B?FBb e?I;o ezNo'b gq'rokwB?FBb e?I;o ezNo'b gq'rokwB?FBb e?I;o ezNo'b gq'rokwB?FBb e?I;o ezNo'b gq'rokw G{fwekG{fwekG{fwekG{fwek ni'e/ ;w/I ftZu e?I;o dhnk xNBktk ftZu tkXk j'fJnk j?. fJ;dk w[Z] ekoB Ffjoh-eoB T[d:'rk dk ft;Eko, ihtB F?bh ftZu spdhbhnk, tXdh npkdh ns/ ihtB ekb dk tXDk j? (fi; Bkb tZvh T[wo d/ b'ek dh frDsh th tZX ojh j?). Gkos ftZu T[wo do i' fe 1971 ftZu 35 ;kb ;h, 1991 ftZu tZX e/ 62 ;kb j' rJh j?, fi; Bkb npkdh dh o{g-o/]k pdb rJh j?. fJj th nB[wkB brkfJnk frnk j? fe Gkos ftZu iB;zfynk dh T[wo do 2021-25 ftZu tZX e/ 70 ;kb j' ikt/rh.nkdwhnk B{z c/cV/, fJ;'c/r; (esophagus) g/N, w"fye ns/ co?Bihnb e?I;o (pharyngeal cancer) f}nkdk j[zdk j?. n"osk ftZu ;ofte; (cervix) ns/ Sksh dk e?I;o f}nkdk j[zdk j?. fi; s' pknd g/N ns/ fJ;'c/r; (esophagus) dk e?I;o th nkw j?. ;wZf;nk dh jZd;wZf;nk dh jZd;wZf;nk dh jZd;wZf;nk dh jZd ;z;ko;z;ko;z;ko;z;ko g{o/ ;z;ko ftZu e?I;o dhnk ;kohnk fe;wK Bkb brGZr 12 gqshFs w"sk jz[dhnk jB. ftef;s d/Fk ftZu ekovhUt?;e{bo (cardiovascular) s' pknd e?I;o w"s dk d{ik ekoB j?, fi; Bkb 21 gqshFs w"sK j[zdhnk jB. ftek; nXhB d/Fk ftZu e?I;o w"sK dk shik w[Zy ekoB j?, fi; Bkb 9H5 gqshFs b'ek dh w"s j[zdh j?. GkosGkosGkosGkos fJj nB[wkB j? fe Gkos ftZu e?I;o Bkb brGZr 2 s' 2H5 fwbhnB b'e ghVs jB ns/ jo ;kb 7 s' 9 bZ] s' tZX d/ eohp Bt/ e/; ;kjwD/ nk oj/ jB. 70 gqshFs s' tZX e/; nk]oh ;N/i T[s/ iKu ns/ fJbki bJh nkT[d/I jB fi; ekoB w"s do tZX ojh j?. gzikpgzikpgzikpgzikp f;js ftGkr tZb'I i{B, 2005 ftZu uko f}fbQnK w[es;o, pfmzvk, cohde'N ns/ wkB;k ftZu e?I;o woh}k dh frDsh ikDB tk;s/ ;ot/ ehsk frnk. ehs/ rJ/ ;ot/ d/ f;ZN/ j/mK fdZs/ nB[;ko jBL-

bVh BzLbVh BzLbVh BzLbVh BzL f}bQk f}bQk f}bQk f}bQk npkdhnpkdhnpkdhnpkdh e?I;o d/ woh}k dh e?I;o d/ woh}k dh e?I;o d/ woh}k dh e?I;o d/ woh}k dh frDshfrDshfrDshfrDsh

fJZe bZy npkdh fJZe bZy npkdh fJZe bZy npkdh fJZe bZy npkdh fgZS/ fgZS/ fgZS/ fgZS/ e?I;o d/ woh}k dh frDshe?I;o d/ woh}k dh frDshe?I;o d/ woh}k dh frDshe?I;o d/ woh}k dh frDsh

1 w[es;o 8,27,906 453 54H7 2 pfmzvk 12,00,736 711 59H2 3 cohde'N 5,85,500 164 28H0 4 wkB;k 7,31535 420 57H4

eo{veo{veo{veo{v fJzB;hv?I; dofJzB;hv?I; dofJzB;hv?I; dofJzB;hv?I; do (2002) o'gV 33H68$1,00,000 iB;zfynk gfNnkbk 33H56$1,00,000 iB;zfynk pfmzvk 35H26$1,00,000 iB;zfynk w[es;o 24H21$1,00,000 iB;zfynk cohde'N 25H67$1,00,000 iB;zfynk ;kXB;kXB;kXB;kXB L- e?I;o n?Nb; s'I fJzvhnB e'I;b nkc w?vheb fo;ou (nkJh?H;hHn?wHnko) fog'oN 2002 nB[;ko gzikp d/ gzi fifbQnk ftZu e?I;o e/;K dh frDsh fJ; soQk j?L- f}bkf}bkf}bkf}bk e?I;o e/;e?I;o e/;e?I;o e/;e?I;o e/; pfmzvk 424 cohde'N 163 w[es;o 221 gfNnkbk 641 o'gV 381 nkJhH;hHn?wHnko (2002) dh fog'oN nB[;ko gzikp d/ fszB f}b/Q o'gV, pfmzvk ns/ gfNnkbk ftZu e?I;o Bkb gqGkfts j'D tkb/ nzrK dk t/otk j/m fby/ nB[;ko j?L- fibQk o'gV ftZu gqGkfts j'D tkb/ nzr fibQk o'gV ftZu gqGkfts j'D tkb/ nzr fibQk o'gV ftZu gqGkfts j'D tkb/ nzr fibQk o'gV ftZu gqGkfts j'D tkb/ nzr bVh bVh bVh bVh BzLBzLBzLBzL

wodK ftZuwodK ftZuwodK ftZuwodK ftZu n"osK ftZu gqGkfts nzrgqGkfts nzrgqGkfts nzrgqGkfts nzr BzpoBzpoBzpoBzpo gqGkfts nzrgqGkfts nzrgqGkfts nzrgqGkfts nzr BzpoBzpoBzpoBzpo

1 b/foze; (Larynx)

16 Sksh(Breast) 48

2 n?BHn?uHn?bH (NHL)

14 ;ofte; :{ohNoh (Cervix Uteri)

42

3 pb?vo(Bladder) 11 Utoh(Ovary) 12 4 fJ;'c/r;

(Esophagus) 10 fJ;'c/r;

(Esophagus) 11

5 wz{j(Mouth) 9 wz{j(Mouth) 7 6 fjg'co?eB;

(Hypopharynx) 7 e"B?efNt fNF{

(Connective Tissue)

6

7 fdwkr, n?B n?; (Brain, NS)

6 n?BHn?uHn?bH (NHL)

6

8 r[od/ 6 ekog; :{Noh (Corpus Uteri)

4

9 o?eNw (Rectum) 6 :{No/; (Uterus Uns)

4

10 uwVh (Oth.Skin) 5 c/cV/ (Lungs) 4 i'Vi'Vi'Vi'V 166166166166 i'Vi'Vi'Vi'V 215215215215 fibQk pfmzvk ftZu gqGkfts j'D tkb/ nzr fibQk pfmzvk ftZu gqGkfts j'D tkb/ nzr fibQk pfmzvk ftZu gqGkfts j'D tkb/ nzr fibQk pfmzvk ftZu gqGkfts j'D tkb/ nzr bVh bVh bVh bVh BzLBzLBzLBzL

wodK ftZuwodK ftZuwodK ftZuwodK ftZu n"osK ftZun"osK ftZun"osK ftZun"osK ftZu gqGkfts nzrgqGkfts nzrgqGkfts nzrgqGkfts nzr BzpoBzpoBzpoBzpo gqGkfts nzrgqGkfts nzrgqGkfts nzrgqGkfts nzr BzpoBzpoBzpoBzpo

1 fJ;'c/r; (Esophagus)

28 Sksh (Breast) 68

2 wz{j (Mouth) 10 ;ofte; :{Noh (Cervix Uteri)

60

3 ihG(Tongue) 9 Utoh (Ovary) 13 4 go';N/N(Prostate) 8 wkfJb'wk fbT{ehwhnk

(Myel.Leuk) 11

5 wkfJb'wk fbT{ehwhnk (Myel.Leuk)

8 fJ;'c/r;

(Esophagus) 10

6 fbwc?fNe fbT{ehwhnk (Lymph.Leuk)

8 rkb pb?vo (Gallbladder)

7

7 e"B?efNt fNF{ (Connective Tissue)

7 fjg'co?eB; (Hypopharynx)

4

8 pb?vo (Bladder) 7 ihG (Tongue) 4 9 o?eNw (Rectum) 6 uwVh (Oth.Skin) 4 10 uwVh (Oth.Skin) 6 e"B?efNt fNF{

(Connective Tissue)

4

i'Vi'Vi'Vi'V 183183183183 i'Vi'Vi'Vi'V 241241241241

fibQkfibQkfibQkfibQk gfNnkbkgfNnkbkgfNnkbkgfNnkbk ftZu gqGkfts j'D tkb/ nzr ftZu gqGkfts j'D tkb/ nzr ftZu gqGkfts j'D tkb/ nzr ftZu gqGkfts j'D tkb/ nzr bVh bVh bVh bVh BzLBzLBzLBzL

wodK ftZuwodK ftZuwodK ftZuwodK ftZu n"osK ftZu gqGkfts nzrgqGkfts nzrgqGkfts nzrgqGkfts nzr BzpoBzpoBzpoBzpo gqGkfts nzrgqGkfts nzrgqGkfts nzrgqGkfts nzr BzpoBzpoBzpoBzpo

