Lok Sabha Question No. 648 (UNSTARRED), answered on 2016-02-26
Subject: Cancer Treatment
Ministry: HEALTH AND FAMILY WELFARE
Asked by: MAULANA BADRUDDIN AJMAL, MAHEISH GIRRI, DUSHYANT CHAUTALA, T.G. VENKATESH BABU, JITENDRA CHAUDHURY, SUBHASH RAMRAO BHAMRE, ANBUMANI RAMADOSS, S. RAJENDRAN, DEVJI MANSINGRAM PATEL

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

## LOK SABHA UNSTARRED QUESTION NO. 648 TO BE ANSWERED ON 26 TH FEBRUARY, 2016

## CANCER TREATMENT

## 648. SHRI BADRUDDIN AJMAL:

SHRI MAHEISH GIRRI:

SHRI DUSHYANT SINGH:

SHRI VENKATESH BABU T.G.:

SHRI JITENDRA CHAUDHURY:

DR. SUBHASH BHAMRE:

DR. ANBUMANI RAMADOSS:

SHRI S. RAJENDRAN:

SHRI DEVJI M. PATEL:

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 t hereof and the reasons therefor, State/UT - wise;

centres/

- (c) whether the Government proposes to set up a number of Cancer care institutes/hospitals and maintain/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 upgradation/modernization  of  Cancer  care centres/institutes/hospitals  alo ng  with  the action taken/proposed  to  be  taken  by  the Government  thereon  during  the  said  period, proposal  and State/UT - wise; and

up/

- (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 giv en 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   |
|------------|------------------------|------------------------|
|            | 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 number  of  ageing  population,  unhealthy  life  styles,  use  of  tobacco  and  tobacco  pro unhealthy diet, better diagnostic facilities etc.

(c) to (e) : The Government of India is currently implementing a scheme for enhancing the tertiary care facilities for Cancer in the country. Under the said scheme, Government assists to set up/establish State Cancer Ins titutes (SCI) and Tertiary Care Cancer Centre (TCCC) in different parts of the country. The maximum assistance inclusive of State share for SC Rs. 120 crores and for TCCC is upto Rs. 45 crores.

Under the scheme, 47 proposals have been received out of which 16 proposals are for SCI  and  31  for  TCCCs. After  evaluation  and  examination 6  SCIs  and  5  TCCCs have  been approved and first installment of Central Government share has been released.

A statement showing the re lease of funds under the said scheme during the last two year and the current year is at Annexure III.

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

| 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.

| Estimated Mortality cancer cases in India by State / UT - All sites- (2012 to 2014) - Both sexes   |   Estimated Mortality cancer cases in India by State / UT - All sites- (2012 to 2014) - Both sexes |   Estimated Mortality cancer cases in India by State / UT - All sites- (2012 to 2014) - Both sexes |   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.

State-wise  funds  released  under  TCCC  component  of  National  Programme  for  Prevention  and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)*

## (1) Funds released during the financial year 2014-15:

| No.   | State/UTs       | Name of the Institute                                  | SCI/ TCCC   |   Amount Released (in Crore) |
|-------|-----------------|--------------------------------------------------------|-------------|------------------------------|
| 1     | Karnataka       | Kidwai Memorial Institute of Oncology(RCC), Bangaluru  | SCI         |                        67.5  |
| 2     | Kerala          | Government Medical College, Kozhikode                  | TCCC        |                        22.24 |
| 3     | Tripura         | Cancer Hospital(RCC), Agartala                         | SCI         |                        55    |
| 4     | Gujarat         | Gujarat Cancer Research Institute, Ahmedabad           | SCI         |                        67.5  |
| 5     | West Bengal     | Government Medical College, Burdwan                    | TCCC        |                        25.03 |
| 6     | Jammu & Kashmir | Sher-i-Kashmir Institute of Medical Sciences, Srinagar | SCI         |                        47.25 |
| 7     | Tamil Nadu      | Cancer Institute (RCC) Adyar, Chennai                  | SCI         |                        67.38 |
| Total | Total           | Total                                                  | Total       |                       351.9  |

## (2) Funds released during the financial year 2015-16 (till 4 th December, 2015):

| S No.   | State/UTs        | Name of the Institute                                             | SCI/ TCCC   |   Amount Released (in Crore) |
|---------|------------------|-------------------------------------------------------------------|-------------|------------------------------|
| 1       | Himachal Pradesh | Indira Gandhi Medical College, Shimla                             | TCCC        |                        14.87 |
| 2       | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                | SCI         |                        33.06 |
| 3       | Mizoram          | Civil Hospital, Aizawl                                            | TCCC        |                        14.64 |
| 4       | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow | TCCC        |                        11.43 |
| Total   | Total            | Total                                                             | Total       |                        74    |