Mentor’s Comment:  India is aiming to become a $5 trillion economy and a major global power. But there’s a growing problem that often goes unnoticed — non-communicable diseases (NCDs), like diabetes, heart disease, and cancer. These diseases now cause about two out of every three deaths in the country and pose a serious threat to our progress. To build a healthy and successful future, India must focus more on preventing illness, rather than only treating it after people fall sick.

Today’s editorial discusses the issue of non-communicable diseases (NCDs) in India. This analysis will be useful for GS Paper 2 and Paper 3 in the UPSC Mains examination.

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Let’s learn!

Why in the News?

India is seeing a rapid rise in non-communicable diseases, so people need to be aware that staying healthy is possible by taking care of themselves early before any illness starts.

What are the major non-communicable diseases (NCDs) affecting India’s population?

• Cardiovascular Diseases (CVDs): The Leading cause of NCD-related deaths in India. Eg: Heart attacks and hypertension are increasingly seen in people as young as 30–40 years.
• Diabetes and Its Complications: Rapidly rising due to sedentary lifestyles and unhealthy diets. Eg: Many young adults require dialysis due to diabetic kidney complications.
• Chronic Respiratory Diseases and Cancers: Included chronic Obstructive Pulmonary Disease (COPD), asthma, lung cancer, and oral cancer. Eg: Air pollution has led to increased COPD and lung cancer cases, especially in urban areas.

How do they impact the country’s economy?

• Loss of Productivity: NCDs reduce the ability of working-age individuals to remain productive. Eg: A 35-year-old with heart disease may take frequent leaves or drop out of the workforce, affecting economic output.
• Increased Healthcare Expenditure: Families spend more on long-term treatment and medications, leading to out-of-pocket expenditure and pushing many into poverty. Eg: The cost of dialysis for kidney failure due to diabetes can be ₹20,000–₹30,000 per month, unaffordable for many.
• Strain on Public Health Infrastructure: Public hospitals and health schemes get overburdened by rising cases of NCDs. Eg: Increased cases of cancer and diabetes require long-term care and monitoring, diverting resources from other healthcare needs.
• Reduction in Demographic Dividend: India’s youthful population, considered an asset for economic growth, becomes a liability if affected by chronic illnesses early. Eg: Young professionals in IT or manufacturing sectors becoming diabetic or hypertensive by their mid-30s reduces long-term economic contribution.
• Macroeconomic Losses: NCDs collectively reduce national income due to loss of labor force and healthcare costs. Eg: A World Economic Forum study estimated India may lose $3.5–$4 trillion between 2012–2030 due to NCD-related economic impacts.

Why is preventive healthcare considered a crucial strategy for India’s sustainable development?

• Reduces Disease Burden and Healthcare Costs: Preventive care helps in early detection and control of diseases, reducing the need for expensive treatments and hospitalizations. Eg: Widespread vaccination against polio eliminated the disease from India, saving billions in treatment costs.
• Improves Productivity and Economic Growth: A healthier population means fewer sick days and a more productive workforce, which boosts economic development. Eg: Regular health screenings in workplaces reduce absenteeism and increase employee efficiency.
• Strengthens Public Health Infrastructure: Focusing on prevention encourages investment in primary healthcare and rural health systems, making care more accessible. Eg: Ayushman Bharat – Health and Wellness Centres promote lifestyle changes and early diagnosis at the grassroots level.
• Mitigates Impact of Non-Communicable Diseases (NCDs): Preventive measures like health education and lifestyle changes are key to tackling rising NCDs such as diabetes and hypertension. Eg: National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS).
• Supports Environmental and Social Sustainability: Preventive healthcare includes sanitation, nutrition, and pollution control—contributing to better environmental and community health. Eg: Swachh Bharat Abhiyan improved sanitation, reducing waterborne diseases and promoting healthy living conditions.

What are the steps taken by the Indian Government?

• National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS): A flagship initiative aimed at early diagnosis, treatment, and management of NCDs at various levels of healthcare. Eg: Screening camps are organized at district and sub-district levels to detect hypertension and diabetes.
• Ayushman Bharat – Health and Wellness Centres (HWCs): Over 1.6 lakh HWCs are being set up to provide comprehensive primary healthcare, with a focus on preventive care and NCD screening. Eg: Regular health check-ups for people over 30 years to catch NCDs early at the grassroots level.
• Fit India Movement and Eat Right India Campaign: Aimed at promoting physical activity and healthy eating habits to reduce lifestyle-related NCDs. Eg: Schools and workplaces are encouraged to adopt fitness routines and healthier cafeteria menus.
• Tobacco and Alcohol Control Measures: Implementation of the Cigarettes and Other Tobacco Products Act (COTPA), 2003, and awareness campaigns to curb use of tobacco and alcohol — key NCD risk factors. Eg: Graphic health warnings on cigarette packs and bans on public smoking areas.
• Integration of Digital Health and Telemedicine: Leveraging platforms like eSanjeevani and CoWIN to deliver health advice, track NCD risk, and facilitate remote consultations. Eg: Teleconsultation for diabetic patients in rural areas via mobile apps and village-level health workers.

Way forward:

• Strengthen Preventive and Community-Based Healthcare: Expand health education in schools, workplaces, and rural communities to promote healthy lifestyle habits (diet, exercise, no tobacco/alcohol).Eg: Launch campaigns like “Healthy India, Fit India 2.0” with a focus on local dietary habits, mental health, and physical fitness, integrated into school curricula and rural outreach.
• Enhance Multi-sectoral Collaboration and Policy Integration: Coordinate between health, education, urban development, food processing, and environment ministries to tackle NCD risk factors comprehensively. Eg: Enforce stricter urban pollution controls, promote cycling/walking infrastructure, regulate trans fats/sugars in processed foods, and incentivize healthy food production through farm policies.

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