ANSWER
THE MINISTER OF HEALTH AND FAMILY WELFARE
(SHRI JAGAT PRAKASH NADDA)
(a): The statements showing state-wise cases and deaths due to Malaria, Dengue, Chikungunya, Japanese Encephalitis, Kala-azar and Filariasis reported by the States/UTs for the last three years are enclosed at Annexure-I to VI.
(b): Government of India is implementing National Vector Borne Disease Control Programme in the country for prevention & control of six vector borne diseases namely Malaria, Japanese Encephalitis, Dengue, Chikungunya, Kala-azar and Filaria. The States/UTs implement the programme activities and the technical guidance as well as financial assistance is provided by Government of India. The general strategy for prevention & control of Vector Borne Diseases is as below:
I. Malaria cases are detected by active and passive surveillance with the help of direct microscopy or Rapid diagnostic kits and are treated as per guideline.
II. Kala-azar cases are also detected by active search and passive surveillance with the help of RDK and all positive cases are treated by single dose of Inj. Liposomal Amphotericine-B or combination of drugs.
III. Integrated Vector Management including Indoor Residual Spray (IRS), Anti-larval measures including use of bio-larvicides, use of larvivorous fish and use of Long Lasting Insecticidal Nets (LLINs).
IV. Supportive Interventions including Behavior Change Communication, Capacity Building and Monitoring & Evaluation.
V. Vaccination against J.E.
VI. Annual Mass Drugs Administration (only for Lymphatic Filariasis).
VII. As far as controlling Dengue and Chikungunya is concerned, Government of India provides Technical Guidelines to the States for prevention and control, including clinical. Diagnosis for Dengue is provided through Sentinel Surveillance Hospitals (SSHs) and Apex Referral laboratories in States.
Details of financial assistance provided and utilized by the State government during the current year State/UT- wise is at Annexure-VII.
(c): There is no such report of denial of admission nor any shortage of funds, beds, drugs and other medical facilities to deal with these diseases.
(d): Does not arise.
(e): Measures taken for control of vector borne diseases have been detailed at (b). In addition monitoring and supervision of implementation of programme is conducted by Govt. from time to time.
Incorporation of vaccine effective against the vector borne diseases is an important component under the programme. Of the six vector borne diseases NVBDCP is dealing with, effective vaccine is available against Japanese Encephalitis which has been included under the programme.
Annexure-I
State/UT-wise Malaria Situation in the Country
STATEs/UTs. 2012 2013 2014 2015*
C D C D C D C D
Andhra Prd. 24699 2 19787 0 21077 0 19291 0
Arunachal Prd. 8368 15 6398 21 6082 9 3747 1
Assam 29999 13 19542 7 14540 11 10777 0
Bihar 2605 0 2693 1 2043 0 2071 1
Chhattisgarh 124006 90 110145 43 128993 53 85145 8
Goa 1714 0 1530 0 824 0 592 1
Gujarat 76246 29 58513 38 41608 16 30301 1
Haryana 26819 1 14471 3 4485 1 1975 0
Himachal Prd. 216 0 141 0 102 0 49 0
J&K 864 0 698 0 291 0 151 0
Jharkhand 131476 10 97786 8 103735 8 63670 2
Karnataka 16466 0 13302 0 14794 2 6768 0
Kerala 2036 3 1634 0 1751 6 1127 2
Madhya Pradesh 76538 43 78260 49 96879 26 48329 11
Maharashtra 58517 96 43677 80 53385 68 36785 22
Manipur 255 0 120 0 145 0 158 0
