Lok Sabha Question No. 494 (UNSTARRED), answered on 2016-02-26
Subject: WHO Report on Malaria
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ASADUDDIN OWAISI

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

## LOK SABHA UNSTARRED QUESTION NO. 494 TO BE ANSWERED ON 26 TH FEBRUARY , 2016

## WHO REPORT ON MALARI A

## 494. SHRI ASADUDDIN OWAISI:

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

- (a) whether as per World Health Organisation (WHO) report one in seven people in India a risk of contacting malaria as India account for 80% of all the Malaria cases worldwide;
- (b)  if  so,  whether  the National  Victor  Borne  Diseases  Control  programme  shows  that  the confirmed cases are increasing year after year and death from malaria have increased in compared to 2012;
- (c) if so, the details thereof and the reasons therefor;
- (d) whether the threat of advanced drug resistant strain on malaria are posing challenge to malaria, if so, the details thereof; and
- (e) the steps taken/being taken by the Government to control malaria menace on the li polio in the country?

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

- (a) : No,  as  per  World  Malaria  Report  2015,  South  East  Asia  Region ( SEAR ) contributes to 10% of the Global Malaria burden.  India contributes to 70% of th malaria burden in the SEAR .
- (b) : There has been increase in number of confirmed cases and deaths from malaria 2014 as compared to 2012. However, the trend of malaria has varied amongst the var States.   The State -wise c ases and deaths is at Annexure .
- (c) : The incr ease in cases and deaths from malaria in some of the s tate s is due to spatial and intense  transmission .  The  same  is  because  of eco- entomological  factors  besides increased surveillance due to availability of bivalent rapid diagnostics test kits.

(d) : Drug resistance is being monitored by the program in collaboration with In Council of Medical Research (ICMR). No resistance to the currently used drugs has observed in India.

(e) : The Government has the following strategy for malaria co ntrol in the country:

1. Surveillance and case management
- Case detection (active and passive)
- Early diagnosis and complete treatment
- Sentinel surveillance
2. Integrated Vector Management (IVM)
- IndoorR esidual Spray (IRS)
- Insecticide Treated bed N ets (ITNs) / Long - Lasting Insecticidal Nets (LLINs)
- Anti - larval measures including source reduction
3. Epidemic preparedness and early response
4. Supportive interventions
- Capacity building
- Behaviour C hange C ommunication (BCC)
- Intersectoral collaboration
- Monitoring and E valuation (M & E)
- Operational research and applied field research

## Annexure

## State - wise Malaria Situation in the Country

| STATEs/UTs.    | 2012    | 2012   | 2013   | 2013   | 2014    | 2014   |
|----------------|---------|--------|--------|--------|---------|--------|
|                | C       | D      | C      | D      | C       | D      |
| Andhra Prd.    | 24699   | 2      | 19787  | 0      | 21077   | 0      |
| Arunachal Prd. | 8368    | 15     | 6398   | 21     | 6082    | 9      |
| Assam          | 29999   | 13     | 19542  | 7      | 14540   | 11     |
| Bihar          | 2605    | 0      | 2693   | 1      | 2043    | 0      |
| Chhattisgarh   | 124006  | 90     | 110145 | 43     | 128993  | 53     |
| Goa            | 1714    | 0      | 1530   | 0      | 824     | 0      |
| Gujarat        | 76246   | 29     | 58513  | 38     | 41608   | 16     |
| Haryana        | 26819   | 1      | 14471  | 3      | 4485    | 1      |
| Himachal Prd.  | 216     | 0      | 141    | 0      | 102     | 0      |
| J&K            | 864     | 0      | 698    | 0      | 291     | 0      |
| Jharkhand      | 131476  | 10     | 97786  | 8      | 103735  | 8      |
| Karnataka      | 16466   | 0      | 13302  | 0      | 14794   | 2      |
| Kerala         | 2036    | 3      | 1634   | 0      | 1751    | 6      |
| Madhya Pradesh | 76538   | 43     | 78260  | 49     | 96879   | 26     |
| Maharashtra    | 58517   | 96     | 43677  | 80     | 53385   | 68     |
| Manipur        | 255     | 0      | 120    | 0      | 145     | 0      |
| Meghalaya      | 20834   | 52     | 24727  | 62     | 39168   | 73     |
| Mizoram        | 9883    | 25     | 11747  | 21     | 23145   | 31     |
| Nagaland       | 2891    | 1      | 2285   | 1      | 1936    | 2      |
| Odisha         | 262842  | 79     | 228858 | 67     | 395035  | 89     |
| Punjab         | 1689    | 0      | 1760   | 0      | 1036    | 0      |
| Rajasthan      | 45809   | 22     | 33139  | 15     | 15118   | 4      |
| Sikkim         | 77      | 0      | 39     | 0      | 35      | 0      |
| Tamil Nadu     | 18869   | 0      | 15081  | 0      | 8729    | 0      |
| Telangana      | -       | -      | -      | -      | 5189    | 0      |
| Tripura        | 11565   | 7      | 7396   | 7      | 51240   | 96     |
| Uttarakhand    | 1948    | 0      | 1426   | 0      | 1171    | 0      |
| Uttar Pradesh  | 47400   | 0      | 48346  | 0      | 41612   | 0      |
| West Bengal    | 55793   | 30     | 34717  | 17     | 26484   | 66     |
| A&N Islands    | 1539    | 0      | 1005   | 0      | 557     | 0      |
| Chandigarh     | 201     | 0      | 150    | 0      | 114     | 0      |
| D & N Haveli   | 4940    | 1      | 1778   | 0      | 669     | 1      |
| Daman & Diu    | 186     | 0      | 91     | 0      | 56      | 0      |
| Delhi          | 382     | 0      | 353    | 0      | 98      | 0      |
| Lakshadweep    | 9       | 0      | 8      | 0      | 0       | 0      |
| Puducherry     | 143     | 0      | 127    | 0      | 79      | 0      |
| Total          | 1067824 | 519    | 881730 | 440    | 1102205 | 562    |

C = Cases

D = Deaths