The Union Ministry of Health and Family Welfare Monday published a
national policy for treatment of rare diseases, listing 450 diseases
as rare but not providing a detailed roadmap on treatment.
https://indianexpress.com/article/lifestyle/health/govt-publishes-policy-for-treatment-of-rare-diseases-6215224/
The policy also intends to kick-start a registry of rare diseases that
Indian Council of Medical Research will maintain.

In India, Haemophilia, Thalassemia, Sickle cell anaemia and Primary
Immuno Deficiency in children, auto-immune diseases, Lysosomal storage
disorders such as Pompe disease and Gaucher’s disease are in the rare
diseases list. The latest policy creates three categories of rare
diseases — diseases requiring one-time curative treatment, diseases
which need long-term treatment but the cost is low, and diseases that
require life-long treatment and the cost is high.

The policy states that the Centre will provide assistance of Rs 15
lakh to patients suffering from rare diseases that require one-time
curative treatment under the Rashtriya Arogya Nidhi scheme. The
treatment is limited to beneficiaries of Pradhan Mantri Jan Arogya
Yojana. Some diseases in this category are osteopetrosis, immune
deficiency disorders and Lysosomal Storage Disorders.

Manjit Singh, president of Lysosomal Storage Disorder Support Society,
said the assistance is “highly inadequate”. “The government claims it
will provide financial assistance for children only till the age of
two years for lysosomal disorders. Even that amount will not last for
more than a month. One-time treatment will not help,” Singh said.

According to Health Ministry, about 95 per cent rare diseases have no
approved treatment. “Less than one in 10 patients receives
disease-specific treatment,” the policy states.

The Centre first prepared such a policy in 2017, but appointed a
committee in 2018 to review it.

Presently, very few pharmaceutical companies manufacture drugs to
treat rare diseases and India has no domestic manufacturer. The policy
estimates that for a child weighing 10 kg, treatment cost ranges
between Rs 10 lakh and Rs 1 crore per year, and the cost rises with
age.

The policy has recommended that state governments support patients
belonging to the second category of diseases that include
Phenylketonuria and Galactosemia, among others. It also recommends
crowd funding as a source to fund treatment of rare diseases and
advises hospitals to report such cases on digital platforms to gather
funds. “The policy is at least beginning of a discussion on rare
diseases in the country. But last time they announced a Rs 100-crore
corpus fund, now there is no budget. There is no clarity of Centre and
State responsibilities and on category III patients,” said Prassana
Shirol, founder of Organisation for Rare diseases India.

-- 
सादर/ Regards

अविनाश शाही/ Avinash Shahi
सहायक/ Assistant
मानव संसाधन प्रबंध विभाग/ Human Resource Management Department
भारतीय रिजर्व बैंक/ Reserve Bank of India
लखनऊ क्षेत्रीय कार्यालय/Lucknow RO
विस्तार/ Extension: 2232




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