As per data provided by National Cancer Registry
Programme of Indian Council of Medical Research (ICMR), the estimated
incidence, prevalence and mortality due to cancer in the country for the last
three years is as under:
|
|
2011
|
2012
|
2013
|
|
Incidence
|
1028503
|
1057204
|
1086783
|
|
Prevalence
|
2819457
|
2820179
|
2934314
|
|
Mortality
|
452541
|
465169
|
478180
|
There is no recent data available on the
survival rate of cancer patients. As per data provided by ICMR, the survival
rate is as under:
|
Table 1. Percentage
Survival of Cases by Different Registries and Different Years (1990-1999)
|
|
Registry
|
Period of study
|
No. of sites
|
Cases
|
1 year
|
3 years
|
5 years
|
|
Bhopal
|
1991-1995
|
16
|
1863
|
62.3
|
35.6
|
27.9
|
|
Chennai
|
1990-1999
|
20
|
22598
|
55.3
|
34.0
|
27.4
|
|
Karunagapally
|
1993-2001
|
22
|
1601
|
59.3
|
34.3
|
25.4
|
|
Mumbai
|
1992-1999
|
28
|
46162
|
55.2
|
36.1
|
28.1
|
|
Pooled over all Registries
|
72224
|
55.5
|
35.4
|
27.8
|
|
(Source) Sankaranarayan R and
Swaminathan R (2011): Cancer Survival in Africa, Asia, the Caribbean and
Central America, IARC Scientific Publications No. 162
|
The increase in the number of cancer cases in
the country may be attributed to larger number of ageing population, unhealthy
life styles, use of tobacco and tobacco products, unhealthy diet, better
diagnostic facilities etc. The cancer survival rate is generally believed to
depend upon among others, stage at diagnosis, stage of initiation of treatment,
type and site of Cancer, correct and complete treatment.
Government of India has in the year 2013-14 approved a scheme for enhancing the
tertiary care cancer facilities in the country. Under this scheme, Government
of India will assist 20 State Cancer Institutes (SCI) and 50 Tertiary Care
Cancer Centres (TCCC) in different parts of the country.
Guidelines of the Strengthening of Tertiary Care
Cancer facilities scheme were circulated to the States in the month of January
2014 inviting detailed proposals as per guidelines. 37 proposals have been
received from various States including Maharashtra. The State wise details of
number of proposal received are given below:-
Proposals
received from State/UT Governments as on 16.12.2014 under the scheme for
‘Strengthening of Tertiary Care Cancer facilities’
|
Sl.
No.
|
State
|
TCCC
|
SCI
|
Total
|
|
1
|
Bihar
|
1
|
1
|
2
|
|
2
|
Delhi
|
1
|
0
|
1
|
|
3
|
Goa
|
1
|
0
|
1
|
|
4
|
Gujarat
|
0
|
1
|
1
|
|
5
|
Himachal
Pradesh
|
1
|
0
|
1
|
|
6
|
Jammu
and Kashmir
|
0
|
2
|
2
|
|
7
|
Karnataka
|
1
|
1
|
2
|
|
8
|
Kerala
|
1
|
1
|
2
|
|
9
|
Maharashtra
|
1 *
|
0
|
1
|
|
10
|
Madhya
Pradesh
|
1
|
0
|
1
|
|
11
|
Manipur
|
1
|
0
|
1
|
|
12
|
Mizoram
|
1
|
0
|
1
|
|
13
|
Nagaland
|
1
|
0
|
1
|
|
14
|
Odisha
|
3
|
1
|
4
|
|
15
|
Punjab
|
2
|
1
|
3
|
|
16
|
Rajasthan
|
2
|
1
|
3
|
|
17
|
Tamil
Nadu
|
0
|
1
|
1
|
|
18
|
Telangana
|
0
|
1
|
1
|
|
19
|
Tripura
|
0
|
1
|
1
|
|
20
|
Uttar
Pradesh
|
2
|
0
|
2
|
|
21
|
Uttarakhand
|
1
|
1
|
2
|
|
22
|
West
Bengal
|
3
|
0
|
3
|
|
TOTAL
|
24
|
13
|
37
|
SCI –
State Cancer Institute, TCCC- Tertiary Care cancer Centre
* The
proposal from Government Medical College, Nagpur was received as State Cancer Institute
whereas the Institute has been identified as Tertiary Care Cancer Institute.
