Lok Sabha Question No. 1008 (UNSTARRED), answered on 2015-12-04
Subject: Water-Borne Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: E. T. MOHAMMED BASHEER, ABHISHEK BANERJEE

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

## LOK SABHA UNSTARRED QUESTION NO.1008 TO BE ANSWERED ON 4 TH DECEMBER, 2015

## WATER - BORNE DISEASES

## 1008. SHRI E.T. MOHAMMED BASHEER: SHRI ABHISHEK BANERJEE:

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

- (a) the number of cases of water - borne diseases and attributable casualties reported in the cou during each of the last three years and the current year, disease and State/UT - wise;
- (b) whether the Government has conducted any survey/study in this regard, if so, the details and the outcome thereof;
- (c) the steps taken/proposed to be taken by the Government for prevention, control and t of water - borne diseases in the country; and
- (d) the funds allocated and utilised for the purpose during the above period, State/ UT - wise?

## ANSWER

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

(a)  to  (d): Consumption  of  contaminated  drinking  water  can  cause  diseases  such  as  Chole Acute Diarrhoeal Diseases, E nteric Fever (Typhoid), Viral Hepatitis etc. As per the data reported 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 du the years 2012 - 2015 are given at Annexure I.

Provision of safe drinking water is the main strategy to control diseases caused by of contaminated water. Rural water supply is a State subject. Government of India supplem efforts of the State s by providing technical and financial assistance under the centrally spo National Rural Drinking Water Programme (NRDWP) for providing safe and adequate drinkin water  supply  facilities  in  rural  areas  of  the  country.  5%  of  NRDWP  Funds  are  earmark for support funds which are allotted to the States on 100% central share for activities su (Information, Education and Communication) for awareness generation, HRD (Human Resource Development)  for  capacity  building  and  for  MIS  (Management  Informat io   System).  Further, under NRDWP, 3% of funds allocated to the States are earmarked for Water Quality Monito and  Surveillance  (WQMS)  activities  on  a  100%  Central  share  basis  which,  inter  alia,  i testing of drinking water sources at the Panchaya t level by using simple field test kits, upgrading existing water quality testing laboratories and setting up of new State/district/sub - district  water quality  testing  laboratories  wherever  such  facility  is  not  available  or  needed.  Wate Monitori ng  &  Surveillance  Programme  aims  at  empowering  rural  communities  to  manage  and keep surveillance on their own drinking water sources.

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

Government of India also started the National Programme for Prevention and Contro 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 Communication (IEC) activities, capacity buildi ng in the form  of  training  and  manpower  support,  establishment  of  diagnostic  facilities,  managem fluorosis cases including treatment, surgery, rehabilitation, and health education.  De fund released under NPPCF are given in Annexure II.

Further, National Centre for Disease Control (NCDC), Delhi provides technical assi to  State/UT  Governments  on  prevention  and  control  of  water - borne  diseases  in  carrying  out investigation  of  outbreaks  of  such  diseases  under  Integrated  Disease  Surveilla nce  Programme (IDSP).  At  the  National  level,  NCDC  also  coordinates  laboratory  support  for  out investigations, besides conducting regular training courses for development of trained m Details of funds released and expenditure for the last threeyears and the current year State/UT wise are at Annexure III.

Health System Strengthening support being given to the State Governments under Nati Health Mission (NHM) also enhances capacity of the Health Institutions, up to the distric trea t and manage water borne diseases.