1 b/foze; 34 Sksh(Breast) 75

(Larynx) 2 fJ;'c/r;

(Esophagus) 33 ;ofte; :{Noh

(Cervix Uteri)

3 go';N/N (Prostate)

26 fJ;'c/r;

(Esophagus) 54

4 pb?vo (Bladder)

23 wkfJb'wk fbT{ehwhnk (Myel.Leuk)

23

5 wkfJb'wk fbT{ehwhnk (Myel.Leuk)

20 rkb pb?vo (Gallbladder)

16

6 ihG (Tongue) 19 ekog; :{Noh (corpus Uteri)

10

7 N"If;b (Tonsil) 12 pb?vo (Bladder) 8 8 uwVh (Oth.Skin) 10 fjg'co?eB;

(Hypopharynx) 7

9 c/cV/ 10 th}kJhBk (Vagina)

7

10 fjg'co?eB; (Hypopharynx)

8 e"bB (Colon) 6

i'Vi'Vi'Vi'V 337337337337 i'Vi'Vi'Vi'V 304304304304

ghHihHnkJh fog'oNLghHihHnkJh fog'oNLghHihHnkJh fog'oNLghHihHnkJh fog'oNL-

gzikp d/ pfmzvk f}b/ d/ pbke sbtzvh ;kp' d/ fgzvk ftZu e?I;o e/;K d/ n?ghv?whUb'iheb ;NZvh (Epidemiological study) nB[;ko fJZe bZy npkdh fgZS/ 125H4 e?I;o e/;K dh g[FNh ehsh rJh j? ns/ 51 w"sk j'Jhnk jB. fog'oN nB[;ko e?I;o Bkb gqGkfts j'D tkb/ wZ[y nzr Sksh, :{No/;$;ofte;, fJ;'c/r;, uwVh ns/ Utoh jB. e?I;o Bkb j'D tkbhnk w'sK dk wZ[y ekoB fJ;'c/r; dk e?I;o, fbT{ehwhnk, :{N/o;$;ofte; dk e?I;o, Sksh dk e?I;o ns/ gkuB nzrk dk e?I;o nkfd jB.

o'rK d/ ekoBLo'rK d/ ekoBLo'rK d/ ekoBLo'rK d/ ekoBL-

n?ghv?whUb'iheb ;NZvh nB[;ko jo soQk d/ e?I;o dk 80-90 gqshFs ekoB tksktoB j?. tksktoD ftZu gkJ/ ikD tkb/ gqw[Zy ekoB jB:-

1H szpke{szpke{szpke{szpke{L- szpke{ i' fe f;roN d/ X{zJ/ ftZu w"i{d j[zdk j?, c/cV,/ b/foze;, wz{j, fJ;'c/r;, pZ[b, :{Noh, pb?vo, g?Beohnk;, pZu/dkBh, ;ofte;, Sksh ns/ r[od/ d/ e?I;o dk tksktoD ftZu gkfJnk ikD tkbk gqw[Zy ekoD j?.

Gkos ftZu 40 gqshFs s'I tZX e?I;o e/; szpke{ ;/tB ekoB j[zd/ jB. f;roNB'Fh th c/cfVnk d/ e?I;o j'D dk gqwZ[y ekoD j?.i' nkdwh f;roN Bjh ghdK, go f;roN d/ X{zIJ/ ftZu ;kj b?dk j?, T[;B{aaz th c/cV/ d/ e?I;o j'D dk ysok tZX iKdk j?. X{znk ofjs szpke{ fit/I fe szpke{ upkT[Dk, szpke{ ;[zxDk nkfd ftZu 28 eko;hB'iB; (carcinogens) (fijV/ e?I;o eod/ jB) w"i{aad j[zd/ jB. c/cfVnk d/ e?I;o s'I fJbktk szpke{ dh tos' Bkb f;o ns/ rb/ dk e?I;o, :{Noh, pb?vo ns/ r[od’’/, ;ofte; ns/ Sksh ns/ e"bB dk e?I;o th j[zdk j?.

2H 2H 2H 2H FokpLFokpLFokpLFokpL---- pj[s f}nkdk Fokp ghD Bkb fIIJ;'c/r; ns/ fgZs/ dk e?I;o j'D dk ysok tZX iKdk j?. e[M nfX:B s'I fJj th ;kjwD/ nkfJnk j? fe phno ghD Bkb o?eNb e?I;o j[zdk j?. Fokp ghD Bkb j/m fby/ e?I;o j[zd/ jB L-

- n"osk Bzzzz zzz zzz{ Sksh dk e?I;o - gqkfJwoh fbto e?I;o - Ut/ohnB e?I;o - go';N/N e?I;o - EkfJokJhv e?I;o

3H y[okeLy[okeLy[okeLy[okeL---- ;w'e fcF ykD Bkb g/N dk e?I;o, y[oke ftZu o/F/ dh xkN Bkb ns/ wZM dk wk; ykD Bkb nzsVhnk dk e?I;o, f}nkdk c?N tkbh y[oke ykD Bkb Sksh dk e?I;o j[zdk j?. ykD/ ftZu fwbktN j'Dk th e?I;o dk fJZe ekoB j' ;edk j?.

4H nke{g/FBb n?e;g'}onke{g/FBb n?e;g'}onke{g/FBb n?e;g'}onke{g/FBb n?e;g'}o (Occupational exposure) LLLL---- ;kohnk soQK d/ e?I;o dk fJZe s'I gzi gqshFs ekoB nke{g/FBb n?e;g'}o j?. fi; ftZu p?B}hB (benzene), nko;?fBe (arsenic),

e?vwhnw (cadmium), eo'whnw (chromium), n?;p?;N'; (asbestos), g'bh;kfJefbe jkJhvo'ekopB; (polycyclic hydro carbons) Fkfwb jB.

5H tkfJo;LtkfJo;LtkfJo;LtkfJo;L---- j?ghNkJhN;-ph ns/ j?ghNkJhN;-;h Bkb fbto e?I;o j'D dk ]sok j?. n?uHnkJhHth tkfJo; (HIV virus) Bkb e?g';h ;koe'wk (Kaposi sarcoma) th j' ;edk j?. n?p;fNB pko tkfJo;

(Ebstin Barr virus) Bkb p[ofeN; fbwc'wk (Burkitt’s lymphoma) j[zdk j?. j'vfeB fpwkoh th tkfJo; Bkb j[zdh j?.

6H g?ok;g?ok;g?ok;g?ok;kfJN;LkfJN;LkfJN;LkfJN;L---- g?ok;kfJN; fJzBc?eFB Bkb th e?I;o dk ysok tZX ;edk j?.

7H j'o ekoBLj'o ekoBLj'o ekoBLj'o ekoBL---- tksktoD ftZu ;{oi dh o'FBh, feoBK, jtk ns/ gkDh dk gqd{FD, dtkJhnk, ehV/wko dtkJhnk nkfd th e?I;o j'D d/ ekoB jB.

8H ohshohshohshohsh----fotki, nkdsk nsfotki, nkdsk nsfotki, nkdsk nsfotki, nkdsk ns/ ofjD/ ofjD/ ofjD/ ofjD----;fjDL;fjDL;fjDL;fjDL---- fJ; dhnK nkw T[dkjoBK jB L- f;roN ghD Bkb c/cV/ dk e?I;o, szpke{ ykD Bkb w{zj dk e?I;o nkfd.

9H iiiiBBBB????fNe ekoBLfNe ekoBLfNe ekoBLfNe ekoBL---- ekch bzp/ ;w/I s' i?BfNe ekoBK eoe/ th e?I;o j'D dk FZe j?, go i?BfNe ekoBK B{z bZGDk pj[s w[Ffeb j? ns/ fJjBk Bkb e?I;o j'D dh ;zGktBk xZN jh j?.

e?I;o dh o'eEkwLe?I;o dh o'eEkwLe?I;o dh o'eEkwLe?I;o dh o'eEkwL----

e?I;o dh o'eEkwe?I;o dh o'eEkwe?I;o dh o'eEkwe?I;o dh o'eEkw w[YZbh ;N/i s/w[YZbh ;N/i s/w[YZbh ;N/i s/w[YZbh ;N/i s/LLLL----

1H Fokp ns/ szpke{ dh tos'I dh o'eEkwLFokp ns/ szpke{ dh tos'I dh o'eEkwLFokp ns/ szpke{ dh tos'I dh o'eEkwLFokp ns/ szpke{ dh tos'I dh o'eEkwL---- Fokp ns/ szpke{ Bkb j'D tkbhnk w"sk (e?I;o ekoB) B{z xZN eoB bJh w[YZbh ;N/i s/ jh fJjBk dh o'eEkw fJZe tZvh T[whd ikgdh j?. fJj th nB[wkB brkfJnk ik fojk j? fe f;oc f;roN ghD B{z ekp{ eoB Bkb jo ;kb xZN'-xZN fJZe fwbhnB e?I;o e/; xZN j' ;ed/ jB.

2H fBZih ;kcfBZih ;kcfBZih ;kcfBZih ;kc----;ckJhL;ckJhL;ckJhL;ckJhL---- fBZih ;kc-;ckJh ftZu ;[Xko Bkb th eJh soK d/ e?I;o fit/I fe ;ofte; e?I;o B{z xZN ehsk ik ;edk j?.

3H o/vhJ/FBLo/vhJ/FBLo/vhJ/FBLo/vhJ/FBL- o/vhJ’/FB dh wksok fi; ftZu wB[Zy d[nkok gqkgs ehsh ikD tkbh w?vheb o/vhJ/FB Fkfwb j?, B{z xZN eoB bJh ns/ ezNo'b eoB bJh ftF/F T[gokb/ eoB/ ukjhd/ jB.

