GOVERNMENT OF INDIA
Ministry of Health and Family Welfare
DEPARTMENT OF HEALTH AND FAMILY WELFARERAJYA SABHA
UNSTARRED QUESTION NO. 723
ANSWERED ON JULY 15, 2014
QUESTION
Water-Borne Diseases
723. SHRI RAJEEV CHANDRASEKHAR:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state;
(a) the total number of reported cases of water-borne diseases in the country during the last three years, State-wise/UT-wise;
(b) how many of these incidents have resulted in the death of the affected people, State-wise/UT-wise; and
(c) the steps being taken by Government to reduce the number of waterborne diseases in the country?
ANSWER
THE MINISTER OF HEALTH AND FAMILY WELFARE
(DR. HARSH VARDHAN)
(a) & (b): State/UT-wise number of cases and deaths reported due to major water-borne diseases such as Acute Diarrhoeal Diseases, Enteric Fever (Typhoid), Viral Hepatitis, Cholera and Acute Encephalitis Syndrome (AES), as reported by State/UT Governments, during the years 2011, 2012 and 2013 are given in Annexures-I to V.
(c): Provision of safe drinking water is the main strategy to reduce the number of water-borne diseases. Ministry of Drinking Water and Sanitation supplements efforts of the States by providing technical and financial assistance under the centrally sponsored National Rural Drinking Water Programme (NRDWP) for providing safe and adequate drinking water supply facilities in rural areas of the country. Further, 5% of NRDWP funds are earmarked and allocated to those States facing problems of chemical contamination in drinking water and with Japanese Encephalitis and Acute Encephalitis Syndrome affected high priority districts. Up to 67% of the NRDWP funds allocated to States can be utilized for tackling water quality problems in rural areas. In addition, Government of India provides 3% NRDWP funds on 100% central assistance basis to states for water quality monitoring and surveillance, which inter alia include taking up works relating to setting up of new or up-gradation of district/sub-district water quality testing laboratories, providing chemicals and consumables to laboratories, providing field test kits/refills to Gram Panchayats etc.
'Health' is a state subject and the responsibility for providing healthcare facilities to patients primarily lies with the respective State Governments. However, Ministry of Health and Family Welfare provides financial and technical assistance to State/UT Governments under National Health Mission (NHM) for strengthening of primary and secondary health care facilities to effectively respond to health care needs including health problems arising from consumption of contaminated drinking water. The financial assistance for this purpose is provided under NHM Mission Flexi pool as per the needs of States/UTs which are reflected in their annual Programme Implementation Plans (PIPs).
Further, National Centre for Disease Control (NCDC), Delhi provides technical assistance to State/UT Governments on prevention and control of water-borne diseases in carrying out investigation of outbreaks of such diseases under Integrated Disease Surveillance Project (IDSP). At the national level, NCDC also coordinates laboratory support for outbreak investigations, besides conducting regular training courses for development of trained manpower.
