1. Dr.A.Parthiepan -MBBS,MS Consultant Oncological surgeon Cancer care in Teaching Hospital Batticaloa

2. Largest referral centre to entire Eastern province It caters 2 million population 931 beds 30 consultants Teaching hospital Batticaloa

3. Highest incidence of cancer in the Eastern province

5. Common cancers in the oncosurgical ward Oral Breast Thyroid Colorectal Sarcomas

6. Current cancer care facilities in THB Medical oncology unit was started in 2009----15 beds Surgical oncology unit - 2010-----15 beds Medical and the surgical oncology clinics are being contacted Dedicated clinic was started -to detect the breast cancer Surgical operations -2 sessions per week

7. Significant number of patients present in advanced stages Why?

8. 2011 data Nearly 1800 patients were admitted to medical oncology unit in 2011 About 500 patients were admitted surgical oncology unit 130 were terminally ill patients who were under the palliative care 192 patients were transferred to other hospitals for radiation

10. For proper cancer care 1. Wards with adequate number of beds 2. Dedicated operating room 3. Intensive care unit 4. Radiation facilities 5. Palliative care unit 6. Home hospice services 7. Transit home for the patients who need radiation treatment and chemotherapy 8. Counseling service

11. Solutions for the few problems

12. No solutions for following Palliative care unit and Transit home Home hospice services- vehicle

14. Empowering the pathology department Cancer surgeries are prolonged Tumor has to be excised completely

15. Livelihood and other projects 1. Supporting the patients who underwent major surgical operations, financial aids to economically poor patients for treatment 2. Maintain the cancer registry 3. Providing web based medical literature to medical student 4. Providing training to nurses- breast cancer navigator Oral cancer navigator, counseling nurses

16. IMHO contributions to cancer unit- Batticaloa 2010- core biopsy gun and 100 needles 2011- pneumatic calf compressor

17. My special thanks for Dr.Rajam Theventhiran Dr.Thavam Dr.Nandakumar Dr.Siva Vithiyananthan Prof.Jeeva Martyn Dr.Ramesh Ramanathan All the members of IMHO

18. Thank you