4H nke{g/FBb n?eFg'}o;nke{g/FBb n?eFg'}o;nke{g/FBb n?eFg'}o;nke{g/FBb n?eFg'}o;L- T[d:'rk ftZu ezw eoB tkb/ w}d{oK B{z T[d:'fre eko;hB'iBk s'I pukT[D bJh T[gokb/ ehs/ ikD/ ukjhd/ jB.

5H NhekNhekNhekNhek----eoBLeoBLeoBLeoBL- w[YZbh ;N/i s/ fbto e?I;o d/ e/; ftZu j?gkNkJhN;-ph tkfJo; d/ fto[ZX Nhek-eoB eoB Bkb ckfJdk j' ;edk j?.

6H G'iB, G'iB, G'iB, G'iB, dtkJhnKdtkJhnKdtkJhnKdtkJhnK ns/ w/ens/ w/ens/ w/ens/ w/e----nnnnZZZZg dk ;wkBg dk ;wkBg dk ;wkBg dk ;wkB (ek;w?fNe;)(ek;w?fNe;)(ek;w?fNe;)(ek;w?fNe;)LLLL- fJjBK ftZu eko;hB'iBk dh iKu eoBh ukjhdh j?.

7H jtkjtkjtkjtk gqgqgqgqd{FDLd{FDLd{FDLd{FDL- jtk gqd{FD B{z ekp{ eoBk th fJZe j'o o'eEkw dk edw j?.

8H e?I;o s'I gfjbk j'D tkb/ i]wk dk fJbkiLe?I;o s'I gfjbk j'D tkb/ i]wk dk fJbkiLe?I;o s'I gfjbk j'D tkb/ i]wk dk fJbkiLe?I;o s'I gfjbk j'D tkb/ i]wk dk fJbkiL- ibdh gsk brZD s/ e?I;o s'I gfjbk j'D tkb/ i]wk dk fJbki fit/I fe ;otkJheb Nhno;, fJBN?;NkJhBb g"fbg; nkfd e?I;o dh o'eEkw dk fJZe wjZstg{oB edw j?.

9H ekBz{BhekBz{BhekBz{BhekBz{Bh----eoBLeoBLeoBLeoBL- ekBz{Bh-eoB dk th w[YZbh ;N/i s/ e?I;o o'eEkw ftZu o'b j?. e?I;o dh ;wZf;nK dk jZb fo;ou b?pkoNohnK ftZu Bjh, pbfe ekB{zBh-eoB ftZu j? fitI/ fe tksktoB ftZu gkJ/ ikD tkb/ e?I;o ekoeK fit/I szpke{, Fokp, jtk gqd{FD nkfd B{z ekp{ eoBk.

10H f;js f;fynkLf;js f;fynkLf;js f;fynkLf;js f;fynkL- f;js f;fynk th w[YZbh ;N/i s/ e?I;o o'eEkw dk fJZe wjZstg{oB fjZ;k j?. fJ;dk wzst b'ek Bz{ w[YZbh ;N/i s/ iKu eotkT[D ns/ fJbki eotkT[D bJh ikro{e eoBk j?.

e?I;o d/ e[M wjZstg{oB u/sktBh fuzBQ fJ; soK jBLe?I;o d/ e[M wjZstg{oB u/sktBh fuzBQ fJ; soK jBLe?I;o d/ e[M wjZstg{oB u/sktBh fuzBQ fJ; soK jBLe?I;o d/ e[M wjZstg{oB u/sktBh fuzBQ fJ; soK jBL----

1 Sksh ftZu rzY ik ;ys fjZ;k

2H wZ;/ ik fsb ftZu e'Jh spdhbh

3H gkuD fefonk ftZu brksko ;Zwf;nk ofjDh

4H brksko ]K;h ik ntk} ftZu GkohgD

5H wkjtkoh d”'okB y{B dk f}nkdk tjkn ik nkw fdBK ftZu th y{B dk tfjDk

6H ;'i ik Skb/ fijV/ ibdh mhe Bk j'D

7H Gko xZNDk

e?I;o dh ;?ezvoh o'eEkwLe?I;o dh ;?ezvoh o'eEkwLe?I;o dh ;?ezvoh o'eEkwLe?I;o dh ;?ezvoh o'eEkwL-

1H e?e?e?e?I;o ofi;NohLI;o ofi;NohLI;o ofi;NohLI;o ofi;NohL- fJj ;wZf;nk dh jZd ikDB bJh ns/ T[; T[Zs/ }o{oh ekotkJh eoB ftZu fJZe gb/Nckow gqdkB eodk j?.

e?I;o ofi;Nohnk d' soK dhnk j[zdhnk jB.e?I;o ofi;Nohnk d' soK dhnk j[zdhnk jB.e?I;o ofi;Nohnk d' soK dhnk j[zdhnk jB.e?I;o ofi;Nohnk d' soK dhnk j[zdhnk jB.

j";fgNb p/;v ofi;NohnkLj";fgNb p/;v ofi;NohnkLj";fgNb p/;v ofi;NohnkLj";fgNb p/;v ofi;NohnkL- fJ; ftZu fe;/ yk; ;z;Ek d[nkok fJbki ehs/ rJ/ ;ko/ woh}, ukj/ T[; fJbke/ d/ iK pkjo d/ fJbke/ d/ j'D Fkfwb jB. fit/I fe j;gskb dh nkpkdh jw/Fk u[DhdK j[zdh j?, fJ; eoe/ wjkwkoh T[d/Fk tk;s/ fJjBk ofi;Nohnk dh tos'I ;hfws j?.

gkg{b/FB p/;v ofi;NohLgkg{b/FB p/;v ofi;NohLgkg{b/FB p/;v ofi;NohLgkg{b/FB p/;v ofi;NohL- fJ;dk wzst fJZe G{r'fbe y/so ftZu ;koh e?I;o Bkb ghVs npkdh B{z eto eoBk j?. fJjBk ofi;Nohnk dk vkNk e?I;o j'D dh do ikDB bJh ns/ wjkwkoh B{z ]sw eoB bJh fJZe wjZstg{oB jfEnko j?.

2H e?I;o e/;k dh ibdh iKuLe?I;o e/;k dh ibdh iKuLe?I;o e/;k dh ibdh iKuLe?I;o e/;k dh ibdh iKuL- e?I;o dh ibdh iKu bJh e?I;o ;eohfBzr fJZe gqwZ[y jfEnko j?. ;otkJheb e?I;o, Sksh dk e?I;o ns/ w{zj d/ e?I;o bJh n;odkfJe ;eohfBzr gq'rokw pDk bJ/ rJ/ jB.

3H fJbkiLfJbkiLfJbkiLfJbkiL- e?I;o dk fJbki ;oioh, ehw'Eo?gh (Chemotherapy), o/vhUEo?gh (Radiotherapy)

nkfd d[nkok ehsk ik ;edk j?.

Gkos ftZu e?I;o ezNo'bGkos ftZu e?I;o ezNo'bGkos ftZu e?I;o ezNo'bGkos ftZu e?I;o ezNo'b

Gkos ftek; nXhB d/Fk ftZu' fJZe nfijk d/F j? fi; ftZu e?I;o ezNo'b g'qrokw F[o{ ehsk frnk. Gkos ;oeko tZb'I ;kb 1971 ftZu e?I;o o'r s/ ekp{ eoB bJh gfjb edwh ehsh rJh .;kb 1984 ftZu e"wh e?I;o ezNo'b gq'rokw Gkos ftZu bkr{ ehsk frnk. fi; d/ uko gqw[Zy Nhu/ jBL-

1H szpke{ d/ ;/tB Bkb j'D tkb/ e?I;o dh o'eEkw.

2H gqw[Zy nzrk d/ e?I;ok dh ibdh iKu.

3H fJbki ;[ftXktK gqdkB eoBk.

4H g{o/ d/F ftZu dod s' okjs d/D bJh g?b/fNt e/no B?Ntoe dh ;EkgBk eoBk.

gzikp ftZu e?I;o ezNo'b gq'rokwgzikp ftZu e?I;o ezNo'b gq'rokwgzikp ftZu e?I;o ezNo'b gq'rokwgzikp ftZu e?I;o ezNo'b gq'rokw e?I;o dh iKu e?I;o dh iKu e?I;o dh iKu e?I;o dh iKu

e?;o dh iKu ;[ftXktK (Jhw/fizr ;[ftXktK) e?;o dh iKu ;[ftXktK (Jhw/fizr ;[ftXktK) e?;o dh iKu ;[ftXktK (Jhw/fizr ;[ftXktK) e?;o dh iKu ;[ftXktK (Jhw/fizr ;[ftXktK) LLLL----

• n?e;n?e;n?e;n?e;----oooo/n/n/n/nLLLL---- ;hHn?uH;h, n?;HvhHn?u, vhHn?u ns/ n?e;-o/n w?vheb ekbi ns/ j;gskb fibQk j;gskb, ;p-vth}Bb j;gskb, efwT{BNh j?bE ;?INo.

• nbNok;KnbNok;KnbNok;KnbNok;KT{IvLT{IvLT{IvLT{IvL---- fibQk j;gskb, ;p-vth}Bb j;gskb ns/ / / / ;oekoh w?vheb ekbi j;gskb.

• ;hHNh ;e?BL;hHNh ;e?BL;hHNh ;e?BL;hHNh ;e?BL---- ;ko/ ;oekoh w?vheb ekbi ns/ j;gskb.

• pkfJUg;hLpkfJUg;hLpkfJUg;hLpkfJUg;hL- f;tb j;gskb ibzXo ns/ ;oekoh w?vheb ekbi ns/ j;gskb.

