the lalla salma screening program
TRANSCRIPT
Workshop on breast cancer
Cairo, December 17th, 2008
Rachid BEKKALI
Executive
Director
Population: 31.3 million
Urbanisation rate: 55 %
Population growth rate: 1.4 %
Brief history of ALSC
a
Kingdom of Morocco
Bass
in B
oujd
our-
Laay
oune
Morocco Population
Evolution of the female population
40,3
48
11,7
36,3
52
12,9
32,2
54,5
13,3
28,2
57,1
14,7
26,2
57,2
16,6
24,5
56,1
19,4
1988 1994 1999 2004 2009 2014
0-14 years 15-49 50 and more
2008 : 2 214 000 women between 45 and 65 years
Cancer registry (RCRC 2004)◘ First population registry in Morocco
◘ Taking place in Casablanca region ◘ Data of the year 2004 ◘ 30 500 new cases of disease are recorded each year*
* Registre des cancers du Grand Casablanca Année 2004, ALSC 2007
Cancers of womenRCRC 2004
36,1%12,8%
5,3%
5%
4%
2,8%
2,7%
2,5%
2,3%
2,2%
1,7%
1,6%
1,2%
1,1%
16,7%
Breast
Cervix
Thyroid Gland
Ovary
NHL
Rectum
Corpus uteri
Stomach
Skin
Colon
Lung
LH
Bladder
Œsophagus
Others
0 20 40 60 80 100 120 140
0-4
05-09
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75 et +
Tranches d'âge
Effectif
Mean age
48,1 years
Breast cancer by age RCRC 2004
36,12%Percentage of cases / total
35,04Standardisedincidence
36,14Brut incidence
662Number of cases
RCRC 2004
Morocco: RCRC => 5250 new cases / year
Breast cancer
• Morocco : 35 F / - M
• Tunisia : 25.6 F / - M
• Algeria : 17 F / 0.5 M
• USA : 129.4 F / 1.8 M
• France : 109.8 F / 0.8 M
• Canada : 95.5 F / 1 M
Breast cancerAge standardised incidence
rates (world standard)
Breast cancer screening : pilot project
• Telemammography project – screening by numerical mammography with second reading
• After 1 year : 2200 women screened
• For 1000 first women, 5 cases diagnosed
Decision of scientific board Screening by Clinical Breast Examination
Early detection Breast cancer model
ScreeningPrimary health care
systemAge : ≥ 45 years
Diagnosis
Secondary health care
system
Treatment
Tertiary health care
system
Info
rmati
on
syste
m f
or
con
trol an
d e
valu
ati
on
Patients referenced
Patients referenced
Primary health care system : screening• Reception, information, recruitment, clinical breast
examination• General practitioner or nurse
Secondary health care system : diagnosis• Reception, clinical breast examination, mammography,
ultrasound, biopsy, pathology • Specialist practitioner
Tertiary health care system : treatment• Reception, treatment (surgery, chemotherapy, radiation
therapy)• Specialist practitioner
Early detection Breast cancer model
• National breast cancer campaign
• Training of general practitioners and nurses
• Early detection program by region
• Building centers for diagnosis in each region
• Continuing Training for specialist practitioners
Diagnosis center for breast and cervical cancer Rabat
Early detection Breast cancer Actions
National Breast cancer campaign May 2008Early detection saves lives
Together against breast cancer
2 TV spotsConsult your doctor
8 different stories
200 000 leaflets Posters Video clip
Socia
l fi
eld
National breast cancer campaign (May 2008) Assessment of the Campaign : June 10 2008
• # trained doctors : 2300
• # briefings: 25 692
• # women who attended the meetings: 314 253
• # women have been examined : 120 654
• # women highly suspected with breast cancer :
1 284establishing a program of systematic detection of breast cancer by clinical examination in the public health system
Thank you for your attention
www.contrelecancer.ma