Lok Sabha Question No. 2059 (UNSTARRED), answered on 2015-07-31
Subject: Cancer Care Facilities
Ministry: HEALTH AND FAMILY WELFARE
Asked by: CHIRAG PASWAN, T.G. VENKATESH BABU, KUNWAR PUSHPENDRA SINGH CHANDEL, SHOBHA KARANDLAJE, BALKA SUMAN, SURESH KODIKUNNIL, KUNWAR SARVESH  KUMAR

**GOVERNMENT OF INDIA**

**MINISTRY OF HEALTH AND FAMILY WELFARE**

**DEPARTMENT OF HEALTH AND FAMILY WELFARE**

**LOK SABHA**

**UNSTARRED QUESTION NO.2059**

**TO BE ANSWERED ON 31** **ST** **JULY, 2015**

**Cancer Care Facilities**

**2059. 	SHRI CHIRAG PASWAN:**

**SHRI VENKATESH BABU T.G.:**

**SHRI KUNWAR PUSHPENDRA SINGH CHANDEL:**

**KUMARI SHOBHA KARANDLAJE:**

**SHRI SUMAN BALKA:**

**SHRI KODIKUNNIL SURESH:**

**KUNWAR SARVESH KUMAR:**

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

(a) whether the Government has conducted any study/survey to ascertain the prevalence of cancer in various States/ UTs, if so, the details and the outcome thereof, State/UT-wise;

(b) whether the cancer prevalence and mortality rates have been gradually increasing in the country, if so, the details thereof and the reasons therefor, State/ UT-wise;

(c) whether the Government proposes to set up a number of cancer care centres/ institutes/hospitals and maintain and upgrade the existing ones and if so, the details thereof indicating the funds allocated and spent for the purpose during each of the last three years and the current year, institute and State/UT-wise;

(d) the number of proposals received from the States/UTs for setting up/ upgradation/modernization of cancer care centres/institutes/hospitals along with the action taken/proposed to be taken by the Government thereon during the said period, proposal and State/UT-wise; and

(e) whether certain ongoing projects for setting up of cancer institutes are unduly delayed, if so, the details thereof and the reasons therefor along with the corrective measures being taken by the Government in this regard, State/UT-wise?

**ANSWER**

**THE MINISTER OF HEALTH AND FAMILY WELFARE**

**(SHRI JAGAT PRAKASH NADDA)**

(a) & (b): National Cancer Registry Programme (NCRP) is being implemented  by  Indian Council of Medical Research (ICMR) based on 29 Population Based and 29 Hospital Based Registries.  The estimated prevalence and mortality in the past three years, State/UT wise is given in Annexure I and Annexure II.

Crude mortality Rate per lakh population as per Mumbai Population Based Cancer Registry for males and females during 2001 to 2011 is as below:

| Year      | Crude Mortality Rate   | Crude Mortality Rate   |
|-----------|------------------------|------------------------|
| Year      | Males                  | Females                |
| 2001-2003 | 34.4                   | 37.1                   |
| 2004-2005 | 36.4                   | 40.1                   |
| 2006-2008 | 38.3                   | 43.2                   |
| 2009-2011 | 33.1                   | 38.0                   |

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 and tobacco products, unhealthy diet, better diagnostic facilities etc.

(c) to (e):	Government of India is currently implementing a scheme for enhancing the tertiary care facilities for Cancer in the country. Under the said scheme, Government of India will assist to set up/establish 20 State Cancer Institutes (SCI) and 50 Tertiary Care Cancer Centre (TCCC) in different parts of the country. The maximum assistance inclusive of State share for SCI is upto Rs. 120 crores and for TCCC is upto Rs. 45 crores. The Central and State share is in the ratio 75:25 while for North East and Hill States this ratio is 90:10.

Under the scheme, 42 proposals have been received out of which 14 proposals are for SCI and 28 for TCCCs. After evaluation and examination 5 SCIs and 2 TCCCs have been approved and first installment of Central Government share has been released. After approval in 2013-14, this scheme of enhancing Tertiary Care of Cancer is being implemented from the year 2014-15 with Budget allocation (Revised Estimates) of Rs. 360 crore. A statement showing the release of funds in the year 2014-15 under the said scheme is given below:

| **(Rs. in crore)**   |                 |            |
|----------------------|-----------------|------------|
| **S No.**            | **State/UT**    | **Amount** |
| 1                    | Tamil Nadu      | 67.38      |
| 2                    | Jammu & Kashmir | 47.25      |
| 3                    | Karnataka       | 67.50      |
| 4                    | Kerala          | 25.03      |
| 5                    | Tripura         | 55.00      |
| 6                    | West Bengal     | 22.24      |
| 7                    | Gujarat         | 67.50      |
| **Total**            |                 | **351.90** |

Reports regarding delay in the implementation of the above projects has not been received.

