Lok Sabha Question No. 199 (STARRED), answered on 2015-12-11
Subject: Cases of Diabetes
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SHARAD TRIPATHI, K. C. VENUGOPAL

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

## LOK SABHA STARRED QUESTION NO. 199 TO BE ANSWERED ON THE 11 TH DECEMBER 2015 CASES OF DIABETES

## †*199. SHRI SHARAD TRIPATHI:

## SHRI K.C. VENUGOPAL:

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

- (a) whether the number of cases of diabetes including juvenile diabetes is on the rise in the country;
- (b) if so, the details thereof and the reasons therefor in dicating the number of cases of diabetes and juvenile diabetes detected during each of the last three y the current year, State/UT - wise;
- (c) whether the Government has conducted any study/survey in this regard, i the details and the outcome thereof;
- (d) whether the World Health Organization (WHO) and certain other internatio organizations have cautioned the Government against the sharp rise in the n of diabetic patients in the coming years, if so, the details thereof along reaction of the Government thereto; and
- (e) the action plan drawn by the Government for prevention, early detectio affordable treatment of diabetes including juvenile diabetes along with th allocated and utilized for the purpose during the above said pe riod, State/UT - wise?

## 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. 199* FOR 11 TH DECEMBER, 2015

(a)  to  (c)  :    As  per  the  information  received  from  Indian  Council  of  M Research (ICMR), there are no time trend data on incidence of diabetes mel among  children  indicating  rise  in  the  country.  However, International Diabetes Federation (IDF) est imatesthe  number  of  children  (  0 - 14 years) suffering  from Type-1 Diabetes as 70,200 in India in 2015. For persons aged 20 years and ab the estimates are 66.8 million in 2014 as against 61.3 million persons in 2011.

The  Indian  Council  of  Medical  Res earch  has  completed  the  phase  I  of  project entitled, 'ICMR - India Diabetes (INDIAB) Study ,' with the aim to:

I.  determine  the  national  prevalence  of  type  2 Diabetesmellitus  and  pre -Diabetes in India, by estimating the state - wise prevalence of the same, an d

II. compare the prevalence of type - 2 Diabetes and pre - Diabetes in urban and rural areas across India.

In the first phase of the study, the rural and urban settings in four one union territory viz., Tamil Nadu, Jharkhand, Maharashtra and Chandigarh h been  included.  The  adjusted  prevalence  of Diabetes(both  known  and  newly diagnosed ) in Tamil N adu was 10.4 %, Jharkhand - 5.3%,  Chandigarh - 13.6%  and Maharashtra - 8.4%.  The  prevalence  of  pre - diabetes was  8.3%,  8.1%,  14.6%  and 12.8 % respectively.

A statement showing State/UT - wise number of cases detected for Diabetes during 2014- 15  and  2015 - 16  (Till  October  2015)  under  the National  Programme  for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Str (NPCDCS) is enclosed at A nnexure - I.

D ata on number of cases detected for Juvenile Diabetes is not routinely collected centrally . However,  d ata  reported  during  the  course  of  screening  of  schoo children  under  National  Programme  for  Prevention  and  Control  of  Cance Diabetes , Card iovascular Diseases and Stroke during 2010 - 2013,indicates that out of 92,047 school children screened in the towns of Nainital, Ratlam, and Bhi 1,351(1.467%) were suspected to be D iabetic.

The factors responsible for increase in Di b tes are unhea lthy diet, lack of physical activity, harmful use of alcohol, over - weight, obesity, tobacco use etc.

(d) & (e) :International Diabetes Federation Diabetes Atlas, 6 th edition -2013 indicate that 'Diabetes is growing alarmingly in India'. Government of India had taken cognisance of this report.

In  line  with  WHO' s comprehensive  Global  Monitoring  Framework  and  Action Plan for prevention and Control of Non - Communicable Diseases ( NCDs ) (2013 2020), endorsed by the 66th World He alth Assembly (WHA) in May 2013, India is the  first  country  globally  to  adopt  the  NCD  Global  Monitoring  Framework  a Action Plan to its National Context. In the National Action Plan and Monitoring Framework for prevention and control of NCDs, Diabetes has been identified one of the areas of intervention.

While Health is a State subject, the Central Government supplements the effo the  State  Governments  for  improving  healthcare. Government of  India  has launched  National  Programme  for  Prevention  and  Control  of  Cancer, Diabetes , Cardiovascular  Diseases  and  Stroke  (NPCDCS)  which  is  implemented  for interventions up to District level under the National Health Mission. NPCDCS a focus on aware ness generation for behaviour and life - style  changes, screening and  early  diagnosis  of  persons  with  high  level  of  risk  factors  and treatment/followup  and referral (if  required) to  higher  facilities  for  appropriate management for Non - Communicable Dise ases including Diabetes .

U nder  NPCDCS,  diagnosis  and  treatment  facilities for  Diabetes are  provided through  different  levels  of  healthcare by  setting  up NCD  Clinics  in  District Hospitals and Community Health Centres (CHCs). The treatment is either free o r highly subsidized for the poor and needy.

