Lok Sabha Question No. 1574 (UNSTARRED), answered on 2016-03-04
Subject: Water Borne Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: NARANBHAI KACHHADIA, DALPAT SINGH PARASTE, DUSHYANT CHAUTALA, PREM DAS RAI, NISHIKANT  DUBEY, CHANDRA PRAKASH JOSHI, RAMESH CHANDER KAUSHIK, DILIP KUMAR MANSUKHLAL GANDHI, P.P. CHAUDHARY

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

## LOK SABHA UNSTARRED QUESTION NO. 1574 TO BE ANSWERED ON 4 TH MARCH, 2016

## WATER BORNE DISEASES

## 1574. SHRI NARANBHAI KACHHADIYA:

SHRI DALPAT SINGH PARASTE:

SHRI DUSHYANT CHAUTALA:

SHRI PREM DAS RAI:

SHRI NISHIKANT DUBEY:

SHRI CHANDRA PRAKASH JOSHI:

SHRI RAMESH CHANDER KAUSHIK:

SHRI DILIPKUMAR MANSUKHLAL GANDHI:

SHRI P.P. CHAUDHARY:

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

- (a) the number of persons suffering from water borne diseases and deaths caused therefrom in the country during each of the last three years and the current year, State/ UT - wise;
- (b) whether the Government has conducted/proposes to conduct any survey of the areas having excess of fluoride and arsenic contamination;
- (c) if so, whether the Government provides/proposes to provide medical facility to the people in these areas including the treatment to the organs affected by it;
- (d) the details of the financial and technical assistance provided to the States/ UTs to effectively respond  to  health problems  arising  from  consumption  of contaminated  drinking  water  in  the country; and
- (e) the other steps taken/being taken by he Government to address the issue?

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

(a) to (e): Consumption of contaminated drinking water can cause diseases such as Cholera Acute Diarrhoeal Diseases, Enteric Fever (Typhoid), Viral Hepatitis etc. As per the data repo rted by Central Bureau of Health Intelligence (CBHI), State/UT - wise number of cases and deaths due to Cholera, Acute Diarrhoeal Diseases, Enteric Fever (Typhoid), and Viral Hepatitis the years 2013 - 2015 are given at Annexure I.

As  per  Integrated  Management  Information  System  (IMIS)  of  Ministry  of  Drinking Water & Sanitation, there are about 11,286 fluoride affected habitations in 19 States a Arsenic affected habitations in 6 States as on 16.02.2016. As per school and commu nity surveys conducted by States, 23,102 Fluoride cases have been reported so far.

Provision  of  safe  drinking  water  is  the  main  strategy  to  control  diseases  caus drinking  of  contaminated  water.  Rural  water  supply  is  a  State  subject.  Government  of supplements the efforts of the States by providing technical and financial assist ance under the centrally sponsored National Rural Drinking Water Programme(NRDWP) for providing safe and adequate drinking water supply facilities in rural areas of the country. 5% of NRDWP Fund earmarked for support funds which are allotted to the St ates on 100% central share for activities such  as  IEC  (Information,  Education  and  Communication)  for  awareness  generation,  HRD (Human Resource Development) for capacity building and for MIS (Management Information System). Further, under NRDWP, 3% of funds allocated to the States are earmarked for Water Quality Monitoring and Surveillance (WQMS) activities on a 100% Central share basis whi inter alia, includes testing of drinking water sources at the Panchayat level by using s test  kits,  upgra ding  of  existing  water  quality  testing  laboratories  and  setting  up  of State/district/sub - district water quality testing laboratories wherever such facility is not a or needed.

Further,  as  informed  by  Ministry  of  Water  Resources,  River  Developme nt  &  Ganga Rejuvenation,  an  amount  of  Rs.  10  crore  has  been  earmarked  for  IEC  activities  under Information, Education & Communication component of HRD & Capacity Building Scheme for the year 2015 - 16.

Government  of  India  started  the  National  Programme  f or  Prevention  and  Control  of Fluorosis (NPPCF) in the 11th Five Year Plan.  So far, 111 districts have been covered un programme. The important components of the programme are surveillance of fluorosis in community,  Information, Education and Co mmunication (IEC) activities, capacity building in the form of training and manpower support, establishment of diagnostic facilities, manag of fluorosis cases including treatment, surgery, rehabilitation, and health education. the fund rel eased under NPPCF are given in Annexure II.

