Nigerian National System of Cancer Registries (NSCR)

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1 Newsletter of the Nigerian National System of Cancer Registries (NSCR) Edition

2 NSCR in Brief The NSCR was conceived in 2009, as a collaborative effort between the Institute of Human Virology Nigeria (IHVN), Federal Ministry of Health (FMOH), and cancer registries of federal health institutions in Nigeria. The main objective of this program is to provide data from Nigerian cancer registries on the most common cancers, cancer incidence and cancer mortality statistics. This objective is being achieved through collaboration and support from local and international partners such as the International Agency for Research on Cancer (IARC), International Prevention Research Institute (ipri) and Society of Oncology and Cancer Research of Nigeria (SOCRON) and the African Cancer Registry Network (AFCRN). In this issue: Report on World Cancer Day 2014 Report on AFCRN 2nd annual meeting Cancer Incidence in Nigeria: GLOBOCAN 2012 Report NSCR news Acknowledgement Closing remarks Edited by: Dr. Elima Jedy-Agba, Dr. Emmanuel Oga and Dr. Michael Odutola Designed by: Akinkunle Oyafajo Project PI: Dr. Clement Adebamowo MD, ScD Project Administrator: Yinka Owoade

3 Report on World Cancer Day 2014 Every year on February 4th, the global community joins the Union for International Cancer Control (UICC) in marking the World Cancer Day. This year's campaign focused on the Target 5 of the World Cancer Declaration - Reduce stigma and dispel myths about cancer, under the theme Debunk the myths. There are still so many myths about cancer of which just four are highlighted this year and must be debunked to save millions of preventable deaths globally. These myths include; We don't need to talk about cancer There are no signs or symptoms for cancer There is nothing I can do about cancer I don't have the right to cancer care. According to the World Health Organization(WHO), the global cancer epidemic is set to rise to 1.5million lives which would be lost to cancer and could be saved per year if decisive measure are taken to achieve the WHO's 25 by 25 target ; to reduce premature deaths due to non-communicable diseases (NCD's) by 25% by 2025.In view of this, members of the Society of Oncology and Cancer Research of Nigeria (SOCRON), the staff of Institute of Human Virology, Nigeria and NSCR organized an awareness campaign to mark the World Cancer Day. The aim was to sensitize and enlighten the public about the impact of cancer burden in Nigeria and encourage early detection of cancer. The campaign was supported by Glaxo Smith Kline, Nigeria. The activities included: 1. A cancer-walkathon around and the distribution of information education communication (IEC) materials on various types of cancer and myths about cancer at the Central Business District and Utako market in Abuja. During this activity, people were counseled and advised on the need for cancer screening and lifestyle modification. The Punch a national newspaper was present to cover the walkathon activity. 2. There was also an interview segment by news reporters with Prof Clement Adebamowo, the director of the NSCR and President of SOCRON on the cancer burden in Nigeria, cancer predisposing factors and the activities of NSCR in providing data on cancer incidence in Nigeria, among others Nigerian All Right Reserved 3

4 Photos showing activities on World Cancer Day 2014 Walkathon around Central Business Area Abuja Distribution of information education materials and enlightening the public about cancer 2014 Nigerian All Right Reserved 4

5 Report on AFCRN 2nd annual meeting Group picture of participants at the meeting. L-R: 4th back- Dr Odutola (NSCR) The Africa Cancer Registry Network (AFRCN) held its 2nd annual meeting from 21st to 23rd January 2014 at Victoria Falls, Zimbabwe. The meeting was declared opened by Dr Magazira who represented the Permanent Secretary of the Zimbabwean Ministry of Health and Child Care in Zimbabwe. She warmly welcomed the AFCRN and all the participants to the meeting. She highlighted the importance of cancer registration and acknowledged the effort of AFCRN in supporting cancer registration not only in Zimbabwe, but also in the whole of Sub-Sahara Africa. The meeting was attended by 38 participants (directors and leaders of member registries from all the 25 AFCRN member countries), 3 facilitators (from AFCRN, IARC, UICC) and 1 administrative staff. Dr Max Parkin, the CEO of the AFCRN presented a detailed report on the activities of the AFCRN in 2013 and the achievements of AFCRN in expanding its membership. He said to date, the Network is supporting and/or assisting the development of 25 cancer registries in Sub-Sahara Africa, including English, French and Portuguese speaking countries. The new member registries are Cote d'ivoire, Mozambique and Botswana cancer registries. AFCRN consultancies, trainings and advocacy meetings attended in 2013 were reviewed Nigerian All Right Reserved 5

