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Earlier Detection of

Cancer in Sudan :
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.

Age Distribution,300 Patients


90
80
70
60
50
40
30
20
10
0

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% didnt 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.

...