CANCER REGISTRATION IN AFRICA

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CANCER REGISTRATION IN AFRICA Dr D. M.
Parkin IACR course, Entebbe, 11-12th September
2005
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HISTORY OF AFRICAN CANCER DATA
1900 1950 Case reports
1950s Case series (hospitals,
pathology)
1960s 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)
1970s Black hole..
1980s Renaissance
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African Cancer registries in Cancer Incidence in
Five Continents
Volume Period Registries Populations I
1950s 4 4 II 195667
4 7 III 196872 2
2 IV 197377 1 1 V 197882 0
0 VI 198387 3 3 VII 198892
5 5 VIII 199397 6 6 One
updates the entry in previous volumes  
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Africa
5
Tunis
Tizi Ouzou
Alger
Annaba
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
Eruwa
Ifé Ijesha
Addis Ababa
COTE DIVOIRE
Conakry
Engu
Ibadan
Yirga Alem
CAMEROON
Calabar
Yaounde
West Nile
Abidjan
Nyankunde
KENYA
CONGO
UGANDA
Eldoret (Uasin Gishu)
Kyadondo (Kampala)
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
Harare
Lusaka
MOZAMBIQUE
MAURITIUS
Antananarivo
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
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CONTRIBUTIUONS OF AFRICAN REGISTRIES
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CANCER IS NOT RARE IN AFRICA Cumulative
incidence of cancer (excluding Kaposi sarcoma and
non-melanoma skin cancer) in women, 064 years of
age, 199397 (Parkin et al., 2002)
9 cancer registries
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Completing the world picture
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SOME SPCIAL FEATURES
BLADDER CANCER CASES BULAWAYO 1963-1977
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Some cancers special to Africa
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BURKITT LYMPHOMA IN AFRICA
(International Incidence of Childhood Cancer Vol.
II)
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Endemic KS- age specific rates
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Time Trends, Kampala Cancer Registry
Evolution of the epidemic of Kaposi Sarcoma
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Uganda, Kyadondo County (1993-1997)
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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, 860864 (2004)
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Uganda cohort study (De Thé et al., 1978)
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MONITORING A PREVENTION PROGRAMME
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5
4
Tanzania N. Mara
Incidence per 100 000
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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)
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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