…………

## Annexure - I

State - wise Cases & Deaths Due to Cholera in India 2012 -2015

| Sl No   | State / U.T.   | 2012   | 2012   | 2013   | 2013   | 2014 (Prov.)   | 2014 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)                 |
|---------|----------------|--------|--------|--------|--------|----------------|----------------|----------------|----------------|------------------------------|
| Sl No   | State / U.T.   | Cases  | Deaths | Cases  | Deaths | Cases          | Deaths         | Cases          | Deaths         | Reference Period Jan 15 upto |
| 1       | Andhra Prad.   | 109    | 0      | 31     | 0      | 0              | 0              | 0              | 0              | August,15                    |
| 2       | Arun. Prad.    | 0      | 0      | 0      | 0      | 0              | 0              | 0              | 0              | September,15                 |
| 3       | Assam          | 0      | 0      | 0      | 0      | 0              | 0              | 0              | 0              | September,15 exc Mar         |
| 4       | Bihar          | 0      | 0      | 0      | 0      | 0              | 0              | 0              | 0              | October,15                   |
| 5       | Chhattisgarh   | 13     | 0      | 2      | 0      | 20             | 0              | 46             | 0              | October,15 exc feb           |
| 6       | Goa            | 0      | 0      | 0      | 0      | 0              | 0              | 0              | 0              | July, 15                     |
| 7       | Gujarat        | 71     | 0      | 327    | 1      | 159            | 0              | 47             | 0              | October,15                   |
| 8       | Haryana        | 16     | 0      | 16     | 0      | 7              | 0              | 0              | 0              | October,15                   |
| 9       | Himachal Prd.  | 3      | 0      | 0      | 0      | 0              | 0              | 0              | 0              | September,15                 |
| 10      | J & K          | 0      | 0      | 0      | 0      | 0              | 0              | 0              | 0              | October,15                   |
| 11      | Jharkhand      | 0      | 0      | 9      | 0      | 0              | 0              | 0              | 0              | October,15 exc May to July   |
| 12      | Karnataka      | 175    | 0      | 200    | 0      | 86             | 0              | 14             | 2              | October,15                   |
| 13      | Kerala         | 4      | 1      | 23     | 0      | 3              | 0              | 0              | 0              | October,15                   |
| 14      | Madhya Prad.   | 12     | 0      | 8      | 0      | 17             | 0              | 80             | 0              | Oct,15 exc June, Aug, Sep    |
| 15      | Maharashtra    | 317    | 0      | 293    | 1      | 252            | 2              | 2416           | 0              | October,15 exc Mar           |
| 16      | Manipur        | 0      | 0      | 0      | 0      | 0              | 0              | 0              | 0              | September,15                 |
| 17      | Meghalaya      | 0      | 0      | 0      | 0      | 1              | 1              | 0              | 0              | June, 15                     |
| 18      | Mizoram        | 0      | 0      | 0      | 0      | 0              | 0              | 25             | 0              | October,15                   |
| 19      | Nagaland       | 0      | 0      | 0      | 0      | 0              | 0              | 0              | 0              | October,15                   |
| 20      | Odisha         | 0      | 0      | 0      | 0      | 0              | 0              | 0              | 0              | October,15                   |
| 21      | Punjab         | 0      | 0      | 0      | 0      | 55             | 0              | 0              | 0              | October,15                   |
| 22      | Rajasthan      | 0      | 0      | 5      | 0      | 56             | 0              | 3              | 0              | Oct,15 exc May, Aug, Sep     |
| 23      | Sikkim         | 0      | 0      | 0      | 0      | 0              | 0              | 0              | 0              | September,15                 |
| 24      | Tamil Nadu     | 523    | 0      | 42     | 3      | 10             | 0              | 15             | 0              | October,15                   |
| 25      | Tripura        | 0      | 0      | 0      | 0      | 0              | 0              | 0              | 0              | September,15 exc Apr         |
| 26      | Uttarakhand    | 0      | 0      | 1      | 0      | 12             | 0              | 0              | 0              | September,15                 |
| 27      | Uttar Pradesh  | 0      | 0      | 0      | 0      | 21             | 0              | 41             | 0              | October,15                   |
| 28      | West Bengal    | 181    | 0      | 120    | 0      | 173            | 0              | 84             | 0              | October,15 exc Aug           |
| 29      | A & N Islands  |        |        | 0      | 0      | 0              | 0              |                |                | August,15 exc Feb,           |
| 30      | Chandigarh     | 0 0    | 0 0    | 0      | 0      | 15             | 1              | 0 1            | 0 0            | May August,15 exc Aug        |
| 31      | D & N Haveli   | 33     | 0      | 25     | 0      | 28             | 1              | 295            | 1              | October, 15 exc              |
| 32      | Daman & Diu    | 0      | 0      | 0      | 0      | 0              | 0              | 0              | 0              | October,15 exc Apr           |
| 33      | Delhi          | 111    | 0      | 25     | 0      | 51             | 0              | 34             | 0              | August,15                    |
| 34      | Lakshadweep    | 0      |        |        | 0      | 0              |                |                | 0              | September,15                 |
| 35      | Puducherry     | 15     | 0 0    | 0 3    | 0      | 3              | 0 0            | 0 1            | 0              | September,15                 |
|         | Total          | 1583   | 1      | 1130   | 5      | 969            | 5              | 3102           | 3              |                              |

## Note :

1.  2014 & 2015 : Andhra Pradesh Excludes data of 10 districts of Telangana from July 2014 Onwards.