**Annexure-I**

| **Estimated Prevalence Cancer cases in India by State/UT -All sites- (2012 to 2014)- Both sexes**            |             |             |             |
|--------------------------------------------------------------------------------------------------------------|-------------|-------------|-------------|
| **States**                                                                                                   | **2012**    | **2013**    | **2014**    |
| Andaman & Nicobar Islands                                                                                    | 880         | 894         | 905         |
| Andhra Pradesh*                                                                                              | 202229      | 209366      | 216901      |
| Arunachal Pradesh                                                                                            | 3061        | 3132        | 3204        |
| Assam                                                                                                        | 67820       | 68556       | 69290       |
| Bihar                                                                                                        | 247647      | 256449      | 265535      |
| Chandigarh                                                                                                   | 2470        | 2530        | 2593        |
| Chhattisgarh                                                                                                 | 60936       | 62980       | 65084       |
| Dadra & Nagar Haveli                                                                                         | 837         | 886         | 941         |
| Daman & Diu                                                                                                  | 627         | 700         | 778         |
| Delhi                                                                                                        | 39196       | 40055       | 40932       |
| Goa                                                                                                          | 3419        | 3494        | 3568        |
| Gujarat                                                                                                      | 142885      | 147064      | 151366      |
| Haryana                                                                                                      | 59729       | 61346       | 63007       |
| Himachal Pradesh                                                                                             | 16107       | 16462       | 16822       |
| Jammu & Kashmir                                                                                              | 29841       | 30855       | 31899       |
| Jharkhand                                                                                                    | 78481       | 81070       | 83733       |
| Karnataka                                                                                                    | 144385      | 148192      | 152092      |
| Kerala                                                                                                       | 79473       | 82004       | 84779       |
| Lakshadweep                                                                                                  | 156         | 164         | 171         |
| Madhya Pradesh                                                                                               | 172299      | 177649      | 183143      |
| Maharashtra                                                                                                  | 263719      | 269652      | 275672      |
| Manipur                                                                                                      | 5722        | 5649        | 5578        |
| Meghalaya                                                                                                    | 6515        | 6639        | 6768        |
| Mizoram                                                                                                      | 2390        | 2430        | 2469        |
| Nagaland                                                                                                     | 4307        | 4353        | 4401        |
| Odisha                                                                                                       | 98817       | 101190      | 103612      |
| Pondicherry                                                                                                  | 3007        | 3132        | 3263        |
| Punjab                                                                                                       | 64815       | 66182       | 67570       |
| Rajasthan                                                                                                    | 162176      | 166706      | 171340      |
| Sikkim                                                                                                       | 1384        | 1456        | 1541        |
| Tamil Nadu                                                                                                   | 167533      | 169641      | 171744      |
| Tripura                                                                                                      | 8198        | 8480        | 8798        |
| Uttar Pradesh                                                                                                | 473592      | 488554      | 503924      |
| Uttaranchal                                                                                                  | 24027       | 24767       | 25529       |
| West Bengal                                                                                                  | 215771      | 221635      | 227676      |
| **Total**                                                                                                    | **2854451** | **2934314** | **3016628** |
| **Prevalence (10 years of duration) is assumed to be 2.7 times of Incidence cases (2009-2011 PBCR report).** |             |             |             |
| *** The data is not segregated for Andhra Pradesh and Telangana.**                                           |             |             |             |

**Annexure-II**

| **Estimated Mortality cancer cases in India by State / UT - All sites- (2012 to 2014) - Both sexes**   |            |            |            |
|--------------------------------------------------------------------------------------------------------|------------|------------|------------|
| **States**                                                                                             | **2012**   | **2013**   | **2014**   |
| Andaman & Nicobar Islands                                                                              | 143        | 145        | 148        |
| Andhra Pradesh*                                                                                        | 32956      | 34119      | 35347      |
| Arunachal Pradesh                                                                                      | 499        | 510        | 522        |
| Assam                                                                                                  | 11052      | 11172      | 11292      |
| Bihar                                                                                                  | 40357      | 41792      | 43272      |
| Chandigarh                                                                                             | 403        | 413        | 423        |
| Chhattisgarh                                                                                           | 9930       | 10263      | 10606      |
| Dadra & Nagar Haveli                                                                                   | 136        | 144        | 153        |
| Daman & Diu                                                                                            | 102        | 114        | 127        |
| Delhi                                                                                                  | 6387       | 6529       | 6670       |
| Goa                                                                                                    | 557        | 569        | 581        |
| Gujarat                                                                                                | 23285      | 23966      | 24667      |
| Haryana                                                                                                | 9734       | 9998       | 10268      |
| Himachal Pradesh                                                                                       | 2625       | 2683       | 2741       |
| Jammu & Kashmir                                                                                        | 4863       | 5028       | 5198       |
| Jharkhand                                                                                              | 12790      | 13211      | 13646      |
| Karnataka                                                                                              | 23529      | 24150      | 24785      |
| Kerala                                                                                                 | 12951      | 13363      | 13816      |
| Lakshadweep                                                                                            | 25         | 27         | 28         |
| Madhya Pradesh                                                                                         | 28078      | 28951      | 29846      |
| Maharashtra                                                                                            | 42976      | 43943      | 44924      |
| Manipur                                                                                                | 932        | 920        | 909        |
| Meghalaya                                                                                              | 1062       | 1082       | 1103       |
| Mizoram                                                                                                | 389        | 396        | 402        |
| Nagaland                                                                                               | 702        | 709        | 717        |
| Orissa                                                                                                 | 16103      | 16490      | 16885      |
| Pondicherry                                                                                            | 490        | 510        | 532        |
| Punjab                                                                                                 | 10563      | 10785      | 11011      |
| Rajasthan                                                                                              | 26429      | 27168      | 27922      |
| Sikkim                                                                                                 | 226        | 237        | 251        |
| Tamil Nadu                                                                                             | 27302      | 27645      | 27988      |
| Tripura                                                                                                | 1336       | 1382       | 1434       |
| Uttar Pradesh                                                                                          | 77178      | 79616      | 82121      |
| Uttaranchal                                                                                            | 3916       | 4037       | 4160       |
| West Bengal                                                                                            | 35163      | 36118      | 37103      |
| **Total**                                                                                              | **465169** | **478185** | **491598** |
| **Based on Cancer incidence cases and Pooled M/I ratio of Mumbai data (2009-2011) report.**            |            |            |            |

*** The data is not segregated for Andhra Pradesh and Telangana.**