Brazil

Total population: 199,000,000 Total deaths: 1,318,000

Income group: Upper middle Life expectancy at birth: Total:74 Males:70 Females:77

Cancer Mortality Profile

Males Prostate
Females
Breast
14.9% 16.8%

Trachea, Trachea,
bronchus, lung bronchus, lung
Other
47.7% 119,600
No data available
14.1%
Other
48.9%
104,100
No data available
10.6%

Deaths Deaths
Colorectum
Stomach 9.3%
9.2%

Colorectum Cervix uteri

Oesophagus 7.5% Stomach 8.6%
6.6% 5.8%

Age-Standardized Cancer Mortality Trends

Males Females
30 30
age-standardized death rate per

age-standardized death rate per

25 25

20 20
100,000

100,000
15 15
No data available No data available
10 10

5 5

0 0
2000 2002 2004 2006 2008 2010 2012 2000 2002 2004 2006 2008 2010 2012
Prostate Trachea, bronchus, lung Stomach Breast Trachea, bronchus, lung Colorectum
Colorectum Oesophagus Cervix uteri Stomach

Cancer Incidence
Males Females
80,000 80,000
72,536
67,316
70,000 70,000

60,000 60,000
Number of cases
Number of cases

50,000 50,000

40,000 No data available 40,000 No data available

30,000 30,000
20,235 18,503
16,368 17,581
20,000 20,000 14,045
12,606 11,265
9,713
10,000 10,000

0 0
Prostate Lung Colorectum Stomach Oesophagus Breast Cervix uteri Colorectum Lung Thyroid

Adult Risk Factors

Males Females Total
Current tobacco smoking (2011) 21.6% 13% 17.3%
Total alcohol per capita consumption, in litres of pure alcohol (2010) 13.6 4.2 8.7
Physical inactivity (2010) 24.9% 29.4% 27.2%
Obesity (2014) 17.2% 22.9% 20.1%
Household solid fuel use (2012) - - 6.0%

World Health Organization - Cancer Country Profiles, 2014.

Cancer Plans, Monitoring and Surveillance
Has an operational cancer policy/strategy/action plan Yes
Has a cancer registry Yes
Scope Population-based
Coverage Subnational
Last year of data 2008

Cancer Primary Prevention Policies

Tobacco control
Has an operational policy, strategy or action plan to reduce the burden of tobacco use Yes

All public places completely smoke-free (or at least 90% of the population
Smoke-free legislation
covered by complete subnational smoke-free legislation)*

National quit line, and both NRT and some cessation services cost-
Tobacco dependence treatment
covered*

Warning labels Large warnings with all appropriate characteristics*

Bans on advertising, promotion and sponsorship Ban on all forms of direct and indirect advertising*

Tobacco taxes 51–75% of retail price is tax

Overweight and obesity prevention and control

Has an operational policy, strategy or action plan for reducing overweight/obesity No

Physical inactivity prevention and control

Has an operational policy, strategy or action plan to reduce physical inactivity and/or promote
Yes
physical activity

Harmful use of alcohol prevention and control

Has an operational policy, strategy or action plan to reduce the harmful use of alcohol No

National immunization
Human Papillomavirus vaccination schedule (starting in 2014)
Hepatitis B vaccination schedule Birth, +3 doses between 20-29 years

Hepatitis B vaccination coverage, infants 95%

Cancer Screening and Early Detection

Cervical cancer

Cervical cytology (PAP) Generally available at the public primary health care level

Acetic acid visualization (VIA) Not generally available at the public primary health care level

Breast cancer
Breast palpation / clinical breast exam (CBE) Generally available at the public primary health care level

Mammogram Generally available at the public primary health care level

Colorectal cancer
Faecal occult blood test or faecal immunological test Generally available at the public primary health care level

Bowel cancer screening by exam or colonoscopy Generally available at the public primary health care level

Cancer Treatment and Palliative Care

Radiotherapy Generally available in the public health system
Total high energy teletherapy units / million inhabitants 1.7
Number of radiotherapy centres 222
Number of radiation oncologists 391
Chemotherapy (medicines not specified) Generally available in the public health system
Oral morphine (formulation not specified) Generally available in the public health system
Non-methadone morphine equivalent consumption per cancer death (mg) 6,821.5
Community/home care for people with advanced stage cancer and other NCDs Generally available

* Indicates highest possible level of achievement

World Health Organization - Cancer Country Profiles, 2014.