Annex

2.  2014:  Data for Assam till September

3. 2014 : Data from Meghalaya and Uttat Pradesh  does not contains for October

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

S tate - wise Cases and Deaths due to ADD reported during 2012 -2015

| Sl. No.   | State / U.T.   | 2012     | 2012    | 2013     | 2013    | 2014 (Prov.)   | 2014 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)                 |
|-----------|----------------|----------|---------|----------|---------|----------------|----------------|----------------|----------------|------------------------------|
| Sl. No.   | State / U.T.   | Cases    | Deat hs | Cases    | Deat hs | Cases          | Deaths         | Cases          | Deaths         | Reference Period Jan 15 upto |
| 1         | Andhra Prad.   | 2092340  | 100     | 1855496  | 110     | 1336690        | 10             | 740297         | 2              | August,15                    |
| 2         | Arun. Prad.    | 44570    | 7       | 30756    | 3       | 12657          | 5              | 6589           | 3              | September,15                 |
| 3         | Assam          | 134295   | 147     | 105876   | 147     | 58587          | 64             | 96429          | 82             | September,15                 |
| 4         | Bihar          | 493559   | 8       | 550281   | 24      | 550038         | 24             | 302255         | 21             | October,15 exc May           |
| 5         | Chhattisgarh   | 108238   | 26      | 104966   | 37      | 112888         | 32             | 105678         | 12             | October,15                   |
| 6         | Goa            | 13696    | 1       | 16485    | 0       | 16039          | 4              | 8530           | 1              | July, 15                     |
| 7         | Gujarat        | 410508   | 7       | 427523   | 8       | 504857         | 3              | 426309         | 3              | October,15                   |
| 8         | Haryana        | 215111   | 27      | 168527   | 27      | 197898         | 8              | 143169         | 4              | October,15                   |
| 9         | Himachal Prad. | 338708   | 58      | 349904   | 56      | 350459         | 52             | 264897         | 31             | September,15                 |
| 10        | J & K          | 550645   | 2       | 591231   | 1       | 515013         | 0              | 397080         | 2              | October,15                   |
| 11        | Jharkhand      | 72170    | 6       | 81045    | 4       | 79430          | 28             | 39982          | 0              | October,15                   |
| 12        | Karnataka      | 582347   | 84      | 545794   | 81      | 819777         | 23             | 651636         | 13             | October,15                   |
| 13        | Kerala         | 360743   | 10      | 372440   | 12      | 402106         | 9              | 342206         | 0              | October,15                   |
| 14        | Madhya Prad.   | 488743   | 91      | 535012   | 89      | 768021         | 112            | 525686         | 65             | October,15                   |
| 15        | Maharashtra    | 457001   | 1       | 527115   | 0       | 646380         | 4              | 529288         | 13             | October,15                   |
| 16        | Manipur        | 27469    | 56      | 25333    | 37      | 29954          | 32             | 19590          | 11             | October,15                   |
| 17        | Meghalaya      | 201819   | 19      | 186023   | 12      | 183631         | 27             | 75641          | 20             | September,15                 |
| 18        | Mizoram        | 15957    | 7       | 13518    | 12      | 14201          | 10             | 11631          | 8              | June, 15                     |
| 19        | Nagaland       | 20939    | 0       | 21672    | 0       | 21783          | 0              | 10477          | 0              | October,15                   |
| 20        | Orissa         | 743493   | 235     | 656838   | 217     | 750262         | 169            | 481627         | 40             | October,15                   |
| 21        | Punjab         | 197059   | 27      | 183533   | 13      | 170438         | 22             | 129184         | 32             | October,15                   |
| 22        | Rajasthan      | 508512   | 12      | 545293   | 18      | 676832         | 17             | 576155         | 6              | October,15                   |
| 23        | Sikkim         | 53516    | 0       | 42410    | 1       | 37275          | 2              | 14254          | 0              | October,15                   |
| 24        | Tamil Nadu     | 199930   | 17      | 278701   | 23      | 259452         | 14             | 242507         | 8              | August, 15                   |
| 25        | Tripura        | 98417    | 22      | 92826    | 17      | 79216          | 22             | 50769          | 2              | October,15                   |
| 26        | Uttarakhand    | 101927   | 21      | 84792    | 12      | 90428          | 14             | 82785          | 4              | September,15                 |
| 27        | Uttar Pradesh  | 740328   | 254     | 828367   | 272     | 745457         | 301            | 557006         | 241            | September,15                 |
| 28        | West Bengal    | 2033180  | 280     | 1830310  | 302     | 1896182        | 200            | 1320277        | 129            | October,15                   |
| 29        | A & N Islands  | 33513    | 3       | 29391    | 0       | 23947          | 2              | 10585          | 0              | October,15                   |
| 30        | Chandigarh     | 38218    | 0       | 44664    | 2       | 39277          | 29             | 28717          | 72             | August,15 exc Feb, May       |
| 31        | D & N Haveli   | 74007    | 0       | 62259    | 0       | 63337          | 0              | 37758          | 4              | August,15                    |
| 32        | Daman & Diu    | 12559    | 0       | 8615     | 2       | 12831          | 0              | 10544          | 1              | October, 15 exc Aug          |
| 33        | Delhi          | 136567   | 98      | 129367   | 62      | 113677         | 73             | 107598         | 59             | October,15 exc Mar, Apr      |
| 34        | Lakshadweep    | 5461     | 0       | 7496     | 0       | 6750           | 0              | 3385           | 0              | August,15                    |
| 35        | Puducherry     | 96210    | 21      | 79751    | 28      | 87248          | 11             | 67129          | 0              | September,15                 |
|           | Total          | 11701755 | 1647    | 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 for October