Annexure-I
State/UT-Wise Cases and Deaths due to Acute Diarrhoeal Diseases reported during the years 2011-2013
S. No |
States/U.T |
2011 |
2012 |
2013* |
|||
Cases |
Deaths |
Cases |
Deaths |
Cases |
Deaths |
||
1 |
Andhra Pradesh |
2235614 |
107 |
2092340 |
100 |
1721050 |
100 |
2 |
Arunachal Pradesh |
32228 |
11 |
44570 |
7 |
27659 |
3 |
3 |
Assam |
96816 |
16 |
134295 |
147 |
105876 |
147 |
4 |
Bihar |
130276 |
0 |
493559 |
8 |
550281 |
24 |
5 |
Chhattisgarh |
64575 |
5 |
108238 |
26 |
104966 |
37 |
6 |
Goa |
15146 |
2 |
13696 |
1 |
16485 |
0 |
7 |
Gujarat |
367450 |
0 |
410508 |
7 |
427523 |
8 |
8 |
Haryana |
224223 |
21 |
215111 |
27 |
166882 |
27 |
9 |
Himachal Pradesh |
310227 |
51 |
338708 |
58 |
355104 |
56 |
10 |
Jammu & Kashmir |
544711 |
0 |
550645 |
2 |
591231 |
1 |
11 |
Jharkhand |
98258 |
1 |
72170 |
6 |
78292 |
4 |
12 |
Karnataka |
591989 |
49 |
582347 |
84 |
139819 |
15 |
13 |
Kerala |
260938 |
0 |
360743 |
10 |
375122 |
11 |
14 |
Madhya Pradesh |
290705 |
92 |
488743 |
91 |
535012 |
89 |
15 |
Maharashtra |
507046 |
4 |
457001 |
1 |
527047 |
0 |
16 |
Manipur |
17605 |
39 |
27469 |
56 |
25333 |
37 |
17 |
Meghalaya |
148801 |
20 |
201819 |
19 |
186023 |
12 |
18 |
Mizoram |
16192 |
11 |
15957 |
7 |
13127 |
12 |
19 |
Nagaland |
30458 |
1 |
20939 |
0 |
21376 |
0 |
20 |
Odisha |
632493 |
143 |
743493 |
235 |
593207 |
201 |
21 |
Punjab |
190022 |
15 |
197059 |
27 |
183531 |
13 |
22 |
Rajasthan |
227571 |
7 |
508512 |
12 |
506638 |
18 |
23 |
Sikkim |
44094 |
2 |
53516 |
0 |
42410 |
1 |
24 |
Tamil Nadu |
210074 |
24 |
199930 |
17 |
278407 |
23 |
25 |
Tripura |
109777 |
83 |
98417 |
22 |
92826 |
17 |
26 |
Uttarakhand |
79643 |
26 |
101927 |
21 |
84792 |
12 |
27 |
Uttar Pradesh |
554770 |
185 |
740328 |
254 |
826246 |
272 |
28 |
West Bengal |
1854651 |
288 |
2033180 |
280 |
1830310 |
302 |
29 |
A & N Islands |
19679 |
0 |
33513 |
3 |
27413 |
0 |
30 |
Chandigarh |
42615 |
0 |
38218 |
0 |
44664 |
2 |
31 |
D & N Haveli |
81322 |
1 |
74007 |
0 |
62259 |
0 |
32 |
Daman & Diu |
12638 |
0 |
12559 |
0 |
8615 |
2 |
33 |
Delhi |
102983 |
62 |
136567 |
98 |
125727 |
61 |
34 |
Lakshadweep |
4693 |
0 |
5461 |
0 |
7496 |
0 |
35 |
Puducherry |
80766 |
3 |
96210 |
21 |
79751 |
28 |
Total |
10231049 |
1269 |
11701755 |
1647 |
10762500 |
1535 |
(Source: 'National Health Profile' published by Central Bureau of Health Investigation, Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India)
* The figures of the year 2013 are provisional.
Annexure-II
State/UT-wise Cases and Deaths due to Enteric Fever (Typhoid) reported during the years 2011-2013
