Lok Sabha Question No. 518 (UNSTARRED), answered on 2016-02-26
Subject: Cancer among Women
Ministry: HEALTH AND FAMILY WELFARE
Asked by: P.R. SUNDARAM

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

## LOK SABHA UNSTARRED QUESTION NO. 518 TO BE ANSWERED ON 26 TH FEBRUARY , 2016

## CANCER AMONG WOMEN

## 518. SHRI P.R. SUNDARAM:

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

- (a)  whether  the  number  of  various  types  of  cancer  mainly  cervical  and  breast  cancer  a women particularly young women have increased over the past few years;
- (b) if so, the details thereof and the reaso ns therefor indicating the number of such cases reported during each of the last three years and the current year, State/UTwise;
- (c) whether the Government has conducted any study/survey in this regard, if so, the det the outcome thereof; and
- (d) the corrective measures taken or proposed to be taken by the Government in this regard

## ANSWER

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

(a)& (b): As per the NCDIR - NCRP Report on 'Time Trends in Cancer Incidence Rate: 1 9822010, Breast Cancer showed a significant increase in Age Adjusted Incidence Rate (AAR) o time across all ages with annual percentage change (APC) varying between 1.11 in Delhi to in Bangalore. Additionally in Mumbai PBCR, the age group of 0 - 24 also showed an increase in AARs over time. Cervical cancer showed significant decrease in AARs over time across all with APC varying between minus1.25 minus 3.50 in Chennai. No significant change has bee seen in the incidence in the younger age group .

The estimated incidence cancer cases for all sites, breast and cervical among wom India, State/Union Territory wise for the years 2012 to 2015 are at annexure I to III.

The increase in the number of cancer cases in the country may be attributed to larger number  of  ageing  population,  unhealthy  life  styles,  use  of  tobacco  products,  unhealth better diagnostic facilities etc.

- (c): The systematic collection of data on cancer is being carried out by various Popu Based Cancer Registries ( PBCR) across India under the National Cancer Registry Programme of ICMR since 1982. The number of estimated prevalent cancer cases of all sites of cancer a women in the country for the year 2014 is 1571252.

(d) : Central  Government  supplem ents  the  efforts  of  the  State  Government  for  improving healthcare  including  prevention,  diagnosis  and  treatment  of  Cancer.  At  present,  the  N Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Str (NPCDCS) being implemented under National Health Mission (NHM) for interventions upto the district level includes awareness generation for Cancer prevention, screening, early dete referral to an appropriate level institution for treatment.

Screening  guidelines for  breast,  cervical  and  oral  Cancer  have  been  provided  to  Sta Governments for implementation. Breast self examination is also promoted for early dete for breast cancer.

Screening for cervical cancer is by Visual Inspection with Acetic Acid (VIA) technique. ICMR  has  launched  an  indigenous  instrument  called  Magnivisulizer  which  can  be  used  b trained health workers for screening for early detection of cervical cancer. Suspected ca be  referred  for  confirmatory  diagnosis  by  various  tests  inc luding  histo - pathological  biopsy. Electronic and Print media is utilized for health awareness for cancer.

Government of India has approved 'Tertiary Care for Cancer' Scheme under NPCDCS in the year 2013 - 14. Under the said scheme, Government of India assi sts to establish/set up State Cancer  Institutes  (SCI)  and  Tertiary  Care  Cancer  Centres  (TCCC)  in  different  parts  o country. The maximum assistance inclusive of State share for SCI is upto Rs.120 crore a TCCC  is  upto  Rs.45  crore  subject  to  eligib ility  as  per  scheme  guidelines  and  availability  of funds.

The treatment for cancer in Government Hospitals is either free or subsidized. In a to  Cancer  diagnosis  and  treatment  by  the  State  Governments  Health  Institutes,  the  Ce Government Inst itutions such as All India Institute of Medical Sciences, Safdurjung Hospita Ram  Manohar  Lohia  Hospital,  PGIMER  Chandigarh,  JIPMER  Puducherry,  Chittaranjan National Cancer Institute, Kolkata, etc. provide facilities for diagnosis and treatment of er.

Oncology  in  its  various  aspects  has  focus  in  case  of  new  AIIMS  and  many  upgrade institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Setting up of Nation Cancer Institute at Jhajjar (Haryana) and 2nd campus of Chittranjan National Can cer Institute, Kolkata has also been approved.

