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Type-2 Diabetes in women



Type-2 Diabetes in women 
The Indian Council of Medical Research (ICMR) has undertaken a large scale epidemiological study on Task Force Projects on diabetes “ICMR – India Diabetes Study (ICMR INDIAB) Study” which looked at the prevalence of diabetes in different States.  The prevalence of type 2 diabetes (among women aged ≥ 20 years) in 13 states of the ICMR-INDIAB Study is given below:


ICMR-INDIAB STUDY

STATES/UT-WISE PREVALENCE OF TYPE 2 DIABETES AMONG WOMEN AGED ≥ 20 YEARS IN 13 STATES

State
Rural
Urban
Overall
Punjab
9.5%
9.8%
9.6%
Chandigarh
9.0%
14.3%
10.5%
Bihar
3.1%
10.0%
5.1%
Arunachal Pradesh
4.7%
5.5%
4.9%
Mizoram
2.7%
7.5%
4.2%
Tripura
1.2%
3.7%
2.0%
Jharkhand
3.1%
10.8%
5.2%
Gujarat
4.0%
10.6%
6.2%
Maharashtra
5.9%
7.6%
6.4%
Andhra Pradesh (undivided)
5.3%
11.8%
7.2%
Karnataka
5.5%
9.2%
6.6%
Tamil Nadu
7.0%
12.5%
8.6%
Overall
5.1%
9.3%
6.4%

Health is State Subject.  However, in order to prevent and control Non-Communicable Diseases including Diabetes, Government of India has launched National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) which is implemented for interventions up to District level under the National Health Mission. NPCDCS has a focus on awareness generation for behaviour and life-style changes, screening and early diagnosis of persons with high level of risk factors and their treatment and referral (if required) to higher facilities for appropriate management for Non-communicable Diseases including Diabetes.  Under NPCDCS, diagnosis and treatment facilities for Diabetes are provided through different levels of healthcare by setting up NCD Clinic in District Hospitals and Community Health Centress (CHCs).
A Statement showing State/UT-wise release of funds under NPCDCS for the last three years and the current year is given below:

FUNDS RELEASED UNDER NATIONAL PROGRAMME FOR PREVENTION  AND CONTROL OF CANCER, DIABETES, CARDIOVASCULAR DISEASES & STROKE (NPCDCS)
Sl. No.
Name Of State
(Amount in Lakh)

2012-13
2013-14
2014-15
2015-16 (*)
1
Andhra Pradesh
0.00
0.00
561.00
0.00
2
Assam
0.00
1714.00
579.00
3333.00
3
Bihar
0.00
972.00
1208.00
597.00
4
Chhattisgarh
0.00
0.00
504.00
526.00
5
Gujarat
0.00
0.00
666.00
1551.00
6
Haryana
0.00
0.00
799.00
331.00
7
Himachal Pradesh
0.00
0.00
0.00
263.00
8
Jharkhand
0.00
332.00
835.00
790.00
9
Jammu & Kashmir
0.00
0.00
913.00
629.00
10
Karnataka
0.00
0.00
976.00
1187.00
11
Kerala
0.00
0.00
545.00
467.00
12
Madhya Pradesh
0.00
462.00
1694.00
2681.00
13
Maharashtra
0.00
586.00
1289.00
2375.00
14
Odisha
0.00
0.00
1234.00
1065.00
15
Punjab
0.00
0.00
803.00
312.00
16
Rajasthan
0.00
59.00
1180.00
2704.00
17
Sikkim
0.00
0.00
176.00
66.00
18
Tamil Nadu
0.00
89.00
1355.00
1300.00
19
Uttrakhand
0.00
0.00
545.00
624.00
20
Uttar Pradesh
2431.25
1398.00
2027.00
3626.00
21
West Bengal
0.00
1027.00
754.00
0.00
22
Andaman & Nicobar
0.00
5.00
25.00
55.00
23
Dadra & Nagar Haveli
0.00
5.00
17.00
42.00
24
Daman & Diu
0.00
4.00
13.00
35.00
25
Lakshadweep
0.00
1.00
13.00
0.00
26
Delhi
0.00
247.00
141.00
149.00
27
Pondicherry
0.00
18.00
152.00
0.00
28
Goa
0.00
22.00
127.00
0.00
29
Chandigarh
0.00
16.00
13.00
0.00
30
Arunachal Pradesh
0.00
76.00
354.00
534.00
31
Meghalaya
0.00
163.00
147.00
228.00
32
Mizoram
0.00
60.00
176.00
137.00
33
Nagaland
0.00
109.00
346.00
246.00
34
Tripura
0.00
202.00
176.00
0.00
35
Manipur
0.00
0.00
296.00
273.00
36
Telengana
0.00
0.00
401.00
791.00

