CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
Egypt cancer epidemiology
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.
3. 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
4. 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
5. 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
6. National Cancer Institute
www.nci.cu.edu.eg
The Largest Comprehensive Cancer Center
In the Middle East
7. 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
13. 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
14. 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.
15. 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
23. 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
24. 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
29. 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
31. Egypt National Cancer Registry
• Population-based cancer registry
• Aswan, Menia, Sinai and Matrouh
• Linkage with Gharbiah data
• NCI central registry
• Establishment of National estimates
32. 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 …..).