• w?w'rokchLw?w'rokchLw?w'rokchLw?w'rokchL- f;tb j;gskb pfmzvk, j[fFnkog[o, ibzXo ns/ wksk e"Ffbnk j;gskb gfNnkbk.

• b?p'oNohLb?p'oNohLb?p'oNohLb?p'oNohL- ckJhB Bhvb n?;gkfJo/FB ;kJhN'b'ih ;ko/ fib/ d/ j;gskbK ns/ w?vheb ekbi j;gskbK ftZu ckJhB Bhvb n?;gkfJo/FB ;kJhN'b'ih ns/ g?ohcob pbv ;whno iKu.

e?I;o dhnk fJbki ;[ftXktKe?I;o dhnk fJbki ;[ftXktKe?I;o dhnk fJbki ;[ftXktKe?I;o dhnk fJbki ;[ftXktK LLLL----

• ;oioh;oioh;oioh;oioh L- ;p-vthiBb, f}bQk ns/ w?vheb ekbi j;gskb

• ehw'Eo?ghLehw'Eo?ghLehw'Eo?ghLehw'Eo?ghL- w?vheb ekbi j;gskbK

• o/vhUEoo/vhUEoo/vhUEoo/vhUEo?ghL- w?vheb ekbi gfNnkbk

• g?b/fNt g?b/fNt g?b/fNt g?b/fNt e/noLe/noLe/noLe/noL- fJj ;ko/ gZXoK s/ fdZsh iKdh j?, fi; ftZu dod s'I okjs ns/ pj[s f}nkdk fpwko woh}k dk fJbki Fkfwb j?. fJ; ftZu wkBf;e ;fj:'r ns/ woh}k d/ ofjD-;fjD ftZu ;[Xko nkfd th Fkfwb j?. oki ;oeko tZb'I e?I;o dh o'eEkw bJh u[Ze/ rJ/ edwLoki ;oeko tZb'I e?I;o dh o'eEkw bJh u[Ze/ rJ/ edwLoki ;oeko tZb'I e?I;o dh o'eEkw bJh u[Ze/ rJ/ edwLoki ;oeko tZb'I e?I;o dh o'eEkw bJh u[Ze/ rJ/ edwL----

1H 1H 1H 1H fo}fo}fo}fo}Bb e?I;o ;?INoLBb e?I;o ;?INoLBb e?I;o ;?INoLBb e?I;o ;?INoL- ghHihHnkJh uzvhrVQ Bz{ wkou,2005 ftZu f;js ns/ gfotko GbkJh wzsokfbnk, Gkos ;oeko tZb'I gzikp ns/ :{HNh uzvhrVQ dh d/y-o/y bJh wkBsk fdZsh rJh. fJj ;?INo e?I;o woh}k B{z e?I;o bJh fJbki ;[ftXktK ns/ d/yGkb gqdkB eodk j?. fJj d{i/ j'o j;gskbK bJh fJZe o?cob ;?INo th j?.

2H j?th w?Nb N?;fNzrLj?th w?Nb N?;fNzrLj?th w?Nb N?;fNzrLj?th w?Nb N?;fNzrL- ;N/N gpfbe j?bE b?p'oNoh gzikp ftZu ghD tkb/ gkDh ftZu j?th w?Nb} d/ N?;N F[o{ ehs/ rJ/ jB. iBtoh, 2009 s' i[bkJh 2010 sZe dh gkDh d/ ;?IgbK dh (;N/N gpfbe j?bE b?p'o/Noh) dh fog'oN fJ; soK j?L- fibQkfibQkfibQkfibQk ;?gbK dh frDsh;?gbK dh frDsh;?gbK dh frDsh;?gbK dh frDsh fbfwN Bkb' f}nkdk wksokfbfwN Bkb' f}nkdk wksokfbfwN Bkb' f}nkdk wksokfbfwN Bkb' f}nkdk wksok nfwqs;o 37 - pfmzvk 51 - poBkbk 04 - fco'ig[o 43 - cohde'N 19 - cfsjrV ;kfjp 10 - rodk;g[o - - j[fFnkog[o 26 - ibzXo - - eg{oEbk 10 - b[fXnkDk 15 - wkB;k 16 - w'rk 71 - w[es;o 06 - gfNnkbk 02 - o'gV 16 n?; J/ n?; Bro 31 - ;zro{o 52 - n?;HphHn?;HBro 48 - soBskoB 05 - e[b i'Ve[b i'Ve[b i'Ve[b i'V 462462462462 ----

3HHHH ghHihHnkJh, uzvhrV ghHihHnkJh, uzvhrV ghHihHnkJh, uzvhrV ghHihHnkJh, uzvhrV nfXn?BnfXn?BnfXn?BnfXn?B LLLL- ghHihHnkJh, uzvhrVQ B/ e?I;o torh ikBb/tk fpwkoh s/ ekp{ eoB bJh e[M pukU sohfenk dh f;ckoF ehsh j?, fi; ftZu ;kc ghD tkbk gkDh w[jZJhnk eotkT[Dk, szpke{ ns/ Fokp dh tos' B{z tofis eoBk, f}nkdk ehNBkFe dtkJhnk dh tos' B{z toiDk nkfd, ehNBkFe dtkJhnk d/ vZfpnk

ftZu gkDh ns/ ykD tkbhnk uh}k B{z iwQk eoB s' o'eDk ns/ fJjBK vZfpnk B{z BfjoK d/ gkDh ftZu X'D s' o'eDk nkfd Fkfwb jB.fJjBK f;ckoFk B{z oki d/ ;ko/ f;tb ;oiBK B{z ;ko/ fifbQnk ftZu bkr{ eoB bJh ;oe{b/N eo fdZsk frnk j?.

4H g{o/ ehs/ rJ/ gq'i?eNLg{o/ ehs/ rJ/ gq'i?eNLg{o/ ehs/ rJ/ gq'i?eNLg{o/ ehs/ rJ/ gq'i?eNL-

• w?w'rokch :{{fBNw?w'rokch :{{fBNw?w'rokch :{{fBNw?w'rokch :{{fBNLLLL---- f;tb j;gskb pfmzvk, f;tb j;gskb ibzXo, f;tb j;gskb j[f;ankog[o ns/ wksk e"Ffbnk j;gskb gfNnkbk fty/ F[o{ j' u[Zek j?.

• po?ehEo?ghLpo?ehEo?ghLpo?ehEo?ghLpo?ehEo?ghL---- ;oekoh w?vheb ekbi gfNnkbk fty/ po?ehEo?gh wFhB brkJh rJh j?.

• e'pkbN ;'o;Le'pkbN ;'o;Le'pkbN ;'o;Le'pkbN ;'o;L---- ;qh r[o{ okwdk; fJz;NhfuT{N nkc w?vheb ;kfJzf;i n?Iv fo;ou ;?No nfwqs;o ftZu e'pkbN ;'o; e?I;o d/ woh}k d/ fJbki bJh brkfJnk frnk j?.fJj ;'o; i{B, 2009 s'I ezw eo fojk j?.

5H ub ub ub ub oj/ gq'i?eNLoj/ gq'i?eNLoj/ gq'i?eNLoj/ gq'i?eNL- (i) ;ot/ gq?go/;aB nkc e?I;o ofi;No/;aB nkB dh p/f;; nkc gqkJhwoh n?; t?b n?; ;?ezvoh vkNk;ot/ gq?go/;aB nkc e?I;o ofi;No/;aB nkB dh p/f;; nkc gqkJhwoh n?; t?b n?; ;?ezvoh vkNk;ot/ gq?go/;aB nkc e?I;o ofi;No/;aB nkB dh p/f;; nkc gqkJhwoh n?; t?b n?; ;?ezvoh vkNk;ot/ gq?go/;aB nkc e?I;o ofi;No/;aB nkB dh p/f;; nkc gqkJhwoh n?; t?b n?; ;?ezvoh vkNk (Survey Preparation of Cancer registration on the basis of primary as well

as secondary data)

(T) (T) (T) (T) e?I;o ofi;NohLe?I;o ofi;NohLe?I;o ofi;NohLe?I;o ofi;NohL---- gkg{b/FB p/;v e?I;o ofi;Noh ;Ekfgs eoB bJh nkJhH;hHn?w tZb' ;oekoh w?vheb ekbi, gfNnkbk B{z u[fDnk j? ns/ ghHihHnkJhH uzvhrVQ B{z j';fgNb p/;v e?I;o ofi;Noh ;Ekfgs eoB bJh f;ckoF ehsh j?.

j;gskb dk BKj;gskb dk BKj;gskb dk BKj;gskb dk BK ;kb nB[;ko e/; fog'oNk d/ Bzpo ;kb nB[;ko e/; fog'oNk d/ Bzpo ;kb nB[;ko e/; fog'oNk d/ Bzpo ;kb nB[;ko e/; fog'oNk d/ Bzpo 2006 2007 2008

ihHn?wH;hH nzfwqs;o 1128 1278 1563 ihHn?wH;hH gfNnkbk 1946 2084 2029 ihHn?wH;hH cohde'N UBe'b'ih ftzr B/ 2009 ftZu ezw eoBk F[o{ eo

fdZsk w'jB dkJh U;tkb e?I;o j;gskb b[fXnkDk 2733 2949 3093 frnkB ;kro w?vheb ekbi ns/ j;gskb pB{V (gfNnkbk)