The Guidelines 'Detection, Prevention and Management of Arsenicosis in India - A Field Guide' have also been finalized by an expert Committee and sent to the Arsenic affected States (i.e. Assam, Bihar, Karnataka, Punjab, Uttar Pradesh & West Bengal). State Governments are also  advised to strengthen  Distt./CHC  infrastructure for arly  diagnosis,  management  and treatment of Arsenic affected cases and for this purpose seek necessary support in the State PIP s submitted under NHM.

The National Centre for Disease Control (NCDC), Delhi provides technical assistance State/UT  Governments  on  prevention  and  control  of  water - borne  diseases  in  carrying  out investigation of outbreaks of such diseases under Integrated Diseas e Surveillance Programme (IDSP).  At  the  National  level,  NCDC  also  coordinates  laboratory  support  for  outbr investigations, besides conducting regular training courses for development of t manpower. Details of funds released for the last three year s and the current year State/UT wise are at Annexure III.

Health  System  Strengthening  support  being  given  to  the  State  Governments  unde National  Health  Mission  (NHM)  also  enhances  capacity  of  the  Health  Institutions,  up  t district level, to treat an d m nage water borne diseases.

## Annexure I

State - wise Cases & Deaths Due to Cholera in India 2013 -2015

| Sl No   | State / U.T.   | 2013   | 2013   | 2014 (Prov.)   | 2014 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)                      |
|---------|----------------|--------|--------|----------------|----------------|----------------|----------------|-----------------------------------|
| Sl No   | State / U.T.   | Cases  | Deaths | Cases          | Deaths         | Cases          | Deaths         | Reference Period from Jan 15 upto |
| 1       | Andhra Prad.   | 31     | 0      | 0              | 0              | 0              | 0              | August,15                         |
| 2       | Arun. Prad.    | 0      | 0      | 0              | 0              | 0              | 0              | September,15                      |
| 3       | Assam          | 0      | 0      | 0              | 0              | 0              | 0              | September,15 exc Mar              |
| 4       | Bihar          | 0      | 0      | 0              | 0              | 0              | 0              | October,15                        |
| 5       | Chhattisgarh   | 2      | 0      | 20             | 0              | 46             | 0              | October,15 exc feb                |
| 6       | Goa            | 0      | 0      | 0              | 0              | 0              | 0              | July, 15                          |
| 7       | Gujarat        | 327    | 1      | 159            | 0              | 47             | 0              | October,15                        |
| 8       | Haryana        | 16     | 0      | 7              | 0              | 0              | 0              | October,15                        |
| 9       | Himachal Prd.  | 0      | 0      | 0              | 0              | 0              | 0              | September,15                      |
| 10      | J & K          | 0      | 0      | 0              | 0              | 0              | 0              | October,15                        |
| 11      | Jharkhand      | 9      | 0      | 0              | 0              | 0              | 0              | October,15 exc May to July        |
| 12      | Karnataka      | 200    | 0      | 86             | 0              | 14             | 2              | October,15                        |
| 13      | Kerala         | 23     | 0      | 3              | 0              | 0              | 0              | October,15                        |
| 14      | Madhya Prad.   | 8      | 0      | 17             | 0              | 80             | 0              | Oct,15 exc June, Aug, Sep         |
| 15      | Maharashtra    | 293    | 1      | 252            | 2              | 2416           | 0              | October,15 exc Mar                |
| 16      | Manipur        | 0      | 0      | 0              | 0              | 0              | 0              | September,15                      |
| 17      | Meghalaya      | 0      | 0      | 1              | 1              | 0              | 0              | June, 15                          |
| 18      | Mizoram        | 0      | 0      | 0              | 0              | 25             | 0              | October,15                        |
| 19      | Nagaland       | 0      | 0      | 0              | 0              | 0              | 0              | October,15                        |
| 20      | Odisha         | 0      | 0      | 0              | 0              | 0              | 0              | October,15                        |
| 21      | Punjab         | 0      | 0      | 55             | 0              | 0              | 0              | October,15                        |
| 22      | Rajasthan      | 5      | 0      | 56             | 0              | 3              | 0              | Oct,15 exc May, Aug, Sep          |
| 23      | Sikkim         | 0      | 0      | 0              | 0              | 0              | 0              | September,15                      |
| 24      | Tamil Nadu     | 42     | 3      | 10             | 0              | 15             | 0              | October,15                        |
| 25      | Tripura        | 0      | 0      | 0              | 0              | 0              | 0              | September,15 exc Apr              |
| 26      | Uttarakhand    | 1      | 0      | 12             | 0              | 0              | 0              | September,15                      |
| 27      | Uttar Pradesh  | 0      | 0      | 21             | 0              | 41             | 0              | October,15                        |
| 28      | West Bengal    | 120    | 0      | 173            | 0              | 84             | 0              | October,15 exc Jul,               |
| 29      | A & N Islands  | 0      | 0      | 0              | 0              | 0              | 0              | August,15 exc Feb, May            |
| 30      | Chandigarh     | 0      | 0      | 15             | 1              | 1              | 0              | August,15 exc Aug                 |
| 31      | D & N Haveli   | 25     | 0      | 28             | 1              | 295            | 1              | October, 15 exc Aug               |
| 32      | Daman & Diu    | 0      | 0      | 0              | 0              | 0              | 0              | October,15 exc Mar,               |
| 33      | Delhi          | 25     | 0      | 51             | 0              | 34             |                | August,15                         |
| 34      | Lakshadweep    | 0      | 0      | 0              | 0              |                | 0              | September,15                      |
| 35      | Puducherry     | 3      | 0      | 3              | 0              | 0 1            | 0 0            | September,15                      |
| Total   | Total          | 1130   | 5      | 969            | 5              | 3102           | 3              |                                   |

