Trends in the incidence of cancer in kampala, uganda 1991 2010. The members of the african cancer registry network afcrn as of spring 2018, with the location of the. The centers for disease control and prevention cdc funds state and territorial health agencies to collect data on cancer. In kampala, the asr per 100 000 was 78 in men and 52 in women in 199195, and 88 per 100 000 in both sexes in 200610. In early 1982 the registry was transferred from the ministry of health to university teaching hospital uth. Zimbabwe national cancer registry annual report 2006.
It was established in 1986 as pathology based cancer registry relying on voluntary reporting from public and private pathology laboratories. The zimbabwe national statistics agency zimstat, bulawayo prov. Zimbabwe cancer incidence agestandardized cancer mortality trends cancer mortality profile world health organization cancer country profiles, 2014. The national cancer prevention and control strategy for. The zimbabwe rural palliative care initiative pciz is a program to integrate palliative care in rural communities by expanding the services of existing homebased care teams. Cancer registry showed that 60% of cancers were hiv. A full time supervisor for the registry was appointed in 2014. Abstract breast cancer bc is the leading cause of cancer in sub. Pediatric palliative care in zimbabwe springerlink.
The 2010 ncdr build is based around the ons cancer dataset with additional information coming from a merged dataset of cancer registry data. The zimbabwe national cancer registry is a populationbased. No recent data exists on the proportions of women with confirmed cervical cancer who have engaged into treatment and care. Developing national cancer registration in developing. Human papillomavirus and related diseases report zimbabwe. New regulations on cancer notification in south africa. According to the zimbabwe national cancer registry. Determinants of access and utilization of cervical cancer. So far, few studies have been done that showed the presence of highrisk genital hpv genotypes such as 16, 18, 31, 33, 52, 58 and 70 in zimbabwean women with cervical cancer. Zambia national cancer registry was established by the medical research council in november 1977 under the supervision of the ministry of health headquarters. National cancer control plan there are 12,000 new cases of cancer each year for a population of about 15 million and about 8% of all deaths are due to cancer. Cancer registry statistics cancer program annual report. Informing etiologic research priorities for squamous cell.
Trends in the incidence of cancer in the black population of harare. Pdf the epidemiology of cancer in angolaresults from. Human papillomavirus and related diseases report zimbabwe version posted at. Cervical cancer is the second most common cancer and the leading cause of cancer death in women in subsaharan africa ssa. The registry is situated in the department of pathology at the makerere university college of health sciences, and has recruited personnel to assist in coordinating data collection. Comparison of 1, 3 and 5year absolute and relative survival and 5year agestandardized relative survival asrs by site harare, zimbabwe, all. However, the collection of stage data by populationbased cancer registries remains a challenge in both highincome and low and middleincome countries. This involves training, mentorship, capacity building, medication supply chain strengthening, and programmatic inputs. Zimbabwe, a lowincome developing country in southern. The zimbabwe national cancer registry was established in harare in 1985 as a result of an agreement between iarc and the zimbabwean ministry of health.
Figure 1 shows a map of national escc asrs in men and women, demonstrating the steep eastwest gradient. The zimbabwe national cancer registry was established in 1985 as a populationbased cancer registry covering harare city. Trends in the incidence of cancer in the black population of harare, zimbabwe 1991 2010. National cancer registry the national cancer registry ncr is south africas main source of cancer statistics, currently containing 850 000 individual patient records. Submission to the registry is voluntary and infrequent, as cancer is not a reportable disease in uganda. Total alcohol per capita consumption, in litres of pure alcohol 2010. The cancer registry in south africa exploring some of the ethical and legal considerations yasmin goga 9001042h a research report submitted to the faculty of health sciences, university of witwatersrand in partial fulfilment of the requirements for the degree of master of science in medicine in the field of bioethics and health law, steve. Number and proportion of cases with completeincomplete followup and median followup in months by site harare, zimbabwe, 19931997 cases followedup until 1999, all races together table4. A dire shortage of skilled palliative care practitioners coupled with increasing demands on health services to manage the problems associated with a high prevalence of hivaids have resulted in the burden of care being carried mostly by the. The zimbabwe national cancer registry zncr was established in 1985 as a result of a collaborative research agreement cra between the zimbabwean ministry of health and child care mohcc and the international agency for research on cancer iarc of the world health organisation who. Most cancer related deaths are neither reported nor recorded.
