**Executive Summary**
This document is the answer to Unstarred Question No. 1300 in the Lok Sabha, set to be answered on 06.02.2026, regarding schemes and disease surveillance infrastructure of the National Centre for Disease Control (NCDC). The question seeks information on NCDC's schemes, projects, funding, and measures to strengthen disease surveillance, particularly in Andhra Pradesh. It also addresses the establishment of Metropolitan Surveillance Units (MSUs) and potential extensions.
**Key Points / Main Content**
* **Schemes Implemented by NCDC:**
* National Programmes for Surveillance of Viral Hepatitis (2012), National Rabies Control Programme (2017), Programme for Prevention and Control of Leptospirosis (2013), National One Health Programme for Prevention and Control of Zoonosis (2013), Establishment & Strengthening of NCDC Branches (2015).
* Under PM-ABHIM: Strengthening surveillance of infectious diseases and outbreak response (establishment of State branches, BSL-3, regional branches, MSUs, strengthening of IHIP and NCDC Head Quarters).
* Other programmes: Integrated Disease Surveillance Programme (IDSP), National Programme for Prevention and Control of Snakebite Envenoming, National Programme on Climate Change and Human Health (NPCCHH).
* Details of programmes/schemes may be accessed at: https://ncdc.mohfw.gov.in/
* **Projects Sanctioned for Andhra Pradesh under PM-ABHIM:**
* One project each of BSL-3, NCDC State Branch, and Metropolitan Surveillance Unit have been sanctioned.
* **Funding:**
* The government releases funds to States/UTs based on the proposals received in Program Implementation Plans (PIPs).
* Details of PIP State/UT wise may be seen at https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744
* Details of the fund released by the Government of India under the Central Sector component of PM-ABHIM and Umbrella scheme of NCDC are at Annexure.
* **Measures to Strengthen Disease Surveillance:**
* Implementation of IDSP across all States/UTs.
* Transition to IHIP in 2021 for paperless, case-based surveillance.
* Establishment of Central, State, and District Surveillance Units.
* Strengthening of District Public Health Laboratories (DPHLs).
* Establishment of Metropolitan Surveillance Units (MSUs).
* Designation of Viral Hepatitis Laboratory at NCDC as a Centre of Excellence.
* Establishment and strengthening of NCDC State and Regional Branches.
* **Metropolitan Surveillance Units (MSUs):**
* Criteria for identification: Population size and density, high disease burden and outbreak vulnerability, urbanization level (Tier-I and Tier-II cities), gaps in existing disease surveillance infrastructure, availability of supporting public health institutions.
* An MSU has been approved at Guntur, Andhra Pradesh.
* There is no current proposal to extend MSUs to additional cities or States.
**Impact Analysis**
**Stakeholder:** States/Union Territories
**Impact:** Allocation of funds based on proposed Program Implementation Plans (PIPs) and implementation of IDSP across all States/UTs, transition to Integrated Health Information Platform (IHIP).
**Action Required:** States/UTs must create Program Implementation Plans (PIPs) to request funds, transition to IHIP, establish Central, State, and District Surveillance Units.
**Stakeholder:** Andhra Pradesh
**Impact:** Sanction of one project each of BSL-3, NCDC State Branch, and Metropolitan Surveillance Unit under PM-ABHIM. An MSU has been approved at Guntur.
**Action Required:** Implementation of projects; operation of the MSU in Guntur.
**Stakeholder:** National Centre for Disease Control (NCDC)
**Impact:** Implementation of various national health programs and infrastructure strengthening projects.
**Action Required:** Continue implementing health programs, strengthen disease surveillance infrastructure, and oversee project implementation in various states.
Key Entities Referenced
National Centre for Disease Control (NCDC): The central agency implementing schemes and strengthening disease surveillance infrastructure across India.
Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM): A key scheme under which NCDC implements strengthening of infectious disease surveillance and outbreak response.
Integrated Disease Surveillance Programme (IDSP): A program for disease surveillance implemented across all States/UTs.
Andhra Pradesh: A state specifically mentioned in the context of schemes, funding, and infrastructure related to disease surveillance.
