Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of...

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Demography of the State of Assam

Demographics 2011

Total population 31,205,576

Male 15,939,443

Female 15,266,133

Literacy (%) 72.19 %

Total Literate (Number) 19,177,977

Incidence of Cancer in the State of Assam

District MalePer lakh of population

FemalePer lakh of population

Kamrup Urban 206 174

Cachar 125 95

Dibrugarh 92 78

National average 80 – 110

National Cancer Registry Report of ICMR (2012-14)

Burden of Cancer

State Male Female Total

Assam 16497 13465 29962

Arunachal Pradesh 443 411 854

Manipur 650 794 1444

Mizoram 819 659 1478

Sikkim 229 219 448

Nagaland 765 512 1278

Meghalaya 1325 802 2127

Tripura 1173 871 2044

All NE States 21902 17733 39635

Expected average as per NCRP report 2012-14

New Cancer Cases and Death in Assam

Year New cases Death

2011 24845 10932

2012 25119 11052

2013 30775 15677

2014 31124 15853

2015 31474 16029

Top 10 Cancer in Kamrup Urban District (Assam)

0 5 10 15 20

Tongue

Larynx

Gall Bladder

Prostate

Stomach

Hypopharynx

Oesophagus

0 5 10 15 20

Rectum

Stomach

Cervix Uteri

Gall Bladder

Oesophagus

Breast

Females

Top 10 Cancer in Dibrugarh District (Assam)

0 5 10 15 20

Rectum

Gall Bladder

Tongue

Stomach

Hypopharynx

Oesophagus

0 5 10 15 20

Rectum

Hypopharynx

Stomach

Cervix Uteri

Oesophagus

Gall Bladder

Breast

Females

Top 10 Cancer in Cachar District (Assam)

0 5 10 15

Tonsil

Gall Bladder

Stomach

Tongue

Larynx

Hypopharynx

Oesophagus

0 5 10 15 20

Tongue

Stomach

Uterus Unsp

Oesophagus

Gall Bladder

Cervix Uteri

Breast

Females

Cancer Treatment Facilities in the State of Assam

Centre Place

Dr B Borooah Cancer Institute (RCC) Guwahati

Assam Medical College & Hospital Dibrugarh

Silchar Medical College & Hospital Silchar

Gauhati Medical College Cancer Hospital Guwahati

Cachar Cancer Hospital & Research Centre (Private)

Silchar

North East Cancer Hospital & Research Centre (Private)

Guwahati

Burden of Cancer Patients in various Institutions

Centre Number

Dr B Borooah Cancer Institute (RCC) 10,886

Assam Medical College & Hospital ≠2000

Silchar Medical College & Hospital ≠1000

Gauhati Medical College Cancer Hospital Expected 2000

≠2000

≠1000

Radiotherapy Facilities in AssamCentre Machine

Dr B Borooah Cancer Institute (RCC) Linear Accelerator - 3Telecobalt – 2HDR Brachytherapy -1Simulator – 2Gamma Camera - 1

Assam Medical College & Hospital Telecobalt – 1HDR Brachytherapy -1

Silchar Medical College & Hospital Telecobalt – 1HDR Brachytherapy -1

Gauhati Medical College Cancer Hospital Linear Accelerator -1Telecobalt – 1HDR Brachytherapy -1Simulator – 1PET CT - 1

Telecobalt-1HDR Brachytherapy-1

Linear Accelerator -1PET CT - 1

Manpower (Radiotherapy) in Assam

Centre Machine

Dr B Borooah Cancer Institute (RCC) Radiation Oncologist – 5Physicists – 7Technologists/ Technician– 15

Assam Medical College & Hospital Radiation Oncologist –1Physicists – 1Technologists/ Technician– 2

Silchar Medical College & Hospital Radiation Oncologist –1Physicists – 1Technologists/ Technician– 2

Gauhati Medical College Cancer Hospital Radiation Oncologist – 5Physicists – 4Technologists/ Technician– 6

Radiation Oncologist – 1Physicists – 1Technologists/ Technician– 4

Radiation Oncologist – 2Physicists – 2Technologists/ Technician– 4

Manpower Surgical Oncology

Centre Surgical Oncologists

Dr B Borooah Cancer Institute (RCC)

13 + 6 PG Fellows

Assam Medical College & Hospital -

Silchar Medical College & Hospital -

Gauhati Medical College Cancer Hospital

Manpower Medical Oncology

Centre Medical Oncologists

BBCI (RCC), Guwahati 4 + 2 PG Fellows

AMC, Dibrugarh & Hospital -

SMC, Silchar -

GMC Cancer Hospital 2

CCHRC, Silchar (Private) 1

NECHRI, Guwahati (Private) 1

Manpower Preventive Oncology & Palliative Medicine

Centre Preventive Oncology Palliative Medicine

BBCI (RCC), Guwahati 1 3 doctors 3 paramedical staff

AMC, Dibrugarh - -

SMC, Silchar - -

GMC Cancer Hospital, Guwahati - -

CCHRC, Silchar (Private) - 1

NECHRI, Guwahati (Private) - 1

Academic Courses

Centre Courses

BBCI (RCC), Guwahati MD (Radiotherapy), M.Ch (Surgical Oncology), DM (Medical Oncology), M.Sc (Radiological Physics), 2 years PG Fellowship in five disciplines of Oncology, Ph.D and 21 various paramedical courses.

