Health and Family Welfare on Environment: Lok Sabha 2012-13 Q. No. Q. Type Date Ans by Ministry Members Title of the Questions Subject Specific Political Party State Representative *144 Starred 23.03.2012 Health and Family Welfare Shri Konakalla Narayana Rao Medicinal and Aromatic Plants Environmental Education, NGOs and Media TDP Andhra Pradesh Medicinal Plants 1734 Unstarred 23.03.2012 Health and Family Welfare Shri Suresh Kashinath Taware Basic Amenities in Hospitals Health and Sanitation INC Maharashtra 1772 Unstarred 23.03.2012 Health and Family Welfare Shri Ravindra Kumar Pandey Pesticides in Cold Drinks Health and Sanitation BJP Jharkhand 1831 Unstarred 23.03.2012 Health and Family Welfare Shri Ramashankar Rajbhar Irregularities in NRHM Health and Sanitation BSP Uttar Pradesh Shri Magunta Sreenivasulu Reddy INC Andhra Pradesh Shri Prabodh Panda CPI West Bengal Shri Neeraj Shekhar SP Uttar Pradesh Shri Chandrakant Raghunath Patil BJP Gujarat Shri Sukender Reddy Gutha INC Andhra Pradesh Shri Lalchand Kataria INC Rajasthan Shri Yashvir Singh SP Uttar Pradesh Shri Jeetendra Singh Bundela BJP Madhya Pradesh Shri Bhakta Charan Das INC Odisha Prof.(Dr.) Ram Shankar BJP Uttar Pradesh Shri Nikhil Kumar Choudhary BJP Bihar Shri Gajanan Dharmshi Babar SS Maharashtra
Transcript
Health and Family Welfare on Environment: Lok Sabha 2012-13
Q. No. Q. Type Date Ans by Ministry Members Title of the Questions Subject Specific
Political Party
State Representative
*144 Starred 23.03.2012 Health and Family Welfare
Shri Konakalla Narayana Rao
Medicinal and Aromatic Plants
Environmental Education, NGOs and Media
TDP Andhra Pradesh
Medicinal Plants
1734 Unstarred 23.03.2012 Health and Family Welfare
Shri Suresh Kashinath Taware
Basic Amenities in Hospitals
Health and Sanitation
INC Maharashtra
1772 Unstarred 23.03.2012 Health and Family Welfare
Shri Ravindra Kumar Pandey
Pesticides in Cold Drinks
Health and Sanitation
BJP Jharkhand
1831 Unstarred 23.03.2012 Health and Family Welfare
Shri Ramashankar Rajbhar
Irregularities in NRHM Health and Sanitation
BSP Uttar Pradesh
Shri Magunta Sreenivasulu Reddy
INC Andhra Pradesh
Shri Prabodh Panda CPI West Bengal Shri Neeraj Shekhar SP Uttar Pradesh Shri Chandrakant
3774 Unstarred 27.04.2012 Health and Family Welfare
Shri P.Karunakaran Health Problems due to Use of Pesticides
Health and Sanitation
CPI(M) Kerala
Pollution 3827 Unstarred 27.04.2012 Health and Family
Welfare Shri Harish Choudhary
Evaluation of National Tobacco Control Programme
Health and Sanitation
INC Rajasthan
Dr. Sanjay Sinh INC Uttar Pradesh Shri Bhoopendra BJP Madhya
Singh Pradesh 4620 Unstarred 04.05.2012 Health and Family
Welfare Shri Syed Shahnawaz Hussain
Proposals for Conservation of Medicinal Herbs
Medicinal Plants
BJP Bihar
4693 Unstarred 04.05.2012 Health and Family Welfare
Shri Nama Nageswara Rao
Bio-Medical Waste Health and Sanitation
TDP Andhra Pradesh
Shri Nityananda Pradhan
Pollution BJD Odisha
Shri Baijayant "Jay"Panda
BJD Odisha
Shri Gopinath Pandurang Munde
BJP Maharashtra
4698 Unstarred 04.05.2012 Health and Family Welfare
Prof. Ranjan Prasad Yadav
Export of Medicinal Plants and Herbs
Medicinal Plants
JD(U) Bihar
Shri Khagen Das CPI(M) Tripura 4709 Unstarred 04.05.2012 Health and Family
Welfare Smt. Maneka Sanjay Gandhi
Sanitary Napkin Scheme
Health and Sanitation
BJP Uttar Pradesh
4779 Unstarred 04.05.2012 Health and Family Welfare
Shri Ijyaraj Singh Functioning of NRHM Health and Sanitation
INC Rajasthan
Dr. Sanjay Sinh INC Uttar Pradesh 4785 Unstarred 04.05.2012 Health and Family
Welfare Smt. Yashodhara Raje Scindia
Public Awareness against Tobacco Consumption
Health and Sanitation
BJP Madhya Pradesh
Smt. Maneka Sanjay Gandhi
BJP Uttar Pradesh
5751 Unstarred 11.05.2012 Health and Family Welfare
Shri S. Pakkirappa Harmful Elements in Toys
Health and Sanitation
BJP Karnataka
Shri Parvatagouda Chandanagouda Gaddigoudar
BJP Karnataka
5896 Unstarred 11.05.2012 Health and Family Welfare
Shri Nripendra Nath Roy
Adverse Health Affects of Mobile Phone/Tower Radiation
Environmental Education, NGOs and Media
AIFB West Bengal
Shri Sudarshan Bhagat
Health and Sanitation
BJP Jharkhand
Shri Feroze Varun Gandhi
Pollution AIFB West Bengal
Shri Ramesh Vishwanath Katti
BJP Karnataka
Shri S. S. Ramasubbu
INC Tamil Nadu
Shri Prataprao Ganpatrao Jadhav
SS Maharashtra
Rajkumari Ratna Singh
INC Uttar Pradesh
5948 Unstarred 11.05.2012 Health and Family Welfare
Shri Feroze Varun Gandhi
Endosulfan Poisoning Health and Sanitation
BJP Uttar Pradesh
Pollution 7111 Unstarred 18.05.2012 Health and Family
Welfare Prof. Ranjan Prasad Yadav
Ban on Smoking Health and Sanitation
JD(U) Bihar
Pollution *198 Starred 24.08.2012 Health and Family
Welfare Shri Rakesh Singh Medicinal and
Aromatic Plants Medicinal Plants
BJP Madhya Pradesh
Shri Premdas Katheria
SP Uttar Pradesh
2137 Unstarred 24.08.2012 Health and Family Welfare
Shri Ramesh Vishwanath Katti
Sanitation Campaign under NRHM
Health and Sanitation
BJP Karnataka
2222 Unstarred 24.08.2012 Health and Family Welfare
Kunwar Rewati Raman Singh
Bisphenol A in Plastic Bottles
Health and Sanitation
SP Uttar Pradesh
Pollution 3259 Unstarred 31.08.2012 Health and Family
Welfare Shri Syed Shahnawaz Hussain
Availability of Medicinal Herbs/Plants
Medicinal Plants
BJP Bihar
Shri Makhansingh Solanki
BJP Madhya Pradesh
4467 Unstarred 07.09.2012 Health and Family Welfare
Shri Parvatagouda Chandanagouda Gaddigoudar
Basic Amenities in Hospitals and Dispensaries
Health and Sanitation
BJP Karnataka
Shri Jai Prakash Agarwal
INC Delhi
297 Unstarred 23.11.2012 Health and Family Welfare
Shri Premdas Katheria
Medicinal and Aromatic Plants
Medicinal Plants
SP Uttar Pradesh
Smt. Davidson J. Helen
DMK Tamil Nadu
Shri Rajendra Agrawal
BJP Uttar Pradesh
402 Unstarred 23.11.2012 Health and Family Welfare
Shri Hansraj Gangaram Ahir
Irregularities in NRHM Health and Sanitation
BJP Maharashtra
412 Unstarred 23.11.2012 Health and Family Welfare
Shri S. Pakkirappa Neglected Tropical Diseases
Health and Sanitation
BJP Karnataka
Pollution 460 Unstarred 23.11.2012 Health and Family
Welfare Shri Sajjan Singh Verma
Toxic Substances in Paints
Health and Sanitation
INC Madhya Pradesh
Pollution 1190 Unstarred 30.11.2012 Health and Family
Welfare Shri Kameshwar Baitha
Diseases Caused by Air Pollution
Health and Sanitation
JMM Jharkhand
Shri C.Rajendran Pollution AIADMK Tamil Nadu 1229 Unstarred 30.11.2012 Health and Family
Welfare Shri Gorakh Prasad Jaiswal
National Rural Health Mission
Health and Sanitation
BSP Uttar Pradesh
Dr. Sanjay Sinh INC Uttar Pradesh 1326 Unstarred 30.11.2012 Health and Family
Welfare Shri Gowdar Mallikarjunappa Siddeshwara
Nicotine and Fluoride in Tooth Paste
Health and Sanitation
BJP Karnataka
Pollution 1369 Unstarred 30.11.2012 Health and Family
Welfare Shri Feroze Varun Gandhi
Water-Borne Diseases Health and Sanitation
BJP Uttar Pradesh
*207 Starred 07.12.2012 Health and Family Welfare
Shri Ganesh Singh Usage of Chemicals for Ripening of Fruits and Vegetables
Health and Sanitation
BJP Madhya Pradesh
Shri M. Anjan Kumar Yadav
Pollution INC Andhra Pradesh
2355 Unstarred 07.12.2012 Health and Family Welfare
Shri Tarachand Bhagora
Study on Cancer in Ganga River Belt
Environmental Education, NGOs and Media
INC Rajasthan
Dr. Sanjeev Ganesh Naik
Health and Sanitation
NCP Maharashtra
Smt. Supriya Sadanand Sule
Pollution NCP Maharashtra
Shri Nama Nageswara Rao
TDP Andhra Pradesh
2367 Unstarred 07.12.2012 Health and Family Welfare
Shri Jyotiraditya Madhavrao Scindia
Adverse Health Affects of Mobile Phone/Tower Radiation
Health and Sanitation
INC Madhya Pradesh
Pollution 2368 Unstarred 07.12.2012 Health and Family
Welfare Shri P.Karunakaran Financial Assistance to
Endosulfan Victims Health and Sanitation
CPI(M) Kerala
Pollution *302 Starred 14.12.2012 Health and Family
Welfare Shri K. D. Deshmukh
Diseases caused by Contaminated Water
Health and Sanitation
BJP Madhya Pradesh
Shri Bhausaheb Wakchaure
SS Maharashtra
3475 Unstarred 14.12.2012 Health and Family Welfare
Smt. Raj Kumari Chauhan
Organic Medicines Health and Sanitation
BSP Uttar Pradesh
3659 Unstarred 14.12.2012 Health and Family Welfare
Shri Narahari Mahato
Medicinal/Herbal Plants
Medicinal Plants
AIFB West Bengal
Shri Pashupati Nath Singh
BJP Jharkhand
Shri Baliram Sukur Jadhav
BVA Maharashtra
MEDICINAL AND AROMATIC PLANTS 23rd March, 2012 LSQ *144 SHRI KONAKALLA NARAYANA RAO SHRI RAVINDRA KUMAR PANDEY Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) the estimated number of medicinal and aromatic plants cultivators alongwith the programme being implemented by the Government to assist them for cultivation of such plants, State/UT-wise; (b) the funds allocated, activities undertaken and the achievements made as a result thereof under the said programme during the last three years, State/UT-wise; (c) the number of States where Medicinal Plant Boards are functional in the country, State/UT-wise; (d) whether the Governmnt has reviewed the functioning of these boards in every State; and (e) if so, the outcome thereof alongwith the steps taken/proposed to open centres of research for medicinal plants in the country? MINISTER OF THE STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a)to(e): A statement is laid on the Table of the House. STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 144 FOR 23RD MARCH, 2012 (a)&(b): The National Medicinal Plants Board (NMPB), under Department of AYUSH, Ministry of Health & Family Welfare, has approved annual action plans of 25 States for supporting inter-alia cultivation of medicinal plants by about 56,339 farmers in 2011-12 under the Centrally Sponsored Scheme of “National Mission on Medicinal Plants”. Further, the Ministry of Agriculture has informed that about 4,225 cultivators of medicinal and aromatic plants were covered during 2005-12 under the National Horticulture Mission (NHM). State wise number of cultivators approved for the support under both the schemes is available at Annexure-I. The Centrally Sponsored Scheme of “National Mission on Medicinal Plants” being implemented by NMPB aims at supporting market driven cultivation of prioritized medicinal plants and is being implemented in a mission mode for cultivation of identified medicinal plants in cluster mode, through Growers, Farmers, Cultivators, Growers Associations, Federations, Self Help Groups, Corporates and Growers Co-operatives with backward and forward linkages. The subsidy is provided to the cultivators through State Mission Directors. The rates of subsidy are 75%, 50% and 20% of the cost of cultivation of medicinal plants, depending upon their threat status, gestation period and need for support etc. Financial assistance amounting to Rs. 146.3679 crores was released during the last three years to State Mission Directors for implementing the Scheme. State wise details of funds released and achievements made regarding nurseries and cultivation under the scheme in the last three year are available in Annexure-II. Department of Agriculture & Cooperation, Ministry of Agriculture, is implementing a Centrally Sponsored Scheme on “National Horticulture Mission” (NHM) in all States of India except the North Eastern and Himalayan States. The scheme provides for holistic development of horticulture sector duly ensuring forward and backward linkages with the active participation of all the stake-holders. Earlier the Promotion of Medicinal and Aromatic Plants was included as one of the components under NHM, during 2007-08, with the provision of assistance @75% of the total cost subject to a maximum of Rs. 11,250/- per ha. limited to 4 ha per beneficiary. Since 2009-10, medicinal plants have been excluded from the scheme due to separate Mission on Medicinal Plants, launched by Department of AYUSH. The Department of Agriculture & Cooperation is also implementing another scheme i.e. Horticulture Mission for North East and Himalayan States (HMNEH) for promotion of Horticulture including Medicinal and Aromatic Plants in these States. A statement showing State-wise physical and financial achievements under these schemes during the last three year is available in Annexure-III. (c)to(e) State Medicinal Plants Boards (SMPBs) have been set up in 35 States/ UTs by the respective State Governments on the request of NMPB as detailed in Annexure – IV.
The functioning of these Boards has been reviewed from time to time by the NMPB at various forums. As an outcome thereof, State/ UT Governments have been requested to provide adequate man power and budgetary support to improve their functioning and they have been requested to expedite submission of pending utilization certificates. As far as steps taken / proposed to open centres of research for medicinal plants in the country are concerned, the Central Institute for Medicinal and Aromatic Plants (CIMAP), Lucknow; under the Council for Scientific & Industrial Research (CSIR) and Directorate of Medicinal and Aromatic Plants Research (DMAPR) under Indian Council of Agricultural Research (ICAR) are exclusively dedicated for undertaking research in medicinal and aromatic plants. In addition, different organizations e.g. National Botanical Research Institute (NBRI), Lucknow; North East Institute of Science and Technology (NEIST), Jorhat; Institute of Himalayan Bio Resource Technology (IHBT), Palampur; Indian Institute of Integrative Medicine (IIIM), Jammu; Indian Institute of Horticultural Research (IIHR), Bangalore etc. under CSIR and ICAR are also engaged in Research in Medicinal and Aromatic Plants. Further, Indian Council of Medical Research (ICMR), Indian Council for Forestry Research and Education (ICFRE), Central Council for Research in Ayurvedic Sciences (CCRAS), Central Council for Research in Unani Medicines (CCRUM), Central Council for Research in Homoeopathy (CCRH), State Agricultural Universities etc. also undertake research on medicinal plants. ICAR, CSIR, Institutions, Agriculture Universities etc. cooperate with the NMPB in activities related to research on medicinal plants.