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 and Uttar Pradesh  does not

contains figures for October

4. 2014 : Data from Tripura does not contains figures for November

State - wise Cases and Deaths due to ADD reported during 2013 -2015

| Sl. No.   | State / U.T.   | 2013     | 2013   | 2014 (Prov.)   | 2014 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)                 |
|-----------|----------------|----------|--------|----------------|----------------|----------------|----------------|------------------------------|
| Sl. No.   | State / U.T.   | Cases    | Deaths | Cases          | Deaths         | Cases          | Deaths         | Reference Period Jan 15 upto |
| 1         | Andhra Prad.   | 1855496  | 110    | 1336690        | 10             | 740297         | 2              | August,15                    |
| 2         | Arun. Prad.    | 30756    | 3      | 12657          | 5              | 6589           | 3              | September,15                 |
| 3         | Assam          | 105876   | 147    | 58587          | 64             | 96429          | 82             | September,15                 |
| 4         | Bihar          | 550281   | 24     | 550038         | 24             | 302255         | 21             | October,15 exc May           |
| 5         | Chhattisgarh   | 104966   | 37     | 112888         | 32             | 105678         | 12             | October,15                   |
| 6         | Goa            | 16485    | 0      | 16039          | 4              | 8530           | 1              | July, 15                     |
| 7         | Gujarat        | 427523   | 8      | 504857         | 3              | 426309         | 3              | October,15                   |
| 8         | Haryana        | 168527   | 27     | 197898         | 8              | 143169         | 4              | October,15                   |
| 9         | Himachal Prad. | 349904   | 56     | 350459         | 52             | 264897         | 31             | September,15                 |
| 10        | J & K          | 591231   | 1      | 515013         | 0              | 397080         | 2              | October,15                   |
| 11        | Jharkhand      | 81045    | 4      | 79430          | 28             | 39982          | 0              | October,15                   |
| 12        | Karnataka      | 545794   | 81     | 819777         | 23             | 651636         | 13             | October,15                   |
| 13        | Kerala         | 372440   | 12     | 402106         | 9              | 342206         | 0              | October,15                   |
| 14        | Madhya Prad.   | 535012   | 89     | 768021         | 112            | 525686         | 65             | October,15                   |
| 15        | Maharashtra    | 527115   | 0      | 646380         | 4              | 529288         | 13             | October,15                   |
| 16        | Manipur        | 25333    | 37     | 29954          | 32             | 19590          | 11             | October,15                   |
| 17        | Meghalaya      | 186023   | 12     | 183631         | 27             | 75641          | 20             | September,15                 |
| 18        | Mizoram        | 13518    | 12     | 14201          | 10             | 11631          | 8              | June, 15                     |
| 19        | Nagaland       | 21672    | 0      | 21783          | 0              | 10477          | 0              | October,15                   |
| 20        | Orissa         | 656838   | 217    | 750262         | 169            | 481627         | 40             | October,15                   |
| 21        | Punjab         | 183533   | 13     | 170438         | 22             | 129184         | 32             | October,15                   |
| 22        | Rajasthan      | 545293   | 18     | 676832         | 17             | 576155         | 6              | October,15                   |
| 23        | Sikkim         | 42410    | 1      | 37275          | 2              | 14254          | 0              | October,15                   |
| 24        | Tamil Nadu     | 278701   | 23     | 259452         | 14             | 242507         | 8              | August, 15                   |
| 25        | Tripura        | 92826    | 17     | 79216          | 22             | 50769          | 2              | October,15                   |
| 26        | Uttarakhand    | 84792    | 12     | 90428          | 14             | 82785          | 4              | September,15                 |
| 27        | Uttar Pradesh  | 828367   | 272    | 745457         | 301            | 557006         | 241            | September,15                 |
| 28        | West Bengal    | 1830310  | 302    | 1896182        | 200            | 1320277        | 129            | October,15                   |
| 29        | A & N Islands  | 29391    | 0      | 23947          | 2              | 10585          | 0              | October,15                   |
| 30        | Chandigarh     | 44664    | 2      | 39277          | 29             | 28717          | 72             | August,15 exc Feb, May       |
| 31        | D & N Haveli   | 62259    | 0      | 63337          | 0              | 37758          | 4              | August,15                    |
| 32        | Daman & Diu    | 8615     | 2      | 12831          | 0              | 10544          | 1              | October, 15 exc Aug          |
| 33        | Delhi          | 129367   | 62     | 113677         | 73             | 107598         | 59             | October,15 exc Mar, Apr      |
| 34        | Lakshadweep    | 7496     | 0      | 6750           | 0              | 3385           | 0              | August,15                    |
| 35        | Puducherry     | 79751    | 28     | 87248          | 11             | 67129          | 0              | September,15                 |
| Total     | Total          | 11413610 | 1629   | 11673018       | 1323           | 8417650        | 889            | September,15                 |

