Lok Sabha Question No. 183 (STARRED), answered on 2016-07-29
Subject: Vector Borne Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: LALLU SINGH, SRINIVAS KESINENI

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

## LOK SABHA STARRED QUESTION NO. 183 TO BE ANSWERED ON THE 2 9 TH JULY, 2016 VECTOR BORNE DISEASE S

## †*183. SHRI LALLU SINGH: SHRI KESINENI NANI:

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

- (a)  the  number  of  cases  of  vector  borne  diseases  especially  dengue  and reported including loss of human lives during the last three years and the c in the country, St ate/UT - wise;
- (b) whether the Government proposes to launch any National programme in Pu Private Partnership mode to prevent and control the vector borne diseases pa dengue and malaria so as to make India free from these diseases;
- (c)  if  s o,  the  details  thereof  along  with  the  funds  allocated  and  release implementation of the programmes/ schemes for vector borne diseases during t three years and the current year;
- (d) whether the Government provides funds to the Urban Local Bodies directly to take preventive  steps  such  as  control  of  mosquito  breeding,  etc.,  and  if  so, thereof; and
- (e) the other specific steps being taken to contain vector borne diseases?

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

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 183* FOR 29 TH JULY , 2016

(a): The  State/UT-wise  cases  and  deaths  due  to  Malaria,  Dengue,  Chikungunya, Japanese Encephalitis (JE) and Kala-azar during the last three years and the current year are at Annexure-I, II, III, IV & V and the same is summarized year-wise as under:

| Year   | Malaria   | Malaria   | Kala-azar   | Kala-azar   | Dengue   | Dengue   | Chikungunya***   | JE    | JE     |
|--------|-----------|-----------|-------------|-------------|----------|----------|------------------|-------|--------|
| Year   | Cases     | Deaths    | Cases       | Deaths      | Cases    | Deaths   | Cases            | Cases | Deaths |
| 2013   | 881,730   | 440       | 13,869      | 20          | 75,808   | 193      | 18,840           | 1,086 | 202    |
| 2014   | 1,102,205 | 562       | 9,241       | 11          | 40,571   | 137      | 16,049           | 1,661 | 293    |
| 2015   | 1,126,661 | 287       | 8,243       | 5           | 99,913   | 220      | 27,553           | 1,731 | 291    |
| 2016   | 249,277*  | 57*       | 2,943*      | 0*          | 13663**  | 21**     | 8659**           | 377** | 70**   |

***Death due to Chikungunya has not been reported in India.

**Provisional (Till 24 th July)

(b) & (c) No such plan is currently under consideration. However, under the Public Private Partnership (PPP) mode, the following have been initiated:

- M/s  Sun  Pharma  in  collaboration  with  the  Indian  Council  of  Medical  Research (ICMR) has  agreed  to  implement  Joint  Malaria  Elimination  Demonstration  Project which would also include research in Mandla district, Madhya Pradesh. The goal of the project is to eliminate Malaria in the Mandla district and prevent re-introduction of Malaria through PPP.
- Tata  Trusts  has  signed  MoU  with  the  Odisha  Government,  in  2016  to  achieve elimination of Malaria. As per the MoU, Tata Trusts is undertaking mass screenings twice  a  year  in  557  villages  in  five  selected  blocks  namely  Bissamcuttack  and Muniguda  blocks of  Rayagada  district;  Lanjigarh, and Thuamulrampur  blocks  of Kalahandi district; and Kotgarh block of Kandhamal district in southern Odisha.

In  the  above  projects,  the  private  sector  partner  is  filling  up  the  gaps  in  programme implementation. No allocation is made under Public Private Partnership.

(d) For  prevention  and  control  of  vector  borne  diseases,  the  Central  Government doesn't provide funds to Urban Local Bodies directly. The same is provided through the State Governments.

(e) The  following  steps  have  been  taken  for  the  containment  of  the  vector  borne diseases:

- Advisories to  State  Government/UTs on  prevention and  control  of  vector  borne diseases  have  been  issued  since  January  2016 from time  to  time.    In  total,  ten advisories from Secretary/ Additional Secretary to Chief Secretary/Principal Secretary of all the States/UTs have been issued.
- National Framework for Malaria Elimination launched on 11.02.2016.
- Operational  Guidelines  for  Malaria  Elimination  and  Manual  on  Integrated  Vector Management (IVM) shared with the States.
- Three  Video  conferences have  been  held.  One  at  the  level  of  Union  Minister  for Health  and  Family Welfare  with State  Health  Ministers/Senior  officers  of  11  State Governments, one at the level of Secretary (H&FW) with Senior State Government officers  and  one  at  the  level  of  Director  (National  Vector  Borne  Diseases  Control Programme) with State Programme Officers to review the progress of vector control activities and preparedness for prevention and control of dengue, malaria and JE.
- Training and involvement of Accredited Social Health Activists (ASHAs) for prevention and control of VBDs.
- Focused IEC/BCC activities are carried out at National and State Level with media mix strategies focusing on source reduction and personal protective measures.
- A user friendly Dengue App 'India Fights Dengue' has been launched by HFM, on 7th April, 2016.
- National Dengue Day has been observed on 16th May 2016 throughout the country.
- Periodic field visits by central teams to provide supportive supervision and technical guidance to states.
- Single-day Single-dose Injection Ambisome introduced for treatment of Kala-Azar.
- Use of Synthetic Pyrethroid and Hand Compressor Pumps for Indoor Residual Spray (IRS) in Kala-azar affected areas for vector control.
- JE vaccination in 197 districts for prevention and control of the disease.
- A total of 7.24 million Long Lasting Insecticidal Nets (LLINs), which is an effective tool to prevent malaria, has been distributed to North East States and 5 million nets have been ordered for other States.

* Provisional

## Malaria Situation in the Country

## Annexure -I

| States/UTs.       | 2013   | 2013   | 2014    | 2014   | 2015*   | 2015*   | 2016**   | 2016**   |
|-------------------|--------|--------|---------|--------|---------|---------|----------|----------|
| States/UTs.       | Cases  | Deaths | Cases   | Deaths | Cases   | Deaths  | Cases    | Deaths   |
| Andhra Pradesh    | 19787  | 0      | 21077   | 0      | 24588   | 0       | 5244     | 0        |
| Arunachal Pradesh | 6398   | 21     | 6082    | 9      | 4991    | 3       | 1048     | 0        |
| Assam             | 19542  | 7      | 14540   | 11     | 15555   | 0       | 2188     | 1        |
| Bihar             | 2693   | 1      | 2043    | 0      | 3548    | 1       | 555      | 0        |
| Chhattisgarh      | 110145 | 43     | 128993  | 53     | 133780  | 8       | 45992    | 0        |
| Goa               | 1530   | 0      | 824     | 0      | 786     | 1       | 115      | 0        |
| Gujarat           | 58513  | 38     | 41608   | 16     | 41422   | 1       | 6815     | 0        |
| Haryana           | 14471  | 3      | 4485    | 1      | 2843    | 0       | 88       | 0        |
| Himachal Pradesh  | 141    | 0      | 102     | 0      | 60      | 0       | 8        | 0        |
| J&K               | 698    | 0      | 291     | 0      | 216     | 0       | 28       | 0        |
| Jharkhand         | 97786  | 8      | 103735  | 8      | 90251   | 4       | 25322    | 0        |
| Karnataka         | 13302  | 0      | 14794   | 2      | 11341   | 0       | 2235     | 0        |
| Kerala            | 1634   | 0      | 1751    | 6      | 1549    | 4       | 387      | 1        |
| Madhya Pradesh    | 78260  | 49     | 96879   | 26     | 97200   | 16      | 7236     | 0        |
| Maharashtra       | 43677  | 80     | 53385   | 68     | 56603   | 31      | 7926     | 1        |
| Manipur           | 120    | 0      | 145     | 0      | 216     | 0       | 20       | 0        |
| Meghalaya         | 24727  | 62     | 39168   | 73     | 48603   | 79      | 12111    | 6        |
| Mizoram           | 11747  | 21     | 23145   | 31     | 28593   | 0       | 2547     | 0        |
| Nagaland          | 2285   | 1      | 1936    | 2      | 1527    | 3       | 285      | 0        |
| Orissa            | 228858 | 67     | 395035  | 89     | 432375  | 78      | 112963   | 14       |
| Punjab            | 1760   | 0      | 1036    | 0      | 633     | 0       | 84       | 0        |
| Rajasthan         | 33139  | 15     | 15118   | 4      | 11429   | 0       | 799      | 0        |
| Sikkim            | 39     | 0      | 35      | 0      | 27      | 0       | 5        | 0        |
| Tamil Nadu        | 15081  | 0      | 8729    | 0      | 5653    | 0       | 1049     | 0        |
| Telangana         |        |        | 5189    | 0      | 10945   | 3       | 763      | 0        |
| Tripura           | 7396   | 7      | 51240   | 96     | 32525   | 21      | 3128     | 7        |
| Uttarakhand       | 1426   | 0      | 1171    | 0      | 1495    | 0       | 131      | 0        |
| Uttar Pradesh     | 48346  | 0      | 41612   | 0      | 42563   | 0       | 5763     | 0        |
| West Bengal       | 34717  | 17     | 26484   | 66     | 24054   | 33      | 4116     | 27       |
| A.N.Islands       | 1005   | 0      | 557     | 0      | 409     | 0       | 185      | 0        |
| Chandigarh        | 150    | 0      | 114     | 0      | 152     | 0       | 11       | 0        |
| D & N Haveli      | 1778   | 0      | 669     | 1      | 535     | 0       | 101      | 0        |
| Daman & Diu       | 91     | 0      | 56      | 0      | 82      | 0       | 9        | 0        |
| Delhi             | 353    | 0      | 98      | 0      | 54      | 0       | 0        | 0        |
| Lakshadweep       | 8      | 0      | 0       | 0      | 4       | 0       | 1        | 0        |
| Puducherry        | 127    | 0      | 79      | 0      | 54      | 1       | 19       | 0        |
| Total             | 881730 | 440    | 1102205 | 562    | 1126661 | 287     | 249277   | 57       |