20 20

;qh r[o{ okwdk; o'N/oh e?I;o j;gskb nzfwqs;o

1227 1342 1248

(n) (n) (n) (n) ;ot/;ot/;ot/;ot/L- gzikp oki ftZu e?I;o dh fpwkoh pko/ f;js ftGkr tZb' jkT{; N{ jkT{; ;ot/ eotk e/ e?I;o d/ woh}k pko/ ;{uBk fJZemh ehsh rJh j?. fi; nB[;ko gzikp ftZu e?I;o d/ woh}k dh frDsh 1,00,000 fgZS' 30HHHH54 j?, id' fe Gkos ftZu fJj frDsh 1,00,000 fgZS/ 200-250 j? L-

fibQk f;js ftGkr tZb' eotkfJnk frnk jkT{; N{ jkT{; ;ot/ 2009fibQk f;js ftGkr tZb' eotkfJnk frnk jkT{; N{ jkT{; ;ot/ 2009fibQk f;js ftGkr tZb' eotkfJnk frnk jkT{; N{ jkT{; ;ot/ 2009fibQk f;js ftGkr tZb' eotkfJnk frnk jkT{; N{ jkT{; ;ot/ 2009 bVh bVh bVh bVh BzHBzHBzHBzH

fibQkfibQkfibQkfibQk npkdhnpkdhnpkdhnpkdh e/; BzHe/; BzHe/; BzHe/; BzH gohthb?I; fJZe bZy dh npkdh gohthb?I; fJZe bZy dh npkdh gohthb?I; fJZe bZy dh npkdh gohthb?I; fJZe bZy dh npkdh fgZS/ iB;zfynkfgZS/ iB;zfynkfgZS/ iB;zfynkfgZS/ iB;zfynk

1 nfwqzs;o 2348145 253 10H77 2 poBkbk 570244 379 66H46 3 pfmzvk 1255932 942 75H00 4 cohde'N 549118 245 44H62 5 cfsjrV ;kfjp 533261 176 33H00 6 fco'ig[o 2154017 473 21H96 7 r[odk;g[o 1669336 559 33H49 8 j[[f;ank[og[o 1024243 476 46H47 9 ibzXo 2438054 377 15H46 10 eg{oEbk 891073 196 22H00 11 b[fXnkDk 2930443 771 26H31 12 ;h w[es;o ;kfjp 889452 668 75H10 13 w'rk 978977 319 32H59 14 wkB;k 686642 342 49H81 15 Fjhd Grs f;zx Bro 611378 141 23H06 16 gfNnkbk 1810046 426 23H54 17 o'gV 756532 200 26H44 18 n?;HJ/Hn?; Bro 919555 133 14H46 19 ;zro{o 1491131 383 25H69 20 soB-skoB 825817 279 33H78 i'Vi'Vi'Vi'V 25333396253333962533339625333396 7738773877387738 30H5430H5430H5430H54

(ii) e?I;o d/ fJbki ;zpzXh ;e?I;o d/ fJbki ;zpzXh ;e?I;o d/ fJbki ;zpzXh ;e?I;o d/ fJbki ;zpzXh ;oekoh j;gskbK ns/ w?vheb ekbik ftZu gqpzXk pko/ ;{uBk (oekoh j;gskbK ns/ w?vheb ekbik ftZu gqpzXk pko/ ;{uBk (oekoh j;gskbK ns/ w?vheb ekbik ftZu gqpzXk pko/ ;{uBk (oekoh j;gskbK ns/ w?vheb ekbik ftZu gqpzXk pko/ ;{uBk (Take

stock of arrangement for of cancer patients in hospitals & medical college.)

:--

(T)(T)(T)(T) ;;;;oekoh j;gskbK ftZu iKu ns/ fJbki ;zpzXh ;[ftXktKLoekoh j;gskbK ftZu iKu ns/ fJbki ;zpzXh ;[ftXktKLoekoh j;gskbK ftZu iKu ns/ fJbki ;zpzXh ;[ftXktKLoekoh j;gskbK ftZu iKu ns/ fJbki ;zpzXh ;[ftXktKL----

(n)(n)(n)(n) ;[go Fg?FfbNh ns/ e?I;o ;[go Fg?FfbNh ns/ e?I;o ;[go Fg?FfbNh ns/ e?I;o ;[go Fg?FfbNh ns/ e?I;o j;gskb gqkJht/N gpfbe gkoNBfFgj;gskb gqkJht/N gpfbe gkoNBfFgj;gskb gqkJht/N gpfbe gkoNBfFgj;gskb gqkJht/N gpfbe gkoNBfFg

oki ;oeko B/ f;tb j;gskb w'jkbh fty/ 3H15 J/eV ykbh gJh }whB s/ ;[go Fg?FfbNh j;gskb e?I;o ns/ No"wk e/no ;Ekfgs eoB bJh ns/ f;tb j;gskb pfmzvk fty/ 4H8 J/eV ykbh gJh }whB s/ ;[go Fg?FfbNh j;gskb e?I;o ns/ ekofvne j;gskb ;Ekfgs eoB bJh w?e; j?bE e/no

;[ftXk;[ftXk;[ftXk;[ftXk f;js ;z;Ektk dhnk fe;wKf;js ;z;Ektk dhnk fe;wKf;js ;z;Ektk dhnk fe;wKf;js ;z;Ektk dhnk fe;wK e?I;o dh iKue?I;o dh iKue?I;o dh iKue?I;o dh iKu

• n?e;n?e;n?e;n?e;----o/o/o/o/nnnn ewT{fBNh j?bE ;?INo, ;p fvth}Bb j;gskb, fibQk j;gskb ns/ ;oekoh w?vheb ekbi j;gskb

• nbNok;kT{vnbNok;kT{vnbNok;kT{vnbNok;kT{v ;p fvth}Bb j;gskb, fibQk j;gskb ns/ ;oekoh w?vheb ekbi j;gskb

• ;hHNh ;e?B;hHNh ;e?B;hHNh ;e?B;hHNh ;e?B ;ko/ ;oekoh w?vheb ekbi j;gskb

• pkfJUg;hpkfJUg;hpkfJUg;hpkfJUg;h ;h n?u ibzXo, ;h n?u ;zro{o ;oekoh w?vheb ekbi j;gskb

• w?w'rokchw?w'rokchw?w'rokchw?w'rokch f;tb j;gskb pfmzvk, f;tb j;gskb j[fFnkog[o, f;tb j;gskb ibzXo ns/ wksk e'Ffbnk j;gskb gfNnkbk

b?p'oNohb?p'oNohb?p'oNohb?p'oNoh • ckJhB Bhvb ckJhB Bhvb ckJhB Bhvb ckJhB Bhvb n?;gkfJo?FB ;kfJN'b'ihn?;gkfJo?FB ;kfJN'b'ihn?;gkfJo?FB ;kfJN'b'ihn?;gkfJo?FB ;kfJN'b'ih

• g?ohcob pbZv ;whno g?ohcob pbZv ;whno g?ohcob pbZv ;whno g?ohcob pbZv ;whno nr}kwhB/FBnr}kwhB/FBnr}kwhB/FBnr}kwhB/FB fibQk j;gskb ns w?vheb ekbi j;gskb

• ghHJ/HghH ;ghHJ/HghH ;ghHJ/HghH ;ghHJ/HghH ;whno nr}kwhB/FBwhno nr}kwhB/FBwhno nr}kwhB/FBwhno nr}kwhB/FB fibQk j;gskb ;oekoh w?vheb ekbi j;gskb fJbkifJbkifJbkifJbki

• ehw'Eo?ghLehw'Eo?ghLehw'Eo?ghLehw'Eo?ghL w?vheb ekbi j;gskb

• o/vhUEo?gho/vhUEo?gho/vhUEo?gho/vhUEo?gh w?vheb ekbi gfNnkbk

Bkb 5$8$2009 B{z ;wM'sk ehsk j?. d'B' gq'i?eN F[o{ j' u[Ze/ jB ns/ fJj j;gskb seohpB 18 wjhfBnk d/ nzdo g{o/ j' ikDr/.

(iii) fibQk j;gskbk ftZu Gkos ;oeko tb' 3 eo'V dh ;jkfJsk bJh gq'g'ib fsnko eoBk fibQk j;gskbk ftZu Gkos ;oeko tb' 3 eo'V dh ;jkfJsk bJh gq'g'ib fsnko eoBk fibQk j;gskbk ftZu Gkos ;oeko tb' 3 eo'V dh ;jkfJsk bJh gq'g'ib fsnko eoBk fibQk j;gskbk ftZu Gkos ;oeko tb' 3 eo'V dh ;jkfJsk bJh gq'g'ib fsnko eoBk ((((Preparation of proposal for availing GOI assistance of Rs. 3 crore in

district hospitals) : fJ; ;ehw nXhB ;oekoh w?vheb ekbi B{z czv} fdZs/ ikDr/. GOI tZb'I czvi fofbi Bjh ehs/ ik oj/ feT[fe B?;aBb e?I;o ezNo'b gq'rokw nXhB nkT[D tkbhnk ;kohnk ;ehwK w'vhckJh ehshnk ik ojhnk jB. w'vhckJh ;ehwK B{z ew/Nh tZb' ng{otb bJh G/fink frnk j?.

• wkfjo vkeNoK tZb' ;oekoh w?vheb ekbi nzfwqs;o fty/ e?I;o d/ rohp woh}k bJh fo}Bb e?I;o ;?INo ;Ekfgs eoB dh fFckoF ehsh rJh j?. fJ; dh T[;koh dk ezw ub fojk j?. Gkos ;oeko tZb' fJ; dh ;ki'-;wkB bJh 2 eo'V o[gJ/ fdZs/ rJ/ jB. ewo/ dh T[;koh dk ezw w[ezwb j' frnk j?. e'pkbN- 60 wFhB yohd bJh rJh j?.

