13-Mar-2020: Research and New Methods of Cancer Treatment

As per National Cancer Registry Programme (NCRP) of Indian Council of Medical Research (ICMR), the estimated number of incidence of cancer cases reported in the country during the three years is given below:

Year

2016

2017

2018

Estimated Incidence of cancer cases

14,51,417

15,17,426

15,86,571

Health is a State subject and the Central Government supplements the efforts of the State Governments in preventing and controlling cancer. The objectives of National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS), being implemented by Central Government under National Health Mission (NHM) for interventions upto the district level, includes awareness generation for cancer prevention, screening, early detection and referral to an appropriate level institution for treatment. For cancer,  the focus is on three cancers, namely breast, cervical and oral.  A population level initiative for prevention, control and screening for common Non-Communicable Diseases (NCDs) i.e. diabetes, hypertension and common cancers viz. oral, breast and cervical cancer, has been rolled out in over 215 districts of the country, as a part of comprehensive primary healthcare. Screening of common NCDs including three common cancers i.e. oral, breast and cervical is also an integral part of service delivery under Ayushman Bharat - Health and Wellness Centres. Cancer is diagnosed and treated at various levels in the health care system. In Government hospitals, treatment is either free or highly subsidized. Treatment of cancers is also available under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PMJAY). Besides this, Affordable Medicines and Reliable Implants for Treatment (AMRIT) Deendayal outlets have been opened at 203 Institutions/Hospitals with an objective to make available drugs and implants at discounted prices to the patients. Under the umbrella scheme of Rashtriya Arogya Nidhi, financial assistance is provided to families living below threshold poverty line for their treatment, including treatment of cancer, in Government hospitals.

Scientific Institutions/Departments such as Indian Council of Medical Research (ICMR), Department of Biotechnology and    Council of Scientific & Industrial Research (CSIR)support research in various filed including treatment of cancer. Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Kerala, has developed a technology to make Curcumin, an active ingredient in Turmeric with anti-cancer properties, water soluble by binding it with human albumin. This research was supported by ICMR. More studies are however needed to get regulatory nod.

To enhance the facilities for tertiary care of cancer, the Central Government is implementing Strengthening of Tertiary Care for Cancer Scheme, under which setting up of 19 State Cancer Institutes (SCI) and 20 Tertiary Care Cancer Centres (TCCC) have been approved. The list of such approved SCIs and TCCCs in the country including in the State of Kerala, is given below:

State/UT-wise list of approved State Cancer Institutes (SCI) and Tertiary Care Cancer Centres (TCCCs).

S No

State

Name of the Institute

SCI/

TCCC

1

Andhra Pradesh

Kurnool Medical College, Kurnool

SCI

2

Assam

Gauhati Medical College & Hospital, Guwahati

SCI

3

Bihar

Indira Gandhi Institute of Medical Sciences, Patna

SCI

4

Chhattisgarh

Chhattisgarh Institute of Medical Sciences, Bilaspur

SCI

5

Delhi

Lok Nayak Hospital

TCCC

6

Gujarat

Gujarat Cancer Research Institute, Ahmedabad

SCI

7

Goa

Goa Medical College, Panaji

TCCC

8

Haryana

Civil Hospital, Ambala Cantt.

TCCC

9

Himachal Pradesh

Indira Gandhi Medical College, Shimla

TCCC

10

 

Shri Lal Bahadur Shastri Medical College, Mandi

TCCC

11

Jammu & Kashmir

Sher-i-Kashmir Institute of Medical Sciences, Srinagar

SCI

12

 

Government Medical College, Jammu

SCI

13

Jharkhand

Rajendra Institute of Medical Sciences, Ranchi

SCI

14

Karnataka

Kidwai Memorial Institute of Oncology (RCC), Bengaluru

SCI

15

 

Mandya Institute of Medical Sciences, Mandya

TCCC

16

Kerala

Regional Cancer Centre, Thiruvananthapuram

SCI

17

 

Government Medical College, Kozhikode

TCCC

18

Madhya Pradesh

G.R. Medical College, Gwalior

TCCC

19

 

Netaji Subhas Chandra Bose Medical College, Jabalpur

SCI

20

Maharashtra

Rashtrasant Tukdoji Regional Cancer Hospital & Research Centre, Nagpur

TCCC

21

 

Government Medical College, Aurangabad

SCI

22

 

Vivekanand Foundation & Research Centre, Latur

TCCC

23

Mizoram

Mizoram State Cancer Institute, Aizawl

TCCC

24

Nagaland

District Hospital, Kohima

TCCC

25

Odisha

Acharya Harihar Regional Cancer Centre, Cuttack

SCI

26

Punjab

Government Medical College, Amritsar

SCI

27

 

Civil Hospital, Fazilka

TCCC

28

Rajasthan

S P Medical College, Bikaner

TCCC

29

 

SMS Medical College, Jaipur

SCI

30

 

Jhalawar Medical College & Hospital, Jhalawar

TCCC

31

Sikkim

Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim

TCCC

32

Tamil Nadu

Cancer Institute (RCC), Adyar, Chennai

SCI

33

Telangana

MNJ Institute of Oncology & RCC, Hyderabad

SCI

34

Tripura

Cancer Hospital (RCC), Agartala

SCI

35

Uttar Pradesh

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow

TCCC

36

Uttarakhand

Government Medical College, Haldwani

SCI

37

West Bengal

Government Medical College, Burdwan

TCCC

38

 

Murshidabad Medical College & Hospital, Berhampur, Murshidabad

TCCC

39

 

Sagore Dutta Memorial Medical College and Hospital, Kolkata

TCCC

In addition, Tata Memorial Centre, a grant-in-aid institution under the Department of Atomic Energy has informed that following new cancer hospitals have been approved in the last three years:

  1. Mahamana Pandit Madanmohan Malviya Cancer Centre and Homi Bhabha Cancer Hospital, Varanasi, Uttar Pradesh.
  2. Homi Bhabha Cancer Hospital and Research Centre, Vishakhapatnam, Andhra Pradesh
  3. Homi Bhabha Cancer Hospital, Mullanpur, Punjab
  4. Dr. B. Borooah Cancer Institute, Guwahati, Assam
  5. Homi Bhabha Cancer Hospital and Research Centre, Muzaffarpur, Bihar.

Further, Oncology is also one of the focus areas in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY). Setting up of National Cancer Institute at Jhajjar in Haryana and strengthening of Chittaranjan National Cancer Institute, Kolkata, are also steps in the same direction.