Ministry of Health and Family Welfare

Action Plan and Measures taken to eliminate diseases

Posted On: 22 DEC 2017 3:50PM by PIB Delhi

The target year set by the Government to eliminate following diseases are as under:-

     

    Diseases                                 Target Year of Elimination

1.      Kala-azar:                           2017

2.      Leprosy:                             2018

3.      Measles:                             2020

4.      Tuberculosis:                      2025

 

Kala-azar- Kala-azar is targeted for elimination by 2017 i.e. 1 case per 10,000 population at block level.  As of 2016, 85% of the endemic blocks have achieved elimination target.

 

Leprosy:- Elimination of Leprosy i.e., 1 case/ 10000 population at national level was already achieved in the year 2005.  The short term target is reduction of Grade II disability cases to less than one million population, as per WHO document on Global Leprosy Strategy, 2016 – 2020.

 

Measles:- Ministry of Health and Family Welfare has accepted the recommendation of Mission Steering Group for wide age group measles and rubella (MR) campaign covering children in the age group of 9 months to less than 15 years followed by introduction of measles rubella vaccine in routine immunization to further reduce morbidity and mortality due to measles and rubella.

As on 18th December 2017, more than 6.5 crore children have been vaccinated with MR vaccine in 13 States/UTs, namely, Andhra Pradesh, Chandigarh, Dadra & Nagar Haveli, Daman & Diu, Goa, Himachal Pradesh, Karnataka, Kerala, Lakshadweep, Puducherry, Tamil Nadu, Telangana and  Uttarakhand.

 

Tuberculosis As per the Global TB Report 2017, the incidence of TB has reduced from 217 per lakh per year in 2015 to 211 per lakh per year in 2016 and mortality has reduced from 36 per lakh per year in 2015 to 32 per lakh per year in 2016.

 

 Number of cases reported State/UT wise during the last three years in respect of Kala Azar, Leprosy, Measles and Tuberculosis are given below:

 

 

State/UT-wise Kala-Azar cases during the last three years

Sl.No.

State

2014

2015

2016

1.

Bihar

7615

6517

4773

2.

Jharkhand

937

1262

1185

3.

West Bengal

668

576

179

4.

Uttar Pradesh

11

131

107

Total *

9241

8500

6249

 

 

 

 

 

 

 

 

 

* 10, 14, and 5 sporadic cases have been reported from other states during 2014, 2015 and 2016 respectively

 

State/UT-wise new Leprosy cases detected during the last three years

S. No.

State/ UT

No. of new cases detected

2014-15

2015-16

2016-17

1

Andhra Pradesh

4687

4355

4228

2

Arunachal Pradesh

32

33

28

3

Assam

856

781

1019

4

Bihar

16848

16185

21818

5

Chhattisgarh

8847

10440

12609

6

Goa

55

136

130

7

Gujarat

9024

10138

7266

8

Haryana

635

672

491

9

Himachal Pradesh

176

162

146

10

Jharkhand

4873

4432

6253

11

Jammu & Kashmir

159

189

143

12

Karnataka

3314

3065

2897

13

Kerala

663

574

496

14

Madhya Pradesh

6921

6597

7152

15

Maharashtra

16415

15695

15012

16

Manipur

17

19

20

17

Meghalaya

25

33

33

18

Mizoram

11

9

6

19

Nagaland

42

67

34

20

Odisha

8004

10174

10045

21

Punjab

620

651

626

22

Rajasthan

1060

1106

1042

23

Sikkim

13

21

23

24

Tamil Nadu

3604

4925

4937

25

Telangana

2905

2800

2658

26

Tripura

47

42

34

27

Uttar Pradesh

22223

22777

22301

28

Uttarakhand

532

382

375

29

West Bengal

10315

8170

11236

30

A & N Islands

25

29

18

31

Chandigarh

173

136

128

32

D & N Haveli

318

425

384

33

Daman & Diu

21

4

7

34

Delhi

2280

2068

1812

35

Lakshadweep

4

0

45

36

Puducherry

41

42

33

Total

125785

127334

135485

 

State/UT-wise Measles cases during the last three years

S.No

States/UTs

2014

2015

2016

1

Andaman & Nicobar Islands

37

31

25

2

Andhra Pradesh

281

44

115

3

Arunachal Pradesh

35

17

365

4

Assam

507

1225

1382

5

Bihar

141

339

370

6

Chandigarh

4

105

78

7

Chhattisgarh

7

32

62

8

Dadra & Nagar Haveli

78

142

51

9

Daman & Diu

14

0

0

10

Delhi

1875

1083

1460

11

Goa

72

28

14

12

Gujarat

823

790

940

13

Haryana

155

262

348

14

Himachal Pradesh

267

928

461

15

Jammu & Kashmir

2840

2148

2071

16

Jharkhand

1019

1299

432

17

Karnataka

1116

1182

524

18

Kerala

1257

1782

1425

19

Lakshadweep

0

0

0

20

Madhya Pradesh

352

809

500

21

Maharashtra

2030

1888

1988

22

Manipur

232

419

314

23

Meghalaya

228

266

1010

24

Mizoram

123

759

654

25

Nagaland

319

98

95

26

Odisha

583

808

581

27

Puducherry

27

13

6

28

Punjab

1

32

16

29

Rajasthan

294

1407

592

30

Sikkim

102

802

278

31

Tamil Nadu

499

405

251

32

Telangana*

-

83

91

33

Tripura

452

702

174

34

Uttar Pradesh

298

1801

1525

35

Uttarakhand

382

311

272

36

West Bengal

3777

3521

3227

 

