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o i n t a a l N S y n s a t i e r m e g i o f N NigerianNationalSystem ofCancerRegistries(NSCR) Newsletter of the VOLUME 4, No 1 February 2014 Edition

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�Nigerian�National�System�of�Cancer�Registries�(NSCR)

Newsletter of the

VOLUME 4, No 1 February 2014 Edition

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).

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

In this issue:

NSCR in Brief

Report on World Cancer Day 2014

Report on AFCRN 2nd annual

meeting

Cancer Incidence in Nigeria:

GLOBOCAN 2012 Report

NSCR news

Acknowledgement

Closing remarks

© 2014 Nigerian National System of Cancer Registries All Right Reserved 3

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.

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Report on World Cancer Day 2014

4 Page

Walkathon around Central Business Area Abuja

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Photos showing activities on

World Cancer Day 2014

Distribution of information education materials and enlightening the public about cancer

5 Page

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.

Group picture of participants at the meeting. L-R: 4th back- Dr Odutola (NSCR)

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Report on AFCRN 2nd annual meeting

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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 2013. 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

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Report on AFCRN 2nd annual meeting Contd.

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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 82,231,000 166,629,000

Number of new cancer cases 37,400 64,700 102,100

Age-standardised rate (W) 79.0 121.7 100.1

Number of cancer deaths 30,900 40,600 71,600

Age-standardised rate (W) 67.4 78.0 72.1

5-year prevalent cases, adult population 67,000 165,000 232,000

Proportion (per 100,000) 139.8 348.6 243.6

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 2012. 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.

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Cancer Incidence In Nigeria: Globocan 2012

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Fig 1: Cancer incidence in Nigeria (GLOBOCAN 2012)

Fig 3: Cancer mortality in Nigeria (GLOBOCAN 2012)

Fig 2: Cancer 5-year prevalence in Nigeria(GLOBOCAN 2012)

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NSCR News

The International Association of Cancer Registries (IACR) will hold its 36th meeting in

Ottawa, Canada in June 2014.

International Epidemiology Agency (IEA) conference in Alaska, August 17th -21st2014.

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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 [email protected]

CHECK US ON THE WEB: www.ihvnigeria.org

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)-822024

E-mail: [email protected]

CLOSING REMARKS

ACKNOWLEDGEMENT

© 2014 Nigerian National System of Cancer Registries All Right Reserved

Newsletter of the Nigerian National System of Cancer Registries

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The�Nigerian�National�System�of�Cancer�Registries� 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�National�System�of�Cancer�Registries�are�partly�funded�by�IHVN-UM�Capacity�

Development�for�Research�into�AIDS�Associated�Malignancies�Grant.�(NIH/NCI�D43CA153792-01)