Source:  National Health Profile brought out by CBHI, DGHS

Note :  Excludes data of 10 districts of Telangana from July Onwards.

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 contains figures for October

State - wise Cases and Deaths due to Enteric Fever (Typhoid) reported during 2013 -2015

| Sl. No.   | State / U.T.      | 2013    | 2013   | 2014 (Prov.)   | 2014 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)                 |
|-----------|-------------------|---------|--------|----------------|----------------|----------------|----------------|------------------------------|
| Sl. No.   | State / U.T.      | Cases   | Deaths | Cases          | Deaths         | Cases          | Deaths         | Reference Period Jan 15 upto |
| 1         | Andhra Prad.      | 256458  | 6      | 186446         | 5              | 87150          | 0              | August,15                    |
| 2         | Arun. Prad.       | 7359    | 4      | 4512           | 3              | 3042           | 6              | September,15                 |
| 3         | Assam             | 6521    | 0      | 4233           | 29             | 15122          | 2              | September,15                 |
| 4         | Bihar             | 261791  | 2      | 273007         | 4              | 191861         | 1              | October,15                   |
| 5         | Chhattisgarh      | 27457   | 2      | 32438          | 0              | 41925          | 1              | October,15                   |
| 6         | Goa               | 355     | 0      | 573            | 0              | 987            | 1              | July, 15                     |
| 7         | Gujarat           | 22962   | 1      | 29505          | 0              | 23204          | 1              | October,15                   |
| 8         | Haryana           | 27115   | 0      | 29990          | 1              | 23612          | 0              | October,15                   |
| 9         | Him. Prad.        | 37128   | 2      | 48786          | 6              | 32301          | 4              | September,15                 |
| 10        | J & K             | 70859   | 0      | 57537          | 1              | 43304          | 0              | October,15                   |
| 11        | Jharkhand         | 24806   | 7      | 34355          | 7              | 15129          | 3              | October,15                   |
| 12        | Karnataka         | 61485   | 9      | 90318          | 1              | 64566          | 1              | October,15                   |
| 13        | Kerala            | 4325    | 3      | 2269           | 0              | 2455           | 0              | October,15                   |
| 14        | Madhya Prad.      | 114578  | 28     | 155197         | 31             | 87212          | 4              | October,15                   |
| 15        | Maharashtra       | 81458   | 1      | 96927          | 0              | 85549          | 0              | October,15                   |
| 16        | Manipur           | 10927   | 17     | 10636          | 10             | 3643           | 0              | September,15                 |
| 17        | Meghalaya         | 9134    | 1      | 8996           | 8              | 3665           | 0              | June, 15                     |
| 18        | Mizoram           | 2765    | 3      | 2758           | 4              | 2169           | 0              | October,15                   |
| 19        | Nagaland          | 12736   | 0      | 11192          | 0              | 5531           | 0              | October,15                   |
| 20        | Orissa            | 60337   | 56     | 87568          | 38             | 56114          | 21             | October,15                   |
| 21        | Punjab            | 35136   | 5      | 34651          | 1              | 24225          | 1              | October,15                   |
| 22        | Rajasthan         | 65331   | 5      | 83540          | 4              | 80743          | 0              | October,15                   |
| 23        | Sikkim            | 186     | 0      | 716            | 0              | 125            | 0              | September,15                 |
| 24        | Tamil Nadu        | 31440   | 1      | 26181          | 0              | 29926          | 0              | October,15                   |
| 25        | Tripura           | 12849   | 1      | 14861          | 0              | 1902           | 1              | September,15                 |
| 26        | Uttarakhand       | 25956   | 0      | 28939          | 14             | 23687          | 10             | September,15                 |
| 27        | Uttar Pradesh     | 224748  | 161    | 224976         | 203            | 189480         | 183            | October,15                   |
| 28        | West Bengal       | 108695  | 39     | 90086          | 42             | 81022          | 18             | October,15                   |
| 29        | A & N Islands     | 1501    | 3      | 881            | 0              | 371            | 0              | August,15 exc Feb, May       |
| 30        | Chandigarh        | 3251    | 0      | 6021           | 0              | 5085           | 27             | August,15                    |
| 31        | D & N Haveli      | 4323    | 0      | 2439           | 0              | 1089           | 0              | October, 15 exc Aug          |
| 32        | Daman & Diu Delhi | 888     | 0      | 167            | 0              | 106            | 0              | October,15 exc Mar, Apr      |
| 33        |                   | 32691   | 29     | 25131          | 14             | 13279          | 11             | August,15                    |
| 34        | Lakshadweep       | 3       | 0      | 3              | 0              | 6              | 0              | September,15                 |
| 35        | Puducherry        | 2591    | 1      | 1477           | 3              | 1317           | 0              | September,15                 |
| Total     | Total             | 1650145 | 387    | 1707312        | 429            | 1240904        | 296            |                              |

Source:  National Health Profile brought out by CBHI,

DGHS

Note :  Excludes data of 10 districts of Telangana from July Onwards.

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 contains figures for October

State - wise Cases and Deaths due to Viral Hepatitis (All Causes) reported during 2013 -2015

