh                                                                  | 12.66                                                                           | 10.00                                                                           | 19.67                                                                           | 14.06                                                                           | 6.22                                                                            | 7.17                                                                            | 9.54                                                                            | 0.00                                                                            | 4.49                                                                            | 7.63                                                                            | 0                                                                               | 4.92                                                                            |
| 3                                                                               | Arunachal Pradesh                                                               | 0.68                                                                            | 0.61                                                                            | 1.54                                                                            | 0.76                                                                            | 1.76                                                                            | 1.87                                                                            | 0.76                                                                            | 0.57                                                                            | 0.47                                                                            | 0.61                                                                            | 0.45                                                                            | 0.44                                                                            |
| 4                                                                               | Assam                                                                           | 15.38                                                                           | 12.38                                                                           | 24.99                                                                           | 17.09                                                                           | 12.82                                                                           | 18.56                                                                           | 17.09                                                                           | 12.82                                                                           | 13.36                                                                           | 13.67                                                                           | 10.25                                                                           | 8.41                                                                            |
| 5                                                                               | Bihar                                                                           | 20.17                                                                           | 37.21                                                                           | 28.05                                                                           | 22.41                                                                           | 28.87                                                                           | 48.18                                                                           | 20.05                                                                           | 15.04                                                                           | 59.12                                                                           | 16.04                                                                           | 12.03                                                                           | 7.21                                                                            |
| 6                                                                               | Chandigarh                                                                      | 0.16                                                                            | 0.00                                                                            | 0.03                                                                            | 0.18                                                                            | 0.03                                                                            | 0.12                                                                            | 0.20                                                                            | 0.15                                                                            | 0.07                                                                            | 0.16                                                                            | 0.16                                                                            | 0.11                                                                            |
| 7                                                                               | Chattisgarh                                                                     | 5.73                                                                            | 0.00                                                                            | 7.33                                                                            | 6.36                                                                            | 3.50                                                                            | 10.24                                                                           | 4.93                                                                            | 3.70                                                                            | 8.95                                                                            | 3.95                                                                            | 2.96                                                                            | 5.02                                                                            |
| 8                                                                               | Dadra & Nagar Haveli                                                            | 0.05                                                                            | 0.02                                                                            | 0.06                                                                            | 0.06                                                                            | 0.06                                                                            | 0.07                                                                            | 0.07                                                                            | 0.00                                                                            | 0.13                                                                            | 0.05                                                                            | 0.04                                                                            | 0.07                                                                            |
| 9                                                                               | Daman & Diu                                                                     | 0.04                                                                            | 0.00                                                                            | 0.03                                                                            | 0.04                                                                            | 0.04                                                                            | 0.07                                                                            | 0.05                                                                            | 0.04                                                                            | 0.07                                                                            | 0.04                                                                            | 0.03                                                                            | 0.01                                                                            |
| 10                                                                              | Delhi                                                                           | 2.50                                                                            | 2.05                                                                            | 0.46                                                                            | 2.78                                                                            | 0.69                                                                            | 1.21                                                                            | 3.24                                                                            | 3.24                                                                            | 2.68                                                                            | 2.59                                                                            | 1.94                                                                            | 4.00                                                                            |
| 11                                                                              | Goa                                                                             | 0.22                                                                            | 0.00                                                                            | 0.10                                                                            | 0.24                                                                            | 0.07                                                                            | 0.07                                                                            | 0.28                                                                            | 0.21                                                                            | 0.10                                                                            | 0.23                                                                            | 0.12                                                                            | 0.04                                                                            |
| 12                                                                              | Gujarat                                                                         | 9.03                                                                            | 24.90                                                                           | 23.75                                                                           | 10.03                                                                           | 14.37                                                                           | 24.42                                                                           | 11.67                                                                           | 11.67                                                                           | 26.27                                                                           | 9.33                                                                            | 7.00                                                                            | 12.27                                                                           |
