Question : ERADICATION OF LEPROSY

(a) whether the number of leprosy cases are increasing alarmingly in the country;

(b) if so, the details of cases reported during the year 2001-2002 and till date, State-wise;

(c) the details of the amount allocated and spent for prevention/eradication of leprosy during the above period, State-wise particularly in the State of Gujarat; and

(d) the steps taken for prevention/eradication of leprosy in the country?

Answer given by the minister

MINISTER OF HEALTH AND FAMILY WELFARE (DR. C.P. THAKUR)

(a)to(d) A statement is laid on the table of the Lok Sabha.

STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 341 FOR 17.4.2002

(a) & (b) No, Sir. The total number of leprosy cases are not increasing alarmingly as evident from the Table given below. However, with increased IEC and Surveillance efforts, even hidden cases are being detected from Urban Slums/Difficult and inaccessible rural areas for prompt Multi Drug Therapy.

Years	Routinely	Detected Total	detected	through Detected	MLEC
1998-	4.21	3.62 7.83
1999	lakhs	lakhs lakhs
1999-	3.87	2.13 6.00
2000	lakhs	lakhs lakhs
2000-01	5.02	No MLEC 5.02	lakhs	Done. lakhs (without MLEC)
2001-	3.31	1.57 4.88
02$(P)	lakhs	lakhs lakhs
MLEC:- (Modified Leprosy Elimination Campaign)

$ (The State-wise breakup of leprosy cases detected routinely during April-December 2001 as well as through MLEC during the year 2001-02 is at Annexure-I).

(c) Statewise Government of India allocation and expenditure under NLEP during 2001-02 including for State of Gujarat is enclosed at Annexure-II.

(d) With the assistance of the World Bank, first phase of National Leprosy Eradication Programme (NLEP) started in 1993-94 and all the Districts got covered under Multi Drug Therapy (MDT) by 1995-96. The Prevalence Rate (PR) which was over 24/10,000 at the beginning of the first phase came down to 5.2/10,000 in March, 2000.

Second phase of World Bank assisted National Leprosy Eradication Programme (NLEP) for 3 years was started in 2001- 2002 with the aim of achieving elimination of leprosy i.e. a PR of less than 1/10,000 population at the National level, by March, 2004.

The main components of this Project are as follows: -

(i) Decentralization with full responsibility for implementation, monitoring & financial management to be done by the States. State and District Leprosy Societies have been formed in the States for this purpose.

(ii) Integration of leprosy services with General Health Care Services for greater reach of leprosy services.

(iii) Two rounds of Modified Leprosy Elimination Campaigns (MLEC) for detection of hidden cases will be undertaken in the 2nd project.

(iv) Creating public awareness about facts of leprosy through intensive Information, Educational & Communication (IEC).

(v) Training of all General Health Care Staff in leprosy.

(vi) Disability Care and prevention.

ANNEXURE-I

NATIONAL LEPROSY ERADICATION PROGRAMME

NO. OF CASES DETECTED DURING THE YEAR 2001-02(PROV.)

Sl State/UT Cases Case Total
. detected detected cases
No routinely during MLEC deteced	(April- (2001-02) (3+4)	Dec. 2001) (P)

1. Andhra 38639 3415 42054
Pradesh

2. Arunachal 65 39 104
Pradesh

3. Assam 1398 NR 1398
4 Bihar 57429 42833 100262
5 Chattisg 11077 12353 23430
arh
6 Goa 264 NR 264
7 Gujarat 8629 457 9086
8 Haryana 557 NR 557
9 Himachal 186 25 211
Pradesh
10 Jharkhan 19379 20301 39680
d
11 Jammu 75 380 455
Divn.
12 Kashmir 43 28 71
Divn.
13 Karnatak 13425 2930 16355
a
14 Kerala 1818 NR 1818
15 Madhya 11516 3181 14697
Pradesh
16 Maharash 32505 5820 38325
tra
17 Manipur 114 31 145
18 Meghalay 34 NR 34
a
19 Mizoram 19 4 23
20 Nagaland 34 27 61
21 Orissa 22767 14122 36889
22 Punjab 969 119 1088
23 Rajastha 1520 NR 1520
n
24 Sikkim 47 NR 47
25 Tamil 19613 7021 26634
Nadu
26 Tripura 70 NR 70
27 Uttar 56594 30739 87333
Pradesh
28 Uttaranc 931 493 1424
hal
29 West 26420 12653 39073
Bengal
30 A & N 54 NR 54
Islands
31 Chandiga 234 26 260
rh
32 D & N 168 117 285
Haveli
33 Daman & 43 NR 43
Diu
34 Delhi 3780 176 3956
35 Lakshadw 6 NR 6
deep
36 Pondiche 235 163 398
rry
Total 330657 157453 488110
P - Provisional NR - Report not received

ANNEXURE-II

STATE-WISE ALLOCATION AND RELEASE UNDER NATIONAL LEPROSY ERADICATION PROGRAMME DURING 2001-02

(Rs. in lakhs)
S.No. STATES	2001-02	ALLOCATION RELEASE
1 Andhra Pradesh 223.83 223.83
2 Arunachal Pradesh 62.09 62.09
3 Assam 153.85 153.85
4 Bihar 663.94 663.94
5 Chhattisgarh 378.34 378.34
6 Goa 11.52 11.52
7 Gujarat 61.97 61.97
8 Haryana 61.94 61.94
9 Himachal Pradesh 49.69 49.69
10 Jammu & Kashmir 100.55 100.55
11 Jharkhand 356.23 356.23
12 Karnataka 196.05 196.05
13 Kerela 74.61 74.61
14 Madhya Pradesh 395.32 395.32
15 Maharashtra 435.99 435.99
16 Manipur 71.02 71.02
17 Meghalaya 46.94 46.94
18 Mizoram 60.51 60.51
19 Nagaland 89.22 89.22
20 Orissa 540.77 540.77
21 Punjab 32.30 32.30
22 Rajasthan 123.07 123.07
23 Sikkim 34.87 34.87
24 Tamil Nadu 413.04 413.04
25 Tripura 46.47 46.47
26 Uttaranchal 129.01 129.01
27 Uttar Pradesh 1282.50 1282.50
28 West Bengal 574.66 574.66
29 A & N Islands 18.30 18.30
30 Chandigarh 5.50 5.50
31 D & N Haveli 6.00 6.00
32 Daman & Diu 18.40 18.40
33 Delhi 48.36 48.36
34 Lakshadweep 6.00 6.00
35 Pondicherry 2.00 2.00
Total 6774.86 6774.86

Question : ERADICATION OF LEPROSY

Answer given by the minister

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