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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 …..).