Challenges in the era of antiretroviral rollout thomas b. National program of cancer registries cancer surveillance. The registry contributed data on randomly drawn subsamples of harare resident cases among 17 common cancer sites or. Here, we analyze 20 years data 19912010 on the same. With a population of approximately 168 million people, it represents over 50% of the population of the west african subregion and slightly 2010 and 2014 of zimbabwe national cancer registry. The national cancer prevention and control strategy for zimbabwe. Tobacco consumption is on the rise especially among children. The zimbabwe national cancer registry is grateful to local and international partners that. Zimbabwe national cancer registry annual report 2006 ghdx. This is mainly due to the high prevalence of highrisk human papillomavirus hpv genotypes in the population. Trends in cervical cancer incidence in subsaharan africa. To document the pattern of cancer in children 014 years registered in the zimbabwe national cancer registry from 20002009. The zcr is a multiple source cancer registration and surveillance system that is populationbased for harare, the capital city of zimbabwe.
Although there are no recent studies, medical practitioners confirm there is a rise in cancer cases in subsaharan africa, zimbabwe included. While the zimbabwe national cancer registry documents all reported cancer cases in the country, some of the cases are not reported due to low diagnostic, surveillance and treatment uptake followup capacities 1,2,3. The registry met the national cancer data base call for data deadline for 2014. Cervical cancer is one of the major public health challenges facing women in zimbabwe today. Brazzaville, july 2010, with support from the united nations population fund.
Hospital episode statistics april 1990 march 2010 data on inpatient and day case hospital episodes for patients with a diagnosis of cancer in the admitted patient hospital episodes statistics database. Who guidelines for screening and treatment of precancerous. This trend is mirrored in higherquality cancer registries in ci5, in which 4 populations from africa have amongst the worlds highest ec asrs table 1, i. Saharan africa ssa with rapidly increasing incidence rates reported in uganda and zimbabwe. The zimbabwe national cancer registry reports that in 2014 there were 7 000 cases of cancer recorded at health facilities across the country. Institute for health metrics and evaluation 2301 fifth ave. The low incidence in developing countries ajol 2010. World health organization cancer country profiles, 2014. New cancer treatment centre opens celebrating being. Human papillomavirus genotypes in cervical cancer and. One of the major conclusions was that the chapter on screening and treatment of precancerous lesions for cervical cancer prevention needed to be updated. This cancer prevention and control strategy is also a result of extensive consultation with international and national cancer control stakeholders including the world health organisation who the united nations population fund unfpa, family health international 360,cancer association of. National program of cancer registries cancer surveillance system rationale and approach. The incidence was also relatively high in the comparatively recent cancer registry of nairobi, kenya.
For example, data from the zimbabwe national cancer registry indicates that the agestandardised incidence rate of breast cancer among women in zimbabwe more than doubled from 20. The shifting epidemiology of colorectal cancer in sub. Economic adversity during the last decade has eroded earlier positive developments in pediatric palliative care in zimbabwe. Hiv and aids contributed 60% of cancers in 2005 chokunonga et al, 2010. Cervical cancer is one of the major causes of morbidity and mortality in women in zimbabwe. Cancer mortality profile world health organization cancer country profiles, 2014. Pdf the national cancer prevention and control strategy for. Improving early detection of breast cancer in subsaharan. Analysis of data from the zimbabwe national cancer registry for the. Caz news and events the cancer association of zimbabwe.
Accurate information on the extent of disease around the time of diagnosis is an important component of cancer care, in defining disease prognosis, and evaluating national and international cancer control policies. The main objective of this study was to characterize the epidemiological profile of cancer in angola based on cases of cancer registered at the national oncology centre noc of luanda, the only angolan hospital to specialize in cancer treatment and diagnosis. Adult risk factors females physical inactivity 2010 obesity 2014 household solid fuel use 2012 total. Cancer is not a notifiable disease, and registration of cases is done by active methods. Weightedsimple average of the most recent local rates applied to 2018 population. To document the pattern of cancer in children 014 years registered. This document outlines the rationale and approach for. The cancer registry in south africa exploring some of the. Blackwhite differences in cancer risk in harare, zimbabwe, during. Pattern of cancer in zimbabwe african cancer registry. Knowledge of the epidemiological profile of cancer is a key step in planning national cancer policy. The registry became populationbased in 1990 and covers the population of the city of harare 1. Health literacy manual for people centred health systems. The zimbabwe national cancer registry zncr was established in 1985, and.
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