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HAEMATOLOGY IN THE EASTERN CAPE: AN INTRODUCTION Dr Neil Littleton

HAEMATOLOGY IN THE EASTERN CAPE: AN INTRODUCTION Dr Neil Littleton. The Eastern Cape. 2nd largest province 13,9% of RSA ( size of Uruguay) Port Elizabeth: 1,15 Million (6th largest city SA) 2011 Population 6,5 million- 12,7% of RSA ( Census 2011) 25% < 14 yrs 15 - 35 yrs 37%

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HAEMATOLOGY IN THE EASTERN CAPE: AN INTRODUCTION Dr Neil Littleton

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  1. HAEMATOLOGY IN THE EASTERN CAPE: AN INTRODUCTION • Dr Neil Littleton

  2. The Eastern Cape • 2nd largest province 13,9% of RSA ( size of Uruguay) • Port Elizabeth: 1,15 Million (6th largest city SA) 2011 • Population 6,5 million- 12,7% of RSA ( Census 2011) • 25% < 14 yrs • 15 - 35 yrs 37% • 36 - 64 yrs 31% • 65+ 6%

  3. Aloe Igazi Unit • Situated in PHPE - M7 • Dedicated haemato-oncology service for the Eastern Cape- only one in province • Out patient department • Chemotherapy unit • Dedicated pharmacy • Day ward

  4. Aloe Igazi Unit • General Ward - 3 male & 3 female beds • Protected environment 6 beds • 28 dedicated nurses • Occasionally we have a secretary and clerk • 041 392 3266/64 AH 041 3923391 • 3 over worked doctors! • Service entire EC: Louterwater to Matatiele and coast to Lesotho

  5. Haemato-oncology • 500 000 deaths reported 2010 ( Stats SA) • 10% non natural • Most deaths occurred between 25 -45 yrs • 7,2% oncology - fraction were Haematological • Exact incidence? • Tumour Registry

  6. CML • 1-2/ 100 000 per year US data • Port Elizabeth :11- 22 per year • Past 7 years : 71 patients diagnosed & treated • 26 have died • Are we missing ours? Are they dying before diagnosis? • CLL another sentinel disease: 2-6/ 100 000 going to 13/100 000 > 65

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