**Executive Summary**
This document is a response to an unstarred question in Lok Sabha, question number 2075, regarding water-borne diseases in Punjab, to be answered on 12.12.2025. It details the number of cases, emergency medical and vaccination campaigns, allocated funds, and restoration of facilities post floods in Punjab. The response is provided by the Minister of State in the Ministry of Health & Family Welfare.
**Key Points / Main Content**
* **Disease Surveillance:**
* Waterborne diseases (Acute Diarrheal Diseases, Cholera, Leptospirosis, Hepatitis A and E) and vector-borne diseases (Dengue, Malaria, Chikungunya and Japanese Encephalitis) reported by the state of Punjab on the Integrated Disease Surveillance Programme-Integrated Health Information Platform (IDSP-IHIP) portal since July, 2025 are attached at annexure.
* **Government Support:**
* Public Health is a State subject.
* The Ministry provides technical and financial support to States/Union Territories under the National Health Mission (NHM) to strengthen healthcare systems.
* The Ministry of Health and Family Welfare has developed and shared a Crisis Management Plan template with all States/Union Territories to mitigate public health risks due to disasters.
* **Long-Term Preparedness:**
* The Pradhan Mantri Ayushman Bharat Health Infrastructure Mission is being implemented.
* Components include establishing Integrated Public Health Labs, Block Public Health Units, Critical Care Hospital Blocks, and expanding the Integrated Health Information Portal across all States/UTs.
* **Guidelines and Frameworks:**
* The Ministry has issued comprehensive 'Public Health Guidelines for Flood Events'.
* Details are provided on public health effects, need assessment, and disease surveillance.
* Capacity building is being undertaken for district-level health officials.
* The Government has adopted a comprehensive framework to strengthen climate-resilient public health preparedness.
* The National Disaster Management Authority has issued technical guidance documents for health-facility preparedness.
* **Disease Statistics (Annexure I):**
* Cases of Water Borne Disease reported in IDSP-IHIP Punjab during the period 1st July – 7th December, 2025.
* Cases of Vector Borne Disease reported in Punjab during 1st July – 7th December, 2025.
**Impact Analysis**
**Stakeholder: State/Union Territory Governments**
* **Impact:** Responsible for strengthening public healthcare systems.
* **Action Required:** Develop and implement Program Implementation Plans subject to norms & availability of resources. Implement the Crisis Management Plan.
**Stakeholder: Ministry of Health and Family Welfare**
* **Impact:** Responsible for providing technical and financial support.
* **Action Required:** Continue providing support under NHM, sharing the Crisis Management Plan, implementing the Pradhan Mantri Ayushman Bharat Health Infrastructure Mission, and issuing relevant guidelines.
**Stakeholder: District-Level Health Officials**
* **Impact:** Need to augment preparedness and response capacities for public health emergencies.
* **Action Required:** Participate in capacity building programs, familiarize themselves with the 'Public Health Guidelines for Flood Events', and implement relevant disaster response protocols.
Key Entities Referenced
National Health Mission (NHM): A scheme providing technical and financial support to States/Union Territories for strengthening healthcare systems.
Punjab: The Indian state where water-borne diseases were reported after floods.
Ministry of Health and Family Welfare: The central ministry responsible for providing technical and financial support to States/Union Territories for strengthening their healthcare systems.
IDSP-IHIP: Integrated Disease Surveillance Programme-Integrated Health Information Platform, the portal through which the state of Punjab reports waterborne diseases.
Pradhan Mantri Ayushman Bharat Health Infrastructure Mission: A mission to augment capacities at primary, secondary and tertiary levels.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 2075
TO BE ANSWERED ON12.12.2025
WATER-BORNEDISEASES IN PUNJAB
2075. SMT.HARSIMRATKAUR BADAL:
Will the MINISTER OFHEALTHAND FAMILYWELFAREbe pleasedtostate:-
(a) the number of cases of water-borne and vector-borne diseases reported post floods in
Punjabin2025floods;
(b) the details of Emergency Medical and vaccination campaigns launched in the affected
districts of Punjab;
(c) the additional funds allocated and staff deployed for the prevention of diseases and
strengthening of healthinfrastructure inthe State;
(d) whether safe drinking water and sanitation facilities have been restored in all flood-hit
areasof the State andif so, the detailsthereof; and
(e)the measures taken/proposed to be takenbythe Government tothe monitorandrespond in
case of anypandemicrisks inthe aftermathof floodsinthe State?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH & FAMILY
WELFARE
(SHRIPRATAPRAO JADHAV)
(a) Details of waterborne diseases (Acute Diarrheal Diseases, Cholera, Leptospirosis,
Hepatitis A and Hepatitis E) and vector-borne diseases (Dengue, Malaria, Chikungunya and
Japanese Encephalitis) reported by the state of Punjab on Integrated Disease Surveillance
Programme-Integrated Health Information Platform (IDSP-IHIP) portal since July, 2025 are
attachedat annexure.
(b) to (e) Public Health is a State subject and the responsibility of strengthening public
healthcare system lies with the respective State/ Union Territory Governments. Under
National Health Mission (NHM), the Ministry provides technical and financial support to
States/ Union Territory for strengthening their healthcare systems based on the proposals
submitted by them in their Program Implementation Plans subject to norms & availability of
resources. Ministry of Health and Family Welfare has developed and shared with all
States/Union Territories (UTs), a template for Crisis Management Plan to mitigate public
healthrisks due todisasters.For long-term preparedness, the Pradhan Mantri Ayushman Bharat Health Infrastructure
Mission isbeing implementedtoaugmentcapacities at primary,secondary and tertiarylevels.
Key components include establishing Integrated Public Health Labs, Block Public Health
Units, Critical Care Hospital Blocks, and expanding the Integrated Health Information Portal
across allStates/UTs.
Ministry of Health & Family Welfare has also issued a comprehensive 'Public Health
Guidelines for Flood Events' which provides details on common public health effects due to
floods, rapid need assessment, disease surveillance during and after flood with particular
focus on water and food borne diseases; vector- borne diseases, and water, sanitation issues
etc. Further, this Ministry is undertaking capacity building of district level health officials to
augment preparedness and response capacities to public health emergencies, including
disasters like floods.
The Government has adopted a comprehensive framework to strengthen climate-resilient
public healthpreparedness in flood-prone areas. The detailscanbe assessed at-
https://ncdc.mohfw.gov.in/wp-content/uploads/2024/08/PUBLIC-HEALTH-GUIDELINES-F
OR-FLOOD-EVENT.pdf
The National Disaster Management Authority, Government of India, has issued two key
technical guidance documents that provide a national framework for strengthening health-
facilitypreparedness for disaster situations.
https://nidm.gov.in/PDF/pubs/NDMA/18.pdf
https://nidm.gov.in/pdf/guidelines/new/biological_disasters.pdfAnnexure-I
Cases of WaterBorneDisease reported inIDSP-IHIPPunjabduring the
period 1st July–7th December, 2025
Presumptive Form
(Pform) Laboratory Form(L- form)
Acute Diarrheal Hepatitis Hepatitis
Diseases Cholera Leptospirosis - A -E
4,058 30 155 212 18
Cases of Vector Borne Disease reported in Punjab during 1st July –
7th December, 2025
Laboratory Form (L- form)
Japanese
Dengue Malaria Chikungunya Encephalitis
5,559 86 718 3
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