Context: There have been calls to designate Cancer as a notifiable disease in India, in order to enhance Cancer surveillance and treatment. However, the Union Ministry of Health has resisted the move, citing that the practice is to notify only infectious diseases.
Relevance of the Topic:Prelims: Key facts about Notifiable diseases; India’s National Cancer Registry Programme (NCRP).
Major Highlights:
- Cancer in India is not a notifiable disease. The Indian Ministry of Health and Family Welfare refuses to declare it as a notified disease despite recommendations from the Indian Council of Medical Research.
- Reasons given by the Ministry:
- Cancer is not a communicable disease and does not have community spread.
- Cancer requires long-term management rather than emergency interventions.
Which are Notifiable Diseases?
- Notifiable disease is a disease that is legally required to be reported to the government by both private and public hospitals.
- The primary purpose of disease notification is to ensure that contagious diseases are kept under check. Notifiability triggers rapid containment measures. Usually, diseases are declared notifiable if they:
- Have the potential to cause an outbreak
- Leads to significant mortality
- Require rapid investigation and public health action.
- State governments are responsible to declare a disease as a notifiable disease, and the list of notifiable diseases differs from state to state.
- Registered medical practitioners must notify such diseases, typically in a standard form within three days, or notify verbally via phone within 24 hours if urgent.
- Every government hospital, private hospital, laboratory, and clinic will have to report cases of the disease to the local government authorities.
- Any failure to report a notifiable disease is a criminal offence and the state government can take necessary actions against defaulters.
Notifiable Diseases in India
- Cholera, diphtheria, encephalitis, leprosy, meningitis, pertussis (whooping cough), plague, tuberculosis, AIDS, hepatitis, measles, yellow fever, malaria, dengue.
India’s National Cancer Registry Programme (NCRP):
- NCRP functions as a data collection mechanism. It compiles crucial information on:
- demographics of cancer patients
- cancer identification including type, stage, and morphology
- timing of diagnosis and staging at the time of detection
- treatment details such as chemotherapy, radiation, and surgery, and follow-up and survival outcomes.
- The NCRP includes hospital-based registries, which collect data from cancer-treating hospitals, and population-based registries, which capture cancer incidence in a defined geographic area.
Also Read: Immunotherapy for Cancer Treatment
Rather than legally mandating notification, strengthening existing cancer registries is a more thorough and effective alternative for comprehensive nationwide cancer surveillance.