| 13                                                                              | Haryana                                                                         | 3.79                                                                            | 6.79                                                                            | 7.49                                                                            | 4.21                                                                            | 3.16                                                                            | 12.74                                                                           | 4.90                                                                            | 3.67                                                                            | 10.57                                                                           | 3.92                                                                            | 2.94                                                                            | 8.74                                                                            |
| 14                                                                              | Himachal Pradesh                                                                | 1.54                                                                            | 0.85                                                                            | 1.77                                                                            | 1.71                                                                            | 1.28                                                                            | 0.89                                                                            | 1.32                                                                            | 0.99                                                                            | 1.14                                                                            | 1.06                                                                            | 0                                                                               | 1.86                                                                            |
| 15                                                                              | Jammu & Kashmir                                                                 | 2.81                                                                            | 0.00                                                                            | 1.68                                                                            | 3.13                                                                            | 0.94                                                                            | 1.63                                                                            | 2.42                                                                            | 0.00                                                                            | 0.90                                                                            | 1.94                                                                            | 1.46                                                                            | 0.84                                                                            |
| 16                                                                              | Jharkhand                                                                       | 7.39                                                                            | 0.00                                                                            | 10.54                                                                           | 8.21                                                                            | 6.16                                                                            | 14.70                                                                           | 6.37                                                                            | 4.78                                                                            | 17.18                                                                           | 5.10                                                                            | 3.83                                                                            | 9.85                                                                            |
| 17                                                                              | Karnataka                                                                       | 9.14                                                                            | 6.85                                                                            | 8.39                                                                            | 10.15                                                                           | 3.89                                                                            | 10.53                                                                           | 11.81                                                                           | 11.81                                                                           | 11.30                                                                           | 9.45                                                                            | 7.09                                                                            | 5.55                                                                            |
| 18                                                                              | Kerala                                                                          | 4.99                                                                            | 3.74                                                                            | 6.95                                                                            | 5.55                                                                            | 4.16                                                                            | 7.80                                                                            | 6.45                                                                            | 4.84                                                                            | 8.13                                                                            | 5.16                                                                            | 3.87                                                                            | 3.43                                                                            |
| 19                                                                              | Lakshadwee p                                                                    | 0.01                                                                            | 0.09                                                                            | 0.04                                                                            | 0.01                                                                            | 0.05                                                                            | 0.06                                                                            | 0.01                                                                            | 0.01                                                                            | 0.01                                                                            | 0.01                                                                            | 0.01                                                                            | -                                                                               |
| 20                                                                              | Madhya Pradesh                                                                  | 14.11                                                                           | 14.11                                                                           | 43.97                                                                           | 15.68                                                                           | 11.76                                                                           | 44.01                                                                           | 14.03                                                                           | 10.52                                                                           | 37.28                                                                           | 11.22                                                                           | 10.10                                                                           | 17.99                                                                           |

| 21          | Maharashtra   | 16.80   | 12.60   | 30.47   | 18.67   | 16.06   | 32.86   | 21.71   | 16.28   | 31.21   | 17.37   | 13.03   | 10.61   |
|-------------|---------------|---------|---------|---------|---------|---------|---------|---------|---------|---------|---------|---------|---------|
| 22          | Manipur       | 1.34    | 1.34    | 0.72    | 1.49    | 0.86    | 0.71    | 1.49    | 1.12    | 0.66    | 1.19    | 0.90    | 0.42    |
| 23          | Meghalaya     | 1.46    | 1.28    | 0.57    | 1.63    | 0.04    | 0.31    | 1.63    | 0.00    | 0.73    | 1.30    | 0.98    | 0.46    |
| 24          | Mizoram       | 0.55    | 0.51    | 0.59    | 0.60    | 0.61    | 0.55    | 0.60    | 0.14    | 0.30    | 0.48    | 0.36    | 0.30    |
| 25          | Nagaland      | 0.98    | 0.76    | 1.23    | 1.09    | 0.73    | 1.30    | 1.09    | 0.81    | 0.19    | 0.87    | 0       | 0.68    |
| 26          | Orissa        | 8.15    | 0.00    | 12.89   | 9.06    | 9.06    | 18.66   | 8.10    | 8.10    | 17.36   | 6.48    | 4.86    | 6.65    |
| 27          | Pondicherry   | 0.18    | 0.14    | 0.12    | 0.21    | 0.09    | 0.12    | 0.24    | 0.24    | 0.11    | 0.19    | 0       | 0.07    |
| 28          | Punjab        | 4.14    | 2.68    | 4.27    | 4.60    | 3.45    | 6.93    | 5.35    | 4.01    | 7.75    | 4.28    | 3.21    | 6.65    |
| 29          | Rajasthan     | 13.34   | 20.92   | 19.90   | 14.82   | 11.11   | 23.71   | 13.26   | 9.94    | 28.10   | 10.61   | 7.96    | 12.12   |
| 30          | Sikkim        | 0.30    | 0.19    | 0.26    | 0.33    | 0.26    | 0.45    | 0.33    | 0.25    | 0.53    | 0.27    | 0.20    | 0.18    |
| 32          | Tamil Nadu    | 10.78   | 0.00    | 2.18    | 11.98   | 12.75   | 6.32    | 13.94   | 13.94   | 8.01    | 11.15   | 0       | 4.33    |
| 33          | Tripura       | 1.81    | 0.00    | 1.05    | 2.01    | 1.33    | 1.53    | 2.01    | 1.51    | 3.09    | 1.61    | 1.21    | 0.56    |
| 34          | Uttar Pradesh | 38.79   | 60.40   | 78.82   | 43.10   | 0.00    | 112.8 5 | 38.56   | 28.92   | 93.16   | 30.85   | 23.14   | 43.07   |
| 35          | Uttarakhand   | 2.27    | 0.00    | 3.47    | 2.52    | 1.88    | 5.36    | 1.95    | 1.47    | 5.18    | 1.56    | 1.17    | 4.17    |
| 36          | West Bengal   | 13.65   | 1.25    | 17.14   | 15.17   | 30.80   | 25.96   | 17.65   | 13.24   | 26.98   | 14.12   | 10.59   | 17.68   |
