1. Cancer registration in north Africa
Mokhtar Hamdi Cherif

2. Importance of Cancer Registration in North Africa
Cancer is becoming a major problem of public health in North Africa
cancer registries have become indispensable tools
for information system and planning
Now the three Maghreb countries have national strategic plans against cancer

3. Cancer registries in North Africa5 10
Alger
Blida
Medea
Boumerdes
Setif
Batna
CNE
Bejaia
Jijel
Annaba
Biskra
BBA
Guelma
El Tarf 4
Oran
Tlemcen
Saida
Mostaganem

4. Materiel and Method
-The Three Maghreb Cancer Registries use the CANREG 5 software, provided and updated by IARC The Data collection is done by active mode -In Algeria The Setif Cancer Registry uses for the The Data Analysis (SEER * Stat) provided by the National Institute of Cancer of the USA. for Analysis of temporal trends cancer Join Point

5. Algeria

6. New Challenge National Cancer Registration
In Algeria, The
New Challenge National Cancer Registration

7. Implementation of national network OF cancer registries
National Cancer Plan
Strategic axis 6
Institutionalization of cancer registries
Presidential Project
Ministry of Health

8. Main Objective Cover 50 % of valited cancer registration
in the national population
at 31th December 2014.

9. Intermediate objectives
Implementation of new departmental cancer registries
Consolidate existing registries
Establishment of a network of cancer registries by region
Establishment of a national coordination of regional networks
Periodic evaluation of registration activities
annual publication of local ,regional and national incidence data
Promote publications in CI5
Feed back information to different data sources

10. Preliminary Results of the East region network CANCER registries
Target population: inhabitants
Covered Population
Covered Rate
implemented registries
inhabitants
88%
validated registries
inhabitants
57%

11. Preliminary results of the Western region network CANCER registries
Target population: inhabitants
Covered Population
Covered Rate
implemented registries
inhabitants
82 %
validated registries
inhabitants
38%

12. Preliminary results of the Central Region network CANCER registers
Target population: inhabitants
Covered Population
Covered Rate
implemented registries
inhabitants
75 %
validated registries
inhabitants
57 %

13. Preliminary Results of national network cancer registries
Target population: inhabitants .
Covered Population
Covered Rate
implemented registries
inhabitants
52 %
validated registries
inhabitants
82 %

14. National estimation based on validated registries at December 31, 2014
Number of cases
Crude rate
ASR
Men
16 748
100.2
109.2
Women
25 122
111.8
119.8
Total
41 870
106
114.5

15. Incidence of the Main Sites in Algeria, in men, 2014
Crude Rate
/100,000
ASR
(WR)/100,000
Median age
Lung and Bronchus
16.9
25.8 61
Colo-rectum
10.3
14.3 65
Bladder
9.4
13.9 67
Prostate
8.2
11.8 71
Stomach
4,7
6,1
NPC
4.5
5.9 43
Non-Hodgkin Lymphoma
4,3
5,4 57
Larynx
3,0 63
Leukaemia
2,8
3,8 41

16. Incidence of the Main Sites in Algeria, in women, 2014
Sites
Crude Rate
/100,000
ASR
(WR)/100,000
Median age
Breast
54.4
65.2 47
Colo-rectum
12.2
16.5 56
Cervix
6.7
10.2 57
Thyroid
5.2
8.1 54
Non-Hodgkin Lymphoma
4.1
4.9 43
Stomach
3,7
4,7
gallbladder
3.5
4.5
Leukaemia
3,1
4,2 39

17. Setif Cancer Registry, Algeria
Trend of the main sites
Setif Cancer Registry, Algeria

18. Trends of the main sites
man
, Setif,Algeria

19. Trends of the main sites
women
, Setif,Algeria
IC-95%= (2,0; 3,3)

24. Annual projections of the number of cancer cases in Algeria

25. TUNISIA

26. TunisiA Cancer registries
Target Population: Inhabitants
Covered Population: Inhabitants
Covered rate : 60%
Rates / Inhabitants
Crude Rate ASR
Male , ,9
Female 98, ,7

27. MORoCCO

28. Morocco Cancer registries
Target Population: Inhabitants
Covered Population: Inhabitants
Covered rate : 18%
Rates / Inhabitants
Crude Rate ASR
Male , ,8
Female , ,9

29. libya cancer registry Rates /100 000 Inhabitants Crude Rate ASR
Target Population: Inhabitants
Covered Population: Inhabitants
Covered rate : 22 %
Rates / Inhabitants
Crude Rate ASR
Male , ,5
Female

30. Comparison of COVERED population by CANCER REGISTRATION IN north africa
country
General Population
covered Population
Covered rate
Algeria
82 %
tunisia
60 %
Morocco
18 %
Libya
22 %

31. Comparison of ASR in North Africa Algeria Tunisia Morocco Lybia Men
Algeria
Tunisia
Morocco
Lybia
Men
109.2
129,9
132,8
138,5
Women
119.8
99,7
121,9
110,0
Total
114.5
114,8
127,4
124,3

32. Comparison OF ASR(WR)/100,000 of main sites in Men in North Africa
Algeria
(National Network)
Tunisia
(North)
Morocco
(Casablanca)
Libya
(Benghazi)
Lung and Bronchus
25.8
30,6
25,9
27,8
Colo-rectum
14.3
10,5
8,1
13,8
Bladder
13.9
12,9
8,7
14,9
Prostate
11.8
11,4
13,5
14,7
Stomach
6,1
5,8
4,8
4,9
NPC
5.9
3,5
4,2
2,8
Non-Hodgkin Lymphoma
5,4
5,7
7,2
Larynx
4,3
6,0
5,5
Leukaemia
3,8
3,6
2,7

33. Comparison OF ASR(WR)/100,000 of main sites in Women in North Africa
Algeria
(National Network)
Tunisia
(North)
Morocco
(Casablanca)
Libya
(Benghazi)
Breast
65.2
30,9
36,4
22,9
Colo-rectum
16.5
9,2
5,8
12,3
Cervix
10.2
4,6 15
4,5
Thyroid
8.1
3,3
6,7
3,8
Non-Hodgkin Lymphoma
4.9
4,7
4,3
Estomac
3,2
2,7
3,0
Gallbladder
4.5
2,6
1,9
Leukaemia
4,2
2,8
2,0
4,8

34. Registries validated by IARC with publication in CI5 (Cancer Incidence in Five Continents) In north africa
Volumes
CI5 VI
CI5 VII
CI5 VIII
CI5 IX
CI5 X
Total
Algeria
Setif
Algiers 5
Tunisia
Sousse
North 2
Morocco
Libya
Benghazi 1

35. Hope
Algeria

36. Conclusion
Cancer registration in North Africa has become a priority for Health Systems in Algeria, Morocco and Tunisia
Cancer registries are now formalized and institutionalized
The coverage of cancer registration is clearly increasing in North Africa
we begin to have a completeness and good quality of cancer incidence data
the incidence data for Maghreb countries compared with industrialized countries remain relatively low ,but have increased significantly over the last years
Comparison of the incidence data in the three Maghreb countries does not show large differences