1. Welcome

2. Present Status of Radiotherapy in Bangladesh A. M. M. Shariful Alam A. M. M. Shariful Alam Director & Professor of Radiation Oncology Director & Professor of Radiation Oncology National Institute of Cancer Research & Hospital National Institute of Cancer Research & Hospital Mohakhali, Dhaka : 1212 Mohakhali, Dhaka : 1212 Bangladesh Bangladesh

3. Source: Beurae of Staistics, Bangladesh Cancer Burden in Bangladesh Total Population:130 Million New Cases / year: 200,000 New & Old Cases: 800,000 About 150,000 cases are dying of Cancer / year

4. WHO Recommendation for a Radiotherapy Centre in Developing Countries like Bangladesh For One million People, at least One Cobalt – 60 teletherapy unitOne Cobalt – 60 teletherapy unit Two Deep X – ray therapy unitsTwo Deep X – ray therapy units One Brachytherapy UnitOne Brachytherapy Unit

5. The Present Radiotherapy treatment facilities available in different Govt. & private hospitals / Cancer centers of Bangladesh FacilitiesLocation Cobalt-60 Teletherapy Caesium- 137 137 Deep X-ray therapy Deep X-ray therapyBrachy-therapyLinearAccelerator Functio- ning Not Functioning Function- ing Not Functioning National Institute of Cancer Research& Hospital (NICRH) 020000020 Dhaka Medical College Hospital 020010201010 Chittagong Medical College Hospital 01000201010 Sylhet MAG Osmani Medical College Hospital 010000010 Mymensingh Medical College Hospital 010002000 Rangpur Medical College Hospital 01000000 Rajshahi Medical College Hospital 010001000 Sher-e-Bangla Medical College Hospital, Barishal 01000000 Sir Salimullah Medical College Hospital, Dhaka 0000000 05 newly installed Medical College Hospital 0000000 Combined Military Hospital (CMH), Dhaka 00000001 Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka 00000010 Delta Oncology Unit, Dhaka 0200000101

6. The Present Radiotherapy treatment facilities available in different Govt. & Private Hospitals / Cancer centers of Bangladesh Delta Oncology Unit, Dhaka Delta Oncology Unit, Dhaka Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Combined Military Hospital (CMH), Dhaka Combined Military Hospital (CMH), Dhaka Sher-e-Bangla Medical College Hospital, Barishal Sher-e-Bangla Medical College Hospital, Barishal Rajshahi Medical College Hospital Rajshahi Medical College Hospital Rangpur Medical College Hospital Rangpur Medical College Hospital Mymensingh Medical College Hospital Mymensingh Medical College Hospital Sylhet MAG Osmani Medical College Hospital Sylhet MAG Osmani Medical College Hospital Chittagong Medical College Hospital Chittagong Medical College Hospital Dhaka Medical College Hospital Dhaka Medical College Hospital National Institute of Cancer Research& Hospital (NICRH) National Institute of Cancer Research& Hospital (NICRH)

7. Barriers Ignorance / IlliteracyIgnorance / Illiteracy Religious / social prejudiceReligious / social prejudice Misconception / Phobia of RadiotherapyMisconception / Phobia of Radiotherapy Scarce of Radiotherapy CenterScarce of Radiotherapy Center Lack of modern Radiotherapy equipmentsLack of modern Radiotherapy equipments Inadequate number of Medical PhysicistsInadequate number of Medical Physicists Lack of proper planning for developing Radiotherapy centerLack of proper planning for developing Radiotherapy center Low socio-economic statusLow socio-economic status

8. Future plan (need based) for Radiotherapy in Bangladesh Manpower Development, i.e. Manpower Development, i.e. Well trained Radiation Oncologists Medical Physicists Technologists Oncology Nurses

9. Future plan (need based) for Radiotherapy in Bangladesh (Contd.) Procurement of Equipments, i.e. Linear AcceleratorLinear Accelerator CT SimulatorCT Simulator Computer PlanerComputer Planer

10. Future plan (need based) for Radiotherapy in Bangladesh (Contd.) Good functioning Mould Room Good functioning Mould Room Enhancement of ongoing services of Nuclear Enhancement of ongoing services of Nuclear Safety, Protection & Radiation control to a Safety, Protection & Radiation control to a quality service quality service Up gradation of Radiology & Imaging unit Up gradation of Radiology & Imaging unit Establishment of Nuclear Medicine department Establishment of Nuclear Medicine department in all Radiotherapy centers of Bangladesh in all Radiotherapy centers of Bangladesh

11. To activate National Cancer Control Program by: Cancer Awareness ProgramCancer Awareness Program Early detection & treatmentEarly detection & treatment Development of palliative care unitDevelopment of palliative care unit Future plan (need based) for Radiotherapy in Bangladesh (Contd.)

12. Strengthening of Continuous Medical Education & training ProgramStrengthening of Continuous Medical Education & training Program Research Work should be a continuous processResearch Work should be a continuous process Future plan (need based) for Radiotherapy in Bangladesh (Contd.)

13. For better Cancer Care in Bangladesh: There is in need of modern, sophisticated well equipped Radiotherapy centers with well trained Radiation Oncologists, Physicists, Nurses, Technologists & other Man powerThere is in need of modern, sophisticated well equipped Radiotherapy centers with well trained Radiation Oncologists, Physicists, Nurses, Technologists & other Man power The present ongoing measures taken by the Government of Bangladesh for the development of Radiation treatment facilities in the country are encouragingThe present ongoing measures taken by the Government of Bangladesh for the development of Radiation treatment facilities in the country are encouraging contd Conclusion

14. “ Every one has the right to have a standard living adequate for the health and well being of himself and his family including food, clothing, housing and medical care & necessary Social Services” “ Every one has the right to have a standard living adequate for the health and well being of himself and his family including food, clothing, housing and medical care & necessary Social Services” Conclusion (Contd.) The universal declaration of Human Rights in Health at article 25