Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of...
Transcript of Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of...
Demography of the State of Assam
Demographics 2011
Total population 31,205,576
Male 15,939,443
Female 15,266,133
Literacy (%) 72.19 %
Total Literate (Number) 19,177,977
Incidence of Cancer in the State of Assam
District MalePer lakh of population
FemalePer lakh of population
Kamrup Urban 206 174
Cachar 125 95
Dibrugarh 92 78
National average 80 – 110
National Cancer Registry Report of ICMR (2012-14)
Burden of Cancer
mmm
State Male Female Total
Assam 16497 13465 29962
Arunachal Pradesh 443 411 854
Manipur 650 794 1444
Mizoram 819 659 1478
Sikkim 229 219 448
Nagaland 765 512 1278
Meghalaya 1325 802 2127
Tripura 1173 871 2044
All NE States 21902 17733 39635
Expected average as per NCRP report 2012-14
New Cancer Cases and Death in Assam
Year New cases Death
2011 24845 10932
2012 25119 11052
2013 30775 15677
2014 31124 15853
2015 31474 16029
Top 10 Cancer in Kamrup Urban District (Assam)
3.3
3.6
3.6
4.2
4.8
5.2
6.7
8.4
8.9
14.3
0 5 10 15 20
Liver
Tongue
Larynx
Gall Bladder
Prostate
Mouth
Stomach
Lung
Hypopharynx
Oesophagus
Males
2.5
2.6
3.5
4.4
4.9
5.5
8.6
9.3
10.2
17.5
0 5 10 15 20
Rectum
Colon
Mouth
Lung
Stomach
Ovary
Cervix Uteri
Gall Bladder
Oesophagus
Breast
Females
Top 10 Cancer in Dibrugarh District (Assam)
2.8
3.7
3.9
4.5
4.9
5.1
6.8
7.9
11.6
15.3
0 5 10 15 20
Rectum
Liver
Colon
Gall Bladder
Tongue
Lung
Mouth
Stomach
Hypopharynx
Oesophagus
Males
2.5
2.6
2.7
4
5.4
6.4
8.9
9.4
10.7
19
0 5 10 15 20
Rectum
Lung
Hypopharynx
Mouth
Stomach
Cervix Uteri
Ovary
Oesophagus
Gall Bladder
Breast
Females
Top 10 Cancer in Cachar District (Assam)
1.9
2.1
4.2
4.2
4.6
5.4
5.7
8.4
8.6
10.2
0 5 10 15
Tonsil
NHL
Gall Bladder
Stomach
Tongue
Larynx
Mouth
Lung
Hypopharynx
Oesophagus
Males
2.2
2.6
2.7
3.2
3.9
5.1
6.8
10.3
13.9
14.3
0 5 10 15 20
Tongue
Stomach
Uterus Unsp
Lung
Mouth
Ovary
Oesophagus
Gall Bladder
Cervix Uteri
Breast
Females
Cancer Treatment Facilities in the State of Assam
Centre Place
Dr B Borooah Cancer Institute (RCC) Guwahati
Assam Medical College & Hospital Dibrugarh
Silchar Medical College & Hospital Silchar
Gauhati Medical College Cancer Hospital Guwahati
Cachar Cancer Hospital & Research Centre (Private)
Silchar
North East Cancer Hospital & Research Centre (Private)
Guwahati
Burden of Cancer Patients in various Institutions
Centre Number
Dr B Borooah Cancer Institute (RCC) 10,886
Assam Medical College & Hospital ≠2000
Silchar Medical College & Hospital ≠1000
Gauhati Medical College Cancer Hospital Expected 2000
Cachar Cancer Hospital & Research Centre (Private)
≠2000
North East Cancer Hospital & Research Centre (Private)
≠1000
Radiotherapy Facilities in AssamCentre Machine
Dr B Borooah Cancer Institute (RCC) Linear Accelerator - 3Telecobalt – 2HDR Brachytherapy -1Simulator – 2Gamma Camera - 1
Assam Medical College & Hospital Telecobalt – 1HDR Brachytherapy -1
Silchar Medical College & Hospital Telecobalt – 1HDR Brachytherapy -1
Gauhati Medical College Cancer Hospital Linear Accelerator -1Telecobalt – 1HDR Brachytherapy -1Simulator – 1PET CT - 1
Cachar Cancer Hospital & Research Centre (Private)
Telecobalt-1HDR Brachytherapy-1
North East Cancer Hospital & Research Centre (Private)
Linear Accelerator -1PET CT - 1
Manpower (Radiotherapy) in Assam
Centre Machine
Dr B Borooah Cancer Institute (RCC) Radiation Oncologist – 5Physicists – 7Technologists/ Technician– 15
Assam Medical College & Hospital Radiation Oncologist –1Physicists – 1Technologists/ Technician– 2
Silchar Medical College & Hospital Radiation Oncologist –1Physicists – 1Technologists/ Technician– 2
Gauhati Medical College Cancer Hospital Radiation Oncologist – 5Physicists – 4Technologists/ Technician– 6
Cachar Cancer Hospital & Research Centre (Private)
Radiation Oncologist – 1Physicists – 1Technologists/ Technician– 4
North East Cancer Hospital & Research Centre (Private)
Radiation Oncologist – 2Physicists – 2Technologists/ Technician– 4
Manpower Surgical Oncology
Centre Surgical Oncologists
Dr B Borooah Cancer Institute (RCC)
13 + 6 PG Fellows
Assam Medical College & Hospital -
Silchar Medical College & Hospital -
Gauhati Medical College Cancer Hospital
4
Cachar Cancer Hospital & Research Centre (Private)
3
North East Cancer Hospital & Research Centre (Private)
1
Manpower Medical Oncology
Centre Medical Oncologists
BBCI (RCC), Guwahati 4 + 2 PG Fellows
AMC, Dibrugarh & Hospital -
SMC, Silchar -
GMC Cancer Hospital 2
CCHRC, Silchar (Private) 1
NECHRI, Guwahati (Private) 1
Manpower Preventive Oncology & Palliative Medicine
Centre Preventive Oncology Palliative Medicine
BBCI (RCC), Guwahati 1 3 doctors 3 paramedical staff
AMC, Dibrugarh - -
SMC, Silchar - -
GMC Cancer Hospital, Guwahati - -
CCHRC, Silchar (Private) - 1
NECHRI, Guwahati (Private) - 1
Academic Courses
Centre Courses
BBCI (RCC), Guwahati MD (Radiotherapy), M.Ch (Surgical Oncology), DM (Medical Oncology), M.Sc (Radiological Physics), 2 years PG Fellowship in five disciplines of Oncology, Ph.D and 21 various paramedical courses.