State - wise Cases and Deaths due to Viral Hepatitis (All Causes) reported during 2012 -2015

| Sl. No.   | State / U.T.   | 2012   | 2012   | 2013   | 2013   | 2014 (Prov.)   | 2014 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)                   |
|-----------|----------------|--------|--------|--------|--------|----------------|----------------|----------------|----------------|--------------------------------|
| Sl. No.   | State / U.T.   | Cases  | Deaths | Cases  | Deaths | Cases          | Deaths         | Cases          | Deaths         | Reference Periodm Jan 15 up to |
| 1         | Andhra Prad.   | 7955   | 84     | 8739   | 34     | 3716           | 1              | 1867           | 6              | August,15                      |
| 2         | Arun. Prad.    | 1520   | 4      | 588    | 0      | 378            | 6              | 218            | 1              | September,15                   |
| 3         | Assam          | 419    | 0      | 466    | 0      | 1994           | 13             | 456            | 7              | September,15                   |
| 4         | Bihar          | 3094   | 2      | 6736   | 2      | 20670          | 3              | 20361          | 2              | October,15                     |
| 5         | Chhattisgarh   | 914    | 5      | 670    | 5      | 533            | 4              | 437            | 5              | October,15                     |
| 6         | Goa            | 92     | 0      | 173    | 0      | 182            | 0              | 102            | 0              | July, 15                       |
| 7         | Gujarat        | 4763   | 6      | 3676   | 6      | 4808           | 7              | 2870           | 0              | October,15                     |
| 8         | Haryana        | 2686   | 1      | 1307   | 1      | 2717           | 4              | 4076           | 2              | October,15                     |
| 9         | HP             | 1310   | 17     | 2023   | 14     | 2808           | 9              | 1440           | 0              | September,15                   |
| 10        | J & K          | 5967   | 0      | 6307   | 0      | 5110           | 0              | 3172           | 0              | October,15                     |
| 11        | Jharkhand      | 983    | 0      | 1444   | 65     | 972            | 20             | 457            | 1              | October,15                     |
| 12        | Karnataka      | 10789  | 26     | 5415   | 16     | 6613           | 9              | 5001           | 16             | October,15                     |
| 13        | Kerala         | 8212   | 18     | 7034   | 8      | 5567           | 4              | 2961           | 2              | October,15                     |
| 14        | Madhya Prad.   | 12325  | 4      | 14055  | 11     | 16141          | 18             | 8802           | 14             | October,15                     |
| 15        | Maharashtra    | 6175   | 21     | 5851   | 13     | 5985           | 13             | 5776           | 6              | October,15                     |
| 16        | Manipur        | 229    | 4      | 258    | 0      | 443            | 0              | 68             | 0              | September,15                   |
| 17        | Meghalaya      | 221    | 1      | 518    | 0      | 609            | 0              | 253            | 0              | June, 15                       |
| 18        | Mizoram        | 914    | 15     | 419    | 10     | 194            | 0              | 155            | 3              | October,15                     |
| 19        | Nagaland       | 284    | 0      | 119    | 0      | 88             | 0              | 27             | 0              | October,15                     |
| 20        | Orissa         | 5372   | 100    | 3743   | 90     | 4910           | 38             | 3040           | 9              | October,15                     |
| 21        | Punjab         | 3323   | 0      | 3099   | 6      | 4525           | 4              | 7551           | 7              | October,15                     |
| 22        | Rajasthan      | 1595   | 7      | 2384   | 10     | 9719           | 3              | 2194           | 0              | October,15                     |
| 23        | Sikkim         | 667    | 6      | 692    | 1      | 554            | 0              | 18             | 0              | September,15                   |
| 24        | Tamil Nadu     | 10628  | 0      | 1868   | 0      | 2671           | 0              | 858            | 0              | October,15                     |
| 25        | Tripura        | 272    | 2      | 205    | 1      | 177            | 1              | 85             | 1              | September,15                   |
| 26        | Uttarakhand    | 6499   | 16     | 8619   | 11     | 9243           | 9              | 7529           | 12             | September,15                   |
| 27        | Uttar Pradesh  | 6345   | 12     | 9079   | 17     | 16026          | 50             | 8783           | 47             | October,15                     |
| 28        | West Bengal    | 4097   | 102    | 4967   | 91     | 4444           | 63             | 2951           | 54             | October,15                     |
| 29        | A & N Islands  | 172    | 9      | 231    | 11     | 262            | 9              | 37             | 1              | August,15 exc Feb, May         |
| 30        | Chandigarh     | 1751   | 0      | 424    | 1      | 766            | 21             | 862            | 24             | August,15                      |
| 31        | D & N Haveli   | 159    | 0      | 90     | 2      | 32             | 0              | 43             | 4              | October, 15 exc Aug            |
| 32        | Daman & Diu    | 192    | 4      | 184    | 7      | 65             | 0              | 51             | 1              | October,15 exc Mar, Apr        |
| 33        | Delhi          | 8184   | 66     | 8290   | 131    | 6425           | 95             | 4872           | 48             | August,15                      |
| 34        | Lakshadweep    | 17     | 0      | 5      | 0      | 16             | 0              | 4              | 0              | September,15                   |
| 35        | Puducherry     | 755    | 19     | 447    | 10     | 299            | 3              | 435            | 2              | September,15                   |
| Total     |                | 118880 | 551    | 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 for October