TOTAL
2431.25
7567.00
21040.00
26917.00

(*): From 2015-16 releases for the programme are clubbed with other NCDs covered under NHM
The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

*****

Online Sale of Medicines

In accordance with the provisions of the Drugs & Cosmetics Act, 1940 and Rules made thereunder, the sale of drugs in the country is regulated by State Licensing Authorities. As per the Drugs and Cosmetics Rules, 1945, drugs specified in Schedule H, H1 or Schedule X cannot be sold except on and in accordance with the prescription of a Registered Medical Practitioner. The supply of prescription drugs can be effected only by or under the personal supervision of a registered pharmacist from a licensed premises. As such, the State Licensing Authorities are required to monitor the sale of medicines and take regulatory action in case of any contravention in terms of the Rules.

The Drugs Consultative Committee (DCC), in its 48th meeting held on 24th July, 2015, constituted a sub-committee to examine the issue of sale of drugs on internet, after taking into account the risks and concerns related to such sales. The report of the sub-committee has not been finalised.

The Drug Controller General (India) has sent a letter on 30.12.2015 to all State/UT Drug Controllers requesting them to put a strict vigil on the online sale of medicines and take action against those indulging in online sale of medicines in violation of the Drugs and Cosmetics Act and Rules.

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.

*****
National Youth Health Programmes

Government proposes to operate Adolescent Friendly Health Clinics (AFHCs) at the level of Medical Colleges, District Hospitals, Sub District Hospitals, Community Health Centres and Primary Health Centres in a phased manner.

In the first phase, clinicswill be opened in 213 Districts in the country including Rajasthan.

These Adolescent Friendly Health Clinics will have the presence of trained MOs/ANMs to provide counselling and curative services to adolescents.

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.

*****
Medical Health Insuarane

As per Insurance Regulatory and Development Authority of India (IRDAI), 80.7% of all health insurance policies were actually renewed during FY 2014-15. In terms of numbers, as against 92.67 lakh policies due for renewal, 74.79 lakh policies were actually renewed during FY 2014-15.

There may be various extraneous factors that may prompt the policyholders for not renewing the policies like affordability to continue the remittances of the premium. All the health insurance products offered are to be designed and offered in accordance to various regulatory provisions in vogue like IRDA (Health Insurance) Regulations, 2013, IRDA (Protection of Policyholders Interests) Regulations, 2002 etc. IRDA also emphasizes that there shall be an informed choice to the policyholders before taking any decision to buy an insurance policy.

The Indian insurance industry provides various types of health insurance covers. The products designed and priced on actuarial principles are filed with IRDA as per File and Use guidelines for clearance of the Authority before launch. There are over 600 approved health insurance products of all non-life insurance companies available in the market as on date with varied features which can be categorized into providing cover for domestic hospitalization, defined critical illnesses, unexpected hospitalization during overseas travel, accidental temporary/permanent disability and accidental death to cater to the needs of the heterogeneous segments of the population of India. All these products are being marketed by various distribution channels viz. Individual agents, Corporate agents (Banks or otherwise), Brokers, Direct sale - online etc. across the country both at urban and rural areas.

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.

*****
Children Taken Ill After Takingdeworming Pills

As per available information from the States of Odisha and Rajasthan, 234 children experienced mild nausea and vomiting during National Deworming Day 2016.

Albendazole is a very safe drug but 1-2 % of the children may develop side effects in the form of nausea and vomiting. These side effects are particularly common in children having high load of worms infestation. The side effects are generally self-limiting.