| 37          | Telangana     |         |         |         |         |         |         | 6.82    | 5.11    | 4.46    | 5.45    | 0       | 4.76    |
| Grand total | Grand total   | 225.00  | 221.70  | 360.57  | 250.00  | 188.91  | 441.9 4 | 250.00  | 189.19  | 430.0 5 | 200.00  | 131.93  | 203.52  |
| 38          | Others        | 0.00    | 0.00    | 2.85    |         | 0.00    |         |         |         |         |         |         |         |
| Grand total | Grand total   | 225.00  | 221.70  | 363.42  | 250.00  | 188.91  | 441.9 4 | 250.00  | 189.19  | 430.0 5 | 200.00  | 131.93  | 203.52  |

## No te:

- 1). Expenditure includes  expenditure against central Release, state release & unspent balances at the beginning of  the year .Expenditure  for the F.Y. 2015 - 16 (upto 30.09.2015 as per FMR) are provisional.
- 2). Release  for the F.Y. 2015 - 16 is  updated upto 30.10.2015 and is provisional
- 3). The above  Releases relate to Central Govt. Grants & do not include state share contribution.

## Annexure III

| INTEGRATED DISEASE SURVEILLANCE PROGRAMME SUMMARY OF FINANCIAL STATUS OF STATE   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME SUMMARY OF FINANCIAL STATUS OF STATE   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME SUMMARY OF FINANCIAL STATUS OF STATE   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME SUMMARY OF FINANCIAL STATUS OF STATE   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME SUMMARY OF FINANCIAL STATUS OF STATE   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME SUMMARY OF FINANCIAL STATUS OF STATE   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME SUMMARY OF FINANCIAL STATUS OF STATE   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME SUMMARY OF FINANCIAL STATUS OF STATE   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME SUMMARY OF FINANCIAL STATUS OF STATE   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME SUMMARY OF FINANCIAL STATUS OF STATE   |
|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|
| Sl. No .                                                                         | States/UTs                                                                       | GIA Released to States                                                           | GIA Released to States                                                           | GIA Released to States                                                           | GIA Released to States                                                           | SOCIETIES Expenditure                                                            | SOCIETIES Expenditure                                                            | (Rs in Lacs) As on 05.11.2015                                                    | (Rs in Lacs) As on 05.11.2015                                                    |
|                                                                                  |                                                                                  | 2012 - 13                                                                        | 2013-14                                                                          | 2014-15                                                                          | 2015-16                                                                          | 2012 - 13                                                                        | 2013-14                                                                          | 2014-15                                                                          | 2015- 16                                                                         |
| 1                                                                                | Andhra Pradesh                                                                   | 104.29                                                                           | 198.31                                                                           | 122.48                                                                           |                                                                                  | 181.84                                                                           | 229.84                                                                           | 167.45                                                                           | 40.37                                                                            |
| 2                                                                                | Gujarat                                                                          | 205.4                                                                            | 270                                                                              | 400                                                                              | 243.75                                                                           | 311.27                                                                           | 490.55                                                                           | 509.78                                                                           | 64.44                                                                            |
| 3                                                                                | Karnataka                                                                        | 214.22                                                                           | 124                                                                              | 270.5                                                                            | 180                                                                              | 214.65                                                                           | 298.58                                                                           | 367.91                                                                           | 175.35                                                                           |
| 4                                                                                | Maharashtra                                                                      | 100                                                                              | 183.5                                                                            | 280                                                                              |                                                                                  | 210.43                                                                           | 210.2                                                                            | 195.21                                                                           | 55.01                                                                            |
| 5                                                                                | Punjab                                                                           | 198.96                                                                           | 120.2                                                                            | 168.75                                                                           | 115                                                                              | 173.2                                                                            | 223.18                                                                           | 282.1                                                                            | 124.93                                                                           |
| 6                                                                                | Rajasthan                                                                        | 231.77                                                                           | 195.32                                                                           | 325                                                                              | 225                                                                              | 214.92                                                                           | 293.04                                                                           | 471.03                                                                           | 121.25                                                                           |
| 7                                                                                | Tamil Nadu                                                                       | 60                                                                               | 98.26                                                                            | 325                                                                              | 213.75                                                                           | 143.29                                                                           | 287.2                                                                            | 350.6                                                                            | 156.87                                                                           |
| 8                                                                                | Uttarakhand                                                                      | 90.87                                                                            | 60.93                                                                            | 45                                                                               |                                                                                  | 115.33                                                                           | 160.97                                                                           | 177.72                                                                           | 26.54                                                                            |
| 9                                                                                | West Bengal                                                                      | 151.67                                                                           | 120.11                                                                           | 250                                                                              | 100                                                                              | 200.83                                                                           | 221.81                                                                           | 181.73                                                                           | 44.91                                                                            |
| 10                                                                               | Andaman & Nic. Islands                                                           |                                                                                  | 19.87                                                                            | 9                                                                                | 5.25                                                                             | 11.27                                                                            | 6.43                                                                             | 6.06                                                                             | 3.31                                                                             |