State - wise Cases and Deaths due to Enteric Fever (Typhoid) reported during 2012 -2015

| Sl. No.   | State / U.T.   | 2012    | 2012   | 2013    | 2013   | 2014 (Prov.)   | 2014 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)   | 2015 (Prov.)                 |
|-----------|----------------|---------|--------|---------|--------|----------------|----------------|----------------|----------------|------------------------------|
| Sl. No.   | State / U.T.   | Cases   | Deaths | Cases   | Deaths | Cases          | Deaths         | Cases          | Deaths         | Reference Period Jan 15 upto |
| 1         | Andhra Prad.   | 279816  | 37     | 256458  | 6      | 186446         | 5              | 87150          | 0              | August,15                    |
| 2         | Arun. Prad.    | 11821   | 10     | 7359    | 4      | 4512           | 3              | 3042           | 6              | September,15                 |
| 3         | Assam          | 12016   | 10     | 6521    | 0      | 4233           | 29             | 15122          | 2              | September,15                 |
| 4         | Bihar          | 142341  | 3      | 261791  | 2      | 273007         | 4              | 191861         | 1              | October,15                   |
| 5         | Chhattisgarh   | 54417   | 6      | 27457   | 2      | 32438          | 0              | 41925          | 1              | October,15                   |
| 6         | Goa            | 290     | 0      | 355     | 0      | 573            | 0              | 987            | 1              | July, 15                     |
| 7         | Gujarat        | 24325   | 0      | 22962   | 1      | 29505          | 0              | 23204          | 1              | October,15                   |
| 8         | Haryana        | 34427   | 1      | 27115   | 0      | 29990          | 1              | 23612          | 0              | October,15                   |
| 9         | Him. Prad.     | 40041   | 3      | 37128   | 2      | 48786          | 6              | 32301          | 4              | September,15                 |
| 10        | J & K          | 68157   | 0      | 70859   | 0      | 57537          | 1              | 43304          | 0              | October,15                   |
| 11        | Jharkhand      | 19624   | 39     | 24806   | 7      | 34355          | 7              | 15129          | 3              | October,15                   |
| 12        | Karnataka      | 55163   | 1      | 61485   | 9      | 90318          | 1              | 64566          | 1              | October,15                   |
| 13        | Kerala         | 4670    | 1      | 4325    | 3      | 2269           | 0              | 2455           | 0              | October,15                   |
| 14        | Madhya Prad.   | 68280   | 29     | 114578  | 28     | 155197         | 31             | 87212          | 4              | October,15                   |
| 15        | Maharashtra    | 71094   | 2      | 81458   | 1      | 96927          | 0              | 85549          | 0              | October,15                   |
| 16        | Manipur        | 13731   | 5      | 10927   | 17     | 10636          | 10             | 3643           | 0              | September,15                 |
| 17        | Meghalaya      | 6916    | 10     | 9134    | 1      | 8996           | 8              | 3665           | 0              | June, 15                     |
| 18        | Mizoram        | 2062    | 1      | 2765    | 3      | 2758           | 4              | 2169           | 0              | October,15                   |
| 19        | Nagaland       | 10437   | 0      | 12736   | 0      | 11192          | 0              | 5531           | 0              | October,15                   |
| 20        | Orissa         | 73087   | 89     | 60337   | 56     | 87568          | 38             | 56114          | 21             | October,15                   |
| 21        | Punjab         | 42536   | 4      | 35136   | 5      | 34651          | 1              | 24225          | 1              | October,15                   |
| 22        | Rajasthan      | 27018   | 4      | 65331   | 5      | 83540          | 4              | 80743          | 0              | October,15                   |
| 23        | Sikkim         | 401     | 0      | 186     | 0      | 716            | 0              | 125            | 0              | September,15                 |
| 24        | Tamil Nadu     | 34611   | 0      | 31440   | 1      | 26181          | 0              | 29926          | 0              | October,15                   |
| 25        | Tripura        | 6198    | 3      | 12849   | 1      | 14861          | 0              | 1902           | 1              | September,15                 |
| 26        | Uttarakhand    | 28698   | 4      | 25956   | 0      | 28939          | 14             | 23687          | 10             | September,15                 |
| 27        | Uttar Pradesh  | 143516  | 65     | 224748  | 161    | 224976         | 203            | 189480         | 183            | October,15                   |
| 28        | West Bengal    | 143179  | 29     | 108695  | 39     | 90086          | 42             | 81022          | 18             | October,15                   |
| 29        | A & N Islands  | 1340    | 1      | 1501    | 3      | 881            | 0              | 371            | 0              | August,15 exc Feb, May       |
| 30        | Chandigarh     | 3023    | 0      | 3251    | 0      | 6021           | 0              | 5085           | 27             | August,15                    |
| 31        | D & N Haveli   | 2559    | 0      | 4323    | 0      | 2439           | 0              | 1089           | 0              | October, 15 exc Aug          |
| 32        | Daman & Diu    | 1265    | 0      | 888     | 0      | 167            | 0              | 106            | 0              | October,15 exc Mar, Apr      |
| 33        | Delhi          | 47957   | 71     | 32691   | 29     | 25131          | 14             | 13279          | 11             | August,15                    |
| 34        | Lakshadweep    | 5       | 0      | 3       | 0      | 3              | 0              | 6              | 0              | September,15                 |
| 35        | Puducherry     | 2678    | 0      | 2591    | 1      | 1477           | 3              | 1317           | 0              | September,15                 |
|           | Total          | 1477699 | 428    | 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 for October

