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U.S. National Institutes of Health
Last Updated: 01/15/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN HAITI

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Gynecological Breast Stomach Colorectal
New Cancer Cases 8414 2378 833 831 657 519
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 66.68 73.75 56.67 100.00 33 70
Number (#) of patients needing surgery 5611 1754 472 831 217 363
Average length of stay (ALOS) for surgery 6.67 8 6.33 5 5 9
# of surgery beds/day 102.41 38.41 8.18 11.38 2.97 8.95
CHEMOTHERAPY % of patients requiring chemo 77.03 62.5 66.67 100 66 90
# of patients requiring chemo 6481.64 1486 555 831 434 467
ALOS for chemo 3.10 3.5 3 3 3 3
# of chemo beds/day 55.01 14.24 4.56 6.83 3.56 3.84
RADIOTHERAPY % of patients requiring RT 51.25 41.25 40 100 50 25
# of patients 4312.18 981 333 831 329 130
# of admitted patients 1078.04 245 83 208 82 32
ALOS 5.00 5 5 5 5 5
# of RT beds/day 14.76 3.36 1.14 2.84 1.12 0.44
ONCOLOGY BEDS Maximum # of beds/day 173 57 14 22 8 14
# of 24 bed oncology wards 8 3 1 1 1 1
ONCOLOGISTS Surgical Oncologists 12 4 1 2 1 1
Radiation/Clinical Oncologists 43 12 5 5 4 3
Urologic Oncologists 5 5 0 0 0 0
Gynecologic Oncologist 2 0 2 0 0 0
Pathologists 17 5 2 2 2 2
PHARMACY Onco-Pharmacists 32 12 4 4 4 4
Onco-Pharmacy Technicians 48 18 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 17 5 2 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 52 12 4 10 4 2
Medical Physicists 18 4 2 4 2 1
Linac Engineers 5 1 1 1 1 1
Radiation Oncology Nurses 18 4 2 4 2 1
Linacs / Co 60 Megavolt Units 9 2 1 2 1 1
# of Brachytherapy units 5 1 1 1 1 1
# CT simulators 5 1 1 1 1 1
# of treatment planning computers 5 1 1 1 1 1
# of dosimetry/QA package 5 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 120 45 15 15 15 15

CANCER INCIDENCE IN THE MOST POPULOUS CITY BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2009

Port-au-Prince
Population 875978
New Cancer Cases 747
SURGERY % of patients needing surgery 66.68
Number (#) of patients needing surgery 498
Average length of stay (ALOS) for surgery 6.67
# of surgery beds/day 9.09
CHEMOTHERAPY % of patients requiring chemo 77.03
# of patients requiring chemo 575
ALOS for chemo 3.10
# of chemo beds/day 4.88
RADIOTHERAPY % of patients requiring RT 51.25
# of patients 383
# of admitted patients 96
ALOS 5
# of RT beds/day 1.31
ONCOLOGY BEDS Maximum # of beds/day 16
# of 24 bed oncology wards 1
ONCOLOGISTS Surgical Oncologists 2
Radiation/Clinical Oncologists 4
Urologic Oncologists 1
Gynecologic Oncologist 1
Pathologists 2
PHARMACY Onco-Pharmacists 4
Onco-Pharmacy Technicians 6
PALLIATIVE CARE Palliative Care Specialists 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 5
Medical Physicists 2
Linac Engineers 1
Radiation Oncology Nurses 2
Linacs / Co 60 Megavolt Units 1
# of Brachytherapy units 1
# CT simulators 1
# of treatment planning computers 1
# of dosimetry/QA package 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 15

Key to Calculations

  1. Number of beds/day = number who require surgery*ALOS/365.25
  2. Oncology beds per day = beds for surgery + beds for chemotherapy + beds for radiation therapy
  3. Number of 24 bed oncology wards = (Oncology beds per day)/24
  4. Number of Hematologist oncologists = (2/1000)*hematologic malignancy cases
  5. Number of Radiation Oncologists = (5/1000)*total number of cancer cases
  6. Number of Surgical oncologists = (number of surgeries)/480. This is based on 2 surgeries per day, 5 days a week for 48 weeks)
  7. Number of GYN-oncologists = (2/1000)*GYN cancer cases
  8. Number of Urologic Oncologists = (2/1000)* urological cancer cases
  9. Number of Neuro-Oncologists = (2/1000)* brain, nervous system cancer cases
  10. Number of pathologist = (2/1000)*total number of cancer cases
  11. Number of Pharmacists = 4* number of 24 bed oncology wards
  12. Number of Pharmacy Technicians = 6 * number of 24 bed oncology wards
  13. Number of Palliative Care Specialists = (2/1000)*total number of cancer cases
  14. Number of Medical Physicists = (4/1000) * number of patients requiring radiation therapy
  15. Number of Radiation Technicians = (12/1000) * number of patients requiring radiation therapy
  16. Number of Linac Engineers = (1/1000) * number of patients requiring radiation therapy
  17. Number of Radiation Therapy nurses = (4/1000) * number of patients requiring radiation therapy
  18. Number of Linacs = (2/1000)  * number of patients requiring radiation therapy
  19. Number of Brachy therapy units/CT simulators/treatment planning computers/ dosimetry/QA package = (1/1000)  * number of patients requiring radiation therapy
  20. Number of nurses = 15*number of 24 bed oncology wards (1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward).
  21. The table below lists the estimated percentage of patients requiring surgery, chemotherapy and radiation therapy for the different types of cancers as well as the average length of stay (ALOS) in hospital (in days) for each of these treatments.
Type of cancer % of patients requiring Surgery ALOS % of patients requiring Chemotherapy ALOS % of patients requiring Radiation therapy ALOS
Cervix uteri Gynecological 20 5 80 3 80 5
Corpus uteri Gynecological 80 5 20 3 20 5
Ovary Gynecological 70 9 100 3 20 5
Gynecological cancers 56.67 6.33 66.67 3 40 5
Larynx Head & Neck 50 9 50 3 75 5
Lip, oral cavity Head & Neck 40 9 80 3 80 5
Nasopharynx Head & Neck 0 0 100 3 100 5
Other pharynx Head & Neck 40 9 80 3 80 5
Thyroid Head & Neck 90 7 20 5 20 5
Head and Neck cancers 44 6.8 66 3.4 71 5
Hodgkin lymphoma Hematological Malignancy 0 0 100 5 40 5
Leukaemia Hematological Malignancy 0 0 100 7 20 5
Multiple myeloma Hematological Malignancy 0 0 100 7 20 5
Non-Hodgkin lymphoma Hematological Malignancy 0 0 100 7 50 5
Hematological Malignancies 0 0 100 6.5 32.5 5
Bladder Urological 100 9 50 3 50 5
Kidney Urological 75 9 50 3 20 5
Prostate Urological 20 9 50 3 65 5
Testis Urological 100 5 100 5 30 5
Urologica cancers 73.75 8 62.5 3.5 41.25 5
Brain, nervous system 100 9 100 3 100 5
Breast 100 5 100 3 100 5
Colorectal 70 9 90 3 25 5
Gallbladder 33 9 66 3 50 5
Kaposi sarcoma 0 0 70 3 50 5
Liver 5 10 20 3 20 5
Lung 25 10 50 3 90 5
Melanoma of skin 100 3 50 3 50 5
Esophagus 20 9 90 3 90 5
Pancreas 10 10 50 5 50 5
Stomach 33 5 66 3 50 5
All cancers excl. non-melanoma skin cancer average of 5 most frequently occurring cancers