Lok Sabha Question No. 877 (UNSTARRED), answered on 2015-07-24
Subject: Cancer Cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SUDHEER GUPTA, ASHOK SHANKARRAO CHAVAN, J.C. DIVAKAR REDDY, GAJANAN CHANDRAKANT KIRTIKAR, SUNIL BALIRAM GAIKWAD, KESHAV PRASAD MAURYA, (ADV.) JOICE GEORGE, M. UDHAYAKUMAR, PINAKI MISRA, VIJAY KUMAR HANSDAK, K. MARAGATHAM, K. ASHOK KUMAR, KUNWAR HARIBANSH SINGH, S.P. MUDDAHANUMEGOWDA, OM BIRLA, RAHUL KASWAN, RAM CHARITRA, CHARANJEET SINGH RORI

**GOVERNMENT OF INDIA**

**MINISTRY OF HEALTH AND FAMILY WELFARE**

**DEPARTMENT OF HEALTH AND FAMILY WELFARE**

**LOK SABHA**

**UNSTARRED QUESTION NO.877**

**TO BE ANSWERED ON 24** **TH** **JULY, 2015**

**Cancer Cases**

**877. 	SHRI SUDHEER GUPTA:**

**SHRI ASHOK SHANKARRAO CHAVAN:**

**SHRI J.C. DIVAKAR REDDY:**

**SHRI GAJANAN KIRTIKAR:**

**DR. SUNIL BALIRAM GAIKWAD:**

**SHRI KESHAV PRASAD MAURYA:**

**ADV. JOICE GEORGE:**

**ADV. M. UDHAYAKUMAR:**

**SHRI PINAKI MISRA:**

**SHRI VIJAY KUMAR HANSDAK:**

**SHRIMATI K. MARAGATHAM:**

**SHRI K. ASHOK KUMAR:**

**KUNWAR HARIBANSH SINGH:**

**SHRI S.P. MUDDAHANUME GOWDA:**

**SHRI OM BIRLA:**

**SHRI RAHUL KASWAN:**

**SHRI RAM CHARITRA NISHAD:**

**SHRI CHARANJEET SINGH RORI:**

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

(a) whether as per a recent study, breast cancer has replaced cervical cancer as the leading cause of cancer deaths among women, while deaths due to lung cancer topped the list for men in the country, if so, the details thereof and the reasons therefor;

(b) the number of different kinds of cancer cases and attributable deaths reported in the country as compared to the global ratio during each of the last three years and the current year, gender and State/ UT-wise;

(c) the steps being taken by the Government for prevention, early detection and free/affordable treatment of cancer along with the funds allocated and spent for the purpose during the said period, State/UT-wise;

(d) whether the Government has taken note of a new telomeres test which can predict cancer up to thirteen years before the disease develops in the body; and

(e) if so, the details thereof and the steps taken/proposed to be taken by the Government to make such advanced cancer detection tests available in the country?

**ANSWER**

**THE MINISTER OF HEALTH AND FAMILY WELFARE**

**(SHRI JAGAT PRAKASH NADDA)**

(a):	As per the data provided by Indian Council of Medical Research (ICMR), the estimated deaths due to breast cancer and cervical cancer are about 16.3% and 24.17% respectively among all anatomical sites (in females).  This   indicates   that the mortality due to cancer breast has not exceeded that of cancer cervix.

Further, as informed by ICMR, estimated deaths due to lung cancer account for about 14.7% of all cancers in males and is the leading cause of death among males.

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.

(b):	The estimated number of incidence for all anatomical sites of cancer in the country for the last three years and the current year gender and state/UT wise is given in Table 1 & 2. The attributable cancer deaths for the same years   are given in Table 3 & 4.

The estimated figures of cancer incidence and mortality for the India, based on the ‘Report on Time Treads for all sites of cancer – 2012’ by Indian Council of Medical Research and the estimated figures of cancer incidence and mortality for the world by ‘GLOBOCAN for all sites of cancer – 2012’ by International Agency for Research on Cancer are at Table 5.

(c):	Central Government supplements the efforts of the State Government for improving healthcare including prevention, diagnosis and treatment of Cancer.  At present, the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) being implemented under National Health Mission (NHM) for interventions upto the district level includes awareness generation for Cancer prevention, screening, early detection and referral to an appropriate level institution for treatment.  The focus is on three areas namely breast, cervical and oral Cancer.  Screening guidelines have been provided to State Governments for implementation.  Suspected cases are to be referred for confirmatory diagnosis by various tests including histo-pathological biopsy.

Government of India has approved “Tertiary Care for Cancer” Scheme under National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) in the year 2013-14. Under the said scheme, Government of India will assist to establish/set up 20 State Cancer Institutes (SCI) and 50 Tertiary Care Cancer Centres (TCCC) in different parts of the country. The maximum assistance inclusive of State share for SCI is upto Rs.120 crore and for TCCC is upto Rs.45 crore  subject to eligibility as per scheme guidelines and availability of funds.