## Annexure II

## Districts under National Progrmme for Prevention and control of Fluorosis (NPPCF)

(Rs. In Lakhs)

| S.N o.   | State with total districts   |   No. of districts under NPPCF | Districts under NPPCF                                                                                                                                                                                                    | Fund Released         | Expenditure   |
|----------|------------------------------|--------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------|---------------|
| 1.       | Andhra Pradesh               |                              3 | Nellore, Guntur, Prakasam                                                                                                                                                                                                | 132.16                | 63.00         |
| 2        | Telangana                    |                              3 | Mehboobnagar, Nalgonda , Karimnagar                                                                                                                                                                                      | 146.92                | 108.76        |
| 3.       | Assam                        |                              3 | Nagaon, Kamrup,. Karbi Anglong                                                                                                                                                                                           | 137.95                | 137.95        |
| 4.       | Bihar                        |                             10 | Nawada, Banka, Aurangabad, Bhagalpur, Jammui, Nalanda, Shekhpura, Kaimur Munger                                                                                                                                          | Gaya, 403.90          | 34.24         |
| 5.       | Chhattisgarh                 |                              2 | Durg, Kanker                                                                                                                                                                                                             | 54.50                 | 17.728        |
| 6        | Gujarat                      |                              4 | Jamnagar, Sabarkantha, Vododara, Banaskantha                                                                                                                                                                             | 126.06                | 33.28         |
| 7.       | Haryana                      |                              2 | Mehendragarh, Mewat                                                                                                                                                                                                      | 84.20                 | 44.03         |
| 8        | Jharkhand                    |                              4 | Palamu, Garhwa, Chatra, Hazaribagh                                                                                                                                                                                       | 151.30                | 37.82         |
| 9        | Jammu & Kashmir              |                              1 | Doda                                                                                                                                                                                                                     | 22.50                 | -             |
| 10       | Karnataka                    |                             18 | Ballari, Mysore, Chikballalpur, Davangere, Tumkur, Bagalkote, Bangalore(U), Bijapur, Raichur, Chitradurga, Gadag, Gulbarga, Hassan, Mandia, Ramanagara, Shimoga                                                          | Koppal, Kolar, 759.66 | 444.59        |
| 11       | Kerala                       |                              2 | Palakkad, Alapuzha                                                                                                                                                                                                       | 82.93                 | 54.35         |
| 12       | Madhya Pradesh               |                             14 | Ujjain,Chindwada, Mandla, Dhar, Seoni, Jhabua, Raigarh, Sehore, Alirajpur,Dindori, Khargoan, Raisen, Shajapur                                                                                                            | Betul, 604.84         | 81.44         |
| 13       | Maharashtra                  |                              6 | Nanded, Chandrapur, Latur, Washim, Yavatmal, Beed                                                                                                                                                                        | 251.26                | 64.26         |
| 14       | Odisha                       |                              3 | Nayagarh, Angul, Nuapada                                                                                                                                                                                                 | 115.86                | 27.13         |
| 15       | Punjab                       |                              2 | Sangrur, Firozepur                                                                                                                                                                                                       | 67.10                 | 39.24         |
| 16       | Rajasthan                    |                             23 | Nagaur, Ajmer, Bhilwara,Churu (Ratangarh), Dausa, Dungarpur, Rajsamand, Tonk, Bikaner, Jalore, Jaisalmer, Jodhpur, Jaipur, Sikar,Udaipur, Swaimadhopur, Banswara, Karauli, Chittaurgarh, Ganganagar, Jhalawar, Jhunjhunu | Pali, 798.56          | 653.02        |
| 17       | Tamil Nadu                   |                              1 | Dharmapuri                                                                                                                                                                                                               | 58.89                 | 58.63         |
| 18.      | Uttar Pradesh                |                              5 | Unnao, Rae Bareli, Pratapgarh, Mathura                                                                                                                                                                                   | Firozabad, 195.11     | 89.73         |
| 19       | West Bengal                  |                              5 | Bankura,Purlia,. Birbhum, D. Dinajpur,                                                                                                                                                                                   | Maldha221.40          | 183.12        |
|          | TOTAL                        |                            111 |                                                                                                                                                                                                                          | 4415.10               | 2172.318      |

