Download (2) Funds released during the financial year 2013-14

GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
DEPARTMENT OF HEALTH AND FAMILY WELFARE
LOK SABHA
UNSTARRED QUESTION NO.3076
TO BE ANSWERED ON 7TH AUGUST, 2015
CANCER DETECTION AND TREATMENT
3076. SHRI SHAILESH KUMAR:
SHRI BHAGWANTH KHUBA:
SHRIMATI VASANTHI M.:
ADV. NARENDRA KESHAV SAWAIKAR:
SHRI M. CHANDRAKASI:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
(a) the major research activities under taken by the Government for early detection and treatment
of cancer in the country along with the outcome thereof during the last three years and the
current year;
(b) whether the Government proposes to develop and employ non-invasive cancer detection
devices and advanced radiotherapy technology including robotic radio surgery treatments for
cancer patients in the country, and if so, the details thereof;
(c) whether the Government proposes to set up new cancer treatment and research centres, start
oncology wings in the medical colleges and equip the district level Government hospitals with
the cancer detection units across the country;
(d) if so, the details thereof along with the funds allocated and utilised for the purpose during
each of the last three years and the current year, State/UT-wise; and
(e) the present status of work on the National Cancer Institute at Jhajjar indicating its cost and
the time by which it is likely to be completed and made operational?
ANSWER
THE MINISTER OF HEALTH AND FAMILY WELFARE
(SHRI JAGAT PRAKASH NADDA)
(a) to (e):
In the Government sector, Research activities for early detection and treatment of
cancer are mostly carried out by Institutions/Departments such as the Indian Council of Medical
Research, Department of Science and Technology and Department of Atomic Energy. The
Bhabha Atomic Research Centre has developed Bhabhatron and the Society for Applied
Microwave Electronics Engineering and Research (SAMEER) has developed Linear
Accelerators (LINAC). Further, as informed by the Department of Electronics & Information
Technology, under a project for 6 MV Medical Linac, a unit has been commissioned at Indian
Institute of Head & Neck Oncology, Rau, Indore (M.P.) and is being used for patient treatment
since June 2014. Medical Image Analyser for Cervical Cancer (CerviSCAN) has been developed
by them for early detection of cervical cancer through image analysis of PAP smear.
As informed by the Department of Science & Technology, “National facility on
community based cancer tissue bio bank for drug target” is sanctioned to study the genetics and
genomics to understand cancer progression and pathology in Indian population.
Prevalent methods for diagnosing cancer include Fine Needle Aspiration cytology
(FNAC), X- rays, Ultrasound, CT scan, MRI, biochemical tests, tumour markers besides histopathological confirmation by biopsy.
Advanced Radiotherapy Technology including Robotic Radio surgery equipment e.g.
Cyberknife are eligible for financial assistance in State Cancer Institutes and Tertiary Care
Cancer Centres under “Strengthening of Tertiary Care of Cancer” scheme.
Institute of Cytology and Preventive Oncology under the Indian Council of Medical
Research has developed a hand held device called Magnivisualizer with inbuilt source of light
that can be used in field conditions for early detection of cervical cancer and oral cancer lesions.
Central Government supplements the efforts of the State Government for improving
healthcare including prevention, diagnosis and treatment of Cancer. At present, National
Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke
(NPCDCS) being implemented under National Health Mission(NHM) for interventions upto the
district level includes awareness generation for Cancer prevention, screening, early detection and
referral to an appropriate level institution for treatment. The focus is on three areas namely
breast, cervical and oral Cancer. Screening guidelines have been provided to State Governments
for implementation. Suspected cases are to be referred for confirmatory diagnosis by various
tests including histo-pathological biopsy.
Government of India has approved “Tertiary Care for Cancer” Scheme under National
Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke
(NPCDCS) in the year 2013-14. Under the said scheme, Government of India will assist to
establish/set up 20 State Cancer Institutes (SCI) and 50 Tertiary Care Cancer Centres (TCCC) in
different parts of the country. The maximum assistance inclusive of State share for SCI is upto
Rs.120 crore and for TCCC is upto Rs.45 crore subject to eligibility as per scheme guidelines
and availability of funds.
In addition to Cancer diagnosis and treatment by the State Governments Health Institutes,
the Central Government Institutions such as All India Institute of Medical Sciences, Safdurjung
Hospital, Dr Ram Manohar Lohia Hospital, PGIMER Chandigarh, JIPMER Puducherry,
Chittaranjan National Cancer Institute, Kolkata, etc. provide facilities for diagnosis and treatment
of Cancer.
