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Cancer in the Arab World: Magnitude of the Problem. Inas Elattar, DrPH Professor of Biostatistics Department of Biostatistics & Epidemiology NCI, Egypt APHA November, 2004. Introduction. Cancer incidence in Arab countries is increasing. This is due partly to:

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cancer in the arab world magnitude of the problem

Cancer in the Arab World: Magnitude of the Problem

Inas Elattar, DrPH

Professor of Biostatistics

Department of Biostatistics & Epidemiology

NCI, Egypt

APHA

November, 2004

introduction
Introduction

Cancer incidence in Arab countries is increasing. This is due partly to:

  • Reduction in the incidence of infectious diseases
  • Increase in the population average age
  • Westernization of social and dietary habits
  • Increase smoking
  • Increase of the incidence of hepatitis B and C
  • Wrong use of plastic materials, pesticides and insecticides
  • Low socioeconomic status
cancer databases in arab world
Cancer Databases in Arab World

Yemen

National Cancer Registry

Regional Cancer Registry

No Registry

source of data
Source of Data
  • National Population-based Cancer Registries:
    • Gulf Center for Cancer Registration, 2000
      • Qatar, Oman, Bahrain, and UAE
    • Saudi Arabia, 1999-2000
    • Kuwait, 2001
    • Jordan, 1999
  • Regional Population-based Cancer Registries:
    • Egypt: Gharbiah 1999
    • Algeria: Algiers, Constantine, Oran, &Setif, Globocan 2002
    • Tunisia: Tunis, Sousse, Sfax, Globocan 2002
  • All others Globocan 2002, IARC
age adjusted incidence rates in arab world males
Age-Adjusted Incidence Rates in Arab World, Males

121

180

166

180

96

180

114

123

72

123

88

154

99

60

81

99

178

123

102

178

178

178

Rates/100,000

age adjusted incidence rates in arab world females
Age-Adjusted Incidence Rates in Arab World, Females

120

167

159

167

87

216

78

118

77

127

90

85

137

61

94

89

176

118

84

176

176

176

Rates/100,000

histological type of bladder cancer
Histological Type of Bladder Cancer
  • The first differential pattern which characterizes bilharzial bladder cancer is the histological type of the tumor
  • SCC type is the most frequent type of cancer in countries with a high prevalence of schistosomiasis
  • SCC type is rare in industrialized countries
  • TCC type is considered typical for chemically induced bladder cancer
  • TCC type is low in areas with schistosomiasis
cancer in arab world main conclusions
Cancer in Arab WorldMain conclusions
  • Lung High prevalence of smoking
  • Liver Endemicity of hepatitis B & C
  • Bladder Smoking, Schistosoma
  • NHL Low SES, malnutrition, parasitic & viral infections (Epstein-Barr)
  • Prostate Increasing with aging population
  • Breast Leading cancer similar to developed countries, present at younger age
  • Cervix High in Algeria, 50% of cases are diagnosed in late stage
national cancer institute cairo egypt
National Cancer Institute, Cairo, Egypt
  • The National Cancer Institute (NCI) is the largest comprehensive cancer center in Egypt
  • The present hospital with its 550 beds is overloaded by patients referred from allover the country
  • During the years 2001-2002: 38,400 new patients visited the NCI
  • 19,568 (51%) were malignant cases
  • Half of the cases were males
  • 11% were children, less than or equal to 18 years
  • About 54% of the cases were between the ages 41 through 65 years