States have a regular system of checking samples of drugs, including albendazole tablets after procurement, as a routine quality control measure.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

*****
Avian Flu in The Country

Avian Influenza outbreak among poultry population / wild birds have been reported from February, 2006 onwards. So far 29 outbreaks have been notified by Department of Animal Husbandry Dairying and Fisheries, Ministry of Agriculture and Farmers Welfare, Government of India. The last outbreak of Avian Influenza was reported in January, 2016 in Tripura. No human case or death due to Avian Influenza has been reported in India.

Department of Animal Husbandry Dairying and Fisheries, Ministry of Agriculture and Farmers Welfare, Government of India has issued advisories to the States from time to time emphasizing preparedness measures for early detection and containment of outbreak. These include surveillance, early reporting, laboratory diagnosis, stocking of logistics (Personal Protective Equipment, masks, drug/ disinfectants, chemicals) and information, education & communication.

The Health Minister, Shri J P Nadda stated this in a written reply in the RajyaSabha here today.

*****
Assessing Impact on Healthcare Arising from Customs Duty Hike

The price of drugs included in the National List of Essential Medicines (NLEM) is linked to the increase/decrease in the Wholesale Price Index (WPI) in terms of Drugs Price Control Order, 2013. Most of the drugs in respect of which custom duty exemption has been withdrawn are included in the NLEM, 2015. Since the WPI for the current year is likely to decline, the price of these drugs will also decline. Further, even in respect of non-scheduled drugs, the annual increase in the Maximum Retail Price (MRP) cannot be more than 10%.

The Health Minister, Shri J P Nadda stated this in a written reply in the RajyaSabha here today.

*****
Tackling problem of Sub-Standard drugs

Over 47,000 drug samples have been picked up in a nation-wide survey in 2015, carried out by the Ministry of Health and Family Welfare to determine the extent of Spurious/Not of Standard Quality drugs in the country. The results of the survey have not been compiled as yet.

The Government is conscious of the fact that the drugs manufactured/sold in the country have to be of good quality and has, with a view to check the marketing and manufacture of such drugs in the country, taken a series of measures. These include stringent penalties including making certain offences cognizable as well as non-bailable; establishment of special designated Courts for trial of offences under the Drugs and Cosmetics Act for speedy disposal of cases; announcement of a ‘Whistle Blower Scheme’ to encourage vigilant public participation for detection of movement of spurious drugs in the country; issuance of guidelines to the State Drugs Controllers for taking action on samples of drugs declared spurious or not of standard quality; and instructions to the concerned staff to keep a vigil and draw samples of drugs for test and analysis for monitoring the quality of drugs moving in the country.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

*****
Action Against Spurious Drugsrackets

Reports have appeared in the media in the past about the poor quality of drugs manufactured/ sold in the country. However, based on the samples drawn, tested / analysed by drug regulatory officials of the Centre / State, the extent of adulterated/spurious drugs was 0.27, 0.11, 0.16 and 0.11 percent for 2011-12, 2012-13, 2013-14 and 2014-15 respectively. In all such cases, action / prosecution is launched as per the provisions of the Drugs and Cosmetics Act, 1940.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

*****
Preventive measures against Zika virus

World Health Organization (WHO) has declared Zika virus disease to be a Public Health Emergency of International Concern (PHEIC) on 1st February, 2016.

Technical guidelines and travel advisory were issued and disseminated and also made available on the website of the Ministry. States where Dengue transmission is on, namely Maharashtra, Kerala, Tamil Nadu, UT of Puducherry have been alerted. National Centre for Disease Control (NCDC), Delhi has been identified as the nodal agency for investigation of outbreak in any part of the country. Fifteen International Airports and nine major ports have displayed signages providing information for travelers on Zika virus disease and advising the travellers to report if they are returning from any of the affected countries and suffering from febrile illness. Immigration authorities at these Airports have been sensitized. Directorate General of Civil Aviation, Ministry of Civil Aviation has issued instruction to all international airlines to follow the recommended aircraft disinsection guidelines. Vector control measures have been implemented at International Airports and Ports. National Centre for Disease Control, Delhi and National Institute of Virology (NIV), Pune, have established the capacity to provide laboratory diagnosis of Zika virus disease in acute febrile stage. National Vector Borne Disease Control Programme has alerted all its field units for enhanced vector ( Aedes mosquitoes) control. National AIDS Control Organization has issued advisory for blood banks and potential blood donors to prevent transmission of Zika virus infection by blood transfusion. A 24x7 control room cum Help Line has started functioning from Dte GHS. Public has been made aware about Zika virus disease through press releases issued by Ministry of Health and Family Welfare. The situation is being monitored regularly.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

