THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI M.L. FOTEDAR): Mr. Speaker, Sir, there are a total of one thousand and eighteen blood banks in the country. Out of them six hundred and eight blood banks come under the public sector, If these figures are wrong, then I may be corrected. (Interruptions)

SHRI RAMESHWAR PATIDAR: This information has been given in Rajya Sabha (Interruptions)

[English)

SHRI M.L. FOTEDAR: I am giving you the figures. In the Rajya Sabha what I have said is this. There are 608 Blood Banks in the public sector. Since, you have asked about these 1018 Blood Banks, I am just giving you the break-up of all the Blood Banks. There are, as I said, 1018 Blood Banks, out of them, 608 Blood banks are in the public sector viz. both in the States as well as in the Centre. There are private hospitals which are having Blood Banks, their number is 151. There are commercial blood banks, their number is 203. Then, there are voluntary organisations which are having Blood Banks, their number is 56. So, the total comes to 1018.

The hon.Member has asked a question

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whether, the Blood Banks are licensed. I can tell him that many of the Blood Banks, even, in the public sector are not licensed. Now, we have issued a Notification. We propose to make it mandatory that all Blood Banks in the country, whether in the private sector or in the public sector or even voluntary organisations which are having Blood Banks, it will be mandatory for them to get the licence not from the Drug Controller of the States but the Drug Controller of the Government of India. If any Blood Bank does not conform to the rules indicated or made by the Health Ministry or the Drug Controller of the Government of India in this regard, the power of the Drug Controller of the Government of India will be that, after due notice,cancel the licence.

So, we are already at it. We have issued necessary instructions that all Blood Banks should be licensed and those which are not licensed so far will get licence subject to the specifications...(Interruptions) SHRI RAM NAIK: What about registration? Why should it be done by the Central Government and why not by the State Government?

SHRI M.L. FOTEDAR: So far, the State Governments were doing the registration. The State Drug Controllers have also said that this authority should rest with the Central authority because if any Blood Bank contravenes the rules, the Central authority will have the power to cancel, after adequate notice is given to them.

So, before we cancel that, we have to see that they conform to the rules mentioned or indicated or circulated by the Drug Controller of the Government of India. So, the licence will be given on the condition that they use the latest modern technique or get the blood from the blood donors, preferably, those who are voluntary donors.

[Translation]

SHRI RAMESHWAR PATIDAR: Mr. Speaker, Sir, the Indian Red Cross Society and other commercial blood banks had issued a notification and under that they have

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demanded financial assistance from the Central Government. The demand of the Indian Red Cross Society is lying pending with the Government.

Would the Government provide any financial assistance to such commercial blood bank or red Cross Society. According to the records of Delhi Administration the samples which had been issued safe certificates out of them 499 samples were found to be having HIV Virus which infected the people. The Government has said that according to the Rao Committee in 1962 and Fergusan Committee in 1982, the commercial blood banks are meeting the requirements of 43 percent patients in Delhi. The Medical report is that their samples are not upto the mark. What stern action the Government will take against it.

MR. SPEAKER: If you will ask so many questions, you will not get proper answer and that will create problems.

SHRI RAMESHWAR PATIDAR: People acquire so many dangerous diseases through the blood of professional donors who are drug addicts and who are selling their own blood because of poverty. May I know whether the Government is formulating any law so as to prevent the habitual donors from donating the blood and insisting blood of the relatives only would be give to the patients?

SHRI M.L. FOTEDAR: There is a need of nearly 40 lakh units of blood in our country, but with great difficulty we hardly get only 20 lakh units of blood and the professional donors provide only 29 per cent. The hon. Member has rightly said that the professional blood donors or such blood banks which accept their blood, shall be declared illegal and should be closed down. But the difficulty is that if we close them absolutely, there will be shortage of blood in the country, because it is required in hospitals. That is why we have tried to regulate the blood banks. Through this, action would taken against a bank if it does not follow the rules laid down for the blood bank. The hon Member mentioned about the Redcross There are 50 blood banks in Orissa and 49 blood banks belong to the Indian Red Cross Of these, 22 are unlicensed. The third poin

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mentioned by the hon. Member was whether any grant or allowance would be paid to such banks. I would say that other than the public sector, we shall help such organisations by giving some grants to voluntary organisations. There is no question of giving such grants to non Governmental organisations and to professional blood donors.

[English]

SHRI ARJUN CHARAN SETHI: The hon. Minister has just stated while answering to the question that Government has made it mandatory on the part of Blood Banks to have testing facility for HIV-positive; otherwise their licences will be cancelled. May I know from the hon.

Minister, when this was made mandatory how many Blood Banks they have confirmed as per the guidelines issued to them.

So far as Zonal Laboratory Testing Centres are concerned, how many of them have testing facilities for HIV positive as well as AIDS?

In the State Government sector how many Blood banks are functioning in the Government hospitals? Do they also these testing facilities for HIV-positive as well as AIDS cases?