6 Report on AFCRN 2nd annual meeting Contd. Member registries from West Africa, East Africa, Southern Africa, Francophone Africa countries and new member cancer registries gave a brief report of their activities in There was a presentation by representative member registries from Nigeria- Ibadan (Dr Ogunbiyi), Abuja (Dr Igbinoba), Calabar (Prof Ekanem) cancer registries and NSCR (Dr Odutola) during the session. A preliminary report on the ongoing research studies of AFCRN in collaboration with member registries was presented. New projects were discussed and plans for 2014 were unveiled. Dr Max Parkin, CEO AFCRN addressing participants at the meeting L-R: Dr Igbinoba (Abuja CR), Prof Ekanem (Calabar CR), Dr Odutola (NSCR), Mrs Ntuhunu (South Africa CR), Dr Ogunbiyi (Ibadan CR), Mrs Biying (AFCRN) Dr Odutola Michael (NSCR) presenting at the meeting 2014 Nigerian All Right Reserved 6

7 Cancer Incidence In Nigeria: Globocan 2012 The International Agency for Research on Cancer (IARC) provides estimates of the worldwide burden of cancer through its 4 yearly publication GLOBOCAN. The most recent data launched in the GLOBOCAN 2012 database provides cancer site and country specific information on the cancer burden in 184 countries of the world. Three of the NSCR member registries submitted data that was used in the computation of the data on Nigeria. These registries are the Abuja, Calabar and Ibadan population-based cancer registries. NIGERIA Male Female Both sexes Population 84,398,000 82,231, ,629,000 Number of new cancer cases 37,400 64, ,100 Age-standardised rate (W) Number of cancer deaths 30,900 40,600 71,600 Age-standardised rate (W) year prevalent cases, adult population 67, , ,000 Proportion (per 100,000) First 5 most common cancers Prostate Breast Breast Liver Cervix uteri Cervix uteri Non-Hodgkin lymphoma Liver Liver Colorectum Colorectum Prostate Pancreas Non-Hodgkin lymphoma Colorectum Table 1: Showing estimate of cancer incidence, mortality and most common cancers in Nigeria as reported by GLOBOCAN 2012 A total of 102,100 new cancer cases were recorded in 2012 in Nigeria, with 71,600 cancer deaths according to GLOBOCAN estimate. Nigeria contributed 8.3% to the estimated 847,000 new cancer cases that occurred in Africa in The most common cancers in male were prostate and liver cancer, while breast and cervical cancer were the commonest cancers in Nigerian women. Overall in all sexes, breast was the most common cancer, followed by cervix, liver and prostate cancers Nigerian All Right Reserved 7

8 Fig 1: Cancer incidence in Nigeria (GLOBOCAN 2012) Fig 2: Cancer 5-year prevalence in Nigeria (GLOBOCAN 2012) Fig 3: Cancer mortality in Nigeria (GLOBOCAN 2012) 2014 Nigerian All Right Reserved 8

9 NSCR News The International Association of Cancer Registries (IACR) will hold its 36th meeting in Ottawa, Canada in June International Epidemiology Agency (IEA) conference in Alaska, August 17th -21st Nigerian All Right Reserved 9

10 ACKNOWLEDGEMENT The Nigerian is a collaboration between the Federal Ministry of Health of Nigeria; IHVN; Greenebaum Cancer Center, Institute of Human Virology and Department of Epidemiology and Public Health of the University of Maryland Baltimore. The activities of the Nigerian are partly funded by IHVN-UM Capacity Development for Research into AIDS Associated Malignancies Grant. (NIH/NCI D43CA ) CLOSING REMARKS There is every reason to be excited about the prospects of cancer registration in Nigeria. Government recognition of the significance of this activity, the availability of already trained registry heads and registrars; and the cancer data coming out of the registries give cause for optimism. Sustained effort and innovative problem solving at all levels will be required for this exciting prospect to be translated into continued success on the ground. Data from Nigeria needs to make a re-entry into Cancer Incidence in Five Continents (CI5); this is a WHO publication of cancer statistics from the world over. To achieve this, close monitoring of indices of data quality in Cancer Registration must be sustained. Please send contributions and suggestions to imanueloga@gmail.com CHECK US ON THE WEB: CONTACT INFORMATION: Institute of Human Virology, Nigeria Pent House, Maina Court, Plot 252, Herbert Macaulay Way Central Business District P.O. Box 9396, Garki, Abuja. NIGERIA. Tel: +234 (097) info@ihvnigeria.org 2014 Nigerian All Right Reserved 10

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