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GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA
STARRED QUESTION NO: 275
ANSWERED ON:  05.01.2018
Communicable Diseases
RAYAPATI SAMBASIVA RAO
Will the Minister of



HEALTH AND FAMILY WELFARE be pleased to state:-


Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) the details/status of communicable diseases prevalent in the country;

(b) the initiatives taken by the Government to address communicable diseases along with the deaths reported during the last three years, State/UT-wise;

(c) the details of flagship programmes launched in this regard;

(d) the details of funds allocated for the purpose, funds spent and unspent along with the reasons for the same during the said period, State/UT-wise; and

(e) the other steps taken to spread awareness to check the said diseases during the above period?


ANSWER

ANSWER
THE MINISTER OF HEALTH AND FAMILY WELFARE
(SHRI JAGAT PRAKASH NADDA)

(a) to (e) : A Statement is laid on the Table of the House.

STATEMENT REFERRED TO IN REPLY TO LOK SABHA
STARRED QUESTION NO. 275* FOR 5TH JANUARY, 2018

(a) to (c): The detailed status of the major communicable diseases like Malaria, Dengue, Chikungunya, Japanese Encephalitis, Leprosy, TB and HIV/AIDS, including the deaths reported, are given at Annexure-I (A) to (H). No death directly attributable to Chikungunya is reported from any State/UT. As Leprosy is non-fatal disease, no death has been reported by any state/UT. Health being a state subject, it is the prerogative of the State Governments to provide treatment for health conditions including the communicable diseases. The Central Government augments the efforts of the State Governments through various National Health Programmes like the National Vector Borne Diseases Control Programme (NVBDCP), National Leprosy Elimination Programme (NLEP), Revised National Tuberculosis Control Programme (RNTCP) and the National AIDS and STD Control Programme (NASCP). All these National Programmes have wide outreach throughout the country.
Various initiatives taken by Government to address these diseases are as under:-
Revised National Tuberculosis Control Programme (RNTCP) :-
? Free diagnosis and treatment services are available under RNTCP for all drug sensitive as well as drug resistant TB.
? Treatment for drug sensitive TB is provided through a network of more than 400,000 DOT Centres, where a dedicated box containing complete course of treatment is available for each patient.
? Diagnosis of Drug Resistant TB is undertaken through quality assured drug susceptibility testing at 70 culture & drug susceptibility testing (C-DST) laboratories, of which 55 laboratories are also equipped with rapid molecular test namely Line Probe Assay (LPA).
? A total of 628 CBNAAT machines are functioning in the country. Rapid expansion of diagnostic facilities, including highly sensitive molecular test for diagnosis of Multi Drug Resistance TB and TB among HIV and paediatric patients.
? TB has been made a notifiable disease. This mandates all the healthcare providers to notify every TB case diagnosed or treated by them to local authorities, including from the private sector.
? RNTCP in collaboration with National Informatics Centre (NIC) has developed and implemented a Case Based Web Based application named “Nikshay” to improve TB surveillance, treatment and monitoring of TB cases.
? Daily regimen has been introduced and scaled up across the country by October 2017.
? RNTCP and National Program for Prevention and Control of Cancer, Diabetes, CVD & Stroke (NPCDCS) have jointly developed a framework for collaboration which aims to reduce morbidity and mortality by doing bi-directional screening, early detection and prompt management of Diabetes and TB.
? The Ministry has formulated the National Strategic Plan for TB elimination for the period 2017-2025.
Vector Borne Diseases:-
The strategy for control of above mentioned Vector Borne Diseases is as under:
? Early diagnosis and complete treatment (No specific drugs against Dengue, Chikungunya and Japanese Encephalitis)
? Integrated vector management (Indoor Residual Spray (IRS), Long Lasting Insecticide Nets (LLINs), larvivorous fish, chemical and bio-larvicide, source reduction)
? Specific protection through vaccination is available only against Japanese Encephalitis
? Information, Education and Communication/ Behaviour Change Communication.


Leprosy:-
Initiatives taken by the Government to address problem of Leprosy are as below:
? Leprosy Case Detection Campaign
? Focussed Leprosy Campaign (FLC) for hot spots of low endemic districts:
? Special plan for case detection in hard to reach areas:
? “Sparsh” Leprosy Awareness Campaign
? “ASHA” based Surveillance for Leprosy Suspects (ABSULS)
? Grade II disability case investigation

HIV/AIDS:
? For prevention and early detection of HIV/AIDS, 23,941 HIV Counselling and Testing Service Centres (HCTS) has been established in the country.
? For diagnosis and prevention of Syphilis, Gonorrhoea, and other Sexually Transmitted Infections, 1,166 Designated Sexually Transmitted Infection / Reproductive Transmitted Infection clinic (DSRC) has been established. The DSRC clinics are branded as ''Suraksha Clinic''.
? Government provides free Anti-Retroviral Viral therapy to all people living with HIV/AIDS through 537 Anti-Retroviral Therapy Centres (ARTCs) & 1108 Link ART.
(d): Details of fund allocated and spent/unspent, State/UT wise, under the above programmes are at Annexure II(A) to Annexure II(D). Public Health is a State subject. Funds are provided to States/UTs for strengthening the healthcare system in their respective State/UT, as per their requirement posed in their Programme Implementation Plan (PIP).


(e): Some important Information Education Communication (IEC)/Behaviour Change Communication (BCC) activities to increase awareness are as under:-
? Rural and Outdoor Media,
? Mass Media like Radio, Television, cinema slide and
? Print Media
? Social media





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