CEAFON 2017 PANEL DISCUSSION TOPIC: OUR CANCER STORY ( POSITIVE CHANGES IN THE LANDSCAPE IN THE LAST DECADE) PROFESSOR OLADAPO. B. CAMPBELL m.d. DEPT OF RADIATION ONCOLOGY, UNIVERSITY OF IBADAN/UNIVERSITY COLLEGE HOSPITAL, IBADAN.

YEAR RADIOTHERAPY CENTERS NUMBER 1968-1977 1 (LUTH) 1978-1987 2 (LUTH&UCH) 1988-1997 4 (LUTH,UCH,ABUTH,NHA) 1998-2007 6 (LUTH,UCH,ABUTH,EKO HOSPITAL, NHA,UNTH) 2008-2017 9 (LUTH, UCH, ABUTH, NHA, UNTH, UBTH, FMC, UDUTH, EKO HOSPITAL)

YEAR PERSONNEL RADIOTHERAPY CENTERS NUMBER 1968-1977 1 (LUTH) 2 1 4 CL ONCOL MED PHY RTH RAD NURSE ONCOL 1968-1977 1 (LUTH) 2 1 4 1978-1987 2 (LUTH&UCH) 6 3 1988-1997 3 (LUTH, UCH, ABUTH(had only LDR,teleth comm 2000) 7 1998-2007 6 (LUTH,UCH,ABUTH,NHA UNTH, EKO HOSPITAL) 9 12 20 15 2008-2017 9 (LUTH, UCH, ABUTH, NHA, UNTH, UBTH, FMC, GOMBE,UDUTH, EKO HOSPITAL) 32 PLUS CONSULTANTS IN PRIVATE SECTOR(50) 28 29 35

YEAR RTH FACILITIES RADIOTHERAPY CENTERS NUMBER TELETHERAPY BRACHYTHERAPY CO LA HDR LDR 1968-1977 1 (LUTH) 1 NIL 2 1978-1987 2 (LUTH&UCH) 1988-1997 3 (LUTH, UCH, ABUTH ) 3 1998-2007 6 (LUTH,UCH,ABUTH,NHA, UNTH. EKO HOSPITAL) 2008-2017 9 (LUTH, UCH, ABUTH, UDUTH,UBTH,FMC GOMBE, NHA, UNTH , , EKO HOSPITAL) 5

YEAR RADIOTHERAPY CENTERS NUMBER RTH TRAINING & ACADEMICS 1968-1977 Research/Academics 1968-1977 1 (LUTH) ABROAD Research Publications in Clinical Oncology and Med. Physics. 1 Professor in Medical Physics 1978-1987 2 (LUTH&UCH) Publications in Int. &local Journals 1 Professor in Medical Physics 1 Professor in Radiation and Clinical Oncology 1988-1997 3 (LUTH, UCH, ABUTH) FMCR/ FWACS -COMMENCED. ABROAD-IAEA/WHO Support Publications in Local & Int. Journals 2 Professors of Radiation and Clinical Oncology 1998-2007 6 (LUTH,UCH,ABUTH,NHA, EKO HOSPITAL,UNTH) FMCR-Exams FWACS-Exams ABROAD-IAEA Support mainly. 4 Professors of Radiation and Clinical Oncology 2008-2017 9 (LUTH, UCH, ABUTH, NHA, UNTH, UBTH, FMC GOMBE, UDUTH, EKO HOSPITAL) FMCR –Exams Abroad-IAEA Support mainly. 8 Professors of Radiation and Clinical Oncology MSc in PSYCHO- ONCOLOGY at University of Ibadan 1st in West Africa. Palliative oncology . Launching of ARCON Launching of Journal of ARCON

