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English Release 21-September 2014
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Previous Date

 
Ministry of Health and Family Welfare13-December, 2013 14:18 IST
Detection of TB Cases

 

India does account for the highest number of TB and MDR-TB cases in the world. Though the incidence rates of TB and MDR-TB are low in our country as compared to other countries, this translates to a high absolute number of cases, given the size of our population.

The prevalence of Drug Sensitive TB has been brought down from 465/ lakh population (1990) to 230/ lakh population in 2012 and TB mortality in the country has reduced from over 38/lakh population in 1990 to 22/lakh population in 2012 as per the WHO global report 2013.

State/UT wise number of TB cases and MDR-TB cases treated under the Revised National TB Control Programme in 2012 are as given below.

Total Drug sensitive Tuberculosis Patients in 2012 under the Revised National Tuberculosis Control programme

 

State

Total patients registered for treatment

Andaman & Nicobar

844

Andhra Pradesh

108727

Arunachal Pradesh

2357

Assam

35788

Bihar

73537

Chandigarh

2807

Chhattisgarh

27160

Dadar& Nagar Haveli

415

Daman & Diu

330

Delhi

52006

Goa

1950

Gujarat

72554

Haryana

38036

Himachal Pradesh

13615

Jammu & Kashmir

12662

Jharkhand

36666

Karnataka

67572

Kerala

25917

Lakshadweep

20

Madhya Pradesh

89545

Maharashtra

136045

Manipur

2744

Meghalaya

5114

Mizoram

2337

Nagaland

3525

Orissa

49191

Pondicherry

1430

Punjab

39569

Rajasthan

100966

Sikkim

1832

Tamil Nadu

79576

Tripura

2557

Uttar Pradesh

271678

Uttarakhand

15239

West Bengal

93274

Grand Total

1467585

Number of Multi Drug Resistant cases detected in 2012 under the RNTCP

State

 

Number of MDR TB Cases detected in 2012

Andaman & Nicobar

8

Andhra Pradesh

1382

Arunachal Pradesh

102

Assam

210

Bihar

132

Chandigarh

62

Chhattisgarh

43

Delhi

1793

Goa

40

Gujarat (including Daman, Diu, &Dadra and Nagar Haveli)

2122

Haryana

168

Himachal Pradesh

118

Jammu & Kashmir

81

Jharkhand

167

Karnataka

156

Kerala (including Lakshadweep)

282

Madhya Pradesh

370

Maharashtra

4439

Manipur

35

Meghalaya

104

Mizoram

47

Nagaland

77

Orissa

171

Puducherry

65

Punjab

331

Rajasthan

2538

Sikkim

127

Tamil Nadu

972

Tripura

14

Uttar Pradesh

110

Uttarakhand

100

West Bengal

1007

Total

17373

 

As per World Health Organisation’s World TB Report 2013, globally there are 2.9 million missed cases (either not diagnosed, or diagnosed but not reported to the national TB programs).   31% of these cases are estimated to be in India.  Missed cases are distinct from cases not found, or cases found and lost. It is likely that with a large private sector of healthcare in India, a large proportion of this subgroup were diagnosed and treated in private sector, but were not notified to the Programme.

Government of India has already issued an Order in 2012 for mandatory notification of all TB cases diagnosed or treated by all health facilities (public and private) in India.  Online case based web based software (Nikshay) has also been developed by the Government to facilitate TB notification to capture all missing cases.

During a recent Conference on Lung Health and Tuberculosis at Paris, organized by the International Union, a presentation by India in one of the sessions was interrupted by about eight to ten activists..  Similar interruption had been also made by the same activists, in much larger numbers, in the main opening session (where India was not involved and the speakers were from WHO and other international organizations) to focus attention on Zero TB deaths and Zero TB infections in the world and seeking greater role and commitment from all National Governments, World Health Organization and other stakeholders for the same.

After the brief interruption, the presentation by our representative was resumed.  The issues raised by the activists were squarely addressed by him.  It was explained that under the Revised National Tuberculosis Control Programme (RNTCP), quality diagnosis and anti-tuberculosis drugs are provided free of cost.  The success of the Indian RNTCP was shared, in particular, the rapid progress made by India in scaling up Programmatic Management of drug resistant TB. It was emphasized that in India, all MDR patients under RNTCP are getting free treatment and there is no waiting list.  It was also stated that absolute numbers have to be viewed against total population and that prevalence of TB in India has been brought down under RNTCP, which is documented by WHO Reports.

The activists did not dispute the assertions and information shared by the Indian delegate.

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

 


(Release ID :101634)

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