Annexure-I Statement showing number of cultivators of medicinal and aromatic plants under National Mission
on Medicinal Plants (NMMP) and National Horticulture Mission (NHM) S. No.
State
Number of medicinal plants cultivators under NMMP (2011-12)*
Number of cultivators of medicinal and aromatic plants under NHM** (during 2005-12)***
# Compiled from information provided by State Missions on Medicinal Plants ## Information provided by National Horticulture Mission (NHM)
### Upto Feb. 2012 Annexure-II State-wise information of funds released and achievement w.r.t. activities of nurseries and cultivation under Centrally Sponsored Scheme of National Mission on Medicinal Plants Year : 2008-09 to 2010-11 S.No Name of State Total Fund released
# Sanctioned funds have been refunded by State Mission for non implementation of programme
In some states fund was provided for post harvest management and processing facility All states were provided management support @ 5% of total approved outlay for different activities
Annexure-III State-wise information of funds released and achievement made under the Centrally Sponsored Scheme of National Horticulture Mission (NHM), Ministry of Agriculture during last 3 years S. No. State Fund Released Achievement
10. Kerala 17.93 145.82 11. Madhya Pradesh - - 12. Maharashtra 3.87 34 13. Odisha - - 14. Puducherry - - 15. Punjab 0.15 1 16. Rajasthan 16.77 950 17. Tamil Nadu 91.15 661 18. Uttar Pradesh 135.21 905.47 19. West Bengal - - 20. Andaman & Nicobar - - Total 931.94 8965.34 State-wise information of funds released and achievement made under Horticulture Mission for North East and Himalayan States (HMNEH), Ministry of Agriculture during last 3 years S. No. State Fund Released Achievement (In ha.) 1. Arunachal Pradesh 48.19 1929 2. Assam 60.00 1200 3. Manipur - - 4. Meghalaya - - 5. Mizoram 97.75 1166 6. Nagaland 144.75 1150 7. Sikkim - - 8. Tripura - - 9. Jammu & Kashmir 28.4 134 10. Himachal Pradesh 3.94 7 11. Uttarakhand - - Total 383.03 5586
� Source – compiled from information provided by Department of Agriculture & Cooperation, Ministry of Agriculture Annexure-IV
List of 35 State Medicinal Plants Boards (SMPBs) set up in different States/UTs: S. No. State S. No. State 1. Andaman & Nicobar Islands 19. Madhya Pradesh 2 Andhra Pradesh 20 Maharashtra 3 Arunachal Pradesh 21 Mizoram 4 Assam 22 Meghalaya 5 Bihar 23 Manipur 6 Chhattisgarh 24 Nagaland 7 Chandigarh 25 New Delhi
8 Dadra & Nagar Haveli 26 Orissa 9 Daman & Diu 27 Punjab 10 Goa 28 Puducherry 11 Gujarat 29 Rajasthan 12 Haryana 30 Sikkim 13 Himachal Pradesh 31 Tamil Nadu 14 Jammu & Kashmir 32 Tripura 15 Jharkhand 33 Uttarakhand 16 Karnataka 34 Uttar Pradesh 17 Kerala 35 West Bengal 18 Lakshadweep BASIC AMENITIES IN HOSPITALS 23rd March, 2012 LSQ 1734 SHRI SURESH KASHINATH TAWARE Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether there are inadequate sanitary arrangement in the Government hospitals in the country; (b) if so, the details thereof; (c) the steps taken/being taken to pay sufficient attention towards sanitary arrangements and to check the spread of contagious diseases due to filthy and unhygienic conditions in the Government hospitals? MINISTER OF THE STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a) to (c): Health being a State subject, no such information is maintained centrally. However, in so far as the Central Government Hospitals located in Delhi viz. Safdarjung Hospital,Lady Hardinge Medical College & Kalawati Saran Children’s Hospital and Dr. R.M.L. Hospital are concerned, there are adequate sanitary arrangements in these hospitals. The steps taken to pay attention towards sanitary arrangements include hiring of services of professional house-keeping managers to check and maintain the hygiene condition in these hospitals round-the-clock; ensuring availability of adequate number of toilets and wash basins along with soaps in all wards, OPDs, OTs, regular supply of disinfectants in all areas of hospitals to maintain hygienic conditions, etc. PESTICIDES IN COLD DRINKS 23rd March, 2012 LSQ 1772 SHRI WAKCHAURE BHAUSAHEB RAJARAM SHRI RAVINDRA KUMAR PANDEY Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether high level of caffeine insecticides/pesticides have been found in cold/soft drinks; (b) if so, the details thereof; (c) whether the false claims are being made by the manufacturers of these cold/soft drinks and supported by the eminent persons; (d) whether the Government propose to ban the publication of such misleading advertisement;
(e) if so, the details thereof and if not, the reasons therefor; and (f) the steps taken by the Government in this regard? MINISTER OF THE STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI SUDIP BANDYOPADHYAY) (a) & (b): No such information/data is available with the Ministry. (c): False claims, if any, made by the manufacturers of food items, are liable for penal action under Section 61 of Food Safety and Standards Act (FSSA) , 2006. (d)& (e): Section 53 of FSS Act, 2006 provides publication of misleading advertisements. Persons contravening the statutory provision are liable for penal action under the Act. (f): Regular surveillance, monitoring & prosecution is undertaken by State/ UT Governments under Food Safety and Standards Act, 2006. IRREGULARITIES IN NRHM 23rd March 2012 LSQ 1831 SHRI RAMASHANKAR RAJBHAR SHRI MAGUNTA SREENIVASULU REDDY SHRI PRABODH PANDA SHRI NEERAJ SHEKHAR SHRI CHANDRAKANT RAGHUNATH PATIL SHRI SUKENDER REDDY GUTHA SHRI LALCHAND KATARIA SHRI YASHVIR SINGH SHRI JEETENDRA SINGH BUNDELA SHRI BHAKTA CHARAN DAS PROF.(DR.) RAM SHANKAR SHRI NIKHIL KUMAR CHOUDHARY SHRI GAJANAN DHARMSHI BABAR SHRI RUDRA MADHAB RAY DR. RAJAN SUSHANT SHRI GOPINATH PANDURANG MUNDE SHRI OM PRAKASH YADAV DR. (SMT.) KRUPARANI KILLI SHRI GURUDAS DASGUPTA SHRI DHARMENDRA YADAV SHRI YOGI ADITYANATH SHRI RAJAIAH SIRICILLA SHRI BALKRISHNA KHANDERAO SHUKLA SHRI RAMKISHUN SHRI S. S. RAMASUBBU SHRI ANANDRAO ADSUL SHRI ASADUDDIN OWAISI SHRI SHIVAJI ADHALRAO PATIL SHRI RAMESH BAIS SHRI P. C. MOHAN Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) the funds allocated/utilized by the State Governments under the National Rural Health Mission (NRHM) during each of the last three years and the current year, State-wise/UT-wise;
(b) whether cases of irregularities, misappropriation and diversion of funds allocated under the NRHM have been reported from various States; (c) if so, details thereof alongwith the present status of enquiries made or are being made by various investigating agencies during each of the last three years and the current year, agency-wise and State/UTwise including Uttar Pradesh, Bihar, Himachal Pradesh, Rajasthan and Odisha; (d) the details of the Comptroller and Auditor General (CAG) auditing and other auditing mechanism set up to monitor the utilisation of NRHM funds so disbursed alongwith the appraisal of NRHM fund so far, State/UT-wise; and (e) the corrective measures taken/proposed to be taken so that funds are properly utilized and irregularities curbed ab-initio? MINISTER OF THE STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI S. GANDHISELVAN) (a) A statement showing the Allocation, Release and Expenditure under National Rural Health Mission (NRHM) to States/UTs for the Financial Years 2008-09 to 2011-12 is annexed. (b) & (c) Funds are made available to States for implementing the National Rural Health Mission (NRHM), and the primary responsibility for proper financial management and taking action on any anomalies lies with the State. The Central Government facilitates the State’s effective implementation of the Mission. Complaints relating to implementation of NRHM as and when received are immediately drawn to the attention of the State/UT Government for necessary action. Central teams are sent from time to time to review the utilization of funds in the States. A Central team reviewed the fund management under the Mission in Uttar Pradesh during May, 2011 and the major findings are outlined below: (i) Irregularity in award of contract for procurement of Emergency Medical Transport Services and Mobile Medical Units, Management of Hospital cleaning and gardening services, procurement of safe drinking water and R.O. systems etc. (ii) Supply of poor quality of IEC/ BCC material and poor quality of drugs and consumables etc. (iii) In respect of civil construction works, there was mere transfer of funds to various State Government agencies without any formal agreement and without any system. (iv) Poor monitoring of progress of the civil construction as well as quality of construction, and no action on the defects in constructions pointed out by JEs/ CMOs. (v) Non operationalisation of emergency transport services even after procurement of 779 ambulances. Further, pursuant to the directions of Hon’ble Allahabad High Court in Writ Petition Nos. 3611 (MB) of 2011 (PIL), 3301 (MB) of 2011 (PIL) and 2647 (MB) of 2011 (PIL), the Central Bureau of Investigation (CBI) has registered five Preliminary Enquiries related to alleged irregularities in the execution and implementation of National Rural Health Mission funds in the State of Uttar Pradesh since its inception in the year 2005- 06 till date. During the course of the said Preliminary Enquiries, the CBI has registered 13 cases so far. (d) The Ministry had requested the Comptroller & Auditor General (CAG) for conducting annual transaction audits of the National Rural Health Mission (NRHM) in all the States from the Financial Year 2011-12 in order to identify the existing gaps, facilitate independent monitoring and timely corrective measures so that a quality and timely audit assessment becomes available to assist the State Governments in undertaking remedial measures and achieving the
targets of NRHM. The CAG’s office in its reply dated 2nd January, 2012 has stated that the audit of NRHM shall be incorporated by Accountants General of all States in their regular audit planning process. The Annual Transaction Audits are to be conducted by the CAG from the current F.Y. 2011-12. No Audit Report has yet been received by this Ministry. (e) The following mechanisms have been put in place for adherence to financial procedures: (i) Submission of quarterly Financial Monitoring Reports by the States; (ii) Annual Statutory Audits; (iii) Concurrent Audits; and (iv) Visits by the teams of the Financial Management Group of the Ministry to States for periodical reviews. In order to build financial management capacities in States, the following initiatives have been taken by the Ministry:- (i) Model Accounting Handbooks for sub-district level finance / accounts personnel for Community Health Centres / Primary Health Centres, Village Health, Sanitation and Nutrition Committees (VHSNCs), Sub Centres, Rogi Kalyan Samitis (RKS) and Block Accountants have been prepared and circulated; (ii) Detailed operational guidelines on Financial Management have been prepared for adoption and implementation at State, district, block and village levels under the NRHM; (iii) E-training modules on finance and accounts to help train finance personnel in all States have been disseminated; (iv) E-transfers are being effected for fund releases to all States and Districts countrywide. An E-banking web enabled MIS to generate information on funds available and expenditure thereagainst is under implementation; (v) Guidelines and advisories on non-diversion of funds, State share contribution and utilization of funds (RKS and VHSNC) have been sent to the States; and (vi) Customised Tally ERP 9 accounting software has been implemented for maintaining NRHM Accounts in the majority of the States / UTs. The implementation of NRHM in States is reviewed through Joint Review Missions (JRMs), Common Review Missions (CRMs) and periodical reviews by the Ministry. Deficiencies / shortcomings noticed during the reviews are immediately brought to the notice of the States for remedial action. ANNEXURE Statement Showing Statewise Allocation, Release and Expenditure under NRHM for F.Ys. 2008-09 to 2011-12 Rs. in crore
Note: Release figures for the F.Y.2011-12 is as on 02.03.2012 Expenditure for the F.Ys 2009-10, 2010-11 and 2011-12 (upto 31.12.2011) are provisional. The above Releases relate to Central Govt. Grants & do not include state share contribution. UNHYGIENIC CONDITIONS 30th March, 2012 LSQ 2793 SHRI PURNMASI RAM Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether there is unhygienic condition all around in the wards of Safdarjung Hospital; (b) if so, the reasons for not improving sanitary condition in the wards especially in wash rooms despite repeated complaints; (c) whether the Government has empanelled a large number of private hospitals for CGHS beneficiaries for specialized treatment in respect of certain ailments and if so, the reasons for not approving them for all ailments; and (d) whether Delhi Government employees are not getting the same medical attention in comparison to Central Government employees and if so, the details of difficulties the Central Government will face if GNCT employees are also covered under CGHS? THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a)&(b): No. Safdarjung Hospital maintains hygiene standards for public convenience. The Hospital authority has two agencies for maintaining sanitation in the hospital. In addition, services of government safai karamcharies are also utilised. The pest control work is regularly done in the hospital. Any complaint received by the hospital administration is immediately attended to. (c): Government has empanelled private hospitals as per terms and conditions of empanelment under CGHS as spelt out in the tender notice. Private hospitals have been empanelled for a particular specialty for which they accepted the CGHS rates. Therefore, private hospitals are empanelled only for such specialty for which they are qualified for empanelment. (d): No such comparison has been made by this Ministry in respect of medical facilities provided to the Central Government employees and Delhi Government employees. Moreover, CGHS is a scheme for providing healthcare services to the Central Government employees and pensioners. DISEASES CAUSED BY CONTAMINATED DRINKING WATER 30th March, 2012 LSQ 2832 SHRI FRANCISCO SARDINHA SHRI RAMKISHUN SHRI K. ALIAS J.K. RITHEESH SHIVAKUMAR SHRI KAUSHALENDRA KUMAR SHRI NARAHARI MAHATO SHRI KAPIL MUNI KARWARIYA
SHRI PRADEEP MAJHI SHRI PARVATAGOUDA CHANDANAGOUDA GADDIGOUDAR SHRI RAM SUNDAR DAS SHRI KISHANBHAI VESTABHAI PATEL Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether a large number of cases of diseases including diarrhoea, hepatitis, cholera, typhoid and fluorosis, particularly among children are reported due to the use of contaminated drinking water having high level of various contaminants including fluoride and arsenic in the country; (b) if so, the details thereof indicating the number of cases and deaths reported due to these diseases caused by contaminated drinking water during each of the last three years, State/UT-wise; (c) the details of the steps taken by the Government to provide proper treatment for these diseases alongwith the funds spent for the purpose during the said period, State/UT-wise; (d) whether the Government proposes a comprehensive plan to control such diseases caused by contaminated drinking water and launch an awareness campaign for the purpose; and (e) if so, the details thereof? THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a)&(b): Consumption of contaminated drinking water may cause Water Borne Diseases such as Cholera, Acute Diarrhoeal Diseases, Viral Hepatitis and Typhoid (Enteric Fever). State wise details of reported cases and deaths due to Cholera, Acute Diarrhoeal Diseases, Viral Hepatitis and Typhoid (Enteric Fever) during the years 2009-11 are given at Annexure-I to IV. Intake of drinking water containing high fluoride and arsenic contents may lead to number of health problems such as dental fluorosis and arsenicosis. However, national level systematic information on cases due to fluorosis and arsenicosis are not available. (c)to(e): Provision of safe drinking water is the main strategy to control spread of water borne diseases. Responsibility for providing safe drinking water primarily lies with the State Governments, though following programmes are being run by Government of India through State Governments/local bodies to ensure supply of safe drinking-water: Ministry of Rural Development Department of Drinking Water Supply (i) National Rural Drinking Water Programme (NRDWP). (ii) Rural Drinking Water Quality Monitoring and Surveillance Programme. (iii) Jalmani Programme. Ministry of Urban Development Jawaharlal Nehru National Urban Renewal Mission (JNNURM). National Centre for Disease Control (NCDC) under Ministry of Health and Family Welfare issues technical guidelines from time to time to State Governments on prevention and control of water borne diseases and helps them in carrying out investigation of outbreaks of such diseases under Integrated Disease Surveillance Project (IDSP). Government of India also educates people through television, radio and exhibitions on the importance of potable drinking water. Health is a ‘State’ subject. However, Government of India under Integrated Disease Surveillance Project (IDSP) provides financial assistance to states for disease surveillance, outbreak investigation and response. Under IDSP the districts and States have been strengthened by providing additional manpower, training of identified Rapid Response Team (RRT) members for outbreak investigations, strengthening of laboratories for detection of epidemic prone diseases, ICT equipment for data entry, analysis and data transfer, and provision of funds for operationalization. Fund released under IDSP to State Health Societies and expenditures incurred during last three years are at Annexure (V). Annexure-I LOK SABHA UNSTARRED QUESTION NO.2832 DATE 30.3.2012 State wise Cases and Deaths due to Cholera in India 2009 – 2011 SI.No.
