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Egypt cancer epidemiology

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  • we need a recent incidence of gynecological cancers
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  • Dear sir,
    do you happen to have any data on tumours and incidences in Egypt in any softcopy or hardcopy format? Would apprecaiet your help with this matter.

    Regards,
    Ahmed Tantawy
    01141211119
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Egypt cancer epidemiology

  1. 1. Cancer Epidemiology in EGYPT The Real Magnitude Of The Problem Emad Shash, M.Sc. Ass. Lecturer of Medical Oncology National Cancer Institute, Cairo University E: emad.shash@oncologyclinic.org W: www.nci.cu.edu.eg
  2. 2. Egypt • Population Census is carried Male/Female out by the Government every 10 years. Males Females • The 1st : 1882 – 6.7 million • 2006: Last Census – 72.5 51% 49% million at a growth rate of 37 % over 1996 figure. • Egypt’s population till 1st of May 2008 reached 78.7 Egypt State Information Service www2.sis.gov.eg million
  3. 3. Egypt Administrative Plan • Egypt is divided into 29 governorates, 217 Cities and 4617 Villages • Geographical regions: 1- Upper Egypt 2- Metropolitan Cairo & Central Egypt 3- The Delta 4- The Canal Zone and Sinai 5- Alexandria and Matrouh 6- North Coast Egypt State Information Service www2.sis.gov.eg
  4. 4. Egypt Population 2006 Census 0% 0% 1% 0% 0% Cairo 2% Giza 4% 11% 29 % Kalyoubia 5% Bani Souef Fayoum 5% 9% Alexandria Matrouh 6% Kafr El Sheikh 6% Demita Port Said Ismailyia 7% 3% Suez 3% Dakhlia 5% Sharkyia Gharbeya 6% Mounefya 6% Behira 4% 0% Menya 7% 7% 2% Assuit 1% Sohag 1% 1% Egypt State Information Service www2.sis.gov.eg
  5. 5. National Cancer Institute www.nci.cu.edu.eg The Largest Comprehensive Cancer Center In the Middle East
  6. 6. National Cancer Institute • The Original National Cancer Institute including its hospital 270 beds was built in the sixties and started operating in 1969. • Today Hospital capacity: 532 beds – 369 beds free of charge – 163 beds for national insurance and private patients
  7. 7. Total NCI New Patients 2002-2009 www.nci.cu.edu.eg
  8. 8. Percentage by Geographical Area www.nci.cu.edu.eg
  9. 9. Percentage of New Patients based on Financial deals 2003-2009 www.nci.cu.edu.eg
  10. 10. Total NCI Number of Follow Up Visits 2003-2009 www.nci.cu.edu.eg
  11. 11. Total NCI Number of Inpatients 2003-2009 www.nci.cu.edu.eg
  12. 12. Medical Oncology Department • In patient unit (Currently): 60 bed (Solid and Hematological Malignancies) • Out-patient unit: New cases and follow up (6 days / week) • Day care unit: CTX, Blood component therapy
  13. 13. Numbers of patients served • Average number of patients seen in o.p. daily 300 • Average number of o.p. treatment given daily 120 • Average inpatient stay: 12 days for solid tumors and 34 days for hematological malignancies.
  14. 14. Staff of the department Rank of staff Number Professors emeriti 2 Professors 11 Ass. Professors 5 Lecturers 16 Ass. Lecturers 18 Residents & Fellows 15 Total 67
  15. 15. NCI Statistical Data
  16. 16. Most Common Sites in Males 2002-2004 Bladder Liver Lymphoma Leukemia 2004 Lung 2003 2002 Colorectal Soft tissue Skin Larynx 0 5 10 15 20 Percent of cases www.nci.cu.edu.eg
  17. 17. Most Common Sites in Females 2002-2004 Breast Lymphoma Leukemia Bladder Colorectal 2004 2003 Liver 2002 Ovary Cervix Soft tissue Thyroid 0 10 20 30 40 50 Percent of cases www.nci.cu.edu.eg
  18. 18. Most Common Sites ,Gender Combined 2002-2004 Breast Bladder Lymphoma Liver 2004 Leukemia 2003 2002 Colorectal Soft tissue Lung Skin 0 5 10 15 20 25 Percent of cases www.nci.cu.edu.eg
  19. 19. Cancer of Urinary Bladder Among Men & Women, 2002-2007 www.nci.cu.edu.eg
  20. 20. Changing Pattern of Bladder Cancer Type NCI 1975-2002 www.nci.cu.edu.eg
  21. 21. Liver Cancer Among Men &Women, 2002-2007 www.nci.cu.edu.eg
  22. 22. Is cancer a problem in Egypt? • More than 50% of the new cancer cases in the world occur in developing countries • Cancer is already a significant health problem in many developing countries. • Burden of the problem will increase: - Better Diagnosis - More exposure to Risk Factors - Increased Life Expectancy
  23. 23. Magnitude is Not Accurately Known!! • Until 1970, when the NCI of Cairo University started to function, there were no specialized cancer centres. • In 1975, the first MoH cancer centre was established in the Northern part of Egypt (Tanta Cancer Centre). • During the last 2-3 decades, (7) MoH cancer centres were established all over the country to avoid the need of long distance travel. • Available statistics were Hospital-based
  24. 24. Gharbiah Population Based Registry
  25. 25. Egypt Population 2006 Census 0% 0% 1% 0% 0% Cairo 2% Giza 4% 11% Kalyoubia 5% Bani Souef Fayoum 5% 9% Alexandria Matrouh 6% Kafr El Sheikh 6% Demita Port Said Ismailyia 7% 3% 3% 40 % Suez Dakhlia 5% Sharkyia Gharbeya 6% Mounefya 6% Behira 4% 0% Menya 7% 7% 2% Assuit 1% Sohag 1% 1% Egypt State Information Service www2.sis.gov.eg
  26. 26. Cancer Profile Male Cases, NCI Registry 2002 Male Cases, Gharbiah Population Registery 2002
  27. 27. Cancer Profile Female Cases, NCI Registry 2002 Female Cases, Gharbiah Population Registery 2002
  28. 28. Currently operational Cancer Registries • Alexandria Cancer Registry: Hospital Based. • NCI registry: Hospital Based, biggest series. • Gharbiah Population Registry: Delta Region. • Cancer Registry for MOH Cancer Centres: Multi centre, hospital based . Incomplete Coverage
  29. 29. Almost impossible in 76 million population Not to Have National Cancer Registry
  30. 30. Egypt National Cancer Registry • Population-based cancer registry • Aswan, Menia, Sinai and Matrouh • Linkage with Gharbiah data • NCI central registry • Establishment of National estimates
  31. 31. Conclusion • For a better estimate of the Magnitude of the problem; National Cancer Registry is a Must. • Out reach programs for better awareness and better identification of the non diagnosed ones. • Health education (Schools, high schools and colleges). • Mass Media effect by better projection of the problem (Risk Factors, Early Detection …..).

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