S. No |
States/U.T |
2011 |
2012 |
2013* |
|||
Cases |
Deaths |
Cases |
Deaths |
Cases |
Deaths |
||
1 |
Andhra Pradesh |
180297 |
6 |
279816 |
37 |
233212 |
5 |
2 |
Arunachal Pradesh |
7885 |
9 |
11821 |
10 |
6154 |
4 |
3 |
Assam |
4541 |
5 |
12016 |
10 |
6521 |
0 |
4 |
Bihar |
14787 |
0 |
142341 |
3 |
261791 |
2 |
5 |
Chhattisgarh |
42115 |
1 |
54417 |
6 |
27457 |
2 |
6 |
Goa |
285 |
0 |
290 |
0 |
355 |
0 |
7 |
Gujarat |
14371 |
0 |
24325 |
0 |
22962 |
1 |
8 |
Haryana |
25469 |
1 |
34427 |
1 |
27182 |
0 |
9 |
Himachal Pradesh |
28074 |
2 |
40041 |
3 |
38572 |
2 |
10 |
Jammu & Kashmir |
82347 |
0 |
68157 |
0 |
70859 |
0 |
11 |
Jharkhand |
27009 |
3 |
19624 |
39 |
24806 |
7 |
12 |
Karnataka |
38727 |
2 |
55163 |
1 |
13457 |
7 |
13 |
Kerala |
3322 |
0 |
4670 |
1 |
4329 |
3 |
14 |
Madhya Pradesh |
32490 |
20 |
68280 |
29 |
114578 |
28 |
15 |
Maharashtra |
50095 |
1 |
71094 |
2 |
82852 |
1 |
16 |
Manipur |
5498 |
7 |
13731 |
5 |
10927 |
17 |
17 |
Meghalaya |
9235 |
2 |
6916 |
10 |
9134 |
1 |
18 |
Mizoram |
2270 |
1 |
2062 |
1 |
2766 |
3 |
19 |
Nagaland |
14962 |
2 |
10437 |
0 |
12520 |
0 |
20 |
Odisha |
59903 |
104 |
73087 |
89 |
53743 |
35 |
21 |
Punjab |
36263 |
9 |
42536 |
4 |
35136 |
5 |
22 |
Rajasthan |
7902 |
0 |
27018 |
4 |
31615 |
5 |
23 |
Sikkim |
551 |
0 |
401 |
0 |
186 |
0 |
24 |
Tamil Nadu |
50185 |
0 |
34611 |
0 |
31440 |
1 |
25 |
Tripura |
3553 |
0 |
6198 |
3 |
12849 |
1 |
26 |
Uttarakhand |
13760 |
1 |
28698 |
4 |
25956 |
0 |
27 |
Uttar Pradesh |
117537 |
80 |
143516 |
65 |
223066 |
161 |
28 |
West Bengal |
127180 |
34 |
143179 |
29 |
108695 |
39 |
29 |
A & N Islands |
1343 |
1 |
1340 |
1 |
1363 |
1 |
30 |
Chandigarh |
3190 |
0 |
3023 |
0 |
3251 |
0 |
31 |
D & N Haveli |
2269 |
0 |
2559 |
0 |
4323 |
0 |
32 |
Daman & Diu |
964 |
0 |
1265 |
0 |
888 |
0 |
33 |
Delhi |
42976 |
55 |
47957 |
71 |
31579 |
29 |
34 |
Lakshadweep |
14 |
0 |
5 |
0 |
3 |
0 |
35 |
Puducherry |
11077 |
0 |
2678 |
0 |
2591 |
1 |
Total |
1062446 |
346 |
1477699 |
428 |
1537118 |
361 |
(Source: 'National Health Profile' published by Central Bureau of Health Investigation, Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India)
* The figures of the year 2013 are provisional.
Annexure-III
State/UT-wise Cases and Deaths due to Viral Hepatitis reported during the years 2011-2013
S. No |
States/U.T |
2011 |
2012 |
2013* |
|||
Cases |
Deaths |
Cases |
Deaths |
Cases |
Deaths |
||
1 |
Andhra Pradesh |
11050 |
61 |
7955 |
84 |
8325 |
33 |
2 |
Arunachal Pradesh |
636 |