| Sl. No.   | State / U.T.   | 2013   | 2013   | 2014 (Prov.)   | 2014 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)                   |
|-----------|----------------|--------|--------|----------------|----------------|----------------|----------------|--------------------------------|
| Sl. No.   | State / U.T.   | Cases  | Deaths | Cases          | Deaths         | Cases          | Deaths         | Reference Periodm Jan 15 up to |
| 1         | Andhra Prad.   | 8739   | 34     | 3716           | 1              | 1867           | 6              | August,15                      |
| 2         | Arun. Prad.    | 588    | 0      | 378            | 6              | 218            | 1              | September,15                   |
| 3         | Assam          | 466    | 0      | 1994           | 13             | 456            | 7              | September,15                   |
| 4         | Bihar          | 6736   | 2      | 20670          | 3              | 20361          | 2              | October,15                     |
| 5         | Chhattisgarh   | 670    | 5      | 533            | 4              | 437            | 5              | October,15                     |
| 6         | Goa            | 173    | 0      | 182            | 0              | 102            | 0              | July,                          |
| 7         | Gujarat        | 3676   | 6      | 4808           | 7              | 2870           | 0              | 15 October,15                  |
| 8         | Haryana        | 1307   | 1      | 2717           | 4              | 4076           | 2              | October,15                     |
| 9         | HP             | 2023   | 14     | 2808           | 9              | 1440           | 0              | September,15                   |
| 10        | J & K          | 6307   | 0      | 5110           | 0              | 3172           | 0              | October,15                     |
| 11        | Jharkhand      | 1444   | 65     | 972            | 20             | 457            | 1              | October,15                     |
| 12        | Karnataka      | 5415   | 16     | 6613           | 9              | 5001           | 16             | October,15                     |
| 13        | Kerala         | 7034   | 8      | 5567           | 4              | 2961           | 2              | October,15                     |
| 14        | Madhya Prad.   | 14055  | 11     | 16141          | 18             | 8802           | 14             | October,15                     |
| 15        | Maharashtra    | 5851   | 13     | 5985           | 13             | 5776           | 6              | October,15                     |
| 16        | Manipur        | 258    | 0      | 443            | 0              | 68             | 0              | September,15                   |
| 17        | Meghalaya      | 518    | 0      | 609            | 0              | 253            | 0              | June, 15                       |
| 18        | Mizoram        | 419    | 10     | 194            | 0              | 155            | 3              | October,15                     |
| 19        | Nagaland       | 119    | 0      | 88             | 0              | 27             | 0              | October,15                     |
| 20        | Orissa         | 3743   | 90     | 4910           | 38             | 3040           | 9              | October,15                     |
| 21        | Punjab         | 3099   | 6      | 4525           | 4              | 7551           | 7              | October,15                     |
| 22        | Rajasthan      | 2384   | 10     | 9719           | 3              | 2194           | 0              | October,15                     |
| 23        | Sikkim         | 692    | 1      | 554            | 0              | 18             | 0              | September,15                   |
| 24        | Tamil Nadu     | 1868   | 0      | 2671           | 0              | 858            | 0              | October,15                     |
| 25        | Tripura        | 205    | 1      | 177            | 1              | 85             | 1              | September,15                   |
| 26        | Uttarakhand    | 8619   | 11     | 9243           | 9              | 7529           | 12             | September,15                   |
| 27        | Uttar Pradesh  | 9079   | 17     | 16026          | 50             | 8783           | 47             | October,15                     |
| 28        | West Bengal    | 4967   | 91     | 4444           | 63             | 2951           | 54             | October,15                     |
| 29        | A & N Islands  | 231    | 11     | 262            | 9              | 37             | 1              | August,15 exc Feb, May         |
| 30        | Chandigarh     | 424    | 1      | 766            | 21             | 862            | 24             | August,15                      |
| 31        | D & N Haveli   | 90     | 2      | 32             | 0              | 43             | 4              | October, 15 exc Aug            |
| 32        | Daman & Diu    | 184    | 7      | 65             | 0              | 51             | 1              | October,15 exc Mar, Apr        |
| 33        | Delhi          | 8290   | 131    | 6425           | 95             | 4872           | 48             | August,15                      |
| 34        | Lakshadweep    | 5      | 0      | 16             | 0              | 4              | 0              | September,15                   |
| 35        | Puducherry     | 447    | 10     | 299            | 3              | 435            | 2              | September,15                   |
| Total     |                | 110125 | 574    | 139662         | 407            | 97812          | 275            |                                |

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 contains figure for October

## Funds released under National Progrmme for Prevention and control of Fluorosis (NPPCF) from the year 2008-09 to November, 2015

(Rs. In Lakhs)