State /U.T 2009 2010* 2011*
Cases Deaths Cases Deaths Cases Deaths
1 Andhra Pradesh 308 4 178 0 229 0 2 Arunachal Pradesh 3 0 0 0 0 0 3 Assam 21 0 0 0 0 0 4 Bihar 0 0 NR NR NR NR 5 Chhattisgarh 3 0 12 0 1 0 6 Goa 0 0 0 0 0 0 7 Gujarat 309 0 132 1 79 0 8 Haryana 17 1 105 0 1 0 9 Himachal Pradesh 0 0 5 0 0 0 10 Jammu & Kashmir 0 0 2976 3 0 0 11 Jharkhand NR NR NR NR 0 0 12 Karnataka 143 0 301 3 166 0 13 Kerala 62 2 2 0 17 1 14 Madhya Pradesh 7 4 3 0 0 0 15 Maharashtra 183 1 384 1 210 2 16 Manipur NR NR 0 0 0 0 17 Meghalaya 0 0 NR NR 0 0 18 Mizoram 0 0 0 0 0 0 19 Nagaland 0 0 0 0 0 0 20 Orissa 0 NR 2 0 0 0 21 Punjab 19 0 43 1 0 0 22 Rajasthan 1 0 37 0 0 0 23 Sikkim 0 0 0 0 0 0 24 Tamil Nadu 818 0 156 0 334 2 25 Tripura 0 0 0 0 0 0 26 Uttarakhand 1 NR NR NR 0 0 27 Uttar Pradesh 0 0 20 0 9 0 28 West Bengal 486 0 570 0 652 0 29 A & N Islands 0 0 0 0 0 0 30 Chandigarh 35 0 NR NR 0 0 31 D & N Haveli 0 0 1 0 8 0 32 Daman & Diu 0 0 0 0 0 0 33 Delhi 1066 NR 77 0 0 0 34 Lakshadweep 0 0 0 0 0 0 35 Pondicherry 0 0 0 0 0 0 Total 3482 12 5004 9 1706 5 Source: National Health Profile issued by CBHI, Dte.GHS. Notes: 1. * Data for the years 2010 and 2011 are provisional.
2. NR means Not Reported
Annexure-II State wise Cases and Deaths due to Acute Diarrhoel Diseases reported during 2009 – 2011 SI.No.
URBAN HEALTH PROJECT 30th March, 2012 LSQ 2852 SHRIMATI JYOTI DHURVE Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether Government has received any proposals from various Governments including Madhya Pradesh for additional Central assistance for Urban Health Projects; and (b) if so, the present status of the proposals? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI SUDIP BANDYOPADHYAY) (a): No. The Ministry of Health & Family Welfare has not received any proposal from various Governments including Madhya Pradesh for additional Central assistance for Urban Health Projects. (b): Does not arise. TUBERCULOSIS AMONG WOMEN AND BIDI WORKERS 30th March, 2012 LSQ 2886 SHRI G.V. HARSHA KUMAR Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether there is high prevalence and mortality rate associated with tuberculosis among the women and bidi workers in the country; (b) if so, the details thereof alongwith the reasons therefor; (c) the number of women suffering from TB and died therefrom in comparison to men during each of the last three years, State/UT-wise; (d) the measures taken by the Government to control TB and funds spent therefor and the success achieved as a result thereof during the said period, State/UT-wise; and (e) the action plan prepared/proposed by the Government to control TB incidences, particularly among women and bidi workers in coordination with international agencies and NGOs? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI SUDIP BANDYOPADHYAY) (a)&(b) There is no evidence with the Revised National Tuberculosis Control Programme (RNTCP) of high prevalence and mortality associated with tuberculosis among women and bidi manufacturers in the country. (c) The number of women suffering from TB and deaths therefrom in comparison to men among the New Smear Positive patients during each of the last three years, State/UT-wise are given in Annexure I. (d) The Revised National TB Control Programme (RNTCP) widely known as DOTS, which is WHO recommended strategy, is being implemented as a 100% Centrally Sponsored Scheme in the entire country among the urban as well as rural areas. Under the programme, diagnosis and treatment facilities including anti TB drugs are provided free of cost to all TB patients. For quality diagnosis, designated microscopy centers have been established for every one lac population in the general areas and for every 50,000 population in the tribal, hilly and difficult areas. More than 13000 microscopy centers have been established in the country. Drugs are provided under direct observation and the patients are monitored so that they complete their treatment. The funds spent under the programme during each of the last three years, State/UT-wise are given at Annexure II. The achievements of the programme during each of the last three years, State/UT-wise are given in Annexure III.
(e) The programme has adopted a policy to provide access and facilitate utilization of TB control services to all TB patients including women and bidi workers. To control the TB incidences the Revised National TB Control Programme (RNTCP) widely known as DOTS, which is WHO recommended strategy, is being implemented as a 100% Centrally Sponsored Scheme in the entire country. Under the programme, diagnosis and treatment facilities including a supply of anti TB drugs are provided free of cost to all TB patients irrespective of sex, creed and socioeconomic status. For better delivery of services Community Volunteers, Anganwadi workers, Women Self Groups etc. function as Community DOT Providers/DOT Centers having flexi-timing. Provisions for work-place DOT centers have also been made. Further, to enhance access of programme services in general to all TB patients including women and bidi workers various NGOs and International Agencies are involved under the RNTCP. Annexure I LOK SABHA UNSTARRED QUESTION NO. 2886 DATE 30.3.2012 Number of patients registered and cases deaths among Men and Women, State/UT-wise.
Annexure III Achievements of RNTCP – New Smear Positive Case Detection Rate (NSP CDR) and New Smear Positive Treatment Success Rate (NSP TSR) – State/UT-wise and year-wise
Tripura 57% 91% 59% 90% 57% 90% 57% 88% 60% Uttar Pradesh 57% 88% 67% 89% 65% 89% 66% 90% 76% Uttaranchal 60% 86% 55% 85% 58% 85% 59% 86% 64% West Bengal 76% 86% 75% 85% 73% 85% 70% 85% 74% Grand Total 70% 87% 71% 87% 71% 87% 71% 88% 76% # Data for the period 1st April 2011 to 30th September 2011 ## Data for the period 1st April 2010 to 30th September 2010 DISEASES DUE TO CONTAMINATED WATER 27th April, 2012 LSQ 3732 SHRI MUHAMMED HAMDULLA A. B. SAYEED Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government has taken note of large number of people living next to landfill sites suffering from various diseases including gastroenteritis and skin infections due to contaminated ground water; (b) if so, the details thereof; (c) whether the Government has conducted any study to ascertain the relationship between the quality of ground water in the vicinity of landfill sites and the general health of people living there; (d) if so, whether locations near the landfill site have shown high concentration of total dissolved solids (TDS) exceeding their desirable limit; and (e) if so, the details thereof and the steps taken/proposed to be taken to help suffering people? THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a) & (b): No such information is available. (c) to (e): As reported by Central Ground Water Board, Ministry of Water Resources no such study to ascertain the relationship between the quality of ground water in the vicinity of landfill sites and the general health of people has been carried out. However, studies on ground water contamination in the vicinity of landfill sites in Delhi, Hyderabad, Kolkata, Mohali and Chennai have shown that total dissolved solids (TDS) concentration in excess of desirable limit of 500 mg/ litre has been reported from a few sites. DEATHS DUE TO SNAKE ANIMAL INSECTS BITES 27th April, 2012 LSQ 3762 SHRI PARVATAGOUDA CHANDANAGOUDA GADDIGOUDAR SHRI R.THAMARAISELVAN Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether a number of people die due to snake bites, animal bites and insects bites, particularly in rural areas across the country; (b) if so, whether the Government has any accurate data in this regard; (c) if so, the details thereof, State/UTwise; (d) if not, the reasons therefor; and (e) the measures taken/proposed by the Government to spread awareness about precautions against snake bites, animal bites and insects bites and make available prompt treatment facilities in hospitals/ health centres, particularly in rural areas? THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD)
(a) to (d): Information on State/UT-wise reported deaths due to snakebite and rabies during the year 2011 is enclosed at Annexure. (e): To prevent human deaths due to rabies a pilot project was carried out in the 11th Five Year Plan in five cities namely Ahmedabad, Bangalore, Pune, Madurai and Delhi. Under the pilot project, Information Education and Communication (IEC) activities were carried out to enhance awareness in the general community regarding timely and appropriate post exposure treatment. Medical and Paramedical personnel were trained in providing timely and appropriate animal bite management. Health is a ‘State’ subject. Therefore, it is primarily the responsibility of the State Government to ensure the availability of anti-rabies vaccine and anti-snake venom serum in the health care facilities. However, under National Rural Health Mission (NRHM), funds are provided to states for procurement of drugs including anti-rabies vaccine/anti-snake serum to make for any shortages and to strengthen primary health care institutions to provide health care facilities including medical assistance to victims of snake/animal bite. LOK SABHA ANNEXURE UNSTARRED QUESTION NO. 3762 DATED 27-04-2012 Annexure State wise number of reported deaths due to Snake Bite and Rabies in India during the year 2011*
* provisional data HEALTH PROBLEMS DUE TO USE OF PESTICIDES 27th April, 2012 LSQ 3774 SHRI P. KARUNAKARAN Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government has taken note of serious health problems caused by excessive use of pesticides in various parts of the country, particularly in the states like Punjab, Andhra Pradesh and Kerala; (b) if so, the details thereof; (c) whether the Government has undertaken any study in this regard; (d) if so, the details alongwith the outcome thereof; and (e) the corrective measures taken/ proposed by the Government in this regard? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI SUDIP BANDOPADHYAY) (a) to (e): Several Health problems were reported due to the aerial spraying of Endosulfan in Kasargod, Kerala, NHRC took suomoto notice of this & directed National Institute of Occupational Health,(NIOH) Ahmedabad to conduct a study. The report of this study was submitted in 2002 to NHRC. The main conclusions of the reports are at Annexure. LOK SABHA ANNEXURE UNSTARRED QUESTION NO. 3774 DATED 27-04-2012 Annexure Following are the main conclusions: 1.There is significantly higher prevalence of neurobehavioral disorders, congenital malformations in female subjects and abnormalities related to male reproductive system in the study group (Padre village, Enmakaje Panchayat) as compared to the reference group (Miyapavadu Village of Meenja Panchayat).
2.Regarding the etiological factors, responsible for these health problems, various factors were compared and it was found that the two groups differed mainly with respect to aerial spray of endosulfan. Therefore the most probable cause for the health problems in the study area could be relatively high and continued exposures to endosulfan through various environmental media such as food, water, soil an air. 3.The physiography of Padre village has been a major factor responsible for continued exposure of the population. 4.There is a close similarity between the spectrum health effects observed in the study population and those described in animal experiments. This supports the hypothesis of endosulfan as a causative factor for the endpoints observed in the study. It need to be stressed that the animal experiments were carried out with much higher dosages and the exposure was mostly acute or sub acute. Animal toxicity studies are carried out to identify the target organs of toxicity and possible spectrum of effects. The effects of any chemical are determined by the dose, duration and the time of exposure. It has been demonstrated that much lower doses of toxicants may result in adverse health effects manifesting as functional or organic disorders in later life if the exposure takes place during the early development phase. 5. The detection of endosulfan residues in the reference area does not antagonize our hypothesis and in fact this may have masking effect on the observed health effects. EVALUATION OF NATIONAL TOBACCOCONTROL PROGRAMME 27th April, 2012 LSQ 3827 SHRI HARISH CHOUDHARY DR. SANJAY SINH SHRI BHUPENDRA SINGH
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government isimplementing the National TobaccoControl Programme (NTCP) across thecountry; (b) if so, the present status ofimplementation of NTCP in the country, State/UT-wise; (c) whether the Government has doneany monitoring and evaluation/assessment of the above programme at the nationallevel; (d) if so, the details alongwith theoutcome thereof; and (e) the details of the shortcomingsnoticed and measures taken/proposed to plug the loopholes in implementation of NTCP? THE MINISTER HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a) & (b): The National Tobacco Control Programme (NTCP) has been launched in 42 Districts of 21 States to implement various provisions under anti-tobacco law (COTPA 2003) and to create awareness about the harmful effects of tobacco consumption. The list of districts covered under the programme is annexed. The programme broadly envisages- I. Mass media/Public awareness campaigns aimed at behavioral change. II. Establishment of tobacco product testing laboratories, to build regulatory capacity, as required under anti-tobacco law (COTPA, 2003). III. Research & Training – on alternate crops and livelihoods, in co-ordination with other nodal Ministries. IV. Monitoring and Evaluation including surveillance e.g. Adult Tobacco Survey. V. Dedicated tobacco control cells in the states and districts for effective implementation and monitoring of Anti Tobacco Initiatives. VI. Training of health and social workers, NGOs, school teachers etc. VII. Setting up tobacco cessation centres (c) to (e): A review meeting of the State/ District Nodal Officers was held in January 2012 to monitor the progress of NTCP. The major challenges faced in the programme are as follows: (i) There are multiple litigations challenging the provisions of the anti-tobacco law and rules notified there-under. (ii) In order to implement various provisions under anti-tobacco law, a state level enforcement mechanism needs to be put in place, which includes opening separate head of account, printing of challan books and constituting a raiding mechanism etc. Some of the states have been slow on this front. (iii) In some of the states and districts, the manpower under the programme has not been recruited by the concerned states for various reasons, including low remuneration under the programme. (iv) A major challenge in the implementation of COTPA comes from the tobacco farmers and bidi rollers. There is a need to work out effective strategies to provide alternative viable livelihood options to these farmers and bidi rollers through the programmes of Ministry of Rural Development, Ministry of Agriculture, Ministry of Labour etc. (v) The pilot phase of the progammehas been launched only in 2 districts each in 21 states, and, therefore, does not receive the desired priority and support at the state levelin some cases. (vi) The state focal point officers under the programme are entrusted with other programmes also and are not able to devote enough time. There is a need to integrate components of the programme with the National Programme on NCD, since tobacco is one of the main risk factors for NCDs (Non-Communicable Diseases). (vii) The components of the programme at district level including cessation services have not been implemented or only partly implemented in many states. (viii) The utilization of budget and submission of utilization certificates under the programme is not satisfactory in many states. The Ministry of Health & Family Welfare has taken and is contemplating following steps to address the challenges under the programme: # The Ministry is in touch with Ministry of Law and its legal counsels to settle the litigations. # Regular review workshops have been organized for the state nodal officers to sort out the impediments and bottle necks faced in the implementation of NTCP. # Regional level trainings are planned for capacity building in the states and districts. # Communications have been addressed to the state Officials (Chief Secretary/ Health Secretary/ Transport Commissioner/ Director General of Police/ Finance Secretary/ Secretary, Panchayati Raj) to implement various provisions under COTPA, monitor the same through monthly crime review meetings and for raising of taxes on tobacco and tobacco products. # Guidelines on implementation of anti-tobacco law have been developed to facilitate the states in implementing the various provisions. # Communications have been sent to different Ministries like Ministry of Agriculture and Ministry of Rural Development to workout special programmes for tobacco growers/workers under their ongoing schemes. # Ministry proposes to expand the coverage of NTCP to all the districts of India in a phased manner during the 12th 5-year Plan, with better manpower, legal and infrastructural support, and online monitoring.
