Workshop on breast cancer Cairo,  December 17 th , 2008 Rachid BEKKALI Executive Director
Population:  31.3 million Urbanisation rate:  55 % Population growth rate:  1.4 % Morocco Population  Brief history of  AL...
Evolution of the female population  2008 :  2 214 000 women between 45 and 65 years
Cancer registry (RCRC 2004) <ul><li>◘   First population registry in Morocco </li></ul><ul><ul><li>◘   Taking place in Cas...
Cancers of women RCRC 2004 36,1% 12,8% 5,3% 5% 4% 2,8% 2,7% 2,5% 2,3% 2,2% 1,7% 1,6% 1,2% 1,1% 16,7% Breast Cervix Thyroid...
Mean age 48,1 years Breast cancer by age RCRC 2004
Morocco:  RCRC  =>  5250  new cases / year  Breast cancer 36,12% Percentage of cases / total 35,04 Standardised incidence ...
<ul><li>Morocco : 35  F / -  M </li></ul><ul><li>Tunisia : 25.6  F / -  M </li></ul><ul><li>Algeria : 17  F / 0.5 M </li><...
Breast cancer screening : pilot project  <ul><li>Telemammography project – screening by numerical mammography with second ...
Early detection Breast cancer model  Screening Primary health care system Age : ≥ 45 years Diagnosis  Secondary health car...
<ul><li>Primary health care system : screening </li></ul><ul><li>Reception, information, recruitment, clinical breast exam...
<ul><li>National breast cancer campaign  </li></ul><ul><li>Training of general practitioners and nurses  </li></ul><ul><li...
National Breast cancer campaign May 2008 Early   detection saves   lives Together against breast cancer 2 TV spots Consult...
National breast cancer campaign (May 2008)  <ul><li>Assessment of the Campaign : June 10 2008 </li></ul><ul><ul><li>#  tra...
Thank you for your attention www.contrelecancer.ma
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The Lalla Salma Screening Program

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The Lalla Salma Screening Program

  1. 1. Workshop on breast cancer Cairo, December 17 th , 2008 Rachid BEKKALI Executive Director
  2. 2. Population: 31.3 million Urbanisation rate: 55 % Population growth rate: 1.4 % Morocco Population Brief history of ALSC a Kingdom of Morocco Bassin Boujdour-Laayoune
  3. 3. Evolution of the female population 2008 : 2 214 000 women between 45 and 65 years
  4. 4. Cancer registry (RCRC 2004) <ul><li>◘ First population registry in Morocco </li></ul><ul><ul><li>◘ Taking place in Casablanca region </li></ul></ul><ul><ul><li>◘ Data of the year 2004 </li></ul></ul><ul><ul><li>◘ 30 500 new cases of disease are recorded each year* </li></ul></ul>* Registre des cancers du Grand Casablanca Année 2004, ALSC 2007
  5. 5. Cancers of women RCRC 2004 36,1% 12,8% 5,3% 5% 4% 2,8% 2,7% 2,5% 2,3% 2,2% 1,7% 1,6% 1,2% 1,1% 16,7% Breast Cervix Thyroid Gland Ovary NHL Rectum Corpus uteri Stomach Skin Colon Lung LH Bladder Œsophagus Others
  6. 6. Mean age 48,1 years Breast cancer by age RCRC 2004
  7. 7. Morocco: RCRC => 5250 new cases / year Breast cancer 36,12% Percentage of cases / total 35,04 Standardised incidence 36,14 Brut incidence 662 Number of cases RCRC 2004
  8. 8. <ul><li>Morocco : 35 F / - M </li></ul><ul><li>Tunisia : 25.6 F / - M </li></ul><ul><li>Algeria : 17 F / 0.5 M </li></ul><ul><li>USA : 129.4 F / 1.8 M </li></ul><ul><li>France : 109.8 F / 0.8 M </li></ul><ul><li>Canada : 95.5 F / 1 M </li></ul>Breast cancer Age standardised incidence rates (world standard)
  9. 9. Breast cancer screening : pilot project <ul><li>Telemammography project – screening by numerical mammography with second reading </li></ul><ul><li>After 1 year : 2200 women screened </li></ul><ul><li>For 1000 first women, 5 cases diagnosed </li></ul>Decision of scientific board Screening by Clinical Breast Examination
  10. 10. Early detection Breast cancer model Screening Primary health care system Age : ≥ 45 years Diagnosis Secondary health care system Treatment Tertiary health care system Information system for control and evaluation Patients referenced Patients referenced
  11. 11. <ul><li>Primary health care system : screening </li></ul><ul><li>Reception, information, recruitment, clinical breast examination </li></ul><ul><li>General practitioner or nurse </li></ul><ul><li>Secondary health care system : diagnosis </li></ul><ul><li>Reception, clinical breast examination, mammography, ultrasound, biopsy, pathology </li></ul><ul><li>Specialist practitioner </li></ul><ul><li>Tertiary health care system : treatment </li></ul><ul><li>Reception, treatment (surgery, chemotherapy, radiation therapy) </li></ul><ul><li>Specialist practitioner </li></ul>Early detection Breast cancer model
  12. 12. <ul><li>National breast cancer campaign </li></ul><ul><li>Training of general practitioners and nurses </li></ul><ul><li>Early detection program by region </li></ul><ul><li>Building centers for diagnosis in each region </li></ul><ul><li>Continuing Training for specialist practitioners </li></ul>Diagnosis center for breast and cervical cancer Rabat Early detection Breast cancer Actions
  13. 13. National Breast cancer campaign May 2008 Early detection saves lives Together against breast cancer 2 TV spots Consult your doctor 8 different stories 200 000 leaflets Posters Video clip Social field
  14. 14. National breast cancer campaign (May 2008) <ul><li>Assessment of the Campaign : June 10 2008 </li></ul><ul><ul><li># trained doctors : 2300 </li></ul></ul><ul><ul><li># briefings: 25 692 </li></ul></ul><ul><ul><li># women who attended the meetings: 314 253 </li></ul></ul><ul><ul><li># women have been examined : 120 654 </li></ul></ul><ul><ul><li># women highly suspected with breast cancer : 1 284 </li></ul></ul>establishing a program of systematic detection of breast cancer by clinical examination in the public health system
  15. 15. Thank you for your attention www.contrelecancer.ma
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