Lok Sabha Question No. 139 (STARRED), answered on 2016-03-04
Subject: Injections for Poisonous Bite
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PANKAJ CHOWDHARY

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

## LOK SABHA STARRED QUESTION NO. 1 39 TO BE ANSWERED ON THE 04 TH MARCH , 2016 INJECTIONS FOR POISO NOUS BITE

## †139. SHRI PANKAJ CHAUDHARY:

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

- (a) whether the Government has formulated any policy/scheme to provide anti - snake venom  injections/antidotes  against  poisonous  insects/animal  bite  in  the  P Health Centres (PHCs) an d rural hospitals;
- (b) if so, the details thereof and if not the reasons therefor;
- (c) the number of deaths reported due to non - availability of anti - snake venom and anti - rabies injection during the last three years, State/UT - wise; and
- (d) the correct ive measures taken or proposed to be taken by the Government in t regard?

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

- (a) to (d ):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 139* FOR 04 TH MARCH , 2016

(a) to (d) Central Government provides assistance to the States for strengtheni health infrastructure under the National Health Mission. This facilitates tre various diseases and emergencies including snake bites. The Ministry has in the p permitted the State Governments to procure anti - snake venom serum under National Health Mission after reflecting the same in the annual PIP and seeking nec approval for the same.

In so f ar as animal bite is concerned, Rabies is transmitted to the humans fol bite of an animal (dog, cat, monkeys and mongoose etc.) infected by rabies For prevention of deaths due to Rabies, the Government of India is impleme National  Rabies Control  Programme  under  XII  Five  Year  Plan,  which  has  both human and animal health components. National Centre for Disease Control (NCDC is the nodal agency to implement human health component. The objectives of program are to:

- Prevent human deaths du e to rabies
- Prevent transmission of rabies virus in dog population

To prevent deaths due to human rabies, the strategy adopted is to implement cost  effective  Intra  Dermal  (ID)  route  of  inoculation  for  anti - rabies  vaccines  for Category II & Category III bites and infiltration of Rabies immunoglobulin in a III bites in all major anti - rabies clinics of government health facilities.

Animal health component is being implemented by Animal Welfare Board of Indi (AWBI) initially in Haryan a and Chennai to pilot test the strategy which includes:

- Mass vaccination of dogs.
- Dog population management
- Strengthening surveillance & response.

Funds are allocated to the States for organizing training of health profes animal  bite management and ID route of anti - rabies vaccination, IEC activities for community awareness on dos' and don'ts in the event of  animal bite, strengthening surveillance of human rabies and strengthening lab diagnostics for rabies.

The information regarding the deaths reported due to non - availability of anti - snake venom and anti - rabies injection is not maintained centrally. However, as per reports from the States received by Central Bureau of Health Intelligence under Director ate General of Health Services, State wise deaths due to snake bite and rabies, the last three years in the country are at Annexure I and II respectively.

## Annexure I

State/UT - wise Deaths due to Snake Bite reported during the years 2013 -2015

| S. No.   | State /U.T        | 2013   | 2014 (Provisional)   | 2015 (Provisional)   |
|----------|-------------------|--------|----------------------|----------------------|
| S. No.   | State /U.T        | Deaths | Deaths               | Deaths               |
| 1        | Andhra Pradesh    | 107    | 61                   | 35                   |
| 2        | Arunachal Pradesh | 0      | 0                    | 0                    |
| 3        | Assam             | 10     | 0                    | 0                    |
| 4        | Bihar             | 12     | 9                    | 10                   |
| 5        | Chhattisgarh      | 24     | 26                   | 31                   |
| 6        | Goa               | 1      | 3                    | 0                    |
| 7        | Gujarat           | 63     | 111                  | 73                   |
| 8        | Haryana           | 4      | 6                    | 7                    |
| 9        | Himachal Pradesh  | 32     | 19                   | 19                   |
| 10       | Jammu & Kashmir   | 3      | 2                    | 2                    |
| 11       | Jharkhand         | 42     | 19                   | 3                    |
| 12       | Karnataka         | 66     | 81                   | 47                   |
| 13       | Kerala            | 4      | 4                    | 17                   |
| 14       | Madhya Pradesh    | 155    | 156                  | 86                   |
| 15       | Maharashtra       | 20     | 40                   | 165                  |
| 16       | Manipur           | 1      | 0                    | 0                    |
| 17       | Meghalaya         | 3      | 2                    | 1                    |
| 18       | Mizoram           | 0      | 0                    | 2                    |
| 19       | Nagaland          | 0      | 0                    | 0                    |
| 20       | Odisha            | 179    | 186                  | 75                   |
| 21       | Punjab            | 21     | 15                   | 8                    |
| 22       | Rajasthan         | 34     | 72                   | 51                   |
| 23       | Sikkim            | 1      | 0                    | 0                    |
| 24       | Tamil Nadu        | 19     | 37                   | 59                   |
| 25       | Tripura           | 1      | 1                    | 0                    |
| 26       | Uttarakhand       | 4      | 1                    | 0                    |
| 27       | Uttar Pradesh     | 112    | 82                   | 66                   |
| 28       | West Bengal       | 201    | 138                  | 144                  |
| 29       | A & N Islands     | 1      | 3                    | 0                    |
| 30       | Chandigarh        | 0      | 10                   | 12                   |
| 31       | D & N Haveli      | 1      | 0                    | 2                    |
| 32       | Daman & Diu       | 0      | 0                    | 1                    |
| 33       | Delhi             | 4      | 1                    | 4                    |
| 34       | Lakshadweep       | 0      | 0                    | 0                    |
| 35       | Puducherry        | 55     | 37                   | 30                   |
| Total    |                   | 1180   | 1122                 | 950                  |

