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. 2016 Jan 26:16:76.
doi: 10.1186/s12889-016-2715-8.

Cancer mortality in the West Bank, Occupied Palestinian Territory

Niveen M E Abu-Rmeileh  1 , Emilio Antonio Luca Gianicolo  2   3 , Antonella Bruni  2 , Suzan Mitwali  4 , Maurizio Portaluri  2   5 , Jawad Bitar  6 , Mutaem Hamad  6 , Rita Giacaman  4 , Maria Angela Vigotti  7   8
Affiliations

Cancer mortality in the West Bank, Occupied Palestinian Territory

Niveen M E Abu-Rmeileh et al. BMC Public Health. .

Abstract

Background: The burden of cancer is difficult to study in the context of the occupied Palestinian territory because of the limited data available. This study aims to evaluate the quality of mortality data and to investigate cancer mortality patterns in the occupied Palestinian territory's West Bank governorates from 1999 to 2009.

Methods: Death certificates collected by the Palestinian Ministry of Health for Palestinians living in the West Bank were used. Direct and indirect age-standardised mortality rates were computed and used to compare different governorates according to total and specific cancer mortality. Furthermore, standardised proportional mortality ratios were calculated to compare mortality by urban, rural and camp locales.

Results: The most common cause of death out of all cancer types was lung cancer among males (22.8 %) and breast cancer among females (21.5 %) followed by prostate cancer for males (9.5 %) and by colon cancer for females (11.4 %). Regional variations in cancer-specific causes of death were observed. The central- West Bank governorates had the lowest mortality for most cancer types among men and women. Mortality for lung cancer was highest in the north among men (SMR 109.6; 95%CI 99.5-120.4). For prostate cancer, mortality was highest in the north (SMR 103.6; 95%CI 88.5-120.5) and in the south (SMR 118.6; 95%CI 98.9-141.0). Breast cancer mortality was highest in the south (SMR 119.3; 95%CI 103.9-136.2). Similar mortality rate patterns were found in urban, rural and camp locales.

Conclusion: The quality of the Palestinian mortality registry has improved over time. Results in the West Bank governorates present different mortality patterns. The differences might be explained by personal, contextual and environmental factors that need future in-depth investigations.

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Figures

Fig. 1
Fig. 1
International Comparison for estimated Age-Standardised Cancer Mortality Ratios, by sex. (Source: Ferlay Jet al 2010; IARC, 2010)
Fig. 2
Fig. 2
Map of West Bank governorates
See this image and copyright information in PMC

References

    1. Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010;15;127(12):2893–917. doi: 10.1002/ijc.25516. - PubMed
    1. Kanavos P. The rising burden of cancer in the developing world. Ann Oncol. 2006;17(suppl 8):viii15–viii23. - PubMed
    1. Husseini A, Abu-Rmeileh NME, Mikki N, Ramahi T, Abu Ghoush H, Barghuthi N, et al. Cardiovascular diseases, diabetes mellitus, and cancer in the occupied Palestinian territory. The Lancet. 2009;373(9668):1041–1049. doi: 10.1016/S0140-6736(09)60109-4. - DOI - PubMed
    1. Ministry of Health . Cancer 1995–2000. Gaza: Ministry of Health; 2002.
    1. Bailony MR, Hararah MK, Salhab AR, Ghannam I, Abdeen Z, Ghannam J. Cancer registration and healthcare access in West Bank, Palestine: A GIS analysis of childhood cancer, 1998–2007. Int J Cancer. 2011;1;129(5):1180–9. doi: 10.1002/ijc.25732. - DOI - PubMed

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