Minister of State (Health and Family Welfare), Shri Ashwini Kumar Choubey has informed that The target year set by the Government to eliminate following diseases
Kala-azar- Kala-azar is targeted for elimination by 2017 i.e. 1 case per 10,000 population at block level. As of 2016, 85% of the endemic blocks have achieved elimination target.
Leprosy:- Elimination of Leprosy i.e., 1 case/ 10000 population at national level was already achieved in the year 2005. The short term target is reduction of Grade II disability cases to less than one million population, as per WHO document on Global Leprosy Strategy, 2016 – 2020.
Measles:- Ministry of Health and Family Welfare has accepted the recommendation of Mission Steering Group for wide age group measles and rubella (MR) campaign covering children in the age group of 9 months to less than 15 years followed by introduction of measles rubella vaccine in routine immunization to further reduce morbidity and mortality due to measles and rubella.
As on 18th December 2017, more than 6.5 crore children have been vaccinated with MR vaccine in 13 States/UTs, namely, Andhra Pradesh, Chandigarh, Dadra & Nagar Haveli, Daman & Diu, Goa, Himachal Pradesh, Karnataka, Kerala, Lakshadweep, Puducherry, Tamil Nadu, Telangana and Uttarakhand.
The target year set by the Government to eliminate following diseases are as under:-
Diseases Target Year of Elimination
- Kala-azar: 2017
- Leprosy: 2018
- Measles: 2020
- Tuberculosis: 2025
Tuberculosis As per the Global TB Report 2017, the incidence of TB has reduced from 217 per lakh per year in 2015 to 211 per lakh per year in 2016 and mortality has reduced from 36 per lakh per year in 2015 to 32 per lakh per year in 2016.
Number of cases reported State/UT wise during the last three years in respect of Kala Azar, Leprosy, Measles and Tuberculosis are given below:
State/UT-wise Kala-Azar cases during the last three years
* 10, 14, and 5 sporadic cases have been reported from other states during 2014, 2015 and 2016 respectively
State/UT-wise new Leprosy cases detected during the last three years
|S. No.||State/ UT||No. of new cases detected|
|11||Jammu & Kashmir||159||189||143|
|30||A & N Islands||25||29||18|
|32||D & N Haveli||318||425||384|
|33||Daman & Diu||21||4||7|
State/UT-wise Measles cases during the last three years
|1||Andaman & Nicobar Islands||37||31||25|
|8||Dadra & Nagar Haveli||78||142||51|
|9||Daman & Diu||14||0||0|
|15||Jammu & Kashmir||2840||2148||2071|
Source: Central Bureau of Health Intelligence, National Health Profile reports
Statewise Case Notification of TB for India
|1||Andaman & Nicobar||756||584||509|
|8||Dadar& Nagar Haveli||450||487||510|
|9||Daman & Diu||279||284||368|
|15||Jammu & Kashmir||10243||9873||9244|
- Intensification of surveillance activities for early identification of cases & prompt treatment.
- Active case searches in all endemic villages.
- Intensified IEC/BCC activities
- IRS spray with Synthetic Pyrethroid on regular basis and focal spray as per guideline.
- Hand Compression Pumps for quality spray introduced in 2015 in Kala-azar districts of endemic States.
- Treatment with single day single dose Ambisome Injection to Kala-azar patient.
- Incentive to patients for loss of wages.
- Incentive to ASHAs.
- The States fill up the vacant positions.
(i) implementation of routine activities and all innovations introduced during 2016-17 viz. three pronged strategy for early case detection i.e., i) Leprosy Case Detection Campaign (LCDC) (specific for high endemic districts), ii) Focussed Leprosy Campaign (for hot spots i.e., rural and urban areas where Grade II disability is detected), iii) Special plan for hard to reach areas.
(ii) Sparsh Leprosy Awareness Campaign for awareness, Grade II disability case investigation,
(iii) Post Exposure chemoprophylaxis administration to the contacts of cases detected in LCDC districts etc.
(iv) ASHA based Surveillance for Leprosy Suspects (ABSULS) has been introduced during 2017-18 to enhance early case reporting.
The following measures have been taken to achieve the target of measles elimination by 2020:
- Government of India introduced measles vaccine across the country in 1985 under the Universal Immunization Programme (UIP). To further reduce the measles burden, a second dose of measles vaccine was introduced in the country in the year 2010.
- With an aim to increase the full immunization coverage to 90% by December 2018 including improving measles vaccine coverage particularly in pockets with low immunization coverage, the Ministry of Health and Family Welfare has launched Intensified Mission Indradhanush on 8th October 2017. The Intensified Mission Indradhanush is being carried out in 173 districts and 17 urban areas across 24 states of the country and three rounds (Oct, Nov and Dec) have been completed since the launch.
- An India Expert Advisory Group on Measles & Rubella (IEAG-MR) has been established, comprising national and international experts, to provide technical guidance on the disease elimination efforts from time to time. The group has met twice since its formulation.
The National Strategic Plan (NSP) for elimination of Tuberculosis (2017-25) has been formulated by the Ministry of Health and Family Welfare.
In addition to the existing strategies under Revised National Tuberculosis Control Programme (RNTCP), the NSP focusses on:
- early diagnosis of all the TB patients, prompt treatment with quality assured drugs and treatment regimens
- suitable patient support systems to promote adherence.
- engaging with the patients seeking care in the private sector.
- prevention strategies including active case finding and
- contact tracing in high risk / vulnerable population
- airborne infection control.
Under the National Health Mission (NHM), financial and technical support is provided to the States/UTs to strengthen their health-care system based on the requirements posed by the States/UTs in their Program Implementation Plans. Vacancies in the State are filled by respective State/District Health Societies under NHM. Regular follow up is done with the States to ensure that the vacant positions are filled up.