Resources and Information on Cancer in Zimbabwe



Focus on Cancer



World Health Organization Cancer Fact sheet N°297 (Updated February 2014)

Cancer is a leading cause of death worldwide, accounting for 8.2 million deaths in 2012 (1). The most common causes of cancer death are cancers of:

lung (1.59 million deaths)
liver (745 000 deaths)
stomach (723 000 deaths)
colorectal (694 000 deaths)
breast (521 000 deaths)
oesophageal cancer (400 000 deaths) (1).

*Cancers figure among the leading causes of death worldwide, accounting for 8.2 million deaths in 2012 (1).
*Lung, liver, stomach, colorectal and breast cancers cause the most cancer deaths each year.
*The most frequent types of cancer differ between men and women.
*About 30% of cancer deaths are due to the five leading behavioral and dietary risks: high body mass index, low fruit and vegetable intake, lack of physical activity, tobacco use, alcohol use.
*Tobacco use is the most important risk factor for cancer causing over 20% of global cancer deaths and about 70% of global lung cancer deaths.
*Cancer causing viral infections such as HBV/HCV and HPV are responsible for up to 20% of cancer deaths in low- and middle-income countries (2).
*More than 60% of world’s total new annual cases occur in Africa, Asia and Central and South America. These regions account for 70% of the world’s cancer deaths (1).

What causes cancer?
Cancer arises from one single cell. The transformation from a normal cell into a tumour cell is a multistage process, typically a progression from a pre-cancerous lesion to malignant tumours. These changes are the result of the interaction between a person's genetic factors and three categories of external agents, including:

*physical carcinogens, such as ultraviolet and ionizing radiation;
*chemical carcinogens, such as asbestos, components of tobacco smoke, aflatoxin (a food contaminant) and arsenic (a drinking water contaminant); and
*biological carcinogens, such as infections from certain viruses, bacteria or parasites
*Ageing is another fundamental factor for the development of cancer. The incidence of cancer rises dramatically with age, most likely due to a build up of risks for specific cancers that increase with age.

Risk factors for cancers

Tobacco use, alcohol use, unhealthy diet and physical inactivity are the main cancer risk factors worldwide. Chronic infections from hepatitis B (HBV), hepatitis C virus (HCV) and some types of Human Papilloma Virus (HPV) are leading risk factors for cancer in low- and middle-income countries. Cervical cancer, which is caused by HPV, is a leading cause of cancer death among women in low-income countries.

(extracted from The World Health Organisation Website) For more information prevention, diagnosis treatment and other related topics please visit this site on.

In the African region

The regional burden of cancer continues to grow; tackling it constitutes one of the major challenges in our Region. The most common cancers in the African Region are cancers of the cervix, breast, liver and prostate as well as Kaposi's sarcoma and non-Hodgkin's lymphoma.
(extracted from World Health organization website


Zimbabwe and Cancer

" It is difficult to get correct figures in developing countries such as Zimbabwe and South Africa to name a few, because cancers are not captured by the routine National Health Information System due to patients not presenting for treatment or registering deaths. Research has shown that the five commonest cancers in Black Zimbabwean women are cervical cancer (33.9%), breast cancer (9.7%), Kaposi sarcoma (9.6%), eye (8.7%) and non-Hodgkin lymphoma (4.1%). It is also estimated that 3,700 women die per year of cervical cancer in South Africa. In Zimbabwe, HIV and AIDS contributed 60% of cancers in 2005 (Chokunonga et al, 2010).

Cancer mortality in Zimbabwe is still high mainly due to late presentation of disease, inter-current diseases including HIV and limited access to early detection and treatment services. Also most of the developing governments focus mainly on diseases like Cholera, HIV and AIDS and Malaria while non-communicable diseases like cancer are left with limited funding. However Cervical Cancer screening is supported by the United Nations Population Fund (UNFPA) ( Chireka 2014)
 ( extracted from New Zimbabwe Dr Chireka: lets talk about cervical cancer


Below are some local Zimbabwe news articles that expand and elaborate on cancer in Zimbabwe.

1.    Cancer patients suffer in silence

2.    Cases of prostate cancer on the rise http://www.thestandard.co.zw/2014/05/18/cases-prostate-cancer-rise/

3.    Human papillomavirus genotypes in cervical cancer and vaccination challenges in Zimbabwe

4.    Risk factors associated with oesophageal cancer in Bulawayo, Zimbabwe.

5.    Progress report: St. Albert’s Mission Hospital Cervical Cancer Prevention Program

6.    Situation analysis for cervical cancer diagnosis and treatment in east, central and southern African countries. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2566349/

7.    Assessing the Effects of Estrogen on the Dynamics of Breast Cancer
9.     

Some books online on cancer include:

Fight against cancer: strategies that prevent, cure and care

Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs BY Committee on Psychosocial Services to Cancer Patients/Families in a Community Setting, Nancy E. Adler and Ann E. K. Page (Editors). National Academies Press, 2008, 456 pp

Cancer control: knowledge into action http://www.who.int/entity/cancer/modules/en/index.html

Cancer Medicine BY Kufe, Donald W.; Pollock, Raphael E.; Weichselbaum, Ralph R.; Bast, Robert C., Jr.; Gansler, Ted S.; Holland, James F.; Frei III, Emil (Editors)

World Cancer Report 2014


In our Library Book Collection we also have:



1.    World cancer Report by World Health Organization
2.     Clinical oncology: basic principles and practice by A J Neal and P J Hoskin
3.    Management of gynecological cancers in older women by S M Lichtman and R AS Audisio
DeVita, Hellman, and Rosenberg’s Cancer principles and practice of oncology edited by VT DeVita Jr, T S Lawrence, S A Rosenberg

For more such books and further assistance Visit our library or chat with us on our Facebook page ...
Happy studying

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