# Ministry is proposing to integrate components of the programme with the National Programme of NCD with a dedicated focal point officer at the state and district level. # Ministry proposes to strengthen the toll free helpline for on-line reporting and dissemination of information relating to violations of the anti-tobacco law. # Ministry is contemplating setting up a quit helpline at the national level for tobacco users. LOK SABHA ANNEXURE UNSTARRED QUESTION NO. 3827 DATED 27-04-2012 Annexure List of NTCP States/ Districts
SI. No.
Name of the State/ UT Name of Districts.
1. Assam Kamrup, Johrat 2. West Bengal Cooch Behar, Murshidabad 3. Madhya Pradesh Khandwa, Gwalior. 4. Uttar Pradesh Lucknow, Kanpur 5. Delhi New Delhi, East Delhi 6. Rajasthan Jaipur , Jhunjhnu 7. Gujarat Vadodra, Sabarkanta 8. Tamil Nadu Kancheepuram, Villupuram 9. Karnataka. Banglore (U), Gulbarga. 10. Nagaland Kohima, and Dimapur 11. Tripura West Tripura, Dhalai District 12. Mizoram Aizawl, and Lunglei 13. Arunachal Pradesh West Kameng& East Siang 14. Sikkim East Sikkim & South Sikkim 15. Jharkhand Dhanbad and Jamshedpur 16. Bihar Patna and Munger 17 Uttarakhand Dehardun and TehriGadhwal 18 Maharashtra Thane and Aurangabad 19. Goa North Goa and South Goa 20. Andhra Pradesh Guntur and Hyderabad. 21. Orissa Cuttak and Khurda
PROPOSALS FOR CONSERVATION OF MEDICINAL HERBS 4th May, 2012 LSQ 4620 SHRI SYED SHAHNAWAZ HUSSAIN Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government has received proposals from various States including Bihar in respect of conservation and trade of medicinal herbs; (b) if so, the details thereof during each of the last three years and the current year, State/UT-wise; (c) the action taken by the Government thereon; and (d) the funds allocated and spent for conservation of medicinal and herbal plants during the said period, State/UT-wise? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI S. GANDHISELVAN) (a) to (c): Yes. 1. The National Medicinal Plants Board (NMPB) under Department of AYUSH, Ministry of Health and Family Welfare has been implementing following Schemes since 2008-09 for overall development of medicinal plants Sector:-
(i) Central Sector Scheme for `Conservation, Development and Sustainable Management of Medicinal Plants` The objective of this Scheme is to provide support for Survey, Inventorisation, in-situ / ex-situ conservation, linkage with Joint Forest Management Committees (JFMCs), Research and Development, establishing quality standards and certification, capacity building, promotional activities etc. The proposals in form of projects are received and placed before the Project Screening Committee (PSC) and thereafter before the Standing Finance Committee (SFC) for final approval. (ii) Centrally Sponsored Scheme of `National Mission on Medicinal Plants” The Scheme is primarily aimed at supporting market driven cultivation of medicinal plants on private land with backward linkages for establishment of nurseries and forward linkages for post-harvest management, process and value addition including market promotion, buy back inte rvention, marketing infrastructure, certification etc. in a Mission mode. The support for cul tivation also helps in conservation as it reduces pressure of unsustainable collection from wild. The proposals received in form of Annual Action Plan of the State are placed before the Technical Screening Committee (TSC) and thereafter before the Standing Finance Committee (SFC) for final approval. The details of State/UT-wise proposals received from Govt. Departments / local bodies / institutions / organisations located in various States / UTs including Bihar in respect of conservation, trade and other related activities have been given at Annexure-I. 2. The Ministry of Tribal Affairs has informed that the Ministry operates a Central Sector Scheme ‘Grants-in-Aid to STDCCs etc. for Minor Forest Produce (MFP) Operations’ since 1992-93. Under this scheme Grants-in-Aid is provided to the State Tribal Development Cooperative Cor porations (STDCCs) / Forest Development Corporations (FDCs) etc. through respective State Gove rnments for increasing the quantum of MFP handled by and strengthening the share capital base of corporations for undertaking MFP operation, apart from, setting up ware-housing facilities, establishing processing industries, giving consumption loans to the people belonging to sche duled tribes and supplementing R&D efforts. (d): 1. The funds released under the Scheme viz. Central Sector Scheme for `Conservation, Development and Sustainable Management of Medicinal Plants` and Centrally Sponsored Scheme of `National Mission on Medicinal Plants” by the NMPB have been provided at Annexure-II & III respectively. Under the Central Sector Scheme no State / UT-wise fund is allocated and every project is examined and approved on the basis of merit of the project and schematic provision. Under the Centrally Sponsored Scheme mostly fund was released in accordance with approved ac tion plan. 2. According to information provided by FRLHT, Bangalore, which is an institution supported by Ministry of Environment & Forests, under the Global Environment Facility – UNDP supported pro ject titled “Mainstreaming Conservation and Sustainable use of medicinal plants diversity in three Indian states”, Medicinal Plants Conservation Areas (MPCAs) are being supported in Aruna chal Pradesh, Uttarakhand and Chhattisgarh at an outlay of Rs. 4,84,85,835/-. 3. Horticulture Division in Department of Agriculture & Cooperation is also implementing a Cen trally Sponsored Scheme on “National Horticulture Mission” (NHM), in the Country since 2005-06. The scheme is being implemented in the country in all the States and the three UTs of Andaman and Nicobar Islands, Lakshadweep and Puducherry. The eight North-Eastern states alongwith J&K, Himachal Pradesh and Uttarakhand are covered under the Horticulture Mission for North East and Himalayan states (HMNEH). Under these schemes, medicinal plants were initially included but have been discontinued after the launch of the National Mission on Medicinal Plants. Financial ass istance was provided for medicinal plants under the above scheme during the year 2009-10 to the following States:- State Amount of financial assistance
(Rs. in lakhs) Andhra 17.58 Pradesh Chhattisgarh 10.00 Kerala 8.42 Rajasthan 3.33 4. CSIR has informed that the National Botanical Research Institute (NBRI) Lucknow was supported under the 11th five year plan, to undertake R&D on Biodiversity Assessment, Prospection and Conservation of plant resources of India for which Rs. 522.05 lakhs was spent in the last three years. Annexure-I Department of AYUSH (National Medicinal Plants Board) (Annexure w.r.t. Lok Sabha Unstarred Question No. 4620 to be answered on 04.05.2012)
State wise and year-wise project proposals received S. No.
States/ Uts 2009-10 2010-11 2011-12 2012-13 Central Sector Scheme
Note: 1. Funds include releases against approved projects of previous years and also include grants given to NGOs.
2. Under this scheme fund is not allocated to the State/ UT. Every project is examined on the basis of merit and schematic provisions.
Annexure‐III
Department of AYUSH (National Medicinal Plants Board) (Annexure w.r.t. Lok Sabha Unstarred Question No. 4620 to be answered on 04.05.2012) Funds released under the Centrally Sponsored Scheme of "National Mission on Medicinal Plants” (Rs. In Lakhs) S. No. Name of State 2009-10 2010-11 2011-12 1 Andhra Pradesh 900.00 700.00 512.52 2 Arunachal Pradesh 281.56 58.85 285.14
27 West Bengal 684.60 107.54 0.00 Note:- In spite of the approved action plan, fund could not be released to few States because of unspent balance available with the implementing agencies from previous years grant. BIO MEDICAL WASTE 4th May, 2012 LSQ 4693 SHRI NAMA NAGESWARA RAO SHRI NITYANANDA PRADHAN SHRI BAIJAYANT "JAY"PANDA SHRI GOPINATH PANDURANG MUNDE Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government is aware that most of the hospitals in Delhi and other metropolitan cities are casually dumping untreated hazardous bio-medical waste despite having expensive inci nerators installed at the hospitals; (b) if so, the details of hospitals where incinerators are not functioning; (c) whether the Government has any mechanism to ensure proper implementation of Bio-Medical Waste (Management and Handling) Rules, 1998; (d) if so, the details thereof and if not, the reasons therefor; and (e) the action taken by the Government for dumping of untreated medical waste against the erring hospitals for violation of the said rules and also for ensuring their proper implementation? THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a) to (e): Health being a state subject, no information regarding the details of hospitals, where incinerators are not functioning, is maintained centrally. However, as per the guidelines of Central Pollution Control Board, installation of individual incinerators by a healthcare unit is to be discouraged as far as possible and it shall be allowed only at Common Bio-Medical Waste Treatment Facility. In so far as the three Central Government hospitals in Delhi, namely Dr. R.M.L Hospital, Safdar jung Hospital and LHMC and its Associated hospitals are concerned, bio-medical wastes are dispo sed off as per procedures prescribed in the Bio-Medical Waste (Management and Handling) Rules, 1998. Compliance and monitoring of the Bio-Medical Waste (Management and Handling) Rules, 1998 is ens ured by State Pollution Control Boards (SPCBs) in States and Pollution Control Committees (PCCs) in Union Territories (UTs). Show cause notices/directions are issued by the SPCBs and PCCs to erring healthcare facilities for violating these rules, whenever such cases are come to their notice. EXPORT OF MEDICINAL PLANTS AND HERBS 4th May, 2012
LSQ 4698 PROF. RANJAN PRASAD YADAV SHRI KHAGEN DAS Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) the share of India in the export of Medicinal Plants and Herbs in the global herbal market in comparison to China at present; (b) whether the Government has identified various factors including quality which are hampering the growth of export of Medicinal Plants and Herbs from the country; (c) if so, the details thereof alongwith the corrective measures taken/proposed by the Government for wider acceptibility of Indian Medicinal Plants and Herbs in the global market; (d) whether the Government proposes to set up a regulatory body for Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy ( AYUSH) on the lines of Drug Controller General of India; and (e) if so, the details thereof? THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI S. GANDHISELVAN) (a): According to data compiled by Pharmexcil from UN Comtrade (the official agency for such data), the export of India and China in 2010 was US Dollar 790.56 Million and 1329.72 Million respectively out of total global export of US Dollar 7592.08 Million (for 165 countries). These data pertain to export of medicinal plants, herbs and the value added products like extracts including essential oils, gums & resins (excluding finished dosage forms). (b) & (c): Following important measures have been taken for development of medicinal pla nts sector for wider acceptability and inter-alia growth of exports:- The National Medicinal Plants Board (NMPB) under Department of AYUSH, Ministry of Health and Family Welfare has been implementing Centrally Sponsored Scheme of `National Mission on Medicinal Plants” since 2008-09 to provide support for establishment of nurseries, cultivation of identified species including those which are in demand for export, setting up of infrastructure for post harvest management / processing and value addition / testing faci lities / organic, GAP certification, market promotion etc. Support for Organic Certification for horticultural crops including medicinal plants is provided under the scheme of National Horticulture Mission under Ministry of Agriculture. The NMPB has developed guidelines for Good Agricultural Practices and Good Field Coll ection Practices for Indian medicinal plants. The Certification Standards have been developed and Voluntary Certification Scheme launched for cultivated / collected medicinal plants with support of Quality Council of India. Agro-techniques of selected important medicinal plants have been developed by the NMPB. (d) & (e): Yes. To ensure the quality and standards of Ayurveda, Siddha and Unani (ASU) medicines and effective enforcement of the provisions of the Drugs & Cosmetic Act, the Ayu rveda, Siddha and Unani Drugs Consultative Committee (ASUDCC) chaired by Drugs Controller General of India (DCGI) recommended creation of separate Central Drug Controller for ASU drugs. It will facilitate the increased acceptability of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) medicines within the country and abroad. The Expen diture Finance Committee has approved creation of infrastructure for Central Drug Control ler for AYUSH drugs. SANITARY NAPKIN SCHEME 4th May, 2012 LSQ 4709 SHRIMATI MANEKA SANJAY GANDHI Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government has an assessment of the number of girls that have been benefited from Rs. 1 per sanitary napkin scheme; and (b) if so, the State-wise details thereof? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI SUDIP BANDYOPADHYAY) (a): The supply of sanitary napkins under the scheme for promotion of Menstrual Hygiene among adolescent girls (10-19 years) was started in 2011 providing the girls sanitary napkins at Rs. 1 per piece through ASHAs. The
supply is on-going and has not yet been completed. Therefore the report of the number of girls that have been benefitted from this scheme in different States has not yet been compiled. (b): Question does not arise. FUNCTIONING OF NRHM 4th May 2012 LSQ 4779 SHRI IJYARAJ SINGH DR. SANJAY SINH Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government proposes to get the functioning of the National Rural Health Mission (NRHM) investigated afresh by surprise raids on the primary health centres being run under this mission; (b) if so, the details thereof; (c) if not, the reasons therefor and the reaction of the Government thereto; and (d) the steps being taken by the Government to check corruption prevailing in the NRHM? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI SUDIP BANDYOPADHYAY) (a) & (b) At present there is no such proposal. (c) Health is a State subject and its implementation and monitoring is primarily done by the respective State Governments. (d) :The following steps have been taken by the Government to check corruption in NRHM (i) Submission of quarterly Financial Monitoring Reports by the States; (ii) Annual Statutory Audits; (iii) Concurrent Audits; and (iv) Visits by the teams of the Financial Management Group of the Ministry to States for per iodical reviews. In order to build financial management capacities in States, the following initiatives have been taken by the Ministry: - (i) Model Accounting Handbooks for sub-district level finance / accounts personnel for Commu nity Health Centres / Primary Health Centres, Village Health, Sanitation and Nutrition Committees (VHSNCs), Sub Centres, Rogi Kalyan Samitis (RKS) and Block Accountants have been prepared and cir culated; (ii) Detailed operational guidelines on Financial Management have been prepared for adoption and implementation at State, district, block and village levels under the NRHM; (iii) E-training modules on finance and accounts to help train finance personnel in all States have been disseminated; (iv) E-transfers are being effected for fund releases to all States and Districts countrywide. An E-banking web enabled MIS to generate information on funds available and expenditure there against is under implementation; (v) Guidelines and advisories on non-diversion of funds, State share contribution and utili zation of funds (RKS and VHSNC) have been sent to the States; and (vi) Customised Tally ERP 9 accounting software has been implemented for maintaining NRHM Acc ounts in the majority of the States / UTs. The implementation of NRHM in States is reviewed through Joint Review Missions (JRMs), Common Re view Missions (CRMs) and periodical reviews by the Ministry. Deficiencies / shortcomings noticed during the reviews are immediately brought to the notice of the States for remedial action.