The treatment for cancer in Government Hospitals is either free or subsidized. In addition to Cancer diagnosis and treatment by the State Governments Health Institutes, the Central Government Institutions such as All India Institute of Medical   Sciences, Safdurjung Hospital, Dr Ram Manohar Lohia Hospital, PGIMER Chandigarh, JIPMER Puducherry, Chittaranjan National Cancer Institute, Kolkata, etc. provide facilities for diagnosis and treatment of Cancer.

Oncology in its various aspects has focus in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY).   Setting up of National Cancer Institute at Jhajjar (Haryana) and 2nd campus of Chittranjan National Cancer Institute, Kolkata has also been approved.

The list of medicines specified in the National List of Essential Medicines (NLEM) which are included in the First Schedule of Drug Pricing Control Order (DPCO), 2013 also contain drugs used for the treatment of Cancer.  NLEM (drug formulations) medicines for which ceiling prices have been notified under DPCO, 2013, includes47 anti-Cancer medicines.  No person is authorized to sell any such formulation to any consumer at a price exceeding the ceiling price fixed by the National Pharmaceutical Pricing Authority (NPPA) under Ministry of Chemicals & Fertilizers.

Financial assistance to Below Poverty Line (BPL) patients is available under the Rashtriya Arogya Nidhi (RAN).  Besides this, the Health Minister’s Cancer Patient Fund (HMCPF) within the Rashtriya Arogya Nidhi has been set up in 2009 wherein 27 erstwhile Regional Cancer Centres (RCCs) are provided with revolving funds to provide immediate financial assistance upto Rs.2.00 lakh to BPL Cancer patients.

Details of funds released under NPCDCS and Tertiary Care for Cancer scheme during the last three years and current year is at Table 6 and Table 7.

(d) & (e):	As per information provided by Indian Council of Medical Research, some news items suggest that a new test can predict development of cancer.  However, there are other factors that cause telomeres shortening besides cancer and in absence of large studies, findings cannot be validated as a diagnostic test.

