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
histo-pathological 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 are given below:
NATIONAL PROGRAMME FOR PREVENTION AND CONTROL
OF CANCER, DIABETES, CARDIOCASCULAR DISEASES & STROKE (NPCDCS)
|
|
|
|
|
|
|
|
|
|
(Rs. in Lakh)
|
|
Sl. No
|
Name Of State
|
2012-13
|
2013-14
|
2014-15
|
2015-16
|
Released
|
Utilised
|
Released
|
Utilised
|
Released
|
Utilised
|
Allocation
|
1
|
Andhra Pradesh
|
0
|
69.34
|
0
|
61.33
|
561.00
|
115.41
|
558.00
|
2
|
Assam
|
0
|
310.58
|
1714.00
|
620.7
|
579.00
|
288.43
|
740.00
|
3
|
Bihar
|
0
|
120.17
|
972.00
|
228.08
|
1208.00
|
50.14
|
1365.00
|
4
|
Chhattisgarh
|
0
|
44.08
|
0
|
162.2
|
504
|
390.27
|
764.00
|
5
|
Gujarat
|
0
|
329.02
|
0
|
564.04
|
666
|
543.28
|
979.00
|
6
|
Haryana
|
0
|
129.23
|
0
|
261.94
|
799.00
|
207.89
|
936.00
|
7
|
Himachal Pradesh
|
0
|
15.54
|
0
|
73.9
|
0
|
23.79
|
704.00
|
8
|
Jharkhand
|
0
|
10.63
|
332.00
|
148.95
|
835.00
|
139.25
|
1082.00
|
9
|
Jammu & Kashmir
|
0
|
396.24
|
0.00
|
300.55
|
913.00
|
160.11
|
1004.00
|
10
|
Karnataka
|
0
|
156.02
|
0.00
|
639.86
|
976.00
|
231.46
|
1082.00
|
11
|
Kerala
|
0
|
616.33
|
0.00
|
167.17
|
545.00
|
768.38
|
970.00
|
12
|
Madhya Pradesh
|
0
|
293.19
|
462.00
|
315.52
|
1694.00
|
681.07
|
1725.00
|
13
|
Maharashtra
|
0
|
615.5
|
586.00
|
1044.66
|
1289.00
|
954.2
|
1296.00
|
14
|
Odisha
|
0
|
84.45
|
0
|
480.22
|
1234.00
|
414.97
|
1021.00
|
15
|
Punjab
|
0
|
279.25
|
0
|
199.85
|
803
|
368.32
|
678.00
|
16
|
Rajasthan
|
0
|
154.27
|
59.00
|
242.01
|
1180.00
|
445.48
|
1004.00
|
17
|
Sikkim
|
0
|
89.07
|
0.00
|
81.62
|
176.00
|
81.46
|
157.00
|
18
|
Tamil Nadu
|
0
|
0
|
89.00
|
175.13
|
1355.00
|
2.7
|
1253.00
|
19
|
Uttarakhand
|
0
|
95.73
|
0.00
|
34.7
|
545.00
|
35.87
|
489.00
|
20
|
Uttar Pradesh
|
2431.25
|
0
|
1398.00
|
347.12
|
2027.00
|
2519.38
|
1579.00
|
21
|
West Bengal
|
0
|
83.73
|
1027.00
|
416.78
|
754.00
|
416.34
|
790.00
|
22
|
Andaman & Nicobar
|
0
|
0
|
5.00
|
0
|
25.00
|
0.63
|
32.00
|
23
|
Dadra & Nagar Haveli
|
0
|
0
|
5.00
|
0
|
17.00
|
0.12
|
32.00
|
24
|
Daman & Diu
|
0
|
0
|
4.00
|
0
|
13.00
|
0
|
32.00
|
25
|
Lakshadweep
|
0
|
0
|
1.00
|
0
|
13.00
|
4.68
|
32.00
|
26
|
Delhi
|
0
|
0
|
247.00
|
0
|
141.00
|
0
|
84.00
|
27
|
Pondicherry
|
0
|
0
|
18.00
|
7.02
|
152.00
|
38
|
218.00
|
28
|
Goa
|
0
|
0
|
22.00
|
0
|
127.00
|
0
|
232.00
|
29
|
Chandigarh
|
0
|
0
|
16.00
|
0
|
13.00
|
6.04
|
32.00
|
30
|
Arunachal Pradesh
|
0
|
0
|
76.00
|
69.2
|
354.00
|
146
|
504.00
|
31
|
Meghalaya
|
0
|
0
|
163.00
|
0
|
147.00
|
24.35
|
307.00
|
32
|
Mizoram
|
0
|
0
|
60.00
|
26.25
|
176.00
|
116.08
|
386.00
|
33
|
Nagaland
|
0
|
0
|
109.00
|
0
|
346.00
|
15.26
|
433.00
|
34
|
Tripura
|
0
|
0
|
202.00
|
0
|
176.00
|
0
|
157.00
|
35
|
Manipur
|
0
|
0
|
0.00
|
0
|
296.00
|
0
|
354.00
|
36
|
Telangana
|
0
|
0
|
0.00
|
0
|
401.00
|
0
|
489.00
|
|
TOTAL
|
2431.25
|
3892.37
|
7567.00
|
6668.8
|
21040.00
|
9189.36
|
23500.00
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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
|
|
|
|
|
|
|
|
|
|
|
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 No.
|
State/UTs
|
Amount Released
(in Crore)
|
1.
|
Arunachal Pradesh
|
4.80
|
2
|
Kerala
|
9.60
|
3.
|
Maharashtra
|
4.80
|
4.
|
Sikkim
|
4.80
|
Total
|
24.00
|
(2)
Funds released during the financial year 2013-14:
NIL.
(3) Funds
released during the financial year 2014-15:
S No.
|
State/UTs
|
Amount Released
(in Crore)
|
1
|
Gujarat
|
67.50
|
2
|
Jammu & Kashmir
|
47.25
|
3
|
Karnataka
|
67.50
|
4
|
Kerala
|
25.03
|
5
|
Tripura
|
55.00
|
6
|
West Bengal
|
22.24
|
7
|
Tamil Nadu
|
67.38
|
Total
|
351.90
|
(4) Funds
released during the financial year 2015-16 (till July, 2015): NIL
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.
The Health Minister,
Shri J P Nadda stated this in a written reply in the Lok Sabha here today.
*****
MV/LK