………

## Annexure I

| States                    |   2012 |   2013 |   2014 |   2015 |
|---------------------------|--------|--------|--------|--------|
| Jammu &Kashmir            |   5573 |   5772 |   5978 |   6190 |
| Himachal pradesh          |   3158 |   3235 |   3314 |   3395 |
| Punjab                    |  12206 |  12509 |  12818 |  13132 |
| Chandigarh                |    446 |    459 |    473 |    487 |
| Uttaranchal               |   4684 |   4839 |   4999 |   5164 |
| Haryana                   |  11152 |  11499 |  11857 |  12226 |
| Delhi                     |   7286 |   7485 |   7689 |   7896 |
| Rajasthan                 |  31040 |  31983 |  32950 |  33942 |
| Uttar pradesh             |  89747 |  92787 |  95917 |  99141 |
| Bihar                     |  47102 |  48870 |  50698 |  52588 |
| Sikkim                    |    224 |    236 |    248 |    264 |
| Arunachal pradesh         |    506 |    517 |    529 |    540 |
| Nagaland                  |    711 |    714 |    717 |    721 |
| Manipur                   |    982 |    968 |    955 |    944 |
| Mizoram                   |    409 |    417 |    425 |    432 |
| Tripura                   |   1391 |   1442 |   1498 |   1562 |
| Meghalaya                 |   1120 |   1142 |   1165 |   1188 |
| Assam                     |  11459 |  11598 |  11737 |  11877 |
| West bengal               |  41763 |  43029 |  44338 |  45691 |
| Jharkhand                 |  15183 |  15723 |  16280 |  16854 |
| Orissa                    |  19419 |  19936 |  20465 |  21006 |
| Chattisgarh               |  12041 |  12472 |  12917 |  13377 |
| Madhya pradesh            |  33055 |  34174 |  35325 |  36510 |
| Gujarat                   |  27238 |  28111 |  29012 |  29940 |
| Daman &Diu                |     92 |     98 |    105 |    113 |
| Dadra &Nagar Haveli       |    146 |    155 |    165 |    176 |
| Maharashtra               |  50472 |  51747 |  53046 |  54366 |
| Telangana                 |  16604 |  17241 |  17916 |  18631 |
| Andhra pradesh            |  23406 |  24305 |  25255 |  26262 |
| Karnataka                 |  28223 |  29034 |  29866 |  30720 |
| Goa                       |    669 |    685 |    702 |    719 |
| Lakshadweep               |     30 |     32 |     33 |     35 |
| Kerala                    |  16381 |  16956 |  17585 |  18272 |
| Tamil nadu                |  33161 |  33648 |  34135 |  34621 |
| Pondicherry               |    607 |    634 |    663 |    692 |
| Andaman & Nicobar Islands |    164 |    167 |    170 |    173 |
| Total                     | 547850 | 564619 | 581945 | 599847 |

