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Dr Kamal Hamed
FFRRCSI,DMRT,DSN
Assoc. Prof of Oncology
Faculty of Medicine
Univ. of Khartoum
Epidemiology :
Breast Ca is the leading Female Cancer since 1967.
It ranged between 29 and 34.5% of all Female Cancers.
The majority of Patients are from Central and North Sudan.
Ca Cervix, 13 – 16 %.
Male Breast Ca forms 4 % of all Breast Ca.
0
10
20
30
40
50
60
70
80
90
<20 Years6 2
21 – 30 33 11
31-- 4084 28
41 – 50 60 20
51 – 60 51 17
61 – 70 36 12
>7030 10
Age Distribution,300 Patients
Number
RICK Breast Ca Stage Distribution 1967 -- 2010:
Stage 1 = 5 – 13%
Stage 2 = 7 – 17 %
Stage 3 = 34 – 45%
Stage 4 = 15 – 25 %
Our Main Aim is :
To increase awareness about Cancer.
Train Medical Doctors , Medical Students para medicals , and Community Health Workers.
Include Early detection of Cancer in the Primary Health System.
Capacity Building Activities :
Training of Doctors = 212
Community Health Doctors = 25
Training of Medical Assistances = 49
Training of Nurses and Midwives = 406
Training of Community Health Workers = 38 +
Training of Trainers:
There are 34 Medical Schools in Sudan.
6 Has Oncology Consultants staff.
Training of trainers course, for instructors from 12 Medical Schools , for one week May 13. Syllabus, network, continuous a assessment.
Health Education about Cancer :
Public Lectures, 2 mobile Units ,WIG
TV, Radio, Campaigns, Posters ,News papers , booklets.
Early Detection Clinics:
In 5 Cities and Towns.
4 Clinics in Khartoum.
2 Mobile Units
One Mammography Unit
Early Detection Surveys :
5 Main Surveys.
North and East Sudan Surveys :
Total of 2284 Women
19 Cases of Early Breast Ca were detected, and 49 Fibro adenomas.
Only 1 woman was doing regular BSE, non had a pap Smear.
5– 15% didn’t know Cancer.
Early Detection Surveys :
Suba ESO Multicentre Study:
Controlled Study in Sudan, Egypt, Yemen and Kurdistan Iraq.
Traget 4000 Study Group ,and a similar Control Group.
750 Examined, 844 Controls
Suba ESO Study :
4 Early Cases Diagnosed and 16
Fibro adenomas
Merowi Karima , Study
May 2011,19 – 22
Training of 20 Doctors, 79 Medical assistances, Nurses and Midwives
39 Nursing Academy School
19 Community Health Workers
5 Public lectures were given
Questionnaires before and after the course
2 early Detection Clinics + a network
8 New Early Breast ca were referred after the course.
Dongula :Training of : 24 Primary Health Care
Doctors.
23 Medical Assistances.
48 Nurses
18 Community Health Workers
Medical Students Faculty of Medicine , lecture.
4 public lectures.
13 Early Breast cancers were detcted after this.
...شكرا