## Dengue Situation in the Country

| Sl.no   | States/UTs        | 2013   | 2013   | 2014   | 2014   | 2015   | 2015   | 2016* (till 24 th July)   | 2016* (till 24 th July)   |
|---------|-------------------|--------|--------|--------|--------|--------|--------|---------------------------|---------------------------|
| Sl.no   | States/UTs        | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases                     | Deaths                    |
| 1       | Andhra Pradesh    | 910    | 1      | 1262   | 5      | 3159   | 2      | 293                       | 0                         |
| 2       | Arunachal Pradesh | 0      | 0      | 27     | 0      | 1933   | 1      | 0                         | 0                         |
| 3       | Assam             | 4526   | 2      | 85     | 0      | 1076   | 1      | 93                        | 0                         |
| 4       | Bihar             | 1246   | 5      | 297    | 0      | 1771   | 0      | 8                         | 0                         |
| 5       | Chhaatisharh      | 83     | 2      | 440    | 9      | 384    | 1      | 64                        | 0                         |
| 6       | Goa               | 198    | 2      | 168    | 1      | 293    | 0      | 60                        | 0                         |
| 7       | Gujarat           | 6272   | 15     | 2320   | 3      | 5590   | 9      | 723                       | 0                         |
| 8       | Haryana           | 1784   | 5      | 214    | 2      | 9921   | 13     | 8                         | 0                         |
| 9       | Himachal Pradesh  | 89     | 2      | 2      | 0      | 19     | 1      | 0                         | 0                         |
| 10      | J&K               | 1837   | 3      | 1      | 0      | 153    | 0      | 0                         | 0                         |
| 11      | Jharkhand         | 161    | 0      | 36     | 0      | 102    | 0      | 6                         | 0                         |
| 12      | Karnataka         | 6408   | 12     | 3358   | 2      | 5077   | 9      | 2511                      | 6                         |
| 13      | Kerala            | 7938   | 29     | 2575   | 11     | 4075   | 25     | 3767                      | 5                         |
| 14      | Madhya Pradesh    | 1255   | 9      | 2131   | 13     | 2108   | 8      | 184                       | 1                         |
| 15      | Meghalaya         | 43     | 0      | 0      | 0      | 13     | 0      | 0                         | 0                         |
| 16      | Maharashtra       | 5610   | 48     | 8573   | 54     | 4936   | 23     | 1314                      | 2                         |
| 17      | Manipur           | 9      | 0      | 0      | 0      | 52     | 0      | 0                         | 0                         |
| 18      | Mizoram           | 7      | 0      | 19     | 0      | 43     | 0      | 1                         | 0                         |
| 19      | Nagaland          | 0      | 0      | 0      | 0      | 21     | 1      | 0                         | 0                         |
| 20      | Odisha            | 7132   | 6      | 6433   | 9      | 2450   | 2      | 2246                      | 3                         |
| 21      | Punjab            | 4117   | 25     | 472    | 8      | 14128  | 18     | 45                        | 0                         |
| 22      | Rajasthan         | 4413   | 10     | 1243   | 7      | 4043   | 7      | 116                       | 0                         |
| 23      | Sikkim            | 38     | 0      | 5      | 0      | 21     | 0      | 2                         | 0                         |
| 24      | Tamil Nadu        | 6122   | 0      | 2804   | 3      | 4535   | 12     | 1033                      | 3                         |
| 25      | Tripura           | 8      | 0      | 6      | 0      | 40     | 0      | 7                         | 0                         |
| 26      | Telangana         | 0      | 0      | 704    | 1      | 1831   | 2      | 190                       | 0                         |
| 27      | Uttar Pradesh     | 1414   | 5      | 200    | 0      | 2892   | 9      | 2                         | 0                         |
| 28      | Uttrakhand        | 54     | 0      | 106    | 0      | 1655   | 1      | 106                       | 0                         |
| 29      | West Bengal       | 5920   | 6      | 3934   | 4      | 8516   | 14     | 534                       | 1                         |
| 30      | A&N Island        | 67     | 0      | 139    | 0      | 153    | 0      | 30                        | 0                         |
| 31      | Chandigarh        | 107    | 0      | 13     | 0      | 966    | 1      | 9                         | 0                         |
| 32      | Delhi             | 5574   | 6      | 995    | 3      | 15867  | 60     | 90*                       | 0                         |
| 33      | D&N Haveli        | 190    | 0      | 641    | 1      | 1154   | 0      | 22                        | 0                         |
| 34      | Daman & Diu       | 61     | 0      | 46     | 0      | 165    | 0      | 3                         | 0                         |
| 35      | Puducherry        | 2215   | 0      | 1322   | 1      | 771    | 0      | 196                       | 0                         |
|         | Total             | 75808  | 193    | 40571  | 137    | 99913  | 220    | 13663                     | 21                        |