Total

20227

25561

21697

Source: Central Bureau of Health Intelligence, National Health Profile reports

 

Statewise Case Notification of TB for India

S No

State/UTs

2014

2015

2016

1

Andaman & Nicobar

756

584

509

2

Andhra Pradesh

88638

61758

64420

3

Arunachal Pradesh

2691

2748

2758

4

Assam

38317

38014

36724

5

Bihar

67991

64928

59020

6

Chandigarh

2869

3143

2980

7

Chhattisgarh

28864

29950

30821

8

Dadar& Nagar Haveli

450

487

510

9

Daman & Diu

279

284

368

10

Delhi

54037

55260

55657

11

Goa

1660

1599

1576

12

Gujarat

77395

82585

89293

13

Haryana

39498

40913

41389

14

Himachal Pradesh

14441

14333

14070

15

Jammu & Kashmir

10243

9873

9244

16

Jharkhand

35907

34792

35130

17

Karnataka

61328

59932

59732

18

Kerala

23439

22785

20969

19

Lakshadweep

27

40

23

20

Madhya Pradesh

100034

103108

113172

21

Maharashtra

135465

130874

122172

22

Manipur

2198

1881

1768

23

Meghalaya

4944

4674

3934

24

Mizoram

1993

2088

2162

25

Nagaland

3298

3316

2274

26

Orissa

45777

45814

41807

27

Pondicherry

1409

1288

1415

28

Punjab

38152

38625

37093

29

Rajasthan

94908

90296

90032

30

Sikkim

1630

1400

1463

31

Tamil Nadu

84570

80543

82107

32

Telangana

18655

39498

38829

33

Tripura

2507

7394

2344

34

Uttar Pradesh

255364

246589

260572

35

Uttarakhand

14429

14317

13255

36

West Bengal

89819

87468

85179

 

TOTAL

1443942

1423181

1424771

 

Kala-azar:-

·        Intensification of surveillance activities for early identification of cases & prompt treatment.

·        Active case searches in all endemic villages.

·        Intensified IEC/BCC activities

·        IRS spray with  Synthetic Pyrethroid  on regular basis and focal spray as per guideline.

·        Hand Compression Pumps for quality spray introduced in 2015 in Kala-azar districts of endemic States.

·        Treatment with single day single dose Ambisome Injection to Kala-azar patient.

·        Incentive to patients for loss of wages.

·        Incentive to ASHAs.

·        The States fill up the vacant positions.

Leprosy:-

(i)                 implementation of routine activities and all innovations introduced during 2016-17 viz. three pronged strategy for early case detection i.e., i) Leprosy Case Detection Campaign (LCDC) (specific for high endemic districts), ii) Focussed Leprosy Campaign (for hot spots i.e., rural and urban areas where Grade II disability is detected), iii) Special plan for hard to reach areas.

(ii)               Sparsh Leprosy Awareness Campaign for awareness, Grade II disability case investigation,

(iii)             Post Exposure chemoprophylaxis administration to the contacts of cases detected in LCDC districts etc.

(iv)             ASHA based Surveillance for Leprosy Suspects (ABSULS) has been introduced during 2017-18 to enhance early case reporting. 

 Measels:-

The following measures have been taken  to achieve the target of measles elimination by 2020:

·         Government of India introduced measles vaccine across the country in 1985 under the Universal Immunization Programme (UIP). To further reduce the measles burden, a second dose of measles vaccine was introduced in the country in the year 2010.

·         With an aim to increase the full immunization coverage to 90% by December 2018 including improving measles vaccine coverage particularly in pockets with low immunization coverage, the Ministry of Health and Family Welfare has launched Intensified Mission Indradhanush on 8th October 2017. The Intensified Mission Indradhanush is being carried out in 173 districts and 17 urban areas across 24 states of the country and three rounds (Oct, Nov and Dec) have been completed since the launch.

·         An India Expert Advisory Group on Measles & Rubella (IEAG-MR) has been established, comprising national and international experts, to provide technical guidance on the disease elimination efforts from time to time. The group has met twice since its formulation.

Tuberculosis:

The National Strategic Plan (NSP) for elimination of Tuberculosis (2017-25) has been formulated by the Ministry of Health and Family Welfare.

In addition to the existing strategies under Revised National Tuberculosis Control Programme (RNTCP), the NSP focusses on:

·                  early diagnosis of all the TB patients, prompt treatment with quality assured drugs and treatment regimens

·                  suitable patient support systems to promote adherence.

·                  engaging with the patients seeking care in the private sector.

·                  prevention strategies including active case finding and

·                  contact tracing in high risk / vulnerable population

·                  airborne infection control.

 

Under the National Health Mission (NHM), financial and technical support is provided to the States/UTs to strengthen their health-care system based on the requirements posed by the States/UTs in their Program Implementation Plans. Vacancies in the State are filled by respective State/District Health Societies under NHM. Regular follow up is done with the States to ensure that the vacant positions are filled up.

 

 

The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Lok Sabha here today.

 

*****

 

 

MV/LK



(Release ID: 1513811) Visitor Counter : 1632