HAEMATOLOGY IN THE EASTERN CAPE: AN INTRODUCTION

Dr Neil Littleton

The Eastern Cape

• 2nd largest province 13,9% of RSA ( size of Uruguay)

• Port Elizabeth: 1,15 Million (6th largest city SA) 2011

• Population 6,5 million- 12,7% of RSA ( Census 2011)

• 25% < 14 yrs

• 15 - 35 yrs 37%

• 36 - 64 yrs 31%

• 65+ 6%

Aloe Igazi Unit

• Situated in PHPE - M7

• Dedicated haemato-oncology service for the Eastern Cape- only one in province

• Out patient department

• Chemotherapy unit

• Dedicated pharmacy

• Day ward

Aloe Igazi Unit

• General Ward - 3 male & 3 female beds

• Protected environment 6 beds

• 28 dedicated nurses

• Occasionally we have a secretary and clerk

• 041 392 3266/64 AH 041 3923391

• 3 over worked doctors!

• Service entire EC: Louterwater to Matatiele and coast to Lesotho

Haemato-oncology

• 500 000 deaths reported 2010 ( Stats SA)

• 10% non natural

• Most deaths occurred between 25 -45 yrs

• 7,2% oncology - fraction were Haematological

• Exact incidence?

• Tumour Registry

CML

• 1-2/ 100 000 per year US data

• Port Elizabeth :11- 22 per year

• Past 7 years : 71 patients diagnosed & treated

• 26 have died

• Are we missing ours? Are they dying before diagnosis?

• CLL another sentinel disease: 2-6/ 100 000 going to 13/100 000 > 65