## Annexure-II

## Annexure-III

## Clinically Suspected Chikungunya Situation in the Country

| Sl.No.   | States/UTs    | 2013   |   2014 |   2015 |   2016 (till 24 th July) |
|----------|---------------|--------|--------|--------|--------------------------|
| 1        | Andhra Prd.   | 4827   |   1359 |    817 |                      451 |
| 2        | Arunachal Pd. |        |      0 |     35 |                        0 |
| 3        | Assam         | 742    |      0 |      0 |                        0 |
| 4        | Bihar         | 0      |      0 |      3 |                        0 |
| 5        | Goa           | 1049   |   1205 |    561 |                      103 |
| 6        | Gujarat       | 2890   |    574 |    406 |                      169 |
| 7        | Haryana       | 1      |      3 |      1 |                        0 |
| 8        | Jharkhand     | 61     |     11 |     21 |                        0 |
| 9        | Karnataka     | 5295   |   6962 |  20763 |                     6711 |
| 10       | Kerala        | 273    |    272 |    175 |                       74 |
| 11       | Madhya Prd.   | 139    |    161 |     67 |                       16 |
| 12       | Meghalaya     | 0      |      0 |     78 |                        0 |
| 13       | Maharashtra   | 1578   |   1572 |    391 |                      258 |
| 14       | Odisha        | 35     |     10 |     81 |                        1 |
| 15       | Punjab        | 0      |      2 |    180 |                        0 |
| 16       | Rajasthan     | 76     |     50 |      7 |                        0 |
| 17       | Tamil Nadu    | 859    |    543 |    329 |                       36 |
| 18       | Telangana     | 0      |   1687 |   2067 |                      374 |
| 19       | Tripura       | 0      |     34 |    180 |                       51 |
| 20       | Uttar Prd.    | 0      |      4 |      0 |                        0 |
| 21       | Uttrakhand    | 0      |      0 |      0 |                        0 |
| 22       | West Bengal   | 646    |   1032 |   1013 |                      301 |
| 23       | A&N Islands   | 202    |    161 |     68 |                        0 |
| 24       | Chandigarh    | 1      |      0 |      1 |                        0 |
| 25       | Delhi         | 18     |      8 |     64 |                        0 |
| 26       | D&N Haveli    | 2      |      0 |      0 |                        0 |
| 27       | Lakshadweep   | 0      |      0 |      0 |                        0 |
| 28       | Puducherry    | 146    |    399 |    245 |                      114 |
|          | Total         | 18840  |  16049 |  27553 |                     8659 |

No Death has been reported due to Chikungunya in India.