• ;oekoh w?vheb ekbi gfNnkbk fty/ po/ehEo?gh wFhB fi; dh ehws 70 bZy o[gJ/ j?, bZr rJh j?. ;kJhw{b/No ns/ 3-vh NohNw?N gbkfBzr f;;Nw yohd bJh Gkos ;oeko tZb' 2 eo'V d/ czv} T[gbZpX jB. ns/ fJ; dk nkovo fdZsk ik u[Zek j?. w?w'rokch :{fBN th w?vheb ekbi gfNnkbk fty/ ;Ekfgs ehsk ik fojk j?. fi; bJh 30 bZy fdZs/ rJ/ jB. fJ; :{fBN dh yohd pko/ ekotkJh uZb ojh j?.

• r[o{ r'fpzd f;zx w?vheb ekbi cohde'N fty/ o/vhUEo?gh :{fBN ;Ekfgs eoB bJh 3 eo'V o[gJ/ fwb/ jB, fi; ftZu 90 bZy fpbfvzr T[;koh bJh jB ns/ 2H10 bZy wFhBoh fJfeT{gw?N bJh jB. :{fBN brkT[D bJh ewfonk dh T[;koh w[ezwb j' rJh j?. o/vhUEo?gh wFhB yohd bJh rJh j? ns/ F[o{ j' u[Zeh j?. e'pkbN :{fBN yohd e/ T[E/ ;Ekfgs eo fdZsk frnk j?.e?I;o d/ wohik dk fJbki F[o{ j' u[Zek j?.

(iv) gzikp ;oeko tb' e?;o d/ wohik Bz{ fdZshnk ikD tkbhnk j'o ;[ftXktK gzikp ;oeko tb' e?;o d/ wohik Bz{ fdZshnk ikD tkbhnk j'o ;[ftXktK gzikp ;oeko tb' e?;o d/ wohik Bz{ fdZshnk ikD tkbhnk j'o ;[ftXktK gzikp ;oeko tb' e?;o d/ wohik Bz{ fdZshnk ikD tkbhnk j'o ;[ftXktK ((((Other facilities

for cancer patients provided by the Punjab Government) :

• rohp woh}k B{z ftZsh ;jkfJskLrohp woh}k B{z ftZsh ;jkfJskLrohp woh}k B{z ftZsh ;jkfJskLrohp woh}k B{z ftZsh ;jkfJskL- rohph o/yk s' j/mk ofjD tkb/ gfotkok B{z gzikp fBo'rh ;ehw d[nkok ;N/N fJbB?; czv, nXhB e?I;o d/ fJbki ns/ j'o ysoBke fpwkohnk bJh ftZsh

;jkfJsk fdZsh ikdh j?. fJ; ftZsh ;jkfJsk nXhB 16H55 bZy o[gJ/ 21 e?I;o woh}k i' fe BPL gfotkok Bkb ;zpzfXs ;B, B{z 30 i{B, 2010 sZe fdZsh ik u[Zeh j?.

• ;e{bh pZfunk tk;s/ fJbkiL;e{bh pZfunk tk;s/ fJbkiL;e{bh pZfunk tk;s/ fJbkiL;e{bh pZfunk tk;s/ fJbkiL- gzikp ;oeko tZb'I e?I;o Bkb ghfVs ;e{bh pZfunk B{z w[cs fJbki w[jZJhnk eotkfJnk frnk j?. 41 ;e{bh pZfunk B{z PGI ns/ 21 pZfunk B{z w'jB dkJh U;tkb j;gskb b[fXnkDk fty/ 31 wJh, 2010 sZe fJbki bJh o?co ehsk frnk j?.

• f;js f;fynkLf;js f;fynkLf;js f;fynkLf;js f;fynkL- b'ek B{z ikro{e eoB bJh f;js f;fynk eotkJhnk iKdhnk jB fi; ftZu e?I;o d/ fuzBQK ekoB ns/ pukt pko/ dZf;nk ikdk j?.

• r[o{ okwdk; fJz;NhfuT{N nkc w?vheb ;kfJzi ns/ fo;ou nzfwqs;o B{z wddLr[o{ okwdk; fJz;NhfuT{N nkc w?vheb ;kfJzi ns/ fo;ou nzfwqs;o B{z wddLr[o{ okwdk; fJz;NhfuT{N nkc w?vheb ;kfJzi ns/ fo;ou nzfwqs;o B{z wddLr[o{ okwdk; fJz;NhfuT{N nkc w?vheb ;kfJzi ns/ fo;ou nzfwqs;o B{z wddL- r[o{ okwdk; fJz;NhfuT{N nkc w?vheb ;kfJzi ns/ fo;ou nzfwqs;o fty/ e'pkbJ ;'o; ;Ekfgs ehsk frnk j?, i' fe e?I;o d/ woh}k dk fJbki eo/rk. gzikp ;oeko tZb'I fJ; fJz;NhfuT{N B{z 25 bZy dh wdd fdZsh rJh j? ns/ fJ; B/ i{B, 2009 s' ezw eoBk F[o{ eo fdZsk j?.

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(v) o'e' e?I;o (n?BHihHT) o'e' e?I;o (n?BHihHT) o'e' e?I;o (n?BHihHT) o'e' e?I;o (n?BHihHT) dh wZdd Bkb e?I;o dh ;eohfBzr ns/ ikro{esk (dh wZdd Bkb e?I;o dh ;eohfBzr ns/ ikro{esk (dh wZdd Bkb e?I;o dh ;eohfBzr ns/ ikro{esk (dh wZdd Bkb e?I;o dh ;eohfBzr ns/ ikro{esk (Cancer

Awareness and Screening in collaboration with Roko Cancer (NGO)) LLLL----

• fibQk pfmzvk, wkB;k ns/ w[es;o ftZu o'e' e?I;o n?BHihHT dh wdd Bkb Sksh d/ e?I;o dh ;efozBhr bJh e?g brkJ/ rJ/ jB. fJjBK e?gk ftZu 3509 woh}k dh iKu ehsh rJh. fijBK ftZu' 894 dk w?w'rokch N?;N ehsk frnk fi; ftZu 131 woh}k ftZu e?I;o dh g[FNh j'Jh j?. fJjBK e?gk bJh MP lad czv} ftZu fdZs/ rJ/ jB.

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• n'Be'B?N ;oft;n'Be'B?N ;oft;n'Be'B?N ;oft;n'Be'B?N ;oft; (Onconet Service):- Gkos ;oeko dh wZdd Bkb f;tb j;gskb pfmzvk fty/ n'Be'B?N ;oft; F[o{ ehsh rJh j?. fJ; ;[ftXk d/ sfjs e?I;o d/ wohik Bz{ T[ZE/ p?m/ vkeNo f;ZE/ jh gh?HihHnkJh, uzvhrV d/ wkfjo vkeNok Bkb fJbki bJh ;bkj w;atok eoe/ fJbki eo ;ed/ jB. j[fFnkog[o, w[es;o ns/ ;zro{o fty/ fJj ;oft; ibdh F[o{ j' ikt/rh. • N?bh w?vh;BN?bh w?vh;BN?bh w?vh;BN?bh w?vh;B ((((Tele-Medicine)))): Gkos ;oeko tZb'I N/?bh-w?vh;B F[o{ ehsh rJh j?. fi; ftZu ohiBb e?I;o ;?INo ghHihHnkJh, uzvhrV Bz{ uko fifbQnk j[fFnkog[o, ;zro{o, pfmzvk ns/ w[es;o Bkb i'fVnk frnk j?.fJ; ;[ftXk d/ sfjs th e?I;o d/ wohik Bz{ T[ZE/ p?m/ vkeNo f;ZE/ jh gh?HihHnkJh, uzvhrV d/ wkfjo vkeNok Bkb fJbki bJh ;bkj w;atok eoe/ fJbki eo ;ed/ jB.

National Cancer Control Program Introduction Recent times have seen an increase in the incidence of cancer. This is mainly attributed to urbanization, industrialization, lifestyle changes, population growth and increased life span (in turn leading to an increase in the elderly population). In India, the life expectancy at birth has steadily risen from 45 years in 1971 to 62 years in 1991, indicating a shift in the demographic profile. It is estimated that life expectancy of the Indian population will increase to 70 years by 2021–25. This has caused a paradigm shift in the disease pattern from communicable diseases to non-communicable diseases like cancer, diabetes and hypertension.

Among men, lung, esophagus, stomach, oral and pharyngeal cancers are more prevalent, while in women; cancers of cervix and breast are most common, followed by those of stomach and esophagus.

Magnitude of Problem World: Cancer in all forms causes about 12% of deaths throughout the world. In the developed countries cancer is the second leading cause of death next to only cardiovascular diseases, accounting for 21% of deaths. in the developing countries, cancer ranks third as the cause of death an accounts for 9.5% of all deaths. India: Cancer prevalence in India is estimated to be around 2.0 to 2.5 million, with over 7-9 lakh new cases being detected every year due to this disease. More than 70% of the cases report for diagnostic and treatment services in the advanced stages of the disease, which has lead to a poor survival and high mortality rate Punjab A survey was conducted by the Health Department in June 2005 in 4 districts of Muktsar, Bathinda, Faridkot and Mansa to know the number of cancer patients in these districts. The results of the survey are:-

S. No. District Population No. of cancer patients

No. of cancer patients per lakh population

1 Muktsar 8,27,906 453 54.7 2 Bathinda 12,00,736 711 59.2 3 Faridkot 5,85,500 164 28.0 4 Mansa 7,31,535 420 57.4

Crude Incidence Rate (2002) Ropar: 33.68/1, 00,000 population Patiala: 33.56/1, 00,000 population Bathinda: 35.26/1, 00,000 population Mukatsar: 24.21/1, 00,000 population Faridkot: 25.67/1, 00,000 population Source: Atlas of Cancer

According to ICMR report 2002 the number of cancer cases from districts is as follows:-

District Cancer Cases

Bathinda 424

Faridkot 163

Mukatsar 221

Patiala 641

Ropar 381

Leading sites of Cancer in 3 districts Ropar, Bathinda and Patiala of Punjab as per report of NCRP (2002) are given in the tables below:

Leading sites of Cancer in District Ropar S.No. Male Female

Leading site Number Leading site Number 1. Larynx 16 Breast 48 2. NHL 14 Cervix Uteri 42 3. Bladder 11 Ovary 12 4. Oesophagus 10 Oesophagus 11 5. Mouth 9 Mouth 7 6. Hypopharynx 7 Conn. Tissue 6 7. Brain, NS 6 NHL 6 8. Lung 6 Corpus Uteri 4 9. Prostate 6 Uterus Uns. 4 10. Tongue 5 Lung 4

Total 166 Total 215

Leading sites of Cancer in District Bathinda

S.No. Male Female Leading site Number Leading site Number

1. Oesophagus 28 Breast 68 2. Mouth 10 Cervix Uteri 60 3. Tongue 9 Ovary 13 4. Prostate 8 Myel. Leuk. 11 5. Myel. Leuk 8 Oesophagus 10 6. Lymph. Leuk 8 Gallbladder ( 7 7. Conn. Tissue 7 Hypopharynx 4 8. Bladder 7 Tongue 4 9. Rectum 6 Oth. Skin 4 10. Oth. Skin 6 Conn. Tissue 4

Total 183 Total 241

PGI study: An epidemiological study of cancer cases reported from villages of Talwandi Sabo block of district Bathinda of Punjab revealed prevalence of histologically confirmed cancer cases as 125.4 per 1,00,000 population. The study has also shown that there were 51 deaths per lakh population in the study block. The common sites of cancer reported are breast, uterus/cervix, leukemia/lymphoma, esophagus, skin and ovary. The leading causes of cancer deaths are cancers of esophagus, leukemia/lymphoma uterus/cervix, breast and ill defined digestive organs.

Risk Factors

According to epidemiological studies, 80-90% of all cancers are due to environmental factors of which, lifestyle related factors are the most important and preventable. Causation of cancer is multi-factorial.

A) Environmental Factors: these are generally held responsible for 80-90% of all cancers. The major environmental factors include:-

1.Tobacco: Tobacco in various forms of usage of smoking, chewing etc. is the major environmental cause of cancers of the lung, larynx, mouth, pharynx, esophagus, lip, urinary bladder, pancreas, uterus, cervix, breast and kidney also. In India more than 40% of cancer cases are due to tobacco.. Smoking is by far the leading risk factor for lung cancer. If a person doesn't smoke but breathes in the smoke of others (called passive smoking or second hand smoke), he is also at an increased risk of lung cancer. Smokeless tobacco i.e. snuff and chewing tobacco also contains 28 carcinogens i.e. cancer causing agents.. Other than lung cancer, tobacco use has also been linked to Head and Neck Cancers, Urinary bladder & kidneys, Cervix & Breast, and Colon

2 Alcohol: - excessive intake of alcoholic beverages is associated with esophageal and liver cancer. Some studies have also suggested that beer consumption may be associated with rectal cancer. It is estimated that alcohol contributes to about 3% of all cancer deaths. Alcohol consumption is linked to the following cancers:

– Breast cancer in women – Primary liver cancer – Ovarian cancer – Prostate cancer

Leading sites of Cancer in District Patiala S.No. Male Female

Leading site Number Leading site Number 1. Larynx 34 Breast 75 2. Oesophagus 33 Cervix Uteri 54 3. Prostate 26 Oesophagus 23 4. Bladder 23 Ovary 16 5. NHL 20 Gallbladder 10 6. Tongue 19 Corpus Uteri 8 7. Tonsil 12 Bladder 7 8. Oth. Skin 10 Hypopharynx 7 9. Lung 10 Vagina 7 10. Hypopharynx 8 Colon 6

Total 337 Total 304

– Thyroid cancer 3 Dietary factors: smoked fish may be related to stomach cancer, lack of dietary fiber to

intestinal cancer, beef consumption to bowel cancer, high fat diet to breast cancer. Food additives and contaminants may also be the causative agents.

4 Occupational exposures: accounts for one to five % of all human cancers. These include exposure to benzene, arsenic, cadmium, chromium, asbestos, polycyclic hydro carbons.

5 Viruses: Hepatitis B & C may lead to hepatic cancer. HIV virus may lead to Kaposi Sarcoma. The Ebstein Barr virus is associated with Burkitt's lymphoma and nasopharyngeal carcinoma. Hodgkin disease is also believed to be caused by virus.

6 Parasites: Parasitic infections may increase the risk of cancer e.g. schistosomiasis in Middle East producing carcinoma of the bladder.

7 Others: environmental factors e.g. sunlight, radiation air pollution and water pollution, medication; pesticides etc are related to cancer.

8 Customs, habits & life styles: familiar examples are association between smoking and lung cancer, tobacco & betel chewing & oral cancer etc.

B) Genetic factors: genetic influences have long been suspected e.g. retinoblastoma occurs in children of the same parent, Mongols are more likely to develop cancer (leukemia) than normal children. However genetic factors are less conspicuous and more difficult to identify.

Prevention of Cancer Primary Prevention of Cancer:

1. Control of alcohol & tobacco consumption: Primary prevention offers the greatest hope for reducing the number of tobacco-induced and alcohol related cancer deaths. It has been estimated that control of tobacco smoking alone would reduce the total burden of cancer by over a million cancers each year.

2. Personal Hygiene: improvement in personal hygiene may lead to decline in certain types of cancer like cancer cervix.

3. Radiation: special efforts should be made to reduce the amount of radiation including medical radiation received by each individual to a minimum without reducing the benefits.

4. Occupational exposures: measures to protect workers from exposure to industrial carcinogens should be enforced in industries.

5. Immunization: in case of primary liver cancer, immunization against Hepatitis B virus may have some beneficial effect.

6. Foods, drugs & cosmetics: these should be tested for carcinogens 7. Air Pollution: control of air pollution is another preventive measure 8. Treatment of precancerous lesions: early detection and prompt treatment of

precancerous lesions such as cervical tears, intestinal polyps, warts, chronic gastritis, chronic cervicitis etc. is one of the important steps in cancer prevention.

9. Legislation: legislation also has a role in primary prevention. The solution to problem of cancer is not to be found in research laboratories but in legislatures e.g. legislation to control environmental carcinogens like tobacco, alcohol, air pollution.

10. Health Education: this is an important aspect of primary prevention. It aims at motivating people to seek early diagnosis and dearly treatment. Some important warning signals or cancer are:

a. a lump or hard area in the breast b. a change in a wart or mole c. a persistent change in digestive and bowel habits d. a persistent cough or hoarseness of voice

e. excessive loss of blood at the monthly period or loss of blood outside the usual dates

f. blood loss from any natural orifice(Opening) g. a swelling or sore that does not get better h. unexplained weight loss

Secondary Prevention of Cancer: 1. Cancer Registration: It provides a base for assessing the magnitude of the problem

and for planning the necessary services. Cancer registries are basically of two types: – Hospital Based registries: this includes all patients treated by a particular

institution, whether in-patients or out –patients. Since hospital population will always be selected population, the use of these registries for epidemiological purposes is limited.

– Population based Registries: the aim of this is to cover the complete cancer population in a given geographic area. The data from such registries can provide the incidence rate of cancer & I a useful tool in epidemiology.

2. Early Detection of cases: cancer screening is the main tool for early detection of cancer at a pre-invaive or pre-malignant stage. Effective screening program have been developed for cervical cancer, breast cancer & oral cancer.

3. Treatment: cancer can be treated by Surgery, by Chemotherapy, by Radiotherapy and by Palliative care.

Cancer Control in India

India is one of the first few developing countries where a nation-wide cancer control programs were launched. Government of India took its first initiative in 1971. The National Cancer Control Program for India was formulated in 1984 with four major goals

1. Primary prevention of tobacco related cancer 2. Early detection of the cancers of easily accessible sites 3. Augmentation of treatment facilities 4. Establishment of equitable, pain control and palliative care network throughout the

country

Cancer Control Program in Punjab

(A) Detection of Cancer o Imaging facilities are available as follows: o X-Ray: CHC, SDH, DH and Medical college Hospitals. o Ultrasound: Sub-divisional, district and G MC Hospitals. o CT scan: all Govt. Medical College Hospitals. o Biopsy: CH Jalandhar and Govt. Medical College Hospitals. o Mammography: Civil Hospital Bathinda, CH Hoshiarpur, CH Jalandhar and

MKH Patiala o Laboratory: Fine Needle Aspiration Cytology, Peripheral Blood Smear

examination available at District Hospitals and Medical College Hospitals (B) Treatment of Cancer: facilities are available as follows

• Surgery: Sub-divisional, District and Medical College Hospitals.

• Chemotherapy: Medical College Hospitals.

• Radiotherapy: Medical College Patiala.

• Palliative Care: It is provided at all levels. It includes relief of pain and symptomatic treatment of terminally ill patients. It also includes provision of psychosocial support and aims at improving quality of life of patients.

Steps taken by Punjab Government to combat Cancer: -

1. Regional Cancer Center: The Post Graduate Institute of Medical Education & Research, Chandigarh has been recognized as Regional Cancer Centre in March, 2005 by Ministry of Health & Family Welfare, Govt. of India, to cater to UT, Chandigarh and the State of Punjab. Regional Cancer Centre provides comprehensive cancer treatment services and supportive care to patients. It is also a referral centre for other hospitals.