## Annexure III

| INTEGRATED DISEASE SURVEILLANCE PROGRAMME   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME   | INTEGRATED DISEASE SURVEILLANCE PROGRAMME   |
|---------------------------------------------|---------------------------------------------|---------------------------------------------|---------------------------------------------|---------------------------------------------|---------------------------------------------|---------------------------------------------|---------------------------------------------|---------------------------------------------|---------------------------------------------|
| Sl.                                         |                                             | SUMMARY OF FINANCIAL STATUS                 | SUMMARY OF FINANCIAL STATUS                 | SUMMARY OF FINANCIAL STATUS                 | SUMMARY OF FINANCIAL STATUS                 | OF STATE SOCIETIES                          | OF STATE SOCIETIES                          | OF STATE SOCIETIES                          | OF STATE SOCIETIES                          |
|                                             | States/UTs                                  | No.                                         | No.                                         | No.                                         | No.                                         | Released to States                          | Released to States                          | Released to States                          | Released to States                          |
|                                             |                                             | 2012 - 13                                   | 2013- 14                                    | 2014- 15                                    | 2015- 16                                    | 2012 -13                                    | 2013- 14                                    | 2014- 15                                    | 2015- 16                                    |
| 1                                           | Andhra Pradesh                              | 104.29                                      | 198.31                                      | 122.48                                      |                                             | 181.84                                      | 229.84                                      | 167.45                                      | 40.37                                       |
| 2                                           | Gujarat                                     | 205.4                                       | 270                                         | 400                                         | 243.75                                      | 311.27                                      | 490.55                                      | 509.78                                      | 64.44                                       |
| 3                                           | Karnataka                                   | 214.22                                      | 124                                         | 270.5                                       | 180                                         | 214.65                                      | 298.58                                      | 367.91                                      | 175.35                                      |
| 4                                           | Maharashtra                                 | 100                                         | 183.5                                       | 280                                         |                                             | 210.43                                      | 210.2                                       | 195.21                                      | 55.01                                       |
| 5                                           | Punjab                                      | 198.96                                      | 120.2                                       | 168.75                                      | 115                                         | 173.2                                       | 223.18                                      | 282.1                                       | 124.93                                      |
| 6                                           | Rajasthan                                   | 231.77                                      | 195.32                                      | 325                                         | 225                                         | 214.92                                      | 293.04                                      | 471.03                                      | 121.25                                      |
| 7                                           | Tamil Nadu                                  | 60                                          | 98.26                                       | 325                                         | 213.75                                      | 143.29                                      | 287.2                                       | 350.6                                       | 156.87                                      |
| 8                                           | Uttarakhand                                 | 90.87                                       | 60.93                                       | 45                                          |                                             | 115.33                                      | 160.97                                      | 177.72                                      | 26.54                                       |
| 9                                           | West Bengal                                 | 151.67                                      | 120.11                                      | 250                                         | 100                                         | 200.83                                      | 221.81                                      | 181.73                                      | 44.91                                       |
| 10                                          | Andaman & Nic. Islands                      |                                             | 19.87                                       | 9                                           | 5.25                                        | 11.27                                       | 6.43                                        | 6.06                                        | 3.31                                        |
| 11                                          | Bihar                                       | 147.35                                      | 164.69                                      | 200                                         |                                             | 167.56                                      | 190.84                                      | 200.94                                      | 11.5                                        |
| 12                                          | Chandigarh                                  | 7.03                                        | 19.92                                       | 40                                          | 23.25                                       | 14.66                                       | 28.31                                       | 30.53                                       | 18                                          |
| 13                                          | Chhattisgarh                                | 96.74                                       | 29.67                                       | 60                                          | 100                                         | 65.86                                       | 89.49                                       | 130.22                                      | 20.88                                       |
| 14                                          | Dadra & N. Haveli                           |                                             | 22.36                                       | 21                                          | 13.5                                        | 15.04033                                    | 23.96                                       | 27.79                                       | 18.38                                       |
| 15                                          | Daman & Diu                                 |                                             | 31.32                                       | 6.01                                        | 22.5                                        | 15.59                                       | 31.41                                       | 24.7433                                     | 9.11                                        |
| 16                                          | Delhi                                       |                                             | 34.9                                        | 56.25                                       | 63.75                                       | 33.22                                       | 56.51                                       | 90.6                                        | 36.28                                       |