A  Statement  showing  State/UT - wise  release  and  utilisation  of  funds  under NPCDCS for the last three years and the current year is at Annexure - II.

## Statement indicating State/UT wise number of Cases of Diabetes detected during 2014-15 and 2015-16 (till Oct. 2015)

| S.No.   | States &UTs       | Patients diagnosed with Diabetes at NCD Clinics 2015-16   | Patients diagnosed with Diabetes at NCD Clinics 2015-16   |
|---------|-------------------|-----------------------------------------------------------|-----------------------------------------------------------|
| 1       | Andhra Pradesh    | 2014-15 9,139                                             | (till Oct. 2015) 35,461                                   |
| 2       | Arunachal Pradesh | 1,469                                                     | 2,384                                                     |
| 3       | Assam             | 5,052                                                     | 6,899                                                     |
| 4       | Bihar             | 9,595                                                     | NA                                                        |
| 5       | Chhattisgarh      | 11,867                                                    | 45,833                                                    |
| 6       | Goa               | 5,692                                                     | 7,297                                                     |
| 7       | Gujarat           | 1,61,578                                                  | 10,9,340                                                  |
| 8       | Haryana           | 27,185                                                    | 9,205                                                     |
| 9       | Himachal Pradesh  | 2,777                                                     | 3,749                                                     |
| 10      | Jammu &Kashmir    | 3,701                                                     | 1,763                                                     |
| 11      | Jharkhand         | 17,240                                                    | 11,388                                                    |
| 12      | Karnataka         | 15,871                                                    | 8,757                                                     |
| 13      | Kerala            | 29,768                                                    | 13,435                                                    |
| 14      | Madhya Pradesh    | 10,165                                                    | 16,825                                                    |
| 15      | Maharashtra       | 53,488                                                    | 41,608                                                    |
| 16      | Manipur           | NA                                                        | NA                                                        |
| 17      | Meghalaya         | 190                                                       | 484                                                       |
| 18      | Mizoram           | 2,992                                                     | 3,859                                                     |
| 19      | Nagaland          | 328                                                       | 375                                                       |
| 20      | Odisha            | 17,834                                                    | 34,721                                                    |
| 21      | Punjab            | 32,100                                                    | 13,766                                                    |
| 22      | Rajasthan         | 67,738                                                    | 31,300                                                    |
| 23      | Sikkim            | 937                                                       | 1,325                                                     |
| 24      | Tamil Nadu        | NA                                                        | 66,896                                                    |
| 25      | Telangana         | NA                                                        | NA                                                        |
| 26      | Tripura           | NA                                                        | 50                                                        |
| 27      | Uttar Pradesh     | 60,459                                                    | 91,937                                                    |
| 28      | Uttarakhand       | 645                                                       | 291                                                       |
| 29      | West Bengal       | 11,908                                                    | 7,295                                                     |
| 30      | Andaman & Nicobar | NA                                                        | 3,245                                                     |
| 31      | Chandigarh        | NA                                                        | NA                                                        |
| 32      | Dadar &N. Haveli  | NA                                                        | NA                                                        |
| 33      | Daman &Diu        | NA                                                        | NA                                                        |
| 34      | Lakshadweep       | NA                                                        | NA                                                        |
| 35      | Delhi             | NA                                                        | NA                                                        |
| 36      | Puducherry        | NA                                                        | 4,727                                                     |
|         | Total             | 5,59,718                                                  | 5,74,215                                                  |