2. Heavy Metal Testing: The testing of heavy metals in drinking water like Arsenic, Cyanide, Chromium, Lead, and Mercury has been started in the State Public Health Laboratory. Report of Heavy metal testing of water samples by State Public Health Laboratory from Jan, 2009 to July 2010 is as follows: Districts No. of samples

tested for heavy metals

No. of samples showing excess than permissible limits

Amritsar 37 -

Bathinda 51 -

Barnala 04 -

Ferozpur 43 -

Faridkot 19 -

Fatehgarh Sahib

10 -

Gurdaspur - -

Hoshiarpur 26 -

Jalandhar - -

Kapurthala 10 -

Ludhiana 15 -

Mansa 16 -

Moga 71 -

Mukatsar 06 -

Patiala 02 -

S.A.S.Nagar 16 -

Ropar 31 -

Sangrur 52 -

S.B.S Nagar 48 -

Tarn-taran 05 -

Total 462 -

3. PGI study: PGI Chandigarh has also recommended a multiple pronged strategy for remedial steps to overcome this fatal disease of cancer which includes providing safe drinking water supply, discouraging the use of tobacco and alcohol and discouraging

indiscriminate use of pesticides etc., to refrain from storing food or drinking water in empty containers of pesticides and from washing these containers in the canal water etc. These recommendations have been circulated to all the Civil Surgeons of the State to be implemented in the district.

4. Projects completed:

• Mammography unit at Civil Hospital Bathinda, Civil Hospital Jalandhar, Civil Hospital Hoshiarpur and Mata Kaushalya Hospital Patiala.

• Brachytherapy Machine for the treatment of cancer patients has been installed at Govt. Medical College Patiala

• Cobalt Source for the treatment of cancer patients has been installed at Sri Guru

• Ram Das Institute of Medical Sciences and Research and is working since June, 2009.

5. Ongoing Projects:

(i)Survey/ Preparation of Cancer registration on the basis of primary as well as secondary data.

• Cancer Registry: The experts of ICMR have recommended establishment of Population Based Cancer Registry at GMC Patiala instead of Bathinda and a Hospital Based Cancer Registry at PGI Chandigarh and have requested the two institutions to submit the proposals. In this regard the GMC Patiala has sent the proposal for PBCR to ICMR.

• Survey: A house to house survey was conducted by the Health Department. The prevalence of cancer in Punjab as per survey is 30.54 per lakh population whereas the prevalence in India is 200-250 per lakh

• Population. . The district wise number of cases and prevalence is as follows:-

Name of Hospital No. of the cases reported 2006 2007 2008 GMC Amritsar 1128 1278 1563 GMC Patiala 1946 2084 2029

GMC Faridkot - - - Mohan Dai Oswal Cancer Hospital, Ludhiana

2733 2949 3093

Gian Sagar Medical College and Hospital, Banur (Patiala)

- 20 20

Shri Guru Ram Das Rotary Cancer Hospital Amritsar

1227 1342 1248

(ii) Take stock arrangements for treatment of cancer patients in hospitals and medical colleges.

• Diagnostic and Treatment Facilities Available in Government Hospitals

Facility Type of Health Institution Detection of Cancer

• X-Ray

Community Health Centers, Sub-divisional Hospitals, District Hospitals and Government Medical College Hospitals

• Ultrasound

Sub-divisional Hospitals, District Hospitals and Government Medical College Hospitals

• CT scan

All Govt. Medical College Hospitals

• Biopsy

CH Jalandhar, CH Sangrur Govt. Medical College Hospitals

• Mammography

Civil Hospital Bathinda/ CH Hoshiarpur/ CH Jalandhar and MKH Patiala.

Laboratory

HOUSE TO HOUSE SURVEY 2009

S.NO DISTRICT POPULATION NO. OF CASES

PREVALANCE (PER LAKH POPULATION)

1 Amritsar 2348145 253 10.77 2 Barnala 570244 379 66.46 3 Bathinda 1255932 942 75.00 4 Faridkot 549118 245 44.62

5 Fatehgarh Sahib 533261 176 33.00 6 Ferozpur 2154017 473 21.96 7 Gurdaspur 1669336 559 33.49 8 Hoshiarpur 1024243 476 46.47 9 Jalandhar 2438054 377 15.46 10 Kapurthla 891073 196 22.00

11 Ludhiana 2930443 771 26.31 12 Mukatsar 889452 668 75.10 13 Moga 978977 319 32.59 14 Mansa 686642 342 49.81 15 SBS Nagar 611378 141 23.06 16 Patiala 1810046 426 23.54 17 Ropar 756532 200 26.44

18 SAS Nagar 919555 133 14.46 19 Sangrur 1491131 383 25.69 20 Tarn- Taran 825817 279 33.78

Total 25333396 7738 30.54

• Fine Needle Aspiration Cytology

• Peripheral Blood Smear examination

District Hospitals and Medical College Hospitals

• PAP Smear examination

District Hospitals and Medical College Hospitals

Treatment

• Chemotherapy

Medical College Hospitals.

• Radiotherapy:

Medical College Patiala

• Super-specialty and Cancer Hospitals in Public Private Partnership: State Government has executed an agreement on 5.08.2009 with Max Health Care to set up Super Specialty Hospital for Cancer & Trauma Care in the premises of Civil Hospital Mohali on a spare land of 3.15 acre and setting up of Super Specialty Hospital Cancer & Cardiac Hospital in the premises of Civil Hospital Bathinda on a spare land of 4.8 acre. The lease deeds for both the projects have been executed and the hospitals are likely to be completed within 18 months.

(iii) Preparation of Proposal for availing GOI assistance of Rs. 3 crore in district hospitals: Under this scheme Government Medical Colleges have received funds. Presently GOI is not releasing funds under this scheme because all the schemes under National Cancer Control Program are being modified. The modified schemes await approval of Expenditure Finance Committee.

• Regional Cancer Centre at Government Medical College Amritsar has been recommended by a team of experts for the treatment of poor cancer patients. Regional Cancer Center is under construction at Guru Nanak Hospital Amritsar. Government of India has provided Rs. 2.00 Crore for machinery and equipment. The rooms for machinery have been completed. Cobalt-60 has been purchased.

• Brachytherapy Machine costing Rs 70 lacs for the treatment of cancer patients has been installed at Govt. Medical College Patiala. For purchasing Simulator and Treatment Planning system for Govt. Medical College Patiala, Government of India has provided Rs. 2.00 Crore for this purpose. The order for the purchase of the same is being placed. Mammography unit is to be installed at Medical College Patiala. Rs. 30 lacs have been provided for this. The case of purchase of the unit is under process.

• Rs. 3.00 Crore have been provided by Govt. of India for machinery and equipment (Rs. 2.10 lacs) and construction (0.90 lacs) of Radiotherapy unit at Sri Guru Gobind Singh Medical College Faridkot. The construction of the rooms where machinery is to be installed has been completed. Radiotherapy machine has been purchased and started working. The Cobalt Unit has been purchased and installed. The treatment of cancer patients has been started

(iv) Other facilities for cancer patients provided by the Punjab Government:

• Financial Assistance to poor patients: Financial assistance under State Illness fund through Punjab Nirogi Society is provided to cancer patients along with other life threatening diseases belonging to below poverty line families. Financial

assistance amounting to Rs. 16.55 lakh has been distributed to 21 cancer patients belonging to the BPL families for treatment till 30-6-2010.

• Treatment of School Children: School children suffering from cancer are provided free treatment by Punjab Government. 41 school children have been referred to PGI, Chandigarh and 21 school children have been referred to Mohan Dai Oswal Hospital, Ludhiana till 30/6/2010.

• Health Education: Health Education activities are under taken to make people aware about the causes signs and symptoms and prevention of cancer.

• Assistance to Guru Ram Das Institute of Medical Sciences and Research Amritsar: Cobalt Source for the treatment of cancer patients has been installed at Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar with assistance of Rs. 25.00 Lac from Govt. of Punjab and is working since June, 2009.

• Free travel facility in PRTC & Punjab Roadways Buses is provided for cancer patients.Rs.4,51,235/- has been spent by Health Deptt. Punjab for this facility.(from 01-1-2009 to 31-12-2009)

• The State Government has spent a sum of Rs. 34 Crore for installation of Reverse Osmosis Systems (RO) in villages of the 4 districts where the quality of drinking water is not good.340 villages have already been covered.

(v) Cancer Awareness and Screening in collaboration with Roko Cancer (NGO) a) Punjab Government has undertaken in collaboration with Roko Cancer (NGO)

a program for cancer awareness and screening of women for breast cancer through camp approach. Camps were held in District Bathinda (16), Mansa (20) and Mukatsar (3). A total of 3509 patients were examined out of which 894 were subjected to mammography test for detection of cancer and 131 patients were found to be suspected of having cancer. Funds for these camps were provided from MP lad funds.

b) Punjab Government has signed MOU with Roko Cancer for one year to organize, cancer awareness and screening of women for breast cancer, camps in Mukatsar, Moga, Faridkot and Ferozepur districts at a cost of Rs. 30 lakhs. The NGO Roko Cancer has stared holding camps from 6 February, 2010.The report of camps is as under:

Month Patients

Examined Mammography Suspected cancer Patients

Feb. 2010 3474 327 11 March, 2010 3072 364 11 April, 2010 2634 304 55 May, 2010 2089 322 72 June, 2010 609 87 16 July, 2010 838 221 30

• Onconet Service- Under GOI Scheme, Onconet service has been started at CH Bathinda . With this facility, doctors at their place can directly interact with PGI experts to provide treatment to the cancer patients. This service will start shortly at CH Hoshiarpur, Sangrur and Muktsar.

• Tele-Medicine: This Service has been established by Govt. of India. With this

service, Regional Cancer Centre PGI is connected to four District Hospitals

namely Hoshiarpur, Sangrur, Bathinda and Muktsar. With this facility, doctors at

their place can directly interact with PGI experts to provide treatment to the cancer

patients.