## JE situation in the country

| Sl. No.   | States / UTs      | 2013   | 2013   | 2014   | 2014   | 2015   | 2015   | 2016* (till 24 th July )   | 2016* (till 24 th July )   |
|-----------|-------------------|--------|--------|--------|--------|--------|--------|----------------------------|----------------------------|
| Sl. No.   | States / UTs      | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases                      | Deaths                     |
| 1         | Andhra Pradesh    | 7      | 3      | 0      | 0      | 0      | 0      | 0                          | 0                          |
| 2         | Arunachal Pradesh | 0      | 0      | 32     | 3      | 32     | 2      | 0                          | 0                          |
| 3         | Assam             | 495    | 134    | 761    | 165    | 614    | 135    | 256                        | 60                         |
| 4         | Bihar             | 14     | 0      | 20     | 2      | 66     | 12     | 25                         | 3                          |
| 5         | Delhi             | 0      | 0      | 0      | 0      | 1      | 0      | 0                          | 0                          |
| 6         | Goa               | 3      | 1      | 0      | 0      | 0      | 0      | 1                          | 0                          |
| 7         | Haryana           | 2      | 0      | 5      | 1      | 2      | 0      | 0                          | 0                          |
| 8         | Jharkhand         | 89     | 5      | 90     | 2      | 116    | 8      | 1                          | 0                          |
| 9         | Karnataka         | 2      | 0      | 13     | 0      | 27     | 1      | 0                          | 0                          |
| 10        | Kerala            | 2      | 0      | 3      | 2      | 2      | 1      | 0                          | 0                          |
| 11        | Maharashtra       | 0      | 0      | 0      | 0      | 7      | 0      | 0                          | 0                          |
| 12        | Manipur           | 0      | 0      | 1      | 0      | 6      | 0      | 8                          | 1                          |
| 13        | Meghalaya         | 0      | 0      | 72     | 3      | 41     | 8      | 2                          | 0                          |
| 14        | Nagaland          | 4      | 0      | 6      | 0      | 0      | 0      | 0                          | 0                          |
| 15        | Odisha            |        |        |        |        | 33     | 2      | 4                          | 0                          |
| 16        | Punjab            | 0      | 0      | 0      | 0      | 0      | 0      | 0                          | 0                          |
| 17        | Tamil Nadu        | 33     | 0      | 36     | 3      | 53     | 0      | 10                         | 0                          |
| 18        | Tripura           | 14     | 0      | 14     | 0      | 28     | 4      | 23                         | 0                          |
| 19        | Uttarakhand       | 0      | 0      | 2      | 0      | 2      | 0      | 0                          | 0                          |
| 20        | Uttar Pradesh     | 281    | 47     | 191    | 34     | 351    | 42     | 15                         | 0                          |
| 21        | West Bengal       | 140    | 12     | 415    | 78     | 342    | 75     | 32                         | 6                          |
| 22        | Telengana         |        |        | 0      | 0      | 8      | 1      | 0                          | 0                          |
| Total     | Total             | 1086   | 202    | 1661   | 293    | 1731   | 291    | 377                        | 70                         |

## Annexure-IV

Kala-azar Situation in the Country

Note: *=Imported, P= Provisional, **Upto June

## Annexure- V

| Sl.No.   | States           | 2013   | 2013   | 2014   | 2014   | 2015 (P)   | 2015 (P)   | 2016 (P)**   | 2016 (P)**   |
|----------|------------------|--------|--------|--------|--------|------------|------------|--------------|--------------|
|          |                  | Cases  | Deaths | Cases  | Deaths | Cases      | Deaths     | Cases        | Deaths       |
| 1        | Bihar            | 10730  | 17     | 7615   | 10     | 6280       | 5          | 2271         | 0            |
| 2        | Jharkhand        | 2515   | 0      | 937    | 0      | 1262       | 0          | 571          | 0            |
| 3        | West Bengal      | 595    | 2      | 668    | 1      | 556        | 0          | 60           | 0            |
| 4        | Uttar Pradesh    | 11     | 1      | 11     | 0      | 131        | 0          | 40           | 0            |
| 5        | Uttarakhand      | 0      | 0      | 4      | 0      | 3          | 0          | 1            | 0            |
| 6        | Assam            | 4      | 0      | 1      | 0      | 1          | 0          | 0            | 0            |
| 7        | Sikkim           | 8      | 0      | 5      | 0      | 5          | 0          | 0            | 0            |
| 8        | Himachal Pradesh | 0      | 0      | 0      | 0      | 0          | 0          | 0            | 0            |
| 9        | Kerala           | 0      | 0      | 0      | 0      | 4          | 0          | 0            | 0            |
| 10       | Punjab*          | 0      | 0      | 0      | 0      | 1          | 0          | 0            | 0            |
| 11       | Delhi*           | 6      | 0      | 0      | 0      | 0          | 0          | 0            | 0            |
| Total    | Total            | 13869  | 20     | 9241   | 11     | 8243       | 5          | 2943         | 0            |