**TABLE 1**

| **Estimated Incidence cancer cases  in India by different State /UT - All Sites- (2012-2015) - Males**            |                                                                                                                   |                                                                                                                   |                                                                                                                   |                                                                                                                   |
|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|
| **States**                                                                                                        | **2012**                                                                                                          | **2013**                                                                                                          | **2014**                                                                                                          | **2015**                                                                                                          |
| Jammu & Kashmir                                                                                                   | 5480                                                                                                              | 5656                                                                                                              | 5837                                                                                                              | 6023                                                                                                              |
| Himachal Pradesh                                                                                                  | 2808                                                                                                              | 2862                                                                                                              | 2916                                                                                                              | 2971                                                                                                              |
| Punjab                                                                                                            | 11800                                                                                                             | 12003                                                                                                             | 12208                                                                                                             | 12415                                                                                                             |
| Chandigarh                                                                                                        | 469                                                                                                               | 478                                                                                                               | 488                                                                                                               | 497                                                                                                               |
| Uttaranchal                                                                                                       | 4215                                                                                                              | 4334                                                                                                              | 4456                                                                                                              | 4581                                                                                                              |
| Haryana                                                                                                           | 10970                                                                                                             | 11222                                                                                                             | 11479                                                                                                             | 11742                                                                                                             |
| Delhi                                                                                                             | 7231                                                                                                              | 7350                                                                                                              | 7471                                                                                                              | 7592                                                                                                              |
| Rajasthan                                                                                                         | 29025                                                                                                             | 29760                                                                                                             | 30509                                                                                                             | 31273                                                                                                             |
| Uttar Pradesh                                                                                                     | 85658                                                                                                             | 88159                                                                                                             | 90721                                                                                                             | 93347                                                                                                             |
| Bihar                                                                                                             | 44619                                                                                                             | 46111                                                                                                             | 47649                                                                                                             | 49232                                                                                                             |
| Sikkim                                                                                                            | 289                                                                                                               | 304                                                                                                               | 323                                                                                                               | 344                                                                                                               |
| Arunachal Pradesh                                                                                                 | 628                                                                                                               | 643                                                                                                               | 658                                                                                                               | 673                                                                                                               |
| Nagaland                                                                                                          | 885                                                                                                               | 898                                                                                                               | 913                                                                                                               | 927                                                                                                               |
| Manipur                                                                                                           | 1137                                                                                                              | 1124                                                                                                              | 1111                                                                                                              | 1098                                                                                                              |
| Mizoram                                                                                                           | 476                                                                                                               | 483                                                                                                               | 490                                                                                                               | 497                                                                                                               |
| Tripura                                                                                                           | 1645                                                                                                              | 1699                                                                                                              | 1760                                                                                                              | 1828                                                                                                              |
| Meghalaya                                                                                                         | 1293                                                                                                              | 1317                                                                                                              | 1342                                                                                                              | 1367                                                                                                              |
| Assam                                                                                                             | 13660                                                                                                             | 13793                                                                                                             | 13925                                                                                                             | 14058                                                                                                             |
| West Bengal                                                                                                       | 38152                                                                                                             | 39058                                                                                                             | 39987                                                                                                             | 40938                                                                                                             |
| Jharkhand                                                                                                         | 13884                                                                                                             | 14303                                                                                                             | 14732                                                                                                             | 15173                                                                                                             |
| Odisha                                                                                                            | 17180                                                                                                             | 17542                                                                                                             | 17909                                                                                                             | 18282                                                                                                             |
| Chhattisgarh                                                                                                      | 10528                                                                                                             | 10854                                                                                                             | 11188                                                                                                             | 11532                                                                                                             |
| Madhya Pradesh                                                                                                    | 30759                                                                                                             | 31622                                                                                                             | 32505                                                                                                             | 33408                                                                                                             |
| Gujarat                                                                                                           | 25682                                                                                                             | 26357                                                                                                             | 27050                                                                                                             | 27759                                                                                                             |
| Daman & Diu                                                                                                       | 141                                                                                                               | 161                                                                                                               | 183                                                                                                               | 209                                                                                                               |
| Dadra & Nagar Haveli                                                                                              | 164                                                                                                               | 173                                                                                                               | 183                                                                                                               | 194                                                                                                               |
| Maharashtra                                                                                                       | 47202                                                                                                             | 48124                                                                                                             | 49055                                                                                                             | 49995                                                                                                             |
| Telangana                                                                                                         | 14547                                                                                                             | 15010                                                                                                             | 15496                                                                                                             | 16008                                                                                                             |
| Andhra Pradesh                                                                                                    | 20339                                                                                                             | 20985                                                                                                             | 21666                                                                                                             | 22381                                                                                                             |
| Karnataka                                                                                                         | 25253                                                                                                             | 25852                                                                                                             | 26464                                                                                                             | 27088                                                                                                             |
| Goa                                                                                                               | 598                                                                                                               | 609                                                                                                               | 620                                                                                                               | 631                                                                                                               |
| Lakshadweep                                                                                                       | 28                                                                                                                | 29                                                                                                                | 30                                                                                                                | 32                                                                                                                |
| Kerala                                                                                                            | 13054                                                                                                             | 13416                                                                                                             | 13815                                                                                                             | 14252                                                                                                             |
| Tamil Nadu                                                                                                        | 28888                                                                                                             | 29183                                                                                                             | 29474                                                                                                             | 29763                                                                                                             |
| Pondicherry                                                                                                       | 506                                                                                                               | 526                                                                                                               | 546                                                                                                               | 567                                                                                                               |
| Andaman & Nicobar Islands                                                                                         | 162                                                                                                               | 164                                                                                                               | 165                                                                                                               | 167                                                                                                               |
| **Total**                                                                                                         | **509355**                                                                                                        | **522164**                                                                                                        | **535324**                                                                                                        | **548844**                                                                                                        |
| Based on cancer incidence report (2009-2011) and the Report on Time Trends in Cancer incidence Rates (1982-2010). | Based on cancer incidence report (2009-2011) and the Report on Time Trends in Cancer incidence Rates (1982-2010). | Based on cancer incidence report (2009-2011) and the Report on Time Trends in Cancer incidence Rates (1982-2010). | Based on cancer incidence report (2009-2011) and the Report on Time Trends in Cancer incidence Rates (1982-2010). | Based on cancer incidence report (2009-2011) and the Report on Time Trends in Cancer incidence Rates (1982-2010). |

