Lok Sabha Question No. 3291 (UNSTARRED), answered on 2016-08-05
Subject: Chronic Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: S. RAJENDRAN

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

## LOK SABHA UNSTARRED  QUESTION NO. 3291 TO BE ANSWERED ON 5 TH AUGUST, 2016

## CHRONIC DISEASES

## 3291. SHRI S. RAJENDRAN:

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

- (a) the number of cancer, heart, kidney patients during the last three years and the cur State/UT - wise;
- (b) the rate of death of cancer, heart, diabetic, kidney patients per thousand; and
- (c) the step s taken/being taken by the Government to reduce the rate of deaths due to ab diseases?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE ( SMT. ANUPRIYA PATEL )

(a) & (b):As per disease burden study on Non - Communicable Diseases published by Indian Council of Medical Research (ICMR) in 2004, the estimated cases of Ischemic Heart Dise (IHD) in India was 224 lakh and prevalence of IHD was 37.0 cases per thousand.  State/UT - wise data for prevalence and mortality is not maintained centrally.

As per the  International Diabetes  Federation (IDF), the  estimated cases of diabe India in the age group of 20 - 70 years are 65.0 million, 66.8 million and 69.1 million respectiv i n 2013, 2014 & 2015.  State/UT - wise data for prevalence and mortality due to diabetes is no maintained centrally.

Nationwide  scientific  estimation  of  number  of  patients  of  Chronic  Kidney  Disea (CKD)  has  not  been  carried  out.  However,  in  some  of  the  sm all  population  based  studies, prevalence was found to be in 0.79 % in North India and 0.16% in South India.  State/UT - wise data is not available.

As  per  Indian  Council  of  Medical  Research's  National  Cancer  Registry  data,  the State/UT - wise estimates for incidence, prevalence and mortality of cancer cases in India for last three years are at Annexure 1 to 3 .

Contd…….

(c): While  health  is  a  State  subject,  the  Government  of  India  is  implementing  Nati Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Str (NPCDCS)  for  interventions  up  to  District  level  under  the  National  Health  Mission.  U NPCDCS,  diagnosis  and  treatment  facilities  for  these  diseases  are  provided  through different levels of healthcare by setting up of NCD Clinics at District Hospitals and Community H Centres (CHCs).   Interventions for Chronic Kidney Diseases have also been included unde NPCDCS.

The Government has rolled out the National Dialys is Program under the National Health Mission  (NHM)  to  provide  for  dialysis  services  in  District  Hospitals  under  Public  P Partnership (PPP) mode.   The Guidelines of National Dialysis Programme including the Req for Proposal from the private provi ders have been released.

For  enhancing  the  Tertiary  Care  for  Cancer  in  the  country,  Government  of  India assisting States to set up / establish State Cancer Institute (SCI) and Tertiary Care Can (TCCC) in different parts of the country Under Tertiary Care Cancer Centre (TCCC) Scheme.

Territory care for diseases like Cancer, Kidney Diabetes and heart diseases is als area of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY).

……………..

## Annexure 1

## Estimated Incidence of cancer cases in India by different State/UT - All sites (ICD10: C00-C97) - (2013 to 2015)* - Both sexes

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

Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016

*Projected cancer cases for India were computed using a projected incidence rates and the population (person-years)

## Estimated Prevalence of cancer cases in India by different State/UT-All sites (ICD10: C00 -C97) (2013 to 2015)* -Both sexes

| States                    |    2013 |    2014 |    2015 |
|---------------------------|---------|---------|---------|
| Jammu & Kashmir           |   36861 |   38817 |   40877 |
| Himachal pradesh          |   19636 |   20419 |   21236 |
| Punjab                    |   79297 |   82506 |   85839 |
| Chandigarh                |    3053 |    3196 |    3347 |
| Uttaranchal               |   29450 |   30910 |   32439 |
| Haryana                   |   73393 |   76816 |   80410 |
| Delhi                     |   48340 |   50479 |   52712 |
| Rajasthan                 |  198756 |  208016 |  217691 |
| Uttar pradesh             |  583206 |  612192 |  642562 |
| Bihar                     |  306823 |  323409 |  340860 |
| Sikkim                    |    1271 |    1285 |    1301 |
| Arunachal pradesh         |    3333 |    3386 |    3443 |
| Nagaland                  |    3532 |    3542 |    3559 |
| Manipur                   |    7588 |    7799 |    8020 |
| Mizoram                   |    4268 |    4359 |    4450 |
| Tripura                   |    5803 |    5883 |    5965 |
| Meghalaya                 |    8583 |    8756 |    8926 |
| Assam                     |   84631 |   85592 |   86553 |
| West bengal               |  262119 |  273183 |  284714 |
| Jharkhand                 |   96817 |  101835 |  107105 |
| Orissa                    |  120676 |  125774 |  131082 |
| Chattisgarh               |   75103 |   79030 |   83158 |
| Madhya pradesh            |  212231 |  222844 |  233964 |
| Gujarat                   |  175681 |  184118 |  192971 |
| Daman & Diu               |     822 |     933 |    1059 |
| Dadra & Nagar Haveli      |    1070 |    1158 |    1257 |
| Maharashtra               |  322622 |  336204 |  350322 |
| Telangana                 |  101434 |  105858 |  110487 |
| Andhra pradesh            |  141523 |  147323 |  153374 |
| Karnataka                 |  176842 |  184902 |  193331 |
| Goa                       |    4186 |    4365 |    4551 |
| Lakshadweep               |     195 |     212 |     226 |
| Kerala                    |   97955 |  103263 |  109098 |
| Tamil nadu                |  202774 |  209251 |  215909 |
| Pondicherry               |    3715 |    3927 |    4153 |
| Andaman & Nicobar Islands |    1070 |    1106 |    1142 |
| Total                     | 3494659 | 3652648 | 3818093 |

Ref: Three - year Report of the PBCRs: 2012 -2014, Bengaluru, 2016

*Prevalence(10 years of duration) is assumed to be 2.75 times of projected Incidence cases. This has been calculated from the estimated pooled survival (1 year, 3 year, 5 year) of the IARC scientific publication NO.162 #

# Ref: Sankaranarayanan R and Swaminathan R (2011): Cancer survival in Africa, Asia, the Caribbean and Central America, IARC scientific publication NO.162

## Annexure 3

Annexure 2: Estimated Mortality of cancer cases in India by different State/UT -All sites (ICD10: C00 -C97) -(2013 to 2015)*-Both sexes

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

Ref: Three-year Report of the PBCRs: 2012-2014, Bengaluru, 2016

*Projected mortality cases for India were computed by applying Mumbai Mortality/Incidnece (MI) ratio to the projected incidence cancer cases.