Further, the Ministry had requested the Comptroller & Auditor General (CAG) for conducting annual transaction audits of the National Rural Health Mission (NRHM) in all the States from the Finan cial Year 2011-12 in order to identify the existing gaps, facilitate independent monitoring and timely corrective measures so that a quality and timely audit assessment becomes available to as sist the State Governments in undertaking remedial measures and achieving the targets of NRHM. The CAG’s office in its reply dated 2nd January, 2012 has stated that the audit of NRHM shall be incorporated by Accountants General of all States in their regular audit planning process PUBLIC AWARENESS AGAINST TOBACCO CONSUMPTION 4th May, 2012 LSQ 4785 SMT. YASHODHARA RAJE SCINDIA SMT. MANEKA SANJAY GANDHI Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government has taken/ has proposed any measures to generate public awareness about the ill-effects of consumption of tobacco and gutka products among the masses in the country, especially through social media and networking sites, so as to directly target the youth; (b) if so, the details thereof; and (c) the funds earmarked/spent for the purpose during each of the last three years and the current year? THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a) & (b) Yes, Government has already taken measures to create public awareness/ mass media campaign for awareness building & for behavioural change under National Tobacco Control Programme. In this regard, a comprehensive mass media anti tobacco campaign has been run all over the country through electronic and print media for creating awareness about the harmful effects of tobacco consumption and second-hand smoke. In particular, advertisements titled “Mukesh and Surgeon” have been developed and telecasted, showing the harmful effects of chewing tobacco. Further, new anti-tobacco spots namely “baby alive” and “Life se panga mat le yaar” have also been deve loped and released through electronic media. Public Notices have also published in the newspa pers for creating awareness about the ill-effects of tobacco consumption and second hand smoke. Outdoor mass media campaign was also launched in 2011-12 through DAVP. Recently, this Ministry has also launched a Swasthya Bharat Campaign through DD and AIR, focu sing on different themes including Tobacco use for creating awareness about harmful effects of tobacco consumption and second hand smoke. In addition, the States/ Districts cells under the National Tobacco Control Programme are be ing encouraged to use the traditional media to reach out to rural masses for creating awareness on the harmful effects of tobacco use. The Ministry of Health is finalizing its media plan for 2012-13 including use of social media and networking sites for the purpose of anti-tobacco campaign. (c) In the current financial year (2012-13), an amount of Rs. 26.00 Cr has been earmarked under Budget Estimates under the head ‘IEC’ (Information, Education and Communication) for running anti tobacco campaigns. The funds earmarked/ spent for the purpose during the last three years are as under:- Financial Year Funds allocated Spent for IEC activities 2009-10 Rs, 14.91 Cr Rs. 14.68 Cr 2010-11 Rs. 29.00 Cr Rs. 26.64 Cr 2011-12 Rs. 28.99 Cr Rs. 27.56 Cr HARMFUL ELEMENTS IN TOYS 11th May, 2012 LSQ 5751 SHRI S. PAKKIRAPPA SHRI PARVATAGOUDA CHANDANAGOUDA GADDIGOUDAR
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government has taken note of presence of harmful elements found in indigenously manufactured and imported toys in the country; (b) if so, the details thereof; (c) whether the Government has examined the matter; (d) if so, the details alongwith the outcome thereof; and (e) the corrective measures taken/proposed to be taken by the Government in this regard? THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a): Government is aware of the several news items and reports which stated the presence of harmful elements in toys in the country. (b) to (d):An Expert Committee has been constituted by the Ministry of Health and Family Welfare to look into the presence of harmful elements in toys under the Chairpersonship of Dr. Y.K. Gupta, (Professor of Pharmacology, AIIMS. Under the guidance of this committee a study has been initiated to examine the present of some heavy metals and phthalates in the plastic toys in the market. The SOPs (Standard Operating Procedures) for all various components have been finalized and the validation exercise involving seven national laboratories have been completed. (e) :As per Ministry of Commerce and Industry(Directorate General of Foreign Trade), the import of toys is subject to prescribed Quality Standards and requirement of being tested by an independent lab duly accredited under International Laboratory Accreditation Cooperation (ILAC), mutual recognition Arrangement (MRA). ADVERSE HEALTH AFFECTS OF MOBILE PHONE/TOWER RADIATION 11th May, 2012 LSQ 5896 SHRI NRIPENDRA NATH ROY SHRI SUDARSHAN BHAGAT SHRI FEROZE VARUN GANDHI SHRI RAMESH VISHWANATH KATTI SHRI S. S. RAMASUBBU SHRI PRATAPRAO GANPATRAO JADHAV RAJKUMARI RATNA SINGH Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government has taken note of a recent study conducted by the International Agency for Research on Cancer (IARC) which states that radiation and electromagnetic fields generated by mobile phones, towers and other wireless communication devices increase cancer risk among humans; (b) if so, the details thereof alongwith the facts in this regard; (c) whether the Government has conducted/proposed any study in this regard; (d) if so, the details thereof alongwith the findings thereof; and (e) the action plan formulated/proposed by the Government to minimise adverse health affects of radiation from mobile phones, towers and other wireless communication devices? THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a) Yes, the Government is aware and has taken note of recent study conducted by the International Agency for Research on Cancer (IARC). (b) International Agency for Research on Cancer (IARC) classified radiofrequency electromagnetic field as possible carcinogenic to human (Group-2B) and this was announced by the World Health Organization through their press release on 31st May, 2011. (c) Indian Council of Medical Research has already initiated a multi-centric study in Delhi/NCR to address this issue. (d) Under this study, efforts are going on to examine whether use of cell phone create risk of neurological, cardiological, cancer, ENT and reproductive disorders. The efforts are also going on to measure specific absorption rate, power density wave length and frequency of RFR emitted from various types of cell phones and cell phone towers under this study.
(e)To review the existing literature in this area and to develop necessary guidelines fixing safe exposure limits of RFR alongwith other necessary measurements and recommendations on this topic in the country the Dept. of Telecommunication, Ministry of Communication and Information Technology, Government of India appointed an Inter-Ministerial Committee where a senior scientist from the ICMR participated as the member of the Inter-ministerial Committee. The report of the Inter-Ministerial committee has been accepted by the Ministry of Communication and IT. On the basis of recommendations of Inter-Ministerial Committee norms for exposure limit for the Radio Frequency Field (Base Station Emissions) has been reduced to 1/10th of the existing limits prescribed by International Commission on Non Ionizing Radiation Protection(ICNIRP).Specific Absorption Rate(SAR)level for Mobile Handset has been revised from 2 watt per Kg to 1.6 Watt per Kg. Directions in this regard have been issued to Mobile Handset Manufacturers/mobile operators which shall be effective from 01.09.2012. ENDOSULFAN POISONING 11th May, 2012 LSQ 5948 SHRI FEROZE VARUN GANDHI Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether attention of the Government has been drawn to the number of babies born with congenital defects due to endosulfan poisoning in certain parts of the country; (b) if so, the details thereof alongwith facts in this regard; (c) the number of such cases reported during the last three years and the current year so far, State/UT-wise; (d) whether the Government has taken/ proposed certain steps to curb the same; and (e) if so, the details thereof? THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a) & (b) :On the directions of National Human Rights Commission the National Institute of Occupational Health, Ahmedabad had conducted a study on health effects of Endosulfan in 2002 wherein higher prevalence of congenital malformations in female subjects and abnormalities related to male reproductive systems were observed in study groups. (c) No such records are maintained in this Department (d) & (e) : Government of Kerala has initiated relief measures for the endosulfan affected people. Similar relief measures were undertaken by the Government of Karnataka in some areas where endosulfan was aerially sprayed. No cluster/links are available in remaining part of the country and no such adverse effects have been reported. The State Government of Kerala conducted medical camps and constituted a cell for relief measures for persons identified with health problems in areas where Endosulfan was continuously sprayed. The Ministry of Agriculture, the nodal Ministry to deal with import, manufacture, sale, transport, distribution, use etc. of the insecticides under the Insecticides Act, 1968 and the rules made thereunder, has constituted a Central Insecticied Board and Registration Committee to advise the Central and State Governments on matters relating to manufacture, sale, storage, transport and distribution of Insecticides with a view to ensure safety to human beings and animals. BAN ON SMOKING 18th May, 2012 LSQ 7111 PROF. RANJAN PRASAD YADAV Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) the detailed rules framed and measures taken including ban on smoking in public places in order to discourage consumption of cigarettes and other tobacco products across the country; (b) the mechanism put in place by the Government for their proper enforcement and compliance in the country;
(c) the provisions made in respect of fine/penalty to be imposed on the offenders for violation of the above rules indicating the number of such offenders prosecuted and fine collected from them during each of the last three years and the current year so far, State/UT-wise; (d) whether the Government proposes to increase the fine for violation of the above rules/measures including ban on smoking in public places; and (e) if so, the details thereof and if not, the reasons therefor? MINISTER OF THE STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a) to (c) In exercise of powers conferred under the Anti Tobacco law titled “Cigarettes and other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, (COTPA) 2003”, the Government of India has notified “The Prohibition of Smoking in Public Places Rules, 2008” vide GSR No. 417(E) dated 30th May 2008 whereby smoking is strictly prohibited in all public places. These rules came into force from 2nd October 2008 and empower the non-smokers, as also place accountability on the owner/manager/proprietor of a public place. A list of authorized officers has also been notified in schedule III of the aforesaid Rules, 2008, who are competent to impose and collect fines against violation of section 4 of COTPA 2003. Communications have been addressed to State Governments for ensuring effective implementation of the said Rules, since the onus of implementation lies with them. A letter has been sent to Director Generals of Police in the States with a request to include implementation/ violation of the provisions of COTPA, 2003 in the monthly crime view meetings. Guidelines under Section-4 of COTPA, 2003 have been sent to all the State/UTs. More than 25 advocacy workshops have been organized at National, Regional and State level to sensitize the different Stakeholders on implementation of the Rules. Under the Rules, a fine upto Rs. 200/- may be imposed for violation of the provisions of the said Rules made under Section-4 of COTPA, 2003. An offence under this Section is compoundable and can be tried summarily in accordance with the procedure provided for summary trials in the Code of Criminal Procedure, 1973. The information relating to fines collected from the offenders during the last three years and the current year by the State / UTs is not available in the Ministry. (d) & (e) The fine for violation of the above rules as laid down under section 21 of COTPA 2003 is up to two hundred rupees. At present, there is no proposal under consideration to increase the fine for violation of ban on smoking in public places. However, the Committee on Subordinate Legislation, Rajya Sabha in its 196th report, has recommended that penalty for selling tobacco product within 100 yards from educational Institutions should be increased from the existing Rs 200/- as and when a comprehensive amendment of COTPA 2003 is considered. MEDICINAL AND AROMATIC PLANTS 24th August, 2012 LSQ *198 SHRI RAKESH SINGH SHRI PREMDAS Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether a number of medicinal and aromatic plants including ashtawarga herbs are either extinct or on the
verge of extinction in the country; (b) if so, the reasons therefor indicating the details of the endangered medicinal and aromatic plants in the country; (c) whether the Government has launched any programme for the conservation of these medicinal and aromatic
plants in the country;
(d) if so, the details thereof along with the activities taken thereunder; and (e) the financial and technical assistance provided for the conservation of medicinal and aromatic plants during
each of the last three years and the current year, State/UT-wise? THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a)to(e):A statement is laid on the Table of the House. STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 198 FOR 24TH AUGUST, 2012 (a)&(b): No firm data on the extent of threat to the medicinal and aromatic plants including ashtawarga is readily available. Under section 38 of the Biological Diversity Act 2002, the Ministry of Environment & Forests, in consultation with the concerned State Government, notifies any species which is on the verge of extinction or likely to become extinct in the near future as a threatened species and prohibits or regulates collection thereof for any purpose and takes appropriate steps to rehabilitate and preserve those species. Under the said provision of the Act, the Ministry of Environment & Forests has notified the plants which are on the verge of extinction so far only in the State of Bihar, Goa, Himachal Pradesh, Karnataka, Kerala, Madhya Pradesh, Meghalaya, Mizoram, Orissa, Tamil Nadu, Tripura, Uttar Pradesh, Uttarakhand and West Bengal. These plants also include medicinal and aromatic plants. However, none of ashtawarga species have been reported extinct or on the verge of extinction in any of the said states. According to the Botanical Survey of India (BSI), the medicinal and aromatic plants, like other groups of plants and animals, are threatened largely due to degradation of habitat and due to various anthropogenic factors and the threatened medicinal and aromatic plants are as follows: Aconitum balfouri, A. chasmanthum, A. deinorrhizum, A. falconeri var latilobum, A. ferox, A. heterophyllum, Acorus gramineus, Allium stracheyi, Amyris balsamifera, Angelica glauca, Anogeissus sericea var. numularia, Aquillaria mallaccensis, Aquilaria khasiana, Aristolochia bracteolata, A. indica, Arnebia benthamii, Atropa acuminata, Berberis affinis, B. apiculata, B. aristata, Bergenia stracheyi, Boronia megastigma, Capparis pachyphylla, Carum villosum, Cedrus deodara, Colchicum luteum, Coptis teeta, Coscinium fenestratum, Dactylorhiza hatagirea, Dioscorea deltoidea, Elaeocarpus prunifolius, Ephedra gerardiana, Ferrula gummosa, Gaultheria fragrantissima, Gentiana kurooa, Gloriosa superba, Hedychium coronarium, Hedychium spicatum, Hyoscyamus niger, Hydnocarpus macrocarpa, Inula racemosa, Iphigenia indica, I. pallida, I. stellata, Jurinea dolomiaea, Kolanchoe roseus, Madhuca insignis, Myristica fragrans, Myroxylon balsamum var. pereirae, Nardostachys grandiflora, Origanum vulgare, Panax pseudoginseng, Picrorhiza kurrooa, Podophyllum hexandrum, Pogostemon cablin, Pterocarpus santalinus, Rauvolfia serpentina, Rheum emodi, Santalum album, Satureja horensis, Saussurea bracteata, S. costus, S. gnaphalodes, Swertia chirayita, Taxus wallichiana, Taxocarpus kurzii, Urginea indica, Urginea maritima and Vitex peduncularis. (c)to(e):Yes, Madam. The National Medicinal Plants Board (NMPB) of Department of AYUSH is implementing a Central Sector Scheme for `Conservation, Development and Sustainable Management of Medicinal Plants` since the year 2008-09 during the 11th five year plan. The objective of this Scheme is to provide support for Survey, Inventorisation, in-situ / ex-situ conservation, linkage with Joint Forest Management Committees (JFMCs), Research and Development, establishing quality standards and certification, capacity building, promotional activities etc. Under the scheme financial and technical assistance has been provided for in-situ / ex-situ conservation including resource augmentation in forest areas for conservation of medicinal plants. Herbal Gardens, School Herbal Gardens, Home Herbal Gardens, Medicinal Plants Conservation Areas have been established in different states and plantation of rare, endangered and threatened species have been undertaken in the forest areas under the scheme. Financial assistance amounting to Rs. 1512.36 lakhs in 2009-10, Rs. 3092.30 lakhs in 2010-11, Rs. 3896.56 lakhs in 2011-12 and Rs. 418.69 lakhs during the current year (till 31.07.2012) was released to different States for the conservation of medicinal plants under the Scheme. State/UT–wise and year-wise details of funds released by the NMPB for conservation of medicinal plants under the scheme are given in Annexure.