| 17                                          | Goa                                         | 18.02                                       | 28.23                                       | 45                                          | 20                                          | 21.94                                       | 33.62                                       | 43.78                                       | 21.35                                       |
| 18                                          | Haryana                                     | 220.35                                      | 71.32                                       | 150                                         | 135                                         | 134                                         | 169.1                                       | 181.25                                      |                                             |
| 19                                          | Himachal Pradesh                            | 28.34                                       | 73.06                                       | 70                                          | 52.5                                        | 46.56                                       | 56.98                                       | 63.2                                        | 10.67                                       |
| 20                                          | J&K                                         | 50                                          | 82.22                                       | 127.5                                       | 150                                         | 94.71                                       | 119.09                                      | 129.72                                      | 11.79                                       |
| 21                                          | Jharkhand                                   |                                             | 119.25                                      | 112.5                                       | 100                                         | 91.05                                       | 137.49                                      | 157.54                                      | 23.01                                       |
| 22                                          | Kerala                                      | 23.84                                       | 106.21                                      | 101.25                                      | 112.5                                       | 106.44                                      | 147.61                                      | 131.19                                      | 47.7                                        |
| 23                                          | Lakshadweep                                 |                                             |                                             |                                             |                                             | 1.13                                        | 0.82                                        | 3.13                                        | 0.39                                        |
| 24                                          | Madhya Pr.                                  | 120.65                                      | 246.51                                      | 350                                         | 225                                         | 245.12                                      | 340.66                                      | 359.59                                      | 167.53                                      |
| 25                                          | Orissa                                      | 118.3                                       | 92.72                                       | 350                                         | 150                                         | 146.48                                      | 247.08                                      | 310.14                                      |                                             |
| 26                                          | Puducherry                                  | 30                                          | 43.6                                        | 70                                          | 48.75                                       | 45.17                                       | 60.07                                       | 61.26                                       | 28.76                                       |
| 27                                          | Uttar Pradesh                               |                                             | 203.88                                      | 300                                         | 225                                         | 344.89                                      | 178.35                                      | 478.01                                      |                                             |
| 28                                          | Telangana                                   | 0                                           | 0                                           | 87.53                                       | 93.75                                       | 0                                           | 0                                           | 98.23                                       | 71.73                                       |
| 29                                          | Arunachal Pr.                               | 94.21                                       | 181.69                                      | 152.24                                      |                                             | 107.87                                      | 201.23                                      | 131.03                                      | 114.84                                      |
| 30                                          | Assam                                       | 170.41                                      | 129.91                                      | 206.25                                      | 262.5                                       | 176.92                                      | 220.37                                      | 296.54                                      | 63.72                                       |
| 31                                          | Manipur                                     | 42.6                                        | 25.69                                       | 96.25                                       | 50                                          | 55.26                                       | 41.88                                       | 84.07                                       | 4.95                                        |
| 32                                          | Meghalaya                                   | 59.54                                       | 20.25                                       | 45                                          | 50                                          | 34.01                                       | 56.96                                       | 47.84                                       |                                             |
| 33                                          | Mizoram                                     | 36.53                                       | 70.44                                       | 97.5                                        | 75                                          | 66.01                                       | 84.07                                       | 80.23                                       | 13.44                                       |
| 34                                          | Nagaland                                    | 60.3                                        | 115.84                                      | 120                                         | 112.5                                       | 113.47                                      | 127.01                                      | 112.57                                      | 38.89                                       |
| 35                                          | Sikkim Tripura                              | 20.87                                       | 30                                          | 50                                          | 30                                          | 28.81                                       | 38.12                                       | 48.42                                       | 9.61                                        |
| 36                                          |                                             |                                             | 15.32                                       | 50                                          | 30                                          | 16.38                                       | 23.61                                       | 44.94                                       | 7.12                                        |
| Grand Total                                 | Grand Total                                 | 2702.26                                     | 3349.5                                      | 5160.01                                     | 3228.25                                     | 3965.18033                                  | 5126.44                                     | 6077.0933                                   | 1562.63                                     |