1. 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.

2. YEAR RADIOTHERAPY CENTERS NUMBER
1 (LUTH)
2 (LUTH&UCH)
4 (LUTH,UCH,ABUTH,NHA)
6 (LUTH,UCH,ABUTH,EKO HOSPITAL, NHA,UNTH)
9 (LUTH, UCH, ABUTH, NHA, UNTH, UBTH, FMC, UDUTH, EKO HOSPITAL)

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

4. YEAR RTH FACILITIES RADIOTHERAPY CENTERS NUMBER TELETHERAPY
BRACHYTHERAPY CO LA
HDR
LDR
1 (LUTH) 1
NIL 2
2 (LUTH&UCH)
3 (LUTH, UCH, ABUTH ) 3
6 (LUTH,UCH,ABUTH,NHA, UNTH. EKO HOSPITAL)
9 (LUTH, UCH, ABUTH, UDUTH,UBTH,FMC GOMBE, NHA, UNTH , , EKO HOSPITAL) 5

5. YEAR RADIOTHERAPY CENTERS NUMBER RTH TRAINING & ACADEMICS 1968-1977
Research/Academics
1 (LUTH)
ABROAD
Research Publications in Clinical Oncology and Med. Physics. 1 Professor in Medical Physics
2 (LUTH&UCH)
Publications in Int. &local Journals
1 Professor in Medical Physics 1 Professor in Radiation and Clinical Oncology
3 (LUTH, UCH, ABUTH)
FMCR/ FWACS -COMMENCED.
ABROAD-IAEA/WHO Support
Publications in Local & Int. Journals
2 Professors of Radiation and Clinical Oncology
6 (LUTH,UCH,ABUTH,NHA, EKO HOSPITAL,UNTH)
FMCR-Exams
FWACS-Exams
ABROAD-IAEA Support mainly.
4 Professors of Radiation and Clinical Oncology
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

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

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

8. 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.

9. ,
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.

10. 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 – 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.

11. 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.

13. 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

14. THANK YOU FOR YOUR ATTENTION