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Cancer Care in Countries and Societies in Transition pp 117–146Cite as

Challenges and Future Trends for Cancer Care in Egypt

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Abstract

In Egypt, cancer is already and will become an important health problem not only in terms of rank order, but also in terms of incidence and mortality. The commonest sites were liver among men and breast among women. During the period 2013–2050, population of Egypt is expected to increase to approximately 160 % the 2013 population size. Applying the current age-specific incidence rates to successive populations would lead to a progressive increase in number of incident. The resources for cancer control in Egypt are directed almost exclusively to treatment. Most cancers present at an advanced stage (stage III and IV) when cure is improbable even with the best treatments. According to WHO, 40 % of cancers could be avoided (prevention), 40 % could be cured (if detected early), and the rest should be managed with palliation. So, recognizing palliative care as a new subspecialty for nurses, and expansion of palliative care services to a larger number of patients and illnesses throughout the country, considering home-based palliative care service is urgently and badly needed, strengthening health care systems; focusing on patient centered care, education and training to all levels of health care professionals, and effective cancer prevention programs customized to the community should be fostered, particularly for prevention of hepatitis B and C infection, and breast cancer awareness, reducing cultural barriers, and detecting cancer as early as possible.

Keywords

  • Challenges
  • Future trends
  • Cancer care
  • Palliative care
  • Liver
  • Breast
  • Culture
  • Egypt

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References

  1. Ibrahim AS, Hussein MK, Nabiel NM, Hoda B, Hossam K. Cancer incidence in Egypt: results of the National Population-Based Cancer Registry Program. J Cancer Epidemiol. 2014;2014:18. Article ID 437971.

    CrossRef  Google Scholar 

  2. World Health Organization. Towards a strategy for cancer control in the Eastern Mediterranean Region. 2009.

    Google Scholar 

  3. EGYPT CIA—The World Factbook. 2011. Accessed 18 Apr 2011.

    Google Scholar 

  4. World Health Organization. The Country Cooperation Strategy. 2013.

    Google Scholar 

  5. Egyptian National Control Strategy for Viral Hepatitis 2008–2012.

    Google Scholar 

  6. The Demographic Profile of Egypt. United Nations, World Population Prospects. 2012. http://esa.un.org/wpp/unpp/panel_indicators.htm

  7. Younis N, Khattab H, Zurayk H, ElMoelhy M, Amin M, Farag A. A community study of gynaecological and related morbidities in rural Egypt. Stud Fam Plann. 1993;24(3):175–86.

    CrossRef  CAS  PubMed  Google Scholar 

  8. Stefan DC, Elzawawy AM, Khaled HM, Ntaganda MM, Asiimwe A, Wiafe Addai B, Wiafe S, Adewole IF. Developing cancer control plans in Africa: examples from five countries. Lancet Oncol. 2013;14(4):e189–95.

    CrossRef  PubMed  Google Scholar 

  9. WHO. Global Health Observatory data repository. NCD country capacity survey 2010. 2013. http://apps.who.int/gho/data/

  10. National cancer control programmes. Policies and managerial guidelines. 2nd ed. 2002.

    Google Scholar 

  11. Anwaar A. Breast cancer in Egypt: the challenges include education and detection. The Washington Times (online). 2011. http://communities.washingtontimes.com/neighborhood/egypt-pyramids-and-revolution/2011/oct/11/breastcancer-egypt-challenges-education-treatment/

  12. Information provided by Dr Dorria Salem, head of the digital mammography screening project. MOHP Women Health outreach program. www.whop.gov.eg/

  13. Information provided by Dr Tony Miller, designer of the trial, and Dr Salwa Boulos, PI of the trail in Cairo. Information retrieved in the following scientific publications.

    Google Scholar 

  14. Boulos S, Gadallah M, Neguib S, Essam E, Youssef A, Costa A, Mittra I, Miller AB. Breast screening in the emerging world: high prevalence of BC in Cairo. Breast. 2005;14(5):340–6.

    CrossRef  CAS  PubMed  Google Scholar 

  15. Miller AB. Practical applications for clinical breast examination (CBE) and breast self-examination (BSE) in screening and early detection of BC. Breast Care. 2008;3:17–20.

    PubMed Central  CrossRef  PubMed  Google Scholar 

  16. Omar S, Elzawawy A, Omar A. Down staging of the breast cancer in a low resource setting, rural (Fakous Cancer Centre) and urban (Port Said)—Egypt. Global summit on international breast health, Chicago, IL, USA, June 9–11, 2010.

    Google Scholar 

  17. http://portal.bhgi.org/GlobalPortfolio/globalsummit/Documents/Presentations/OMAR.pdf. Accessed 18 Feb 2013.

  18. Information provided by Dr Mohamed Shaalan, Professor of Surgery, BCFE Founding Chairman, Co-Director of prevention and early detection unit, NCI, and Lois Crooks, Volunteer Executive Director, General Secretary (2004–2008) and Founding Member.

    Google Scholar 

  19. Prevention & Control of Viral Hepatitis Infection. World Health Organization. 2012.

    Google Scholar 

  20. Egypt Health Sector Reform Program. MOHP. 2003.

    Google Scholar 

  21. Fahmi R, Mostafa KA. Palliative cancer care in Middle Eastern countries: accomplishments and challenges. Ann Oncol. 2012;23 Suppl 3:iii15–28.