4 |
1520 |
4 |
525 |
0 |
3 |
Assam |
2557 |
25 |
419 |
0 |
466 |
0 |
4 |
Bihar |
202 |
0 |
3094 |
2 |
6736 |
2 |
5 |
Chhattisgarh |
139 |
1 |
914 |
5 |
670 |
5 |
6 |
Goa |
118 |
0 |
92 |
0 |
173 |
0 |
7 |
Gujarat |
4328 |
0 |
4763 |
6 |
3676 |
6 |
8 |
Haryana |
2557 |
2 |
2686 |
1 |
1307 |
1 |
9 |
Himachal Pradesh |
1248 |
10 |
1310 |
17 |
2114 |
14 |
10 |
Jammu & Kashmir |
5129 |
2 |
5967 |
0 |
6307 |
0 |
11 |
Jharkhand |
384 |
2 |
983 |
0 |
1211 |
33 |
12 |
Karnataka |
6049 |
8 |
10789 |
26 |
1327 |
4 |
13 |
Kerala |
5336 |
7 |
8212 |
18 |
7034 |
8 |
14 |
Madhya Pradesh |
3851 |
12 |
12325 |
4 |
14055 |
11 |
15 |
Maharashtra |
5994 |
30 |
6175 |
21 |
5934 |
13 |
16 |
Manipur |
229 |
0 |
229 |
4 |
258 |
0 |
17 |
Meghalaya |
87 |
3 |
221 |
1 |
518 |
0 |
18 |
Mizoram |
812 |
14 |
914 |
15 |
419 |
10 |
19 |
Nagaland |
64 |
0 |
284 |
0 |
110 |
0 |
20 |
Odisha |
3272 |
89 |
5372 |
100 |
3119 |
76 |
21 |
Punjab |
5041 |
12 |
3323 |
0 |
3099 |
6 |
22 |
Rajasthan |
967 |
0 |
1595 |
7 |
1837 |
10 |
23 |
Sikkim |
484 |
0 |
667 |
6 |
692 |
1 |
24 |
Tamil Nadu |
5940 |
0 |
10628 |
0 |
1868 |
0 |
25 |
Tripura |
404 |
0 |
272 |
2 |
205 |
1 |
26 |
Uttarakhand |
3143 |
19 |
6499 |
16 |
8619 |
11 |
27 |
Uttar Pradesh |
7749 |
28 |
6345 |
12 |
9078 |
17 |
28 |
West Bengal |
5480 |
105 |
4097 |
102 |
4967 |
91 |
29 |
A & N Islands |
208 |
5 |
172 |
9 |
216 |
9 |
30 |
Chandigarh |
1309 |
0 |
1751 |
0 |
424 |
1 |
31 |
D & N Haveli |
269 |
0 |
159 |
0 |
90 |
2 |
32 |
Daman & Diu |
484 |
0 |
192 |
4 |
184 |
7 |
33 |
Delhi |
8347 |
68 |
8184 |
66 |
8130 |
130 |
34 |
Lakshadweep |
15 |
1 |
17 |
0 |
5 |
0 |
35 |
Puducherry |
520 |
12 |
755 |
19 |
447 |
10 |
Total |
94402 |
520 |
118880 |
551 |
104145 |
512 |
(Source: 'National Health Profile' published by Central Bureau of Health Investigation, Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India)
* The figures of the year 2013 are provisional.
Annexure-IV
State/UT-wise Cases and Deaths due to Cholera reported during the years 2011-2013
S. No |
States/U.T |
2011 |
2012 |
2013* |
|||
Cases |
Deaths |
Cases |
Deaths |
Cases |
Deaths |
||
1 |
Andhra Pradesh |
227 |
0 |
109 |
0 |
31 |
0 |
2 |
Arunachal Pradesh |
0 |
0 |
0 |
0 |
0 |
0 |
3 |
Assam |
0 |
0 |
0 |
0 |
0 |
0 |
4 |
Bihar |
0 |
0 |
0 |
0 |
0 |
0 |
5 |
Chhattisgarh |
1 |
0 |
13 |
0 |
2 |
0 |
6 |
Goa |
0 |
0 |
0 |
0 |
0 |
0 |
7 |
Gujarat |
79 |
0 |
71 |
0 |
327 |
1 |
8 |
Haryana |
1 |
0 |
16 |
0 |
16 |
0 |
9 |
Himachal Pradesh |
0 |
0 |
3 |
0 |
0 |
0 |
10 |
Jammu & Kashmir |
0 |
0 |
0 |
0 |
0 |
0 |
11 |