*****

Rural internship for medical students

At present, the Government is not considering any proposal for mandatory internship for medical professionals in rural and remote areas.

Health being a State subject, provision of healthcare facilities falls under the jurisdiction of respective State Governments. However, to encourage doctors working in remote and difficult areas, the MCI with the previous approval of Central Government, has amended the Post Graduate Medical Education Regulations, 2000 to provide :-

(i) 50% reservation in Post Graduate Diploma Courses for Medical Officers in the Government service, who have served for at least three years in remote and difficult areas; and

(ii) Incentive at the rate of 10% the marks obtained for each year in service in remote or difficult areas as upto the maximum of 30% of the marks obtained in the entrance test for admissions in Post Graduate Medical Courses.

Further, under, NHM, financial incentive is also provided to MBBS as well as PG doctors for serving in the rural areas. These incentives are over and above the salaries of the doctors concerned.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

*****
Setting up of District-Level Food Testing Laboratories

As far as the Ministry of Health and Family Welfare is concerned, no funds have been provided for upgradation of State food testing laboratories during 2012-13 to 2015-16.

In addition to 14 referral laboratories, the Food Safety and Standards Authority of India (FSSAI) has notified 82 NABL (National Accreditation Board for Testing and Calibration Laboratories) accredited private food testing laboratories for the purposes of carrying out analysis of food samples taken under section 47 of the Food Safety and Standards Act, 2006. FSSAI has initiated action to upgrade its food testing laboratories. There are 72 State food testing laboratories. The upgradation and setting up of State food testing laboratories is the responsibility of State Governments.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

*****
Status of UHC

Universal Health Coverage (UHC) is a key goal of the Twelfth Plan. Public Health being a state subject, it is the primary responsibility of States/UTs to take steps to achieve Universal Health Coverage. The Government has already taken steps towards provision of free services for maternal health, child health, adolescent health, family planning, universal immunisation programme, and for major diseases such as TB, vector borne diseases such as Malaria, dengue and Kala Azar, leprosy etc. Other major initiatives for which states are being supported include Janani Shishu Suraksha Karyakram (JSSK), Rashtriya Bal SwasthyaKaryakram (RBSK), Rashtriya Kishor Swasthya Karyakram (RKSK), implementation of NHM Free Drugs and Free Diagnostics Service Initiatives, and implementation of National Quality Assurance Framework.

NHM and RSBY are critical components towards achieving UHC.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

*****

Eradication of Japanese Encephalitis



In Jharkhand the deaths due to Japanese Encephalitis (JE), as reported by the State, during 2013,2014 and 2015 are given below:

Deaths due JE in Jharkhand

------------------------
Year  2013  2014  2015

Death  5     2     1
--------------------------

As per information reported by the State, total number of AES cases including water borne encephalitis were 288 in 2014 and 143 in 2015.

A multi-pronged strategy has been adopted under the National Programme for Prevention and Control of Japanese Encephalitis (JE) / Acute Encephalitis Syndrome (AES) in sixty high priority districts in 5 States of Assam, Bihar, Tamil Nadu, Uttar Pradesh and West Bengal with the participation of (i) Ministry of Health & Family Welfare; (ii) Ministry of Drinking Water & Sanitation; (iii) Ministry of Housing Urban Poverty Alleviation; (iv) Ministry of Social Justice & Empowerment; (v) Ministry of Women &Child Development; and (vi) Ministry of Human Resource Development (Department of School Education & Literacy).

