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Cancer Patterns in Different Ethnic Groups in South Africa

  • A. R. P. Walker
  • M. I. Odendaal
  • I. Segal


Early and some later workers (Higginson and Oettlé, 1960; Robertson et al., 1971; Schonland and Bradshaw, 1968; Rose and Fellingham, 1981; Isaacson et al., 1978) noted pronounced differences in the incidence rates of cancers in South African interethnic populations. These currently include blacks (about 19 million), whites (41/2 million), coloreds (Eur-African-Malays) (21/2 million), and Indians (3/4 million). The pattern of differences from the incidence studies was in substantial agreement with the pattern based on mortality rates (Bradshaw and Harington, 1982; Bradshaw et al., 1982, 1983). Understandably, while there are some limitations to the validity of death certificates even in developed populations (Percy et al., 1981), there are much greater uncertainties in certification in the cases of less privileged or less developed populations.


Esophageal Cancer Black Woman Oesophageal Cancer Cancer Pattern Total Cancer Mortality 
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  1. Anonymous, 1974, Annual global data on mortality (1970–1972), World Health Stat. Rep. 27: 196–197.Google Scholar
  2. Bradshaw, E., and Harington, J. S., 1982, A comparison of the cancer mortality rates in South Africa with those in other countries, S. Afr. Med. J. 61: 943–946.Google Scholar
  3. Bradshaw, E., and Schonland, M., 1974, Smoking, drinking and oesophageal cancer in African males in Johannesburg, South Africa, Br. J. Cancer 30: 157–163.CrossRefGoogle Scholar
  4. Bradshaw, E., McGlashan, N. D., Fitzgerald, D., and Harington, J. S., 1982, Analysis of cancer incidence in Black gold miners from Southern Africa (1964–79), Br. J. Cancer 46: 737–748.CrossRefGoogle Scholar
  5. Bradshaw, E., Harington, J. S., and McGlashan, N. D., 1983, Geographical distribution of lung and stomach cancers in South Africa (1968–1972), Afr. Med. J. 64: 655–663.Google Scholar
  6. Cancer Statistics Group, 1982, Trends in Cancer Survival in Great Britain, Cancer Research Campaign, London, pp. 35–41.Google Scholar
  7. Central Statistical Services, 1982, Deaths of Blacks, Report no. 07-05-02 ( 1979 ), Government Printer, Pretoria, South Africa.Google Scholar
  8. Doll, R., and Peto, R., 1982, Morbidity versus mortality, J. Nat. Cancer Inst. 69: 549–550.Google Scholar
  9. Henson, D. E., 1983, Meeting highlights: Conference and workshop on cancer in Latin America, J. Nat. Cancer Inst. 70: 979–984.Google Scholar
  10. Higginson, J., and Oettlé, A. G., 1960, Cancer incidence in the Bantu and “Cape Coloured” races of South Africa: Report of a cancer survey in the Transvaal (1953–55), J. Nat. Cancer Inst. 24: 589–671.Google Scholar
  11. Isaacson, C., Selzer, G., Kaye, V., Greenberg, M., Woodruff, D., Davies, J., Ninin, D., Vetten, D., and Andrew, M., 1978, Cancer in the urban blacks of South Africa, S. Afr. Cancer Bull. 22: 49–84.Google Scholar
  12. Jussawalla, D. J., Deshpande, V. A., and Standfast, S. J., 1971, Assessment of risk patterns in cancer of the cervix: A comparison between Greater Bombay and Western countries, Int. J. Cancer 7: 259–268.CrossRefGoogle Scholar
  13. Kew, M. C., 1982, Tumours of the liver, in: Hepatology ( D. Zakim and T. D. Boyer, eds.), W. B. Saunders, Philadelphia, pp. 1048–1083.Google Scholar
  14. Kew, M. C., Rossouw, E., Paterson, A., Hodkinson, J., Dusheiko, G. M., and Whitcutt, M., 1983, Hepatitis-B virus status of Black women with hepatocellular carcinoma, Gastroenterology 84: 693–696.Google Scholar
  15. Percy, C., Stanck, E., and Gloeckler, I., 1981, Accuracy of death certificates and its effect on cancer mortality, statistics, Am. J. Public Health 71: 242–250.CrossRefGoogle Scholar
  16. Robertson, M. A., Harington, J. S., and Bradshaw, E., 1971, The cancer pattern in Africans of the Transvaal Lowveld, Br. J. Cancer 25: 377–384.CrossRefGoogle Scholar
  17. Rose, E. F., and Fellingham, S. A., 1981, Cancer patterns in the Transkei, S. Afr. J. Sei. 77: 555–561.Google Scholar
  18. Schonland, M., and Bradshaw, E., 1968, Cancer in the Natal African and Indian (1964–66), Int. J. Cancer 3: 304–316.CrossRefGoogle Scholar
  19. Van der Burgh, C., 1979, Smoking behaviour of white, black, coloured and Indian South Africans: Some statistical data on a major public health hazard, S. Afr. Med. J. 55: 975–978.Google Scholar
  20. Van Rensburg, S. J., 1977, Mycotoxoses in the tropics, in: Medicine in a Tropical Environment ( J. S. Gear, ed.), South African Medical Research Council, Cape Town, South Africa.Google Scholar
  21. Van Rensburg, S. J., 1981, Epidemiological and dietary evidence for a specific nutritional predisposition to esophageal cancer, J. Nat. Cancer Inst. 67: 243–251.Google Scholar
  22. Walker, A. R. P., 1980, Epidemiology of ischaemic heart disease in the different populations in Johannesburg, S. Afr. Med. J. 57: 748–752.Google Scholar
  23. Walker, A. R. P., 1980, Epidemiology of ischaemic heart disease in the different populations in Johannesburg, S. Afr. Med. J. 57: 748–752.Google Scholar
  24. Walker, A. R. P., Walker, B. F., Isaacson, C., Segal, I., and Pryor, S., 1984b, Low survival of blacks with oesophageal cancer in Johannesburg, South Africa, S. Afr. Med. J. 66: 877–878.Google Scholar
  25. Walker, A. R. P., Walker, B. F., Tshabalala, E. N., Isaacson, C., and Segal, I., 1984c, Low survival of South African urban Black women with breast cancer, Br. J. Cancer 49: 241–245.CrossRefGoogle Scholar
  26. World Health Organization, 1982, Vital statistics and causes of death, in: World Health Annual Statistics, World Health Organization, Geneva, p. 46.Google Scholar

Copyright information

© Plenum Press, New York 1986

Authors and Affiliations

  • A. R. P. Walker
    • 1
  • M. I. Odendaal
    • 2
  • I. Segal
    • 3
  1. 1.School of Pathology, South African Institute for Medical Research, and University of the WitwatersrandJohannesburgSouth Africa
  2. 2.Department of PhysiologyUniversity of PotchefstroomPotchefstroomSouth Africa
  3. 3.Department of GastroenterologyBaragwanath HospitalJohannesburgSouth Africa

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