newsletter of the - institute of human virology,...

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VOLUME 3, No 1 May 2013 Edition

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

Newsletter of the

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

Calabar Cancer Registry

Abuja Cancer Registry

Acknowledgement

In this issue:

NSCR in Brief

© 2013 Nigerian National System of Cancer Registries All Right Reserved 3

Calabar is the capital of Cross-River state, a coastal city in southeastern Nigeria. Cross-Rivers

state has a population of about 3,104,446 according to 2006 population census and 18 local

government areas, with several ethnics groups. The state is known for her tourist

attractions, with many resort centers especially in Calabar city.

Calabar cancer registry (CCR) is located in the Pathology department of the 451-bed University of

Calabar Teaching Hospital, Calabar (UCTH). CCR though started way back as 1979, as a Hospital-

based tumor registry, reporting cancer cases at the UCTH. In 2009, CCR became a member of NSCR,

the body that plays a supervisory role over cancer registries in Nigeria. The registry is now a

Population-based cancer registry (PBCR) with a defined population coverage area of 647,458

people covering Calabar south, Calabar Municipal and Akpabuyo Local Government Areas L.G.A's).

Page

Newsletter of the Nigerian National System of Cancer Registries

iont aa l N S yn sa ti er meg i o

fNMAY 2013 VOLUME 3, No 1

Figure1. Map of Cross River state with registry area marked.

CALABAR CANCER REGISTRY

4 Page© 2013 Nigerian National System of Cancer Registries All Right Reserved




Table DS5: Distribution of Population by Five Year Age

Groups and Sex

Age Groups Sex

Total Males Females

CALABAR REGISTRY AREA

TOTAL 647,458 329,278 318,180

0 4 79,573 40,285 39,288

5 9 78,344 40,527 37,817

1014 74,953 37,915 37,038

15 19 75,088 35,397 39,691

20 24 79,146 37,131 42,015

25 29 66,236 32,764 33,472

30 34 45,985 22,579 23,406

35 39 37,255 18,996 18,259

40 44 31,922 17,532 14,390

45 49 24,103 14,647 9,456

50 54 19,630 11,435 8,195

55 59 9,489 5,889 3,600

60 64 9,754 5,498 4,256

65 69 4,878 2,719 2,159

70 74 4,591 2,470 2,121

75 79 2,188 1,224 964

80 84 2,306 1,195 1,111

85+ 2,017 1,075 942

Table 1.

Population Table

For Registry Coverage Area

CCR is a member of the International Association of Cancer Registries (IACR). Also, CCR is now a

member of the Africa Cancer Registry Network (AFCRN), a body serving to improve cancer

surveillance in the continent of Africa.

The registry actively collects data from the pathology laboratory, medical records department,

oncology department and in-patient wards and out-patient clinics. Data is also collected from

hospitals (both public and private) and pathology laboratories within the coverage of area. Data

abstracted by the cancer registry include information on name, age, tribe, marital status, religion,

address, date of diagnosis, basis of diagnosis, morphology and topography of tumor, treatment, and

date of last contact. CCR uses Canreg software for data entry and management which prevents the use

of non-existent codes and performs checks for internal consistency between variables and ICD-O 3 for

classification and coding.

CALABAR CANCER REGISTRY Contd.





L-R: Dr. Emmanuel Oga (NSCR), Prof. Ima Ekanem (Director CCR)

and members of staff at the medical records department at UCTH

Dr. Oga and Prof. Ekanem at CCR (March 2013)

CALABAR CANCER REGISTRY Contd.CCR Data Sources:

University of Calabar Teaching Hospital, Calabar

General Hospital Calabar

General Hospital Akamkpa

General Hospital Akpabuyo

St Joseph Hospital Ikot Ene, Akpabuyo

Eso Specialist Clinic, Calabar

Mevom Specialist Clinic

Evangel Clinic

Apex clinic

Faith Foundation Clinic

Nigerian Navy Hospital Calabar

Calabar women and Children hospital





MEMBERS OF STAFF OF CCR

Director: Professor Ima-Obong A. Ekanem

Professor Ima-Obong A. Ekanem has been the Director of the Registry since 1985. She is a Professor and

Consultant Pathologist, UCTH, Calabar. Professor and Head Department of Pathology College of Medical

Sciences, University of Calabar.

