2. Palestinian National Authority Ministry of Health Cancer Registry Center 2006 Dr.Bayan El Sakka General Directors of Cancer Registry

3. Shifa Hospital

4. Hemato-oncology department main cancer registry office

5. The Palestinian people live in transitional epidemiological period where health service will not be able to meet the challenges of non communicable disease without a detailed precise knowledge of the prevalence, incidence and severity of these diseases. To achieve this important objective clinic and hospital information systems should be deployed in the hospital and primary health centers

6. In Palestine no or weak national data are available on the overall incidence and prevalence of cardiovascular diseases, hypertension, DM, and accident. This lack of information leads to inability to estimate the direct and indirect cost, resources required, policy and decision-making regarding prevention and treatment This is not the case in malignant disease,

7. In 1998 cancer registry was established in cooperation between ministry of health and MECC in both Gaza and Bit Jala (West Bank), which play important role in reporting and classifying the malignant diseases.

8. Notifiability of cancer in the country Cancer disease is considered as a notifiable disease. There was a report circulated to all health sectors in the Gaza governorate and West Bank to consider cancer as a notifiable disease, this report was directed by our minister of health. The response from these sectors actually differ, although we do receive information from most sectors but other health sectors are not co-operative with us about cancer cases.

9. Today cancer registry office in Gaza lanches its annual report for the year 2003 according to the standard form of the MECC and data for 2004-2005 are in processing hoping to be ready in the next year meeting

10. Data collection Still the main sources of data collection are: 1. the three medical centers - Shifa hospital - European Gaza Hospital - Nasser Pediatric Hospital 2. Histopathological Laboratories - Two in MOH - three in private sectors 3. Private Radiology centers and UNRWA of little function 4. Referal office for treatment abroad 5. Death Certificate

11. The Palestinian population The Palestinian population was estimated with 3.6 million at the end of 2004, these of 2.3 million (63.2 %) in the West bank and 1.3 million (36.8 % ) in the Gaza According to the most recent estimation 46.3 of the population is under 15 years 2% of the population is above 65 years The median age in Palestine is 16.7 years

12. The total reported cases at the year of 2003 were (503) cancer cases, of these 46% male and 54 % female. The incidence of cancer cases in the whole population is about 40/100.000. The median age of cancer in female was 52 years and most common types were:- Breast 39%, Colorectal 8%, leukemia 6% Thyroid 5%, Lymphoma 4%, Uterus 4%, Bone 3%, Stomach 2.5%, Brain 2%.

13. The median age of cancer in male was 53 years and most common types were:- Prostate 11%, leukemia 11%, lung 10.4%, lymphoma 10%, colon 9%, U. Bladder 6%, stomach 5.2%, larynx 4.3%, Skin 4.3% Hematological malignancies including all types of Leukemias, Lymphomas and Multiple myeloma constitute 16% of total cancer cases for all ages and both sexes. Pediatric cancers below the age of 15 years were 10% of the total cases “ of this 56% males and 44% females”

14. Palestinian National Authority-MOH-Gaza cancer registry center -reported cases “2003”

15. Palestinian National Authority-MOH-Gaza cancer registry center-reported cases “2003

20. Palestinian National Authority-MOH-Gaza cancer registry center-reported cases “2003 Most Common Types in Male Malignancies

21. Palestinian National Authority-MOH-Gaza cancer registry center-reported cases “2003 Age Adjusted incidence rate in Male cancers

22. Palestinian National Authority-MOH-Gaza cancer registry center-reported cases “2003 Age grouping of Prostate cancer

23. Palestinian National Authority-MOH-Gaza cancer registry center-reported cases “2003 Most Common Types in Female Malignancies

24. Palestinian National Authority-MOH-Gaza cancer registry center-reported cases “2003 Age grouping of Breast cancer

25. Palestinian National Authority-MOH-Gaza cancer registry center-reported cases “2003 Age Adjusted incidence rate in Female cancers

26. Thank You