Question : SHORTAGE OF TB AND CANCER DRUGS



(a) whether the Government are aware that cases of TB and Cancer are increasing in the country;

(b) if so, the number of people suffering from TB and Cancer during each of the last three years;

(c) whether the Government have provided necessary assistance and medicines to TB and Cancer patients;

(d) whether there is a huge shortage of medicines for TB and Cancer in the country;

(e) if so, whether the Government have any proposal to develop and modernise the Tuberculosis and Cancer Research Centres in the country;

(f) if so, the details thereof, State-wise; and
(g) the measures taken/proposed to be taken to eradicate these diseases?

Answer given by the minister


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

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


STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 325 FOR 12.12.2001.

(a) & (b)Time trend analysis of the data from population-based cancer registries over the last decade shows a small but significant increase in the overall incidence of cancer in the urban Cancer Registries, among both men and women.

Based on the data from Population based Cancer Registries under the National Cancer Registry Programme of ICMR, an estimated 20 lakhs cancer cases exist in the country at any given point of time. However, the State-wise distribution of cancer cases in India is not available.

As far as TB is concerned, the number of TB cases reported under National TB Control Programme have been more or less static during last few years. A statement indicating the State wise details of new sputum positive cases detected and put on treatment under National TB Control Programme during the last three years is annexed.


(c) In the Government Hospitals and Medical Colleges supported by the Central Government and Government supported Regional Cancer Centres, a large number of poor patients are either being treated free of cost or at nominal charges for diagnostic and therapeutic procedures involved in cancer treatment. In addition to above, this Ministry has a scheme namely National Illness Assistance Fund under which financial assistance is provided to people living below the poverty line suffering from serious diseases including Cancer.


As far as TB is concerned, under the National TB Control Programme, 100% requirement of anti-TB drugs is met by the Centre. All drugs in Revised National Tuberculosis Control Programme areas and drugs for sputum positive cases in rest of the country are supplied as commodity assistance and for sputum negative cases, cash assistance is provided.


(d) No such shortage has been reported.


(e) to (g): This Ministry is giving great emphasis in implementation of the National Cancer Control Programme of which research is an important part.

Under the National Cancer Control Programme, assistance is provided for spreading awareness, diagnosis, treatment, research, etc.

Under the Programme, Government has started the following schemes for early detection of, creating awareness about and treatment of cancer:-


(i) Upgradation of Regional Cancer Centres in various States/UTs


(ii) Development of Oncology Wing in identified Hospitals attached to Medical Colleges.


(iii) Setting up of Cobalt Therapy facilities in various parts of the country.


(iv) District Cancer Control Programme to provide services for prevention and early detection of cancer, training of existing medical and para-medial staff of the concerned district and palliative treatment to terminally ill patients.


(v) Financial assistance to NGOs for early detection and awareness activities.


Tuberculosis Research Centre, Chennai under ICMR is already engaged in research activites. To achieve a cure rate of 85% of new sputum positive cases and to detect at least 70% of such cases, Revised National Tuberculosis Control Programme (RNTCP) using the DOTS strategy, is being implemented in the country in a phased manner. About 440 million population has already been covered under the strategy under which more than 8 out of 10 cases are being successfully treated as compared to less than 4 out of 10 in the earlier programme. Under Revised National Tuberculosis Control Programme, it is envisaged to cover 500 million population by 2002 and 800 million population by 2004.

ANNEXURE

statement SHOWING THE STATE WISE NUMBER OF NEW SPUTUM POSITIVE TB CASE DETECTED AND PUT ON TREATMENT DURING THE YEAR 1998-99 TO 2000-01 UNDER NATIONAL TB CONTROL PROGRAMME


S.No	Name of the 1998-99 1999-2000 2000-01	State/U.T.

1 Andhra 24799 24892 28,562 Pradesh 2 Arunachal 415 414 410 Pradesh 3 Assam 1966 209 2,059 4 Bihar 2334 6980 - 5 Goa 316 515 485 6 Gujarat 59814 34911 30,981 7 Haryana 5674 9226 7,761 8 Himachal 302 512 - Pradesh 9 Jammu & Kashmir 1769 533 830 10 Karnataka 20511 20244 26,133 11 Kerala 3084 - 704 12 Madhya Pr. 16782 23683 25,037 13 Maharashtra 52220 64966 63,797 14 Manipur 1150 1012 1,385 15 Meghalaya 340 508 665 16 Mizoram 226 299 336 17 Nagaland 528 643 314 18 Orissa 6526 12106 4,480 19 Punjab 10817 9783 10,670 20 Rajasthan 14934 22953 23,584 21 Sikkim 336 417 409 22 Tamil Nadu 29971 25756 24,533 23 Tripura 616 981 5,555 24 U.P. 57347 65596 62,802 25 West Bengal 6964 15595 3,721
26 A & N 251 210 265 Islands
27 Chandigarh 130 23 14 28 D & N 0 187 182 haveli
29 Daman & Diu 0 153 170 30 Delhi 0 26911 10,413 31 Lakshadweep 0 0 5 32 Pondicherry 1798 1303 1,436
TOTAL 321920 371521 337,698
+ Not reported.