Note:

Separate Data for the State of Telangana is not available

Source:

Monthly Health Condition Reports from Directorate of Health Services of States/UTs

## Annexure II

State/UT - wise Deaths due to Rabies reported during the years 2013 -2015

| S.No.   | State /U.T        | 2013   | 2014 (Provisional)   | 2015 (Provisional)   |
|---------|-------------------|--------|----------------------|----------------------|
| S.No.   | State /U.T        | Deaths | Deaths               | Deaths               |
| 1       | Andhra Pradesh    | 0      | 0                    | 0                    |
| 2       | Arunachal Pradesh | 0      | 0                    | 0                    |
| 3       | Assam             | 0      | 0                    | 0                    |
| 4       | Bihar             | 0      | 0                    | 1                    |
| 5       | Chhattisgarh      | 2      | 2                    | 3                    |
| 6       | Goa               | 1      | 0                    | 0                    |
| 7       | Gujarat           | 3      | 0                    | 0                    |
| 8       | Haryana           | 0      | 0                    | 0                    |
| 9       | Himachal Pradesh  | 0      | 1                    | 2                    |
| 10      | Jammu & Kashmir   | 0      | 0                    | 0                    |
| 11      | Jharkhand         | 0      | 0                    | 0                    |
| 12      | Karnataka         | 20     | 11                   | 7                    |
| 13      | Kerala            | 8      | 5                    | 6                    |
| 14      | Madhya Pradesh    | 9      | 2                    | 9                    |
| 15      | Maharashtra       | 2      | 1                    | 0                    |
| 16      | Manipur           | 0      | 0                    | 0                    |
| 17      | Meghalaya         | 0      | 0                    | 0                    |
| 18      | Mizoram           | 1      | 0                    | 0                    |
| 19      | Nagaland          | 0      | 0                    | 0                    |
| 20      | Odisha            | 11     | 3                    | 1                    |
| 21      | Punjab            | 0      | 0                    | 0                    |
| 22      | Rajasthan         | 2      | 0                    | 1                    |
| 23      | Sikkim            | 0      | 0                    | 0                    |
| 24      | Tamil Nadu        | 4      | 5                    | 1                    |
| 25      | Tripura           | 0      | 1                    | 0                    |
| 26      | Uttarakhand       | 2      | 6                    | 0                    |
| 27      | Uttar Pradesh     | 0      | 1                    | 0                    |
| 28      | West Bengal       | 57     | 52                   | 43                   |
| 29      | A & N Islands     | 0      | 0                    | 0                    |
| 30      | Chandigarh        | 0      | 0                    | 0                    |
| 31      | D & N Haveli      | 0      | 0                    | 0                    |
| 32      | Daman & Diu       | 0      | 1                    | 0                    |
| 33      | Delhi             | 10     | 13                   | 6                    |
| 34      | Lakshadweep       | 0      | 0                    | 0                    |
| 35      | Puducherry        | 0      | 0                    | 0                    |
| Total   |                   | 132    | 104                  | 80                   |

Note:

Separate Data for the State of Telangana is not available

Source:

Monthly Health Condition Reports from Directorate of Health Services of States/UTs