Meghalaya 20834 52 24727 62 39168 73 34812 60
Mizoram 9883 25 11747 21 23145 31 21005 0
Nagaland 2891 1 2285 1 1936 2 1259 3
Odisha 262842 79 228858 67 395035 89 330336 56
Punjab 1689 0 1760 0 1036 0 523 0
Rajasthan 45809 22 33139 15 15118 4 7991 0
Sikkim 77 0 39 0 35 0 20 0
Tamil Nadu 18869 0 15081 0 8729 0 4261 0
Telangana - - - - 5189 0 7770 3
Tripura 11565 7 7396 7 51240 96 26288 17
Uttarakhand 1948 0 1426 0 1171 0 1194 0
Uttar Pradesh 47400 0 48346 0 41612 0 27983 0
West Bengal 55793 30 34717 17 26484 66 16844 28
A&N Islands 1539 0 1005 0 557 0 298 0
Chandigarh 201 0 150 0 114 0 133 0
D & N Haveli 4940 1 1778 0 669 1 443 0
Daman & Diu 186 0 91 0 56 0 52 0
Delhi 382 0 353 0 98 0 44 0
Lakshadweep 9 0 8 0 0 0 2 0
Puducherry 143 0 127 0 79 0 40 1
Total 1067824 519 881730 440 1102205 562 792234 217
C = Cases D = Deaths *till September
Annexure-II
State/UT-wise Dengue Cases and Deaths in the Country
Sl. No. State 2012 2013 2014 2015
(Prov till 16th November)
Cases Deaths Cases Deaths Cases Deaths Cases Deaths
1 Andhra Pd. 2299 2 910 1 1262 5 2667 2
2 Arunachal Pd. 346 0 0 0 27 0 1933 1
3 Assam 1058 5 4526 2 85 0 829 1
4 Bihar 872 3 1246 5 297 0 1575 0
5 Chhattisgarh 45 0 83 2 440 9 362 1
6 Goa 39 0 198 2 168 1 254 0
7 Gujarat 3067 6 6272 15 2320 3 4343 8
8 Haryana 768 2 1784 5 214 2 8021 12
9 Himachal Pd. 73 0 89 2 2 0 19 1
10 J & K 17 1 1837 3 1 0 137 0
11 Jharkhand 42 0 161 0 36 0 91 0
12 Karnataka 3924 21 6408 12 3358 2 4443 9
13 Kerala 4172 15 7938 29 2575 11 3534 23
14 Madhya Pd. 239 6 1255 9 2131 13 1469 6
15 Meghalaya 27 2 43 0 0 0 9 0
16 Maharashtra 2931 59 5610 48 8573 54 3461 19
17 Manipur 6 0 9 0 0 0 52 0
18 Mizoram 6 0 7 0 19 0 43 0
19 Nagaland 0 0 0 0 0 0 9 0
20 Odisha 2255 6 7132 6 6433 9 2167 2
21 Punjab 770 9 4117 25 472 8 12628 13
22 Rajasthan 1295 10 4413 10 1243 7 2376 7
23 Sikkim 2 0 38 0 5 0 21 0
24 Tamil Nadu 12826 66 6122 0 2804 3 3465 6
25 Tripura 9 0 8 0 6 0 23 0
26 Telangana 0 0 0 0 704 1 1664 2
27 Uttar Pradesh 342 4 1414 5 200 0 2436 9
28 Uttrakhand 110 2 54 0 106 0 1203 1
29 West Bengal 6456 11 5920 6 3934 4 5703 9
30 A&N Islands 24 0 67 0 139 0 143 0
31 Chandigarh 351 2 107 0 13 0 737 0
32 Delhi 2093 4 5574 6 995 3 15531 38
33 D&N Haveli 156 1 190 0 641 1 1038 0
34 Daman & Diu 96 0 61 0 46 0 110 0
35 Puducherry 3506 5 2215 0 1322 1 525 0
TOTAL 50222
242
75808
193
40571
137
83021 170
Annexure-III
State/UT-wise Clinically Suspected Chikungunya Cases in the country
Sl.
No Name of the State 2012 2013
2014
2015
(Prov till 15th November)
1 Andhra Pradesh 2827 4827 1359 673
2 Arunachal Pd. 0 0 0 35
3 Assam 0 742 0 0
4 Bihar 34 0 0 1
5 Goa 571 1049 1205 471
6 Gujarat 1317 2890 574 264
7 Haryana 8 1 3 1
8 Jharkhand 86 61 11 21
9 Karnataka 2382 5295 6962 18826
10 Kerala 66 273 272 161
11 Madhya Pradesh 20 139 161 31
12 Meghalaya 0 0 0 78
13 Maharashtra 1544 1578 1572 116
14 Odisha 129 35 10 81
15 Punjab 1 0 2 0
16 Rajasthan 172 76 50 7
17 Tamil Nadu 5018 859 543 224
18 Telangana 0 0 1687 2005
19 Tripura 0 0 34 77
20 Uttar Pradesh 13 0 4 0
21 Uttrakhand 0 0 0 0
22 West Bengal 1381 646 1032 355
23 A&N Islands 256 202 161 63
24 Chandigarh 1 1 0 0
25 Delhi 6 18 8 17
26 D&N Haveli 100 2 0 0
27 Lakshadweep 0 0 0
28 Puducherry 45 146 399 223
Total 15977 18840 16049 23730
No deaths due to Chikungunya has been reported in India
Annexure-IV
State/UT-wise Acute Encephalitis Syndrome (including Japanese Encephalitis) situation in the country
Sl.