GMC Cancer Hospital -
SMC, Silchar -
AMC, Dibrugarh MD (Radiotherapy)
CCHRC, Silchar (Private) -
NECHRI (Private), Guwahati -
Capacity Development Centre in Oncology at BBCI
Powergrid CSR Scheme
Research
Centre Facilities
BBCI (RCC), Guwahati DBT Centre for Molecular Biology & Cancer Research Total publications – 200
AMC, Dibrugarh DBT Centre
SMC, Silchar DBT Centre
GMC Cancer Hospital DBT Centre
CCHRC (Private) DBT Centre
NECHRI (Private) -
Clinical, Academic & Research Collaboration Dr B Borooah Cancer Institute, Guwahati
• The Dutch School of Gynecologic Oncologic and Pelvic Surgery, Netherland
• Manitoba University, Canada
• Tata Memorial Hospital, Mumbai
• Amrita Institute of Medical Sciences (AIMS), Kochi
• Indo American Cancer Centre, Hydrabad
• Institute of Advanced Study in Science and Technology, Guwahati
• Down Town University, Guwahati
• Department of Physics, Gauhati University
Community Oncology Programme conducted by BBCI
Sensitization Programme : 186
Mobile Van Awareness : 155
Capacity Dev Programme : 151
Health Melas : 124
Street Play : 120
Exhibition : 118
School / College Health Education : 712
Tobacco Free Schools/Colleges : 008
Community Awareness : 730
IEC Materials Distribution (places) : 407
TV Programme : 174
Audio-visual mass media programme : 181
Publication / workshop / seminar : 112
Cancer Screening Camp : 116
COMMUNITY BASED CANCER CONTROL APPROACH, BBCI
Infrastructure facilities at Dr B Borooah Cancer Institute
Infrastructure facilities at Dr B Borooah Cancer Institute
Infrastructure facilities at Dr B Borooah Cancer Institute
Infrastructure facilities at Dr B Borooah Cancer Institute
BBCI Hospital Facilities
Waiting Lobby for Chemotherapy patients Chemotherapy Block
Day Care Chemotherapy ward Radiotherapy Indoor Ward
Indoor Surgical BlockDeluxe Paying Cabin Block
Radiotherapy OPD Registration Counter
BBCI Hospital Facilities
BBCI Hospital Facilities
New Cancer Hospital Gauhati Medical College
Turn-over of patients at BBCI (2016-17)
New Patients
Registration
No. of OPD
consultation
No. of Indoor
patients
Radiotherapy
workload of
patients/FY
Total numbers
of
Chemotherapy
No. of Major
surgeries
11,864 89,321 5234 77,003 16,791 1070
Turn-over of patients at BBCI from North Eastern States (2016-17)
State 2016-17
Assam 10,886
Arunachal Pradesh 217
Meghalaya 238
Nagaland 167
Manipur 221
Mizoram 34
Tripura 29
Sikkim 2
Total 11,864
Recreational Programme for patients
Recreational Programme for patients
Other facilities at Dr B Borooah Cancer Institute
Home Care Services for terminally ill cancer patients at Guwahati
Other facilities at Dr B Borooah Cancer Institute
Guest House for patients
New Guest House Old Guest House
Other facilities at Dr B Borooah Cancer Institute
Cancer Detection Centre at Rani CHC
Other facilities at Dr B Borooah Cancer Institute Free Lunch for OPD cancer patients – ANNAKOOT
Other facilities at Dr B Borooah Cancer Institute Nutritional Support Programme for Paediatric Cancer Patients
Other facilities at Dr B Borooah Cancer Institute
Cancer patient rehabilitation
Other facilities at Dr B Borooah Cancer Institute
Schemes for treatment of poor cancer patients in Assam
• Assam Arogya Nidhi – Atal Amrit Abhiyan
• RSBY Scheme
• Free Chemotherapy Scheme of Govt. of Assam
• Prime Minister / Chief Minister’s special grant for free treatment
• Local MLA fund for cancer patients
• Health Minister’s Cancer Treatment Fund, Govt. of India (HMCPF)
• BBCI Scheme for free treatment
Opportunities for Cancer Care : Present and Future • Up-gradation of Oncology Wing of Assam Medical College as
Tertiary Care Cancer Centre under NPCDCS Scheme of Govt of India
• Up-gradation of Dr B Borooah Cancer Institute (RCC), Guwahati
• Govt. of Assam initiative to establish Oncology Wing to all Medical
Colleges of the State
• Atal Amrit Abhiyan
• Creation of various academic courses in Oncology in the Medical
Colleges of Assam
• State level programme for prevention & early detection of cancer
• Establishment of Bone Marrow Transplantation facilities in the State
of Assam
• Establishment of Hospice Services
• Amrit Pharmacy for cheaper anti-cancer drugs