*NEW DELHI *: India's fight against non-communicable diseases (NCDs) - cancer, cardiovascular diseases, diabetes and chronic lung diseases - could receive a big financial boost.
The Union health ministry has prepared a Rs 5,8072-crore plan against NCDs for the 12th five year Plan - a nearly 600% increase from the previous outlay. Around Rs 10,000 crore was allocated for NCDs in the 11th five year Plan. The programme to control cancer will see the highest allocation among all NCDs at Rs 15,885 crore, followed by diabetes and stroke (Rs 8, 480 crore), trauma and burn injuries (Rs 8,447 crore) and mental health (Rs 5,392 crore). The health ministry document, prepared under the chairmanship of director general of health services Dr R K Srivastava, says more than 20% of the population has at least one chronic disease and more than 10% have more than one. The major NCDs that will be covered under the 12th Plan include cancer, diabetes, cardiovascular diseases (CVD) and stroke, chronic obstructive pulmonary diseases, chronic kidney diseases, mental disorders, Iodine Deficiency Disorders, fluorosis and ortho-dental disorders. India will also push programmes to control road traffic accidents, burn injuries, musculo-skeletal disorders, blindness, deafness, geriatric and neurological disorders and tobacco control. "Cancer, diabetes, cardiovascular diseases, chronic lung diseases and chronic kidney disease account for most of the mortality due to NCDs and would require substantial budget. Trauma, disasters, emergency medical services, diseases of bones and joints, mental health and healthcare of the elderly are disabling diseases and requires investment for not only treatment but also rehabilitation," the document said. In 2008, over 52 lakh people died of NCDs in India, accounting for 53% of all fatalities. Among men, 38% of the deaths were below 60 years, while among women the corresponding figure was 32%. Cardiovascular diseases (CVDs) accounted for 24% of all deaths, cancers (6%), respiratory disease (11%), diabetes (2%) and other NCDs (10%), according to the WHO. The ministry says, the potentially productive years of life lost (PPYLL) due to CVDs in the 35-64 age bracket was 9.2 million in 2000, and is expected to rise to 17.9 million in 2030. "Since the majority of deaths are premature there is a substantial loss of lives during the productive years. Considering the high cost of medicines and longer duration of treatment NCDs constitute a greater financial burden to low income groups," the health ministry 12th Plan document says. WHO says, heart diseases, stroke and diabetes are projected to increase cumulatively and India stands to lose $237 billion between 2005 and 2015. Risk factor for NCDs is also high among Indians. Around 33% people have raised blood pressure, high blood glucose (10%), overweight (11%) and high cholesterol (27%). While, 14% smoke tobacco daily, and another14% don't exercise at all. Chronic NCDs have replaced communicable diseases as the most common causes of morbidity and premature mortality worldwide. About 80% of the burden occurs in low/ middle-income countries, and 25% is in individuals younger than 60 years. The global economic impact of NCDs is enormous: by 2015, just two diseases (cardiovascular diseases and diabetes) are expected to reduce global GDP by 5%. NCDs are the top cause of death worldwide, killing more than 36 million people in 2008. CVDs were responsible for 48% of these deaths, cancers (21%), chronic respiratory diseases (12%) and diabetes 3%. The report says, in 2008, more than nine million of all deaths attributed to NCDs occurred before the age of 60. Around 90% of these "premature" deaths occurred in low- and middle-income countries. *NCD prevalence in India* *Diabetes: 5%-15% among urban population, 2%-5% (rural)* * * *Hypertension: urban (25%) and rural (10%) The no of people with hypertension will rise from 118.2 million in 2000 to 213.5 million by 2025* * * *COPD: Prevalence among men is in a range of 2%-9% in n India and 1%-4% in s India* * * *Cancer: Over 70% of cases are diagnosed during the advanced stages of the disease, resulting in poor survival and high mortality rates* * * *Smoking: Men (33%) and women (4%) Smoking accounts for one in five deaths among men and one in 20 deaths among women, accounting for an estimated 930,000 deaths in 2010* * * *Injuries: Road traffic injuries and deaths are on the rise and results in more than 100,000 deaths, 2 million hospitalizations and 7.7 million minor injuries* http://timesofindia.indiatimes.com/articleshow/11517975.cms -- You received this message because you are subscribed to the Google Groups "Mental Health Advocacy (News 'N Views) India" group. 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