Palestinian National Authority Ministry of Health Cancer Registry Center 2006 Dr.Bayan El Sakka General Directors of Cancer Registry

Palestinian National AuthorityMinistry of HealthCancer Registry Center 2006

Dr.Bayan El Sakka General Directors of Cancer Registry

Shifa HospitalShifa Hospital

Hemato-oncology department Hemato-oncology department main cancer registry officemain cancer registry office

The Palestinian people live in transitional epidemiological period where health service will not be able to meet the challenges of non communicable disease without a detailed precise knowledge of the prevalence, incidence and severity of these diseases.

To achieve this important objective clinic and hospital information systems should be deployed in the hospital and primary health centers

• In Palestine no or weak national data are available on the overall incidence and prevalence of cardiovascular diseases, hypertension, DM, and accident.

• This lack of information leads to inability to estimate the direct and indirect cost, resources required, policy and decision-making regarding prevention and treatment

• This is not the case in malignant disease,

In 1998 cancer registry was established in cooperation between ministry of health and MECC in both Gaza and Bit Jala (West Bank), which play important role in reporting and classifying the malignant diseases.

Notifiability of cancer in the countryNotifiability of cancer in the country

• Cancer disease is considered as a notifiable disease . There was a report circulated to all health sectors in the Gaza governorate and West Bank to consider cancer as a notifiable disease , this report was directed by our minister of health .The response from these sectors actually differ , although we do receive information from most sectors but other health sectors are not co-operative with us about cancer cases .

• Today cancer registry office in Gaza lanches its annual report for the year 2003 according to the standard form of the MECC and data for 2004-2005 are in processing hoping to be ready in the next year meeting

Data collectionData collectionStill the main sources of data collection are:1. the three medical centers- Shifa hospital - European Gaza Hospital- Nasser Pediatric Hospital2. Histopathological Laboratories- Two in MOH- three in private sectors3. Private Radiology centers and UNRWA of little function4. Referal office for treatment abroad5. Death Certificate

The Palestinian populationThe Palestinian population

• The Palestinian population was estimated with 3.6 million at the end of 2004 , these of 2.3 million (63.2 %) in the West bank and 1.3 million (36.8 % ) in the Gaza

• According to the most recent estimation 46.3 of the population is under 15 years 2% of the population is above 65 years

• The median age in Palestine is 16.7 years

• The total reported cases at the year of 2003 were (503) cancer cases, of these 46% male and 54 % female.

• The incidence of cancer cases in the whole population is about 40/100.000.

• The median age of cancer in female was 52 years and most common types were:-

• Breast 39%, Colorectal 8%, leukemia 6% Thyroid 5%, Lymphoma 4%, Uterus 4%, Bone 3%, Stomach 2.5%, Brain 2%.

• The median age of cancer in male was 53 years and most common types were:-

• Prostate 11%, leukemia 11%, lung 10.4%, lymphoma 10%, colon 9%, U. Bladder 6%, stomach 5.2%, larynx 4.3%, Skin 4.3%

• Hematological malignancies including all types of Leukemias, Lymphomas and Multiple myeloma constitute 16% of total cancer cases for all ages and both sexes.

• Pediatric cancers below the age of 15 years were 10% of the total cases “ of this 56% males and 44% females”

Palestinian National Authority-MOH-Gaza cancer registry center -reported cases “2003 ”

Sex distribution for all cancer cases

Male 46%

Female54%

Palestinian National Authority-MOH-Gaza cancer registry center-reported cases “2003

Hematological Malignancies in both sex and all ages

Solid Tumors84%

Hematological malignancies

16%


Female Hematological Malignancies

Hematological malignancies in female 14.5%

All Female Malignancies


Hematological Malignancies in Male

All male Malignancies

82%

Hematological malignancies

in male 18%


Percentage of Pediatric Malignancies

Pediatric10%

Adult90%


Sex distribution for pediatric malignancies

Female44%

Male 56%


Most Common Types in Male Malignancies

3%

4.30%

4.30%

5.20%

6%

9%

10%

10.40%

11.00%

11%

0% 2% 4% 6% 8% 10% 12%

Rectum

Skin

Larynx

Stomach

U.Bladder

Colon

Lymphoma

Lung

Prostate

Leukemia


Age Adjusted incidence rate in Male cancers

4.7

7.6

9.7

10

11.7

13

15

25

0 5 10 15 20 25

Lymphoma

Leukemia

Colon

Rectum

Prostate

Stomach

U.Bladder

Lung


Age grouping of Prostate cancer

0

1

2

3

4

5

6

7

8

9

10

0-4 5_9 10_14 15_19 20_24 25_29 30_34 35_39 40_44 45_49 50_54 55-59 60-64 65-69 70-74 75+


Most Common Types in Female Malignancies

2%

2%

2.50%

3%

4%

4%

5%

6%

8%

39%

0% 5% 10% 15% 20% 25% 30% 35% 40%

Skin

Brain

Stomach

Bone

Uterus

Lymphoma

Thyroid

Leukemia

Colorectal

Breast


Age grouping of Breast cancer

0

2

4

6

8

10

12

14

16

18

20

0-4 5_9 10_14 15_19 20_24 25_29 30_34 35_39 40_44 45_49 50_54 55-59 60-64 65-69 70-74 75+


Age Adjusted incidence rate in Female cancers

1.6

2.9

3.11

4.3

7.13

8.8

9.9

13.5 49.9

0 5 10 15 20 25 30 35 40 45 50

Bone

Lymphoma

Brain

Leukemia

Stomach

Thyroid

Uterus

Colorectal

Breast

Thank YouThank You

Documents

Palestinian National Authority Ministry of Health Cancer Registry Center 2006 Dr.Bayan El Sakka General Directors of Cancer Registry