## ANNEXURE-II

## NATIONAL PROGRAMME FOR PREVENTION  AND CONTROL OF CANCER, DIABETES, CARDIOVASCULAR DISEASES & STROKE (NPCDCS)

| Sl. No   | Name Of State        | 2012- 13   | 2012- 13   | 2013- 14   | 2013- 14   | 2014- 15   | 2014- 15   | (Rs. in Lakh) 2015- 16 (Till 30.09.2015)   | (Rs. in Lakh) 2015- 16 (Till 30.09.2015)   |
|----------|----------------------|------------|------------|------------|------------|------------|------------|--------------------------------------------|--------------------------------------------|
|          |                      | Released   | Utilised   | Released   | Utilised   | Released   | Utilised   | Released                                   | Utilised                                   |
| 1        | Andhra Pradesh       | 0.00       | 69.34      | 0.00       | 61.33      | 561.00     | 115.41     | 0.00                                       | 0                                          |
| 2        | Assam                | 0.00       | 310.58     | 1714.00    | 620.62     | 579.00     | 288.43     | 3333.00                                    | 322.14                                     |
| 3        | Bihar                | 0.00       | 120.17     | 972.00     | 176.15     | 1208.00    | 50.65      | 597.00                                     | 0                                          |
| 4        | Chhattisgarh         | 0.00       | 10.07      | 0.00       | 162.20     | 504.00     | 390.27     | 526.00                                     | 22.48                                      |
| 5        | Gujarat              | 0.00       | 329.02     | 0.00       | 564.04     | 666.00     | 543.28     | 1551.00                                    | 430.88                                     |
| 6        | Haryana              | 0.00       | 129.23     | 0.00       | 261.94     | 799.00     | 207.89     | 331.00                                     | 61.12                                      |
| 7        | Himachal Pradesh     | 0.00       | 15.56      | 0.00       | 73.90      | 0.00       | 23.79      | 263.00                                     | 7.1                                        |
| 8        | Jharkhand            | 0.00       | 10.63      | 332.00     | 148.95     | 835.00     | 390.24     | 790.00                                     | 89.47                                      |
| 9        | Jammu & Kashmir      | 0.00       | 396.24     | 0.00       | 300.55     | 913.00     | 160.11     | 629.00                                     | 45.17                                      |
| 10       | Karnataka            | 0.00       | 156.02     | 0.00       | 639.86     | 976.00     | 231.46     | 1187.00                                    | 151.57                                     |
| 11       | Kerala               | 0.00       | 616.36     | 0.00       | 167.17     | 545.00     | 768.38     | 467.00                                     | 70.41                                      |
| 12       | Madhya Pradesh       | 0.00       | 293.19     | 462.00     | 315.52     | 1694.00    | 681.07     | 2681.00                                    | 83.9                                       |
| 13       | Maharashtra          | 0.00       | 615.50     | 586.00     | 1044.66    | 1289.00    | 1131.70    | 2375.00                                    | 219.37                                     |
| 14       | Odisha               | 0.00       | 84.45      | 0.00       | 480.22     | 1234.00    | 414.97     | 1065.00                                    | 32.95                                      |
| 15       | Punjab               | 0.00       | 279.25     | 0.00       | 199.85     | 803.00     | 368.32     | 312.00                                     | 150.86                                     |
| 16       | Rajasthan            | 0.00       | 154.27     | 59.00      | 242.01     | 1180.00    | 445.48     | 2704.00                                    | 221.26                                     |
| 17       | Sikkim               | 0.00       | 89.07      | 0.00       | 81.62      | 176.00     | 81.46      | 66.00                                      | 45.76                                      |
| 18       | Tamil Nadu           | 0.00       | 0.00       | 89.00      | 175.13     | 1355.00    | 2.70       | 1300.00                                    | 0                                          |
| 19       | Uttrakhand           | 0.00       | 95.73      | 0.00       | 34.70      | 545.00     | 35.87      | 624.00                                     | 9.54                                       |
| 20       | Uttar Pradesh        | 2431.25    | 89.29      | 1398.00    | 347.12     | 2027.00    | 2519.38    | 3626.00                                    | 565.5                                      |
| 21       | West Bengal          | 0.00       | 83.68      | 1027.00    | 416.78     | 754.00     | 416.34     | 0.00                                       | 1.63                                       |
| 22       | Andaman & Nicobar    | 0.00       | 0.00       | 5.00       | 0.00       | 25.00      | 0.63       | 55.00                                      | 0                                          |
| 23       | Dadra & Nagar Haveli | 0.00       | 0.00       | 5.00       | 0.00       | 17.00      | 0.12       | 42.00                                      | 0                                          |
| 24       | Daman & Diu          | 0.00       | 0.00       | 4.00       | 0.00       | 13.00      | 0.00       | 35.00                                      | 0                                          |
| 25       | Lakshadweep          | 0.00       | 0.00       | 1.00       | 0.00       | 13.00      | 4.68       | 0.00                                       | 0                                          |
| 26       | Delhi                | 0.00       | 0.00       | 247.00     | 0.00       | 141.00     | 0.00       | 149.00                                     | 0                                          |
| 27       | Puducherry           | 0.00       | 0.00       | 18.00      | 7.02       | 152.00     | 38.00      | 0.00                                       | 2.2                                        |
| 28       | Goa                  | 0.00       | 0.00       | 22.00      | 0.00       | 127.00     | 14.83      | 0.00                                       | 1.77                                       |
| 29       | Chandigarh           | 0.00       | 0.00       | 16.00      | 0.00       | 13.00      | 6.04       | 0.00                                       | 4.34                                       |
| 30       | Arunachal Pradesh    | 0.00       | 0.00       | 76.00      | 69.20      | 354.00     | 360.05     | 534.00                                     | 0.75                                       |
| 31       | Meghalaya            | 0.00       | 0.00       | 163.00     | 0.00       | 147.00     | 24.35      | 228.00                                     | 24.62                                      |
| 33       | Nagaland             | 0.00       |            | 109.00     |            |            | 73.78      | 246.00                                     |                                            |
|          |                      |            | 0.00       |            | 0.00       | 346.00     |            |                                            | 26.27                                      |
| 34       | Tripura              | 0.00       | 0.00       | 202.00     | 1.03       | 176.00     | 0.00       | 0.00                                       | 0                                          |
| 35       | Manipur              | 0.00       | 0.00       | 0.00       | 0.00       | 296.00     | 0.00       | 273.00                                     | 0                                          |
| 36       | Telengana            | 0.00       | 0.00       | 0.00       | 0.00       | 401.00     | 0.00       | 791.00                                     | 0                                          |

Note :i) No Seprate Programmewise release of funds has been made during the 2015 - 16.

ii) Now, NPCDCS programme  has been mergred under N C D Flexi Pool  for release of funds.