SHRI M.L. FOTEDAR: Two questions arise from the question of the hon. Member. One is about the testing facilities. This HIV testing has to be done where the blood has to be transfused into a patient. Once it is deposited in a bank, it goes to the blood bank, from there it goes to the zonal centre and in the zonal centre in case it is proved that it tests HIV positive, then that blood has to be disposed off. We have made all the arrangements in the zonal banks for HIV positive testing. So far as the blood banks at the lower level are concerned, by the end of the financial year we will have in all the district of the country blood banks equipped with most modern equipment.

At this time - I think I have already given the figures-we have a large number of blood banks in different parts of the country in different hospitals. In addition to

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that, to save blood we are just having blood component separation facilities available in the country. We propose to have about 30 such units in the country in the coming three years. This year we are proposing to have four such units in the country in the four metropolitan cities of Bombay, Delhi, Calcutta and Madras. Next year, we will be having nine and in the third year we will be having 17 such facilities available in the country. This will save lot of blood and our demand for blood, I think, according to this facility will be met to a large extent.

SHRI ANANTRAO DESHMUKH: In the recently held International AIDS Conference in Amsterdem the head of the Micro-biology Department of K.E.M. Hospital, was also a participant. He has observed that the virus HIV - II which also causes AIDS, which was not found in India during the last one year, has also been found in India now. This is going to have grave implications on our AIDS control programme. I would like to know from the hon. Minister whether the regional laboratories and the commercial blood banks set-up by the Government are fully equipped to detect the presence of HIV-II virus; if not what does the Government propose to do thin this regard?

SHRI M.L. FOTEDAR : I am happy that the hon. Member takes note of what happens at the international level and it is a matter of period for us that one of our Indians has investigated this thing. We are aware of this. Till this time we have ordered for such kits which would test only HIV-I Now we have ordered others and those kits have come in Bombay which will test HIV -II also. For the information of the hon. Member, medical science is not static. It is very rapidly advancing. Today we have HIV - II, may be tomorrow we will have HIV - III and the day after HIV-IV. We are taking care of it. As the medical science advances we will make available in the country kits which can test HIV-I, II, III and so on. That will be taken care of.

[Translation]

SHRI SURYA NARAYAN YADAV: Mr.

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Speaker, Sir, as far as blood is concerned, it is an essential item and most of the diseases are transmitted through blood. In all the metropolitan cities, the number of Blood Banks is more, and it is through these Blood Banks that diseases are communicated. I would like to tell you that the blood of villagers is more clean but the Indian Government has not set up a blood bank in any block so far. I would like to know whether the Government intends to set up blood banks in each block headquarter?

SHRI M.L. FOTEDAR: Perhaps the Member is also hailing from a village. Even I take pride in having a rural background. Such diseases do not affect the villagers, and these diseases are mostly spread in the cities. Once the disease spreads in the city, by and by it spreads, in the villages also. So, first of all we will control the hubs in the city. Later on, in case the spokes of the hub travel to rural areas we will be supplying modern equipment to every district Hospital for H.I.V. positive test.

SHRI SURYA NARAYAN YADAV: Please inform us the time by which the task would be completed, i.e. would it be done according to a time- bound programme?

SHRI M.L. FOTEDAR: We would be able to complete the time bound programme by the end of March, 1993.

[English]

DR. RAJAGOPALAN SRIDHARAN: Sir, I would like to know about this HIV 2 virus that has been recently harnessed by the Microbiologist from Bombay. And the kit that was recently supplied was only with respect to HIV - 1. These groups have not yet reached us. I would like to know whether he is going to issue the kit for HIV 2 virus, which has been harnessed in India recently.

SHRI M.L. FOTEDAR: We have already ordered for such kits.

SHRI SYED SHAHABUDDIN: Mr. Speaker, Sir, a blood bank is an essential

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perquisite of a modern hospital and it was so even before this AIDS alarm began ringing. However, Sir, there are many districts in the country which do not have a blood bank facility in the public sector and even in the district hospital which is the key link in the chain of the health services of the country. So, I would like to know from the hon. Minister the number of such districts in the country today, which do not have a blood bank in the district hospital, that is to say, in the public sector; and the time limit for the modernisation of the existing blood bank facilities in the public sector that the Minister has just talked about, installing modern equipment without which licensing shall not be permitted. He has already given a time limit for the establishment of new blood banks. I would like to know the time limit for the modernisation of the existing blood banks and the number of districts which do not have a blood banks as of today.

SHRI M.L. FOTEDAR: I would like to tell the hon. Member and share with him that fortunately I have not received any case of AIDS from Bihar so far. It is a happy news.

The second thing is that I have not said that we are going to open new blood banks. I do not say by that that there may not be any AIDS patient of HIV positive. But no report,, no surveillance report suggest this so far.

The hon. Member has asked whether we are going to have new blood banks. I did not say that we are going to have new blood banks. All I said was that by March 1993, we are going to upgrade all the district level blood banks in the country, in the public sector. That is what I said. And I adhere to that, and in your State also, we will see the list. I know your problem, you will be having three districts. I will also take note of that.

SHRI SYED SHAHABUDDIN: Sir, my question has not been answered. I wanted to know the number of districts which do not have any blood bank at all ... (Interruptions)

SHRI M.L. FOTEDAR: I have got the list.