YEAR CANCER REGISTRIES 1968-1977 1978-1987 1988-1997 1998-2007 RADIOTHERAPY CERNTERS NUMBER CANCER REGISTRIES Cancer Advocacy Program HOSPITAL BASED. POPULATION NATIONAL NCCP 1968-1977 1 (LUTH) NIL YES (UCH) NO RECORD 1978-1987 2 (LUTH&UCH) Cancer Aid Foundation of Nigeria (CAF) 1988-1997 3 (LUTH, UCH, ABUTH, ) CAF Several Cancer Office in FMOH 1998-2007 5 (LUTH,UCH,ABUTH,NHA, EKO HOSPITAL) BRECAN SEBECCLY CANCER CARE CENTRE ,etc Yes (UCH Abuja and Others) Cancer Control Office FMOH Abuja 2008-2017 9 (LUTH, UCH, ABUTH, NHA, UNTH, UBTH, FMC, UDUTH, EKO HOSPITAL) AS ABOVE, AND MANY OTHERS NOW. Yes (UCH & Abuja) UCH & Abuja NCCP At FMOH Abuja

YEAR NO RECORD RADIOTHERAPY CERNTERS NUMBER INTERNATIONAL AFFILIATIONS SURVIVORSHIP 1968-1977 1 (LUTH) NIGERIAN CANCER SOCIETY(NCS) WORLD HEALTH ORGANISATION (WHO) NO RECORD 1978-1987 2 (LUTH&UCH) NCS, WHO 1988-1997 3 (LUTH, UCH, ABUTH.) NCS, WHO, IAEA, AORTIC, ASCO, ESMO, Etc. 1998-2007 5 (LUTH,UCH,ABUTH,NHA, EKO HOSPITAL) -||- 2008-2017 9 (LUTH, UCH, ABUTH, NHA, UNTH, UBTH, FMC, UDUTH, EKO HOSPITAL)

FINDINGS & CONCLUSIONS 1). RADIOTHERAPY CENTRES HAVE INCREASED FROM 1 (1968) to 9 (2017) 50yrs – 9 CENTRE POPUL 180million CANCER INCIDENCE – 500,000 Note 4 NEW CENTRES ADDED (2008 – 2017). 2). PERSONNEL - Tremendous Increase. Especially Consultant Clinical Oncologists ˃ 300% Increase between 2008 – 2017 Added:- i.e Training was/is intense Positive impact.

, 3). FACILITIES 3- NEW LINEAR ACCELERATORS ADDED BETWEEN 2008 AND 2017. 1- EXTRA NEW HDR ADDED BETWEEN 2008 AND 2017. TRAINING 1989 – RESIDENCY TRAINING FMCR Commenced BETWEEN 1995 – 2000 – RESIDENCY TRAINING IN FWACS commenced There was intense activity in residency postgraduate medical training and training of other cancer experts between 1993 up to date. – This has resulted in ˃ 300% INCREASE IN NUMBER OF CONSULTANT CLINICAL ONCOLOGISTS, MED PHYSCISTS -200%, RADIOGRAPHERS-50%, NURSE ONCOLOGISTS –OVER 200% produced by 2017 vs number produced between 1998—2007. RESEARCH/ACADEMICS PUBLICATIONS Msc in Pscho-Oncology Palliative Oncology, now being introduced into medical and postgraduate clinical oncology. 1 PROFESSOR IN MED PHYSICS, BETWEEN 1978 – 1987 8 PROFESSORs IN RADIATION ONCOLOGY BY 2017.

CANCER ADVOCACY CANCER REGISTRIES AWARENESS PROGRAMME C.A.F – 1st attempt – 1978 – 1987 NOW CEAFON, BRECAN, SEBECCELY etc. NO DOUBT INFLUENCE DETECTION & INCREASE IN INCIDENCE OF CANCER. CANCER REGISTRIES 1968 – 1977 - UCH main Cancer Registry – strictly then Hospital based. 2008 – 2017 – MANY POPULATION BASED CANCER REG. IBCR & ABCR – LEADING. –DATA ON INCIDENCE OF CANCER IN NIGERIA NOW BECOMING AVAILABLE.

Summary of Conclusion From the indices presented, the greatest impacts by Radiation and Clinical Oncology in the last decade, has been in the area of training of personnel and in the Academics.

Appreciation - Professor D .Damotola ABUTH - DR. Adamu ABUTH I hereby thank my colleagues who assisted me with data from their centres needed for this presentation/discussion. - Professor D .Damotola ABUTH - DR. Adamu ABUTH - DR. Amaka UNTH - DR. Hassan UDUTH - DR. Jatto UBTH - DR. Chinedu Aruah

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