She is a fellow of the following colleges:

National Post Graduate Medical College of Nigeria (FMCPath);

West African College of Physicians (FWACP);

International College of Surgeons (FICS) Nigeria Chapter.

She is a member of the Nigerian Cancer Society and former President of the Organization. She is also a

board member of the African Tobacco Control Regional Initiative (ATCRI) and the Surgical Aid Foundation

(SAF).

Registrar: Mr. B. B. Etim-Okon

He is a Principal Administrative Officer in the UCTH. He holds BA (Hons) in History and International

Studies from the University of Uyo – Nigeria.

He is a member of the following bodies:

Historical and Diplomatic Society of Nigeria;

The Nigerian Red Cross Society;

Amnesty International, London;

Nigerian Cancer Society

Data-Entry Clerk:

Mr. Joel J. Bassey

Secretarial Staff:

Mrs Ekanem Bassey

Mrs Favour Ofor

Mfon Ekpo (Youth corper)

Social worker

Mrs Ejen Anah

CALABAR CANCER REGISTRY Contd.


L-R: Mfon Ekpo, Mrs. Ekanem Bassey, Dr. Emmanuel Oga, Prof.

Ima Ekanem, Mrs. Ejen Anah, Mr. Joel Bassey and Mrs. Favour

Ofor.

Mfon Ekpo and Joel Bassey collecting data from the Calabar

General Hospital.

Dr. Emmanuel Oga and Joel Bassey at the General hospital

Akpabuyo.

Standing extreme left CCR Registrar; Mr B.B Etim-Okon, a participant at

the Cancer Registration Workshop in April 7th -9th , 2009 at IHVN, Abuja.

Director CCR; Prof Ima-Obong Ekanem , a participant at the

IARC Summer School on Cancer Registration and Applications

in Epidemiology, Lyon 19th April – 7th May 2004.




CALABAR CANCER REGISTRY Contd.CROSS SECTION OF PICTURES





L-R: Prof Ekanem, Prof. Clement Adebamowo (Director NSCR) and

Dr. Elima Jedy-Agba (NSCR)

Joel Bassey (CCR), Prof. Ekanem

(CCR), Maria Paula-Curado (IPRI) and

B.B Etim-Okon (CCR)

Director CCR; Prof Ima-Obong Ekanem, a participant at the 27th

Annual Meeting of the International Association of Cancer

Registries (IACR), Uganda Sept 13th- 14th 2005.

L-R: Mr. B.B Etim-Okon,

Prof. Ekanem and Joel

Bassey.

CALABAR CANCER REGISTRY Contd.CROSS SECTION OF PICTURES





Abuja is the capital city of Nigeria. It is located in the centre of Nigeria, within the Federal

Capital Territory (FCT). The 2006 census reports a population of 1,406,239 for the Federal

Capital Territory, with a landmass of approximately 7,315 km², of which the actual city

occupies 275.3 km2. However, Abuja has witnessed a huge influx of people into the city which has

led to the emergence of several satellite towns and smaller settlements to which the planned city is

sprawling towards. FCT is currently made up of 6 local councils, comprising Abuja Municipal

(AMAC), Abaji, Gwagwalada, Kuje, Bwari and Kwali.

Abuja cancer registry (ABCR) is a Population Based Cancer Registry (PBCR), domiciled in the

Oncology Department of the National Hospital Abuja (NHA), but receiving substantial data from

the University of Abuja Teaching Hospital (UATH) registry. ABCR began in 2009 as a PBCR and

covers a defined population of 1 406 239 people, within the 6 local government councils in FCT

(AMAC, Abaji, Gwagwalada, Kuje, Bwari and Kwali).