Annexure of starred question no. 198 dt. 24.08.2012 Annexure
Financial assistance provided for Medicinal Plants Conservation Area (MPCAs), ex-situ
conservation, Herbal Garden, Home and School Herbal Garden and in-situ Conservation of medicinal plants including resource augmentation in forest areas during each of the last three years and current year, States/UTs wise
TOTAL 1512.36 3092.30 3896.56 418.69 SANITATION CAMPAIGN UNDER NRHM 24th August, 2012 LSQ 2137 SHRI RAMESH VISWANATH KATTI Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- a) whether the Government proposes to dovetail the sanitation campaign with the National Rural Health Mission
(NRHM); and
b) if so, the details thereof? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI SUDIP BANDYOPADHYAY) (a)&(b): National Rural Health Mission (NRHM) recognizes the importance of wider determinants of health like sanitation, drinking water, nutrition etc to improve health outcomes. For this, it seeks a convergent approach for intervention under the umbrella of integrated district health action plans. The Nirmal Bharat Abhiyan (NBA) scheme guidelines of the Ministry of Drinking Water and Sanitation provide for a suitable performance based incentive for the motivators including ASHA workers for motivating rural communities for constructing and using
sanitary toilets. Joint training programmes are being organized for ASHA workers, ANMs, and officials implementing NBA on safe sanitation, hygiene and health. BISPHENOL A IN PLASTIC BOTTLES 24th August, 2012 LSQ 2222 KUNWAR REWATI RAMAN SINGH Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- a) whether the Government has taken note of a study which states that plastic bottles including water bottles
contain bisphenol A, exposure to which causes brain tumor;
b) if so, the details thereof along with the reaction of the Government thereto; and
c) the corrective measures taken/ proposed by the Government in this regard? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI SUDIP BANDYOPADHYAY) (a) to (c) Bisphenol A (BPA) is a raw material for manufacturing only one type of plastic material i.e., Polycarbonate, which is also used in drinking water applications. Polycarbonate is reported to be safe for use in contact with food, pharmaceuticals and drinking water. Bureau of Indian Standard Specification ‘IS 14971-2001’ approves the use of polycarbonate plastics materials for use in contact with food, pharmaceuticals and drinking water. However, ICMR has reported that recent studies in some countries have found high urinary BPA levels to be associated with meningioma, obesity factors, peripheral artery diseases, hypertension, diabetes and reported heart disease. AVAILABILITY OF MEDICINAL HERBS/PLANTS 31st August, 2012 LSQ 3259 SHRI SYED SHAHNAWAZ HUSSAIN SHRI MAKHANSINGH SOLANKI Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- a) whether the Government has conducted any study/research with regard to the availability of medicinal
herbs/plants and the possibility of related trade in various States including Bihar;
b) if so, the details along with the findings thereof;
c) the total production of medicinal herbs/plants, revenue generated therefrom and the number of cultivators involved therein during each of the last three years and the current year, State/UT-wise;
d) the number of districts covered under the National Mission on Medicinal Plants and criteria adopted for their selection by the National Medicinal Plants Board (NMPB); and
e) whether the Government proposes to include new districs under the said scheme, and if so, the details thereof, State/ UT-wise?
THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD)
(a) & (b): Accordingly to a study on database of medicinal plants species of India being undertaken by Foundation for Revitalization of Local Health Traditions (FRLHT), Bangalore and supported by the National Medicinal Plants Board (NMPB) there are 6560 medicinal plants species reportedly available in the country till date. According to another study conducted by the NMPB under Department of AYUSH, Ministry of Health & Family Welfare through the FRLHT, the annual demand of medicinal plants was estimated to 3,19,500 Metric Tones (MTs) for year 2005-06. In all 960 medicinal plants are traded, out of which 178 species have annual consumption of more than 100 MTs. The study was published in year 2008 and available on the website of the NMPB i.e. www.nmpb.nic.in under title “Demand and Supply Study - NMPB & FRLHT (2008)”. State wise production of medicinal plants is not centrally collected in the country. (c) to (e): As mentioned above, according to the study published in 2008, the production of medicinal plants was 3.195 lakhs MTs. The revenue generated due to all medicinal plants is not centrally collected. The NMPB has been implementing the Centrally Sponsored Scheme of `National Mission on Medicinal Plants” since 2008-09. The scheme is primarily aimed at supporting market driven medicinal plants cultivation on private lands with backward linkages with establishment of nurseries for supply of quality planting material and forward linkages for post-harvest management, processing, marketing infrastructure, certification, crop insurance etc. The cultivation of medicinal plants in cluster is supported by providing subsidy to farmers. State wise and year wise number of cultivators approved for the support under the scheme are given at Annexure. Under the scheme every year the State level implementing agencies prepare the Annual Action Plan in accordance with the geographical and climatic conditions of the state and potential of the medicinal plants in the state and submit to the National Medicinal Plants Board. Selected cultivators from 459 districts in the different states have been given / approved for subsidy for cultivation of medicinal plants under Centrally Sponsored Scheme of `National Mission on Medicinal Plants`. There is no limit for covering number of districts in any state. The states are free to select cluster of cultivators from as many as districts as they can under the Annual Action Plan of the scheme. ANNEXURE REFERRED TO IN REPLY OF LOK SABHA UNSTARRED QUESTION NO. 3259 Annexure Number of cultivators supported under Centrally Sponsored Scheme of "National Mission on Medicinal Plants”
S. No.
Name of the State No. of cultivators 2009-10* 2010-11* 2011-12* 2012-13
Note :- * As per actual data received from the States. BASIC AMENITIES IN HOSPITALS AND DISPENSARIES 7th September 2012 LSQ 4467 SHRI PARVATAGOUDA CHANDANAGOUDA GADDIGOUDAR SHRI JAI PRAKASH AGARWAL Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government is aware of the shortcoming in the sanitation system and lack of basic amenities in the Central Government hospitals and CGHS dispensaries and if so, the details thereof and reaction thereto; (b) whether the Government has conducted any surprise checks to find out the ground realities in the hospitals and CGHS dispensaries in the country; (c) if so, the details thereof and findings therefor; and (d) the steps taken by the Government to remove the shortcomings and to provide basic amenities in the Central Government hospitals and CGHS dispensaries and also their proper maintenance? MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a): In so far as three Central Government Hospitals viz. Safdarjung Hospital, Dr. RML Hospital and LHMC & Smt. S.K. Hospital are concerned, there is no lack of basic amenities in these hospitals. However, they cater to patients coming not only from Delhi and its surrounding areas, but also from far flung States leading to huge increase in footfalls in these Hospitals against the available infrastructure. Hence, at times, there is some deficiencies in cleanliness and sanitation in some of the busy areas of these hospitals. Adequate sanitation and basic amenities are also provided in the CGHS dispensaries. (b) & (c): Regular rounds are made by Sanitary Supervisors/House-Keeping Manager and Officer In-charge (Sanitation ) to ensure cleanliness in the Hospitals. Besides, weekly rounds are taken by the Medical Superintendents. In addition to this, teams from Directorate General of Health Services visit these hospitals from time to time to ensure smooth working of these hospitals including cleanliness and sanitation. (d): Cleanliness and sanitation is maintained in these hospitals by following strict cleanliness schedule and with the help of regular as well as outsourced employees. Mechanized cleaning is also undertaken in certain vital areas. Pest Control work is regularly done. Training of housekeeping staff is also done on regular basis. Sanitation services are outsourced in CGHS dispensaries where no safai karmcharis are available. MEDICINAL AND AROMATIC PLANTS 23rd November, 2012 LSQ 297 SHRI PREMDAS KATHERIA SMT. DAVIDSON J. HELEN SHRI RAJENDRA AGRAWAL Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:-
(a) whether the Government has taken note of certain species of medicinal and aromatic plants which are on the verge of extinction or likely to become extinct in the near future; (b) if so, the details of such endangered medicinal and aromatic plants in thecountry; (c) whether the Government has set up the National Medicinal Plants Board (NMPB) for the conservation and development of medicinal and aromatic plants in the country; (d) if so, the details thereof indicating the activities undertaken by the NMPB and achievements made as a result thereof over the last few years; and (e) the financial assistance provided to the farmers and State Governments for the cultivation of medicinal and aromatic plants in the country during each of the last three years and the current year? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI S. GANDHISELVAN) (a) & (b): According to the Botanical Survey of India (BSI), the threatened medicinal and aromatic plants are as follows: Aconitum balfouri, Aconitum chasmanthum, Aconitum deinorrhizum, Aconitum falconeri var latilobum, Aconitum ferox, Aconitum heterophyllum, Acorus gramineus, Allium stracheyi, Amyris balsamifera, Angelica glauca, Anogeissus sericea var. numularia, Aquillaria mallaccensis, Aquilaria khasiana, Aristolochia bracteolata, Aristolochia indica, Arnebia benthamii, Atropa acuminata, Berberis affinis, Berberis apiculata, Berberis aristata, Bergenia stracheyi, Boronia megastigma, Capparis pachyphylla, Carum villosum, Cedrus deodara, Colchicum luteum, Coptis teeta, Coscinium fenestratum, Dactylorhiza hatagirea, Dioscorea deltoidea, Elaeocarpus prunifolius, Ephedra gerardiana, Ferrula gummosa, Gaultheria fragrantissima, Gentiana kurooa, Gloriosa superba, Hedychium coronarium, Hedychium spicatum, Hyoscyamus niger, Hydnocarpus macrocarpa, Inula racemosa, Iphigenia indica, Iphigenia pallida, Iphigenia stellata, Jurinea dolomiaea, Kolanchoe roseus, Madhuca insignis, Myristica fragrans, Myroxylon balsamum var. pereirae, Nardostachys grandiflora, Origanum vulgare, Panax pseudoginseng, Picrorhiza kurrooa, Podophyllum hexandrum, Pogostemon cablin, Pterocarpus santalinus, Rauvolfia serpentina, Rheum emodi, Santalum album, Satureja horensis, Saussurea bracteata, Saussurea costus, Saussurea gnaphalodes, Swertia chirayita, Taxus wallichiana, Taxocarpus kurzii, Urginea indica, Urginea maritima and Vitex peduncularis. The medicinal and aromatic plants, like other groups of plants and animals, are threatened largely due to degradation of habitat and due to various anthropogenic factors. (c) to (e): Government has set up medicinal Plants Board to co-ordinate with Ministries / Departments/ organizations / state / UT Governments for development of medicinal plants sector in general and specifically in the areas relating to assessment of demand supply, advising on policy, promotion of conservation, proper harvesting, cultivation, quality control, research and development, processing, marketing of raw material in order to protect, sustain and develop this sector. During the last few years the National Medicinal Plants Board (NMPB) is also implementing “Central Sector Scheme for Conservation, Development and Sustainable Management of Medicinal Plants” (in continuation of previous schemes) and new “Centrally Sponsored Scheme on National Mission on Medicinal Plants” since 2008-09. Activities under Central Sector Scheme for “Conservation, Development and Sustainable Management of Medicinal Plants” are: - # Primarily conservation (mainly forest centric) # Establishment of Medicinal Plants Conservation Areas (MPCAs) # Resource augmentation in forest area # Supporting Joint Forest Management Committee (JFMCs) # Supporting mostly Government organizations and some NGOs for research, promotional activities on medicinal plants
# Establishment of herbal garden Activities under Centrally Sponsored Scheme of “National Mission on Medicinal Plants” are: - # Support for cultivation of medicinal plants with backward and forward linkages # Supports for establishing nurseries, processing units, drying sheds and marketing of medicinal plants. Financial assistance amounting to Rs. 3882.496 lakhs during the year 2009-10, Rs. 3430.948 lakhs during the year 2010-11, Rs. 3677.602 lakhs during the year 2011-12 and Rs. 2762.80 lakhs during the current year has been provided to the State Governments for cultivation of identified medicinal plants in the country under the Scheme. Information regarding salient achievements of NMPB has been provided at Annexure. Annexure LOK SABHA ANNEXURE UNSTARRED QUESTION NO. 297 DATED 23.11.2012 Salient Achievements of NMPB (as on 30th September, 2012): A. Reforestation/Conservation/ Resource Augmentation of Medicinal Plants in49,361.32 hectares in Forest Areas � 27,588.82 hectares under Resource Augmentation � 12,727.50 hectares under in-situ Conservation � 9,045 hectares under Medicinal Plants Conservation Areas (46 in numbers) B. Vast network of ex-situ conservation through establishing � Herbal Gardens (in numbers) – 289 � School Herbal Gardens (in numbers) – 1,798 � Home Herbal Gardens (in numbers) – 11,420
C. Supported cultivation of medicinal plants in 1,62,630.8291 hectares � 1,12,147.8291 hectares under the National Mission on Medicinal Plants during 2008 to 30th September 2012 � 50,483 hectares under Contractual Farming during 2002-2008
D. Supported Research Studies on: � Multiplication of RET plants through Tissue Culture � Computerised database of medicinal plants and monographs � Bioactivity guided fractionation studies � Sustainable harvesting � Post Harvest Management � Inter-cropping � Chemical and Molecular Profiling � Quality Planting Material � Germplasm and Genotype Identification and Conservation � Authentication and standardization of crude drugs � Finding out substitute for RET plants E. Developed Agro-techniques of 82 selected medicinal plants F. Set-up 23 Facilitation Centres, out of which 16 are functioning G. Launched National Campaign on Amla in 19 States H. Developed Good Agricultural Practices and Good Field Collection Practices I. Conducted study for assessment of Demand and Supply Study of Medicinal Plants J. Finalised Voluntary Certification Scheme for Quality Standards of Medicinal Plants K. Adopted Organic Certification of Medicinal Plants IRREGULARITIES IN NRHM 23rd November 2012 LSQ 402 SHRI HANSRAJ GANGARAM AHIR Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:-
(a) whether the large number of incidents of irregularities and corruption cases have come to the notice of the Government in National Rural Health Mission (NRHM); (b) if so, the details thereof, State-wise; (c) the steps taken by the Government to control such incidents; (d) whether the Government proposes to continue the NRHM despite large number of incidents of irregularities and corruption; and (e) if so, the details thereof? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ABU HASEM KHAN CHOUDHURY) (a)& (b) : Some incidents of irregularities and corruption cases have come to the notice of the Govt. of India under National Rural Health Mission (NRHM). These have come from the States of Assam, Bihar, Haryana, Jammu & Kashmir, Orissa, Rajasthan and Uttar Pradesh etc. The complaints received are sent to State Governments for inquiry and necessary action. (c) Complaints relating to implementation of NRHM as and when received are immediately brought to the attention of the State / UT Government for necessary action. The following mechanisms have been put in place for adherence to improve financial discipline: (i) Annual Statutory Audits; (ii) Concurrent Audits; (iii) Submission of quarterly Financial Monitoring Reports by the States; (iv) Visits by the teams of the Financial Management Group of the Ministry to States for periodical reviews. In addition to above, the CAG has agreed to the request of the Ministry to conduct annual transaction audits of the National Rural Health Mission (NRHM) in all the States from the Financial Year 2011-12 in order to identify the existing gaps, facilitate independent monitoring and timely corrective measures so that a quality and timely audit assessment becomes available to assist the State Governments in undertaking remedial measures and achieving the targets of NRHM. In order to build financial management capacities in States, the following initiatives have been taken by the Ministry : - (i) Model Accounting Handbooks for sub-district level finance / accounts personnel for Community Health Centres / Primary Health Centres, Village Health, Sanitation and Nutrition Committees (VHSNCs), Sub Centres, Rogi Kalyan Samitis (RKS) and Block Accountants have been prepared and circulated (ii) Detailed operational guidelines on Financial Management have been prepared for adoption and implementation at State, district, block and village levels under the NRHM; (iii) E-training modules on finance and accounts to help train finance personnel in all States have been disseminated; (iv) E-transfers are being effected for fund releases to all States and Districts countrywide (v) Guidelines and advisories on non-diversion of funds, and utilization of funds (RKS and VHSNC) have been sent to the States; and (vi) Customised Tally ERP 9 accounting software has been implemented for maintaining NRHM Accounts in majority of the States / UTs.