No. States/ UTs 2012 2013 2014
2015 (till 8.11.2015)
Cases Deaths Cases Deaths Cases Deaths Cases Deaths
1 Andhra Pradesh 64 0 345 3 31 0 23 0
2 Arunachal Pradesh 0 0 0 0 102 11 73 2
3 Assam 1343 229 1388 272 2194 360 1323 260
4 Bihar 745 275 417 143 1358 355 244 77
5 Delhi 0 0 0 0 0 0 1 0
6 Goa 84 0 48 1 17 0 0 0
8 Haryana 5 0 2 0 6 1 2 0
7 Jharkhand 16 0 270 5 288 2 143 1
9 Karnataka 189 1 162 0 75 0 243 1
10 Kerala 29 6 53 6 6 2 13 1
11 Meghalaya 0 0 0 0 212 3 64 8
12 Maharashtra 37 20 0 0 0 0 43 0
13 Manipur 2 0 1 0 16 0 34 0
14 Nagaland 21 2 20 0 20 1 10 1
15 Punjab 0 0 0 0 2 0 0 0
16 Tamil Nadu 935 64 77 8 346 4 653 0
17 Tripura 0 0 211 0 323 0 350 4
18 Uttarakhand 174 2 0 0 2 0 2 0
19 Uttar Pradesh 3484 557 3096 609 3329 627 2469 369
20 West Bengal 1216 100 1735 226 2385 348 1777 300
21 Telengana 155 5 101 0
Total 8344 1256
7825
1273
10867
1719
7568
1024
Annexure-V
State/UT-wise Kala-azar Cases and Deaths in the country
State 2012 2013 2014 2015 (Provisional Till Sept.)
Cases Deaths Cases Deaths Cases Deaths Cases Deaths
Bihar 16036 27 10730 17 7615 10 5269 4
Jharkhand 3535 1 2515 0 937 0 967 0
West Bengal 995 0 595 2 668 1 416 0
Uttar Pradesh 5 0 11 1 11 0 103 0
Uttarakhand 7 1 0 0 4 0 2 0
Delhi* 11 0 6 0 0 0 2 0
Assam 6 0 4 0 1 0 1 0
Sikkim 5 0 8 0 5 0 3 0
Himachal Pradesh 0 0 0 0 0 0 0 0
Total 20600
29
13869
20
9241
11
6763
4
Note : * = Imported
Annexure-VI
States/UT-wise Microfilaria Rate during MDA
Sl. No. States/UTs 2004
round 2005
round 2006
round 2007
round 2008
round 2009
round 2010
round 2011
round 2012
round 2013
round 2014 round
1 Andhra Pradesh 0.71 0.62 0.50 0.36 0.40 0.51 0.39 0.23 0.19 0.17 0.22
2 Telangana 1.18 1.19 1.21 0.17 0.35 0.33 0.27 0.17 0.21 0.42 0.31
3 Assam ND 0.04 0.19 1.46 0.88 0.81 1.06 0.17 0.19 0.15 0.04
4 Bihar 1.50 2.15 1.38 0.68 ND 1.07 0.94 ND 1.03 ND 0.91
5 Chhattisgarh ND 1.96 ND 0.63 0.45 0.54 0.40 0.10 0.10 0.14 0.20
6 Goa 0.11 0.04 0.02 0.08 0.01 0.00 0.01 0.00 MDA Stopped
7 Gujarat 0.22 0.84 0.84 0.42 0.83 0.92 0.46 0.52 0.24 0.31 0.97
8 Jharkhand ND 0.84 1.40 1.34 1.10 1.11 0.82 0.63 0.61 ND 0.43
9 Karnataka 1.87 0.84 0.69 1.15 1.07 0.93 0.89 0.83 0.65 0.78 1.19
10 Kerala 0.68 0.50 0.67 0.65 0.29 0.39 0.17 0.14 0.21 0.15 0.11
11 Madhya Pradesh 0.83 0.40 0.38 0.70 0.36 0.40 0.19 0.23 0.09 0.09 0.31
12 Maharashtra 1.13 1.45 1.13 0.83 0.35 0.46 0.53 0.51 0.43 0.46 0.53
13 Orissa 2.60 2.37 1.11 0.99 0.74 0.69 0.40 0.43 0.34 0.34 0.77
