Lok Sabha Question No. 2189 (UNSTARRED), answered on 2015-12-11
Subject: Non-communicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: B. S. YEDDYURAPPA, KIRTI VARDHAN SINGH, KINJARAPU RAM MOHAN NAIDU, K.R.P. PRABAKARAN, CH. MALLA REDDY, MEENAKASHI LEKHI, ELUMALAI VELLAIGOUNDER

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

## LOK SABHA UNSTARRED QUESTION NO. 2189 TO BE ANSWERED ON 11 TH DECEMBER, 2015

## NON - COMMUNICABLE DISEASE S

## 2189. SHRI B.S. YEDIYURAPPA:

SHRI KIRTI VARDHAN SINGH:

SHRI RAM MOHAN NAIDU KINJARAPU:

SHRI K.R.P. PRABAKARAN:

SHRI CH. MALLA REDDY:

SHRIMATI MEENAKASHI LEKHI:

SHRI ELUMALAI V.:

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

- (a)  whether  as  per  the  recent  report  of  the  World  Health  Organisation  (WHO), -Communicable Diseases (NCDs) are estimated to have accounted for approximately 60 cent of the deaths in India in 2014, and if so, the facts in this regard;
- (b)  whether  the  Government  has  conducted  any  study/survey  to  ascertain  the responsible  for  rising  number  of  patients  suffering  from  NCDs  in  the  country, details and the outcome thereof;
- (c) whether the Government has drawn any action p lan for prevention and control of NCDs and spread awareness in this regard;
- (d)  if  so,  the  details  thereof  along  with  the  funds  allocated,  released  and  ut purpose during each of the last three years and the current year, State/UT - wise, and
- (e)  the  measures  taken/proposed  to  be  taken  by  the  Government  to  develop  low medicines and therapy for NCDs and make them available at lower prices in the count

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

- (a)  &  (b ):    As  per  World  Health  Organisation  (WHO)'s  'Non - Communicable  Diseases (NCD) Country Profiles 2014', NCDs are estimated to account for 60 percent of total deaths in India which includes deaths due to  Cardiovascular Diseases (26%), Cancer (7%), Respiratory Diseases (13%), Diabetes (2%) and other NCDs (12%).

Contd……

The  factors  responsible  for  increase  in  Non - communicable  Diseases  are  unhealthy diet, lack of physical activity, harmful use of alcohol, over - weight, obesity, tobacco use etc.

Under National Action Plan and Monitoring Framework for NCDs, Government  ha identified inter - alia  (i)  salt/sodium intake, (ii) tobacco use, (iii) raised blood p physical inactivity, (v) Obesity and (vi) alcohol use as indicators of risk factors of NCDs.

(c) to (e): Since health is a State subject, the State Governments are making availab care facilities to the people and are also  creating awareness of NCDs.

However, Government of India has launched National Programme for Prevention and Control  of  Cancer,  Diabetes,  Cardiovascular  Diseases  and  Stroke  (NPCDCS)  whic implemented  for  interventions  up  to  District  Level  under  the  National  Health NPCDCS  has  a  focus  on  awareness  generation  for  behaviour  and  life - st yle  changes, screening and early diagnosis of persons with high levels of risk factors and the higher facilities for appropriate management.

A  statement  showing  allocation/release  and  the  expenditure  reported  by  th Governments under N PCDCS for the last three years a nd current year is at Annexure .

.

The treatment of patients is either free or subsidised in the Government h delivery system.

ICMR has developed Magnivisualizer, a low cost instrument used for cervical scr eening.

In order to reduce the out of pocket expenditure incurred by patients for pr of  drugs  and  implants  for  cancer  and  cardiovascular  diseases,  Affordable  Medici Reliable Implants for Treatment (AMRIT) Pharmacy has been opened at All In dia Institute of Medical Science (AIIMS), New Delhi as a new initiative on a pilot basis. AMRIT sells cancer and cardiovascular drugs and implants at discounted prices to patie valid prescription.  Approval has  also been accorded to open AMRIT Pharmacy at 6 new AIIMS and major Central Government Hospitals.

National List of Essential Medicines (NLEM) contains medicines for the treat common  NCDs  like  cardiovascular  diseases,  cancer,  stroke  and  diabetes.    There medicines for cancer in NLEM.  The ceiling price of  medicines in NLEM are fixed by D (Prices Control) Order, 2013.