| S. No.   | State with total districts   |   No. of districts under NPPCF | Districts under NPPCF                                                                                                                                                                                                          |   Fund Released |
|----------|------------------------------|--------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------|
| 1.       | Andhra Pradesh               |                              3 | Nellore, Guntur, Prakasam                                                                                                                                                                                                      |          132.16 |
| 2        | Telangana                    |                              3 | Mehboobnagar, Nalgonda, Karimnagar                                                                                                                                                                                             |          146.92 |
| 3.       | Assam                        |                              3 | Nagaon, Kamrup,. Karbi Anglong                                                                                                                                                                                                 |          137.95 |
| 4.       | Bihar                        |                             10 | Nawada, Banka, Aurangabad, Bhagalpur, Gaya, Jammui, Nalanda, Shekhpura, Kaimur Munger                                                                                                                                          |          403.9  |
| 5.       | Chhattisgarh                 |                              2 | Durg, Kanker                                                                                                                                                                                                                   |           54.5  |
| 6        | Gujarat                      |                              4 | Jamnagar, Sabarkantha, Vododara, Banaskantha                                                                                                                                                                                   |          126.06 |
| 7.       | Haryana                      |                              2 | Mehendragarh, Mewat                                                                                                                                                                                                            |           84.2  |
| 8        | Jharkhand                    |                              4 | Palamu, Garhwa, Chatra, Hazaribagh                                                                                                                                                                                             |          151.3  |
| 9        | Jammu & Kashmir              |                              1 | Doda                                                                                                                                                                                                                           |           22.5  |
| 10       | Karnataka                    |                             18 | Ballari, Mysore, Chikballalpur, Koppal, Davangere, Tumkur, Bagalkote, Bangalore(U), Bijapur, Raichur, Chitradurga, Gadag, Gulbarga, Hassan, Kolar, Mandia, Ramanagara, Shimoga                                                 |          759.66 |
| 11       | Kerala                       |                              2 | Palakkad, Alapuzha                                                                                                                                                                                                             |           82.93 |
| 12       | Madhya Pradesh               |                             14 | Ujjain,Chindwada, Mandla, Dhar, Seoni, Betul, Jhabua, Raigarh, Sehore, Alirajpur,Dindori, Khargoan, Raisen, Shajapur                                                                                                           |          604.84 |
| 13       | Maharashtra                  |                              6 | Nanded, Chandrapur, Latur, Washim, Yavatmal, Beed                                                                                                                                                                              |          251.26 |