ABUJA CANCER REGISTRY

Figure 2. Map of Abuja





The Registry employs both active and passive methods of case-finding, utilising the sources of

information available at the hospitals including, hospital ward, special cancer units- oncology,

chemotherapy and radiotherapy, pathology laboratory, medical records department and out-

patient clinics. Most of the cancer management services in Abuja (diagnostic and treatment) are

located at the NHA and UATH. Registry staffs also source for data from departments and units in

the various pathology laboratories, cancer screening centers and hospitals within the registry

coverage area. Data is recorded on the cancer registry abstraction form, which captures all the key

variables, including name, age, tribe, marital status, religion, address, date of diagnosis, basis of

diagnosis, morphology and topography of tumor, treatment, and date of last contact. Data are

coded to the ICD-O-3 system and the CanReg software developed by the IARC is used for data

processing and management.

Table DS5: Distribution of Population by Five Year Age

Groups and Sex

Age Groups Sex

Total Males Females

ABUJA REGISTRY AREA

TOTAL 1,406,239 733,172 673,067

0 4 220,366 109,835 110,531

5 9 176,321 87,371 88,950

1014 138,839 66,550 72,289

15 19 121,784 57,324 64,460

20 24 147,107 67,709 79,398

25 29 174,444 88,153 86,291

30 34 130,489 71,290 59,199

35 39 99,000 59,132 39,868

40 44 68,394 42,561 25,833

45 49 48,598 32,964 15,634

50 54 31,025 20,351 10,674

55 59 16,434 11,196 5,238

60 64 11,482 6,840 4,642

65 69 6,307 3,614 2,693

70 74 5,348 2,785 2,563

75 79 2,737 1,491 1,246

80 84 3,510 1,776 1,734

85+ 4,054 2,230 1,824

Table 2.

Population Table

For Registry Coverage Area

ABUJA CANCER REGISTRY Contd.





MEMBERS OF STAFF OF ABCR

DIRECTORS:

Dr Igbinoba Festus is a consultant Radiologist

and Oncologist at NHA.

Dr Theresa Otu is a Chief Consultant Hematology

and Director Cancer Control Program at UATH

Gwagwalada.

HEAD OF MEDICAL RECORDS:

Mrs Amudat Abubakar (NHA)

Mr Jerome Seyil (UATH)

REGISTRARS / DATA ENTRY CLERK:

Mrs Glor ia Osubor-Harr ison and Mrs

Chukwubuike Chinyere (NHA)

Mr Henry Kumai (UATH)

ABCR DATA SOURCES

National Hospital Abuja

Univers i ty of Abuja Teaching Hospita l

Gwagwalada

Asokoro General Hospital

Maitama General Hospital

Wuse General Hospital

Garki General Hospital

State House clinic

Pathcare diagnostics

Histoconsult laboratories

Primus International Specialist Hospital

Nissa Premier Hospital

Echo scan and diagnostic centre

Medicaid diagnostic laoratories

Gwagwalada General hospital

MFCT General hospital Zuba

Town clinic FCDA hospital Gwagwalada

Arrett scan Gwagwalada

Kwali General hospital Kwali

Rhema hospital Kwali

General hospital Robochi

General hospital Abaji

Yaba General hospital Abaji

General hospital Yamgoji






Dr. Theresa Otu, Director Cancer registry,

University of Abuja Teaching Hospital

Chinyere Chukwubuike (data clerk) and Gloria

Osubor-Harrison (Cancer registrar), National

Hospital Registry.

Dr. Festus Igbinoba, Director, Cancer Registry,

National Hospital Abuja, at training at Institute of

Human Virology Abuja.

Henry Kumai, Cancer registrar, University of

Abuja Teaching Hospital.


CROSS SECTION

OF PICTURES

13 Page

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

© 2013 Nigerian National System of Cancer Registries All Right Reserved




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)

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