| 11                                                                               | Bihar                                                                            | 147.35                                                                           | 164.69                                                                           | 200                                                                              |                                                                                  | 167.56                                                                           | 190.84                                                                           | 200.94                                                                           | 11.5                                                                             |
| 12                                                                               | Chandigarh                                                                       | 7.03                                                                             | 19.92                                                                            | 40                                                                               | 23.25                                                                            | 14.66                                                                            | 28.31                                                                            | 30.53                                                                            | 18                                                                               |
| 13                                                                               | Chhattisgarh                                                                     | 96.74                                                                            | 29.67                                                                            | 60                                                                               | 100                                                                              | 65.86                                                                            | 89.49                                                                            | 130.22                                                                           | 20.88                                                                            |
| 14                                                                               | Dadra & N. Haveli                                                                |                                                                                  | 22.36                                                                            | 21                                                                               | 13.5                                                                             | 15.04033                                                                         | 23.96                                                                            | 27.79                                                                            | 18.38                                                                            |
| 15                                                                               | Daman & Diu                                                                      |                                                                                  | 31.32                                                                            | 6.01                                                                             | 22.5                                                                             | 15.59                                                                            | 31.41                                                                            | 24.7433                                                                          | 9.11                                                                             |
| 16                                                                               | Delhi                                                                            |                                                                                  | 34.9                                                                             | 56.25                                                                            | 63.75                                                                            | 33.22                                                                            | 56.51                                                                            | 90.6                                                                             | 36.28                                                                            |
| 17                                                                               | Goa                                                                              | 18.02                                                                            | 28.23                                                                            | 45                                                                               | 20                                                                               | 21.94                                                                            | 33.62                                                                            | 43.78                                                                            | 21.35                                                                            |
| 18                                                                               | Haryana                                                                          | 220.35                                                                           | 71.32                                                                            | 150                                                                              | 135                                                                              | 134                                                                              | 169.1                                                                            | 181.25                                                                           |                                                                                  |
| 19                                                                               | Himachal Pradesh                                                                 | 28.34                                                                            | 73.06                                                                            | 70                                                                               | 52.5                                                                             | 46.56                                                                            | 56.98                                                                            | 63.2                                                                             | 10.67                                                                            |
| 20                                                                               | J&K                                                                              | 50                                                                               | 82.22                                                                            | 127.5                                                                            | 150                                                                              | 94.71                                                                            | 119.09                                                                           | 129.72                                                                           | 11.79                                                                            |
| 21                                                                               | Jharkhand                                                                        |                                                                                  | 119.25                                                                           | 112.5                                                                            | 100                                                                              | 91.05                                                                            | 137.49                                                                           | 157.54                                                                           | 23.01                                                                            |
| 22                                                                               | Kerala                                                                           | 23.84                                                                            | 106.21                                                                           | 101.25                                                                           | 112.5                                                                            | 106.44                                                                           | 147.61                                                                           | 131.19                                                                           | 47.7                                                                             |
| 23                                                                               | Lakshadweep                                                                      |                                                                                  |                                                                                  |                                                                                  |                                                                                  | 1.13                                                                             | 0.82                                                                             | 3.13                                                                             | 0.39                                                                             |
| 24                                                                               | Madhya Pr.                                                                       | 120.65                                                                           | 246.51                                                                           | 350                                                                              | 225                                                                              | 245.12                                                                           | 340.66                                                                           | 359.59                                                                           | 167.53                                                                           |