(vii) The implementation of NRHM in States is reviewed through Joint Review Missions (JRMs), Common Review Missions (CRMs) and periodical reviews by the Ministry. The deficiencies / shortcomings noticed during the reviews are immediately brought to the notice of the States for remedial action. (viii) The CPSMS System is being put in place to track the flow of funds and monitor expenditure. (d) & (e): The decision to continue NRHM has to essentially depend on the overall impact of the programme in improving the health outcomes. The Government has decided to continue the NRHM programme keeping in view its success. NRHM has brought about accelerated reduction of IMR, MMR and TFR. The evaluations of NRHM have also been largely positive. Although some incidents of financial irregularities have come to the notice of the Government, that certainly doesn’t warrant closure of the programme. To check financial irregularities, steps as mentioned above (in part (c)) have been taken. NEGLECTED TROPICAL DISEASES 23rd November 2012 LSQ 412 SHRI S. PAKKIRAPPA Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) the prevalent tropical diseases in the country; (b) whether the Government has taken note of large number of cases of Neglected Tropical Diseases (NTDs) in the country; (c) if so, the estimated number of cases and deaths due to these diseases reported during each of the last three years and the current year in the country, State/UT-wise; (d) the reasons for high prevalence of these tropical diseases in the country; and (e) the steps taken/proposed to protect the people from NTDs and develop new drugs, diagnostics and vaccines therefor? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (ABU HASEM KHAN CHOUDHURY) (a) & (b) Neglected Tropical Diseases (NTDs) are Dengue, Trachoma, Leprosy, Guinea Worm, Lymphatic Filariasis, Soil-transmitted Helminthiases, Rabies, Leishmaniasis and Kalazar. (c) The information is being collected and will be laid on the Table of the House. (d) The prevalence of Neglected Tropical Diseases (NTDs) are due to socio-economic conditions, climatic conditions, lack of access to safe drinking water and sanitation and environmental pollution. (e) Following National Programmes are implemented to control or eliminate these diseases:- 1. National Vector Borne Disease Control Programme 2. National Leprosy Elimination Programme 3. National Programme for Control of Blindness 4. Under School Health Programme, services are provided for the prevention of Soil- transmitted Helminthlases. Besides, Indian Council of Medical Research (ICMR) promotes research in different NTDs through its various research activities and its institutes.
TOXIC SUBSTANCES IN PAINTS 23rd November, 2012 LSQ 460 SHRI SAJJAN SINGH VERMA Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government has laid down any provisions in respect of maximum permissible level of lead and other toxic substances in paints being manufactured and marketed in India as per the norms in certain developed and developing countries; (b) if so, the details thereof and if not, the reasons therefor; (c) whether cases of manufacturing and marketing of paints with high/more than permissible level of lead and other toxic substances have been reported in the country; (d) if so, the details of such cases which have come to the notice of the Government during the last three years and the current years; and (e) the action taken/proposed by the Government thereon? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (ABU HASEM KHAN CHOUDHURY) (a) & (b): The Department of Industrial Policy and Promotion has informed that Bureau of Indian Standards has constituted a Technical Committee to identify specification of Indian standards in Paints (c) & (e): The information is being collected and will be laid on the Table of the House. DISEASES CAUSED BY AIR POLLUTION 30th November, 2012 LSQ 1190 SHRI KAMESHWAR BAITHA SHRI C. RAJENDRAN Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government has taken note of high prevalence of respiratory and other diseases due to air
pollution in various parts of the country including Delhi;
(b) if so, the details thereof;
(c) the estimated number of people suffering from diseases due to exposure to polluted air and deaths occurred therefrom in the country during each of the last three years and the current year, State/UT‐wise;
(d) the corrective measures taken/proposed by the Government to ensure adequate medical facilities for the patients suffering from diseases caused by air pollution; and
(e) the funds allocated and spent to control the diseases caused by air pollution in the country during each of the last three years and the current year, State/UT‐wise?
MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD)
(a) to (c): As reported by Central Pollution Control Board (CPCB), no conclusive information is available regarding high prevalence of respiratory and other diseases due to air pollution. As reported by Central Bureau of Health Investigation (CBHI), there is no specific information available on the number of cases and deaths due to air pollution in the country. (d) & (e): Air Quality is monitored under integrated Ambient Air Quality Management System called National Air Monitoring Programme (NAMP). The network is sponsored by CPCB and execution is done jointly by CPCB and State Pollution Control Boards (SPCBs) in respective states and five Pollution Control Committees in various Union Territories alongwith Research Institutes at 537 monitoring stations covering 222 cities all over the country. Government of India is implementing National Rural Health Mission (NRHM) for prevention and control of various diseases. Under NRHM, the State/UT Governments project their requirements in annual Programme Implementation Plan (PIP) for improvement of health infrastructure and for providing adequate medical facilities. Specific allocation of funds for diseases caused by air pollution is not made under NRHM. NATIONAL RURAL HEALTH MISSION 30th November, 2012 LSQ 1229 SHRI GORAKH PRASAD JAISWAL SHRI SANJAY SINH Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government has identified 264 districts which require more attention under the National Rural
Health Mission (NRHM);
(b) if so, the names of such districts, State/UT‐wise; and
(c) the steps taken/proposed by the Government for proper monitoring of implementation of NRHM in every district in the country?
MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ABU HASEM KHAN CHOUDHURY) (a) Yes. (b) The State-wise names of the districts are annexed. (c) Public being a State subject the Programmes covered under NRHM are implemented by the State Government. Under NRHM, the States have been supported through annual State Programme Implementation Plan which is appraised and approved by Government of India based on the recommendations of the National Programme Coordination Committee. Though primary responsibility of its implementation and regular close monitoring are rest with the States, the Government has put in place various monitoring mechanisms under NRHM that include the following: 1. Annual Common Review Mission (CRM): The Mission is undertaken in 12‐15 States every year. The CRM
teams comprise of senior officers of Government of India, Development Partners, Public Health Experts and Civil Society Representatives. The teams visit health facilities in the States as part of the CRM exercise.
2. Joint Review Mission (JRM): Joint Review Missions are undertaken every year to review the Reproductive and Child Health component of NRHM. Mission teams include professionals from Civil Society, Development Partners and Public Health Experts.
3. Health Management Information System (HMIS) is an integrated web‐based system which compiles progress district wise / facility wise on key parameters using a web based interface.
4. Community Monitoring: Performance of the Mission is also monitored through the community monitoring process including through RKS, VHSNCs and Rural and Urban local bodies.
5. Mother and Child Tracking System (MCTS) has been set up to ensure registration of all pregnant mothers and children and to monitor delivery of full spectrum of services to pregnant woman and immunization services to children.
6. Integrated Monitoring Visits: Integrated monitoring visits are undertaken to the high focus districts by teams consisting of officials from Ministry and Development Partners.
7. Annual Health Survey (AHS): AHS has been introduced in 284 districts (as per 2001 Census) in 9 States including 8 Empowered Action Group States (Bihar, Jharkhand, Uttar Pradesh, Uttarakhand, Madhya Pradesh, Chhattisgarh, Orissa and Rajasthan) and Assam to monitor district wise progress annually on key health indicators and take appropriate remedial action in poor performing districts.
8. Financial Monitoring: Financial monitoring is done through analysis of FMRs and monitoring the Monthly Statement of Fund Position, Concurrent Audit, Annual Statutory Audit, Financial Review Visit of States and UTs.
9. On the request of the Department, CAG has agreed to undertake Annual transaction audit from 2011‐12. Annexure LOK SABHA UNSTARRED QUESTION NO.1229 FOR 30.11.2012
NICOTINE AND FLUORIDE IN TOOTH PASTE 30th November, 2012 LSQ 1326 SHRI GOWDAR MALLIKARJUNAPPA SIDDESWARA Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) the content of nicotine and fluoride permissible in tooth paste being sold in the country;
(b) whether the Government has taken note of presence of higher than permissible content of nicotine and
fluoride in various brands of tooth paste being sold in the country;
(c) if so, the details thereof along with the inquiry conducted in this regard;
(d) the number of cases of higher content of nicotine and fluoride in tooth paste reported and action taken against the offenders during the last three years and the current year;and
(e) the steps taken/proposed by the Government to ensure that the tooth pastes being sold in the country are as per the laid down standards?
MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD)
(a) to (e) Under the Drugs and Cosmetics Rules, 1945 tooth pastes are required to conform to the specifications laid down from time to time by the Bureau of Indian standards. These Rules provide that the fluoride content in tooth paste shall not be more than 1000 parts per million (PPM). Further, the use of the tobacco in tooth paste and tooth powder was prohibited through a Gazette notification G.S.R 444(E) dated 30.04.1992 issued by the Government of India. In this regard, the Delhi Institute of Pharmaceutical Science and Research (DIPSAR) had published a study report on the presence of fluoride and nicotine in certain brands of tooth pastes in the country. As the regulatory control over the manufacture of cosmetics is exercised by the State Drugs Control authorities appointed by the State/UT Governments, the extracts of the report were forwarded to them for necessary action as per the provisions of the law. As per the information made available by some of the State Drug Control authorities, the samples of tooth pastes tested by them did not show the presence of nicotine.
WATER BORNE DISEASES 30th November, 2012 LSQ 1369 SHRI FEROZE VARUN GANDHI Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the Government has taken note of high prevalence of water‐borne diseases in the country;
(b) if so, the number of related cases and deaths reported during each of the last three years and the current
year, disease‐wise and State/UT‐wise;
(c) the steps taken/proposed by the Government to check such diseases in the country, particularly in rural areas along with the achievements made as a result thereof; and
(d) the funds earmarked and allocated to various States to control and create awareness about water‐borne diseases in the country?
MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a) and (b): Prevalence of water-borne diseases varies from region to region. Major water-borne diseases reported in the country are Acute Diarrhoeal Diseases, Enteric Fever (Typhoid), Viral Hepatitis and Cholera. The number of cases and deaths reported due to these diseases during the years 2009-2011 and the current year so far, State/UT-wise, are given in the Annexure I – IV. (c) and (d): Provision of safe drinking water is the main strategy to control spread 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 drinking water facilities like hand-pumps, piped water supply schemes etc. in rural areas. A budgetary allocation of Rs. 10,500 crore has been made under the NRDWP during 2012-13. Upto 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 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, hiring of trained manpower for the laboratories,
providing field test kits/refills to Gram Panchayats etc. Under NRDWP-Support component for which 5% funds are allocated, States can inter alia, take up awareness generation campaigns on prevention of water borne diseases by keeping drinking water sources free from contamination, ensuring safe storage and handling of drinking water and maintaining safe sanitation and hygiene. Annexure-I LOK SABHA UNSTARRED QUESTION NO. 1369 FOR 30.11.2012 State wise Cases and Deaths due to Acute Diarrhoel Diseases reported during 2009 – 2012 SI.No.
Source: National Health Profile issued by CBHI, Dte.GHS. NR-Not Reported Annexure-IV State wise Cases and Deaths due to Cholera reported during 2009 – 2012
26 Uttarakhand 1 NR NR NR 0 0 0 0 27 Uttar Pradesh 0 0 20 0 9 0 3 0 28 West Bengal 486 0 570 0 652 0 61 0 29 A & N Islands 0 0 0 0 0 0 0 0 30 Chandigarh 35 0 NR NR 0 0 0 0 31 D & N Haveli 0 0 1 0 8 0 29 0 32 Daman & Diu 0 0 0 0 0 0 0 0 33 Delhi 1066 NR 77 0 380 7 219 0 34 Lakshadweep 0 0 0 0 0 0 0 0 35 Pondicherry 0 0 0 0 0 0 11 0 Total 3482 12 5004 9 2341 10 1115 1
Source: National Health Profile issued by CBHI, Dte.GHS. Notes: NR implies “Not Reported”. USAGE OF CHEMICALS FOR RIPENING OF FRUITS AND VEGETABLES 7th December, 2012 LSQ *207 SHRI GANESH SINGH SHRI M. ANJAN KUMAR YADAV Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether hazardous chemicals/vaccines are reportedly being used for early ripening /growth of fruits,
vegetables and production of milk in the country;
(b) if so, the details thereof including the number of such cases detected and the action taken against the guilty during each of the last three years and the current year, State /UT‐wise;
(c) whether any study has recently been conducted to ascertain the adverse affects of such chemicals on human health;
(d) if so, the details and the outcome thereof; and
(e) the corrective measures taken/proposed by the Government in this regard? THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a)to(e): A statement is laid on the Table of the House. STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO.207 FOR 7TH DECEMBER, 2012 There have been reports in Media that some hazardous chemicals are being used for early ripening and to increase the size of fruits and vegetables and milk production. However, no scientific validated information is available on the same. Clause 2.3.5 of The Food Safety and Standards (Prohibition and Restrictions on Sales), Regulations, 2011, prohibit sale of fruits which have been artificially ripened by use of acetylene gas commonly known as carbide gas produced from Calcium Carbide. There is no provision of use of ripening hormones under the Food Safety and Standards Act/ Rules / Regulations. However, the Ministry of Agriculture has recommended use of ethylene gas in low concentration exogenously to trigger ripening of fruits. The details of cases, persons booked /convicted are not maintained centrally. However, as per information provided by some of the States, details of cases detected and action taken during 2009, 2010, 2011 and 2012, are annexed. Following the reports of use of the artificial colouring / ripening agents in vegetables / fruits, a Joint Committee for Research on Food Safety, was formulated in August, 2010, under Co-Chairmanship of the Director General, Indian
Council of Medical Research (ICMR) and the Director General, Indian Council of Agriculture Research (ICAR) to address various issues relating to the safety of using ripening and coloring agents, and any other relevant issues in nutrition & food safety which emerge from time to time. The Committee has recommended further research studies to generate information / data regarding the extent of use and effect of artificial ripening agents and other chemicals in fruits and vegetables. Implementation of the Food Safety and Standards Act/ Rules / Regulations rests with State / U.T. Governments. The Commissioners Food Safety / Food (Health) Authority of States / UTs who are responsible for implementation of Food Safety and Standards Act, 2006 and its Rules /regulations in their State / UTs, have been requested from time to time to keep a strict vigil on use of carbide gas and other hazardous chemicals for ripening of fruits and take legal action for violation of the above provision of the Act/ Regulations. The State Governments have also been advised to educate the public through mass/ electronic media against consumption of such artificially ripened fruits, vegetables and milk. State Governments have taken measures in this regard such as ordering the Food Safety Officers (FSOs) / Designated Officers (DOs) to keep watch on fruit markets, inspection of fruit market, fruit stalls/godowns, taking samples of fruits, vegetables & milk, educating fruits vendors to refrain from using these chemicals, etc. Annexure LOK SABHA ANNEXURE STARRED QUESTION NO. 207 DATED 7.12.2012
S. No.
State / UT The details of cases detected and the action taken against the guilty
1. Arunachal Pradesh
During the year 2010, 2(Two) cases of ripening of Banana using calcium carbide has been reported at Naharlagun. Both the Vendors were prosecuted and convicted under the then PFA Act 1954.