**TABLE 2**

| **Estimated Incidence cancer cases  in India by different State /UT - All Sites- (2012-2015) - Females**          |                                                                                                                   |                                                                                                                   |                                                                                                                   |                                                                                                                   |
|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|
| **States**                                                                                                        | **2012**                                                                                                          | **2013**                                                                                                          | **2014**                                                                                                          | **2015**                                                                                                          |
| Jammu & Kashmir                                                                                                   | 5573                                                                                                              | 5772                                                                                                              | 5978                                                                                                              | 6190                                                                                                              |
| Himachal Pradesh                                                                                                  | 3158                                                                                                              | 3235                                                                                                              | 3314                                                                                                              | 3395                                                                                                              |
| Punjab                                                                                                            | 12206                                                                                                             | 12509                                                                                                             | 12818                                                                                                             | 13132                                                                                                             |
| Chandigarh                                                                                                        | 446                                                                                                               | 459                                                                                                               | 473                                                                                                               | 487                                                                                                               |
| Uttaranchal                                                                                                       | 4684                                                                                                              | 4839                                                                                                              | 4999                                                                                                              | 5164                                                                                                              |
| Haryana                                                                                                           | 11152                                                                                                             | 11499                                                                                                             | 11857                                                                                                             | 12226                                                                                                             |
| Delhi                                                                                                             | 7286                                                                                                              | 7485                                                                                                              | 7689                                                                                                              | 7896                                                                                                              |
| Rajasthan                                                                                                         | 31040                                                                                                             | 31983                                                                                                             | 32950                                                                                                             | 33942                                                                                                             |
| Uttar Pradesh                                                                                                     | 89747                                                                                                             | 92787                                                                                                             | 95917                                                                                                             | 99141                                                                                                             |
| Bihar                                                                                                             | 47102                                                                                                             | 48870                                                                                                             | 50698                                                                                                             | 52588                                                                                                             |
| Sikkim                                                                                                            | 224                                                                                                               | 236                                                                                                               | 248                                                                                                               | 264                                                                                                               |
| Arunachal Pradesh                                                                                                 | 506                                                                                                               | 517                                                                                                               | 529                                                                                                               | 540                                                                                                               |
| Nagaland                                                                                                          | 711                                                                                                               | 714                                                                                                               | 717                                                                                                               | 721                                                                                                               |
| Manipur                                                                                                           | 982                                                                                                               | 968                                                                                                               | 955                                                                                                               | 944                                                                                                               |
| Mizoram                                                                                                           | 409                                                                                                               | 417                                                                                                               | 425                                                                                                               | 432                                                                                                               |
| Tripura                                                                                                           | 1391                                                                                                              | 1442                                                                                                              | 1498                                                                                                              | 1562                                                                                                              |
| Meghalaya                                                                                                         | 1120                                                                                                              | 1142                                                                                                              | 1165                                                                                                              | 1188                                                                                                              |
| Assam                                                                                                             | 11459                                                                                                             | 11598                                                                                                             | 11737                                                                                                             | 11877                                                                                                             |
| West Bengal                                                                                                       | 41763                                                                                                             | 43029                                                                                                             | 44338                                                                                                             | 45691                                                                                                             |
| Jharkhand                                                                                                         | 15183                                                                                                             | 15723                                                                                                             | 16280                                                                                                             | 16854                                                                                                             |
| Orissa                                                                                                            | 19419                                                                                                             | 19936                                                                                                             | 20465                                                                                                             | 21006                                                                                                             |
| Chhattisgarh                                                                                                      | 12041                                                                                                             | 12472                                                                                                             | 12917                                                                                                             | 13377                                                                                                             |
| Madhya Pradesh                                                                                                    | 33055                                                                                                             | 34174                                                                                                             | 35325                                                                                                             | 36510                                                                                                             |
| Gujarat                                                                                                           | 27238                                                                                                             | 28111                                                                                                             | 29012                                                                                                             | 29940                                                                                                             |
| Daman & Diu                                                                                                       | 92                                                                                                                | 98                                                                                                                | 105                                                                                                               | 113                                                                                                               |
| Dadra & Nagar Haveli                                                                                              | 146                                                                                                               | 155                                                                                                               | 165                                                                                                               | 176                                                                                                               |
| Maharashtra                                                                                                       | 50472                                                                                                             | 51747                                                                                                             | 53046                                                                                                             | 54366                                                                                                             |
| Telangana                                                                                                         | 16604                                                                                                             | 17241                                                                                                             | 17916                                                                                                             | 18631                                                                                                             |
| Andhra Pradesh                                                                                                    | 23406                                                                                                             | 24305                                                                                                             | 25255                                                                                                             | 26262                                                                                                             |
| Karnataka                                                                                                         | 28223                                                                                                             | 29034                                                                                                             | 29866                                                                                                             | 30720                                                                                                             |
| Goa                                                                                                               | 669                                                                                                               | 685                                                                                                               | 702                                                                                                               | 719                                                                                                               |
| Lakshadweep                                                                                                       | 30                                                                                                                | 32                                                                                                                | 33                                                                                                                | 35                                                                                                                |
| Kerala                                                                                                            | 16381                                                                                                             | 16956                                                                                                             | 17585                                                                                                             | 18272                                                                                                             |
| Tamil Nadu                                                                                                        | 33161                                                                                                             | 33648                                                                                                             | 34135                                                                                                             | 34621                                                                                                             |
| Pondicherry                                                                                                       | 607                                                                                                               | 634                                                                                                               | 663                                                                                                               | 692                                                                                                               |
| Andaman & Nicobar Islands                                                                                         | 164                                                                                                               | 167                                                                                                               | 170                                                                                                               | 173                                                                                                               |
| **Total**                                                                                                         | **547850**                                                                                                        | **564619**                                                                                                        | **581945**                                                                                                        | **599847**                                                                                                        |
| Based on cancer incidence report (2009-2011) and the Report on Time Trends in Cancer incidence Rates (1982-2010). | Based on cancer incidence report (2009-2011) and the Report on Time Trends in Cancer incidence Rates (1982-2010). | Based on cancer incidence report (2009-2011) and the Report on Time Trends in Cancer incidence Rates (1982-2010). | Based on cancer incidence report (2009-2011) and the Report on Time Trends in Cancer incidence Rates (1982-2010). | Based on cancer incidence report (2009-2011) and the Report on Time Trends in Cancer incidence Rates (1982-2010). |