| States                    |   2012 |   2013 |   2014 |   2015 |
|---------------------------|--------|--------|--------|--------|
| Jammu &Kashmir            |    944 |    959 |    974 |    989 |
| Himachal pradesh          |    535 |    538 |    540 |    543 |
| Punjab                    |   2068 |   2078 |   2089 |   2099 |
| Chandigarh                |     76 |     76 |     77 |     78 |
| Uttaranchal               |    794 |    804 |    815 |    825 |
| Haryana                   |   1889 |   1911 |   1932 |   1954 |
| Delhi                     |   1234 |   1244 |   1253 |   1262 |
| Rajasthan                 |   5259 |   5314 |   5369 |   5424 |
| Uttar pradesh             |  15205 |  15417 |  15630 |  15843 |
| Bihar                     |   7980 |   8120 |   8261 |   8404 |
| Sikkim                    |     23 |     24 |     25 |     27 |
| Arunachal pradesh         |     52 |     53 |     54 |     55 |
| Nagaland                  |     73 |     73 |     74 |     74 |
| Manipur                   |    101 |     99 |     98 |     97 |
| Mizoram                   |     42 |     43 |     44 |     44 |
| Tripura                   |    143 |    148 |    154 |    160 |
| Meghalaya                 |    115 |    117 |    119 |    122 |
| Assam                     |   1175 |   1190 |   1204 |   1218 |
| West bengal               |   7076 |   7150 |   7225 |   7302 |
| Jharkhand                 |   2572 |   2612 |   2653 |   2693 |
| Orissa                    |   3290 |   3313 |   3335 |   3357 |
| Chattisgarh               |   2040 |   2072 |   2105 |   2138 |
| Madhya pradesh            |   5600 |   5678 |   5756 |   5835 |
| Gujarat                   |   4615 |   4671 |   4728 |   4785 |
| Daman &Diu                |     16 |     16 |     17 |     18 |
| Dadra &Nagar Haveli       |     25 |     26 |     27 |     28 |
| Maharashtra               |   8551 |   8598 |   8644 |   8688 |
| Telangana                 |   2814 |   2865 |   2919 |   2977 |
| Andhra pradesh            |   3965 |   4038 |   4116 |   4196 |
| Karnataka                 |   4782 |   4824 |   4867 |   4909 |
| Goa                       |    113 |    114 |    114 |    115 |
| Lakshadweep               |      5 |      5 |      5 |      6 |
| Kerala                    |   2775 |   2817 |   2865 |   2920 |
| Tamil nadu                |   5616 |   5591 |   5562 |   5533 |
| Pondicherry               |    103 |    105 |    108 |    111 |
| Andaman & Nicobar Islands |     28 |     28 |     28 |     28 |
| Total                     |  91694 |  92731 |  93786 |  94857 |

Annexure III

| States                    |   2012 |   2013 |   2014 |   2015 |
|---------------------------|--------|--------|--------|--------|
| Jammu &Kashmir            |    921 |    955 |    991 |   1029 |
| Himachal pradesh          |    522 |    535 |    550 |    564 |
| Punjab                    |   2017 |   2070 |   2125 |   2182 |
| Chandigarh                |     74 |     76 |     78 |     81 |
| Uttaranchal               |    774 |    801 |    829 |    858 |
| Haryana                   |   1843 |   1903 |   1966 |   2032 |
| Delhi                     |   1204 |   1239 |   1275 |   1312 |
| Rajasthan                 |   5130 |   5293 |   5463 |   5641 |
| Uttar pradesh             |  14834 |  15356 |  15903 |  16476 |
| Bihar                     |   7785 |   8088 |   8406 |   8740 |
| Sikkim                    |     46 |     49 |     53 |     58 |
| Arunachal pradesh         |    104 |    109 |    113 |    118 |
| Nagaland                  |    147 |    150 |    154 |    158 |
| Manipur                   |    203 |    204 |    205 |    207 |
| Mizoram                   |     84 |     88 |     91 |     95 |
| Tripura                   |    287 |    303 |    321 |    342 |
| Meghalaya                 |    231 |    240 |    250 |    260 |
| Assam                     |   2365 |   2440 |   2518 |   2599 |
| West bengal               |   6903 |   7121 |   7351 |   7593 |
| Jharkhand                 |   2510 |   2602 |   2699 |   2801 |
| Orissa                    |   3210 |   3299 |   3393 |   3491 |
| Chattisgarh               |   1990 |   2064 |   2142 |   2223 |
| Madhya pradesh            |   5464 |   5656 |   5857 |   6067 |
| Gujarat                   |   4502 |   4652 |   4810 |   4976 |
| Daman &Diu                |     15 |     16 |     17 |     19 |
| Dadra &Nagar Haveli       |     24 |     26 |     27 |     29 |
| Maharashtra               |   8342 |   8564 |   8795 |   9035 |
| Telangana                 |   2744 |   2854 |   2971 |   3096 |
| Andhra pradesh            |   3869 |   4022 |   4187 |   4364 |
| Karnataka                 |   4665 |   4807 |   4952 |   5105 |
| Goa                       |    111 |    113 |    116 |    119 |
| Lakshadweep               |      5 |      5 |      6 |      6 |
| Kerala                    |   2707 |   2806 |   2916 |   3037 |
| Tamil nadu                |   5481 |   5569 |   5660 |   5754 |
| Pondicherry               |    100 |    105 |    110 |    115 |
| Andaman & Nicobar Islands |     27 |     28 |     28 |     29 |
| Total                     |  91240 |  94208 |  97328 | 100611 |