2. Delhi One sample of artificial ripener for mango was taken on 19.05.2011, which was identified as calcium carbide. The case against the offender was instituted in the designated PFA Court.
3. Goa During the year, 2010-11, 5(five) cases of artificial ripening of fruits, through “white powder” detected for presence of calcium carbide, were reported in the State of Goa, and prosecution cases have been filed against the offenders.
4. Gujarat The details of Such Cases detected and action taken against the guilty during each of the last three years of the current year.
Year Destroyed carbide
Destroyed stock of Fruits
Approx cost in Rupees
2009 100 kg 22 tones mango & banana
4.25 Lakh Launched a casehon’ble Chief J.MBhavangar C.C.NO.3158/2010 Dated.21/6/10
2010 136kg 1675 kg 0.53 lakh 2011 242kg 13632 kg
mango & banana
4.72 lakh
Jan -2012 up to Dec-2012
1531kg 16372 kg mango & banana
4.54 lakh
5. Jammu & Kashmir
No such case has been reported in the State of J&K
6. Maharashtra In last three years 353 samples of fruits and vegetables for the detection of calcium carbide were tested, out of which 54 samples were detected positive. Out of 54, the 43 prosecutions were filed in the different courts.
7. Meghalaya No such case has been detected in Meghalaya.
8. Puducherry No such case has been detected in Puducherry.
9. Punjab A complaint regarding open and unhindered sale of Oxytocin injection in the open market used by farmers and others was received in the Office of State Drugs
STUDY ON CANCER IN GANGA RIVER BELT 7th December, 2012 LSQ 2355 SHRI TARACHAND BHAGORA SHRI NAMA NAGESWARA RAO SHRIMATI SUPRIYA SULE Dr. SANJEEV GANESH NAIK Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether the National Cancer Registry Programme (NCRP) under the Indian Council of Medical Research
(ICMR) has conducted a study regarding higher incidence of cancer and certain other diseases in areas drained by the Ganga in the country;
(b) if so, the details along with the facts in this regard;
(c) the reasons for higher incidences of cancer in the Ganga river belt; and
(d) the corrective measures taken/proposed by the Government in this regard?
Controller, Punjab through the Punjab State Human Right Commission 10. Tamil Nadu The following quantity of fruits ripened by using chemicals were found out and
destroyed. Year Quantity
- 26 Ton fruits - 3 Ton fruits - 10 Ton fruits
11. Uttar Pradesh Details of samples tested and action during 2009 to 30.11.2012 :-
Item Sample tested
Result Action taken
Fruits 523 49 samples were not found to be conforming to the prescribed standards, and in 46 cases, fruits were found to be ripened by using chemicals.
48 persons warrested and 2 wpenalised wimprisonment
Vegetables 687 4 samples were not found to be conforming to the prescribed standards, and in 2 cases, traces of harmful chemicals were found.
7 persons warrested in 2 caof traces of harmchemical vegetables.
Milk 7889 3448 samples were not found to be conforming to the prescribed standards, and in 45 cases, traces of harmful chemicals were found.
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ABU HASEM KHAN CHOUDHURY) (a) to (c) : As reported by Indian Council of Medical Research (ICMR), the National Cancer Registry Programme of ICMR has not conducted any study regarding cancer and other diseases in areas drained by Ganga in the country. (d): Health being a State subject, it is for the State Governments to provide healthcare facilities To supplement the efforts of the State Governments in detection, treatment and management of cancer cases, Government of India has launched a comprehensive National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS) in 2010 in 100 districts across 21 States. Under the programme, Regional Cancer Centres (RCCs) and Government Medical College Hospitals across the country are also eligible for financial assistance upto Rs. 6.00 crore (Rs. 4.80 crore from Central Government and Rs. 1.20 crore from State Government) for comprehensive cancer care services under Tertiary Cancer Centre (TCC) component. ADVERSE HEALTH AFFECTS OF MOBILE PHONE TOWER RADIATION 7th December, 2012 LSQ 2367 SHRIMATI YASHODHARA RAJE SCINDIA Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether cases of adverse health affects of radiation from mobile phones, towers and other wireless
communication devices on human beings have been reported in the country;
(b) if so, the details thereof, State/UTwise;
(c) whether the Indian Council of Medical Research (ICMR) has carried out any study in this regard;
(d) if so, the details along with the outcome thereof; and
(e) the corrective measures taken/proposed by the Government to address the issue? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ABU HASEM KHAN CHOUDHURY) (a) & (b): There are no conclusive data available on this issue. (c) to (d): The Indian Council of Medical Research has commenced a cohort study to examine whether use of cell phone is associated with neurological disorders, reproductive dysfunctions, cardiovascular disorders, ontological disorders and promote cancers if any. (e) : As per the recommendations of Inter Ministerial Committee on EMF Radiation, the radio frequency emission level exposure limits have been revised to 1/10th of the existing prescribed base station emission level which are effective from 01.09.2012. FINANCIAL ASSISTANCE TO ENDOSULFAN VICTIMS 7th December, 2012 LSQ 2368 SHRI P. KARUNAKARAN Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:-
(a) whether the Government has conducted any study on health effects of Endosulfan on human beings in the
country especially in Kerala;
(b) if so, the details along with the outcome thereof;
(c) whether the Government has received any representation from the State Government of Kerala seeking financial assistance for Endosulfan victims;
(d) if so, the details thereof; and
(e) the action taken/proposed by the Government in this regard? THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ABU HASEM KHAN CHOUDHURY) (a) & (b): Several health problems were reported due to the aerial spraying of Endosulfan in Kasargod, Kerala. National Human Rights Commission (NHRC) took suo-moto notice of this and directed National Institute of Occupational Health (NIOH), Ahmedabad to conduct a study. The report of this study was submitted in 2002 to NHRC. The study concluded that there is significantly higher prevalence of neurobehavioral disorders, congenital malformations in the study group as compared to the reference group. (c) to (e) : In response to a proposal received from State Government of Kerala in the PIP, an amount of Rs. 5.6 crores has been approved for release to the State Government in 2012-13. DISEASES CAUSED BY CONTAMINATED WATER 14th December, 2012 LSQ *302 SHRI K. D. DESHMUKH SHRI WAKCHAURE BHAUSAHEB RAJARAM Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) whether attention of the Government has been drawn to the rising number of cases of diseases and deaths
attributable to intake of contaminated water in the country;
(b) if so, the details thereof indicating the number of such cases and deaths reported during each of the last three years and the current year, State/UT‐wise;
(c) the programmes being implemented by the Government to provide healthcare facilities to such patients and the funds allocated/utilized for the purpose during the said period, State/UT‐wise; and
(d) the further steps taken/proposed by the Government in this regard? MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a)to(d): A statement is laid on the Table of the House. STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO.302 FOR 14TH DECEMBER, 2012 (a) Consumption of contaminated drinking water can cause diseases such as Acute Diarrhoeal Diseases, Enteric Fever (Typhoid), Cholera, Viral Hepatitis and Acute Encephalitis Syndrome (AES). However, reported cases and deaths attributable to intake of contaminated water do not show a definite increasing or decreasing trend.
(b) State/UT-wise number of cases and deaths due to Acute Diarrhoeal Diseases, Enteric Fever (Typhoid), Cholera, Viral Hepatitis and Acute Encephalitis Syndrome (AES), as reported by State/UT Governments, during last three years and the current year (as per the latest report) are given in Annexures – I to V. (c)&(d): 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 Rural Health Mission (NRHM) 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 NRHM Flexipool as per the needs of States/UTs which are reflected in their annual Programme Implementation Plans (PIPs). State/UT-wise release and utilization of funds under NRHM Flexipool during the last three financial years and the current financial year (as on 30.9.2012) are enclosed at Annexure-VI. 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 LOK SABHA STARRED QUESTION NO.302 FOR 14.12.2012 State/UT-wise number of Cases and Deaths due to Acute Diarrhoeal Diseases reported during the years 2009 – 2012
(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) Notes 1: NR implies “Not Reported”. 2: * The figures of the year 2012 are provisional.
Annexure – II State/UT-wise number of Cases and Deaths due to Enteric Fever (Typhoid) reported during the years 2009 – 2012 S. No.
(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) Notes 1: NR implies “Not Reported”. 2: * The figures of the year 2012 are provisional. Annexure-V State/UT-wise number of Cases and Deaths due to Acute Encephalitis Syndrome (AES) reported during the years 2009 – 2012
* Figure for the year 2012 are provisional and as on 11/12/2012 Note: All reported cases and deaths due to AES are not attributable to intake of contaminated water.
Annexure-VI State/UT wise details of funds released and utilized under NRHM Flexipool during the Financial Years 2009-2010, 2010-2011, 2011-2012 and 2012-2013. (Rs. in Crore)
S. No.
State /U.T 2009-2010 2010-2011 2011-2012 2012-2013*
Released Utilized# Released Utilized# Released Utilized# Released Utilized#
Note 1: *Utilization for the financial year 2012-13 (upto 30.09.2012) are provisional.
2:* Release for the financial year 2012-13 upto 30.10.2012. Releases relate to Central Government Grants and do not include State share contribution. # Includes carried over unspent balance and state share releases. ORGANIC MEDICINES
14th December, 2012 LSQ 3475 SHRI RAJ KUMARI CHAUHAN Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:-
(a) the steps taken/proposed by the Government to promote the use of organic medicines in the hospitals and their manufacturing and marketing at affordable prices across the country;
(b) whether the Government has received any proposals in this regard; and
(c) if so, the details thereof along with the action taken/proposed by the Government there on? MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a) to (c) The Drugs and Cosmetics Act, 1940, the Indian systems of Medicines as well as the Pharmacopoeia of Ayurveda, Siddha, Unani or Homeopathy do not recognise any category of drug by the name of “Organic medicines”. MEDICINAL HERBAL PLANTS 14th December, 2012 LSQ 3659 SHRI BAIDYANATH PRASAD MAHTO SHRI PASHUPATI NATH SINGH SHRI BALIRAM SUKUR JADHAV Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:- (a) India`s export of medicinal plants and herbs during each of the last three years and the current year;
(b) the measures taken/proposed by the Government sector for wider acceptability and growth of exports of
medicinal/herbal plants in the global market;
(c) the funds released to the Governmental and Non‐Governmental Organisations for undertaking activities related to propagation, preservation, protection and conservation of medicinal plants in the country during the said period, State/UT‐wise;
(d) whether the Government has periodically reviewed the works carried out by the Governmental and Non‐ Governmental organisations in this regard and if so, the details along with the outcome thereof; and
(e) the present status of the action plan to manufacture various medicinal preparation from the herbs naturally found in the forests in various areas including Valmikinagar in Bihar?
MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI S. GANDHISELVAN) (a): As per information furnished by Directorate General of Commercial Intelligence & Statistics, Ministry of Commerce & Industry, India’s export of medicinal plants and herbs (under ITCHS:1211 and 1302) for the last three years and current year (Apr-Sep) is as follows: Year Value in Rupees 2009-10 21855736524 2010-11 41419228054 2011-12 181956019767 2012-13 226205515046
(April-Sept., 2012). These figures are provisional and hence subject to change. (b): Following important measures have been taken for development of medicinal / herbal plants sector for wider acceptability and inter-alia growth of exports:- Implementation of Centrally Sponsored Scheme of `National Mission on Medicinal Plants” by National
Medicinal Plants Board (NMPB), Department of AYUSH, Ministry of Health and Family Welfare since 2008‐09 to provide support for establishment of nurseries, cultivation of identified species including those which are in demand for export, setting up of infrastructure for post harvest management / processing and value addition / testing facilities / organic, GAP certification, market promotion etc.
Implementation of projects for Research & Development in priority areas.
Development of guidelines for Good Agricultural Practices and Good Field Collection Practices for Indian medicinal plants.
Formulation of Certification Standards and launch of Voluntary Certification Scheme for cultivated / collected medicinal plants with support of Quality Council of India.
Development of Agro‐techniques of selected important medicinal plants by the NMPB. (c): Information regarding schemes implemented by National Medicinal Plants Board (NMPB) in this regard and the funds released to Government and Non Government Organizations during the last three years and the current year, State / UT-wise is as follows: Central Sector Scheme for “Conservation, Development and Sustainable Management of Medicinal Plants”: Central Sector Scheme for “Conservation, Development and Sustainable Management of Medicinal Plants” was approved by Government during year 2008-09. The Scheme envisages providing of support for Survey, Inventorization, in-situ conservation, ex-situ conservation / herbal gardens, support to and linkage with JFMCs, Research & Development, Establishing Quality Standards & Certifications, Capacity Building, Promotional activities (School / Home Herbal Gardens) and Management support. Information regarding the funds released is provided in Annexure-I. Centrally Sponsored Scheme of “National Mission on Medicinal Plants”: Centrally Sponsored Scheme of “National Mission on Medicinal Plants” was approved since the year 2008-09. The scheme is primarily aimed at supporting market driven, cultivation of medicinal plants on private land with backwards linkages for establishment of nurseries, for supply of quality planting material etc. and forward linkages for post-harvest management, marketing infrastructure, certification etc. in a mission mode. Information regarding the funds released is provided in Annexure-II. (d): Works carried out by the organizations implementing under the scheme is reviewed periodically during the meetings of Project Screening Committee (PSC), Technical Screening Committee (TSC) and Standing Finance Committee (SFC). NMPB has also engaged an organization viz. Agricultural Finance Cooperation (AFC) for independent monitoring and evaluation of projects sanctioned under the Schemes implemented by it. Such a review of projects resulted in implementation / continuation / disqualification / cancellation of the projects. (e): No specific scheme is being implemented by the Department of AYUSH, Ministry of Health & Family Welfare in this regard. However, the Department of AYUSH implements a Central Sector Scheme for AYUSH Drug Industry Clusters through which eligible proposals recommended by the State Government are supported for setting up common infrastructural facilities. Under this scheme, no proposal has been received from the State of Bihar. The National Medicinal Plants Board, Department of AYUSH is also implementing a Centrally Sponsored Scheme “National Mission on Medicinal Plants”, which includes support for establishment of nurseries, cultivation, post-harvest management, processing & value addition and management support. No project on post-harvest management, processing and value addition of medicinal plants in various areas including Valmikinagar in Bihar has been received by NMPB. Annexure-I LOK SABHA UNSTARRED QUESTION NO.3659 FOR 14.12.2012
Central Sector Scheme for Conservation, Development and Sustainable Management of Medicinal Plants Year-wise and State-wise funds released during the year 2009-10 to 2011-12 and year 2012-13 (till 10.12.2012) (Rs. In lakhs)
Annexure – II Centrally Sponsored Scheme of National Mission on Medicinal Plants Year wise and State wise funds released during the year 2009-10 to 2011-12 and year 2012-13 (till 23.11.2012) (Rs. In lakhs)