| 14       | Odisha                       |                              3 | Nayagarh, Angul, Nuapada                                                                                                                                                                                                       |          115.86 |
| 15       | Punjab                       |                              2 | Sangrur, Firozepur                                                                                                                                                                                                             |           67.1  |
| 16       | Rajasthan                    |                             23 | Nagaur, Ajmer, Bhilwara,Churu (Ratangarh), Dausa, Dungarpur, Rajsamand, Tonk, Bikaner, Jalore, Jaisalmer, Jodhpur, Jaipur, Pali, Sikar,Udaipur, Swaimadhopur, Banswara, Karauli, Chittaurgarh, Ganganagar, Jhalawar, Jhunjhunu |          798.56 |
| 17       | Tamil Nadu                   |                              1 | Dharmapuri                                                                                                                                                                                                                     |           58.89 |
| 18.      | Uttar Pradesh                |                              5 | Unnao, Rae Bareli, Pratapgarh, Firozabad, Mathura                                                                                                                                                                              |          195.11 |
| 19       | West Bengal                  |                              5 | Bankura, Purlia,. Birbhum, D. Dinajpur, Maldha                                                                                                                                                                                 |          221.4  |
|          | TOTAL                        |                            111 |                                                                                                                                                                                                                                |         4415.1  |

## ANNEXURE III

## FUNDS RELEASED TO ST ATES UNDER INTEGRATE D DISEASE SURVEILLANCE PROGRAMME (IDSP) FOR THE PERIOD 2014 - 15

(Rs. In Lakhs)

| S. NO.   | STATES/UTS             | FUNDS RELEASED   |
|----------|------------------------|------------------|
| 1        | Andhra Pradesh         | 122.48           |
| 2        | Gujarat                | 400              |
| 3        | Karnataka              | 270.5            |
| 4        | Maharashtra            | 280              |
| 5        | Punjab                 | 168.75           |
| 6        | Rajasthan              | 325              |
| 7        | Tamil Nadu             | 325              |
| 8        | Uttarakhand            | 45               |
| 9        | West Bengal            | 250              |
| 10       | Andaman & Nic. Islands | 9                |
| 11       | Bihar                  | 200              |
| 12       | Chandigarh             | 40               |
| 13       | Chhattisgarh           | 60               |
| 14       | Dadra & N. Haveli      | 21               |
| 15       | Daman & Diu            | 6.01             |
| 16       | Delhi                  | 56.25            |
| 17       | Goa                    | 45               |
| 18       | Haryana                | 150              |
| 19       | Himachal Pradesh       | 70               |
| 20       | J&K                    | 127.5            |
| 21       | Jharkhand              | 112.5            |
| 22       | Kerala                 | 101.25           |
| 23       | Lakshadweep            |                  |
| 24       | Madhya Pr.             | 350              |
| 25       | Orissa                 | 350              |
| 26       | Puducherry             | 70               |
| 27       | Uttar Pradesh          | 300              |
| 28       | Telangana              | 87.53            |
| 29       | Arunachal Pr.          | 152.24           |
| 30       | Assam                  | 206.25           |
| 31       | Manipur                | 96.25            |
| 32       | Meghalaya              | 45               |
| 33       | Mizoram                | 97.5             |
| 34       | Nagaland               | 120              |
| 35       | Sikkim                 | 50               |
| 36       | Tripura                | 50               |
|          | TOTAL                  | 5160.01          |