Jharkhand |
0 |
0 |
0 |
0 |
9 |
0 |
12 |
Karnataka |
166 |
0 |
175 |
0 |
105 |
0 |
13 |
Kerala |
19 |
1 |
4 |
1 |
22 |
0 |
14 |
Madhya Pradesh |
0 |
0 |
12 |
0 |
8 |
0 |
15 |
Maharashtra |
210 |
2 |
317 |
0 |
247 |
1 |
16 |
Manipur |
0 |
0 |
0 |
0 |
0 |
0 |
17 |
Meghalaya |
0 |
0 |
0 |
0 |
0 |
0 |
18 |
Mizoram |
0 |
0 |
0 |
0 |
0 |
0 |
19 |
Nagaland |
0 |
0 |
0 |
0 |
0 |
0 |
20 |
Odisha |
0 |
0 |
0 |
0 |
0 |
0 |
21 |
Punjab |
9 |
0 |
0 |
0 |
0 |
0 |
22 |
Rajasthan |
0 |
0 |
0 |
0 |
5 |
0 |
23 |
Sikkim |
0 |
0 |
0 |
0 |
0 |
0 |
24 |
Tamil Nadu |
580 |
0 |
523 |
0 |
93 |
3 |
25 |
Tripura |
0 |
0 |
0 |
0 |
0 |
0 |
26 |
Uttarakhand |
0 |
0 |
0 |
0 |
1 |
0 |
27 |
Uttar Pradesh |
9 |
0 |
0 |
0 |
91 |
0 |
28 |
West Bengal |
652 |
0 |
181 |
0 |
120 |
0 |
29 |
A & N Islands |
0 |
0 |
0 |
0 |
0 |
0 |
30 |
Chandigarh |
0 |
0 |
0 |
0 |
0 |
0 |
31 |
D & N Haveli |
8 |
0 |
33 |
0 |
25 |
0 |
32 |
Daman & Diu |
0 |
0 |
0 |
0 |
0 |
0 |
33 |
Delhi |
380 |
7 |
111 |
0 |
22 |
0 |
34 |
Lakshadweep |
0 |
0 |
0 |
0 |
0 |
0 |
35 |
Puducherry |
0 |
0 |
15 |
0 |
3 |
0 |
Total |
2341 |
10 |
1583 |
1 |
1127 |
5 |
(Source: 'National Health Profile' published by Central Bureau of Health Investigation, Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India)
* The figures of the year 2013 are provisional.
Annexure-V
State/UT-wise number of Cases and Deaths due to Acute Encephalitis Syndrome (AES) reported during the years 2011 – 2013
S. No |
States/U.T |
2011 |
2012 |
2013* |
|||
Cases |
Deaths |
Cases |
Deaths |
Cases |
Deaths |
||
1 |
Andhra Pradesh |
73 |
1 |
64 |
0 |
345 |
3 |
2 |
Assam |
1319 |
250 |
1343 |
229 |
1388 |
272 |
3 |
Bihar |
821 |
197 |
745 |
275 |
417 |
143 |
4 |
Delhi |
9 |
0 |
0 |
0 |
0 |
0 |
5 |
Goa |
91 |
1 |
84 |
0 |
48 |
1 |
6 |
Haryana |
90 |
14 |
5 |
0 |
2 |
0 |
7 |
Jharkhand |
303 |
19 |
16 |
0 |
270 |
5 |
8 |
Karnataka |
397 |
0 |
189 |
1 |
162 |
0 |
9 |
Kerala |
88 |
6 |
29 |
6 |
53 |
6 |
10 |
Maharashtra |
35 |
9 |
37 |
20 |
0 |
0 |
11 |
Manipur |
11 |
0 |
2 |
0 |
1 |
0 |
12 |
Nagaland |
44 |
6 |
21 |
2 |
20 |
0 |
13 |
Punjab |
0 |
0 |
0 |
0 |
0 |
0 |
14 |
Tamil Nadu |
762 |
29 |
935 |
64 |
77 |
8 |
15 |
Tripura |
0 |
0 |
0 |
0 |
211 |
0 |
16 |
Uttarakhand |
0 |
0 |
174 |
2 |
0 |
0 |
17 |
Uttar Pradesh |
3492 |
579 |
3484 |
557 |
3096 |
609 |
18 |
West Bengal |
714 |
58 |
1216 |
100 |
1735 |
226 |
Total |
8249 |
1169 |
8344 |
1256 |
7825 |
1273 |
(Source: 'Directorate of National Vector Borne Disease Control Programme, Delhi, Ministry of Health and Family Welfare, Government of India)