**TABLE 3**

| **Estimated Mortality cancer cases  in India by different State /UT - All Sites- (2012-2015) - Males**   |                                                                                         |                                                                                         |                                                                                         |                                                                                         |
|----------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|
| **States**                                                                                               | **2012**                                                                                | **2013**                                                                                | **2014**                                                                                | **2015**                                                                                |
| Jammu & Kashmir                                                                                          | 2411                                                                                    | 2489                                                                                    | 2568                                                                                    | 2650                                                                                    |
| Himachal Pradesh                                                                                         | 1235                                                                                    | 1259                                                                                    | 1283                                                                                    | 1307                                                                                    |
| Punjab                                                                                                   | 5192                                                                                    | 5281                                                                                    | 5372                                                                                    | 5462                                                                                    |
| Chandigarh                                                                                               | 206                                                                                     | 210                                                                                     | 215                                                                                     | 219                                                                                     |
| Uttaranchal                                                                                              | 1855                                                                                    | 1907                                                                                    | 1961                                                                                    | 2016                                                                                    |
| Haryana                                                                                                  | 4827                                                                                    | 4937                                                                                    | 5051                                                                                    | 5166                                                                                    |
| Delhi                                                                                                    | 3182                                                                                    | 3234                                                                                    | 3287                                                                                    | 3341                                                                                    |
| Rajasthan                                                                                                | 12771                                                                                   | 13094                                                                                   | 13424                                                                                   | 13760                                                                                   |
| Uttar Pradesh                                                                                            | 37689                                                                                   | 38790                                                                                   | 39917                                                                                   | 41073                                                                                   |
| Bihar                                                                                                    | 19632                                                                                   | 20289                                                                                   | 20965                                                                                   | 21662                                                                                   |
| Sikkim                                                                                                   | 127                                                                                     | 134                                                                                     | 142                                                                                     | 152                                                                                     |
| Arunachal Pradesh                                                                                        | 276                                                                                     | 283                                                                                     | 289                                                                                     | 296                                                                                     |
| Nagaland                                                                                                 | 389                                                                                     | 395                                                                                     | 402                                                                                     | 408                                                                                     |
| Manipur                                                                                                  | 500                                                                                     | 494                                                                                     | 489                                                                                     | 483                                                                                     |
| Mizoram                                                                                                  | 209                                                                                     | 212                                                                                     | 215                                                                                     | 219                                                                                     |
| Tripura                                                                                                  | 724                                                                                     | 748                                                                                     | 774                                                                                     | 804                                                                                     |
| Meghalaya                                                                                                | 569                                                                                     | 580                                                                                     | 590                                                                                     | 601                                                                                     |
| Assam                                                                                                    | 6010                                                                                    | 6069                                                                                    | 6127                                                                                    | 6185                                                                                    |
| West Bengal                                                                                              | 16787                                                                                   | 17186                                                                                   | 17594                                                                                   | 18013                                                                                   |
| Jharkhand                                                                                                | 6109                                                                                    | 6293                                                                                    | 6482                                                                                    | 6676                                                                                    |
| Orissa                                                                                                   | 7559                                                                                    | 7718                                                                                    | 7880                                                                                    | 8044                                                                                    |
| Chhattisgarh                                                                                             | 4632                                                                                    | 4776                                                                                    | 4923                                                                                    | 5074                                                                                    |
| Madhya Pradesh                                                                                           | 13534                                                                                   | 13914                                                                                   | 14302                                                                                   | 14700                                                                                   |
| Gujarat                                                                                                  | 11300                                                                                   | 11597                                                                                   | 11902                                                                                   | 12214                                                                                   |
| Daman & Diu                                                                                              | 62                                                                                      | 71                                                                                      | 81                                                                                      | 92                                                                                      |
| Dadra & Nagar Haveli                                                                                     | 72                                                                                      | 76                                                                                      | 81                                                                                      | 85                                                                                      |
| Maharashtra                                                                                              | 20769                                                                                   | 21175                                                                                   | 21584                                                                                   | 21998                                                                                   |
| Telangana                                                                                                | 6402                                                                                    | 6605                                                                                    | 6819                                                                                    | 7044                                                                                    |
| Andhra Pradesh                                                                                           | 8950                                                                                    | 9234                                                                                    | 9533                                                                                    | 9848                                                                                    |
| Karnataka                                                                                                | 11111                                                                                   | 11375                                                                                   | 11644                                                                                   | 11919                                                                                   |
| Goa                                                                                                      | 263                                                                                     | 268                                                                                     | 273                                                                                     | 278                                                                                     |
| Lakshadweep                                                                                              | 12                                                                                      | 13                                                                                      | 13                                                                                      | 14                                                                                      |
| Kerala                                                                                                   | 5744                                                                                    | 5903                                                                                    | 6078                                                                                    | 6271                                                                                    |
| Tamil Nadu                                                                                               | 12711                                                                                   | 12840                                                                                   | 12969                                                                                   | 13096                                                                                   |
| Pondicherry                                                                                              | 223                                                                                     | 231                                                                                     | 240                                                                                     | 249                                                                                     |
| Andaman & Nicobar Islands                                                                                | 71                                                                                      | 72                                                                                      | 73                                                                                      | 73                                                                                      |
| **Total**                                                                                                | **224115**                                                                              | **229752**                                                                              | **235542**                                                                              | **241492**                                                                              |
| Based on Cancer incidence cases and Pooled M/I ratio of Mumbai data (2009-2011) report.                  | Based on Cancer incidence cases and Pooled M/I ratio of Mumbai data (2009-2011) report. | Based on Cancer incidence cases and Pooled M/I ratio of Mumbai data (2009-2011) report. | Based on Cancer incidence cases and Pooled M/I ratio of Mumbai data (2009-2011) report. | Based on Cancer incidence cases and Pooled M/I ratio of Mumbai data (2009-2011) report. |