……………

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

| Sl. No   | Name Of State        | (Rs. in Lakh)   | (Rs. in Lakh)   | (Rs. in Lakh)   | (Rs. in Lakh)   | (Rs. in Lakh)   | (Rs. in Lakh)   | (Rs. in Lakh)   | (Rs. in Lakh)   |
|----------|----------------------|-----------------|-----------------|-----------------|-----------------|-----------------|-----------------|-----------------|-----------------|
|          |                      | 2012- 13        | 2012- 13        | 2013- 14        | 2013- 14        | 2014- 15        | 2014- 15        | 2015- 16 (Till  | 2015- 16 (Till  |
|          |                      | Released        | Utilised        | Released        | Utilised        | Released        | Utilised        | Released        | Utilised        |
| 1        | Andhra Pradesh       | 0.00            | 69.34           | 0.00            | 61.33           | 561.00          | 115.41          | 0.00            | 0               |
| 2        | Assam                | 0.00            | 310.58          | 1714.00         | 620.62          | 579.00          | 288.43          | 3333.00         | 322.14          |
| 3        | Bihar                | 0.00            | 120.17          | 972.00          | 176.15          | 1208.00         | 50.65           | 597.00          | 0               |
| 4        | Chhattisgarh         | 0.00            | 10.07           | 0.00            | 162.20          | 504.00          | 390.27          | 526.00          | 22.48           |
| 5        | Gujarat              | 0.00            | 329.02          | 0.00            | 564.04          | 666.00          | 543.28          | 1551.00         | 430.88          |
| 6        | Haryana              | 0.00            | 129.23          | 0.00            | 261.94          | 799.00          | 207.89          | 331.00          | 61.12           |
| 7        | Himachal Pradesh     | 0.00            | 15.56           | 0.00            | 73.90           | 0.00            | 23.79           | 263.00          | 7.1             |
| 8        | Jharkhand            | 0.00            | 10.63           | 332.00          | 148.95          | 835.00          | 390.24          | 790.00          | 89.47           |
| 9        | Jammu & Kashmir      | 0.00            | 396.24          | 0.00            | 300.55          | 913.00          | 160.11          | 629.00          | 45.17           |
| 10       | Karnataka            | 0.00            | 156.02          | 0.00            | 639.86          | 976.00          | 231.46          | 1187.00         | 151.57          |
| 11       | Kerala               | 0.00            | 616.36          | 0.00            | 167.17          | 545.00          | 768.38          | 467.00          | 70.41           |
| 12       | Madhya Pradesh       | 0.00            | 293.19          | 462.00          | 315.52          | 1694.00         | 681.07          | 2681.00         | 83.9            |
| 13       | Maharashtra          | 0.00            | 615.50          | 586.00          | 1044.66         | 1289.00         | 1131.70         | 2375.00         | 219.37          |
| 14       | Odisha               | 0.00            | 84.45           | 0.00            | 480.22          | 1234.00         | 414.97          | 1065.00         | 32.95           |
| 15       | Punjab               | 0.00            | 279.25          | 0.00            | 199.85          | 803.00          | 368.32          | 312.00          | 150.86          |
| 16       | Rajasthan            | 0.00            | 154.27          | 59.00           | 242.01          | 1180.00         | 445.48          | 2704.00         | 221.26          |
| 17       | Sikkim               | 0.00            | 89.07           | 0.00            | 81.62           | 176.00          | 81.46           | 66.00           | 45.76           |
| 18       | Tamil Nadu           | 0.00            | 0.00            | 89.00           | 175.13          | 1355.00         | 2.70            | 1300.00         | 0               |
| 19       | Uttrakhand           | 0.00            | 95.73           | 0.00            | 34.70           | 545.00          | 35.87           | 624.00          | 9.54            |
| 20       | Uttar Pradesh        | 2431.25         | 89.29           | 1398.00         | 347.12          | 2027.00         | 2519.38         | 3626.00         | 565.5           |
| 21       | West Bengal          | 0.00            | 83.68           | 1027.00         | 416.78          | 754.00          | 416.34          | 0.00            | 1.63            |
| 22       | Andaman & Nicobar    | 0.00            | 0.00            | 5.00            | 0.00            | 25.00           | 0.63            | 55.00           | 0               |
| 23       | Dadra & Nagar Haveli | 0.00            | 0.00            | 5.00            | 0.00            | 17.00           | 0.12            | 42.00           | 0               |
| 24       | Daman & Diu          | 0.00            | 0.00            | 4.00            | 0.00            | 13.00           | 0.00            | 35.00           | 0               |
| 25       | Lakshadweep          | 0.00            | 0.00            | 1.00            | 0.00            | 13.00           | 4.68            | 0.00            | 0               |
| 26       | Delhi                | 0.00            | 0.00            | 247.00          | 0.00            | 141.00          | 0.00            | 149.00          | 0               |
| 27       | Pondicherry          | 0.00            | 0.00            | 18.00           | 7.02            | 152.00          | 38.00           | 0.00            | 2.2             |
| 28       | Goa                  | 0.00            | 0.00            | 22.00           | 0.00            | 127.00          | 14.83           | 0.00            | 1.77            |
| 29       | Chandigarh           | 0.00            | 0.00            | 16.00           | 0.00            | 13.00           | 6.04            | 0.00            | 4.34            |
| 30       | Arunachal Pradesh    | 0.00            | 0.00            | 76.00           | 69.20           | 354.00          | 360.05          | 534.00          | 0.75            |
| 31       | Meghalaya            | 0.00            | 0.00            | 163.00          | 0.00            | 147.00          | 24.35           | 228.00          | 24.62           |
| 32       | Mizoram              | 0.00            | 0.00            | 60.00           | 26.25           | 176.00          | 116.08          | 137.00          | 107             |
| 33       | Nagaland             | 0.00            | 0.00            | 109.00          | 0.00            | 346.00          | 73.78           | 246.00          | 26.27           |
| 34       | Tripura              | 0.00            | 0.00            | 202.00          | 1.03            | 176.00          | 0.00            | 0.00            | 0               |
| 35       | Manipur              | 0.00            | 0.00            | 0.00            | 0.00            | 296.00          | 0.00            | 273.00          | 0               |
| 36       | Telengana            | 0.00            | 0.00            | 0.00            | 0.00            | 401.00          | 0.00            | 791.00          | 0               |
|          | TOTAL                | 2431.25         | 3947.65         | 7567.00         | 6617.82         | 21040.00        | 9905.76         | 26917.00        | 2698.06         |

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

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

## ANNEXURE