14 Tamil Nadu 0.04 0.38 0.39 0.29 0.15 0.12 0.07 0.09 0.17 ND 0.11
15 Uttar Pradesh 1.77 1.01 0.81 0.32 0.41 ND 0.28 0.24 0.38 0.18 0.16
16 West Bengal 4.74 4.10 2.72 2.83 0.89 0.48 0.44 0.55 0.70 1.01 0.81
17 Puducherry 0.42 0.50 0.15 0.06 0.03 0.00 0.00 0.00 MDA Stopped
18 A&N Islands 1.40 0.09 0.15 0.34 0.19 0.46 0.10 0.12 0.17 0.14 0.32
19 Daman & Diu 0.47 0.14 0.27 0.09 0.07 0.07 0.06 0.07 MDA Stopped
20 D & N Haveli 1.96 2.01 2.91 3.47 1.82 1.23 0.95 1.79 0.71 0.54 0.54
21 Lakshadweep 1.19 0.09 0.07 0.02 0.27 0.00 0.00 ND ND ND
Total 1.24 1.02 0.97 0.64 0.52 0.65 0.41 0.37 0.43 0.30 0.4
ND: Not done
No deaths due to Lymphatic Filariasis reported
Annexure-VII
Statement showing Central Assistance given to the States/UT-wise as Grants-in-aid (cash + kind) under National Vector Borne Disease Control Programme
(Rs. In Lakh)
Sl. No. States/UTs 2012-13
2013-14 2014-15
2015-16
(Prov.) till October
1 Andhra Pradesh 735.40 650.01 767.24 403.88
2 Arunachal Pradesh 835.43 1016.31 1166.76 989.34
3 Assam 1701.76 3813.45 2673.05 1426.71
4 Bihar 5931.06 4633.44 11474.31 4972.64
5 Chattisgarh 2592.03 1150.42 1343.50 311.70
6 Goa 100.00 55.87 90.75 47.50
7 Gujarat 812.54 736.94 1198.20 857.81
8 Haryana 276.90 87.49 247.50 191.25
9 Himachal Pradesh 60.21 54.01 99.75 0.00
10 J & K 43.88 76.11 89.86 44.50
11 Jharkhand 1404.27 1161.29 3162.25 3053.37
12 Karnataka 811.39 796.39 1810.27 163.02
13 Kerala 500.11 642.94 720.75 544.50
14 Madhya Pradesh 927.93 877.79 1796.90 1703.77
15 Maharashtra 1055.51 817.05 648.41 490.31
16 Manipur 228.35 211.63 907.05 645.00
17 Meghalaya 770.21 445.54 934.82 549.32
18 Mizoram 737.62 614.19 1199.05 757.65
19 Nagaland 930.15 439.32 1108.92 616.12
20 Odisha 2041.05 2483.66 2086.03 2583.75
21 Punjab 289.26 53.94 409.31 178.90
22 Rajasthan 1337.13 578.36 1404.50 1454.93
23 Sikkim 33.30 27.36 51.92 31.73
24 Tamil Nadu 150.00 1971.75 1561.50 1195.50
25 Telangana 429.00 423.76
26 Tripura 905.64 735.34 1353.85 652.03
27 Uttar Pradesh 1019.89 2694.72 3808.53 1704.26
28 Uttarakhand 162.51 0.71 127.33 122.78
29 West Bengal 1216.35 3057.17 1709.51 287.92
30 Delhi 4.65 232.12 444.00 0.00
31 Puducherry 78.36 7.73 39.81 36.33
32 A&N Islands 525.78 556.32 140.83 242.62
33 Chandigarh 64.77 63.19 56.25 59.90
34 D & N Haveli 108.69 50.74 29.96 132.54
35 Daman & Diu 38.91 23.56 39.01 74.49
36 Lakshadweep 29.55 6.93 0.95 40.05
Total 28460.59 30823.79
45131.63
26989.88
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