Oncology in its various aspects has focus in case of new AIIMS and many upgraded
institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Setting up of 2nd
campus of Chittranjan National Cancer Institute, Kolkata has also been approved.
Details of funds released under NPCDCS and Tertiary Care for Cancer scheme during the
last three years and current year is at annexure 1 and 2.
National Cancer Institute (NCI) Jhajjar has been sanctioned at a cost of Rs. 2035 crores.
The implementation of the project is at an initial stage.
Annexure 1
NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF CANCER, DIABETES,
CARDIOCASCULAR DISEASES & STROKE (NPCDCS)
(Rs. in Lakh)
Sl.
No
Name Of State
1
2012-13
2013-14
2014-15
2015-16
Released
Utilised
Released
Utilised
Released
Utilised
Allocation
Andhra Pradesh
0
69.34
0
61.33
561.00
115.41
2
3
4
5
6
7
8
9
Assam
Bihar
Chhattisgarh
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Jammu & Kashmir
0
0
0
0
0
0
0
0
310.58
120.17
44.08
329.02
129.23
15.54
10.63
396.24
1714.00
972.00
0
0
0
0
332.00
0.00
620.7
228.08
162.2
564.04
261.94
73.9
148.95
300.55
579.00
1208.00
504
666
799.00
0
835.00
913.00
288.43
50.14
390.27
543.28
207.89
23.79
139.25
160.11
558.00
740.00
1365.00
764.00
979.00
936.00
704.00
1082.00
10
11
12
Karnataka
Kerala
Madhya Pradesh
0
0
0
156.02
616.33
293.19
0.00
0.00
462.00
639.86
167.17
315.52
976.00
545.00
1694.00
231.46
768.38
681.07
13
14
15
16
17
18
19
20
21
22
Maharashtra
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Uttarakhand
Uttar Pradesh
West Bengal
Andaman & Nicobar
0
0
0
0
0
0
0
2431.25
0
0
615.5
84.45
279.25
154.27
89.07
0
95.73
0
83.73
0
586.00
0
0
59.00
0.00
89.00
0.00
1398.00
1027.00
5.00
1044.66
480.22
199.85
242.01
81.62
175.13
34.7
347.12
416.78
0
1289.00
1234.00
803
1180.00
176.00
1355.00
545.00
2027.00
754.00
25.00
954.2
414.97
368.32
445.48
81.46
2.7
35.87
2519.38
416.34
0.63
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Dadra & Nagar Haveli
Daman & Diu
Lakshadweep
Delhi
Pondicherry
Goa
Chandigarh
Arunachal Pradesh
Meghalaya
Mizoram
Nagaland
Tripura
Manipur
Telangana
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2431.25
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3892.37
5.00
4.00
1.00
247.00
18.00
22.00
16.00
76.00
163.00
60.00
109.00
202.00
0.00
0.00
7567.00
0
0
0
0
7.02
0
0
69.2
0
26.25
0
0
0
0
6668.8
17.00
13.00
13.00
141.00
152.00
127.00
13.00
354.00
147.00
176.00
346.00
176.00
296.00
401.00
21040.00
0.12
0
4.68
0
38
0
6.04
146
24.35
116.08
15.26
0
0
0
9189.36
Note :i) Now, NPCDCS programme has been merged under N C D Flexi Pool
ii) Total allocation under N C D Flexi pool is Rs.554.50Cr.for the 2015-16
1004.00
1082.00
970.00
1725.00
1296.00
1021.00
678.00
1004.00
157.00
1253.00
489.00
1579.00
790.00
32.00
32.00
32.00
32.00
84.00
218.00
232.00
32.00
504.00
307.00
386.00
433.00
157.00
354.00
489.00
23500.00
Annexure 2
State-wise funds released under TCCC component of National Programme for
Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke
(NPCDCS):
(1)
Funds released during the financial year 2012-13:
S State/UTs
No.
1.
2
3.
4.
Total
Arunachal Pradesh
Kerala
Maharashtra
Sikkim
Amount Released
(in Crore)
4.80
9.60
4.80
4.80
24.00
(2)
Funds released during the financial year 2013-14: NIL.
(3)
Funds released during the financial year 2014-15:
(4)
S No.
State/UTs
1
2
3
4
5
6
7
Total
Gujarat
Jammu & Kashmir
Karnataka
Kerala
Tripura
West Bengal
Tamil Nadu
Amount Released
(in Crore)
67.50
47.25
67.50
25.03
55.00
22.24
67.38
351.90
Funds released during the financial year 2015-16 (till July, 2015): NIL