Abstract

Cancer is a growing health problem with substantial mortality. A high mortality reflects high incidence, late detection and inadequate management. The objective of this study is to examine the time changes of mortality rate of cancer in Basrah. The results presented in this article are all based on officially registered cancer deaths in Basrah Governorate on selected years. Cancer of lung and bronchus, breast cancer, CNS tumors, all types of leukemia, secondaries of unknown primary site, urinary bladder cancer, stomach cancer, cancer of pancreas and cancer of liver and biliary system were the leading causes of cancer related death and accounted for 68.7%. The time trend showed some tendency for mortality rates to increase over years for most cancers except a noticeable decline in recent years. In conclusion, cancer is a major cause of death in Basrah accounting for nearly 10% of all officially registered deaths. An initial modest increase followed by some tendency to decrease in mortality rate is noticed. Further comprehensive studies are highly recommended.

Highlights

  • Cancer represents an important and growing health problem[1,2]

  • The leading cancer-related causes of death (2008-2013) Table I indicates that 68.9% of all cancer related mortality in Basrah governorate are attribute to ten types of cancers

  • Time trend Looking closely at the pattern of cancer specific mortality rates Figure 1 and Table II it is possible to identify the following patterns: First; it seems that cancer specific mortality rate was increasing in Basrah over the last three decades with some tendency to decline in recent years

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Summary

Introduction

Cancer represents an important and growing health problem[1,2]. The risk in general is higher in developed countries compared to developing countries. The cause-specific mortality rate associated with cancer, is higher in developing countries mainly due to inadequate management[3]. In Basrah governorate extensive efforts were made to quantify the risk and mortality of cancer over the last decades and evidence from published work indicates modest increase in incidence rates of most cancers and relatively high mortality[4,5,6,7,8]. In this paper we attempt to examine the change in cancer risk over years through the examination of mortality rates as a proxy measure of incidence rate. Death certificates contain important section on the cause of death.

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