Establishment of Pediatric ICU at district level in 60 high burden districts is one of the major components under the Programme to reduce case fatality. Furthermore, incentive has been provisioned for ASHAs under the programme for early referral of cases to reduce mortality.

Following measures are parts of National Programme for Prevention and Control of JE/AES:

(i)          Strengthening and expansion of  JE vaccination in affected districts;

(ii)       Strengthening of surveillance, vector control.

(iii)     Strengthening of case management by setting 10 bedded pediatric ICU in 60 district hospitals and  timely referral of serious and complicated cases;

(iv)     Access to safe drinking water and proper sanitation facilities to the target population in affected rural and urban areas;

(v)        Provision of adequate facilities for physical, medical, neurological and  social rehabilitation;

(vi)     Improvement of nutritional status of children at risk of JE/AES and intensified IEC/BCC activities.


The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.


*****
Strengthening primary Healthcare Network

Public Health is a State subject. The flagship Programme of National Health Mission (NHM) is aimed to support the States mainly to strengthen their primary healthcare network. Support is provided to State/UTs for setting up new facilities or renovation of existing facilities, health human resource on contractual basis, drugs, equipment, diagnostics, Ambulances, Mobile Medical Units etc based on the requirement posed by the States/UTs in their Programme Implementation Plans (PIPs). The government has already taken steps towards provision of free services for maternal health, child health, adolescent health, family planning, universal immunization programme, and for major diseases such as TB, vector borne diseases such as Malaria, dengue and Kala Azar, leprosy etc. Other major initiatives for which states are being supported include Janani Shishu Suraksha Karyakram (JSSK), Rashtriya Bal Swasthya Karyakram (RBSK), Rashtriya Kishor Swasthya Karyakram (RKSK), implementation of National Health Mission Free Drugs Service Initiative and National Health Mission Free Diagnostics Service Initiative, Strengthening District Hospitals and implementation of National Quality Assurance Framework.

Support is also being made available to States for making primary care comprehensive. To address health inequities, 184 High Priority Districts have been identified for enhanced fund allocation and focused attention.

Public health is a State subject. To provide relief against catastrophic heath expenditure, the Government has announced the launch of a new health protection scheme which will provide cover upto Rs. 1 lakh with additional top up of Rs. 30,000 for senior citizens in those families.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

*****

Cardiovascular Diseases in Thecountry


There are no prospective studies regarding trends of heart diseases in India and the State wise data.However, as informed by Indian Council of Medical Research (ICMR), current estimates from one-time cross sectional studies conducted in different regions of country indicate that the prevalence of coronary heart disease (CHD) is between 8-10 percent in urban and 3 to 4 percent in rural India.
According to the report of National Commission on Macroeconomics and Health (NCMH), there were 380 lakh cases of CVD in the year 2005 and these are estimated to rise to 641 lakh cases in 2015.
While Health is a State subject, the Central Government supplements the efforts of the State Governments for improving healthcare.  Government of India has launched National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) which is implemented for interventions up to District level under the National Health Mission. NPCDCS has a focus on awareness generation for behaviour and life-style changes, screening and early diagnosis of persons with high level of risk factors and their treatment and referral (if required) to higher facilities for appropriate management for Non-communicable Diseases (NCD) including cardiovascular diseases.  Under NPCDCS, diagnosis and treatment facilities for cardiovascular diseases are provided through different levels of healthcare by setting up NCD Clinics in District Hospitals and Community Health Centres (CHCs).
The treatment of CVDs is available in Central Government Hospitals including   All India Institute of Medical Sciences, Safdurjung Hospitals, Dr. Ram Manohar Lohia Hospital, Post Graduate Institute of Medical Education and Research (PGIMER) Chandigarh, Jawaharlal Institute of Postgraduate Medical, Education and Research (JIPMER), Puducherry, etc.
A Statement showing State/UT-wise (including West Bengal) release and utilization of funds under National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) for the last three years is given below.

