Radiation Oncology in Nepal
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Radiation Oncology in Nepal
Abish AdhikariMD Resident,
Surendra Gauchan, Registrar,Department of Radiation Oncology,
NAMS/BPKMCH,Nepal
2nd February 2013YROC-2013, KeralaTwitter: @abishadh [email protected]
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NepalNepal
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Introduction
● More than 75% of new cancer cases and cancer deaths will be in the developing world.1
● Up to half of the cancer patients need radiation therapy.
● The developing countries have only 15% of radiation oncology services for 85% of the world population.2
1: IAEA PACT Brochure ; 20092: Pal SK et.al, Asian Pac J Cancer Prev 2004;5:226-8
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Nepal
● Population of 30 million. (similar to Kerala)● Area of 147,181 km2 (similar to Karnataka)● People love Tea (chiya/chai), Cricket and
Bollywood (similar to India)● Tobacco is prevalent. More than a third of
population uses tobacco.
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Nepal
● No proper cancer registry in the country.● Exact data not known.● ~25% of the population earn less than 1 USD
per day.● Low financial contribution from the
government for cancer management.
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Nepal
● 40 'Oncologists'. 22 Radiation Oncologists.● 4 Hospitals with teletherapy services.● 27,800 new cases of cancer each year.● Cancer prevalence per 100,000 population is
310.3, which is more than in India1.● 10 Scientific Societies related to 'Cancer'.
1 Noronha et al.; Status of oncology in SAARC
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Male Female
Globocan 2008
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Bir Hospital
1889 AD
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Assets
● 4 Radiation Oncologists.● A Theratron 780C Cobalt Unit.(1991 AD)
● A HDR Ir-192 Brachytherapy unit with Xray machine. (set up 6 months back, still not started)
● ~50 OPD patients, ~ 5 new cases. ~ 30-40 treatments per day.
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Bhaktapur Cancer Hospital
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Bhaktapur Cancer Hospital
● A Cobalt Unit (1991 AD)
● A HDR Brachytherapy unit. (2010 AD)
● 4 Radiation oncologists.● ~100 OPD patients, ~50 treatments per day.
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BP Koirala Memorial Cancer Hospital
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Assets
● 2 LINACs. Clinac 600 & 2300. (2001 AD)
● IMRT Capable. (2012 AD)
● Cobalt-60 machine● Eclipse 10. ARIA EMR.● HDR Brachytherapy.● Ximatron Simulator.● 8 Radiation Oncologists.● ~250 treatments per day
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Manipal College of Medical Sciences
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Assets
● 1 Seimens LINAC (2004 AD)
● 1 Radiation Oncologist● ~15 treatments per day
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Om Hospital
● 1 Radiation Oncologist● 1 HDR Brachytherapy system.
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Residency
● 3 Years MD-RT course based on NAMS, Kathmandu.
● Training at Bir Hospital and BP Koirala Memorial Cancer Hospital
● 6 batches out.
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Summary
● More patients.● Less Doctors.● Even less radiation centers.● Last machine established in 2004.● Anything done there becomes
'first time in the country'.● Rays of hope.
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Thank you
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© Unknown Photographer