Collaborating with the Eastern Mediterranean Public Health Network and regional public health leaders

Author (s): 

Denise Traicoff

The Eastern Mediterranean Public Health Network (EMPHNET), founded in 2009 with a vision of better health for people in the eastern Mediterranean region has been a strong advocate of improving field epidemiology and surveillance.  EMPHNET is also leading efforts to strengthen the management skills of leaders of public health programs in the region. In July Sara Andrist and I teamed up with EMPHNET in Amman, Jordan to conduct two initiatives related to successful program operations.

Jordan Cancer Registry, on-going surveillance system

Background: In 1996 the Ministry of Health initiated the Jordan Cancer Registry (JCR), with collaboration of the National Cancer Institute of the USA and the Middle East Cancer Consortium. JCR is a national, population based registry. “2008 Incidences” are latest published cancer data of Jordan. Methods: The cancer data is collected from all hospitals in addition to the pathology and hematology laboratories all over the kingdom. Data collected by a combination of Passive method in which a complete notification form is forwarded to the JCR, and Active method of data collecting and case finding, which is done by the registry staff visiting the medical facilities. Data filtered and coded using ICD-O3, CanReg-4 software used for data processing, data statistically and epidemiologically analyzed; world standard population is used for standard rates calculations to facilitate comparison. Internal and external quality control is applied. Results :( main) Incidence of the most common cancers among Jordanians and Non-Jordanians, distributed by Site, Age, Gender, and geographically…etc is released. Total registered (58126) cases of which (47265) Jordanians (81.3%) (Males= 23673 (50.1%) Females= 23592 (49.9%). the leading cancer in adults, males was Lung (10.4%) followed by Colorectal (10.1 %) and Urinary-bladder (9.7%).While in females Breast (34.2%), Colorectal (9.4%) and Leukemia (7.5%). Childhood cancers were about (6.2%) of all cancers; Leukemia (31.1 %) ranked 1st followed by Brain &CNS (17.9%) and Lymphomas (14.8 %). Conclusion: Cumulated data must be converted in to actions, as in early detection and screening programs, prevention and researches. This was used indeed in foundation of the Jordanian Breast Cancer Program for early detection, which resulted noticeably in down staging in the breast cancer cases in the last two years.

Author (s): 

Dr.Omar F Nimri

Presenter (s): 
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