| 25                                                                               | Orissa                                                                           | 118.3                                                                            | 92.72                                                                            | 350                                                                              | 150                                                                              | 146.48                                                                           | 247.08                                                                           | 310.14                                                                           |                                                                                  |
| 26                                                                               | Puducherry                                                                       | 30                                                                               | 43.6                                                                             | 70                                                                               | 48.75                                                                            | 45.17                                                                            | 60.07                                                                            | 61.26                                                                            | 28.76                                                                            |
| 27                                                                               | Uttar Pradesh                                                                    |                                                                                  | 203.88                                                                           | 300                                                                              | 225                                                                              | 344.89                                                                           | 178.35                                                                           | 478.01                                                                           |                                                                                  |
| 28                                                                               | Telangana                                                                        | 0                                                                                | 0                                                                                | 87.53                                                                            | 93.75                                                                            | 0                                                                                | 0                                                                                | 98.23                                                                            | 71.73                                                                            |
| 29                                                                               | Arunachal Pr.                                                                    | 94.21                                                                            | 181.69                                                                           | 152.24                                                                           |                                                                                  | 107.87                                                                           | 201.23                                                                           | 131.03                                                                           | 114.84                                                                           |
| 30                                                                               | Assam                                                                            | 170.41                                                                           | 129.91                                                                           | 206.25                                                                           | 262.5                                                                            | 176.92                                                                           | 220.37                                                                           | 296.54                                                                           | 63.72                                                                            |
| 31                                                                               | Manipur                                                                          | 42.6                                                                             | 25.69                                                                            | 96.25                                                                            | 50                                                                               | 55.26                                                                            | 41.88                                                                            | 84.07                                                                            | 4.95                                                                             |
| 32                                                                               | Meghalaya                                                                        | 59.54                                                                            | 20.25                                                                            | 45                                                                               | 50                                                                               | 34.01                                                                            | 56.96                                                                            | 47.84                                                                            |                                                                                  |
| 33                                                                               | Mizoram                                                                          | 36.53                                                                            | 70.44                                                                            | 97.5                                                                             | 75                                                                               | 66.01                                                                            | 84.07                                                                            | 80.23                                                                            | 13.44                                                                            |
| 35                                                                               | Sikkim                                                                           | 20.87                                                                            | 30                                                                               | 50                                                                               | 112.5                                                                            | 113.47                                                                           | 127.01 38.12                                                                     | 112.57 48.42                                                                     | 38.89                                                                            |
| 34                                                                               | Nagaland                                                                         | 60.3                                                                             | 115.84                                                                           | 120                                                                              | 30                                                                               | 28.81                                                                            |                                                                                  |                                                                                  | 9.61                                                                             |
| 36                                                                               | Tripura                                                                          |                                                                                  | 15.32                                                                            | 50                                                                               | 30                                                                               | 16.38                                                                            | 23.61                                                                            | 44.94                                                                            | 7.12                                                                             |
| Sub Total OTNE                                                                   | Sub Total OTNE                                                                   | 2217.8                                                                           | 2760.36                                                                          | 4342.77                                                                          | 2618.25                                                                          | 3366.45033                                                                       | 4333.19                                                                          | 5231.4533                                                                        | 1310.06                                                                          |
| Sub Total NE                                                                     | Sub Total NE                                                                     | 484.46                                                                           | 589.14                                                                           | 817.24                                                                           | 610                                                                              | 598.73                                                                           | 793.25                                                                           | 845.64                                                                           | 252.57                                                                           |
| Grand Total                                                                      | Grand Total                                                                      | 2702.26                                                                          | 3349.5                                                                           | 5160.01                                                                          | 3228.25                                                                          | 3965.18033                                                                       | 5126.44                                                                          | 6077.0933                                                                        | 1562.63                                                                          |