    CrossRef  Google Scholar 

  22. International for Narcotics Control Board. Narcotic drugs: estimated world requirements for 2011; statistics 2009. New York: United Nations; 2011.

    Google Scholar 

  23. Daher M. Challenges and barriers for pain management in cancer patients. J Pediatr Hematol Oncol. 2010;32:425–8.

    Google Scholar 

  24. Tuncer M, Ozgul Gultekin M. National Cancer Control Program 2009–2015. Ankara: Turkish Ministry of Health Publication; 2011. www.kanser.gov.tr. Last accessed 16 Dec 2011.

  25. Ozgul N, Koc O, Gultekin M, et al. Opioids for cancer pain: availability, accessibility and regulatory barriers in Turkey and the Pallia-Turk Project. J Pediatr Hematol Oncol. 2011;33:S29–32.

    CrossRef  PubMed  Google Scholar 

  26. Al-Jibaly M. The inevitable journey, Part I—sickness: regulations and exhortations. Arlington: Al-Kitaab & As-Sunnah; 1998. p. 1998.

    Google Scholar 

  27. Towards a National Population-based Cancer Registry for Egypt (NPCR): Amal Samy Ibrahim: ppt.

    Google Scholar 

  28. Soliman AS, Nasser SS, El-Hattab O, Sobeih T, Chamberlain RM. Cancer education in medical, nursing, and pharmacy schools in Egypt: features applicable to other countries. J Cancer Educ (Impact Factor: 1.05). 2003;18(1):12–4. doi:10.1207/s15430154jce1803s_2.

  29. International Agency for Research in Cancer. Lyon, France.

    Google Scholar 

  30. Holroyd E, Twinn S, Adab P. Socio-cultural influences on Chinese women’s attendance for cervical screening. J Adv Nurs. 2004;46(1):42–52.

    CrossRef  PubMed  Google Scholar 

  31. Shi JF, Qiao YL, Smith JS, Dondog B, Bao YP, Dai M, Clifford GM, Franceschi S. Epidemiology and prevention of human papillomavirus and cervical cancer in China and Mongolia. Vaccine. 2008;26 Suppl 12:M53–9.

    CrossRef  PubMed  Google Scholar 

  32. Solomon D, Breen N, McNeel T. Cervical cancer screening rates in the United States and the potential impact of implementation of screening guidelines. CA Cancer J Clin. 2007;57(2):105–11.

    CrossRef  PubMed  Google Scholar 

  33. Thompson HS, Littles M, Jacob S, Crystal C. Cancer surveillance and follow-up care experiences of breast cancer survivors of African descent: an exploratory qualitative study. Cancer Nurs. 2006;29:478–87.

    CrossRef  PubMed  Google Scholar 

  34. Flynn P, Betancour H, Tucker J, Garberoglio C, Riggs M. Culture, emotions, and breast self-examinations among culturally diverse women. Presented at the annual conference for the American Psychological Association, San Francisco, CA, August 2007.

    Google Scholar 

  35. Beyene Y. Medical disclosure and refugees. Telling bad news to Ethiopian patients. West J Med. 1992;157:328–32.

    PubMed Central  CAS  PubMed  Google Scholar 

  36. Sachedina A. End-of-life: the Islamic view. Lancet. 2005;366:774–9.

    CrossRef  PubMed  Google Scholar 

  37. Searight HR, Gafford J. Cultural diversity at the end of life: issues and guidelines for family physicians. Am Fam Physician. 2005;71:515–22.

    PubMed  Google Scholar 

  38. Chattopadhyay S, Simon A. East meets west: cross-cultural perspective in end-of-life decision making from Indian and German viewpoints. Med Health Care Philos. 2008;11:165–74.

    CrossRef  PubMed  Google Scholar 

  39. Surbone A. Cultural aspects of communication in cancer care. Support Care Cancer. 2008;16:235–40.

    CrossRef  PubMed  Google Scholar 

  40. Seo M, Tamura K, Shijo H, et al. Telling the diagnosis to cancer patients in Japan: attitude and perception of patients, physicians and nurses. Palliat Med. 2000;14:105–10.

    CrossRef  CAS  PubMed  Google Scholar 

  41. Younge D, Moreau P, Ezzat A, et al. Communicating with cancer patients in Saudi Arabia. Ann N Y Acad Sci. 1997;809:309–16.

    CrossRef  CAS  PubMed  Google Scholar 

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Acknowledgment

The author acknowledges the important and fantastic role played by Prof. Michael Silbermann in increasing health care awareness and establishing palliative care in Middle East Countries, Executive Director, Middle East Cancer Consortium.

Conflict of Interest: The authors declare that there is no conflict of interests regarding the publication.

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Authors and Affiliations

  1. Medical Surgical Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt

    Karima Elshamy D.N.Sc.

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  1. Karima Elshamy D.N.Sc.
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Correspondence to Karima Elshamy D.N.Sc. .

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Editors and Affiliations

  1. Technion – Israel Institute of Technology, & Middle East Cancer Consortium, Haifa, Haifa, Israel

    Michael Silbermann

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Elshamy, K. (2016). Challenges and Future Trends for Cancer Care in Egypt. In: Silbermann, M. (eds) Cancer Care in Countries and Societies in Transition. Springer, Cham. https://doi.org/10.1007/978-3-319-22912-6_9

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  • DOI: https://doi.org/10.1007/978-3-319-22912-6_9

  • Publisher Name: Springer, Cham

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