28 Mar 2012

UP, Maharashtra account for 25% of India's cancer deaths





Uttar Pradesh and Maharashtra together accounted for 25% of all cancer deaths in India last year.
Delhi recorded lowest cancer mortalities - less than 9,000. West Bengal recorded the fourth highest cancer deaths (40,199), followed by Tamil Nadu (39,127).
India officially recorded over half a million deaths due to cancer in 2011 - 5.35 lakhs as against 5.14 lakh (2009) and 5.24 lakh (2010). UP recorded 89,224 deaths due to cancer, while Maharashtra saw 50,989 fatalities.
Bihar reported 43,864 cancer deaths. Similarly, Andhra Pradesh saw 37,144 deaths, Rajasthan (30,976), Madhya Pradesh (27,214), Gujarat (26,588) and Karnataka (25,531)
The Union health ministry says there are about 28 lakh cases of cancer at any given point of time in India, with 10 lakh new cases being reported annually.
World Health Organization (WHO) says, the estimated cancer deaths in India are projected to increase to 7 lakh by 2015.
Cancers account for 14% of the overall non-communicable diseases (NCDs) mortality in India. Cancers account for about of 3.3% of the disease burden in the country, and about 9% of all deaths.
"Cancer has become one of the 10 leading causes of death in India. The burden of cancer is expected to increase due to rise in life expectancy, demographic transitions and the effects of tobacco. Around 40% of cancer cases are due to tobacco use," said a Planning Commission paper for the 12th five year Plan on NCDs.
Over 70% of cancer cases in India are diagnosed during the advanced stages of the disease, resulting in poor survival and high mortality rates.
"It is estimated that the number of people living with cancers will rise by nearly 25% between 2001 and 2016. Nearly 10 lakh new cases of cancers will be diagnosed in 2015 compared to about 807,000 in 2004, and about 670,000 people are expected to die," a Union health ministry official said.
This ministry had launched the National Programme for Prevention and Control of Cancer in June, 2010, under which 65 tertiary cancer centres (TCCs) carry out screening, biopsy and treatment of cancer will be set up in 21 states.
District hospitals are also being strengthened to diagnose and treat patients with chemotherapy. Radiotherapy, however, will be available in 27 existing regional cancer centres, all of which are being upgraded.
The ministry has also prepared a Rs 15,855-crore plan for its early diagnosis and treatment over the next five years - a 500% increase over the 11th Plan. By 2017, India plans to open two national cancer institutes and 20 state cancer institutes that will support 100 TCCs.
Plans are afoot to increase district cancer centers from 100 to 640 by end-2017, add 500 additional cancer specialists trained in their management and train 640 district cancer teams.
"We have been warned by WHO that India is the next hub for cancer. The 38 new cancer centres will be linked to district hospitals. Auxiliary Nurse Midwives (ANM) are being trained to identify warning signs of cancer," Union health minister Ghulam Nabi Azad said.
Union health ministry recently relaxed norms to ramp up the strength of oncologists. The ministry has allowed every professor of three disciplines - radiotherapy, medical oncology and surgical oncology - to teach three students as against the existing norm of two.
Over the next five years, the strength of cancer registry institutes - that record cancer cases - will be raised from existing 27 to 122.
Cancer is curable if detected early. The results of treatment in stage I and II (early stage) are about 80%. In late stage diseases (stage III and IV), however, the results are less than 20%.



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