**TABLE 4**

| **Estimated Mortality cancer cases  in India by different State /UT - All Sites- (2012-2015) - Females**   |                                                                                          |                                                                                          |                                                                                          |                                                                                          |
|------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|
| **States**                                                                                                 | **2012**                                                                                 | **2013**                                                                                 | **2014**                                                                                 | **2015**                                                                                 |
| Jammu & Kashmir                                                                                            | 2452                                                                                     | 2540                                                                                     | 2630                                                                                     | 2724                                                                                     |
| Himachal Pradesh                                                                                           | 1389                                                                                     | 1424                                                                                     | 1458                                                                                     | 1494                                                                                     |
| Punjab                                                                                                     | 5370                                                                                     | 5504                                                                                     | 5640                                                                                     | 5779                                                                                     |
| Chandigarh                                                                                                 | 196                                                                                      | 202                                                                                      | 208                                                                                      | 214                                                                                      |
| Uttaranchal                                                                                                | 2061                                                                                     | 2129                                                                                     | 2200                                                                                     | 2272                                                                                     |
| Haryana                                                                                                    | 4907                                                                                     | 5060                                                                                     | 5217                                                                                     | 5380                                                                                     |
| Delhi                                                                                                      | 3206                                                                                     | 3294                                                                                     | 3383                                                                                     | 3474                                                                                     |
| Rajasthan                                                                                                  | 13658                                                                                    | 14073                                                                                    | 14498                                                                                    | 14935                                                                                    |
| Uttar Pradesh                                                                                              | 39489                                                                                    | 40826                                                                                    | 42204                                                                                    | 43622                                                                                    |
| Bihar                                                                                                      | 20725                                                                                    | 21503                                                                                    | 22307                                                                                    | 23139                                                                                    |
| Sikkim                                                                                                     | 98                                                                                       | 103                                                                                      | 109                                                                                      | 116                                                                                      |
| Arunachal Pradesh                                                                                          | 223                                                                                      | 228                                                                                      | 233                                                                                      | 238                                                                                      |
| Nagaland                                                                                                   | 313                                                                                      | 314                                                                                      | 316                                                                                      | 318                                                                                      |
| Manipur                                                                                                    | 432                                                                                      | 426                                                                                      | 420                                                                                      | 415                                                                                      |
| Mizoram                                                                                                    | 180                                                                                      | 183                                                                                      | 187                                                                                      | 190                                                                                      |
| Tripura                                                                                                    | 612                                                                                      | 634                                                                                      | 659                                                                                      | 688                                                                                      |
| Meghalaya                                                                                                  | 493                                                                                      | 503                                                                                      | 513                                                                                      | 523                                                                                      |
| Assam                                                                                                      | 5042                                                                                     | 5103                                                                                     | 5164                                                                                     | 5226                                                                                     |
| West Bengal                                                                                                | 18376                                                                                    | 18933                                                                                    | 19509                                                                                    | 20104                                                                                    |
| Jharkhand                                                                                                  | 6681                                                                                     | 6918                                                                                     | 7163                                                                                     | 7416                                                                                     |
| Orissa                                                                                                     | 8544                                                                                     | 8772                                                                                     | 9005                                                                                     | 9243                                                                                     |
| Chhattisgarh                                                                                               | 5298                                                                                     | 5488                                                                                     | 5683                                                                                     | 5886                                                                                     |
| Madhya Pradesh                                                                                             | 14544                                                                                    | 15037                                                                                    | 15543                                                                                    | 16064                                                                                    |
| Gujarat                                                                                                    | 11985                                                                                    | 12369                                                                                    | 12765                                                                                    | 13174                                                                                    |
| Daman & Diu                                                                                                | 40                                                                                       | 43                                                                                       | 46                                                                                       | 50                                                                                       |
| Dadra & Nagar Haveli                                                                                       | 64                                                                                       | 68                                                                                       | 73                                                                                       | 78                                                                                       |
| Maharashtra                                                                                                | 22208                                                                                    | 22769                                                                                    | 23340                                                                                    | 23921                                                                                    |
| Telangana                                                                                                  | 7306                                                                                     | 7585                                                                                     | 7883                                                                                     | 8197                                                                                     |
| Andhra Pradesh                                                                                             | 10299                                                                                    | 10694                                                                                    | 11112                                                                                    | 11555                                                                                    |
| Karnataka                                                                                                  | 12418                                                                                    | 12775                                                                                    | 13141                                                                                    | 13517                                                                                    |
| Goa                                                                                                        | 294                                                                                      | 301                                                                                      | 309                                                                                      | 316                                                                                      |
| Lakshadweep                                                                                                | 13                                                                                       | 14                                                                                       | 15                                                                                       | 15                                                                                       |
| Kerala                                                                                                     | 7208                                                                                     | 7460                                                                                     | 7737                                                                                     | 8040                                                                                     |
| Tamil Nadu                                                                                                 | 14591                                                                                    | 14805                                                                                    | 15019                                                                                    | 15233                                                                                    |
| Pondicherry                                                                                                | 267                                                                                      | 279                                                                                      | 292                                                                                      | 304                                                                                      |
| Andaman & Nicobar Islands                                                                                  | 72                                                                                       | 74                                                                                       | 75                                                                                       | 76                                                                                       |
| **Total**                                                                                                  | **241054**                                                                               | **248433**                                                                               | **256056**                                                                               | **263936**                                                                               |
| *Based on Cancer incidence cases and Pooled M/I ratio of Mumbai data (2009-2011) report.                   | *Based on Cancer incidence cases and Pooled M/I ratio of Mumbai data (2009-2011) report. | *Based on Cancer incidence cases and Pooled M/I ratio of Mumbai data (2009-2011) report. | *Based on Cancer incidence cases and Pooled M/I ratio of Mumbai data (2009-2011) report. | *Based on Cancer incidence cases and Pooled M/I ratio of Mumbai data (2009-2011) report. |

