1 / 22

CANCER REGISTRATION IN AFRICA ~ Dr D. M. Parkin IACR course, Entebbe, 11-12 th September 2005

CANCER REGISTRATION IN AFRICA ~ Dr D. M. Parkin IACR course, Entebbe, 11-12 th September 2005. HISTORY OF AFRICAN CANCER DATA. 1900 –1950 Case reports. 1950’s Case series (hospitals, pathology). 1960’s the first registries

betty
Download Presentation

CANCER REGISTRATION IN AFRICA ~ Dr D. M. Parkin IACR course, Entebbe, 11-12 th September 2005

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CANCER REGISTRATION IN AFRICA ~ Dr D. M. Parkin IACR course, Entebbe, 11-12th September 2005

  2. HISTORY OF AFRICAN CANCER DATA 1900 –1950 Case reports 1950’s Case series (hospitals, pathology) 1960’s the first registries Johannesburg 1953 (Higginson & Oettle) Capetown 1956 (Muir Grieve) Durban 1964 (Schonland and Bradshaw) Kampala 1954 (Davis, Templeton) Lourenco Marques 1956 (Prates) Ibadan 1960 (Edington) Bulawayo 1963 (Skinner) 1970’s Black hole……….. 1980’s Renaissance

  3. African Cancer registries in Cancer Incidence in Five Continents Volume Period Registries Populations I 1950s 4 4 II 1956–67 4* 7 III 1968–72 2* 2 IV 1973–77 1 1 V 1978–82 0 0 VI 1983–87 3 3 VII 1988–92 5 5 VIII 1993–97 6 6 * One updates the entry in previous volumes

  4. Algiers Tunisia Morocco ALGERIA Libya Egypt Saudi Arabia Mauritania Oman MALI Niger Chad Eritrea Yemen Sudan Senegal Bamako THE GAMBIA Burkina Faso Djibouti Guinea Bissau Guinea Benin Somalia Nigeria Ethiopia Côte d’Ivoire Togo Sierra Leone Ghana Central African Republic Liberia Cameroon UGANDA Equatorial Guinea Kyadondo Kenya Gabon Rwanda Congo Indian Ocean Dem. Rep. of The Congo Burundi Tanzania Angola Mozambique Zambia Malawi Harare Madagascar ZIMBABWE Namibia South Atlantic Ocean Botswana La Réunion Swaziland South Africa Lesotho Africa

  5. Tizi Ouzou Tunis Annaba Alger Constantine Oran Sousse Blida Sétif Tlemcen Sfax Sidi Bel Abbes Batna Rabat TUNISIA MOROCCO ALGERIA MALI NIGER SENEGAL Niamey Dakar BURKINA FASO Bamako THE GAMBIA ETHIOPIA Zaria GUINEA Ouagadougou NIGERIA Ifé Ijesha Addis Ababa Eruwa COTE D’IVOIRE Conakry Engu Ibadan Yirga Alem CAMEROON Calabar West Nile Yaounde Abidjan Nyankunde KENYA CONGO UGANDA Kyadondo (Kampala) Eldoret (Uasin Gishu) Libreville Mbarara Lambaréné RWANDA Butare GABON Katana Nairobi Kilimanjaro Brazzaville DEM. REP. OF THE CONGO TANZANIA Dar Es Salaam Luanda MALAWI ANGOLA Ndola ZAMBIA Blantyre Lusaka Harare MOZAMBIQUE Antananarivo MAURITIUS NAMIBIA Bulawayo ZIMBABWE Windhoek MADAGASCAR REUNION Elim Maputo (Laurenco Marques) Johannesburg SWAZILAND Pietermaritzburg SOUTH AFRICA Durban Transkei • Butterworth • Kentani • Bizana • Lusikisiki • Umtata Cancer Registry Capetown

  6. CONTRIBUTIUONS OF AFRICAN REGISTRIES

  7. Cumulative incidence (0–64 years) % Uganda, Kampala 11.3% Harare, Zimbabwe 12.6% England 15.2% France* 14.0% Sweden 14.4% CANCER IS NOT RARE IN AFRICA Cumulative incidence of cancer (excluding Kaposi sarcoma and non-melanoma skin cancer) in women, 0–64 years of age, 1993–97 (Parkin et al., 2002) * 9 cancer registries

  8. Completing the world picture

  9. 447 Males 179 Females Squamous Transitional Other Unspecified SOME SPCIAL FEATURES: BLADDER CANCER CASES : BULAWAYO 1963-1977

  10. Some cancers special to Africa: 5

  11. Kampala, Uganda 36.1 Blantyre, Malawi 35.8 Ibadan, Nigeria 18.0 Harare, Zimbabwe 2.4 Namibia 1.9 Bamako, Mali 1.7 US. White 2.5 Age adj. rates (per 10 6) BURKITT LYMPHOMA IN AFRICA (International Incidence of Childhood Cancer Vol. II)

  12. 25 Kampala (1960-1971) Tanzania (1969-1974) Bulawayo (1963-1972) 20 15 Incidence rate per 100 000 10 5 0 0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70- 75+ Age group Endemic KS- age specific rates

  13. Time Trends, Kampala Cancer Registry Evolution of the epidemic of Kaposi Sarcoma

  14. Uganda, Kyadondo County (1993-1997)

  15. CANCER SURVIVAL IN A SOUTHERN AFRICAN URBAN POPULATION Adam GONDOS, Eric CHOKUNONGA, Hermann BRENNER, Donald Maxwell PARKIN, Risto SANKILA, Margaret Z. BOROK, Z. Michael CHIRENJE, Anna M. NYAKABAU and Mary Travis BASSETT. Int. J. Cancer: 112, 860–864 (2004)

  16. Uganda cohort study (De Thé et al., 1978) VCA antibody titres in sera collected from BL cases ( ) before tumour manifestation compared with antibody titres in a random sample of the population of the study area ( ). Numbers against solid line incidence number of sera tested at these ages in the random sample 2,560 1,280 640 38 VCA titres 320 66 88 160 63 191 24 80 12 29 56 840 1 2 3 4 5 10 15 20 Age (yr)

  17. MONITORING A PREVENTION PROGRAMME 6 5 4 Tanzania: N. Mara Incidence per 100 000 3 2 Uganda: W. Nile 1 0 1960 1965 1970 1975 1980 1985 Year of diagnosis Trends in the incidence rate (three-year moving average) of Burkitt lymphoma in East Africa (data from Geser et al., 1989)

  18. Surveillance is critical to development and implementation of health policy Rational planning is not possible without a means to identify health problems, decide priorities for preventive and curative programmes, evaluate whether goals are reached, and compare resource input and outcomes THE POPULATION BASED CANCER REGISTRY IS THE INDISPENSIBLE FOUNDATION OF A SURVEILLANCE SYSTEM

More Related