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

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Page 1: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup
Page 2: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Page 3: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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)

Page 4: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Burden of Cancer

mmm

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

Page 5: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Page 6: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Top 10 Cancer in Kamrup Urban District (Assam)

3.3

3.6

3.6

4.2

4.8

5.2

6.7

8.4

8.9

14.3

0 5 10 15 20

Liver

Tongue

Larynx

Gall Bladder

Prostate

Mouth

Stomach

Lung

Hypopharynx

Oesophagus

Males

2.5

2.6

3.5

4.4

4.9

5.5

8.6

9.3

10.2

17.5

0 5 10 15 20

Rectum

Colon

Mouth

Lung

Stomach

Ovary

Cervix Uteri

Gall Bladder

Oesophagus

Breast

Females

Page 7: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Top 10 Cancer in Dibrugarh District (Assam)

2.8

3.7

3.9

4.5

4.9

5.1

6.8

7.9

11.6

15.3

0 5 10 15 20

Rectum

Liver

Colon

Gall Bladder

Tongue

Lung

Mouth

Stomach

Hypopharynx

Oesophagus

Males

2.5

2.6

2.7

4

5.4

6.4

8.9

9.4

10.7

19

0 5 10 15 20

Rectum

Lung

Hypopharynx

Mouth

Stomach

Cervix Uteri

Ovary

Oesophagus

Gall Bladder

Breast

Females

Page 8: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Top 10 Cancer in Cachar District (Assam)

1.9

2.1

4.2

4.2

4.6

5.4

5.7

8.4

8.6

10.2

0 5 10 15

Tonsil

NHL

Gall Bladder

Stomach

Tongue

Larynx

Mouth

Lung

Hypopharynx

Oesophagus

Males

2.2

2.6

2.7

3.2

3.9

5.1

6.8

10.3

13.9

14.3

0 5 10 15 20

Tongue

Stomach

Uterus Unsp

Lung

Mouth

Ovary

Oesophagus

Gall Bladder

Cervix Uteri

Breast

Females

Page 9: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Page 10: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Cachar Cancer Hospital & Research Centre (Private)

≠2000

North East Cancer Hospital & Research Centre (Private)

≠1000

Page 11: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Cachar Cancer Hospital & Research Centre (Private)

Telecobalt-1HDR Brachytherapy-1

North East Cancer Hospital & Research Centre (Private)

Linear Accelerator -1PET CT - 1

Page 12: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Cachar Cancer Hospital & Research Centre (Private)

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

North East Cancer Hospital & Research Centre (Private)

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

Page 13: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

4

Cachar Cancer Hospital & Research Centre (Private)

3

North East Cancer Hospital & Research Centre (Private)

1

Page 14: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Page 15: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Page 16: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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 -

Page 17: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Capacity Development Centre in Oncology at BBCI

Powergrid CSR Scheme

Page 18: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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) -

Page 19: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Page 20: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Page 21: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

COMMUNITY BASED CANCER CONTROL APPROACH, BBCI

Page 22: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Infrastructure facilities at Dr B Borooah Cancer Institute

Page 23: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Infrastructure facilities at Dr B Borooah Cancer Institute

Page 24: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Infrastructure facilities at Dr B Borooah Cancer Institute

Page 25: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Infrastructure facilities at Dr B Borooah Cancer Institute

Page 26: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

BBCI Hospital Facilities

Waiting Lobby for Chemotherapy patients Chemotherapy Block

Day Care Chemotherapy ward Radiotherapy Indoor Ward

Page 27: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Indoor Surgical BlockDeluxe Paying Cabin Block

Radiotherapy OPD Registration Counter

BBCI Hospital Facilities

Page 28: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

BBCI Hospital Facilities

Page 29: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

New Cancer Hospital Gauhati Medical College

Page 30: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

of

Chemotherapy

No. of Major

surgeries

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

Page 31: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Page 32: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Recreational Programme for patients

Page 33: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Recreational Programme for patients

Page 34: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Other facilities at Dr B Borooah Cancer Institute

Home Care Services for terminally ill cancer patients at Guwahati

Page 35: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Other facilities at Dr B Borooah Cancer Institute

Guest House for patients

New Guest House Old Guest House

Page 36: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Other facilities at Dr B Borooah Cancer Institute

Cancer Detection Centre at Rani CHC

Page 37: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Page 38: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Page 39: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Other facilities at Dr B Borooah Cancer Institute

Cancer patient rehabilitation

Page 40: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

Other facilities at Dr B Borooah Cancer Institute

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

Page 41: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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

Page 42: Cancer Care in the State of Assam Care in the State of Assam.pdfIncidence of Cancer in the State of Assam District Male Per lakh of population Female Per lakh of population Kamrup

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