**TABLE 5**

| **India and World Cancer estimates for all sites of cancer -2012 (Both sexes)**                                                        |                                                                                                                    |                                                                                                                    |
|----------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|
| **Estimated Cancer Cases**                                                                                                             | **India***                                                                                                         | **World**  **#**                                                                                                   |
| Incidence                                                                                                                              | 1057205                                                                                                            | 14067894                                                                                                           |
| Mortality                                                                                                                              | 465169                                                                                                             | 8201575                                                                                                            |
| *Based on cancer incidence report (2009-2011) and the Report on Time Trends in Cancer incidence Rates (1982-2010).                     | *Based on cancer incidence report (2009-2011) and the Report on Time Trends in Cancer incidence Rates (1982-2010). | *Based on cancer incidence report (2009-2011) and the Report on Time Trends in Cancer incidence Rates (1982-2010). |
| #  GLOBOCAN 2012: Estimated cancer incidence, mortality and prevalence worldwide in 2012, International Agency for Research on Cancer. |                                                                                                                    |                                                                                                                    |

**TABLE 6**

| **NATIONAL PROGRAMME FOR PREVENTION  AND CONTROL OF CANCER, DIABETES, CARDIOCASCULAR DISEASES & STROKE (NPCDCS)**   |                      |              |              |              |              |              |              |              |              |
|-------------------------------------------------------------------------------------------------------------------------|----------------------|--------------|--------------|--------------|--------------|--------------|--------------|--------------|--------------|
|                                                                                                                         |                      |              |              |              |              |              |              |              |              |
| **(Rs. in Lakh)**                                                                                                       |                      |              |              |              |              |              |              |              |              |
| **Sl. No**                                                                                                              | **Name Of State**    | **2011-12**  |              | **2012-13**  |              | **2013-14**  |              | **2014-15**  |              |
|                                                                                                                         |                      | **Released** | **Utilised** | **Released** | **Utilised** | **Released** | **Utilised** | **Released** | **Utilised** |
| 1                                                                                                                       | Andhra Pradesh       | 1305.65      | 34.71        | 0            | 69.34        | 0            | 61.33        | 561.00       | 115.41       |
| 2                                                                                                                       | Assam                | 915.62       | 140.00       | 0            | 310.58       | 1714.00      | 620.7        | 579.00       | 288.43       |
| 3                                                                                                                       | Bihar                | 925.1        | 0.23         | 0            | 120.17       | 972.00       | 228.08       | 1208.00      | 50.14        |
| 4                                                                                                                       | Chhattisgarh         | 463.8        | 0            | 0            | 44.08        | 0            | 162.2        | 504          | 390.27       |
| 5                                                                                                                       | Gujarat              | 925.1        | 7.9166       | 0            | 329.02       | 0            | 564.04       | 666          | 543.28       |
| 6                                                                                                                       | Haryana              | 654.07       | 31.865       | 0            | 129.23       | 0            | 261.94       | 799.00       | 207.89       |
| 7                                                                                                                       | Himachal Pradesh     | 463.8        | 0            | 0            | 15.54        | 0            | 73.9         | 0            | 23.79        |
| 8                                                                                                                       | Jharkhand            | 399.72       | 0.18         | 0            | 10.63        | 332.00       | 148.95       | 835.00       | 139.25       |
| 9                                                                                                                       | Jammu & Kashmir      | 734.82       | 34.16        | 0            | 396.24       | 0.00         | 300.55       | 913.00       | 160.11       |
| 10                                                                                                                      | Karnataka            | 734.83       | 23.89        | 0            | 156.02       | 0.00         | 639.86       | 976.00       | 231.46       |
| 11                                                                                                                      | Kerala               | 844.35       | 4.746        | 0            | 616.33       | 0.00         | 167.17       | 545.00       | 768.38       |
| 12                                                                                                                      | Madhya Pradesh       | 844.35       | 3.305        | 0            | 293.19       | 462.00       | 315.52       | 1694.00      | 681.07       |
| 13                                                                                                                      | Maharashtra          | 925.1        | 52.59        | 0            | 615.5        | 586.00       | 1044.66      | 1289.00      | 954.2        |
