Question : CANCER CARE FACILITIES



(a) whether India has high cancer incidence, mortality and prevalence but low cancer survival rate, if so, the details thereof along with the reasons therefor;

(b) whether the Government has received a number of proposals from the States/Union Territories including Maharashtra regarding financial assistance for estab- lishment/upgradation of cancer care facilities under various schemes;

(c) if so, the present status of each of these proposals received during the last three years and the current year indicatingthe pending proposals along with the reasons for their pendency, State/UT-wise; and

(d) the steps taken/proposed to be taken by the Government for expeditious disposal/clearance of cancer related pro- posals in the country?

Answer given by the minister



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

(a): As per data provided by National Cancer Registry Programme of Indian Council of Medical Research (ICMR), the estimated incidence, prevalence and mortality due to Cancer in the country for the last three years is as under:

 
2011 2012 2013
Incidence 1028503 1057204 1086783 Prevalence 2819457 2820179 2934314 Mortality 452541 465169 478180
There is no recent data available on the survival rate of Cancer patients. As per data provided by ICMR, the survival rate is as under:
 
Table 1. Percentage Survival of Cases by Different Registries and Different Years (1990-1999)

Registry Period of No. of Cases 1 year 3 years 5 years study sites
Bhopal 1991-1995 16 1863 62.3 35.6 27.9 Chennai 1990-1999 20 22598 55.3 34.0 27.4 Karunagapally 1993-2001 22 1601 59.3 34.3 25.4 Mumbai 1992-1999 28 46162 55.2 36.1 28.1 Pooled over all Registries 72224 55.5 35.4 27.8
(Source) Sankaranarayan R and Swaminathan R (2011): Cancer Survival in Africa, Asia, the Caribbean and Central America, IARC Scientific Publications No. 162

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. The cancer survival rate is generally believed to depend upon among others, stage at diagnosis, stage of initiation of treatment, type and site of Cancer, correct and complete treatment.

(b) to (d): Government of India has in the year2013-14 approved a scheme for enhancing the tertiary care cancer facilities in the country. Under this scheme, Government of India will assist 20 State Cancer Institutes (SCI) and 50 Tertiary Care Cancer Centres (TCCC) in different parts of the country.

Guidelines of the Strengthening of Tertiary Care Cancer facilities scheme were circulated to the States in the month of January 2014 inviting detailed proposals as per guidelines. 37 proposals have been received from various States including Maharashtra. The Statewise details of number of proposal received are at Annexure I. Deficiencies in the proposals received from State Governments have been identified such as non-availability of required manpower, Atomic Energy Regulatory Board’s clearance, non-submission of utilization certificate of earlier released grant-in-aid etc. Status of the proposals Statewise are detailed in Annexure II.

Insofar as Maharashtra is concerned, one SCI in Mumbai and two TCCCs are envisaged. State Government has sent proposal of Govt. Medical College, Nagpur as State Cancer Institute (SCI) while the same was identified by this Ministry as a Tertiary Care Cancer Centre (TCCC). The State Govt. has been requested to clarify this matter.

Two proposals have also been received from : (i) Mahatma Gandhi Institute of Medical Sciences (MGIMS), Wardha and (ii) Rashtrasant Tukdoji Maharaj Cancer Hospital run by Cancer Relief Society, Nagpur. Both the proposals are received without the recommendation of the Government of Maharashtra.

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