Metropolitan Surveillance Units (MSUs): Disease surveillance infrastructure units whose establishment is being considered and expanded.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 1300
TO BE ANSWERED ON06.02.2026
SCHEMESANDDISEASESURVEILLANCEINFRASTRUCTUREOFNCDC
1300.SHRIBASTIPATI NAGARAJU:
SHRIDAGGUMALLAPRASADARAO:
Will the Ministerof HEALTH AND FAMILYWELFAREbe pleasedtostate:-
(a) the list of schemes currently being implemented by the National Centre for Disease
Control (NCDC)across the country,alongwith the year of inceptionof eachscheme;
(b) the total number of projects approved and established under each such schemes, year-
wise since inceptionandState-wise andDistrict-wise for the State of Andhra Pradesh;
(c) the details of funds approved, released and utilised under each of these schemes, year-
wise since inceptionandState-wise,includingAndhra Pradesh;
(d) the measures taken by the National Centre for Disease Control to strengthen disease
surveillance infrastructure across the country;
(e) the number of disease surveillance infrastructure facilities established till date under
NCDC-supported programmes, State-wise andDistrict-wise for Andhra Pradesh;
(f) the criteria adopted by the Government for identifying locations for establishing
Metropolitan SurveillanceUnits (MSUs) inthe country; and
(g) whether the Government proposes to extend the establishment of Metropolitan
Surveillance Units tootherStates,includingAndhra Pradesh andif so, the detailsthereof?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH & FAMILY
WELFARE
(SHRIPRATAPRAO JADHAV)
(a): National Centre for Disease Control (NCDC) under the Central Sector Umbrella Scheme
implements National Programmes for Surveillance of Viral Hepatitis (2012), National Rabies
Control Programme (2017), Programme for Prevention and Control of Leptospirosis (2013),
National One Health Programme for Prevention and Control of Zoonosis (2013),
Establishment & Strengthening of NCDC Branches (2015) and under the Central Sector
componentof PradhanMantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM)
scheme implements Strengthening surveillance of infectious disease and outbreak response
comprising of establishment up of State branches, Bio Safety Level-3 Laboratory (BSL-3),
NCDC regional branches, Metropolitan Surveillance Units, Strengthening of Integrated
Health Information Platform (IHIP) and Strengthening and Upgradation of NCDC Head
Quarters which are implemented across the countryincludingthe state of Andhra Pradesh.
Further NCDC also implements various other programmes some of which are IntegratedDisease Surveillance Programme (IDSP), National Programme for Prevention and Control of
Snakebite Envenoming, National Programme on Climate Change and Human Health
(NPCCHH) under Central Sponsored Schemes of National Health Mission. The details of the
programmes/schemes of NCDC may be accessed at following link:
https://ncdc.mohfw.gov.in/
(b) to(e): Under the Central SectorcomponentofPM-ABHIM one projecteachof BSL-3,
NCDC State Branch, and Metropolitan Surveillance Unit have been sanctioned for the State
of Andhra Pradesh.
The Government through National Health Mission (NHM) release funds to
States/UTs based on the proposals received in Program Implementation Plans (PIPs)
including the state of Andhra Pradesh. The details of the PIP State/UT wise may be seen at
the following link:
https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744
Details of the fund released by Government of India under the Central Sector
componentof PM-ABHIM andUmbrella scheme of NCDCare at Annexure.
NCDC undertakes several measures to strengthen disease surveillance infrastructure
in the country, including implementation of the Integrated Disease Surveillance Programme
(IDSP) across all States/UTs, transition to the Integrated Health Information Platform (IHIP)
in 2021 for paperless, case-based and near real-time surveillance, establishment of Central,
State and District Surveillance Units, strengthening of District Public Health Laboratories
(DPHLs), establishment of Metropolitan Surveillance Units (MSUs), designation of the Viral
Hepatitis Laboratory at NCDC as a Centre of Excellence, and establishment as well as
strengthening of NCDC StateandRegional Branches.
(f) & (g): The criteria adopted for identification of locations for establishing Metropolitan
Surveillance Units (MSUs)includes population size and density, high disease burden and
outbreak vulnerability, urbanization level (Tier-I and Tier-II cities), gaps in existing disease
surveillance infrastructure, availabilityof supporting public healthinstitutions.
In Andhra Pradesh,anMSUhasbeenapprovedat Guntur.
At present, there isno proposal tofurther extend MSUs toadditionalcitiesor States.
*****ANNEXURE
ANNEXURE REFERRED TO IN REPLY TO PART (c) OF THE LOK SABHA
UNSTARRED QUESTION NO. 1300 FOR 06.02.2026 REGARDING SCHEMES AND
DISEASESURVEILLANCEINFRASTRUCTUREOFNCDC
2025-26
2021-22 2022-23 2023-24 2024-25
(31/12/2026)
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