Deficiencies
in the proposals received from state governments have been identified such as
non-availability of required manpower, Atomic Energy Regulatory Board’s
clearance, non-submission of utilization certificate of earlier released
grant-in-aid etc. Status of the proposals State wise are given below:-
Status of the Proposals for SCI/TCCC
received from the State Governments
|
S No.
|
State/UT
|
Name of the Institutes
|
SCI/
TCCC
|
Remarks
|
|
1.
|
Kerala
|
Government Medical College, Kozhikode
|
TCCC
|
Integrated Finance Division (IFD) of Ministry
of Health & FW has agreed for release of funds.
|
|
2.
|
Tripura
|
Cancer Hospital (RCC), Agartala
|
SCI
|
|
3.
|
Jammu
&
Kashmir
|
Sher-i-Kashmir
Institute of Medical Sciences, Srinagar
|
SCI
|
|
4.
|
Karnataka
|
Kidwai
Memorial Institute of Oncology (RCC), Bangalore
|
SCI
|
|
5.
|
West
Bengal
|
Government
Medical College, Burdwan
|
TCCC
|
|
6.
|
Bihar
|
Indira
Gandhi Institute of Medical Sciences (IGIMS), Sheikhpura, Patna
|
SCI
|
Standing Committee on Tertiary Cancer Care
Programme has
recommended the proposals subject to fulfilment of deficiencies
including clearance from AERB, furnishing MoU, non-availability of required
Manpower, non-submission of Utilization Certificate of earlier released
Grant-in-aid etc.
|
|
7.
|
Darbhanga
Medical College-Darbhanga
|
TCCC
|
|
8.
|
Goa
|
Goa
Medical College, Bambolim, Goa
|
TCCC
|
|
9.
|
Gujarat
|
Gujarat
Cancer and Research Institute(GCRI), Ahmedabad
|
SCI
|
|
10.
|
Jammu
& Kashmir
|
Government
Medical College (GMC), Jammu
|
SCI
|
|
11.
|
Karnataka
|
Govt.
Medical College, Mandya
|
TCCC
|
|
12.
|
Kerala
|
RCC,
Thiruvananthapuram
|
SCI
|
|
13.
|
Manipur
|
Regional
Institute Of Medical Sciences (RIMS), Imphal
|
TCCC
|
|
14.
|
Punjab
|
Government
Medical College (GMC), Amritsar
|
SCI
|
|
15.
|
District
Hospital, Hoshiarpur
|
TCCC
|
|
16.
|
Tamil
Nadu
|
Cancer
Institute, Adyar, Chennai
|
SCI
|
|
17.
|
Uttarakhand
|
Government
Medical College (GMC), Haldwani
|
SCI
|
|
18.
|
West
Bengal
|
Sagore
Dutta Memorial Medical College and Hospital, Kolkata
|
TCCC
|
|
19.
|
Murshidabad
Medical College & Hospitals, Murshidabad
|
TCCC
|
|
20.
|
Delhi
|
Lok
Nayak Hospital (Maulana Azad Medical College)
|
TCCC
|
The deficiencies have been communicated to
State Government/ Institution concerned.
|
|
21.
|
Himachal
Pradesh
|
Indira
Gandhi Medical College (RCC), Shimla
|
TCCC
|
|
22.
|
Madhya
Pradesh
|
Vidisha
– District Hospital
|
TCCC
|
|
23.
|
Maharashtra
|
Govt.
Medical College, Nagpur
|
TCCC
|
|
24.
|
Mizoram
|
Aizawl-Civil
Hospital
|
TCCC
|
|
25.
|
Nagaland
|
District
Hospital, Kohima
|
TCCC
|
|
26.
|
Odisha
|
Regional
Cancer Centre, Cuttack
|
SCI
|
|
27.
|
Burla Medical College (District Sambalpur)
|
TCCC
|
|
28.
|
M. K. C. G. Medical College Hospital,
Berhampur
|
TCCC
|
|
29.
|
District Hospital, Bhawanipatna, District
Kalahandi
|
TCCC
|
|
30.
|
Punjab
|
District
Hospital, Fazilka
|
TCCC
|
|
31.
|
Rajasthan
|
RUHS College of Medical Sciences, Jaipur
|
SCI
|
|
32.
|
Bikaner- S P Medical College
|
TCCC
|
|
33.
|
Govt. Medical College/ District Hospital,
Jhalawar
|
TCCC
|
|
34.
|
Telangana
|
Hyderabad-MNJ
Institute of Oncology (RCC),
|
SCI
|
|
35.
|
Uttar
Pradesh
|
Institute of Medical Sciences (BHU), Varanasi
|
TCCC
|
|
36.
|
Sanjay Gandhi Institute of Medical Sciences,
Lucknow.
|
TCCC
|
|
37
|
Uttarakhand
|
Dehradun
- Himalayan Institute of Medical Sciences
|
TCCC
|
SCI
– State Cancer Institute, TCCC- Tertiary Care cancer Centre
Insofar as Maharashtra is concerned, one SCI in
Mumbai and two TCCCs are envisaged. State Government has sent proposal of Govt.
Medical College, Nagpur as State Cancer Institute (SCI) while the same was
identified by this Ministry as a Tertiary Care Cancer Centre (TCCC). The State
Govt. has been requested to clarify this matter.
Two proposals have also been received from: (i)
Mahatma Gandhi Institute of Medical Sciences (MGIMS), Wardha and (ii)
Rashtrasant Tukdoji Maharaj Cancer Hospital run by Cancer Relief Society,
Nagpur. Both the proposals are received without the recommendation of the
Government of Maharashtra.
The
Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha
here today.
*****
MV/BK