The NPCDCS is under implementation in 19 Districts in the State of West Bengal.  During the year 2014-15, 1,10,037 beneficiaries attended NCD Clinics and 1647 CVD patients were put on treatment.  Similarly, during 2015-16 (till January, 2016) 1,19,607 beneficiaries attended NCD Clinics and 1001 CVD patients were put on treatment.
The Government of India is implementing Rashtriya Bal SwasthyaKaryakram (RBSK) to screen all the children up to 18 years of age through early detection of 4 Ds i.e. birth defects, diseases, deficiencies, development delays including disability and to provide comprehensive care including surgeries at the tertiary level free of cost under National Health Mission. Early detection of birth defects including Congenital Heart defects and diseases like Rheumatic Heart disease is being carried out by clinical screening of all children from 0-18 years of age and provision has also been made for initiating early intervention and their management including surgical intervention.

NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF CANCER, DIABETES, CARDIOVASCULAR DISEASES & STROKE (NPCDCS)

Sl. No 
Name Of State
(Amount in Lakh)

2012-13
2013-14
2014-15


Released
Utilised
Released
Utilised
Released
Utilised
1
Andhra Pradesh
0.00
69.34
0.00
61.33
561.00
115.41
2
Assam
0.00
310.58
1714.00
620.62
579.00
288.43
3
Bihar
0.00
120.17
972.00
176.15
1208.00
50.65
4
Chhattisgarh
0.00
10.07
0.00
162.20
504.00
390.27
5
Gujarat
0.00
329.02
0.00
564.04
666.00
543.28
6
Haryana
0.00
129.23
0.00
261.94
799.00
207.89
7
Himachal Pradesh
0.00
15.56
0.00
73.90
0.00
23.79
8
Jharkhand
0.00
10.63
332.00
148.95
835.00
390.24
9
Jammu & Kashmir
0.00
396.24
0.00
300.55
913.00
160.11
10
Karnataka
0.00
156.02
0.00
639.86
976.00
231.46
11
Kerala
0.00
616.36
0.00
167.17
545.00
768.38
12
Madhya Pradesh
0.00
293.19
462.00
315.52
1694.00
681.07
13
Maharashtra
0.00
615.50
586.00
1044.66
1289.00
1131.70
14
Odisha
0.00
84.45
0.00
480.22
1234.00
414.97
15
Punjab
0.00
279.25
0.00
199.85
803.00
368.32
16
Rajasthan
0.00
154.27
59.00
242.01
1180.00
445.48
17
Sikkim
0.00
89.07
0.00
81.62
176.00
81.46
18
Tamil Nadu
0.00
0.00
89.00
175.13
1355.00
2.70
19
Uttrakhand
0.00
95.73
0.00
34.70
545.00
35.87
20
Uttar Pradesh
2431.25
89.29
1398.00
347.12
2027.00
2519.38
21
West Bengal
0.00
83.68
1027.00
416.78
754.00
416.34
22
Andaman & Nicobar
0.00
0.00
5.00
0.00
25.00
0.63

23
Dadra & Nagar Haveli
0.00
0.00
5.00
0.00
17.00
0.12
24
Daman & Diu
0.00
0.00
4.00
0.00
13.00
0.00
25
Lakshadweep
0.00
0.00
1.00
0.00
13.00
4.68
26
Delhi
0.00
0.00
247.00
0.00
141.00
0.00
27
Pondicherry
0.00
0.00
18.00
7.02
152.00
38.00
28
Goa
0.00
0.00
22.00
0.00
127.00
14.83
29
Chandigarh
0.00
0.00
16.00
0.00
13.00
6.04
30
Arunachal Pradesh
0.00
0.00
76.00
69.20
354.00
360.05
31
Meghalaya
0.00
0.00
163.00
0.00
147.00
24.35
32
Mizoram
0.00
0.00
60.00
26.25
176.00
116.08
33
Nagaland
0.00
0.00
109.00
0.00
346.00
73.78
34
Tripura
0.00
0.00
202.00
1.03
176.00
0.00
35
Manipur
0.00
0.00
0.00
0.00
296.00
0.00
36
Telengana
0.00
0.00
0.00
0.00
401.00
0.00

TOTAL
2431.25
3947.65
7567.00
6617.82
21040.00
9905.76

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

*****

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