19 Oral Answers

[Translation]

Control of Diabetes

*289. SHRI PARASRAM BHARDWAJ:

SHRI BAPU HARI CHAURE:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether the National Medium Centre and Diabetic Self Care Foundation have jointly organised a seminar on diabetes recently; (b) if so, details thereof;

(c) the policy and strategy recommended for the control and prevention of diabetes in this symposium; and

(d) the action taken by the Government in this regard?

[English]

THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRIMATI D.K. THARADEVI SIDDHARTHA): (a) to (d). A statement is laid on the Table of the House.

STATEMENT

(a) Yes, Sir.

(b) and (c). Diabetic Self Care Foundation, New Delhi in collaboration with National Media Centre organised a Seminar in New Delhi on 27.6.92 to discuss various problems related to diabetes. The above seminar was attended by medical experts, social scientists and media persons, who called for a massive compaign to create awareness for effective control of the disease.

(d) The Government is stepping up health education programmes for all major diseases including diabetes.

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[Translation]

SHRI PARAS RAM BHARDWAJ: Mr. Speaker, Sir, has the Central

Government conducted any survey to assess the number of diabetes patients in the country, and their age group? If so, what are the statewise details?

SHRI M.L. FOTEDAR: We do not have such figures.

SHRI PARAS RAM BHARDWAJ: May I know whether the number of people afflicted with diabetes is greater in cities or in villages? Has the Government set up any organisation for the welfare of diabetics or has the opinion of experts been sought? It so, the details thereof and the amount of assistance provided so far? Secondly, In any help being provided by the W.H.O.? If so, the way in which they are rendering help?

SHRI M.L. FOTEDAR: May I tell the hon. Member clearly that

diabetes is not for the poor people, mainly the affluent class is a victim of this disease ... .(Interruptions)

SHRI RAM NAIK: Hon. Minister, are you a diabetic? (Interruptions) SHRI RAJENDRA AGNIHOTRI: Hon. Ministe, please get himself re- examined immediately, the survey conducted already is wrong.

(Interruptions)

SHRI M.L. FOTEDAR: I would like to tell the hon. Member, please listen to me first...(Interruptions) The hon. Member said that I am diabetic perhaps. I am not a diabetic. By the grace of God I am not a diabetic so far.. (Interruptions)

SHRI DAU DAYAL JOSJHI: Hon. Minister please correct yourself, because whatever you are saying about the poor, is not right.

Aasya sukham swapan sukham dadhini

Gramyod a kaanuparsa payasi,

Navan panam guna vaikritam cha,

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Prameh hetu kaf krittva sarvam... (Interruptions)...

SHRI M.L. FOTEDAR: Please don't worry. In fact I am coming to point regarding Ayurvedic treatment.

As regards diabetes I have said that incidents of this disease are more in urban areas than in villages. But the present question is related to Self Care Foundation. It means that one should take care of oneself. No cure is necessary. There are some yogic exercises in Aurveda for this ... (Interruptions)

MR. SPEAKER: Please stop your running commentary.

SHRI M.L. FOTEDAR: That can control diabetes. Secondly, he has asked as to what help do we give? As far as help is concerned we can provide monetary help for imparting training in yogic exercise and educating people about it. (can be extended) This help to N.G.O's only.

SHRI BAPU HARI CHAURE: Mr. Speaker, Sir, the Diabetes Self Care Foundation and the Indian National Diabetes Association, Bombay are working together. The main objective of Diabetes Self Care Foundation is to create awareness among people for effective control of this disease. It has also been included alongwith other Government programmes. This programme is specially implemented under the National Diabetes Eradication Programme. This institution also does the same work. I would, therefore, like to know fromthe hon. Minister whether financial assistance will be provided to these institutions which do the same work as the Government does. Secondly, initially some districts were identified under the national Diabetes Eradication Programme. I would like to know whether the Government is going to implement this programme in the whole country? Thirdly, I would like to point out to the hon. Minister that this programme is organised by the United Nations on 27th June every year. I would like to know as to why this programme is not being organised

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in India while India is an important member of the U.N.O?

SHRI M.L. FOTEDAR: The Hon. Member said that this Diabetes Self Care Foundation has organised it in collaboration with one such foundation of Bombay. I would like to say only this much that this Self Care Foundation should take care of itself. If they have organised such a programme to demand money from the Government, then I shall verify whether the foundation wants money or wants to impart medical education. I will make a thorough probe into it. Secondly, as far as health education is concerned, health is a State subject and diabetes is a subject which should be handled by the States.

[English]

I do not think central intervention for such a subject is necessary now.

[Translation]

MR. SPEAKER: Now, the person I am asking to put question to a member who is not suffering from diabetes but knows much about the disease.

SHRI DAUDAYAL JOSHI: Mr. Speaker, Sir, I would like to state that there are 20 types of 'Prameh' disease in Ayurveda. Allopathy speaks of diabetes only. It is said that "Sarvev prahmehastu kalen pratikarin.

MadhumehatvMayanti Tadasadhyabhavantihi."


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