Cancer
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Factsheet
Key Facts
- Cancer is one of the leading causes of morbidity and mortality worldwide, with approximately 14 million new cases in 20121.
- The number of new cases is expected to rise by about 70% over the next 2 decades.
- Cancer is the second leading cause of death globally, and was responsible for 8.8 million deaths in 2015. Globally, nearly 1 in 6 deaths is due to cancer.
- Approximately 70% of deaths from cancer occur in low- and middle-income countries.
- Around one third of deaths from cancer are due to the 5 leading behavioral and dietary risks: high body mass index, low fruit and vegetable intake, lack of physical activity, tobacco use, and alcohol use.
- Tobacco use is the most important risk factor for cancer and is responsible for approximately 22% of cancer deaths.2.
- Cancer causing infections, such as hepatitis and human papilloma virus (HPV), are responsible for up to 25% of cancer cases in low- and middle-income countries3.
- Late-stage presentation and inaccessible diagnosis and treatment are common. In 2015, only 35% of low-income countries reported having pathology services generally available in the public sector. More than 90% of high-income countries reported treatment services are available compared to less than 30% of low-income countries.
- The economic impact of cancer is significant and is increasing. The total annual economic cost of cancer in 2010 was estimated at approximately US$ 1.16 trillion4.
- Only 1 in 5 low- and middle-income countries have the necessary data to drive cancer policy5.
Cancer is a generic term for a large group of diseases that can affect any part of the body. Other terms used are malignant tumours and neoplasms. One defining feature of cancer is the rapid creation of abnormal cells that grow beyond their usual boundaries, and which can then invade adjoining parts of the body and spread to other organs, the latter process is referred to as metastasizing. Metastases are a major cause of death from cancer.
The burden of cancer has been on the increase over the past few decades. In 2012 alone, 8.2 million people worldwide were estimated to have died from cancer. More than two thirds of these deaths occurred in low- and middle- income countries.
The most common cancers in the African Region are cancers of the cervix, breast, liver and prostate as well as Kaposi's sarcoma and non-Hodgkin's lymphoma.
The rise in the number of cases of cancer is due to ageing populations and the increasing adoption of risk behavior such as: consumption of unhealthy diets, lack of physical exercise, harmful use of alcohol and tobacco use. In the African Region, infections due to human papillomavirus and hepatitis B and C viruses significantly contribute to the burden of the top two cancers, namely cervical and liver cancer respectively.
Many lives can be saved if appropriate investment is made in raising public awareness on the early signs and symptoms of common cancers. In addition people should adopt healthy lifestyles that reduce the risk of cancers.
Publications
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Evaluation and workup for suspected breast cancer using a primary health care approach
This WHO Regional Office for Africa manual gives primary health care providers practical, context-adapted guidance on the evaluation and workup of women presenting with suspected breast cancer, the most commonly diagnosed cancer among women and a leading cause of cancer deaths in the African Region. It sets out clinical breast assessment, referral pathways and patient navigation so that symptomatic women are diagnosed earlier and reach diagnostic and treatment services without delay.



