Rare Disease Day: Health advocacy groups press for govt policy, say India’s numbers unknown

New Delhi, February 27

Only 450 of the 8,000 known rare diseases in the world are recognised in India, an anomaly that underscores a mounting health crisis in which many patients go without being diagnosed accurately or treated on time, say experts while stressing the urgent need for a comprehensive policy.

Rare diseases, including genetic disorders such as Hunter syndrome, Gaucher disease and Fabry’s disease, are expensive to treat, difficult to identify and extract a huge toll, mostly on the young, the experts said ahead of Rare Disease Day on Sunday.

The lack of a government policy also means the disease burden is unknown, said health advocacy groups.

“We are literally sitting on a ticking time bomb,” said Prasanna Shirol, executive director and co-founder of the Organisation of Rare Diseases in India (ORDI).

According to ORDI, there are 8,000 known rare diseases globally but only 450 are recognised in India.

“There is no official list of identified rare diseases issued by the government. The 450 diseases identified are reported by the patients. Fifty per cent of the rare diseases are by birth and the rest are late onset. Only seven of the 450 are treatable diseases, the rest need to be managed,” Shirol told PTI.

Lack of awareness is the biggest challenge in diagnosing rare diseases, he said, explaining that the average time to identify a rare disease in a patient is seven years.

While the government has earmarked special funds for diseases such as haemophilia (Rs 1,400 crore per year) and thalassaemia (Rs 700 crore), it has completely ignored the more serious ones, he said.

“What the government believes is utterly contradictory. They ask why should they initiate anything massive for a group which does not have a massive patient burden unlike non-communicable diseases like cancers, but what I say is that to know the real burden it has to make newborn screening mandatory,” Shirol told PTI.

Shirol, who has a daughter with a genetic disorder, said a policy from the government can bring some order to the lives of people with such conditions in the country.

“It appears hope is the only medicine government is trying to give us for our genuine demands,” he said.

While there is no formal definition for a rare disease, global health bodies say it is characterised by three factors—the total number of people having the disease, its prevalence and the non-availability of treatment.

According to the website rarediseaseday.org, 72 per cent of rare diseases are genetic whilst others are the result of infections (bacterial or viral), allergies and environmental causes, or are degenerative and proliferative. An estimated 70 percent of genetic rare diseases start in childhood.

Health groups in India have also urged the government to make newborn screening mandatory to be able to identify genetical problems at an early stage. The monthly treatment cost of such diseases can be anywhere between Rs 10 lakh and Rs 50 lakh, they said.

Rare diseases are also not covered by insurance policies. It is imperative the government steps in to help these patients so they can lead a near normal life, they said. —PTI

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