radiation oncology in nepal

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Radiation Oncology in Nepal

Abish AdhikariMD Resident,

Surendra Gauchan, Registrar,Department of Radiation Oncology,

NAMS/BPKMCH,Nepal

2nd February 2013YROC-2013, KeralaTwitter: @abishadh abish@abish.com.np

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NepalNepal

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Introduction

● More than 75% of new cancer cases and cancer deaths will be in the developing world.1

● Up to half of the cancer patients need radiation therapy.

● The developing countries have only 15% of radiation oncology services for 85% of the world population.2

1: IAEA PACT Brochure ; 20092: Pal SK et.al, Asian Pac J Cancer Prev 2004;5:226-8

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Nepal

● Population of 30 million. (similar to Kerala)● Area of 147,181 km2 (similar to Karnataka)● People love Tea (chiya/chai), Cricket and

Bollywood (similar to India)● Tobacco is prevalent. More than a third of

population uses tobacco.

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Nepal

● No proper cancer registry in the country.● Exact data not known.● ~25% of the population earn less than 1 USD

per day.● Low financial contribution from the

government for cancer management.

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Nepal

● 40 'Oncologists'. 22 Radiation Oncologists.● 4 Hospitals with teletherapy services.● 27,800 new cases of cancer each year.● Cancer prevalence per 100,000 population is

310.3, which is more than in India1.● 10 Scientific Societies related to 'Cancer'.

1 Noronha et al.; Status of oncology in SAARC

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Male Female

Globocan 2008

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Bir Hospital

1889 AD

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Assets

● 4 Radiation Oncologists.● A Theratron 780C Cobalt Unit.(1991 AD)

● A HDR Ir-192 Brachytherapy unit with Xray machine. (set up 6 months back, still not started)

● ~50 OPD patients, ~ 5 new cases. ~ 30-40 treatments per day.

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Bhaktapur Cancer Hospital

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Bhaktapur Cancer Hospital

● A Cobalt Unit (1991 AD)

● A HDR Brachytherapy unit. (2010 AD)

● 4 Radiation oncologists.● ~100 OPD patients, ~50 treatments per day.

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BP Koirala Memorial Cancer Hospital

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Assets

● 2 LINACs. Clinac 600 & 2300. (2001 AD)

● IMRT Capable. (2012 AD)

● Cobalt-60 machine● Eclipse 10. ARIA EMR.● HDR Brachytherapy.● Ximatron Simulator.● 8 Radiation Oncologists.● ~250 treatments per day

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Manipal College of Medical Sciences

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Assets

● 1 Seimens LINAC (2004 AD)

● 1 Radiation Oncologist● ~15 treatments per day

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Om Hospital

● 1 Radiation Oncologist● 1 HDR Brachytherapy system.

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Residency

● 3 Years MD-RT course based on NAMS, Kathmandu.

● Training at Bir Hospital and BP Koirala Memorial Cancer Hospital

● 6 batches out.

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Summary

● More patients.● Less Doctors.● Even less radiation centers.● Last machine established in 2004.● Anything done there becomes

'first time in the country'.● Rays of hope.

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Thank you

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© Unknown Photographer