The Government of India launched National
Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular
Diseases and Stroke (NPCDCS) during 11th Five Year Plan. NPCDCS was launched in
100 Districts in 21 States with the aim to prevent and control these diseases
thorough awareness generation, behaviour and life-style changes, early
diagnosis of persons with high levels of risk factors. A total number of 5.33 crore persons have so far been screened for Diabetes and
Hypertension out of which 6.13% & 5.41% are found
suspected for Diabetes and Hypertension
respectively. An amount of
Rs.280.25crore for the period of 2010-14 has been released to the States/UT’s under this programme.
The patients suffering from High Blood Pressure
/ Diabetes are treated in the healthcare delivery system up to District
Hospitals and Community Health Centres besides Medical Colleges and tertiary
healthcare institutions. The treatment
is either free or highly subsidised for the poor and needy.
Awareness generation
activities undertaken by the State Government have also been supplemented by
the Ministry. In addition, Information, Education and Communication (IEC)
activities through Prasar Bharati under the ‘Swasth
Bharat Programme’ are also being carried out.
The cases of
diabetes and hypertension are increasing in the country. According to report published by International Diabetes Federation (IDF;
5th Edition, 2011), number of people with diabetes (20-79 years) in India are
about 6.1 crore which is likely to reach about 10.1 crore in 2030. The data available from the Indian Council
of Medical Research, India Diabetes(INDIAB) Study Phase I done in the rural and
urban settings in 3 States and 1 Union Territory viz., Tamil Nadu, Maharashtra, Jharkhand and Chandigarh for both
diabetes and hypertension indicates the range of prevalence of diabetes from
5.3% to 13.7 % and for hypertension from 19.8% to 31.5 %.
As per Disease Burden study on Non-Communicable
Diseases by ICMR in 2006, the number of estimated cases and prevalence for
Ischemic Heart Disease (IHD) and Diabetes Mellitus are as under:
|
Disease
|
Number of cases
(in lakhs)
|
No. of deaths
(in lakhs)
|
Prevalence per thousand
|
|
IHD
|
224
|
5.5
|
37.0
|
|
Diabetes
|
378
|
1.0
|
62.47
|
The factors
responsible for increase in Non-Communicable Diseases (NCDs)
including diabetes and hypertension are unhealthy diet, lack of physical
activity, harmful use of alcohol, overweight, obesity, tobacco use, etc.
The
State/UT-wise screening of diabetes and hypertension is as follows:
|
National Programme for Prevention and Control of Cancer, Diabetes,
CVD and Stroke(NPCDCS)
|
|
|
|
Combined screening data on Diabetes and Hypertension
of
Sub- Centres, Urban Slums
and School Health Programme
|
|
|
|
|
|
|
|
As on :
02-12-2013
|
|
|
|
|
|
|
|
|
|
|
SL. No.
|
States/
Locations
|
No. of persons screened
|
Suspected for Diabetes ( >140 mg/dl)
|
% of Diabetes suspected
|
Hypertension
( 140/ 90 mmhg )
|
% of Hypertension
|
|
|
|
1
|
Andhra
Pradesh
|
83,34,173
|
5,81,602
|
6.98
|
6,04,054
|
7.25
|
|
|
2
|
Assam
|
21,13,908
|
1,16,355
|
5.50
|
1,75,152
|
8.29
|
|
|
3
|
Bihar
|
29,88,523
|
2,22,370
|
7.44
|
72,911
|
2.44
|
|
|
4
|
Chhattisgarh
|
13,43,205
|
68,801
|
5.12
|
56,667
|
4.22
|
|
|
5
|
Gujarat
|
31,62,590
|
2,85,854
|
9.04
|
2,01,644
|
6.38
|
|
|
6
|
Haryana
|
13,89,635
|
69,398
|
4.99
|
85,466
|
6.15
|
|
|
7
|
Himachal Pradesh
|
1,97,153
|
10,964
|
5.56
|
18,375
|
9.32
|
|
|
8
|
Jammu &
Kashmir
|
7,98,856
|
43,341
|
5.43
|
57,441
|
7.19
|
|
|
9
|
Jharkhand
|
18,71,106
|
1,02,484
|
5.48
|
1,14,052
|
6.10
|
|
|
10
|
Karnataka
|
32,48,636
|
2,85,706
|
8.79
|
1,05,850
|
3.26
|
|
|
11
|
Kerala
|
35,20,521
|
1,61,307
|
4.58
|
1,37,610
|
3.91
|
|
|
12
|
Madhya
Pradesh
|
22,91,563
|
58,453
|
2.55
|
67,668
|
2.95
|
|
|
13
|
Maharashtra
|
40,55,066
|
2,24,254
|
5.53
|
2,86,977
|
7.08
|
|
|
14
|
Sikkim
|
1,28,010
|
17,437
|
13.62
|
32,383
|
18.17
|
|
|
15
|
Orissa
|
28,79,283
|
1,54,676
|
5.37
|
80,091
|
2.78
|
|
|
16
|
Punjab
|
14,37,741
|
1,30,232
|
9.06
|
1,24,390
|
8.65
|
|
|
17
|
Rajasthan
|
48,37,426
|
2,28,257
|
4.72
|
1,83,358
|
3.79
|
|
|
18
|
Uttarakhand
|
4,37,122
|
20,396
|
4.67
|
11,969
|
2.74
|
|
|
19
|
Tamil Nadu
|
34,44,040
|
1,89,718
|
5.51
|
52,152
|
8.22
|
|
|
20
|
Uttar
Pradesh
|
15,19,516
|
65,947
|
4.34
|
65,266
|
4.30
|
|
|
21
|
West Bengal
|
22,63,332
|
1,14,146
|
5.04
|
54,941
|
2.43
|
|
|
22
|
Urban Slums
|
9,86,633
|
1,16,082
|
11.77
|
1,37,789
|
13.09
|
|
|
23
|
School
Health Programme
|
93,648
|
1,354
|
1.45
|
-
|
-
|
|
|
|
Grand Total
|
5,33,41,686
|
32,69,134
|
6.13
|
27,26,206
|
5.41
|
|
This was stated by Sh. Ghulam Nabi
Azad, Union Minister for Health and Family Welfare in
a written reply to the Lok Sabha
today.
*********
MV/GM