| 14                                                                                                                      | Odisha               | 844.35       | 16.705       | 0            | 84.45        | 0            | 480.22       | 1234.00      | 414.97       |
| 15                                                                                                                      | Punjab               | 463.8        | 76.05        | 0            | 279.25       | 0            | 199.85       | 803          | 368.32       |
| 16                                                                                                                      | Rajasthan            | 1115.38      | 10.25        | 0            | 154.27       | 59.00        | 242.01       | 1180.00      | 445.48       |
| 17                                                                                                                      | Sikkim               | 313.88       | 70.87        | 0            | 89.07        | 0.00         | 81.62        | 176.00       | 81.46        |
| 18                                                                                                                      | Tamil Nadu           | 844.35       | 0            | 0            | 0            | 89.00        | 175.13       | 1355.00      | 2.7          |
| 19                                                                                                                      | Uttarakhand          | 273.53       | 2.636        | 0            | 95.73        | 0.00         | 34.7         | 545.00       | 35.87        |
| 20                                                                                                                      | Uttar Pradesh        | 0            | 0            | 2431.25      | 0            | 1398.00      | 347.12       | 2027.00      | 2519.38      |
| 21                                                                                                                      | West Bengal          | 463.8        | 1.12         | 0            | 83.73        | 1027.00      | 416.78       | 754.00       | 416.34       |
| 22                                                                                                                      | Andaman & Nicobar    | 0            | 0            | 0            | 0            | 5.00         | 0            | 25.00        | 0.63         |
| 23                                                                                                                      | Dadra & Nagar Haveli | 0            | 0            | 0            | 0            | 5.00         | 0            | 17.00        | 0.12         |
| 24                                                                                                                      | Daman & Diu          | 0            | 0            | 0            | 0            | 4.00         | 0            | 13.00        | 0            |
| 25                                                                                                                      | Lakshadweep          | 0            | 0            | 0            | 0            | 1.00         | 0            | 13.00        | 4.68         |
| 26                                                                                                                      | Delhi                | 0            | 0            | 0            | 0            | 247.00       | 0            | 141.00       | 0            |
| 27                                                                                                                      | Pondicherry          | 0            | 0            | 0            | 0            | 18.00        | 7.02         | 152.00       | 38           |
| 28                                                                                                                      | Goa                  | 0            | 0            | 0            | 0            | 22.00        | 0            | 127.00       | 0            |
| 29                                                                                                                      | Chandigarh           | 0            | 0            | 0            | 0            | 16.00        | 0            | 13.00        | 6.04         |
| 30                                                                                                                      | Arunachal Pradesh    | 0            | 0            | 0            | 0            | 76.00        | 69.2         | 354.00       | 146          |
| 31                                                                                                                      | Meghalaya            | 0            | 0            | 0            | 0            | 163.00       | 0            | 147.00       | 24.35        |
| 32                                                                                                                      | Mizoram              | 0            | 0            | 0            | 0            | 60.00        | 26.25        | 176.00       | 116.08       |
| 33                                                                                                                      | Nagaland             | 0            | 0            | 0            | 0            | 109.00       | 0            | 346.00       | 15.26        |
| 34                                                                                                                      | Tripura              | 0            | 0            | 0            | 0            | 202.00       | 0            | 176.00       | 0            |
| 35                                                                                                                      | Manipur              | 0            | 0            | 0            | 0            | 0.00         | 0            | 296.00       | 0            |
| 36                                                                                                                      | Telangana            | 0            | 0            | 0            | 0            | 0.00         | 0            | 401.00       | 0            |
|                                                                                                                         | TOTAL                | 14455.4      | 511.22       | 2431.25      | 3892.37      | 7567.00      | 6668.8       | 21040.00     | 9189.36      |

**TABLE 7**

**State-wise funds released under TCCC component of NPCDCS**

**( Rs. in lakhs)**

| **S No.**   | **State/UT**      | **2012-13**   |
|-------------|-------------------|---------------|
| 1.          | Arunachal Pradesh | 480.00        |
| 2           | Kerala            | 960.00        |
| 3.          | Maharashtra       | 480.00        |
| 4.          | Sikkim            | 480.00        |
|             | **Total**         | **2400.00**   |

**Fund released during the financial year 2013-14	 - Nil.**

**(Rs. in lakh)**

| **S No.**   | **State/UT**    | **2014-15**   |
|-------------|-----------------|---------------|
| 1           | Gujarat         | 6750.00       |
| 2           | Jammu & Kashmir | 4725.00       |
| 3           | Karnataka       | 6750.00       |
| 4           | Kerala          | 2503.00       |
| 5           | Tripura         | 5500.00       |
| 6           | West Bengal     | 2224.00       |
| 7           | Tamil Nadu      | 6738.00       |
|             | **Total**       | **35190.00**  |