GMC Cancer Hospital -

SMC, Silchar -

AMC, Dibrugarh MD (Radiotherapy)

CCHRC, Silchar (Private) -

NECHRI (Private), Guwahati -

Capacity Development Centre in Oncology at BBCI

Powergrid CSR Scheme

Research

Centre Facilities

BBCI (RCC), Guwahati DBT Centre for Molecular Biology & Cancer Research Total publications – 200

AMC, Dibrugarh DBT Centre

SMC, Silchar DBT Centre

GMC Cancer Hospital DBT Centre

CCHRC (Private) DBT Centre

NECHRI (Private) -

Clinical, Academic & Research Collaboration Dr B Borooah Cancer Institute, Guwahati

• The Dutch School of Gynecologic Oncologic and Pelvic Surgery, Netherland

• Manitoba University, Canada

• Tata Memorial Hospital, Mumbai

• Amrita Institute of Medical Sciences (AIMS), Kochi

• Indo American Cancer Centre, Hydrabad

• Institute of Advanced Study in Science and Technology, Guwahati

• Down Town University, Guwahati

• Department of Physics, Gauhati University

Community Oncology Programme conducted by BBCI

Sensitization Programme : 186

Mobile Van Awareness : 155

Capacity Dev Programme : 151

Health Melas : 124

Street Play : 120

Exhibition : 118

School / College Health Education : 712

Tobacco Free Schools/Colleges : 008

Community Awareness : 730

IEC Materials Distribution (places) : 407

TV Programme : 174

Audio-visual mass media programme : 181

Publication / workshop / seminar : 112

Cancer Screening Camp : 116

COMMUNITY BASED CANCER CONTROL APPROACH, BBCI

Infrastructure facilities at Dr B Borooah Cancer Institute

BBCI Hospital Facilities

Waiting Lobby for Chemotherapy patients Chemotherapy Block

Day Care Chemotherapy ward Radiotherapy Indoor Ward

Indoor Surgical BlockDeluxe Paying Cabin Block

Radiotherapy OPD Registration Counter

BBCI Hospital Facilities

New Cancer Hospital Gauhati Medical College

Turn-over of patients at BBCI (2016-17)

New Patients

Registration

No. of OPD

consultation

No. of Indoor

patients

Radiotherapy

workload of

patients/FY

Total numbers

Chemotherapy

No. of Major

surgeries

11,864 89,321 5234 77,003 16,791 1070

Turn-over of patients at BBCI from North Eastern States (2016-17)

State 2016-17

Assam 10,886

Arunachal Pradesh 217

Meghalaya 238

Nagaland 167

Manipur 221

Mizoram 34

Tripura 29

Sikkim 2

Total 11,864

Recreational Programme for patients

Other facilities at Dr B Borooah Cancer Institute

Home Care Services for terminally ill cancer patients at Guwahati

Guest House for patients

New Guest House Old Guest House

Cancer Detection Centre at Rani CHC

Other facilities at Dr B Borooah Cancer Institute Free Lunch for OPD cancer patients – ANNAKOOT

Other facilities at Dr B Borooah Cancer Institute Nutritional Support Programme for Paediatric Cancer Patients

Cancer patient rehabilitation

Schemes for treatment of poor cancer patients in Assam

• Assam Arogya Nidhi – Atal Amrit Abhiyan

• RSBY Scheme

• Free Chemotherapy Scheme of Govt. of Assam

• Prime Minister / Chief Minister’s special grant for free treatment

• Local MLA fund for cancer patients

• Health Minister’s Cancer Treatment Fund, Govt. of India (HMCPF)

• BBCI Scheme for free treatment

Opportunities for Cancer Care : Present and Future • Up-gradation of Oncology Wing of Assam Medical College as

Tertiary Care Cancer Centre under NPCDCS Scheme of Govt of India

• Up-gradation of Dr B Borooah Cancer Institute (RCC), Guwahati

• Govt. of Assam initiative to establish Oncology Wing to all Medical

Colleges of the State

• Atal Amrit Abhiyan

• Creation of various academic courses in Oncology in the Medical

Colleges of Assam

• State level programme for prevention & early detection of cancer

• Establishment of Bone Marrow Transplantation facilities in the State

of Assam

• Establishment of Hospice Services

• Amrit Pharmacy for cheaper anti-cancer drugs

Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of...

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